2 100 150 https://digital.lib.buffalo.edu/files/original/7b55cb7838fbd77b0eb4b97115813fba.pdf d90e3ffc6c61fb531e50447588fe2249 PDF Text Text Bulfnlo Physician Volume 15~ Number I Spring "Bl School of Medieine State llnmersitg of New lbrk at Buffal6 �Dear Alumni and Alumnae: Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine In recent years The School of Medicine has restored many of the traditions which characterized the "old" University of Buffalo. Included in these traditions was the restoration and placement of the bronze plaques which resided in the previous medical school building, the obtaining of one of the old lanterns, and restoration of many of the paintings. Dr. Robert Brown has been instrumental in many of these efforts and has shouldered the responsibility for carrying each project to completion. Each project has provided a source and sense of continuity from the past to the present and has served to insure the legacy of the "old" into the "new". A tradition common to many medical schools including UB is again being reimplemented. This is the naming of alumni or faculty members who have made a distinct contribution to the annals of The School of Medicine. During the past two years three such actions have been recommended by the Executive Committee of the School of Medicine and acted favorably upon by the University's Advisory Council. These actions were the identification of the Center for Immunology as the Ernest Witebsky Center for Immunology, the naming of the School's newly remodeled and refurnished Executive Committee Conference Room as the Eugene Lippschutz Conference Center, and now the naming of the Biochemistry Conference Room in memory of Willard B. Elliot. Each of these dedicated scientists and scholars made distinguished, significant lifelong contributions to The School of Medicine as teachers, investigators and servants. The recognition of their memories by those of us who knew them intimately and the carrying forward of the principles and values which each emulated is, indeed, a function of an institution dedicated to serve the needs of humanity. I hope that we will maintain this behavior and tradition in the years ahead.O �Volume 15, Number 1 Spring 1981 THE BUFFALO PHYSICIAN (USPS 551·86{)) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor RoBERTS. McGRANAHAN Dean, School of Medicine DR. }OHN NAUGHTON Photography HuGo H. UNGER EDwARD NowAK Visual Designers 2 3 4 5 8 10 12 RICHARD MACAKANJA DoNALD E. WATKINS Associate Editor TERI RoBERTS CONSULTANTS President, Medical Alumni Association DR. RoBERT W. ScHULTZ Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Acting Director of Public Affairs 14 16 19 20 21 22 24 26 28 29 30 Teaching Hospitals 36 37 38 The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 39 40 41 42 47 51 52 HARRY JACKSON ~ IN THIS ISSUE Dean Naughton's Message (inside front cover) Class Reunions 44th Annual Spring Clinical Day Sophomore Orientation The 1984 Class Preceptor's Luncheon Frosh Picnic Who Was Theodore Evans, Paris, France? by Dr. O.P. Jones Pediatric Continuing Education Pediatric Continuing Education Dr. Ronald Kallen/Continuing Medical Education Air Contrast Studies Dr. Myron Gordon Early Human Genetics Selectives for Medical Students The Clinical Years Dr. Reiman BGH Anniversary Ethical Issues in the Neonatal Nursery by Dr. Laurence B. McCullough Roswell Park Seminars The Gene Lippschutz Conference Room Book Review by Dr. Ross Markello, M'57 Red Jacket Award Letter to the Editor Dr. Arthur Schaefer People The Classes In Memoriam Alumni Tours Your Alumni President Speaks (inside back cover) The cover design is by Donald Watkins ... see p. 24. Physician - - - ------------- - - ------------- ..__, ____.. ... .,.....__.,..,........., ....._.,.W/__. .................. "'LJII" .,...._,._,....__._'---"'./WIW/.._......:7 .... ~.,~~.,.,v~~ selectives SPRING, 1981 THE BUFFALO PHYSICIAN, [USPS 551-860). Spring, 1981- Volume 15, Number 1 published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. POSTMASTER: Send address changes to THE BUFFALO PHYSICIAN, 139 Cary Hall, 3435 Main Street, Buffalo, N.Y. 14214. Copyright 1981 by The Buffalo Physician. 1 �Dr. Walter Walls, M'31 Dr. Donald Hall, M '41 Nine Class Reunions, May 9 Dr. Victor Pellicano, M'36 Pictures were not available for Drs. Martin Mango, M'71, Frank Hook, M'36, co-chairman of the 1936 class reunion.o Dr. Edmond Gicewicz, M'56 Nine classes will have reunions during the 44th annual Spring Clinical Day, May 9. Approximately 700 physicians and their wives will attend the reunion dinners. Dr. Walter Walls of Charlottesville, Virginia is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Michael Barone, Virgil Boeck, Thomas Bumbalo, Theodore Ciesla, Gustave DaLuiso, Donald Donovan, Edward Driscoll, Joseph Godfrey, Francis Kenny, James Long, Angelo Naples, Lawrence Radice, Harold Schweitzer, Joseph Tedesco, Walter Westinghouse. (From New York State) Samuel Gerace, Batavia; Arthur Glick, New York City; Ellwyn Heier, Cattaraugus; Francis Keefe, Olean; John Kuhl, Hammondsport; Francis Oderkirk, Victor; Kenneth Rowe, Hornell. (From out of state) Orvan Hess, North Haven, Connecticut; Walter Jetter, Latrobe, Pennsylvania; Thomas March, Tacoma, Washington; Jerome Schwartz, Las Vegas, Nevada; Robert Ullman, Phoenix, Arizona. (From Florida) Stuart Bean, Tampa; Irving Clark, Chattahoochee; Joseph Dolce, Riviera Beach; James McGarvey, Clearwater; Ronald Steube, Naples; Helen Toskov and Helen Wolfson, West Palm Beach. (From Hyderabad, India) Feroze Husian.D Dr. Carlo DeSantis, M'61 Dr. Frank Barbarossa, M'66 Dr. Edwin Jenis, M'66 �-- ~~--- --- 44th ANNUAL MEDICAL ALUMNI ASSOCIATION SPRING CLINICAL DAY, MAY 9 Theme: Controversies in Caring for the Aged BUFFALO CONVENTION CENTER 8:00 a.m. Registration and Coffee 8:30 a.m. WELCOME Robert Schultz, M.D. '65, President, Medical Alumni Association, SUNY /Buffalo, and Clinical Assistant Professor of Medicine; John Naughton, M.D. Dean, School of Medicine GERONTOLOGY, INTRODUCTION Harold Brody, M.D. '61, Professor & Chairman, Department of Anatomy, U/B 8:45 a.m. 8:50 a.m. 9:20 a.m. 9:50a.m. 10:10 a.m. 10:25 a.m. 10:45 a.m. SOCIAL AND ETHICAL CONSIDERATION IN THE CARE OF THE ELDERLY Robert Dickman, M.D. '68 Assistant Professor of Family Medicine and Medical Director, University Hospitals Geriatric Assessment and Service Unit, Chairman, University Hospitals Committee for Geriatric Medicine, Case Western Reserve University School of Medicine. MEDICINE IN THE ELDERLY: HOW DIFFERENT IS IT? Evan Calkins, M.D., Professor of Medicine, Head of Geriatrics, VA Hospital MORE APPARENT THAN REAL: ORGANICITY VS DEPRESSION Michael Lynch, M.D., Clinical Assistant Professor of Psychiatry, U/B. HOSPITAL BASED MALNUTRITION Frank Cerra, M.D., Associate Professor of Biophysical Sciences, U/B. COMMUNITY CARE FOR THE AGING Clifford Whitman, Commissioner of the Department of Senior Services, County of Erie. COFFEE BREAK 11:00 a.m. PRE-OPERATIVE AND POST-OPERATIVE CARE OF THE AGED IN HIGH RISK GENERAL SURGICAL PATIENTS John Siegel, M.D., Professor of Surgery, Research Professor of Biophysical Science, U/B. 11:15 a.m. UROLOGY IN THE ELDERLY Maurice Gonder, M.D., Clinical Associate Professor of Urology, Acting Chairman of Urology, U/B. 11:30 a.m. OUR AGING JOINTS Joseph Godfrey, M.D. '31, Clinical Professor of Orthopedics, Emeritus; Assistant Chief of Orthopedics National Naval Medical Center, Bethesda, Maryland; Consultant to the Surgeon General, U.S. Navy CATARACT SURGERY- TO BE OR NOT TO BE Edward Hohensee, M.D. '54, Clinical Assistant Professor of Ophthalmology THE ROLE OF TRANSLUMINAL ANGIOPLASTY IN VASCULAR DISEASES Mark Wholey, M.D. Associate Clinical Professor of Radiology, University of Pittsburgh School of Medicine; Chairman of the Department of Radiology, Shadyside Hospital, Pittsburgh, Pennsylvania BUSINESS MEETING ANNUAL LUNCHEON, Annual Stockton Kimball Memorial Lecture Guest: Oliver P. Jones, M.D. '56, Distinguished Professor Emeritus, U/B 11:45 a.m. 12:00 p.m. 12:30 p.m. 1:15 p.m. "AS I REMEMBER STOCKTON KIMBALL." SPRING, 1981 3 ~--- �Sophomore Orientation Gerald Yacobucci won the pharmacology and microbiology awards. Eight second year students won special honors at the second annual orientation session on the first day of classes. The 129 students joined third year students for a picnic at Baird Field. The award winners were: CHARLES BAUDA - Family Medicine to Peter Yeracaris; EDWARD L. CURVISH M.D.- Biochemistry to Marcia McAvoy; JAMES A. GIBSON & WAYNE J. ATWELL- Anatomical Sciences to Charles Kutner; DOUGLAS S. RIGGS - Pharmacology to Gerald Yacobucci; JOHN B. SHEFFER - Pathology to Robert Chirlin; KORNELL L. TERPLAN - Pathology to Moshe Siev; ERNEST WITEBSKY MEMORIAL - Microbiology to Gerald Yacobucci; FARNEY R. WURLITZER - Psychiatry to Girard Robinson. Amy Mason, 3rd year student, won the "patient package award" from the Federal Drug Administration. The students met department chairpersons and course coordinators. They are: Anatomical Sciences - Drs. John Cotter, Chester Glombski, Frank Mendel, Roberta Pentney and Frances Sansone; Biochemistry - Drs. Murray Ettinger a'nd Jack Klingman; Biophysical Sciences - Drs. Robert Spangler and C. Richard Zobel; Microbiology - Drs. Arlene Collins, Roger Cunningham, Thomas Flanagan and Bob Noble; Pathology- Dr. Peter Nickerson; Pharmacology - Drs. Margaret Acara, Peter Gessner, Paul Kostyniak, Barbara Rennick and Craig Venter; PhysiologyDrs. Sul-Ki Hong and Hugh VanLiew.D 4 THE BUFFALO PHYSICIAN �The 135 new medical students met their dean and several faculty members at the opening orientation session in Butler Auditorium in August. In his welcome Dean John Naughton told the entering students that "they were beginning their medical education at an exciting and awesome time. There are big changes in medical schools, in the profession and the students. There are changes in internships, residencies and the way programs are molded. You folks are a part of all this." Dr. Naughton warned the student of changes and problems in the decades ahead. "There will be changes in techniques, in patient care and in the cost of health services. The three major crises are in health care, energy and environment and they won't disappear overnight. "Many American medical students will be entering foreign medical schools again this year. These people, their parents and your parents will be checking your performance here along with our own admissions committee. For this reason you must learn to study, work hard and succeed. We hope you won't let us down." Dr. F. Carter Pannill Jr., vice president for the faculty of health sciences, welcomed the new students for President Robert Ketter. "You are among the 3,000 students in the five health sciences schools. You are beginning an educational process that will never end. We are here to help you and expect a lot from you as physicians." Dr. Leonard Katz told the 1984 class that they had a lot to give to the University. "We want your thoughts and your input. We are confident you will succeed." The associate dean for student and curricular affairs warned the students of the pitfalls they could expect in their chosen profession. The chairman of admissions told the students something about themselves. Dr. Harry Metcalf said, "you are older and wiser - your average age is 23.08; 46 of you are women; 89 are men; 20 are minorities; 59 are from Western New York; 50 from downstate; 6 from upstate. You bring excellent academic records to Buffalo." Dr. Frank Schimpfhauser, who heads the office of education evaluation and research, told how his staff works with students and faculty to improve teaching and learning. "We know about your educational needs and are here to help." Dean John Naughton d- Drs. Martin Wingate, Harry Metcalf, Frank Schimpfhauser, Ross Markella, John Naughton, Leonard Katz, John Richert, Carter PannilJ. The Class of 1984 SPRING, 1981 5 �Dr. Leonard Katz Dr. Ross Markello, assistant dean for graduate education, charged the students to remain well informed about advances in their profession and events in the world. He suggested that they read the New England Journal of Medicine, Science for Nature and the New York Times. Dr. Martin Winegate, assistant dean for medical education, invited the students to attend some of the special programs. "Continuing education will go on the rest of your lives. Read, read, read and do some writing too." There was an afternoon picnic at the end of the first day with faculty and upper class students, plus tours, picture taking and briefings. Second year students who played a prominent role during the three days of orientation were: Richard Collins, James Corasanti, John Feldenzer and Barbara Ostrov. During the second day of orientation the new students had rap sessions with second year students that covered a wide variety of topics. Mr. David Bouman and Dr. Jack Richert spoke about financial aid. They also met and heard a few words from some of their first year instructors and Dr. Martin E. Plaut, associate professor of medicine. The third and final day of orientation featured a clinical case presentation by clinical and basic science faculty, luncheon with preceptors and administrators and a hospital visit with the preceptors. Drs. Evan Calkins and Eugene Mindell introduced patient X, a 72-year-old housewife, to the students. She was a patient at the geriatric assessment-rehabilitation clinic at the Erie County Medical Center. Her present illness started suddenly in California five years ago when she developed soreness and swelling of many joints - especially the first metatarsalphalangeal joints of both feet, the ankles, knees and shoulders. She went to a physician, who performed a joint aspiration, identified the presence of typical uric acid crystals, and told her she had gout. When she returned to Buffalo her private physician (cognizant of the relative rarity of acute gout in women) made the diagnosis of rheumatoid arthritis. He treated her with various anti-rheumatic agents with indifferent succ~ss over the next four-and-one-halfyears. In November, 1979 her physician initiated a new medicine, tolectin. She developed a severe adverse reaction with rash and increased soreness of the joints. Her next stop was the Emergency Room of the Erie County Medical Center and then to the Arthritis Clinic and later to the Geriatric Service. 6 THE BUFFALO PHYSICIAN �The patient told the students she "wanted to walk again and put on a pair of shoes. I have great respect for Drs. Calkins and Mindell. They are interested in my case and have talked to me. This is worth a million dollars." Dr. Calkins told the students, "the way you give medication is sometimes the key to treatment. Listening and observing the patient is very important, and isn't as easy as it seems." Dr. Calkins is professor of medicine and head of the geriatrics division of Veterans Administration Medical Center. Dr. Alexander Brownie, professor and chairman of biochemistry, concentrated his remarks on uric acid. The patient's uric acid level was twice as high as it should be, and that is why gout was diagnosed. "Controlling uric acid is very complicated. With 11 mgm. % level of uric acid there is a tendency towards crystallization. When uric acid is synthesized it is excreted and when it is not excreted it causes gout. The big problem is solubility of uric acid." Dr. John Wright, professor and chairman of pathology, told the students that pathology was a study of disease. In discussing patient's problems he showed slides of arthritic joints and cartilage. Dr. Wright also talked about the major kinds of arthritis - osteo, rheumatoid, gouty and gonococcal. He mentioned procedures "to find out how you can be sure you are dealing with uric acid crystals. Gout and rheumatoid arthritis usually never occur together, but it can happen." Dr. Mindell, professor and chairman of orthopedics examined and showed radio-graphs of the patient's elbows, wrists, fingers, knees and ankles. He explained the problems and the changes taking place. "Her loss of weight in the last six months is another of our major concerns. We must explore the possibility of another disease before further treatment." Dr. Mindell noted that surgical treatment is a possibility. "Normal joint function is very good for many years after surgery. There are 11 million arthritis sufferers in the United States, and this disease is second to heart disease in incapacitating people." SPRING, 1981 d7 Dr. John Richert �Clockwise from lower le ft : Drs. Robert Kahn , Theodore S chulman, Kevin Pronikoff, Steph en Barron, Robert Ehrenreich , Pe ter Goegren, Isra e l Alvarez. The Preceptor's Luncheon Dr. Barbara Rennick, professor of pharmacology and therapeutics, discussed the drug treatment of gout. "Our goals are to reduce uric acid in the body and decrease the inflammation process. Colchicine is a classic drug used for the diagnosis and treatment of gout. Probenecid is used to increase excretion from kidneys and allopurinol decreases the synthesis of uric acid." She also discussed drug interaction and side effects. Dr. Linda Pessar, assistant professor of psychiatry, showed a video tape interview with the patient. She said, "I was lonely; didn't know what I was being treated for in the early stages because it was hard to communicate with the doctors and residents. Often I felt helpless and depressed. I don't think of myself as being old and I am not senile." 8 THE BUFFALO PHYSICIAN �The patient had a special message for medical students: "be kind and considerate to your patients, treat them as humans." Dr. Calkins moderated the panel discussion that followed. Daniel Ford, second year student, noted that "you must learn how to relate to your patient." The students asked the panel (previous speakers) many questions that related to the diagnosis and treatment of the patient. Specifically they asked about the relationship of gout and diet; gout and drinking; the patient's weight loss; and the difficulty in diagnosing the disease. In conclusion Dr. Edward A. Carr Jr., who moderated thesession, noted that gout is not a common disease in women, but they can have it. He is professor and chairman of pharmacology and therapeutics. Clockwise from right: Drs. Robert Patterson, Evan Calkins, Leonard Katz, Eugene MindelJ, Harry Beirne, Erwin Ginsberg, Elton Rock. Dr. Barron �Frosh Picnic At the Friday luncheon for preceptors and students, Dr. Leonard Katz congratulated the students and faculty for their cooperation during the three days of orientation. He introduced Dr. Peter Nickerson who was chairman of the faculty-orientation committee. Dr. Katz said he was proud of the physicians who have taken students into their offices and to the hospitals during the last four years of the preceptor program. 10 THE BUFFALO PHYSICIAN �Dr. Stephen Barron, assistant professor of neurology, is in charge of the preceptorship program for the second consecutive year. He told the new students, "this program gives you a break from books. You can learn a little bit about the practice of medicine and clinical medicine, but this is not a course in clinical medicine." The 48 physician preceptors are: Drs. Michael Adragna, James Allen, Allen Alt, Israel Alvarez, Roland Anthone, Sidney Anthone, Harry Brady, Harry Beirne, Brendan Brady, Frank Campagna, Ruben Cartagna, James Cavalieri, John Conboy, Donald Copley, Stanford Copley, Julie Cullen, Donald Donius, Robert Ehrenreich, Bernard Eisenberg, Morris Fine, Irwin Ginsberg, Peter Goergen, William Heyden, Fred Hirsch, L.N. Hopkins, Robert Kahn, Aziza Koreishi, Paul Kuritzky, Sharon Kuritzky, Kenneth Kushner, Jerome Meyer, Eugene Mindell, Philip Moudy, James Nunn, Robert Patterson, Richard Peer, Larry Plumb, Kevin Pranikoff, Emerson Reid, Douglas Roberts, Elton Rock, Reinhold Schlagenhauf, Robert Schulman, Theodore Schulman, Richard Sills, Michael Tronolone, Richard Weiss, Murray Yost.D SPRING, 1981 11 �Who Was Theodore Evans, Paris, France? by O.P. Jones, Ph.D., M.D. Distinguished Professor Emeritus When I was writing an article in 1974 about Honorary Medical Degrees granted by The University of Buffalo, I experienced the thrill of discovery- not through a microscope nor in the dissecting room- but on the pages of the Minute Book for our medical faculty at U.B. The first finding was that the late Dean Julian Park only knew about ten honorary M.D. degrees, whereas there were 23 altogether. Dean Park did not have access to the Minute Book which was discovered after he died. The second thing was that in 1868, the University bestowed an honorary M.D. degree upon Theodore Evans, Paris, France. There is nothing in the minutes of the Medical Faculty and those of the University Council, nor in the local newspapers of that period, to indicate his qualifications. Hence, who was Theodore Evans and why did the University so honor him? Although my curiosity was aroused, I really did nothing about it until six months later when I received a letter from Ms. Mary Alton, Medical Librarian, St. Jerome's Hospital, Batavia, N.Y. I read with great interest your article in the Buffalo Physician entitled Honorary Medical Degrees. Your mention of an honorary medical degree awarded in 1868 to Dr. Theodore Evans of Paris, France, startled me. You probably know that during the Franco-Prussian War {1870), after Napoleon III was captured by the Germans, things began to come apart in Paris, and it was only with the help of an American dentist, Dr. Evans, that the Empress Eugenie escaped safely to England. Dr. Evans is credited by most authorities as being Eugenie's personal dentist. Others claim he was her lover. I can't believe that there was Il).Ore than one American Dr. Evans residing in Paris during the Second Empire. Do you suppose this Dr. Evans is your Dr. Evans? Presented before Omicron Kappa Epsilon meeting, The Honorary Dental Society, 2 May 1979. Indeed, I too could not believe that there were two Dr. T. Evanses, both American dentists and living in Paris during the Second Empire. It occurred to me at that time, it would be necessary to obtain statistics from both the American and French Embassies in order to calculate a probability statement. Ms. Alton's letter really further increased my curiosity- for after all- curiosity, in the broadest sense, is an urge for knowledge. So off to the library I went. The National Cyclopedia of American Biography states that Dr. Thomas Evans introduced dentistry to all Europe. The Encyclopedia Americana states that "The bulk of his estate established a museum and institute (in Philadelphia) which became the School of Dentistry of the University of Pennsylvania." The latter statement caused me to trace it to its source - so at the suggestion of Dean Feagans- I wrote to Dean Cohen, University of Pennsylvania School of Dental Medicine. He referred my letter to Mr. John M. Whittock, Jr. Librarian. This started a whole 12 THE BUFFALO PHYSICIAN �series of events because the University of Pennsylvania also has exhibits of the Thomas W. Evans Museum. Let me say at this point - most research librarians are conscientious, unselfish and dedicated persons. While waiting to hear from the University of Pennsylvania, I read The Memoirs of Dr. Thomas W. Evans, etc. (1905) and The Empress Eugenie. A Three Act Play by Lowndes. One never knows where a trivial thought may lead in research. Perhaps it would have been better to entitle this talk, "One Thing Leads to Another." As it turned out, Dr. Thomas W. Evans was indeed an internationally famous dentist -but nothing was mentioned about his brother - Theodore Evans. However, in order to lead up to a consideration of Theodore, it is necessary to present the many facets of Thomas' life because he was a vain man and as his success grew his conceit grew with it. Before some of you get too excited - my research has not provided the slightest clue that Thomas, the dentist, was also Empress Eugenie's lover. In August 1976, Mr. Whittock sent me a copy of Anthony Branch's dissertation on Evans, published in 1971 and Henry Rainey's short monograph, published in 1949. Also included were pages from the geneaological tablet of the Wiltberger and Evans families. A month later, Professor Poulet, Chairman of French History of Medicine and Surgery, University of Paris, sent several articles about Thomas W. Evans - but none about his brother Theodore. This was the beginning of a wider search into the unknown, because Branch's thesis had something about our protagonist - Theodore. There were indeed two Dr. T. Evanses, both American dentists, practicing simultaneously in Paris. Theodore was an elder brother of Thomas. How this happened is best explained by reviewing Thomas' background and life style. Thomas was educated in Philadelphia, and, in 1837, at the age of 14, was an apprentice for Joseph Warner, the famous goldsmith and craftsman. There he learned about the precious metals used by dentists for special fillings and fine gold wire for various ligatures. In addition, his workshop made diverse small instruments for practicing dentists. After four years, young Tom was admitted as a student-dentist of the distinguished Philadelphia dentist, Dr. John deHaven White. Evans had as a fellow student, young Samuel Stockton White, who later established the wellknown dental manufacturing company. At this point, it should be mentioned that John deHaven and Samuel Stockton were not related. At the end of his apprenticeship, Thomas Evans received a certificate attesting to his proficiency in dentistry. According to Thomas' own account, he also attended courses at Jefferson Medical College but Henry Rainey - former curator of the T.W. Evans Museum -says his name does not appear in the register of that period. After his apprenticeship, Thomas practiced dentistry in Lancaster, Pa. Through a fortuitous circumstance, a pharmacist directed his attention to the need of a smart young dentist who could do fine gold fittings and would like to live in Paris. Evans confided in his young bride - Agnes Josephine Dayley - (The family name is important, as will be shown later.) He said, "I saw a chance and it is a sin to let it pass." So, they decided to give it a try for one year. Before that, Thomas asked his older brother, Theodore S. Evans (dentist) to take charge of his practice during the interim. (This is the first mention of his brother Theodore.) d- �Pediatric Continuing Education Programs April 11 - "A Perinatal Approach to Prevention / Management of Neonatal Respiratory Distress", Dr. Ralph J. Wynn; Sheraton Inn, Buffalo East. June 18-20 - "What's New in Diagnostic Procedures of Pediatric Lung Diseases", Dr. J.A . Cropp; Niagara Hilton. June 25, 26 - " First National Conference on Pediatric Nephrology/Urology", Drs. Tadla Baliah, Joseph Y. Dwoskin, Irme V . Magoss; Buffalo Hilton. July 16-18 - "Fourth National Buffalo Conference on Pediatric/ Adult Allergy, Clinical Immunology ", Drs. Elliott Middleton, Jr., Elliot F. Ellis; Buffalo Hilton. July 23-25 - "The 12th Annual Advances in Pediatrics", Dr. Elliot F. Ellis; Buffalo Hilton . August 31-Sept. 2 - (International Program) - "Controversies in Pediatrics, Adolescent Hematology/ Oncology", Drs. Arnold I. Freeman , James R. Humbert; Niagara Falls Convention Center. Sept. 11-13 - "Diabetic Pregnancy & the Infant ", Dr. Ralph J. Wynn; Buffalo Hilton. For additional information: contact Rayna Dutton, pediatrics department, Children's Hospital, 219 Bryant St., Buffalo, N.Y. 14222 - Tel (716) 8787689. Thomas Evans and his wife departed for Paris in 1847. A belated announcement in the Dental Newsletter in October 1848 said, "We now have another American dentist (a Philadelphian) in Paris. We are speaking of Mr. T.W. Evans whose examples of orification won him a medal. He is associated with Dr. Brewster." Two years later, 1849, the Prince-President of the 2nd Republic (later to become Emperor Napoleon III) sent a message to Dr. Cyrus Brewster requesting that he come to the palace, if convenient, because he required his services. Dr. Brewster was ill when the message was received and so it was Thomas Evans' good fortune to take his place professionally and visit with the Prince. That was the beginning of a life-long friendship. After the Prince became Emperor Napoleon III in 1852, he appointed Mr. Thomas Evans as his "Surgeon-Dentist." Two years later it was decreed that Mr. Evans was to be Surgeon-Dentist to the Emperor and Empress at a fixed salary of 6,000 francs. This title placed him on a par with the eminent physicians and surgeons of the court - so he must have assumed the title of Doctor of Medicine as an embellishment. After all, he was vain and conceited. He had no earned doctorate degree. In 1850 the Baltimore College of Dentistry conferred upon him an honorary D.D.S. degree and in 1853 the Philadelphia College of Dental Surgeons did likewise, and in 1870 Lafayette College awarded him an honorary Ph.D. degree. I am getting a little ahead of the narrative and must return to 1852. At this time Thomas Evans and his wife decided to return to America for three months because he was overworked at the office and exhausted from the continual traveling to see Royal patients. Therefore, he brought his elder brother, Theodore, from Lancaster, Pa. to France to work under him. Thomas considered Theodore to be a very capable dentist and a straight, upright Christian man. During the next few years he added several French assistants. His more mundane patients, who lacked high titles but could pay, were left to his assistants. During his extensive practice with Royal patients, Thomas according to his own words - considered the influences of His Majesty King Maximilian of Bavaria and his family were the ones who really introduced him to many of the crowned heads of Europe. Again, in his own words: I proved to him (the King) what a dentist from America was capable of doing, to be able to restore that which some ignorant dentist in those days was incapable. But then it was not a profession in those days but taken up as a trade . In a way, they were excusable for they possessed no dental schools to perfect th~mselves before establishing. He also did dental work for Popes Piux IX and Leo XIII. "What was the use of all my counsel and cares, for I never could obtain either of these Holey men that they would brush their teeth as other people. Why I never could learn." (Thomas was raised as a Quaker). As a result of his services for dental patients of the Royalty from 15 different countries, Thomas amassed a collection of over 200 decorations from every known order. Incidentally, he refused one from the King of Prussia. In 1864, the war between the States threatened the economy of France because of its dependance upon cotton from the South. Napoleon III had to make a decision- should he cast his lot with 14 THE BUFFALO PHYSICIAN �the North or the South? He confided in his friend Dr. Thomas Evans who pictured himself first as an American and then as a dentist. In addition, he was a most shrewd business man. Evans asked the Emperor to withhold a decision until he returned from America. He visited President Lincoln, who was full of hope and confidence. Afterwards he visited General Grant at his general headquarters. Secretary of State William H. Seward managed these meetings among other things. Upon his return to France, he related his observations to Napoleon III, who then decided to cast the die in favor of the North. Evans studied carefully the organization of military hospitals and especially that of the Sanitary Commission in the United States. He was impressed by the "Coffee Wagon" which had been used at the Battle of Appomattox Court House. He had it rounded up, part by part, and brought to France for the 1867 Exposition. It served as a model for the ambulances used in the Franco-Prussian War. Evans organized the American International Sanity Commission of Paris for the purpose of being a direct Agent of American Charity. This led to the future "Red Cross of Geneva." Evans chided his fellow dentists for being satisfied with their salaries with no thought of enriching themselves. Although Evans posed as a philanthropist, he furnished the Northerners with arms and other materials, the French with medical supplies. In both instances he made on the spot visits to see how they were used and functioned. Rene MaHeu said, "Being a realist, he put into practice Cecil Rhodes' famous phrase: "Philanthropy is an excellent thing in its way, but philanthropy plus 5 percent is much better." His real estate deals are another story - in essence they were through expropriation. How else would a dentist leave over four million gold dollars from his practice alone? Now let us turn to something anatomical - Dr. Thomas Evans' mistress. Indeed, although he lavished devoted care on his wife, he had a mistress because it was a way of life among his Royal patients and he had to complete his status, as a "man who had everything." Mery Laurent was a beautiful reddish blond actress with blue eyes, a wide-eyed look and a sensuous mouth. She gained some fame during the Exposition of 1867 when she played the role of a nude Venus and sprung from an enormous ornamented shell. A sharp tongued critic said, "Her breasts were more beautiful than her lips." She accepted an apartment from "handsome Tom" located not far from his office where he visited her everyday during the noon hour. (Her real lover came afterwards) . This cost him 5,000 F.F. per month. Many artists, poets, musicians, and authors- gathered at Mery Laurent's place- among whom were Manet and Mallarme. The works of some of these men are exhibited at the School of Dental Surgery in Philadelphia. Thomas fancied himself a member of the literati, but his prose was mediocre at best. All of this happened after the Empress Eugenie escaped from Paris in 1870 - which leads me to the next topic. Before the Franco-Prussian War in 1870, Dr. Thomas Evans, sensing the inevitable, sent his wife to Deauville to await their departure to England. In the meantime, Emperor Napoleon III and his army were captured at Sedan near the Belgian border. Understandably, Paris was in a turmoil because there would be a change of government- not by revolution from within- but by occupancy by the Prussians who were overrunning their country. To make a long and fascinating story brief, Empress Eugenie and her best friend, Madame LeBreton, asked Dr. Evans to save them d- �References References are arranged in the order quoted or paraphrased material that first appeared in the text. 1. jones, O.P. Honorary Medical Degrees. Buffalo Physician 9: No. 2, 48-56, 1975. 2. Minute Book of the Medical Faculty of the University of Buffalo (1846 to 1878). Archives, State University of New York at Buffalo. 3. Minutes of the Council of The University of Buffalo. Archives, State University of New York at Buffalo. 4. Medical College, Buffalo Express, 26 February 1868; also: Commercial Advertiser, 26 February 1868. 5. Notional Cyclopedia of American Biography. New York, White and Co., IX: 150-151, 1907. 6. Encyclopedia Americana. New York, Americana Corp., 10: 597d, 1970. 7. Thomas W. Evans, The Memoirs of Dr. Thomas W. Evans: the second French empire; Napoleon the Third, the Empress Eugenie, the Prince Imperial. Ed. by Edward H. Crane, M.D. (New York, D. Appleton and Co., 1905). 8. Lowndes, B. The Empress Eugenie. A Three Act Play. New York, Longman Green, A. 1938. 9. Obituary. New York Times, 16 November 1897. 10. Anthony D. Branch, "Dr. Thomas W. Evans, American Dentist in Paris, 1847-1897." Unpublished Ph.D. dissertation, University of California, Santa Barbara, 1971. 11. Henry C. Rainey, Dr. Thomas W. Evans - America's Dentist to European Royalty. (Philadelphia, Evans Co., 1949). 12. A Century of Service to Dentistry, 1844-1944. Philadelphia. The S.S. White Manufacturing Co., pp 129, 1944. from the mobs. He and Dr. Edward A. Crane, a physician friend, decided to take them by carriage to Deauville. (This carriage is now in the New Bolton Center of the School of Veterinary Medicine at the University of Pennsylvania.) The two women were disguised as feeble patients of Dr. Evans' on their way to Neuilly. They arrived about 36 hours later and were taken in by Mrs. Evans who gave them fresh clothing and linen of her own. Thomas Evans made arrangements with an English gentleman who had a yacht to cross the English channel. The crossing was treacherous - already one ship had been lost in the gale - but they made it. The Empress was taken to Chislehurst near London. Later she was joined by her son, Prince Luis Napoleon and the Emperor. Her son joined the British army to fight in Zululand where he was killed and his remains were returned to England. There was a question about the identity of the remains. The embalming was not exactly the best, so that it was difficult to identify the blackened corpse. Dr. Thomas Evans was called upon to help identify it. He did so with a small magnifying glass and said, according to his nephew's Memoirs: Gentlemen, if this is truly the remains of the late Prince Luis Napoleon we will find, as I treated him from childhood, in the upper lateral left, a gold filling which I made before her Majesty the Empress in 1869, also another gold filling in the upper small molar right. With great difficulty (the lips being dry like parchment) both were found upon examination, as testified by all those present. I am the first- to have the idea of proving the person by their death after an accident where the identity after death was uncertain. Since this, after the fire at the bazaar of Charity three dentists of the American Dental Club of Paris have been called upon. Dr. Isaac B. Davenport, his brother Dr. William L. Davenport, and Dr. John W. Spaulding rendered not only an eminent service in identity or identification but an everlasting honor to the Dental Art and Profession. Today, Thomas Evans is best known for the rescue of the Empress from a Paris mob after the disaster at Sedan, in spite of the fact that he introduced Amer:ican dentistry to all Europe. This brings out the better side of Thomas' personality. Now let us turn to the opposite side - the vain and the conceited one, according to Rainey, former curator of the Evans Museum. Thomas' eldest brother had a son John Dayley Evans, who decided to practice dentistry in Paris. He had started out in Thomas' office and then went out on his own. Somewhere along the line, he treated Pope Pius IX, who appreciated his services so much that he was created, in 1876, a hereditary Marquis of the Holy Roman Empire. John Dayley Evans petitioned the courts of Philadelphia for permission to change his name to "D'Oyley," a name derived from his mother's name "Dayley." This petition was granted and he thereafter became known as Marquis D'Oyley, but he continued to practice under the name of Evans. Thomas resented this and brought court proceedings to prevent his nephew from using the name Evans in his practice, claiming that, as he had changed his name to D'Oyley, he had forfeited his right to use the name Evans. The Tribune of the Seine supported Dr. Evans' contention, but the Superior Court of France, on appeal, reversed the decision, holding that the nephew could not divest himself of the name 16 THE BUFFALO PHYSICIAN �Evans, and therefore had a right to use it in his practice. (Thomas didn't know about the future Pantera dynasty in Buffalo). This decision added fuel to the flames, and when Dr. Evans' will was read, it was found that he had intentionally omitted "bequeathing my legacy to John Henry Evans" (as he was baptized) and directed that "neither he nor any of his descendants should receive any part of his estate" for reasons as well known to John Henry Evans as to him. Thomas' contributions to dental science were considerable and he furthered this work by leaving the bulk of his estate to establish the "Thomas W. Evans Museum and Dental Institute School of Dentistry, University of Pennsylvania" in 1912. What about Theodore Evans? So far, he has only been mentioned twice by his brother. He did not incur Thomas' wrath because he never practiced alone. A most fortuitous event occurred in 1977 when I visited Philadelphia to chat with Mr. Whittack at the School of Dental Medicine. Quite recently he had discovered - buried under some old books - Minutes of the Proceedings of the Faculty of the Pennsylvania College of Dental Surgery. He turned this over to Dr. Milton B. Asbell, who had just written a history of the University of Pennsylvania School of Dental Medicine. Dr. Asbell knew of my interest in Theodore Evans when he ran across the following entry: 2 February 1860 Faculty meeting- all were present. Minutes of the last meeting Dec. 5, 1859 read and approved. A communication having been received from Dr. J.D. White was presented making application to have the Hon. degree conferred upon Theo. S. Evans of Paris, France. It was considered and the secretary instructed to inform Dr. White that said application is not granted. Signed W. Calvert, Sec. This request was eight years after Theodore went to work for his brother. S.S. White and Thomas Evans had been students of Dr. John deHaven White. What or who prompted deHaven White to propose Theodore for an honorary degree? Was it suggested by S.S. White? It surely could not have been initiated by Thomas because of his egocentricity. Either someone felt sorry for Theodore because he was the underling of Thomas, or Theodore himself may have asked the Whites to do it for him. This we may never know. Before getting into "Who was Theodore Evans?" - which started this merry chase through the literature - let me tell you about a letter from Dr. James Platt White, our first Professor of Midwifery, written from Madrid in 1866. He stated that there was only one resident American in that city of nearly half million population. He wrote as follows: Dr. Mackedean, a most intelligent and courteous gentleman, to whom we were under many obligations for courtesies during our stay, is a dentist of deserved celebrity. He has resided in Madrid more than twenty years, has been decorated and made dentist to the Royal family, and acquired for himself wealth and reputation ... . It is not a little remarkable that the most eminent dentists in France, Spoin and Portugal are Americans. This arises doubtless in a great measure from the fact that in European countries dentistry is simply studied and practiced as an art, whilst in America it has been elevated to a science, without diminishing the artistic skill exercised in the various manipulations of the art. SPRING, 1981 d17 13. Giacomini, . Le docteur Evans (1823-1897). Sem. Hop. Paris 21: 868-870, 1945. 14. Theodore Evans. "To The Memory of My Uncle," Library of Congress MS 61-1407, Rudulph Evans papers. 15. Ren~ MaHeu, "Doctor Thomas William Evans, Dentist to Napoleon III and Literature." Unpublished thesis for Doctor of Dental Surgery, University of Paris, 1975. (Translated from French by Univ. Penn. School of Dental Medicine). 16. Letter from Dr. James Platt White to Buffalo Med. J. NS 5: 402, 1866. 17. Malcolm Wallace Carr, "Thomas W. Evans. His Life and Influence on the Development of Dentistry as a Learned Profession." Delivered at the International Franco-American Congress, Sorbonne, Paris, 22 June 1978. 18. Milton B. Asbell, A Century of Dentistry. A History of The University of Pennsylvania School of Dental Medicine, 1878-1978. (Philadelphia, Univ. Penn. Press, 1977) . 19. Maurice Veillet, "Research on Doctor Thomas Evans. His Years in Paris." Unpublished thesis for Doctor of Dental Surgery, Academy of Paris, Ren~ Descartes University, 1974. (Translated from French by Annette H. Emgarth). The above thesis was received after preparation for this talk. Thomas is purported to have said to his nephew (Theodore) that his older brother (Theodore Sewell), when awarded the Order of Saint Stanislaus, " ... I can say of him that he was a hard worker and good man ... "0 �Commencement, May 17, 7 p.m., Kleinhans Music Hall The Commencement speaker will be Dr. Helen Caldicott. She is a pediatrician and president of Physicians for Social Responsibility. Though originally from Australia, she now practices in the Boston area. Dr. Caldicott has attained national prominence for her leadership in the anti-nuke and environmental health movements.D Brunch and Reception The Sunday morning brunch for family and friends will be May 17 at the new Mariott Hotel in Amherst. The annual reception will be at the Buffalo Convention Center from 9:30 p.m. until midnight, May 17.0 Dr. James Platt White returned to America and the next time we hear about Theodore Evans is in the Minute Book of the medical faculty dated 25 February 1868, when Dr. White recommended to the Faculty of the Medical Department of the University of Buffalo, that an honorary M.D. degree be awarded him. Dr. James P. White was undoubtedly the most influential member of the Medical Faculty. When I wrote the article about "Honorary Medical Degrees," I was forced to surmise that Theodore Evans was an acquaintance Dr. White had made during his 1866 visit to Paris. Unfortunately, White did not mention Theodore Evans in his letters to The Buffalo Medical Journal. Dr. White had been in Paris before going to Madrid and could very well have been impressed by what the Evanses were doing in dentistry. Since Dr. White was not of royalty, he could have come in contact- as a patient- with Theodore Evans. Then, too, there was the American Register, founded and subsidized by Dr. Thomas Evans, which published the activities and interests of the growing American colony. White's letter from Madrid was certainly based on more experiences with the dental profession than just one encounter with the only American dentist in Madrid at that time. As a matter of fact, his remarks about the superiority of American dentists in Europe are reminiscent of what Thomas Evans said 20 years previously about his experiences with the King of Bavaria. It is interesting that in some genealogical tablets of the Family Evans, there is a D.D.S. after Theodore's name but no mention of the honorary M.D. degree awarded by the University of Buffalo which may have been included in the et cetra. Theodore was rejected for an honorary dental degree in Philadelphia and there is no evidence that he ever received an earned dental degree. Maybe he was like his illustrious brother who embellished his name with an M.D. degree. I tried to trace some consanguinity between Samuel Stockton, John deHaven and James Platt White. The latter was a lineal descendant of Peregrine White, who was born aboard the Mayflower in Provincetown Harbor in 1620- the first white child born in New England. Samuel Stockton's paternal ancestor left England between 1639 and 1649 and settled in Virginia. John deHaven was not related to S.S. White. However, there may have been some consanguinity for these three prior to the 17th century. Besides the honorary degree bestowed upon Theodore Evans by the University of Buffalo, he was a Knight of The Imperial Order of St. Stanislaus of Russia. He died in 1890 at the age of 69 and is buried at Neuilly, Seine near Paris. Finally, we now know something about who Theodore Sewell Evans was, but we do not know what prompted Dr. James Platt White to recommend him for an honorary M.D. degree. Theodore, working in the shadow of his illustrious brother, certainly needed something to enhance his ego, because he was denied an honorary degree in dentistry.O 18 THE BUFFALO PHYSICIAN �Dr. Ronald J. Kallen, M'60, an authority on pediatric nephrology and the physician who wrote the National Kidney Foundation's information brochure on nephrosis, has joined the medical staff of Mt. Sinai Hospital as assistant director, department of pediatrics, and a consultant in pediatric nephrology. His 14-page brochure, "Questions Parents Ask About Nephrosis," has become a nationally-distributed handbook which details the answers about a kidney disorder that strikes children usually between the ages of one and six. The Scottish-born physician, who grew up in Newark, N.J., graduated from Oberlin College and the University of Buffalo School of Medicine. He served his internship and residencies at Chicago's Michael Reese Hospital, where he was a postdoctoral fellow in pediatric nephrology. He later did pediatric research for Johns Hopkins Hospital with its cholera unit in Calcutta, India. Dr. Kallen was honored with the Golden Kidney Teaching Award from the Division of Hypertension and Nephrology at Cleveland Clinic, where he was on the staff from September 1975 until his recent appointment at Mt. Sinai. He was earlier affiliated with La Rabida Children's Hospital in Chicago, the University of Chicago Hospitals and Clinics and Children's Hospital of Los Angeles. An assistant clinical professor of pediatrics at Case Western Reserve University School of Medicine, he formerly was on the medical school faculties of the University of Chicago and the University of Southern California. He is a Fellow of the American Academy of Pediatrics, a member of the Society of Pediatric Research and several other professional organizations. An active member of the Kidney Foundation of Ohio, Dr. Kallen is a consultant to the interhospital television network of the Greater Cleveland Hospital Association and author of many articles and scientific publications in his field.D 1981 Continuing Medical Education Programs April 4 - "Vascular Surgery for Cerebral Ischemia" (Erie County Medical Center), Program Director, Dr. George Alker, Clinical professor of radiology; clinical associate professor of nuclear medicine. April 9-14 - "Family Practice" (Holiday Inn/Grand Island), Program Director, Dr. V.P. Bhardwaj, clinical professor of family medicine. April 16 - Infectious Diseases (Buffalo Hilton), Program Director, Dr. Thomas Beam, assistant professor of medicine. May 1-2- "Sports Medicine" (Niagara on the Lake), Program Director, Dr. Martin Wingate, professor of gyn/ob. May 9- 44th Annual Spring Clinical Day- Buffalo Convention Center. June 4 - "Poisons: Profile & Prevention" (Marriott Hotel), Program Director, Dr. Martin Wingate. Sept. 12 - "Frontiers of Drug Treatment" (Niagara Hilton), Program Director, Dr. Edward A. Carr Jr., professor and chairman of pharmacology and therapeutics. October 15 - "Cat Scanning" (Sheraton East), Program Directors, DRs. George Alker, clinical professor of radiology; clinical associate professor of nuclear medicine; and Michael Anbar, professor and chairman of biophysical sciences. SPRING, 1981 19 Dr. Ronald Kallen Dr. Kallen �Air Contrast Studies There is more accurate diagnosis of gastrointestinal diseases in Western New York. It is the result of modified air contrast studies by Dr. Maria Andres at the Erie County Medical Center. She is also associate professor of radiology at the Medical School. The modified studies by the radiologist-gastrointerologist not only lead to detection of early cancer but early inflammatory disease of the GI tract as well. It was in Italy, at the University of Rome, while doing research on the physiology of the GI tract that she was introduced to air contrast studies. In 1973 the Drs. Andres family moved to Buffalo, Dr. Guiseppe continued his work in pathology, Dr. Maria began a radiology residency at the "Meyer" Hospital and to introduce air contrast studies to Buffalo and to improve them. She notes the modified procedure to be 85 per cent successful in pinpointing tumors/polyps less than a centimeter in size. And, she said, "there is less error in detecting peptic ulcer disease." When the procedure is combined with colonoscopy, she notes detection of diseases in the lower GI tract to be more accurate. She notes the 15-minute procedure to be more comfortable for the patient. The patient takes special barium, its route followed by fluoroscope. Then air, injected through a pumplike pressor, assures all parts of the patient's colon are coated. "Viewing the entire colon," Dr. Andres said, "is so important to diagnose tumors in the upper and lower GI tract." At the medical center, the referral site for air contrast studies, she is teaching the technique to radiology residents. Here, between 13 to 25 procedures may be performed daily. While Dr. Andres no longer has time for research, clinical pathology is rewarding. "Talking to patients, trying to be a sleuth, that's most exciting," she said.O Dr. Maria Andres reviews X-rays with senior medical students Richard Grazi, Howard Sklarek and Moshe Siev and resident Anne Ehrlich. �Dr. Myron Gordon Dr. Myron Gordon, has been appointed professor and chairman of the department of obstetrics and gynecology at Albany Medical College and obstetrician and gynecologist-in-chief at Albany Medical Center Hospital. Dr. Gordon attended Brown University and received his medical degree from the University of Buffalo School of Medicine in 1948. He served his residency in surgery and obstetrics and gynecology at the New York Medical College-Flower and Fifth Avenue Hospital from 1950-54, and was certified by the American Board of Obstetrics and Gynecology in 1956. Prior to joining the staff of the medical center, Dr. Gordon was vice chairman of the department of obstetrics and gynecology at New York Medical College. He had served at that institution since 1956, and was appointed professor in 1975. In addition to his faculty appointments, Dr. Gordon was also chief of obstetrics and gynecological services at the Metropolitan Hospital Center and acting director of the department of obstetrics and gynecology at Westchester County Medical Society. He had additional affiliations at the Bird S. Coler Hospital and Lenox Hill Hospital in New York City. An active researcher, Dr. Gordon has completed a number of studies concentrating in the areas of infection, vitamin metabolism in pregnancy, high risk pregnancy and family planning. While in New York City, he served on medical advisory committees in Planned Parenthood on a local and national level and on the Obstetrical Advisory Committee to the Commissioner of Health. He authored and contributed to more than 50 publications, chapters, teaching aids and books. Dr. Gordon is an active member of numerous professional societies including the American College of Obstetricians and Gynecologists, The American College of Surgeons, the New York Obstetrical Society, The New York Gynecological Society, the Medical Society of the State of New York and the International Federation of Gynecology and Obstetrics. He is an honorary member of the Buffalo Obstetrical and Gynecological Society having presented the James Platt White, M.D. Memorial Lecture this past April. Dr. Gordon is well known to many of the obstetrician/gynecologists in middle and western New York State from his service as District II Chairman of the American College of Obstetricians and Gynecologists.D SPRING, 1981 21 Dr. Gordon �Early Human Genetics Dr. Vi ctor Cohen, C.K. Huang Jun e Bande mer, Lindo Lohr, Shirley Hessle in, all librarians. D r . R o bin Bann e rman , professo r of m e di cin e!pediotrics. Dr. Bannerman pointed out that the history of human genetics is relatively recent. Although the Greek philosophers had pronounced on matters of reproduction and heredity, and despite the long human interest in genealogy, the recognition and analysis of human genetic traits became systematic only in the 20th century. Among few exceptions cited was the recognition by early Jewish scholars of the risk that fatal bleeding following circumcision might recur in successive male children - presumably due to hemophilia. The pattern of inheritance of hemophilia was recognized very early in the 19th century but only in a pragmatic way. The rediscovery of Mendel's theory provided a system within which human genetics could properly develop. However, even before that rediscovery, a massive piece of the background of genetics was developing in England through the studies and writings of two cousins, Charles Darwin and Francis Galton. Dr. Bannerman devoted much of his talk to Galton, whose contribution is not always well recognized. Younger than Darwin, he was much influenced by him, and on reading Darwin's "The Origin of Species," wrote that he "shed the wretched burden of original sin." Both the cousins had some medical training, but neither graduated as a physician. Both were independently wealthy. Both were much influenced by travel. Before he finally concentrated his attentions on heredity, Galton travelled in Africa and wrote on African geography and botany. He contributed to developments in meteorology and photography. Galton's greatest contribution, however, was to create a science of quantitative human genetics. To achieve this he developed statistical methods to handle distribution and comparison, which we now all use including the methods of regression (his term) and correlation. Galton's first major and long remembered publication in this field was the curious book "Hereditary Genius." He regretted this title throughout his later life, since it was concerned with various types of ability not only mental performance. He attempted to correlate the familial aggregation of different kinds of abilities and accumulated a variety of examples from historical and contemporary research. They included families of judges, writers and musicians, but also oarsmen, cricket players and many others. No very tight conclusions were drawn in the book but he provided a mass of circumstantial and anecdotal evidence suggesting that intellectual capacity and other special abilities had a large hereditary component. This may now seem an unsurprising conclusion, but to Charles Darwin it was striking, and he wrote of the book "I do not think I ever in all my life read anything more interesting and original." 22 THE BUFFALO PHYSICIAN �The questions and ideas generated by this work dominated much of Galton's later efforts and led him to attempt to introduce quantitative methods to estimate and compare traits which vary. These are traits which cannot at first sight be handled in Mendelian terms. In seeking to separate the effects of "nature and nurture" (a phrase he borrowed from Shakespeare), he was one of the first to use the twin method. His efforts to examine and compare individual differences led him into the study of fingerprints and he contributed notably to their useful application. He was influential in fingerprinting being introduced into police work, first in India, then France and Egypt and finally by Scotland Yard. Galton is probably best known outside human genetics for his invention of the term "Eugenics" and espousal of that difficult cause . He coined the word in 1883. His original practical conceptions were positive, to attempt to choose desirable people and to encourage them to procreate. He was well aware of the presumption implied and decidedly humble about it. The positive approach involved helping potentially desirable parents by social, moral and material means. He aimed to represent each class or type within a population, to achieve variety not uniformity, and to consider physical health, ability and character. This was to be a "practical religion. " The subsequent history of eugenics is well known. Over-enthusiastic followers led to its discredit and the misuse of eugenic ideas in legislation in several countries, including the United States, and by Nazi Germany, led almost to its abandonment as a practical cause. Dr. Bannerman emphasized that we should remember Galton less for eugenics than for his many contributions to sciences, particularly to the quantitative study of man. He pointed out that the two original main currents of human genetics, the quantitative or Galtonian, and the Mendelian, at first progressed along parallel and even hostile lines. Thus, for a time, Galtonists and Mendelists argued their causes as if each were the unique basis of human genetics. Galton himself deplored this division since he was aware of Mendel's work and admired it. In his autobiography written when he was in his 70's he included a warm tribute to Mendel with whom he felt "sentimentally connected" from their having been born the same year, 1822. However, the connection between Mendelian principles and Galton's own quantitative work was not made until Sir Ronald Fisher's classic paper of 1918 reconciled the two themes by establishing what now seems a simple idea, that graded characters such as height could be due to the effects of multiple alleles (genes), each contributing to the final outcome. Finally, Dr. Bannerman talked briefly on the beginnings of human biochemical genetics in the work of Archibald Garrod, who is generally much better known to modern students. Garrod's great achievement was to perceive the application of Mendelian genetics to human disease. His emphasis on unitary chemical differences led to the current idea of one gene- one peptide. He was the first to sense and make us aware of the immense range of chemical variation in man. He viewed the evidently rare human recessive biochemical diseases only as specific examples, of extreme variation in human chemistry. Garrod brings us to modern times.D SPRING, 1981 23 Dr. Erwin Neier visits with his colleagues. The Spring Meeting of the Medical Historical Society of Western New York was held on May 4, 1980 at the Buffalo and Erie County Historical Society. Victor Cohen, M.D. was eJected President, succeeding C. K. Huang, President for 1979-80. Other officers eJected were: President-eJect: Mildred Hallowitz, Secretary: James W. Brenna, M.D., Treasurer: David Dean, M.D. Council Members: Louis Bakay, M.D., Ronald Batt, M.D., William f. Breen, M.D., Robert Brown, M.D., Thomas Bumbalo, M.D., Gustave DaLuiso, M.D., Pauline HelJriegeJ, M.D., Max Landsberger, M.D., Martha Manning, Ange S. Naples, M.D. and Carl f. Schmitt, M.D. The Medical Historical Society is an active organization which promotes, stimulates and encourages interest, research, study and writing in the history of medicine and allied sciences. Medical faculty, physicians and any interested person in the community may join this organization. (Apply c/o Buffalo and Erie County Historical Society, 25 Nottingham Court, Buffalo, N.Y. 14216). At the Spring Meeting, Robin M. Bannerman, D.M., F.R.C.P., Professor of Medicine and Pediatrics, Head of Joint Divisions of Medical and Human Genetics, School of Medicine, SUNY at Buffalo, spoke on EARLY HUMAN GENETICS.O Drs. Curtis HelJriegeJ and Thomas Bumbalo chat with friends. �Selectives for Medical Students Drs. Ben Sanders and Frank Cerra lead a nutrition discussion. When the current academic year began, something new was added for first year medical students. Each student was given a choice among nine separate options to participate in a small group seminar along with the regular first year courses. The seminars were oriented to socio-medical problems about which many students were already concerned. With the approval of the Curriculum Committee and then the Faculty Council, the "selectives" as they have become known, became a part of the curriculum just this year. The Curriculum Committee requires that each program meet three criteria: 1) that they deal with a socio-medical problem, 2) that it be multidisciplinary in character, 3) that the topic area is currently underrepresented in the curriculum. In addition, the selectives were expected to meet in small groups allowing students greater opportunity to participate actively in class and to get to know the faculty members well. In a number of the selectives, students also have the opportunity to visit clinical facilities and interact with patients. Each selective is sponsored by a multi-disciplinary Education Committee appointed by the Dean. The selectives and their sponsoring committees include: Education Comm. Chairperson Selective Coordinator Alcoholism & Substance Abuse Education Committee Dr. P. Gessner Alcohol & Substance Abuse Dr. P. Gessner Cancer Education Committee Dr. J. Wright Dr. R. Henderson Topics in Cancer Dr. M. Spaulding Quality Assurance & Cost Effectiveness Education Committee Dr . P. Davis Health Policy Trends & Issues Ms. J. Mathews Environmental & Occupational Health Education Committee Dr. P. Kostyniak Perspectives on Environmental and Occupational Health Dr. P. Kostyniak Geriatric Education Committee Dr. E. Calkins A Perspective On Aging Dr. E. Calkins Human Values & Medical Ethics Education Committee Dr. N. Solkoff Dr. N. Chassin The Ethical Dimensions of Medical Practice Dr. R. Hull The Humanities In Medicine : The Emergence of Medicine and Its Modern Critique Dr. S. Wear Nutrition Education Committee Dr. M. Weiser Dr. B. Sanders NutritionPolitics & Science Dr . M. Weiser Dr. B. Sanders Disability Education Committee Dr. G. Gresham Disability Dr. G. Gresham 24 THE BUFFALO PHYSICIAN �Drs. Marjorie Plumb and Monico Spaulding lead a session on cancer. Evaluations were undertaken last year after five of the Selectives were conducted on a pilot basis and during the first semester this year. The student response has been encouraging. Selectives certainly have increased the amount of discussion, presentations, problem-solving, and clinical experiences in the first year. It is expected that as the small groups of students become knowledgeable in each of these subject areas, the students will stimulate faculty and fellow students to become more aware of the issues involved. Faculty members who would like to learn more about these activities or wish to contribute to them, are urged to contact the chairpersons of the Education Committees.D Cost effectiveness is the topic of Ms. Jane Mathews . •. SPRING, 1981 25 �' I The panel: Richard Smith and James Brank, 4th year students; Dr. Linda Pessar; Judith Pryce, 4th year student; Drs. Steve Wear, David Klein. The Clinical Years " D uring your clinical years you will be dealing with people and you can apply the knowledge that you have learned to your patients." This is what Dr. Leonard Katz told the 155 third year students at the third annual one-half day of orientation. The students started their clinical rotations the next day at the teaching hospitals. Three senior medical students - James Bronk, Judithann Pryce and Richard Smith - outlined briefly some of their experiences. They all agreed that "it was different from the first two years, but they enjoyed every minute. Most of your clinical experiences will be good. Be punctual, and remember your appearance is important. You will have responsibility, but utilize your preceptor and the residents. Talk to the patients and be a data collector." There were two audio-visual presentations - "Please Let Me Die," and "Who Should Survive" - were shown and discussed. The first featured a 27-year-old man who was severely burned and had lost his eye sight. The second featured a new born baby with Down's Syndrome (mongolism). Drs. David M. Klein, associate professor of neurosurgery, Linda Pessar, assistant professor of psychiatry, and Steven Wear, led the discussion during the question and answer period. 26 THE BUFFALO PHYSICIAN �' I "This is an example of the clinical problems that you folks will face daily. You must know your own feelings and the feelings of your patients," Dr. Klein said. Seven entering fifth pathway medical students were introduced by Dr. John Richert, assistant dean. They are: Mark L. Bilowus, Joseph A. DiChiara, Charles M. Harden Jr., Frederick C. Holton, John E. Nichols, Anthony F. Perna, Warren H . Williams. Dr. Richert also introduced and praised Elaine Healy as the editor of the first medical school student handbook. She is a third year student. Dr. Klein mentioned that during his medical education the emphasis was upon how students inter-acted with physicians. "There was no talk about inter-acting with patients. Today it is important that we look at how we treat people. The public demands that we do. In treating people you have many options, but you have a public responsibility because you are using public resources. Everyday we face difficult situations - join the club." Dr. Thomas Raab, M'77, who recently finished his residency at the VA, told the students to challenge everything- "what you see and what you don't see. Use the show me type of approach. Ask questions and don't be put off and use all the resources at your command- textbooks, preceptors and residents. You are part of a team." Dr. Evan Calkins, chairman of the 3rd year evaluation process told the students what would be expected of them and how they would be evaluated and reviewed. "Half way through your rotation an evaluation will be made of your strengths and weaknesses. You will have a chance to discuss this with your preceptor and make adjustments." Other faculty members who discussed briefly theii; respective disciplines were: Drs. Erika Bruck, professor of pediatricsemeritus; Joseph T. Aquilina, M'41, clinical professor of medicine; Elliot Ellis, professor and chairman of pediatrics; Worthington Schenk Jr., professor and chairman of surgery; James Evans, research assistant professor of surgery; James O'Leary, professor and chairman, Ob/Gyn; and Marcos Gallego, associate professor of Ob/Gyn.D Drs. Evan Calkins, Worthington Schenk, Fronk Evans, Jos ep h Aquilina. SPRING, 1981 ./ Dr. Elliot Ellis Dr. Erika Bruck Patricia Avirill, Jos eph Gioa 27 �Dr. Reiman "We prize originality, excellence and style." That is what the editor of the New England Journal of Medicine told medical students and faculty at an informal round-table session. Dr. Arnold Reiman went on to say that our articles must be concise, solid, convincing and understood by the non-specialist. In his one-hour presentation Dr. Reiman traced briefly the history and the editorial policy of his prestigious journal. My function as editor is to "listen and learn." Dr. Reiman believes his readers are interested in all areas of medicine. "After reading our journal two or three years a person will know everything that is going on in medicine. The interface between medicine and society is very important. That is why 15 to 20 percent of our articles are not technical. "The Journal takes no official editorial stand. We don't speak for any organization. Our editorials are signed by the person who writes them and are his opinion only. The editorial policies are independent and determined by the editors, not by the Massachusettes state society of medicine. We are not afraid of any opinion as long as it is temperate. We have taken both conservative and radical stands and everything in between." He noted that one of the ways science advances is through articles that are original, interesting and have reasonable data- but often the data may be wrong or only partially true. Dr. Relman has weekly meetings with his four associate and three deputy editors. Once a month the full editorial board of 20 or 25 people meet. We call on the best people in the United States to review articles and many times they disagree. When this happens it is up to the editor to make the decision. "As editor I must listen and then take a stand. And inevitably I make some mistakes." We are not super humans and we are always open to rebuttal. My job is not censuring, but more of a traffic cop who sorts things out," Dr. Reiman said. Dr. Reiman's other observations: - editing is a full time job, fun but time consuming; - a journal should be physically attractive and readable; - we give priority to medical articles that have not been published; five months is the average time from submission of an article until it is published; our role is educational; most of the articles are unsolicited; 90 per cent are rejected and 85 per cent of these are published in other respectable journals; we don't use many illustrations (only certain pictures are worth 1,000 words]; - we get thousands of letters to the editor and they are often the most interesting part of the journal; printing costs are high and we have a space problem; we are interested in articles about sociology, law, economics and philosophy; medical literature is a true reflection of activity in the biomedical research establishment. In conclusion Dr. Reiman said, "if you want to be well informed read five or six journals - specialty and general regularly. The job of keeping up is not as overwhelming as people make it out."O 28 THE BUFFALO PHYSICIAN �Dr. Robe rt P. W hale n , vice chairman of th e New York State H e alth Planning Co mmittee and fo rm er Ne w York Stat e Commissione r o f H e alth , was th e honore d guest and speake r at Th e Bu ffal o Gen e ral Hospital 's 125th Ann ive rs a r y Dinn e r, at th e Bu f fal o Hilt on . BGH Anniversary The Buffalo General Hospital celebrated its 125th year of service to the Western New York community with an Anniversary Flag raising ceremony commemorating the Hospital 's incorporation in November. "BGH - 125 Years of Caring" is the theme displayed on two Hospital flags that were raised for the first time during separate ceremonies at the Buffalo General Division, 100 High Street, and the Deaconess Hospital Division, 1001 Humboldt Parkway. Ma yor James Griffin, County Executive Edward Rutkowski, \lnd Buffalo Councilman David Collins participated in the ceremony along with Dr. William V. Kinnard, Jr., hospital president, and Daniel A. Roblin, chairman of the BGH Board of Trustees. The Buffalo General Hospital was founded in 1855 as Buffalo's first city hospital to provide medical care to indigent persons. The original hospital building on High Street was dedicated in 1858 by former United States president, Millard Fillmore. In 1863, the United States government commissioned The Buffalo General Hospital as a U.S. Army Hospital which treated more than 850 Union soldiers during the Civil War. Buffalo General also served U.S. soldiers of WWI and WWII by sponsoring the 23rd Army General Hospital stationed in Europe - one of only 65 American-based units to serve overseas. In Western New York, the first successful open heart surgery (1960) and the first successful kidney transplant (1964) were performed at The Buffalo General Hospital. Among these achievements stands the nationally recognized merger between the Buffalo General and Deaconess Hospitals (1979) which created one of the largest health care systems in the United States. As the Buffalo General Hospital enters into its 125th year, its future holds the realization of the $166.4 million modernization and building program which received unanimous approval by the Western New York Health Systems Agency in September. The program is now waiting final approval from the New York State Health Planning Committee.D SPRING, 1981 29 Dr. M icha el F. Noe, Dani el A. R o blin Jr., chairma n of th e BGH boa r d, Sharon Wa hl, R N, Dr. W illi am V. Ki nnard Jr., BGH Presiden t. �,ETHICAL ISSUES IN THE NEONATAL NURSERY by Laurence B. McCullough, Ph.D. lf I were to be asked to describe in a single metaphor the topography of ethical issues encountered in decisions regarding the treatment of defective newborn infants, it would be that of a moral thicket. Perhaps an even better way to characterize those issues would be in terms of a briar patch. In what follows I shall attempt to get clear, as philosophers put it, on the character of those issues and to take a position with respect to some of the more important among them. To follow out the metaphor, I should say that I do not expect to emerge from this enterprise unscathed. I only hope that the scratches will be, while surely painful, nonetheless illuminating. The ethical issues to be considered are many. They can perhaps best be put in the form of questions. Should all defective infants be intensively treated? If we are convinced that such a practice is itself morally unacceptable, then other questions arise. Which defective infants should be treated and which should not? What criteria should be employed to determine which defective infants are appropriate candidates for treatment or nontreatment? Still more questions could be asked about who should be given final authority to decide which defective infants shall be treated and which shall not. The parents? Doctors? An ethics committee in the hospital? The courts? If I understand them correctly, all of these questions have a single focus: the moral status of infants generally and of defective or handicapped infants in particular. Let's sharpen that focus still further, into a single question: What moral obligations do we owe to defective newborn infants? By way of an answer, let us consider the following case, reported as a case of notencephale (notencephalocele) by a Dr. Charles Hildreth of Boston in 1834.' moned. Before the messenger had left the house, the head had passed the external organs. So little pain did she suffer in the descent of the head- the presenting part being very smaJJ - that she was deceived as to its proximity. Occuring in the night and residing at the distance of a mile, half an hour elapsed before our arrival. We found the child born, completely enveloped in membranes, with its lower extremities yet in the vagina. From the position, we concluded the birth had taken place with the face to the pubes. The membranes yet enveloping the head and body, were so entire and adhered so very close, that the least admissions of air to the lungs was quite prevented. Two female friends were present, but they had offered no assistance. There was no pulsation in the funis umbilicalis. Discovering the monstrosity, we concluded not to attempt the inflation of the lungs ; which would probably not have been successful for reasons ta be mentioned when describing the brain. The mother felt the motion of its arms beneath the membranes for fifteen or twenty minutes after birth. "From A Case of Notencephale," by Charles Hildreth, Boston, 1834, courtesy of the Moody Medical Library, University of Texas Medical Branch at Galveston." l'•oJI ,.,.,. January 15th, labor came on at one A .M. Having so often disappointed her friends, she waited until 4 A.M., when she requested that we might be sum- 30 THE BUFFALO PHYSICIAN �After a detailed discussion of the anatomy of this "monstrosity," Dr. Hildreth had this to say. From the motions succeeding birth, may not the position be maintained, that there was a medulla oblongata, more or Jess perfectly developed, and if so, might not its seeing, hearing, smelling, and tasting, also have been moderately perfect? It would not have possessed the powers of locomotion from their being no spinal cord; and although the organs of generation were perfect, yet, if the cerebellum holds that influence over their existence which we believe it does, they could never have sustained their appropriate and important functions. But we are going too far to suppose anything like the establishment of animal existence, where there is so signal a deficiency in the essential organs of the cerebral system, whose just adaptation to each other is so highly requisite to the continuance of the vegetative functions, the performance of muscular and sensitive motions and the more important manifestations of mental life. While Dr. Hildreth's language may be archaic the concepts expressed in it are very interesting. He has adopted the traditional Aristotelian account of human gestation, in which vegetative, animal, and rational "souls" or forms come to be present in a human being. That is, we would say, there are manifestations in levels of mental capacity of stages of successively more complex organization of the gestating human being's central nervous system. This gestation is completed with the development of a fully intact and functioning central nervous system, which we know to be completed about one year after birth. 2 At this stage in human development, we can say that a person is present. That is, one might argue on Dr. Hildreth's behalf that when a human being is an entity capable of later valuing itself and therefore of having rights, it is an entity to whom we now owe serious moral obligations. What Dr. Hildreth is saying, in so many words, is that this infant was so profoundly damaged that it could never become a person. It could never have the mental capacity to value itself or perhaps to have rights. As a consequence, it does not have the moral status requisite to generate strong obligations to it. In particular, our moral obligations regarding its treatment are radically diminished, thus justifying Dr. Hildreth's decision not to resuscitate this infant. I find Dr. Hildreth's reasoning about this case rather remarkable, if only because he SPRING, 1981 anticipates by well over a century the line of reasoning already implicit in much of contemporary medical decision-making. Consider, for example, the recent developments of a brain death oriented definition of death. 3 Such definitions clearly imply that when there is irreversible cessation of brain function, a person is no longer present. Thus, there is no obligation to sustain life in the body of the (now) dead person. That is, cognitive or mental capacity seems to be tied to moral status. To return to the topic at hand, we can say that decisions not to treat defective infants, whether based on well-established criteria or less well-founded clinical judgments, imply a diminished moral status for the defective infant. When that moral status is substantially diminished, it would seem, so is our obligation to treat defective infants. Dr. Hildreth's reasoning and the various sets of criteria for non-treatment of spina bifida infants adopt exactly this logic. In short, clinical judgments incorporate moral judgments focusing on the moral status of the defective infant. The problem, of course, is that we disagree about what the moral status of defective infants should be. Philosophical ethics has bearing here, in that it suggests two complementary ways of understanding that sta,tus and the obligations it grounds. That is, philosophical ethics offers a way of getting clear on that status and of analyzing arguments in support of different views. The first line of reasoning, known as deontological ethics, grounds obligations in rights. In the present context the right to treatment is at stake. On one view this right holds without exceptions: we are absolutely obligated to treat all defective infants. This is the moral logic of a save-all policy. On another view, this right is a limited one; it has legitimate exceptions. This, by contrast, is the moral logic of an approach that employs criteria for nontreatment. The second line of reasoning used to ground obligations, called teleological or consequentialist ethics, turns on considerations of value and bears directly on the justification of the criteria for non-treatment. These criteria are, that is, based on considerations of quality of life, clearly a value question. Now, the quality or more exactly the value of an infant's life can, in turn, be understood in one of two ways. First, and (morally) foremost, we can speak of the value or disvalue a defective in31 d- �,fant's life will come to have for itself as it grows into maturity. A second and in my view a clearly subsidiary consideration is the value, or most often the disvalue, a defective infant's life will have for others: parents, hospital staff, long-term care and residential institutions, and finally society at large. Using the language of philosophical ethics, we are able to set out clearly the topography of ethical issues in the neonatal nursery. The elements of this topography are worthy of close scrutiny. The school of thought that grounds our obligations to defective infants in an absolute right to treatment takes the view that every human being, even if it is profoundly damaged, is a full member of the moral community. Thus, we are cautioned not to stray into the murky waters of diminished moral status. If we should do so, then we may come to treat normal and defective infants differentially. As Paul Ramsey warns, we then in a manner of speaking "take advantage" of life-threatening conditions, to let mentally subnormal children die, while treating normal infants with the same physically life-threatening condition. As Ramsey puts it: In medical care, we rightly compare treatments in order to decide what is indicated as responsible activity on the part of those who are still living toward those who are now dying. But we ought not to compare and contrast the persons- the patients who are dying - with one another in other respects. We have no moral right to choose that some live and others die, when the medical indications for treatment are the same. • That is, no one should be accorded the moral prerogative to determine another's worth and thus risk diminishment of his or her moral status. To buttress this line of reasoning, one could argue along the following more pragmatic lines. Medicine is not (yet) in a position to predict with anything resembling scientific accuracy the quality of life in every respect, in particular mental capacity after treatment of an infant's (physical) defects, though it may be able to predict to a great extent the nature of future physical handicaps. What can be predicted with reliable accuracy is that some infants will not survive no matter what interventions have been made. In these cases there is no obligation to treat since no treatment will work. Indeed, treatment in such cases may only prolong the dying process, as it might, say, in the case where the degeneration 32 of Tay-Sachs disease has already begun. To return to Paul Ramsey, his conclusion about such matters is this: "No treatment is indicated when none exists that can do no more than prolong dying."s But even in cases where treatment can be effected, others argue that the above mentioned lack of predictability of outcome must be considered. Speaking to the issue of spina bifida, Soare and Raimondi remark: Since we cannot know, at birth, whether the specific child being evaluated will respond favorably to adequate and consistent treatment, it is presumptuous and dangerous to withhold treatment, selecting some children for euthanasia."• What this school of thought must overlook, of course, is the results of the save-all policy it endorses. Some who have held to such a policy in the past have come to change their minds, principally because of the suffering they observed among children who were most seriously damaged. As Dr. Lorber has put it: "Treating all babies, without selection, resulted in massive suffering for a large number in spite of massive effort of large and devoted teams." 7 The suffering he refers to is of two kinds, first that caused by mental retardation and second the experiences of the mentally normal child with severe physical handicaps. Lorber concludes with a question: Is it right to allow technique to triumph over reason and compassion? The doctor's primary duty is to do the best for his patient. Normally, this means saving his life. But saving or prolonging life is not necessarily the best for all patients and may be actively harmful. • The moral logic of this view is the following. We begin with the assumption that every infant has the right, but not an absolute one, to treatment. That is, the infant has a presumptive but limited right to treatment. The limits der've from an assessment in terms of the quality of life of the outcome of treatment. When that outcome is fraught with harm and suffering or a diminished quality of life purchased at the price of great pain and suffering, then there may be no obligation to treat, because it would be unreasonable to do so. The debate about the criteria for treatment or non-treatment of spina bifida infants, for example, centers on just this point: do criteria-whatever they might be- predict outcomes that are morally unacceptable and thus not medically indicated? I doubt that anyone knows for sure. Even Dr. Lorber, and THE BUFFALO PHYSICIAN �then only in his most robust moments, claims only to be able to predict "the least amount of handicap any infant is going to have." 9 The most that this could mean, the literature seems to indicate, is that we can predict the least physical handicap, for example, the level of paralysis and incontinence of a baby born with spina bifida. Even if we could satisfy the critics of accurate predictability, we would not have accomplished enough, for physical handicaps seem the lesser consideration in determinations of quality of life. It is mental or cognitive handicaps and capacity that trouble us, just as they troubled Dr. Hildreth in the Boston of one hundred and forty-six years ago. By way of illustration, consider the following, based on a case presented at the Georgetown University Forum on Mental Retardation and Ethics:' 0 Baby boy, N, was delivered by a gravida 2, para 1, AB 0 mother. N presented with a myelomeningocele in the lumbar sacral region, extending to L4. He was transferred within hours of his birth to the spina bifida service in a university hospital. The father was contacted by the spina bifida service while the mother remained in the hospital where she had delivered her baby. Both parents were thirty-two years of age, the father a research scientist and the mother a successful attorney. CT scan revealed no hydrocephalus and acceptable brain mantle thickness. There was no lacunar skull deformity and no kyphosis. The parents were told of their child's condition, of the nature of the physical handicaps the child would face, and the possibility that their child could be mentally retarded. The spina bifida team agreed that this child should be treated but the parents refused permission for the pediatric neurosurgeon to repair the wound. During intensive counseling over a period of two days they stated repeatedly that, if the doctors could not guarantee them a normal baby, then they did not want it treated. It became clear to members of the spina bifida team that "normal baby" meant principally a baby with no mental retardation. The parents were offered the opportunity of a second opinion, which they reluctantly accepted. The consultant's report confirmed the diagnosis and findings and also recommended treatment. The parents, however, still refused treatment. Finally, the spina bifida team reiterated their view that the infant was a good candidate for treatment and that, if the parents persisted in their refusal, a court order for treatment would be sought. At this point, three days after the baby's birth, the parents changed their minds and consen ted to treatment. In this case the primary focus is on the infant's future quality of life. The parents, apparently, judge it to be unacceptably low, while the spina bifida team does not. One suspects that in this case, and in many cases of defective infants, the parents conflate considerations of the infant's value of life for SPRING, 1981 itself with its value (or disvalue) for themselves." Parents, for example, might have bizarre attitudes about genetics that lead them to conclude that somehow something about themselves is fundamentally flawed. Or, as my colleague at Georgetown, Dr. Warren Reich, has put it to me, parents may be embarrassed or affronted by a defective infant. The medical team, by contrast, focuses on the value of the infant's life for itself and not for others. That they were quite willing in this case to seek a court order for treatment makes this clear. My own view is that this is indeed the proper focus to take. Respect for persons, ~ven if they are somehow diminished in their moral status, demands as a minimum that we give equal and fair consideration to defective infants. By this I mean that a focus on the value or disvalue of a defective infant's life for others means that the infant is not considered equally or fairly with respect to all other infants, normal infants in particular. So the proper route through the moral thicket outlined above should exclude consideration of the value or disvalue for others of the infant's life. Now, if I am correct about this point, we have gained some clarity. It is the value of the infant's life for itself and not for others about which we want to be able to make predictions. And those predictions are about (1) whether a defective infant can become a person with a value for itself and rights, and (2) to what extent it will become a person. That is, persons come to be on a continuum, from substantially diminished persons to full persons. Along this continuum I would like to identify five categories that are morally significant for clinical decisions. 1. Some infants, as pointed out earlier, will die no matter what treatment is employed. The logic of our moral obligations in such cases is clear: when it is impossible to fulfill an obligation there is no obligation. Thus, whether one holds that infants have an absolute or a limited right to treatment, it is justifiable not to treat those infants for whom treatment is a hopeless course from the outset or is discovered to be so later, as it might be in the case of severe respiratory distress or serious heart defects. 12 2. Some infants are, as my colleague in the Kennedy Institute of Ethics, Richard McCormick, has said, submerged in the struggle to 33 d- �survive.U That is, all of their energy goes into the task of merely surviving. One's person in such cases never has the chance to develop. In such cases, therefore, it is justified not to treat, since the outcome one tends to achieve for any treatment, the emergence of some level of person, cannot be achieved. McCormick illustrates his position by considering the case of an infant born with congenital heart anomalies, respiratory distress, an esophegeal-tracheal fistula, and probable brain damage. The immediately lifethreatening condition, the fistula, need not be closed, one could justifiably argue, since doing so will not save a person but only prolong unnecessarily the struggle to survive. 3. Some infants will not be submerged in the struggle to survive but will suffer terribly: they will have profound mental retardation and serious physical defects. At best they will achieve a very diminished level of personal development and what they do achieve will be constantly frustrated by their physical handicaps. A spina bifida infant fulfilling three or more of the criteria set out by Lorber 14 or by Ames and Schutt 5 would appear to fall into this category, especially one with a high lesion and chronic hydropcephaluis at birth. In such cases, we are hard-pressed to give reasons justifying treatment, since the level of personal development will, at its best, be unreasonably low: no one would accept it for themselves. This is so not simply because the child will be retarded but that its retardation will be compromised even further by severe physical handicaps: whatever already small mental and cognitive capacities the infant may have will not be able to be developed as much as they might have in the absence of the physical impediments. Thus, the proper goals of treatment most likely cannot be achieved or would at best be frustrated. Hence, it would be unreasonable to treat and thus not obligatory to do so. 4. Some infants will be handicapped and will suffer somewhat as a result. Two sorts of cases come to mind. First, an infant might be mildly retarded as well as moderately physically handicapped. Second, an infant might have normal mental and cognitive capacity but be physically handicapped. Hence it it important to recognize that mental retardation occurs on a continuum and that when physical handicaps are not severe, the prospects for a good outcome for a retarded 34 child will be high. That is, the child's developmental capacities will not be limited by physical handicaps but only by the mental retardation itself which is not fixed in its nature. In the second case, one's developmental capacities will be impeded by a minor, hence manageable, physical handicap. Such infants should be treated. Now, implicit in this recommendation is that reduced mental capacity by itself cannot be regarded as a significant harm or disvalue for the individual characterized by it. I say this because I do not see any reasonable way for us to assess the moral status of mental retardation in and of itself. Those of us who have normal or above average mental and cognitive capacities tend to think of mental retardation as a radical diminishment of what we know and have experienced. And, naturally, we place a great disvalue on that diminishment. But is this the correct perspective from which to view the nature of mental retardation? I think not. The problem of unreasonably high standards of normalcy, among some groups in our society, should make us suspicious of the answer "yes" to this question. Consider, again, baby boy N. His parents no doubt looked on mental retardation from the perspective of a research scientist and a successful attorney, neither of which they probably thought their son could ever become if he were retarded. The perspectives taken by medical staff, doctors especially, are similarly unreasonably high. 16 What we need, if we are to determine the value of life for the mentally retarded person, him or herself, is a perspective taken from within the texture of experience of the mentally retarded individual. That is, if diminished mental and cognitive status is all one will ever know (and I am not sure that even this is the correct way to think about mental retardation). then how can that diminishment - by itself- be a harm, evil, or disvalue for that individual? For myself, I do not see how it could be. Indeed, we who need an answer cannot answer this question at all. If it is indeed true that we cannot establish the very perspective we require to make the needed moral judgment about the mental status of mental retardation, then that judgment should not be made. Now, a possible exception to this view might be the case where an infant will become profoundly retarded, THE BUFFALO PHYSICIAN �where that term means, among other things, that the infant will not really be able to develop even to the minimum point of valuing itself. The problem, of course, is that there are no reliable clinical criteria for predicting future levels of mental development in the first days of life. Until such criteria are developed- and it is not clear that we will be able to do so - we should take the view that we cannot determine for retarded infants what the value of their life will be for them. The only exception is in the third category, where the physical handicaps are so severe that even what (little) development could take place is constantly frustrated. In such cases treatment may not be reasonable because it does not succeed in removing developmental impedients of a physical kind. But, where mental retardation alone is the outcome of concern, then there are no grounds for nontreatment. Thus an infant with Down's syndrome and, say, duodenal atresia, should be treated. 5. Finally, some (indeed most) infants will not suffer. They will be normal or, if defective at all, only in minor physical ways. These infants, of course, should be treated. Let me now summarize what I have said. It is because some birth defects imply a diminished mental and cognitive development of an infant's person that we question whether we owe them the same obligations regarding treatment that we owe to infants born without such afflictions. Some answer the question by insisting on an absolute right to treatment of all infants, regardless of the nature of their defects and regardless of the suffering that ensues. Others answer the question by taking the view that sometimes treatment is not worth it for the afflicted infant. In doing so they have already crossed a moral divide, to the view that the right to treatment is legitimately limited by quality of life considerations. I am willing to cross this moral divide. Indeed, I feel compelled to do so because of the considerations above about the first three categories. But in doing so I want to take seriously the kind of warnings Ramsey and others have issued: to err may be human but we should want to reduce error in clinical judgment to a minimum, so that if we must err we will do so on the side of treatment. That is, the burden of proof in all cases rests on those who decide not to treat. This concern undergirds the five categories I have SPRING, 1981 offered. In the first two, the logic of moral obligation collapses and it is justified not to treat infants falling under them. The infant in Dr. Hildreth's case is in the first category. This is not to say we necessarily do something wrong by treating these infants if parents request that we do. But we also do nothing wrong by allowing these infants to die at their parents' request. The moral logic of the last two categories is also clear. Infants in these two classes should be treated regardless of parental wishes. Since baby boy N falls into the fourth category, the medical staff were correct to oppose the parents' refusal. That refusal was not rational, on the scheme given here, and thus not justified, i.e. morally binding on the medical staff. It is in the third category where the thicket we started with remains. I think that it has now been reduced, however, if only because the focus is clearer than when we started. It is not reduced mental and cognitive development alone that can diminish our obligation to treat. It is only when that reduction is compounded by serious physical handicaps that the quality of life for the defective infant is substantially reduced. Now, as has already been noted, it is difficult to predict diminished mental and cognitive status, though it is lesl' difficult to predict the impact of physical handicaps. So we are still left with the problem of predictability. If we cannot assure ourselves in a particular case that we can predict with (fairly) high accuracy the level of mental and cognitive development to be expected, then we cannot justifiably consider our obligation to treat such an infant to be reduced. In short, we will not finally escape the necessity for making tragic choices. If we do treat infants when we are not sure of outcome, some of them will suffer in ways that may stagger them and challenge our limits of compassion. If out of a prudential concern to avoid their suffering we do not treat such infants, then some of them will surely die or survive in a more miserable state than if we had treated them. Such choices are a reminder that medicine is, as Stanley Hauerwas has so persuasively argued, a "tragic profession." What we must learn to do is accept that medicine, like almost all other aspects of our lives, involves trade-offs that are unhappy. There is no way to avoid that. We will take the goods it offers, and they are great goods, 35 d-- �but at the same time doctors and patients alike must be willing to accept their losses. And they are hard losses, as they may at times involve life itself. Such losses are tragic, but they can be lived with. They only become destructive when we refuse to recognize them for what they are." In the case of defective infants, of course, it is we who make the decision and the infant who must accept the losses, a stark choice indeed. Those losses are, I would like to say in closing, stark reminders that for all of its spectacular successes medicine is, in its most fundamental respects, a limited enterprise. Medicine cannot do all that we want it to do. And, more to the point, medicine with moral justification can sometimes be restrained from doing what it is otherwise capable of doing.D Dr. McCullough addressed medical students and faculty last year. He is Associate Director, Division of Health and Humanities, Department of Community and Family Medicine, School of Medicine and Senior Research Scholar, Kennedy Institute of Ethics, Georgetown University, Washington, D.C. Dr. Steve Wear, assistant professor of medicine, was Dr. McCullough's host during his Buffalo visit.D REFERENCES 1. Charles Hildreth, "A Case of Notencephale," publish- ed privately in Boston, Massachusetts, 1834. 2. Waldo E. Nelson, ed., Textbook of Pediatrics. Philadelphia: W. B. Saunders Company, 1979. 3. Harvard Medical School, Ad Hoc Committee of the Harvard Medical School to Examine the Definition of Brain Death, "A Definition of Irreversible Coma," Journal of the American Medical Association 221 (1972). 48-53. 4. Paul Ramsey, Ethics at the Edges of Life. New Haven and London: Yale University Press, 1978, p. 192. Emphasis added. 5. Ibid. 6. Pegeen Soare and Anthony ). Raimondi, "Quality of Survival in the Treatment of Myelomeningocele Children: A Prospective Study," in C. E. Swinyard, ed. Decision Making and the Defective Newborn, Springfield, Illinois: Charles C. Thomas, Publisher, 1978, p. 92. 7. john Lorber, "Ethical Concepts in the Treatment of Myelomeningocele," in C. E. Swinyard, ed., Decision Making and the Defective Newborn, p. 61. 8. Ibid., p. 66. 9. Ibid., p. 65. 10. Based on a case presented in The Forum on Mental Retardation and Ethics, Georgetown University Medical Center, january 29, 1980. 11. john C. Fletcher, "Prenatal Diagnosis: Ethical Issues," in W. T. Reich, ed., Encyclopedia of Bioethics. New York: Macmillan, The Free Press, 1978, pp. 1336-1346. 12. Paul Ramsey, Ethics at the Edges of Life, pp. 189-227. 13. Richard McCormick, "To Save or Let Die: The Dilemma of Modern Medicine," Journal of the American Medical Association 229 (1974), 172-176. 14. john Lorber, "Ethical Concepts in the Treatment of Myelomeningocele," in C. E. Swinyard, Decision Making and the Defective Newborn, pp. 59-67. 15. M. Ames and L. Schut, "Results of Treatment of 171 Consecutive Myelomeningoceles, 1963-1968," Pediatrics 50 (1972), 446-470. 16. C. E. Swinyard, Decision Making and the Defective Newborn, pp. 248-250. 17. Stanley Hauerwas, Truthfulness and Tragedy. Notre Dame, Indiana: University of Notre Dame Press, 1977, p. 201. Roswell Park Memorial Institute Continuing Education Seminars April 2, 1981 Control of PhenotypiJ: Expression in Normal and Transformed Cells Chairperson: Dr. Charles E. Wenner Department of Experimental Biology May 14,1981 Hematologic Problems in Cancer Patients Chairperson: Dr. Julian L. Ambrus Department of Pathophysiology June 6, 1981 Progress in the Management of Upper-Gastrointestinal Cancer Chairperson: Dr. Harold Douglass Department of Surgical Oncology 36 THE BUFFALO PHYSICIAN �Dr. Pannill, Mrs. Lippschutz, Dean Naughton. Drs. James Evans, Joseph Monte. fames Thayer, Mrs. Lippschutz and her sister, Mrs. Stella Lorenz. Drs. Alexander Brownie, Robert Brown, John Lore, Eugene Mindell. Drs. Leonard Katz, Donald Larson, Benjamin Sanders, Louis Bakay. The Gene Lippschutz Conference Room Dr. Lippschutz was praised for his long service, unselfish devotion, leadership, many contributions and dedication to the Medical School, the community and his profession by Dean John Naughton and Dr. Carter Pannill. The occasion: the dedication of a new conference room in Cary Hall in his honor. In response Mrs. Lippschutz said, "I am grateful for this honor bestowed upon my husband. This monument will live for him forever." Dr. Lippschutz joined the U/B faculty in 1934. He died in 1980.0 SPRING, 1981 37 �BOOK REVIEW by Dr. Ross Markello, M'57, Professor of Anthesiology Assistant Dean for Graduate Medical Education "Educating Medical Teachers" by George E. Miller Harvard University Press, Cambridge, Massachusetts, 222 pages, $15, 1980 Excerpts The question of the preparation of college teachers is a high explosive. Toss it into any academic gathering and the air is instantly filled with the shattered fragments of human dignity, and with cries of triumph and despair. -Samuel P. Capen - 1938 * * * Within 2-4 weeks he (the student) feels overpowered, knows he cannot possibly absorb all the material in Gray's Anatomy, but feels equally sure that if the final examination covers all the materials presented to him through lectures, demonstrations, laboratory dissections and quiz sessions, he is likely to fail at the very outset of a hoped-for career. - Ed Bridge - 1950 * * * A rather touching and somewhat sad final report on a noble experiment at Buffalo, a school with its troubles. It didn't set the Buffalo medical school on fire but that now appears not to have been very combustible. It did have some good wider influences. - Commonwealth Fund - 1961 * * * "More often, however, the lack of recognition (of medical education) is simply manifested as apathy toward, or outright hostility to, a discipline that is poorly understood and generally looked upon as soft, if not actually mushy." * * * "Investigators who insist that systematic study of biologic phenomena, rather than individual experience, must be the base from which to draw conclusions see nothing inconsistent in any rejection of carefully planned educational studies whose findings fail to match their personal preferences." 38 Those of us who attended medical school in Buffalo in the 1950's will forever remember George Miller as one of the more outstanding, if controversial, members of the faculty. It seems only yesterday, our somewhat apprehensive group, gathered in the large wards at the Buffalo General Hospital awaiting the military footsteps which announced his arrival predictably at 10 a.m. (plus or minus 15 seconds) and the beginning of instructive, painfully probing rounds. In the early 1950's, the ingredients and the academic expectations in both the University and the Medical School were sufficiently germinal to give rise to the "Medical Education Project." It came as a surprise to me that mildmannered Ed Bridge, a pediatrician turned pharmacologist, provided the initial impetus. Other actors in the play were: Lester Anderson, Clifford Furnas, Adele Land, Steve Abrahamson - and the major catalyst, Nathania! Cantor. Having wrenched the School of Medicine from an historic site to the Main Street Campus, Stockton Kimball lent support, feeling the time ripe for a new venture in a new school. The Medical Education Project advanced the thesis that better teaching would result in better education and ultimately better patient care. Such an idea was sufficiently revolutionary to induce questioning in private conversations whether certain individuals in the University had taken leave of their senses. With generous support from the Commonwealth Fund, the Project was launched in which several junior faculty members devoted an intensive year to study and selfexamination. Other schools were soon hammering on our doors to attract away the major participants in the Project. With the untimely deaths of Cantor and Kimball, and the failure of the Project to stimulate enthusiastic support in Buffalo, the movement was transplanted to other campuses, taking root throughout the U.S. and ultimately the world. In the final chapter, the author takes an honest analytic view of the previous 25 years, acknowledging that meaningful activity and research in medical education has levelled off. Miller emphasizes that the basic question was never answered - namely, does the quality of education make a difference in the quality of health care. For that matter, no one ever documented whether the changes in medical education, as a result of the Flexner THE BUFFALO PHYSICIAN �report in 1910, had any influence on the subsequent quality of medicine. He encourages people in medical education to find such answers. In Miller's view, formal medical education groups were not established universally in the U.S. for several reasons: 1) the academic view that there should be an expansion of knowledge without regard to ultimate social value, 2) traditionally, medical schools are arranged along departmental lines and resist activities requiring new departments or interdepartmental cooperation, 3) competition for funds, 4) lack of recognition that education is a discipline requiring specific skills and sophistication, and finally, 5) the reward system emphasizes biomedical research. The Medical Education Project did many good things. The individuals involved became outstanding faculty members influencing positively the lives and careers of those whom they touched. Schools of medicine are much more serious about education, and sensitive to student and societal needs. Twenty-four schools have bona fide Offices of Medical Education. In my own view, the movement has achieved equilibrium for several reasons. First, any group or movement ultimately becomes selfserving and more interested in economic security than academic adventure. Secondly, medicine has become so complex that more meaningful education takes place during specialty training than in medical school. Both the public as well as physicians perceive the practice of medicine to be primarily technical. Hence the residency programs reduce to the acquisition of manual skills and expertise which may be more influenced by genes than education. The driving force in medical schools is economics rather than idealism. The largest share of support (up to 80 %) derives from research and clinical activities. Buffalo alumni will enjoy reading those chapters relating to our own school and the revered names of yesteryear. George Miller might have become a famous nephrologist. He did as well in medical education. "A prophet is not without honor, save in his own country. "D The Red Jacket Award of the Buffalo and Erie County Historical Society was presented to Drs. Lydia T. Wright and Frank G. Evans at the Society's 119th annual meeting in November. Dr. Wright is a clinical assistant professor of pediatrics and Dr. Evans is a clinical assistant professor of family medicine and clinical associate in medicine. The medal - first presented to Seneca Indian orator and statesman Red Jacket by President Washington in 1792 - is presented annually in recognition of civic service over a period of years. Dr. Wright was the first black woman physician and pediatrician in Buffalo and the first black woman appointed to the Buffalo Board of Education. She has served on the Mayor's Advisory Committee, the East Side Community Organization, and the Standing Committee of the Episcopal Church and has been active in the local Negro College Fund. Dr. Evans is a past chairman of the Negro College Fund drive and is now president of the Buffalo Equity Foundation, chairman of the YMCA building drive and a member of the Pundit Club. He is an internist affiliated with Millard Fillmore Hospital.D SPRING, 1981 39 Red Jacket Award �Letter to the Editor Sirs: My remarks concerning HMO's at the 1979 University of Buffalo Spring Clinical Day's were part of a lectureship concerning socioeconomic medical controversies in America today. A reporter present, recorded her perception of this presentation in a previous Buffalo Physician. Dr. Ronald P. Santasiero's violent and acrimonious attack betrays his insecurity with the position he takes. HMO's have been extolled as an alternative type of medical practice to compete with the traditional fee-for-service system. The competition is unfair insofar as government sponsored HMO's are concerned. These HMO's receive feasibility grants, planning grants and initial grants from the Federal Government. These frequently amount to $1 million dollars or more of yours and my tax monies. They then may obtain millions of dollars in loans for operative needs. It is galling to many physicians in private practice to use their tax monies in the aggressive advertising programs used by HMO's to purloin their patients. A magnificent example of Madison Avenue hucksterism is found in the promotion of the HMO Plan Dr. Santasiero is part of. The solicitation pamphlet indicates there is an affiliation with the University of Buffalo Medical School. No such affiliation exists, but the paid merchandisers of this plan feel that their image would be enhanced by using the name of the Medical School. Additional mechanisms imposed by governmental bureaucrats such as certificate of need and various HSA mechanisms favor HMO's. The Health Maintenance Organization Act prescribes not only how the HMO's must provide services, but also how HMO's must be organized and operated. The Act required that: (1) HMO's have a financially sound operation; (2) enroll persons who are broadly respresentative of the various age, social and income groups in their service area; (3) have an annual open enrollment period of at least 30 days during which the HMO accepts persons in the order that they apply for enrollment, and (4) have organizational arrangements for an ongoing assurance program. In 1978, in a report to Congress on June 30, 1978 [HRD-78-125). the General Accounting Office offered a document entitled: "Can 40 Health Maintenance Organizations Be Successful?" The Comptroller General offered the following rather severe criticism of HMO's that stated: (1) HMO's generally have enrolled few or no elderly or indigent persons. (2) None of the HMO's studied definitely plan to offer open enrollment. This has, and will, limit access to membership for high risk and chronically ill persons. (3) HMO's have not specifically directed their services to medically underserved areas. (4) Unless HMO's can achieve efficiencies and economies by reducing their dependence of the fee-for-service system, their costs per member generally will rise during 1978-80. (5) Consistently underpricing services, to be competitive, as some HMO's have done, may be expedient in the short term but can lead to difficulties in the long term. As underpricing persists, the HMO may eventually face a gap between revenues and costs so large that it cannot increase its rates fast enough to survive. (6) Third-party relationships in HMO's may present possibilities for abuse which could harm HMO's financial soundness. (7) Many of the HMO's evaluated had not fully implemented Quality Assurance Programs. We have a situation here where in effect, HMO's only treat the employables, the least sick among us. The traditional fee-for-service physician takes patients as they come - indigent, Medicare, chronically ill and the employables. The competitive nature of this alternative-type of medical practice becomes stacked in favor of the HMO's. What manner of fair competition is this? The General Accounting Office, then, after evaluating a number of HMO's found that 22 % have a good chance of achieving financial independence; 35% have a fair chance; and 43% have a poor chance of surviving. Many HMO's have since gone bankrupt. Dr. Santasiero's own HMO has already applied to the State Insurance Department for two generous raises in their premium rates to remain solvent. Many HMO's, as long as they have Governmental loans to draw on, can remain marginally operational but my prediction is that many more in the ensuing years will become bankrupt because they cannot deliver what they promise with present premium rates. The arguments that HMO's know exactly how much medical care, no more -no less, is THE BUFFALO PHYSICIAN �needed to evaluate, diagnose and treat patients is specious. The impression that only HMO's have some secret formula to get people to stop smoking, stop drinking, stop taking drugs, stop speeding, lose weight and exercise daily to prevent illness also does not bear rigid scrutiny. Certain small segments of the American public may be satisfied with HMO-type medicine, but the vast majority will not be. There is no great stampede to join this form of practice. Most Americans enjoy the one on one relationship between practitioner and patient as opposed to clinic-type medicine where no free choice of physician exists. Most Americans prefer a relationship where the physician does his utmost to evaluate, diagnose and treat patients. Physicians, by the same token, have an incentive to treat their patients properly since their practice is dependent upon quality care. Staff model HMO's, on the other hand, offer no such in- centives since physicians may see five or 50 patients a day with no continuity of treatment. Further, as pointed out, the success of an HMO depends upon withholding medical care and I do not believe this will be acceptable to the general American public. There is no argument if a group of doctors choose to form a pre-paid medical health group. They will compete in the market with traditional fee-for-service physicians and will survive or fail on the merits of what they deliver and how they deliver it, but for the government to use tax monies to bludgeon their way into the free enterprise medical system, practicing favoritism along the way, is yet but another example of the oppressive power of federalism and its endless tampering. Edmond J. Gicewicz, M.D. Assistant Clinical Professor University of Buffalo Medical School Class of 1956 Dr. Arthur J. Schaefer, M'47, eye physician and surgeon specializing in ophthalmic plastic and reconstructive surgery in Snyder, New York, has received the American Academy of Ophthalmology's 1980 Honor Award for outstanding service to the profession. The award was presented in Chicago at the opening ceremonies of the Academy's annual meeting in November. After graduation from Canisius College, Dr. Schaefer spent 15 months in military service, then entered the Medical School. His residency program in ophthalmology was completed in 1951 at E.J. Meyer Memorial Hospital; one year later, he was certified by the American Board of Ophthalmology. In 1954, Dr. Schaefer again entered military service, this time as chief of ophthalmology at hospitals in Korea and Japan. While in Japan, he was invited to address the Tokyo Ophthalmological Society. Dr. Schaefer is director of ophthalmic plastic and reconstructive surgery at Erie County Medical Center and Deaconess Hospital Division of Buffalo General Hospital; chief of ophthalmology at Sister's of Charity Hospital and St. Joseph's Intercommunity Hospital; and consultant in ophthalmic plastic and reconstructive surgery at Veterans Hospital and Sheehan Memorial Emergency Hospital. He holds a clinical associate professorship at the University. The American Society of Ophthalmic Plastic and Reconstructive Surgery, Inc., chose Dr. Schaefer as its secretary for two consecutive terms. His contributions to the American Academy of Ophthalmology's continuing education program include instruction courses given every year since 1971 at the Academy's annual meetings.O SPRING, 1981 41 Dr. Arthur Schaefer �People Hungarian born Dr. Emoke Gomez, a clinical instructor in medicine, teaches clinical diagnosis of arthritis to medical students at the Buffalo General Hospital. Her husband, Dr. German Gomez, a native of Bolivia, is a research assistant professor of medicine. He is also on the staff of Roswell Park Memorial Institute. They have been living in Buffalo for ten years with their two daughters, Lill and Andrea.O Dr. Donald Rennie, dean of the Division of Graduate and Professional Education, has been appointed vice president for research and graduate studies, President Ketter announced to the Faculty Senate. Dr. Ketter said the Office of Vice President for Research and the Graduate Studies office Rennie now heads will be merged. Before Rennie assumed his duties as dean June 1, he was chairman of the Physiology Department.D Dr. S. Subramanian, professor of surgery and chief of Cardiovascular Surgery at the Children's Hospital, recently returned from a five-day stay at Mexico City's Hospital de Cardiologia y Neumologia. Dr. Subramanian, who was a visiting professor at the Hospital, performed cardiovascular surgery on infants and conducted surgical sessions, grand rounds and fireside Conferences for staff and medical students. He lectured on numerous topics, including various heart defects and surgical procedures to correct them, as well as postoperative management of infants who have undergone cardiac surgery.D The successful fertilization of a human egg has been performed by two Medical School faculty members, Drs. Jack Lippes, M'47, professor and chief of ob/gyn at the Deaconess Division of Buffalo General Hospital and Robert G. Summers, associate professor of anatomy.D Drs. Jerome A. Roth, assistant professor of pharmacology and therapeutics, and Herman Szymanski, research assistant professor of psychiatry, are co-investigators of "Phenylethylamine in Schizophrenia." They have a $14,680 grant from the V.A. Medical Research Service (RAG Funds) .0 42 A clinic designed to provide specialized gynecologic screening and care for elderly women has opened at Erie County Medical Center under the auspices of the department of gyn/ob. The purpose of the clinic is to attract the elderly who do not already get routine gynecological care such as nursing home patients, elderly women who live alone or those who otherwise may not have access to routine gyn screening, says Dr. Martin Wingate, clinic director and professor of gyn/ob.O In a presentation at the 147th meeting of the American Association for the Advancement of Science held recently in Toronto, Dr. Alan Reynard, professor of pharmacology and therapeutics, predicted that the development of drugs which will act only on specific parts of the body's immune system will be an important step in more effective treatment of problems ranging from cancer to allergies. He explained that this kind of specific action will be obtained from new drugs now in development and from refinements in drugs already in use.O Dr. Donald P. Shedd, chief of the department of head and neck surgery and oncology at Roswell Park Memorial Institute, was recently elected as President of the Erie County Unit of the American Cancer Society. He is a research professor of surgery at the Medical School.O Dr. Michael F. Noe, clinical assistant professor of medicine, social and preventive medicine and family medicine, has been elected to fellowship in the American College of Physicians. 0 State University Chancellor Clifton R. Wharton, Jr. was named chairman-elect of the National Association of State Universities and Land-Grant Colleges (NASULGC) at the association's 94th annual meeting in Atlanta earlier this month. During the past year, the Chancellor has served as chairman of NASULGC's Council of Presidents. The oldest higher education association in the nation, NASULGC represents 140 universities and colleges across the country. 0 THE BUFFALO PHYSICIAN �Drs. Fred Boehmke and Willard Bernhoft, instructors in surgery, presented papers at the International Society of University Colon and Rectal Surgeons in Australia recently.D The percentage of women entering the nation's 126 medical schools more than tripled during the 1970's, according to the AMA. About 28 percent of all new medical students entering in 1979-80 were women, and the number in school is 16,316. Ten years ago, women made up 9.2 percent of the new medical students. In the fall of 1980 they accounted for 25.2 percent.D Dr. H. Tristram Engelhardt addressed medical students and faculty in December on "Ethical Dimensions of the Physician Patient Relationship." The Rosemary Kennedy Professor of the Philosophy of Medicine, Center for Bioethics, Kennedy Institute of Ethics, Georgetown University, also conducted two sessions at Buffalo General Hospital and the Erie County Medical Center on "Medical Ethics" and "Ethical Dilemmas in Practice." His visit was sponsored by the Medical School, Department of Internal Medicine and the Committee on Human Values and Medical Ethics.D Dr. Vilayat M. Ali, director of the gastroenterology laboratory at Buffalo General Hospital, has been elected vice-president and president-elect of the Western New York Society for Gastro-Intestinal Endoscopy. He is a clinical associate professor of medicine.D Dr. Tarik Elibol, clinical assistant professor of medicine, has been elected president of the medical and dental staff at DeGraff Memorial Hospital.D President and Mrs. Robert L. Ketter honored a group of employees with 25 years or more service with the University at a reception recently in Capen Hall. Those honored, grouped by the year they began working here, were: 1945: Dr. James F. Mohn, professor of microbiology and director of the center for immunology; 1948: Dr. Richard H. Adler, professor of surgery; 1949: Dr. John H. Warfel, associate professor of anatomical sciences; 1950: Dr. Lloyd A. Clarke, clinical associate professor in psychiatry; 1951: Drs. David G. Greene, professor of medicine and associate professor of physiology, and S. Mouchly Small, professor of psychiatry.D SPRING, 1981 Dr. Myroslaw Hreshchyshyn, professor of ob/gyn, is the new director of obstetrics/gynecology at the Medical School. He has served on the ob/gyn staff at the Erie County Medical Center since 1962, is UB head of gynecologic oncology and acting chairman of obstetrics/gynecology. In 1979 he was cited by UB residents as outstanding teacher of the year, was president of the Buffalo Gynecologic and Obstetrics Society and is a Fellow of the American College of Obstetrics/Gynecology. Dr. Hreshchyshyn replaces Dr. Charles Woeppel, M'37, clinical associate professor of gynecology/obstetrics, who is the new clinical director of ob/gyn.D Dr. James T. Evans, director of the tumor registry at the Erie County Medical Center, was recently a key participant at a National Institutes of Health conference on use of tumor marker to monitor cancer patients. He is a research assistant professor of surgery.D Three faculty members have been elected to serve the New York State Academy of Family Physicians for 1980-81. Dr. James R. Nunn, M'55, clinical associate in medicine, is vice president. Drs. Harry L. Metcalf, M'60, and Herbert E. Joyce, M'63, are serving twoyear terms as delegate and alternate delegate, respectively, to the American Academy of Family Physicians. All are clinical assistant professors of Family Medicine.O Dr. John T. Gentry resigned as Erie County Health Commissioner in December, after four-and-one-half years. He is a clinical professor of social and preventive medicine at the Medical School. He had been medical director of New York City's Human Resources Administration before coming to Erie County. He is president of the New York State Public Health Association.D A complete outpatient Cardiac Treatment Center opened in December at Sisters of Charity Hospital. Dr. Lewis Young directs the center and Mrs. Sandra Thielke, R.N., is in charge of the daily activities of the center.D According to Dr. Thomas L. Dao, two enzyme levels in serum may become significant tools for determining the extent of breast cancer and for monitoring treatment. He said 43 d- People �People use of sialyltransferase and 5'-nucleotidase levels as biomarkers, demonstrates the micrometastasis concept, and may be a "first" in clinical substantiation. Dr. Dao is research associate professor of surgery and chief of the breast surgery department of Roswell Park Memorial Institute.O The Erie County Health Department's Tuberculosis and Chest Clinic in the Rath Building has been transferred to the Erie County Medical Center, according to Director Louis J. Russo.O Dr. Gerald P. Murphy, director of Roswell Park Memorial Institute and research professor of urology at the Medical School, has been elected chairman of the executive board of the Damon Runyon-Walter Winchell Cancer Fund. The fund, founded in 1946, raises money for cancer research through fellowship grants. He has also been elected National Chairman of the American Cancer Societies Medical and Scientific Committee.O Dr. Theodore I. Putnam, clinical assistant professor of pediatrics, has been elected chairman of the board of the Western New York Chapter of the American Liver Foundation.O Volunteers who suffer from "rose fever" are being sought to participate in a study being conducted by the Allergy Research Laboratory of Buffalo General Hospital. Dr. Carl Arbesman, clinical professor of medicine and microbiology, is co-director of the lab along with Dr. Robert Reisman, clinical professor of medicine and pediatrics. The purpose of the study is to demonstrate that nasal sprays administered by the allergy sufferer himself can be effective and more convenient than injections as a means of administering the pollen extract that builds up resistance to allergies.D Dr. Howard Ozer, assistant professor of medicine and microbiology, received a $68,123 American Cancer Society grant to study factors in multiple myeloma and chronic lymphocytic leukemia.O Dr. Brian G. McBride has been appointed executive director of the Health Systems Agency of Western New York. Dr. McBride, who holds a doctoral degree in sociology, has served since May as the agency's interim executive director.O 44 Dr. Herbert A. Hauptman, research and executive director of the Medical Foundation of Buffalo, has been re-elected president of the National Association of Independent Research Institutes. He is a research professor of biophysical sciences at the Medical School.O Dr. Robert W. Schultz, M'65, clinical assistant professor of medicine, has been elected president of the Western New York chapter of the American Heart Association. Other officers are: chairman, D. Patrick Curley; vice chairman, Dr. Thomas J. Quatroche; first vice president, Dr. Martin J. Downey Jr., M'45, clinical associate professor of anesthesiology; second vice president, Dean John P. Naughton; treasurer, James E. Clyde; and secretary, Dr. Ellen E. Grant.D Dr. Louis J. Antonucci, M'66, clinical assistant professor of ophthalmology, has been elected president of the Buffalo Ophthalmologic Club. Other officers elected were: president-elect and treasurer, Dr. Kenneth Klementowski, M'66; and secretary, Dr. Gary Jeffery, M'65, clinical instructor in Ophthalmology.D Dr. Charles Paganelli, associate professor of physiology, has been named acting chairman of the department. He joined the U/B faculty in 1959 after receiving his master's and Ph.D. degrees from Harvard University.O Lockport Memorial Hospital broke ground in November for its $18.5 million expansion and renovation program. The hospital building program, supported by a community fund drive will include construction of a new patient-care wing, demolition of an old wing and modernization of many areas of the existing buildings.O Dr. B. H. Park, professor of pediatrics and microbiology, received a $150,000 grant from the National Institute of Aging and the U.S. Public Health Service to study aging in children. Collaborating with him will be Drs. Robin Bannerman, professor of medicine and pediatrics; Evan Calkins, professor of medicine; and Louis Huzella of the West Seneca Developmental Center. The research involves evaluation of the immune system in 300 Western New Yorkers - many of them children - who suffer from Down's Syndrome.O THE BUFFALO PHYSICIAN �Dr. Cedric M. Smith, professor of pharmacology and therapeutics, was awarded a $20,000 New York State Health Research Council grant on "Neuronal Mechanisms of Alcohol Withdrawal Signs."O A textbook, "Understanding Neurologic Disease," has been co-authored by Drs. Reinhold Schlagenhauf£, associate professor of neurology, and John Warfel, associate professor of anatomical sciences. It is aimed at physical, occupational and other therapists and technologists in the medical field.O Dr. Marvin I. Herz, professor and chairman of psychiatry, has been appointed chairman of the psychiatric advisory committee to the New York State Office of Mental Health.O Dr. Vitune Vongtama, clinical assistant professor of radiology, is director of the radiation therapy department of Buffalo General Hospital.O Dr. Elemer R. Gabrielli, clinical assistant professor of pathology, organized and participated in a workshop on medical privacy at the annual meeting of the Society of Computer Medicine. He is chairman of the computers in medical practice committee of the Medical Society, County of Erie.O Dr. Monte Blau has been appointed chairman of the NY State Committee on Radioactive Materials in the Environment. This committee advises the Department of Health on problems associated with natural and artificial radioactivity in the environment. Dr. Blau is professor and chairman of nuclear medicine at the School of Medicine.O Mr. Vernon A. Reed, former administrator of Deaconess Hospital, has been named "Deaconess Man of the Year 1980" by the hospital foundation. He is now a consultant to the Board of Trustees of Buffalo General Hospital.O Dr. David Dean delivered a paper on surgical treatment of coronary artery disease at the 15th International Congress of Internal Medicine in Hamburg, Germany recently. He SPRING, 1981 is clinical associate professor of medicine at U/B, chief of the cardiopulmonary laboratory at the VA Medical Center and attending cardiologist at Buffalo General Hospital.O People Dr. Ralph E. Snyder of Aberdeen, N.C. received the annual Max M. Cheplove Award for service to the field of family practice. Dr. Cheplove, M'26, is clinical professor of family medicine (emeritus) at U/B.O Dr. Edmund Klein received an $86,553 grant from the National Cancer Institute to continue studies of immunotherapy for skin cancer. He is a research professor of dermatology at U/B and associate chief of the dermatology department at Roswell Park Memorial Institute.O Two prominent Medical School faculty members, Drs. Jack Lippes and Murray A. Yost Jr., noted that the pill involves some risk and should be carefully weighed against its benefits. Dr. Lippes, M'47, is professor of gyn/ob, and chief of ob/gyn at the Deaconess Division of Buffalo General Hospital. Dr. Yost, M'66, is clinical assistant professor of gyn/ob and psychiatry and medical director of Planned Parenthood of Buffalo.O Dr. Stanley J. Szefler, research professor of pediatrics, pharmacology and therapeutics, was awarded an $11,500 American Heart Association of Western New York grant. Dr. Danny Shen, research assistant professor of pediatrics at Children's Hospital, is the principal investigator.O Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics, was awarded a New York State Health Research Council grant of $12,085 on Aging of the Autonomic Nervous System.O Dr. Paul J. Kostyniak, assistant professor of pharmacology and therapeutics, was elected to the steering committee of the Western New York Council on Occupational Safety and Health.O Dr. Bernard Smith, professor of neurology (emeritus) has authored a book on "Differential Diagnosis of Neurology," by Arco Publishing. It covers signs, symptomsoriented approach to neurology supported by case histories.O 45 Dr. Smith �People Nineteen physicians from Western New York have been named Fellows of the American College of Surgeons. They are: Drs. Joseph A. Caruana, Jr., assistant professor of surgery; Leo N. Hopkins, clinical assistant professor of neurosurgery; Clayton A. Peimer, assistant professor of orthopedics; John H. Peterson, M'55, clinical assistant professor of gynecology/obstetrics; Lawrence Greenberg, M'69, and Russell G. Knapp, Jr., M'69. Clinical instructors in surgery elected are: Drs. Richard M. Peer, John E. Przylucki, M'73, Joseph A. Ralabate, and Ronald F. Teitler, M'69. Also named Fellows are: Drs. Chinniah Ramgopal, M. Rao, Magdi E. Credi, H. Roy Silvers, Il Hwan Kim, Nagui Emile Adeeb, John Christodoulides, John M. Erhart and Jose H. de Castro.D Dr. Ganesh N. Deshpande, research assistant professor of pediatrics, was recently elected into the Society for Cryobiology, American National Red Cross.D Four faculty members have co-authored an article appearing in the American Journal of Medicine entitled, "Brief Clinical Report: An Infant with Duplication of 17q 21-17qter." They are: Drs. Robin M. Bannerman, professor of medicine and pediatrics; Jill U. Gallien, clinical instructor of pediatrics; Richard L. Neu, associate professor of pediatrics; and Ralph J. Wynn, assistant professor of pediatrics.D A primary care center providing physician care 15 hours a day, seven days a week has opened in Orchard Park. The center will house the group practice of Drs. Giovanni Costa, clinical associate professor of medicine; Helen Findlay, clinical assistant instructor in medicine; Thomas Raab, M'77, clinical instructor in medicine; and Geraldine Zledzieski.D Stephen Donovan, a third year medical student, was among a delegation of American medical students that visited Cuba in June. They traveled from Oriente province in the east, to Havana in the west and were exposed to every level of the Cuban health system from the polyclinics in the remote areas to policy makers in Havana. They found the 46 Cubans proud of their health care system infant mortality is the lowest in Latin America, infectious disease is virtually eliminated and psychiatric care is profoundly humane. They also found tertiary care is the most technically advanced and resembles United States health care. Donovan coauthored (along with two of his colleagues) an article - "Reflections on Health Care in Cuba" - that appeared in The Lancet, November 1, 1980. The authors concluded that in 20 years since the revolution Cuba has gone from the health profile of an underdeveloped country to that of a developed country. Heart disease and cancer are the leading causes of death.D A new book, "Surgical and Prosthetic Approaches to Speech Rehabilitation," edited by Donald P. Shedd, M.D., associate research professor of surgery at U/B and chief, department of head and neck surgery, Roswell Park Memorial Institute; and Bernard Weinberg, Ph.D., chairman, department of audiology and speech sciences, Purdue University. This landmark text is the first devoted entirely to the subject of surgical and prosthetic speech restoration after laryngectomy. Based on the proceedings of a multi-disciplinary workshop held at Roswell Park Memorial Institute in 1978, the book presents the current research by specialists from Europe and North America into alternatives to esophageal speech or the use of electronic speech devices. Special fields of interest include: speech acoustics and physiology, voice disorders, speech and voice following total laryngectomy. The book is published by G.K. Hall- Medical Publishers, 70 Lincoln St., Boston, Ma. 02111.0 The Deaconess Division of Buffalo General Hospital opened a newly renovated Adult and Adolescent Health Care Center in December.D Mr. John R. Jefferies, president of Children's Hospital, is vice chairman of the National Association of Children's Hospitals and Related Institutions.D THE BUFFALO PHYSICIAN �Dr. Robert Warner, medical director cif Children's Rehabilitation Center, has been appointed to the Governor's Conference on the Prevention of Developmental Disabilities and Infant Mortality. Dr. Warner, who has held his current position at the Hospital since 1955, has served on Governor Hugh Carey's Advisory Council on the Disabled since 1977. He was also a member of the New York State Delegation to the White House Conference on the Disabled and served for one year on the Advisory Council of the New York State Division of the Office of Vocational Rehabilitation. An associate professor of pediatrics at the Medical School, Dr. Warner is also a visiting teacher and chief of the rehabilitation Division, pediatric staff, Buffalo General Hospital; a consultant, Millard Fillmore Hospital; and a consultant in rehabilitation medicine, Erie County Medical Center. A veteran of the Army Medical Corps, he is a graduate of Harvard College and received his M.D. from the University of Chicago.O Dr. Harold Brody, professor and chairman of the department of anatomical sciences, was an invited lecturer at the 100th anniversary of the founding of the Vrije University of Amsterdam in September. His lecture was entitled, "The Nervous System Response to the Aging Process." Following this he visited Copenhagen, Denmark as a consultant at the Hvidore Hospital on the subject of Senile Dementia and presented a seminar in the department of clinical neurophysiology at the University of Lund, Sweden. In October Dr. Brody spoke on "The Organic Basis of Dementia in Aging" at a twoday Colloquium on Aging at the University of Rochester School of Medicine. The Colloquium is one of the major events scheduled during 1980-81 which has been designated by the University of Rochester as "The Year of Aging."O Dr. Kenneth Edds, assistant professor of anatomy, was invited to be the instructor-inchief for a course in Developmental Biology during January at the Marine Biological Laboratory at Woods Hole, MA. As his assisting faculty, Dr. Edds has selected ten outstanding cell biologists from universities in the United States. This course, primarily for graduate and senior undergraduate students, includes in-depth studies of the most active areas of research in developmental biology.O SPRING, 1981 Dr. Warner The Classes The 1919 Class Dr. Francis M. Crage, M'19, has retired and is living in Santa Barbara, Ca. 93110 (102 N. Hope Avenue, Apartment 84). He has been a Diplomate, American Academy of Ophthalmology, since 1935. He has also been active in several other professional societies.O The Classes of the 1930s Dr. James G. Kanski, M'30, of Buffalo was honored for his 50 years of medical service at the 174th annual convention of the New York State Medical Society.O Dr. Robert B. Newell, M'36, retired in June 1980 and is living in his favorite North Carolina area - the seacoast. The last eight years he was in emergency medicine in High Point, N.C. His present address is: Emerald Isle, Rt. One, Box 949-E, Morehead City, N.C. 28557.0 Dr. John Ambrusko, M'37, has been elected to serve on the Board of Directors of the Florida Gulf Health Systems Agency, Inc. He also has been appointed a member of the Florida Association of General Surgeons. Dr. Ambrusko formerly served on the Board of Visitors of the Roswell Park Memorial Institute. He was a Trustee of Rosary Hill (now Daemen College) and a member of the Erie County Alcoholic Beverage Control Com47 �mission. He was a member of the Executive Committee and Vice Chairman of the Annual Participating Fund for Medical Education at the State University of New York at Buffalo School of Medicine and served as Chief of Surgery at the Kenmore Mercy Hospital for 20 years (1950 to 1970). He was then appointed Chief Consultant in Surgery, a permanent member of the Executive Committee, and a life member of the Kenmore Mercy Hospital Advisory Board. For the past 4 years, Dr. Ambrusko has been Director of the Manatee County Health Department in Bradenton, Florida.O Obstetrics and Gynecology. He is an associate professor of psychiatry and Ob/Gyn at the University of Miami Medical School and director of the Psychiatric ConsultationLiaison Service, University of Miami-Jackson Medical Center in Miami. He lives at 175 S.E. 25th Rd., Miami, Fla. 33129.0 Dr. Robert W. Lipsett, M'37, retired in June 1980 and has moved to the Sun Belt. He and his wife are living at 3550 N.W. 104th Ave., Apt. #34, Coral Springs, Florida 33065. He practiced in Buffalo 43 years and was assistant clinical professor of family practice at the Medical School.O The Classes of the 1950s The Classes of the 1940s Dr. Richard Milazzo, M'42, retired recently. He is now living at 52 Sunset Drive, Hamburg, N.Y. 14075.0 Dr. Robert J. Ehrenreich, M'47, received the Chabon Award from the Niagara Frontier Chapter of the American Society for Psychoprophylaxis in Obstetrics.O Dr. Hans Kipping, M'47, is the new acting chairman of the dermatology department. The clinical associate professor joined the U/B faculty in 1957.0 Dr. Harold Bernhard, M'49, chief of Millard Fillmore Hospital's gastroenterology section, has been elected director of the American College of Gastroenterologists. He is a clinical associate professor of medicine at the Medical School.O Dr. Karl Manders, M'50, is on the faculty of the Indiana University Medical School. He was re-elected Marion County Coroner in November. He directs the Community Hospital's Baromedical Department and the Rehab Center for Pain. He is included in Who's Who in the Midwest. He lives at 5845 Highfall Rd., Indianapolis, Ind. 46226.0 Dr. Helen F. Sikorski, M'50, has opened an office in Java, N.Y. to meet the needs of the rural population.D Dr. Leonard S. Danzig, M'51, is presidentelect of the New Jersey Society of Internal Medicine. He is assistant clinical professor of medicine at the College of Medicine and Dentistry of New Jersey. He is co-founder of the Red Bank Medical Associates, a four-man internal medical group (another cardiologist, a gastroenterologist, a hematologist). Dr. Danzig lives at 450 Little Silver Point Rd., Little Silver, N.J. 07739.0 Dr. David H. Nichols, M'47, has accepted a position, chief of obstetrics and gynecology at Women and Infants Hospital in Providence. He will also be chairman of ob/gyn at Brown University Medical School. He had been professor of ob/gyn at U/B and head of that department at Buffalo General Hospital.O Dr. Victor Panaro, M'52, has been appointed to the National Commission on Radiologic Practice. He has also been elected to the House of Delegates, New York State Medical Society representing the specialty of radiology. Dr. Panaro is a clinical professor of radiology and nuclear medicine at U/B. He lives at 25 Elmhurst Rd., Amherst, N.Y. 14226.0 Dr. Raphael S. Good, M'48, is a man- not a woman as was erroneously mentioned in Vol. 14, #3. We sincerely regret this mistake. Dr. Good was recently elected president of the American Society for Psychosomatic Dr. Richard J. Nabel, M'53, is a 10-gallon Red Cross blood donor. The associate professor of anesthesiology began giving blood 20 years ago when his son needed it. He is affiliated with Mercy Hospital in Buffalo.D 48 THE BUFFALO PHYSICIAN �Dr. Bertram A. Partin, M'53, recently presented papers at the annual meeting of the American College of Surgeons in Atlanta; at the Rudd Clinic in Toronto; and the St. Francis Hospital Surgical Division of the University of Connecticut Medical School. He was program chairman of the annual Clinical Congress of the American Society of Colon and Rectal Surgeons. The clinical associate professor of surgery and head of the division of colon and rectal surgery at U/B has written a chapter in Current Therapy, 1981. He is president of the Buffalo Surgical Society and president-elect of the national society. Dr. Partin is also chairman of the examination committee of the American Board of Colon and Rectal Surgeons.D Dr. Louis Cloutier, M'54, a distinguished staff physician at Sisters Hospital for 21 years has been appointed the new chief of ambulatory care, effective November 1. Dr. Cloutier assumes the post which has been vacant since the retirement of the late Dr. Charles Voltz in 1979. The part-time position will mean extra duty for Dr. Cloutier who will continue in his private surgical practice while also maintaining his position as Medical Director of the Burn Treatment Center at Sheehan Memorial Hospital. Dr. Cloutier is also past president of the Sisters Hospital Medical Staff and the U/B Medical Alumni Association.O Dr. Donald R. Hauler, M'57, is a Captain in the United States Navy. His specialty is aerospace and field medicine. He is director of medical programs for the Marine Corps headquarters in Washington, D.C. He served in Okinawa in 1978. Capt. Hauler is living at 6304 Kellogg Dr., McLean, Va. He is active in the Aerospace Medical Association and the Association of Military Surgeons of the United States.O Dr. Warren Levinson, M'57, is on sabbatical leave from the Department of Microbiology, University of California, San Francisco and is working in Senator Bill Bradley's office on environmental and health legislation. He was awarded a Robert Wood Johnson Health Policy Fellowship.O SPRING, 1981 The Classes of the 1960s Dr. Harold Brody, M'61, has been appointed Ad Hoc Advisor to the 1981 White House Conference on Aging. The Conference will be held in Washington, D.C., November SODecember 3, 1981. Delegates will meet to draw up a comprehensive national aging policy to be presented to the President and Congress to guide this country's future efforts in this area. In January Dr. Brody will retire as Editor-in-Chief of the Journal of Gerontology, a position held through two successful terms of three years each. This is the maximum number of terms permitted by the Gerontological Society of America, publisher of the Journal. 0 Dr. Stephen C. Scheiber, M'64, is associate professor of psychiatry at the University of Arizona in Tucson. He is consultant to Kino and V.A. hospitals and the Southern Arizona Mental Health Center. Recently he was elected a Fellow, American Psychiatric Association. Dr. Scheiber is president-elect of the American Association of Directors of Psychiatric Residency Training. He is also parliamentary secretary, Association of Academic Psychiatrists and arrangements chairman, American College of Psychiatrists. He was a visiting professor at U/B recently where he gave two Grand Rounds at the Veterans Administration Medical Center on "The Impaired Physician"; and "Dialysis and Schizophrenia" at the Erie County Medical Center. His visit was sponsored by the U/B Psychiatry Department. He has been active in several local, state, regional and national associations and societies. He has authored and co-authored numerous articles for professional journals. 0 Dr. W. L. Sperling, M'66, is a Diplomate of the American Board of Internal Medicine; president of the San Diego Pulmonary Society; and director of the Pulmonary Lab of Kaiser Medical Center.O Dr. Stephen Barron, M'68, assistant professor of neurology, is involved in research to unravel the mystery of amyotrophic lateral sclerosis (ALS) - a terminal neurological disease whose cause and cure are not known. Also called "Lou Gehrig's disease" after the famous baseball player who died of the ailment in 1938, ALS is characterized by a progressive deterioration of muscle control, leading ultimately to death. 49 �Dr. Barron is now working in the Neurology Department at Veterans Hospital where he is hoping to perfect a method for quantifying the effects of the disease through computer measurement of electrical activity in muscle tissues.O Dr. Marc Coel, M'68, is associate professor of radiology and director of the nuclear medicine department at the University of Hawaii. He lives at 40 Kai One Place, Kailua, Hawaii 96734.0 Dr. Robert A. Milch, M'68, recently attended the 3rd annual meeting of the National Hospice Organization. He was elected president of a newly formed group of 100 Hospice Physicians and Medical Directors . A Buffalo Surgeon and the Medical Director of Hospice Buffalo Inc., Dr. Milch is also assistant clinical professor of surgery at U/B . Hospice Buffalo Inc. directs itself to the care of the terminally ill cancer patient and his family.O Dr. John R. Fisk, M'69, is assistant professor of orthopaedic surgery at Loyola University of Chicago. He has been appointed medical director of the Rehabilitation Engineering Research and Development Laboratory at Hines V.A. Hospital. Dr. Fisk has a staff of four full-time engineers and 35 others. They have projects in spinal bio-mechanics, spinal cord monitoring, gail analysis, aids for visually impaired and device evaluation for the Veterans Administration. He lives at 230 Keystone Ave., River Forest, Ill., 60305.0 The Classes of the 1970s Dr. John E. Przylucki, M'73 , is director of the Intensive Care Unit at Millard Fillmore Hospital. The clinical instructor in surgery was inducted into the American College of Surgeons last fall.O Dr. George M. Kleinman, M'74, is assistant professor of pathology at the Harvard University Medical School and Massachusetts General Hospital. He is also a consulting neuropathologist to the National Childhood Brain Tumor Consortium. His wife , Jettie Hunt Kleinman, has been appointed assistant director of the Blood Transfusion Center , Massachusetts General Hospital. They are living at 99 Pond Ave., Brookline , Ma. 02146.0 Dr. Daniel J. Morelli , M'74, is the new medical director of the Family Practice Center of the Deaconess Division, Buffalo General Hospital.O Dr. Coley J. Cassiano, M'75, is practicing family medicine in McLeansville, North Carolina.O Dr. Marguerite Dynski, SSJ, M'75, completed her general surgical residency in June 1980 at the University of Rochester. She is associated with the Joseph Wilson Health Center and the Genesee Valley Group. She is living at 445 Kings Highway, Rochester, N.Y. 14617.0 Dr. Thaddeus A. Zak, M'76, is the first pediatric ophthalmologist in Western New York. He is also chief of ophthalmology at Children's Hospital and assistant professor of pediatrics and ophthalmology at U/B.O Dr. Allen I. Berliner, M '71, is a senior clinical instructor in dermatology at Tufts University and Boston University. He is living at 24 Ina Rd., Needham, Ma. 02192.0 Dr. John R. Valvo, M'78, is associate resident in urological surgery at Strong Memorial Hospital, Rochester, New York. He recently presented a paper at the American College of Surgeons in Atlanta entitled "Alterations in Seminal pH and Leukocytes Associated with T-Mycoplasma and Male Infertility." He lives with his wife , Carol, and two daughters, Lisa and Lori, at 136 Princess Drive, Rochester, New York 14623.0 Dr. Richard Manch, M'71, has a new home address: 3116 N. 52nd St., Phoenix, Az. 85018. He continues his private practice in gastroenterology. 0 Dr. Cassandra Clarke, M'78, is at Harlem Hospital, Columbia University. She is living at 405 Westminster Rd., Apt. LH-6, Brooklyn, N.Y. 11218.0 Dr. William F. Balistreri, M'70, is director of the division of gastroenterology at Children's Hospital in Philadelphia.O 50 THE BUFFALO PHYSICIAN �In Memoriam Dr. Christopher Fletcher, 98, retired director of the former Buffalo State Hospital died November 22. He was instrumental in developing with U/B three-year residency requirements for physicians at the state hospital. The assistant professor of psychiatry was also recognized in the profession for maintaining an outstanding department of occupational therapy. From 1942 until his retirement in 1952 he headed the institution, which is now the Buffalo Psychiatric Center. He was first appointed to the staff in 1912 and in 1924 became a first assistant physician. From 1908 to 1910 he was resident physician in the New York State Relief Corps in Oxford. He also served on the medical staff at Utica, St. Lawrence and Willard State Hospitals. In 1906 he graduated from Tufts Medical College.O Dr. Marvin K. Opler, 66, professor of psychiatry at the Medical School, died January 1. The internationally known anthropologist and social psychiatrist was also professor of anthropology, sociology, social psychiatry and chairman of anthropology. He was co-founder and editor for North America of the International Journal of Social Psychiatry. He joined the U/B faculty in 1958. He was the author of nine books and 200 articles. He attended U/B for three years, earned his bachelor's degree from the University of Michigan and his doctoral from Columbia University in 1938. He taught at Reed and Occidental Colleges, Stanford and Harvard before returning to Buffalo.D Dr. Franklin C. Farrow, M'25, died January 8. The retired Buffalo urologist and surgeon was 80 years old. He served on the surgical staffs of St. Francis, Deaconess and Sisters Hospitals from 1933 until his retirement in 1975. He was also past president of the Deaconess Hospital medical staff and a former chief of staff for urology at St. Francis and Deaconess hospitals. He was assistant professor of urology at the Medical School. He was a Navy physician in the Pacific during World War II with the rank of Commander. He had been active in several civic and professional societies.O SPRING, 1981 Dr. Charles A. Howe, M'50, died November 9 in his Hamburg home. The 65-year-old ophthalmologist retired in September because of illness. He was a 1938 graduate of the Ohio State University School of Optometry. He practiced in Oneida before serving in the United States Army during World War II. After graduating from U/B he took his residency at the E.J. Meyer Memorial Hospital in 1953. He had been on the medical staffs at Deaconess and St. Francis Hospitals. He was a past president of the Buffalo Ophthalmologic Club and active in several other professional and civic organizations.D Dr. George F. Etling, M'28, died November 14 in Hackettstown, N.J. where he had lived since retiring in 1973. At the time of his retirement he was a senior director at the Wassaic State School for Mental Hygiene. He had also worked in mental hospitals and schools in Rockland, Rome and St. Lawrence. During WW II he was a lieutenant commander in the United States Navy Medical Corps. He had been active in several professional and civic organizations. 0 Dr. Hongkyun Koh, 38, clinical assistant professor of psychiatry, died January 20 in the Erie County Medical Center. The Seoul, South Korean native was a 1966 graduate of the College of Medicine of the Seoul National University. He interned at St. Mary's Hospital, Lewiston, and took his residency at the Meyer Memorial Hospital. He served in the Korean Navy as a lieutenant.D Dr. Everett T. Mercer, M'18, died January 26 in his Hamburg home. His age was 87. He had been in semi-retirement since 1971. He was an honorary member of the Sisters Hospital medical staff. Dr. Mercer also served on the medical staffs of the former St. Mary's, Buffalo General, Mercy and Sisters hospitals. He had been active in civic an.d professional societies. In 1914 he earned h1s bachelor's degree from Canisius High School and four years later graduated cum laude from the U/B Medical School. He was president of his class.O 51 �----- - 1981 Alumni Tours May 15-23 PORTOROZ (YUGOSLAVIA) from New York City- $899 Yugoslavian Airlines to Ljubljana 7 Nights Grand Hotel Emona Continental breakfast & full dinners Optional tours to Venice, Bled (Yugoslavian Julian Alps - overnight), Dubrovnik, Lipica (Lipizzaner horses), Postojna Caves, Istrian Peninsula (northern Dalmatian Coast) May 18-25 LAS VEGAS/SOUTHERN CALIFORNIA from Niagara- $619 June 1-8 LAS VEGAS/SOUTHERN CALIFORNIA from New York City- $594 4 nights New Hacienda Hotel & Casino -Optional tours to Lake Mead, Mt. Charleston, Las Vegas shows - Bus to Pasadena 3 nights Sheraton Huntington Resort - Optional tours to Hollywood, Beverly Hills, Disneyland Arthurs Travel- Capital Airlines July 13-30 CHINA from Buffalo - $3,395 from New York City- $3,295 3 nights Manila Plaza (all American breakfasts) 2 nights Mandarin in Hong Kong (all American breakfasts) 10 nights Peking, Nanjing, Suzkow, Shanghai, Hang Zhou (all meals) Philippines International Airlines Arthurs Travel August 5-12 SUN VALLEY/YELLOWSTONE NATIONAL PARK from New York City- $574 Sept. 9-16 SUN VALLEY/YELLOWSTONE NATIONAL PARK from Niagara - $599 Fly to Idaho Falls 4 nights Sun Valley Resort Lodge & Inn Bus to West Yellowstone via Craters of the Moon National Park 3 nights West Yellowstone Option Park trips Arthurs Travel - United Airlines August 24-31 RENO/SAN FRANCISCO from Niagara- $759 September 9-16 RENO/SAN FRANCISCO from New York City- $713 4 nights MGM Grand Hotel & Casino - Optional tours to Lake Tahoe, Ponderosa Ranch Bus to San Francisco 3 nights Hotel San Francisco - Optional tours to the wine country, Monterey Peninsula Arthurs Travel- United Airlines 52 THE BUFFALO PHYSICIAN �A Message from Robert W. Schultz, M'65 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Schultz The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978} have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 ----------------------------------------------------------------------------------------------------- I II BUSINESS REPLY MAIL FIRST ClASS PERMIT NO. 2210 POST AGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFAlO, N.Y. Ill NO POSTAGE STAMP NECESSARY IF MAilED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 DR. CLARENCE J. DURSHOPDWt 107 WI DSOR AV~ UE y 14 9 BUFFALO THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1981 Subject The topic of the resource State University of New York at Buffalo. 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Dean Naughton's Message Class Reunions 44th Annual Spring Clinical Day Sophomore Orientation The 1984 Class Preceptor's Luncheon Frosh Picnic Who Was Theodore Evans, Paris, France? by Dr. O.P. Jones Pediatric Continuing Education Dr. Ronald Kallen/Continuing Medical Education Air Contrast Studies Dr. Myron Gordon Early Human Genetics Selectives for Medical Students The Clinical Years Dr. Reiman BGH Anniversary Ethical Issues in the Neonatal Nursery by Dr. Laurence B. McCullough Roswell Park Seminars The Gene Lippschutz Conference Room Book Review by Dr. Ross Markello, M'57 Red Jacket Award Letter to the Editor Dr. Arthur Schaefer People The Classes In Memoriam Alumni Tours Your Alumni President Speaks Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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S&hooJ ofMedidne SUNY/Buffalo �Dear Alumni and Alumnae: Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine The School of Medicine received extraordinary good news in October, 1980, when the State of New York officially signed off on the proposed plans for the renovation of many portions of the Main Street Campus. The proposal calls for renovation of the medical school, dental school and library-educational communication center between now and 1987. Architects and consultants are busily engaged working with the administration, chairpersons and faculty of the involved units to develop a coordinated and synthesized package within a span of the next 12 to 18 months. Much of the present work follows the tremendous program report of the involved units that was compiled for the Chancellor's office by the Cannon Partnership of Grand Island during the 1979 fiscal year. When fully implemented the preclinical facilities should be fully equipped and geared for meeting the needs of the faculty and the student body for many years to come. Many necessary support structures and services should provide the advantages long needed and awaited by the faculty to make them truly competitive, nationally and internationally. Modernized classrooms, small group conference rooms, and well equipped, centralized core teaching laboratories should help facilitate the education of the students as well as make this mission more enjoyable and more effective. Lastly, centralization of units such as The Department of Social and Preventive Medicine, The Animal Facilities and The Health Sciences Workshop in an area contiguous to the medical and dental schools will serve to create further institutional cohesiveness and a sense of purpose among the constituencies of the Medical School and of the Faculty of Health Sciences. All in all, the plans for the Main Street Campus should result in the realization of a long awaited dream by many of our alumni, the faculty and the students. Realization of this project will help Buffalo's medical school sustain the momentum it has now enjoyed for a period of years. Sincerely, JOHN NAUGHTON, M.D. Dean �Winter 1980 Volume 14, Number 4 THE BUFFALO PHYSICIAN [USPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Dean, School of Medicine DR. JoHN NAuGHTON Photography HuGo H. UNGER EDWARD NowAK Visual Designers RICHARD MACAKANJA DoNALD E. WATKINs Associate Editor 2 4 5 8 9 10 12 14 16 TERI RoBERTS CONSULT ANTS President, Medical Alumni Association DR. RoBERT W. ScHULTZ Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JoHN M. CARTER Acting Director of Public Affairs HARRY JACKSON Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 20 21 22 23 24 26 28 30 31 32 33 34 35 36 37 41 47 48 IN THIS ISSUE Dean Naughton's Message (inside front cover) Spring Clinical Day Lithium: Dr. Markello Cimetidine: Dr. Bernhard Beta Blockers: Dr. Orlick Government Regulations: Dr. Lasagna Cancer Chemotherapy: Dr. Cooper Antimicrobial Therapy: Dr. Betts Nine Classes Give $38,200 Images and Internists: Dr. Spiro A Student's Impression of Austin Flint by Dr. O.P. Jones Pediatric Programs Medical Alumni Officers Head Start Dr. Donald Cohen/Scholarship Fund Smithsonian Display Faculty Honored Ernest Witebsky Center for Immunology Cardiology Strokes Biochemistry Symposium Aneurysm Patient/Continuing Education Dr. Brian Joseph/Continuing Education USCFMS Students/Accelerated Program Resident Graduation The Classes People In Memoriam Alumni Tours Your Alumni President Speaks (inside back cover) The cover design is by Donald Watkins. It depicts Spring Clinical Day, pages 2-15. THE BUFFALO PHYSICIAN, (USPS 551-860). Winter, 1980- Volume 14, Number 4 published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. POSTMASTER: Send address changes to THE BUFFALO PHYSICIAN, 139 Cary Hall, 3435 Main Street, Buffalo, N.Y. 14214. Copyright 1980 by The Buffalo Physician. WINTER, 1980 1 �Drs. Eddi e Grahn, Art Schaeffe r, O.P. Jones, Marvin Block , Rose Le nahan, William Meissne r. Spring Clinical Day Program mode rator was Dr. Edward A . Carr, Jr. , professor and chairman of pharma c ology and the rape utics. There was an over-flow crowd in the Embassy Room of the Statler that heard Dean John Naughton's welcome to the 43rd annual Spring Clinical Day. Dr. Naughton gave a brief review of the many activities at the Medical School. He also thanked the alumni for their continued support. He specifically mentioned the class reunion gift program, contributions to the U/ B Foundation and to the Medical Alumni Association. Nearly 30 years ago the chemical compound Lithium Carbonate was found to have anti-manic properties by Dr. Cade in Australia. More than 20 years later, in 1970, it was approved for use in the United States for manic depressive illness, according to Dr. Anthony P. Markello. Lithium represents the major advance in the treatment of major mental disorders since the tricyclic antidepressants in the late 1950's. Dr. Markello is a clinical assistant professor of psychiatry and a 1962 Medical School graduate. "Major depressive disorders are recurrent illnesses which occur in 8-10 per cent of the general population and are broadly categorized as unipolar or bipolar (both manic and depressive phases.) The unipolar depressions have a 3 to 4 times greater incidence than the bipolar. The majority of people with bipolar depressions relapse if untreated. 2 THE BUFFALO PHYSICIAN �"Before initiating treatment with Lithium, a diagnosis of mania is essential. Mania is diagnosed if the mood is elevated and three of the following symptoms are present: 1. Hyper-activity, 2. Pressured speech, 3. Flight of ideas or racing thoughts, 4. Inflated self-esteem or expansiveness, 5. Decreased need for sleep, 6. Distractibility, 7. Excessive involvement in activities without recognizing the potential for painful consequences," Dr. Markello said. "The dosage range for Lithium is 600-1800 mg/day with the average of 900 mg/day. The blood level of Lithium should be in the range of .6 to 1.2 meg/1 for the majority of patients. In a large number of controlled studies 75-90 per cent of manics were successfully treated with Lithium and approximately the same percentage of patients will stay in remission if the drug is taken on a long term basis." Lithium has been used for several other conditions such as aggressive states in prison inmates, disruptive and temper outbursts in mentally defective persons, bipolar alcoholics, and bipolar adolescents with aggressive behavior. It has also shown promise as an adjunct in cancer chemotherapy by its ability to induce granulocytosis, according to Dr. Markello. As in most drugs used in the broadfield of medicine, Lithium is not without its side effects. "Fortunately it is a relatively safe drug and the CNS and renal side effects pose the greatest problems but can be effectively dealt with when the patient is carefully followed. The effects on the cardiac, GI, endocrine and neuromuscular systems should be carefully watched for. The physician-educator suggested that lithium treatment should be undertaken by therapists who are familiar with the diagnosis and management of the major mood disorders although follow-up of patients may be carried out in some situations by primary care internists and family physicians who are familiar with all of the ramifications of Lithium treatment. d- WINTER, 1980 3 Dr. Anthony P. Morkello Lithium �"The mode of action of Lithium is unknown. The evidence to date supports the facilitation of norepinephine across the cell membrane as well as its involvement in serotonin synthesis and metabolism. Lithium also may stabilize the sensitivity of dopamine receptors and affect sodium and potassium transport in cells. "Lithium is cost effective and its use as treatment for manic depressive illness has saved over $4 billion in the last ten years. As the mechanism of action of Lithium is more fully understood, the biochemical processes of the major mood disorders themselves will be enhanced," Dr. Markello concluded. Dr. Harold Bernhard Peptic Ulcer Disease is a common medical disorder affecting 10 o/o of the population of the U.S. at some time according to Dr. Cimetidine Harold Bernhard, M'49. "In the past, therapy has been empiric with use of bland diet, antacids and anticholingergic drugs for symptomatic control. "The introduction of Cimetidine for treatment of Duodenal Ulcer represents a major advance in gastrointestinal drug therapy. This agent is an "Hz Receptor Antagonist" that blocks the effect of Histamine on the gastric parietal cell. The result is marked decrease in acid production by the stomach after all types of stimulation. With acid output controlled, healing of ulcer can occur," the clinical associate professor of medicine and head of the gastroenterology section at Millard Fillmore Hospital said. Extensive well controlled trials of Cimetidine in the U.S. and Europe revealed marked symptomatic improvement and healing of Duodenal Ulcers after 6 weeks in 75 per cent of patients compared to 40 per cent in controls, according to Dr. Bernhard. "Prophylatic maintenance therapy with Cimetidine has also yielded striking results. Ulcer recurrence occurred in only 13 per cent while on the drug compared to 53 per cent in the placebo group. 4 THE BUFFALO PHYSICIAN �Drs. Jam es Dunn and Willard Be rnhoff visit with fri ends. "Cimetidine is remarkably safe with a very low incidence of side effects which are mild. It is being evaluated in other medical states where control of gastric acid secretion is of value: Gastrinoma, Gastric Ulcer, Marginal Ulcer, Reflux Esophagitis, Stress Ulcer, Erosive Gastritis and Pancreatic Insufficiency. " Dr. Bernhard cited some statistics as proof that Peptic Ulcer Disease is a major health problem in the U.S . 400,000 hospitalization per year 4,000,000 hospital days per year 140,000 operations per year 9,000 hospital deaths per year and an overall cost of $3 billion. "Hopefully, Cimetidine, or one of its successors, will allow us to reduce these striking statistics and decrease the cost of Peptic Ulcer Disease to this nation in the future," Dr. Bernhard concluded. Ahlquist's classification of adrenergic receptors in A and B types in 19481 ultimately led to the discovery of a number of substances capable of blocking the activation of A or B receptors according to Dr. Arthur E. Orlick. "Beta blocking drugs have since become important in the treatment of a variety of cardiovascular disorders. They have also been found useful in some endocrine , neurologic and ophthalmic disorders. This paper will summarize some of the pharmacologic principles, physiologic effects and therapeutic applications of this very important class of compounds." CLINICAL PHARMACOLOGY The assistant professor of medicine at U/ B said, "recently Breceptors have been subclassified into B1 and B2 varieties with distinct physiologic effects and patterns of distribution throughout the body 2 • For example, B1 receptors are mainly localized to the heart and when stimulated produce an increase in heart rate , contracility and atrioventricular conduction. B2 receptors are thought to be localized to the tracheo-bronchial tree and blood vessels and when activiated produce dilitation in both areas. This finding has WI TER, 1980 5 Beta-Blockers �Dr. Chassin , Rita Swi ck. led to the development of numerous "cardioselective" B-blockers in an attempt to take advantage of the beneficial effects of cardiac beta blockade without producing the potential adverse side effects such as broncho-spasm. Most of the newer selective agents as well as the non-selective compounds with the exception of nadolol and atenolol have similar metabolic fates and biologic-activity and differ only in their half-lives. Thus, no attempt will be made to define specific pharmacologic principles for each compound. Nadolol, a new non-selective blocker and atenolol, a new selective blocker, differ from the other compounds in that they are incompletely absorbed from the GI tract and are excreted by the kidney as unchanged drug." Continuing Dr. Orlick said, "although almost all of the Bblockers available are completely absorbed in the GI tract, with the exception of atenolol and nadolol, only about 20-50 per cent of an orally administered dose reaches the systemic circulation under steady state conditions3 • This reflects the fact that the liver is the major organ of elimination for these substances and, as such, removes them from the blood before they reach the systemic circulations. Therefore, larger doses of drug are required when the oral route is chosen over parenteral administration. The hepatic metabolic pathway has a limited capacity and does become saturated at higher doses or with chronic drug administration. Liver disease also has a major impact on drug clearance. Patient's with cirrhosis, for example, have higher steady state propranolol concentrations than normal subjects. Similarly, renal dysfunction significantly alters the steady state concentration of nadolol and atenolol." Another important aspect of B-blocker pharmacology is that there is a limited correlation between the duration of beta blocking effect and the elimination half-life of most agents. "A decrease in plasma drug concentration may not necessarily be associated with a parallel decrement in clinical effect. This is substantiated by the fact that many drugs with half-lives of 4-6 hours can be administered twice daily without any obvious reduction in therapeutic effect," the physician-educator said . PHYSIOLOGIC EFFECTS Dr. Paul We inmann and fri end. Most of the more noticeable effects of B-blockage are produced in the cardiovascular system. "It is these effects which are utilized in the treatment of ischemic heart disease. Blockage of B' receptors produces a reduction in resting heart rate, cardiac output and contractility with no noticeable change in resting blood pressure in normotensive individuals. Although there is an increase in heart rate, blood pressure and cardiac output with exercise, the response is blunted when compared to the non-beta blocked response. "Blockade of B2 receptors in the bronchial tree produces bronchoconstriction and increased airway resistance and in the blood vessels produces vaso-constriction as the action of the A receptors go unopposed. In the kidney, beta blockade inhibits the release of renin which may be an important mechanism in the control of hypertension in some patients. Blockade in the pancreas inhibits the release of insulin. Pupil dilitation is produced with beta blockade as the effect of A receptor stimulation goes unopposed," Dr. Orlick said. 6 THE BUFFALO PHYSICIAN �THERAPEUTIC USES 1). "Cardiovascular system: By far, one of the more impor- tant advances in the treatment of chronic ischemic heart disease was made when B-blockers were approved for clinical use in patients with angina pectoris. Because B-blockers blunt the rise in exericse induced heart rate and blood pressure and thereby reduce myocardial oxygen demand at any given level of external work, patients with angina are able to increase their work performance when given B-blockers. Recent studies have suggested that the use of B-blockers within the first few hours of an acute myocardial infarction improves myocardial oxygenation and may be beneficial in reducing infarct size•. There is also evidence available suggesting that Bblockade improves survival in patients who have sustained a myocardial infarction and who subsequently leave the hospital'. Other cardiovascular uses for B-blockers are the treatment of atrial and ventricular arrhythmias, digoxin induced arrhythmias, IHSS and hypertension. 2). "Endocrine: B-blockers have been extremely useful in treating patients with thyrotoxicosis prior to medical or surgical ablation of the thyroid gland. There has also been a recent report suggesting that propranolol may be effective in blocking hypoglycemic episodes in patients with insulinom 6 • 3). "Neurologic: Some patients with migraine are dramatically improved with propranolol. This agent is also occasionally effective in controlling familial, senile or action tremors. 4). "Ophthalmologic: Propranolol was found to be effective in reducing intraocular pressure in glaucoma patients who had not responded to conventional therapy'. In addition, long term reductions in intraocular pressure were produced with chronic administration of the agent." ADVERSE EFFECTS The Boston Collaborative Drug Surveillance Program recently reported adverse reactions to propranol in 800 hospitalized patients and to practolol in 199 patients 8 • "Life threatening reactions such as shock, complete heart block and pulmonary edema were found in approximately 1-5 per cent of the patients. Non life threatening reactions which included bradycardia, hypotension, congestive heart failure, gastrointestinal disturbances, central nervous system disturbances, bronchospasm and rash occurred in approximately 10 per cent of patients. Other adverse side effects that have been reported include the production of Raynaud's phenomenon, worsening of claudication symptoms and the production of hypoglycemic episodes in insulin dependent diabetics as well as non-diabetics." In conclusion, Dr. Orlick said, "beta blockers are currently being used to treat a diverse group of diseases. The therapeutic use of these agents takes advantage of the ability to block beta adrenergic receptors in numerous organs and serves to illustrate the importance of basic physiologic and pharmacologic investigation in paving the way for future therapeutic advances."D d-WINTER, 1980 7 References 1}. Ahlquist, R.P. A study of the adrenotropic receptors. Am. ]. Physiol. 153:586, 1948. 2}. Lands, A.M .. Arnold, A., McAuliff, J.P., et al. Differentiation of receptor systems activated by sympathomimetic amines. Nature 214:597, 1967. 3}. Shand, D.G., Pharmacokinetic properties of the B-adrenergic receptor blocking drugs. Drugs 7:39, 1974. 4}. Meuller, H.S., Ayres, S.M., Religa, A., et al. Propranolo in the treatment of acute myocardial infarction. Circulation 49:1078, 1974. 5}. Green, K.G., Chamberlain, D.A., Fulton, R.M., et ol. Improvement in prognosis of myocardial infarction by long term Betaodreneoreceptor blockade using practolol. British Medical journal 3:735, 1975. 6}. Scandellari, C., Zaccaria, M., DePalo, C., et al. The effect of propranolol on hypoglycemia. Diabetologia 15:297, 1978. 7}. Ohrstrom, A. and Pandolfi, M. Long term treatment of glaucoma with systemic propranolol. Am ]. of Ophthalmology 86:340, 1978. 8}. Greenblatt, D.]. and Koch-Weser, ]. Clinical toxicity of propranolol and practolol. A report from the Boston Collaborative Drug Surveillance Program in Cardiovascular Drugs, Val. II, Avery, G., ed., Baltimore 1978, University Park Press, pp. 179-195. Drs. Carden, Schultz. �Dr. Louis Losogno Government Regulations Dr. Marshall Clinton chats with his colleagues. "We have a love-hate relationship with drugs. Both physicians and patients like them and fear them." That is what Dr. Louis Lasagna told his colleagues. The professor of medicine and head of the pharmacology and toxicology department at the University of Rochester noted that "there are not many ineffective drugs on the market. For the most part they do what they are supposed to do. Nevertheless, the public wants drug regulation for protection from bad drugs and poor manufacturing. They also want protection from doctors who may over-prescribe drugs and from the public itself." The physician-educator warned about the important losses from over regulation. "There is a limit of what we can do with regulation. It is difficult to control and regulate the quality of medicine from Washington to Buffalo. The medical profession has a difficult time policing itself and so do others," Dr. Lasagna said. "New drugs are slower coming on the market because of government regulations. Many millions of dollars and years of research go into new drugs before they are marketed. The public is harmed by this process and so is a new drug. "Our regulation and ethics say that the United States must repeat clinical tests even though such tests have been done in other countries. Western European clinical tests are similar to ours," Dr. Lasagna said. Dr. Lasagna noted that there is a move today to protect the public by more education that is aimed at the patient rather than the doctors and pharmacists. "Some people want more information while others want none. We are a long way from knowing how to educate the public." People do many things that are not good for their health such as manipulation of fats in their diet. "Jogging is not good for everyone and there is no evidence that it prolongs life. There are also 'ify-areas' such as the use of saccharine and steroids. These are very controversial." Controversy is also raging over package inserts which explain what the drug is used for, how it should be taken and for how long, its possible side effects and how to store it. "Patient package inserts can not always be up-to-date and authoritative because often the information lags behind our scientific wisdom and good medical practice." Dr. Lasagna added humor to his lecture by showing slides of 19th century drug ads (patents, oils, syrups, opium) that supposedly cured anything and everything at home. "By contrast, todays pharmaceutical ads are correct. But sometimes people over-use minor tranquilizers." Dr. Lasagna made these observations-there are economic and political problems with drugs; - the FDA supports generic drugs because people want to save money; - the government and manufacturers have goofed by allowing poor performing drugs on the market; -often we have a problem in control of quality drugs (how much is unknown about the quality control problem of drugs that are on the market); - the cost of prescription drugs is determined by the pharmacist, not by the physician or manufacturer; 8 THE BUFFALO PHYSICIAN �-compliance is a major problem with some patients; -drug companies have been asked to do post-marketing surveillance, and this is necessary to check side effects; -side effects are usually rare; - toxicity causes the most public concern; -some drugs keep people from dying like beta blockers; -benzidine is safe and effective as a transquilizer; In conclusion Dr. Lasagna said, "both the public and the profession are wondering if they haven't made things worse by regulation. It costs a lot and the government has no monopoly on wisdom . The public is saying don't tell us what to do ; just give us the facts and we'll make the judgment for ourselves." New approaches to cancer treatment and some adverse effects of chemotherapy were discussed by Dr. Richard G. Cooper, clinical associate professor of medicine and clinical assistant professor of otolaryngology. "In 1957 some 33 per cent of cancer patients who were diagnosed would be cured by the standard therapies of surgery and radiation therapy. By 1977 over 60 per cent of patients diagnosed as having cancer were cured , primarily through the use of aggressive adjuvant chemotherapy and combined with a more aggressive radiotherapeutic approach in selected cases. " The physician-educator said, "with knowledge gained through this combined approach, a significant impact could be made, not only on patients who had all gross disease resected where the chemotherapy was directed at the elimination of micrometastases , but also in many instances in which patients had gross widespread disease present at the time of the initiation of therapy." In his illustrated presentation Dr. Cooper showed a 96 per cent survival rate for patients with stage II and IIIB Hodgkin's disease, compared to only 40 per cent some 15 years ago with radiation therapy alone, the direct result of a combination of chemotherapy and radiation therapy. A similar improvement was demonstrated in patients with osteogenic sarcoma where the cure rate rose from less than 10 per cent to close to 60 per cent in those who receive adjuvant Adriamycin chemotherapy following the surgical removal of their primary neoplasm. Similar results are obtained in testicular tumors, and now in breast and ovarian cancer as well. Drs. Robert Baum ler, La wrence Carden, Norm an Chass in, John Naugh to n, Howa rd S piro, Robert Schul tz. WINTER , 1980 9 Cancer Chemotherapy d- �Dr. Richard G. Cooper Antimicrobial Therapy Third place exhibit: Stereotactic Neurosurgery by Dr. Patrick Kelly, Erie County Medical Center. Dr. Cooper discussed some of the specific side effects of various systems, including those agents associated with the production of alopecia, ranging from some 80 per cent in patients receiving high dose cyclophosphamide to the less frequent occurrence with other agents, including bleomycin, Methotrexate and Fluorouracil. A brief presentation was ma~e concerning changes in oral mucosa associated with these agents, ranging from the classical mucositis associated with Methotrexate, to oral pigmentation seen in the black population when exposed to therapeutic doses of Adriamycin. Dr. Cooper also showed the pulmonary complications of prolonged alkylation therapy with their very poor prognosis of some six months in survival data associated with such agents as busulfan, Cytoxan, Mitomycin, and bleomycin. Cardiac side effects of Adriamycin were discussed, as well as the endocrine changes that one associates with the use of such anti-hormones as Tamoxifen, or orthoprime DDD. The renal toxicity of such agents which are commonly used as Platinum, Cytoxan and Mitomycin were discussed, and the critical finding of positive Pap smears in almost all patients while taking alkylating agents was stressed. In conclusion Dr. Cooper said he hoped he had alleviated the anxieties of physicians concerning the pecularities of these less common side effects of the chemotherapeutic agents, since their usage will continue to increase in both single agent and combination agent programs.D When a physician is confronted with a patient with apparent infection, he usually initiates therapy before he knows the results of cultures and sensitivities, according to Dr. Robert F. Betts, associate professor of medicine at the University of Rochester Medical Center. · "For some infections such as those which occur in the outpatient setting, e.g. cutaneous abscess or urinary tract infection, the choices are very simple. The physician merely selects an antibiotic which is as safe and as inexpensive as possible. However for infections which are sufficiently serious that the patient needs admission or for infections which develop in hospitalized patients, the situation is somewhat more complex. Before beginning any antibiotic the clinician should obtain cultures which will be useful later and gram stains of appropriate secretions to help determine the type of infection," Dr. Betts said. For sake of brevity Dr. Betts considered only the treatment of gram negative infection (excluding hemophilus influenza) in this discussion. "However, the same principles apply to other infections. When do we see gram negative infection? Data suggest that patients over the age of 65 especially those who are more in need of chronic care, are more likely to have gram negative pneumonia than are younger or more healthy individuals. Other settings in which gram negative infection occurs are pneumonias in hospitalized patients, IV catheter infections in patients on antibiotics, or intra-abdominal and urinary tract infections in any setting. Assuming that the clinician from his evaluation has the suspicion that gram negative infection is present, which antibiotics 10 THE BUFFALO PHYSICIAN �should he select? In these instances the physician is faced with at least four questions: 1) which antibiotic agent will be effective, 2) which effective agent is least toxic, 3) which effective antibiotic is least likely to "force" the individual to be colonized by resistant organisms, 4) will one antibiotic work; do I need two for synergy.? Taking the questions listed in reverse order, 4) Are synergistic combinations of antibiotics required to treat gram negative infection? There is no certain answer. However, retrospective studies demonstrate that when a patient has at least 1,000 polymorphonuclear leukocytes in his peripheral blood and he is not in shock, a single effective antibiotic is as beneficial as more than one antibiotic. With addition of each unneeded antibiotic you may be adding only that extra potential side effect and cost. 3) With respect to colonization with resistant organisms, how can this be reduced? After all, it has been well demonstrated that patients with these severe infections are at risk to develop subsequent infections as a consequence of their illness or of that hospitalization, and these so called suprainfections usually are caused by organisms that are resistant to the initial antibiotic regimen. Prior to the development of infection they become colonized by the organism that eventually causes the infection." Studies show, according to Dr. Betts, that patients are likely to become colonized with organisms that are resistant to the antibiotic they are receiving and are sensitive the next tier beyond their antibiotic. "Patients receiving penicillin are likely to be colonized with organisms which resist penicillin but are sensitive to cephalothin, and patients who are receiving cephalothin will be colonized with organisms resistant to cephalothin but sensitive to aminoglycosides and so on. Thus, it is in the best interest of the patient from that standpoint to use the antibiotics with the narrowest possible spectrum. 2) With respect to toxicity, no antibiotic is without side effects. However, amongst the various classes of antibiotics, the aminoglycosides are more toxic than the cephalosporins. Thus, when other factors allow, cephalosporins should be used and aminoglycosides held. Finally with respect to efficacy, which of the many anti gram negative rod antibiotics should the clinician select empirically when he is treating patients with suspected gram negative infection? Consideration of the points just made plus the following may help answer this question. If an antibiotic is active in vitro (i.e. "effective") patients respond equally well to any "effective" antibiotic; there is no magic in any antibiotic. From patients who have never been hospitalized, 95 per cent of gram negative rods isolated are sensitive to cephalosporin antibiotics such as cephalothin or cefazolin. The remaining 5 per cent of organisms are susceptible to the newer agents such as cefamandole. These 5 per cent are almost exclusively isolated from the biliary tract infections. By contrast if a patient is currently hospitalized, was hospitalized any time in the last 6 months, or has been receiving chronic antibiotics as an outpatient, then between 20 and 30 per cent of the organisms isolated are resistant to both old and new cephalosporins. These so called nosocomial organisms are sensitive only to the three aminoglycosides: gentamicin, tobramycin and amikacin. Therefore, the clinician can ask, has the patient been on long term outpatient antibiotics? If the answer is no, then WI TER, 1980 d- Se cond place exhibit: Hepatobiliary Scintigraphy by Dr. Hussein M. Abdel-Dayem, radiology department, Erie County Medical Center. Dr. Robert F. Betts �Drs. A l bert R e kate , Wm. Hild eb ran d , M atth ew O 'Brie n. Drs . C lar e n ce San fo rd , Sidney A n th an e. Drs. John Kent, Shedrick Moore. Drs. Robert Schude r, Joseph Cardamon e. 9 Classes Give $38,200 to the Medical School 7u..ro J A..'TLwOf1.d Ct<-7 ..J Drs. James Kanski, Mary Catalan o. P.~ 7?.~v- 10' 'li,HFOli~D-\TIO\ 1\ ~- JJOO .. l>t'U'.f ' ....,. ....,/t ncl.. '- 0..?........ .. he can ask, has the patient recently been hospitalized? If the answer to that question is also no, then the patient has a 95 per cent chance of being infected with a gram negative organism susceptible to cefazolin. If the infection is outside the biliary tract, then there is virtually a 100 per cent chance that the organism will be susceptible to cefazolin. If on the other hand the answer to either of these questions is yes, then the clinician should assume that the patient is infected with an organism resistant to all the cephalosporins. "Using then some readily available clinical clues the physician is able to make rational antibiotic selection which will be both safe and effective and have a better chance of maintaining a relatively resistant free environment. For patients who have acquired gram negative infections at home, and have an adequate white count and are not in shock, cefazolin seems the most reasonable choice since this antibiotic has been shown to be effective and to be very nontoxic, is quite inexpensive and is relatively easy to give both IV and IM. "Only when anaerobic organisms are suspected, will the clinician need to broaden his spectrum in order to have a fair degree of confidence that his regimen will cover all possible organisms. 12 THE BUFFALO PHYSICIAN �"The more recently introduced cephalosporins whose toxicity is less well understood and which are more expensive, should be reserved to treat organisms which in vitro data have demonstrated to be resistant to cefazolin and sensitive to these new cephalosporin antibiotics. There are only a few organisms that fit this bill and in most instances, these organisms will be isolated from hospitalized patients. "The aminoglycosides should be used empirically for any infection developing in hospitalized patients. The newer cephalosporins are inadequate because their spectrum does not include pseudomonas. When culture and sensitivity data become available and the organism proves sensitive to any of the cephaeosporins, a change to the safest and/or least expensive effective agent can be made. "When an aminoglycoside is indicated which of the three available aminoglycosides should the clinician use? If the infection has developed outside the Intensive Care Unit and if the patient has not received an aminoglycoside antibiotic previously, the chances are quite high that infection will be due to a gentamicin or tobramycin susceptible organism. There is no clear choice between these two antibiotic agents and the reported difference in nephrotoxicity is not convincing. If the patient is in an Intensive Care Unit setting or has received an aminoglycoside antibiotic previously, then without question amikacin should be used as the initial aminoglycoside. The rationale for this is that these individuals will frequently harbor gentamicin resistant organisms. Since a single antibiotic is being used, the clinician must select an antibiotic which will be effective. Concern regarding induction of resistance by amikacin has been reduced by studies which show that sensitivity to amikacin is maintained even when amikacin is the sole or primary aminoglycoside in the hospital setting. Apparently the frequency of organisms that possess the enzyme which will inactivate the amikacin is so low that development of resistance is not a problem. Furthermore, the other mechanism of resistance, presence of a diffusion defect for all aminoglycosides, occurs as readily by using gentamicin or tobramycin as it is by using amikacin. It may be that because rate of resistance is so low that amikacin could be used empirically for any hospitalized patient without major concern about resistance development. Additional features that make amikacin attractive are its predictable serum levels and when carbenicillin is required its stability in the presence of carbenicillin. dDrs. Arthur Goshin, Allan Wirtzer. Jan Novak, Robert Ungerer. Drs. Arthur Grabau, Herbert Joyce. Drs. Willard Bernhoft, Kenneth Eckhert. Drs. Roger Dayer, Robert Malatesta. �Dr. George M. Ellis, a 1945 graduate of the School of Medicine, is one of four receiving Distinguished Alumni Awards. The presentation was made at the luncheon by J. William Dock, alumni association director. Dr. Ellis has been a family physician in Connersville, Indiana where he also served as president of the county medical society, president of a state association of physicians and surgeons and is currently chief of family practice at the local hospital. Dr. Ellis is a charter diplomat of the American Board of Family Practice and charter fellow of the American Academy of Family Physicians. As a volunteer he has been president of a mental health center, and member of the executive committee, Mental Health Association in Indiana. He is also a member of the President's Associates at U/ B, the University's principal donors as identified by the U/ B Foundation, Inc.D Mr. Dock, Dr. Ellis "An approach to the treatment of gram negative infection has been discussed. For most gram positive infections this approach would also suffice but alternative programs would be preferable if gram positive infection were more likely. However, by following these guidelines total antibiotic use should be reduced in hospitalized patients. With this reduction there should be no reduction in efficacy but definite rf;)duction in cost of medical care both because of actual cost of antibiotics as well as the expense of toxic side effects and the expense of antibiotic monitoring. These guidelines are meant to apply to the treatment of patients with diseases that are not imminently fatal since in the latter instances, much more is demanded of the antibiotic regimen," Dr. Betts concluded.D In dealing with patients physicians should depend more on their ears than their eyes, according to Dr. Howard M. Spiro, professor of medicine at Yale University. "Talk to the patient rather than taking so many pictures. Be an interpreter of your patients' complaints." The Stockton Kimball lecturer said, "I am not a critic of medical advances and medical technology. Pictures have revolutionized our diagnosis and our profession. But we must not let technology get between us and our patients. Today we must see the size and shape of every organ, regardless of the patients' complaints. Technology makes it possible for us to see all kinds of things we never used to see. The problem is not so much technology, but how we use it. Physicians are abdicating their responsibility to the patient and depending too much on technology. The gastroenterologist noted that the diagnostic process often ignors chemical symptoms. "Physicians look at pictures, but don' t always go back to the patient. Perhaps we should train more blind physicians so they won't rely so much on pictures. "In terms of therapy our technology has done a lot of good. Many physicians are still in practice today because of the pacemaker," Dr. Spiro said. "As a gastroenterologist I have to see it. Often we exchange pictures with radiologists. Physicians want to know exactly what they are treating; they don't want to miss anything so they take more pictures. They want to become perfectionists. Many times we find things that don't coincide with the patients' complaints. "Today's technology puts the patient on a plastic square and widens the distance between the physician/ patient. Physicians must recover their diagnostic roles as interpretors of the patients' complaints and not be problem solvers. The problem stems from our character, goals, education and training. The CT scanner is a powerful diagnostic instrument. But we must continue to ask ourselves what we are learning and why we do what we do. Physicians must recover their roles as loyalty to the patient and to each other." Dr. Spiro noted that most medical students are selected because of their science backgrounds. "How we select and train medical students is very important. Twenty-five years ago the 14 THE BUFFALO PHYSICIAN �emphasis was more on being a practicing physician. Residents made morning rounds and spent the afternoons in the doctor's office. In recent years our emphasis has shifted from preparation for practice to a post-graduate program in a hospital and research. We need to train medical students and residents in the art of uncertainty and less in the spirit that everything can be known or that it needs to be known. We should not make the student feel uncomfortable when he does not have the answers for everything on paper or plastic. We need to look at the physician's character and training as much as his financial and technology needs. "More didactic lecturers are needed and more discussions about individual patients are needed. Giving more care to the individual patient is very important. We must learn to train medical students to be success oriented, power seeking, and compulsive. "Physicians must learn to solve problems and get the answers and to tolerate no uncertainties. It makes no sense to train men or women for 10 years in problem solving and put them through the hoops and hurdles of decision analysis and blame the poor practicing physician when he can't solve the process when he begins to see patients. This is exactly what is happening. I see the same thing going on in our law schools," Dr. Spiro said. Physicians must consider the cost, inconvenience and pain to the patient when ordering tests and pictures. "Sometimes the physician does it out of curiosity, or fear, but the real reason may be that he strives to be a perfectionist." Dr. Spiro noted that Stockton Kimball was one of the leading gastroenterologists of his time. "As we read more about Stockton Kimball we see how the physician viewed himself as a person and a professional." In conclusion Dr. Spiro said, "we must remember the patient is a person, and we must regain and retain our concern for the patient. We must tell the patient what is ahead, what to expect down the road. Technology is powerful. Images are great, but we should do more thinking and talking about technology and perhaps use it less. We must seek a balance between the patient, the image and the physician. "0 The winning exhibit: Cerebral Bypass in the Prevention of Stroke and Treatment of Aneurysms by Drs. L.N. Hopkins, S.S. Shenoy, James L. Budny. WI1 TER, 1980 15 Drs. Carden, Spiro, Dean Naughton. Images and Internists �A Student's Impression of Austin Flint* by Oliver P. Jones, Ph.D., M.D. Distinguished Professor Emeritus Austin Flint Sr. was fourth in succession of a medical ancestry when he came to Buffalo in 1836. Ten years later he became our first Professor of Principles and Practice of Medicine and Clinical Medicine. When he died in ew York City in 1886 he was the acknowledged leader of American medicine at that time. The gap caused by his death was attested to by the outpouring of obituaries both here and abroad. When Sir .William Osler heard of Flint's death, he said to the medical class at the University of Pennsylvania - Gentlemen: Since we met together on Saturday, a veteran in the army of which you are recruits, has fallen. I allude to Dr. Austin Flint of ew York, and I propose, before proceeding with the clinic to tell you, in a few words, some of his labors ... For you, one of the most valuable of the lessons of Dr. Flint's life is the fact that the method of his life secured his success. When he went out into what was then considered the west (Buffalo was the west], he took with him a good education, but what was more important, he went out a student of ature and a recorder of facts. Various medical faculties, societies and associations drafted and passed memorial resolutions. Finally, biographical sketches began to be published in 1887 and have continued to be until the present. A recurrent theme in all of these writings was that Austin Flint Sr. was a good teacher who influenced thousands of students. After all, he taught at Chicago, Buffalo, Louisville, New Orleans, Long Island and ew York City. To date, no old attics nor letter files have disclosed diaries or notes made by students during Flint's lectures telling about the content of his lectures or the impressions he made on his listeners. However, let us consider that for about 350 years, it was a matter of conjecture as to whether Andreas Vesalius could draw or delineate until notes written by a medical student, Vitus Tritonios, about Vesalius's first Paduan dissection were discovered among the manuscripts in the National Library in Vienna. According to the medical historian, Charles O'Malley, the diagrams which Vesalius used were fashioned after Galen and Guinter of Andernach and used as demonstrations before he began his dissection. More important are the notes written by a German medical student - Baldasar Heseler - who attended Vesalius's demonstrations at Bologna in 1540. His notebook was subsequently found among the manuscripts in the Royal Library of Stockholm in 1846. There it remained until it was discovered and translated into English in 1959. The notebook verified many of Vesalius's own statements about his activities and methods. Fortunately for those interested in Austin Flint Sr. it was only 122 years after he began his lectures at the University of Buffalo that it was my privilege to read and analyze a diary or journal written by one of our students from 31 January 1848 to 18 April 1849. In addition to entries concerning his association with Flint, there are others relating his experiences as Health Physician for the City of Buffalo during the cholera epidemic of 1852. The diary was among rare books owned by the late Dr. Elliott Hague, ophthalmologist and bibliophile. His son, Dr. Thomas Hague, who grew up with some of my children, knew of my interest in medical history and lent me the notebook for my study. *Presented be fore the S.P.R. Medi cal Club. a t the Park Lane Manor, Buffa lo, 16 .Y. 25 April 1978. THE BUFFALO PHYSICIAN �The Class of 1930 The diary has hard covers with marbling, a leather spine and measures 61fz x 8 inches. The title page reads: "Journal of Studentia Medici Contraria Contraribus." However, it was not until page 143 that the author identified himself as I .D. Hill. He was an excellent penman but an erratic speller even with respect to ordinary English words. Our Latinist believes Hill meant to write Student instead of Studentia; that is, physicians study contraries by their opposites which may be a reflection of the allopathic reaction to homeopathy. John Davidson Hill was born in Manchester, N.Y. 29 April1822 and was raised on a farm. He left the farm when he was 17 years old and entered Lima (N.Y.) Seminar (later known as the Genesee Wesleyan Seminary) to seek an education and the wider walks of life. Afterwards, he studied medicine in the office of Dr.Dayton in Lima and matriculated in 1847 at Geneva Medical College. Apparently Hill did not keep a diary in Geneva as he did at Buffalo and referred to his experiences there in just a couple of sentences about h is former professors. The first entry in the diary is undated but was probably written at his home in Victor, N.Y. before he left (31 January 1848): BACK ROW (left to right): Richard C. Ta ylor, Ha rold Sax ton, A nth on y R. Che rry, Arth ur J. Harton, James G. Ka nsk i. FRONT ROW (left to right): Wa lter T. M urphy, Mary L. Catalano. V in cen t Bonafed e. In this little volume I wish to record such daily incidents as may be deemed worthy of recollection, as guides in the unknown future and it may be, its revival may serve a pleasant past-time in a lone ly hour when body and spirit are wearied with the daily routin e of life. The n, too, the filling up of the blank pages in this little book, shall be devoted a few moments of each day as it passes to the unrecallable past ; and as its author increases in days, the recorded pages of this book multiply, may he increase as rapidly in knowledge, in wisdom and the powe rs of the "healing arts! " In view of our recent interest in the Bicentennial Year, I am going to start with the entry for the 22nd of February 1848 as follows: "Each return of the anniversary of the birthday of George Washington brings to mind the recollection of a great and a good man. The mind dwells with pleasure on the memory of those "bright particular stars" that lighted our country through the perils of the Revolution and made it free. None in the galaxy shone out during the entire contest with such bright enduring effulgence as the character whose history commenced on the 22nd of February 1731." The entry for 28 March 1848 reads: Webster (Anatomist) lectured on the eye. Flint on acute and chronic laryngitis. The former of which the first recorded case was that of which George Washington di e d. A year later (1849). Hill was so engrossed with clinical subjects that he did not have time to write so philosophically. However, it was coincidental that the entry for 22 February should read: "Dr. Flint gave us today what he had to say on laryngitis or inflammation of the larynx, or more properly, the submucus tissue with the infiltration of lymph and serum. This is a most fatal disease and of recent origin, it is the disease of which Washington died. Treat.: Blood-letting, emetics, cathartic, calome l revulsions and tracheotomy . .. " For forty years I have taught gross anatomy, among other subjects, and it is difficult to shed one's tools of the trade, so to speak. Hence, when it was my privilege to read and analyze this diary my immediate reaction was to dissect it. This could be done WI TER, 1980 d- SEATED [lef t to ri g ht ): Robe rt Sch uder, Joseph Cardamone, John Bird. STAND ING [lef t to rig ht): Arth ur Yahn, George Moore, W illiam Bucher, Robert S chultz. The Class of 1965 �The fall enrollment at U/B is 27,000. Of these 3,348 are in the health sciences. This headcount represents major increases over the 1979 fall and exceeds executive budget estimates by 9.4 per cent. The enrollment summaries show that U/B welcomed 8,588 new students this fall, including 4,134 freshmen; 2,452 undergraduate transfers; and 2,002 new graduate students.D systematically by cataloging the entries under such headings asweather, civic events, recreation, the medical school, the faculty, etc. It was done for the faculty by noting the number of favorable and unfavorable or derogatory remarks written by Hill about each of the eight individuals in the total of 326 entries. In essence, some professors could do no wrong while others were not complimented for anything. Let us consider the e~try for 24 March 1848, which is the first of three favorable ones about Flint: ... Attended Dr. Flint's lecture on auscultation and percussion. He had given one lecture which I missed. I think the Dr. very clear in his elucidation on this subject and for this reason seek his lectures. Hill was scheduled to attend Flint's lectures during the second term of medical school but Professor James Webster, who commuted from Rochester, .Y. did not arrive on time to give his lecture on anatomy 3 April 1848, so the entry reads: Professor Webster was absent today so I attended one of Dr. Flint's lectures on pleuritis. It was a very practical lecture. He recommended the students to read an article written by Dr. Stokes and published in Braithwaite's Retrospect 4, No. 2 on the same subject. This reference was erroneous but there is an article by James Hope on the treatment of chronic pleurisy with effusion in which he devoted a paragraph to Stokes' mode of treatment with cold Logol's iodine and mercurial ointment. The third favorable entry was on 13 April 1849 just 5 days before graduation: ... Flint finished on scarletina, a very good lecture for him . He also made some appropriate remarks to the class on the retrospective and prospective and then bid us farewell . .. The first two unfavorable entries follow: 10 February 1849 ... Dr. Flint gave a clinic but did not amount to any particular sum and I do not deem it worthy of a synopsis on this page. 29 March 1849 ... Bored with lectures all day. Flint gave two lectures on Typhus, and this has become stale enough and not finished yet . .. Why was Hill bored all day with lectures and Flint's lectures on typhus "stale"? There is really no clue in the diary- but there is one in the Annual Announcement of the Medical Department of the University of Buffalo for 1849. There we learn, after graduation, that Hill had selected Typhus or Ship Fever as his thesis subject. Hence , much of what Fling had to say about the subject was very likely a restatement of information already known to Hill from other sources. The final unfavorable entry was on 9 April 1849 ... (James Platt) White continued his lingo on hysteria but it was neither here nor there. Flint was still on smallpox and small was his lecture." This entry brings out Hill's wry sense of humor and sarcasm. Since Hill belittled the lecture and made a pun about it being neither here nor there, James Platt White very likely espoused the theory that the uterus in cases of sexual deprivation would rise up and wander through the body in search of moisture and humidity. The entry about Flint- "and small was his lecture" was written in diminutive script. The favorable entry for 13 April seems to have been made with "tongue in cheek". Perhaps Flint was just as tired 18 THE BUFFALO PHYSICIAN �of giving lectures as Hill was of listening to them. (By the way, the medical course that year had been extended from 16 to 20 weeks.) Whatever the reason, it is obvious that Hill's admiration and respect for Flint as a teacher had diminished between 24 March 1848 and 13 April 1849. Rather than to leave these entries with a sour note, two more will be quoted to show that Hill could be quite objective when he felt so inclined. First, let us remember that this was only the fourth lecture course given by Flint. The first was at Rush Medical College. The entry for 21 March 1849 provides a clue that Flint was destined to become a great teacher by challenging the students to contribute to and advance our knowledge of medicine by stating: . .. Flint took up remittent fever, gave the history, phenomena, some of the supposed causes and pathology. The latter, however, he concluded we know next to nothing and hoped the subject would meet with the attention from the present class if anyone located favorably, to receive an opportunity to investigate the subject ... Hill was the top man in his class when he graduated 18 April 1849 and records the events of that evening as follows: . . . Professor Flint had a levee at 9 o'clock this evening. It was quite pleasant so far as I was capable of judging ... What about the subject of Flint's lectures and their sequence? From 24 to 30 January 1849 the sequence of five lectures was cholera, entozoa, peritonitis, hepatitis and diseases affecting the nervous system. This raised the question as to whether or not Flint was following any particular text-book. Fortunately it has been possible to assemble, from our Rare Book Collection, thirty-four of the text-books recommended to the students for the 1848-49 lecture courses. In order to determine whether the subject sequence of a particular text was followed, a little literary detective work was undertaken. A table was constructed by noting the page numbers in the indices for the five topics and ranking their appearances in four of the text-books recommended to the students on medicine by Hall, Dunglison, Watson and Woods. Flint did not publish the first edition of his Practice of Medicine until 1866 but the diary gives a clue that he had an outline for it in mind as early as 1849. The identical sequence of lecture topics with that of Dunglison's text-book would indicate that he was not following the arrangements in Hall, Watson or Woods. However, when we consider that 35 pages about other diseases are between the first two topics in Dunglison, 383 pages between the third and fourth topics and 138 pages between the last two topics, it is obvious that Flint was not adhering consecutively to that text either, but rather, he was arranging his own lecture notes which he later used as a basis for his famous Practice of Medicine. In both the first and sixth editions of this work the topics were treated in immediate sequence. Quite naturally, many new subjects were added, but the general plan was the same as that which he used in his lectures thirty-seven years earlier. It should be noted that both authors had the same Philadelphia publisher. WI TER, 1980 19 d- References The references are arranged in the order quoted or paraphrased material that first appeared in the article. 1. Jones, O.P. Our First Professor of Medicine, Austin Flint (1822-1886). Buffalo Physician 7: o. 3, 54-61, 1973 . 2. Jones, O.P. A Profile of Our First Faculty. Ibid 8: o. 1, 16-17, 1975. 3. Editorial: Austin Flint. Remarks to the class in the Clinical Medicine, University of Pennsylvania, by William Osler, M.D. Canada Med. and Surg. J., 14: 571-574, 1886 . . 4. DaCosta, J.M. Biographical Sketch of Dr. Austin Flint. Trans. Call. Physns. Philad., 3rd Ser., 9: 461-470, 1887. 5. Charles D. O'Malley. Amdreas Vesalius of Brussels, 1514-1564. Berkley and Los Angeles, Univ. of California Press, 1964. 6. Jones, O.P. A Medical Student's Impression. Buffalo Physician 11: No. 4, 44-53, 1977. �Pediatric Continuing Education Programs March 26-28 - "Update an Infectious Disease", Drs. Peoray L. Ogra, Elliot F. Ellis; Sarasota, Fla. April 11 - "A Perinatal Approach to Prevention / Management of Neonatal Respiratory Distress", Dr. Ralph J. Wynn; Sheraton Inn, Buffalo East. June 18-20 - "What's New in Diagnostic Procedures of Pediatric Lung Diseases", Dr. J.A. Cropp; Niagara Hilton. June 25, 26 - "First National Conference on Pediatric Nephrology/ Urology", Drs. Tadla Baliah, Joseph Y. Dwoskin, Irme V. Magoss; Buffalo Hilton. July 16-18- "Fourth National Buffalo Conference on Pediatric/ Adult Allergy, Clinical Immunology", Drs. Elliott Middleton, Jr., Elliot F. Ellis; Buffalo Hilton. July 23-25 - "The 12th Annual Advances in Pediatrics", Dr. Elliot F. Ellis; Buffalo Hilton . August 31-Sept. 2 - (International Program) - "Controversies in Pediatrics, Adolescent Hematology/ Oncology", Drs. Arnold I. Freeman, James R. Humbert; Niagara Falls Convention Center. Sept. 11-13 - "Diabetic Pregnancy & the Infant", Dr. Ralph J. Wynn; Buffalo Hilton. For additional information: contact Rayna Dutton, pediatrics department, Children's Hospital, 219 Bryant St., Buffalo, N.Y. 14222 - Tel (716) 8787689. In the first edition (1866) Flint said, "My first case of cholera illustrated ... ",but in the second ~clition (1867) he said, "My first case of cholera in 1849 illustrated ... ". In other words, even though he was in ew York City at that time, he was still using records of cases which he began to collect at Buffalo in 1836. The case Flint referred to is very likely the one reported by Dr. Stephen Smith when he was a resident medical student and Flint was attending physician at the Sisters of Charity Hospital at Buffalo. Altogether, Flint saw 80 cases of epidemic cholera. Flint lectures about cholera 23 January 1849 but he did not see his first case until June of that year. Flint, therefore, like the students, had to rely upon one or all of the available text-books on The Theory and Practice of Medicine. No doubt there are many more cases from Buffalo in the seven editions of his book, but they are not so readily identifiable as the ones in the chapter on typhoid fever. Flint referred to his article on epidemic fever, which occurred in 1843 at North Boston (eighteen miles from Buffalo). affecting twenty-eight persons of whom 10 died. This was his first conspicuous success. No detective policeman ever "worked up a case" more thoroughly. Up until the time of Flint's death in 1886, he had filled 16,922 folio pages of his recorded cases which he began to amass in 1833. After his death, the Cincinnati Medical News said, "In every state and territory of this vast country the book that will be most likely to be found in the office of a medical man, whether in the city, town, village, or at some cross-roads, is Flint's Practice ... ". In conclusion, three primary sources for some medical history of two of our great teachers, Andreas Vesalius and Austin Flint have been described. Vitus Tritonius and Baldasar Heseler, recorded what they observed at Vesalius' anatomical dissections in Padua and Bologna respectively. John D. Hill attended Austin Flint's clinics and listened to his lectures in 1848 and 1849. Some of his impressions about Flint were favorable and some were unfavorable. Let us remember that the lecture was the method of the day (5 to 7 while seated on hard wood benches - for one hour each) and that discomfort was particularly unpleasant over the ischial tuberosities if the lectures were not too captivating (no audio-visual, no coffee breaks, no smoking!). This was only the fourth lecture course given by Flint. This does not detract from the fact that he had an ear which was exquisitely attuned to the voices of nature. Samuel Gross, the great surgeon, referred to him as "the American Laennec" and the English journal, Lancet, dignified him with "the Watson of America". Perhaps there is only one diary like the one presented, but it is my pleasant thought that much memorabilia is still preserved by neglect in the dusty and forgotten corners of private and public buildings and that, hopefully, the future will bring them to the attention that their importance deserves considering the humanizing light they may cast on the greater or lesser figures of our medical past.D 20 THE BUFFALO PHYSICIAN �Medical Alumni Officers Dr. Schultz Dr. Robert W. Schultz is the new president. He is a 1965 Medical School graduate and has been on the faculty since 1968. He is a clinical assistant professor of medicine. Dr. Schultz took his internship and residency at the Millard Fillmore Hospital where he was chief resident in 1968-69. He was associated with the department of renal disease and hypertension at the Cleveland Clinic the next two years. He was a Captain in the United States Army Reserves from 1965 to 1972. Dr. Schultz is an associate attending in medicine at the Millard Fillmore Hospital and a consultant in nephrology at Sisters, Kenmore Mercy and DeGraff Memorial Hospitals. He is involved in numerous community activities. He is an officer in the Artificial Kidney Center and the American Heart Association of Western New York. He is a member of several county, state, national and international professional associations. He has authored several articles for scientific journals.D WINTER, 1980 Dr. Norman Chassin, M'45, was elected vice president. He is a clinical associate professor of medicine and has been on the faculty since 1951. Dr. Chassin took his internship and residency in internal medicine at the E.J. Meyer Memorial Hospital from 1945 to 1951. The following two years he was a Captain in the United States Army Medical Corps. Dr. Chassin is chief of medicine at Kenmore Mercy Hospital and attending at Erie County Medical Center. He is also affiliated with Millard Fillmore Hospital. In 1974 he gave up his private practice. Dr. Chassin is chairman of the medical advisory committee of Rosa Coplon Home and co-chairman of the committee on education, human values and ethics at the Medical School. He is a member of the Western New York Society of Internal Medicine and has served on the Kenmore Mercy Hospital Foundation. One of his major interests is trying to improve communications among 11 segments of the medical community.D Dr. Chassin 21 Dr. Baumler Dr. Robert A. Baumler is the new treasurer. He is a 1952 Medical School graduate and assistant clinical professor of medicine and associate physician at the Buffalo General Hospital. He has been on the faculty since 1956. Dr. Baumler took a rotating internship at the E.J. Meyer Memorial Hospital. He took his residency in medicine at the Buffalo General Hospital in 1953-55. This was followed by a cardiology residency at the New England Center Hospital in Boston. The physician-educator is a Fellow of the American College of Physicians and the American College of Cardiology. He 'is on the clinical cardiology council of the American Heart Association. Dr. Baumler is president of the Buffalo Academy of Medicine. He is a past president of the Western New York Heart Association and the Medical Historical Society of Western New York. He served in the United States Army in 1945-46.0 �Ann Marks, second year student, listens to a lecture. Mark Henderson, a graduate student, assists the newcomers. A Summer Head Start Twenty-three entering medical and dental students got a head start on their professional educations during eight weeks (June 4August 2). This was the sixth year that courses were offered in histology, embryology, biophysics, biochemistry and gross anatomy. Co-ordinators of the preparatory support program were Drs. Michael Anbar, Joseph Tomasulo and Ms. Audrey Vaughan. During the first week of the session Ms. Jean Saunders from the College of Virginia taught study skills, speed reading and introduced the students to medical terms. Also assisting were Manuel Saint Martin, Margaret Kadree and Brendell Temmons.O Dr. Hayes reviews the program. 22 THE BUFFALO PHYSICIAN �The 1980 medical school graduating class had an individual with a unique background. Dr. Donald L. Cohen intended to pursue a medical career as far back as his memory reaches, and worked in a research lab at Downstate Medical Center for four summers while in high school in Brooklyn, N.Y. However, after completing one year of pre-med studies as an undergraduate at U/B, he embarked on a different journey, taking him through courses in psychology, philosophy, and eventually comparitive religion. This exploration led to his now 8-year membership in and active involvement with The Church of Jesus Christ of Latter-Day Saints (the 'Mormom Church'). He also played a significant role in establishing a program of religious studies at U/B, and was one of the first to receive a B.A. in religious studies. He graduated Summa Cum Laude and a member of Phi Beta Kappa in 1972. As a senior at U/B, his interests turned to fisheries biology and aquatic ecology, and he pursued this in a graduate program at the University of Massachusetts. His research focussed on the feeding habits of a population of alewives (fish related to herring). and he received an M.S. in fisheries biology in 1975. He then accepted a position with the Academy of Natural Sciences of Philadelphia, where for two years he was involved with numerous research projects investigating the physical, chemical and biological effects of electrical generating stations on the rivers which they utilized in their cooling systems. While in Philadelphia his thoughts turned back to his original goal of a medical career. Despite the growing family responsibilities (one child with another on the way). he decided to follow through on this, and ultimately was accepted at U/B's School of Medicine. After the first smester, he applied for and was accepted into Buffalo's accelerated program, to enable him to complete his medical studies in three years instead of the usual four. In these three years he has met with academic success, receiving the 1978 Gibson-Atwell Award for excellence in the Anatomical Sciences, and being given membership in Alpha Omega Alpha, and the James A. Gibson Society. He and his wife now have three children, ages five, three and 15 months. His plans for the future include a Flexible Internship at Pittsburgh's Mercy Hospital followed by an Ophthalmology Residency at Pittsburgh Eye & Ear Hospital.O Dr. Welch Scholarship Fund Through the generosity of Dr. Mark W. Welch, M '15, a scholarship fund has been established at the U/B Foundation that will ultimately benefit students within the School of Medicine. The "Mark W. and Beulah M. Welch Scholarship Fund" is designed to provide financial assistance in the form of grants and loans to students enrolled in the School of Medicine. Dr. Welch, now retired, was formerly the medical director of IBM in Endicott.O WI TER, 1980 23 Dr. Donald Cohen The Cohen Family. �Smithsonic The Health Sciences Library displayed surgical and obstetrical instruments of the 18th & 19th centuries, which were on loan from the Smithsonian Institution. Rare books from the History of Medicine Collection of the Health Sciences Library were also on view to illustrate the physician's use of these instruments during those times. The exhibit was arranged and organized under the direction of Mrs. Mildred F. Hallowitz, History of Medicine Librarian. The Eighteenth century instruments had belonged to Dr. Charles McKnight, 1750-1791. He had trained under Dr. William Shippen in Philadelphia. He served as surgeon during the Revolutionary War and was eventually appointed Surgeon General of the hospitals located from North Carolina to Albany. He had used the exhibited instruments during the war and after; they comprised amputation, trepanation and blood-letting kits. He settled in New York City, our nation's capital, and became President Washington's personal physician. He was appointed as Professor of Surgery and anatomy at Columbia College. He was called upon in obstetric cases and his kit had been included in the exhibit. 24 THE BUFFALO PHYSICIAJ �•·-·•< . . . I I lian Display One of the Nineteenth century instruments on exhibit is of local interest - an amputation kit belonging to Dr. Thomas Burnside Shugart of Pleasantville, Pennsylvania. He had used the instruments prior and during the Civil War. Eventually, the kit was given to Dr. James Munger of Buffalo, who incidentally was a graduate of the University of Buffalo School of Medicine, Class of 1891. Some of the texts utilized to illustrate the "state of the art" of general surgery were taken from the writings of: Jean Louis Petit (1674-1750). John Hunter (1728-1793). Sir Charles Bell (1774-1842). Theodore Billroth (1829-1894). Samuel D. Gross (1805-1884), Roswell Park (1852-1914). etc. Works on obstetrical procedures used in the exhibit were authored by: Marie Louise LaChapelle (1769-1821). Andrew Levret (1703-1780). Alexander Hamilton (1739-1802). Oliver Wendell Holmes (1809-1894). Sir James Y. Simpson (1811-1870), etc. In conclusion, due to the excellent publicity in the newspapers, radio and television, the exhibit was viewed by great numbers of people from the community at large as well as from the University.O IAN WI TER, 1980 25 �/ Dr. Kenneth H. Eckhert, M'35, clinical instructor in family and legal medicine, presents a $6,530.58 check to Dean Naughton from the Women's Federation of AMA (auxiliary). Faculty Honored Dr. WeJs. TwELVE FACULTY MEMBERS were honored at the annual Medical School faculty meeting. Dean John Naughton presented the Dean's award to Dr. William M. Chardack, associate professor of surgery and to Dr. Philip B. Wels, clinical professor of surgery for "outstanding contributions" to the Medical School. The Stockton Kimball Award for contributions to teaching, research and service went to Dr. Donald W. Rennie, professor and chairman of physiology. On June 1 Dr. Rennie took a new University assignment - Dean of the Division of Graduate and Professional Education. In October this office merged with research and graduate studies and Dr. Rennie was named vice president for research and graduate studies. The Louis A. and Ruth Siegel awards ($500 each) for distinguished teaching went to Drs. Roger K. Cunningham, associate professor of microbiology; Lucille M. Lewandowski, M'54, clinical assistant professor of psychiatry; and Linda F. Pessar, assistant professor of psychiatry. Five special House Staff Teaching Award Plaques were given to Drs. Brendan C. Brady, M'75, clinical assistant instructor in surgery; David B. DiMarco, clinical instructor in surgery; Thomas A. Raab, M'77, clinical instructor in medicine; Bruce D. Rodgers, M '65, clinical assistant instructor in Ob/Gyn; and Edward A. Stehlik, clinical assistant instructor in medicine . Dr. Adel Bondok, visiting professor from Egypt, received special recognition. Eight other faculty members were acknowledged for teaching excellence - Drs. Peter Hogan, associate professor of physiology; Alexander Brownie, professor and chairman of biochemistry; Murray Ettinger, associate professor of biochemistry; Stephen Barron, M '68, assistant professor of neurology; Jerry Chutkow, professor and chairman of neurology; Paul Davis, professor of medicine; James Hassett, as~is­ tant professor of surgery and Richard Sills, associate professor of pediatrics. Dr. Rennie has been professor and chairman of physiology at the Medical School since 1973. He joined the U/B faculty in 1958. The Seattle native received his B.S. at the University of Washington; his M.S. and M.D. degrees from the University of Oregon School of Medicine. Dr. Rennie is an active researcher. Most recently he has been studying environmental influences on cardiopulmonary and cellular function with a five-year $1.9 million grant. He is the author of more than 75 publications and abstracts. He has served on numerous university-wide committees. He is now vice president for research and graduate studies. Pasquale Baratta, 3rd year student; Drs. DiMarco, Brady, Rodgers, Dean John aughton, Dr. Bondok. �Dr. Wels is a 1941 Medical School graduate. He has been on the faculty since 1950. In 1965 he was named assistant dean for admissions, a position he held until 1970. Dr. Wels is clinical professor of surgery and affiliated with Millard Fillmore Hospital where he is chairman of the surgery department and director of academic affairs. He has held several other important administrative positions at U/B- assistant to the dean, trustee of the U/B Foundation, and chairman of the student health committee. He also served on the faculty council and executive committee. In 1979 Dr. Wels received the Distinguished Alumni Award. He is a member of the U/B athletic Hall of Fame. During his undergraduate days at U/B he developed the first fencing team and coached the team from 1938-1940. In 1936 he was on the U.S. Olympic Fencing squad. Dr. Wels founded the U/ B medical education study group and has served on the athletic council. After his internship and residency at the E.J. Meyer Memorial Hospital he served as Captain in the Army Medical Corps from 1942 to 1946. Dr. Wels is a Diplomate of the National Board of Medical Examiners. He is associate attending at the Erie County Medical Center; assistant attending at Children's Hospital; consultant in surgery at Niagara Falls Memorial Medical Center; and consultant to the clinical staff of Roswell Park Memorial Institute. He is an active member of 15 local, state, regional and national medical societies. He has been involved in several research projects; has presented scientific papers to medical organizations; and authored or co-authored 22 scientific papers. Dr. Chardack joined the Medical School faculty in 1953. He has been on the staff of the Veterans Administration Medical Center since 1949. Dr. Chardack received his M.D. from the University of Paris in 1940. He served as chief surgeon in the United States Army in 1950 and 1951. Dr. Chardack has written several chapters for books on cardiac pacemakers and he has authored or co-authored numerous papers for scientific journals on skin burns, pulse stimulation of the heart and ventricular fibrillation. In 1950 Dr. Chardack and Dr. James MacCallum, the first Chief of Surgery, performed the first successful resection of a Pancoast tumor. Until this time this type of lung cancer was thought to be inoperable and incurable. Since then, their method has been accepted as standard treatment for this cancer. Dr. Chardack was the Chief of Surgery at the VA from 1952 to 1968. He introduced a wide variety of surgical procedures including in 1953, a resection of the abdominal aorta and replacement by a homograft. It was the first operation of this type to be performed in this part of the country. He established the Surgical Research Laboratory. It was here that the experimental work on the implantable cardiac pacemaker began in 1958. Dr. Chardack used the implantable pacemaker in a patient with heart block in 1960. Since then, its success is shown in the dramatic reduction in death rate from heart block as well as the improvement in the quality of life for those patients with pacemade heart rhythm. In 1972 Dr . Andrew Gage, Chief of Surgery since 1968, implanted a nuclear-powered pacemaker at the hospital , the first such device to be used in the western hemisphere.D WI TER , 1980 27 Drs . Pessar, Cunningham, Lewandowski won Siegel Teaching Awards. Dr. Chardack. Drs. Na ughton , Katz, Rennie. �The Ernest Witebsky Center for Immunology It is now the Ernest Witebsky Center for Immunology. The U/B Council approved the name change March 21, 1980. The name change was requested by the Medical School and the Center for Immunology. The research activities of Dr. Witebsky brought fame to Buffalo and in scientific circles throughout the world. He made many original contributions to the theory and practice of blood group serology, transfusion problems and autoimmunity. The Council agreed that "the new name will both perpetuate international recognition of Witebsky's achievements and continue the acknowledgement that what he established, is vital and effective ." Today, the Center serves as a focal point for scientists and physicians in the community with basic interests in immunology, affording them an opportunity to share their views and subject their research to the constructive criticism of their peers. This is accomplished primarily by monthly roundtable discussions held throughout the academic year. The Center also disseminates new research knowledge in the field by convening biennial International Convocations and Invocations which attract national and international interest among immunologists. It also offers education in immunologic principles and techniques for interested holders of doctoral degrees and senior, supervisory technologists by sponsoring summer programs in "Methods of Immunologic Research and Diagnosis" on alternate years to the convocations. Some qualified persons are offered longer term associations with members of the Center in their own laboratories. The material submitted to the Council contained quotes from prominent immunologists from throughout the world gathered at the time the Center was established. 28 Typical of these is this quote from Dr. Werner Henle of Philadelphia : "It is rare to find that a whole area of medicine owes its establishment and clarification of its many facets to a single investigator. Dr. Witebsky belongs in this extraordinary category through his life-long interest in organ and tissue-specific antigens which culminated in the recognition of autoimmune diseases, their diagnosis, pathogenesis and elaboration of contributing factors. His inspired teaching and leadership induced many of his pupils to continue creative work in this area. Dr . Witebsky joined the School of Medicine faculty in 1936. In 1941 he was named professor and head of the department of bacteriology and immunology. In 1954 he was named " Distinguished Professor." From 1958 to 1960 he served as Acting Dean and then Dean of the Medical School. When he retired in August 1967 he was named director of the newly created Center for Immunology. He died of a heart attack December 7, 1969 .at the age of 68. Dr. Witebsky's three major contributions to medical knowledge were all made after he came to the University as a refugee from Nazi Germany. They were : 1. Isolation of the blood Group "B" substance, which he accomplished with Dr. Niels Klendshoj, also a member of the University faculty . 2. Discovery that "A" and "B" substances, in forms similar to powdered sugar , could be added to "0 " Group blood to produce a "universal type " of blood which could be given in an emergency to patients whose blood groups were not known. The blood studies led in turn to a method of determining blood groups with greater accuracy than ever before. This is done by giving "A" substance to persons with "B" blood and vice versa, and using their blood serum for testing other persons' blood groups. THE BUFFALO PHYSICIAN �Dr. Witebsky 3. The discovery that it is possible for the body to build up antibodies against constituents of its own tissues, something previously believed impossible. Dr. Witebsky was born in Frankfort, Germany in 1901, and educated at the Universities of Frankfurt and Heidelberg (MD 1926). In 1929 he was an assistant professor of immunology at the University of Heidelberg. In 1934 he became a Fellow at the Mt. Sinai Hospital in New York City. Over the years Dr. Witebsky authored more than 300 publications in German, French, English and American medical journals dealing with problems in immunology and bacteriology. He was consulting editor of four professional publications - Transfusion, Clinical & Experimental Immunology, Blood and in German, Blut. He was also past editor of the Journal of Immunology. WINTER, 1980 The teacher-research won many honors for his work including: -The Karl Landsteiner Memorial Award of the American Association of Blood Banks; -"Dr. Med. honoris causa" from the University of Freiburg (1958); -Selection as a NATO visiting professor, University of Munich (1965); -Election as a member of the Deutsche Akademie der Naturforscher Leopoldina in East Germany in 1966 (one of the most distinguished groups of scientists in the world); -The Cross of Merit awarded by the Netherlands Red Cross for exceptional service to the Red Cross in 1968; -The Ward Burdick Award of the American Society of Clinical Pathologists, 1967; - (three local awards). The Chancellor's Gold Medal of the University of Buffalo (1950); selection as one of the Buffalo Evening News' "outstanding citizens" for 1968; and the Stockton Kimball Faculty Award by the Medical Alumni Association, 1963. Dr. Witebsky formerly served as head of the department of bacteriology and serology at The Buffalo General Hospital and director of its blood bank. He was co-founder of the International Society of Hematology, and his prestige brought the Society to Buffalo for its first meeting in 1948. He was a Fellow of four societies - the American Association for the Advancement of Science, the American Public Health Association, the American Academy of Microbiology, and the New York Academy of Sciences. The British Society for Immunology made him an honorary member in 1960 and the Royal Society of Medicine an affiliate in 1959. He was also a member of the Royal Society of Health, and the Pan American Medical Association made him a Diplomate in 1964. He was also a member of many professional organizations at the local, state, regional, and nationallevel.D 29 �Cardiology There are two major causes of death among heart patients. One is due to disorders of heart rhythm. That is when the heart beat stops or there is chaotic twitching. The other is when a heart muscle no longer is able to pump blood to vital tissues in the body. In the hospital's cardiology unit, the area's first computerized rhythm and pump monitoring system - along with a number of other "firsts" -may well be changing all that. Here, a very close look at the way the heart beats is allowing any abnormality to be treated before it becomes life threatening. It also is allowing heart muscle to be used to its optimum. According to Dr. Francis Klocke, this, along with round-theclock services of a cardiologist should a serious patient problem arise and emergency procedures such as pacemaker/ catheter insertion, are providing invaluable aids in patient care. Dr. Klocke directs cardiology at the hospital as well as at the UB School of Medicine. For the care of postcardiac patients, he points to Telemetry. It, he says, is used to monitor how well patients perform normal activity such as walking. Should a crisis - a recurrent heart attack develop, the system will sound an immediate alarm. Also, it's continuous radioing of electrocadriogram signals to automated monitoring equipment aids inpatient evaluation. By recalling data recorded over a number of days, Telemetry helps to diagnose suspected rhythm disorders, detect new or recurrent ones as well as effectiveness of treatment, he said. Among the newer procedures used to diagnose postcardiac patients after discharge from the hospital is the Holter Tape, a 12 to 24-hour rhythm recording. Dr. Klocke at CCU monitoring consol e. How it works is to first position electrodes onto a patient's chest. Then, connect to a small battery-operated tape recorder carried much like a shoulder strap bag. As a semi-automated scanning device reads the tape, the continuous recording correlates patient symptom to normal activity. To diagnose cardiac problems such as chest pains, pinpoint functional limits of cardiac patients or rehabilitate them, Dr. Klocke points to the Treadmill exercise test. In this test, as a patient walks on a speed and incline-controlled treadmill, the physician evaluates cardiac performance. This includes heart rate, rhythm, blood pressure, etc. Then, when optimal heart rate is reached or a patient tires, the test is terminated, the cardiologist/researcher said. Among the newest and most helpful diagnostic procedures, according to Dr. Klocke, is the Echocardiogram. He notes the 2-D Echo at the hospital to be the area's "first." Its scan of the heart via ultrasound reveals size and function of valves and heart chambers as well as wall thickness. And, he added, their action is more clearly visible in the SOdegree fanshaped cross-sectional views. 30 THE BUFFALO PHYSICIAN �Simultaneous recording onto videotape is useful for future study as well. An additional area "first" is the unlimited angulated view of the adult heart and coronary arteries and its recording onto film in two planes. This is now possible in the new catheterization laboratory, he said. Here , small catheters or tubes are inserted into the blood vessels of the patient's arm or leg until they reach the heart under X-ray control. Then, as pressures are measured in specific heart chambers, rapid sequence X-ray movies follow a harmless opaque injected dye making its way into the main pumping chamber, then into small arteries that feed the heart muscle. For, notes Dr. Klocke, " we want to pinpoint obstructions that may cause angina pectoris (chest pain) or heart attacks ." By providing an accurate assessment of heart pumping function, the need for medical and/or surgical treatment for the patient is determined. "An assessment of normal coronary arteries ends patient concern and unnecessary hospital stays," he said.D Half a million Americans will suffer strokes during 1980, according to Dr. Reinhold Schlagenhauff, associate professor of neurology at the Medical School and at the Erie County Medical Center. Strokes are prompted by too little or too much blood in the brain. Either, he says, may cause permanent damage to this vital organ. Too little prompts vascular infarctions. "When oxygenated blood is blocked from part of the brain , it is starved in a matter of minutes," he said. Too much blood lends to hemorrhage in the brain. This, he added, occurs when a blood vessel bursts, flooding part of the brain. Sudden and unpredictable is the onset of stroke. Its symptoms range all the way from slight numbness or weakness following a temporary blockage to death after massive hemorrhaging. In between there is paralysis and speech impairment. He notes there are few ways to prevent them. One is by controlling high blood pressure in patients at high risk. Another is by surgically clearing a clogged artery leading to the brain. And because treatment varies, diagnosis is critical. "We use anticoagulants for blockage," he said. Not so for hemorrhages. Formerly, arteriograms were used to identify types of stroke. But injecting dye into arteries is hazardous should a stroke be in progress. He points to the CAT scan. "It has revolutionized stroke diagnosis, " he said. It provides evidence for hemorrhage, blockage or tumors/abcesses which mimic stroke symptoms. "Every stroke patient", he says, " can be improved , if only a little. Early intervention, the sooner the better, is the key to effective treatment. " D WI TER, 1980 31 Dr. H ugh O'Neill, M'56, clinica l assistant professo r of medicine, and He len House, R.N. in the new cath. lab. Strokes �Biochemistry Research Symposium Drs. R.H. McMenamy, Roy Slaunwhite, Mary Taub, David Rekosh. Drs. Philip Yeagle, Murray Ettinger, Arlene Alpert. The Department of Biochemistry has always had a varied and active research program. However, it has undergone changes in direction as faculty have come and gone from the School of Medicine and from the department itself. Since 1976, major changes in the character and level of activity occurred as five assistant professors joined its research and teaching staff. These new faculty expanded even further the range of research activities already existing in the department. They also contributed to the formation of the four "clusters," research groups organized to share facilities and ideas. These clusters are focused upon gene expression, metabolism, protein/metalloenzymes, and membranes. The development of research clusters and the expansion of faculty expertise have made finding a common scientific ground and co-operation among researchers with different interests important goals for the department. For these reasons, the Biochemistry Department held a research symposium for everyone engaged in research: faculty, students and staff. In retreat at the Ellicott Complex on the Amherst Campus in March, four half-day sessions were organized reflecting the interests on each cluster. The faculty set the tone for each session by presenting 15-minute talks on the background of their work. The brevity of these overviews helped to minimize the boredom that often accompanies long, technical talks on research. At the same time, the general nature of these oral presentations gave participants a taste of each faculty investigator's work. Following these short statements of purpose and direction, research associates and graduate students presented details and data from their laboratory's research projects. To convey this information, posters were mounted in nearby corridors. There was plenty of time for individual discussion with students, faculty and staff in each of the research teams. The poster sessions stimulated questions and the exploration of alternative interpretations of data. The symposium revealed areas of possible collaboration among the faculty; inter-specialty projects were identified. What is more, the applications of current biochemical research to clinical problems was clear. Dr. Mary Taub's work on an isolated kidney cell line has pharmacological and oncological importance. Dr. Roy Slaunwhite's studies on prolactin have a direct bearing on prostate cancer and its therapy. The Department of Surgery has been collaborating with Dr. Rapier McMenamy on the biochemical manifestations of trauma and human critical illness. Drs. Daniel Kosman and Murray Ettinger's basic work on copper metabolism is illuminating the etiology of Wilson's Disease and Menke's "Kinky Hair" syndrome. The interdisciplinary nature of biochemistry has been recognized for many years. However, collaborative research needs to be activated within the department and with other basic and clinical science departments in the School. The symposium indicated that the Biochemistry Department has the interest and human resources to pursue and realize these possibilities. And, the novel design of the symposium was an important step toward further interaction among the clusters of faculty within the department.D 32 THE BUFFALO PHYSICIA �Approximately 120 neurologists and neurosurgeons from across the nation and as far away as Ireland attended the three-day conference on the comprehensive management of patients with intracranial aneurysms, according to Dr. L.N. Hopkins, clinical assistant professor of neuro~urgery, at the Medical School. The Dent Neurologic Institute of Millard Fillmore Hospital and U/B cosponsored the meeting. "The seminar focused on the preoperative and postoperative management of the aneurysm patient where rebleeding and cerebral vasospasm with resultant cerebral ischemia are the major problems. There is still a great deal of controversy in view of the fact that measures designed to prevent rebleeding tend to aggravate cerebral ischemia and vice-versa. Emphasis was placed on the peri-operative care in view of the fact that newer techniques in the advent of microneurosurgery have reduced the actual operative mortality to less than 5% in most major neurosurgical centers," Dr. Hopkins said. He directed and organized the meeting with the assistance of Debi Franz, CMA-A. The nine visiting faculty members included several of North America's leading aneurysm surgeons in addition to Dr. Maurice Albin the foremost neuroanesthesiologist in this country who is Professor of Neurosurgery and Anesthesiology at the University of Texas at San Antonio. The subject of cerebral vasospasm and ischemia was covered by the world's leading experts including Dr. Jack Fein from Albert Einstein College of Medicine, Dr. Eugene Flamm from New York University, and Dr. Robert Wilkins who is Professor and Chairman of the Department of Neurosurgery at Duke University as well as president of the Congress of Neurological Surgeons. U/B Faculty included Dr. Louis Bakay, Dr. William R. Kinkel, Dr. Patrick J. Kelly, and Dr. L.N. Hopkins of the Department of Neurosurgery. Course registrants and their guests were treated to tours of Niagara Falls and Buffalo with the Albright-Knox Art Gallery a major attraction. A trip to the Shaw Festival and tickets to Chekhov's play "The Cherry Orchard" were also included in the guest activities.D 1981 Continuing Medical Education Programs Feb. 26-28, March 1 - "Electrocardiography" (Sarasota, Florida) , Dr. Jules Constant, clinical associate professor of medicine . March 19-21 - "Trends in Medicine" (Winter Symposium New Orleans). Program Director, Dr. Martin Wingate, professor of gyn/ob. April 4 - "Vascular Surgery for Cerebral Ischemia (Erie County Medical Center), Program Director, Dr. George Alker, clinical professor of radiology; clinical associate professor of nuclear medicine. April10,11 - "Sports Medicine" (Niagara on the Lake). Program Director, Dr. Martin Wingate, professor of gyn/ob. May 9 - 44th Annual Spring Clinical Day - Buffalo Convention Center. WINTER, 1980 33 Aneurysm Patient Management Dr. Hopkins �Dr. Brian Joseph Dr. Joseph Dr. Brian Joseph, M'68, has been named executive director of The Buffalo General Hospital Community Mental Health Center. Dr. Joseph, a psychiatrist, comes to BGH from the Erich Lindemann Mental Health Center in Boston, Mass., where he served as chief of the Adult Inpatient Unit. He was also a clinical instructor in Psychiatry for the Harvard University School of Medicine, and an assistant psychiatrist at Massachusetts General Hospital since 1974. As executive director of the CMHC, he will oversee the operation of the 60-bed inpatient unit, 80 Goodrich St., as well as the Center's outpatient, day-care, satellite, and emergency services. The BGH-CMHC serves citizens residing in Catchment Area III of Erie County. Dr. Joseph did his internship at BGH, and residency training in psychiatry at Johns Hopkins Hospital. A flight surgeon in the United States Army during the VietNam War, Dr. Joseph acted as the associate director of the U.S. Army Drug Abuse Program, "Operation Rebuild", from 1970-71. He was awarded the Bronze Star, the U.S. Army Commendation Medal, the Air Medal, and the Vietnamese Cross of Gallantry. Certified by the American Board of Psychiatry and Neurology in Psychiatry, he is a member of the American Psychiatric Association; the American Group Psychotherapy Association; and the Institute of Society, Ethics and the Life Sciences.D Roswell Park Memorial Institute Continuing Education Seminars February 5, 1981 Advances in Gynecologic Oncology Chairperson: Dr. Joseph Barlow Department of Gynecologic Oncology March 7, 1981 Multimodal Treatment of Melanoma Chairperson: Dr. E. Douglas Holyoke Department of Surgical Oncology April 2, 1981 Management of Malignant Dise ase in Children Chairperson: Dr. Arnold Freeman Department of Pediatrics May 14, 1981 Hematologic Problems in Cancer Patients Chairperson: Dr. Julian L. Ambrus Department of Pathophysiology Jun e 6, 1981 Progress in th e Management of Upper-Gastrointestinal Cancer Chairperson: Dr. Harold Douglass Department of Surgical Oncology 34 THE BUFFALO PHYSICIA �Six new members of the junior class are transfers from French, Italian, Mexican, Belgium and Granada medical schools. They are entering U/8 via the United States Citizen Foreign Medical Students (USCFMS) pre-clinical review program of the Association of American Medical Colleges. Under this program American students, who have completed their basic science education in foreign medical schools and passed Part I of the National Boards, are accepted into the clinical years in American Medical Schools. The junior year for these transfer students started June 9, and lasted 10 weeks with orientation and intensive lectures and some clinical experiences. Since 1969 the Medical School has participated in a similar program called COTRANS, but external resources were not available to support this program. In December of 1977 the Medical School received a four-year $226,904 grant from HEW to establish the current program (USCFMS). The project director is Dr. John Richert, assistant dean and registrar. Co-directors are Dr. Joseph Aquilina, clinical professor of medicine, and Dr. Frank Schimpfhauser, assistant professor in social and preventive medicine. The 12 facilitators are: Drs. Chester Glomski, anatomical sciences; Jack Klingman, biochemistry; Charles Paganelli, and Stephen Wear, physiology; Laurence Plumb, family medicine; Gloria Roblin, psychiatry; John Sheffer, pathology; Cedric Smith, pharmacology and therapeutics; Robert Spangler, biophysical sciences; Murray Stinson, microbiology; Raymond Bissonett, family medicine; Jane Mathews, social and preventive medicine. Other staff members are: Linda ieman, evaluation coordinator; Jim Bronk, Bob Caccavale, Pat Fadale, Linda Hohmann, Tom Land, Marshall Goldstein- all student associates. The new students from Mexico - Patricia Averill, Joseph Leberer; from Belgium- Marc Stern; from Italy- Joseph Gioia; from France - Paul Marchand; from Granada - Arthur Goldstein.O Accelerated Program Six medical students enrolled in the 9-week accelerated program so they could graduate in three years. They each received 12 hours of credit in the independent, self instructional program. Dr. Robert J. Mcisaac directed the program in pharmacology and Dr. Arlene Collins was in charge of medical microbiology and immunology. Each student spends about 15 hours daily reading, listening to taped lectures, in labs or doing other types of self-study. The students in the program are: Keith Goldstein, Lydia Grobe, Debbie Korwin, Steven ierenberg, Manuel Saint Martin and Warren Wasiewski.O WI TER,1980 35 USCFMS Students �Resident Graduation Fifty-six physicians who completed all or part of their residency training at the Erie County Medical Center were honored at the 60th graduation ceremonies sponsored by the hospital's medical-dental staff. The graduation ceremonies, at the McKinley Park Inn, was followed by a dinner dance. The resident graduates and their specialties are: Anesthesiology - Drs. Michael Adragna and Jae Ho Lee. Dentistry- Dr. Louis J. Talarico. Dermatology- Dr. Henry Shenfield. Medicine - Drs. Stephen Cuddy, Faith Davis, Ben Echols, Martin Echt, Michael Fanning, Helen Findlay, Gerald Kaiser, Steven Lanse, Thomas Raab, David Tinker and Antoinette Wozniak. Neurology - Dr. Emilio D. Soria. Neurosurgery- Drs. Fairuz Matuk, and L. Wimal Perera. Obstetrics-Gynecology - Drs. Marcelino D'Souza, P.E. Malika, Syeda Muqtadir, Kathleen Quinlan, Alford Vassall, and James Yip. Dr. Paul S. Milley of Sisters of Charity Hospital took "Best of Show", in the Fourth Annual Photo Exhibit by Buffalo area physicians at Sisters Hospital. He is a clinical associate professor of pathology and anatomy at the Medical School. The photograph entitled "Naked Pepper Revisited" won Dr. Milley the "Best of Show" award . He also took first place in the black and white category for his piece entitled "American Graffitti". First place in the color category went to Dr. William Care of Roswell Park Memorial Institute for his untitled photo.D 36 Ophthalmology - Drs. Sarbjit Hundal, and Don Liu . Orthopaedics- Drs. Tin Aye, Craig Blum, John Hedger, and Oresta Wasyliw. Otolaryngology- Drs. Marie Frankel , and Robert Perry, Jr. Psychiatry - Drs. Amarjit Grewal, Hak Ko, Venigalla Prasad, and Arvind Samant. Radiology- Drs. David Della Porta, James Farrell, Ravindra Gogineni, Nicholas Mazanitis, Cornelius O'Sullivan, Vijay Palker, Ronald Scott, Teresa Small, Barbara Steinbach, and Louis J. Talarico. Surgery - Drs. Janerio Aldridge, Ronald Carn, James Creighton, Jr., Salah ElSaharty, Enis Martinez, Nai Manle, Michael Rade, John Riester, Michael Rowland, Mohan Shitoot and John VanTuyl. Tuberculosis and Pulmonary Disease Drs. Francis Augustine and Michael Rinow. Urology - Drs. Chandrashaker Gona, Krishan Gupta, Edward Moskowitz aJld Daniel Silverberg.D Drs. Milley, Rachow THE BUFFALO PHYSIC lA �The Classes The Classes of the 1940's Governor Carey named Dr. Philip Wels, M'41, to the U/B Council. Dr. Wels received his B.A. and M.A. at U/B and has been active in teaching, administration and alumni work at the University. He is a member of the U/B athletic Hall of Fame.O Dr. Charles A. Bauda, M'42, received a Doctor of Science degree in 1979 from D'Youville College, where he is a member of the Board of Directors. He is on the U/B Medical School's admissions committee. He is also president of the Buffalo Columbus Hospital Medical Staff and vice president of International Federation of Catholic Physicians Guilds. He is on the faculty of the Medical School.O Governor Carey has appointed Dr. James F. Mohn, M'44, chairman of the New York State Council on Human Blood and Transfusion Services. Dr. Mohn has been a member of the council since its inception. He is director of the Ernest Witebsky Center for Immunology at the Medical School; director of the blood bank at Buffalo General and its Deaconess Division and a consultant to the VA Medical Center blood bank. The professor of microbiology has been on the U/B faculty since 1945. He is internationally known in the field of immunohematology and has been a member of the National Academy of Sciences' National Research Council on Transfusion Problems. He has written more than 50 articles for professional journals.O Dr. Charles D. Bauer, M'46, is secretarytreasurer of the Physicians' Foundation of Western New York, Inc.O WINTER, 1980 Dr. Robert J. Ehrenreich, M'47, received the Chabon Award from the Niagara Frontier chapter of the American Society for Psychoprophylaxis in Obstetrics in November. The clinical assistant professor of pediatrics was honored for his efforts as a consultant to the groups, consisting of child birth educators who instruct expectant parents in the Lamaze method.O Dr. Arthur J. Schaefer, M'47, clinical associate professor of ophthalmology, was on the guest faculty of the Wills Eye Hospital Oculoplastic Department and the Jefferson Medical College of Philadelphia for the 8th annual course on oculoplastic surgery.O Dr. Myron Gordon, M'48, was appointed professor and chairman, department of obstetrics and gynecology at the Albany Medical College, August 1, 1980. In April Dr. Gordon gave the James Platt White Lecture at the Buffalo Obstetrical & Gynecological Society titled "Biethics in Obstetrics and Gynecology: If Not Now When?" He was the first Medical School alumnus to give the lecture. He was also elected to Honorary Membership in the society. He lives at 172 Chestnut St., Albany, N.Y. 12210.0 The Classes of the 1950's Dr. Robert E. Ploss, M'51, an anesthesiologist, is associated with Alameda Hospital. He lives at 138-A Divisadero St., San Francisco, Ca. 94117.0 Dr. Bertram A. Partin, M'53, is the new president-elect of the American Society of Colon and Rectal Surgeons. He is a clinical associate professor of surgery and acting head of the division of colon and rectal surgery at U/B.D Dr. Herbert H. Benson, M'54, 2811 Anacapa Place, Fullerton, CA, has been selected for Fellowship in the American College of Radiology (ACR) in honor of his special contributions to the medical profession. d- 37 �Dr. Benson received his award during the annual meeting of the ACR in New Orleans in September. The ACR is the professional medical society representing 17,000 physicians who specialize in the use of radiation and ultrasound to diagnose and treat human disease. Dr. Benson, a native of New York, is affiliated with St. Jude Hospital, Fullerton, CA.D Dr. Carl D. Herman, M'57, is assistant clinical professor of psychiatry at the Temple University School of Medicine. He has been re-elected for a second year as president of the medical staff at Moss Rehabilitation Hospital in Philadelphia. He lives at 1247 Glenburnie Lane, Dresher, Pa. 19025.0 Dr. Lloyd H. Leve, M'58, an orthopaedic surgeon, retired in 1977 because of ill health. He said, "I would like to thank the Medical School for granting me the privilege of being a physician. I hope in my retirement years to continue to be of some small value to the health of my fellow humans and to help educate others to the need of Emergency Medicine to which I literally owe my life. I arrived DOA at a local hospital in 1973 first MI; had second cardiac arrest in 1977; in CCU Post - 2nd MI. I am the grateful owner of three cardiac by-passes and have had no angina since surgery in 1977." Dr. Leve is emeritus attending orthopaedic surgeon at Rochester General. Highland, St. Mary's and Park Ridge Hospitals. He is a Diplomate, American Board of Orthopaedic Surgeons and a Fellow, American Academy of Orthopaedic Surgeons. He is also active in several other professional societies. Other activities that he has undertaken since forced retirement: medical director of Henrietta, N.Y. Volunteer Ambulatory Service; medical director and senior instructor of several advanced emergency medical technical (paramedic) courses; member of MonroeLivingston Regional Emergency Health Service Council (training committee); Vicepresident, STEP Council of the Genesee Region (which is responsible for developing and implementing MCCU concept in Rochester and environs); and volunteer at Phoecsis Center of American Red Cross (medical attendant at donor sessions when staff MD's are not available to supervise). 38 In his spare time Dr. Leve is his own "day sailor" at Canandaigua Yacht Club where he sails as often as possible in the summer. He notes that he does not allow any single activity to interfere with his health. He lives at 9-F Clintwood Dr., Rochester, N.Y. 14620.0 Dr. Samuel Shatkin, M'58, clinical associate professor, medicine, SUNYAB served as an organizing member of the Sixth International Congress, joint meeting of the Spanish Society of Maxillofacial Surgeons and American Society of Maxillofacial Surgeons held in Palma de Mallorca, Spain. The theme of this Congress was Reconstructive Crania-Maxillofacial Surgery. In addition to participating in the organization, Doctor Shatkin was a member of a panel discussion on "Reconstructive Bone Surgery" and he presented a paper on "Reconstruction of the Middle Third of the Face." Dr. Shatkin is Chief, Dept. of Plastic Surgery at Veteran's Administration Hospital, Co-Chief of Head & Neck Surgery at Buffalo General Hospital and on the staff of Erie County Medical Center, Children's Hospital and St. Joseph Intercommunity.D The Classes of the 1960's Dr. Theodore Bistany, M'60, a member of the Buffalo Yacht Club, finished eighth in the International Offshore Rule Class A fleet Monday in the 11th annual Lake Erie Yacht Race. The clinical assistant professor of medicine, aboard his 41-foot Tartan sloop Niagara, was the only Buffalo sailor entered in the 236-mile race from Buffalo to Detroit. The race, which started at the entrance to the Buffalo Harbor, drew 41 entries, 36 of which completed the course. The lOR Class A winner was James Bozwell of the Mentor, Ohio Harbor Yacht Club in a Serendipity 43 named Goodbye Girl. Bozwell had won the 136-mile feeder race from Ohio to Buffalo earlier in the week.D Dr. Harry Metcalf, M'60, has been appointed to the American Academy of Family THE BUFFALO PHYSICIAN �Physicians' Commission on Public Health and Scientific Affairs. He is a member of the Lockport Memorial Hospital Medical Staff, and a clinical assistant professor of family medicine at the Medical School.D Dr. Ronald H. Usiak, M'61, is the new president of the Medical/Dental Staff of Gowanda Psychiatric Center. He is also acting deputy director. He lives at 12048 Buffalo St., Perrysburg, N.Y. 14129.0 Dr. Martin F. Abbert, M'62, was appointed clinical director at Northeast Michigan Community Mental Health Center, Alpena, Michigan in April. His specialty is psychiatry. He lives at 9798 U.S. 23 North, Alpena, Mich. 49707.0 Dr. Ira Hinden, M'65, has been elected chief of staff, Wooster Community Hospital for 1981-82. He is a clinical professor of medicine at Case Western Reserve University. Dr. Hinden lives at 2235 W. SmithvilleWestern Rd., Wooster, Ohio 44691. He is active in the Wayne County and Ohio State Medical Associations. He has been recertified (1980-87) by the American Board of Family Practice.D Dr. George L. Druger, M'68, is assistant professor of medicine at the University of Hawaii. He is a Fellow, American College of Chest Physicians. In 1979-80 he was elected best teacher of the year in the medical residency program. He lives at 250 Ohana St., Kailua, Hi. 96813. Dr. Druger moved to the Islands in 1978. His specialty is pulmonary diseases.D Dr. Wilbur L. Smith, M'69, has a new position. He is at the University of Iowa Hospitals and clinics where he is associate professor, director of pediatric radiology and education in the radiology department. He moved to Iowa City in August from Indiana University. His home address: 2271 Cae Dr., Iowa City, Ia. 52240.0 WI TER, 1980 The Classes of the 1970's Dr. William J. Fiden, M'70, is co-author of the first Chemical Emergency Action Manual. The loose-leaf, hard cover book instructs emergency rescue and medical personnel how to handle the health and safety hazards of 35 industrial chemicals. The American Lung Association of Western New York is the publisher of the manual.D Dr. Alan J. Fink, M'70, is at Jefferson Medical College where he is clinical assistant professor of neurology. In July he received a grant from the National Endowment for the Humanities to attend a seminar at Yale University Medical School. Dr. Fink lives at 2300 Pennsylvania Ave., Wilmington, De. 19806.0 Dr. Johathan W. Lehrman, M'71, is assistant clinical professor at the University of California, Davis. He is co-author of a book (in press) -A Practical Guide for Handling Drug Crisis. Dr. Lehrman lives at 1004 Marshall Way, Placerville, Ca. 95667.0 Dr. John M. Wendell Jr., M'71, is associated with the Riverside Hospital in Newport News, Va. His specialty is radiology. He notes that this hospital has a family practice and Ob/Gyn inter.nship and residency program. Dr. Wendell lives at 128 Beachwood Hills, Newport News, Va. 23602, and is active in several state, regional and national medical societies.D Dr. Linda A. Kam, M'72, has been elected a Fellow in the American Academy of Pediatrics. She is clinical assistant professor of pediatrics and Medical Director of the Erie County Health Department.D Dr. Lawrence Zerolnick, M'72, is a member of the American Academy of Pediatrics. He and his wife have a second son, Michael Eric, born June 29, 1980. The Zerolnick's live at 3803 Seven Mile Lane, Baltimore, Maryland 21208.0 d39 �Classes Dr. Michael B. Lippman, M'73, has a fellowship in pulmonary medici r·e at Barnes Hospital, Washington University Medical Center, St. Louis.D Dr. Howard R. Goldstein, M '74, finished his residency in urology at Columbia Presbyterian Medical Center. In October he completed his pediatric-urology fellowship at Massachusetts General Hospital. He is now associated with Babies Hospital and Columbia Presbyterian Medical Center. His home address is 28 Carriage Court, Scarsdale, N.Y. Dr. Goldstein is co-author of "Carcinoma of Gallbladder Simulated Metastatic Prostatic Cancer" that appeared in the December, 1979 issue of Urology.D Dr. John C. Rowlingson, M'74, is assistant professor of anesthesiology and director (January 1980) of the pain clinic at the University of Virginia Medical Center , Charlottesville . He is a Fellow, American College of Anesthesiologists; a Diplomate, National Board of Medical Examiners; and American Board of Anesthesiologists. He is also active in several other state , national and international professional organizations. He and his wife, Rosemary, have a daughter , Kristen Anne, born in June 1976 and a son, Andrew John, born in July 1979. Dr. Rowlingson has written on the " Management of Cancer Pain" that appeared in Cancer Nursing, August 1978. He has co-authored eight other articles for professional publications and reviewed two books. The Rowlingson's live at 2590 Cedar Ridge Lane, West Woods, Charlottesville, Va. 22901.0 Dr. Thomas F. Varecka, M'74, is associated with the orthopaedics department of Ramsey Hospital in St. Paul, Minnesota. Recently he and Dr. J. Patrick Smith performed a ten-and-one-half hour operation in which they re-attached a 13-year-old boy's arm severed in a farm accident.D Dr. Charles F. Natalizio, M '75, is an internist in Florida. His new address is 2175 Waterside Drive , Clearwater, Fl. 33516.0 Dr. John C. Stubenbord, M '75, has been appointed chief of professional services, USAF Clinic, McGuire AFB. He is a captain and has completed two years at Andersen AFB, Guam. His address is PSC Box 2509, McGuire AFB, New Jersey 08641.0 Dr . Thaddeus A. Zak, M '76, has joined the Children's Hospital as chief of Ophthalmology. Dr. Zak was previously a pediatric ophthalmology fellow at the Toronto Hospital for Sick Children and completed his residency at Buffalo General Hospital, the Children's Hospital of Buffalo and Buffalo Veteran's Hospital.D Dr. Harvey R. Goldstein, M'77, is a Fellow in gastroenterology at Scripps Clinic and Research Foundation, LaJolla, Ca. He lives at 1066 N. Torrey Pines Rd. , LaJolla, Ca. 92037.0 BACK ROW (left to right): Benni e Mecklin, Leo Ku czmorski, Russ ell Bro ce, Cla yton We ig, Ri chard M cNern ey, Miles Kell y, Ge orge Young, N1 els Madsen, James Gray. FRONT ROW (left to righ t): Wi lla rd Bernh oft, We ndell Ames, Carl Arbesmon, Kenneth Eckhe rt, Joh n Argue, Vic tor Lompko, Dom en1 c M essmo. The Class of 1935 at Spring Clinical Day 40 THE BUFFALO PHYSICIAN �The Class of 1940 at Spring Clinical Day BACK RO W (l eft to right): Warren M ontgom e ry, Richard Kl ein , John Zoll , Charl es Min cks, Mil fo rd Childs , Frederi ck Cu e tn er, Matth ew O'Brien, No rb ert Robe rts. MIDDL E ROW {l eft to right): Albert Rekate, Bernard Ju veli er, Jam es Schaus , John White, William Hil de brand, Louis Tripi Lyle Mo rgan, Stanl ey Urban . FRONT ROW {left to right): Robert Roehl , Marshall Clinton, C. Henry Severs on, John Benn y. Dr. Cornelius J. O'Connell, clinical associate professor of microbiology and medicine, is the new president of the Western New York Society of Internal Medicine.D Dr. Nancy Ann Owens, a research instructor in microbiology, has joined the pediatric faculty at Children's Hospital in the division of hematology-oncology. She is director of the hematology lab and transfusion services. She recently received her Ph.D. from U/B in immunology-microbiology.D Dr. Thomas M. Rossi is an assistant instructor in pediatrics in the division of gastroenterology and nutrition at Children's Hospital. He received his M.D. from the New Jersey College of Medicine.D Four faculty members participated in the Forum on Fundamental Surgical Problems recently. They were: Drs. Frank B. Cerra , assistant professor of surgery; Bertram A. Partin, M'53, clinical associate professor of surgery; Eugene R. Mindell, professor and chairman of orthopedics; and John H. Siegel, professor of surgery.D WINTER, 1980 Dr. Carl W. Porter, clinical assistant professor of pathology, received a $43,153 National Cancer Institute grant to investigate anti-cancer drug action on the metabolism and/ or function of polyamines. He is also a research scientist in the department of experimental therapeutics at Roswell Park Memorial Institute.D Dr. T. Ming Chu, clinical assistant professor of biochemistry, received a $42,004 National Cancer Institute grant to continue immunochemical and biochemical assays to improve treatment and management of prostate cancer patients. He is also director of cancer research in the department of diagnostic immunology research and biochemistry at Roswell Park Memorial Institute.D Dr. Giuseppe A. Andres, professor of microbiology in medicine and pathology, presented five lectures in Italy recently. He spoke at the 9th International Congress on Proteinumia; the 8th International Medical and Surgical Meetings; at the Schools of Medicine at Ferrara and Padova; at the annual Rotary Club Symposium in Massa; and the International School of Urology and Nephrology at Erice.D 41 People �BACK ROW (left to right): Paul Cotter, George Fugitt, George Ellis, John Hortman, Edwin Volentine, John Quinlivan, Joseph Rutecki, William Taylor. THIRD ROW (left to right): ormon Chossin, Wayne Templer, William An do/oro, Richard Adler, Jane Brady Wiles, Charles Wiles, Earl Cantwell, A. Arthur Grabau, Herbert Joyce, Victor Lazarus, Raymond Barry, Theodore Jewett. SECOND ROW (left to right): William Mcintosh, Robert Schopp, Vito Log/io, William Loeser, Jacob Steinhart, Bruce Baisch. FRONT ROW (left to right): Edward Forgrave, Martin Downey, John Robinson, K. Joseph Sheedy, Ivan Kuh/, Alton Germain. Thirteen physicians associated with U/B's School of Medicine has been included in the recent book, The Best Doctors in the U.S. by John Pekkanen. More than 500 physicians and surgeons were surveyed by Pekkanen, who compiled a listing of 2,500 physician medical specialists. The U/B physicians cited are: Cardiologists: Dr. David G. Greene, professor of medicine. Colon and Rectal Surgeons: Dr. Bertram A. Partin, M'53, head of the Division of Colorectal Surgery. Othopedic Surgeons: Dr. Eugene Mindell, chairman of the Department of Orthopedics. Allergy: Dr. Robert E. Reisman, associate clinical professor of medicine and pediatrics. Genetic Counselors: Dr. Robin M. Bannerman, professor of medicine. Pediatric Endocrinologists: Dr. Margaret H. MacGillivray, professor of pediatrics. Juvenile Diabetes Specialists: Dr. Alfred R. Lenzner, assistant clinical professor of medicine. 42 Pediatric Allergists and Immunologists: Dr. Elliot F. Ellis, chairman of the Department of Pediatrics and Dr. Elliott Middleton, professor of medicine and pediatrics. Pediatric Radiology: Dr. Jerald P. Kuhn, M'62, professor of radiology and associate professor of pediatrics. Adult Hematology and Oncology: Dr. Richard Cooper, associate clinical professor of medicine, and Dr. Edward Henderson, research professor of medicine. Pediatric Hematology and Oncology: Dr. Arnold I. Freeman, research associate professor of pedia trics.D Dr. Carl J. Bentzel, professor of medicine and assistant professor of physiology, was on a two-week voluntary tour with the U.S. Public Health Service in Indiantown Gap, Pa. He was helping to provide health care to the Cuban refugees.D THE BUFFALO PHYSICIA �Two research grants were awarded recently to the Children's Hospital. The National Institute of Child Health and Human Development provided $170,003 to the Division of Human Genetics for the Study. Funding is for a five-year period from Aug. 1, 1980 to July 31, 1985. Principal investigator on the grant is Dr. Georgirene D. Vladutiu, research assistant professor of Pediatrics, division of human genetics. A second grant, $11,200 from the American Heart Association, Western New York Chapter, Inc., was awarded for the study, "Quinidine Elimination in Pediatric Patients." The grant, which will be used for research by the divisions of clinical pharmacology and pharmacokinetics and cardiology, is for the period Sept. 1, 1980 to Aug. 31, 1981. Principal investigators are Drs. Danny Shen, Stanley Szefler, Robert L. Gingell, and Daniel R. Pieroni, department of pediatrics faculty.D Millard Fillmore Hospital has completed a two-year $2.4 million renovation program involving four floors at its Gates Circle facilities. The project included renovation of the fifth and sixth floors of the hospital's center building to house patient rooms. The fourth floor in the building was renovated to include an ambulatory surgery preparation and recovery room, offices for the surgery and respiratory therapy departments and a 12-bed surgical unit. The fourth floor of the hospital's east building was renovated to house an eight-bed nutritional support unit and a four-bed treatment unit.D Two faculty members, who are at the Erie County Medical Center, were named outstanding in their field at the city-wide SUNY /Buffalo Ob/Gyn conference. Dr. James Y. Yip, clinical assistant instructor, was named top chief resident; and Dr. Mahmood Yoonessi, assistant professor, was selected as outstanding teacher of the year.D Dr. Diane M. Jacobs, associate professor of microbiology, received a three-year $179,188 National Institute of Allergy and Infectious Diseases grant.D Dr. Giuseppe A. Andres, professor of microbiology in pathology and medicine, received a five-year $668,396 National Institute of Allergy and Infectious Diseases renewal grant.D Dr. Felix Milgram, professor and chairman of microbiology, received a five-year $382,263 ational Cancer Institute grant.D BACK ROW [left to right]: Donald Thomas, James Brandl, Robert Bergner, Richard Lyons, Roy Robinson, Henry Peck, Charles Brody, Robert Benninger, Leo Manning, Joseph Mattimore, Yale Soloman, Roland Anthone, Kenneth Kelley. MIDDLE ROW [left to right]: Adelmo Dunghe, Sidney Anthone, Hyman Tetewsky, Helen Sikorski, James Dunn, Myra Zinke, Charles Howe. FRONT ROW [left to right): Robert Patterson, William Webster, Richard Leberer, Clarence Sanford, George Taylor. The Class of 1950 at Spring Clinical Day WINTER, 1980 43 People �People Dr. Clara M. Ambrus, research professor of pediatrics, was among seven women cited by the U/ B Community Advisory Council for outstanding service to their community and professions. She has been a cancer research scientist at Roswell Park Memorial Institute since 1955. Among her notable research contributions are the elucidation and successful treatment of hialine membrane diseas e (HMD), one of the major causes of infant mortality in this country. The mother of seven children, three of whom are also physicians, Dr. Ambrus attended the University of Budapest and University of Paris. She received her MD degree from the University of Zurich and Ph.D . degree from Jefferson Medical College in Philadelphian Dr. Darryl R. Absolom, research instructor in microbiology, has been elected a Fellow of the Juvenile Diabetes Foundation.D Dr. Vijay Kumar, clinical assistant professor of microbiology, is a Diplomate of the American Board of Medical Microbiology.D Three pediatric residents at Children's Hospital have joined the faculty as clinical instructor's of pediatrics. They are: Drs. Gregg Broffman, M'76, Paul Chirlin, M'77, and Marguerite Parisi.D Ten physicians at Children's Hospital have been promote d. Promoted to professors of pediatrics - Drs. James R. Humbert, division of h e matology/ oncology; Emanuel Lebenthal, division of gastroenterology and nutrition; M a rio C. Rattazzi, division of human genetics. Promoted to assistant professor of pediatrics - Drs. Ganesh N. Deshpande, division of hematology/ oncology; Marie R. Gallagher, division of infectious diseases; Ian T. Nathanson, M '74, division of pulmonary disease; Robert C. Welliver, division of infectious diseases. Promoted to clinical assistant professor of pediatrics - Drs. Steven V. Grabiec, MartinT. Hoffman, M '72, and RussellS. Vaughan - all clinical faculty.D Mr. Ra ymond A.R. Hadley and Mrs. Dorothy G. Pollock are new clinical instructors of pediatrics in the division of hematology / oncology at Children ' s Hospital.O BACK ROW (l e ft to right): Llo yd Damsey, Da vid Weppner , Frank Cozza, R obert Martin , Jam e s Collins, John Kent, Jam e s Garvey, Jam e s Fitz patrick , Albe rt Franco, Donald Warmer, Sh edrick Moore, Ray Schiferle, Jr., Michae l Gionturco. SECOND ROW (left to righ t): Daniel Fagerstrom, Irving Joffe, Kathryn Keich er, Winifred Mernan, Cleora H andel, Leonard Schaer, John Peterson. FRONT ROW (left to right): A nthony Schiavi, John Foley, Vincent Celestino, Ja m es N unn, S.J. LaMancusa, John Winte r, R obert Pittell. The Class of 1955 at Spring Clinical Day 44 THE BUFFALO PHYSICIAN �The Class of 1960 at Spring Clinical Day BACK ROW (left to right): Algindas Gamziukas, Daniel Rakowski, Marshall Lichtman, John Tuyn, James Kanski, Daniel Gianturco, Roger Dayer, Donald Donius, Harry Metcalf. SECOND ROW (left to right): Robert Malatesta, Thomas Witschi , Franklin Glockner, Edward Graber, Eugene Rivera, Donald Hammel , Charles Riggio. FRONT ROW (left to right): William Stein, Eugene Partridge, Daniel Goldberg, Thomas Guttuso. Dr. Felix Milgram, professor and chairman of microbiology, presented a paper at the First International Symposium on the Impact of Transplantation Upon Contemporary Biology and Medicine in Jerusalem recently. "Allotransplantation and Autoimmunity" was the title of his paper. He also lectured at the 8th International Congress of the Transplantation Society in Boston.D Dr. Leonard Katz, professor of medicine and associate dean for student/curricular affairs, is chairman-elect of the Association of American Medical Colleges' Northeastern Group on Medical Education. This group is composed of 30 medical school representatives in the Northeast Region.D Dr. Fred Rosen, research professor of biochemistry, has been named associate institute director for scientific affairs at Roswell Park Memorial Institute. He is also associate director of the experimental therapeutics department and the Grace Cancer Drug Center.D Dr. Saxon L. Graham, clinical professor of medical sociology, received a $2 million fiveyear grant from the National Cancer Institute to study the role of nutrition and other factors (smoking, drinking, occupational exposure) in the development of cancer. He will conduct the studies in conjunction with colleagues at U/B, Roswell Park, New York State and Erie County health departments, New York State Research Institute on Alcoholism and the University of Western Ontario.D Dr. Arnold I. Freeman, research associate professor of pediatrics, received a National Cancer Institute grant of $140,386 to direct a program to evaluate the long-term side effects of the therapy which has resulted in a dramatic increase in the number of children surviving acute lymphocytic leukemia. Dr. Freeman's study will be done in cooperation with medical centers in New York City, the New England States and West Virginia.D The Research Institute on Alcoholism dedicated its $5-million renovation Sept. 16. The Institute, located at 1021 Main St., is affiliated with the Medical School. The institute, a division of the New York State Office of Alcoholism and Alcohol Abuse, was founded in 1970. Its major studies have been the effect of alcohol consumption during pregnancy and the effects of combined alcohol-marijuana use. Dr. Ben Morgan Jones is the director.D WINTER, 1980 45 �People Dr. Francis J. Klocke, professor of medicine and physiology, has been elected secretary of the American College of Cardiology. He is also chief of cardiology at the Erie County Medical Center.D Dr. George Schillinger, clinical instructor in urology, is the new president of the Buffalo Urological Society. The president-elect is Dr. Datta Wagle, clinical assistant professor of urology. Dr. Iqbal Mohamed is secretarytreasurer and Dr. Donald Steele is Canadian represen ta ti ve .0 Dr. Vitune Vongtama, clinical assistant professor of radiology, is the new director of the radiation therapy department at Buffalo General Hospital. He joined the hospital staff in 1976 and has been acting director the last year. He earned his medical degree in his native Thailand.D Dr. K.L. Parthasarathy, clinical assistant professor of nuclear medicine, has been named a Fellow of the American College of Physicians.D Mr. Lonny Behar, class of 1983, won $200 in th e annual Rudolph E. Siegel student essay contest sponsored by the Friends of the Health Sciences Library. His topic: "The Rise of Laboratory Pathology in New York City Medical Schools: A Chapter in the Development of American Medical Science and its Institutions." The contest is sponsored in memory of Dr. Siegel, a notable medical historian and emeritus assistant professor of medicine at U/B. He died in 1975.0 Children's Hospital is completing its 10story Tower Building on Bryant Street. It was built in 1970-72 but the interior was not compl e ted because of no funds. All in-patient service will be re-located in the tower when compl e te d.D Children's Hospital received a $100,000 gift from De laware North Companies, Inc. to establish a sports medical clinic. Dr. Richard W e iss , clinical assistant professor of orthope dics and head of the department at the hospital, will direct the new unit. He is also the Buffalo Bills team physician. Drs. Gerd Cropp, professor of pediatrics, and Frank Cerny, assistant professor of pediatrics, will assist in the clinic. The clinic will educate young p e opl e on prevention of sports-related injuri es.D BACK ROW (left to righ t): joseph Gentile, Michael Lippmann, Arthur Cashin, ]an Novak, Bruce Littman, Shafic Twa/, Dan Copley. MIDDLE ROW (left ta right): A rthu r Seigel, Alan Wi rtze r, William Balistreri, Sebastian Conte, Fred Gensler, Den nis Krauss. FRO T ROW (left to right): Frank Mille r, Robert Unge r, Nei l Ga r roway, Roge r Fo rden, De nn is DuBois . ... ... The Class of 1970 at Spring Clinical Day 46 THE BUFFALO PHYSICIAN �People In Memoriam Dr. Robert Mcisaac, professor of pharmacology and therapeutics, was awarded a $12,085 ew York State Health Research Council grant. He is also chairperson of the second year committee and accelerated program committee at the Medical School.D Dr. George H. Selkirk, M'43, died July 26 of a heart attack on his sailing boat in Camden, Maine. His age was 62. He was a clinical associate professor of pediatrics at the Medical School and an attending pediatrician at Children's Hospital for 30 years. He was also director of the hospital's transfusion services and hematology. He retired in 1979. Dr. Selkirk received his bachelor's degree in chemistry and zoology from Dartmouth College in 1939 before entering the Medical School. He interned at Buffalo General Hospital and took his residency at Children's Hospital.D Dr. Jerome Roth , assistant professor of pharmacology and therapeutics, has coauthored three articles for scientific journals.D Dr. Paul Kostyniak, assistant professor of pharmacology and therapeutics, received a $25,000 grant from the New York State Health Research Council.D Dr. Cedric Smith, professor of pharmacology and therapeutics, received a $20,000 New York State Health Research Council grant to study Neural Mechanisms of Alcohol withdrawal.D Dr. Barbara Rennick, professor of pharmacology and therapeutics, received a $70,000 grant from NIH-HLB for 1981.0 Six faculty members are new officers in the Western ew York Society of Internal Medicine. Dr. Cornelius J. O'Connell, clinical associate professor of medicine and microbiology, is president. Dr. James P. Giambrone, M'67, clinical instructor in medicine, is first vice president; Dr. Alfred R. Lenzner, clinical assistant professor of medicine, is second vice president; Dr. Elton M. Rock, M'59, clinical assistant professor of medicine, is treasurer; Dr. John F. Reilly, Jr., M'64, clinical instructor in medicine, is secretary; Drs. Joseph W. Cervi and Rajinder S. Sa char, clinical instructors of medicine, are delegates.D Dr. Rapier H. McMenamy, professor of biochemistry, died of a heart attack October 12 at the Millard Fillmore Suburban Hospital. He joined the U/B faculty in 1960. He received his bachelor's and master's degrees from the University of Southern California and his Ph.D. degree in biochemistry from Harvard University. He had been in the United States Navy for 20 years during World War II and the Korean War. Dr. McMenamy, 63, was internationally known for his studies of protein interactions and the structure and function of albumin. He was a member of the trauma research team at the Buffalo General Hospital and the Erie County Medical Center. He was active in several professional societies. He was a recipient of the prestigious Fogarty Fellowship in 1978-79 and continued his research at Gottingen, West Germany. The Dr. R.H. McMenamy Memorial Fund to provide funds for students in the Department of Biochemistry is being established through the U/B Foundation.D Dr. Donald J. Tillou, M'17, died October 20 after a long illness in Pine Bluff, Arkansas where he had lived since retiring in 1978. For most of his life the 86-year-old thoracic surgeon lived and practiced in Elmira, New York.D Dr. Alfred R. Lenzner, clinical assistant professor of medicine, is vice president of the Physicians' Foundation of Western New York Inc.D WINTER, 1980 47 �1981 Alumni Tours February 23-March 2 PUERTO V ALLART A, MEXICO from Toronto- $650-$750 (choice of Hotels) Fiesta Americana & Los Tules A & B Travel- Wardair May 18-25 LAS VEGAS/SOUTHERN CALIFORNIA from Niagara - $619 June 1-8 LAS VEGAS/SOUTHERN CALIFORNIA from New York City- $594 4 nights New Hacienda Hotel & Casino -Optional tours to Lake Mead, Mt. Charleston, Las Vegas shows - Bus to Pasadena 3 nights Sheraton Huntington Resort - Optional tours to Hollywood, Beverly Hills, Disneyland Arthurs Travel -Capital Airlines July 13-30 CHINA from Buffalo - $3,395 from New York City- $3,295 3 nights Manila Plaza (all American breakfasts) 2 nights Mandarin in Hong Kong (all American breakfasts) 10 nights Peking, Nanjing, Suzkow, Shanghai, Hang Zhou (all meals) Philippines International Airlines Arthurs Travel August 5-12 SUN VALLEY/YELLOWSTONE NATIONAL PARK from New York City- $574 Sept. 9-16 SUN VALLEY/YELLOWSTONE NATIONAL PARK from Niagara - $599 Fly to Idaho Falls 4 nights Sun Valley Resort Lodge & Inn Bus to West Yellowstone via Craters of the Moon National Park 3 nights West Yellowstone Option Park trips Arthurs Travel -United Airlines August 24-31 RENO/SAN FRANCISCO from Niagara - $759 September 9-16 RENO/SAN FRANCISCO from New York City- $713 4 nights MGM Grand Hotel & Casino - Optional tours to Lake Tahoe, Ponderosa Ranch Bus to San Francisco 3 nights Hotel San Francisco - Optional tours to the wine country, Monterey Peninsula Arthurs Travel- United Airlines 48 THE BUFFALO PHYSICIAN �A Message from Robert W. Schultz, M'65 President, Medical Alumni Association The Center for Tomorrow, a building for continuing post graduate education, is being erected on the Amherst Campus. It has been financed by private funds, as well as funds from the Schools of Medicine and Dentistry. Since this center will play an important role in post graduate medical education, your governing board voted substantial funds toward the project. We all look forward to its completion and future use, especially Spring Clinical Days. Future activities include the annual winter alumni trip - this year to ~uerto Vallarta, Mexico, February 23 to March 2, 1981. An excellent cont~nuing medical education program has been planned which will be prach~al and timely to both physicians and surgeons. Too senior class reception ~Ill be held on Sunday, April 26, 1981 at the Albright Knox Art Gallery and Is open to all alumni and faculty. Invitations will be forthcoming. Spring Clinical Day is scheduled for Saturday, May 9, 1981 at the Buffalo Convention Center. Rooms have been reserved at the new downtown Hilton Hotel. Another excellent program has been planned and I urge your attendance. look forward to seeing many of you at the above events and invite your contmued support of your association.D Dr. Schultz ! ------ ---------------------------------------------------------------------------------------------- 111111 BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POST AGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Dean Naughton's Message Spring Clinical Day Lithium: Dr. Markello Cimetidine: Dr. Bernhard Beta Blockers: Dr. Orlick Government Regulations: Dr. Lasagna Cancer Chemotherapy: Dr. Cooper Antimicrobial Therapy: Dr. Betts Nine Classes Give $38,200 Images and Internists: Dr. Spiro A Student's Impression of Austin Flint by Dr. O.P. Jones Pediatric Programs Medical Alumni Officers Head Start Dr. Donald Cohen/Scholarship Fund Smithsonian Display Faculty Honored Ernest Witebsky Center for Immunology Cardiology Strokes Biochemistry Symposium Aneurysm Patient/Continuing Education Dr. Brian Joseph/Continuing Education USCFMS Students/ Accelerated Program Resident Graduation The Classes People In Memoriam Alumni Tours Your Alumni President Speaks Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/22c211d2ed892476964fdd1cfc874d3d.pdf 988e0eb5596e4520e9d95c6dfbbe7a33 PDF Text Text The t Volume �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae: Spring activities provide opportunity for conviviality as well as an opportunity to determine the spirit and vitality of the School of Medicine's educational enterprise. The activities conducted this Spring by the School and/ or its alumni association indicate that both spirit and vitality are quite high. Among the activities which provided opportunities for alumni, faculty, friends and students and their spouses to share a few moments with one another were the Annual Alumni Reception for Graduating Students held at the Albright-Knox Art Gallery in late April, the Spring Clinical Day and Stockton-Kimball Lecture held at the Buffalo Convention Center, the multitude of five year Class Reunion Dinners held at various sites throughout the City of Buffalo, and the School of Medicine's graduation and post-graduation reception on May 17. Each of these events was well attended by the multiple constituencies involved. The cohesiveness and responsiveness that was present indicated a spirit of purposefulness and accomplishment. Alumni, faculty and students all seemed to have benefited from the activities and the School and the Alumni Association felt amply rewarded for the efforts it put forward. Obviously, the success of such events are due to the work of a dedicated and unselfish set of leaders and staff. For this year's events, the efforts of Dr. Robert Schultz, President of the Alumni Association, Mr. James Snyder of the University of Buffalo Foundation, Inc., and Mrs. Nancy Druar, deserve an expression of special commendation and gratitude. They truly provided the momentum and leadership which made 1981 an especially memorable year. Each individual set a pace and standard which will be a meaningful challenge to those of us charged with preparing for the 1982 Spring activities.O �Volume 15, Number 3 Fall1981 THE BUFFALO PHYSICIAN (USPS 551 -ll60) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERT 5. MCGRANAHAN Dean, School of Medicine DR . JOHNNAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor TERI ROBERTS CO NSULT ANTS President, Medical Alumni Association DR . NORMAN CHASSIN Vice President, Faculty of Health Sciences DR. F. CARTERPANNILL President, University Foundation JOHN M. CARTER Director of Public Affairs HARRY JACKSON Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 2 3 6 8 12 16 17 18 21 22 24 26 28 29 30 31 32 34 36 37 38 39 40 41 42 43 47 51 52 THIS ISSUE Dean Naughton's Message (inside front cover) Commencement Iris Dedication Students Honored President Ketter's Address Health Care Plan ew Graduate Program Roswell Park Seminars/Dr. Wels Chemical Emergency Manual Orthopaedic Residents Geriatric Selective SUNY / Union Carbide Alumni Reception Dr . Rahn Dr. Milgrom Dr. Musselman Dr. Harker New Requirement Student Meeting Dr. Lambert Honored Dent Institute/ Medical Education Lifeline Units/ Alumni Tours BGH Construction James Platt White Medical Industrial Complex Love Canal People The Classes In Memoriam Dr. Chassin' s Message Physicians Honored (inside back cover) The cover design , by Barbara Evans, depicts fall . THE BUFFALO PHYSICIAN, (USPS 551-860). Fall, 1981 - Volume 15, Number 3 published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. POSTMASTER : Send address changes to THE BUFFALO PHYSICIAN, 139 Cary Hall, 3435 Main Street, Buffalo, New York 14214. Copyright 1981 by The Buffalo Physician. FALL, 1981 1 �The Class Gift, 12 x 15 banner. 135th Annual Commencement Dr. Caldi cott Dean John aughton welcomed the graduates and their families to the 135th commencement. He praised the 147 graduates (99 men and 48 women) for their hard work and dedication. He mentioned two previous events - senior reception and spring clinical day- both sponsored by the Medical Alumni Association, that made this an exceptionally busy time of year for the Medical School faculty. Dr. aughton also introduced several dignitaries who participated in the commencement ceremonies. He congratulated three faculty members who received special honors this spring. They are: Dr. Felix Milgrom who was named distinguished professor; Dr. Hermann Rahn who was given the Chancellor Charles P. orton Medal; and Dr. David Harker (biophysics professor emeritus) who received the state university system's first honorary degree, Doctor of Science. Dean Naughton also thanked the 1981 class for their class gift, a huge banner that will be used at future Medical School functions. He noted three other innovations: a brass band replaced the organist; the reception that followed was at the Buffalo Convention Center rather than the Mary Seton Room; and for the first time in at least 15 years the class selected an outside commencement speaker, Dr. Helen Caldicott, an Australian pediatrician , who is an internationally known anti-nuclear activist. She is president, Physicians for Social Responsibility. 2 THE BUFFALO PHYSICIA �.. "We are living on a terminally ill planet and this is a profound responsibility of all of us. People in America and everywhere must become involved to avert complete destruction. There will be no winner in a nuclear war . The super powers are acting like two big bullies." Dr. Caldicott lashed out at President Franklin Roosevelt and the United States scientist, who were responsible for developing the A-bomb . She traced briefly the history of the development of the bomb, and deplored the dropping of two atomic bombs on Japan in 1945 that ended World War II. "Even the foot-soldier today carries nuclear weapons and our tanks, ships and submarines are equipped with these planet destructive weapons . And very soon many third world countries will have nuclear reactors for peace as well as weapons for war. This is costing the world a tremendous amount of money. Meanwhile, two-thirds of the world 's children are starving or malnourished," Dr. Caldicott said. She noted that the "dooms-day clock" was down to four minutes and running. "We may have a nuclear war before 1990. We must prepare for it, but how? Within 30 minutes the entire planet could be virtually destroyed by a push-button nuclear war . The few survivors would be better off dead." The crusading physician said, "making bombs is a people 's disease. It is such a displeasing subject that people are reluctant to think or talk about it." On the other hand, she indicated that the increase in the use of drugs and alcohol may be because of the nuclear war threat. In discussing therapy to deal with a terminal war , Dr. Caldicott suggested that physicians with a doctor/ patient relationship must shatter the psychic thoughts of war. "When you are treating a patient you have total commitment to that patient. We need this same total commitment to save this planet. If we work for each other this will lead to happiness. A medical umbrella around and over the world is needed to protect it from nuclear war." In conclusion Dr. Caldicott said, " we are at the crossroads of time and we physicians have the key to saving life on this planet if we can stop the proliferation of nuclear weapons. We must also make people fully aware of the dangers of war." The Medical School yearbook, The Iris, was dedicated to Dr. Robert A. Milch, M'68, clinical instructor in surgery. He was introduced by yearbook editor, Howard A. Werman.D The Dedication Traditionally, The Iris has been dedicated to an individual for excellence in teaching. This year, tradition has been modified, dedicated instead to a surgeon, both for excellence in teaching as well as to the concept for which he stands. We respectfully dedicate the 1981 Iris to Dr. Robert Milch , and to the American Hospice Concept. d- FALL, 1981 3 Daniel Castellani, Dean Naughton. Approximately 5,000 students are candidates for degrees in th is year 's commencement exer cises. The total includes 356 Ph.D.'s, 40 Ed.D. 's, 246 law d eg r ees, 147 M.D.'s, 80 D.D.S.'s, 7 doctors of pharma cy, 2881 bachelor's, 1268 m aster's, and 40 associate degr ees. Bruce Cusenz and parents. �Drs . Jam es Phillips, Robert Milch . Dave Small Dr. Milch is the president of the Association of Hospice Physicians. While the Hospice concept is old to European medicine, it has only recently been recognized and accepted as a part of American medicine. Dr. Milch helped found the Buffalo chapter of Hospice and currently volunteers his time as its medical director. The medieval usage of the word "hospice" described a shelter for travelers on a difficult journey. Its current usage is to describe a holistic approach to the care of the terminally ill cancer patient. The management of the dying patient is a team project: it incorporates physicians, nurses, social workers, allied health care professionals and volunteers in a close relationship with the patient, his family, friends, and clergy. A major goal of Hospice is to improve the quality of life for the dying patient. This involves physical symptom control with pharmacologic, psychologic and spiritual intervention. Relief of pain is of primary importance; but pain for the terminally ill patient is not only physical, it is mental, financial and interpersonal. Home nursing care is taught to family and friends which enables patients to remain active at home and avoid institutionalization for as long as is possible. Administration of pain medication by the patient himself or his family places responsibility on others than professional staff, while improving patient self-reliance and family bonding. Care is a continuum, which extends from the diagnosis of a terminal illness through death and beyond . Professional services are provided to the mourning family . This recognizes the all too often ignored psychological and physical needs of the surviving family members. Obviously, the emotional and physical drains on Hospice staff are enormous. But the rewards are just as enormous and gratifying. With the evolution of more and more medical techniques and regimens aimed at increasing the duration of life , it becomes evident that more must be done to improve the quality of that extended life, the American Hospice Concept is a major step in that direction. Hospice services are provided on the basis of health care needs, not on the ability of the patient to pay. Funding is dependent upon grants and donations. As its medical director , Dr. Milch himself donates his time and expertise to work toward the success of all phases of the program. In addition, Dr. Milch has a busy surgical practice and is an associate professor of surgery in his alma mater, SUNY Buffalo School of Medicine. We hope to see the focus of American medicine turn more towards improving the quality of life as well as towards increasing its duration. We thank and salute Dr. Milch for his continuing contribution. Dr. Milch Responds In accepting the honor Dr. Milch said , "In preparing these remarks over the past weeks, I have thought often of my own graduation from Medical School an alarming number of years ago. 4 THE BUFFALO PHYSICIAN �While most of my memories of that May afternoon are quite vivid, and while I am quite certain I gave a speech then, too, I can't remember anything I said at that time. That may not auger well for the durability of these words, but if their sense can be retained, I will take some measure of comfort. "I have tried to keep in perspective my role here, for while I, with gratitude, accept this recognition in the name of all the Hospice staff, in fact, it is the Hospice concept which is, and should be, cited." He continued, "How remarkable that in the midst of our most rapidly proliferating technologies, at a time when our relationships are specialized, impersonal, and utilitarian, that a concept of care which harkens to the most fundamental tenants, not just of medicine, but of humanity itself, should begin to flourish. "How reassuring, for it bespeaks a widening influence, not of Hospice's simplistic methodologies, but of its principles, its teachings, and their implications for all of living; that the deepest wisdom man can gain is that his destiny is to serve, to aid; that while the aspiration may be to attain, the perfection is to dispense. It reminds us that what happens to another in our presence is not a function of what we know, but of what we are." In conclusion Dr. Milch said, "In this capacity, Hospice is the exemplary ally of everyone it touches in the personal, private effort to stay humane; in the sense of privilege and renewal of purpose it conveys to you who are about to take the Charge of Maimonides, to whom I wish Godspeed and give my heartfelt thanks."D Clement Peterson, Dr. We/s, Robert Koren. Drs. Eugene Leslie, Cornelie Jones, James Nolan. Drs. Eugene Leslie, Pauline Wills, Dianne Jacobs . ..----· FALL, 1981 5 d- �15 Students Honored Dr. Milch Kenneth Kuchta, Drs. Pannill, Wels. Fifteen medical students won special honors at the 135th commencement. Dr. Kamal Tourbaf, clinical professor of medicine and chairman of the awards committee, presented the awards. Elizabeth M. Heitzman won three awards; Richard V. Grazi, Robert J. Caccavale, James B. Bronk and Thomas J. Lane each won two awards. Dr. F. Carter Pannill Jr., vice president of the health sciences faculty, conferred M.D. degrees to 147 graduates and the Ph.D. to 19 others. Dean Naughton administered the Oath of Hippocrates to the new physici<~ms and Dr. Leonard A. Katz, associate dean, led them in the Charge of Maimonides. The awards and honors: Thesis Honors- Richard V. Grazi. BACCELLI AWARD - (academic excellence in the clinical years) -Elizabeth M. Heitzman. GILBERT M. BECK MEMORIAL PRIZE IN PSYCHIATRY (academic excellence)- Jane B. Doller. BUFFALO SURGICAL SOCIETY PRIZE FOR SURGERY (academic excellence - junior, senior years) - Robert J. Caccavale. CHILDREN'S HOSPITAL PRIZE- (excellence in understanding disease in childhood) - Elizabeth M. Heitzman. DEAN'S AWARD- (participation in extra-curricular activities in the medical school while maintaining a high standard of academic excellence) -James B. Bronk. NORMAN HABER MEMORIAL AWARD - (for proficiency in Otolaryngology)- Allan J. Berger. DR. HEINRICH LEONHARDT PRIZE IN SURGERY- (academic excellence)- Mitchell C. Posner. LIEBERMAN AWARD - (interest, aptitude in the study of Anesthesiology) -George H. Bancroft, III. HANS J. LOWENSTEIN AWARD IN OBSTETRICS- (academic excellence)- James J. Czyrny. MAIMONIDES MEDICAL SOCIETY AWARD- (proficiency in the basic sciences)- Thomas J. Lane. DAVID K. MILLER PRIZE IN MEDICINE- (demonstration of Dr. Miller's approach to caring for the sick - competence, humility, humanity)- Robert J. Caccavale. JOHN R. PAINE AWARD IN SURGERY- (research of merit in the general field of surgery)- James B. Bronk. MARK A. PETRINO AWARD - (demonstrated interest and aptitude for the general practice of medicine) - Lynda M.K. Hohmann. CLYDE L. RANDALL SOCIETY AWARD IN GYNECOLOGY(academic excellence) - Elizabeth M. OBSTETRICS Heitzman. 6 THE BUFFALO PHYSICIAN �EMILIE DAVIS RODENBERG MEMORIAL AWARD (academic excellence in study of diabetes, its complications] - Steven Teich. PHILIPP. SANG MEMORIAL AWARD- (ability to relate well to patients, faculty and staff]- Judithann Pryce. MORRIS & SADIE STEIN NEUROANATOMY AWARD- (excellence in neuroanatomy]- Thomas J. Lane. UPJOHN AWARD- (research ability]- Richard V. Grazi. JOHN WATSON AWARD IN MEDICINE- (enthusiasm for and commitment to scholarship in medicine]- Richard A. Smith. FREDERICK B. WILKES PEDIATRIC AWARD (to the graduating student entering a career in Pediatrics who has best exemplified Dr. Wilkes' skills and dedication to patients] -Diane C. Conlon. HONOR MEDICAL SOCIETY - Sharon Bucher, Harrison J. Bachrach, Robert J. Caccavale, Richard L. Cartwright, Diane C. Conlon, Joanne Gutliph, Elizabeth M. Heitzman, Lynda K. Hohmann, Robert E. Kaplan, Robin B. Karpfen, Thomas J. Lane, Barbara K. Lipton, Conrad May, Melinda M. Murawski, Moshe Siev, David Small, Abraham Z. Snyder, Steven Teich, Peter L. Tenore, Dawn C. Torres, David J. Weldon, Betty E. Wells, Peter M.C. Yeracaris, and Leisure Yu. DOCTOR OF PHILOSOPHY- Thomas Ford-Holevinski and Lingpai Ting (biochemistry). Zenon Derzko and Stephen J. Koons (biophysical sciences]; Roger B. Eaton, Ann M. Fagundus, Timothy J. Gorzynski, Linda L. Kosuda, Carol S. Pierce, Martin D. Praino and Michael D. Ryan (microbiology]; Carol Fink-Del Balso, Brian A. Herman and Lujean Jennings (pathology]; Kevin J. Renskers (pharmacology & therapeutics]; Paul G. Funch, John A. Sterba, Mark F. Stokols and Patricia C. Szlyk (physiology) .D Fred Olson, Dean Naughton, Kamel Tourbaf. Other honorees at commencement: Also at General Commencement, Dr. George L. Collins, Jr., M'48, a Buffalo physician and member of the State University Board of Trustees, conferred one of SUNY's first honorary degrees the Honorary Doctor of Science Degree on Dr. David Harker, emeritus professor of biophysics and former head of biophysics at Roswell Park Memorial Institute. Ketter also cited this year's winner of one of the first SUNY Distinguished Citizen A wards, William C. Baird, a Buffalo businessman and well known civic leader.D Father Edward T. Fisher, the versatile director of the Amherst Campus Newman Center, received the second annual "President's Award" from President Robert L. Ketter at the 1981 Commencement Luncheon, May 17. The award, instituted last year, goes to a member of the University community "who exemplifies standards of devotion and service to the institution that far exceed the ordinary, and who, by personal example, challenges others to rise to excellence. "0 FALL, 1981 7 �Dealing from Strength by President Robert L. Ketter May 17, 1981 I. I first want to extend my congratulations and those of the University to each graduate for the achievement this occasion marks in your life. Although your accomplishment has been individually wrought, it has not been independently attained. You have received encouragement and support from family and friends; from fellow students; and from staff and faculty. You even have been the beneficiaries of the taxpayers of this State. Many persons, therefore, share this achievement with you and through you. In congratulating you, I also congratulate them, not only for their contribution to your individual betterment but for the larger contribution that this represents; that is, their contribution to the betterment of a society that is enriched by a more educated citizenry. II. Since this is my last commencement as President of this University, I felt it might be useful in preparing these remarks to review the inaugural address I delivered after I assumed office in 1970, when many of you were not yet teenagers. For me, this was a way of discovering whether there is a symmetry in beginnings and endings. It also was a way of identifying any continuity of the future in the past and present. As I re-read those remarks, I noted without surprise that one could refer then as now to the University's three-fold mission of teaching, research, and public service. It was obvious, however, that the circumstances in which that mission is now conducted have changed profoundly. These changes have dictated to a large degree varying emphasis on individual activities and their interactions. There have been four major trends that have significantly influenced the manner in which higher education has functioned during Th is is Dr. Ke tter's final commencement address as President. He will re tire in January afte r 11 years as U/ B's president. Afte r a one-year sabbatical h e will re turn to th e faculty as "le ading professor " of engineering and applied scie nces. Dr. Ke tter received the Walter P. Cook e A ward for exemplary service by a non-alumnus from th e U/ B A lumni A ssociation in June.O 8 this past decade. The four have been: the trend toward faculty and staff unionism; increased government regulation; declining rates of increase in financial support combined with inflation; and the shift from a seller's to a buyer's market for students. Two of these, the growth in unionism and regulation, were accelerated by the upheavals that occurred in higher education from the mid-Sixties into the early Seventies. Faculty were faced with the uncertainty of what appeared to be a burgeoning, antiintellectual student movement that sought power of its own. They saw government, reacting in its own way to this movement, begin to exert or talk of exerting a greater degree of regulatory power. Even the administrators of local institutions and state systems moved toward centralization of power and authority - a natural reaction in a time of perceived emergency. Whether the growth of unionism and regulation would have occurred without the impetus of the student movement is debatable. I, for one, believe it would have happened in any event, although the pace would have been slower. The move toward unionism has an inner force of its own; and government, just as any other bureaucracy, would sooner or later have exerted its authority over the sizable amounts of money that were being channeled into higher education. Those funds, as I have noted, have declined in their rate of increase; in fact , when coupled with inflation, real-dollar funding of higher education actually has decreased over the past ten years. Some persons predicted in the late Sixties and early Seventies that such a decline would occur; however, they reasoned that it would be a direct consequence of the disruptions that had taken place on campuses. I do not believe that this was the case. Early in the last decade a widespread public disenchantment with higher education became evident. Higher education had allowed others to claim too much for it, in terms of its utilitarian purposes, and this, coupled with the more fundamental influences of funding competing social programs, the increase and growth of these programs at a time of rising inflation, and the general conviction that higher education was over-extended, all were contributing factors to the resulting decrease in financial support. THE BUFFALO PHYSICIAN �Drs. Rahn, Harker, Kette r In addition, in most parts of the country, there was observed the closing and consolidation of both public and parochial schools at the elementary and secondary levels. This has sent shock waves through the higher education community, which has been urged to brace itself for the impact of a significant decline in the number of traditional collegeage students. III. These, then, have been the four major changing circumstances within which higher education has had to function during the past ten years. I have not mentioned such factors as shifts in student interest; the conflict that naturally exists between elitism and egalitarianism; disagreements over a teaching or a research emphasis. These have occurred in the past and will, I am sure, re-appear in the future. The question is: What effects have these major trends had upon our institutions of higher education? Two of them- unionism and regulationtend to work toward similar ends. They establish common, usually least, denominators and produce sameness. They heighten a legalistic framework and give rise to more rather than less management. Both pose threats to institutional autonomy and FALL, 1981 therefore to academic freedom. On intellectual grounds, I have opposed both of these trends throughout the years. Simultaneously, however, I have recognized that from a political point of view they do exist and one must work within them in order to move the institution forward. To do so has placed new and immensely time-consuming demands on the President; and the demands will continue to exist regardless of who occupies that position. The decline in financial support has had an especially demoralizing effect upon higher education, since our institutions were accustomed so long to a favored status. This has resulted in the introduction of a new concept in academic planning- negativism, the planning for contraction and decline. This has been a difficult concept to deal with politically. The tendency has been toward Herculean efforts that produce very little in the way of results - unless, as happened this year in Michigan, an outwardly defined, immediate crisis is suddenly thrust upon an institution and response is required in an exceedingly short period of time . Declining financial support also has had an effect that has been uniquely accentuated here in New York. It has increased competition between the public and private sectors of 9 �higher education. That competition is greater in this state than elsewhere in the nation because New York brought up the rear in developing a strong and vibrant State University system. It relied instead upon the private institutions in this state and the private and public institutions of other states to educate its young. This tradition has resulted in greater public tax support of private higher education in this state than in any other in the nation. Now that the financial pie is shrinking, and in fact is subject to further division, since the state is assuming responsibility for City University, the rivalry between sectors and institutions has sharpened to an even greater extent. Although the rivalry for the public tax dollar is great, it may become secondary to the competition between the sectors for students. The demographic projections are difficult to dispute. Alternatives seem to be limited to increasing the rate of college attendance among traditional age groups, improving retention rates, and attracting new students from among older and disadvantaged groups. All of these strategies are or will be attempted- and probably by all institutions; but in doing so, there may result an erosion of standards. The danger flags already have been raised. IV. If these are some of the effects that the major trends in higher education have had in the past ten years, what do they hold for the future? As I stated earlier, unionism and government regulation will continue to place great demands upon the time of any administration. In regard to the latter, we have seen develop within the last several years an ascendant opposition to regulation. This does not mean, however, that given sufficient time, regulation will disappear. That is not the nature of any bureaucracy. At the optimum, it means that the regulators and the regulated may reach accommodation upon certain types of regulations so that they are more reasonable or are less onerous. It may possibly even mean that eventually each level of administration will become better able to exercise the decisions that should be within its own province. Faculty and staff unions are another matter. Although there have been recent legal 10 rulings that have held that at some institutions the faculty are too involved in management decisions to become unionized, I do not see them disappearing from the scene. I would hope that these unions could rise above the economic self-interests of their members and their own organizations and address a number of the more basic problems and issues facing their institutions. That, however, is not their primary reason for existence, so they will continue to be an impediment to the claim to academic freedom. One can assert the protection of that unique freedom with validity only when one is free of compelling self-interests, which the union is not. Nevertheless, this is a situation that we will have to live with, especially in an uncertain economic climate. Although that climate would be improved considerably if inflation were brought under reasonable control, the real threat to higher education is the decline of the college-age population. The strategies I mentioned earlier intended to increase enrollments already are being attempted in various forms. I am convinced, however, that they will not be sufficient to prevent the closure or consolidation of some institutions, both public and private. Our own institution is not in jeopardy; in fact, we may well benefit from the closing of institutions that do not have our academic strength. This is no reason for complacency. The competition with other public institutions and with the private sector will be very real; it will indeed require a great deal of our attention. It will also require courage. The greatest danger in the competition for students is in an erosion of academic standards. This is especially true for our own institution, for as a University Center our standards should be second to none. Such standards primarily are the responsibility of the faculty, whether for admission or retention. The first full-time Chancellor of this University, Samuel P. Capen, addressed this responsibility early in his administration. "A University," he said, "is a place maintained at great expense to foster the philosophic point of view, to stimulate constructive thinking, because this point of view and this mode of thinking have been found necessary to the progress of civilized society. It is fair to demand that those who cannot capture the philosophic point of view and who cannot THE BUFFALO PHYSICIA �learn to think constructively should not consume its resources . . . The decision as to whether certain of those that are in college are qualified to remain is relatively easy," he said. "It can be made, and made justly, if the moral courage of the faculty can stand the strain." I believe our own faculty will meet that test; and the test is surely coming. v. Is the future for higher education as bleak as it might seem? No! Throughout the years, we have been confronted with the movement of ideas and events that form force and counterforce. We attempt to maintain these in some precarious balance and to adjust imbalances. We get the job done. We teach; we develop knowledge; we serve the public. Although we subject ourselves and our institutions to rigorous scrutiny - indeed, higher education is the most scrutinized part of our society - and we base plans and projections upon these evaluations, the fact is that major decisions and changes almost without exception occur as reactions to the immediacy of major pressures and circumstances. One of our nation's most noted academic planners commented on this a year or two ago when he was surveying the future of higher education. "I have no power of divination ," he said, "and I have no blind confidence in projection. I can offer only ... a hope for survival, and an abiding faith in talent and virtue, if we will only continue to cultivate those grapes in the vineyard of higher education. " His faith, just as mine does, rests with the individual. In a sense, therefore, I have come full circle to the inaugural address I once delivered. I could speak then of this University's mission and of the balance and interrelatedness of its three elements. I could say then and now that our future depends upon the individuals who constitute this University. There are many reasons why this institution can deal with the future from a position of strength. We are the only comprehensive university in Western New York and the largest and most broadly based of the University Centers within State University. Our academic programs rank with the best. Our relations with the community are strong and we have a physical plant whose completion is finally in sight. All of these factors, however, FALL , 1981 are overshadowed by the fact that we have on our campus an immense number of faculty and staff and students who care deeply for this University and who are willing to commit themselves to its further development. These individuals form the real position of strength from which we face the future . Robert Browning once wrote that : " ... a man's reach should exceed his grasp, Or what's a heaven for? " At this University, we have been blessed with an abundance of persons who do indeed reach beyond themselves, and who, in turn , cause the institution to reach beyond itself. They are the ones who have imparted a sense of joy and excitement to my own job over the years. They have made it all worthwhile . Thank you; and good luck.D 11 �Front extronce. Health Care Plan GROUP PRACTICE organized to meet the comprehensive personal and family health needs of members is the trademark of Health Care Plan, according to Dr. Edward Marine, medical director. The former associate dean is also clinical associate professor of medicine and family medicine at the Medical School. The 14 full-time physicians in the rapidly expanding group and more than 70 participating consulting specialists all maintain faculty appointments. "This is part of our commitment to quality and a step to one of our organizational goals," said Dr. Marine. "In developing Health Sciences Centers, our University and others recognized the need to bring the academic resources of the health professions together. Our organization brings the professionals together in an interdisciplinary group practice. The excellence of care focused on the individual relationship between physician and patient is undeniable. Our medical group is convinced that it is possible to incorporate the essential quality elements of that relationship into an overall plan that allows fuller use of the other health professions as partners." Health Care Plan is the first prepaid group practice in the Buffalo area. Now in its third year of operation, the organization serves 22,000 members in a modern well-equipped medical center in West Seneca and a satellite office in Amherst. The original 10,000 square 12 foot facility was developed with a federal HMO grant awarded in 1977. Construction of the present facilities, opened in 1980, was secured by operating revenues and a federal loan program. The fact that HCP is a private health insurance corporation as well as an organized delivery system presents a unique challenge. It must be competitive both in costs and quality with other forms of care and insurance. This means that everyone in the organization must be conscious of costs and the levels of health and satisfaction among members, according to Dr. Marine. "Only a large general hospital could mainta.in more services under one roof", Dr. Marine said. "We stress more outpatient visits, early intervention, preventive care, patient education, and careful control of hospital days. All of the most frequently used health services and medical specialties are available at the medical center . It is difficult for me to imagine a more satisfying setting for medical practice. Much of the paperwork and business demand of practice is reduced or eliminated. Having physiotherapists, pharmacists, nurse practitioners, optometrists, physician assistants, counselors in nutrition, mental health, health education, and social services integrated in the practice has dramatic effects. The ease of consultation with other medical specialists is shared in common with some other group practices. At Health Care Plan there are no financial or physical barriers for the patient and the incorporation of so many other health professions is unique." THE BUFFALO PHYSICIA �Preventive care and health maintenance are emphasized at the center. All new members are offered initial health assessments tailored to their health histories and individual risk factors. A growing number of special educational programs are available to members dealing with smoking cessation, hypertension, drugs, alcoholism, prepared child birth, weight reduction, diabetes, and other subjects. Ongoing programs in cardiopulmonary resuscitation provided for the staff will be extended to the members in the near future. Mrs. Susan Toth serves as coordinator of these programs while maintaining an active faculty role at the University. Most of the health professionals in the Health Care Plan group participate in one or more of these member education services. The Health Care Plan pharmacy, under the direction of two U/B Pharmacy School faculty members, Fred Bennes and Howard Forman, is another unique feature. The service is carefully integrated into the clinical practice. The formulary is developed jointly with the physician staff, a drug use profile is maintained in every patient record, and personal counseling is extended with each prescription. Members are encouraged to use the staff as a professional resource and the pharmacists participate in a wide range of clinical and educational activities at the center. A close relationship with the School of Pharmacy has proved mutually advantageous. Mrs. Janice Dowd, supervising medical technologist. The Vision Care Center is run by optometrist, Dr. Alex Crinzi. Refractions are provided as a regular benefit of membership and optical dispensing is also performed. Ophthalmology consultation when requested by the primary care physician is provided in the same well-equipped facilities. Vision care is a very popular service with Health Care Plan members. In order to monitor the availability, accessibility, and acceptability of care a fulltime Member Services representative is employed by the plan. Regular surveys of member satisfaction are conducted and every member complaint is documented and Main lobby, reception area. FALL, 1981 13 �receives a formal reply. Ms. Ann Fialko is responsible for Member Relations and also plays an important role in the organizational newsletter , Good Health News, which is another benefit of membership. Counseling is an important part of the plan of care. In addition to health education, nutrition, and social service, mental health is emphasized. Dr. John Robinson of U/B has served as consulting director in guiding the organization's development from the beginning. Psychologists and psychiatric social workers support the primary care staff in providing evaluation, group, family, and individual therapy and referral to institutional services when necessary. In order to maintain a personal approach to care in a rapidly growing organization the physician and support staff is divided into small practice groups responsible for the care of a limited number of patients. Family practice , internal medicine , pediatrics, obstetrics and gynecology, general surgery, dermatology, ophthalmology, orthopedics, and radiology are currently provided at the medical center. "The other medical specialties are readily available on referral by our primary care physicians. We have contractual relationships of various kinds with a large number of specialists who are on the staff of our affiliated hospitals," Dr. Marine said. "Most of our hospital work is done at the Buffalo General, Deaconess, and Children's Hospital of Buffalo. We use the Erie County Medical Center and Roswell Park Memorial Institute for special purposes. The terms of the insurance benefits for our members are such that we have made arrangements for care when they are traveling in other states 14 and abroad. The authorization process is essential to good utilization control and the financial viability of our organization." A staff is provided to arrange all referrals, hospitalizations, and the use of other community agencies. This proves to be a major convenience to members while maintaining careful records and control of outside utilization. Health Care Plan, a private not-for-profit corporation, has an active Board of Directors comparable to that of a voluntary hospital. Dr. William Mosher has served as Chairman of the Board through its development. Directors are representative of the business, labor, medical, university, and consumer interest of the plan. They are committed to the development of an organization that is consumerresponsive and cost-effective. Dr. Howard Forman, pharmacist. �Dr. Ronald P. Santasiero, M'75, family practitioner, and Jessica Rockwell, 4th year medical student. The 1979 ground breaking ceremony - Robin L. Schimminger, Assemblyman; Dr. Goshin; George Wessel, President, Buffalo AFL-CIO Council; Drs. Marine, Mosher; Jacob Javits, former United States Senator. Dr. Robert J. Schulman, M'73, pediatrician. �Children's play area. Plan President, Dr. Arthur Goshin said, "We intend to continue to deliver personal, high quality services to our current members. While expansion must be on our agenda, we will not allow membership to grow so rapidly that it impairs our health services. New members will be added only in accordance with staff and facility capacity." Dr. Goshen, M'70, a clinical assistant professor of social and preventive medicine, is co-ordinator for the freshman medical care organization course. Drs. Goshin and Marine work together as a team in managing Health Care Plan. They enjoy recalling the earlier collaboration between faculty and students in which they shared when the Lackawanna Community Health Center was developed in the late 1960s. It is expected that Health Care Plan will prove to be an increasingly important and valuable resource as a model for primary care education in all the Health Sciences Schools.D New Graduate Program Dr. Barry Eckert, assistant professor of anatomical sciences, is directing a new interdisciplinary graduate program in cell motility. It involves cooperation arrangements between two departments in the Health Sciences (anatomical and biophysical sciences) and one in the core campus (cell and molecular biology). Six U/B faculty form the core of the program. Dr. Eckert expects other area scientists interested in cell motility will participate in seminars and other activities. Faculty in the program are: Drs. Kenneth Edds, Sabina Sobel and Eckert, anatomical sciences; Victor Chen and C. Richard Zobel, biophysical sciences; and James LaFountain, cell and molecular biology. The program allows grad students to rotate among departments, and provides a vehicle through which they can associate with a pool of faculty who can act as advisors. The program will allow for a formal exchange of graduate students and resources as well as make it easier to apply for federal research grants, notes Eckert. Although participating faculty will retain offices and labs in their respective departments, the group will meet once a month to discuss research efforts. Such sessions are beneficial, explained Eckert, because the involved faculty represent different perspectives and can give important feedback on scientific papers before they are submitted for publication.D 16 THE BUFFALO PHYSICIAN �Dr. Philip B. Wels, prominent Buffalo surgeon, leads a group of nine people to be honored by the University at Buffalo Alumni Association for exceptional service to the University, its alumni and community service. Dr. Wels, clinical professor of surgery and chairman of the Department of Surgery at Millard Fillmore Hospital, was named recipient of the Samuel P. Capen Alumni Award, the Association's highest honor, for his contributions to the School of Medicine as a teacher and administrator, the University's athletic program and distinguished private practice. Wels formed the first U/B fencing team, was a member of the 1936 Olympic squad, coached the sport at U/B from 1938-1940, was a member of the University's athletic council and is in the U/B Athletic Hall of Fame. Philip Wels founded the U/B medical education study group, chaired the medical admissions committee, served on the executive committee of the School of Medicine, its faculty council and is director of academic affairs for the University's program at Millard Fillmore Hospital. He is a trustee of the University at Buffalo Foundation, Inc., and member of the U/B Council. Dr. Wels is a member of several medical societies and is a Diplomate of the National Board of Medical Examiners.D Roswell Park Memorial Institute Continuing Education Seminars Contact: Gayle Bersani , R.N ., RPMI 666 Elm Street, Buffalo, New York 14263 Phone: (716) 845-4406 Thursday, September 17, 1981 "Membrane Receptors", Chairperson: Dr. Daryl Doyle Thursday & Friday, October 1-2, 1981 "Nutrition and Cancer", Chairperson: Dr. Fred Rosen. Thursday, November 5, 1981 "Controversies in the Management of Thyroid Cancer", Chairperson: Dr. John Lore. Thursday, December 10, 1981 "Human Interferon", Chairperson: Dr. Julius Horoszewicz. Thursday, February 11, 1982 "Soft Tissue Tumors", Chairperson: Dr. E. Douglas Holyoke. Thursday, March 4, 1982 "What's New in Urologic Oncology", Chairperson: Dr. J. Edson Pontes. Thursday, April1, 1982 "Tumors Involving the Skin", Chairperson: Dr. Ole Haltermann. Thursday, May 6, 1982 "Controversies in the Management of Childhood and Adolescent Cancer", Chairperson: Dr. Arnold Freeman. Saturday, June 5,1982 "Cancer of the Colon-Rectum", Chairperson: Dr. Arnold Mittelman. FALL, 1981 17 Dr. Wels �Chemical Emergency Manual by Fred J. Sterns and Robert C. Uerz Fred f. Sterns is a Public Relations Intern at the American Lung Association of Western New York. He is a Public Relations studen t at Utica College of Syracuse University. Robert C. Uerz is the Consultant for Preventive Services for the American Lung Association of Western ew York. Photographs were taken by Jon Williams, Assistant Director of Public Relations at iagara Falls Memorial Medical Center.D With the assistance of four local doctors, several other area medical professionals, and emergency rescue personnel, the American Lung Association of Western New York has published the "Chemical Emergency Action Manual." The first publication of its kind in this country, the looseleaf hard cover book instructs emergency rescue and medical personnel how to handle the health and safety hazards of 35 common industrial chemicals. Dr. William J. Fiden, Jr., M.D., (a 1970 University of Buffalo graduate) and Dr. Hadjisphyros Kosti, M.D., of Niagara Falls Memorial Medical Center, worked on the 10 member Emergency Manual Task Force that researched and designed the manual, while Dr. Mitchell Zavon of Hooker Chemical Corporation, and Dr. Theolosos Logaridis of iagara Falls Memorial Medical Center, were part of the seven member technical review committee that evaluated and corrected the manual. Work on the chemical manual began in December 1977 when Robert Eagler, CRTT, an American Lung Association volunteer and Director of Cardiopulmonary Services at iagara Falls Memorial Medical Center, introduced the idea to American Lung Association of Western New York's Occupational Health Subcommittee. After further study was suggested by the subcommittee, Mr. Eagler formed the Emergency Manual Task Force to assist him in researching the project. Besides Dr. Fiden and Dr. Kosti, the group consists of physicians, occupational health nurses, industrial safety supervisors, a laboratory assistant, and an ambulance service owner. To give the project direction, American Lung Association of Western New York's Consultant for Preventive Services, Robert C. Uerz, was assigned to supervise the project in the fall of 1978. The task force's first job was to investigate the need and availability of a chemical manual in the United States. After writing many letters to industry and talking with medical professionals, it was discovered that despite the need for a manual, none had ever been published. In the iagara Falls area, where many chemical-producing companies were located, the need was especially great. " Exposure to chemicals in an industrial setting has always bee n a problem, especially on the Niagara Frontier, " says Dr. Fiden. A manual was needed because no other publication provided complete treatment for victims of chemical emergencies." 18 THE BUFFALO PHYSICIAN �With this in mind, the task force began designing and researching a manual for use on the Niagara Frontier. Despite being designed for use in this area, the manual's application is universal for all chemical industries. Designing the manual itself took more than one year. "It took much time to design the chemical card," Dr.. Fiden recalls. "We had to organize our ideas into a workable format." After designing the chemical cards, each member of the group began the process of researching the material for the manual. This included obtaining chemical data sheets from chemical companies, talking with medical and emergency rescue personnel, and reading available related literature. During this time and throughout the project, regular meetings were held where the task force would discuss their findings and problems encountered. In February 1980, the writing of the manual was completed. However, the work was not yet finished. After writing the manual, the task group decided to use an outside source to evaluate the chemical manual, correct mistakes, and refine the language. A technical review committee of emergency rescue and medical professionals, not already involved in the project, was established. After a few months, the committee completed their work and okayed the manual for printing. Finally, in April, 1,000 copies of the manual were printed. A grant from CECOS International of Niagara Falls helped defray printing costs. The finished product lists 35 chemicals, each on a light yellow, non-reflective, black printed card. This combination of colors makes the manual easy and fast to read. Among the chemicals listed are: vinyl chloride (used in the production of plastic products). sodium hydroxide (an agent used to bleach pulp and paper). and hexane (an ingredient in gasoline and other chemicals). An industrial worker lays stricken after being exposed to a chlorine cloud. By using the chemical emergency manual, rescuers know the hazards they face in aiding the worker. Pholos by jon Williams FALL, 1981 19 d- �emergency room physician receives information from th e emergency medical technician on the chemical exposure and the treatment given to the patient. An Although the majority of chemicals are used only in an industrial capacity, four can be found in your garage or medicine cabinet. They are kerosene, chlorine, sulfuric acid (found in most automobile and vehicle batteries). and hydrogen peroxide (in its diluted form, an antiseptic). The front of each chemical card gives information and instructions to rescue workers, firemen, and others arriving on the scene of a chemical emergency. At the top right of most cards, is a "hazardous materials classification diamond." Originally designed by the ational Fire Protection Association, the diamond is actually four smaller diamonds in a large configuration. The left, upper, and right diamonds list numbers for health hazard, flammability, and reactivity respectively. The higher the number, the more dangerous. Cards that have a lower diamond list specific hazards. The middle of the card lists immediate hazards, including rescuer's protection, fire and exposure. Finally, utilizing the same three categories as immediate hazards, the bottom section of the cards tells what to do in case of an accident. Information on the reserve side of each chemical card is designed to be used by emergency room and related medical personnel once the victim(s) has been initially treated on the scene. Thus, by following the chemical manual's instructions for immediate treatment, a fire-fighter or EMT can save time and trouble for emergency room people. The back of the card lists signs and symptoms of exposure to the chemical, as well as space for any special instructions an individual may wish to write. Medical instructions cover the lower two thirds of the card, treatment for the skin, eyes, ingestion, and inhalation on the plant site, in the ambulance, and emergency room are listed in an easyto-read chart. It should be noted that the recommended treatment listed under "Emergency Room" are suggested actions to be used in triggering a memory response within the emergency room physician. In no ways does this section prescribe the total treatment for the patient. Publication of the manual should prove of great benefit to chemical companies, who constantly worry about chemical fires or gas releases. "I think the chemical manual will definitely be an asset for chemical industries," says AI Swavy, Health and Safety Supervisor at Olin Chemical Corporation in Niagara Falls, New York. "By using the manual, we can often treat injuries in the plant immediately lessening their severity. We can also save rescuers time by giving them information on the chemical involved." What do the doctors who worked on the manual think of the finished product? "I like the manual very much," says Dr. Kosti. "It gives a good continuity of treatment from the site of the accident to the emergency room." 20 THE BUFFALO PHYSICIA �Dr. Fiden is also impressed with the manual. ''I'm quite pleased with what we turned out. The information is concisely presented, not wordy, and easy to use." Marketing of the manual has started on a positive note. Of the 1,000 copies printed, more than 500 have already been sold. The biggest customer thus far has been the Olin Chemical Corporation, who purchased 200 manuals which it then donated to various groups as a community service. Other companies with copies of the manual include: Allied Chemical Corporation, Ashland Petroleum, Goodyear Tire and Rubber Company, Hooker Chemical and Plastics Corporation, and Carborundum Corporation. Besides industry, fire companies, hospitals, police departments, and various departments of ew York State have also bought the manual. "At the American Lung Association of Western New York, our future plans call for marketing the manual nationally, and expanding from 35 to 45 or 55 chemical cards," says project supervisor Robert Uerz. ''I'm very proud of the manual and those individuals who helped develop it. If the manual can save one life, then we've accomplished what we set out to do ."D Orthopaedic Residents Four physicians were honored at the 10th annual U/B Orthopaedic Resident's Scientific Day in June at the Erie County Medical Center, according to Dr. Eugene R. Mindell, professor and chairman of orthopaedics. Dr. Gerald S. Laros, professor of surgery, chairman, section of orthopaedics, University of Chicago, was the Visiting Professor and delivered the 6th annual David M. Richards, M.D. Memorial Lecture which was titled "Intertrochanteric Fracture." Orthopaedic Residents presented scientific thesis papers: Paul P. Schwach, M.D., "A Review of the Bristow Procedure"; Daniel R. Wild, M.D., "Nonunion of the Humerus"; Jeffrey A. Magerman, M.D., "Femoral Neck Fractures in Children"; Dennis M. Ogiela, M.D., "Unicameral Cyst of Bone." FALL, 1981 21 Thanks to the chemical emergency manual, the patient is on her way to a speedy recovery. �Geriatric Selective True or False? 1. Over 15 % of the elderly are in nursing homes or institutions. 2. Twenty-five percent of all elderly suf- fer from senile dementia. The elderly, who total 10 % of our population, are the nation's major users of medications, professional time, and health dollars, according to Ms. Linda ichols, research instructor in medicine. "By the year 2000, it is estimated that the percentage of elderly in the population will rise to 15 % and they will be consuming 50% of the nation's health care dollars. Physicians can expect to treat greater numbers of older persons in the years ahead. Management of the elderly patient is often complex, due to the multifactorial nature of disease, accumulation of chronic diseases and the effect of social and psychological factors on the elderly patient." Ms. ichols continued: "The Division of Geriatrics/Gerontology has developed a Geriatric Medicine Selective which gives first year medical students exposure to these problems of the elderly." *The answers to the questions? Both are false: 1. 5 o/r; 2. 10'/e. General goals of the Selective include: the major psychological, physiological and social changes of aging, and their effects on disease in the elderly. 2. Gain an understanding of the problems and needs of the elderly and what physicians and professionals in other disciplines can contribute toward meeting these needs. The faculty includes Dr. Evan Calkins, professor of medicine, and, head, division of geriatrics/gerontology (director of the course); Dr. Irene Hulicka, professor of psychology, State University College at Buffalo (co-director of the course); Drs. Jacqueline Levitt, clinical instructor in medicine; and Earl Noble, second year Geriatric Fellows; and Ms. ichols, anthropologist and coordinator of the geriatrics program. Guest lecturers are from a broad spectrum of disciplines, including anatomical sciences, rehabilitation medicine, nursing, psychiatry, neurology, psychology and social work. 1. Identify Dr. Nichols, Charles Horowitz (2nd year medical student], Dr. Calkins, Monica Hodge (2nd year medical student], and Rita Colicchia, nurse practitioner student. �Teams receive game instructions, ask questions to clarify directions. Dr. Nichols , Howowitz, Dr. Calkins, Hamilton, Colicchio, and 3rd year medical students Michelle Strom-Foltin , Yu-Fei Wu . The format of the course includes topic presentations, discussions and the "work up" of selected patients, in the hospital, at home or in a nursing home. During the final session, this year, Dr. Jack MacDonell of the University of Winnipeg, Canada, presented his "Aging Game" to the class. Medical students, faculty from a variety of disciplines, nurse practitioner students and counseling interns worked together in teams to delineate various aspects of aging. The lesson learned was that the most successful teams were the ones containing members from different disciplines whose goals and expertise complimented and reinforced each other. Emphasis in this course is on treating the patient as a whole. Psychological, social and even environmental factors (can a patient with arthritis go home to second floor apartment?) become critical in planning care for the older person. Students must learn to use a whole range of skills and many facets of their medical education. Students are often surprised at how much can be done for older persons. Their comments reflect these attitudes: "I now realize the worth of making the patient's life more liveable without curing the problem." "You can't give up on geriatric patients."D Betty Galloway. (VA social worker] , Dr. Levitt, Pat Burns, Drs. MacDonell , Challa , Noble and 2nd year medical student Richard Banner. �SUNY/Union Carbide Pact Union Carbide Corporation announced that it has consummated an agreement with the State University of New York (SU Y) that grants the company exclusive rights to the commercial development of new technology for the radiodiagnosis of human organs. The new technology was developed by Drs. Monte Blau and Hank F. Kung of the Medical School's uclear Medicine Department. The agreement was negotiated through State University's Office of Inventions and Licenses. Dr. Blau is professor and chairman of the department and Dr. Kung is assistant professor. In commenting on the agreement with Union Carbide, State University Chancellor Clifton R. Wharton, Jr., said that the agreement fulfills one of the University's most important missions- to strengthen the economic base of the State through research and public service. "The agreement represents the type of industrial partnership which SU Y is actively seeking in order to develop and make available to the consumers of the state and nation the advances made by researchers in the University system," Dr. Wharton commented. The work of Drs. Blau and Kung relate to the development of a potential second generation of radiopharmaceuticals that show promise for a new dimension for monitoring brain and heart function. The development recognizes that acid levels in certain cells of the body increase when the blood supply is adversely affected, such as occurs in many brain and heart disorders. Drs. Blau and Kung have developed a set of radiodiagnostic compounds that, in animal tests, demonstrate the capability to penetrate into cells and to be retained there by the change in the cell acidity for a sufficient time to permit a nuclear scan. The information from such a scan could assist in more rapid diagnoses of some brain or heart disorders. "Although medical efficacy in humans has yet to be proved," stated Dr. Robert Bollinger, vice president of Union Carbide's medical nuclear products business division, "we are excited about the potential of the new technology." Dr. Bollinger pointed out that if the results demonstrated in animals can be reproduced in humans, "it will, for the first time, provide the medical profession with a new and readily available diagnostic tool that can report quickly on intracellular activity." Union Carbide plans to make the new compounds available in the future to selected researchers for further independent evaluations. At the same time, the company will investigate the development of other radiodiagnostic compounds based on the new technology and in close collaboration with the SUNY researchers. Union Carbide has been in the forefront of developing and providing medical radiodiagnostic products and radiochemicals. 24 THE BUFFALO PHYSICIAN �Drs. Kung, Kette r, Blau , Donald O 'Dowd , president, SUNY Research Foundation , and Washington . The Union Carbide-SU Y agreement is the first with major developmental potential involving State University and its research faculty to be consummated since SU Y revised its patent policy for inventions and discovery late in 1979. The new SUNY patent policy agreement established the inventors' share of patent proceeds at 40 percent of gross royalty received by the University. The remaining 60 percent of royalties is used to further research activities. Lamar Washington, senior manager of inventions and licenses for the SU Y Research Foundation, said that SU Y's industrial research outreach is part of a growing national trend, in which many universities and colleges are seeking closer ties with industry and actively helping faculty obtain patents and find licenses. "An exclusive license covering inventions by research professors is something many companies have been seeking for a long time," Mr. Washington said. "The new SUNY policy helps protect the substantial investment by the company required to get new products on the market. It also provides a much needed stimulus to American technology development," he added.O FALL, 1981 25 �Clockwise from left: Drs. Norman Chossin, M'45; Thomas Takach, Daniel Schaefer, Carrie Ogorek, Joel Fiedler, Ann Sellew, Girard Robinson, medical graduates; Dean John Naughton; O.P. Jones; Robin Karpfen, Melinda Murawski, Thomas Lone, medical graduates; Edmond Gicewicz, Jim Snyder and friends; Felix Milgram, Leonard Katz; John Richert, Samuel Shotkin, M'SB. 26 THE BUFFALO PHYSICIAN �\ I I Clockwise from lower left: Drs. William Lipp, M '36, George Fugitt, Jr. , M '45; Mrs . Yu , N an cy Keller, Leisure Yu; Milford Maloney, M'53 ond friends; Judith Pryce and fri end, Agustus Ohemeng; Lawrence Golden, M'46 and friends; Andrew Gage, M '44, Edward Carr. Medical Alumni Association Hosts 8th Annual Reception for Seniors FALL, 1981 It was back to the Albright-Knox for the annual cocktailreception for seniors. Approximately 175 students, faculty and alumni and their spouses turned out for the occasion.D 27 �Dr. Rahn, Distinguished Professor Dr. Rahn Dr. Hermann Rahn, distinguished professor of physiology, was presented the 1981 Chancellor Charles P. orton Medal during the 135th General Commencement at the Buffalo Convention Center in May. The Chancellor's Medal, U/B's highest honor, has been awarded since 1925 in recognition of an "achievement which is great and ennobling." In his tribute to Dr. Rahn, President Robert L. Ketter said, "His work, in sum, has helped launch man into space and plunge him to ocean depths never before explored. His pure research - and this is the ultimate purpose of so much that is done in universitieshas expanded the frontiers of our existence." Rahn, said Ketter, "has been a pioneer in the study of man and animals in relation to different environments. He has contributed basic knowledge to our understanding of the conditions necessary for human survival at different altitudes and depths and in other extreme environments. He has established the fundamentals of pulmonary function testings; and in doing so, he has been a leader in the development of highly ingenious measuring devices to serve this purpose. "As a field scientist, he has displayed enormous energy. He has been equally at home on the side of a mountain in Colorado testing respiration, or in a bobbing boat investigating physiologic stress on divers in Korea, or sitting quietly and patiently to develop an understanding of the ways in which avian eggs support embryos within." Just as important, however, the President went on, has been Rahn's teaching. "Although he could have justified lighter instructional duties" because of his research and service as chairman of the Department of Physiology, "he never did." Rahn's colleagues, said Ketter, "point to his willingness to devote so much individual attention to student development and his exploration of new teaching techniques. As a result, he has contributed to the training of a great number of scientists who now occupy important positions in this country and abroad." In some of "our most trying times as an institution," the President continued, Rahn "has served as a rallying point for faculty sharing his commitment to quality and to the freedom to investigate whatever is unknown. He has held fast to principle while others have substituted emotion for reason and slogans for thought." "His career and life have helped breathe life into the idea of a 'complete university,' " the President concluded. A member of the faculty here since 1956, Rahn, 68, received his A.B. from Cornell and his Ph.D. from the University of Rochester, where he also spent 15 years on faculty. He holds honorary degrees from Yonsei University in Korea and the University of Paris. 28 THE BUFFALO PHYSICIAN �A member of the ational Academy of Sciences and the American Academy of Arts and Sciences, Rahn continues his research into the physiologic behavior of the heart and lungs, particularly under stress conditions, in the University's futuristic Environmental Physiology Lab, a facility which came into existence during his tenure as chairman of the department. The Lab's high pressure chamber, which through his efforts was reconstructed to provide the highest capacity in the world, is capable of simulating the underwater pressures of 170 atmospheres, the pressure encountered one mile beneath the sea. During Rahn's era as chairman of physiology, its national academic ranking by the American Council on Education rose from 20th in 1964 to seventh in 1971.0 Dr. Felix Milgram, professor and chairman of microbiology, was named "Distinguished Professor" by the State University of ew York Trustees in April. This is the highest rank that can be given to a professor in the SUNY system. A native of Poland, Dr. Milgram pursued his education and carried out his early work during the turmoil of World War II and its aftermath, attaining at the age of 35 the title of professor in the Department of Microbiology at Wroclaw. In 1958 he joined the faculty of U/B and since 1967 he has served as professor and chairman of the Department of Microbiology in the School of Medicine. Dr. Milgram has made significant contributions to numerous subdisciplines within the field of immunology. Among them are serological and epidemiological studies on syphilis, investigations of naturally occurring antibodies, the discovery of anti-antibody, the discovery of a new class of tissue-specific antigens. Other contributions include work on the rejection of kidney transplants, the study of autoimmune diseases, tumor immunology and the regulation of immunological resistance. For more than 25 years his research on Multiple Sclerosis has led to a better understanding of identifying its cause and diagnosing its presence in the body. Author of more than 300 publications, Dr. Milgram's long list of honors includes honorary degrees from the Universities of Vienna, Lund, Heidelberg and Bergen. He is currently president of the Transplantation Society. The distinguished professorship was established to recognize achievement of fame and esteem in a field as a result of original contributions. Appointment is based on campus nominations which are reviewed by an ad hoc committee of current distinguished professors and outside consultants from the respective fields.O FALL, 1981 29 Dr. Milgram - -...----- Dr. Milgram �Dr. Musselman Dr. Musselman The following statement, honoring Dr. Luther Musselman, was read at Tuesday's Faculty Senate meeting (Feb. 10, 1981) by Professor Gerald Rising: "It has been a policy of the Faculty Senate of this University not to single out individual colleagues for honors. Today on the occasion of his retirement, we knowingly and quite appropriately take unprecedented action then to honor an equally unprecedented colleague and friend, Luther Musselman. "In the finest tradition of medicine you, Luther Musselman, have served as family doctor to our University community. You have not only made house calls to dormitory or classroom whenever needed, day or night, but you have also attended voluntarily many University functions simply to be on hand in case of an emergency. In the face of the overwhelming numbers of this large University, you have yet been able to know and treat each patient as an individual. You have taken personal responsibility not just to provide first aid but also to offer assistance, assurance, and counsel, to see that parents and friends are informed, to help obtain academic support, and to check back to see that recovery continues. "Hundreds of us on this Faculty cherish one or more personal encounters with you. Many have seen you respond quickly and incisively to the needs of an accident victim, others your patient ministering to a bereaved parent, others your immediate action in an emergency, still another your support of a student whose needs it had become apparent were more emotional than physical ... the list is endless. "We seek to honor you, but indeed, Luther, we cannot compete with the honor you have given us. We thank you. We are proud to have been your colleagues for some of your thirty-four years of association with this University; we look forward to knowing you as a colleague still for many years to come."O Dr. Imre Magass. director of urology at Erie County Medical Center, accepts a videotape system equipped with 22 tapes on a range urology treatment problems valued at $30,000 from Norwich Eaton Pharmaceutical's David Pace, professional products group. "The tapes." Dr. Magoss said, "will be used for training urology residents and medical students. Dr. Magoss is a professor of urology at U/ B School of Medicine and was acting chairman of urology prior to Dr. M. Conder's appointment.O 30 THE BUFFALO PHYSICIA �Dr. David Harker, emeritus professor of biophysics at U/B received one of the first honorary degrees to be awarded by !he State University of ew York. He received the honorary Doctor of Science degree during U/B's General Commencement exercises at the Buffalo Convention Center on Sunday, May 17. Dr. Harker is among 15 men and women who will be cited this spring as the first honorary degree recipient in State University history. An action of the 1979 Legislature authorized the awarding of honorary degrees by SUNY. Considered to be one of the founders of modern crystallography (the study of forms in crystals), Dr. Harker was research professor of biophysics from 1960 to 1976, when he was named emeritus professor. He is currently continuing his research at the Medical Foundation of Buffalo, Inc., with funding from the National Science Foundation. Among his contributions to the science are major discoveries which are said to have changed the course of crystallography study. The Harker Sections, one of his early discoveries which facilitated the determination of crystal structures, especially those containing one or several heavy atoms, is still recognized today as the most effective technique for the solution of certain classes of crystal structures. A nominee for the Nobel Prize in Chemistry in 1979, Dr. Harker is also considered one of the world's leading x-ray crystallographers, with major contributions to the theory of protein structure. His current research involves the nature of color symmetry space groups which will be helpful in understanding the structures of substances with magnetic properties. Author of numerous publications, Dr. Harker was a student of abel Laureate Linus Pauling. His many honors and awards include the American Chemical Society Schoellkopf Award, the Fankuchen Award of the American Crystallographic Association and the Sigma Xi Award for meritorious service to science. His memberships include the National Academy of Sciences, the American Academy of Arts and Sciences and the ational Association for the Advancement of Science.D FALL, 1981 31 Dr. Harker Dr. Harker �The Case for a New Requirement by Dr. Richard Grazi, cciV, M'81 What I am about to propose will not be very popular among medical students, but then more hard work never is ... My concern is not medical education, but rather the education of medical students. I am not one to dwell on semantics, but let me explain. Medical education, at U/B and in this country in general, has several, oftenaddressed weaknesses, but none so serious that it threatens the quality of future medical practice. Overall, we are doing a good job of teaching medicine. However, learning medicine and receiving a proper education are two very different things. There are those who would argue that all doctors are well-educated. These are mostly lay people who, for diverse reasons, are wont to apotheosize physicians. A more prevalent viewpoint is that the business of doctors is medicine and all that matters, therefore, is a mastering of medical knowledge . Simply stated, a doctor needn't be educated, just good. I suppose that, indeed, one would prefer one's surgeon to know Schwartz than to know Kant, but somehow this argument leads astray from my point. Our educational system need not be so one-dimensional. It should produce doctors who are alert to the human situation, mentally prepared to deal with non-visual, non-tactile, non-testable information . In essence, we need to return thought to its proper place in our education. Certainly, intellectual curiosity and creativity abound in any group of students beginning medical school. Although admission criteria often exclude good, intelligent applicants, the system is not all bad. I have known enough medical students during the past four years to realize that, regardless of the unfortunate emphasis on pre-career training at the expense of a college education, vibrant minds are not lacking. Unfortunately, what happens to them during the ensuing years is another, often-recited sad story. The astute thinker is not quickly or easily transformed. It only begins with anatomy, biochemistry, pathology and pharmacology. The necessary memorization of tens of thousands of facts may involve an enormous contribution of precious neurons, but there are probably more than enough to spare. More important is the non-exercise of more 32 developed areas of the mind. Then, during the clinical years, when the rigors of conforming and the persistent threat of being less-thanbest overcome what is left of the scrawny psyche, the final blow is dealt. The abundant well of ideas goes dry, leaving instead a neat, hollow space to fill with more medicine, more medicine and still more medicine. If this description is not quite accurate, the problem is no less real. Although I can describe the event with certainty only within myself, others around me talk of similar occurrences. At this crossroads of our medical careers, we are beset with an intellectual malaise that is perhaps just the prodrome of a more insidious disease. And we are worried. There are several possible cures, but my purpose here is to discuss a form of prevention. Surely, reviewing admission policies and educational objectives is in order. However, seeing constructive changes in these is beyond my immediate hope. In fact, changing the content of one course in just our own medical school seems a substantial task. I propose, instead, the addition of one requirement for graduation, to be called the Senior Project. A few words about how this idea developed will best explain. Midway through the third year, about the time when I first realized that one can really live several months without giving serious thought to anything but clerkships, I decided to study a problem that had recently caught my interest. (The exact subject is irrelevent to this article; let it suffice to say that it was only peripherally related to medicine.) During the year that followed, I became increasingly absorbed with my subject. The results of this work are now in the form of a senior thesis, but that neat wrapping downplays the academic and emotional upheaval of which it was born. When I read my thesis, I remember phone calls, and meetings with strangers, and notes, and new libraries, and being surprised, and more notes, and being confused, and writing, and rewriting, and being discouraged, and staring at blank paper, and being fascinated, and rewriting, and giving up, and taking notes, and going for walks, and rewriting, and - well, the point is made. I wonder, now, what would be if I had consciously channeled all those efforts into my personal development. Some knowledge, I suppose, would have been won or lost; but no THE BUFFALO PHYSICIA �matter what the work entailed, one result is always the same: the challenge exercises the mind. It is this notion of the thesis that I want to communicate, not the subject itself. To vigorously pursue a new idea , to deliberately explore one's creativity, to bring order to even a small problem that one confronts - these are the beginnings of education. I believe that this is an invaluable part of our training as physicians. It increases our understanding of ourselves, heightens our appreciation of others and, above all, lays open our minds to the new and different. If we are to progress in our professional and personal lives , these are the sine qua non . Let me quickly add that I have no preference for purely intellectual pursuits . The purpose of the proposed senior project is to learn something about one's self, and not to achieve any other objectively valuable goal. I have a friend, for instance, who used his free senior time to learn chess. Others have traveled to some unlikely areas of the globe. The senior year is tailor-made for such adventures. Some may learn a new language, or a new instrument, or find a new friend , or a new love , or a different life altogether. The possibilities are endless. The only requirement would be that the project is unrelated to the existing medical school curriculum, and that it is done well. Fun, to be sure, is by no means excluded. FALL, 1981 Again, the spectrum of possible projects is limited only by individual imagination. To receive permission to graduate, however , a written statement (length optional] explaining the project would be necessary. at only would this create some interesting reading material , but it would also encourage students to organize their thoughts in a meaningful and, potentially, very creative fashion. In essence , the project would be an exercise in effective communication as well as in original thinking. Inasmuch as the two are inextricably linked - for, after all, what good is one without the other? - the writing should pose no extra burden on those who have seriously pursued their project. Admittedly, the endeavor I propose should not be mandatory. Transforming what should be a routine part of our lives into a part of the curriculum is somehow demeaning to any genuine accomplishment. But every medical student recognizes the temptation to succumb to cerebral lassitude . For those who resist, the senior projects have already been done; for the less heroic, the requirement would refresh some neglected talents. The senior year of medical school offers many different opportunities to those with a keen eye for them. In some respects , it is the last chance for the purely egotistical pursuit of self-awareness. I propose that the demonstration of such, though only a prelude to authentic education, be a requirement for graduation. Perhaps this may serve as the first example.D 33 �Lonny Behar, Coral Weinstein, ond colleague. Korin Klingman, Jon Holmlund, Deon John Naughton. Student Meeting A PPROXIMATELY 300 first and second year students had a joint meeting-reception with faculty at mid-year. The 45-minute meeting was in Farber Hall, followed by a reception in the Faculty Club. Dean John Naughton hosted the affair that gave students an opportunity to meet and discuss topics of mutual interest.D Dr. James Mohn, Julie Dessloch. Robert Smolinski, William Fluegel, Michael Michotek. Moyer, Michael BeekerDr. Hugh Von Liew, Richard Collins. 34 �James Wild, Charles Shapiro. Dr. Thomas Flanagan and students. Drs. Michael An bar, John Wright, Jack Klingman . FALL, 1981 Constance McKelvey, Dr. Jack Richert, Manual St. Martin. �Dr. Lambert Honored A plaque honoring the late Dr. Edward C. Lambert was unveiled ovember 16 by the Heart Parents Association of Children's Hospital in the intensive care unit waiting room of Children's Hospital. Dr. Lambert, who died in 1974, was largely responsible for the world-wide reputation of Children's Hospital as a center for the treatment of heart disease in children. The professor of pediatrics joined the Medical School faculty and Children's Hospital in 1949. Two years later he founded the cardiology department at Children's, and in 1960 he became its director. Dr. Martin J. Downey Jr., clinical associate professor of anesthesiology, praised Dr. Lambert's skills, personality and administrative ability. "Another of his great talents was his ability to get people to work together and keep things going smoothly." Dr. Lambert was graduated cum laude from Harvard College in 1938 with a Bachelor of Science degree. He received his M.D. degree in 1942 from the Harvard Medical School. He served his internship in Massachusetts General Hospital. During World War II he was a Captain in the Army Medical Corps in the European Theater of Operations. In 1948, Dr. Lambert went to Johns Hopkins Hospital as an assistant physician and instructor in pediatrics in its Cardiac Clinic. While there he worked with Dr. Helen Taussig, a pioneer in the study of children's heart disease diagnosis and correction. Later he went to England where he worked in the Departments of Clinical Physiology and Cardiology in the Hospital for Sick Children. Dr. Lambert helped establish the Western New York branch of the American Heart Association and was a former chairman of the Association's Council on Rheumatic Fever and Congenital Heart Disease. He was secretary of the International Society of Cardiology and an honorary member of the European Association of Pediatric Cardiology. He held office in several local, regional and state professional organizations. He also contributed articles on heart disease to many medical journals and books.O 36 THE BUFFALO PHYSICIAN �The Dent Neurologic Institute at the Millard Fillmore Hospital celebrated its 10th anniversary in June by opening a new neurodiagnostic wing. Dr. William R. Kinkel, M'54, director of the institute noted this is the beginning of a new challenge in a new decade. "We are always planning ahead because the technology and research in neurology demands that we respond quickly to the new achievements and research in treatment of disorders of the brain." The new neurodiagnostic wing will provide vital comprehensive services to patients who have any illness related to the brain or related functions (neuro-ophthalmology) neuro-otology. The Dent Institute was founded by the late Harry M. Dent, a successful local industrialist, who suffered from Parkinson's Disease. The Dent Foundation, which has 13 members on its board of directors, continues to provide a major portion of its endowment to the institute. Harry M. Dent Jr., son of the founder, is foundation president. In 1973 the Dent Institute acquired a CATT Scanner for $317,000 from a London, England company. This was the first instrument for computerized brain scanning in Western New York. According to Dr. Kinkel the Dent Institute is an effective link between the clinical research of academia and the experience of private practice. Dr. Kinkel is a clinical professor of neurology and clinical associate professor of anatomical sciences at the Medical School. He is also chairman of the neurology department at Millard Fillmore Hospital. Other Dent Institute staff members are: Drs. William McHugh, Svend Gothgen, Judith Caparo, Lawrence Jacobs, L.D. Hopkins, Ilydio Polachini, James L. Budney, Edwin Manning, and Diana Bozian.D 1981-1982 Continuing Medical Education Programs September 12 - "Frontiers of Drug Treatment" (Niagara Hilton), Program Director, Dr. Edward A. Carr, Jr., professor and chairman of pharmacology and therapeutics. October 15 - "Cat Scanning" (Sheraton East). Program Directors, Drs. George Alker, clinical professor of radiology; clinical associate professor of nuclear medicine; and Michael Anbar, professor and chairman of biophysical sciences. February 21-24 - "Arrhythmias," (Florida). Program Director, Dr. Jules Constant, clinical associate professor of medicine. February 24-28 - "Winter Symposium," (Florida), Program Director, Dr. Martin Wingate, co-sponsored by SUNY /McMaster University. July 23-30 - Medical/Dental Meeting, (Pembroke College, Oxford, England). Program Director, Dr. Martin Wingate, cosponsored by SUNY I AB, McMaster University and University of Rochester. Contact: Dr. Martin Wingate, 135 Cary Hall, 3435 Main Street, Buffalo, N.Y. 14214. Call: (716) 831-2766. FALL, 1981 37 Dent Institute Dr. Kinkel, President Leon Carson, Mr. Dent �25 Lifeline Units It's called Lifeline, and for the handicapped and the elderly living alone it could mean immediate help in an emergency at the touch of a button, thanks to the generosity of a Buffalo and Niagara Falls firm. Lifeline is an automatic telephone signal system linking the homebound person with an emergency control station and in turn with neighbors, relatives and, if needed, emergency assistance. Sisters of Charity Hospital introduced the first Lifeline program in Western ew York in mid-March. The Sisters Lifeline system will initially consist of 25 Lifeline home units donated to Sisters Hospital by Mader Capital of Buffalo and CECOS International of Niagara Falls. Each Lifeline system consists of a table unit which attaches to any standard modular telephone and a small remote triggering box which the client carries on his person around the house. If the client feels ill or needs immediate assistance and is unable to dial directly for help, all that need be done is to press the button on the remote unit. When the button is pushed the table unit is signaled to seize the phone line and alert the Lifeline Control Center in the Emergency Department at Sisters Hospital. The Lifeline units are supplied to clients with only a nominal monthly fee assessed for maintenance and repair costs. The monthly service charge will also help the hospital to acquire additional Lifeline units. In allocating the first 25 Lifeline units the hospital has screened candidates for need. Those persons who live alone, have little outside contact and have a physical condition which indicates a need for the Lifeline unit received the first units. Mr. Frank Nero, president of CECOS International and chairman of the Sisters Hospital Foundation said the Lifeline system contains benefits for both the client and the community. "Lifeline enables the elderly, handicapped and others to acquire a feeling of security within the confines of their own homes," Mr. Nero said. "The Lifeline system can also help reduce the need for hospitalization. This benefits all of us."D Alumni Tours November 20-December 5 $1,799.00 (per person, double occupancy) Italy, Switzerland, France (Rome, Florence, Alpine Village, Geneva, Paris) $1,099.00 (per person, double occupancy) November 24-December 4 Honolulu, 7 days; Kona, 3 days (For further information call: Association, (716) 831-3567. 38 J. William Dock, Director, Alumni THE BUFFALO PHYSICIA �This is th e architect's ske tch (Canna n Design In c. of Grand Island) of what Bu ffa lo General Hospital will look like in 1986. Th e 16-story De aco n ess Towe r w ill be co nstruc ted at th e corn er of High a nd Elli cott Streets. G ROUND WILL BE BROKEN this fall for the Buffalo General Hospital's $166.4 million program of construction, consolidation and renovation, according to Dr. William V. Kinnard Jr., BGH president. "More than five years of intense planning and negotiation have gone into this project which will enable us to replace obsolete facilities and create an environment for quality care to flourish," Dr. Kinnard said. Completion is expected in 1986. The new construction phase of the building program will create a 16-story tower at High and Ellicott Streets to house approximately 743 medical/surgical beds, the surgical suite, radiology, and other diagnostic and treatment services. Phase two will include the renovation of existing facilities on High Street. The completed medical complex, inclusive of the Community Mental Health Center, 80 Goodrich St., will accomodate a total of 950 beds. The Hospital's building application outlines a plan for the phased conversion of acute care beds at Deaconess to extend ed care beds. The Emergency Room and outpatient services at the Humboldt Pkwy. site will remain in full operation after all inpatient services have been moved to High St. The BGH fund, a ten million dollar public fund drive, has been established to procure the down payment for the multimillion dollar project, the largest single fund-raising effort for any one institution in Buffalo's history. The BGH Fund is the first community-wide capital campaign to be conducted in support of The Buffalo General Hospital in over 30 years. The program of new construction and renovation is designed largely to correct existing deficiencies at the Hospital's High Street site. The Buffalo General Hospital, 100 High Street, and the De aconess Hospital of Buffalo, 1001 Humboldt Parkway, merged in January 1979, forming one of the largest Hospital systems in the United States. BGH is also the major teaching affiliate of the U/B Medical School.D FALL, 1981 39 $166.4 Million BGH Construction �THE PORTRAIT OF JAMES PLATT WHITE, M.D. 1811-1881 During the summer of 1976 one of the most significant works of art in the collection of the School of Medicine (and the University) was recovered from an obscure location in the main reading room of Lockwood Library. The portrait of James Platt White, M.D., one of the founders of the Medical Department of the University of Buffalo, and one of its most prestigious faculty, had been "banished" to the vault and later the walls of Lockwood Library when the remodeling of the Health Sciences Library in Capen Hall in the late 1960's resulted in a contemporary style of decoration incompatible, it was apparently thought with the traditional style of the small collection of faculty portraits located in the library. Four other oil portraits and a bronze portrait bust sharing this same temporary lack of regard were also removed to storage. All but two items have been or shortly will be returned to the custody of the school. The portrait of Dr. White while unidentified on either canvas or frame was easily recognizable when compared with the several surviving photographs of him taken at various ages. The portrait is undated, but beneath the grime of over a hundred years of typical institutional neglect the dim signature of the artist, Thos. LeClear .A., was visible. LeClear, born in Oswego, New York in 1818, moved to Buffalo in 1847 after fifteen years in London, Ontario. He remained here until1863 in which year he was also elected to the ational Academy of Design. In 1862 he joined with other prominent citizens of Buffalo in founding the Buffalo Fine Arts Academy. Many of his portraits survive, among them those of William Cullen Bryant, Millard Fillmore, Edwin Booth, William Page, American portraitist (in the Corcoran Gallery, Washington, D.C.) and Ulysses S. Grant. An example of his genre painting, "The Buffalo News Boy," is in the collection of the Albright-Knox Art Gallery. LeClear died in Rutheford Park, ew Jersey in 1882. On the advice of the Buffalo Historical Society the portrait was taken to an art conservator group in Cooperstown, ew York, the members of which received their training in the graduate program in fine art restoration of the State University College at Oneonta. 40 Dr. jame s Platt White Over several months the painting was cleaned, the paint film reconsolidated to the old canvas to which a new canvas lining was applied, the surface revarnished and the finished portrait mounted on a new stretcher. The frame in which the picture was found is apparently original and is typical of the period, heavy and ornate. It was initially finished in a fine gold leaf but subsequent efforts to cover the inevitable wear with gold paint destroyed its character. The frame has been refinished in a Ventian red-raw umber finish. The restored portrait now hangs in the main reading room of the Health Sciences Library, a unique and valuable tie to the University's origin, and a continuing reminder that the Department of Medicine was its founding school. (R.L.B.)D THE BUFFALO PHYSICIA �Medical Industrial Complex T he editor of the ew England Journal of Medicine warned Medical School students and faculty of the "medical-industrial complex" that is prospering. Speaking at the annual Harrington lecture, Dr. Arnold S. Reiman noted that this complex includes proprietary hospitals, nursing homes, diagnostic laboratories, home care services, pain clinics, kidney dialysis centers and other businesses with a combined annual gross income estimated at $40 billion. "The annual growth rate of this complex is 15 to 20 per cent." What disturbs Dr. Reiman is that many of these large corporations are owned in whole or in part by physicians. "This is the most important recent development in American health care. This conflict of interest must be watched and studied during the 1980's." The Harvard Medical School professor of medicine said, "When a doctor prescribes treatment at a hospital, nursing home or laboratory that he owns he may be putting financial gain ahead of the patient's needs. The AMA should declare it unethical for a doctor to derive any income from health care except fees for his own professional services." Dr. Reiman traced briefly the history of private and proprietary hospitals. In 1928 more than one-third of the hospitals were privately owned; in 1968 only 11 per cent were private. "Proprietary nursing homes are the fastest growing segment of the health care system. The National Medical Care Corporation grossed $200 million in 1979 on dialysis," Dr. Reiman said. He also quoted gross profit estimates from The Wall Street Journal. The Harvard professor of medicine is not concerned with the companies that produce drugs, supplies and equipment. "The new suppliers of health care and medical services are his chief worry. Unless doctors give up their financial participation in such units, the public will lose confidence in them." Dr. Reiman noted that there is nothing morally wrong with the free marketing of health care delivery, but it does create problems. "Most people consider it a right- not a service." Dr. Reiman made several other observations: -we must have a quality product at the lowest possible price; -there will be increasing competition between the privateteaching hospitals and the proprietary hospitals; - the medical-industrial complex is a large, rich, successful lobbying organization; -physicians must play a more active role in health care delivery; -physicians should be trustees of their patients; -private health care delivery is probably here to stay; it may be good, but it needs more regulation. In conclusion Dr. Reiman said, "We must study this medicalindustrial complex in more detail. We need much more data before we can draw conclusions. We must be cool, factual and honest in our approach to this national health care problem. "0 FALL, 1981 41 �Love Canal Area Love's Labor Lost In May 1980, a preliminary study sponsored by the Environmental Protection Agency, suggested chromosome damage in several residents living adjacent to the Love Canal chemical dumpsite in Niagara Falls. In the subsequent furor, the Center for Disease Control in Atlanta was requested to relieve EPA of health hazard studies and conduct its own. A former Assistant Secretary for Health asked Dean Naughton to set up a working group at the School of Medicine to work with CDC to determine the state of health of approximately 4,000 residents living nearest the Canal and secondly, insofar as possible, determine any long term physical or emotional illnesses. In late June, CDC requested a starting date of August 1. With no model for guidance, groups worked feverishly all summer to write protocols and questionnaires. Dr. James Nolan headed a clinical studies group, Dr. Elliot Ellis - growth and development, Dr. Edward Carr - laboratory studies, Dr. Marvin Herz - psychologic studies, Dr. Steven Barron - neurologic studies, Dr. Bob O'Shea and Dr. John Vena in Social and Preventive Medicine - health questionnaires, and Dr. Robin Bannerman - chromosomes. In midAugust a motel was rented, furnished, and staffed as an on-site base of operations for testing and coordinating under the direction of Dr. Michele Alexander. By late summer, meetings with representatives of the Love Canal residents and CDC resulted in a beginning consensus as to the extent and nature of testing. Outside consultants 42 to CDC, however, had serious reservations as to quality and utility of any information gathered and were pessimistic from the onset. A registry type study (a la Framingham) was suggested as an alternative to physical and laboratory testing. While all agreed the probability being very low of finding systematic damage attributable to exposure to toxic chemicals, the magnitude of the problem in the U.S., called for Love Canal as the time and place to begin measurements with available imperfect tools and methods. While rigorous science was impossible, the discovery of anecdotes could lead to systematic, meaningful data. Decisions made in haste in June, 1980 were not backed up by clear funding allocations. In the change-over of presidential administrations, Love Canal leaked out between the cracks. On the last day of the lame duck Congress, a number of "Christmas tree" items were deleted from appropriations - including Love Canal health studies. Almost four million dollars to be spent initially was scaled down to 1.2 million in November and finally zero. CDC had carried us along until mid-March, 1981 and finally had to beg off- there being little financial or emotional support for environmental hazard studies in the Reagan administration. In the end, nearly one-half million dollars was spent to organize a study and keep it on hold for six months. The economy of Western ew York was improved, but no serious questions were addressed, let alone answered. We learned several lessons from this experience. An endeavor requiring the cooperation of organizations geographically distant, at different levels of government and sophistication, on a project with no model or previous experience, requires a long period of discussions, negotiations, and interpersonal activities to develop trust and consensus. Secondly, funding should never be taken for granted. Third, there occurs an optimum time for action beyond which enthusiasm wanes and the project becomes impossible. The former residents of the Love Canal have scattered, leaving behind a foreboding ghost town. We may never know if they suffered irreversible physical or emotional damage from proximity to chemicals buried at the Canal - but it would have been nice to find out. (R.M.)O THE BUFFALO PHYSICIA �Two Medical School faculty members are using the Beta-Blocker drug to treat heart patients. Dr. Robert M. Kahn, a cardiologist and clinical professor of medicine, has 129 local heart patients participating in his study. At the VA Medical Center, Dr. V. Balu, assistant professor of medicine, has also used this drug to successfully treat heart patients.D The man who designed the Cary-ShermanFarber complex on the Main Street Campus received the Dean's Award for outstanding engineering achievement at the Faculty of Engineering and Applied Sciences commencement May 16. He is James N. DeSerio, consulting engineer. His design included the first recorded use of stacked concrete Portal frames in a multi-story building. The three buildings were completed in 1954. Mr. DeSerio's design was also used on the dormitory buildings on the Main Street campus built from 1955 to 1963. He has written two books on structural planning and design which have become standard reference texts.D Two physician/researchers at Roswell Park Memorial Institute received National Cancer Institute grants. Dr. Arnold Freeman, research associate professor of pediatrics, received $88,219 to innovate, develop and test the feasibility of new therapies for various childhood cancers through local pilot studies. The Roswell Park group, which calls on various specialists in a "team approach" will work in conjunction with the Pediatric Oncology Group. Dr. Constantine Karakousis, research professor of surgery, received $69,746 to explore regional chemotherapy in animals. He will apply chemotherapeutic drugs to specific parts of the body, targeting anti-cancer drugs to the lungs through the pulmonary artery and the liver through the portal vein or hepatic artery.D State University of ew York Trustees on March 18 approved names for two structures on the Amherst Campus. The first, Social Sciences building, presently under design, will be called Julian Park Hall and the Educational Communications Center building, under construction near Norton, will be named for Dr. Willard H. Bonner.D FALL, 1981 Dr. Herbert A. Hauptman, research and executive director at the Medical Foundation of Buffalo, has received a $34,310 grant through March, 1982 from the National Science Foundation, to continue his study of "Methods of Crystal and Molecular Structure Determination." This work will lead to better understanding of the life processes at a molecular level with research to improve public health. Dr. Hauptman is a research professor of biophysics at U/B.D Dr. Edward A. Carr, Jr., professor of medicine and chairman of pharmacology and therapeutics, is the recipient of the Henry W. Elliott Distinguished Service Award. It was given by the American Society for Clinical Pharmacology & Therapeutics at the group's recent convention in New Orleans.D Dr. John H. Peterson, M'55, clinical assistant professor of gyn/ob, has been elected president of the Buffalo Gynecologic and Obstetric Society. Other officers are: Drs. Marvin J. Pleskow, M'51, clinical assistant professor of gyn/ob, vice president; Daniel Kozera, M'59, clinical assistant professor of medicine, secretary; and orman G. Courey, clinical professor of gyn/ob, treasurer.D Dr. Gabor Markus, research professor of biochemistry, has been awarded the 1981 Jacob F. Schoellkopf medal by the Western New York Section of the American Chemical Society. Dr. Markus was selected in recognition of his critical investigations into the molecular structure and confirmation of proteins and for his other pioneering efforts in blood chemistry research. He is assistant chief cancer research scientist at Roswell Park Memorial Institute.D Dr. Darryl C. DeVivo, a renowned pediatric neurologist, visited Children's Hospital and the School of Medicine in May. Dr. DeVivo, who is the Sidney Carter professor of neurology, professor of pediatrics and director of pediatric neurology at the College of Physicians and Surgeons of Columbia University, led a neuroscience symposium in the Faculty Club. He also conducted a pediatric research seminar at Kinch Auditorium at Children's Hospital.D 43 d- People �People Dr. Warner Dr. Mcisaac Dr. Michele Hindi-Alexander, research assistant professor of pediatrics, presented the preliminary results of "The Evaluation of the Family Asthma Program" at the American Academy of Allergy in San Francisco recently.D The Buffalo Pediatric Society has presented its third annual Pediatrician of the Year Award to Dr. Robert Warner, medical director of Children's Hospital Rehabilitation Center. This award, given for distinguished service in the field of pediatrics, was presented to Dr . Warner at the Society's annual dinner dance at The Buffalo Club. Dr. Warner is associate professor- of pediatrics at the School of Medicine and is a visiting teacher and chief of the Rehabilitation Division, pediatric staff, at Buffalo General Hospital. He is also a consultant in Rehabilitation Medicine at Millard Fillmore Hospital and the Erie County Medical Center. Dr. Warner, who has held his current post at Children's since 1955, has received numerous other honors. They include Variety Club Man of the Year, 1965; Greater Buffalo Advertising Club Man of the Year, 1974; Outstanding Citizen Award from the Mayor of Buffalo, 1977; Harvard Man of the Year Award, presented by the Harvard-Radcliffe Club of Buffalo, 1979; Presidential Citation from Variety Clubs International , 1980; and Communication and Leadership Award from Toastmasters International, 1980.0 Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics at the Medical School, has been appointed assistant vice president for research and graduate studies. In making the appointment, U/B President Robert L. Ketter noted that Dr. Mcisaac's responsibilities will include the establishment of a health sciences liaison office for research and graduate studies. Dr. Mcisaac, received both his BS and Ph.D. degrees from U/B and joined the U / B faculty in 1956. He has also served postdoctoral fellowships at the University of Pennsylvania and University of Lund, Sweden. A specialist in neuropharmacology, Dr. Mcisaac is a member of the American Association for the Advancement of Science, Sigma Xi, American Society of Pharmacology and Experimental Therapeutics and the euroscience Society.D 44 A third year medical student, Jeffrey Bilotta, and five Buswell Fellows gave 30-minute scientific presentations at the 6th annual Buswell Research Day in March. The other participants: Drs. Yoshifumi Abe, Hideho Arita, Michelle Cloutier, Ab Danker, and Herman Szymanski. The faculty sponsors were: Drs. Stephen Spaulding, Beverly Bishop, Margaret Acara, Gerd Cropp, Rocco Venuto and Marvin Herz. Dean John Naughton presented Dr. Henry C. and Bertha H. Buswell Fellowship Diplomas. Dr. John Edwards, professor of medicine and associate professor of pediatrics, was the dinner speaker. His topic: "Human Variation and Disease."O Dr. Clara M. Ambrus, research professor of pediatrics, recently participated in the International Symposium on Sickle-Cell Disease in Abidjan, Gold Coast, Africa. Discussion included cooperative studies in patients with Sickle-Cell disease.D Four faculty members are new officers in the Western New York branch of the American Psychiatric Association. They are: Drs. Nicholas Bona, clinical assistant professor of psychiatry, president; Josie L. Olympia, clinical assistant professor of psychiatry, vice president; Murray A. Morphy, M'72, assistant professor of psychiatry, secretary; and John M. Wadsworth, M'63, clinical associate professor of psychiatry, treasurer .D Dr. Alexander C. Brownie, professor and chairman of the department of biochemistry, received the Doctor of Science (D. Sc.) degree at commencement ceremonies at the University of Edinburgh, Scotland this summer. This degree was conferred in recognition of Dr. Brownie's work presented in a thesis entitled, "Adrenal Cortical Dysfunction in the Pathogenesis of Experimental Hypertension." Dr. Brownie received his B.Sc. with honors in 1952 and his Ph.D . in biochemistry in 1955 from the University of Edinburgh. He came to U/B in 1963 following research fellowships at the University of St. Andrew's and at the University of Utah. He was appointed chairman of biochemistry here in 1977. He is also a research professor of pathology.D THE BUFFALO PHYSICIAN �The department of psychiatry has named nine new faculty members. They are: Drs. Mahmud Mirza, clinical associate professor; George Molnar, associate professor; Brian Joseph, assistant professor; Stuart Keill, clinical professor; Syeda Muqtadir and Edwin Ellis, clinical assistant professors; Ellen Grant and Michael Weiner, clinical instructors.D Dr. Cedric Smith, professor of pharmacology and therapeutics, co-chaired the 8th annual International Congress of Pharmacology in Japan in July. He was appointed a member of the Medical Society, State of New York, Committee on Alcoholism and presented the Physician's Recognition Award in Continuing Medical Education.D Dr. James R. Olson, associate professor of pharmacology and therapeutics, presented a paper at the 20th annual meeting of the Society of Toxicology in San Diego recently.D "Decision Making in Clinical Medicine", a one-week program for third year medical students, was sponsored by the Medical School in May. Drs. Harvey Fienberg, Harvard School of Public Health, and Michael Alderman, Cornell University of Public Health, were the guest faculty. Dr. Leonard Katz coordinated the program. Other U/B faculty participants were: Drs. Paul Davis, Arthur Goshin, Joseph Lyons, Ross Markello, Jane Mathews, Arthur Orlick, Randolph Sarnacki, Rocco Venuto, and Stephen Wear.D Dr. Georgirene D. Valautiu, research assistant professor of pediatrics, was a guest seminar speaker at Loyola University Medical School in Chicago recently.D Three pediatrics professors, Drs. Margaret H. MacGillivray, Mary Voorhess, and Erika Bruck (emeritus), co-authored an article "Acute Diabetic Ketoacidosis in Children: Role of the Stress Hormones," that appeared in Pediatric Research.D A new master's degree program in occupational therapy has been approved at U/B. The program, the only one of its kind in the SUNY system and one of few nationally, begins in September and offers advanced specialty education to therapists who have a BS in the field and two or more years experience.D FALL, 1981 Four pediatricians on the staff of Children's Hospital have been elected officers of the Buffalo Pediatric Society for 1981-1982. Newly elected president is Dr. John Menchini, M'67, associate attending physician and a staff member since 1974. Other officers named are vice president, Drs. John Roger Warner, associate attending physician; secretary, Roger Forden, M'70, assistant attending physician; and treasurer, Albert Maggioli, M'63, associate attending physician. All are clinical assistant professors of pediatrics at the Medical School.D President Robert L. Ketter was recently presented with a plaque by the Polish Arts Club of Buffalo, Inc., in appreciation of his services to the Polish community. On behalf of the University Libraries, Dr. Ketter also accepted a $300 check from the club for support of the Polish Collection housed in U/B's Lockwood Library, which includes a book, published in 1913, describing the 1863 Polish Revolution.D Diet as therapy for behavioral disorders was the topic of a Tops Friendly Markets Nutrition Lecture given by Dr. Morris A. Lipton, director of biological sciences research at the University of North Carolina's Center of Child Development Institute, in March. The lecture was co-sponsored by U/B's Departments of Biochemistry and Psychiatry and the Graduate Group in utrition.D The National Cancer Institute has awarded Dr. Enrico Mihich, Director of Experimental Therapeutics, and the Grace Drug Center at Roswell Park Memorial Institute, $145,213 to study the effects of anti-cancer drugs on the immune responses of mice and human cells. He is research professor of pharmacology and therapeutics at the Medical School.D Dr. Norman Kaplan delivered the 1981 Dr. Charles Elwood Memorial Lecture of the Buffalo Academy of Medicine April 1. Dr. Kaplan, professor of internal medicine and head of the hypertension section at the University of Texas Health Science Center, discussed "Hypertension - Outlook for the '80s." He also is chairman of the arteriosclerosis, hypertension and lipid metabolism advisory committee of the National Heart, Lung and Blood Institute.D 45 d- Dr. Menchini �People Dr. E. Russell Hayes, professor of anatomical sciences, has received the PreClinical Award for 1981 from the minority medical students. It was given in recognition of active support and numerous contributions to medical education.D Dr. S. Subramanian, professor of surgery and chief of cardiovascular surgery at Children's Hospital, received the Americanism Award from members of the Francis A. Lombardo Post 1031, American Legion. This award was issued in honor of his humanitaria·n work in the field of children's surgery.D Dr. Elton M. Rock, M'59, clinical assistant professor of medicine, has been elected president of the Board of Directors of the Individual Practice Association of Western ew York. Other officers of the Board include : Drs. Ross Markello, M'57, professor of anesthesiology and assistant dean for graduate education, vice president; James B. McDaniel , Jr. , clinical assistant professor of gyn/ ob, treasurer; and Richard G. Judelsohn, M'67 , clinical assistant professor of pediatrics, secretary.D Dr. Malon ey Dr. Milford C. Maloney, M'53 , clinical associate professor of medicine and chairman of medicine at Mercy Hospital, has been elected president of the Medical Society of the County of Erie . He will serve a one-year term in which he succeeds Dr. Joseph Prezio , clinical assistant professor of medicine/clinical professor of nuclear medicine. Other officers elected to one-year terms were: Drs. Edmond J. Gicewicz, M '56, clinical assistant professor of surgery , president-elect; and James F. Phillips , M '47, clinical professor of medicine, secretarytreasurer. Elected chairmen of the society's standing committees were: Drs. James R. Nunn, M'55, clinical assistant professor of family medicine/clinical associate in medicine, legislation; Allen L. Lesswing, M'54, clinical instructor in orthopedics, public health; Joseph P. Armenia , M'62 , clinical associate in medicine, medical education ; William J. Breen, M'55, clinical assistant professor of medicine, economics; and Robert M. Barone , M'66, clinical assistant professor of surgery, peer review.D 46 Italian surgeons treating Pope John Paul II have received some of their training at Buffalo General Hospital, according to Dr. John H . Siegel , professor of surgery/research professor of biophysics and chief of surgery at Buffalo General. Dr. Marco Castagneto trained at Buffalo General for nine months beginning in 1973 and during this time served as chief resident in surgery. He directed the critical care unit during the Pope's recuperation . Dr. Iva Giovannini studied here beginning in 1977, working with Dr. Siegel in intensive care and then spent one year as a surgical resident. Another member of the Italian medical team , Dr. Giuseppe Nanni , is currently studying at Buffalo General Hospital.D Four former residents or fellows at Children's Hospital have joined the pediatrics department as assistant professors. They are: Drs. Gilbert M. Goldman, John W. Georgitis, Myron R. Siegle and Penny R. Tronolone.D Two faculty members have been elected officers of the medical staff at St. Francis Hospital. Drs. James Creighton, M '39, clinical assistant instructor in surgery, is vice president and John Naples, clinical assistant professor of gyn/ ob, is secretary. Dr. Carroll Keating is president.D Dr. Leonard Katz, professor of medicine and associate dean for student/curricular affairs , has been elected chairman of the Northeast Group on Medical Education and will also serve on the national Steering Committee of this group. The group on Medical Education is a component organization of the Association of American Medical Colleges which represents all 124 medical schools of the United States.D Two graduate students from the department of anatomical sciences have received awards. Jeff Boldt has been named by the University as a recipient of the Graduate Student Excellence in Teaching Award. Roger Daley has been awarded first place in the graduate student competition for research by the Buffalo Chapter of Sigma Xi.D THE BUFFALO PHYSICIAN �Four faculty members have been promoted at Children's Hospital - Drs. Arnold I. Freeman to professor of pediatrics; Howard S. Faden to associate professor; Edwin W. Naylor and Georgirene D.T. Vladutiu, both to research associate professors.O The Cystic Fibrosis Foundation has awarded a $30,260 (one-year] grant to Drs . Georgirene D. Vladutiu and Edwin W. Naylor, both research A.ssociate professors of pediatrics at Ch. · Bospital.O Dr. Philip K. . . istant professor of pediatrics and patt ~ ch.ef, division of clinical chemistr. ...11ildren's Hospital, visited the People's Republic of China in May and June at the invitation of the Health Protection and Promotion Agency, World Health Organization, United Nations. He was a visiting scientist and lecturer in the field of laboratory medicine.O Dr. Avirachan T. Tharapel, assistant professor of pediatrics, has joined the division of human genetics as director of cytogenetics at Children's Hospital.O Dr. Emanuel Lebenthal, professor of pediatrics and chief, division of gastroenterology and nutrition, has edited a twovolume textbook, Gastroenterology and Nutrition in Infancy (Raven Press, April, 1981). Contributors from the pediatrics department are: Drs. P.C. Lee, Myron Siegel, M.M. Riddlesberger Jr., Tej N. Kaul, Mark Fishaut, Erwin Neter, Donald George, Stanley J. Szefler, Danny D. Shen, Howard S. Faden, Pearay L. Ogra, Ronald Levy, Martin Wingate, Tatsuru Yamanaka, William Topper, Thomas Rossi, Daniel Lacey, Michael E. Cohen, Patricia Duffner, Robert Guthrie, Robert L. Gingell, Daniel Pieroni, Theodore C. Jewett, David L. Baswell, and Edmund A. Egan.D The Classes of the 1940's The Classes of the TEEN's Dr. Myron A. Thompson, M'17, has retired from his profession. He lives at 1020 Lovejoy St., Buffalo, .Y. 14206.0 The Classes of the 1930's Dr. Grosvenor W. Bissell, M'39, has retired as the Chief of the Medical Service, Veterans Administration Medical Center in Saginaw, Michigan after 29 years with the Veterans Administration. Dr. Bissell continues as a voluntary consultant in Internal Medicine and Endocrinology for the Veterans Administration Medical Center currently stationed at Saginaw, Michigan. He continues as Clinical Professor in Medicine on the Faculty at Wayne State University, Detroit, Michigan, and as Clinical Professor of Medicine, Michigan State University of Human Medicine in Lansing, Michigan. He has recently been appointed Medical Director of the Tri-County Center for Substance Abuse in Saginaw, Michigan.O FALL, 1981 Dr. John D. White, M'40, is the recipient of a testimonial award of appreciation for community service from the Health Systems Agency of Monroe County, Florida. The semiretired anesthesiologist lives at 234 Mohawk St., Tavernier, Florida 33070.0 Dr. Robert L. Brown, M'44, associate dean of the School of Medicine, has recently established the "Robert L. Brown History of Medicine Collection Fund" with the U/ B Foundation as an endowment fund for the Health Sciences Library. The money generated from this fund will be used to enhance the historical collection at HSL.O Dr. Guy L. Hartman, M'46, presented a paper, "Society's Most Expensive Child, The Previously Abused Adolescent," at the 3rd International Conference on Child Abuse in Amsterdam in April. He was also visiting professor at the University of Vienna for two weeks. Dr. Hartman also presented a paper at the 5th National Conference on Child Abuse last April in Milwaukee. The pediatrician at the Kaiser-Permanente Medical Center in Fontana has been elected to a one-year term 47 d- �to the executive committee of the California Consortium of Child Abuse Councils. He has also been named chairman of the Committee on Prevention. Dr. Hartman lives at 1425 Ashland Ave., Claremont, Ca. 91711.0 Dr. Maynard H. Mires, M'46, has a new position as director of the Sussex County Health Unit in Georgetown, Delaware. He had been State Health Officer of ew Hampshire. Dr. Mires is living at 118 W. Pine St., Georgetown, Del. 19947.0 Dr. Arthur Schaefer, M'47, was honored for outstanding service by the American Academy of Ophthalmology. He is a clinical associate professor and directs ophthalmic plastic reconstructive surgery at the Erie County Medical Center.D and was inducted into the town's sports hall of fame. Dr. Gicewicz is athletic physician and former football record-holder at U/B, area youth sports administrator and clinician.D Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer at the Wadley Institutes of Molecular Medicine, Dallas, Texas in April. He spoke about "A Brief History of the International Society of Hematology" and "A Student's Impression of Austin Flint" .D Dr. Marvin . Eisenberg, M'57, is president-elect of the Orange County Medical Society. The radiologist lives at 36 Randall Heights, Middletown, .Y. 10940.0 Sisters of Charity Hospital has appointed Dr. Donald 0. Rachow, M'53, to its ninemember board of trustees. An endocrinologist with an office practice in Snyder, Dr. Rachow has just completed serving as president of the Sisters Hospital Medical Staff for 1980-81. Additionally, Dr. Rachow was elected last week to serve as the first president of the Sisters Hospital Presidents' Club, a newly formed physician advisory group made up of 24 past presidents of the Sisters Medical Staff. He has been on the hospital staff 24 years.D Dr. Joseph A. Bellanti, M'58, professor of pediatrics and microbiology at Georgetown University School of Medicine, Washington, D.C., was one of two physicians to be awarded the honorary title of "Fellow Distinguished" by the American College of Allergists at the organization's 37th Annual Congress in April. Dr. Bellanti has completed a term on the Board of Regents, the College's governing and policy-making body, and was a member of the executive, nominating and program committees of the College. He also served on the 1980-81 council of the Annals of Allergy, the College's official scientific journal, for which he serves as associate editor. Dr. Bellanti was selected for the honor of "Fellow Distinguished" by the Scientific and Educational Council of the College for his contributions to the field of allergy practice and for his work in developing post-graduate education programs for his fellow clinicians. Dr. Bellanti served his internship at Millard Fillmore Hospital and his residency at Children's Hospital. In addition to his post at Georgetown University, Dr. Bellanti is on the staff of Georgetown University Hospital and D.C. Children's Hospital, Washington , D.C., and is director, International Center for Interdisciplinary Studies of Immunology at Georgetown University Medical Center.D Dr. Edmond J. Gicewicz, M'56, clinical assistant professor of surgery, has been honored by the Amherst Avenue of Athletes Dr. Franklin Zeplowitz, M'58, was recently re-elected president of the medical/dental staff of Our Lady of Victory Hospital, Lackawanna.D Dr. James A. Werick, M'49, has been appointed chief of the department of medicine at St. Francis Hospital. Dr. Werick, who specializes in internal medicine, has been on the hospital staff since 1957.0 The Classes of the 1950's Dr. William C. Stein, M'50, of Lockport, has been appointed to the Nominating Committee of the Medical Society of the State of New York representing the Eighth District Branch.D 48 THE BUFFALO PHYSICIA �Dr. Robert J. Brennen, M'59, has been elected president of the medical staff at the iagara Falls Memorial Medical Center.D The Classes of the 1960's Dr. Thomas J. Guttuso, M'60, has been appointed assistant chairman, ophthalmology department, Erie County Medical Center, and director of the retinal service. He is assistant clinical professor of ophthalmology at the Medical School and is active in several local , state and national professional organizations.D Dr. Joel M. Bernstein, M'61, clinical assistant professor of otolaryngology, presented a lecture, "Otitis Media with Effusion - Is it Allergic, " to the American Academy of Otolaryngology recently in Anaheim, California. He has also authored and co-authored articles for several scientific journals.D Dr. Frank Ehrlich, M'63, is chairman , department of emergency medicine at St. Agnes, a teaching hospital in Baltimore. He is also an affiliate faculty member of the advanced trauma life support program of the American College of Surgeons; and chairman , medical advisory committee, Baltimore City Ambulance Service. Dr. Ehrlich lives at 347 Dun-Robbin Dr., Severna Park, Md. 21146.0 Dr . Bert A. Lies, Jr., M'64, clinical assistant professor of orthopaedics, has recently been elected to membership in the Pediatric Orthopaedic Study Group. He has also been elected a Surgical Fellow in the American Academy of Pediatrics. Dr. Lies is presently Director of the Cerebral Palsy Clinic at the Children's Rehabilitation Center and is involved in children with developmental disabilities and other orthopaedic rehabilitation needs.D Dr. Robert Klocke , M '62, was elected a Fellow in the American College of Physicians in March. He is a professor of medicine and assistant professor of physiology at U/ B.D FALL , 1981 Dr. Philip D. Morey, M'62, was elected a Fellow in the American College of Physicians in March at the annual meeting in Kansas City. He is a clinical assistant professor of medicine at U/ B. He said, "An unexpected delightful surprise to me was that my gross anatomy lab partner at Buffalo in 1958, Robert Klocke , M.D., professor of medicine and physiology at Buffalo, Class of 1962, was also elected a Fellow. "My basic interests and activities professionally revolve around private practice at the Buffalo Medical Group, P.C. in Internal Medicine and Cardiology. I am a coinvestigator with Dr. Robert Kohn in two randomized clinical trials entitled "Beta Blocker Heart Attack Trial " and "Persantin Aspirin Reinfarction Studies", which are long-term studies to determine the benefits of these medications in the prevention of coronary deaths and non-fatal myocardial infarction. "D Dr. C. Wayne Fisgus, M'66, is an assistant clinical professor and past department chairman of ob / gyn at the Medical University of South Carolina . He is also past president of the South Carolina Ob/Gyn Society and a member of several other medical societies. He lives at 250 Winfield Drive, Spartanburg, South Carolina 29302.0 Dr. HowardS. Friedman, M'66, is associate professor at SU Y/ Downstate Medical Center. He is also chief of cardiology at The Brooklyn and Cumberland Hospitals ; active attending at Kings County Hospital; and visiting consultant at Bronx VA Hospital. In the past he has been on the medical school faculties at Washington University, St. Louis and Mt. Sinai. After graduating from U/ B he took his internship in straight medicine at St. Louis Hospital. This was followed by residency at Barnes Hospital, St. Louis, and Mt. Sinai Hospital. ational Dr. Friedman is a Diplomate Board of Medical Examiners, American Board of Internal Medicine, Sub-Specialty of Cardiovascular Disease. In 1976 and 1980 he won the AMA Physician's Recognition Award. Dr. Friedman is a Fellow-American College of Physicians, American College of Cardiology, American Heart Association's Council on 49 d- �Clinical Cardiology, American College of Chest Physicians, New York Cardiological Society, and American College of Angiology, Scientific Council. He is also a member of several other national and regional professional societies. Since 1973 he has had five substantial grants for his research on heart disease , cardiac function and effects of alcohol. He has authored and co-authored 30 scientific papers for professional journals, and has given 25 presentations at regional , national and international meetings. In the last four years he has been a guest lecturer at 14 hospitals in the New York City area. His home address is 1045 Park Avenue, New York, .Y. 10028.0 Dr. Jeffrey E. Lindenbaum , M'66, is a clinical associate professor of pediatrics/adolescent medicine, University of Washington, and Children's Orthopedic Hospital, Seattle. He is also associated with the Group Health Cooperative of Puget Sound. Dr. Lindenbaum is a Fellow , American Academy of Pediatrics; chairman of the Washington State Medical Society on Continuing Medical Education; and was scientific co-chairman, North-Pacific Pediatric Society Meeting on Adolescent Medicine. He is also active in several city, county, state, regional and national professional organizations. Earlier this year his paper "Community College Health Services: Are They Really Necessary," was published in the Journal of Adolescent Health Care. He lives at 1508-8th West, Seattle, Washington 981190 Dr. Joseph F. Martinak, M'66, is director of emergency services, St. Francis Hospital, Topeka, Kansas. Recently he was a Teaching Fellow at the Dartmouth Medical School. Dr. Martinak is a Fellow and Diplomate , American Academy of Family Practice. He has authored several articles on Toxicology/Infection recently. He lives at 5144 S.W. Vorse Road, Topeka, Kansas 66614.0 Dr. Kenneth L. Jewel, M'68, is the new director of the department of radiology at the Mountainside Hospital , Montclair, New Jersey. From 1977-1980 he was director of diagnostic radiology and CT Scanning at the hospital. He is active in several professional 50 societies. Dr . Jewel lives at 133 Lake Dr., Mountain Lakes, N.J. 07046.0 The Classes of the 1970's Dr. Norman S. Ellerstein, M'71, assistant professor of pediatrics, spoke at the Fifth National Conference on Child Abuse and Neglect recently in Milwaukee, Wisconsin. He has also been appointed to the Council of Biology Editors.D Dr. Elliott A. Schulman, M'74, is assistant professor of neurology at Temple University. He has co-authored four articles relating to epilepsy, its treatment and the pharmacology of the various anti-convulsants. He lives at 301-C Catherine St. , Hanson Square , Philadelphia , Pa. 19147.0 Dr. Bruce Middendorf, M'74, discussed "Nutrition and Physical Fitness" at the annual Buffalo Evening News Physician Fitness Workshop in May.D Dr. Howard M. Kaplan, M'74, completed a one-year clinical fellowship in otology and neur-otology with the Otologic Medical Group/Ear Research Institute in Los Angeles recently. He is now in private practice. His office address: 5012 Hollywood Blvd., Hollywood, Florida 33021. He is a Diplomate , American Board of Otolaryngology and American Neurotology Society; a Fellow, American Academy of Otolaryngology and Florida Otolaryngology Association.D Dr. Peter eumann, M'75, completed his residency in general/plastic surgery. He has joined the partnership with Drs. Arthur Wise and Robert Cooper M'72, in Manhasset, N .Y. Dr. Neumann is living at 45 Melany Avenue , Plainview, N.Y. 11803.0 Dr. Henry M. Bartkowski, M'76, completed his residency at ew York University in June and accepted a position at the University of California at San Francisco. He will be assistant professor of neurosurgery at the medical school and pursue his clinical and research interests.D THE BUFFALO PHYSICIA �Dr. Clifford W. McLeod, M'77, is with the United States Air Force at Williams AFB, Arizona. He completed his residency in Ob/Gyn in July.D Dr. Bess Miller, M'77, has a new position with the Center for Disease Control, Atlanta , in environmental hazards and toxic substances. She was recently married to Steve Solomon. They are living at 1634 Ponce De Leon Avenue, .E., #101, Atlanta, Ga.D Dr. RichardS. Elman, M'78, has been named director of emergency medicine at Lockport Memorial Hospital. He will supervise four other doctors who staff the emergency room. Dr. Elman joined the hospital staff in January and has been an emergency room doctor at DeGraff Memorial Hospital, Niagara Falls Memorial Medical Center, and Mount St. Mary's Hospital in Lewiston.D Dr. Stanley J. Szefler, M'75 , assistant professor of pediatrics and pharmacology and therapeutics, is principal investigator for a $302,933.00 grant funded by N.I.H. ational Heart, Lung and Blood Institute. His coinvestigators are Drs. Elliot F. Ellis, professor and chairman of pediatrics at Children's Hospital, and Tee-Ping Lee, research assistant professor of pediatrics. The grant will run from May 1, 1981 through April30, 1985.0 Dr. Jeffrey C. Pitts, M'78, has completed his two years of internal medicine residency at Erie County Medical Center. He has completed his first year of ophthalmology training at the Buffalo General Hospital. He changed specialties in July, 1980. Dr. Pitts lives at 79 Callodine, Amherst, N.Y. 14226.0 The Classes of the 1980's Dr. Robert Braco, M'80, completed his intership at Millard Fillmore Hospital. In July he started anENT residency at the University of Iowa Hospitals and Clinics in Iowa City, Iowa . His residency is a four year program.D FALL, 1981 Dr. Noel H. Morrell, M'59, died June 11, 1979 of cancer of the pancreas. The 45-yearold physician was a specialist in child and adolescent psychiatry at the Stanford University Medical School. He had been active in several professional societies. He is survived by his wife, Joannine, and three children, Kristin, Andrea and Gavin. They are living at 1650 Oak Ave. , Menlo Park, Ca. 94025.0 Dr. Joseph Kriegler, M'36, died April17 in Millard Fillmore Hospital. The 68-year-old general practitioner had been police and fire surgeon for the City of Lackawanna for 45 years. He was on the staff of Our Lady of Victory Hospital, where he also did his internship after graduating from U/B. He served with the United States Army during World War II in the European and African theaters. Dr . Kriegler was a past president of the Maimonides Medical Society. He was also active in several other state and regional professional associ a tions.D Dr. Jack K. Goldman, associate professor of medicine, died May 5. He had been at U/ B and the VA Medical Center since 1960 as associate chief of staff for research and development and chief of endocrinology. He also worked closely with the VA central office in Washington, D.C. He received his M.D . from the University of Pittsburgh in 1959. Dr. Goldman did post-doctoral work at Peter Bent Brigham Hospital, Boston, Harvard University and Duke University Medical Schools. From 1962-64 he was a research physician at Wright-Patterson Aeromedical Research Labs. He was active in several professional organizations.D Dr. James G. Kanski, M'30, died March 2 after a brief illness. His age was 75. He retired from practice in 1975. In the 1940's he served two terms as president of Mercy Hospital Medical Staff. Last year he was honored for his 50 years of service to his profession by the U/B Alumni Association and the State Medical Society. He served his internship at Arnot Ogden Hospital in Elmira and did post-graduate work at Cook County Hospital, Chicago and in Budapest, Hungary. He was a Fellow in the International College of Surgeons and was a Major in the Army Medical Corps during World War II. He was active in several professional and civic organiza tions.D 51 In Memoriam ~ �A Message from Norman Chassin, M' 45 President, Medical Alumni Association The members of the Board of Directors join me in expressing thanks for the honor of serving as your officers in 1981-82. We look forward to building on the good work of the past year in carrying out the stated purposes of the Medical Alumni Association - "To promote the interests and welfare of the School of Medicine, to advance the cause of medical education, to inculcate a fraternal spirit in the medical undergraduate body, and then to sustain this spirit among the Alumni, and to represent them." We are aware that some confusion exists regarding the variety of appeals for money emanating from the University campus and directed at Medical Alumni. This may be an appropriate tim e to review for you the nature of these solicitations. DUES Statements of your annual Medical Alumni Association dues of $20 will be mailed shortly. These monies are used to support the daily expenses of running this organization (apart from office space and the bulk of secretarial help which is contributed by the Administration]. Our largest budgetary items are for expenses surrounding the program and exhibits of Spring Clinical Day, including the Stockton Kimball Award Lecture and Luncheon. These dues also support a reception in the Spring for the graduating class and support of certain Senior awards and the publication of a Medical Directory. The Board is careful to stay within its budget in an effort to maintain a current minimal dues structure. Our program is not expansionary, and excess funds are invested for maximum return. We urge your continued fine support of the Association by prompt payment of dues which are tax deductible . Most of you are billed separately by the University General Alumni Organization for annual dues of $15. This organization works with us when arranging our annual winter vacation trip to a w arm clima te , and gives reservation priority on that trip to Medical Alumni. We in turn arrange an educational seminar as part of this trip, and you receive early descriptive mailings publicizing this event. Our Past President serves as a Representative to the General Alumni Board of the University. GIFTS Sometime in Fe br ua ry, 1982 th e Me di cal Alumni Associati on will s p o ns o r a co ntinuing e du cation seminar in St. Thomas, Virgin Islands or Mexico. Phyicions will be notified b y moil before Labor Doy.D Quite apart from the above, you receive periodic requests (only once yearly if you make a regular annual gift] for contributions to the School of Medicine, sponsored by the U/B Foundation. Although we lend our support to this important endeavor, this process too is handled separately from our Alumni Organization . o matter what the level of your giving, you may make your gift an unrestricte d one to the Medical School, or restrict its use to a spe cific area of activity within the School. If you wish to make a speci al contribution in the form of a bequest, memorial or endowment, you may arrange this through Mr. James N. Snyder, Vice President, U/ B Foundation, 250 Winspear Avenue, Buffalo, 14215, phone (716) 831-3206. Every five ye ars each member of a Reunion Class is asked to participate in a special anniversary commemorative giving, conducted separa tely by his class officers in cooperation with the U/B Founda tion. Often specific projects are designated within the School for use of these funds. During the anniversary year, the donor is omitted from the annual solicitation by the Foundation . Should you have any question about Alumni-Medical School financial relationships, you may call the Association Office, 8312778 and speak to one of the officers.D �Four Physicians Honored Four physicians at the Erie County Medical Center were honored at the 61st graduation ceremonies for hospital residents. The ceremonies were sponsored by the medical-dental staff of the hospital. The "Best Teacher Award" (white coat) was given to Dr. Morris Reichlin, professor of medicine and research professor of biochemistry. The new "Robert Dripps Award" for outstanding residents in anesthesiology was given to Dr. Bruce Nohejl, M'76, research assistant professor of physiology. The "Norman Chassin" award was given to Dr. Linda Peridowski. The "Ignaz Semmelweiss Award" was given this year to Dr. Alan D. Wells, clinical assistant professor of surgery, for his award winning paper entitled: "Does Oedematous Pancreatitis Exist in Biliary Related Pancreatitis? (Hemodynamic and Histological Study of the progression of the bile induced pancreatitis). The Semmelweiss Award was created in 1974 by Dr. Desider Pragay, clinical associate professor of biochemistry and director of the chemistry department of the Erie County Laboratory. The award is named for Ignatrius Semmelweiss, the pioneer in antiseptic and aseptic procedures for surgery, obstetrics/gynecology in the mid-1800's in Austria and Hungary. He conquered puerperal fever. The orman Chassin Award is named for the attending in medicine at the medical center. The outstanding teacher of the year award is selected by the medical residents at the medical center. The award is named for Dr. Chassin, M'45, who is a clinical associate professor of medicine.O --------------------------------------------------------------------------------------------------- IIIIII BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. ZZlO POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - Y e a r MD Received---Office Address----- -- - - - - -- - - - - -- - - - -- - - - - - -- - - - - - - - - - - - - Home Address - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----If not UB, MD received f r o m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - InPrivatePractice: Yes ~ In Academic Medicine: Yes No ~ Speci~tY-----------------------------­ ~ No ~ Part Time ~ Full Time ~ School - -- - - - - - - - - - - -------------------Title Other: Medical Society Memberships: ---------------- -- - - - - --------- -----------------------------NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - - ----- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1981 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1981-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1981-03-Fall Table Of Contents A list of subunits of the resource. Dean Naughton's Message Commencement Iris Dedication Students Honored President Ketter's Address Health Care Plan New Graduate Program Roswell Park Seminars/Dr. Wels Chemical Emergency Manual Orthopaedic Residents Geriatric Selective SUNY / Union Carbide Alumni Reception Dr. Rahn Dr. Milgrom Dr. Musselman Dr. Harker New Requirement Student Meeting Dr. Lambert Honored Dent Institute/ Medical Education Lifeline Units/ Alumni Tours BGH Construction James Platt White Medical Industrial Complex Love Canal People The Classes In Memoriam Dr. Chassin's Message Physicians Honored Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2018-01-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v15n03 Extent The size or duration of the resource. 56 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/fb4b123f03257c929d88684c112747b7.pdf dbac1a4563f8dc20faac2aefa92fead2 PDF Text Text �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae: Throughout the 1970's we all heard about the coming revolutionary change in the funding of medical education and health care. For most of a generation medical students and physicians were convinced beyond all doubt that the entire process would be federalized and that medicine as once practiced would no longer exist. Well, here we are in 1981, and on the surface at any rate, it may look as if "it's business as usual." Of course, nothing is further from reality. The fact is that a quiet evolutionary revolution has occurred, but rather than for the government to assume control of the medical enterprise, other significant changes have occurred. For example, the experiment of the federal government participating directly in institutional funding has been either deemed a failure or unrealistic. The result has been the withdrawal, gradually, of such support and the transfer of the costs of medical education directly to the institutions and their consumers. This is now manifested by escalating tuition costs at a time when interest rates on loans are extremely high and by many medical schools falling into greater and greater debt. For us at SUNY-Buffalo, we will evidence a significant increase in .tuition. from $3,300 to $4,300 per year in September, 1981 combmed Wlth a reduction of once federally subsidized operating funds from the Capitation Program. This has all happened at a time when New York State's own fiscal situation demands constraint. I bring these subtle changes to your attention so that we all can be aware of the fact that the dread of federal control, if once realistic, is certainly not the situation at present. Rather, in a climate. in wh.ich. t?e society has decided that institutional, programmatic and md1v1dual success or failure should be decided by competitive forces, all medical schools, especially SUNY-Buffal~, will co.ntinue to be dependent on the loyalty and support of 1ts alumm and other benefactors if we are to provide the quality level of m~dical education and the academic leadership that the commumty, state and nation expect of us. For you who are caught up in the same dragnet, continued support of our mission may cause a degree of personal sacrifice. I hope that your love for The School of Medicine and your commitment to its causes and missions will justify such decisions in our favor.D �Summer 1981 Volume 15, Number 2 THE BUFFALO PHYSICIAN (USPS 551·860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor RoBERTS. McGRANAHAN Dean, School of Medicine DR. JoHN NAuGHTON Photography HuGo H. UNGER EDWARD NowAK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Associate Editor 2 8 12 16 17 20 23 24 TERI RoBERTS CONSULTANTS President, Medical Alumni Association DR. RoBERT W. ScHULTZ Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JoHN M. CARTER Acting Director of Public Affairs HARRY JACKSON Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 28 30 31 32 33 34 35 36 38 40 41 42 43 44 51 55 56 IN THIS ISSUE Dean Naughton's Message (inside front cover) Post Graduate Matching Dues Paying Alumni, 1980 Confessions of Three Grave Robbers by Dr. O.P. Jones Pediatric Programs Football Schedule Faculty Retire Dr. Ketter The Battered Child Syndrome by Dr. Ehsan Afshani Sports Physiology Dr. Stell MECO/Roswell Park Seminar's Dr. Frawley Dr. Stoff Dr. Thorn Dr. Weldon Memorial Plaques Continuing Medical Education Dr. Jacobs A Day With Hans Selye People Modular Schedule People The Classes In Memoriam Alumni Tours The cover design is by Donald Watkins. It depicts post-graduate matching, pages, 2-7. THE BUFFALO PHYSICIAN, (USPS 551-860). Summer, 1981 - Volume 15, Number 2 published quarterly Spring Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. POSTMASTER: Send address changes to THE BUFFALO PHYSICIAN, 139 Cary Hall, 3435 Main Street, Buffalo, New York 14214. Copyright 1981 by The Buffalo Physician. SUMMER,1981 1 �Dr. Nadler, Alan Bober, Drs. Katz, Morphy, Markello, Caruana. Post Graduate Matching Bret Shulman, Pat Burette. SEVENTY-NINE PERCENT of the senior medical students received their first or second choice in the National Postgraduate Matching Program. Twenty-one of the 148 students did not participate in the national program and matched themselves. According to Dr. Leonard Katz the 1981 match was the best in the school's history. The most popular programs were medicine, 47; surgery, 25; pediatrics, 19; and family practice, 14. Forty-one students selected Buffalo based programs for their residency, and another 37 will remain in New York State. The most popular Buffalo post graduate training programs were pediatrics and medicine (8 each], and four in family practice. Others will go to Michigan, Rhode Island Hospital, Bronx Municipal Hospital Center, and North Carolina for programs in medicine. For pediatrics programs the students will go to YaleNew Haven, Minnesota and Montefiore Hospital in New York. In family practice they will go to Duke, North Carolina, Montefiore Hospital, and Highland Hospital in Rochester. For surgery they will go to New York University, Colorado, Case Western Reserve and for pathology to New York Hospital, and the University of California at San Francisco. Faculty members who assisted in the program were: Drs. Dennis Nadler, pediatrics; Joseph Caruana, surgery; Ross Markello, internal medicine/anesthesia; Murray Morphy, ob/gyn and psychiatry; John Richert, family medicine. Ackerman, Stacey, Millard Fillmore Hospital, Buffalo, Medicine C* Aizaga, Monica, SUNY/Buffalo Affiliated Hospitals, Medicine c Andres, Jerome, Niagara Falls Memorial Medical Center, Family Practice C Babikian, George, SUNY /Buffalo Affiliated Hospitals, Surgery C Bachrach, Harrison, Hospitals of the University Health Center, Pittsburgh, Medicine C Bahouth, John, Bridgeport Hospital, Ct., Flexible Bancroft, George, SUNY /Buffalo, Affiliated Hospitals, Anesthesiology Baratta, Pasquale, Forbes Health System, Pa., Family Practice C Berger, Allan, Jewish Hospital, Mo., Surgery C Berke, Stanley, Lenox Hill Hospital, N.Y., Medicine C* 2 THE BUFFALO PHYSICIAN �Blander, Steven, University Hospital SUNY /Stony Brook, Medicine C Bober, Alan, University of Minnesota Hospitals, Pediatrics C Boutis, Patricia, St. Vincent's Hospital, New York City, Flexible Bradley, Suzanne, Ohio State University Hospitals, Medicine C Brent, Jeffrey, New England Deaconess Hospital, Surgery Brociner, Ronald, Baylor College Affiliated Hospitals, RadiologyDiagnostic C* Bronk, James, University of Washington Affiliated Hospitals, Radiology-Diagnostic C* Brunswick, Richard, Duke University Medical Center, Durham, Family Practice C Bucher, Sharon, Children's Hospital, Buffalo, Pediatrics C Bukowski, Stanley, University of Michigan Affiliated Hospitals, Medicine C Caccavale, Robert, New York University Medical Center, Surgery c Cartwright, Richard, Hospitals of the University Health Center, Pittsburgh, Medicine C Castellani, Daniel, Millard Fillmore Hospital, Buffalo, Neurology Castine, Victor, Mary Imogene Bassett Hospital, N.Y., Medicine C Chamides, Brian, The New York Hospital, Pathology C Ciaccio, Andrea, University of Virginia Medical Center, Pediatrics C Ciccolella, David, SUNY/Buffalo Affiliated Hospitals, Medicine c Pauline Wills, Robin Karp fen . Conlon, Diane, Children's Memorial Hospital, Northwestern University Affiliated Hospitals, Illinois, Pediatrics C Cooley, Timothy, West Virginia University Hospital, Medicine C Cusenz, Bruce, SUNY/Buffalo, Program I, Surgery C Czyrny, James, SUNY/ Buffalo Affiliated Hospitals, Physical Medicine & Rehabilitation C* Davis, Susan, Navy Regional Medical Center, San Diego, Surgery C Diesfeld, Patrick, Los Angeles County/USC Center, Ob/ Gyn C Dietrich, Christine, Wilmington Medical Center, De., RadiologyDiagnostic C* Doller, Jane, Cabrini Medical Center, N.Y., Medicine C* Ellis, Diana, Millard Fillmore Hospital, Buffalo, Medicine C* Escarza, Sotera, Lorna Linda University, Ca., Medicine C Fadale, Paul, Rhode Island Hospital, Surgery C* Fefer, Anita, SUNY/Buffalo Affiliated Hospitals, Psychiatry C* Feldman, Barry, Brookhaven Memorial Hospital, N .Y., Family Practice C Fiedler, Joel, Children's Hospital, Buffalo, Pediatrics C Fleiss, Mona, Nassau County Medical Center, N.Y., Medicine C Foltin, George, Children's Hospital, Buffalo, Pediatrics C Gambino, Lisa, Highland Hospital, Rochester, N .Y., Family Practice C Gartner, Jay, SUNY/ Buffalo Affiliated Hospitals, Medicine C* Geringer, Edith, Framingham Union Hospital, Mass., Flexible Gewirtz, Jonathan, Grady Memorial Hospital, Georgia, Ob/ Gyn C* Goldberg, Gregg, Christ Hospital, Illinois, Emergency Medicine Goldstein, Marshall, Children's Hospital, Buffalo, Pediatrics C Goodell, Thomas, Silas B. Hayes Army Hospital, Ca., Family Practice C d- SUMMER, 1981 3 �Michael Ross, Connie Jones (embracing Pablo Rodriquez), Margaret Mcintosh. Greg Goldberg, Betty Wells. Grazi, Richard, New York University Medical Center, Ob/ Gyn C* Greco, Joseph, St. Vincent's Hospital, New York City, Surgery C Greenholz, Stephen, University of Colorado, Health Science Center, Surgery C Gutliph, Joanne, North Carolina Memorial Hospital, Ob/ Gyn C Haque, Shehla, SUNY/Buffalo Affiliated Hospitals, Medicine C Harris, Meredith, Not Taking Internship Heitzman, Elizabeth, Children's Hospital, Buffalo, Pediatrics C Hoff, Martin, Beth Israel Hospital, N.Y., Medicine C* Hohmann, Lynda, Deaconess Hospital, Buffalo, Family Practice C Jacobson, Todd, Millard Fillmore Hospital, Buffalo, Medicine C Jakubowski, Robert, Deaconess Hospital, Buffalo, Family Practice c Jones, Cornelie, Riverside Hospital, Va., Flexible Kahn, Wendy, University of Minnesota Hospitals, Pediatrics C Kaplan, Robert, Children's Hospital, Buffalo, Pediatrics C Karpf en, Robin, St. Luke's Hospital, N.Y., Ob/Gyn C Keller, Nancy, SUNY/Buffalo Affiliated Hospitals, Ob!Gyn C* Kinnard, David, University of Colorado Medical Center, Primary Care/ Medicine Koenig, Jan, SUNY/ Buffalo, Program I, Surgery C Kraemer, Peter, St. Vincent's Health Center, Pa., Family Practice c Kuchta, Kenneth, University of Connecticut, Surgery C Kuhls, Thomas, Children's Medical Center, Dallas, Pediatrics C Kurth, Janice, University of California [Irving) Affiliated Hospitals, Surgery C Laires, Barbara, Kaiser Foundation Hospital, Santa Clara, Medicine C 4 THE BUFFALO PHYSICIAN �Lane, Thomas, University of Connecticut Affiliated Hospitals, Medicine C Leslie, Denise, Berkshire Medical Center, Mass., Medicine C Lipton, Barbara, St. Luke's Hospital, N.Y., Medicine C Maben, Wayne, SUNY/Buffalo, Program 2, Surgery C Mahon, Carol, SUNY/Buffalo Affiliated Hospitals, Medicine C* Malumed, Deborah, Memorial Hospital, Long Beach, Family Practice C Marabella, Patrick, University of Minnesota Hospitals, Surgery C Matteson, David, Millard Fillmore Hospital, Buffalo, Surgery C* May, Conrad, Baltimore City Hospitals, Medicine C McElroy, Brendan, Nassau County Medical Center, N.Y., Medicine C Mcintosh, Margaret, Montefiore Hospital Medical Center, N.Y. Barbara La ires and friend. Family Practice C Monaco, John, Orlando Regional Medical Center, Fla., Pediatrics c Murawski, Melinda, University of Colorado Medical Center, Pediatrics/Primary Care Ogorek, Carrie, University Health Center, Pittsburgh, Medicine C Ohemeng, Augustus, Sinai Hospital, Baltimore, Medicine C Olson, Fred, Rhode Island Hospital, Medicine C Peer, Gerald, SUNY/Buffalo Affiliated Hospitals, Anesthesia Peterson, Clement, Nassau County Medical Center, N.Y., Surgery c Pierro, Hugo, Roosevelt Hospital, N.Y., Medicine C Pinkus, Harry, Tucson Hospitals Medical Education Program, Flexible Posner, Mitchell, University of Colorado Affiliated Hospitals, Surgery C Priest, Michael, Albany Medical Center Hospital, N.Y., Psychiatry C Pryce, Judith, Children's Hospital, Buffalo, Pediatrics C Rahn, Shelley, Bronx Municipal Hospital Center, N.Y., Medicine c Daniel Schaefer. Dr. Richert, J. Brian Same. dSUMMER, 1981 5 �Tom Tokack, Drs. Katz, Morphy, MarkeJlo, Caruana. Reichman, Helena, University of Massachusetts Coordinated Programs, Ob/ Gyn C* Reitz, Mary Ellen, New York University Medical Center, Pathology C Robinson, Girard, The New York Hospital, Psychiatry C* Robinson, Roderick, SUNY/Buffalo Affiliated Hospitals, Flexible Rodman, David, SUNY /Buffalo Affiliated Hospitals, Ophthalmology Rodriguez, Pablo, Nassau County Medical Center, N.Y., Ob/ Gyn c Rogers, Warren, U.S. Air Force Medical Center, Lockland Air Force Base, Texas, Anesthesiology Ross, Michael, Wayne State University Affiliated Programs, Mich., Flexible Rosteing, Gary, SUNY/ Buffalo Affiliated Hospitals, Anesthesia Same, Brian, Deaconess Hospital, Buffalo, Family Practice C Santamaria, John, North Carolina Memorial Hospital, Pediatrics c Schaefer, Daniel, SUNY/Buffalo Affiliated Hospitals, Medicine C* Schwartz, Evan, New York University Medical Center, Surgery C* Schwartz, Natalie, North Shore University Hospital, N.Y., Medicine C Shain, Anne, St. Francis Hospital, Ct., Medicine C Shale, Heidi, SUNY/Buffalo Affiliated Hospitals, Medicine C Shapiro, Evan, Long Island Jewish-Hillside Medical Center, N.Y., Ob/Gyn C Shulman, Brett, University of Rochester Affiliated Hospital Programs, N.Y., Medicine C 6 THE BUFFALO PHYSICIAN �Shum, James, Sloan Kettering Cancer Center, N.Y., Radiation Therapy Siev, Moshe, Yale-New Haven Medical Center, Ct., Pediatrics C Silverstein, Ross, Georgetown University Hospital, Washington, D.C., Psychiatry C* Sinatra, Diane, Children's Hospital, Buffalo, Pediatrics C Sklarek, Howard, Nassau Hospital, N.Y., Medicine C Small, David, University of Michigan Affiliated Hospitals, Medicine C Smith, Dennis M., Millard Fillmore Hospital, Buffalo, Surgery C* Smith, Richard, Millard Fillmore Hospital, Buffalo, Pathology C Snyder, Abraham, Research Project-Buffalo, Research Spadone, Donald, SUNY/Buffalo Affiliated Hospitals, Medicine C* Sporn, Lawrence, Not Taking Internship Stahl, Lloyd, Baltimore City Hospitals, Medicine C Sternau, Linda, Case Western Reserve University Hospital, Cleveland, Neurology-Surgery C* Szczurek, Roberta, Mercy Hospital, Pa., Anesthesiology C* Fred Williams, Augustus Ohemeng, Roderick Robinson. James Szyrny, Donald Spadone, and friend. Takach, Thomas, University of Michigan Affiliated Hospitals, Surgery C* Teich, Steven, George Washington University Affiliated Hospitals, Washington, D.C., Surgery C Tenore, Peter, Montefiore Hospital Center, N.Y., Medicine C Thomas, David, Deaconess Hospital, Buffalo, Family Practice C Torres, Dawn, The New York Hospital, Pediatrics C Turkewitz, Stuart, Hahnemann Medical College Hospital, Pa., Medicine C Vu, Nancy, Millard Fillmore Hospital, Buffalo, Medicine C Waldman, Howard, North Carolina Memorial Hospital, Medicine c Weinstein, Eric, Case Western Reserve University Hospital, Cleveland, Surgery C Welch, Kevin, University of California Affiliated Hospitals, Pathology C Weldon, David, Letterman Army Medical Center, San Francisco, Medicine C Wells, Betty, University of Rochester Associated Hospital Programs, N.Y., Ob/Gyn C* Werman, Howard, Ohio State University Hospitals, Flexible Williams, Fred, Bridgeport Hospital, Ct., Flexible Willis, Pauline, Montefiore Hospital Center, N.Y. Pediatrics C Yeracaris, Peter, North Carolina Memorial Hospital, Family Practice C Yu, Leisure, SUNY/Buffalo, Program 2, Surgery C Zigarowicz, Georgi anne, Rochester General Hospital, N.Y., Medicine C SUMMER, 1981 7 Conrad May and friend. �Dues Paying Alumni, 1980 A special thanks to the dues-paying medical alumni listed here. And to the nine reunion classes - 1930, 1935, 1940, 1945, 1950, 1955, 1960, 1965, 1970 - who contributed $38,200 to the Medical School. All of us at the School of Medicine appreciate your support and participation. 1917 Myron Thompson 1919 Francis Grage 1920 A.L. Lord Cecil Schultz Irwin Walker 1921 Dante Morgana Hobart Reiman 1923 Herbert Burwig Harold Butman Caryl Koch 1924 Lee Sanborn 1925 Marvin Block William Clark C.H. Culver Grant Fisher Margaret Hogben Milton Kahn 1926 Max Cheplove james Sanford 1927 N.W. Chaiken Frank Criden Bernard Friedman Meyer Riwchun Meyer Saunders R.L. Saunders 1928 Eugenia Bukowski Walter King Julius Markowitz Bruno Schutkeker Howard Stoll Helen Walker 1929 Victor Cohen jay Evans Clyde George Ramsdell Gurney Norman Heilbrun G.L. Lester L. Maxwell Lockie james Tyner 1930 Anthony Cherry Benjamin Custer Raymond Feldman Arthur Horton 1931 Michael Barone Virgil Boeck Thomas Bumbalo Theodore Ciesla G.A. DaLuiso Arthur Glick joseph Godfrey E.E. Heller Frances Kenny john Kuhl Thomas March Ange Naples jerome Schwartz joseph Tedesco Walter Westinghouse 1932 Angelo Leone Frank Leone H.j . McGee Robert Northrup Benjamin Obletz Bronislaus Olzewski joseph Smolev 1933 j.L. Baube Henry Haines Ernest Homokay Thomas Hobbie joseph Hewett Franklyn Huber Louis Lolbrenner Anna Wilford 1934 ). Edwin Alford John V. Anderson Alfred George John Kinzly Harry LaForge 8 Charles May john O'Connor Eugene Ridall William G. Rocktaschel Myron Rosenbaum Max Weiner Stanley Zambron 1935 Carl Arbesman john Argue Wendell Ames Russell Brace Benjamin Coleman Kenneth Eckhert Maurice Furlong james Gray Miles Kelly Victor Lampka Neils Madsen Bennie Mecklin Charles Moran Daniel Peschio Solomon Rosokoff Clayton Weig 1936 Richard Batt Paul Burgeson Alfred Cherry john Crosby Ed Eschner Willard Fischer jerome Glauber Irving Helfer! Frank Hoak joseph Kriegler Eli Leven William Lipp Thomas McDonough Robert Newell V. Pellicano Harold Wherley 1937 Kenneth Alford William Ball Gordon Culver Theodore Fleming Soli Goodman Stanley Jackson George Koeph M. Luther Musselman James MacCallum Paul Maloney Maurice Schechtel Marvin Shapiro William White Irving Winer Charles Woeppel 1938 Russell Catalano james Cole George Cooper Sylvia Doll Norman Fait Chester Kaminski Harry Law Samuel Liberman Creichton McNeil Alfred Mitchell Eustace Philliaes Maxwell Rosenblatt C.A. Straubinger Richard Terry 1939 Russell Battaglia Grosvenor Bissell LaMoyne Bleich George Brady Ruth Burton William Dugan Kenneth Goldstein Harold Harris L. Elizabeth Pierce Olmstead A.V. Postoloff john Remington Roy Seibel john Squadrito Robert Storms Marvin Winer 1940 julian Ascher Marshall Clinton Warren Montgomery Albert Rekate james Schaus Charles Severson Louis Trippe 1941 Yale Andelman Berton Beane Anthony Cooper Robert Edmonds George Gentner Pasquale Greco Arnold Gross Donald Hall Eugene Hanavan Russell Kidder Harold Kleinman Daniel McCue Leo McGrane Allen Pierce Eugene Radzimsky Philip Wels Leonard Wolin THE BUFFALO PHYSICIAN �1942 Albert Addesa Sidney Axelrod Horace Battaglia Charles Bauda Kent Brown John Connelly Vincent Cotroneo William Follette Harrison Karp Diane Kibler Borsi Marmolya Vincent Parlante John Persse Martha Smith Leon Yochelson 1943 Ralph Behling Paul Birtch Marvin Bloom Richard Buckley Ivan Bunnell Peter Casagrande Robert Collins Edward Crohn John Donohue L. Walter Fix Stewart Griggs Richard Jones Ruth Krauss Melbourne Lent Anthony Marano R.E. Martin Thomas McDonough Franklin Meyer Amos Minkel Kevin O'Gorman Walter Peterson Bradley Prior Charles Richards Joseph Ricotta Gene Sherrill Alexander Slepian Ralph Smith Gertrude Swarthout Charles Tanner Hazel Trefts Louis Trovato Joseph Tutton Morris Unher Joseph Valco John Williams Paul Wolfgruber 1944 Anthony Aquilina Robert Blodgett Willard Boardman Raymond Bondi C. Bramer Robert Brown Herman Edelberg Betty Egan Newland Fountain Thomas Frawley SUMMER, 1981 Frank Frost Irwin Ginsberg Harold Graser Raymond Hudson Sidney Kennedy Frank Long William Major Frank Marchetta Raymond Perkins Casimer Pietraszek Theodore Prentice Joseph Ross Sidney Schaere Carroll Shaver Walter Stafford Clinton Strong James Sullivan Robert Wilkinson 1945 Richard Adler William Andaloro B.F. Baisch Raymond Barry Norman Chassin Paul Cotter George Ellis Ed Forgrave Alton Germain Richard Greenwald Victor Laglia Victor Lazarus William Loeser H . Paul Longstreth William Mcintosh John Quinlivan Frederich Regan John Robinson William Rogers Albert Rosso David Shaheen Joseph Sheedy George Thorngate Edward Valentine 1947 1950 Bruce Babcock William Baker Ed Breakell Desmond Coughlin Robert Dean William Edgecomb R.J. Ehrenreich H. Kipping Richard Marchand Donald Nuwer James Phillips Philip Reitz Daniel Riordan Arthur Schaefer Robert Segal James Stagg Joseph Todaro Jerome Tokars John Waite Frederich Whiting Robert Wildhack Roland Anthone Sidney Anthone Robert Benninger Robert Bergner George Bisgeier Charles Brody Grace Busch Carl Cecilia F. Chambers Anthony Conte Adelmo Dunkhe James Dunn Carmen Gelormini Marie Heller Kenneth Kelly Myra Kinke Robert Kling Richard Leberer Richard Lyons Karl Manders Patricia Meyer Robert Patterson Henry Peck, Jr. Roy Robinson Helen Sikorski George Taylor Hyman Tetewsky Donald Thomas Robert Ullman Ann Wasson William Webster Sidney Weinberg Eugene Zygaj 1948 James Borman Daniel Fahey Raphael Good Myron Gordon Harold Graf Robert Hall Warren Hanson Judith Landau Vernon Lubs John Marinaccio Amsdel Martin Daniel Miller Norman Minde Darwin Moore Charles Regan Thomas Regan Irwin Solomon E.C. Smith Edgar Smith Edward Stone Jasper VanAvery Paul Weinberg S. Paul Zola 1951 Jay Belsky Frank Bolgan August Bruno Ben Celniker Carl Conrad Leonard Danzig Allen Goldfarb Mark Heerdt Kathryn Keicher Ludwig Koukal Harold Krueger Eugene Leslie Thomas Murphy Daniel Phillips Marvin Pleskow Robert Ploss Ed Shanbron Bernard Smolens Eugene Teich James Weigel 1946 John G. Allen D.J. Carbone John Crissey Maier Driver Lawrence Golden Charles Joy Harold Levy Richard Lundquist Eugene Marks Fred Musser R. Jos. Naples Harry Petzing Amo Piccoli Herbert Pirson Albert Rowe Henry Tardif William Tornow Paul Walzak John White 1949 Carmela Armenia J. Bradley Aust Harold Bernhard J. Bradley Melvin Brothman Julia Cullen Phillip Dennen George Erickson Robert Franz Joseph Griffin Arthur Magerman Frank Pfalzer Robert Sanford Max Schneider Fred Shalwitz Irma Waldo James Werick Charles Wolfe 1952 Donald Adams John Banas Robert Baumler Leonard Berman Alvin Brown Barbara Corley Neal Fuhr Joseph Genewich 9 d- �Donald Kelley Melvin Krohn Milton Lapp Eugene Loeser Colin Macleod Victor Panaro john Ranchoff james Schmitt Robert Shea Byron Sheesley S. Aaron Simpson Patricia Sobocinski Yale Solomon Burton Stulberg Oliver Steiner james Szabo Roy Thurn S. jefferson Underwood Kurt Wegner Charlotte Weiss james Zeller 1953 George Bertino james Carlin Stanley Cohen Thomas Cumerford joseph David Felix Delerme Donald Ehrenreich Sander Fogel jack Gold john Handel Curtis johnson Herbert Lee Edmund Mackey Milford Maloney Robert Maynard Richard Nagel Molly Panner Bertram Partin Donald Rachow Howard Smith Harold Smulyan john Strachan Michael Sullivan Reinhold Ullrich Marvin Wadler 1954 Eugene Beltrami joseph L. Campo Nicholas Carosella Louis Cloutier john Conboy Robert Foley Bryon Genner III Robert Haines S.R. Hanson William james Howard Eugene Hyzy William Kinkel Norbert Kuberka Allen Lesswing Lucille Lewandowski Sylvia Lizlaus Charles Marino Ernest Meese N. Allen Norman Robert Pletman Robert Powalski Edward Rayhill Edwin Tomaka Paul Weinmann Donald Wilson Harris Kane! Charles Lowe Ross Markello Herbert Metsch Richard Miller Herbert Silver Bernard Wakefield E.). Weisenheimer Sherman Waldman 1955 1958 james Collins Robert j. Dean C. Daniel Fagerstrorr Albert Franco Frank Gazzo Michael Gianturco Sami Hashim Irving Joffe Ed Kepf E. Albin Leonhardt George L. Mye, Jr. David Palmerton john Peterson Robert Pi !tell Leonard Schaer Anthony Schiavi R.G. Schifferle Robert Smith james Stengel W. Sullivan Barbara VonSchmidt David Weppner Eugene Whitney john Winter Donald Wormer Edward Alessi john V. Armenia Ronald Batt Melvin Brothman Franklyn Campagna Robert Dickson Fred Dischinger Dominic Falsetti john Float john Giardino William Glazier Marie Kunz Michael Mazza Robert Perez Lucien Potenza Richard Rahner Elliott Rivo Richard Romanowski Samuel Shatkin Alfred Stein Irving Waldman Morton Weinberg Reinhardt Wende Franklin Zeplowitz 1956 1959 George Alker David Ben-Asher Robert Corretore Edmond Gicewicz Peter Goergen Frederick Goldstein Dennis Heimback john Hodson Oliver jones joseph Kunz Sue McCutcheon Robert Mcintosh Frederick Nuessle Robert Ollodart Hugh O'Neill Erich Reeber Edward Schnake Carl Schueler Bernard Sklar George Baumler Mary Ann Beshara Robert Brenner Donald L. Cohen joseph Ferlisi Seymour Graver Morton Heafitz j. Klein john Kosticki William Mangan joseph Monti j. Rasinski Elton Rock Russell Spoto jason Stevens Lawrence Way 1957 Arthur Beck Germante Boncaldo john Bongiovanni Harold Castilone Frank Chafe! Marvin Eisenberg Gerald Friedman Lorie Gulino 10 1960 William Abronson joseph Antkowiak Robert Bernat john Budzinski joseph Chazan Roger Dayer Gerard Diesfeld Donald Donius Edward Graber Thomas Guttuso Donald Hammel john Harrington james Kanski Harris Kenner Francis Klocke Edwin Lamm Harry Metcalf Harry Nakata Eugene Partridge Daniel Rakowski Gerald Saks Marvin Shapiro William Stein jack Tuyn 1961 joel Bernstein Harold Brody Eugene Cimino Allan Disraeli Richard Hatch William Hewett Norman Hornung Alonza johnson Victor Lazarus Robert Sauer Paul Schnatz Arthur Skarin Carl Szuter Ronald Usiak 1962 J.P. Armenia james Bumbalo Martin Cowan Sebastian Fasanello jack Fisher Anthony Floccare M.P. Heilbrun Morton Klein Gordon Land Paul Loree Arnold Lubin Michael Madden Anthony Markello Philip Morey Robert New Oscar Oberkircher Melvin Steinhart George Tzetzo 1963 David Berger David Carboy Frank Ehrlich Ernest Fatta Anthony Foti Anita Herbert George Lockie Albert Maggioli David Malinov Richard Narins Henry Scheuermann Carol Seidenstein Harvey Seidenstein George Steiner Eugene M. Sullivan, Jr. Charles Tirone joseph Tutton john Wadsworth john Ziolo THE BUFFALO PHYSICIAN �1964 Michael Feinstein William Fleming Gerald Goldstein Bert Lies Marilyn Lockwood Ronald Mukamal Lillian Ney John F. Reilly Richard Reitz Sheldon Rothfleisch Thomas Scanlon Elizabeth Serrage Arthur Sosis Irving Sterman Richard Williams Richard Wolin 1965 Joseph Cardamone Michael Feinberg Jerald Giller Arthur Hayn III Ira Hinden David Lincoln Calvin Marantz Robert Schnitzler Daniel Schubert Joel Steckelman Harry Verby WalterS. Walls Benjamin Wherley 1966 Jared Barlow Robert Barone Thomas Bradley Melvin Fox Jeffrey Lindenbaum Donald Pachuta Lester Schiff William Sperling John Spoor Irwin Steinberg Robert Tabachnikow Murray Yost, Jr. Victor Zalma 1967 Robert Benson Norman Berkowitz Richard Daffner Dabid Dantzker Barry Epstein David Fugazzotto James Giambrone John Gissb Adele Gottschalk Leon Hoffman Murray Kaplan John Kelly Jacob Kriteman Roger LaGratta Anthony LoGalbo Donald Miller J. Brian Sheedy SUMMER, 1981 Thomas Sheehan George Starr James Strosbery Linda Young Richard Young 1968 Stephen A. Barron Gary Cohen Thomas Cumbo Robert Dickson Lawrence Dobmeier Ronald Friedman Kenneth Jewel Brian Joseph Richard Kaine Julian Kareli tz David Kramer Harold Kulman Kenneth Matasar Robert Milch Jonathan Reynhout Robert Rodner Charles Yablonsky 1969 Joel Bowers James Cavalieri L.M. Dayton Carl DePaula R.J. Gibson Hanley Horwitz Russell Knapp Israel Kogan Daniel Levin Thomas Scanlon David Schreiber Robert Shaps David Sherer B. Weinstein Madeline White 1970 Donald Copley Allen Davidoff William Dillon Carl Ellison Charles Fischbein Ellen Fischbein Alan Fink Roger Forden Joseph Gentile Dennis Krauss Michael Lippman Frank Miller Arthur Seigel Robert Ungerer Harold Vandersea Allan Wirtzer Scott Kirsch Stanley Lewis Martin Mango Denis Mazeika Askold Mosijczuk David Potts Kenneth Soloman Richard Staiman William Sternfeld 1975 James Burdick Eileen Harrison Freedman Thomas Rosenthal Michael Rowland Stanley Szefler 1976 Richard Berkson Harold Bob J.J . D'Alessandro Patricia Duffner Ian Frankfort Robert Kroopnick Philip Moudy Stuart Toledano John Bodkin Sonia Burgher Michael Bye Timothy Gabryel Shin Leong Ronald Marconi Melvin Pohl Michael Smith Michael Tamul Bernard Wagman Barry Weiss 1973 1977 Nancy Dunn Joseph Greco Ralph Hallac Paul Kuritzky Sharon Kuritzky Dana Launer Charles McAllister Arthur Mruczek Ira Pores John Pryzlucki Barry Sanders Michael Sansone Nedra Hanison Michael Kressner Russell Massaro Jeffrey Magerman Mark Jan Polis Theodore Prentice Thomas Raab Carl Schmitt Ronald Vidal Jonathan Woodcock 1972 1978 Richard Curran 1974 Daniel Beckman Daniel Botsford Jerald Bovino James Budny Alan Burstein John Clark Donald Greene Joseph Lemmer Bruce Middendorf Sanford Pleskow John Rowlingson Elliott Schulman Louis Stomierowski Paul Wierzbieniec 1979 Nancy Dvorak Barbara Fretwell Joseph Gagliardi Andrea Gold Margaret Graf Bruce Rodgers Allen Saltzman Ian Slepian Andrew Urback 1971 Michael Baron Allen Berliner Terence Clark Harvey Greenberg Mark Handler 11 �Confessions of Three Grave Robbers by O.P. Jones, Ph.D., M.D., Distinguished Professor Emeritus Presented Before The Friends of the Health Sciences Library, State University of New York at Buffalo 7 November 1979 For thirty-six times, the last two lectures in Gross Anatomy were devoted to The History of Anatomy. They began with anatomy in Egypt (2800-2600 B.C.) and ended with the story about two men, Burke and Hare, who were not strictly grave robbers. They smothered their victims in Edinburgh and delivered a total of 16 bodies to Dr. Robert Knox, the famous anatomist, during a nine month interval. Burke, after being apprehended and indicted, was sentenced to be hung, his body exhibited in chains, and publicly dissected. Today his skeleton is in the Anatomical Museum in Edinburgh. The aftermath of this sensational and entirely discredible episode led to the British Anatomy Act, introduced by Lord Warburton in 1832. This provided that all unclaimed bodies should, under proper conditions, go to medical schools. For some unknown reason, I never mentioned the "Doctor's Riot" in New York City in 1788, which was precipitated by local grave robberies and the suspicion that King's College had some of the bodies in the dissecting room. The Militia was called out and eight civilians were killed. The Legislature then passed an Act in 1789 to prevent the odious practice of digging up bodies from cemeteries. The penalty was corporal punishment. This Act also provided that those executed for murder, arson or burglary- if unclaimed or given by relatives - could be used for dissection. In spite of this, due to the inadequate source of cadavers, grave robbing thrived. And, to complicate matters for medical students, New York State laws stipulated that anyone acquiring a knowledge of anatomy by dissection shall be sent to the State Prison. Furthermore, the courts and juries decided that if any surgeon does not possess this information or if he commits an error, he would be mulcted with ruinous damages. Everytime I gave these lectures, my secret desire was to relate a nice story about the "resurrectionists" in Buffalo like the one about the Medical College of Ohio at Cincinnati in 1878. The body of U.S. Senator John Scott Harrison was found in the dissecting room. He was the son of William Henry Harrison, ninth President of the United States, and father of Benjamin Harrison who became President in 1888. The commotion that ensued can easily be imagined. About five years after my teaching responsibilities in Gross Anatomy terminated, I was examining the Buffalo Medical Journal for articles about medical apprenticeships prior to 1850 when an editorial by Austin Flint - The People of the State of New York vs. William B. Waterman, M.D. was uncovered. Our first case of grave robbing occurred nine months before the University of Buffalo received its charter. This caused considerable excitement among the citizens because not only did the 12 THE BUFFALO PHYSICIAN �three men arrested rob the public burying ground, but they intended to sell the bodies to Willoughby Medical College in Ohio. Prior to his arrest, at least six bodies had been pickled in an alcohol brine and shipped as "fish" via boat across the Niagara River to Canada and then to Ohio. Dr. Waterman, his apprentice, Belos W. Hovey, and an accomplice, David Smith, were arrested. Tools of their trade were found in Dr. Waterman's office at the foot of Main Street, namely, an auger, a shovel and rope. Two barrels with four bodies were recovered. After the police plied David Smith with whiskey, he signed a confession and turned State's evidence. The participants might have gone undetected, if Smith had not tried to hire an unwilling partner and gossip-monger. The Magistrate set the bail at $800.00 but Dr. Waterman, unable to furnish the required security, spent two months in jail awaiting his trial. The Recorder's Court sentenced him to three years in Auburn State Prison. After having served about six months in the hospital department, Governor Wright pardoned him. Austin Flint spoke out on behalf of the medical profession in Buffalo. Had the grave robbing been done for other than pecuniary reasons, Dr. Waterman might have received more sympathy. Then, too, Dr. Waterman had only recently come to Buffalo and had not complied with the conditions required to be a recognized member of the regular profession. He also pointed out that every medical student and practitioner in the State of New York was guilty of the same species of felony. At that time dead bodies had to be stolen and all who studied anatomy by means of them became particeps criminis in the theft. Nine years later, New York State Legislatures legalized dissection. While working on our first teacher and profiles of our first faculty, there were some entries in the diary kept by Dr. John D. Hill that puzzled me. For example: 9 March 1848 ... Having received some subjects at the College today so I am in hopes to go to the dissection room again .. . 6 April 1848 ... Prof. Webster has a fresh subject and has lectured on the neck ... At that time, Dr. Corydon La Ford was Demonstrator of Anatomy and one of his duties was not only to provide subjects (cadavers) for the dissecting room but also for the Professors. However, it was understood that the anatomical material must be obtained in such a manner as not to compromise the interests of The University of Buffalo. Where these bodies came from remained a mystery to me until 1976 when Dr. Robert L. Brown, Associate Dean and Consultant to the Health Sciences Library, was organizing records and history of the dean's office in the storeroom next to the student lounge in Farber Hall. He noticed a carton filled with pure and unadulterated junk. Much to his surprise and joy, it turned out to be a vertable gold mine (bonanza). Records kept in the dean's office from 1847 to 1869 were there. These included correspondence of all sorts, vouchers, invoices, bills of lading, promissory notes for unpaid tuition, etc. d- SUMMER, 1981 13 �Figure 1 shows five bills of lading of which two coincide with entries recorded in Hill's diary. This is the first tangible evidence about the source of anatomical material and the cost of its transportation two years after The University of Buffalo was founded. As a matter of fact, some of the earliest catalogues carried this admonition: "Students of Medicine are not permitted to bring to the College, subjects for dissection; a violation of this regulation will be deemed sufficient ground for expulsion from the Institution." Four years after Dr. John C. Dalton resigned as Professor of Physiology and Morbid Anatomy at The University of Buffalo, he wrote the following letter to Dean Thomas Rochester: New York, Oct. 14 (1858) Dear Doctor: I have been waiting to write you until I could say positively what time the packages would be ready to send - but I can not do so yet as the person who is to obtain them is on his beat and depends himself upon notification which he receives from other parties. It is somewhat difficult I understand, to obtain them during this winter, in a fit condition to send off to a distance; many of those which would be available for immediate use not being trustworthy on a journey like that from here to Buffalo. This will explain the delay which occurs in forwarding these to you. The parties, however, have had these orders for several days, and as soon as an opportunity offers, you will be served at once. The operator here packs the specimen, after having injected it with Chloride of Zinc and delivers it to the Expressman. There his responsibility ends and he expects his $25.00, on exhibition to his employer for the bill of lading. I told Sands, who is in immediate correspondence with the parties, that one or two had better be sent as soon as possible, waiting for the other. I believe they find it much more secure to send always two in a package as they fill up the space more exactly and prevent each other rolling about. Please let me know, when you next write, whether you would like 2, 3 or 4. You had better send the money to the Demonstrator, Dr. H.B. Sands (whom I believe you know) at No. 64 East Twelfth Street or at the College. (Benjamin H.) Lemon shall be notified by letter or telegram, of the time when the packages are sent from here. Yours Truly, Dalton The exact date is on the back of the letter; "Dear Doctor" referred to Dean Thomas Rochester, Lemon was Demonstrator of Anatomy at Buffalo, and Dalton's signature is identical with ones on his letters of resignation to the University of Buffalo. This letter is important because it not only provides an insight about the money paid to grave robbers but the necessary preparations of the "packages" to be sent to Buffalo. Also that Demonstrators of Anatomy seemed to have formed a clique for the benefit of their secret trade. 14 THE BUFFALO PHYSICIAN �r= . --(===-=-::-_:~ fi ~ ~ -= • · ~ ~ ~ ~~~ • ol JfJ 1o 5 ~ J> 1 I /1#1/dt#Lb/f·f d Q/tr l!.._ ,..:~} 1 It j, i !~ 1: . z ... ,e 3'1 g = ==::::;::::;===== -- ~1¥11 h (;Jw} ,~ ~~~ ~ · --ir--- · ~ .-~~ ~~i·~~ffl S;ff'&t~ ~P. his handwriting are in the Minute Book. ~ ~'!::'1":Wn {drL-~-~ -------/1~ fff::iJr;j~~ u 7 ((· (r .. . J .,. t' • • , 1\tcciut~ fJa~nttnt f;....' ~i~·ywM il; L____ SUMMER, 1981 ~:ea~~~::rsi~: ~herBuffalo . specimens of /{t£6 /'-~ 41 l••§ ~a.4r Fig. 1. The three bills of lading at the top show how they were folded lengthwise and identified on the outside for filing purposes. The handwriting is that of Dr. Austin Flint, Sr. who, at that time , was Registrar and y recorded in Dr. Hill's diary.D 6 ~~- .h _ --r:&~ 15 d- �Not only did the University of Buffalo have one of its former professors looking out for an adequate source of anatomical material, but a professional grave robber offered his services as indicated in the following letter: Sir: Williams burgh Sept. 5th-59 Should your faculty require Anatomical Material you can be furnished at the usual price I I 25. Respectfully yours, W.l. Bunnell Corners of 6th and 8th Street Williamsburgh, N.Y. P.S. If you order, name your financial agent in New York City. Pediatric Continuing Education Programs June 18-20 - "What 's New in Diagnostic Procedures of Pediatric Lung Diseases", Dr. J.A. Cropp; Niagara Hilton. June 25, 26 - "First National Conference on Pediatric Nephrology/ Urology", Drs. Tadla Baliah, Joseph Y. Dwoskin, Irme V. Magoss; Buffalo Hilton. July 16-18 - "Fourth National Buffalo Conference on Pediatric/ Adult Allergy, Clinical Immunology", Drs. Elliott Middleton, Jr., Elliot F. Ellis; Buffalo Hilton. July 23-25 - "The 12th Annual Advances in Pediatrics ", Dr. Elliot F. Ellis; Buffalo Hilton. August 31-Sept. 2 - (International Program) - "Controversies in Pediatrics, Adolescent Hematology/Oncology", Drs. Arnold I. Freeman, James R . Humbert; Niagara Falls Convention Center. Sept. 11-13 - "Diabetic Pregnancy & the Infant", Dr. Ralph J. Wynn; Buffalo Hilton. For additional information: contact Rayna Dutton, pediatrics department, Children's Hospital, 219 Bryant St., Buffalo, N.Y. 14222 - Tel (716) 8787689. There is no evidence that the University accepted his solicitation, although he could have been one of our agents in New York City. Before the bonanza was discovered, editorials and the Minute Book clearly indicated that the University of Michigan was in dire straits for want of anatomical material. In 1854 the New York Legislature was considering a "Bill for the Promotion of Medical Sciences." One of the provisions was a clause which would make it a penal offense to send subjects (cadavers) out of the state to other medical colleges. Dr. Sanford B. Hunt wrote in his editorial: ... Now whatever may be the abundance of the supply here, it will be very readily seen that any emente arising here, from the present law, would fall, not on the heads of those in distant places who profit by it, but would be directed upon the school of this city, and it would be made to suffer for the sins of others, who would laugh at its calamities ... Two entries in the Minute Book of the Medical Faculty indicated the seriousness of the situation: 29 Sept. 1856. Faculty meeting held at the Medical College. On motion of the Dean (Rochester) it was re- quested to write to the President of the Medical College at Ann Arbor remonstrating against the attempt to procure material provided by the laws made especially for the benefit of the New York schools. 25 Oct. 1856. Faculty meeting held at the Medical College. Dr. Rochester read the correspondence with the Medical Faculty of the University of Michigan and on motion of Dr. Hamilton it was resolved we do not consider the answers addressed to our Dean sufficiently explicit- and that we deem it due to the importance of the subject that the Faculty of the University of Michigan should distinctly declare their future intentions in relation to this matter. Our Archivist, Ms. Shonnie Finnegan, facilitated my contact with the Bentley Historical Library of the University of Michigan. 16 THE BUFFALO PHYSICIAN �It became patently clear, from the material sent by Ms. Mary Jo Pugh, that both Dr. Hunt and Dean Rochester had legitimate complaints about the far flung activities of the "resurrectionists" employed by the University of Michigan. One of the early Demonstrators of Anatomy at Michigan, Dr. Edmund Andrews wrote: ... After some study of the subject I settled on a few simple moral principles. 1. Nobody will spend money over the loss of a pauper cadaver. Therefore obtain material only from Potter's fields and almshouse cemeteries. 2. The receiving point at Ann Arbor must be kept perfectly calm and friendly. Therefore I allowed no cadaver to be exhumed in Ann Arbor in any circumstance. I then obtained an agent in Buffalo, giving him $25 for every specimen sent by express. Dr ....... , the Buffalo Medical College demonstrator, was full of wrath at my invasion ... Dr. Andrews wrote this many years after he had been a Demonstrator. However, when Dean Rochester wrote to President Angell, Dr. C.P. Farmer was Michigan's Demonstrator. I examined the minutes of the University of Michigan Medical School and only learned about Farmer's salary; duties in preparation of specimens for the Museum; presentation of specimens of Pathological Anatomy; things of interest from The Dissecting Room, but nothing about "body-snatching". It all boils down to this - Dr. Corydon La Ford, who left Buffalo to eventually become Professor of Anatomy at Michigan must have carried the skills of his "body-snatching" trade with him. The bonanza has two letters that contain much of local interest. The sequence of events were: A young University of Buffalo graduate in the class of 1862 sought the position as Demonstrator of Anatomy; he became a grave robber; the Medical Faculty appointed him Demonstrator of Anatomy in November 1861; he served the University of Buffalo from 1863 to 1868, and finally became Dean and Professor of Surgery at the College of Physicians and Surgeons in Buffalo. Many articles have been written about "How to Become a Dean," or "So You Want To Be a Dean." Perhaps this part could be entitled, "The Making Of a Dean." Portions of these two letters are as follows: Kingsville, Ohio May 9, 1862 Dear Doctor (Eastman): I wrote you some two weeks ago in reply to yours of the 13th and not hearing from you since, I deem it proper to write you again as whether or not I am to officiate as Demonstrator. If not I think I will accept the situation offered me in the Army as the Government is now calling for more Surgeons and is very desirous to have me comply. My friend Dr. John C. Hubbard of Astabula has accepted and a number of my medical friends intend to attend the examinations on Wednesday next the 4th inst., all desirous for situations. If I SUMMER, 1981 d17 Athletic Director Ed Muto has announced that the varsity football team will play a 10game schedule in 1981, with five contests at Rotary Field. Home tilts are against Cortland State College, on Sept. 12; Wayne State, Oct. 3; Canisius College, Oct. 17; 1980 National NCAA Division III Champion, University of Dayton, Oct. 24; and Westminster College, Nov. 7. The Bulls play on the road at: Grover City College, Sept. 19; Hobart College, Sept. 26; SUNYI Albany, Oct. 10; Edinboro State College, Oct. 31, and St. Lawrence University, Nov.14. U/B posted a won-6, lost-5 record in 1979, the first winning season since the program was reinstated, including victories over Cortland, Grove City and Hobart.D �have the appointment of Demonstrator I should be contented for it would be absolutely necessary for me to apply myself diligently for the next four months to prepare myself for the office. Hence I can not think of accepting both appointments and should prefer the latter, that of Demonstrator. Please let me hear from you at your earliest opportunity and oblige. Your sincere friend and well wishes. S.W. Wetmore P.S. A post-script about a case of spermatorrhea has been omitted here. The references are arranged in the order quoted or paraphrased material that first appeared in the article. REFERENCES 1. A.M. Lassek, Human Dissection. Its Drama and Struggle {Springfield, Thomas, 1958). 2. Blake, J.B., The development of American anatomy acts. J. Med. Educ. 30: 431-439, 1955. 3. Edwards, L.F., The history of human dissection. Ohio State Med. J. 40: 331-337, 1944. 4. Goodman, L.D., Grave robbing, a once prevalent and profitable undertaking. Pharos 39: 86-87, 1976. 5. The People of the State of New York vs. William B. Waterman, M.D. Buffalo Med. J. 1: 190, 1846. 6. Resurrectionists. Buffalo Courier, 2 September 1845. 7. Recorder's Court. Ibid. 13 December 1845. 8. Barbarism in New York. Buffalo Med. J. 2: 313-314, 1846. 9. Legalized Dissections. Ibid. 9: 568569, 1854. 10. Jones, O.P., Our first teacher. Buffalo Physician l: No. 1, 38-41, 1973. 11. Jones, O.P., A profile of our first faculty. Ibid 8: No.1, 16-17, 1975. 12. Editorial - Legalized dissections. Buffalo Med. J. 9: 568-569, 1854. 13. Editorial - Explanatory. Ibid 9: 963-965, 1854. 14. Minute Book of the Medical Faculty of the University of Buffalo {1846 to 1878), Archives, State University of New York at Buffalo. 15. I am indebted to Ms. Mary Jo Pugh, Reference Archivist, University of Michigan, Bentley Historical Library, for the information about "Anatomical Procurement in the Old Days". {Huelke, D.F.: University of Michigan Medical Bulletin XXVII: (Jan.-Feb ., 1961, pp. 1-17.). 16. Editorial - Buffalo College of Physicians and Surgeons. Buffalo Med. J. N.S. 21: 89-90, 1881. 17. Buffalo City Directory, Buffalo Courier Co., 1880-81. 18. The Grave- Yard Mystery, Buffalo Express, 30 November 1881. 19. A College Cadaver., Ibid. 13 February 1882. 20. Editorial - A Good Lesson. Buffalo Medical J. N.S. 21: 234-235, 1881. 21. W.J. Comley, History of the State of New York, Comley Brothers Manufacturing and Publishing Co., New York, 1877, pp. 599-603. 22. The Stewart Graverobbers. Buffalo Express, 20 August 1879. Kingsville, Ohio Friend Eastman: In compliance with your request to write soon I will make an effort today, although I am far from feeling in a mood of letter writing, as I have been out all night and it was my second night in succession. I am feeling today undoubtedly as the fraternity generally do under like circumstances, not a little morose and more than usual out of thick headedness, together with an aggravation of my old malady, intercostal rheumatism (which has existed since I had diphtheria). I feel unfitted for social, political, medical, or in fact any other calls excepting a call from Morpheus. I have been dissecting about 10 days and have enjoyed it hugely, perhaps the better for its being a stolen subject and having to work under adverse circumstances, it is said that stolen property is the best way. My friend and pupil (Spalding) thinks he could ask for nothing better, unless it would be lighter for according to our motus operandi of weighing (which was carrying him across the lots on our shoulders for at least a half a mile, using a rail for a beam). He estimates the weight at 200 lbs .. and I thought it went quick at that. I find there is nothing like fine and minute dissection and it requires time, patience, perseverance, and hard study to become an efficient Demonstrator and I assure you I shall make every effort to make my appointment satisfactory to the students and all concerned. I shall endeavor to be there at the time appointed September 1. I will send you a list of names which I think would be advisable to send Circulars to, some of them you undoubtedly have already. Dr. Wetmore sent Dean Eastman 24 names of doctors who might be interested in taking a course in Practical Anatomy. Two of these men were in Illinois and the others in Ohio. He concluded his letter by saying: I might give you many more names but perhaps enough at the present. Yours truly with much esteem, S.W. Wetmore 18 THE BUFFALO PHYSICIAN �The next time Dr. Wetmore made his presence felt in academic circles was in 1880. According to the Buffalo City Directory, he was Dean and Professor of Surgery at the College of Physicians and Surgeons located at 19 W. Mohawk St. A year later, he not only had these academic responsibilities, but he was Demonstrator of Anatomy and Special Lecturer on Surgical Anatomy. Things must have been really tough for this "fly-bynight" medical college, when the Dean has to resort to his former trade of grave robbing. This was 19 years after his first grave robbery. He and his underlings must be credited for not having been caught. After November 1881, Buffalonians were fascinated to read articles for the next four months in the Express about the graveyard mystery. One E.G. Burnham was examined for two life insurance policies amounting to $6000. Shortly thereafter he died. A physician, without examining the body, certified the cause of death as enteritis. On 15 November 1881, "resurrectionists" who tried to raise him in Forest Lawn Cemetery were scared away. The casket contained not the body of Burnham, age 28, but that of a man approximately 60 years old. Was it murder? Who and where was Burnham? Was it death by arsenic poisoning? The attempt to defraud insurance companies by an agent, a physician and confederate resulted in a lengthy inquest. It was established that the body had been purchased from John Ferguson, janitor at the University of Buffalo. Had the "resurrectionists" completed their ghoulish enterprise, they might have discovered that they had previously sold the body to the Medical Department. Just think how much more interesting my lectures on the history of anatomy would have been had these events been known to me years ago. And, before closing this article, let me assure you that grave robbing in the 19th century was not always done for the benefit of the medical profession. In 1876, the grave of Alexander T. Stuart was robbed. At the time of his death, he was reputed to be one of the three wealthiest men in the United States - the other two being John Jacob Aster and Cornelius Vanderbilt. His body was taken from New York City to Plattsburgh and then to Canada. The grave robber, Henry 0. Romaine, demanded $200,000. General P.H. Jones, counsel for the family, offered to pay $25,000. This was respectfully but firmly declined by the grave robber and the case was not pursued further by me.D (This is the corrected paragraph that appeared on p-15, val. 14, no. 4; we are sorry that "not" was ommitted.} "Fewer didactic lectures are needed. We should not train medical students to be success oriented, power seeking and compulsive. We should teach physicians to tolerate uncertainty, but not to solve every problem. It makes no sense to train physicians in problem solving and then blame them for continuing that process when they begin to see patients." SUMMER, 1981 19 March of '82 is the target date for the completion of Phase I of the Health, Physical Education and Recreation (HPER) complex on the Amherst Campus, a $12.9 million arena-type field house that will be the headquarters for the Intercollegiate Athletics Depart- · ment. And as early as this fall, but more probably in the spring of '82, the University's varsity teams could be competing on an expansive playing fields complex that adjoins the field house.D �11 Faculty Retire Eleven Medical School faculty members, who reached the age of 70 on or before the last day of August have retired. Collectively they have served the University 315 years. They are Drs. Leo J. Doll Jr., Liselotte K. Fischer, Irving E. Hagadorn, Frank C. Hoak, James S. Kime, William F. Lipp, George M. Masotti, James E. Patterson, Norbert G. Rausch, Bernard H. Smith, and Paul N. Stoesser. All are emeritus. Dr. Doll is a 1938 Medical School graduate. He has been on the faculty since 1952. He is a clinical instructor in pediatrics. He received his bachelor's degree in 1934 from Hobart College. Dr. Doll was a hospital assistant in pediatrics in 1941-42, and served the next four years in the military service. Dr. Fischer Dr. Fischer, a graduate of the University of Wien, Austria, joined the faculty in 1960. She is a clinical associate professor of pediatrics. She is affiliated with Children's Hospital where she teaches residents in family practice, and pediatrics as well as medical students. Dr. Fischer has been a clinical child psychologist at Children's since 1959. She is a Fellow of the American Psychological Association and the American Association for Orthopsychiatry. She holds a life membership in the Connecticut State Psychological Association and is a member of the Psychological Association of Western New York and the Eastern Psychological Association. Before coming to Buffalo she taught in Sao Paulo, Brazil; Hartford, Connecticut; and at Johns Hopkins University. She has authored or co-authored 23 articles for professional publications, and is a Diplomate, American Board of Examiners in Professional Psychology. Dr. Hagadorn has been a clinical instructor in surgery since joining the faculty in 1967. He received his M.D. from Loyola in 1937. He did his undergraduate work at Canisius College. Dr. Hagadorn has been associated with the Buffalo General Hospital during most of his professional career. Dr. Hoak is a 1936 Medical School graduate. He has been on the faculty since 1949. He is a clinical associate in medicine (dermatology and syphilology). He took his internship at Deaconess Hospital and his residency at the Buffalo General Hospital in internal medicine and dermatology. He is affiliated with these two hospitals and Kenmore Mercy. From 1940 to 1945 Dr. Hoak was a Flight Surgeon (Major) in the United States Air Force. He is an active member of the American Academy of Dermatology and the Society for Investigative Dermatology. Dr. Kime is a 1934 Medical School graduate. The assistant clinical professor of Ob/Gyn joined the faculty in 1951. He took his internship and residency at the Buffalo General Hospital. From 1937 to 1942 he was an associate of Dr. Carlton C. Wertz, who was chief of surgery at Deaconess Hospital. During World War II Dr. Kime was with the 23rd General Hospital and the 66th Station Hospital. For 25 years he was chief of the Volunteer Staff at Booth Memorial Hospital of the Salvation Army. He is a Diplomate, American Boards of Ob/Gyn. Dr. Kime is on the staff of Buffalo General Hospital and has been active in several professional organizations. 20 THE BUFFALO PHYSICIAN �Dr. Lipp has been on the faculty 41 years. The clinical professor of medicine and consulting physician at the Buffalo General Hospital is a 1936 Medical School graduate. He received his B.A. (Cum Laude) from Princeton in 1932. He interned and took his residency at the Buffalo General Hospita-l where he was an assistant in medicine. For three years he was apprentice to Dr. A.H. Aaron. Dr. Lipp has been practicing gastroenterology in Buffalo ever since. For 15 years he was a trustee of Nichols School and the Buffalo Seminary for three years. He has been asked to speak and participate in panel discussions before many civic, professional and social groups. In 1971 he organized a teaching day in honor of Dr. Aaron. Dr. Lipp is a Fellow in the American College of Physicians and an active member of several other professional organizations. He is listed in Who's Who in the East. He is a past president of the medical board at Buffalo General Hospital and was the first chairman of the hospital's Utilization Review Committee. He also served on numerous other hospital and medical school educational committees. Off and on for 15 years he moderated the U/B Round Table (first on radio, then on TV). He has authored or co-authored 31 scientific papers for professional journals, reviewed books and articles for JAMA and collaborated on clinical papers and chapters for various medical encyclopedias. Dr. Lipp is very proud of the honor of appreciation that his classmates bestowed on him at his 35th class reunion in 1971. The plaque said: "In grateful recognition for his services as our perennial class president and for demonstrating those qualities of professional ability, integrity and human kindness to exemplify our concept of the ideal physician." Dr. Patterson has been on the faculty 39 years. The assistant clinical professor of medicine received his M.D. from Columbia University in 1936. He received his AB from Ohio University in 1930. Dr. Patterson took his internship at Presbyterian Hospital in New York City and his residency at Mary Imogene Bassett Hospital in Cooperstown, N.Y. In 1940-41 he was a Fellow in medicine at Columbia Presbyterian. He is a senior physician at Buffalo General Hospital and a consultant at Brooks Memorial Hospital, Dunkirk, N.Y. He has been active in several professional organizations. Dr. Masotti has been on the faculty 42 years. The associate clinical professor of psychiatry is a 1933 Medical School graduate. He took his internship and residency at the Buffalo General Hospital, and later became director of the out-patient department and a clinical assistant in medicine and psychiatry. He also did graduate work at New York Psychiatric Institute, Montreal Neurological Institute, McGill University, and National Hospital in London, England. In 1938-39 Dr. Masotti was assistant in psychiatry at Johns Hopkins Hospital. In 1950 he was named a Fellow of the American Psychiatric Association. From 1951 to 1960 he was acting head of the Buffalo General Hospital's psychiatric department. He has also been a consulting psychiatrist at three other hospitals in the Buffalo area. SUMMER, 1981 21 Dr. Lipp �Dr. Rausch, a 1933 Medical School graduate, has been on the faculty 32 years. He is a clinical associate in dermatology. He took his internship and residency at the Buffalo General Hospital. From 1933 to 1945 Dr. Rausch was a medical officer in the United States Army. He has been affiliated with the Veterans Administration Medical Center and the Buffalo General Hospital. In 1952 and 1962 he presented papers to the International Congress of Dermatologists in London and Munich. He has also contributed numerous articles to professional journals and has been active in several regional and national associations. Dr. Rausch has been honored by the A.O.A. and the Gibson Anatomical Society. Dr. Smith has been on the faculty for 26 years. Since 1953 he has been at the Erie County Medical Center (formerly Meyer Hospital) as chief attending neurologist. He also served as acting chairman of the department of neurology. Dr. Smith received his M.B., Ch.B. that is equivalent to the American M.D. with first class honors in 1940 from Aberdeen University in Scotland. A decade later he earned a diploma in physiological medicine at London University and a formal Doctorate in Medicine in 1956. Before coming to Buffalo Dr. Smith was a Fellow, Montreal Neurological Institute; Lecturer in Neurology, McGill University; Assistant in Outdoor Clinics, Royal Victoria Hospital, Montreal (1951-53). Dr. Smith Dr. Smith is a Fellow of the Royal College of Physicians of London and of the Royal College of Physicians and Surgeons of Canada. He is also a Foundation Fellow of the Royal College of Psychiatrists. From 1940-46 Dr. Smith served in the Royal Army Medical Corps. From 1946-50 he had postgraduate training in medicine and neurology in Scotland and London. During 1950-51 he was a Fellow in the departments of internal medicine and psychiatry at Cincinnati General Hospital. At the present time Dr. Smith is also a consultant neurologist to various area hospitals and institutions. He is a professor of neurology. Dr. Stoesser is a 1935 Medical School graduate. The clinical assistant professor of surgery joined the faculty in 1966. Since 1942 he has been associate attending surgeon at Millard Fillmore Hospital. During World War II Dr. Stoesser served as a surgeon in station hospitals in Michigan and Texas.O 22 THE BUFFALO PHYSICIAN �Dr. Ketter and the new campus. PRESIDENT ROBERT L. KETTER is resigning January 1, 1982, after nearly 11 years. After a one-year sabbatical he will return to the faculty as leading professor of engineering and applied sciences. Before taking over as President in July of 1970 Dr. Ketter was vice-president for facilities and planning. He is the 13th man to head U/ B in its 135-year history. Dr. Ketter mentioned several of his significant academic accomplishments - the new Amherst campus; conversion of Main Street campus for health sciences center; raising over $5 million from private sectors in the community last year; improved community image; the high ratings (2nd or 3rd in the nation) of the biochemistry and physiology departments; luring to U/B of the so-called Johns Hopkins 5 in Comparative Literature, a move which enabled that department to rise rapidly in national stature; and U/B has achieved a distinction shared only with Columbia University in terms of the acceptance of its graduate programs by the State Education Department where every graduate department has passed the close scrutiny of the SED. "The institution is in considerably better shape now than when I came into it, and plans are progressing for conversion of the Main Street Campus into an outstanding health center," Dr. Ketter said. He joined the faculty in 1958 as professor and chairman of the newly created civil engineering department and later he served as Dean of the Graduate School. Chancellor Clifton R. Wharton Jr. said, " In his nearly 11 years as president, Bob Ketter has governed the State University's largest campus with skill and distinction. These were difficult years at every university, yet, Dr. Ketter not only maintained but strengthened Buffalo's deserved reputation for educational excellence. Additionally, he planned and implemented one of the largest building programs undertaken by any institution. "I am pleased that Dr. Ketter will be remaining at Buffalo and in the SUNY system as a leading professor so that we may continue to have the benefit of his experience and counsel," he concluded. U/B Council Chairman Robert Millonzi said, "the entire Council will serve as the search committee. We hope to have a successor to President Ketter working here on January 1, 1982."0 SUMMER, 1981 23 Dr. Ketter �The Battered Child Syndrome by Ehsan Afshani, M.D. Clinical Associate Professor Radiology & Pediatrics Several review articles in regard to the history of child abuse are available. In general, it is in agreement that the notion of children's rights is relatively modern. In ancient cultures, paternal power was absolute - a father could abandon his child, abraise him, and even put him to death' 3 • The Society for the Prevention of Cruelty to Children was established 100 years ago because church workers were unable to get local authorities to interfere in child abuse by adoptive parents. With social sophistication a decline in child abuse was noted but personality disorders of parents or custodians emerged as a major cause of child abuse. Although the history of child abuse is of recent origin and was first described by Ingram and Heyl in 1939 when they presented their cases of subdural hematoma which were generally of traumatic origin6 • Tardieu, in a book published in the year of his death (1818-1879), reported an article which he had written in 1860 on abuse and maltreatment of children 15 • Caffey in 1946 described a syndrome of subdural hematoma and multiple long bone fractures without systemic disease' . In none of the cases was there a history of injury detected, but Caffey stated that the bony lesions were probably traumatic in nature. He stated that in one of the cases, the affected infant was unwanted by both parents. Later, Silverman reported on the roentgen manifestation of unrecognized trauma which in effect is an extension of Caffey's idea. Confirmation of this point of view was quickly forthcoming, especially in a study by Wooley and Evans in which they indicated willful injury to the child 14 • Kempe named "the battered child" at the roundtable of the American Academy of Pediatrics and thereafter articles were published on the subject with increasing numbers. Various names have been given to this syndrome. The first description by Caffey in 1946 was that of chronic subdural hematoma with multiple long bone fractures in different stages of healing. Then the term "unrecognized trauma" was used by Silverman in 1953 and was followed by Kempe's description of the battered child syndrome in 1962. Caffey also in several of his reports, referred to the "shaken baby syndrome" because of the increased incidence of subdural hematoma associated with shaking the baby's head either as in rage or as in excitement. 24 THE BUFFALO PHYSICIAN �Lately, Caffey used the term "Parent-Infant Traumatic Stress Syndrome" (PITS) and this made a few people unhappy since not always are the parents involved in abusing the child 2 • However, the term accuses no one. It does indicate the causal, emotional, social and economic stresses which plague the mother or her substitute. Presently the term used most often is the "Battered Child Syndrome" ("Battered Babe" in England) although this term tends to provocate and inflame the hearer and spark a premature bias against accused parents before adequate medical and legal investigation can be made. Caffey stated that about 5-10 percent of infants are provocator-tyrannical children who cause motherinduced abuse. I would like to quote a few alarming statistics about this frightening syndrome which threatens our society. In 1971, one child died every four hours because of child abuse. There were three million abused children nationally in 1979 who either were beaten, burned, strangled, shot, starved or neglected. In New York State alone, in 1979 there were 50-thousand-plus cases of child abuse and/or neglect reported to the authorities; that means one every 10 minutes of the day and night, weekday and weekend, holiday, etc. This is an increase of 14 percent from 1978. Between 50,000 to 100,000 cases per year have been sexually assaulted and an average of 2,000 children die per year from abuse and neglect. Who are these children? The child is often REFERENCES 1. Caffey f: Multiple fractures in the long bones of infants suffering from chronic subdural hematoma. AJR 56:163-173, 1946. 2. Caffey f: First Annual Neuhauser Presidential Address of the Society for Pediatric Radiology: "The Parent-Infant Traumatic Stress Syndrome, Caffey-Kempe Syndrome, Battered Baby Syndrome." AJR 114:217-229, 1972. 3. Elmer E. Children in Jeopardy. U. of Pittsburgh Press, Pittsburgh, 1967. 4. Haller JO, et al: The "battered child" syndrome and its imitators: A critical evaluation of specific radiological signs. Appl Radial 8893, 1977. 5. Hiller HC, et al: Battered or not? A re-appraisal of metaphyseal fragility. AJR 114:241-246, 1972. Figure 1. AP roentgenogram of both tibias and fibulas shows metaphyseal fractures at both ends of bone (white arrows). Note: old and recent fractures on the left, recent fracture on the right. This type of injury to bone is usually caused by twisting the knees and ankles. dSUMMER,1981 25 �male, 25 percent less than two years of age, and 50 percent less than six years of age. Black is more common than white. Socioeconomic and ethnic backgrounds are deciding factors. Divorce, stress, recent unemployment, alcoholism and psychotic behavior are contributing factors. It is interesting that when one studies the parents of an abused child, it is often found that they were abused as children. Recently, low birth weight children have been the victims of abuse because the bond between the mother and infant has not been strong following the birth of the child when the mother is discharged and the child remains in the hospital for a long period of time for further care•. It is now a law in all states for reporting child neglect and physicians in many states are liable for non-reporting. ROENTGENOGRAPHIC ASPECTS OF CHILD ABUSE Figure 2. Roentgenogram af the chest shows old healed fractures of the 4th, 5th, and 6th ribs on the left (large arrows) and recent fractures of the 5th and 6th ribs on the left (small arrows). Note: haziness of the left lung secondary ta lung contusion. 6. Ingram SD, et al: Subdural hematoma in infancy and childhood. fAMA 112:198, 1939. 7. Kempe HC: Battered child syndrome. fAMA 181:105-112, 1962. B. Klein M, et al: Low birth weight and the battered child syndrome. Amer J Dis Child 122:15-18, 1971. 9. McCort J, et al: Visceral injuries in battered children. Radiology 82:424-428, 1963. 10. Money J: Child abuse: Our present epidemic. Parents Magazine, Sept. 16, 1979. 11. Pena SDJ, et al: Child abuse and traumatic pseudocyst of the pancreas. f Pediatr 83:1026-1028, 1973. 12. Silverman FN: Roentgen manifestation of unrecognized skeletal trauma in infants. A/R 69:413-427, 1953. 13. Silverman FN: Unrecognized trauma in infants: the battered child syndrome and the syndrome of Ambroise Tardieu. Radiology 104:337-353, 1972. 14. Swischuk LE: Spine and spinal cord trauma in battered child syndrome. Radiology 92:733-738, 1969. 15. Tardieu A: Etude medico-legale sur les services et mauvias traitments exercos sur des enfonts. Ann Hyg Publ Med Leg 13:361-398, 1960. 16. Woolley PR, Jr., et al: Significance of skeletal lesions in infants resembling those of traumatic origins. JAMA 158:539-543, 1955.0 The radiologist plays a major role in the detection, evaluation and management of the abused child. It is important that good communication between the referring physician and the radiologist be present to optimize the radiographic interpretation and most important, the appropriate radiographic examination to assess the spectrum of injury. I would like to quote a statement made by Dr. Caffey. As a practicing pediatrician in New York City, often a child was brought to him because of either irritability or unable to walk and he often requested roentgenograms of the long bones. The radiologist's interpretation was that of systemic disease either due to infection or malnutrition or scurvy. Dr. Caffey was never satisfied with the answers, so he took charge of finding out for himself and later discovered that these children are the victims of child abuse and the changes he observed at the metaphyses of the long bones were traumatic in origin inflicted by the caretaker. He described these findings of the combination of long bone fractures with subdural hematoma in 1946'. The radiologist today often is in the position to detect cases of child abuse because of the nature of trauma to the skeleton which consists of multiple fractures of the long bones in different stages of healing. Kempe stated that the syndrome should be suspected in any child with evidence of multiple unexplained fractures, presence of fracture and subdural hematoma and/or the presence of subdural hematoma and soft tissue swelling or bruising, and in a child with failure to thrive. To the informed physician, the bones tell the story that the child is too young or too frightened to tell. Often we, as the radiologists, are confronted with findings of metaphyseal infraction (Figure 1). You may ask why these changes developed? One thing for sure is the shearing, stretching and twisting types of injury that cause metaphyseal infraction resulting from either grabbing, gripping or shaking the babies. It is a combination of multiple skeletal trauma or different instances of trauma that makes the radiologist suspicious of child abuse, such as multiple bone fractures or a single bone fractured with multiple rib fractures in different stages of healing (Figures 2 & 3), or other instances such as skull fractures from a short fall associated with rib fractures. The radiologist also finds other 26 THE BUFFALO PHYSICIAN �manifestations of suspected child abuse involving the gastrointestinal tract and genitourinary tract as well as the spine and spinal cord. An example of spinal fracture is shown in Figure 4. McCort, in a series of 10 patients with visceral injuries, found jejunal rupture was the commonest site followed by duodenal injury and liver laceration9 • Rare and seldom reported are cases of spinal injury. In spite of the definite roentgenographic changes in the spine, symptoms were minimal or absent (Figure 3). Minimal shaking of the child can cause cervical spine injury such a whiplash-type injury. Swischuk reported seven such cases, with spinal injury in six and spinal cord injury in one case". Pseudocyst of the pancreas is also uncommon in children and among 13 children with pancreatic trauma, nine had pseudocyst, three of which were less than three years of age, and they were proven or strongly suspected of being abused". Most often, pancreatic injury in a school-age child results from accidental injury such as bicycle handlebars, contact sports, or traffic accident. PREVENTION & PROTECTION When it appears that neglect, battering and abuse are present, the attending physician is legally resposible to report this to the law enforcement, with a written report preferable. This child should be kept in the hospital under observation rather than being sent home. Often, child abuse occurs during times of stress and with proper support most experts believe that most parents can be helped and become non-abusive. Only 10% of the abusers are incurable; in these cases the child may have to be separated from the caretaker in order to be protected. For prevention, increased public awareness of the nature of child abuse and encouragement for those parents to seek help is of the utmost importance. Establishing a comprehensive social worker system to educate young couples is most important during times of stress. A trauma team which has been advocated by Girdany since 1959 which is made up of a pediatrician, pediatric psychiatrist, pediatric radiologist, and social worker has been very valuable. Readers are encouraged to review the excellent article by Elmer, "Children in Jeopardy," which is the report of such a trauma team in 1959 3 .0 Figure 3. View of the humerus shows thickening of the cortex secondary to old fractures and recent fractures at both ends (smalJ arrows). SUMMER, 1981 27 Figure 4. Lateral view of thoracolumbar spine shows kyphosis of the spine and dislocation of T12-L1. Triangular fragment of bane (arrows) is part of body of T12 which is fractured. This child was used as a baseball bat. �1 l A woman Skylon marathon runner. The treadmill measures and compares activity of the heart at rest with graded exercise up to o maximum. Sport Physiology Koyoking is done regularly in the pool by local and notional teams. The physiology of arm exercise, style of paddling, type of boat and paddle ore studied along with training techniques. CARDIO-PULMONARY control with a focus on the oxygen transport system is one of the main thrusts of the physiology department at U/B. They use exercise and environment as stressors in their studies on sport and environmental physiology in the specially equipped lab, according to Dr. David Pendergast, associate professor of physiology. Both amateur and professional athletes are tested. Consultation is also provided by the faculty in developing training Dr. Ronald Boersma, assistant professor of medicine, conducting a special cardiac evaluation seminar. A scuba diver in the pool. 28 THE BUFFALO PHYSICIAN �Reggie McKenzie of the Buffalo Bills. Olympic swimmer being tested in the pool. programs for football, hockey and basketball. One of their biggest efforts has been the testing annually of 350 marathon runners before they have participated in the Skylon race between Buffalo and Niagara Falls. They have also tested Buffalo Bills football players, United State Olympic swimmers, & kayakers, Buffalo Sabres Hockey players, and college and professional basketball players. The department also conducts educational programs, cardiac rehabilitation symposiums, and courses in exercise physiology. Much of the sport testing is done on weekends and evenings. Several other departments - physical education, physical therapy and graphic control - participate in the studies, along with the Mentholatum Corporation of Buffalo.D Underwater weighing. The ratio of fat to muscle is measured. Doug Bushnell, olympic kayaker, in a field study with Dr. Pendergast. Olympic teams often visit the lab for evaluation and consultation. �Dr. Stell's Photo Hobby A 1936 Medical School graduate has been interested in photography all his life. But it wasn't until 1972, when a heart attack virtually ended his medical career, that he became interested in close-up work. Dr. Bernard Stell and his wife, Irene, regularly tour the country from their Sun City, Arizona base producing travelogues for club presentations. The former professor of psychiatry has a long, impressive list of awards, exhibitions, inventions and honors. Last October he traveled to Ridgecrest, California to present an all-clay seminar for the China Lake Photographic Society on close-up photography. He also teaches photo essays and travelogues at Rio Salado Community College. After his heart attack he became interested in close-up work. Dr. Stell had time on his hands while recuperating so he did research on close-ups. He had a friend who wanted him to do close-ups on violets, and by the time he figured how to do it he was fascinated by the experience. Now close-ups comprise about 80 percent of his work. His ability and reputation have carried him to a point where Life Magazine recently requested two of his slides for possible use for an article on stereo photography. Dr. Stell has been an active pioneer in contemporary stereography. According to Dr. Stell photomacrography (water droplet lens, regular and stereo) is more of a laboratory technique than any other aspect of the science and art of photography. Seldom are lab photographers known by the general public, but portrait and landscape photographers are. There is almost no end to the many awards he has won. Recently he was notified that his "Rose of Thorn No. 2" color slide won him the Arizona Resident Plaque at the Arizona State Fair International Photography Exhibition. This is the second time he has received the award since his arrival in Sun City in 1975. His stereo slide, "Turning up the Lamp," won first place at the Photographic Society of America's International Traveling Salon. 30 From the stereo division of the PSA, Dr. Stell received a large plaque for second place for a stereo sequence, "Grandpa's Pleasure." The photo essay, done in 3-D, portrays a grandfather who builds a doll house for his granddaughter. The granddaughter's emotional reaction when she finds the house under the Christmas tree was filmed in Phoenix by Dr. Stell. Also last fall the Stells won an honorable mention from the PSA for their photo essays. Dr. Stell also won honorable mention for his slide of an ultra close-up subject, "Clowns on Mesquite," at the Arizona State Fair International Photography Exhibition. He has written numerous articles for photo magazines in Canada and the United States. Dr. Stell notes that George Eastman and others in his company have done more for photography than any other person. He also holds in high esteem Seton Rochwite of Loveland, Colorado, who with David White, a manufacturing expert, did so much to bring stereo photography to the "man in the street" after World War II. In conclusion Dr. Stell said, "stereo photography is gaining momentum in Europe, and it is bound to spread to the states."O Dr. Erwin Neter, professor of microbiology, was chairman of the "Ethics" Session at the annual meeting of the Council of Biology Editors recently in Boston. The four topics discussed were: How Ethical is Science?; Analysis of the Yale-Columbia Affair; Ethics in Publication; and Ethics in Research.O Dr. Paul J. Kostyniak, assistant professor of pharmacology and therapeutics, was an invited speaker at the 20th annual meeting of the Society of Toxicology in San Diego recently. He spoke on the "Role of Chelating Agents in Metal Toxicity."O Three faculty members received a $21,431 grant for 1981 from Fisons Corporation for the study of "Evaluation of Theophylline Absorption from Two Controlled-Release Preparations." They are: Drs. Stanley J. Szefler, M'75, assistant professor of pediatrics and pharmacology and therapeutics, Danny D. Shen, research assistant professor of pediatrics, and Elliot F. Ellis, professor and chairman of pediatrics at Children's Hospital.O THE BUFFALO PHYSICIAN �During the summer 22 first and second year medical students were introduced to primary care. Eight of the students were in Jamestown, New York, while the others were in hospitals, health clinics and physicians' offices in Buffalo and several other cities in the state. The Medical Education Community Orientation (MECO) Program, sponsored by the American Medical Student Association, is in its fourth year. Two students (Richard Jackson, 2nd year; Erika Swanson, 3rd year) directed the program. Most of the students were on six week stipends, while several worked for seven or eight weeks. Among the contributors were - the Annual Participating Fund for Medical Education (APFME). New York State Academy of Family Physicians, Lamb Foundation, Jeffrey Fell, Gebbie Foundation, Buffalo Academy of Medicine, Medical Society of Erie County, and Cornell Foundation. There were also several private contributors. The 12 physicians participated voluntarily. Students and preceptors in the Buffalo area: Stephen Hershowitz, Dr. Venkataraman Balu; Nancy Peters, Dr. Anthony Merlino; Barbara Ostrov, Dr. Norman Ellerstein. (Other areas) - Kenneth Roth, Dr. Arthur Schwager, Huntington; Sharon Alger, Dr. Fern Liklile, Plattsburgh; Richard Jackson, Dr. William Koch, Andover; Galvin Anderson, Dr. Godfrey, Olean; Anthony Galio, Dr. Paul Berger, Lockport; Michael Chaskes, Dr. Andrew Ageleff, Freeport; Lonny Behaz, Dr. Stanley Warmund, Howard Beach; Richard Amiraian, Dr. Anthony Mastrianni, Albany; Andrea Wiesel, Dr. Alan Goldberg, Bronx; Mike Augustino, Dr. John Conboy, Tonawanda; John McNelis, Dr. John Williams, New Rochelle; Elaine Huber, Ann Markes, Karin Klingman, Sandra Sofinski, Peter Accetta, Eugene Ver, Bob Noble, and Brad Moore, Dr. William Ellis, Jamestown.O Roswell Park Memorial Institute Continuing Education Seminars Contact: Gayle Bersani, R.N., RPMI 666 Elm St., Buffalo, N.Y.14263 Phone: 716/845-4406 Saturday, June 6, 1981 "Progress in the Management of Upper-Gastrointestinal Cancer," Chairperson: Dr. Harold Douglass, Department of Surgical Oncology. Thursday, Sept.17, 1981 "Membrane Receptors," Chairperson: Dr. Daryl Doyle Thurs. & Fri., Oct. 1-2, 1981 "Nutrition and Cancer," Chairperson: Dr. Fred Rosen. Thurs., Nov. 5, 1981 "Controversies in the Management of Thyroid Cancer." Chairperson: Dr. John Lore. Thurs., Dec. 10, 1981 "Human Interferon," Chairperson: Dr. Julius Horoszewicz. SUMMER, 1981 31 MECO Program �Dr. Frawley, President, American College of Physicians Dr. Frawley The St. John's Mercy Medical Center sponsored a one-day symposium {March 18, 1981}, "Day of Endocrinology," in a special tribute to Dr. Frawley.D A 1944 U/B Medical School graduate, Dr. Thomas F. Frawley, was installed president of the American College of Physicians in April in Kansas City. It is one of the greatest honors that can be given to an American physician. He is the first Missouri physician to be so honored. Dr. Frawley is clinical professor and chairman emeritus, department of internal medicine, St. Louis University. He joined the St. Louis faculty in 1963 · as professor and chairman in the department of internal medicine. He left his post as chairman after ten years, but stayed on with the University to head the section of endocrinology. He was named clinical professor in 1974 and chairman emeritus in 1977. He is a past recipient of the "Golden Apple" award, which is given annually by the medical students for outstanding teaching. Dr. Frawley served as Governor of the College for Missouri from 1971-1975, and was designated a Regent by the College Board of Regents in 1976. Following his graduation from the University of Buffalo (N.Y.) School of Medicine, Dr. Frawley completed his residency in internal medicine at Buffalo General Hospital. He was a Fellow in endocrinology at the University of Buffalo, Harvard University, Cambridge, Mass., and at Peter Bent Brigham Hospital, Boston, Mass. Dr. Frawley also was a professor of internal medicine at Albany (N.Y.) Medical College from 1953-1963, during which time he was twice presented with the "Outstanding Teacher" award. He also conducted diabetes and hypoglycemia research at the National Institutes of Health, Bethesda, Md., from 1959-1961. He is also physician-in-chief at St. Louis Hospital and chairman of Graduate Medical Education at St. John's Mercy Medical Center. In addition, he was a staff member at the National Institute of Health. Currently, he is a member of the Residency Review Committee in Internal Medicine - the body which establishes and enforces the educational standards for the training of specialists in that field. In addition to Dr. Frawley's activities at St. Louis University and the American College of Physicians, he has served as president of both the St. Louis Diabetes Association and the St. Louis Society of Internal Medicine. He is also active in several other professional and civic organizations. In 1946-47 he was a medical officer with the U.S. Army in Germany. The American College of Physicians is responsible for the setting of standards for the education and training of internists as well as the establishment of post-graduate programs and specialty examinations. The College also determines criteria for recertification. By virtue of these various responsibilities, the College is one of the most influential bodies within the American medical establishment.D 32 THE BUFFALO PHYSICIAN �Dr. Stoff Dr. Jeffrey S. Stoff, M'68, a specialist in kidney diseases at Beth Israel Hospital, has received a five-year Established Investigator Award from the American Heart Association to pursue his research on "Prostaglandins and Kidney Function in Health and Disease." The award is granted to assist talented young physicians and scientists in developing research careers in academic medicine. Dr. Stoff's major area of research is prostaglandins, a unique class of substances similar to hormones and produced by all body cells. He has been interested in the way prostaglandins regulate kidney function in particular, but he has been involved in research with doctors from other departments studying the role of prostaglandins in congestive heart failure, aging, prostate disease, sunburn, and most recently, platelet function. "We are just beginning to understand the chemistry and physiology of prostaglandins," says Dr. Stoff, who is also an assistant professor of medicine at Harvard Medical School. "Although prostaglandins were discovered in the early 1960's, we still know very little about their mechanism of action." Dr. Stoff has developed original methods to measure the release of prostaglandins which allow scientists in many areas of medicine to study the unique class of substances. "Prostaglandins are exceedingly active and can modify cell physiology in a wide variety of ways," Dr. Stoff says. Some diseases, such as arthritis, appear to be associated with too much prostaglandin production, while other diseases, such as hypertension, may be influenced by insufficient production of certain prostaglandins. Understanding the precise function of these substances, however, is difficult since over 15 different varieties have been identified, while the same prostaglandin may have different effects on different parts of the body. Dr. Stoff is interested in a general approach to his research, looking at different organ systems to see how they are alike. "Since all cells produce prostaglandins, there may be a common regulatory mechanism," he says. Dr. Stoff came to Beth Israel in 1973 as a research fellow in nephrology after a medical residency at Boston City Hospital and three years as a research associate at the National Institutes of Health. From 1974 to 1979, he was the Frances Weld Peabody Fellow in Clinical Medicine at Harvard Medical School. Dr. Stoff received numerous academic honors as a student. In 1974, he was named a Milton Fellow at Harvard and a Diplomate of the American College of Physicians, and in 1980, he became a Diplomate in nephrology. Dr. Stoff is the author of 30 scientific publications.D SUMMER, 1981 33 Dr. Stoff �Dr. Thorn Dr. Thorn Honored Dr. George W. Thorn, M'29, was among three to receive thesecond annual Hubert H. Humphrey Cancer Research Center Awards at the Boston University Medical Center in December, 1980. The other recipients were Mary Lasker, a medical philanthropist and leader in the cancer research effort in the United States; and Senator Birch Bayh (D-Ind.) who accepted the award given posthumously to his late wife, Marvella, who died of cancer in 1979. Medical Center Director Richard H. Egdahl, M.D., who presented the award to Thorn, said that Thorn has "influenced the lives and careers of many in medicine. His career has demonstrated how basic science and clinical medicine can work together to benefit the patient," Egdahl said. In his acceptance speech, Thorn said that the Humphrey Center is carrying out the basic responsibilities of medicine and science: by conducting basic research; by giving it practical application; by educating the public about the causes of cancer; and by developing funds to keep the research efforts on course. Other speakers included Gov. Edward J. King, Boston Mayor Kevin White, Center Director Paul H. Black, M.D., who presented an update on programs at the Humphrey Center, and Dean Sandson. Medical educator, clinician and researcher, Dr. George Thorn served for three decades as physician-in-chief of the Peter Bent Brigham Hospital and as Hersey Professor of the Theory and Practice of Physics at Harvard Medical School. He currently is chairman of the Medical Advisory Board of the Howard Hughes Medical Institute and of the Scientific Advisory Board of the Whitaker Foundation. He has been a member of the Board of Visitors of Boston University School of Medicine since the Board's establishment in 1976. Dr. Thorn is renowned in endocrinology and metabolism as a pioneering clinician-investigator whose work has contributed to a spectrum of fields beyond endocrinology. He played a major role in elucidating the critical importance of the adrenal gland in overall body function. His genius at synthesizing basic research in clinical settings led to an appreciation of the vital and complex roles of the adrenal hormones in body metabolism. His conceptualization of the metabolic steroid-hormone environment in which all critical functions take place, including normal and abnormal cell growth, has had a direct and important bearing on many aspects of current cancer research, including immunology, chemotherapy and cell differentiation. The Humphrey Center recognizes Dr. Thorn as a medical researcher whose combination of clinical and basic science contributions presents a model for cancer scientists.O 34 THE BUFFALO PHYSICIAN �Dr. Weldon Appointed to NIH Advisory Council Dr. Virginia V. Weldon, M'62, professor of pediatrics at Washington University School of Medicine, has been selected to serve on the National Advisory Research Resources Council of the National Institutes of Health. The 18-member council is composed of biomedical scientists, health science administrators, scientific authorities outstanding in the fields of research related to the programs of the Division of Research Resources, and other qualified professionals. A major function of the council is to review applications for NIH grants from the Division to fund general clinical research centers, primate research centers, laboratory animal resources, biotechnology resources, general biomedical institutional support for comprehensive research programs, and minority biomedical research support programs. The Division conceives, develops, and ensures the availability of resources that are essential to the conduct of human health research. A native of Toronto, Canada, and now a U.S. citizen, Dr. Weldon graduated cum laude from Smith College, and received her M.D. degree at the University of Buffalo School of Medicine. During the course of her medical training, Dr. Weldon has been a Fellow in pediatrics and endocrinology at the Johns Hppkins University School of Medicine, and a research assistant atPeter Bent Brigham Hospital. Her past university appointments include instructor of pediatrics at Johns Hopkins; instructor, assistant, and associate professor in pediatrics at Washington University School of Medicine; co-director of the Division of Pediatric Endocrinology and Metabolism, Washington University School of Medicine; and assistant director of NIH's General Clinical Research Center at Washington University. She is currently assistant to the Vice Chancellor for Medical Affairs at Washington University, and also serves in highly specialized areas of pediatrics at St. Louis Children's Hospital; Barnes and Allied Hospitals; St. Louis County Hospital; and the Missouri Crippled Children's Service. Well known as an outstanding specialist in pediatrics, Dr. Weldon is the author or co-author of over 45 clinical research papers in the field. Her honors include a student award from the American Chemical Society, the Society of the Sigma Xi, Alpha Omega Alpha, the Gibson Anatomical Society, and the University of Buffalo's Lamb Award, Merck Award, and Mosby Award. In 1978, the St. Louis Globe bestowed their annual Democrat Woman of Achievement Award upon Dr. Weldon. In addition to active participation on university, city and state committees, Dr. Weldon has served on NIH's General Clinical Research Centers Advisory Committee since 1977 and chaired it during 1979-1980. Dr. Weldon and her husband, Dr. Clarence S. Weldon, professor of surgery at Washington University School of Medicine, reside in St. Louis with their two daughters.D SUMMER, 1981 35 Dr. Weldon �High Street Memorial Plaques 1893 gas Jan tern In 1954, having been vacant since the school moved to the new facilities in Capen Hall on the main campus in the summer of 1953, the building on High Street which had housed the School of Medicine from 1893 was razed. The proposals that the Erie County Medical Society, a new medical museum, physician offices or other appropriate occupants be developed to save the building had been unsuccessful. The end of a major era of the school's history occurred, however, with the preservation of very few of the physical elements of a building occupied by the school for more than half of the university's existence. Those who knew the building will remember the unusual design and refined architectural details which characterized it. Built in the Italian palazzo style the building incorporated many elements of highly developed crafts, which while widely in use when it was constructed in 1892, were already unavailable or unaffordable in 1954. Heavy wrought iron railings and decorative grills, handsome carved oak woodwork, elaborate interior windows of complex joinery and finely modeled, highly ornamented terra cotta pilasters, cornices, architraves, ballusters and newels were found in profusion throughout the building. Memorial inscriptions of names of famous clinicians and research scientists in Medicine from classical to the then (1893) modern era were engraved in interior and exterior cornices and lintels. The impressive crossshaped Main Entrance Hall with its soaring vaulted tiled ceilings had by World War II become encrusted with bronze and marble plaques memorializing respected faculty, colleagues lost in two wars, and the first student of the first class - William Ring, 1847. Preserved in black marble was the motto of the Class of 1900 (in Greek) - "Justly and Gently." Before the wrecking ball had finished, most of the elements which gave that great building its character and charm were destroyed. We salvaged the memorial plaques, two massive wrought iron lanterns from the lobby, some brass room plates and hardware, a few pieces of furniture and newel post from the main stairs. Included in the destruction were two massive terra cotta busts of founding faculty - Austin Flint and Frank Hamilton - located on either side of the main entrance below the heavy projecting roof cornice. Long the roosts for the many pigeons of the neighborhood, the busts had been modeled by Mrs. John C. Graves as a gift to the University. At its first meeting at the "New College Building" on January 25, 1893 the faculty through Dr. Charles Cary requested that Dean Matthew Mann send a letter to Mrs. Graves expressing the appreciation and thanks of the Faculty of Medicine, "such a letter to be sent with a bunch of roses." In 1954 no one thought these busts sufficiently important to save. 36 THE BUFFALO PHYSICIAN �EDWARD H. BUTLER AUDITORIU't./ IN MEMORY OF THE EDITOR AND PUB OF THE BUFFALO EVENING NEWS A FRIEND AND BENEFACTOR OF THE UNIVERSITY 1883-1956 TO DR.JAMESE.KI G 187'5- 194 7 DI3.VOTED ALUMNUS A D BELOVED TE IN THE SCHOOL OF 1EDICINE WHOSE GENEROUS BEQUE: T TMPORTANT CON-rRI U ff EiRECTION OF THl �The Memorial plaques from the High Street lobby were moved to a basement storeroom in the new Capen Hall, with the intent (it must be assumed) of their being rehung when time and interest permitted. Fortunately they survived a disasterous cleaning of the storeroom prior to its conversion to other uses during the shortageof-space problems of 1962, a purging which resulted in the loss of the formal portraits of the first ten deans of the School of Medicine and the few pieces of woodwork and furniture salvaged from High Street. The plaques were removed to another storage area for another fifteen years of inattention. Finally in the fall of 1977 in consideration of their continuing vulnerability to vandalism, theft, or even more disturbing, loss through lack of concern for the past that they represent, the decision, long since overdue, to remount them in the lobby of the school was made . Following cleaning they have been installed in the Farber Hall lobby adding to the dedicatory and memorial plaques associated with the building's construction. A new plaque in memory of Mrs. Anne H. Deeley, registrar and assistant to the dean from 1945 to 1962, a sincere and dedicated friend of students and faculty has been added to the plaques from the old school. It is hoped that with the reinstallation of these memorials, this method of honoring those individuals whose unusual contributions to the school have been widely recognized and highly regarded will be renewed, and that students, faculty, alumni and others will resume a tradition which has lapsed for twenty-four years. (R.L.B.)D 1981 Continuing Medical Education Programs June 4 - "Poisons: Profile & Prevention," (Marriott Hotel), Program Director , Dr. Martin Wingate, professor of gyn/ob. Sept. 12 - "Frontiers of Drug Treatment" (Niagara Hilton), Program Director, Dr. Edward A. Carr, Jr., professor and chairman of pharmacology and therapeutics. October 15 - "Cat Scanning" (Sheraton East), Program Directors, Drs. George Alker, clinical professor of radiology; clinical associate professor of nuclear medicine; and Michael Anbar, professor and chairman of biophysical sciences. Contact: Dr. Martin Wingate, 135 Cary Hall, 3435 Main Street, Buffalo, N.Y. 14214. Call: 716/831-2766. 38 THE BUFFALO PHYSICIAN �• CHARLES GORDON HEYD ALUMNI ROOM 1885 -1970 IN LOVING MEMORY OF M.D. UNIVERSITY OF BUFFALO 1909 GROVER W. WENDE. M.D. DISTINGUISHED ALUMNUS AND BENEFACTOR DEDICATED BY HIS SON DAVID T. WENDE AND THE MEDICAL ALUMNI 1928 OF THE SCHOOL OF MEDICINE • •·. CLARA A. MARCH \ 1883 -1967 M.D. UNIVERSITY OF BUFFALO 1907 LOYAL ALUMNA AND PHILANTHROPIST THE SCHOLARSHIP FUND WHICH SHE SO GENEROUSLY ENDOWED WILL BENEFIT GENERATIONS OF STUDENTS TO COME ' ' \1E\10R'r or DR. EDWARD J. MEYER l"ulJ- I91S THE JF t!WlJ S RFOUI:'>T 01- WHOSE WIDOW S. MARGARFT BERRICK MEYER PROVIDED 1HE OF SUMMER,1981 \'l'\TOMY LABORATORIES 1 HI~ BUILDING J DR.DEWITT HALSEY SHERM A 0 JESSICA ANTHO Y SH[RMA . HI'S WIF I TH IR J( I PPIU Cl I A D r 10 OF ER. US Ill( U M Dl THIS BUILD! G 'PO IF' IB �Dr. Jacobs Dr. Rae R. Jacobs, M'62, has received a $250,000 grant from Rehabilitative Engineering Research and Development of Veterans Administration for a study of "Sonic and Radioisotopic Assessment of Fracture Healing in Dogs and Humans." The professor of orthopedic surgery at the University of Kansas has two co-investigators, Drs. Harvey Doemland (electrical engineering) and Charles Reese (mechanical engineering). According to Dr. Rae two new methods for assessment of fracture healing are resonant frequency analysis of a sound wave across a fracture and the dynamic uptake of bone mineral at the frature site. Disturbed fracture healing should delay the return of the resonant frequency pattern of the fractured limb toward that of the normal limb and should be detected by minimal dynamic uptake of radioactively labeled bone mineral at the fracture site relative to the time postfracture. The resonant frequency technique will be facilitated by the development of a new instrument, which must be further evaluated. The dynamic bone scan requires further refinement. This study will evaluate the two techniques, first in dogs with fractures treated by closed methods, internal fixation as well as delayed and nonunions, before and after treatment. The animal specimens will be evaluated histologically by sequential fluorochrome labeling and three dimensional imaging of serial sections and specimen radiographs of the fracture site. In addition, the state of healing will be measured by torsional testing. The two techniques will also be used in patients with internally fixed femur fractured, severe tibia fractures likely to develop disturbances in fracture healing and in delayed and nonunions, before and after treatment. The animal study will allow appropriate interpretation of the patient studies. Finally, which method is best for early detection of disturbed healing in patients will be ascertained. In May, 1980 Dr. Jacobs participated in a Conference on Engineering Aspect of the Spine in London. She has also authored or co-authored several articles for Clinical Orthopaedics; The British Journal of Accident Surgery; International Orthopaedics; Spine, Vol. 5, Number 3 and 5. She has also presented papers at meetings of the American Spinal Injury Association; the American Academy of Orthopedic Surgeons; the International Society for the Study of the Lumbar Spine; Orthopedic Research Society; and the Surgical Forum of the American College of Surgeons.D 40 THE BUFFALO PHYSICIAN �Drs. Prehal, Terplan, Selye, Magoss. Drs. Selye, Terplan. Drs. Murphy, Rigler, Selye, Magoss, Bognar. Dr. McMenamy registers. THE HUNGARIAN MEDICAL ASSOCIATION OF AMERICA honored Dr. Hans Selye at a special one-day Stress Conference at Roswell Park. He is the president of the International Institute of Stress, Montreal and Honorary President, Hungarian Medical Association of America. The program, attended by 200 physician-scientist-educators, updated the stress studies. The speakers also showed how the results can be applied to patient care. Drs. Imre Magoss, professor of urology at U/B and president of the Hungarian Medical Association of America, hosted the conference.O A Day With Hans Selye Drs. lmre Magoss, Sander Szabo, Hans Selye, Zoltan Levay, Kornel Terplan, Martin Wingate, Irene Kristinicz, C.E. Lundgren, John Border, Hermann Rahn, Gerald Murphy, Tamas Lajos, Clara Ambrus. SUMMER, 1981 41 Drs. Selye, Magoss. �People Dr. Kyocichi Kano, professor of microbiology, presented a lecture, "Immunological Aspects of Lymphoid Malignancies", at the 8th annual meeting of the Japanese Association of Clinical Immunology in Tokyo.D Dr. Giuseppe A. Andres, professor of microbiology in pathology and medicine, presented a lecture, "In Situ Formation of Antigen-Antibody Complexes as a Mechanism of Inflammatory Injury in Tissue" at the Second Clinic in Medicine at the University of Rome, Italy.D Two microbiology professors, Drs. Diane M. Jacobs and Marek Zaleski, participated in the 4th International Congress of Immunology in Paris recently.O Dr. Carel J. van Oss, professor of microbiology, presented a lecture, "Mechanisms of Haemagglutination", at the Joint Congress of the International Society of Hematology and International Society of Blood Transfusion in Montreal.O Mr. Earle Hannel is the new director of development at Sister's Hospital. He is also executive director of the hospital's foundation.D Alcohol-related liver disease is being studied by four faculty members-Drs. James Nolan, professor and chairman of medicine; Stefan Cohen, research assistant professor of medicine; Adrian Vladutiu, clinical professor of pathology/research associate professor of medicine; and Irwin Neter, professor of microbiologyI clinical microbiology. Also working on the research are Drs. Alan Leibowitz, M'70, and Daniel Camara.O Dr. Charles G. Rob received the Roswell Park Medal of the Buffalo Surgical Society in March. He is a professor of surgery and head of the clinical vascular lab at East Carolina University, Greenville, N.C.D Dr. George Schillinger, clinical instructor in urology, has been appointed chief of the urology department at Mercy Hospital. He is president of the Buffalo Urological Society.D 42 Dr. John R. Wright, professor and chairman of pathology, has been appointed to the Board of Visitors, Roswell Park Memorial Institute, by Governor Carey.D Dr. S.K. Satchidanand participated in the annual all-India Conference on Medical Education recently.D The Muro Pharmacal Laboratories, Inc. awarded a $13,500 grant to three faculty members to study the "Bioavailability of a Prednisone Liquid Formulation." They are: Drs. Elliot F. Ellis, professor and chairman of pediatrics; William J. Jusko, professor of pharmaceutics; and Stanley Szefler, assistant professor of pediatrics. They also recently co-authored an article for an allergy/immunology journal along with Drs. Spector and Greene.O Dr. Daniel R. Pieroni, has been appointed chief of the E.C. Lambert Division of Cardiology at the Children's Hospital. An assistant professor of pediatrics at the School of Medicine, Dr. Pieroni joined the Hospital's cardiology staff in 1976. Since July, 1979, he served as acting chief of the division. Previously, at Johns Hopkins Hospital, Dr. Pieroni served as assistant professor, pediatric division of cardiology; director, pediatric heart station; and instructor, department of pediatrics. He is a graduate of the Georgetown University School of Medicine and a member of several medical associations and societies, including the American College of Cardiology, the American Heart Association and the Society of Pediatric Echocardiography.D Dr. J. Theodore Scheuckler, clinical assistant professor of anesthesiology, has been elected president of the Sisters of Charity Hospital Medical Staff. Dr. Scheuckler, who is Chief of Anesthesiology at Sisters, started his one year term on April1. Other officers selected to serve one year terms include Dr. Gerald Hardner, clinical assistant professor of urology, presidentelect; Dr. Paul Milley, clinical assistant professor of pathology and anatomy, secretary; and Dr. Elton Rock, M'59, clinical assistant professor of medicine, treasurer.D THE BUFFALO PHYSICIAN �19.81 JUNE 22 23 22 29 30 A B c ~EPTEMBER D EPTEMBER !n h~ ~~g SUNY /BUFFALO SCHOOL OF MEDICINE FOUR WEEK MODULAR SCHEDULE 1981 E - 1982 F ]kcEMBER DEcEMBER 4 G Fourth Year Begins July 20, 1981 (module B) H Third Year Begins August 17, 1981 (module C) L M A JULY SUMMER, 1981 16 43 �People Dr. Putnam Dr. Weiner Dr. Klein Four Medical School faculty members have been elected officers of the Children's Hospital Medical Board. They are Drs. Theodore Putnam, president; David Klein, president-elect; Daniel Welner, vice president; and John Fisher, secretary-treasurer. Committee members act as a liaison between the Hospital's Board of Trustees and the medical and dental staffs. They also make recommendations on medical matters and coordinate and supervise the activities of the medical staff. Dr. Putnam is an attending pediatrician at Children's Hospital and a clinical assistant professor of pediatrics at U/B. A Fellow of the American Academy of Pediatrics, Dr. Putnam received his M.D.C.M. from McGill University in Montreal in 1962. He has been on the hospital staff for 10 years. The president-elect, Dr. Klein, will become staff president in 1982, following Dr. Putnam's term. The head of the department of neurosurgery at Children's Hospital and an associate professor of neurosurgery at U/B, Dr. Klein is a 1953 graduate of the George Washington School of Medicine. He has been on the staff for 19 years and is a Fellow of the American College of Surgeons. Dr. Welner of Amherst, vice president, is an attending physician at Children's. He is also a clinical associate professor of pediatrics at U/B and a Fellow of the American Academy of Pediatrics. Dr. Welner received his M.D. from Cornell University in 1946 and has been on the hospital staff for 20 years. 44 Dr. Fisher Secretary-Treasurer Dr. Fisher is a certified anatomic and clinical pathologist and a clinical assistant professor of pathology at the Medical School. A Buffalo resident, he graduated from the University College in Dublin, Ireland in 1956. Dr. Fisher holds Fellowships in the College of American Pathologists and the American Society of Clinical Pathologists. He has been on the hospital staff for 10 years and is an associate attending pathologist.D Dr. Gustavo Cudkowicz, professor of pathology and microbiology, has been appointed to the editorial board of the Cancer Immunology and Immunotherapy by the editors. He has been awarded a five-year renewal (1981-1985) of a National Cancer Institute Research Grant for "Controls of Proliferation Specific for Leukemias."D Three faculty members in the department of microbiology have been promoted to full professorships. They are: Drs. Diane M. Jacobs, Reginald M. Lambert, and Russell J. Nisengard.D Dr. Felix Milgram, professor and chairman of microbiology, was awarded an Honorary Doctor of Medicine Degree from the University of Bergen, School of Medicine, in Norway in September. He also presented a lecture, "Nephritogenic Immune Complexes" while there. He also presented a paper, "Present State of Knowledge about Mechanisms of Autoimmunity" and chaired the Workshop on Autoimmunity at the 11th Congress of the European Academy of Allergology and Clinical Immunology in Vienna.D THE BUFFALO PHYSICIAN �Dr. Erika Bruck was a "visting professor of pediatrics" recently at the St. Louis University Medical School. She was also named "First Lady of the Day" by a St. Louis radio station.O Two pediatrics professors, Drs. Byung Park and James Humbert, co-authored an article for the Reticuloendothel Society Journal.D Drs. Mario C. Rattazzi and Georgirene D. Vladutiu, pediatrics professors, co-authored an article for a biochemistry journal.D Dr. Frederick Sachs, assistant professor of pharmacology and therapeutics and biophysical sciences, wrote an article for the Journal of Neuroscience Methods entitled, "Microforge Modifications Useful for Construction of Micropipettes to Record the Response of Single Ionic Channels from Living Cells. "0 Dr. Charles E. Wenner, research professor of biochemistry, has been awarded a grant of $50, 711 from the National Cancer Institute and the National Science Foundation to study the mechanism of a tumor promoting substance. He will particularly examine its effect on the cell membrane and see whether similar substances have the same effect.D } eop e Dr. Samuel Goodloe, Jr., clinical assistant professor of pathology, has been appointed director of laboratories at Niagara Falls Memorial Medical Center. Dr. Goodloe joined the medical staff as associate pathologist at Millard Fillmore in 1978. He is certified by the American Board of Pathology in Anatomic and Clinical Pathology. He is a Fellow in the American Society of Clinical Pathologists and the College of American Pathologists. Dr. Goodloe also belongs to the International Academy of Pathology.O Dr. Elliott Middleton, Jr., professor of medicine/pediatrics, and chief of the Allergy Division in the department of Medicine, heads a newly-established national center for the study of asthma and related allergies at SUNY I AB. The center is funded by a three-year, $235,000 grant from the National Institute of Allergy and Infectious Diseases, part of the National Institutes for Health. A three-year $647,000 grant funded by the U.S. Public Health Service has been awarded to U/B's Department of Family Medicine. Its aim is to increase the numbers of family physicians by expanding medical students' exposure to the field. Dr. Raymond Bissonette, associate professor of family medicine, is the grant's project director.O The new SUNYI AB center is one of only 16 nationally-funded centers designed to better understand allergies through research. Research focusing on asthma will be conducted at the Buffalo General and Children's Hospitals. Dr. Middleton said much of the initial research at the SUNY I AB Allergy and Asthma Center will focus on mechanisms involving steroids, and basic research into beta adrenergic receptors. Later efforts will include bronchodialators.O Four faculty members are the new officers of the Erie County Medical Center medical-dental staff. Dr. Casimir F. Pietraszek, M' 44, clinical professor of medicine, is the newly elected president. Dr. John R. Border, professor of surgery, is president-elect; treasurer is Dr. Richard Bettigole, associate professor of medicine and clinical associate professor of pathology; and Dr. Joseph R. Gerbasi, M'62, clinical associate professor of surgery, represents the volunteer staff.O Dr. Norman Solkoff, professor of psychology, is a member of the Board of Directors of the Allentown Community Center. He has also written an article for the American Journal of Orthopsychiatry entitled, "Children of Survivors of the Holocaust: A Critical Review of the Literature."O Dr. Gabor Markus, research professor of biochemistry, received a $62,256 American Cancer Society grant to characterize the enzymes which activate plasminogen, which in its active form, dissolves blood clots. He will explore the role of these activators in human tumors.O SUMMER, 1981 p 45 d- Dr. Pietraszek �People Dr. Gustavo Cudkowicz, professor of microbiology and pathology, was awarded the first annual Marie T. Bonazinga Award by the Reticuloendothelial Society for excellence in research in December. The award was made for "outstanding and imaginative research leading to a better understanding of the host defense." It was sponsored by the Accurate Chemical and Scientific Corporation.O The Children's Hospital of Buffalo has received a three-year, $201,326 research grant from the National Institute of Neurological and Communicative Disorders and Stroke, National Institutes of Health. The grant will support an ongoing research project on enzyme therapy in GM 2 gangliosidosis in an animal model by Dr. Mario C. Ratazzi, professor of pediatrics at the State University of New York at Buffalo. Dr. Ratazzi's research is aimed at exploring therapeutic methods applicable especially to the treatment of Tay-Sachs disease, a fatal genetic disorder that affects about one in 3,000 babies in the Jewish population.O Dr. E.A. Carr Jr., professor and chairman of pharmacology and therapeutics, gave a Pfizer Lecture in May at the Pritzker School of Medicine, University of Chicago.O Dr. Steven Grabiec, clinical instructor in pediatrics, has been elected a Fellow of the American Academy of Allergy. He is head of the allergy department at Niagara Falls Memorial Medical Center.O Dr. Louis Judelsohn, emeritus clinical professor of pediatrics, has received the pediatrician award of the Buffalo Pediatric Society for 40 years of outstanding services in patient care, teaching and research.O Dr. Richard L. Weiss, clinical assistant professor of orthopedics, is the new president of the Orthopedic Section of the Medical Society of the State of New York.O 46 Four faculty members were recently honored for their 25 years in the field of medicine by the Baccelli Medical Club. They are: Drs. Nicola Borrillo, clinical instructor of anthesiology; Frank J. Gazzo, M'55, clinical assistant professor of gyn/ob; Michael J. Gianturco, clinical instructor of surgery; and Carl E. Villarini, clinical assistant professor of pediatrics.O Sisters of Charity Hospital opened its Seton Family Health Center in Alden in January. The new center provides family physician care and primary care testing services to Alden and the surrounding area. Dr. Anthony M. Gausas A.B.F.P. heads the staff. Before coming to Buffalo he was clinical instructor of family practice at Michigan State University and St. Lawrence Hospital. He is a Diplomate, American Board of Family Practice and Fellow, American Academy of Family Physicians.D a Dr. James Intagliata, clinical assistant professor of psychiatry, has co-authored an article, "The Impact of Deinstitutionalization on a Community Based Service System" that appeared in Mental Retardation.O Dr. Louis Lazar, clinical assistant professor of family medicine and medicine, was one of 10 panelists at the Consensus Development Conference sponsored by NIH on the "Role of Endoscopy in Upper Gastrointestinal Bleeding. "0 Dr. Jerome A. Roth, assistant professor of pharmacology and therapeutics, is coinvestigator with Dr. Herman Szymanski, research assistant professor of psychiatry, on a $14,680 grant to study "Phenylethylamine in Schizophrenia. "0 Five Biophysical Sciences faculty members received grants totalling $302,671 from NIH and the Whitaker Foundation for various departmental research projects. They are: Drs. Michael Anbar ($102,966), Chan Jung ($42,098), James McReynolds ($40,010), Shinpei Ohki ($46,539), and Frederick Sachs ($71,058).0 THE BUFFALO PHYSICIAN �Dr. Joseph Kramarczyk, clinical assistant professor of anesthesiology, has been elected president of the New York State Society of Anesthesiologists. He is an attending anesthesiologist at Children's Hospital, and a 1953 graduate of St. Louis University Medical School.D Dr. James Hassett Jr., assistant professor of surgery, is director of emergency services at The Buffalo General Hospital. He also supervises the paramedic unit that includes nine trained advanced emergency medical technicians (A-E.M.T.'s) and a Mobile Life Support Unit (M.L.S.U.). Two faculty members are involved in testing 200 Vietnam veterans to see if they have nerve damage from exposure to Agent Orange. Dr. Israel Alvarez, clinical assistant professor of medicine and clinical instructor in nuclear medicine, directs the clinic. Dr. Stephen Barron, M'68, directs the EMG Laboratory at the VA Medical Center. He is also assistant professor of neurology at U/B.D The L.S.U. is available 24 hours a day, seven days a week, and is dispatched to eve.ry emergency call. unless it is already enlisted. The paramedtcs are licensed to give life-saving medications and electrocardiograms, and at least one A-E.M.T. rides the unit every time it is dispatched. Five faculty members are newly elected officers of the Buffalo General Hospital's medical staff. Dr. Irwin Friedman, clinical associate professor of medicine, is president. President-elect is Dr. James R. Kanski, M'60, clinical associate professor of medicine; vicepresident, Dr. Michael T. Genco, M'58, clinical associate professor of neurology; secretary, Dr. Dale P. Skoog, clinical assistant professor of urology; and treasurer, Dr. John W. Cudmore, M'62, clinical associate professor of surgery.D The L.S.U. is equipped with a cardiac monitor/defibrillator; approved drugs and solutions developed and assigned by the BGH Pharmacy Department; and a separate radio and frequency for telemetry and voice communication between the BGH Emergency Department and the Unit. The "Med-One" frequency allows the paramedic to send the patient's electrocardiogram to the emergency room physician for evaluation. All E.R. staff, including residents, undergo a special orientation to deal with the paramedic service.D Dr. Marcos Viguera, has been named head of the department of anesthesiology at The Buffalo General Hospital. Dr. Viguera has served as associate head of the department since 1978. Dr. Viguera received his M.D. from the University of Barcelona in 1960. He did a two year residency in anesthesiology at Buffalo General, 1964-1965, and spent one year at the Hospital for Sick Children in Toronto, Canada. He also served as a Research Fellow of the Canadian Heart Foundation with the pharmacology department of the University of Toronto from 19671969. He is a past president of District #7, New York State Society of Anesthesiologists. Dr. Viguera is a clinical associate professor in anesthesiology at U/B, and is certified by the American Board of Anesthesiologists, and the Royal College of Physicians and Surgeons of Canada. Author of numerous professional publications, he is also a Fellow of the American College of Anesthesiologists.D SUMMER, 1981 Dr. Hassett reads a patient's EKG being transmitted over the Med-<Jne frequency by the paramedics from the mobile telemetry unit. He is also receiving the patient's vital signs from the unit via the phone receiver. 47 d- People �People Dr. William V. Kinnard, president of Buffalo General Hospital, has been appointed to the State Hospital Review and Planning Council. The 31-member council, appointed by Governor Carey, reviews all applications for construction and purchase of major equipment by hospitals in the state. Dr. Kinnard is a clinical associate professor of medicine.D Dr. Robert A. Baumler, M'52, clinical assistant professor of medicine, is president of the Buffalo Academy of Medicine. Three other faculty members are trustees. They are: Drs. Jules Constant, clinical associate professor of medicine; Robert M. Kohn, clinical professor of medicine; and Jack Lippes, M'47, professor of gyn/ob. Ms. Gertrude Myers is secretary-treasurer.D Dr. James F . Mohn, professor of microbiology and director of the Center for Immunology, presented a lecture, "Subgroups of Blood Group A, and ABH Substances," at the National Blood Transfusion Service, Manchester, England.D Dr. John M. Lore, Jr., professor and chairman, department of otolaryngology, is president-elect of the Society of Head and Neck Surgeons.D Drs. Douglas W. Klotch, M'71, assistant professor of ENT, John M. Lore, Jr., professor and chairman, department of otolaryngology, Monica B. Spaulding, assistant professor of medicine and pediatrics, and Frank Marchetta, M'44, clinical associate professor of otolaryngology, have co-authored several scientific articles for professionaljournals.D President Robert L. Ketter has been elected chairman of the Council of Presidents of the University Research Association, Inc. The Association is made up of representatives of the top 53 research universities in the U.S. The organization was set up at the request of the federal government to direct and administer the funds of the Fermilab, the largest linear accelerator in the world. Dr. Ketter has been a member of the group's board of trustees for five years. As chair of the Council of Presidents, he succeeds William G. Bowen, president of Princeton University.D Six faculty promotions have been made in the department of psychiatry. Promoted to clinical associate professors were Drs. James Serapiglia, Gary Cohen, and Murray Schwartz. Promoted to clinical assistant professors were Drs. Richard Jones, Mitchell Parker and F. George Feeney.D Dr . Erwin Neter, professor of microbiology, is chairman of the nominating committee of the Council of Biology Editors and chairman of the search committee for a permanent secretariat.D Dr. John R. Wright was appointed acting head of pathology at Children's Hospital. He is also professor and chairman of pathology at the Medical School.D Dr. Felix Milgram, professor and chairman of microbiology, presented a paper, "Late Rejection of the Renal Allografts", at the 8th International Congress of the Transplantation Society in Boston. He also co-chaired a workshop at the 4th International Congress of Immunology in Paris.D Drs . George Alker, M'56, and Eugene Leslie, M'51, are co-authors of a paper presented at the American College of Radiology on routine use of CT scan to evaluate spinal problems of patients in the spinal cord injury unit. Dr. Alker is a clinical professor of radiology and clinical associate professor of nuclear medicine. Dr. Leslie is professor and chairman of radiology and clinical professor of nuclear medicine.D 48 Three faculty members have been elected officers of Kenmore Mercy Hospital's medical staff for 1981. Dr. George M. Sanderson, Jr., M'50, clinical assistant professor of anesthesiology, is president; Dr. Robert B. Corretore, M'56, clinical assistant professor of family medicine and clinical instructor in medicine, is president-elect; Dr. Michael A. Sullivan, M'53, clinical associate professor of medicine and past president of the Medical Alumni Association, is secretary-treasurer. Dr. Sanderson is a Diplomate of the American Board of Anesthesiology, a Fellow of the American College of Anesthesiologists, and a member of the American and New York State Societies of Anesthesiologists. Dr. Corretore has been on the medical staff since 1958 and belongs to the Erie County and New THE BUFFALO PHYSICIAN �York State Medical Societies as well as the American Academy of Family Practice. Dr. Sullivan has been on the hospital staff since 1965 and is board certified in hematology and internal medicine. He is a member of the Erie County Medical Society.D Dr .. Ralp? Seal Paffenbarger Jr., professor of ~pidemwlogy at Stanford University Medical School, was the annual Harrington Lecturer. His topic: "Physical Activity in the Prevention of Heart Attacks. "0 Drs. Raymond P. Bissonette, associate professor of family medicine, and Robert H. Seller, professor and chairman of family medicine, have co-authored an article entitled "Medical Non-Compliance: A Cultural Perspective" which has been published recently in Man and Medicine : A Journal of Values and Ethics Health Care. Dr. Robert S. Swartz, professor of medicine at Tufts, gave the 11th annual Ernest Witebsky lecture in April. His topic: "Recent Advances in Systemic Lupus." Dr. Swartz is also director of the division of hematologyoncology at the New England Medical Center Hospital, Boston.D Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics, has been named assistant vice president for research and graduate studies. Later this year he will establish a health sciences liaison office for research and graduate studies on the Main Street Campus.D Dr. Emanuel Lebenthal, professor of pediatrics and chief of the division of gastroenterology and nutrition at Children's Hospital, gave three scientific papers recently to two professional societies in Berlin, West Germany and Bern, Switzerland.O Dr. James R. Humbert, director of the hematology/oncology division at Children's Hospital, was awarded a $37,249 employment contract for a one-year Sickle Cell Program funded under Title llD of CETA. These funds will assist the program in further follow-up of newborns for sickle cell disease in the eight counties of Western New York. Dr. Humbert also gave two scientific papers recently at a Continuing Medical Education Program in Aspen, Colorado. He is a professor of pediatrics and associate professor of microbiology at the Medical School.O The Medical Staff of Sheehan Memorial Emergency Hospital installed the following officers for a second term. They are: Drs. Joseph M. Anain, clinical professor of otolarygology, president; Jeremiah O'Sullivan, vice president; John G. Zoll, M'40, clinical associate professor of neurosurgery, secretary; Rolando T. Velasquez, clinical instructor of gyn/ob, treasurer.O SUMMER,1981 People Alan J. Drinnan, M.D., D.D.S., head of the Department of Dentistry at The Buffalo General Hospital, has been awarded a Fulbright Senior Scholarship by the Australian Educational Foundation and the Australian Government. Dr. Drinnan professor and chairman of the Department of Oral Medicine at the U/B Dental School, will be a senior scholar in residence at the University of Melbourne, and will travel to Australia later this year.D Dr. James A. Russell, assistant professor of pediatrics, has joined Children's Hospital staff as technical director of the Apnea E~aluation U~it in the Division of Pulmonary Disease. Pnor to his appointment at Children's, Dr. Russell was an assistant professor of physiology and medicine at the Mayo Medical School, Rochester, Minn.D Dr. Mary L. Taub, assistant professor of biochemistry, has co-authored an article for the Journal of Cellular Physiology entitled, "Growth of Functional Primary Cultures of Kidney Epithelial Cells in Defined Medium."O Dr. Michael Garrick, associate professor of biochemistry and pediatrics, has been listed in Who's Who in the East and in Who's Who in Technology Today. He also has been appointed to the editorial advisory board of Preparative Biochemistry.O Dr. W. Roy Slaunwhite, professor of biochemistry and research associate professor of pediatrics, is president of the Health Sciences Chapter of United University Professions (UUP) for 1980-81.0 49 d- Dr. Russ ell �People Three faculty members have been elected officers in the Western New York Chapter of the American Liver Foundation. They are: Drs. Theodore I. Putnam, clinical assistant professor of pediatrics, chairman of the board; Ralph C. Sperazza, clinical instructor of gyn/ob, vice president; James P. Nolan, professor and chairman of medicine, chairman of the scientific advisory committee.D Dr. Myroslaw Hreshchyshyn, professor of gyn/ob, is the new director of obstetrics and gynecology at the Erie County Medical Center.O Two research grants totalling $1,885,000 were awarded to the department of family medicine at Deaconess Hospital. Both grants are for a three-year period and are sponsored by the Department of Health and Human Services. The first grant, $1,187,000, will be used to aid in support of the residency program. The second grant, $698,000, will be used to support training activities and diagnosis and treatment of alcohol abuse problems. Drs. Robert H. Seller, professor and chairman of the department of family medicine and professor of medicine, and Raymond P. Bissonette, associate professor of family medicine, are responsible for implementation of the grants.D Dr. Ralph J. Argen, clinical assistant professor of medicine, has been elected president of the Arthritis Foundation's Western New York chapter.D Dr. Peter D. Ewing, clinical assistant professor in family medicine, has joined the Concord Medical Group in Springville.D Dr. Ganesh N. Deshpande, assistant professor of pediatrics, presented a scientific paper at Rainbow Babies' and Children's Hospital in Cleveland, Ohio on "Attempts at Cryopreservation of Granulocytes."D Dr. Elliot F. Ellis, professor and chairman of the pediatrics department at Children's Hospital, recently participated in A Clinical Symposium for the Primary Care Giver sponsored by the Medical College of Ohio and Associated Hospitals. The name of his presentation was "Theophylline - Where has it been, where is it heading?"O 50 A weight control clinic has opened at Sisters of Charity Hospital. Shirley Sneed, RN, is the resident director and Dr. A. Charles Massaro, clinical associate in medicine and family medicine, is Western New York medical director. Dr. Massaro is also a physician in family practice and director of medical education at Sisters Hospital. The clinic is affiliated with the Weight Control Center in Holy Name Hospital, Teaneck, New Jersey, which has been operating since January, 1980.0 Dr. A. Wilmot Jacobsen, clinical professor of pediatrics-emeritus, has made a study on sleep and also lectures on the subject. One of the answers to why we sleep when we do centers on our circadian rhythms that dictate periods of rest. "Everything functions on a 24hour basis," Dr. Jacobsen notes.D The following faculty members were promoted to clinical assistant professors in family medicine: Drs. Melvin B. Dyster, M'52, Daniel J. McMahon, M'73, Frederick M. Occhino, Donald W. Robinson, M'74, Thomas C. Rosenthal, M'75, Thomas P. Sheehan, M'67, Timothy V. Siepel, M'69, and Clinton H. Strong, M'44.0 Children's Hospital's Division of Gastroenterology and Nutrition recently received two grants totalling $267,230, and the Division of Hematology/Oncology was awarded a $37,249 CETA employment contract. The three-year $156,230 grant was awarded to Gastroenterology and Nutrition Services by the National Science Foundation for the study, "Control and Development of Enterokinase." The Division also received a one-year $111,000 from the National Dairy Council for the study, "The Effect of Small Intestinal Injury on Milk Consumption and Milk Tolerance in Infants and Children." The funds will be utilized under the direction of Dr. Emanuel Lebenthal, professor of pediatrics, and chief of the Division of Gastroenterology and Nutrition, and Dr. P.C. Lee, director, Gastroenterology and Nutrition Laboratories. Dr. Gustavo Cudkowicz, professor of microbiology and pathology, was invited to give a lecture, "Regulation of Natural Killer Activity via Thymus-Dependent THE BUFFALO PHYSICIAN �Mechanisms" at the International Course on Human Immunology and Cancer Immunomodulation at the Institut de Recherches Servier, Paris. He also chaired a plenary symposium and presented a paper at the 12th annual meeting of the Gesellschaft fur Immunologie in Germany.D Dr. Erwin Neter, professor of microbiology, presented two lectures at the symposium on Clinical Bacteriological Aspects of Pathogens and Defense Mechanisms in the Progress of Aerobic and Anaerobic Bacterial Infections at the University of Heidelberg, West Germany.D There are several new faculty appointments in the department of microbiology. They are: Drs. Floyd A. Green, professor; Vijay Kuman, assistant professor; Daniel Amsterdam, clinical assistant professor; Marie R. Gallagher, Darryl R. Absolom, research assistant professors; Krzysztof Dabski, Arthur E. Crist, Sami T. Ramia, clinical instructors.D Dr. David C. Dean, clinical associate professor of medicine, is co-editor with Dr. Ali Haddad of a new cardiology textbook, Interpreting EGGs Guide, recently released by Medical Economics Co. Dr. Dean is also chief of the cardiopulmonary laboratory at the VA Medical Center, and cardiologist at Buffalo General Hospital.D Three faculty members, who are also Medical School graduates, won ribbons at the fifth annual Sisters Hospital photo show. Dr. Edwin J. Manning, M'61, won the best-ofshow award for his photo, "Wisconsin Sunset." The clinical associate professor of neurology and clinical assistant professor of anatomical sciences also won an honorable mention. Dr. Manning is on the Millard Fillmore Hospital staff. Dr. Richard Fletcher M'43, clinical assistant professor of orthopedics, and on the VA Medical Center staff, won first place in color; "Virgin Island Sunset." Dr. Donald 0. Rachow, M'53, clinical assistant professor of medicine, and on Sisters Hospital staff, won second place, color, "Japanese Child." Drs. Fletcher and Rachow also won honorable mention. Dr. John Burke of St. Francis Hospital won first and second for his black and white, "Naples via Colombo" and "Children."D SUMMER, 1981 The Classes of the 1920's Dr. Louis A. Siegel, M'23, wonders what happened to his friends and colleagues who graduated from medical school in the 1920's and 1930's. The editors also sometimes wonder. We encourage all graduates and faculty members to keep us informed of their ~ctivities ~nd accomplishments so they can be mcluded m the Class/People section. Fill out the card on the back cover and drop it in the mail.D Dr. Joseph J. Pisa, M'26, continues to be active in civic and professional associations while he continues his practice. He lives at 664 7th St., Buffalo, 14213.0 The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, clinical professor of pediatrics (emeritus), has been elected president of the Erie County Board of Health. Recently he was re-elected president of Buffalo Hospice, Inc.D .Dr. John. ~mbrusko, M'37, has been appomted chmcal assistant professor of medicine at the University of South Florida. He is director of the Manatee County Health Department, Bradenton, Florida. Dr. Ambrusko lives at 5300 Gulf Dr., Apt. 503-N Holmes Beach, Florida 33510.0 ' Dr. Luther Musselman, M'37, clinical of medicine, has been appomted director of Medical Education at Millard Fillmore Hospital. He is chairman of the American College Health Association and past president of the New York State College Health Association. Dr. Musselman serves as assistant dean of the Medical School and has been director of Health Services from 1964 to 1980.0 as~ociate ~rofessor Dr. Charles J. Woeppel, M'37, clinical associate professor of gyn/ob, is the new clinical director of the gyn/ob center at Erie County Medical Center.D 51 d- �The Classes of the 1940's Dr. Abraham S. Lenzner, M'41, has been appointed to the Long Term Care Planning Group by Governor Byrne of New Jersey. Dr. Lenzner is also chairman of the Committee on Aging, New Jersey Foundation for Health Care Evaluation and a visiting professor of psychiatry at Rutgers Medical School. He is a clinical professor of psychiatry at the College of Medicine and Dentistry of New Jersey. He lives at 19 Lord Wm. Penn Dr., Morristown, N.J. 07960.0 Dr. Richard Ament, M'42, clinical professor of anthesiology, has been elected to the Board of the Council of Medical Specialty Societies. The Council represents 24 specialty organizations with over 230,000 members.D Dr. John D. Persse, Jr., M'42, has been appointed medical director of Blue Shield of Western New York.D Dr. Alfred S. Evans, M'43, is professor of epidemiology at the department of epidemiology and public health at Yale University. He is also director of the WHO Serum Reference Bank and Director of Medical Education. Dr. Evans is the new president, Society of Medical Consultants to Armed Forces, and editor of Viral Infections of Humans. He reports that "it is the best book written for physicians, 1977." He also recently won an award from the American Medical Writers Association.D Dr. Jack Lippes, M'47, chief of ob/gyn at the Deaconess Division, conducted a successful laboratory fertilization of a human egg - a feat accomplished at only a handful of centers in the world. 52 This success has paved the way for establishing a test-tube fertilization program at Deaconess which will help women who are infertile because of blocked Fallopian tubes become pregnant. The test-tube fertilization program will give priority to women from Western New York, and may begin late this year or early next year. To date, only about two to three percent of the in-vitro fertilization attempts in humans have been successful. Dr. Lippes, professor of ob/gyn, said however, that in time, the success rate of in-vitro fertilization and implantation may approach 30 percent, the same rate as natural fertilization. He added that "we are never going to beat nature."O The Classes of the 1950's Dr. Donald B. Thomas, M'50, has been named Erie County Health Commissioner. He is a 23-year veteran of the department and succeeds Dr. John T. Gentry who resigned last year. Dr. Thomas was health commissioner for Genesee County in 1956 and 1957; Wyoming County from 1953 to 1957, serving in a dual capacity. He joined Erie County as a deputy commissioner in 1957 and became first deputy commissioner in 1973. After graduating from U/B he served his internship at Deaconess Hospital. He received his master's degree in public health administration from the Harvard School of Public Health. He teaches social and preventive medicine at U/B.D Dr. Gertrude L. Waite, M'50, retired from private practice of plastic and reconstructive surgery. She is living at Deloaks, P.O. Box 1058, Brooksville, Florida 33512.0 Dr. Eugene M. Teich, M'51, is assistant professor of clinical medicine at the Stony Brook University Medical School. His specialty is cardiology. He reports that his daughter, Jessica, is completing her senior year at Yale, majoring in English and theater studies. She was recently elected to Phi Beta Kappa. She was awarded a Rhodes Scholarship and will begin her studies at Oxford University in September. The Teich's live at 275 Southdown Rd., Lloyd Harbor, N.Y. 11743.0 THE BUFFALO PHYSICIAN �Dr. Donald J. Kelley, M'52, clinical instructor in surgery, has been appointed chairman of surgery at Buffalo Mercy Hospital.O Dr. Richard J. Nagel, M'53, has been named chief of the department of anesthesiology at Mercy Hospital. He has been a member of the hospital staff since 1970 and is a clinical associate professor of anesthesiology at the Medical School.D Dr. John Winter, M'55, clinical assistant professor of medicine, was elected president of the medical and scientific committee of the Arthritis Foundation of Western New York.O Dr. Edward W. Hohensee, M'54, has been appointed to a 5-year term to the Medical Advisory Board of the New York State Commission for the Blind and Visually Handicapped. He is a clinical assistant professor of ophthalmology at U/B. He lives at 7531 Seneca St., East Aurora, N.Y. 14052.0 Dr. Jack D. Grabow, M'56, has been elected president of the American Electroencephalography (EEG) Society. He is an associate professor of neurology at the Mayo Medical School, Rochester, Minnesota. He lives at 1805 Westwood Ct., S.W., Rochester, Minnesota.D Dr. Dominic F. Falsetti, M'58, clinical instructor in surgery, has been named assistant chief of surgery, director of emergency services and chairman of the tissue and surgical committee of Mount St. Mary's Hospital. Niagara Falls, N.Y.O Dr. Marie Kunz, M'58, is the new acting director of U/B's health service. She is. a clinical assistant professor of medicine.O The Classes of the 1960's Dr. Franklin Zeplowicz, M'58, has been re-elected president of the medical-dental staff of Our Lady of Victory Hospital in Lackawanna.O SUMMER. 1981 Dr. Gerard J. Diesfeld, M'60, clinical instructor in family medicine, has received the national Bronze Award of the American Cancer Society, New York State Division. He was state Cancer Society president during 1978-79. He is currently at the O'Dell Medical Center in Wyoming County.O Dr. Hohensee Dr. Edwin R. Lamm, M'60, has been elected chief of general surgery for 1981 at Lakeland General Hospital, Lakeland, Florida and is also a member of several state national and international professionai organizations. His home address is 5602 Lake Point Drive, Lakeland, Florida 33803 and he is moving to new offices at 1820 S. Florida Avenue, Lakeland Florida 33803.0 Dr. Jared C. Barlow, M'66, clinical assistant professor of anesthesiology, has been appointed chairman of the department of anesthesiology. Dr. Barlow has been an anesthesiologist at Millard Fillmore Hospital since 1971 and has served as director of the residency program at the hospital for the past seven years. He has served as past president of the District Seven New York State Society of Anesthesiologists and is currently the director of the American Society of Anesthesiologists.O Dr. John E. Spoor, M'66, is director of the Student Health Center, SUCO Campus, Oneonta, N.Y. He is also chairman of the Training Committee of the New York State Emergency Medical Services Council and a member of the Board of Directors, New York Chapter ACEP. He has recently given a paper on "Multiple Trauma, Pre-Hospital and Emergency Department Aspects" to the medical staff at Farawania Hospital, Kuwait City, Kuwait, Gulf of Persia. Dr. Spoor is active in several professional organizations. His home address is RD #1. Box 157, Laurens, N.Y. 13796.0 d53 �Dr. William C. Rader, M'67, has written a book called "Dr. Rader's No-Diet Program for Permanent Weight Loss." His book is based on concepts he first worked with in the U.S. Navy, as chief of staff for alcoholism programs. The psychiatrist is chief of staff for two hospital alcoholism programs and has a syndicated television spot called "Medpsych" on some ABC stations. He is also working on a documentary film about a recovered alcoholic. Dr. Rader credits Dr. Albert C. Rekate, director of medical admissions at U/B in the early 1960's, for inspiring him. While at U/B Dr. Rader raised sheep dogs and worked in the biophysics department. He interned at the University of Southern California where he won thesis honors in surgery. He served in the Navy in the early 1970's. He is married to actress Sally Struthers. Dr. Rader's brother, Stephen, is a 1961 U/B Medical School graduate.D Dr. Albert S. Biglan, M'68, is a clinical assistant professor of pediatric ophthalmology at the University of Pittsburgh Medical School. He is a Fellow, American College of Surgeons. He lives at 460 Dorseyville Rd., Pittsburgh, Pa. 15215.0 The Classes of the 1970's Dr. William J. Fiden, Jr., M'70, has joined The Buffalo General Hospital medical staff as a full-time member of the department of family practice. In his departmental role, Dr. Fiden will serve as director of the Hospital's Akron Newstead Community Health Center and will be responsible for coordinating the clinical and educational activities there. He will also be a major participant in the educational program of the department of family practice at the Family Practice Center of the Deaconess Division. Dr. Fiden completed his post-graduate training in Family Practice at the Deaconess. He has previously served as assistant director of the Family Practice Residency Program at the Niagara Falls Memorial Medical 54 Center and is certified by the American Board of Family Practice. Dr. Fiden also holds memberships in the American Academy of Family Physicians and the Society of Teachers of Family Medicine. He is a clinical assistant professor of family medicine at U/B.D Dr. Jonathan W. Lehrman, M'71 of Pla~er­ ville, Ca. has co-authored a new text, PractiCal Guide for Handling Drug Crises. The 134-page book is a comprehensive, accurate and rapidly accessible data on drugs. Effects and intervention techniques are presented for lay persons and social service workers. The book will prove to be of inestimable value in the management of drug crises. Charles C. Thomas of Springfield, Ill. is the publisher. Price: $12.50, cloth; $7.50, paper.D Dr. Larry Lubow, M'71, is associated with the Miller Medical Group in Nashville. He is active in several local, state, regional and national professional societies. He lives at 769 Meade Dr., Nashville, Tenn. 37205.0 Dr. Sam Seideman, M'71, is an ophthalmologist in Montpelier, Vermont. 05602.0 Dr. Charles John McAllister, M'73, is a clinical associate professor of nephrology at the University of South Florida, Clearwater. Last January he presented papers in Durban and Johannesburg in the Republic of South Africa. He is active in several professional societies. He lives at 2433 Fairlanes Dr., Clearwater, Florida 33516.0 Dr. Peter C. Welch, M'74, is co-author of an article, "Serologic Diagnosis of Acute Lymphadenopathic Toxoplasmosis," that was published in the August, 1980 Journal of Infectious Disease. He is chairman of the infectious disease committee, North West Hospital. Dr. Welch, his wife and two children, Laura, 6, and Peter Jr., 4, live at 395 N. Bedford Rd., Chappaqua, N.Y. 10514.0 Dr. Marguerite Dynski, S.S.J., M'75, has joined the staff of the Genesee Valley Group Health Association at the Joseph C. Wilson Health Center, Rochester, N.Y., as a surgeon. Her home address is 445 Kings Highway S., Rochester, N.Y. 14617.0 THE BUFFALO PHYSICIAN �Dr. David B. Vasily, M'75, is a Fellow, American Academy of Dermatology. He is on the staff of St. Luke's Hospital and Muhlenbery Medical Center, Bethlehe~, ~a. He has been active in research - psonasis; oral sodium cromoglyclate in systemic mastocytosis; clinical trials of J?LE i~ vario~s inflammatory neoplastic and mfectwus diseases; and electron microscopy of basal cell carcinoma. Dr. Vasily has authored or coauthored several papers for scientific journals. He and his wife live at 531 Viola Lane, Hellertown, Pa. 18055.0 Dr. Bernard Wagman, M'76, w.ill compl.e~e his two-year cardiology fellowship at Pa~Ific Medical Center in July. He plans to go mto private practice in clinical cardiol~gy at Washington Hospital Center, Washmgton, D.C. He recently presented a research paper at the American Federation of Chmcal Research in Carmel. He is living at 2380 Washington #1, San Francisco, Ca. 94115.0 Dr. Duret Smith, M'77, is a residen~ i~ orthopedic surgery at SUNY Upstate Medica Center, Syracuse. In October he presented a paper, "Surgical Management of the Symptomatic Cervical Spine in Rheumatoid Arthritis" at the annual meeting of the Eastern Orthopedic Association in Puerto Rico.O Dr. Reginald B. Stiles, M'77, has completed his family practice residency at the Fort Wayne Medical Education Pro~r.am (Indiana University) and has been cerhfi~d as a family physician. His new address IS 3223 Tonawanda Ct., Fort Wayne, Indiana 46815.0 The Classes of the 1980's Dr. Judith M. Lehotay, 54, clinical associate professor of pathology, died March 19 of leukemia. She gained national prominence as Erie County's chief medical examiner, a position she has had since 1972. She was born in Hungary and fled to the United States with her husband and children after the Hungarian uprisings of 1956. She was a graduate of the University of Budapest Medical School. She repeated her internships and residency in Buffalo serving on the pathology staff at Children's and Sister's Hospitals. Dr. Lahotay was named assistant Erie County pathologist in 1966. The next year she took a year's leave of absence to work and study under Dr. Milton Helpern, New York City pathologist. She was the first woman elected a director of the National Association of Medical Examiners. She was one of the few women in the United States to head a major forensic and autopsy facility like Erie County's. Dr. Lehotay was active in several medical organizations. In 1980 she was honored as "Woman of the Year" and was the 26th recipient of the Susan B. Anthony Award given by the InterClub Council of Western New York. In 1973 she was named a Fellow of the American Academy of Forensic Sciences. She was also on the staff of the Erie County Medical Center.O Dr. Raymond J. Germain, M'30, of Lancaster, N.Y. died January 30. During his life he had been active in civic and professional organizations in Western New York.O Dr. Alan C. Newburger, M'61, died October 31, 1980 of metastatic liver cancer at Georgetown University Hospital. The pediatric gastroenterologist was an associate at Georgetown University and attending physician at National Children's Medical Center. He is survived by his wife, Beth and children, Mark, 16, Lori, 15, Eric, 12 and Jill, 11. They live at 9110 Kittery Lane, Bethesda, Md. 20034.0 Dr. Barbara Ruth Hirsch, M'80, is an intern at Mt . Sinai Hospital. She is co-author off . a paper given at the 13th annual meetmg ? the American Society of Nephro~og~ . m Washington, D.C. in November. She IS hvmg at 140-50 Burden Crescent, Briarwood, N.Y. 11435.0 55 SUMMER, 1981 In Memoriam �1981 Alumni Tours June 1-8 LAS VEGAS/SOUTHERN CALIFORNIA from New York City- $594 4 nights New Hacienda Hotel & Casino -Optional tours to Lake Mead, Mt. Charleston, Las Vegas shows - Bus to Pasadena 3 nights Sheraton Huntington Resort - Optional tours to Hollywood, Beverly Hills, Disneyland Arthurs Travel -Capital Airlines from Buffalo - $3,395 from New York City- $3,295 3 nights Manila Plaza (all American breakfasts) 2 nights Mandarin in Hong Kong (all American breakfasts) 10 nights Peking, Nanjing, Suzkow, Shanghai, Hang Zhou (all meals) Philippines International Airlines Arthurs Travel July 13-30 CHINA August 5-12 SUN VALLEY/YELLOWSTONE NATIONAL PARK from New York City- $574 Sept. 9-16 SUN VALLEY/YELLOWSTONE NATIONAL PARK from Niagara - $599 Fly to Idaho Falls 4 nights Sun Valley Resort Lodge & Inn Bus to West Yellowstone via Craters of the Moon National Park 3 nights West Yellowstone Option Park trips Arthurs Travel- United Airlines August 24-31 RENO/SAN FRANCISCO from Niagara - $759 September 9-16 RENO/SAN FRANCISCO from New York City- $713 4 nights MGM Grand Hotel & Casino - Optional tours to Lake Tahoe, Ponderosa Ranch Bus to San Francisco 3 nights Hotel San Francisco -Optional tours to the wine country, Monterey Peninsula Arthurs Travel- United Airlines 56 THE BUFFALO PHYSICIAN �A Message from Robert W. Schultz, M'65 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Schultz The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978) have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 .. -------- ---------------------------------------------------------~-fflil-----------~~~:~:.---------STAMP NECESSARY IF MAILED IN THE UNITED STATES BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 92 003223400 DP.. ROBERT l BROWN 156 BRANTWOOD ROAD BUFFALO NY 14226 ------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1981 Subject The topic of the resource State University of New York at Buffalo. 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Dean Naughton's Message Post Graduate Matching Dues Paying Alumni, 1980 Confessions of Three Grave Robbers by Dr. O.P. Jones Pediatric Programs Football Schedule Faculty Retire Dr. Ketter The Battered Child Syndrome Dr. Ehsan Afshani Sports Physiology Dr. Stell MECO/Roswell Park Seminar's Dr. Frawley Dr. Stoff Dr. Thorn Dr. Weldon Memorial Plaques Continuing Medical Education Dr. Jacobs A Day With Hans Selye People Modular Schedule People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2018-01-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v15n02 Extent The size or duration of the resource. 56 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/71cabf3fc19af4f26451794c8054011b.pdf a94099c473a0d272d629de0e53499a3e PDF Text Text �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae: I am pleased to report that the School of Medicine has completed its first Institutional Self-Study in preparation for the October 6-9, 1980 accreditation site visit by members representing The Liaison Committee on Medical Education (LCME) . The faculty, students and administrators involved took their tasks and responsibilities quite seriously as evidenced by a high level of attendance and participation at the multiple Steering Committee and Task Force meetings. For the first time in SU YAB's School of Medicine history the component parts of the enterprise were presented in detail, and participants had an opportunity to identify our strengths and weaknesses and to make recommendations for future action and progress. The job of the Task Force was completed by approving a large number of recommended items for accomplishment over the course of the next three to five years. I am pleased to report that (1) a concensus apparently developed concerning the thrust and mission of the medical school, (2) the self-study process helped further a sense of institutional identify; and (3) faculty and students generally felt good about the medical educational establishment in Buffalo. The prevading concensus of immediate needs centered (1) on the requirement for SUNYAB and the State of New York to move forward expeditiously with the renovations of the Main Street campus; (2) around a need for many of the clinical departments to coordinate and consolidate their core educational activities; and (3) a desire of the clinical faculty for a single centralized educational clinical center. In conclusion, the self-study has provided an important mechanism for medical student and faculty participation in institutional participation and development, and it has helped prepare us in a meaningful and significant manner for the upcoming LCME visit. I thank those who participated so fully and worked so long and hard in bringing this function to a satisfactory and meaningful completion.D �Volume 14, Number 3 Fall1980 THE BUFFALO PHYSICIAN (USPS 551-861J) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERT 8. MCGRA AHA Dean, School of Medicine DR. jOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Associate Editor TERI ROBERTS CONSULT ANTS President, Medical Alumni Association DR. ROBERT W. SCHULTZ Vice President, Faculty of Health Sciences DR. F. CARTER P ANN ILL President, University Foundation jOHN M. CARTER Acting Director of Public Affairs HARRY JACKSO Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center M(lrcy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 2 3 5 6 8 9 10 13 14 16 17 18 19 20 22 25 26 27 28 30 31 32 41 42 43 46 54 56 IN THIS ISSUE Dean Naughton's Message (inside front cover) Commencement/Iris Dedication Students Honored Dr. Tedaldi's Address Dr. Berger's Address President's Award/Continuing Education Your Alumni President Speaks Mental Retardation Drs. Arbesman, Reisman Geriatric Education Visiting Professor Roswell Park Seminars Fellowships, Scholarships Physicians Honored Dr. Neter Physicians Give Alden Care Center Prostaglandins Ambulatory Pediatrics/HMO Senior Reception Medical School Dance Dr. Ellis Medical Apprenticeships in the Early 19th Century by O.P. Jones, Ph.D., M.D. Distinguished Professor Emeritus Dr. Craig Smith Dr. O'Leary/Orthopaedic Residents The Classes/Head Injury Guide People In Memoriam Alumni Tours ~ The cover design is by Donald Watkins. It depicts early 19th century medicine, page 32. THE BUFFALO PHYSICIAN, (USPS 551-860). Fall, 1980- Volume 14, umber 3 published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, ew York 14214. Second class postage paid at Buffalo, New York. POSTMASTER: Send address changes to THE BUFFALO PHYSICIAN, 139 Cary Hall, 3435 Main Street, Buffalo, N.Y. 14214. Copyright 1980 by The Buffalo Physician. FALL, 1980 1 �Robert Ignasia, Drs. Naughton, Panni!!, Mrs. Harriet Williams Fagan, Dr. James Phillips, John and Margaret Paroski. 134th Annual Commencement U/B President Robert L. Ketter conferred more than 5,000 degrees during the Main University Commencement ceremony at the Convention Center. Included were 19 associate, 3,253 bachelor's, 1,393 master's and 459 doctorate degrees. Dr. Ketter also presented the 1980 Chancellor Charles P. Norton Medal U/B's highest honor - to Daniel A. Roblin, Jr., chairman and president of Roblin Industries, Inc. of Buffalo. The U/B Alumni Association sponsored a reception for the graduates and guests following the ceremony.D Dean John Naughton welcomed the graduates and their families to the 134th commencement. He praised the 138 graduates (98 men and 40 women). "I know you will represent the University well in the future. This is a very festive occasion. You are more relaxed than you were at orientation four years ago." Dr. aughton also introduced several dignitaries who participated in the commencement. Class representative Ellen M. Tedaldi said, "We can't offer complete freedom from disease and death, but we can offer relief from pain. We can't solve all the social ills and inequities, but we can promote safety and justice for our patients. We are the people's caretakers - the caretakers of their hope and their future." Class representative Eric E. Berger traced briefly the classes' four years in medical school. "During our first year we were concerned with survival. We were overwhelmed with facts, facts and more facts. We were more seasoned during our second year and looking forward to our third year. But part I of the National Boards was like running into a brick wall. We arrived slick and ready for action at the beginning of our third year, but found we couldn't speak the language. We had to learn the modern dialect of hospital language. The end was in sight at the beginning of the fourth year. We had time to read and excellent clinical experiences. We learned a lot and enjoyed beer and chicken wings. Hippocrates we are here, we have made it." This yearbook was dedicated to Dr. Gloria L. Roblin, clinical professor of psychology, by Leonard J. Weireter, editor of the Iris. Iris Dedication Dr. Lawrence Cardin We believe that you believe, Dr. Roblin ... -that you believe in education. You taught us the principles in psychology which we needed to understand our patients and ourselves. You introduced us to the special art of psychiatric interviewing. You confronted us with issues of sexuality. You disquieted us. You cajoled us. You educated us. 2 THE BUFFALO PHYSICIAN �We believe that you believe in your profession. It is not known to many the difficulties you encountered with introducing psychology courses into the curriculum. Your conviction that human sexuality was a vital subject for physicians resulted in the required second year course. You argued also for early introduction of clinical medicine by creating our psychiatric interviewing preceptorships. In your many years of professional experience, you knew that psychiatry was relevant to all the specialties and that our clinical experiences would be deficient without it. Your enthusiasm for your field was evident- an enthusiasm unfortunately absent in many other professionals. Dr. Roblin, we believe that you believe in the student. Some of us have had the privilege of working with you on committees. We recognized in you one of our strongest advocates. You demonstrated genuine concern for our educational and personal welfare. Indeed you availed yourself for counseling professionally and informally. The number of references to you in the Med School Follies is testimony to your popularity among students. Dr. Roblin, we may be right, and we may be wrong. But in our opinion, you are outstanding as an educator, as a professional and as a friend. Thank you, Class of 1980 In her response Dr. Roblin said, "I love it- thank you. This is the most meaningful moment of my life. You have given me so much. I have shared your growth and grown with you. "As you move to your new profession you will be dealing with the body and the mind. Remember to help people, be dependable, exercise self control and foresight, and stand firm in what you believe. Have ideals and live up to them. Have human goals and move forward. "I believe that you believe and that makes me feel good," Dr. Roblin concluded.O 23 Students Honored Twenty-three medical students won special honors and awards at the 134th annual commencement. Dr. James F. Phillips, M'47, clinical professor of medicine and chairman of the commencement awards committee, presented the awards. Dr. F. Carter Pannill Jr., vice president of the health sciences faculty, conferred M.D. degrees to 138 graduates and the Ph.D. to 17 others. Dr. John Naughton, dean of the School of Medicine, administered the Oath of Hippocrates to the new physicians and Dr. Harry L. Metcaff, director of admissions, led them in the Charge of Maimonides. d- FALL, 1980 3 �Stephen Marano and parents The awards and honors: Thesis Honors - James F. Twist Baccelli Award- (Academic excellence in the clinical years) -Frederic J. Weber. Gilbert M. Beck Memorial Prize in Psychiatry (Academic Excellence)- MarkS. Borer, Marc F. Guerra. Buffalo Surgical Society Prize in Surgery (Academic excellence- junior, senior years) -Peter H. Greenman. Children's Hospital Prize- (Excellence in understanding disease in childhood) - Mary Anne C. Kiernan. Dean's Award - (Participation in extra curricular activities in the medical school while maintaining a high standard of academic excellence) - Margaret M. Werick Paroski. Gordon S. Ehrlich Memorial Award- (To the graduating student who has best demonstrated an interest in and knowledge of pediatric pulmonary disease) -Thomas P. Pullano. Bernhardt & Sophie B. Gottlieb Award - (Expertise in areas outside of medicine) - James B. Streisand. Norman Haber Memorial Award - (For proficiency in otolaryngology) - Robert Braco. Dr. Heinrich Leonhardt Prize in Surgery - (Academic excellence) -Anthony S. Unger. Lieberman Award - (Interest, aptitude in the study of anesthesiology) - John D. Sucher. Hans J. Lowenstein Award in Obstetrics (Academic excellence) - John D. Mageli. Maimondies Medical Society Award - (Proficiency in the basic sciences) - Cynthia Jo Parlato. Medical Alumni Association Award- (Community Commitment) - Donald F. Switzer. David K. Miller Prize in Medicine -(Demonstration of Dr. Miller's approach to caring for the sick - competence, humility, humanity) - Cynthia Jo Parlato. Mark A. Petrino Award - (Demonstrated interest and aptitude for the general practice of medicine) - Alan C. Smith. Clyde L. Randall Society Award in Gynecology-Obstetrics (Academic excellence) - Constance B. Lentz. Emilie David Rodenberg Memorial Award- (Academic excellence in study of diabetes, its complications) - Barbara R. Hirsch. Philip P. Sang Memorial Award - (Ability to relate well to patients, faculty and staff) - Donald L. Cohen. Upjohn Award - (Research ability) - Peter J. Yang. John Watson Award in Medicine- (Enthusiasm for and commitment to scholarship in medicine) - Kenneth L. Entes. Frederick B. Wilkes Pediatric Award- (To the graduating student entering a career in pediatrics who has best exemplified Dr. Wilkes' skills and dedication to patients) - Barry A. Clark Ho·nor Medical Society Edward K. Bartels, Deborah B. Cabral, William N. Capicotto, Donald L. Cohen, David S. Duani, Robert A. Durr, Kenneth L. Entes, Mary E. Frank, Peter H. Greenman, Constance B. Lentz, John D. Mageli, Linda J. Paradowski, Robert J. Parkes, Cynthia J. 4 THE BUFFALO PHYSICIAN �Parlato, Thomas P. Pullano, Edward J. Rockwood, Alan C. Smith, Lynn M. Steinbrenner, Ellen M. Tedaldi, Anthony S. Unger, Anita Vigorito, Frederic J. Weber, John F. Zalewski. DOCTOR OF PHILOSOPHY - Thaddeus M. Szczesny (anatomical sciences), James Peppriell, Luke Schallinger, Carl Stineman and Paul Tressel (biochemistry), Joseph E. Bentz, Stephen W. Scott, and David Whaley (biophysical sciences), Linda L. Kosuda, Donna L. Mendrick, Nancy A. Owens, and Joseph P. Portanova (microbiology), Richard M. Conran (pathology), Elizabeth Albrecht, Patricia Palumbo, and William L. Strauss (pharmacology & therapeutics), Judith A. Hirsch (physiology).O A late night movie of recent vintage on Buffalo TV starring Robert Stack and Joan Crawford, (before "Mommy Dearest"!) was called "The Caretakers". The story concerned a young psychiatrist working in a state mental hospital in the pre-Thorazine days who attempted some radical ideas of therapy. Miss Crawford challenged Stack, the psychiatrist: "What are you doing for these people? What are you offering them?" He replied, "I am their caretaker - the caretaker of their hope, of their future." The situation in that film is somewhat analagous to the challenges presented to the medical profession today. The "questioners" are the government, society, the patients themselves. As for the questions - the two or three of you who attended Social and Preventive Medicine lectures (sorry!) are aware of them. For the majority of you who were not present, I will briefly outline the issues: the right of the individual to control his/her own life and death, the use of technology, the distribution of social and political power; the very quality of our lives and relationships to others. I am not here to debate the substance of those issues. Nor am I here to be pessimistic and condemn medicine. The occasion warrants a more optimistic presentation. What I want to consider is how we, the newest entrants into medicine, will answer those challenges in our own personal and professional lives. Brenda Harris, Dr. John Wright Ellen Tedaldi's Address �Ellen TedaJdi When our clinical exposure is slanted often toward the far end of the spectrum of disease- toward the critically ill or chronically disabled, we wonder, "What am I doing for these people?" When our use of technology becomes a dilemma of promoting quality of life or prolonging existence, we wonder, "What am I doing for these people?" When society demands that we be more than medical technicians - that we be social workers, be ministers, be administrators or when supporters of alternative health care approaches decry our over use of pharmaceutics, invasive techniques and accuse us of being the only game in town, we wonder, "What am I doing for these people?" Some in the profession have examined that question. For example, in the recent novel, House of God, which looks quite sarcastically at the life of an intern, one character, the Fat Man responds to the question with the law that the best medical care is to do as much of nothing as possible! That is perhaps the ultimate response to the challenge. For us, how will we respond? I don't know but I said earlier that this occasion of our graduation deserves an optimistic note. Though surely we can't offer complete freedom from disease and death, we can offer relief of pain. Though surely we cannot solve all the social ills and inequities on our own, we can prompt justice and safety for our patients. Though surely we cannot avoid being inadequate at times, we can offer empathy, sensitivity and dedication. Above all, when we ask, "What can I offer these people?", we c:m think of Robert Stack. We can remember that we are their caretakers - the caretakers of their hope and their future.D Eric Berger's Address Cynthia Parlato, Dean Naughton Eric Berger Friends and Relatives, Faculty Members and Fellow Graduates. I shall not dwell in these next few moments upon the wonderful memories of school which will blaze out of all control in our hearts, nor of the great encyclopedic store of sacred knowledge which has been conferred upon us these past four years. Why? I feel these are tired and wearysome topics and while a brief dissertation on how to shovel yourself out of eight feet of snow and still love Buffalo might be more entertaining, I believe it would be inappropriate. So, I have decided to summarize some of the feelings and attitudes that we have had about the world of medicine in the past four years. In our first year, we were almost bursting with pride at having attained the status of being medical students. This was understandable and justified, but like politicians, we were blind and basically concerned with survival. Our new world was a world of facts ... endless facts ... boundless facts ... infinite facts ... facts as far as we could see and more facts after that. We had to learn these facts because in later years they would supposedly serve us well. We 6 THE BUFFALO PHYSICIAN �would come to appreciate the need to memorize the sea of peristaltic waves in the gut and the characteristics of the bacteria that cause body odor. Yes, at some future date these facts would prove indispensible to us. They would, indeed, be our weapon in the endless crusade against disease. They were our vital ammunition. And that, my Friends, is also a fact! Our second year was much like the first. We were more seasoned and more self-assured, and towards the end of the year, we began to feel that, indeed, we were getting there. We saw that we were surviving the onslaught of written tests, and having mastered the disciplines of pharmacology and human pathology, we were all "gung ho" and ready to start our ambitious charge into the third year; the year of initiation into clinical medicine. We got on our horses, kicked in our spurs, headed into the sunrise ... and promptly rode into a brick wall ... The National Boards, Part I. For our first two years we had struggled to digest an enormous portion of facts, but before we could leave the table, they insisted we eat our dessert. A dessert which lasted for two days, seven hours each day. An almost endless array of questions, mercilessly asking us to recall facts that we had long since absorbed, regurgitated and forgotten. Now we had to re-absorb and re-regurgitate. When it was over, we were exhausted. I mean we were beat! We had had it with these facts already, and we headed eagerly for our Junior Year. We arrived in the hospital slick and ready for clinical action, only to find that we could not speak the language. Yes, we actually could not speak the language! Do you want to know what's wrong with the patient? Just open the chart and read that the patient is a 30 Y/0 W/M with C/0 of SOB and PND X 2 Mo. For those of you who did not understand this esoteric lingo, I just said that the patient is a 30 year old white male, with complaints of shortness of breath and paroxysmal nocturanal dyspnea for the past two months, and for those of you who still don't know what I'm talking about, that is why you are the patients and we are the Doctors. After having learned Latin in Anatomy, we now had to learn the modern dialect of hospital jargon. So ... we learned the new language. But the best part of the year, the part which I am certain that we all enjoyed the most, that part which proved most unmistakably that we had at last arrived in the world of hospital life, was when they deprived us of our previous sleep every third or fourth night so we could prowl the corridors of medical power in a stupor. It was fun to be disoriented. But we were a hardy lot and we pressed on, and when the storm of the third year became almost too hectic, we were met with the warm, soft weather of the fourth and final year. Now the end was in sight. The year was arranged beautifully for us with ample reading time, eager instructors and interesting medical cases. Indeed, we learned a great deal ... but not as much as we learned about beer and extra hot chicken wings. Yes, it was a great year and it brought us to where we are today ... on the threshold of Doctorhood. We will steal from our sleep and give to the patient. We laugh about it, we cry about it, but none of us, I believe, would change places in a million years for another profession. We have made it ... Hippocrates, we are here!D FALL, 1980 7 Andrew Ross Dr. Jerry Chutkow �First President's Award goes to Dr. Musselman Dr. M. Luther Musselman, director of the University Health Service, has received the University's first President's Award. The honor was presented during the Commencement Luncheon, May 18. This new award will be given periodically, President Robert L. Ketter said, "to honor a member of the University community who exemplifies standards of devotion and service to the institution that far exceed the ordinary, and who, by personal example, challenges others to rise to excellence." Dr. Musselman, a 1937 graduate of the U/B School of Medicine, has been on the faculty here since 1947. He is also assistant dean and clinical associate professor of medicine. If he were to ask members of the University to describe Dr. Musselman in one word, Ketter suggested, "the following would be most often heard: dedicated, knowledgeable, kind, compassionate, tireless, sympathetic - or the one word that seems to say it all: caring. "If an accident happens on campus, or if illness occurs - to a student, a staff member, or a visitor, he is there: to treat, to provide advice and assistance, to offer assurances, to insure that adequate care is provided." But it doesn't stop there, Ketter said. Musselman is known "for the painstaking follow-up: the phone calls to the home, the checking-up on dietary needs, the request for special academic considerations. He is among us, as he is today, whenever large numbers of people gather for University functions, for at these times there is a real possibility of the need for medical care. He is always there - whenever and wherever his help is needed." The President's Award, Ketter said, "is our way of extending our recognition and gratitude for the example of caring involvement" which Musselman offers "and for the contributions far beyond the ordinary that he has made to the quality of life at the University."O Continuing Medical Education 1980-1981 Programs For additional information call: 716/831-2766. September 13, 1980 Drugs of the Decade, Sheraton East October 9, 1980 Ultrasound for Clinicians, Sheraton East October 31, 1980 Colonoscopy, Roswell Park Memorial Institute November 13-15, 1980 Vascular Physiology and Disease, Buffalo Hilton March 19-21, 1981 2nd annual winter symposium: Trends in Internal Medicine, New Orleans 8 THE BUFFALO PHYSICIAN �The 1980-81 Medical Alumni season is off to a fine start with a full compliment of very active governing board members and several positive changes in programs already reaching completion. At the written suggestion of many medical alumni, Spring Clinical Day 1980 once again returned to a single day format and as those of you who attended know was eminently successful with over 175 attendees at both the scientific sessions and the Stockton Kimball Memorial Luncheon. Although the topics for the 1981 Spring Clinical Day have not been formalized as yet, we expect to continue the single day format and are actively seeking a new location. Discussion is also underway to change the location and format of the companion reunion dinners. Some exciting and unusual ideas have been presented which are sure to make them a more memorable occasion. The Senior Reception, held annually in honor of our graduating class, is also to see some change. To accommodate those students leaving because of the early completion of the academic year, the reception will be held earlier in the spring of 1981. The Albright-Knox Art Gallery with its' Garden Restaurant should once again combine for a delightful Sunday afternoon. The general alumni mid-winter tour to the southern climate has always been well attended by our medical alumni. Conferences in continuing medical education have been an important addition to the trip and the 1981 Mexican trip will be of no exception. Plans are already in the mill to make this a most unusual and rewarding conference as we join forces with the Schools of Dentistry, Law and Arts and Letters. The 1980-81 medical alumni board will continue all of the past programs in education, awards and reunions and with a bit of fund raising too, but all with a flare towards something new and different in the ever changing environment of the Buffalo area. Your written input concerning all of the activities of your association is sincerely welcomed.D FALL, 1980 9 of Robert W. Schultz, M'65 President, Medical Alumni Association From the desk �Mental Retardation A STUDY OF Western New York physicians' knowledge of mental retardation and of their attitudes and practices regarding their retarded patients has been completed. Physicians surveyetl favor a broad interpretation of their role in providing care for mentally retarded patients but most often cited "lack of training" as a reason for not providing services for this group of patients. Findings support the need for mental retardation education in medical schools, residency training and continued medical education (CME) programs in Western New York. Researchers, Dr. Barry Willer (Department of Psychiatry), Michael Ross, third year medical student, and Sharon Kraus, doctoral candidate in psychology, initiated the study in March 1978. It is part of a larger HEW supported investigation probing the impact of deinstitutionalization of the mentally retarded on the community and evaluating the effectiveness of various community residential alternatives for mentally retarded individuals. Given the current, federally mandated trend to maintain retarded individuals in the community, the researchers were particularly interested in assessing area physicians' awareness of current admission standards for institutionalization of the mentally retarded. They also wanted to examine the awareness among physicians of supportive services available in Western ew York for the mentally retarded and their families. Of equal concern to the researchers was how physicians view their role towards the mentally retarded patient, whether they were fulfilling the responsibilities outlined by the American Medical Association (AMA) for this population of patients and whether they feel adequately trained in this area. Results of the study indicate that Western New York physicians, despite the profession's history of indiscriminately recommending institutionalization for mentally retarded individuals, are now more judiciously advising families concerning institutional placement of a family member. This finding contrasts with the conclusions of the 1975 midwestern survey 10 of physicians by Frank Menolascino, M.D . and N. Karen Kelly which found that physicians inappropriately recommend institutionalization and feel it is their responsibility to make such recommendations. Furthermore, two thirds of the Western ew York physicians surveyed felt it was the parents responsibility to initiate institutionalization proceedings. Other studies have found that most physicians feel such a decision falls within the purview of the medical profession. On the other hand, the data reveal that Western New York physicians are generally uninformed about admission criteria for institutionalization of mentally retarded individuals. Admission to a ew York State Developmental Center requires that the prospective client has an IQ of less than 50, below normal scores in the Vineland Social Maturity Scale and a health or behavioral problem which precludes management at home. Western ew York physicians generally appreciated the importance of low IQ as one of several admissions criteria. Behavioral problems were, however, more significant in influencing a physician's decision whether to recommend institutionalization than were medical problems, IQ, or social maturity of the retarded individual. Physicians are more apt to advise institutional placement in families where there are parental stress factors involved. Generally, parental stress is given as much emphasis by Western New York physicians as medical problems in decisions pertaining to institutionalization. Family stress, however, is not a valid criterion in assessing eligibility of a mentally retarded individual for institutional placement in New York State. Though families commonly consult physicians regarding care and services for a retarded family member, results of the survey suggest that Western New York physicians are not very aware of services available for mentally retarded patients. Physicians were requested to specify an agency for each of 16 services available to retarded individuals in Western ew York. On the average physicians named only 3.9 agencies. While most physicians knew of genetic counseling services and many were familiar with developmental centers, special schools and mental health services for the retarded, few THE BUFFALO PHYSICIAN �could cite agencies providing supportive services for families with a retarded child at home. Table 1 provides a list of services available in Western New York and the percentage of physicians who designated an agency administering the given service. As indicated in Table 1, physicians are better acquainted with medically related services, such as genetic counseling and speech and hearing assessment than with services critical to the community maintenance of the retarded such as respite and day care services. Table 1 Percentage of Physicians Able to Name Agencies That Provide Services for the Mentally Retarded o/o N aming Agency Service Genetic Counseling 52.8 Centers for Assessment (Speech, Hearing, Vision, etc.) 46.6 Special Schools 41.4 Counseling for the retarded patient or his or her parents 31.6 State Developmental Center 30.1 Sheltered Workshop 24.1 Medical Center Retardation Clinic 21.8 Foster Care 21.1 Transportation Services 18.8 Home Tutors 18.1 Day Care 16.5 Group Homes 12.8 ARC 10.5 Respite Services 4.7 Generally, physicians who currently see mentally retarded patients are more aware of community agencies for the retarded. Those physicians who claim to coordinate care and services for the retarded patient were found to be more knowledgeable about community agencies than those who did not indicate that they provided this service. Though most area physicians feel it is their role to provide certain given services for mentally retarded patients, not as many actually fulfill that role. A striking majority of Western New York physicians concur with the AMA's position describing the physician's responsibility toward the mentally retarded patient in eleven areas of care (See Table 2). As Table 2 illustrates, many fewer physicians actually provide the service they feel their role encompasses. FALL, 1980 Table 2 Percentage of Doctors Who View Various Services as Part of the Physician's Role vs. Percentage Who Actually Provide the Given Services Description of Task o/o who view service as part of % providing service their role General Medical Care 95.5 67.9 Acute Medical Care 98.5 86.7 Explore feelings of parents after a diagnosis of mental retardation 91.0 65.4 Inquire about the social/vocationa! adjustment of a mentally retarded patient 87.3 68.8 Diagnosis 85.0 50.8 Counseling parents to management of their mentally retarded family member 85.7 59.8 Maintain relationship with family about mentally retarded patient even after institutionalization 78.0 63.3 Provide reading materials about mental retardation to parents 76.5 33.6 Seeing if patients and parents are satisfied with community services received 72.9 53.1 60.9 34.4 60.2 26.8 Assessm e nt of inte llectual and social functioning Coordinate community services Sharon Kraus , Micha el Ross, Dr . Barry Wi.ll er �Physicians, the study shows, most often exclude a service from their practice because they feel inadequately trained in that area. Two exceptions, coordination of community services for the retarded and assessment of family satisfaction with such services, were felt to be outside physicians' responsibility or too time consuming by most respondents in the survey. While medical specialty did not influence perception of the physician's role, pediatricians were found to perform more services for their retarded patients than do general or family practitioners or other specialists. Data from the Western ew York physicians survey offer one explanation for the failure of physicians to fulfill the roles outlined by the American Medical Association. Less than 10% of the physicians surveyed feel they were adequately trained in medical school to care for mentally retarded patients. More than half the physicians saw such deficiencies in their medical school training as: little contact with mentally retarded patients, inadequate training and counseling and lack of instruction about social afflictions of the retarded and ameliorative services available. Drs. Solomons and Menolascino stated the problem succinctly in a 1968 article in Clinical Pediatrics, " ... the physician with little empathy or experience in the field of mental retardation cannot avoid revealing both his lack of interest and certainty in his discussion of diagnostic findings and the resultant recommendations." The researchers' interest in physicians was motivated by Dr. Willer's finding that the first and most often contacted professional by families having difficulties with a retarded child is the physician. Research journals suggest, however, that physicians have not been helpful in this area. A variety of studies and reportorial accounts describe numerous inadequacies in family management on the part of physicians during the 1950's and 1960's. 12 Parents complained of physicians' abruptness, lack of information and incorrect prognosis when caring for a retarded child. As recently as 1975, Dr. Menolascino and Ms. Kelly found most parents of retarded children in their study were dissatisfied with the attitudes of their physicians. Many of the parents desired more information than their doctors had given them. The current research of Western New York physicians involved sending 648 questionnaires to physicians in Erie, Niagara, Orleans, and Genesee counties. A total of 133 of 648 questionnaires were returned by the general and family practitioners, pediatricians, neurologists, psychiatrists, ObGyn's, internists and orthopedists included in the survey. More than half the neurologists and psychiatrists and nearly forty percent of the pediatricians in the area returned the questionnaire. The return rate was, however, less than 20 o/o for the family practitioners and GP's and other specialists in the sample. The researchers believe the overall return rate of 20.5% probably reflects physician disinterest with mental retardation. Also, they assume that those who responded to the survey represent the most interested and knowledgeable of Western New York physicians in the area of mental retardation. Their study cites the need for training in mental retardation at all levels of medical education. Physicians who participated in this study received the opportunity to earn continuing medical education credit by reading educational materials about mental retardation sent at a later date. In addition, a list of community services available in western New York was prepared by the Division of Community Psychiatry (SUNY at Buffalo] and made available to interested physicians. A program of continuing medical education on legal/ethical issues dealing with the developmentally disabled was sponsored by the division of community psychiatry last summer.D THE BUFFALO PHYSICIAN �Drs. Arbesman, Reisman Honored Two distinguished local physicians, who have worked together for over 20 years and who have contributed significantly in the field of allergy and clinical immunology, recently were elected president of learned scientific societies. Dr. Carl E. Arbesman, who is Clinical Professor of Medicine and Microbiology, Director of the Allergy Research Laboratory, and former Director of the Allergy Division (1944-1976) at the Buffalo General Hospital, was elected President of the International Association of Allergology and Clinical Immunology, for a 3-year term, at the 10th International Congress, which was held in Jerusalem, Israel, in November, 1979. Dr. Robert E. Reisman, who is Clinical Professor of Medicine and Pediatrics, and Co-Director of the Allergy Research Laboratory, was elected President of the American Academy of Allergy for a one-year term at the Annual Meeting held in Atlanta, Georgia, in February, 1980. Dr. Arbesman attained his M.D. degree at the University of Buffalo School of Medicine in 1935, and, soon after, completed his allergy training at the Johns Hopkins School of Medicine . He opened his practice in Buffalo in 1939, specializing in Medicine and Allergy. In 1945, he organized the Allergy Research Laboratory at the Buffalo General Hospital, a unit which he still heads. He became Chief of the Allergy Division of the Buffalo General Hospital in 1944, a position that he held for 32 years. Dr. Arbesman is a member of many professional societies and he holds honorary fellowships in many foreign organizations, such as the British, Canadian, Brazilian, Venezuelian, and Peruvian Societies of Allergy and Clinical Immunology. He has served on numerous committees and boards and has contributed handsomely to the field. Dr. Reisman also has distinguished himself in the field of allergy. Following his graduation from the University of Buffalo School of Medicine in 1956, he completed a fellowship in Allergy and Clinical Immunology under Dr. Arbesman, and in 1961, he joined Dr. Arbesman in the practice of Medicine and Allergy, and subsequently established himself as an independent investigator. Within a short time, he became Associate and later, Co-Director of the Allergy Research Laboratory. His clinical skills, teaching ability, and his devotion to research led to hisserving on many committees, boards, and finally to his election as President of the American Academy of Allergy. The Allergy Research Laboratory has gained an international reputation in training more than 50 clinicians and researchers from all over the world in the field of immediate hypersensitivity. On this unique occasion, members of the academic community, as well as fellows and students from here and abroad, extend their heartfelt congratulations and best wishes for continued success to both of these distinguished physicians.D FALL, 1980 13 Dr. A rbe sman Dr. Re isman �Geriatric Education Dr. Evan Calkins , professor of me di cin e. jan e Math ews, assistant d ean , H e alth Related Professions. Dr. William A. Tisdale, director of geriatric unit, University of Vermont. MORE THA 100 area educators, agency directors, health professionals and other professionals from numerous disciplines participated in a one-day Conference on Geriatric Education. Dr. Evan Calkins, professor of medicine and head of the new geriatric unit at the Veterans Administration Medical Center, coordinated the meeting. The meeting was sponsored by the planning group for the Buffalo-Rochester Long Term Care Gerontology Center. Ms. Jane Mathews, clinical assistant professor of social and preventive medicine and associate dean of the School of Health Related Professions, summarized the conference: - the attitudes of all society (community and professionals) towards the elderly must be modified. A more positive image of geriatric medicine is needed. Faculty should take the lead in teaching positive attitudes toward the elderly. - professionals, family members and patients need to learn more about the aging process, especially the psychological limitations that come with aging, and how to cope with them. The geriatric patient's feeling of self-worth must be stimulated. There must be more communication between the psycho-social disciplines and medicine, with greater emphasis on the social sciences; - community settings must be developed to provide for multidisciplinary team education (interdisciplinary experiences) for students and faculty. The University should develop continuing education programs for community agencies and institutions. Patients/clients should be viewed from the total interdisciplinary point of view, not just a medical perspective. Professionals must receive a more practical education including home visits and instruction in management of a health care team; - there is a need for joint curriculum planning among health professionals. A geriatric curriculum (with some required courses) should be incorporated into medical, dental and nursing school programs . Educational programs for para-professional workers are needed. More medical research is needed, along with dissemination of information; - greater priority must be given to developing educational programs aimed at keeping people out of the hospital. We need to review how resources are allocated to the elderly; - good care for the aged requires more emphasis on certain disciplines - rehab medicine, neurology, and clinical pharmacology. There must be interaction between health professionals and attorneys to understand the social consequences of laws; - young people must be encouraged to enter this field; interdisciplinary experiences must be developed so students in various disciplines can learn, first hand, about the problems and needs of the elderly and gain an understanding of what 14 THE BUFFALO PHYSICIA �Six " brainstorming group " dis cussed programs that re lated to th e care of th e elderl y. Clock w ise from low er left are th e fa cilitators w ith the ir groups: Ruth Kocher, dietetics; Frank Bak er, psych ology; Hope Isa acs, nursing/anthropology; Ma rle ne Ve n tura, nursing; Kenne th Rogers, social and pre ventive m edicine; Kathryn S aw n e r, ph ysical th erapy.D professionals in the other disciplines can contribute toward meeting these needs; - strategy must be developed for political in-put which will lead to an improved system of long term care. Four out-of-town experts, who have had considerable experience in geriatric education, participated in the conference. They were, Dr. H. Bruce Bosmann, professor of pharmacology at the University of Rochester; Dr. Thelma Wells, assistant professor of nursing at the University of Rochester; Dr. William A. Tisdale, professor of medicine, and director of the geriatric unit at the University of Vermont; and Dr. Ruth Walker, dean of health professions, Herbert Lehman College. The conference was supported by a development grant from the Administration on Aging.D FALL, 1980 15 Dean Ruth Wa lker, Herbe rt H. Lehman Coll ege �Visiting Professor Dr. Paul R. Meyer, Jr., was visiting professor recently at the Erie County Medical Center. He is associate professor of orthopaedic surgery, at Northwestern University (Chicago). director of its McGaw Medical Center spinal cord injury unit and co-director of the midwest regional spinal cord injury care system. Invited by U/B chairmen Drs. Eugene R. Mindell (orthopaedics) and Glen Gresham (rehabilitation medicine). he described the system for spinal cord injury care developed for Illinois. Dr. Meyer noted the first few hours following spinal cord injury to be crucial. "The method of transport to a center of excellence must receive serious consideration." In Illinois four helicopters, backed by a fire department paramedical team, are available at a moment's notice to bring patients with spinal cord injuries to the Chicago Center. In addition, the Coast Guard is also capable of rescuing and transporting persons who suffer spinal cord injuries. Making a difference, he said, is a regional facility. "It is responsible for training life-support personnel and providing acute care by a team of specialists in orthopaedics, neurosurgery, urology and surgery. This is followed by rehabilitation," he said. He noted health care costs for the patient with spinal cord injury have been lowered significantly and the length of hospital stay shortened. According to Dr. Meyer, spinal cord injuries are receiving more attention nationally. During the next ten years he predicts regionalization of medical centers to provide care for spinal cord injuries. He lauded development of a spinal cord injury unit at the Erie County Medical Center.D Drs. Mindell, Meyer, Gresham 16 THE BUFFALO PHYSICIAN �ROSWELL PARK MEMORIAL INSTITUTE CONTINUING EDUCATION SEMINARS September 1980 - June 1981 September 18, 1980 Advances in Rehabilitation of the Cancer Patient Chairperson: Dr. Richard Berjian Department of Rehabilitation September 29-30 Progress in Cancer Control Program Coordinator: Dr. Curtis Mettlin Cancer Control, Epidemiology Department October 1-2, 1980 Trends in Oncology for the New Decade Chairperson: Dr. William Aungst Associate Institute Director for Clinical Affairs November 6, 1980 Advances in Head and Neck Oncology Chairperson: Dr . Donald Shedd Department of Head & eck Surgery November 13, 1980 Bone Marrow Transplants Chairperson: Dr . Donald Higby Associate Chief, Medicine A December 4, 1980 Metastasis - Pathobiological Aspects with some Illustrative Clinical Examples Chairperson: Dr. Leonard Weiss Department of Experimental Pathology February 5, 1981 Advances in Gynecologic Oncology Chairperson: Dr. Joseph Barlow Department of Gynecologic Oncology March 7, 1981 Multimodal Treatment of Melanoma Chairperson: Dr. E. Douglas Holyoke Department of Surgical Oncology April 2, 1981 Management of Malignant Disease in Children Chairperson: Dr. Arnold Freeman Department of Pediatrics May 14, 1981 Hematologic Problems in Cancer Patients Chairperson: Dr. Julian L. Ambrus Department of Pathophysiology June 6, 1981 Progress in the Management of Upper-Gastrointestinal Cancer Chairperson: Dr. Harold Douglass Department of Surgical Oncology FALL,1980 17 �Fellowships Other committee members - Doctors Michael Anbar, professor and chairman of biophysical sciences; Harry Beirne, clinical assistant professor of pediatrics; Murray Ettinger, associate professor of biochemistry; Floyd Green, professor of medicine; Diane Jacobs, associate professor of microbiology; Edwin Mirand, head, Roswell Park Memorial Institute Graduate Division; Timothy Siepel, clinical instructor of family medicine; Richard Cowan, assistant professor of psychiatry; James Evans, research assistant professor of surgery; Mario Rattazzi, research associate professor of pediatrics; John Wright, professor and chairman of pathology; Randolph Sarnacki, education research associate, Office of Medical Education. Students: Brett Shulman, Stephen Shulman.D THIRTY-THREE MEDICAL STUDENTS participated in the annual summer fellowship and scholarship programs, according to Dr. John Edwards, professor of medicine, and associate professor of pediatrics. He is program chairman. Each student received from $225 to $1,200 for eight or nine weeks of work in medical research in the basic sciences and community health problems. The program was funded by SKLAROW, Lamb Fund, Annual Participating Fund for Medical Education, U/B Foundation, Financial Aid and the bio-medical general research support grant. Four students - Ralph Mastrangelo, Charles Nicholson, John Santelli, and Abraham Snyder - are continuing their research started last year. Others in the program are first and second year students. Thomas Diakun, "A Study of the Effects of Hydrostatic Pressure on Electromechanical Phenomena in Heart Muscle"; Sponsor: Dr. Peter Hogan. Andrew Hordes, "Localization of Synaptic Inputs at the Single Cell Level"; Sponsor: Dr. Donald Farber. David Kraus, "Relative Roles of Changes in Driving Pressure and Resistance in Maintaining Normal Coronary Perfusion with Modest Inflow Stenosis"; Sponsor: Dr. Francis Klocke. Charles Kutner, "Hormone-Specific Phosphorylations in Perfused Rat Kidney"; Sponsor: Dr. Murray Ettinger. Miles Landis, "Diurnal Changes of Digestive Enzymes in Rats"; Sponsor: Dr. Emanuel Lebenthal. Younghee Limb, "Mechanism of Chloride Secretion by Rabbit Colon"; Sponsor: Dr. Michael Duffy. Ralph Mastrangelo, "Immunocytochemical Localization of Galactosyltransferase in Normal and Transformed Cells"; Sponsor: Dr. Milton Weiser. Lois Me ally, "An Ultrastructural Study Using Cytochrome C as a Tracer. Reversibility of Oxygen Induced Changes in the Rabbit Lung"; Sponsor: Dr. Peter ickerson. John Santelli, "Young Maternal Age as a Risk of Low Birthweight"; Sponsor: Dr. Maria Zielezny. Abraham Snyder, "Neuronal Mechanisms of Selective Attention in the Alert Monkey"; Sponsor: Dr. Bruce Dow. Jeffrey Bilotta, "Ethanol Effects on Renal Function; Thiamine Excretory Transport and Investigation of the Cause of Pressor Response"; Sponsor: Dr. Margaret Acara. Michael Cesar, "The Effects of 100 % 0 ' Breathing on the Permeability of the Capillary Endothelium in Rabbits"; Sponsor: Dr. Sadis Matalon. Richard Collins, "Tendon Healing Potential by Synovial Nutrition"; Sponsor: Dr. Clayton Peimer. Ross Greenberg, "Effects of Mechanical Factors on the Transmural Distribution of Myocardial Blood Flow"; Sponsor: Dr. Robert Mates . Wesley Hicks, "Myofascial Pain Dysfunction"; Sponsor: Dr. Frank Mendel. Stephen Kinsman, "Response of an Identified Central Neuron to Axotomy"; Sponsor: Dr. Donald Farber. Richard Wolf, "Effect of Corticosteroid Agents on Beta Adrenergic Receptors on Human Polymorphonuclear Leukocytes"; Sponsor: Dr. Stanley Szefler. 18 THE BUFFALO PHYSICIA �Mark Venditti, Sponsor: Dr. Susan Wallace; Charles Nicholson, Sponsor: Dr. Frank Cerra; Patrick Diesfeld, Sponsor : Dr . Wanda Wieckowski. Kenneth Jay Roth, Sharon Alger , Richard D. Jackson, and Stephen Hershowitz. Special Summer Scholarships 1980 Alcoholism: Ross Silverstein, Susan Fischbeck; Cancer Education: Robert Stern, Timothy Geering; Environmental: Steve Roche , David Orgel, and Albert Speach; Geriatrics: Deborah Malumed; Family Practice Club: William Schu , R. James Koness ; Administration: Elaine Healy; Research Foundation: Joan Cho, Gerald Grass, John Feldenzer, Eric Wittkugel; HVME: Catherine Bilodeau, Ivan Baumwell, Gwen Nichols; SPM-Special: Stephen Donovan.O Four Physicians Honored Four physicians at the Erie County Medical Center were honored at the 60th graduation ceremonies for hospital residents. The ceremonies were sponsored by the medicaldental staff of the hospital. Dr. Julian L. Ambrus, Jr. a resident in the department of medicine, was awarded the Norman Chassin Award as outstanding resident of the year. The award is named for Dr. Chassin, a 1945 Medical School graduate, who is a clinical associate professor of medicine. Drs. Joan C. Fung, department of microbiology and immunology of the Erie County Laboratory and John Wiles, M'76, department of surgery, were co-recipients of the Semmelweiss Award for research. Dr. Wiles is a clinical assistant instructor in surgery. Dr. Fung is a clinical instructor in microbiology. Dr. James Nolan, professor and chairman of the department of medicine, was named "outstanding clinical teacher" of the year by the internal medicine residents at the hospital. It was the sixth annual award given a faculty member by the graduating residents. The Semmelweiss Award was created in 1974 by Dr. Desider Pragay, clinical associate professor of biochemistry and director of the chemistry department of the Erie County Laboratory. The award is named for Ignatrius Semmelweiss, the pioneer in antiseptic and aseptic procedures for surgery, obstetrics/gynecology in the mid-1800s in Austria and Hungary. The Norman Chassin Award is named for the attending in medicine at the medical center. The outstanding teacher of the year award is selected by the medical residents at the medical center.O FALL, 1980 Dr. Nola n accep ts whi te coat from Dr. Antone tte Wozn iak, M'77, medi cal residen t. 19 �Coffee time. Dr. Bernhard Urbashek, professor of immunology and serology, Institute for Hygiene ond Medical Microbiology, University of Heidelberg, West Germany; Dr. Neter, Dean John Naughton. Dr. Neter's Day THE TESTIMONIAL DAY for Dr. Erwin Neter was a gala affair. Approximately 200 physicians, scientists and educators from Europe, Canada and the United States came to Buffalo last fall to pay tribute to their good friend and colleague. Ten visiting faculty members presented scientific papers. Dr. Elliot F. Ellis, professor and chairman of pediatrics at the Medical School chaired the morning session at Kinch Auditorium at Children's Hospital. Other prominent physician-scientists (not pictured) that addressed the meeting were: Drs. Victor D. Bokkenheuser, director of microbiology at St. Luke Hospital Center, New York City; Quentin N. Myrvik, professor and chairman of microbiology and immunology, Bowman Gray Medical School, Winston-Salem, N.C.; Gerald J. Domingue, professor of urology, microbiology and immunology, Tulane University Medir.al School; Georg F. Springer, professor of surgery and microbiology-immunology and 20 director of immunochemistry research, Evanston Hospital, orthwestern University. Dr. Neter received his M.D. degree from the University of Heidelberg. Following residency at the University of Cologne, he emigrated to the United States for training in microbiology, first in New York and from 1936 in Buffalo under the late Ernest Witebsky. He eventually became Director of Bacteriology and Serology at Children's Hospital and Professor of Microbiology and Pediatrics at the State University of New York at Buffalo Medical School. Dr. Neter, Dr. Robert G.E. Murray, professor of microbiology and immunology, The University of Western Ontario, London, Ontario, and Robert Day, managing editor, American Society for Microbiology, Washington, D.C. THE BUFFALO PHYSICIAN �Pictures by Bob Ford One of the sessions. Dr. Neter's research has been supported by IH for 23 years. E.A. Gorzynski and the late H.Y. Whang were associated with him for many years. Others, from this country and abroad, include H. Anzai, V. Bokkenheuser, D. Chun, F. Diaz, G.J. Domingue, J. Goldhar, and T. Suzuki. Particularly fruitful has been his collaboration with members of the Max-Planck Institut fur Immunbiologie, including 0. Westphal, 0. Luderitz, and H. Mayer. Professor Bernhard Urbaschek of the University of Heidelberg Drs. Fisher, Neter chat with Distinguished Service Professor Horace L. Hodges, chairman emeritus of pediatrics, Mount Sinai Medical School, New York City. Dr. Hodges discussed "Viral Gastronenteritis." FALL, 1980 Dr. Neter and Dr. Joseph Wincenc, professor of music, Buffalo State College. has been very supportive in furthering Dr. Neter's recognition in Europe. Dr. Neter is the author and co-author of more than 300 scientific publications. Dr. Neter served as the founding Editorin-Chief of Infection and Immunity, published by the American Society for Microbiology, for ten years. Previously, he was Editor of the Journal of Bacteriology and of Bacteriological Reviews. Presently he is on the Overseas Editorial Board of Infection. He is Chairman of the newly established American Board of Medical Laboratory of Immunology. Recently, he was elected Chairman of the Council of Biology Editors. Among the awards and honors given to Dr. eter are the Honorary Doctorate of Medicine degree of the University of Heibelberg; the Wyeth Award of the American Society for Microbiology; and the Stockton-Kimball Award of the State University of New York at Buffalo. He is Corresponding Member of the German Pediatric Society and the German Society for Hygiene and Microbiology. The Western New York Branch of the American Society for Microbiology established a student award in his name. Recently, Dr. Neter received the Cross of Merit from the Federal Republic of Germany, the Republic's highest civilian award.D 21 �Physicians Give to the Medical School In 1979 the University received gifts from 886 physicians (through the U/B Foundation). Most of the money was designated for the Medical School. We at the Medical School appreciate your support. Without it many programs would have to be curtailed or eliminated. David H. Abel Frances R. Abel Hyman W. Abrahamer William E. Abramson Charles Accettola Albert ). Addesa Richard H. Adler William H. Adler, III Carlos C. Alden , Jr. Edward C. Alessi ). Edwin Alford Kenneth M. Alford George ). Alker, Jr. john G. Allen Richard Ament Wendell R. Ames David H. Amler William S. Andaloro S.Y. Andelman john V. Anderson Roland Anthone Alan T. Aquilina Anthon y M. Aquilina joseph T. Aquilina Carl E. Arbesman Ralph J. Argen David B. Arkin Carmela S. Armenia Winslow Arnold Glenn Robert Arthurs Julian J. Ascher J. Bradley Aust Ibrahim F." Ayad George R. Baeumler Louis Bakay john B. Baker William C. Baker Bela F. Ballo Robin M. Bannerman Dennis Barek jared C. Barlow Michael B. Baron Donald L. Barone, Jr. Stephen A. Barron Henry M. Bartkowski Richard C. Batt Horace L. Battaglia Charles A. Bauda Ulrich Bauer Robert A. Baumler Thomas R. Beam, Jr. Ralph T. Behling David M. Bendich Lawrence D. Benken Sandra W. Bennett Robert A. Benninger John M. Benny Carl J. Bentzel Harry Bergman Robert E. Bergner Norman Berkowitz Richard A. Berkson Alfred Berl Harold Bernhard Willard H. Bernhoft Robert Bernot Charles Bernstein joe l Be rnst e in Russell W. Bessette Stephen Bien Grosvenor W. Bissell LaMoyne C. Bleich Bruce Block Willard H. Boardman Harold B. Bob Virgil H. Boeck Vincent I. Bonafede Germante L. Boncaldo Raymond G. Bondi Anthony ). Bonner, Jr . Anthony C. Borgese james G. Borman Sogba K. Bosu Mary Henrich Botsford jerald A. Bovino john W. Boylan Russell F. Brace George C. Brady Clifford F. Bramer james j. Brandl Edward S. Breakell Robert ). Brennen Robert A. Brenner Charles Brody Manuel Brontman Melvin M. Brothman Barry G. Brotman Alvin J. Brown Kenneth L. Brown Kent Louis Brown Robert L. Brown August A. Bruno William C. Bucher, Jr. Paul T. Buerger William M. Bukowski Thomas S. Bumbalo Ivan L. Bunnell James P. Burdick Gordon H. Burgess 22 Moira J. Burke Alan G. Burstein Paul N. Burstein Ruth C. Burton Grace L. Busch Winfi e ld L. Butsch Michael R. Bye Evan Calkins Franklyn N. Campagna joseph L. Campo Edward R. Cannon Earl K. Cantwell icholas ). Capuana David T. Carboy Lawrence M. Carden Matthew L. Carden icholas C. Carosella Peter A. Casagrande Coley Cassiano Christy F. Castiglia Mary L. Catalano james L. Cavalieri , II Vincent S. Celestino Be nny Celniker Walter A. Ceranski athan W. Chaikin William M. Chardack Norman Chassin joseph A. Chazan C. james Chen Paul Cherkasky Seibert A. Chernila Seibert G. Chernoff Alfred V. Cherry Eugene M. Chlosta Eugene Anthony Cimino William E. Clack Alice L. Clark john H. Clark Hamilton j. Clarke Sidney Clayman Marshall Clinton, Jr. Louis C. Cloutier Arthur H. Cohen Donald L. Cohen Gary N. Cohen Michael E. Cohen Victor L. Cohen james M. Cole Benjamin Coleman D. jackson Coleman james R. Collins Robert j. Collins Ralph M. Colton Thomas E. Comerford, Jr. john L. Conboy john ). Connelly john M. Constantine Anthony A. Conte Donald P. Copley Barbara G. Corl ey Rob ert B. Corre tore Vincent S. Cotroneo Martin Cowan james ). Creighton john P. Crosby julia M. Cullen Thomas ). Cumbo Daniel E. Curtin Peter S. D'Arrigo Gerald E. Daigler john J. D'Alessandro Lloyd Damsey Allen Davidoff Faith B. Davis Harvey D. Davis Paul j. Davis Roger S. Dayer Lang M. Dayton Phillip C. Dennen Mark A. Denlinger Carl ). DePaula Ge raldine F. DePaula William F. Deverell Gerard J. Diesfeld William P. Dillon joseph A. DiPoala Frederick W. Dischinger Lawrence ). Dobmeier Alfred H. Dobrak Richard L. Dobson Charles Donatelli Donald ). Donius Sterling M. Doubrava George A. Drazek Maier M. Driver Patricia K. Duffner William D. Dugan Adelmo P. Dunghe Edward A. Dunlap, Jr. Nancy L. Dunn Clarence J. Durshordwe Melvin B. Oyster Michael Dzubaty George L. Eckhert Eileen K. Edelberg Herman Edelberg Robert W. Edmonds Richard W. Egan Donald L. Ehrenreich jonathan S. Ehrlich Marvin N. Eisenberg Tarik Elibol orman S. Ellerstein George M. Ellis Barry M. Epstein George M. Erickson THE BUFFALO PHYSICIA �George F. Etling Italo A. Evangelista jay I. Evans john M. Evans Charles Daniel Fagerstrom Daniel j. Fahey Domonic F. Falsetti jason E. Farber Gregory L. Farry Sebastian S. Fasanello Ernest A. Fatta Gasper j. Fatta Michael S. Feinberg Robert E. Fenzl joseph A. Ferlisi Wolfgang Fett Raymond G. Filsinger Alan J. Fink Donald M. Fisher Wilbur J. Fisher William A. Fleming Theodore C. Flemming Anthony J. Floccare Sander H. Fogel Robert D. Foley Roger A. Forden Edward G. Forgrave! Anthony M. Foti Newland W. Fountain Albert A. Franco Robert Franz Thomas F. Frawley jack P. Freer Abraham Z. Freudenheim Eugene A. Friedberg Bernard B. Friedman Ronald J. Friedman Frank T. Frost icholas E. Fuerst Neal W. Fuhr Maurice B. Furlong Timothy F. Gabryel Richard R. Gacek john F. Gaeta Andrew A. Gage Matt A. Gajewski Samuel B. Galeota Frank j. Gazzo john H. Geckler Carmen D. Gelormini joseph E. Genewich Byron A. Genner III George A. Gentner Thomas G. Geoghegan Clyde W. George Joseph R. Gerbasi Bruce H. Gesson john J. Giardino John W. Gibbs, Jr. Edmond J. Gicewicz Jerald Giller Irwin A. Ginsberg William L. Glazier Franklin Glockner FALL,1980 Chester A. Glomski George R. Glowacki joseph D. Godfrey Peter F. Goergen jack Gold Lawrence H. Golden Allen L. Goldfarb Michael Goldhamer jack K. Goldman Frederick Goldstein Henry . Goldstein Howard R. Goldstein Kenneth Goldstein joseph Gordon Fred E. Gorman Adele M. Gottschalk A. Arthur Grabau Edward j. Graber Margaret J. Graf Harold L. Graff Harold P. Graser Seymour D. Grauer joseph M. Greco Pasquale A. Greco Floyd A. Green Harvey Greenberg Donald R. Greene Richard M. Greenwald Glen E. Gresham joseph E. Griffin Arnold Gross Victor Guarneri Lorie A. Gulino Ramsdell Gurney Thomas J. Guttuso Michael A. Haberman j. Rothery Haight Henry H. Haines Robert W. Haines Donald W. Hall Robert j. Hall Robert W. Hamilton Eugene j. Hanavan Mark S. Handler Florence M. Hanson Warren H. Hanson Robert W. Harding Lawrence R. Hardy Adolf E. Harer George A. Harer Harold M. Harris Eileen Harrison edra J. Harrison Emma K. Harrod Robert C. Harvey Sami A. Hashim Donald R. Hauler John S. Hazeltine Mark E. Heerdt Ellwyn E. Heier orman Heilbrun Irving Helfer! Marc E. Heller Ralph S. Herman, Jr. Orvan W. Hess Barbara j. Hetzer E. George Heus Louis Hevizy William j. Hewett Frank C. Hoak Thomas C. Hobbie Marion E. Hodes Hugh B. Hoeffler David E. Hoffman Leon Hoffman Sanford R. Hoffman Walter D. Hoffman Edward W. Hohensee Ronald M. Holloway David N. Holt orman E. Hornung Hanley M. Horwitz William J. Howard Robert D. Hubbard Raymond A. Hudson Thomas R. Humphrey jerome E. Hurley Eugene C. Hyzy Ross Imburgia Annabel M. Irons Isinil Ismael Charles G. jackson Stanley J. jackson Evelyn H. jacobsen Robert M. jaeger Benjamin C. jenkins Kenneth L. jewel Irving B. Joffe Herbert E. Joyce Bernard W. juvelier jeffrey L. Kahler Richard F. Kaine Roger E. Kaiser Ernest G. Kane Leo A. Kane james G. Kanski , Sr. james R. Kanski Z. Micah Kaplan Stephen P. Katz Elias j. Kaufman john P. Kelly john H. Kent William J. Kibler, Jr. joseph F. Kij. Jr. John L. Kiley James S. Kime William R. Kinkel John C. Kinzly Hans F. Kipping Scott D. Kirsch Harvey Z. Klein Morton P. Klein Harold L. Kleinman Robert . Kling Robert A. Klocke Russell G. Knapp Caryl A. Koch Louis Kolbrenner 23 john W. Kostecki Ludwig R. Koukal Daniel C. Kozera Michael D. Kraska justine A. Krawczyk jacob Krieger jacob S. Kriteman Robert B. Kroopnick Norbert j. Kuberka orbert W. Kuch Ivan W. Kuhl john Randolph Kuhl Kevin B. Kulick joseph L. Kunz Paul Kuritzky Sharon Kuritzky Marvin Z. Kurian john A. Kutrybala Harry G. LaForge Vito P. Laglia S. joseph LaMancusa Gordon R. Lang Milton C. Lapp Andre D. Lascari Victor C. Lazarus Richard j. Leberer Herbert E. Lee Kyu-Ha Lee Robert Lee, Jr. jack Lemann, Jr. Melbourne H. Lent Abraham S. Lenzner Charles R. Leone Richard A. Leone Eugene V. Leslie Malcolm B. Leslie Garra L. Lester john LeValley Lloyd H. Leve Eli A. Leven Daniel B. Levin Donald A. Levine Warren Levinson Stephan J. Levitan Harold j. Levy Lucille M. Lewandowski Stanley B. Lewin Thurber LeWin Seymour J. Liberman Heinz Lichtenstein Marshall A. Lichtman Bert A. Lies, Jr. John L. Lincoln Jeffrey Lindenbaum William F. Lipp Jack Lippes Eugene J. Lippschutz Judith L. Liss L. Maxwell Lockie Anthony J. LoGalbo Frank H. Long H. Paul Longstreth Alvah L. Lord Paul J. Loree James V. LoVerde d- �Claes Lundgren Thomas J. Luparello Richard E. Lyons james D. MacCallum Mark P. Mack Edmund A. Mackey Michael M. Madden Michael Madianos Michael j. Maggiore William K. Major William K. Major, Jr. David N. Malinov Milford C. Maloney Frank J. Malta Vincent S. Mancuso Karl L. Manders William J. Mangan Martin . Mango Calvin Marantz Francis C. Marchetta Ronald Marconi john L. Margolis Charles H. Marino james A. Mark Anthony P. Markello Ross Markello Eugene M. Marks Ansel R. Martin George M. Martin Ronald E. Martin joseph Masling George M. Masotti Kenneth W. Matasar Charles E. May Richard F. Mayer Michael A. Mazza Charles J. McAllister Peter McCormack Daniel j. McCue Sue A. McCutcheon james L. McGrane Daniel E. McMartin Bennie Mecklin Ernest H. Meese john P. Menchini Michael j. Menza Harry L. Metcalf Patricia A. Meyer Frank Meyers james D. Michael Leo M. Michalek, Jr. Bruce F. Middendorf Richard T. Milazzo, Jr. Daniel G. Miller Donald E. Miller Richard F. Miller Richard L. Miner Amos ). Minkel, Jr. Arthur Magerman jeffrey A. Magerman Marvin Mogil James F. Mohn Warren R. Montgomery, Jr. George B. Moore Shedrick H. Moore Henry Morelewicz Philip D. Morey Donald W. Morgan Askold D. Mosijczuk john D. Mountain Arthur W. Mruczek Ronald S. Mukamal Richard L. Munk Arnalda L. Munoz Richard W. Munschauer M. Luther Musselman George Lai Mye, Jr. Kathleen W. Mylotte Richard j. agel Willard F. Nagle Masao akandakari Harry H. Nakata Richard B. arins Erwin eter Lillian V. Robert G. David H. Charles F. icol ancy Nielsen Earl W. Noble james P. Nolan N. Allen Norman William C. oshay Anthony C. oto David j. Oberkircher Ralph M. Ohler Benjamin E. Obletz Charles W. O'Brien john j. O'Brien john D. O'Connor Kevin M. O'Gorman Harry T. Oliver Elizabeth P. Olmsted Bronislaus Olszewski Walter A. Olszewski Hugh F. O'Neill james M. Orr Raymond W. Osgood Marvin G. Osofsky David F. Paa j. Frederick Painton j. Frederick Painton, Jr. Milton A. Palmer Victor A. Panaro Ferdinand A. Paolini Stephen j. Paolini john S. Parker jacqueline L. Paroski Thomas E. Pastore james A. Patterson orman L. Paul Alan H. Peck Victor L. Pellicano Brent Penwarden Raymond C. Perkins Irving B. Perlstein john D. Persse Harold Pescovitz 24 Diane Peters Walter R. Petersen Frank A. Pfalzer, Jr. Eustace G. Phillies james F. Phillips Michael M. Phillips Allen A. Pierce Casimer F. Pietraszek Donald P. Pinkel Herbert S. Pirson John T. Pitkin David E. Pittman Marvin j. Pleskow Sanford R. Pleskow Alan M. Podosek orbert W. Pohlman Anthony V. Postoloff Lucien A. Potenza David W. Potts Robert j. Powalski Theodore C. Prentice Thomas F. Prestel Karn A. Price Bradley W. Prior john E. Przylucki David G. Publow Donald 0. Rachow Richard A. Rahner George F. Ramsey john Y. Ranchoff Bert W. Rappole Dorothy C. Rasinski J.V. Rasinki, Jr. Edward A. Rayhill Erick Reeber Roy E. Reed Thomas C. Regan john F. Reilly, Jr. Hobart A. Reimann Russell E. Reitz Albert C. Rekate Jonathan C. Reynhout Charles C. Richards joseph J. Ricotta Earle G. Ridall Frank T. Riforgiato Daniel j. Riordan Eugene P. Rivera Douglas j. Roberts orbert j. Roberts john G. Robinson Eltom M. Rock William G. Rocktaschel Robert D. Rodner Paul C. Ronca Maurice M. Rosenbaum Myron G. Rosenbaum Thomas C. Rosenthal Douglas R. Rosing Edward W. Rosner joseph Ross David j. Rossman Albert J. Rosso Sheldon Rothfleisch Albert G. Rowe Michael C. Rowland Richard S. Rowley john C. Rowlingson Gerald L. Saks William Salton Alan R. Saltzman George M. Sanderson, Jr. Clarence E. Sanford Louis S. Santomieri Marie I. Saroff Harold H. Saxton Barbara Blase Sayres Vincent Scamurra Thomas S. Scanlon Arthur j. Schaefer Leonard R. Schaer Sidney M. Schaer Stephen C. Scheiber William P. Scherer, III Henry A. Scheuermann Anthony B. Schiavi Ray G. Schiferle Lester H. Schiff Stephen Schlesinger Louis J. Schmitt Paul T. Schnatz Max A. Schneider Robert . Schnitzler David S. Schreiber Daniel S. Schubert Robert J. Schulman Bruno G. Schutkeker Gerald V. Schwartz Richard L. Schwartz Bruce R. Sckolnick Robert L. Secrist Roy E. Seibel, Sr. Arthur M. Seigel Elizabeth Goering Serrage David j. Shaheen Fred Shalwitz Robert S. Shaps Samuel Shatkin Carrol j. Shaver K. joseph Sheedy Byron E. Sheesley Gene D. Sherrill Carl james Sheusi Myer Shulman john H. Siegel Lester S. Sielski Timothy V. Siepel Herbert Silver Herbert W. Simpkins S. Aaron Simpson Bernard H. Sklar Alexander Slepian Frank B. Smarzo Eugene Smith Howard C. Smith Martha L. Smith Thomas W. Smith Warren S. Smith Wilber L. Smith Bernard Smolens THE BUFFALO PHYSICIA �•. Harold Smulyan Robert Sobocinski Yale Solomon Stephen W. Spaulding Sylvania Ragalla Spavento John E. Spoor Russell C. Spoto Donald H. Sprecker john ). Squadrito Walter F. Stafford, Jr. Richard I. Staiman Alfred M. Stein George L. Steiner Henry H. Steiman James G. Stengel Irving Sterman William C. Sternfeld Carl A. Stettenbenz Gerald D. Stinziano Rocco L. Stio Frederick G. Stoesser Robert E. Storms John N. Strachan James D. Stuart Burton Stulberg Eugene M. Sullivan james R. Sullivan Robert B. Sussman Sylvia Sussman Walter L. Sydoriak Imre Szabo Stanley J. Szefler Carl F. Szuter Frederick ). Szymanski Robert M. Tabachnikoff Charles J. Tanner Michael Taxier ). Michael Taylor Richard G. Taylor Joseph C. Tedesco Eugene M. Teich Henry A. Teloh Richard . Terry "Despite our every effort to avoid errors, they sometimes do occur in the process of annual reporting. If your name has been accidentally omitted or misspelled, please notify the U/ B Foundation and accept our sincere apologies. This listing reflects individuals whose gifts were given during the 1979 calendar year."O Hyman Tetewsky Warren L. Thau George W. Thorn George Thorngate IV Roy ). Thurn james C. Tibbetts Carl A. Todaro Edwin B. Tomaka Willard William Tornow Hazel J. Trefts joseph S. Tumiel joseph C. Tutton john A. Tuyn Shafic Y. Twa! james D. Tyner George R. Tzetzo Hershel Ullman William 0. Umiker S. Jefferson Underwood Robert M. Ungerer Morris Unher Edward L. Valentine Russell ). Van Coevering Rocco C. Venuto Harry D. Yerby Barbara von Schmidt Marvin Wadler john M. Wadsworth Coolidge S. Wakai Paul M. Walczak Benjamin ). Waldeck Irving Waldman Irma M. Waldo Helen G. Walker Eugene W. Wallace William Todd Wallens WalterS. Walls Rob e rt Warner Ann e A. Wasson Richard D. Wasson Carlton H. Waters Franklin E. Waters joseph A. Wechter Kurt Wegner James W. Weigel Sidney B. Weinberg Max B. Weiner Paul L. Weinmann Barry A. Weinstein judith Weinstein L~e Weinstein Steven F. Weinstein David H. Weintraub Francis R. Weis, Jr. Milton M. Weiser Charlotte C. Weiss Robert M. Weiss Mark W. Welch Daniel H. Weiner Philip B. Wels Reinhardt W. Wende Edward F. Wenzlaff james A. Werick Everett H. Wesp Walter D. Westinghouse james ). White Madeline White Ward ). White Paul H. Wierzbieniec In June Sisters of Charity Hospital started construction for its Seton Primary Care Center in Alden on Broadway near the western boundary of the village between Exchange Street and Cayuga Creek Road. The 3700 square foot Seton Center will provide primary care physicians, x-ray services, electrocardiograms, and laboratory testing services to Alden and its surrounding area. The Center will probably open sometime this year. Sisters Hospital will administer the facility and act as its base of operation, shuttling test results back and forth to Alden on a daily basis.O FALL,1980 25 Robert H. Wildhack Charles E. Wiles Jane Brady Wiles Howard C. Wilinsky james S. Williams john R. Williams Richard W. Williams Colon H. Wilson, Jr. Donald M. Wilson Robert McDonough Wilson Marvin . Winer Robert E. Winters Allan S. Wirtzer Theodore 0. Witter Charles ). Wolfe Herbert S. Wolfe Richard Wolin Donald A. Wormer John R. Wright Charles P. Yablonsky Donn L. Yacht Le on Yochelson Ronald F. Young Anthony J. Zaia Stanley ). Zambron Ernest G. Zavisca james F. Zeller Franklin Zeplowitz Clara Unrath Zick David C. Ziegler Harold B. Zimmerman Myra R. Zinke john G. Zoll Alden Care Center �Prostaglandins Prostaglandins can do almost anything. Contained in all body cells, male and female, these naturally-occurring chemicals may affect everything from sugar metabolism to high blood pressure. One who agrees is Dr. James B. Lee. He heads hypertension studies at the hospital and is U/B professor of medicine. It was back in 1961 when he and colleagues at Harvard first isolated the prostaglanin PGA. He recalls there were few articles then. Today, he can point to some 3000 new ones a year on the compound originally isolated from prostatic fluid in the late fifties. Interest in prostaglandins was prompted by his earlier studies on the metabolism of kidneys, its relation to high blood pressure and salt/water excretion from the body. " Back then it was believed that hypertension was due primarily to factors driving it up rather than down," he said. It was only when Dr. Lee observed a marked decrease in blood pressure following injection into rats of an extract he prepared from rabbit kidneys that he began to speculate on kidney involvement in this disease. Over the next few years, after processing rabbit kidneys, he was able to isolate three fatty acids. Two had been previously identified. The third had not. He labeled it PGA. Dr. Lee Its subsequent injection into a patient with high blood pressure not only caused a temporary lowering but salt/ water excretion as well. Later work by Dr. Lee in St. Louis, this time using synthetic PGA produced by a pharmaceutical company, resulted in similar findings in 20 patients. With treatment of hypertension based on a low salt diet plus diuretics for water loss, he turned his attention to the role of PGA in this disease . Latest findings, he says, not only implicate inhibition of prostaglandins but point to several causes for hypertension, among them a prostaglandin deficiency. He notes that some investigators have not been able to find PGA in human blood. If his theory proves out, he believes future treatment will focus on giving synthetic prostaglandins to patients. But there is also the role of prostaglandin inhibition in certain stomach problems that intrigues Dr. Lee. "When aspirin is used to treat rheumatoid arthritis, head or muscle aches and fever , acid secretion is increased in the stomach," he said. Back in 1961 proving his theory seemed a simple matter. Not so today, says Dr. Lee. "For the mechanism of prostaglandin is so complex. " Other members of the research team are predoctoral fellow Ahmad A. Attallah and Dr. Rolf Stahl, a Buswell postdoctoral fellow. The research is supported by the NYS Health Research Council.O 26 THE BUFFALO PHYSICIAN �Dr. orman Ellerstein, M'71, has been appointed director of the Pediatric House Staff Program at Children's Hospital. Dr. Ellerstein will also continue as director of the Child Abuse and Neglect Program. He is assistant professor of pediatrics at the Medical School. Dr. Ellerstein came to Children's in 1971 as a house officer and became full-time staff in 1975. Prior to his new appointment, Dr. Ellerstein was head of the Division of Ambulatory Pediatrics. In his new position, Dr. Ellerstein is responsible for recruitment, evaluation and counseling of pediatric house staff. Dr. T. Dennis Sullivan, has been named acting head of the Division of Ambulatory Pediatrics. In this position, he will supervise Medical Emergency Services, the Hospital's general medical clinics and the Health Maintenance Clinic. Dr. Sullivan is also assistant professor of Pediatrics at SUNYAB School of Medicine. Prior to his appointment, Dr. Sullivan, who came to Children's in 1974, held the positions of assistant director of Ambulatory Pediatrics and chief resident of the Outpatient Department. Dr. Sullivan is a graduate of Emory University School of Medicine in Atlanta, Georgia.D HMO Approved Independent Health Association, Inc. (IHA). Western New York's second Health Maintenance Organization, has been approved by the federal government and has begun marketing its pre-paid health plan to area employers and employees. The first HMO in the area, Health Care Plan, Inc. , (HCP). became operational in the fall of 1978. Independent Health Association, is only half of the system. Medical services are not provided by the plan directly. Instead, care is rendered in the offices of physicians who belong to the complementary organization, Individual Practice Association of Western New York, Inc. Individual physicians sign participating agreements with IPAW Y, which in turn contracts with IHA on a yearly basis. Reimbursement is essentially fe e-for-service, subject to a withhold. IHA also enters into service agreements with area hospitals in a manner similar to Blue Cross. IHA hopes to enroll between 5,000 and 8,000 members in 1980. Mary E. Lundberg is the president of Independent Health Association, Inc. Dr. Anthony J. Federico, is president of the Individual Practice Association of W.N.Y., and Dr. Robert M. Kahn, is the medical director of IPAW Y and a clinical professor of medicine at the Medical School. Dr. Federico is a clinical assistant professor of surgery.D FALL,1980 27 Ambulatory Pediatrics Dr. E// erstein �J Clockwise from left: Robert Shalwitz, Dr. Anthone; Drs. Marie Kunz, M'58, M. Luther Musselman, M'37; Dr. Robert Schultz, M '65, Dean John Naughton; The Steve Sparr's; Joel Gedan, Cynthia Parlato and husband; Myra Rosenstein, John Gordon, Dr. Edward Carr.D j Squire (formerly Norton) was the site of the annual cocktail-reception for seniors. Approximately 200 students, faculty and alumni and their spouses turned out for the occasion.D 28 Medical Alum Hosts Seventh Reception for THE BUFFALO PHYSICIA �\ l mni Association hAnnual Clockwise from lower left: The reception; Joel Cedon, Dr. Joseph Kunz, M'56; Dr. and Mrs. Carden, M'49, Dr. Robert Schultz, M'65; Drs. Samuel Shatkin, M'58, Harold Brody, M'61; Dr. Leonard Katz, Mrs. Katz, Barry Kahn; Dr. John Wright, Dr. and Mrs. Jeffrey Magerman, M'77; James Twist and friend.D r Seniors FALL, 1980 29 �Medical School Dinner Dance Georgianne Zigarowicz The first annual medical school dinner dance was a gala affair for 350 students and faculty at the Statler Hilton in February. The third year class organized the party. Georgianne Zigarowicz headed the committee. She had capable assistants from four of her classmates, Bruce Cusenz, Betty Wells, Brett Shulman and Stan Bukowski. Cindy Weiss, first year student, and Mike Caesar, a second year student, were also on the planning committee. A six-piece band provided "up-date music" for the occasion.O Dr. and Mrs. John Wright Margaret Mcintosh, Judith Pryce Harold Werman, David Small 30 THE BUFFALO PHYSICIA �Richard Cartwright, Stacey Ackerman Robin Karp fen, Evan Shapiro, Betty Wells John Monaco, David Matteson, Bruce Cusenz Ross Silverstein, Bob Kaplan, Andrea Ciaccio Dr. Ellis Honored Dr. Elliot F. Ellis, professor and chairman of the pediatrics department, was selected to give the 1980 Clemens von Piquet Award Lecture at Georgetown University May 16. "Theophylline - 1980" was the title of his keynote address at the 8th annual event. The day-long program was dedicated to Recent Developments in the Pharmacologic Management of Asthma. The Clemens von Piquet Award is given each year by the International Center of Interdisciplinary Studies of Immunology, the Department of Pediatrics and the Pediatric Pulmonary Center at Georgetown University School of Medicine in conjunction with the D.C. Allergy Society of the Greater Washington Area, to an outstanding individual who has made a significant contribution to the field of allergy and immunology. The award is sponsored by the Schering Corporation, and consists of a plaque which is given to the recipient to keep permanently.O FALL, 1980 31 �Medical Apprenticeships in the Early 19th Century by Oliver P. Jones, Ph.D ., M.D. Distinguish ed Professor Emeritus The purpose of this paper is not to review the entire apprentice system in medical education - but to provide sufficient background to make the original material more meaningful. Apprenticeships were the only available means of learning how to practice medicine in the Colonial days - unless a candidate could afford a trip to European medical centers. In some instances an apprentice might have paid the master as much as 100 (pounds) annually for as long as seven years until he was "qualified" to practice on his own. After the Medical Department of the University of Pennsylvania was established in 1765, candidates for the M.D. degree were required to attend school for two winters and take each professor's course of lectures. This came to be the universal practice in American medical schools and was justified mainly because it was the custom in Philadelphia. Hence, a three year apprenticeship under a respectable physician was retained as part of the requirement for graduation. Let me digress a moment to introduce an outstanding professor of medicine known as "The American Laennec." Eleven months before the University of Buffalo received its charter, Dr. Austin Flint, Sr., founded and owned the Buffalo Medical Journal and he was its sole editor from 1845 to 1853. This provided him with a free rein to disseminate his views about medical reform and the proposed National Medical Convention that was to convene in New York City, May 1846. At that time - and many years previous - students, who would not have been admitted to collegiate institutions, were admitted to medical schools. Flint recommended that students should be proficient in what was called a common English education. Added to this would be the philology of scientific nomenclatures, the elements of physics, chemistry, natural history and a fair knowledge of "mental philosophy embodying the fundamental principles of logic." This was a modest recommendation when one considers that in France at that time, students for medical school had to have two bachelor's degreesone in the arts and one in the sciences - equivalent to an education of 10 years duration. Flint went on to say that, "If a medical student be miserably deficient in mental training and in the elementary branches of a good general education, the probability is he will make an unworthy member of the profession ... and will create dissatisfaction and disgust with the profession among well educated and intelligent minds." The weakest link in the chain of events (or obstacles) leading to the M.D. degree was the three year aprenticeship. Just like professors - preceptors were either good, bad or indifferent. Some medical students lived in the homes of their preceptors and took part in the domestic affairs of their instructor's householdby greasing the doctor's carriage, feeding the horse or running errands for his wife . Other apprentices had out-dated books placed before them - however poorly they may have been prepared to analyze them - with no instruction or recitations conducted by their respective preceptors. Flint remarked that the three years spent were "often worse than lost, for it frequently happens that he (the student) imbibes the routine errors of the practitioner, whose dogmatical maxims constitute the only lessons he receives, 32 THE BUFFALO PHYSICIA �which, if he would afterward progress, he is compelled to unlearn." In the antebellum days, the blame for poor or inadequate medical education was directed toward the medical school- but a far greater blame rested with the private teacher who admitted pupils to his office wholly unprepared to enter the study of medicine. The better apprenticeships afforded an opportunity to make pills, mix potions and powders, bleed, do bedside nursing and finally deliver babies beneath a "modesty blanket." If lucky, he had supervised observation and experience. By this time someone in the audience is thinking - what could possibly be said on this subject which was not already known? Well, the answer is clear. I have had the sole access to a primary source of information, which enabled me to work under pressure generated by myself. It has been my privilege to read and analyze a diary or journal written by one of our graduates from 31 January 1848 to 18 April 1849. In addition to entries concerning his association with the faculty, there are others relating his experiences as Health Physician for the City of Buffalo during the cholera epidemic of 1852. The diary was among rare books owned by the late Dr. Elliott Hague, ophthalmologist and bibliophile. The first entry in the diary is undated but was probably written at his home in Victor, N.Y. before he left (31 January 1848): In this little volume I wish to record such daily incidents as may be deemed worthy of recollection, as guides in the unknown future and it may be, its revival may serve a pleasant past-time in a lonely hour when body and spirit are wearied with the daily routine of life. Then, too, the filling up of the blank pages in this little book, shall be devoted a few moments of each day as it passes to the unrecallable past; and as its author increases in days, the recorded pages of this book multiply, may he increase as rapidly in knowledge, in wisdom and the powers of the "healing arts! " For forty years I have taught gross anatomy, among other subjects, and it is difficult to shed one 's tools of the trade, so to speak. Hence, when it was my privilege to read and analyze this diary - my immediate reaction was to dissect it. This could be done systematically by cataloging the entries under such headings as - weather, civic events, recreation, the medical school faculty, his preceptor's office, etc. Before proceeding, the first two entries establish Hill's relationship to the doctor and his wife and another medical apprentice. 31 january 1848 Left Victor for Buffalo for the purpose of pursuing the study of medicine under the instruction of Dr. {Horatio N.} Loomis. Took the cars at 12 and one half o'clock P.M. Put up for the night at the Mansion House, found it a very comfortable mansion for the weary traveler. During the evening and at night the winds blew very hard, the heaviest winds that had been witnessed during the past season. Could not sleep for the whistling of the winds and frequent alarms of fires from the burning of chimneys, changed my lodgings to another part of the house more retired from the noise. 1 February 1848 After breakfast started out to find Dr. Loomis' office in which I succeeded without much difficulty. The Doctor was absent but soon came in. I then introduced myself to him never having seen him before. He met me very cordially expressing his pleasure to have me FALL, 1980 d33 �a student in his office. Spent most of the forepart of the day at his office. Went with Mr. Adams, a medical student, to the Medical Cal lege ... Returned to the office the Doctor having invited me to drive with him. After having done so, I was quite well pleased with the Doctor and his family. I proposed to board with him to which he apparently willingly assented and I was very happy to have him, being almost an entire stranger in the city. Five days after Hill went to Dr. Loomis' office, he began a very active apprenticeship. Actually this was his second year as an apprentice and medical student even though he took the same lectures twice -first at Geneva and then at Buffalo. In order to make this narrative free flowing and less tiresome for the listener the dates of consecutive entries will be omitted. The diary continued: 5 February 1848 In the afternoon visited 4 patients with Dr. Loomis. First had his thigh amputated 4 weeks previous. The ligatures all came away, wound doing well. The other 3 men were in a canal boat. One had the measles - doing well, the remaining 2 Scarletina, one of them was very sick. Breathing short and hurried, apparent congestive state of the lungs and ulceration of the naries. Treatment: -mustard sinapism applied to the chest for counter irritation. Juniper and sweet spirits of nitre to increase the action of the kidneys to prevent dropsical effusion. The Doctor after being called away, I went and dressed the stump of an amputated leg. Was invited to spend the evening at the house but as there was no one at the office I considered it my duty to be there. Therefore declined accepting. In the evening spent the time at the house of Dr. Loomis, he giving a tea party to some of his friends and old acquaintances. It was quite a pleasant social visit for the alder ones, of which it was chiefly composed. The Doctor being called out of the city, went to dress the stump of an amputated thigh. In the afternoon visited patients with the Doctor. In the evening attended church with Dr. Loomis at the North Presbyterian Church -Rev. Mr. Rich, pastor. In the after part of the day put 2 dressings on the amputated stump of Murphy and read some on auscultation and percussion in Laennec on the chest. Finally: Visited some patients in company with the Doctor and alone. These eight entries span 16 days. Altogether the diary has 326 entries during his stay at the University of Buffalo and 112 of these had portions pertaining to the Doctor's office and Hill's apprenticeship. Time and space do not permit me to relate all of these, hence only selected ones will be detailed in the author's style. For example, we are going to skip from 20 February 1848 to 17 April 1848. This does not mean that Hill was less active in the doctor's office and was riding with him. It means that his experiences were so numerous and varied that they have resisted a meaningful grouping for narrative purposes. Hill has many entries about reading Watson's Principles and Practice of Physics (1847), Laennec on Auscultation and Percussion; Gerhard (1836) on The Chest; Velpeau (1847) on Operative Surgery, as well as books borrowed from the County Medical Society Library. He relaxed by fishing or angling with his "chums" in the Niagara River. He attended church services, musicals, and the Young Men's Christian Association meetings. There is only one entry 34 THE BUFFALO PHYSICIA �about running an errand for Mrs. Loomis. He treated fellow students, elders of the church, and performed post-mortem examinations. In some day-to-day aspects, things have not changed since 1848, as far as the doctor's office is concerned. For example, the following entry has a familiar ring - except more expensive things are stolen. This evening a fire broke out up the street and I went aut af the office leaving my cloak hanging on the wall. When I returned I met a man coming down the steps with a bundle under his arm and immediately suspected it to be my cloak. I stepped in the office door and found my suspicions true, but the thief and cloak were out of sight. In those days medical apprentices served as physicians under the guidance of their respective perceptors and were permitted to receive renumeration or gratuities for their services. For example: At midnight, was called to see a young woman who was about 6 months gone in pregnancy and was threatened with abortion. The attendant circumstances made all things appear very mysterious to me, however I prescribed for the patient and left for my lodgings carrying my fee (better than usual). After breakfast visited the patient the second time, found her quite comfortable, the flooding had nearly ceased, but there was considerable soreness and pressure over the abdomen. Prescribed anodynes and anodyne fomentations to the abdomen. There are at least three groups of entries which may be treated so as to provide a coherent picture about the whole gamut of a medical apprentice's life in the early 19th century. These are: first, the Almshouse and Typhus Fever; secondly, Practice of Obstetrics and thirdly, Quackery. In the spring of 1848 there was no hospital in Buffalo, with the exception of the wards at the County Almshouse. This brings us to the next two entries: 17 April1848 Received an offer to practice medicine in the Almshouse of Buffalo the first of May next and think I shall go if all things favor it. Four days later: Visited in company with Dr. Loomis the Almshouse. In the three several departments (wards) there are about 230 inmates and some wretched looking subjects. Mr. Green, the superintendent, appears like a man every way qualified for his station. Mr. Gray keeps the dispensary of the institution with the only renumeration of what he can have from the variety of diseases which he has treated. At that time the Almshouse consisted of a main building with two wards (16' x 28') for male and four wards (15' x 20') for female paupers and a bedroom 6' x 15'. In addition to these there was a small building for orphans, small one story wooden buildings for lunatics, and a temporary shanty for typhus cases. The duty of nurses devolved upon fellow paupers and vagrants. The mortality rate was about one in every six inmates. Before taking up typhus fever, let us skip to the entry for 13 May 1848 - because this provides an insight as to how busy Hill was for eight consecutive days at the Almshouse. These entries also indicate how dangerous it was to take the advice of wellmeaning but uninformed friendly neighbors. Nothing new today. A council was had on the propriety of amputating o Dutchman's thigh. The decision was that it was proper. The patient is a man about thirty years of age, a Hollander by birth, has a family FALL, 1980 35 �a wife and four children in Holland. His case is as follows. He had had swelled feet and an old lady told him if he would put them in weak lye as hot as he could endure, would cure them. In trying the experiment he took the cuticle off from the one foot and afterwards caught cold and the foot and leg became very much inflamed in a short time. Ersipelatous inflammation set in which extended above the knee and now the only alternative left is to amputate and this is a very doubtful issue. Almost distracted with the toothache, went to the city (1.7 mi.) and had one extracted by Dr. Harvey (dentist). The pain was beyond comprehension. Two patients died today, one mulatto consumption terminating in acute bronchitis. Had been in the hospital but 36 hours. The other an infant. Case of cholera infantum complicated with pneumonia. Dr. Winne amputated the thigh of the Hollander mentioned on the 13th. The Doctor made the circular operation; it was well done. The patient endured the operation much better then was expected. The action was soon established and he rested well as could be expected during the night. A patient died today of pulmo-tuberculosis. The patient who had the amputated thigh is doing nearly as well as could be expected, pulse rather too frequent ranging from 120 to 140. Appetite good. Am giving about one pint brandy a day in connection with strong beer. Rests all night. Obstetrical case, presentation natural labor, first child, left ear towards right acetabulum. After the second stage the pains did not return for a half hour. Gave Ergot grains XV. The pains soon came on and placenta delivered. Patient feeling well and very little flooding. Partruient woman does finely, no hemorrhage; lochial discharge established. Baby does as well as can be. If I always have as good success in the time to come as in the present case it is all that I can ask. The Hollander whose thigh was amputated is rather failing, pulse keeping up dangerously high, limbs have become edematous showing a very feeble state of the circulation. Hollander still continues to fail. Gave him one pint of brandy in 12 hours. Seems a little more comfortable tonight than through the day. Partruient woman continues to do well, gave her a cathartic today and it operated more on the child than on the mother. Patient died today of pulmo-tuberculosis but felt so unwell that I was unable to verify my diagnosis by an autopsy. Quite warm, showers passing around. Patients doing quite well today as a general thing. The Hollander is fast failing and the probability is that he will not live through the night. This is the fifth day since amputation - he is and has been sustained almost entirely by brandy for the last 2 or 3 days. The Hollander died this morning, the sixth day after the operation. Went to the city (1.7 mi.) and attended Prof. Coventry's lecture on physiology. Let us go to the entry for 24 May 1848 - because this marks the beginning of a valuable clinical experience for Hill which almost proved fatal for him. It also provided material for his graduation thesis. Case of ship fever came in today. The first new case which I have had to treat since coming here. In those days the symptomatic classification of fevers included four forms - Febricula, Continued fever, Periodical or Intermittent fever and eruption or examthematous fever. It was also unclear as to whether or not ship fever and typhus were identical. As late as 1849 Austin Flint believed that typhus was identical with typhoid fever, only to be modified by secondary causes. 36 THE BUFFALO PHYSICIAN �Typhus fever was brought to our shores by the crowded emigrant ships from Europe. Body lice were omnipresent, as was the disease they carried- typhus fever. The Erie Canal (completed in 1825) provided the link between the Eastern Seaboard and the Great Lakes. Let us also recall that the clinical thermometer was not generally available until about 1870. The next four entries record Hill's experience with ship fever beginning with 31 May 1848. Case pneumonia typhoides. Commenced 7 days since with profuse hemorrhage from the lungs. Treatment: -counterirritants and anodynes. Another case of ship fever came in this evening taken 3 days since - landed in Buffalo last evening. Girl aged 20 years symptoms pulse quick and frequent, tongue dry, red about the edge and dark in the middle. Has vomited some and bowels have run off some of diarrhea. Treatment: -neutral mixture potassium nitrate and carbonate of soda with camphorated powder. This morning was taken quite ill, intense headache with distress in the stomach and bowl. Took an emetic of Ipecacuanha, after operating the symptoms were all very much relieved. Visited all the wards in the morning but did not change the dressings on the fractured limb. Case of amputation at joint of the last phalanges of the little and ring fingers, came in this afternoon. The integument and bone was taken off at an even surface - leaving the wounds to heal by granulation. Took off the dressings and applied adhesive strays and Ceratid lint. Another case af typhus fever came in this afternoon . Dressed the leg, it being the sixth day since broken. The ship fever is coming in very rapidly, much too fast for the progress of our hospital. Have been busy most of the day in the sick wards. The next entry does not have anything to do with typhyus fever but it does preceed a later explanation for the absence of 165 subsequent daily entries. 7 June 1848 Visiting the wards in the morning and then went to the city. Took dinner with Dr. Pratt. Drew Velpeau 's Operative Surgery from the Erie County Medical Library. Went fishing after tea on the pier. Caught quite a mess. There are two most singular cases in the sick ward that I have ever witnessed. They are both women, pretending to be sick. The one she says ought to be delivered of a child and previous to her admittance had called a physician several times pretending to be in labor. The physician after being hoaxed several times made an examination to determine whether she was pregnant and came to the conclusion that she was not, though she had previously borne a child of a man with whom she had lived. She now has paroxysms every evening - aping intermittent fever - with this difference, when the cold stage or rather pretended one is on the circulation goes on natural. The skin being naturally warm. There is no fever though the tremors ore excessive. The other like to this case comes on at the same time. The previous history of the patient being different. I can attribute the disease to nothing more than hysteria (in modern terminology pseudocyesis). The next entry is undated, but since Hill mentions 6 January 1849, it must have been written as a prologue for the New Year's Day entry. At any rate, it does explain the gap of 165 daily entries in the diary. 1849 My Journal has been discontinued from the date of the last page up to the present time. This was owing to my time being mostly occupied in the active duties at the Almshouse, and in keeping a registrar of the FALL, 1980 37 d- �cases of disease which come under observation. This I continued until August 30, 1848, when I was taken with typhyus fever which canfined me to my room nearly 7 weeks ond to a bed some 6 weeks. Two weeks of this time is nearly a blank in my existence - not having any recollection of what transpired during the specified time. After my convalescence which was slow but steady I again returned to the Almshouse, it being about 20 October 1848. Here I remained until the sixth of January 1849 when I returned to Dr. Loomis 's. I dissected a fourth of the subject (cadaver) under Dr. (Corydon) LoFord and attended the course of lectures which commenced on the 20th of November besides attending to the duties of my dispensary practice at the Almshouse. 1980 Home Football Games at Rotary Field September 20 - Grove City (Pa) College September 27 Hobat College October 11 - Albany State (Homecoming) ovember 1 - Edinboro (Pa) State College ovember 15 - Alfred 1 january 1849 Did not fall in with custom of the city of making calls but spent my time over the dead in search of health for the living. (Morturi vivos docent.) Took dinner at Dr. Loomis 's. Bought with my churn (Adams) a silver comb for Mrs. Dr. Loomis, presented it to her. I also made a present to Miss Charlotte Loomis of a beautiful card case. At evening went horne to the Almshouse. This was a most bitter day. The time of the above date (undated) to the present has been devoted to attending medical lectures without anything peculiar having taken place with the exception of one of our Professors having got a black eye and some student placed a note on the Professor 's table asking him if "His black eye was in strict accordance with the principles inculcated in his introductory lecture" of which the Professor took umbrage. (He was referring to Dr. Frank H. Hamilton, Dean and Professor of Surgery.) Before continuing with the diary, let me remind you that there was a time when the male midwife (later called obstetrician) did not expose the body of his patient, even in private cases, but made use of a "modesty blanket" which he carried to the scene, tying one end around the neck of the patient and the other around his own neck. It was later discarded, as the long and voluminous clothing then worn by women was sufficient covering. He usually placed himself to the right of the bed where it was most convenient to touch, to follow the progress of labor and support the perineum, all of which had to be done under the bedclothes, for it was with the fingers or the hand and not the eye, that he must determine the progress of labor. Of course, auscultation permitted the physician to examine with the ear and he could also perform ballotment. All of this changed on 18 January 1850 when Dr. James Platt White dared to show the graduating class at Buffalo a real live birth. Let me now return to the diary: 18 March 1849 This evening was requested to attend a partruient patient which Mr. Gray (a fellow student) had been endeavoring to deliver for the past three days. Did not consent to take the patient off from his responsibility, but to visit the patient for him. The next entry: The night was devoted to the attendance on the above mentioned partruient woman. She had been in labor for three days, membranes had been ruptured for 48 hours and the contraction of the uterus ceased before morning. The presentation was head and the position natural but the head was much too Jorge for the pelvis. Applied the forceps but could not succeed in advancing the fetus. I proposed using the perforator but Mr. Gray thought it best to ask the advice and assistance of an older physician. Accordingly Dr. Loomis was asked by me to see the patient which he did and immediately prepared to use the perforator which was done and the patient delivered in about four hours with the assistance of strong and long continued artificial 38 THE BUFFALO PHYSICIA �means. There was considerable flooding after the placenta was detached. The contractility of the uterus having greatly diminished from the long distension. Can you imagine performing a craniotomy without seeing what you are doing? There is little wonder that the neonatal and maternal death rates were unnecessarily high prior to 1850 in the United States. Before concluding this narrative with the next two entries, let us consider the following: Quackery in medicine was so rampant at this time in New York City, that it far exceeded that in London, England. It was fair to presume, that many of them "left their country for their country's good" (N.Y. Med. Gazette). Fourteen kinds of doctors were enumerated, some of which were: Regular graduates, M.D.'s who claimed to be both physicians and surgeons; Honorary graduates, many of whom were guiltless of an education of any sort; fictitious, homeopathists, Thompsonian, who used lobelia, cayenne and steam; eclectic, botannical, who relied on roots and herbs; hydropaths, etc. Not to mention the so-called oculists, aurists, lung, liver, kidney and urine doctors, so that no one should have to suffer without doctoring or being doctored in every conceivable variety. There is a serio-comic factor to all of this. A certain advertising quack obtained his diploma from a medical school in the following manner: He came to this country and started peddling with a small toy basket on his arm. One day he met a countryman - an old German physician, who because of his intemperance was disgraced and degraded. Realizing that the peddler was barely supporting his family, the physician advised him to become a doctor. How can I do that when I have no previous education? asked the peddler. The German doctor replied, "You must feign that you cannot speak English and I will interpret for you but we must not let the Professors know that I am a physician." The story came out that the Dutch peddler had been a surgeon in Napoleon's army, etc. He was examined and his friend interpreted to suit the case. A diploma was obtained which served as a passport into the Medical Society of New York. He next advertised in the city, telling of his celebrated elixirs and wonderful cures. With this background let us turn to the next two entries: 1 April1849 In the night was called to see Mr. Gray, a medical student, who was suddenly taken sick. I stayed with him during the night and left him more comfortable this morning ... in the evening visited Mrs. Wood's little son who is dying from the effects of quackery. This child has been dosed with the prescriptions of several quacks and two or three regular physicians at the same time and each without the knowledge of the others. Six days later Have not accomplished much today, got some glass fixtures from Wycoff (a medical student). Some of them belong to the case which I purchased of him some time since. By the urgent solicitation of Mrs. Woods, I prescribed for her child, which is evidently soon going to die of scrofula and caries of the spine. This brings the major quotations from the diary to a close. In order to wind down this talk, the mechanism used will be in the nature of an epilogue -more or less- as follows: FALL, 1980 39 d- �References The references are arranged in the order quoted or paraphrased material that first appeared in the article. 1. orwood, W.F., Medical Education in the United States Before the Civil War. (Phila., Univ. Penn. Press, 1944, p. 32). 2. Potter, William W., Fifty Years of Medical Journalism in Buffalo. Special Article. 1845 - Then and ow - 1875. Buffalo Med. J. N.S. 35: 65-113, 1895. 3. Flint, A., Editorial Medical Reform. Buffalo Med. J. O.S. 1: 249-253, 1846. 4. Medical Intelligence: The Medical Congress at Paris (4-14 November, 1845). Ibid 1: 256-263, 1846. 5. Editorial - Medical Reform and Private Instruction. Ibid 8: 122124, 1852. 6. Jones, O.P., A Medical Student's Impression of Our First Faculty (18481849). Buffalo Physician 11: o. 4, 44-53, 1977. 7. Treat, W., Medical Quackery. Buffalo Medical J. O.S. 1: 173-175, 1846. 8. Eclectic Department, Who Are The Regulars? Ibid 6: 366-367, 1850. 9. Flint, A. Editorial Note: National Medical Convention, Ibid 1: 120, 1845. 10. Jones, P.P., Our First Professor of Physiology and Medical Jurisprudence, Charles B. Coventry (1801-1875). Buffalo Physician 8: o. 3, 54-62, 1974. John Davidson Hill had a good apprenticeship .and ~e graduated at the head of his class in 1849. The title of. his thesis was "Typhus or Ship Fever". Although a copy of this has not come down to us, we do know from his obituary that he disagreed with the general belief that weakening of the patient by bleeding and purgatives was the right way to treat fever. (That very likely was the way he had been treated for typhus fever.) He administered stimulants (not mentioned- but brandy for one). It is interesting to note that Elizabeth Blackwell, who graduated from Geneva Medical College in January 1849, also submitted an inaugural thesis entitled "Ship Fever". She, of course, as many of you know, was the first woman to receive the M.D. degree in th.e United States. Just before Hill graduated, he wrote on 10 Apnl 1849 "Dr. (Charles A.) Lee met the candidates in the evening for examination (in pathology). There were some most huge bunglers and if they pass an examination it will be a libel upon the profession of medicine." _A lready underway was the appointment of a committee to report on a uniform and elevated standard of requirements for the M.D. degree. This was taken up at t~e National Medical Convention (now A.M.A.) a year later m Philadelphia. The bulk of the complaints about the system of medical education was directed towards the medical colleges. Dr. Charles B. Coventry, Professor of Physiology and Medical Jurisprudence at the University of Buffalo replied, "If you send dolts, you can hardly expect them to come out scientific and intelligent practitioners. 7c would be asking rather too much of the schools to expect them to furnish their pupils brains, as well as instruction." At that time medical colleges were private institutions, chartered by the proper authorities for the purpose of affording facilities for the acquisition of medical education and not for the purpose of deciding who should and who should not study medicine. The faculties were supposed to consider themselves bound, to receive the pupil of any respectable physician. That brings to mind when Lycurgus was consulting with the people in reference to the reform of the State of Sp.arta, one advised the establishment of absolute popular equality: Lycurgus replied to him, "Sir, begin in your own house." This is precise~y how the regular physicians of the early 19th century felt and said to every medical man who was anxious for medical reform, "Sir, begin in your own office. "0 40 THE BUFFALO PHYSICIA �A 1972 U/B Medical School graduate has been named director of the division of internal medicine at the Johns Hopkins Hospital. Dr. Craig R. Smith has been acting head since 1978 and assistant professor of medicine. He was associate director when the division was formed as part of the department of medicine in 1977. Dr. Smith has already developed major teaching, research, and clinical programs in the division. Last year he initiated a popular, year-long, ambulatory care elective for medical students. He has also set up a formal internal medicine consultation service and is developing a model group practice of internal medicine. The group practice will offer around-the-clock, personalized care, and is intended to provide comprehensive care for people who now use the specialized hospital clinics and emergency room for routine care. This project has just received a $768,402 grant from the Robert Wood Johnson Foundation. Dr. Smith and his staff are also conducting a variety of clinical research projects related to the delivery of medical care. His own work centers on an evaluation of the effectiveness and toxicity of various antibiotics. Dr. Smith has been at Hopkins since 1972 as an intern, resident, and faculty member. He belongs to the American College of Physicians, the American Society for Microbiology, and the American Federation for Clinical Research. He is also co-author of the soon-to-be released "Manual of Clinical Pharmacology." "People will now be able to come to Hopkins to see an internist, and see that same internist each time they seek medical care," said Craig R. Smith, head of the division of internal medicine at Hopkins and the physician in charge of the new program. Last year, one fourth of all visits to physicians in this country were made in hospital outpatient settings, according to David E. Rogers, president of the Johnson Foundation and former dean of the School of Medicine. This represents a 50 percent increase in ten years. "Teaching hospitals were not designed for, nor their staffs recruited or organized to serve as the personal physician for thousands of people," says Dr. Rogers. Dr. Smith says, "The new program is an important experiment which we think will result in a segment of the population's getting better medical care, in a more cost-effective manner. Patients can come directly to their regular physician without shuttling back and forth between specialty clinics." And the physicians, Dr. Smith points out, will be able to develop a working relationship with their patients. Fourteen other hospitals across the United States are receiving similar grants from the Johnson Foundation.O FALL, 1980 41 Dr. Craig Smith �Dr. James O'Leary Dr. O 'Leary Dr. James A. O'Leary has been named professor and chairman of the department of obstetrics and gynecology, effective June 1. He comes to Buffalo from the University of South Alabama in Mobile. Dr. O'Leary received his M.D. from the Georgetown University Medical School in 1961 where he received an honorary gold medal award. He did his undergraduate work at otre Dame where he graduated Cum Laude. He interned at Georgetown Division, D.C. General Hospital and did his residency at Columbia-Presbyterian Medical Center, New York City, 1962-67. He was chief resident his last two years. He was on the University of Miami faculty from 1967 to 1970. From 1970 to 1977 Dr. O'Leary was professor and chairman of ob/gyn at Loyola University Medical Center and attending physician at Cook County Hospital, Chicago. He is a consultant, American Journal of Ob/Gyn, and has served on numerous committees. He is president of the Society of Perinatal Obstetrics. He has authored or co-authored 123 scientific papers; has had several others accepted for publications and 8 papers in preparation. He is a member and active in several regional and national professional organizations.D Orthopaedic Residents Four physicians were honored at the 9th annual U/B Orthopaedic Resident's Scientific Graduation Day in May at the Erie County Medical Center, according to Dr. Eugene R. Mindell, professor and chairman of orthopaedics. Dr. Michael Bonfiglio, Professor of Orthopaedic Surgery, University of Iowa School of Medicine, was the Visiting Professor and delivered the 5th Annual David M. Richards, M.D., Memorial Lecture which was titled "Bone Transplantation." Dr. Bonfiglio's evening address was "Competence in Orthopaedic Surgery." The four graduating orthopaedic residents presented scientific thesis papers. Tin Aye, M.D., "A Review of Surgical Treatment of Soliosis"; Craig E. Blum, M.D., " Skeletal Metastases from Renal Carcinoma"; John H. Hedger, M.D., "Fractures of the Intercondylar Eminence of the Tibia"; Orest M. Wasyliw, M.D., "Massive Osteolysis". Doctor Craig Blum is taking a Fellowship in pediatric orthopaedics at the Alfred DuPont Institute, Wilmington, Delaware. Dr. John Hedger is entering private practice in Salisbury, Maryland. Dr. Orest Wasyliw will be an orthopaedic attending at the Veterans Administration Medical Center in Buffalo.D 42 THE BUFFALO PHYSICIA �The Classes of the 1920's Dr. Gary! A. Koch, M'23, is a Fellow, American Academy of Family Physicians. He is a member of the 50-year club of the AMA, and active in several other professional organizations. He lives at 6435 W. Quaker St., Orchard Park, .Y.D Dr. George B. Kuite, M'27, has retired. He lives at Intervale Road, orth Conway, N.H.D Dr. Everett Woodworth, M'27, has been elected a director of the New York State Society of Surgeons.D The Classes of the 1930's Dr. Joseph Godfrey, M'31, has been named special consultant to the surgeon general of the U.S. Navy. Dr. Godfrey is nationally known for his treatment and rehabilitation of injured athletes. He served as physiciansurgeon for the Buffalo Bills. He is affiliated with the ational Naval Medical Center, Bethesda, Md. where he is head of sports medicine and assistant to the chief of orthopedic surgery. Dr. Godfrey is a past vice-president of the American Board of Orthopedic Surgery and a life member of the American College of Surgeons and of the American Orthopedic Association. In 1956 he was named the area's Sportsman of the Year. He is a clinical professor of Orthopedics Emeritus -at the Medical School.D Dr. Arthur W. Strom, M'32, expects to attend his 50th class reunion in 1982. He retired in 1976. The internist lives at 141 Budlong St., Hillsdale, Michigan 49242. His winter address is 2900 . Gulf Shore, Apt. 303, aples, Florida 33940. He has been active in many professional societies in recent years.D Head Injury Guide Three faculty members who are also associated with the Erie County Medical Center have co-authored a practical guide for those who treat patients with head injuries. They are Drs. Louis Bakay, professor and chairman of neurosurgery; Franz Glasauer, professor of neurosurgery; and George Alker, M'56, clinical professor of radiology and clinical associate professor of nuclear medicine. The text, 445 illustrated pages, details up-to-date intensive and emergency care treatment procedures as well as the latest diagnostic and surgical techniques for the treatment of the range of head injuries. Among them are radioactive blood and cerebrospinal fluid flow studies, modern cerebral angiography and CT scanning. Also areas of childhood head injuries, epilepsy and the medicolegal considerations of preventing and defending malpractice suits. A new and growing field, invaluable as a guide to diagnosis, are the CT scans, angiographs, X-rays and photographs of the brain illustrated in the new text. The comprehensive book, published by Little, Brown and Co. (Boston] April, 1980, is listed at $28.95.0 FALL, 1980 43 �The Classes of the 1940's Dr. Andrew A. Gage, M'44, chief of staff and surgery at Veterans Administration Medical Center, has been presented the 1980 Distinguished Service Award of the Association of Veterans Administration Surgeons. The award was given in recognition of his outstanding contributions to the Veterans Administration medical programs. He was cited for a distinguished career in surgical care, education, research and administration which, the citation stated, has contributed to the professional stature of the surgical disciplines, bringing prestige and credit to the Veterans Administration. Dr. Gage has been employed at the Medical Center since 1950. He became chief of surgery in July 1968 and chief of staff in August 1971. He is professor of surgery at the Medical School.D Dr. Paul M. Walczak, M'46, clinical associate professor of surgery, has been elected a director-at-large of the ew York State Society of Surgeons.D Dr. Anthony P. Prezyna, M'47, clinical associate professor of pathology, was one of several Buffalo area residents honored as "Citizen of the Year" by the weekly PolishAmerican newspaper, the Am-Pol Eagle.D Dr. George L. Collins, Jr., M'48, clinical assistant professor of medicine, was the recipient of the Blue Shield of Western New York "Tribute" in the plan's 1979 Annual Report.D Dr. Raphael S. Good, M'48, has been elected president of the American Society for Psychosomatic Obstetrics and Gynecology. She is an associate professor of psychiatry and Ob/Gyn at the University of Miami School of Medicine. Dr. Good is also director of the Psychiatric Consultation-Liaison Service, University of Miami-Jackson Medical Center in Miami. She is co-author of two articles: "Crisis Intervention, A Functional Model for Hospitalized Patients" in the American Journal Orthopsychiat, October 1979; and "Psychosocial Rehabilitation of Bynecologic Oncology Patients" in Archives of Physical Medicine & Rehabilitation, March 1980. She lives at 175 S.E. 25th Rd., Miami, Fla. 331290 44 The Classes of the 1950's Dr. Guy Alfano, M'50, has been appointed associate dean of New York Medical College in Valhalla.D Dr. James C. Dunn, M'50, has been promoted to full adjunct professor in the department of anatomy at the University of Arizona Medical School, Tucson.D Dr. Roy W. Robinson, M'50, of Wayland, N.Y. received his family practice specialty rating.D Dr. Myra R. Zinke, M'50, is taking a psychiatry residency at the University of Maryland, Baltimore, 21217. For the last three years Dr. Zinke has been medical director of the physicians assistant program at Alderson-Braddus College, Philippi, West Virginia. She is living at 1409 Eutaw Place, Baltimore, Md. 21217.0 Dr. Frank J. Bolgan, M'51, is the new president of the Millard Fillmore Hospital medical staff. He is also chairman of the department of thoracic and cardiovascular surgery at the hospital. Dr. Bolgan is a clinical associate professor of surgery at the Medical School. He lives at 164 Starin Ave., Buffalo, N.Y. 14214.0 Dr. Herbert P. Constantine, M'53, is associate professor of medical science at Brown University. He is also associated with Rhode Island Hospital. His home address is 102 Meeting St., Providence, R.I. 02903.0 Dr. Milford C. Maloney, M'53, clinical associate professor of medicine, was presented with the ew York State Society of Internal Medicine's "Award of Merit" at the society's 1980 Assembly of Delegates last month. The award is the highest honor conferred by NYSSIM.D THE BUFFALO PHYSICIA �Dr. William J. Breen, M'55, has been nominated to serve on the board of directors of the Heath Systems Agency of Western ew York. Dr. Breen is a clinical assistant professor of medicine.D Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer for the Tri Beta Biology Club at Canisius College in April. He spoke about "The Lozina Process. "0 The Classes of the 1960's Dr. Harry L. Metcalf, M'60, has been appointed to the American Academy of Family Physician's commission on public health and scientific affairs. He is a clinical assistant professor of family medicine.D Dr. Morton E. Weichsel, Jr., M'62, has been promoted to professor of pediatrics and neurology at the UCLA School of Medicine. He lives at 3205 Crownview, Rancho Palos Verdes, Ca. 90274.0 Dr. William L. Sperling, M'66, is assistant professor of medicine, at the University of California at San Diego Medical Center. He is also affiliated with the University Hospital. Dr. Sperling is president of the San Diego County Pulmonary Society and director of the pulmonary laboratory at Kaiser Perononga te Hospital. He lives at 8029 Hemingway Ave., San Diego, Ca. 92120.0 Dr. John E. Shields, M'68, is a Fellow of the American College of Gastroenterology. He lives at 29 Oak Lane, Hampton Bays, .Y. 11946.0 The Classes of the 1970's Dr. William F. Balistreri, M '70, is the new director of the division of gastroenterology at Children's Hospi tal.D Dr. Donald P. Copley, l'u'70, has been elected a Fellow to the American College of Cardiology.D FALL, 1980 Dr. James K. Smolev, M '70, is assistant professor of urology at Johns Hopkins University. He and his wife Linda live at 5607 Boxhill Lane, Baltimore, MD, 21210 with daughters, Jennifer, 8, and Melanie, 6. Dr. Smolev is also in private practice. He has competed in two marathons and is a member of the American Medical Joggers Association. His goal: break 3:30.0 Dr. Thomas G. DiSessa, M '71, is assistant professor of pediatrics at the UCLA School of Medicine. He is a Fellow, American Academy of Pediatrics and the American College of Cardiology. The DiSessa's have two boys, Thomas Jr., age 6, and John Christopher, age 4. They live at 6843 Chisholm Ave., Van Nuys, Ca. 91406.0 Dr. Sanford Holland, M'72, has entered private practice in anesthesiology at Moses Taylor Hospital, Scranton, Pa.D Dr. Kenneth Allan Jacobson, M'72, has been appointed associate professor of anatomy at the University of North Carolina, Chapel Hill.O Dr. Larry Bone, M'73, a staff surgeon at Wyoming County Community Hospital, conducted a course for orthopedic surgeons in San Diego recently. He described a new technique for treating adult fractures, especially those connected with joints.D Dr. Bruce Klein, M'73, of Yonkers, .Y. has accepted a fellowship in pediatric carew York Cornell Medical diology at Center.D Dr. James S. Marks, M'73, is with the birth defects branch, Center for Disease Control, Atlanta. He is doing research on infant mortality and morbidity. He is living at 3165 King Arthur St., Atlanta, Ga. 30345.0 Dr. Jacob D. Rozbruch, M '73, completed his training at the Hospital for Spe cial Surgery, Cornell Medical Center in June, 1979. He is now in private practice, in orthopaedic surgery in Manhattan. He is attending orthopaedic surgeon at the Hospital for Joint Diseases - Orthopaedic Institute at Beth Israel Medical Center. Dr. Rozbruch is an instructor at the Mount Sinai School of Medicine. His office is at 61 East 77th Street, New York, .Y. 10021.0 45 �Dr. Arnelle G. Heim, M'74, is taking his first year of residency in Ob/Gyn at Maimonides Medical Center, Brooklyn, N.Y.D Dr. Richard Levine, M'75, DDS '72, is assistant professor of plastic and maxillofacial surgery at the Medical University of South Carolina in Charleston. He recently completed his residency at Buffalo General Hospital.D Dr. Stephen W. Sadow, M'75, has completed his residency in general surgery at St. Vincent's Hospital in ew York City. He is on a fellowship (peripheral vascular surgery) at Beth Israel Hospital, ewark, .J.D Dr. M.S. Doctor, M'76, is studying plastic surgery at the University Hospital, Cleveland, Ohio. Her address is 12900 Lake Ave., Lakewood, Ohio 44107.0 Dr. Steven B. Lanse, M'77, has completed his residency at the Erie County Medical Center. He has started a gastroenterology fellowship at Tufts- ew England Medical Center. The Lanse's have a daughter born in adine Rd., May, 1979. They live at 21 Framingham, Mass. 01701.0 Dr. Paul H. Laughlin, M'77, is a family practice preceptor at East Carolina University and associated with Chowan Memorial Hospital. He recently completed his residency in family practice at Lynchburg, Va. His home address is 307 . Broad St., Edenton, N.C.D Dr. Mark Jan Polis, M'77, is a second year resident in urologic surgery at ew York University Medical Center. He and his wife, Denise, have a new daughter, Chelsea, born Jan. 26, 1980. They live at 98-17 Queens Blvd., Apt. 3-0, Rego Park, N.Y. 11374.0 People Dr. S. Subramanian, professor of surgery and chief of cardiovascular surgery at the Children's Hospital, was presented with the Honor Award of the Association of Indians in America, Inc., at its seventh annual Honor Banquet in May at the Biltmore Hotel in New York City. The award was presented to Dr. Subramanian in honor of his dedication to the medical profession and his renowned humanitarian work.D Or. Arlene D. Albert, research instructor in microbiology and instructor in biochemistry, received a $11,111 Leukemia Society of American Fellowship for "The Mechanism of Lipopolysaccharide (LPS) Interaction with the Surface of BLymphocytes: Studies on Model Membrances."D Dr. Richard W. Plunkett, research assistant professor of microbiology, has been awarded a $14,193 grant from the Margaret Duffy and Robert Cameron Troup Memorial Fund for "Studies on Platelet Specific Antigens.D Dr. Murray W. Stinson, associate professor of microbiology, received a National Institute of Dental Research contract (two-years, $192,748) for "Common Antigens Among Gram Positive Oral Bacteria."D Dr. Ira L. Salom, M'77, started a fellowship in gastroenterology at U/B last July. He is associated with the Erie County Medical Center. He recently received a M.S. degree in medicine with a minor in nutrition from the University of Minnesota.D Dr. Joseph H. Kite, Jr., professor of microbiology, was awarded a three-year $160,893 NIH grant for "Endocrine and Autoimmune Disorders in Thyroiditis."D Dr. Bruce Rodgers, M'79, an Ob/Gyn resident, received the 1980 Ruth and Louis A. Siegel house staff award for teaching excellence.D Dr. Marek Zaleski, professor of microbiology, received a three-year $96,220 NIT grant grant for "Immune Response to the Thy-1 Antigens in Mice."D 46 THE BUFFALO PHYSICIA �Dr. Joseph A. Prezio is the new president of the Medical Society of the County of Erie. He succeeds Dr. George W. Fugitt, M '45, clinical assistant professor of urology. Dr. Prezio is chairman of the Department of uclear Medicine at Mercy Hospital, Buffalo, and clinical assistant professor and clinical associate professor of nuclear medicine at the School of Medicine. He was recently appointed to the Erie County Board of Health and is a member of the ew York State Board of Professional Medical Conduct. He is certified by the American Board of Internal Medicine, the American Board of uclear Medicine, is a Diplomate in the subspecialty of Endocrinology and Metabolism, and is a Fellow of the American College of Physicians. Dr. Prezio is a graduate of Manhattan College, ew York City and Georgetown University School of Medicine, Washington, D.C. The other officers elected for one-year terms are: Drs. Milford C. Maloney, M'53, clinical associate professor of medicine, presidentelect; Edmond J. Gicewicz, M'56, clinical assistant professor of surgery, vice president; and John M . Hodson, M'56, clinical assistant professor of urology, secretary-treasurer. Also elected for one-year terms were the chairmen of the Society's standing committees. They are: Drs. James R. Nunn, M'55, clinical assistant professor of family medicine and clinical associate of medicine, Legislation; Allen L. Lesswing, M'54, clinical instructor of orthopedics, Public Health; Joseph P. Armenia, M'62, clinical associate of medicine, Medical Education; William J. Breen, M'55, clinical assistant professor of medicine, Economics; and Robert M. Barone, M'66, clinical assistant professor of surgery, Peer Review. Elected to the Ethics Committee were Drs. Joseph L. Campo, M'54, clinical instructor in medicine; Herbert E. Joyce, M'45, clinical assistant professor in family medicine; Leo E. Manning, M'50, clinical assistant of medicine; John D. Naples, Jr., clinical assistant professor of Ob/ Gyn; James F. Phillips, M'47, clinical professor of medicine; and H . John Rubinstein, clinical instructor of surgery. The chairman of the committee will be chosen from the members by the Society's Executive Board in June. FALL, 1980 The members of the Peer Review Committee were also elected. They include Drs. Thomas W. Bradley, M'66, clinical instructor of family medicine; Timothy J. Collard, clinical instructor in orthopedics; Ernest Fernandez; William K. Major, Jr., M '69, and Anil K. Mathur. Elected to three-year terms on the Nominating Committee were Edward J. Graber, M'60, clinical instructor of surgery; Dr. Prezi o Louis Lazar, clinical assistant professor of family medicine and medicine; Anthony P. Markello, M'62, clinical assistant professor of psychiatry; and R. Ronald Toffolo, M'57, clinical assistant professor of radiology and clinical instructor of nuclear medicine. People Also elected were two addi tiona! delegates to the Medical Society of the State of New York for two-year terms. They are Drs. Carmela S. Armenia, M' 49, clinical associate professor of gynecology/ obstetrics, and Frank J. Bolgan, M'51, clinical associate professor of surgery. Dr. Prezio and Dr. Gicewicz will also serve as delegates. Alternate delegates to the State Society elected for two-year terms are Drs. Salvator H. Aquilina, M'47, clinical instructor of surgery; Donald P. Copley, M'70; Joseph R. Gerbasi, M'62, clinical associate professor of surgery; and Richard J. agel, M'53, clinical associate professor of anesthesiology.D Dr. Douglas M. Surgenor has been appointed to the National Heart, Lung and Blood Advisory Council. His term runs through 1983. He is president of the American Red Cross Blood Services, ortheast Region. From 1960 to 1977 Dr. Surgenor was on the U/B faculty as professor and head of biochemistry; dean of the Medical School; provost of the faculty of health sciences; and research professor in the School of Management.D Dr. Barbara R. Rennick, professor of pharmacology and therapeutics, has been elected to the regional research committee of the American Heart Association.D Dr. Felix Milgram, professor and chairman of microbiology, received a $78,334 grant from the American Cancer Society for "Studies on Reactions of Tumor Antigens with their Antibodies."D 47 �People Dr. Judith M. Lehotay, clinical associate professor of pathology, received the 26th annual Susan B. Anthony Award given by the Interclub Council of Western New York.D Dr. Elliott Middleton, professor of medicine and pediatrics and allergy division chief, received a three-year $235,000 grant from the ational Institute of Allergy and Infectious Diseases for the study of asthma and related allergies. The Buffalo center is one of 16 nationally funded centers. The research will be conducted at the Medical School, Buffalo General and Children's Hospitals.D The 10th annual Ernest Witebsky Memorial Lecture was given in April by Dr. Astrid Fagraeus, professor of immunology, National Bacteriology Laboratory, Karolinska Institute, School of Medicine, Stockholm, Sweden. His topic: "Antibody Producing Cells of Four Decades of Research Development. "D Dr. Gerald P. Murphy, Director of Roswell Park Memorial Institute, has been named chairman of the Board of Directors of the Association of American Cancer Institutes. The Association is composed of 72 member institutions committed to cancer research, education, patient care and rehabilitation. The Association is designed to exchange information at every level of cancer activity in these areas among themselves and with other cancer organizations throughout the United States and the world. Dr. Murphy is research professor of urology at the Medical School.D The cardiology department at Children's Hospital won a third prize for excellence for its exhibit, "The Senning Operation: A New Look at an Old Procedure" at the annual meeting of the American College of Cardiology in Houston recently. The exhibit was presented by Dr. S. Subramanian, professor of surgery and chief of the division of cardiovascular surgery.D Dr. Bernice K. Noble, assistant professor of microbiology, received a three-year $157,009 NIT grant for "Immunologic Injury to Proximal Tubules in Heymann ephritis."D 48 Dr. Edward S. Henderson, research professor of medicine, has been awarded a $55,352 American Cancer Society grant to investigate how certain specific cells in the human body interact with each other. He is also chief of the medical oncology department at Roswell Park Memorial Institute.D Four faculty members are the new officers of the Millard Fillmore Hospital Medical Staff. Dr. Frank J. Bolgan, M'51, clinical professor of surgery, is the new president. He is chairman of the department of thoracic and cardiovascular surgery at the hospital. President-elect is Dr. Victor C. Lazarus, M'52, clinical assistant professor of urology, and attending urologist. Dr. Peter S. D'Arrigo, clinical assistant professor of medicine and attending hematologist, is secretary, and the new treasurer is Dr. Henry P. Carls, clinical associate in surgery and attending surgeon at the hospital.D Dr. Fred Rosen, research professor of biochemistry, received a $49,150 ational Cancer Institute grant to investigate ways of improving therapy of milignant tumors which may be receptive to hormones. He is associate director for scientific affairs at Roswell Park Memorial Institute.D Dr. Brian G. McBride, a sociologist, is the new executive director of the Health Agency of Western New York. He succeeds Eugene P. Wilczewski, who resigned.D Dr. Paul J. Kostyniak, assistant professor of pharmacology and therapeutics, has written an article for Toxicology Letters. The title: Differences in Elimination Rates of Methylmercury between two Genetic Variant Strains of Mice. "D Dr. Myroslaw M. Hreshchyshyn, professor of acting head of Gyn/Ob, received an award from the resident staff at Buffalo General Hospital for his "contributions to the educational program."D Dr. Arthur J. Schaefer, professor of ophthalmology, has been elected secretary of the American Society of Ophthalmic Plastic and Reconstructive Surgery.D THE BUFFALO PHYSICIAN �Dr. William W. Henderson, has been reappointed chief of staff at Niagara Falls Memorial Medical Center. Dr. Nicholas Bona, clinical assistant professor of psychiatry, was appointed associate chief of the department of psychiatry and Dr. Arthur S. Davis, M'62, was appointed head of the division of physical medicine.O Dr. A. Norman LeWin, clinical assistant professor of surgery, has been named director of Emergency Services at the Deaconess Division of Buffalo General Hospital.D Dr. Candace B. Pert of the National Institute of Mental Health was the Harrington Lecturer in April.. Her topic: "Opiate-Ergic Pathways in the Brain."D The Medical School's committee on human values and medical ethics sponsored four prominent speakers during the spring semester. Dr. James Speer, University of Texas (Galveston) discussed courthouse treatment for patients. Dr. Lawrence McCullough talked about "Paternalism in Medicine" and "Ethical Issues in the Neonatal Nursery." He is from the Kennedy Institute for Ethics at the Georgetown University Medical School. "Women Issues in Medicine" and "Feminist Perspectives on Women in the Health Care Professions" were the topics of Dr. Caroline Whitbeck from the University of Texas (Galveston). "A Clinical Introduction to Medical Ethics" and "Ethical Issues Concerning Current Medical Models of Health and Disease" were discussed by Dr. Arthur Caplan of the Hastings Center and Columbia University Medical School. Dr. Stephen Wear of the U/B philosophy department coordinated the four programs.O Two faculty members have been elected officers of the Buffalo Urological Society. Dr. George Schillinger, clinical instructor in urology, is the new president, and Dr. Datta Wagle, clinical assistant professor of urology, is president-elect. Drs. Igbal Mohamed is secretary-treasurer, and Donald Steele, Canadian representative.O FALL, 1980 Two research grants were awarded to the Children's Hospital. -a $37,314 institutional grant from the Division of Research Resources of the Department of Health, Education and Welfare. These funds will be distributed in smaller amounts as sub-grant to Hospital medical staff. The grant is for the period April1, 1980 through March 31, 1981; -a $11,873 from Health Research, Inc. of New York, supplements an earlier grant of $21,750 to the Division of Hematology for a sickle cell anemia screening and counseling project. Funding for the project began October 1, 1979, and will continue until September 31, 1980.0 Professor Charles E. Rosenberg of the Institute of Advanced Studies at Princeton University, presented a special lecture to medical students and faculty-"From the Alms House to the Hospital." Dr. Rosenberg is an authority on American medical history. The history department and the Medical School jointly sponsored the lecture.O Dr. John A. Edwards, professor of medicine and associate professor of pediatrics, recently returned from a visit to India, sponsored by the United States-India Scientific Exchange Program. Dr. Edwards is also chief of medicine at Sisters Hospital. Dr. Edwards visited medical colleges and medical research institutes in New Delhi, Bombay, Hyderabad, Varanasi, Agra, and Srinagar. He gave lectures on "Inherited Abnormalities of Iron Metabolism" and "Genetics of Diabetes Mellitus" and discussed with Indian physicians and scientists mutual interests in medical practice and research. "Iron deficiency and its resulting anemia continues to be a prevalent problem in India" said Dr. Edwards, and "pilot projects are in operation to investigate the benefits of iron fortification of salt." Dr. Edwards pointed out that his own work on animals with inherited abnormalities of iron metabolism might provide useful models of similar problems in man. Dr. Edwards' visit was not all work. He did some sightseeing, discussed political and social issues with his hosts and observed life in rural and urban India.O 49 People �People Several faculty members participated in the Stress Conference presented by the Hungarian Medical Association of America. They were: Drs. Imre Magoss, professor of urology and president of the association; Clara Ambrus, research professor of pediatrics and pharmacology; Louis Bakay, professor and chairman of neurosurgery; George Schimert, professor of surgery; Julian Ambrus, research professor of medicine; John Border, professor of surgery; Frank Cerra, associate professor of surgery; Paul Davis, professor of medicine; Su Ki Hong and C.E. Lundgren, professors of physiology; Thomas Lajos, associate professor of surgery; James Lee, professor of medicine; John Naughton, professor of medicine, and dean; and Dr. Hermann Rahn, distinguished professor of physiology.O Three National Cancer Institute grants totalling $1,427,486 were awarded to two faculty members who are also on the Roswell Park Memorial Institute staff. Dr. Enrico Mihich, research professor of pharmaceutics and therapeutics, and director of experimental therapeutics and Grace Drug Center received one grant of $826,193 to support departmental research into developing new anti-cancer drugs and treatments from chemical synthesis, and to improve the utilization of available drugs which are used singly and in combination with other drugs. Research into developing new ways of administering drugs that would lead to improved effectiveness of the drug will also be supported by the grant. Dr. Ronald B. Boersma, assistant professor of medicine, has been elected a Fellow to the American College of Cardiology.O Dean John aughton urges faculty and alumni to contribute regularly to the American Medical Associatir.n Education and Research Foundation, 535 N. Dearborn St., Chicago, Ill. 60610.0 Dr. Untai Kim, clinical associate professor of pathology, received a $44,059 National Cancer Institute grant to study interactions between tumor cell surfaces and the body's immunity systems.D Dr. Barbara Howell, professor of psysiology, is the new vice-chairperson/chairelect of the faculty senate for the academic year 1980-81. She served a two-year term as senate secretary in 1976-78. She assumed her vice-chairperson position on July 1.0 Dr. Leonard Katz, assistant dean and professor of medicine, is the new president of Alcoholism Services of Erie County, Inc.O Two nutrition experts spoke to medical students and faculty during the spring semester. Dr. G.J. Anderson of the faculty of medicine, Toronto, Canada talked about "Diet, the Brain and Behavior." "Nutrition and Behavior" was the topic of Dr. D.A. Levinitsky of Cornell University. The lectures were co-sponsored by Tops Friendly Markets, the Medical School and the biochemistry department.D The second award to Dr. Mihich, $401,226, will be used to support 22 research laboratories where cancer researchers are involved in projects aimed at developing new therapeutic means of controlling cancer. Paul N. Rosenberg, a third year medical student, has been awarded a $1,500 Cystic Fibrosis Foundation student traineeship to encourage outstanding students to pursue research careers. Dr. Gerd J.A. Cropp, professor of pediatrics, will direct the student's project at Children's Hospital.D The third NCI grant of $200,067 was made to Dr. Edward S. Henderson, research professor of medicine and chief of Medical Oncology and will be used to continue clinical studies of cancer patients in cooperation with other cancer institutions aimed at improving therapies involving chemotherapy, radiotherapy, and surgery, alone or in combination.D Dr. Pravin V. Mehta, clinical assistant professor of medicine, has been named medical director of ambulatory services at the High Street division of Buffalo General Hospital. Dr. Mehta joined the hospital staff as an attending internist in ambulatory services in 1976 and has been assistant director of the services since 1978.0 50 THE BUFFALO PHYSICIA �Eight faculty members are new officers or board members of the Buffalo Gynecologic and Obstetric Society. They are: Drs. Russell J. VanCoevering, M' 49, clinical instructor in gynecology/obstetrics, president; John H. Peterson, M'55, clinical assistant professor of gynecology/obstetrics, vice president; Marvin J. Pleskow, M'51, clinical assistant professor of gynecology/obstetrics, secretary; and Daniel C. Kozera, M'59, clinical assistant professor of medicine, treasurer. Council members include: Drs. James B. McDaniel, Jr., clinical assistant professor of gynecology/obstetrics, Harry J. Pappas, clinical associate in gynecology/obstetrics, Louis Privitera, clinical assistant professor of gynecology/obstetrics, and Eugene J. Zygaj, M'50, clinical associate in gynecologyI obstetrics.O Dr. Pasquale A. Greco, M'41, clinical assistant professor of urology, was re-elected chairman of the Board of Directors of Blue Shield of Western New York at the plan's annual meeting last month. Drs. James F. Upson, clinical associate professor of surgery, was elected to the board and George C. Brady, M'39, clinical assistant professor of medicine, C. Henry Severson, M'40, clinical assistant professor of pediatrics, and William C. Stein, M'50, were all re-elected to the board.O Dr. Joseph A. Prezio, clinical assistant professor of medicine and clinical associate professor of nuclear medicine, has been appointed to the Erie County Board of Health by County Executive Edward J. Rutkowski to succeed Dr. A. Wilmot Jacobsen, clinical professor of pediatrics-EMERITUS.O Dr. Lucien A. Potenza, M'58, Buffalo, was elected as a representative of hospitals and Dr. Gary H. Jeffrey, M.65, clinical instructor in Opthalmology, Batavia, was elected as a medical society representative on the membership of the Corporation of Blue Cross of Western New York, Inc., at the organization's annual meeting last month. Re-elected were: Drs. H. Robert Oehler, clinical associate in surgery, hospital representative; and Donald B. Thomas, M'50, public representative.O FALL, 1980 Two area pediatricians affiliated with Children's Hospital of Buffalo were honored recently by the Buffalo Pediatric Society. Dr. Kenneth M. Alford, M'37, a member of the Hospital Board of Trustees since 1979, was named Pediatrician of the Year by the Society. Dr. Alford is also an attending pediatrician at Children's and clinical professor at the School of Medicine. Dr. Luis Mosovich, director of the Children's Hospital Intensive Care Unit, was also recognized by the Society with a special award for his outstanding contribution to the practicing community. Dr. Mosovich is also associate professor of pediatrics at the Medical School.O Dr. Gerald P. Murphy, research professor of urology and director of Roswell Park Memorial Institute, has been elected vice president of the International Society of Surgical Oncology.O Dr. Robert Warner, associate professor of pediatrics, clinical associate professor of rehabilitation medicine, and medical director of the Children's Hospital Rehabilitation Center, received the Toastmasters International Communication and Leadership Award. He was honored at the organization's district conference for "outstanding personal dedication and exemplary communicative skill in assisting handicapped children on the Niagara Frontier".O Four faculty members have been elected medical staff officers at Sisters of Charity Hospital. Dr. Donald 0. Rachow, M'53, clinical assistant professor of medicine, has been elected president. Other officers include: Drs. J. Theodore Schueckler, clinical assistant professor of anesthesiology, president-elect; Gerald J. Hardner, clinical assistant professor of urology, secretary; and Paul S. Milley, clinical associate professor of pathology and anatomy, treasurer.O Dr. James H. Cosgriff, Jr., clinical assistant professor of surgery, has been appointed to the 1980 Nominating Committee of the Medical Society of the State of New York representing the Eighth District.O 51 People Dr. Alford �People Dr. Donald W. Rennie took over as Dean of the Division of Graduate and Professional Education on June 1. He had been professor and chairman of physiology at the Medical School since 1973. He joined the U/B faculty in 1958. The Seattle native received his B.S. at the University of Washington; his M.S. and M.D. degrees from the University of Oregon School of Medicine. President Robert L. Ketter noted that the university was fortunate to have a colleague of such outstanding qualifications assume this "most important position of leadership in the academic community."O Sister Dever Sister Mary Charles Dever, president of Sisters of Charity Hospital has been elected president of the newly formed New York State Council of Catholic Hospitals. The organization represents 40 Catholic hospitals statewide with a total capacity of 10,500 beds. Sister Mary Charles has also been recently appointed to Health Affairs subcommittee of the U.S. Catholic Conference Committee of Social Development and World Peace.O Two faculty members are newly elected officers in the Buffalo Radiologic Society. Drs. Elbert W. Phillips, clinical assistant professor of radiology, is vice president and program chairman; Oscar J. Llugany, clinical assistant professor of radiology, is treasurer. Dr. Robert Mintzer is the new president. He is chairman of the radiology department at Kenmore Mercy Hospital. Dr. Brian Block is secretary.D Children's Hospital received a $50,000 gift from Fisher-Price Toy Co., and another $50,000 gift from the Westinghouse Electric Corporation in June. The donations brought the hospital's $7 million construction fund drive, which began in November, 1979 to its halfway mark. The hospital's capital fund-raising program will be used to relocate inpatient units from older buildings to a centrally located unfinished 10-story tower on Bryant Street. Laboratories and offices will be housed in the outer buildings.D Dr. Donald J. Kelley, clinical associate professor of neurosurgery, has been elected a director of the New York State Society of Surgeons.O 52 Dr. Monte Blau, professor and chairman of Nuclear Medicine and Dr. Merril A. Bender, clinical professor of nuclear medicine and chief of nuclear medicine at Roswell Park Memorial Institute will jointly receive the Hevesy Nuclear Medicine Pioneer Award of the Society of Nuclear Medicine at the Society's annual meeting in Detroit. The award is presented annually in recognition of major contributions to the development of Nuclear Medicine. Several previous recipients of the award have been Noble Prize winners.O The National Heart, Lung and Blood Institute awarded $66,611 to Dr. Michael Laskowski, Sr., research professor of biochemistry (emeritus) and director of the Enzymology Laboratory at Roswell Park Memorial Institute. Dr. Laskowski is studying the role of enzyme inhibitors in the body's defense against disease.D Dr. Gerd J.A. Cropp, professor of pediatrics, received a $26,188 grant from the Cystic Fibrosis Foundation for partial support of the division's cystic fibrosis center.O Dr. Robin Bannerman, professor of medicine and pediatrics and chief of the division of human genetics, received a $3,000 grant from the March of Dimes Birth Defects Foundation to support computer services.D Dr. T. Ming Chu, clinical assistant professor of biochemistry, received two grants from the National Cancer Institute~ Dr. Chu is also director of the diagnostic immunology research and biochemistry department at Roswell Park Memorial Institute. One, of $71,111, will be used to continue investigating the isolation of anitgens from pancreatic cancer which may be of value in developing a test for early detection of the disease, as well as monitoring the effectiveness of treatment. The second grant, $61,242, will be used to seek immunologic procedure which could be used in early detection of breast cancer.D THE BUFFALO PHYSICIAN �Millard Fillmore Hospital has received a $241,980 federal grant for a major program aimed at conserving energy at its Gates Circle and Millard Fillmore Suburban Hospital facilities. The projects are aimed at more efficient use of electricity and fossil fuels and will bring a projected annual savings of $195,300, with savings matching the total cost in just over two years.D Dr. Clara M. Ambrus, research professor of pediatrics, received a $70,126 grant from the National Institute of General Medical Sciences. She is investigating the possibility of using bioenzyme reactors for medical purposes. These reactors are small pencil-like hollow tubes containing enzymes which someday may be used to remove the amino acid phenylalanine from the blood of phenylketonuric (PKU) children. Presently, PKU, an inborn error of metabolism, is controlled by a phenylalanine "poor" diet. Dr. Ambrus is a principal cancer research scientist in the biological resources department at Roswell Park Memorial Institute.D Dr. Avery A. Sandberg, research professor of medicine, received a $55,694 National Cancer Institute grant to continue studies of the chromosomes of papillary and other cancers of the bladder. He is chief of Medicine C Department at Roswell Park Memorial Institute.D Sisters of Charity Hospital has announced the appointment of Dr. Young Kil Paik as Medical Director of its Skilling Nursing Facility. Dr. Paik will work in his new capacity on a part-time basis. Also appointed to a new post is Dr. Habib U. Sheikh, who becomes the director of the hospital's Employee Health Service.D Dr. Michael F. Noe is the new vice president for professional affairs at the Buffalo General/Deaconess Hospitals. He is a clinical assistant professor of medicine, family medicine and social and preventive medicine at the Medical School. He had also been director of ambulatory care at the hospital. Other hospital promotions: Mr. Neal E. Wixson to senior vice president; and Mr. Jeffrey J. Woeppel to vice president and administrator of the Deaconess Division.D FALL, 1980 The 7th International Convocation on Immunology was hosted by the U/B Center for Immunology in July. "Immunobiology of the Major Histocompatibility Complex" was the theme of the four-d?-Y meeting. Dr. D. Bernard Amos, professor of immunology, Duke University Medical Center, Durham, N.C. gave the Ernest Witebsky Memorial Lecture "The Evolution of the Supergene: Observations on the Major Histocompatibility Complex." Forty prominent scientisteducators fro]Il France, Denmark, Great Britain, The Netherlands, Norway, Switzerland, Japan and the United States were on the program. Six professors of immunology at the Medical School are on the convocation committee. They are: Drs. C. John Abeyounis, Roger K. Cunningham, Kyoichi Kana, James F. Mohn, and Marek B. Zaleski, chairman. Dr. Mohn is also director of The Center for Immunology. The themes of the previous meetings: cell and tissue specificity especially with reference to immunopathology (1968); cellular interactions in the immune response (1970); specific receptors of antibodies, antigens and cells (1972); the immune system and infectious diseases (1974); human blood groups (1976); and immunopathology (1978). The proceedings of these convocations have been published by S. Karger AG, Basel.D Dr. Willard G. Fischer, M'36, was reelected president of the Foundation of Deaconess Hospital at its annual meeting. Dr. Kenneth H. Eckhert, Jr., M'68, clinical assistant professor of surgery, was elected treasurer. Dr. Winford A. Quick, clinical instructor in family medicine, and Dr. Robert H. Seller, professor and chairman of the department of family medicine and professor of medicine, were elected to the foundation's board of directors, for three-year terms.D Dr. Frank J. Cerny, assistant professor of pediatrics and associate director of the lung cancer center in the division of pulmonary disease, is the principal investigator under a $33,980 grant to the division from the National Institute of Arthritis, Metabolic and Digestive Diseases for a study of exercise and cystic fibrosis.D 53 People �People Dr. Patrick J. Carmody, research associate professor of gynecology/obstetrics and research assistant professor of biochemistry, has been appointed director of clinical laboratories at Children's Hospital. Dr. Carmody, who joined the hospital staff in 1971, was director of the hospital's perinatal laboratory.D Dr. Elmo L. Knight, clinical assistant professor of pediatrics and otolaryngology, and director of the speech and hearing department at Children's Hospital, has been named a Fellow by the American SpeechLanguage-Hearing Association. The designation is in recognition of Dr. Knight's contributions to the profession of speechlanguage pathology and audiology.D Dr. William V. Kinnard, Jr., clinical associate professor of medicine, and president of the Buffalo General Hospital, has been appointed to a two-year term in the House of Delegates of the American Hospital Association. He was also elected a delegate to the Advisory Board of Region II of the A.H.A.D Dr. Lester Smith, a founding staff member of the National Institute on Aging, has been appointed director of U/B's Multidisciplinary Center for the Study of Aging and also clinical associate professor of medicine [gerontology). Dr. Smith has served as chief of the Molecular and Biochemical Aging Program and the Extramural and Collaborative Research Program for the National Institute on Aging since 1977. He has served on national committees and in 1970 received the Veteran Administration's Special Research Award for his studies on mitochondrial.D Dr. S. Mouchly Small, professor of psychiatry, has been elected president of the Muscular Dystrophy Association at the national organization's annual meeting. Dr. Small was former chairman of the Medical school's department of psychiatry and has been active in the Muscular Dystrophy Association for more than 25 years. He was also former chairman of its scientific advisory committee.D 54 In Memoriam Dr. Alvin L. Scott, 55, clinical associate in medicine, died April 20 while scuba diving in the Sherkston Quarry in Ontario. He was a specialist in emergency medicine at Kenmore Mercy Hospital. The Pennsylvania native moved to Buffalo 25 years ago after graduating from Temple University.O Dr. William H. Jones, M'17, died July 3 in Kenmore Mercy Hospital after a long illness. The 88-year-old physician had practiced in Kenmore for more than 60 years. He retired in 1977. Dr. Jones established the Kenmore Branch of the American Red Cross and the first Well-Baby Clinic in Kenmore. He was on the medical staffs of Children's, Buffalo General, Kenmore Mercy and Millard Fillmore Hospitals. In 1978 he was honored as the "Outstanding Professional of the Year" by the Village of Kenmore. He served in the Army Medical Corps during World War I. He had been active in several civic and professional organizations.D Dr. John D. Fadale, M'18, died August 1 at the age of 85. For 50 years he had practiced medicine in Lackawanna. Since 1970 he had been doing emergency room work in Our Lady of Victory Hospital. He had been active in several civic and professional organiza tions.D Dr. William H. Wehr, M'30, died August 23 while visiting in Buffalo. He had been living in Florida since retirement in 1968. His age was 74. He had been assistant director at Roswell Park Memorial Institute from 19521968, and acting director from 1943-45. In 1973 Dr. Wehr was honored for his 37 years of dedicated service to Roswell Park. He was best known for his study of malignant diseases and was recognized as a pioneer in the use of radium for cancer treatment. A research building on Maple Street, a meeting room at the institute and an annual award for senior staff members have been named in his honor. He served on the Medical School faculty from 1933 to 1962 and he was a consulting oncologist at St. Francis Hospital. Dr. Wehr was a Diplomate of the American Board of Therapeutic Radiology, a charter member of the U/B Faculty Club and the Public Health Cancer Workers of America. He was also a senior member of the American Radium Society.D THE BUFFALO PHYSICIAN �Dr. Eugene J. Lippschutz, who served on the Medical School faculty 44 years, died April11 at the age of 72. He retired in 1978 as associate vice president for the faculty of Health Sciences. He was also professor of medicine and associate chairman of the department of medicine. Dr. Charles P. Voltz, former chief of ambulatory services and head of medical education at Sisters Hospital, died March 2, in St. Francis Hospital after a brief illness. He was 65. He had been with Sisters since 1939 and was considered by many of the staff as the hospital's "elder statesman." Dr. Voltz began his 41-year career at Sisters in 1939 as an intern soon after receiving his medical degree at U/B in 1939. His residency in internal medicine was in New York City at the Columbia Service of Goldwater Memorial Hospital. In 1942, he began a three-year stint in the Army Medical Corps. In 1946 he returned to Sisters to become a member of the Medical Staff. In 1961 Dr. Voltz was named the head of Medical Education. "Teaching was his real love," said Mr. Thomas Boyd, vice president of Sisters. "He left private practice because he loved to teach." "For twenty years he worked on a dream ... for Sisters Hospital to become affiliated with the Medical School." That dream came true two years ago. Ten years later, he was also named chief of ambulatory services. His full time career ended last year when he retired from both full time positions. He continued to serve as head of Sisters employee health service until illness forced him into St. Francis Hospital in February. He also served many times as one of the outstanding moderators for WBEN-TV's popular half-hour medical program, "The University of Buffalo Roundtable". Dr. Voltz's dedication to healing did not stop outside of Sisters Hospital. He was an attending physician at Veterans Administration Hospital and at E. J. Meyer Hospital. Dr. Voltz was an assistant clinical professor at the Medical School and served as the president of the Erie County Heart Associ a tion.O Dr. Lippschutz was head of the department of cardiology at Buffalo General Hospital from 1956 to 1968. He was in the United States Naval Reserves from 1937 to 1963 and was on active duty as a Captain from 1940 to 1945. He received his M.D. from Georgetown University in 1932 and did postgraduate work and his internship at Massachusetts General Hospital.D Dr. Urban A. Fischer, M'17, died April 27 at his home in Tampa, Florida. His age was 86. He had moved to Florida in 1973 after retiring 10 years earlier. He had been on the staffs of Deaconess and Sister's Hospitals. He had been honored by the Medical Society of the State of New York with a 50-year citation. He had been active in several professional societies.O A clinical associate professor of microbiology, William L. Hale, died unexpectedly at Kenmore Mercy Hospital April 2. The 41-year-old educator joined the faculty in 1965 after receiving his M.A. from U/B. He taught undergraduate courses in microbiology to pharmacy, nursing and medical technology students. He also taught nursing students at three area hospitals.O FALL, 1980 He was a past president of the Western New York Heart Association and a past director of the American Heart Association. He was a Diplomate of the American Board of Internal Medicine and the Board of Cardiovascular Disease; a Fellow of the American College of Physicians and the Council on Clinical Cardiology of the American Heart Association. Dr. David Pressman, research professor of microbiology and cancer researcher fell to his death June 15 from the roof at Roswell Park Memorial Institute. He was chairman of the institute's immunology department at the time of his death. His age was 63. He came to Buffalo in 1954 from the Sloan-Kettering Memorial Institute, New York City. Dr. Pressman was listed in "Who's Who in America." He received his Ph.D. in chemistry from the California Institute of Technology. He was considered an expert on immunology and had received several federal grants.O 55 In Memoriam Dr. Lippsch_u_tz_...., �198(}-1981 U! B Alumni Association Tours Two Tours: HAWAII/Las Vegas/San Francisco November 17-28, 1980 $976.35 December 8-19, 1980 $861.35 2 nights San Francisco Hilton or Sheraton Palace 7 nights Pacific Beach in Honolulu 2 nights Aladdin Hotel or Riviera in Las Vegas Deluxe hotel option- Hawaiian Regent- $69 per person Meal option- 9 American breakfasts and 5 dinners at $129 per person plus gratuities -leaves from Buffalo ROME October 21-29, 1980 Ergife Palace Hotel Continental breakfasts -leaves from Niagara Falls $689.95 MEXICO-Puerta Vallarta February 23-March 2, 1981 (leaves from Toronto) Medical Dental Seminar Hotel Fiesta America $739.00 LAS VEGAS/SOUTHERN CALIFORNIA Late April-early May, 1981 - from Niagara Falls 56 $574 THE BUFFALO PHYSICIAN �A Message from Robert W. Schultz, M'65 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Sch ultz The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978) have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 ----------------------------------------------------------------------------------------------------- IIIIII BUSINESS REPLY MAIL FIRST CLASS PERMIT 0. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 C K HU G ~D 57 TREt.BROOKE C WILLIAMSVTLLE Y 14221 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - -- -- - - - - -- -- - - - - - Year MD Received---OfficeAddress --- - - - -- - -- - -- - - - - -- - - - - - - - -- -- - - - - - -- -- ----HomeAddress---- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - -- - -- ----IfnotUB,MDreceivedfrom---------------------------------------InPrivatePrnctice: Yes 0 No 0 In Academic Medicine: Yes 0 Specid~------------------------------­ No 0 Part Time 0 Full Time 0 School - - - - ---------------------------------Title - - - - - - -- - -- - - - - -- - -- --- Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ __ __ , Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1980 Subject The topic of the resource State University of New York at Buffalo. 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Dean Naughton's Message Commencement/Iris Dedication Students Honored Dr. Tedaldi's Address Dr. Berger's Address President's Award/Continuing Education Your Alumni President Speaks Mental Retardation Drs. Arbesman, Reisman Geriatric Education Visiting Professor Roswell Park Seminars Fellowships, Scholarships Physicians Honored Dr. Neter Physicians Give Alden Care Center Prostaglandins Ambulatory Pediatrics/HMO Senior Reception Medical School Dance Dr. Ellis Medical Apprenticeships in the Early 19th Century by O.P. Jones, Ph.D., M.D., Distinguished Professor Emeritus Dr. Craig Smith Dr. O'Leary/Orthopaedic Residents The Classes/Head Injury Guide People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2018-01-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v14n03 Extent The size or duration of the resource. 60 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/27ff24dee7ca4174a2ed3258a4d6fb84.pdf 0f0b61caba19f55cbdda43300e9ddcb8 PDF Text Text �Dear Alumnus and Alumnae: Since writing to you earlier about the upcoming accreditation visit in October, 1980, I am pleased to report that the faculty, stu­ dent body and administration have moved forward in the perfor­ mance of the Institutional Self-Study with a great deal of enthusiasm. From the desk of John aughton, M.D. Dean, School of Medicine The Steering Committee and Task Force have now met several times, and five review committees are busily engaged in studying the strengths and weaknesses of the school's 23 active academic departments. The substance of their findings and reports, together with all of the available data dealing with the centralized functions of the medical school, will be brought before the Steering Committee and the Task Force for careful scrutiny and study. It is already evident that a large number of significant recommendations will be forthcoming later in the spring which should improve the quality of the overall edu­ cational environment and student performances. Thus, although a great deal remains to be accomplished in preparation for the accreditation visit, it appears as if the faculty, student body, and administration are moving forward in a unified manner toward the accomplishment of our stated goals and objec­ tives. I admonish each of you, once again, to inform either my of­ fice or those of appropriate program directors, of concerns and advice that you might wish to off er toward the betterment of your medical school. r J �Volume 14, Summer 1980 umber 2 THE BUFF ALO PHYSICIAN IUSPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARU Ec/1lor ROBERTS. MCCRA Al IA Dean, School of Medicine DR. JOH NAUGHTON Photography GER HUGOH. EDWARD NOWAK u Visual Designers Rt HARD MA AKANJA Do ALD E. WATKINS Assoc,ate Editor TERI ROBERTS CONSULT ANTS President, Medical Alumni Association OR. ROBERT W. SCH LTZ Vice President, Faculty of Health Sciences OR F. CARTER PAN ILL President, University Foundation JOH M. CARTER Acting Director of Public Affairs HARRY )ACKSOJ\ Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 2 10 14 15 16 20 23 24 25 26 28 30 31 32 33 36 38 39 40 42 44 51 52 I THIS ISSUE Dean aughton's Message (inside front cover) Post Graduate Matching Medical Ethics Dr. W.S. Smith Summer Programs/Tumor Registry Dues Paying Alumni Retirees Dr. olan Occupational Disease Modular Schedule Tennis Tourney Home Peritoneal Dialysis Residents, Interns Honored The South Pacific VA Dedication Ambulatory Care Center Cancer Treatment Dr. Weldon X-Ray Renovations/Dr. Bhardwaj A Letter The Classes People In Memoriam Alumni Tours The cover design is by Donald Walkins. Alumni lour details are on page 52. ( THE BUFFALO PHYSICIA , (USPS 551-860), Summer, 1980 - Volume 14, umber 2 published quarterly Spring, Summer. Fall, Winter - by the School of Medicine, ew York State University of New York at Buffalo, 3435 Main Street, Buffalo, 14214. Second class postage paid at Buffalo, ew York. POSTMASTER: Send ad­ dress changes to THE BUFF ALO PHYSICIA , 139 Cary Hall, 3435 Main Street, Buf­ falo, .Y. 14214. Copyright 1980 by The Buffalo Physician. SUMMER, 1980 1 �Ors. Murray Post Graduate Matching Steven Wilson, Dr. Richert Morphy, Katz, Joseph Caruana, Dennis Nadler and Bob Durr ErGHTY-FIVE PERCE T of the senior medical students received their first, second or third choice in the annual National Postgraduate Matching Program. More than one-half (55%) of the 139 students matched with their first choice, according to Dr. Leonard Katz, associate dean. Fifteen students did not participate in the national program and matched themselves. Thirty-seven students selected Buffalo based programs for their residency, and 29 others will remain in New York State. Pennsylvania was favored by 12 students; Connecticut by 9, and Massachusetts by 8. The others are scattered among 19 states. The most popular specialities were medicine, 57; surgery, 22; and family practice, 19. Dr. Katz mentioned several prominent hospital programs where students were matched. They are: family practice at Buf­ falo, Universities of Virginia, orth Carolina, Colorado, Case Western Reserve; and two in Buffalo; medicine, Universities of Minnesota, Michigan, Pittsburgh, Tufts, Einstein, and Boston City Hospital; and nine in Buffalo; pediatrics, six in Buffalo; surgery at SU Y-Buffalo, program No. 1, Seven students; and Univer­ sities of Iowa, orth Carolina, Tufts. On matching day eight seniors who were completing their clinical years overseas called from Israel, England, Scotland and Ireland to find out where they had been assigned. Ahlqvist, Linda, Brown University, Memorial Hospital, Paw­ tucket, R.I., Family Practice Albanese, Stephen, SUNY /Buffalo, Program 1, Su~gery Alvarez, Orlando, North Shore University Hospital, Manhasset, N. Y., Surgery 2 THE BUFFALO PHYSICIA �Arbesman, Harvey, SU Y/Buffalo Affiliated Hospitals, Medicine Bartels, Edward, University of Rochester Associate Hospital Programs, Rochester, N. Y., Ob/Gyn Bell, Zakia (Diane). SU Y/Buffalo Affiliate Hospitals, Medicine Benham, Stephen, Eastern Tennessee State University, Family Practice Program, Johnson City, Tenn., Family Practice Berenson, Charles, University of Michigan Affiliated Hospitals, Ann Arbor, Michigan, Medicine Berger, Eric, Hartford Hospital, Hartford, Conn., Medicine Bertini, icholas. Albany Medical Center, Albany, . Y., Medicine Blank, Wesley, orth Shore University Hospital, Manhasset, N. Y., Ob/Gyn Borer, Mark, West Virginia University Hospital, Morgantown, W. Virginia, Psychology Braco, Robert, Millard Fillmore Hospital, Surgery Cabral, Deborah orth Carolina Baptist Hospital, Winston-Salem, .C., Family Practice Capicotto, William, SU Y/Buffalo, Program 1, Surgery ew England Center Hospital, Boston, Mass., Cardone, John, Medicine Carrion, Vivien, SU ¥/Buffalo, Buffalo Children's Hospital, Pediatrics Case, John, Tufts University Affiliated Hospitals, Boston, Mass., Psychology Buffalo Children's Hospital, Clark, Barry, SU ¥/Buffalo, Pediatrics Cohen, Donald, Mercy Hospital, Pittsburgh, Pa., Flexible Conway. James, SUNY /Buffalo Affiliated Hospitals, Medicine DeBerry, John, SU ¥/Buffalo, Program 1, Surgery Roy Kellerman, Merrill McKenzie SUMMER, 1980 d- 3 �Three families - Sparrs, Cohens, Durrs Constance Lantz Anthony Dibenedello., Dr. Katz, Andrey Ross family. William Capicollo, Michael Grant with children Cheryl Fore/lo 4 THE BUFFALO PHYSICIA �DeLissio, Michael, SU Y/Buffalo Affiliated Hospitals, Medicine OiBenedetto, Anthony, Mory Imogene Bassett, Cooperstown, .Y., Surgery Dougherty, Thomas, Southside Hospital (SUNY), Bay Shore, . Y., Family Practice Driscoll, Mary, Millard Fillmore Hospital, Pathology Drummond, Dana, SU Y /Buffalo, Buffalo General/Deaconess Hospitals, Family Practice David, University of Virginia Medical Center, Charlottesville, Va., Family Practice Dube, Marjory, University of Kansas Medical Center, Kansas City, Kansas, Medicine Durr, Robert, Medical College of Virginia, Richmond, Virginia, Medicine Emanuelson, Richard, West Virginia University Hospital, Morgantown, W. Virginia, Medicine Entes, Kenneth, University of Minnesota Hospitals, Minneapolis, Minn., Medicine Feit, Helen, Hartford Hospital, Hartford, Conn., Medicine Felsher, Jonathan, Hospital St. Raphael, New Haven, Conn., Duani, Dr. Joseph Carauno, Jeffrey Isen Medicine Ford, Alexander, Long Island Jewish Hospital, New Hyde Park, . Y., Medicine Farell, Cheryl, SUNY /Buffalo, Buffalo General/Deaconess Hospitals, Family Practice Francis, Kathryn, Millard Fillmore Hospital, Pathology Frank, Mary, Hershey Medical Center, Hershey, Po., Family Practice Frimer, Richard, Montefiore Hospital Center, Bronx, N.Y., Medicine Gabay, Jack, Sinai Hospital, Baltimore, Md., Medicine Gedan, Joel, University of Minnesota, Minn., eurology Geraci, Gaspere, Harrisburg Hospital, Harrisburg, Po., Family Practice Gilbert, Mark, Medical College of Pennsylvania, Philadelphia, Po., Medicine Glosenger, Mark, Charles S. Wilson Memorial Hospital, Johnson City, N. Y., Family Practice Gordon, John, University of Colorado Affiliated Hospitals, Denver, Colorado, Family Practice Grant, Michael, SU Y/Buffalo, Program 1, Surgery Greenman, Peter, Walter Reed Army Medical Center, Washington, D.C., Surgery Guerra, Marc, North Carolina Memorial Hospital, Chapel Hill, .C., Family Practice Guishard, Kim, Georgetown/VA. Program, Washington, D.C., Medicine Dawn Desiderio, Mt. Sinai Hospital, New York, .Y., euro-surgery Hale, Martin, Mt. Sinai Hospital, New York, N. Y., Surgery Hamilton, Cheryl, Harlem Hospital, New York, . Y., Flexible Harris, Brenda, Harlem Hospital, New York, N. Y., Medicine Hirsch, Barbara, Long Island Jewish Hospital, ew Hyde Pork, N. Y., Medicine Hale, d- SUMMER, 1980 5 David Lipman, Merrill McKenzie John and Margaret Poroski �Mork Guerro, Dr. Katz. Peter Yong Robert, Louisiana (Shreveport) Affiliated Hospitals, Shreveport, Louisiana, Surgery Isen, Jeffrey, SUNY(Buf~alo, Program 1, Orthopedic Surgery Jacobs, Steven, University of Iowa Hospitals, Iowa City, Iowa, Ignasiak, Surgery Jacoby, Jacob, Hospital University Health Center, Pittsburgh, Pa., Psychology Mi/oyno Subor, Dr. Kotz Jain, Avanindra, Baltimore City Hospitals, Baltimore, Maryland, Medicine Jamieson, Donna, C~a~les S. Wilson Memorial Hospital, Johnson City, N. Y., Medicine Jasnosz, Katherine, Medical College of Virginia, Richmond, Virginia, Pathology Kellerman, Roy, St. Francis Hospital, Hartford, Conn., Medicine Kiernan, Maryanne, New England Center Hospital, Boston, Moss., Pediatrics King, J. Gregory, St. Vincents Health Center, Erie, Po., Family Practice Klamet, Jay, Millard Fillmore Hospital, Medicine Klonowski, Eva, Brown University Memorial Hospital, Pawtucket, R.I., Family Practice Kohn, Barry, Albany Medical Center Hospital, Albany, N. Y., Medicine Kolb, David, SUNY /Buffalo Affiliated Hospitals, Medicine Kudgus, Vivian, Erie County Medical Center, Opthalmology Lentz, Constance B., Baystate Medical Center, Springfield, Moss .. Medicine Lerer, Rene, St. Francis Hospital, Hartford, Conn., Medicine Lipman, David, University of Arizona Affiliated Educational Program, Tucson, Arizona, Medicine Lubell Richard Beth Israel Hospital, ew York, N. Y., Ob/Gyn Magel\, John, University of Minnesota Hospitals, Minneapolis, Minn., Medicine Marano, Stephen, Phoenix Integrated Surgery Program, Phoenix, Arizona, Surgery 6 THE BUFFALO PHYSICIA �Masten, Thomas, Case Western Reserve University Hospitals of Cleveland, Cleveland, Ohio, Family Practice McCullough, Timothy, University of Rochester Association, Hospital Programs, Rochester, . Y., Surgery McKenzie, Merrill, Washington Hospital Center, Washington, D.C., Surgery Morris, Benjamin, SU Y /Buffalo, Affiliated Hospitals, Medicine inos, John, Hershey Medical Center, Hershey, Pa., Family Prac­ tice Oehman, Donna, SUNY /Buffalo Affiliated Hospitals, Medicine Hospitals, Paradowski, Linda J., SU Y/Buffalo Affiliated Medicine Parker, William, Albany Medical Center Hospital, Albany, . Y., Medicine Parkes, Robert, Albany Medical Center Hospital, Albany, . Y., Medicine Parlato, Cynthia, Lankenau Hospital, Philadelphia, Pa., Medicine Hospital, Paroski, John, SUNY /Buffalo, Buffalo Children's Pediatrics Paroski, Margaret, SU YI eurology, eurology Pettitt, Susan, Aultman Hospital, Canton, Ohio, Family Practice Pribil, Stefan, North Carolina Memorial Hospital, Chapel Hill, .C., Surgery Proctor, Lauren, Eastern Virginia Grad. Medical School, orfolk, Va., Medicine Pullano, Thomas, University of Colorado Affiliated Hospitals, Denver, Colorado, Pediatrics Quinnonez, Celia, State University Kings County Medical Center, Brooklyn, N. Y., Medicine Rigsby, Christopher, Yale-New Haven Medical Center, ew Haven, Conn., Radiology Rockwood, Edward, Cleveland Clinic Hospital, Cleveland, Ohio, Ophthalmology Rosenstein, Myra, University of Connecticut Affiliated Hospitals, Farmington, Conn., Medicine d- Michael Grant and family SUMMER, 1980 7 Mary Shapiro, Drs. Murray Morphy, John Richert. �Mark Glosenger Avanindra Jain Ross, Andrew, New England Medical Center Hospitals, Boston, Mass., Surgery Roth, ancy, University of Maryland Hospital Baltimore Md Medicine ' ' ·· Roy, Richard, Henry ~ord Hospital, De.trait, Mich., Urology Sanchez, Frank, Medical Center Hospitals, Medical University of S.C., Charleston, S.C., Radiology Schiff, Barry, Hartford Hospital, Hartford, Conn., Medicine Schreiber, Brian, University of Michigan Affiliated Hospitals Ann Arbor, Mich., Anesthesiology ' Shalwitz, Robert, SUNY /Buffalo, Buffalo Children's Hospital Pediatrics ' Shayne, John, Eastern Virginia Graduate, Medical School, Nor­ folk, Virginia, Surgery Siemian, Walter, SUNY /Buffalo, Program 1, Surgery Simon, Lloyd, University of Massachusetts Coordinated Programs, University of Massachusetts Hospital, Worcester, Mass., Medicine Smith, Alan, SUNY /Buffalo General/Deaconess Hospitals, Family Practice Snow, Irene, SUNY /Buffalo Affiliated Hospitals, Medicine Solomon, Robert, Stanford University; Palo Alto, Ca., Research Sparr, Steven, Boston City Hospital, Boston, Mass., Medicine Affiliated Hospitals, Steinbrenner, Lynn, SUNY/Buffalo Medicine Stephen, Theresa, SUNY /Buffalo Affiliated Hospitals, Medicine Streisand, James, SUNY /Buffalo, Program 1, Surgery Su bar, Milayna, Bronx Municipal Hospital Center, Bronx, N. Y., Medicine 8 THE BUFFALO PHYSICIA �Sucher, John, Air Force Medical Center, Son Antonio, Texas, Anesthesiology Surgeon, Carol, University of Rochester Hospital Programs, Rochester, . Y., Ob/Gyn Switzer, Donald, SUNY /Buffalo Affiliated Hospitals, Medicine Szymanski, Christine, SU Y/Buffalo, Buffalo Children's Hospital, Pediatrics Tabone, Joseph, Millard Fillmore Hospital, Medicine Tedaldi, Ellen, Hennepin County General Hospital, Minneapolis, Minn., Medicine Hospital, Bridgeport, Conn., Ten Brock, Eric, Bridgeport Medicine Thomas, Archimedes, SUNY /Stoney Brook Affiliated, Stony Brook, N. Y., Medicine Toriello, Edward, SU Y/Downstate, Kings County Medical Center, Brooklyn, N. Y., Surgery Trainer, Paul, SUNY/Buffalo, Buffalo Children's Hospital, Pediatrics Tramontana, Ann, Albany Medical Center, Albany, .Y., Ob/Gyn Tremiti, George, SU Y/Upstate Medical Center, Syracuse, . Y., Surgery Turner, Sylvia, SUNY /Buffalo, Buffalo Children's Hospital, Pediatrics Twist, James, Erie County Medical Center, Ophthalmology Unger, Anthony, Hospital of University of Pennsylvania, Philadelphia, Po., Orthopedic Surgery Vigorito, Anita, University of Virginia Medical Center, Charlottesville, Vo., Family Practice Walsh, Robert, Genesee Hospital, Rochester, N. Y., Medicine Weber, Frederic, Temple University Hospital, Philadelphia, Pa., Medicine Weireter, Leonard, SUNY /Buffalo, Program 1, Surgery Williams, Richard, Hospitals University Health Center. Pittsburgh, Po., Radiology Wilson, Steven, Hospitals University Health Center, Pittsburgh, Po., Medicine Wojcik, Thaddeus, SUNY /Ob/Gyn, Buffalo Yang, Lee, SU Y/Downstate, Kings County Medical Center, Brooklyn, .Y., Medicine Yang, Peter, University of Michigan Affiliated Hospitals, Ann Arbor, Michigan, Radiology Zalewski, John, St. Louis University Group Hospitals, St. Louis, Mo., Medicine SUMMER, 1980 9 Gus Geraci Myra Rosenstein. Dr. Kotz �Medical Ethics A panel representing nursing, law, philosophy and medicine dis­ cussed informed consent and the right to withdraw consent to treatment at the first of 11 noon-time seminars on Human Values and Medical Ethics. The participants were: Dr. Mila Aroskar, associate professor of graduate nursing education; Dr. Louis Swartz, associate professor of law and jurisprudence; Dr. Richard Hull, associate professor of philosophy; and Dr. Sidney Anthone, clinical professor of surgery. In his opening remarks as panel moderator, Dr. Hull talked briefly about the utilitarian and deontological patterns of deci­ sion making in medicine. This is the theme of the fall series of seminars. He introduced the case study that involved a 35-year­ old woman who had a lump on her breast. She did not want a mastectomy, but did consent to removal of the lump and a biopsy. What if the biopsy was positive, he asked. Dr. Aroskar suggested that informed consent should be achieved by doctors and nurses and other members of the health team working together with the patient and the immediate family. "This was not an emergency situation. And what if the patient believes that death isn't all that bad." Dr. Anthone noted that often doctors make the final decision based upon conscious and sub-conscious factors. "There is usual­ ly a difference of opinion because of religion or political factors. For example, President Carter is having trouble getting the world to believe in human rights. A surgeon must explain in detail to the patient what the surgery is all about but I don't discuss all the risk factors in detail. I don't want to frighten the patient. I spend much more time talking to a patient who may lose a breast than one who is going to have a gall bladder removed. Be patient with the patient when you are maiming the body." Dr. Anthone went on to say that "the law has clouded some of our decisions. Doctors must treat their patients like they would like to be treated themselves. Don't be afraid to get consultation from other specialists. Written consent is a legal document that might not hold up in court." Dr. Swartz said, "informed consent rests with the health professionals. In this case if the surgeon goes ahead and removes the breast against the patients' will he may be prosecuted and is certainly courting liability. There are emotional overtones in this case and the physician should not jump to conclusions regarding the patient without checking and double-checking. Be sure the patient knows in general what you are going to do. If the patient does not have the mental capacity to make a decision bring in a psychiatrist as a consultant. "O Three professors representing law, philosophy and psychiatry discussed "the right to psychiatric treatment" at the second seminar on Medical Ethics and Human Values. Dr. Robert F. Berger of the U/B law school noted that psy­ chiatric treatment was often the basis for commitment. Also if the person appears to be dangerous to himself or others or unable to care for himself he probably should be commited to a hospital for treatment. Can psychiatrists really predict who will be dangerous? Philosophy professor Dr. Peter H. Hare suggested that 10 THE BUFF ALO PHYSICIA �physical problems might cause mental illness in some in­ dividuals. "Often a physical illness can have a peculiar effect on a person to such an extent that diagnosis is very difficult." In responding to the two speakers Dr. Marvin Herz noted that during the last decade psychiatrists have been emptying hospitals, not filling them. "Psychiatrists are not commited to locking up people and throwing away the key. Avoid hospitalization if possible. "Most voluntary admissions occur when patients are acutely ill, very disorganized and can't care for themselves. Most patients when treated properly can return to society and function proper­ ly. But patients can not be dumped out of the hospital and into the community without support service and treatment." The professor and chairman of U/B's psychiatry department admitted that it is very difficult to predict "dangerousness." It is very complicated and there are no clear cut answers. In commit­ ment proceedings the Judge, not the psychiatrist, makes the deci­ sion. For treatment Dr. Herz suggested therapy, drugs and other medication so the patient can be rehabilitated soon and not get lost in the hospital. □ A 1976 Medical School graduate, Dr. Herman Mogavero, presented the case history of a 33-year-old black woman (with two young children) for discussion at the third Medical Ethics and Human Values seminar. A clinically oriented audience par­ ticipated in the session at the Erie County Medical Center. The woman had a long history of extrinsic asthma with multiple ER visits and hospitalizations. Her previous asthma attack was mark­ ed by respirator failure requiring intubation. She did well and was discharged. One week later she came to the emergency room in an ambulance with a shortness of breath, a respiratory rate of 50, semi-responsive state and diaphoresis. She had a respiratory arrest followed by a cardiac arrest. She was defibrillated twice with return to sinus rhythm. She was transferred to the ICU in a coma. Two months later she is still in a coma and requires total nursing care. Dr. Robert L. Dickman said, "we are searching for guidelines to situations like this. Ethical rounds are becoming more common in hospitals and we should discuss this case before we are faced with making a decision. What is our moral obligation? What does freedom of choice imply?" The assistant professor of social and preventice medicine and assistant clinical professor of medicine, noted that the rise in medical technology and the amount of medical resources available makes this decision more complex. Professor Hull asked several ethical questions: "Is the person alive? How shall we proceed? What treatment is appropriate? Who should make the decisions? Effects on nurses, physicians and other members of the health care team if the treatment is passive rather than vigorous? Is there a chance of restoring the patient to normal life? Would your decision be different if the patient was 80 years old?" Dr. orman Chassin, M'45 clinical associate professor of medicine, introduced the panel and moderated the discussion. □ SUMMER, 1980 11 Continuing Medical Education July 11, 12 Echocardiography (basic, intermediate, advanced courses) - at Webster Hall, Millard Fillmore Hospital. Program chairman Dr. Jules Constant, associate clinical professor of medicine. □ cJ- �A Priest, a social worker and a physician discussed the rights of a mother to have an abortion at the fourth Medical Ethics and Human Values seminar. The three professionals - Father John Chandler, social worker Judith Sullivan, and Dr. Robert Dickman, a physician, agreed that "if an abortion is not a tragedy it is destructive." Panel moderator Dr. Richard Hull, associate professor of philosophy, briefly outlined the three positions - conservative­ traditional, central, and supreme courts - in his opening state­ ment. The specific (true) case involved a 40-year-old women who wanted an abortion for the purpose of sex selection. She had two boys and wanted her third child to be a girl. Early tests showed that she could expect a perfectly healthy boy. The panelists agreed that this was a bizarre case. There was a lively pro and con discussion involving the medical students, but no clear cut decision was reached. There seemed to be agreement among the panel members that there must be other reasons behind the womans decision to have an abortion. Father Chandler asked, "if an ethical decision can be made on freedom of choice?" Dr. Dickman noted that there is no moral justification for 'abortion on demand.' □ The Family Asthma Program (featured in the last issue} has added two new people who are working with Dr. Cropp. They are JilJ LaMantia, R.N., M.S., P . . A., and Tom DeLoughry, M.S. They are conducting workshops to educate parents and children. □ Does the physician have an obligation to the poor? What does the public and society expect from the medical profession? These were among the topics discussed by Ors. Robert Dickman and Richard Hull at the fifth medical ethics seminar on "Justice and Health Care Delivery." Some people believe that physicians should distribute themselves to provide basic health care to the general population, according to Dr. Hull. Some politicians believe that medical students after completing their internship should serve two years in the ational Health Corps. The panel and students had a lively discussion of Robert Veatch's medical ethics case studies and Dr. Robert M. Sade's philosophy that "medical care is a right." Dr. Dickman asked, "how do we separate needs from desire in our patients? As a physician what is your obligation to a patient who comes to you with severe lung cancer because he has been smoking excessively for many years?" Dr. Hull noted that where there is only one physician to 50,000 people it would be most difficult for the physician to give minimal health care to this many people. What does the physi­ cian do? Who does he turn away? There are 142 counties in the United States without physicians. □ There was a 90-minute discussion on the allocation of scarce medical resources at the sixth medical ethics seminar. This in­ cluded the traditional Hippocratic view (Macro) and the newer social service view (Micro). The Hippocratic view is according to ability to pay and benefit medically or according to order of application. The social view is according to social worth or com­ pensatory justice. 12 THE BUFFALO PHYSICIAN �Dr. David Klein, associate professor of neurosurgery noted that society is not thinking much about allocation, but believe that serving the patient is the major responsibility of the physician. "We are doing nothing about allocation at Children's Hospital. Many physicians believe that it isn't their duty to become in­ volved in allocation of resources." Dr. Klein suggested that very often people with more income get things faster and easier. But he believes that this is diminishing in our society today. Ors. Robert Dickman and Richard Hull, participants in the presentation, asked several penetrating and thought provoking questions. Could the $40 million that the federal government spends annually on dialysis treatment for 40,000 people be better spent in other ways to benefit society? What is the value of health? How important are health services? Should adequate health care take precedence over improved highways and better museums? Should we put money into things that will make peo­ ple happier? Do we need to develop new health care resources? Who should receive the available transplant organs? In conclusion Dr. Dickman told the medical students, "these are just a few of the hard decisions that you may be making in a few years. They are not easy decisions and many will have to be made at bedside. Physicians, if they would unite, could have a tremendous impact on many of these decisions and problems." □ Pediatric i\.1edicalEducation July 10, 11 What's ew in Pediatric Lung Disease. Dr. Gerd J.A. Cropp, program chairman. (14 credit hours). July 17-19 3rd ational Buffalo Conference on Pediatric/ Adult Allergy and Clinical Immunology. Ors. Elliott Middleton, and Elliot F. Ellis, program chairmen. (16 credit hours). (For more information contact Rayna Dutton, CME coordinatory, 219 Children's Hospital, Bryant Street, Buffalo, .Y. 14222. Telephone (716) 8787689.) There is some evidence of incompetence in hospitals, but most of it goes undisciplined, according to Dr. Donald Becker, clinical professor of surgery. "Incompetent practice is not the same as mal-practice." Speaking to medical students attending the human values and medical ethics seminar, Dr. Becker noted that little is done to supervise the quality of office practice. "Most mechanisms within the medical system are just not effective. It is hard to suspend a physician from a hospital staff for a short time or a long period." Dr. Becker noted two exceptions - the physician who is drunk or on drugs. "There should be a mechanism to take care of the 'sick' physician, but none is available today." Dr. Robert Dickman suggested that incompetence could mean gross negligence, sloppiness of care, the sick physician or one who is not knowledgeable. The physicians agreed that most patient complaints have nothing to do with incompetence. "We all make errors in judg­ ment. We can't all be 100 per cent perf eel; even the superior physician has his bad days." Dr. Richard Hull said, "the nurse is the untapped resource because she is with the patient more than the physician and is a source of protection for the patient." □ "Parents to bring children Swartz, medical have a lot of leeway when it comes to decisions on how up their children. It is only when parents abuse their that legal action can be taken." Thal is what Dr. Louis associate professor of law and jurisprudence, told students in the final medical ethics seminar. SUMMER, 1980 13 d- �Parents may chose to send their children to a boarding school or keep them out of school to go camping, hiking or mountain climbing. Unless the activity is dangerous to the child, it is legal, he noted. The students and faculty discussed whether or not it is ever morally permissible to conduct an experiment on a patient that does not carry a strong potential of therapeutic benefit to that patient, particularly when the patient is not able to give informed consent. They focused their attention on the Willowbrook State Hospital, an institution for the care of the mentally retarded. It was here that during a 14 year period 700 retarded children had infected serum injected to produce hepatitis. The objective: to gain a better understanding of the disease and possibly to develop methods of immunizing against hepatitis. Morally wrong seemed to be the consensus of the medical students. □ Dr. W.S. Smith Dr. Smith Dr. Warren S. Smith, M'29, a member of the Kenmore Mercy medical staff for 25 years until his retirement in 1975, is the first recipient of the Sister Mechtilde Memorial Award. Dr. Smith received the award April 10 as the highlight of the Sister Mechtilde Memorial Award Dinner at the Holiday Inn on Grand Island. Kenmore Mercy Hospital is establishing the award to honor a person whose life and achievements parallel and reflect the ideals and values of Sister Mechtilde O'Connor, founder and first administrator of the hospital. A family practitioner who resided in Kenmore since his school days at Kenmore High School, Dr. Smith was graduated from Hobart College in 1925 and the University of Buffalo Medical School in 1929. He completed an internship at Buffalo General Hospital and was affiliated with the United States Public Health Service in the Buffalo area in the early 1930s, prior to es­ tablishing a general practice in the Kenmore-Tonawanda area. For many years, Dr. Smith served as head of the general practice department at Kenmore Mercy and as a staff member at Millard Fillmore Hospital. At the time of his retirement, he was the oldest active member of the Kenmore Mercy staff. The Mechtilde Award recipient, now a resident of Bluff Point, New York, is the center of a three-generation medical family - his father, the late Dr. Gideon D. Smith, moved to the Buffalo area in 1918 and his son Thomas is an internal medicine specialist in orth Carolina. Thousands of persons in Kenmore Mercy's service area were counseled and treated by Dr. Smith over the years. His caring and sharing efforts were an integral part of the tradition es­ tablished at the hospital by Sister Mechtilde, her staff and employees. □ 14 THE BUFF ALO PHYSIC IA �There will be special summer programs available for 145 medical students in 32 programs. The preceptors and programs are: Dr. Michael Anbar, professor and chairman of biophysical sciences - two student positions; Dr. M.J. Smith, assistant direc­ tor of education, Roswell Park Memorial Institute - 24 positions; Dr. orman Chassin, clinical associate professor of medicine or Dr. Norman Solkoff, professor of psychology, department of psy­ chiatry - 2 positions; Dr. Milton Weiser, professor of medicine 2 positions; Dr. John Wright, professor and chairman, pathology - 2 positions; Dr. A. Saltzman, assistant professor of medicine, pulmonary disease fellowships - 2 positions; Dr. Paul Kostyniak, assistant professor of pharmacology and therapeutics; Dr. Raymond Bissonette, associate professor of family medicine - several spots depending on available funds; Dr. Edwin H. Jenis, clinical associate professor of pathology - sophomores pref erred, clinical cancer education - clinical or research assistants - Contact Dr. John Wright - 10 positions; Dr. Jack D. Klingman, professor of biochemistry; Dr. Douglas Klotch, clinical instructor in otolaryngology - 1 position; Dr. Peter Gessner, professor of pharmacology and theraupeutics - 6 positions; first, second and third year medical students, research in basic or clinical sciences on health care; MEGO, pre-clinical medical students, primary care medicine - contact Ericka Swanson or Richard Jackson; Dr. G.J. Cropp, professor of pediatrics - 1 posi­ tion; Dr. Joan Baizer, assistant professor of physiology - 1 posi­ tion; Dr. Suk-Ki Hong, professor of physiology - 1 position; Dr. John Krasney, associate professor of physiology - 1 position; Dr. Claes Lundgren, professor of physiology - 1 position; Dr. Werner K. oell, professor of physiology - 1 position; health and patient care, nursing, surgrical laboratory, etc. - VA Hospital employ­ ment office - 40 positions; Dr. Glen E. Gresham, professor and chairman, rehabilitation medicine - 12 positions; Dr. John Studley, clinical assistant professor of surgery - 1 position; Dr. Linda Pessar, assistant professor of psychiatry - 1 position; Dr. Black, department of medicine; Dr. Evan Calkins, professor of medicine - 2 positions; Out of Town Summer Programs - Dr. Daniel L. Diamond, chairman, graduate medical education at Allegheny General Hospital, Pittsburgh, Pa. - 12 positions; Mr. Gary A. Mosher, assistant executive director at Soldiers & Sailors Memorial Hospital, Wellsboro, Pa. - 4 to 8 positions; American Diabetes Association, Rochester Regional Affiliate, Inc. - ad­ ditional information in office of OME; and Bonnie H. Howell, ad­ ministrator at Tompkins County Hospital, Ithaca - 10 positions. □ Summer Programs There is a tumor registry at the Erie County Medical Center. Part of a national study sponsored by the American College of Surgeons, it follows a course of a patient's disease. Last year, it reported over 260 new cancer patients. Of these, the lungs were the most frequently diagnosed site for cancer, followed by colon, breast and prostate. These figures mimic national averages with ages 60-69 ac­ counting for the greatest number. Heading the program is Dr. James T. Evans, research assis­ tant professor of surgery. He is supported by Betty Rustay and Mary Applegate. □ Tumor Registry SUMMER, 1980 15 �Dues Paying Alumni, 1979 A special thanks to the dues-paying medical alumni listed here. And to the nine reunion classes - 1934, 1939, 1944, 1949, 1954, 1959, 1964, 1969, 1974 - who contributed $25,580 to the Medical School. All of us at the School of Medicine appreciate your sup­ port and participation. 1919 Francis M. Carge Henry , '. Goldstein 1920 Cecil L. Schultz Irwin M. Walker 1921 Dante J. 1organa Hobart A. Reimann 1923 W. Herbert Burwig Harold A. Butman Caryl A. Koch Louis A. Siegel 1924 R.M. Colton 1925 Marvin A. Block William T. Clark Claire H. Culver Margaret L. Hogben Milton E. Kahn 1926 Max Cheplove James J. Sanford 1927 Herbert Berwald Nathan W. Chaikin Frank 1. Criden Bernard Friedman William J. Kibler, Jr. Robert E. Maderer William W. Meissner Milton A. Palmer !eyer J. Riwchun Richard L. Saunders 1928 Thelma Brock Eugenia F. Bukowska John B. Burns George F. Etling Richard M. Gardner Joseph M. Hill Walter F. King Julius T. Markovitz Raymond J. Rickloff Bruno Schutkeker Howard L. Stoll Helen G. 1Nalker 1929 Victor L. Cohen Jay I. Evans Clyde W. George Ramsdell Gurney orman Heilbrun Charles R. Leone Garra L. Lester L. laxwell Lockie Frank Meyers George W. Thorn James D. Tyner 1930 Vincent Bonafede Anthony R. Cherry Benjamin S. Custer James W. Jordan James G. Kanski, Sr. Walter T. Murphy Frank B. Smarzo 1931 Virgil H. Boeck Thomas S. Bumbalo Gustave A. DaLuiso Joseph D. Godfrey Ellwyn E. Heier Francis E. Kenney John R. Kuhl Thomas A. March Angelo S. aples Joseph C. Tedesco Robert A. Ullman Walter S. Walls Thomas C. Hobbie Ernest G. Homokay Franklyn A. Huber Louis Kolbrenner George M. Masotti John D. Mountain 1934 Edwin J. Alford John V. Anderson John M. Constantine Alfred L. George John C. Kinzly Michael D. Kraska Harry G. Laforge Charles E. May John D. O'Connor Earle G. Ridall W.G. Rocklaschel Edgar A. Slotkin ax B. Weiner 1935 Wendell R. Ames Carl E. Arbesman Willard H. Bernhoft Benjamin Coleman Bernard Dexler Kenneth H. Eckhert James H. Gray Victor B. Lampka Charles E. Moran Michael T. Palen Daniel D. Peschio Solomon Rosokoff 1932 Angelo F. Leone Frank G. Leone Hugh J. cGree, Jr. Benjamin E. Obletz Bronislaus S. Olszewski Joseph M. Srnolev 1936 Donald Brundage Paul A. Burgeson Alfred Cherry john P. Corsby Edward G. Eschner Willard G. Fischer Frank C. Hoak Joseph Kriegler Eli A. Levin William F. Lipp Thomas C. McDonough 1933 Wilfrid Anna John L. Baube J Curtis Hellriegel 1937 Kenneth M. Alford William L. Ball Charles Banas 16 Gordon J. Culver Francis E. Ehret Theodore C. Flemming Stanley J. Jackson George F. Koepf Robert W. Lipsett Alice C. LoGrasso James D. MacCallum Joseph . Mele M. Luther Musselman William F. White Charles J. Woeppel 1938 Russell J. Catalano Jeremy Cole George M. Cooper orman J. Foil Benjamin I. Gilson Chester J. Kaminski Anthony R. Kritkausky Harry C. Law Samuel L. Lieberman Crichton Mc eil Alfred A. Mitchell Eustace G. Phillies Maxwell Rosenblatt Richard . Terry 1939 Carlos C. Alden, Jr. Grosvenor W. Bissell LaMoyne C. Bleich Ruth C. Burton Milton V. Caldwell Lloyd A. Clarke James J. Creighton Alfred H. Dobrak Kenneth Goldstein Harold M. Harris Elizabeth P. Olmsted A. V. Postoloff John H. Remington Roy E. Seibel Marvin Siegel John J. Squadrito Robert E. Storms Franklin E. Waters Everett H. Wesp Marvin . Winer 1940 Julian J. Ascher John M. Benny Marshall Clinton, Jr. William Hildebrand Francis D. Kane Warren R. Montgomery Lyle . Morgan Thomas F. Prestel Russell E. Reitz A. Rekate James P. Schaus, Jr. C. Henry Severson Allan W. Siegner Louis A. Trippe William 0. Umiker THE BUFFALO PHYSICIAN �1941 Yale S. Andelman Joseph T. Aquilina Berten C. Bean Anthony J. Cooper Robert W. Edmonds George A. Gentner Arnold Gross Donald W. Hall Eugene J. Hanavan. Jr. Mary 1. I !enrich Russell . Kidder. Jr. Abraham S. Lemmer Daniel J. McCue James L. McGrane Frederick E. l\lott John J. O'Brien Philip B. Weis Floyd M. Zaepfel 1942 Sidne) J.Axelrod Richard Ament Horace Battaglia Kent L. Brown John J. Connelly Vincent S. Cotroneo George L. Eckhert William Follette Harrison M. Karp Diana IJ. Kibler Boris L. Maarmolya Vincent J. Parlante John D. Persse, Jr. Herman M. Presant Leon Yochelson 1943 Ralph T. Behling Paul K. Birtch Richard J. Buckley Ivan L. Bunnell Peter A. Casagrande Robert J, Collins Edward B. Crohn Alfred S. Evans Thomas L. Gray on Thomas R. Humphre)­ William S. Keenan, Jr. Ruth F. Krauss Melborne H. Lent Anthony J. Marano Ronald E. Martin Franklin Meyer Robert W. Moyce Kevin M. O'Gorman Walter R. Petersen Adrian J. Pleskow Bradley W. Prior Charles C Richards Joseph J. Ricotta Gene D. Sherrill Alexander Slepian Ralph E. Smith, Jr. Gertrude S. warthout Charles J. Tanner, Jr. SUMMER, 1980 Louis A. Torvat Hazel J. Trefts Joseph C. Tutton Morri nher Joseph A. Valvo John Williams Paul Wolfgruber 1944 Anthony M. Aquilina Robert , Blodgett Willard H. Boardman Raymond G. Bondi Clifford F. Bramer, Jr. Robert L. Brown Herman Edelberg Eileen Ed Iberg Richard W. Egan Thomas F. Frawley Frank T. Frost Irwin A. Ginsberg Andrew A. Gage Harold P. Grazer Raymond A. Hudson Sidney R. Kennedy. Jr. Frank H. Long, Jr. William K. Major Albert J. ontani Raymond C. Perkins Theodore C. Prentice Joseph Ross Carrol J. haver Walter F. Stafford. Jr. Clinton H. trong James R. Sullivan Donald G. Veber Paul Weygandt R.G. Wilkinson, Jr. 1945 Richard 11. Adler William S. Andaloro Bruce F. Baisch Earl K. Cantwell orman Ghassin Paul B. Cotter George 1. Ellis, Jr. Edward G. Forgrave George W. Fugitt A. Arthur Grabau Richard M. Greenwald James H. Johnson Herbert E. Joyce \i ito P. Laglia Victor C. Lazarus \! illiam ·. Mclnto h John K. Quinlivan Fred ric D. Regan John G. Robinson William J. Rogers, III Albert J. Rosso Joseph E. Rutecki Robert C. Schopp David J. Shaheen K. Joseph Sheedy Joseph D. Tannenhau Wayne C. Templer George Thorngate, IV Jane B. \i ile 1946 John . Allen Donato J. Carbone Alexander R. Cowper John T. Crissey Lawrence H. Golden Ross Imburgia Carl J. lmpellitier Annabel M. Irons Charles A. Joy Harold J. Le y J. Richard Lundquist Eugene M. Marks Maynard H. Mires. Jr. Thomas W. forgan Harry Petzing Amo J. Piccoli Herbert S. Pir on Albert G. Rowe Henry M. Tardif Willard W. Tornow Paul . Walczak William P. Walsh 1947 Robert G. Arthurs Bruce Babcock William C. Baker Daniel E. Curtin William S. Edgecomb Robert J. Ehrenreich Peter J. Julian Hans F. Kipping Jack Lippes Richard J. Marchand Hallie 8. Mont Donald C. 1 uwer Phillip L. Reitz. Jr. Daniel J. Riordan Arthur J. Schaefer Arthur L. Segal John B. Sheffer James F. Stagg Jerome I. Toaks John H. Waite Robert H. Wildhack 1948 James C. Borman Glenn B. Doan Daniel J. Fahey Raphael S. Good Myron Gordon Harold L. Graff Robert J. Hall Warren H. Hanson Warren L. Hollis Jud Lis John J. Marinaccio Ansel R. Martin orman Minde Darwin D. Moore 17 orman Paul Cletus J. Regan Alfred J. hapiro Edgar C. mith Edward R. Stone J. Van Avery Paul Weinberg . Paul Zola 1949 Carmelo Armenia Bradley J. Aust. Jr. Alfred Berl Harold Bernhard Melvin M. Brothman Lawrence M. Carden Julia M. Cullen George M. Erickson Robert Franz Joseph E. Griffin Arthur Mogerman Jacquiline L. Paroski Frank A. Pfalzer, Jr. Max A. Schneider Fred Shalwitz James A. Werick Charles J. Wolfe 1950 Roland Anthone Sidney Anthone Herbert L. Berman George P. Bisgeier Charle Brody Grace B. Busch Carl A. Cecilia Frank hambers, Jr. Anthony Conte Adelmo P. Dunghe, Jr. James C. Dunn Alfred E. Falcone Carmen D. Gelormini Marie H. Heller Robert . Kling Richard J. Leberer Richard E. Lyons Karl L. Manders Patricia A. Meyer Roy W. Robinson larence E. Sanford Vincent Scamurra Helen F. Sikorski George E. Taylor idney B. Weinberg 1951 Jay B. Belsky Augu t A. Bruno Carl R. Conrad Leonard S. Danzig William S. Glassman Allen L. Goldfarb Kathryn M. Keicher Ludwig R. Koukal Harold P. Krueger Eugene V. Leslie d- �Thomas J. Murphy Daniel A. Phillips R. Ploss Melvin C. Reinhard, Jr. Robert L. Secrist Edward Shanbrom B. Smolen Eugene M. Teich James W. Weigel 1952 Donald J. Adams John 8. Banas Robert A. Baumler Leonard I. Berman Alvin J. Brown Bruce F. Connell Barbara G. Corley Bernie P. Davis eal W. Fuhr Albert A. Cartner. Jr. Joseph E. Cenewich Donald J. Kelley Melvin R. Krohn Milton C. Lapp Colin C. MacLeod F. Douglas Mitchell John Y. Ranchoff James . Schmitt Byron E. Sheesley S. Aaron Simpson Burton Stulberg lmre Szabo Roy J. Thurn S. Jefferson Underwood Kurt J. Wegner Charlotte C. Weiss James F. Zeller 1953 George C. Bertino James W. Carlin Stanley L. Cohen Thomas Comerford. Jr. Joseph S. David Donald Ehrenreich Sander H. Fogel Thomas C. Geoghegan Jack Gold John W. Handel Curtis C. Johnson Herbert E. Lee Milford C. Maloney Robert E. Maynard Richard Nagel JamesM. Orr Bernard Panner Molly R. Panner Bertram A. Portin Donald 0. Rachow Herbert W. Simpkins Howard C. Smith, Jr. Harold Smulyan Anthony A. Spagna John Strachan, Jr. Reinhold A. Ullrich Marvin Wadler Coolidge S. Wakai 1954 Edward W. Bockstahler Joseph L. Campo Nicholas C. Carosella Louis C. Cloutier John L. Conboy Robert D. Foley Byron A. Cenner, Ill Robert W. Haines Florence M. Hanson Edward W. Hohensee William J. Howard Eugene C. Hyzy Allen L. Lesswing Lucille M. Lewandowski Sylvia G. Lizlovs Charles H. Marino R. Mayer Ernest H. Meese Donald J. Murray . Allen orman Harry Oliver Harry T. Oliver Walter A. Olszewski Robert J. Pletman Robert). Powalski Edward A. Rayhill Edwin B. Tomaka Paul L. Weinmann Donald M. Wilson 1955 Vincent Celestino James R. Collins C. Daniel Fagerstrom James M. Carvey Frank J.Gazzo Michael J. Gianturco Sarni A. Hashim John H. Kent S. Joseph LaMancusa H. Albin Leonhardt David L. Palmerton John H. Peterson Robert S. Pit tell L. Schaer Anthony B. Schiavi Ray G. Schiferle, Jr. Robert A. Smith James Stengel William J. Sullivan, Jr. Barbara VonSchmidt David F. Weppner E. Whitney John A. Winter Donald A. Wormer 1956 George J. Alker, Jr. John D. Bartels David Ben-Asher Mark A. Denlinger Edmond J. Gicewicz Peter F. Goergen, Jr. Frederick P. Goldstein 18 Dennis P. Heim beck Oliver P. Jones, Sr. Joseph L. Kunz Sue A. Mccutcheon Robert G. McIntosh Frederick C. uessle Robert Ollodart Hugh F. O" eill Erick Reeber Robert E. Reisman Bernard H. Sklar Joseph A. Ferlisi Seymour D. Grauer Eli M. Isaacs Daniel C. Kozera Joseph F. Monte David J. Oberkircher Charles W. O'Brien Julius V. Rasinski, Jr. Elton M. Rock Russell C. Spoto 1957 Bronson M. Berghorn John Bongiovanni Benny Celniker Frank J. Chafe! Marvin . Eisenberg Gerald Friedman Loria A. Gulino Barbara H. Hetzer Harris H. Kane! H. Klein Ross Markello Herbert Meisch Charles F. O'Connor Herbert Silver Robert B. Sussman Sherman Waldman 1960 William E. Abramson Joseph G. Antkowiak Robert Bernot Joseph A. Chazan Roger S. Dayer Gerard J. Diesfeld Algirdas Gamziukas Thomas Guttuso Donald A. Hammel John H. Harrington James R. Kanski, Jr. Harris M. Kenner Francis J. Klocke Harry L. Metcalf Don Rakowski Gerald L. Saks Robert H. Sauer Marvin Shapiro William J.Stein Irwin Steinberg John A. Tuyn 1958 Edward C. Alessi John V. Armenia Ronald E. Batt David A. Berkson Richard C. Boyle Manuel H. Brontman Robert C. Dickson Frederick W. Dischinger Domonic F. Falsetti Eugene Friedberg Michael T. Genco William L. Glazier Leo A. Kane Marie L. Kunz Lloyd H. Leve Michael A. Mazza Robert). Perez Lucien A. Potenza Richard A. Rahner Walter H. Rothman Samuel Shatkin Alfred M. Stein I. Waldman Richard D. Wasson Morton B. Weinberg Reinhardt W. Wende Franklin Zeplowilz Harold B. Zimmerman 1959 George R. Baeumler Mary Ann Z. Bishara Robert J. Brennen Donald L. Cohen 1961 Joel M. Bernstein Harold Brody Eugene A. Cimino Allan S. Disraeli Richard C. Hatch William Hewett orman E. Hornung Edwin J. Manning S. Rager Paul Schnalz Arthur T, Skarin Carl F. Szuter Ronald H. Usiak 1962 Joseph P. Armenia Martin Cowan Jack C. Fisher Anthony J. Floccare James E. Graber Mark P. Heilbrun Gordon R. Land Paul J. Loree Michael M. Madden Anthony P. Markello Philip D. Morey Robert G. ey William P. Scherer III Melvin J. Steinhard THE BUFF ALO PHYSICIAN �1963 James R. Blake Gordon I l. Burgess David T. Carboy Frank E. Ehrlich Ernest A. Falla Anthony M. Foti Anita J. Herbert William C. Heyden Donald A. Levine George Lockie Albert J. Maggioli David Malinov Richard 8. arins John A. Repicci Henry A. Scheuermann Carol M. Seidenstein Harvey Seidenstein Lawrence J. Sobocinski Robert B. Spielman George L. Steiner Eugene M. Sullivan, Jr. Charles S. Tirone John M. Wadsworth 1964 Jeffrey S. Carr Paul Cherkasky Michael Feinstein Anthony V. Ferrari Marvin z. Kurian Ronald . Mukamal R. Reitz Sheldon Rothfleisch Irving Sterman David J. Weinstein Richard E. Wolin David C. Ziegler 1965 William H. Adler, III William Bucher, Jr. Joseph G. Cardamone Michael S. Feinberg Jerald Giller Lawrence 8. Hurwitz Gary H. Jeffrey Calvin Marantz Robert . Schnitzler Daniel S. Schubert Joel Steckelman Louis Trachtman Harry D. Verby Benjamin J. Wherley 1966 Louis J. Antonucci Robert Barone Melvin Fox Jeffrey E. Lindenbaum John J. O'Connor William L. Sperling John E. Spoor Murray A. Yost. Jr. SUMMER, 1980 1967 Thomas Augustine, Jr. Robert M. Benson orman Berkowitz Richard H. Daffner David Dantzker Barry M. Epstein David J. Fugazzolo John W. Gibbs, Jr. Leon Hoffman Murray C. Kaplan Jacob S. Kriteman Roger J. LaGralla Roger J. Levine Anthony L. LoGalbo Donald E. Miller Harvey A. Schwartz J. Brian Sheedy Thomas P. Sheehan Arthur C. Sosis George S. Starr James M. Strosberg Linda Young Richard Young 1968 Stephen A. Barron William E. Clack Thomas J. Cumbo Lawrence J. Dobmeir Ronald J. Friedman Kenneth L. Jewel Brian Joseph Richard Kaine Z. Micah Kaplan Gary 0. Karch David Kramer Peter A. Mansky Robert A. Milch Robert D. Rodner Lawrence J. Schwartz John E. Shields, Jr. T.S. Sievenpiper B. Stroesser Benjamin J. Waldeck Charles Yablonsky 1969 Sogba K. Bosu James L. Cavalieri. II Laurence A. Citro William Cunningham Lang M. Dayton Russell G. Knapp. Jr. Daniel 8. Levin William K. 1ajor, Jr. Richard T. Milazzo, Jr. Warren Rothman Thomas S. Scanlon Wilbur L. Smith, Jr. Gerald D. Stinziano Barry A. Weinstein Madeline J. White 1970 Harold Bob Donald P. Copley Allen Davidoff Carl Ellison Charles A. Fischbein Ellen R. Fischbein Dennis]. Kraus Arthur M. Siegel Harold M. Vandersea Allan S. Wirtzer 1971 Richard M. Anscher Michael B. Baron Allen J. Berliner Jerald A. Bovino Barry Brotman Nicholas J. Capuana Mark S. Handler David E. Hoffman Donald H. Marcus Joel H. Paull Kenneth Solomon Richard I. Staiman William C. Sternfeld John M. Wendell Theodore 0. Witter 1972 Richard A. Berkson Harold B. Bob John J. D'Alessandro Ian M. Frankfort Robert B. Kroopnick Philip C. Moudy Dennis L. a tale Stuart Rubin Stuart R. Toledano Eugene P. Toner 1973 ancy L. Dunn Michael A. J laberman Jcffre> Herman Paul Kuritzky Sharon Kuritzky Dana P. Launer Mary Jane Massie Arthur W. Mruczek Ira H. Pores John E. Przylucki M. Sansone Charles E. Wiles. Ill 1974 Daniel R. Beckman James L. Budny Alan C. Burstein John H. Clark Edward A. Langford Daniel J. Morelli John C. Rowlingson Eric J. Russell Roy E. Seibel, Jr. Paul H. Wierzbieniec 19 1975 James Burdick Coley Cassiano Robert E. Fenzl Eileen I larrison Lillian Y. Li Thomas Rosenthal Stanley J. Sz rler Paul Trautman Dennis C. Whitehead 1976 Stephen Bien Michael Bye Timothy Gabryel James Kern John eander Geraldine K. Sledzieski Warren Thau Arnold Wax John Wiles 1977 Spencer G. Feldmann Helen M. Findley edra J. Harrison Michael S. Kressner Alan S. Kurilzk} Michael J.Lippman Jeffrey A. Mogerman Mark J. Polis Thomas A. Raab Albert chlisserman Carl J. Schmitt Richard P. Singer Reginald B. Stiles Robert M. Szabo Ronald A. Vidal Jonathan ll. Woodcock 1978 Roger f. Bowers Scott Goldstein Paul A. Paroski �Nine Faculty Members Retire Dr. Alford ine Medical School faculty members, who reached the age of 70 on or before the last day of August have retired. Collectively they have served the University 315 years. They are Ors. J. Edwin Alford, Theodore T. Bronk, Kamillo Flachs, Elmer Friedland, Eugene Lippshutz, William E. Mosher, Erwin eter, Miller H. Schuck, and Edgar A. Slotkin. All are emeritus. Or. Alford is a 1934 Medical School graduate. He has been on the faculty since 1946, and a clinical associate professor of surgery. From 1934 to 1938 he was an intern and resident at the Buffalo General Hospital in gynecology, protology and pathology. He was chief surgical resident in 1937-38. Dr. Alford is a Diplomate, American .Board of Surgery, American Board of Proctology and American Board of Colon and Rectal Surgery. In 1967-68 he was president of the latter organization. He is a Fellow, American College of Surgeons. He was president of the Buffalo General Hospital's Medical Board in 1971-73 and on the executive board for nine years. Dr. Alford has been active in a dozen state, national and international professional organizations. He was a Major in the U.S. Medical Corps from 1942-46. He has authored or co­ authored 20 papers for professional journals and contributed two chapters to a textbook, The Aged and High Risk Surgical Patient. In 1977 Dr. Alford was the recipient of the Clifford Emerson Hardwick Award of the American Society of Colon and Rectal Surgeons. Dr. Bronk, a graduate of the University of Pittsburgh and the George Washington University School of Medicine, has held a faculty appointment in pathology in the U/B School of Medicine since 1951. He is now a clinical associate professor. For five years, he was the representative from his department to the Faculty Council of the School. He interned at Allegheny General Hospital, Pittsburgh and took his residency at Mt. Sinai Hospital, Cleveland. He also had a fellowship there in 1946-47 and at Michael Reese Hospital, Chicago the next two years. Dr. Bronk is a Fellow, College of American Pathologists, and International Academy of Pathology, and American Society of Clinical Pathologists. Dr. Bronk A Oiplomate of the American Board of Pathology, he was formerly a member of the Board of Trustees of the Comprehensive Health Planning Council of Western ew York and is now a member of the Board of Directors of the area's Health Systems Agency. He is affiliated with a wide range of professional associations on local, state and national levels, and has held a series of offices with the New York State Division of the American Cancer Society. Or. Bronk shares his University duties with Mt. St. Mary's Hospital of iagara Falls (in Lewiston) where he is pathologist and director of laboratories. He has also been associated with the Buf­ falo VA Hospital. He graduated from medical school in 1938 only to have his residency interrupted by World War II. He saw military duty in both the U.S. and the Philippines, and was a Japanese prisoner-of­ war on Bataan and in Japan. 20 THE BUFF ALO PHYSICIA �Or. Flachs joined the faculty as a lecturer in 1954 and retired 25 years later as a clinical associate professor of radiology. He received his M.O. in 1936 from the University of Vienna, Austria. He took post graduate training in Stockholm, Sweden and at the Jewish Hospital in Cincinnati, Ohio. Dr. Flachs served in the United States Army from 1944 to 1946. He is a Fellow, American College of Radiology. He is affiliated with the Erie County Medical Center and the Veterans Administration Medical Center, and is a member of several professional societies. Dr. Friedland is a 1932 Medical School graduate and has been on the faculty since 1940. He is a clinical associate professor of medicine. He interned at the Buffalo City Hospital and took his residency (1937-1941)at the E.J. Meyer Memorial Hospital. He has been an attending physician there and at the Veterans Administra­ tion Medical Center, and assistant attending physician at Millard Fillmore Hospital. Dr. Friedland was medical director of the Cancer Detection Center at the VA from 1948-1970. He is a past president of the medical staff at Rosa Coplon Home and Infirmary. He is a Fellow, American College of Physicians, and a Diplomate, American Board of Internal Medicine. From 1942-1946 he was a Major in the Medical Corps with the 98th General Hospital. Dr. Lippschutz came to Buffalo in 1932 as an intern at Buffalo General Hospital. He graduated earlier that same year with an M.D. from Georgetown University where he also did his un­ dergraduate work. His first affiliation with the U/B School of Medicine was in 1934 when, having completed his residency at Meyer Memorial Hospi.tal, he was assigned as an assistant in medicine at Buffalo General. He has remained on both the General staff and the University faculty since that time, and is now associate vice presi­ dent of the Faculty of Health Sciences, a professor of medicine, and vice president of the medical staff at the hospital. He is a diplomate of the American Board of Internal Medicine in the field of cardiovascular diseases, and is a founding fell ow of the Council on Clinical Cardiology of the American Heart Associa­ tion. Dr. Lippschutz has been associated for a number of years with many of the activities of the Heart Association, receiving its Award of Merit in 1966. He has written widely in the field of diagnosis and treatment of heart disease. Dr. Mosher has been on the faculty since 1951. He is a clinical professor of social and preventive medicine and was Erie County Health Department Commissioner for 16 years. A native of Ohio, Or. Mosher received his medical degree from Syracuse Medical School in 1936 and his master's degree in public health from the Harvard School of Public Health in 1939. Except for a period from 1943-1946 when he served in the United States Navy, Dr. Mosher has worked in public health since 1937 when he joined the State Health Department as an epidemiologist­ in-training. Dr. Mosher is also proud of the neighborhood health centers that his department has established in the inner city and Lackawanna. "We have led the nation in neighborhood health care," he said. d- SUMMER, 1980 21 Dr. Fried/under Dr. Lippschutz �Dr. Mosher was appointed a deputy health commissioner for Erie County in 1950, first deputy commissioner in 1954 and health commissioner in 1959. He is the author of several scientific papers and a co-author of the book, "Long Term Childhood Illnesses." In 1972 he received the Hermann M. Biggs award for his outstanding work in public health from the ew York State Public Health Association. Dr. Mosher was named an outstanding citizen by The Buffalo Evening News in 1960. In 1965 he received a brotherhood award from the ational Conference of Christians and Jews. Dr. Mosher A native of Heidelberg, Germany, Dr. career of scientific study here since 1936. eter has pursued a Dr. eter is professor of microbiology at the Medical School and professor of clinical microbiology in the department of pediatrics at Children's Hospital. He is also director of bacteriology at Children's Hospital and consultant bacteriologist at Roswell Park Memorial Institute. Dr. Neter is an internationally known and highly respected microbiologist, immunologist and pediatrician. His outstanding achievements in research were recognized early in his career with the award of the University of Heidelberg's coveted gold medal before he came to Buffalo to work with Dr. Ernest Witebsky. "His 40 years of service, teaching, and research in clinical microbiology carry the hallmark of his uniqueness in approach to problems, his tremendous vitality in the execution of research, and his en­ cyclopedic knowledge in microbiology and immunology. Before the specialty of clinical microbiology was recognized or well defined, Dr. eter was practicing his skills in the forefront of the field with membership in the American Board of Pathology and American Board of Microbiology. He has been honored as Presi­ dent of many professional groups, including the ew York State Association of Public Health Laboratories, the Central ew York and Western ew York Branches of the ASM, the Laboratory Sec­ tion of the American Public Health Association, and the Medical Division of the Society of American Bacteriologists. His opinions and advice have been extensively sought as a consultant microbiologist, in the evaluation of the scientific work of his cohorts, and as an adviser to editors and publishers of a wide spec­ trum of professional journals. Dr. eter is an enthusiastic and effective teacher, who has instructed and inspired many students and colleagues. For this and his other contributions, he was recent­ ly recognized by his Alma Mater, the University of Heidelberg, with the presentation of an Honorary Doctorate of Medicine. Dr. eter has made numerous outstanding and original research contributions in his three major areas of interest: the etiology and diagnosis of disease, the chemotherapy of infections, and the characterization of endotoxins. These are critically and ar­ ticulately displayed in more than 200 published manuscripts and many books, chapters, and review articles. Several of these re­ main as classic works in the literature. 22 THE BUFFALO PHYSICIA �He received the 1977 Wyeth Award in clinical microbiology and in 1978 he received The Golden Medal of Merit and a Diploma from the German Government of the State of Baden-Wurttemberg at the Castle Ludwigsburg, Stuttgart. Dr. Schuck joined the faculty in 1943 and was an assistant clinical professor of medicine when he retired. He received both his B.S. and M.D. degrees from the University of Michigan in 1934 and 1936. Dr. Slotkin is a 1934 Medical School graduate and served on the faculty for 39 years. He is a clinical assistant professor of sur­ gery (urology). He took his post graduate training at Buff a lo General, Children's and the Royal Victoria Hospital in Montreal. Canada. He is a Fellow, American College of Surgeons and American Board of Urology. Dr. Slotkin's hospital affiliations in­ clude Buffalo General, Children's and the Erie County Medical Center. He has also been associated with the United States Public Health Service. From 1941 to 1945 he was a Major with the ew York State Guard, 65th Regiment. He has been active in several state and national professional organizations and has written several articles for scientific journals. □ Dr. Slotkin Dr. Nolan Dr. James P. olan has been named chairman of the department of medicine. He has been acting chairman the last 18 months. Dr. olan, professor of medicine at the University, will con­ tinue as chairman of the department of medicine at the Buffalo General Hospital. A cum laude medical graduate of Yale in 1955 Dr. olan com­ pleted his internship and residency in medicine at the Grace-New Haven Hospital after serving two years as Lt. Commander with the U.S. avy Medical Corps. He is a Fellow of the American College of Physicians; a Diplomate of the American Board of Internal Medicine; on the editorial advisory board of Journal of Medicine: Experimental and Clinical, and is a member of numerous professional societies. He came to Buffalo in 1963 as assistant professor of medicine from Yale University where he was instruc­ tor in medicine and associate physician at Grace- ew Haven Hospital. □ SUMMER, 1980 23 Dr. olan �Occupational Disease Conference Two medical students - John Santelli, 2nd year, and Marshall Goldstein, 3rd year, and Dr. Geri Kahn, an intern, headed an ad hoc committee that sponsored a one-day conference, "Diagnosis and Management of Occupational Disease." Co-sponsors were Roswell Park Memorial Institute, AMSA, the Medical School. Dr. Jacqueline Messite, a consultant in occupational medicine for the ational Institute for Occupational Safety and Health, noted that there were 162,000 occupational illnesses in the United Stales in 1977, over two million injuries at work, and more than 14,000 job related deaths. "What the patient does in terms of employ­ ment is just as important as the family history, the intake of food and alcohol. But the patient's working conditions are often ig­ nored." Dr. Messite and Dr. Arthur Frank of the Mt. Sinai Medical School showed an occupational history form so the worker can give a detailed description of his working conditions. Physicians should also check out the chemicals that go into the manufacture of products; check the patient's hobbies and his smoking habits. Dr. Donald Birmingham, chairman of the dermatology depart­ ment at Wayne State University, noted that dermatoses make up almost one-half of all cases of occupational diseases. "All doctors want to be detectives and should enjoy exploring conditions at an office or a factory." Dr. Alan Saltzman, M'67, assistant professor of medicine, presented an overview of environmental lung disease which are induced by dusts, antigens, fumes or gases. Dr. Jan ovak, M'70, assistant professor of medicine, talked about the predominant causes of the different types of hepatic in­ jury. He focused upon incidences of exposures to polyhalugenated buphenyls (PCBS), dioxin, and poly-vinyl chloride, which causes the extremely rare and incurable angiosurcoma. Dr. Stephen Barron, M'68, clinical assistant professor of neurology, described the tools he uses to quantify the signs and symptoms of peripheral nervous system disease. He also iden­ tified some of the problems facing a physician who wants to es­ tablish an occupational etiology for a disease for purposes of treat­ ment, prognosis or compensation. Attorney Sherry Bellissimo noted that doctors, lawyers, un­ ions and management must work together towards the solution of the occupational health problem. For 45 years he has represented members of the UAW and other unions. "For a worker to obtain compensation for an illness, all a physician must write is that 'it is reasonable to assume' that the disease is job related." Dr. Harry Sultz, dean of the School of Health Related Professions, said "occupational health is on the move and medical education will have to run to catch up. Management and labor are beginning to recognize their common interests." Dr. Sultz is engag­ ed in a study, as a representative of the Oil Chemical and Atomic Workers Union, with an epidemiologist from Hooker Chemical on the health of workers at the iagara Falls plant. □ 24 THE BUFF ALO PHYSICIA �M T W T JUNE F s s 14 21 28 15 1 1980 4 5 6 10 17 24 11 18 25 12 19 26 13 20 27 7 14 1 8 15 2 9 16 JULY 3 10 17 21 28 22 29 23 30 2 9 16 23 30 June 23 - A Julv 18 July 21 - B 4 - - - AUQUS\ 15 11 5 12 August 18 18 25 19 26 1 2 9 C September 12 8 September 15 15 22 29 D October 10 6 7 13 14 21 28 20 27 E F December 5 December 8 12 19 6 13 20 25 24 31 AUGUST 1 8 7 6 15 I 14 13 26 27 2 3 10 17 4 9 16 22 23 21 20 30 29 27 28 SEPTEMBER 5 6 4 3 12 I 13 10 11 - 24 31 7 14 20 27 21 28 4 11 5 12 18 25 19 26 1 8 2 9 14 15 13 19 20 21 22 27 28 29 26 DECEMBER 4 5 I 6 3 16 23 30 17 24 19 26 18 25 School of Medicine OCTOBER 1 3 2 10 I 8 9 15 22 29 17 24 31 16 23 30 4 10 17 24 11 18 25 1 2 8 29 9 16 23 30 11 10 17 18 24 25 31 JANUARY 1 5 12 19 26 6 13 20 27 7 14 21 28 Januarv 2 - 5 22 29 11 18 I 3 15 22 G 1981 8 FOUR WEEK MODULAR SCHEDULE 1980 - 1981 NOVEMBER NovembPr 10 - 16 23 30 October 13 Novemt,e, 7 - 3 January 5 H Januarv 30 5 7 I 6 12 8 15 22 29 12 13 20 27 19 26 2 I 9 16 23 30 J 10 17 24 31 7 14 21 28 4 jLJ 18 25 FEBRUARY 1 February 2 Februar 27 2 9 16 23 3 10 17 24 4 11 18 25 8 6 13 20 27 7 14 21 28 5 12 19 26 6 13 20 27 7 14 21 I 28 15 22 29 3 10 17 24 I 4 11 18 25 5 12 19 26 1 8 15 22 2 9 16 I 23 3 10 17 24 5 12 19 26 15 22 MARCH 1 March 2 - - March 27 2 9 16 23 3 10 17 24 March 30 JO 31 J 4 11 18 25 Anni 24 6 13 20 7 14 21 22 APRIL 2 9 16 23 Aprol27 27 28 29 30 5 12 19 6 13 1 K 8 15 8 I ' The School of Medicine will be converting from the traditional calen­ dar to a new four-week modular schedule for the clinical years begin­ ning with the 1980-81 academic year, according to Dr. Leonard Katz, associate dean of students and curricular affairs. In this new schedule all clinical rotations will start on Monday and will be based on four-week modules. The third and fourth year schedule will be syn­ chronized and most clinical departments will be utilizing this schedule for residents and alten­ dings.D MAY -- L Mav 22 May 25 -- M June 19 SUMMER, 1980 4 1\ 18 25 26 1 8 15 22 2 9 16 23 29 JO M T 20 7 14 21 29 JO 10 17 28 JUNE 4 11 18 31 5 12 19 6 13 20 7 14 21 24 25 26 27 28 W T F S S 27 J I Fourth Year Begins I July 21 (Module B) Third Year Begins August 18 {Module C) 25 �Fifth Annual Tennis Tourney John DeBerry Eighty medical students and faculty par­ ticipated in the fifth annual round-robin ten­ nis tournament in September. James Bronk, 3rd year student, was chairman of the picnic that attracted 150 people. The top three students were Charles icholson, 2nd year; Michael Wenzel, 1st year; Avanindra Jain, 4th year. The three faculty winners were: Drs. Alexander Brownie, David Myers and Ronald Somogyi. □ Clockwise from right: Ors. David Deon, Donald Rennie, Theodore Bronk, Leonard Kotz: Charles Bronk: Football: John Mogeli, Dr. John Richert: colling signals. icholson, Jomes �I Donna Oheman Judy Weiner Dr. Charles Elwood Avonindra Join SUMMER, 1980 Dr. Ronald Somogyi Dr. David Myers 27 Charles Timson �Home Peritoneal Dialysis A EW LOOK AT an old form of treatment for those in chronic renal failure has resulted in a program in home peritoneal dialysis now under way at the Erie County Medical Center, ac­ cording to Or. Rocco Venuto who heads it. An alternate treatment to hemodialysis, it also is available at the Veterans Hospital. He added that both treatments for those in chronic renal failure - peritoneal and hemodialysis - are provided on an inpatient as well as home care basis. "The kidneys of these patients are no longer able to filter out wastes or poisons in body tissues, a process essential to survival," he said. ot only does this service in peritoneal dialysis provide a more natural form of treatment - the body rather than a machine does the work of nonfunctioning kidneys - but patients have more control over lifestyle as well. "A patient on home care needs no help to perform the treatment, much of which takes place as he sleeps," he added. In hemodialysis, assistance is necessary. A slower treatment than hemodialysis - it takes 40 hours compared to 12 to 18. Dr. Venuto finds it a less traumatic ap­ proach to care of these patients. "In hemodialysis," he said, "the patient is hooked to a renal dialysis machine via a permanent shunt in the arm three times a week. It results in a more rapid change as well as adjustment in body chemistry," he said. In peritoneal dialysis, a permanent catheter is inserted into the peritoneal cavity of a patient's abdomen. And its dacron cuff soon attaches to the patient's skin. The skin, growing into the fibre, anchors the catheter in place. "This helps to prevent infec­ tion," Or. Venuto said. Dr. Venuto, Joyce Ate/son 28 THE BUFF ALO PHYSICIA �Then, all a patient need do before going to sleep, is to plug in the catheter to an uncomplicated cycler along the bedside on which bottles of a special fluid have been placed. And, while he sleeps (usually eight hours a night, five nights a week) gravity leads the fluid into the peritoneal cavity. This, in turn, prods poisons from nearby body tissues to filter through the peritoneum, a membrane lining abdominal walls and mix with the fluid which soon returns to the cycler via gravity. Then, on awakening, the patient need only unplug the connection and the treatment is complete. The fluid, Dr. Venuto said, mimics normal body chemistries. The cycler not only warms the fluid before it reaches the patient but measures its volume on return as well. "If the amount is not correct, an alarm will alert the patient," he said. Why peritoneal dialysis fell into disfavor for so many years was due to a high risk of infection. "A slower procedure, it re­ quires more plugging and unplugging of the patient to the machine," he said. But with better aseptic techniques - dis­ posable tubing, etc. - this is no longer a serious problem," he said. Which type of treatment is best for the patient is weekly patient care reviews. Then, after the most proach is determined, it is reviewed with the patient. home peritoneal dialysis care, the patient is trained avoid infection. discussed at positive ap­ If it is to be on ways to Since the onset of the home care program in peritoneal dialysis a year and a half ago - it was initiated by Dr. Evan Strong who is now in private practice in California - 11 patients have opted for the service. One, Dr. Venuto reports, is back work­ ing regularly. Its cost? Dr. Venuto is quick to point to home care as the least costly. "Getting the patient out of the hospital and home reduces not only medical costs but allows the patient more control over lifestyle." The psychological adjustment to dependency on a machine can be traumatic for some patients, he added. Initially he points to peritoneal dialysis as least costly. The cycler, less expensive than a dialysis machine has no need of filtered water. But, in the long run, he notes its higher costs due to disposable tubing and glass bottles. The Federal government picks up the tab. What may prove a problem to the patient is storage space. "At least 20 two-gallon bottles of fluid must be stored for home use," he said. He foresees early introduction of plastic bottles as somewhat alleviating the problem. Treatment for patients on home care is highly individualized. "These patients come in for a checkup once a month," he added. Currently receiving a very close look at the medical center is round-the-clock peritoneal dialysis. Says Dr. Venuto, "Because it provides the most normal body chemistry, the patient is left with a better sense of well being.'' □ SUMMER, 1980 29 Dr. Venuto is assistant professor of medicine and Buswell Fellow. �Residents, Interns Honored Certificates were awarded to 166 residents and interns who completed all or part of their specialty training at the University teaching hospitals. Chairing the University Residency Program Committee is Dr. Eugene R. Mindell, professor and chairman of orthopedics. Anesthesiology Resident - Dr. Michael J. Tamul Dermatology Residents - Ors. Cary E. Feibleman, Ronald R. Liteplo, Ronald J. Spector, Charles E. Vickerman, Jr., Robert M. Weiss Family Practice Residents - Ors. John F. Barksdale, John J. Bodkin, Asha Kaushal, Barry Kilbourne, Kevin Kulick, Paul H. Laughlin, Mark D. Lichtenstein, Ronald Marconi, James H. Matthews, Eric S. Miller, Robert A. Penney, Jr., John E. Plastino, Melvin I. Pohl, M. Ashraf Sahaf, Olivia Smith-Blackwell, Michael C. Welch Gynecology /Obstetrics Residents - Ors. Mariela Gilda C. Angtuaco, James E. Belcher, eda F. Ballon-Cruz, Giuseppe Caiola, S. Ender Dolen, Humberto Espinosa, Claudio Blacer Estacio, Daniel C. Gillick, John D. Manning, Cliphane W. McLeod, Cesar G. Ortines, Claudette Elizabeth Smith-Crump, Faustino T. Solid, Jr. Medicine Internships - (categorical medicine) Ors. Stewart R. Altmayer, Thomas R. Aversano, Mark L. Callman, Marc B. Daniels, Richard E. Kast, Jonathan Levi, Clifton L. Peay, Lois Polatnick, Allen 0. Rosen, Michael W. Sdao, Laurence J. Salin Residents Ors. Charles E. Andrews, Christopher J. Barde, John L. Bartis, Sandra A. Blakowski, Hartwig 0. Boepple, Kenneth James Clark, Jr., Gary I. Cohen, Francis M. Domurat, Michael H. Finck. Marshall A. Fogel. Danae M. Jeffrey, Robert A. Kloss, Charles L. Knuff, Justine A. Krawczyk, Edward B. Laub, Richard M. Lewis, Stefan Madajewicz, Arthur E. Mays, Jr., Herman S. Mogavero, ancy H. Nielsen, Warren W. 30 I Pleskow, Elizabeth A. Poplin, Robert S. Schulman, Geraldine Krypel Sledzieski, Jonathan H. Tress, Irwin R. Weinstein, Jan A. Winetz eurology Residents - Ors. Jitendra K. Baruah. Emilio Soria Duran, Antonio Gonzalez-Castro, Stephen Kereshi, Abdul M. Khatri, Sandra Gray Loychik, Mohammad Reza Samie, In­ Sook Jeong Shin, Parduman Singh eurosurgery ResidentDr. James L. Budny uclear Medicine Residents - Ors. oel G. Dias, Jaya M. Gana Orthopaedics Residents - Ors. Thomas A. Lombardo, Jr., John A. Moscato, Cole S. Northup, Stephen 0. Rycyna, Leo J. Scarpino, James A. Smith Otolaryngology Residents - Ors. Sadiq Mohammed El­ Kilany, Douglas V. Klotch, orbert J. Szymula Anatomical Pathology Residents - Ors. Bernardino S. Cruz, Hung Trong Dao, Danilo Medina Giron, Mohammad Bilal Malik, Vicente Marco, Dymphna Netto, Dung Anh guyen, Arun Parmanand Patel, Hai-Sun Shin Clinical Pathology Residents - Ors. John Edwin Asirwatham, orman 0. Kalmin Pediatrics Residents - Ors. Susan Holliday Barde, Marilyn A. Barker, Michael R. Bye, J. William Canavan, Peter M. Clemons, Jean Marcel Deray. itza Farhi Ellis, Michael A. Finer, Donald E. George, Thomas R. Gerbasi, Diane F. Green-El, Jon E. Jaffe, Roman Karpynec, Lynn D. Lambert, Charles A. ichter, Janet Shalwitz Psychiatry Residents - Ors. William E. Berlin, Luis Guillermo Blanco-Pinto, Neelakantam R. Jolepalem. Marc I. Savett, Meliton L. Tanhehco Physical Medicine & Rehabilitation Residents - Ors. Yun-Suk Alrutz, Emma K. Harrod, Tamarapu M. Srikrishnan THE BUFF ALO PHYSICIAN �Diagnostic Radiology Residents - Ors. Chitra A. Chandrasekhar, Syed Zafar Hasan Jafri, Palanichamy Rathinasamy Surgery Residents - (general surgery) Ors. Aziz Ahmad, Harbhajan Singh Ajrawat, Kamil Alpsan, William J. Anderoni, Russell W. Bessette, Richard Frederick Busch, lzidro Barbeito de Moraes, Fred H. Geisler, Arthur S. Greene, Maury Harris, John Charles Haumesser, Ming an Huang, Jeffrey K. Hoff­ man, Rosario R. Ippolito, Carlos Jorge Jimenez, Stephen J. Kaplan, Barlow S. Lynch, Philip J. Marra, Peter R. eumann, Diane M. Peters, Mark Jan Polis, Peter C. Sciarrino Raphael I. Shapiro, Matthew Hawley Weber: Charles Edward Wiles, III, She Ling Wong (cardio-thoracic surgery) Ors. Syed Tasnim Raza, Venkatesan Srinivasan (color & rectal surgery) Dr. George G. Barrios (plastic & reconstructive surgery) Drs. Rosario Robert Oppolito, Richard B. Linder­ man Urology Residents - Ors. Benjamin Iheukwumere Opara, G.V. agabhushana, Keith Fitzalbert Whitfield Russell. □ The Sou th Pacific Tales of the South Pacific were recounted long after 20 physicians returned from the 1979 Medical Alumni continuing education seminar in Tahiti. The long flight (13 air hours) was uneventful and expectations high as the traveling party, put together by the U/B Alumni Association and numbering 142 people in all, set off from Niagara Falls for Papeete via Oakland, California, arriving in Tahiti late evening. Days were spent enjoying absolutely breathtaking scenery from our hotel, the Tahara's, 10 stories built into the side of a mountain with the lobby and pool deck at the highest level. Everyone could see Moorea in the distance. It was another 200 steps from floor 10 down to the black sand palm-studded beach, shared with attractive natives. Highlights of the island side trips were Moorea, a short boat ride from downtown Papeete but still literally untouched by civilization, and Bora Bora, as romantic as it sounds and a short flight. Tahiti had many sights such as two waterfalls in its remote interior, an offshore "blow hole" where water spouted 50 feet in the air, the Paul Gauguin Museum and a seeming endless pagentry of Tahitian dancers and theatrical performers. Sports Medicine, Critical Care Medicine and Sexuality Function and Dysfunction were the three topics discussed by seminar participants. Or. Edmond J. Gicewicz, clinical professor of surgery and medical alumni president at that time, led the session on Sports medicine. Dr. John E. Przylucki, clinical instructor in surgery, handled critical care topics and Joann Carbone, R. . and a certified clinical specialist in mental health who is associated with the Veteran's Administration Hospital in Bay Pines, Florida led sessions on sexuality. □ SUMMER, 1980 31 .\fooreo �The dedication ceremonies. VA Dedication Better and more efficient medical care for patients was the theme touched on by the speakers at the dedication of the new $7 million Ambulatory Care Building of the Veterans Administration Medical Center. Several hundred people attended the outdoor ceremony. In his dedication address Dr. James C. Crutcher, chief medical director, VA department of medicine and surgery, Washington, D.C. noted that the new unit symbolizes "where we have come since 1946. In 33 years VA hospitals are affiliated with 103 medical and 53 dental schools. In the last decade the VA has assumed more responsibility for the care of veterans, 1.6 million. With the veteran population aging demands on the system will even be greater in the years ahead." The Washington physician predicted that in the future the VA hospitals will be a more integral resource of national health care. "We must continue to work for the ultimate good of all veterans. Our goal will continue to be quick, quality treatment so the patients can leave the hospital and go home." In his welcome Joseph Paris, medical center director, said "the new facility would benefit Buffalo and all of Western ew York. This building offers expanded space for laboratories, radiology, pharmacy and outpatient clinics. Waiting time will be reduced for incoming patients." Dean John aughton noted that this new facility will prepare physicians for years ahead. "We at the Medical School will con­ tinue to work with this teaching hospital to improve health care. This is a grand and glorious day for all of us - faculty, staff, veterans and their families." 32 THE BUFF ALO PHYS ICIA �U/B's vice president for health sciences Dr. F. Carter Pannill, Jr. brought personal good wishes from President Robert Ketter, who was unable to attend the ceremonies. "This teaching hospital is very important to the University. We will continue to combine our talents in the delivery of quality health care." Dr. Andrew Gage, chief of staff at the VA Medical Center, was the master of ceremonies and introduced several others who spoke briefly. They were William Lawson, Executive Director, Veterans Federal Coordinating Committee; Henry J. owak, Congressman, 37th district; Edward Rutkowski, Erie County Executive; and James D. Griffin, Buffalo Mayor. Dr. Gage also read a message from Governor Hugh Carey. The Stephen Sikora Post Band, American Legion o. 1322, provided the music on a warm, sunny August afternoon. JoAnn Gannon sang the National Anthem and God Bless America. The Rt. Rev. Msgr. E.G. Bogumil, Chief of Chaplain Services, gave the in­ vocation and The Reverend R.O. Liesinger, Chaplain, VA Medical Center, gave the benediction. □ oughton and other dignitaries cut the ribbon. Mayor Griffin Dr. Gage SUMMER, 1980 Deon 33 �; Ambulatory Care Center Approximately 600 patients a day visit the new ambulatory care facility at the Veterans Administration Medical Center. In addi­ tion to the emergency treatment and observation room there are 31 clinic rooms efficiently designed to move patients in and out easily and quickly. Three observation and treatment beds are used to aid physicians in making diagnosis of the patient's condi­ tion and to determine if hospitalization is necessary. There are other individual examining rooms in the three-floor, 54,000 square foot area. □ Sandy Trapasso. R. . taking patient's vital signs. Ruth Canty, clinical nurse specialist, with a patient. 34 THE BUFF ALO PHYSICIA �f Dr. Sotero Escorza visils with a patient. Edilh Duft, Jab technician, draws blood. Dr. K. Grewal and patient. Pharmacy service Mr. George Jones, chief of pharmacy, and assistants. 35 �Cancer Treatment HOPE FOR VICTIMS of cancer which has spread to the liver, primarily responsible for a large portion of the 50,000 deaths from colon and rectal cancer every year, is offered in a new treatment approach at the University of California at San Diego Medical Center developed by Dr. Robert M. Barone, M'66, and Or. John E. Byfield. Biopsies performed before and after treatment have con­ firmed that four patients have been free of tumors for periods ranging up to two and a half years following treatment with a combination chemotherapy and radiation. Four other patients are free of symptoms, with no signs of tumor re-growth. All are well past the six-month average survival period for cancer spread to the liver and may be presumed to be cured, according to Barone, who is assistant professor of Surgery at UCSD and chief of sur­ gical oncology at the Veterans Administration Hospital. La Jolla. The successful treatment involves a combination of x-ray and chemotherapy in which the drug Floxuridine (FUDR), a drug similar to 5-Fluorouracil, makes cancer cells more vulnerable to radiation when fed into the liver through a catheter in the hapac­ tic artery. Twelve x-ray treatments span a five-week period on a week-on, week-off schedule. (Success of similar therapy with a longer course of x-ray for cancer of the esophagus was recently reported by Byfield, Chief of Radiation Oncology at the Medical Center.) A new version of the treatment, in which an infusion pump that injects the FUDR on a continuing basis is implanted under the skin of the abdomen, is being tried at present with another four liver cancer patients, Barone said. This frees the patient from having to carry and care for the external device that has been used in the past. Like the pacemakers worn by heart patients, the 3-inch titanium disc with a flexible catheter connec­ ting to the liver artery enables patients to continue their normal life styles. They come to the hospital every 18 to 25 days to have I LET SEP'T\JM NEEDLESTOP AUXILIARY SEPTUM -- OtARGING FUJIO CHAMBER MODEL400 36 .,.isijjj THE BUFF ALO PHYSICIA , �the pump refilled in a 10-minute outpatient procedure. All four patients have tolerated the experimental implant well, Barone reported. The first pump has been functioning for seven months. , A new model of the subcutaneous infusion pump now being developed will enable the administration of any chemotherapeutic agent in addition to FUDR directly into any organ of the body, Dr. Barone said. "We are presently in the process of adapting this method to continuous systemic in­ travenous infusion for the treatment of widely-metastic tumors," he explained. "Receiving lower doses of chemotherapy on a con­ tinuing basis hopefully will destroy more cancer cells without the toxic side effects that sometimes accompany chemotherapy delivered by rapid intravenous injection." The inner chamber of the infusion pump which contains the chemotherapeutic agent is surrounded by an outer chamber filled with liquid Freon. The patient's body heat converts the Freon into a gas and the pressure exerted by the gas compresses the inner movable chamber and propels the drug through the catheter into the artery. The pressure exerted when the pump is refilled with the drug (through a percutaneous skin puncture) converts the Freon back into liquid state and the process is repeated. The importance of the implantable pump lies in its accep­ tance by patients who found the treatment unacceptable in terms of daily living when an external pump was used. Chemotherapy given through an artery enables delivery of the chemotherapeutic agent directly to the malignant cells on a constant basis. Theoretically chemotherapy given in this manner should be more effective because the drug will be present whenever the cancer cells are growing, the only time that most drugs are effective. The combination of FUDR chemotherapy and x-ray treatment which apparently has destroyed liver malignancies in eight cases did not achieve the hoped for result with 15 other patients who were treated. The cancer regressed initially in some cases but then grew back, Barone said. "We found the therapy most effective on cancers small enough not to have significantly impaired liver function. In other cases, the cancer cells were relatively resistant to the treatment. We are presently experimenting with other drugs to find one or a combination of drugs which will work on these resistant cells and make them more sensitive to radiation," he explained. Dr. Barone cautions that these results are only preliminary. "Although it appears that cancer spread to the liver can be arrested in some instances, we don't know as yet if the cancer will show up in other organs at a later time. Additional studies of this therapy are required. Cancer of the colon is the most common form of the disease in internal organs. There will be approximately 112,000 new cases of cancer of the colon and rectum this year and 50,000 deaths. One half of the deaths will result from spread of the cancer to the liver and subsequent fatal liver failure. □ SUMMER, 1980 37 Dr. Barone �Dr. Weldon Medical Pioneer Dr. Weldon Dr. Virginia Weldon, M'62, of St. Louis was among 10 women selected as "Women of Achievement" in 1978 by the St. Louis Globe-Democrat. The women were picked for making unique con­ tributions to the people of the community. Dr. Weldon was honored along with the other women at the traditional luncheon in February at the Chase-Park Plaza Hotel. The first "Women of Achievement" were selected in 1955. Dr. Weldon is a medical pioneer and an internationally known pediatric endocrinologist. She is a skilled medical practitioner and a caring mother. She is associate professor of pediatrics at Washington University School of Medicine; a member of scientific societies and active participant in neighborhood agencies and community health programs. As assistant to the vice chancellor for medical affairs at the School of Medicine, she is frequently in Washington as a liaison between the institution and government, and is recognized nationally as an authority on public grants and legislation affecting health care and medical education. But Or. Weldon's heart is also with the children she treats. Some of those are diabetics or suffer heart or kidney disease. Some are dwarfs, facing the heartache of growing up but not grow­ ing tall, children brought to St. Louis Children's Hospital from all over the world for diagnosis and treatment in a program pioneered by Dr. William Daughaday. Toronto-born (now an American citizen]. educated at Smith College and the University of Buffalo School of Medicine, she is medical adviser of the Greater St. Louis Human Growth Founda­ tion. As a medical scientist, she speaks of the physical problem, of its treatment through drugs and therapy, of research uncovering its hidden secrets. Dr. Weldon is part of a team which has developed and refined an effective test for growth hormone deficiency. With two professional schedules and two school schedules to be meshed, life at home is a blend of tight-ship organization and easy-going adaptability. But the family ties are close and time is set apart for relaxation and togetherness. She is a gifted classical pianist and relaxes with her music or, when her husband may be watching football, with her needlepoint. Her widowed mother, Mrs. John Verra!, lives just a block or so away. Every year the Weldons take a family spring vacation. This year it will be aboard a sailboat in the Caribbean. Dr. Weldon began her research into the problems of human growth at Johns Hopkins University, where she was intern, resi­ dent and instructor in pediatrics. In 1963, she married a fellow physician at Johns Hopkins, Dr. Clarence S. Weldon, chief resident in surgery, and five years later they came to St. Louis. Weldon, known to her and his colleagues as Larry, is now chief car­ diothoracic surgeon at Barnes Hospital and St. Louis Children's Hospital and head of the Division of Cardiothoracic Surgery at Washington University School of Medicine. Their daughters, Ann and Susan, are students at John Burroughs. □ 38 THE BUFFALO PHYSICIA �A $825,000 renovation and expansion of the Buffalo General Hospitals X-ray department is under way, according to Dr. Roy E. Seibel, head of diagnostic radiology and clinical associate professor of radiology. The proposed x-ray project calls for the ad­ dition of two or more rooms to the department, one for the majori­ ty of angiology procedures and a second for general radiology and fluoroscopy. Also provided within the framework of the plans is the purchase of an automated self-processing chest unit to replace existing equipment, some parts of which are over 20 years old. The proposed room for angiology procedures, except coronary arteriography and cardiac angiology, will be installed to meet the increased demands for angiology studies. Presently, these services are being performed in the cardiac catherization laboratory, which can no longer accommodate the angiographic studies because of the increased volume in both heart studies and other angiology procedures. Also, in the near future, nearly all angiology procedures presently being performed at the Deaconess division will be scheduled at the High Street site's X-ray Department. This will in­ crease the load by approximately 250 procedures per year. A pro­ jected total of 900 cases will be performed annually in this specially-equipped room. Donations help fund project According to the national planning guide for radiologic in­ stallation, Dr. Seibel said, utilization of the equipment at High Street is presently double the norm. Therefore, the additional general radiographic and fluoroscopic room and the installation of the new equipment to perform chest examinations will alleviate the present overcrowding and overloading of existing X-ray facilities and will permit expansion of the service capabilities necessary to a tertiary care, major teaching hospital. □ Dr. V. Bushan Bhardwaj has been appointed associate director of Deaconess Hospital's Family Practice Residency Training program. He was also named associate chairman of the depart­ ment of family medicine at the Medical School. He comes to Buf­ falo from SU Y/Stony Brook where he was an associate professor of family medicine. A native of Kenya, Dr. Bhardwaj was educated in England. ow a U.S. citizen, he is the first American physician to earn board certification in three specialties: family medicine, internal medi­ cine and pediatrics. While at Stony Brook, Dr. Bhardwaj was active in the develop­ ment and direction of undergraduate and graduate courses. He served as medical director of the Brentwood Family Health Center, Southsides Hospital and assistant director of the Family Medicine Residency Program at assau County Medical Center. Dr. Bhardwaj has contributed to family medicine in professional journals and has also authored a number of books dealing with preparation for medical examinations. He. has co­ authored a book entitled Specialty Board Review - Family Pra~­ tice and written a chapter in a comprehensive new textbook, Family Medicine: Principles and Practice. . . . . He is a Fellow of the Royal College of Physicians and active m 25 medical societies in the United States and England. □ X-Ray Renovations Dr. Bhardwaj Dr. Bhardwaj �Letter to the Editor Dear Sir: The Winter, 1979 Issue of the Buffalo Physician contained a discussion by Dr. Ed­ I?und Gicewicz on HM O's. I feel that equal lime should be given to an opposing view­ point. I am a full time family physician for The Health Care Plan, a staff model HMO in West Seneca, New York. The discussion by Dr. Gicewicz contained generalizations, irrelevant comparisons, half-truths and statements that are totally false. I would like to analyze and criticize Dr. Gicewicz's dis­ cussion point by point. He states that "HMO medicine is like Army medicine because physicians are on salary and there is not much incentive." As a full time physician working in an HMO, I can te~l you_ that my salary is very competitive with private practice, if you consider hours worked per week. I am also given cost of liv­ ing_raises yearly and merit "raises" yearly which are based on quality of care, patient acceptance, . reliabil_ity and productivity. I feel that he is speaking of financial incentive because all of the physicians that I work with get a great deal of professional incentive by giving quality care to patients at a reasonable and stable cost to the patient. Dr. Gicewicz implied that salaried physicians do not have any incentive to work hard. This would apply to university and full lime faculty attendings, I presume; and, carried one step further to any corporate or business person who is salaried. Does this mean any salaried person does not do his or her best because they are working for a set amount of money? Hardly! Dr. Gicewicz states "The Federal Govern­ ment General Accounting Office studied 14 various types of HMO's recently. They found 40 that three of them may achieve financial in­ d_epen?ence, five had a fair chance of being financially solvent, and six have a poor chance of survival." He goes on to state "This is a ringing indictment that most HMO's are marginal operations and go into financial limbo in a few years." The former statement is a generalization, and the latter, not only is a generalization, but a half-truth. The fact is that of the over 200 HMO's in America, there are over 115 federally qualified. Of the federally qualified less than 5% have failed. The most recent and blantant failure was an IPA model HMO in Colorado which has a membership of over 30,000 patients. This less than 5% failure rate for federally qualified HMO's is a far cry from the "ringing indict­ ment that most HMO's are marginal operations." Dr. Gicewicz goes on to make an irrelevant analogy by comparing the Federal Government's lack of success in Social Security, the Post Office, Railroads, and of all things, the Swine Flu Program. What these have to do with HMO's is beyond my com­ prehension, just as you might find it difficult to comprehend an analogy that I might make between successful Government programs and the success of HMO's. He also states that "HMO's are the product of politicians, bureaucrats, and social activists." He probably forgot to men­ tion that HMO's arose out of a labor move­ ment as a way to stabilize cost of medical care over 40 years ago, and in fact was started by an employer for the benefit of his employees. Today they are the product of the people. For today over 8 million people receive health care through the HMO, and it is predicted that by 1989 almost 20 million will be receiving care through HMO's. If the people didn't like them the people wouldn't subscribe, and the HMO's would not be prospering as they do today, and have been for over 40 years. He makes an absolutely true statement when he says "HMO is a prepaid health plan." This is by definition and I have no comment, but to agree. He also states "HMO's have enrolled very few indigent or elderly people," and don't offer open enrollment." In fact, HMO's offer THE BUFF ALO PHYSICIA �more open enrollment than their com­ petitors. They even enroll Medicaid and Medicare patients when allowed. Although the percentage of indigent and elderly peo­ ple is usually less than the general popula­ tion, it exceeds that of the Blue Plansfand, HMO's cannot refuse a patient with any chronic disease or pre-existing disease such as dialysis patients. How many private physicians refuse Medicaid or Medicare patients in their private practices in a com­ munity, or refuse to accept third party payments of any kind? Or. Gicewicz goes on to state that "HMO's have not directed their medical services to underserved areas." This is a problem to all of medicine and society, and not HMO's. If physicians were redistributed to serve in un­ derserved areas in private practice, there wouldn't be nearly as many underserved areas as there are now. This is not something that HMO's created and they cannot be ex­ pected to solve the problem alone. Or. Gicewicz makes the general statement that "HMO's have not been able to adequately control cost." I can tell you that the Health Care Plan has reduced hospitalization costs by more than 50% in the Western ew York area when compared to a comparable group of patients subscribing to Blue Cross and Blue Shield of Western ew York. Our out­ patient savings are not as impressive, but you must understand that our benefits are much more comprehensive, i.e., Well Baby Care, Immunizations, Routine Physicals, utritionist Services, etc. Dr. Gicewicz goes on to say that he "hopes that HMO doctors would come up with a solution to smoking, drinking and harmful drugs." Again this is problem of society and not just HMO's. We do, however, off er our patients programs for quiting smoking, therapy for alcohol and drug addiction and alcohol detoxification. HMO's in reality, do not prevent any more disease than the private sector of medicine because most diseases are not preventable. We off er a yearly comprehensive physical as a benefit, but this again does not prevent dis­ ease which couldn't be otherwise detected with a few lab tests and a blood pressure check. If you analyze it, maybe the $200.00 "executive physical" yearly is the real ripoff since most of the diseases picked up would be found with much less effort and cost. SUMMER, 1960 Or. Gicewicz also editorializes that "HMO's are not a good alternative to the private care of medicine; there is less humanization." This is strictly his opinion, and I would invite him to visit our facility and witness for himself what really goes on there. He would be shocked at how well the patients accept the care, and how "Humanization" is achieved. I would like to end with a brief editorial of my own. Since the opening in September of 1978 of the Health Care Plan, a small group of vocal physicians have constantly criticized and have exploited any mistakes we have made, and we have made some just as every physician group has. However, there is a larger group of professionals that do not criticize and exploit our mistakes. This latter group of physicians, I believe do not feel threatened by us, do not feel that we will take any significant number of loyal and hap­ py patients from them. I also feel that the criticizm is erupting from insecure physicians who fear HM O's and the "Feds" are going to take over medicine. I have never seen a Federal official in our facility, nor has anyone ever dictated to me how I should practice medicine at the Health Care Plan. Is our professional community so conservative that any new approach should be viewed with skepticism and criticized unjustly? Does it always boil down to monetary incentives or "what's it worth to do it" to make some physicians perform? I truly hope not. Is it necessary for the Gicewicz supporters to threaten our consultants with refusals to ref er patients to them if they do work for us? Am I viewing the actions of respons~ble professionals or emotionally irresponsible children? HMO's including the Health Care Plan are alternative private options for patients. We do not expec~ or e~en hope to care for a majority of patients m any com­ munity, but we not expect or ~cceP,t _blindly an unsupported criticism for bemg d1fferent and new.'' Sincerely yours, Ronald P. Santasiero, M.D. Clinical Instructor in Family Medicine Class of 1975 41 �Dr. Robert W. Lipsett, M'37, has been elected to the board of directors of the Deaconess Hospital Foundation. He is a clinical assistant professor of family prac­ The Classes tice. □ The Classes of the 1920's The Classes of the 1940's Dr. Milton A. Palmer, M'27, retired from his ophthalmology practice in January. He also retired as president of the Buffalo Eye Bank and Research Society. Inc. He has been active in many professional societies and is a Life Member of several. Dr. Palmer lives at 18 Park Blvd., Lancaster, N.Y. 14086.D Dr. Meyer H. Riwchun, M'27, and Mrs. Riwchun were named "Outstanding Citizens ews for of 1979" by the Buffalo Evening their dedication in working with the blind and nearly blind in Western ew York.□ Dr. Guy L. Hartman, M'46, recently received a citation from California's attorney general for outstanding contributions in the field of child abuse. Dr. Hartman is a professor of clinical pediatrics at the Univer­ sity of Southern California. He also represented the American Academy of Pediatrics on a state conference on children and youth. He lives at 1425 Ashland Avenue, Claremont, Ca. 91711.D The Classes of the 1950's The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, has been re-elected vice president of the Erie County Board of Health for 1980. He is clinical professor of pediatrics-emeritus. □ Dr. Carl E. Arbesman, M'35, clinical professor of medicine and microbiology, is the new president of the International Association of Allergology. □ Dr. James A. Mark, M'35, retired in January. He had been chief attending Ob/Gyn at St. Joseph's Hospital, Elmira, ew York. He lives at 97 Country Club Drive, Elmira, N.Y. 14905.D Dr. Willard G. Fischer, M'36, is the new president of the Foundation of the Deaconess Hospital. □ Dr. Bernard S. Stell, M'36, was one of the speakers at the Photographic Society of American Conference in Los Angeles in January. His topic: "Close-ups and More: It's Easy with Gadgets and Flash." Dr. Stell is retired and lives at 16029 Meadow Park Drive, Sun City, Arizona 85351.D 42 Dr. Karl Lee Manders, M'50, is assistant professor of surgery (neurosurgery) at In­ diana University School of Medicine. He is also director of the new baromedical unit at Community Hospital. He lives at 5845 Highgell Road, Indianapolis, Indiana 46218.D Dr. Victor A. Panaro, M'52, has been elected president of the ew York State Chapter, American College of Radiology. He is associate director of the Radiology Depart­ ment at the Erie County Medical Center and clinical professor of radiology at the Medical School. Dr. Panaro has served previously on the board of directors of the chapter and is a counselor to the American College of Radiology. □ Dr. Ronald F. Garvey, M'53, is a clinical professor of surgery at the University of Tex­ as Southwestern Medical School in Dallas. He recently completed a second term as chairman of the Medical Advisory Council of Parkland Hospital. Dr. Garvey has been re­ elected a Governor for Texas of the American College of Surgeons. He also serves as chief of surgery and director of the cancer center at St. Paul Hospital. He lives at 4606 Crooked Lane, Dallas 75229.D THE BUFF ALO PHYSICIA �Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer for the Surgical Staff Conference at the Millard Fillmore Hospital in February. He spoke about "Little Known Medical and Osteopathic College in Buffalo." Dr. Jones also addressed the 4th annual meeting of the Friends of the Health Science Library. □ Dr. Robert E. Reisman, M'56, has been in­ stalled as president of the American Academy of Allergy. He is a clinical professor of medicine and pediatrics at the Medical School and co-director of the Allergy Research Laboratory at Buffalo General Hospital. Dr. Reisman is an atten­ ding allergist in the Department of Pediatrics at Children's Hospital.□ Dr. Harold C. Castilone, M'57, has been elected to the board of directors of the Deaconess Hospital Foundation. He is a clinical assistant professor of Gyn/Ob.O Dr. Leo A. Kane, M'58, clinical assistant professor of anesthesiology, has been ap­ pointed Associate Director of the Anesthesiology Department at Children's Hospital. Dr. Kane was an attending anesthesiologist at Children's for 19 years and is a past Secretary of the Medical Board. He is a member of several medical associations and societies of anesthesiologists. He is a Diplomat of the American Board of Anesthesiology and a Fellow of the American College of Anesthesiologists. Past offices held by Dr. Kane include the Presidency of the Western ew York State Society of The Classes of the 1960's Dr. James R. Kanski, M'60, has been re­ elected vice president of the Medical Foun­ dation of Buffalo, Inc. He is a clinical associate professor of medicine. □ Dr. John I. Lauria, M'60, associate professor of anesthesiolo?y' has been . re­ elected president of the Erie County_ Med1~al Center's medical-dental staff. He 1s acting director of anesthesiology. □ Dr. Harry L. Metcalf, M'60, clinical assis­ tant professor of family medicine, ~as been appointed to the commission on public h~alth and scientific affairs of the American Academy of Family Physici~n_s. This group represents 46,000 family pract1t10ners.D Dr. Jeffrey S. Carr, M'64, is an internist. He lives at 63 Woodland Trail. Carmel. N.Y. 10512.D Dr. John E. Spoor, M'66, is director of_Stu­ denl Health Service at Oneonta State Umver­ sity in ew York. He has been a full-t~me emergency department physician for eight years. He authored an article, "Trauma Reponse Beyond the ABC's," that appeared in the February issue of Emergen­ cy. □ Dr. John S. Shields, M'68, is a Fellow in the American College of Gastroenterology. He lives at 29 Oak Lane, Hampton Bays, .Y. 11946.D Anesthesiologists. □ Dr. Kane The Classes of the 1970's Dr. Jeffrey s. Ross, M'70, is an assis~ant professor of pathology at Albany Me?1cal College. He is active in several st~te, _regional d national professional orgamzat1ons. He ~n associated with the Berkshire Medical ~enter, Pittsfield, Mass. His new home ad­ dress is 260 Beutrup Court, Leuok, Mass. 01240.D SUMMER, 1980 43 �Classes In July Dr. Eric Russell, M'74, will be an assistant professor of radiology at Rush Medical College, Rush Presbyterian-St. Luke's Medical Center, Chicago. He has been affiliated with the New York University Medical Center the last several years. During the last year he has authored several articles for professional journals. He is a senior member of the American Society of euro­ radiology, and is active in several other professional organizations. □ Dr. Diane Peters, M'75, is the first woman to head the trauma intensive care unit at the Erie County Medical Center. The assistant professor of surgery completed her residency at Buffalo General Hospital last year. □ Dr. David V. Vasily, M'75, is a der­ matologist who is living at 531 Viola Lane, Hellertown, Pa. 18055. Since 1978 he has written six articles for the Archives of Der­ matology; Journal of Dermatologic Surgery and Oncology; and the AMA Journal. □ Dr. William W. Wood, M'76, completed his psychiatry residency at the University of Wisconsin Hospitals. He is attending physi­ cian at three hospitals, Madison General, Methodist and St. Mary's. The Wood's live at 2650 Kendall Ave., Madison, Wi. 53705. They are expecting their firsl child in August. □ For six weeks Dr. Thomas H. Botsford, M'77, and a team from the Georgetown University Medical Center treated hundreds of cases of malaria and tuberculosis. His patients were not the thousands of Cam­ bodians whose hunger-starved faces scream­ ed out from newspaper pictures. They were, instead, the ones who survived - the ones who made it through the malaria-infested mountains and forests, traversed a border littered with land mines and stepped over bodies en route to refuge in grim camps in Thailand. Dr. Botsford was a member of the first Georgetown team to join the International Red Cross, the International Catholic Migra­ tion Commission and Thai church leaders in relief missions at Kam Put. Another team is there now and a third is scheduled to depart later this year. "It gave us a chance to make a con­ tribution," said Dr. Botsford. "We were able to see things we'll never see again. All of us grew as doctors and as people. "O 44 People Seven Buswell Fellows presented their scientific work at the fifth annual Buswell Research Day in March. The participants were: Drs. Emma Harrod, clinical associate professor of pediatrics; B.S. Kang, research associate professor of physiology; Alastair C. Kennedy and Rolf Stahl, research assistant professors of medicine; John Plewes, research assistant professor of physiology; Stanley J. Szefler, M'75, research assistant professor of pediatrics, pharmacology and therapeutics; and Joseph Wayne, 2nd year medical student. The dinner speaker was Dr. Thomas B. Tomasi, professor and chairman of immunology and professor of medicine, at the Mayo Clinic/Medical School, Rochester, Minnesota. □ Dr. Untae Kim, clinical associate professor of pathology and associate chief pathologist at Roswell Park Memorial Institute, received $44,059 to study the in­ teractions between tumor cell surfaces and the body's immune system which could lead to better understanding of the mechanisms involved in the spread of cancer cells. □ Dr. irmala Mudaliar, assistant professor of Gyn/Ob, is teaching medical students how to reduce patients' anxiety, discomfort and embarrassment during gynecologic ex­ aminations with the aid of teaching "surrogate ' patients. The surrogates, who are professionals in teaching and other fields, also help the students to learn the technical aspects of the examination. The surrogate program allows students to learn to com­ municate with patients before, during and after examinations. The program has been modeled after others in medical schools in Iowa, Indiana and Ohio. □ THE BUFF ALO PHYS ICIA �Dr. James McReynolds, associate professor of biophysical sciences, has receiv­ ed a $37,988 grant from Whitaker Foundation for his research in biomedical applications of mass spectrometry. □ Dr. Chan Jung, associate professor of biophysical sciences, has received a $42,100 grant from IH to aid him in his research in structure-function relationship of cell mem­ brane components. □ Dr. Michael Anbar, professor and chair­ man of biophysical sciences, has received three grants: Army Contract, $62,885; SF, $25,000 and IH, $85,391.0 Dr. Timothy J. Collard, clinical instructor in orthopedics, has been inducted as a Fellow of the American Academy of Orthopedic Surgeons. □ Dr. James T. Evans, research assistant professor of surgery and chief of surgical ser­ vice at Erie County Medical Center, has been appointed associate professor of surgery at the medical school. He will also serve as course director for UB medical students. □ Dr. D.A. Pragay, clinical associate professor of biochemistry/pathology and director of chemistry at the Erie County Medical Center, addressed the Latin American Congress of Clinical Bio-chemistry in San Salvadore recently. He received a diploma for distinguished service. □ Dr. E. Douglas Holyoke, research professor of surgery, has been elected co­ chairman of the Gastrointestinal Tumor Study Group. Dr. Holyoke is chief of Roswell Park's Surgical Oncology Department. The group has members from such cancer centers as the Mayo Clinic, Mt. Sinai, University of California at Los Angeles, and Memorial Sloan Kettering in ew York City; and is involved in carrying out cooperative studies in the more difficult and complex solid tumors of the gastrointestinal tract. Dr. Holyoke, also serves as vice-chairman of the ational Pancreatic Task Force, ational Cancer Institute Organ Site Program, and is a member of the Cancer Control Steering Committee of the Eastern Cooperative Oncology Group. A graduate of Harvard University Medical School, Dr. Holyoke has headed the Surgical Oncology Department since 1971.0 The University of Peru Cayetano Heredia, Lima, Peru, has named Dr. Gerald P. Murphy, director of Roswell Park Memorial Institute, an honorary professor. He was cited for his "important scientific con­ tributions to the knowledge and treatment of urologic cancer." Dr. Murphy is a research professor of urology at the Medical School. While in Lima, Dr. Murphy spoke at a meeting of the Peruvian Urological Society and also lectured at the Peruvian ational Cancer Center. □ Dr. Richard J. Johnson, chief of the radia­ tion medicine department, received $68,237 for Roswell Park's continued participation in hyperthermia and radiation sensitizer research with the Radiation Therapy On­ cology Group, composed of radiation therapy centers throughout the country, which con­ ducts trials and exchanges information on new treatment modalities. He is a clinical associate professor of radiology at the Medical School. □ Dr. Patrick J. Carmody has been ap­ pointed director of clinical laboratories at the Children's Hospital. He has been director of the perinatal laboratory and coordinator of the clinical laboratory council, and research associate professor of obstetrics and gynecology and research assistant professor of biochemistry at the Medical School. Prior to joining the Children's Hospital staff in 1971, Dr. Carmody was on the faculty of the University of Michigan School of Medicine. He received his Ph.D. in biochemistry from U/B.O The Fellowship program of the depart­ ment of otolaryngology has been approved by the Joint Committee of the Society of Head and Neck Surgeons and the American Socie­ ty for Head and eek Surgery. Dr. Douglas Klotch began this fellowship recently. He is a clinical associate. □ Dr. Byung H. Park, professor of pediatrics, has been awarded an IH grant in the amount of $133,797 for the period January 1, 1980 to December 31, 1982 for a study of Periodontitis and Host Defense in Juvenile SUMMER, 1980 Diabetes. □ 45 Dr. Carmody �People Three faculty members are the newly elected medical staff officers at Kenmore Mercy Hospital. Dr. Edward A. Rayhill, M'54, clinical assistant professor of family medicine, is the president. President-elect is Dr. George M. Sanderson, M'50, clinical assistant professor of anesthesiology, and Dr. Robert B. Corretore, M'56, is the new secretary-treasurer. He is a clinical assistant professor of family medicine and clinical in­ structor in medicine. Dr. Sanderson has been on the hospital staff since 1961 and is a Diplomat of the American Board of Anesthesiologists. Dr. Rayhill has been on the hospital staff since 1959.D Dr. Sung H. Choi, clinical assistant professor of radiology at the Medical School. has been named acting chief of radiology at Kenmore Mercy Hospital. He succeeds Dr. Robert H. Mintzer. □ Dr. Shinpei Ohki, associate professor of biophysical sciences, is the recipient of a $51,775 grant from IH for his work in mem­ brane excitability studies, the effects of Ca++ and of local anesthetics; mechanism of fusion of lipid vesicles studies with planar lipid bilayers; studies of the interaction of phospholipid vesicles using monolayer films. □ Dr. Fred M. Snell, professor of biophysical sciences, has an SF grant for $90,300 for his work with global ther­ modynamics - planetary energy exchange, modeling of the ocean-earth-atmosphere system using climatic statistics. □ Dr. Timothy J. Collard, clinical instructor in orthopedics, has been named a Fellow of the American Academy of Orthopedic Surgeons. □ The ational Institutes of Health have an­ nounced the appointment of Dr. Mary L. Voorhees, professor of pediatrics at Children's Hospital, to its ational Advisory Environmental Health Sciences Council. □ Dr. Tadla Baliah, assistant professor of pediatrics and physician on the Children's Hospital staff, has been certified by the American Board of Pediatric ephrology. The Board grants diplomas in treating childhood kidney problems. □ 46 Dr. Thomas S. Bumbalo, M'31, clinical professor of pediatrics-Emeritus, has been elected president of the board of directors of Hospice Buffalo, Inc., an organization providing care to adults terminally ill with cancer and to their families. Dr. C. Charles Bachmann, research instructor in alcoholism, Department of Medicine, was re-elected treasurer. Other officers are: vice president, Eugene P. Ulrich, re-elected; and secretary, Susan Russ. Dr. Walter Stafford, M'44, clinical associate professor of neurology and clinical associate in anatomical sciences, was elected to the board. Re-elected board members are: Dr. Donald P. Shedd, research professor of surgery and Dr. Robert A. Milch, M'68, clinical instructor in surgery. □ Dr. Frank Schimpfhauser, assistant dean for development and evaluation, received a 5-year, $230,000 grant from the ational Cancer Institute to develop cancer­ prevention courses that will serve as models for the United States. The assistant professor of social and preventive medicine believes that medical students must be made more aware of factors which influence the risk of cancer in patients. Students must also know how to interpret the results of studies that suggest risk. Jane Matthews, clinical assistant professor of social and preventive medicine, is co-investigator. □ Dr. Thomas A. O'Connor, M'70, clinical assistant professor of anesthesiology, has been named chairman of the Erie County Right-to-Life Party. Another Buffalo Physi­ cian, Dr. John McLaughlin, has been designated as the Erie County representative on the RTLP state committee, along with Dr. O'Connor's wife, Marie, and Stasia Vogle, a Hamburg attorney. □ Dr. Ru-Kan Lin, clinical assistant professor of radiology, has been elected president of the medical staff at Lafayette General Hospital. He has been on the staff for 19 years. Others elected: Ors. Abdul Bulbulia, vice president; Thomas Augustine, secretary; arhari Panchal, treasurer; Jacob Piazza, staff representative. □ THE BUFFALO PHYSICIA �Dr. Donald R. Cooney has been named associate chairman of the department of sur­ gery at Children's Hospital. He is an associate professor of surgery and pediatrics at the Medical School. Previously he was consultant in pediatric surgery and surgical research at the Mayo Clinic in Rochester, Minn., and assistant professor of surgery at the Mayo Medical School. □ Dr. Zew Wajsman, research assistant professor of urology, received a $36,640 grant from the ational Cancer Institute to continue collaborative studies with nine nationwide clinical institutions aimed at improving the care of bladder cancer patients. He is associate chief of the urologic oncology department at Roswell Park Memorial Dr. Theodore Putnam, clinical assistant professor of pediatrics, has assumed the of­ fice of president of the executive committee of the medical board of Children's Hospital. He is attending pediatrician at the hospital. Also elected were Ors. David Klein, associate professor of neurosurgery, president elect; Daniel Welner, clinical associate professor of pediatrics, vice president; and John Fisher, clinical assistant professor of pathology and pediatrics, secretary treasurer. □ Two faculty members are officers in the Western ew York Chapter of the American College of Surgeons. Dr. Joseph R. Gerbasi, M'62, clinical associate professor of surgery, is the new president. The new secretary is Dr. John L. Butsch, clinical assistant professor of medicine. □ Dr. T. Ming Chu, clinical assistant professor of biochemistry, received a $79,345 grant from the ational Cancer Institute to support a study of antigens which may be useful in the detection of prostate cancer earlier when it is more treatable. He is also director of diagnostic immunology research and biochemistry department at the Roswell Park Memorial Institute. □ The Medical Foundation of Buffalo, Inc. re-elected Dr. George F. Koepf. M'37, president-treasurer. He is also clinical assis­ tant professor of medicine. Dr. Herbert A. Hauptman, research prof essq_rof biophysical sciences, has three titles - vice president, executive director and research director. Dr. James R. Kanski, M'60, clinical associate professor of medicine, is also a vice presiden t.D Institute. □ Dr. Martin Wingate, professor of gyn/ob, heads a team of Millard Fillmore Hospital surgeons involved in a new program aimed at teaching microsurgery techniques to Medical School residents in obstetrics and gynecology. Two clinical assistant professors of gynecology and obstetrics, Drs. Harold Feldman, M'43, and Bhaskar Achor, are members of the team. The program provides comprehensive training in the use of the operating room microscope for procedures involving the Fallopian tubes. Dr. Wingate is also assistant dean for continuing medical education at the Medical School. □ Ors. Feldman, Wingate Dr. Adrian 0. Vladutiu, clinical associate professor of pathology, has been certified by the American Board of Pathology for special competence in Radioisotopic Pathology. He is the only physician holding such a certificate in Buffalo and among six pathologists cer­ tified in this field in ew York State. The director of the Clinical Immunopathology Laboratory al the Buffalo General Hospital has contributed many articles to professional journals. □ SUMMER, 1980 47 p eop } 8 �People Ors. Robert Seller and Raymond Bissonette have co-authored two articles for professional journals. "A Family Practice Residency Selective in Community­ University Service," in the Journal of on­ Medical Education; and "Medical compliance: A Cultural Perspective," in Man and Medicine. Dr. Seller is professor and chairman of family medicine, and Dr. Bissonette is associate professor of family medicine. □ Dr. R.E. Schlagenhauff, associate professor of neurology, presented a paper on "Computerized Frequency Analysis of Alpha Rhythm (EEG) in ormal Males/Females at the Fifth Pan American Congress of eurology.D Dr. Diane M. Jacobs, associate professor of microbiology, has been appointed to the Scientific Review Committee on Cancer, Cause and Prevention of the National Cancer Institute. □ Dr. Rama M. Guntupalli, clinical assistant professor, and assistant attending anesthesiologist at BGH, has been elected president of District VII of the ew York State Society of Anesthesiologists. Also elected were: Ors. Janice Olszowska, clinical instructor in anesthesiology, secretary; James P. Burdick, M'75, treasurer, and Kishore Divan, president-elect. □ Dr. Thomas 0. Daly, clinical assistant professor of pathology, has been appointed director of the pathology laboratories at Lockport Memorial Hospital. □ Dr. Venkataraman Balu, assistant professor of medicine, has been elected a Fellow of the American College of Chest Physicians. □ Health Research, Inc. has awarded $21,750 to the Division of Hematology with a sub­ contract to the University of Rochester School of Medicine for support of a Sickle Cell Screening and Counseling Project. Dr. James Humbert, associate professor of pediatrics and microbiology, is the principal investigator. □ Three faculty members have been elected officers of the medical staff at St. Joseph Intercommunity Hospital, Cheektowaga. Dr. William H. Merrilees, clinical instructor in­ Gyn/Ob, is the new president. Dr. Eugene J. Zygaj, M'50, clinical associate in Gyn/Ob, is vice president and Dr. Datta G. Wagle, clinical assistant professor of urology, is Dr. Robert H. Seller, professor and chair­ man of family medicine, received a three­ year $421,200 HEW grant for Predoctoral Training in Family Medicine. □ The division of allergy/clinical im­ munology at Children's Hospital and the Medical School has been awarded a three­ year $236,315 Allergy Disease Grant by the ational Institute of Allergies and Infectious Diseases. Dr. Elliott Middleton, Jr., professor of medicine and pediatrics, is the principal investigator. Collaborating investigators are: Ors. Elliot F. Ellis, professor and chariman of pediatrics; Stanley J. Szefler, M'75, research assistant professor of pediatrics, phar­ macology and therapeutics; David Triggle, professor and chairman of biochemical phar­ macology; Craig Venter, assistant professor of pharmacology and therapeutics; Mary Voorhess, professor of medicine; and Frederick E. Hargreave of McMaster Univer­ sity, Canada. □ Dr. Robin M. Bannerman, professor of medicine and pediatrics, and chief of the division of human genetics, has co-authored with P.H. Pinkerton, six chapters in a book Spontaneous Animal Models of Human Disease of the American College of Laboratory Animal Medicine Series by Academic Press, ew York. □ Dr. Raymond P. Bissonette, associate professor of family medicine, has been ap­ pointed to a second three-year term on the ew York State Mental Health Advisory secretary. □ Council. □ Dr. J. Craig Venter, assistant professor of pharmacology and therapeutics, received a $115,387 grant from the Asthma Center (19791982). He is the principal investigator. □ Dr. Frederick R. Downs, clinical instruc­ tor of family medicine, has been elected treasurer of the Medical Society of the Coun­ ty of Wyoming. □ 48 THE BUFF ALO PHYSIC IA �The Cystic Fibrosis Foundation awarded Disease for the study, "Factors Affecting Antibiotic Transport into the Airways." Dr. Michelle M. Cloutier, research assistant professor of pediatrics, is the principal investigator. □ $24,259 to the Division of Pulmonary Dr. Erwin eter, professor emeritus of pediatrics and microbiology, has been awarded Honorary Life Membership in the Reticuloendothelial Society, at their Annual Meeting, December 1979. This is the highest honor conferred by this Society and is a tribute to his contributions to knowledge of the reticuloendothelial system. □ The ational Cancer Institute awarded grants to three Medical School f acuity members, who are associated with Roswell Park Memorial Institute. Dr. Enrico Mihich, research professor of pharmacology and therapeutics, director of Experimental Therapeutics and Grace Drug Center, was awarded $102,268 to conduct laboratory studies on how certain drugs act on individual components of a patient's natural defense system. Dr. Avery A. Sandberg, research associate profes·sor of medicine, chief of Medicine C Department, was awarded $73,712 for devis­ ing systems which can better evaluate drugs to determine their potential in prostate cancer treatment. Dr. Charles E. Wenner, research professor of biochemistry, and Dr. L.D. Tom­ ei, principal research scientists, department of experimental biology, received $47,870 to investigate what effect co-carcinogens agents which have the ability to increase the effect of cancer causing substances - have on cell membranes. □ Dr. Leonard Weiss, research professor of dermatology and director of experimental pathology at Roswell Park Memorial Institute, is the author of a scientific paper published in the American Journal of Pathology. In the article Dr. Weiss discussed some non-exclusive mechanisms that could be responsible for differences between primary and secondary cancers. These in­ clude: random selection of metastasis­ forming cells; the existence of transient metastatic "compartments" within primary cancer; site-induced changes (modulation) occuring in the metastasizing cells after they arrive in the target organ; a combination of the three. □ Dr. Ben Morgan Jones, a 36-year-old psy­ chologist, has been appointed director of the Research Institute on Alcoholism. He replaces Dr. Cedric Smith, who resigned several months ago. The institute at 1021 Main St., Buffalo, is the state Health Department's principal alcoholism research agency and is associated with the Medical School. □ Award presentations during Medical Residents Day at Millard Fillmore Hospital were: (L-R) Dr. Painton, Sr., Dr. A. Vari, Dr. E. Jenis, Dr. Wax, Dr. H. Bernhard, and Dr. Gabryel. The Dr. Levy Award for outstanding bedside manner went to Dr. Timothy Gabryel, and the Dr. Postoloff Award for ex­ cellence in correlating laboratory science with clinical medicine was given to Dr. Anold Wax. The Or. Painton Award, selected by the residents, for excellence in teaching was presented to Dr. Andras Vari. □ Millard Pillmare Residents/Faculty The ational Cancer Institute awarded to Dr. Constantine Karakousis, clinical associate professor of surgery and chief of Soft Tissue-Melanoma Service, department of surgical oncology, Roswell Park Memorial Institute, to develop new ways of administering chemotherapeutic agents aimed at obtaining higher drug con­ centrations solely in the limbs of patients. The higher drug concentration in a limited anatomic area should improve the drugs' effectiveness against malignant tumors. □ $47,109 SUMMER, 1980 49 People �Admiring the new sign in front of Forber Holl 1s Deon oughton, Drs. Jomes Creighton, M'79, Leonard Kotz, and Roger Kaiser, M'79. The sign was a gift from the 1979 Medical School closs.O People Dr. Joseph J. Winiecki, clinical instructor in medicine, has been elected president of the medical staff at Buffalo General Hospital. Other elected officers are: president-elect, Dr. Irwin Friedman, clinical associate professor of medicine;· vice president, Dr. James Kanski, M'60, clinical associate professor of medicine; secretary, Dr. Michael Genco, M'58, clinical associate professor of neurology; and treasurer, Dr. Dale Skoog, clinical assistant professor of urology. □ Dr. Frank J. Bolgan, M'51, clinical associate professor of surgery, has been elected president of the medical staff at Millard Fillmore Hospital. Also elected were: Drs. Victor C. Lazarus, M'45, clinical assistant professor of urology, president­ elect; Peter S. D'Arrigo, clinical assistant professor of medicine, secretary; and Henry P. Carls, clinical associate in surgery, treasurer. □ 50 Dr. Pearay L. Ogra, professor of pediatrics, has been awarded an IH grant in the amount of $214,473 for the period September 30, 1979 to August 31, 1982 for the study of Immune Response to Respiratory Syncytial Virus in Man. □ Dr. Emanuel Lebenthal, associate professor of pediatrics, has been awarded a grant by Johnson & Johnson Inc. in the amount of $100,000 for the period December 1, 1979 to ovember 30, 1981 for the Evalua­ tion of Action and Effect of Administration of Lactose. □ Dr. Mario C. Rattazzi, associate professor of pediatrics, has been awarded a grant by the ational Foundation, March of Dimes, in the amount of $18,000 for the period September 1, 1979 to June 30, 1980. The grant is titled: The Domestic Cat for the Study of Therapeutic Aspects of Gm2 Gangliosidosis.O THE BUFF ALO PHYSICIAN �In Memoriam Dr. Sigmund A. Tarlowski, M'41, died March 7 in Sisters Hospital. The 61-year-old internist was a clinical assistant professor of medicine at the Medical School from 1949 to 1969. He interned at the E.J. Meyer Memorial Hospital and served in the Army Medical Corps from 1942 to 1946 as a Captain. He was on the medical staff of Sisters and Emergen­ cy Hospitals. He was active in several professional societies. □ Dr. Russell 8. Erickson, clinical assistant professor of orthopedics, died February 6. The 69-year-old chief of othropedic surgery at the VA Medical Center collapsed while driving his car. His special interest was prosthetics and he devoted much time to rehabilitating amputees. Or. Erickson also served on the staffs of Buffalo General and Children's Hospitals, and the Crippled Children's Guild. He was a Major in the Medical Corps during World War II. In 1973 he was honored by the ational Disabled American Veterans for distinguished service to disabled veterans. He was a Fellow of the American Academy of Orthopedic Surgeons. □ Dr. athaniel Kutzman, associate professor of urology-emeritus, died February 20 at the age of 81. He had been an attending surgeon at Buffalo General Hospital and an attending urologist at the VA Medical Center. He helped establish the department of urology at the VA. Dr. Kutzman was a past president of the Buffalo Urologic Society. He served in the Canadian Army during World War I. and was a Lieutenant Colonel in the United States Army Medical Corps during the second world war. □ Dr. Morris E. ewman, M'18, died February 26. He was 83 years old. He was founder and for 25 years chief of the former Buffalo Eye and Ear Hospital. He also helped establish the Buffalo Speech and Hearing Center. He retired in 1974 after more than 50 years in practice. He had been affiliated with Buffalo General, Deaconess, Children's and St. Francis Hospitals. □ SUMMER, 1980 Dr. Willard 8. Elliott, 57, professor of biochemistry for 30 years, died February 27 after a long battle with cancer. The director of graduate studies specialized in the study of effects of bee venom. He worked with the Buffalo General Hospital Allergy Research Laboratory to gain knowledge of venoms. His work was supported by the ational Institute of Allergy and Infectious Diseases. After serving as a lieutenant in com­ munications with the United States avy in the Pacific theatre in World War II, Dr. Elliott earned his doctorate in biochemistry from State University of Iowa in 1950. He was twice president of the Snyder-Central Organized Residents and in 1972 was presented with the Distinguished Service Award of the iagara Frontier Section of the Society for Applied Spectroscopy. He was ac­ tive in Boy Scouts for the last 20 years and organized week-long canoe trips for area scouts in Canada. Dr. Elliott was active in several professional organizations and had written 100 articles for scientific journals. He also was a reviewer for many scientific publications, an associate editor of Preparative Biochemistry, and a member of the editorial staff of Toxicon. Or. Elliott guided the research efforts of many graduate and post-doctoral students. He also found time to serve on many Medical School and University committees. Donations in Dr. Elliott's memory may be made to the Patient Fund at Roswell Park Memorial Institute. □ 51 �1980 Alumni Tours IRELAND July 9 -17 $655 Dublin Hotel Burlington (or similar] - 3 nights Limerick Inn or Limerick Ryan Hotel (or similar] in Shannon - 2 nights Mt. Brandon Hotel (or similar] in Tralee - 2 nights Continental breakfasts throughout FLY TIA DC 10 from iagara. CHINA (Limited Participation) August 1-19 People's Republic of China $3,390 from Rochester $3,050 from West Coast 3 nights Hong Kong; 2 nights Canton; 3 nights Shanghai; 4 nights in Shenyang (Mukden, Manchuria]; 4 nights Peking; 1 night Hong Kong, (all meals in China, plus full American breakfasts included; also 3 meals in Hong Kong. MUNICH/ PRAGU~ VIENNA August 10 - 22 $1699 to $1799 Munich Hilton - five nights Prague Intercontinental Hotel- 3 nights Vienna Hilton - 3 nights Full American Breakfasts and all dinners Fly Swissair 747 from ew York City Oberammergau Festival and Passion Play (optional - difference between $1699 and $1799). November 17-28 Hawaii with stop-overs in San Francisco and Las Vegas Depart JFK $977 Contact: J. Wm. Dock, Director, U/B Alumni Association, 250 Winspear Ave., Buffalo, .Y. 14215; Telephone: (716) 831-3567. 52 THE BUFF ALO PHYSICIA �A Message from Robert W. Schultz, M'65 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Schultz The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978)hove been printed in book form by State University of ew York Press, 99 Washington Avenue, /\/bony, . Y. 12246.The cost: S12.95. □ ------------------------------------------------------------------------------------------------111111 BUSINESS FIR T CLASS REPLY MAIL FFALO, .Y. PERMIT O. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, ew York 14214 8 NO POSTAGE STAMP ECE ARY IF MAILED I THE ITEDSTATES �THE BUFFALO PHYSICIAN ST ATE UNIVERSITY OF NEW YORK AT BUFF ALO 3435 MAI STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. [Please print or type all entries.) Name --------------------------------- Year MD Received ___ _ Office Address-----------------------------------------­ Home Address-----------------------------------------­ If not UB, MD received from-----------------------------------­ o D Specialty _____________________________ In Private Practice: Yes D In Academic Medicine: Yes D No D Part Time D Full Time D Schoo} ____________________ Title Other: Medical Society Memberships:-----------------------------------NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?-----. Please send copies of any publications, research or other original work. _ _ � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1980 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1980-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/906210a2b601fb4d25058ab41c4b3327.pdf 7ea4833eb728b8a029ee6676b9474bc3 PDF Text Text ) J'chool of ~edicine J'UNYIBuffalo �Dear Alumnus and Alumnae: Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Since writing to you earlier about the upcoming accreditation visit in October, 1980, I am pleased to report that the faculty, student body and administration have moved forward in the performance of the Institutional Self-Study with a great deal of enthusiasm. The Steering Committee and Task Force have now met several times, and five review committees are busily engaged in studying the strengths and weaknesses of the school's 23 active academic departments. The substance of their findings and reports, together with all of the available data dealing with the centralized functions of the medical school, will be brought before the Steering Committee and the Task Force for careful scrutiny and study. It is already evident that a large number of significant recommendations will be forthcoming later in the spring which should improve the quality of the overall educational environment and student performances. Thus, although a great deal remains to be accomplished in preparation for the accreditation visit, it appears as if the faculty, student body, and administration are moving forward in a unified manner toward the accomplishment of our stated goals and objectives. I admonish each of you, once again, to inform either my office or those of appropriate program directors, of concerns and advice that you might wish to offer toward the betterment of your medical school. r �Volume 14, Number 1 Spring1980 THE BUFFALO PHYSICIAN (USPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD IN THIS ISSUE Dean Naughton's Message (inside front cover) Editor ROBERTS. MCGRANAHAN Dean, School of Medicine DR. jOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor TERI ROBERTS CONSULT ANTS President, Medical Alumni Association DR. LAWRENCE CARDEN Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation jOHN M. CARTER Acting Director of Public Affairs HARRY JACKSON Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center "!Juffalo 2 3 4 11 12 15 16 17 18 20 21 22 23 24 26 28 30 31 32 33 34 36 38 40 44 45 51 52 Nine Class Reunions, May 10 Spring Clinical Days, May 10 The Class of 1983 National Cancer Grant The Family Asthma Program by Susan Siwiec The Clinical Years Summer Programs MECO/Cancer Education Faculty Honored Department Chiefs Dr. Sokal/Dr. Beltrami Summer Fellowships Transfer Students Emission Tomography Alumni Reception A Stereotactic Surgeon Iris Dedication Orthopaedic Residents Oncology Seminar/Pediatric Symposiums Dr. Alfano/Dr. Allen All Sports Day Sophomore Orientation Book Review by Dr. Ross Markello The Classes Continuing Medical Education People In Memoriam Alumni Tours Donald Watkins' cover design symbolizes the spring season. rLLP.lCJan VolUme 14 Number I ../)>ru'II/9/KJ r THE BUFFALO PHYSICIAN, Spring, 1980 - Volume 14, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1980 by The Buffalo Physician. SPRING, 1980 1 �Dr. Ke nn e th H. Eckh ert, M '35 Dr. Arthur Grab au , M' 45 Dr. Sidney An thane, M '50 Dr. Roge r Da ye r, M '60 Nine Class Reunions, May 10 Pic tu res were not avail a ble fo r Drs . Ma r y C atalan o, M'30; W illiam Hild eb rand , Jr ., M' 40; John Kent, M'55; and Josep h G. Card am on e, M'65 . Dr. Ja n Nov ak, M'70 Nine classes will have reunions during the 43rd annual Spring Clinical Days, May 10. Approximately 700 physicians and their wives will attend the reunion dinners. Several of the class reunion chairmen are pictured here. Dr. Mary L. Catalano of Buffalo is chairperson of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Winfield L. Butsch, Hamilton J. Clarke, Jacob I. Lampert, Marvin Sarles, Hyman N. Shapiro. (From New York State) Vincent I. Bonafede, Mt. Morris; Frances M. Carel, New York City; Anthony R. Cherry, Huntington; Benjamin S. Custer, Dunkirk; Ralph E. Delbridge, Rochester; Myron J. Dybich, Schenectady; Raymond J. Germain, Depew; Carleton A. Heist, Westfield; Arthur J. Horton, Bluff Point; James G. Kanski, Sr., Amherst; Myer W. Lynn, Walden; Daniel P. McMahon, Delmar; Harold H. Saxton, Mayville; Frank B. Smarzo, Livonia; Richard G. Taylor, Hamburg; Fred H. Volk, Attica. (From out of state) John E. Culp, Fort Wayne, Indiana; Shepard Quinby, Prescott, Arizona. (From Florida) Raymond L. Feldman , West Palm Beach; Robert S. Frucella, Hollywood; A.G. Jaroszewicz, Port Saint Lucie; James W. Jordan, Naples; Walter T. Murphy, Lake Park; William L. Seil, Lecanto; William H. Wehr, Lighthouse Point; Irving Wolfson, West Palm Beach.D This is a summary of responses to a questionnaire sent to alumrfi regarding Spring Clinical Days: one day only - yes 354, no 150; reunion Friday P.M. - yes 214, no 326; scientific papers 400, socio-economic papers 239.0 2 THE BUFFALO PHYSICIAN �43RD ANNUAL MEDICAL ALUMNI SPRING CLINICAL DAYS, MAY 10 Theme: Drug Therapy Update Tentative Program STATLER HOTEL -EMBASSY ROOM 8:00a.m. Registration 8:30a.m. WELCOME Lawrence Carden, M.D. '49 President, Medical Alumni Association Clinical Assistant Professor of Urology John Naughton, M.D., Dean, School of Medicine 8:45a.m. UPDATE ON DRUG THERAPY Moderator: Edward Carr, M.D., Professor and Chairman of Pharmacology and Therapeutics; Professor of Medicine 8:50a.m. LITHIUM by Anthony Markello, M.D. Clinical Assistant Professor of Psychiatry 9:10a.m. BETA BLOCKERS by Francis Klocke, M.D. '60 Professor of Medicine and Physiology 9:40a.m. CIMETADINE by Harold Bernhard, M.D. '49 Clinical Associate Professor of Medicine 10:00 a.m. GOVERNMENT REGULATION & MEDICAL PRACTICE by Louis Lasagne, M.D. Department of Pharmacology, University of Rochester School of Medicine and Dentistry 10:50 a.m. COFFEE BREAK 11:00 a.m. CANCER CHEMOTHERAPY, Adverse Reactions by Richard Cooper, M.D. Clinical Associate Professor of Medicine Clinical Assistant Professor of Otolaryngology 11:30 a.m. ANTIMICROBIAL THERAPY- STATE OF THE ART, 1980 by Louis Weinstein, M.D. Visiting Professor, Peter Bent Brigham Hospital 12:30 p.m. BUSINESS MEETING 1:15 p.m. STOCKTON KIMBALL MEMORIAL LUNCHEON and LECTURE IMAGES AND INTERNISTS Howard Spiro, M.D. Professor of Medicine Yale University School of Medicine Class Reunions: 1930, 1935, 1940, 1945, 1950, 1955, 1960, 1965, 1970 SPRING, 1980 3 �The Class of 1983 Dean Naughton Dean John Naughton, along with several other faculty members, officially welcomed the 135 new medical students at the opening orientation session in Butler Auditorium. "I hope to see all of you in May of 1983 at graduation ceremonies. You are embarking on an exciting career. You will have a new vocabulary, and learn about the wonders of science. Don't leave society behind you and cause a communication gap." Dr. Naughton told the students they were selected from a national pool of 40,000; 14,000 of you are enrolled in medical schools. He touched briefly on the history of the medical school and the university, and mentioned the past accomplishments of several faculty members. "You are in an era of an ecology explosion and an energy crisis. Because of limited resources you will have to learn how to do things better, at less cost. You must learn how to use the information you will assimilate in the next four years more effectively. Have fun and good luck," Dean Naughton concluded. Dr. Eugene Lippschutz, associate vice president for the Faculty of Health Sciences, reminded the students to take good care of their patients. "Don't get too involved with citizens rights and forget why you are here." The chairman of the admissions committee told the students something about themselves. Dr. Harry Metcalf said, "your average age is 22.6; 42 of you are women; 93 are men; 57 are from Western New York; 66 from downstate; 10 from upstate; and two from out of state; 22 are minorities. You were tops in your high school and college classes." 4 THE BUFFALO PHYSICIAN �Orientation speake rs : Drs. Lippschutz, Schimpfhauser, Richert, Naughton, Me tcalf, William s, Ka tz, Markell o. Dr. Leonard Katz told the 1983 class that they would be introduced to their clinical preceptor and a patient before classes began. The associate dean for student and curricular affairs urged the students to learn, work and socialize together and cooperate with others. Mr. Rudolph Williams, assistant dean and financial aid officer, said "I am here to help you, but that there was very little scholarship and loan money available." Dr. Frank Schimpfhauser, who heads the office of educational evaluation and research, told how his office works with students and faculty to improve teaching and learning. Dr. Ross Markello, assistant dean for graduate education, noted that events of the outside world are important. He suggested that the students read outside publications such as Science and The New England Journal of Medicine. "Your Buffalo experience may be the high point of your life. Get to know each other." There was a 4:30 p.m. picnic at the end of the first day with faculty and upper class students, plus tours, picture taking and briefings. Three second year students - Douglas Pleskow, Robert Chirlin and Stephen Pollack- played a prominent role during the three days of orientation. The new students also met many of their first semester professors. Dr. Martin E. Plaut, associate professor of medicine, told the students that their education is just beginning. "You must continue your reading forever and ever." The final day of orientation featured a clinical case presentation by clinical and basic science faculty, luncheon with preceptors and administrators and a hospital visit with the preceptors. The students heard patient X, a 15-year-old Olean, N.Y. boy, who had received a kidney transplant from his mother when he was seven years old. He told them he was in good health, had grown 17 inches and gained 80 pounds since his transplant. The mother felt no ill effects. "My son is a normal teen age kid. He works on the farm. The only thing he can't participate in is contact sports." d- SPRING, 1980 5 �Dr. Judith VanLiew The students asked questions of the teen-ager, his mother and Dr. Sidney Anthone, who performed the surgery. The professor of medicine touched briefly on the several surgical procedures. Dr. Anthone also mentioned that the patient underwent peritoneal dialysis and later bilateral nephrectomy in preparation for renal transplantation. Dr. Anthone also explained the techniques and history of dialysis and renal transplants. Patients over 60 years old are kept on dialysis, and no surgery is performed. He talked about the matching of kidneys from parents, siblings and cadavers; and the patient's post operative treatment with immunosuppressive drugs Solu medrol (Methylprednisolone). Medrol (Prednisolane) and Imuran (azathioprine). "There are 60 patients in Buffalo waiting for kidneys. Fourteen of our patients have been transplanted twice," Dr. Anthone said. Dr. Barry S. Eckert, assistant professor of anatomy, showed slides of the kidney and how it functions in his basic anatomy presentation. Dr. Judith Van Liew, associate professor of physiology, showed how the kidney regulates body water and responds to water excess and water deficit. Dr. John Wright, professor and chairman of pathology, mentioned three rejection reactions to kidney transplants hyperacute, acute and chronic. He explained the protection that the immune system provides and its rejection of foreign substances. Dr. Jerome Roth, assistant professor of pharmacology and therapeutics, told the students that without drugs for post operative treatment there would be no successful kidney transplants. He discussed briefly the structure of Medrol and Imuran and how they worked on the system. Dr. Roth also talked about the side effects of drugs. Dr. Wright moderated the panel discussion on non-biologic issues that followed. Ms. Shirley Kloner of the Buffalo General Hospital's social service department was on the panel with John DeBerry, a fourth year medical student; Dr. Norman Solkoff, professor of psychiatry, and Dr. Anthone. Th e clinical case pan el : Korn er, DeBerry, Drs. Solko ff, Anthone. 6 THE BUFFALO PHYSICIAN �Ms. Kloner talked about the stress and adjustment that a family experiences in such a surgical procedure. Most people have fears about medicine, the change in life-style , the future, and about death, while others can't cope with being well and want to return to the hospital. Others have serious economic problems. A medical student in a hospital setting has the responsibility to find the ethical and moral issues of a patient's problem, according to Mr. DeBerry. "You are part of the health team and may spend more time with the patient than others on the team. Often students can ask questions of patients that others can't." Robert Chirlin, head of the student orientation committee. SPRING, 1980 d- 7 �Clockwise from left: Drs. Clayton Peimer, John Wright, Robert Seller and Thomas Flanagan, Sidney Anthone, Donald Copley, Judith VanLiew and James Nunn. Dr. Solkoff noted that most of the follow-up research has been done on patients who have had successful kidney transplants. What is the feeling when the transplant is not successful? He suggested that there might be family and physician pressure on potential donors. "Can you have informed consent from a donor under pressure," he asked. In conclusion Dr. Anthone said, "a patient's quality of life is better with a kidney transplant, than on dialysis. Should the new kidney fail the patient can probably have another transplant. At the Friday luncheon for preceptors and students, Dr. Leonard Katz congratulated the students and faculty for their cooperation during the orientation. "It ran very smoothly and we are looJing forward to many good experiences with you during the next four years." Dr. Katz introduced Dr. Stephen Barron, clinical assistant professor of neurology, who is in charge of the preceptorship program for new students. Following the luncheon the students were introduced to clinical medicine by the preceptors in the several teaching hospitals. 8 THE BUFFALO PHYSICIAN �The 40 physician preceptors and the 10 departments represented are: Anesthesiology- Julie Cullen, Michael Madden; Family Medicine - Robert Corretore, Peter Goergen, Fred Hirsh, James Nunn, Larry Plumb, Robert Seller; Gynecology/Obstetrics -Stanford Copley, Rosendo Intengan, Robert Patterson, Emerson Reid, Russel Van Coevering, Murray Yost; Medicine - Israel Alvarez, Donald Copley, Robert Kohn, Donald Miller, Leonard Pallor, Charles Knupp, Laszlo Szimonisz, Ira Targoff; Neurology - Ellen Dickinson, Stephen Barron; Orthopedics - Clayton Peimer; Otolaryngology- Irwin Ginsberg, Sanford Hoffman, Joel Bernstein; Pediatrics- Robert Ehrenreich, Morris Fine, Robert J. Schulman, Dennis Sullivan; Surgery - Roland Anthone, Sidney Anthone, William Heyden, Robert Milch, Richard Peer; Urology -Ruben Cartagena, Joseph Dwoskin, Kevin Pranikoff.D d- Clockwise from right: The medical education office staff- Judy Gegenfurtner, Mary Shapiro, Dr. Leonard Katz, Barbara Harvey; Drs. Barry Eckert, Robert Patterson, Dennis Sullivan, Peter Nickerson, chairman of orientation committee, Irwin Ginsberg. �Clockwise from left: Drs. Joel Bernstein, Morris Fine, Donald Miller, William Heyden. The Preceptor's Luncheon Clockwise from right: Drs. Stephen Barron, co-chairman of the preceptor program, Israek Alvarez, Emerson Reid, Robert Kohn. �National Cancer Institute Grant The School of Medicine has received a 5-year, $726,296 grant from the National Cancer Institute for a clinical cancer education program. The special program will be directed to medical students, residents, fellows and members of the faculty, according to Dr. Leonard A. Katz, associate dean and principal investigator. The associate directors are Drs. John Wright, professor and chairman of pathology; Edward Henderson, research professor of medicine at the Roswell Park Memorial Institute and Frank Schimpfhauser, assistant dean for development and evaluation and assistant professor of social and preventive medicine. The project will involve the departments of medicine, pediatrics, pathology, radiation therapy, surgery, and head and neck surgery. The cancer education committee of the Medical School will also play an active role in the program, along with the teaching hospitals. Dr. Katz outlined five major goals of the programdevelop a Buffalo Cancer Syllabus to be used by all students, residents and fellows . It will cover the basic and clinical sciences and problem solving; there will be a new selected seminar type course for first year students; students will be able to pursue their individual interests in depth; there will be stipends for clinical assistantships for summer work in research and the clinical areas; there will be stipends for clinical associates for advanced resident trainees who will work as teachers and fellows in the several diciplines; there will be (one-day) monthly city-wide multi-diciplinary conferences. Dr. Katz noted that the syllabus will build upon information presented in regular courses in the Medical School and will expand this information to include clinical cases and resource material. It will be more of a study guide (not a text book) that will reflect the students' education in Buffalo. The syllabus will pull all available material together. Assistant project directors are Drs. Stephen Noyes, clinical instructor in medicine; Monica Spaulding, assistant professor of medicine; James M. Hassett, assistant professor of surgery; James R. Humbert, associate professor of pediatrics/microbiology; Richard Johnson, clinical associate professor of radiology; H .M. Dayem, clinical associate professor of radiology/nuclear medicine; John Lore, professor and chairman of otolaryngology, and F.J. Gaeta, associate professor of pathology. Marcia Patrignani is administrative assistant for the program.D SPRING, 1980 11 �~ - -~--- ---- ---- - --~ Bill Herma n Studio Photos / The Family Asthma Program / From left - Dr. Ehrenreich, Nick Pappas, Marta Gumtow, and Dr. Cropp. by Susan T. Siwiec, American Lung Association of WNY Writer Dr. Reisman and Felix Solo. 0 0 ..c a. In an effort to reduce morbidity associated with asthma, a positive health care program for asthmatics and their parents, the Family Asthma Program, was initiated in 1976 by the American Lung Association of Western New York and medical personnel at Buffalo's Children's Hospital. Spearheaded by Elliot F. Ellis, M.D., professor and chairman of Children's Hospital department of pediatrics in conjunction with the American Lung Association, the program is currently headed by pediatrics professor Gerd J.A. Cropp, M.D., Ph.D., director of the Children's Lung Center, Children's Hospital, Joan Trump, M.S.W., and Cathy Conboy, R.N., P.N.A., nurse coordinator of pediatric allergy worked actively with Dr. Ellis in the initial program. Presently, working with Dr. Cropp is a dedicated group of professionals and volunteers consisting of a nurse specialist, a social scientist, a psychologist, and two physical education specialists. The Family Asthma Program provides complementary care to the patient's medical treatment. It provides no medical treatment, nor does it serve as a substitute for medical care. Participants are enrolled in the program upon referral of their physician or as a result of self-referrals. Why such a concerted effort in the field of asthma? "It has become evident in the past few years that lung diseases in children constitute a major health problem in this country and should be assigned a high priority," states Dr. Cropp. For this reason, an ad hoc committee on pediatric lung disease of the Lung Association decided to concentrate its activities on this health problem. Thus the Family Asthma Program was begun. The Family Asthma Program has sought to educate parents while working with 12 THE BUFFALO PHYSICIAN �their asthmatic children. These children are taught better management of their asthma by exploring their physical capabilities and limitations. The goal of the Family Asthma Program is to reduce morbidity associated with asthma through patient education. Major objectives include greater knowledge by both the parent and child, increased physical buildup as well as improved self-image of the child, and evaluation of the program impact. The collection of data compiled throughout this program will also help the medical community to further understand the problems associated with asthma and the effectiveness of programs of this type. The family's involvement with the program begins with an interview and pre-testing which is conducted by Michele Alexander, Ph.D., research instructor/department of pediatrics. During the programs, asthmatics and parents meet in a group setting once a week for six weeks. While the parents meet in a classroom, the children, aged 12 and under, get together in a gym. During the first group session, action toward the first objective, increased knowledge, is begun immediately through education and counseling. Among the questions asked by parents are: What triggers an asthma attack? How active can their child be? How can their family better cope with the situation? How much will their child be able to participate in sports?- and so on. It is during these sessions that Dr. Cropp discusses the medical aspects of asthma. Robert Ehrenreich, M.D., clinical assistant professor of pediatrics, deals with parent effectiveness training and Robert Reisman, M.D., clinical professor of medicine/pediatrics, discusses asthma as viewed by an allergist. In addition, during the six weeks, Gary Graber, Ph.D., research assistant instructor in pediatrics, explains relaxation techniques and Dr. Alexander discusses behavior modification and self-management. The children have their own questions: Can I control my asthma attacks? Can I play football with the other kids? How can I get better? This program provides a forum in which these questions and problems can be discussed. As families share their experiences and acquire information from the staff and each other, there is a better understanding of the nature of asthma. A lessening of tension generated within the family results from the increased understanding. The second objective is the asthmatics' self-management. The goal is to help the child to greater independence and thus increase his self-esteem. For the children's portion, each of the twohour sessions is divided into four parts. The first is informational, followed by physical activities that begin on a moderate level and become more strenuous as the six weeks progress. Relaxation therapy comprises the third part of each session. The evening ends with swimming which is enjoyed tremendously by the children. dSPRING, 1980 13 �The psychosocial aspects which form the next step in the program are incorporated into the activities and relaxation therapy. As the child applies his newly learned techniques between sessions, he is better able to control his anxiety and fear. The use of relaxation methods thereby increases his positive selfimage. The final objective, evaluation of program impact, begins with the recording and evaluation of possible financial cost reduction in the treatment of asthma. A detailed form is filled covering all asthma related expenses for the previous year and is compared to the same form filled for the year following participation in the program. Peak flow measurement. Beverly Reczek and Nick Pappas. The end of a session, swimming for everyone. After the completion of the six-week program, each family is followed for one year. Documentation of each case from the time of pre-testing through the twelve-month follow-up period is vital. Responsibility for this aspect of the project has been undertaken by Dr. Alexander. This is the first Family Asthma Program which has utilized an extensive objective evaluation with long term follow-up. Dr. Cropp and his staff feel that the program has two focal points: 1. To help the asthmatic and his family and, 2. To collect statistical data that will provide needed knowledge for the medical community. Another aspect of this project is the dissemination of new information and advances in the field of asthma therapy to not only the medical community, but the public at large. To date, the Family Asthma Program has experienced considerable positive feedback from those previously enrolled in the program. As families call and are fitted into programs based on age, they begin recording their daily health experiences in diaries. It should be emphasized that the Family Asthma Program is an informational service providing complementary care to the patient's medical treatment. The program provides no medical treatment and should not be considered a substitute. It endeavors to provide techniques and information needed for an asthmatic and his family to act together in responsible care and management. Through the combined efforts of the Lung Association, which funded this program, and the dedicated family asthma team, the Family Asthma Program has become a reality with very positive results. Community organizations such as Canisius College, West Seneca Development Center, and State University College at Buffalo have also made an important contribution by donating facilities for the program's special needs. Information can be obtained by contacting Dr. Alexander at 885-7975 or the American Lung Association at 886-4655.0 14 THE BUFFALO PHYSICIAN �The Clinical Years The clinical years will give you an opportunity to know and follow your patients. This is just one thing that 157 third year students learned at the 2nd annual one-day orientation. The medical students started their clinical rotations the next day at the teaching hospitals. Four senior medical students - John Mageli, Myra Rosenstein, Coral Surgeon, and Anthony Unger - outlined briefly some of their experiences. They all agreed that "it was different than basic science classes, and they enjoyed every minute." Nine faculty members spoke about their respective disciplines. They were: Drs. Evan Calkins, professor of medicine; Joseph T. Aquilina, M'41, clinical professor of medicine; Paul Davis, professor of medicine; EllenS. Dickinson, clinical assistant professor of neurology; Marvin Herz, professor and chairman of psychiatry; S.K. Park, clinical associate professor of psychiatry; Erika Bruck, professor of pediatrics-emeritus; Linda Pessar, clinical assistant professor of psychiatry; and N.A. Mudaliar, assistant professor gyn/ob. Dr. Calkins told the students "to use their good common sense and put patient needs first. Grooming and appearance is important and part of being a professional." Dr. Davis suggested that they read, collect and assimilate vital information from medical journals. But he warned the students not to talk too much, "because often we think we know more than we do." In the morning session there were two audio-visual presentations - "Please Let Me Die," and "Who Should Survive" were shown and discussed. The first featured a 27-year-old man who was severely burned and had lost his eye sight. The second featured a new born baby with Down's Syndrome (mongolism). Drs. David M. Klein, associate professor of neurosurgery, and Marjorie M. Plumb, associate professor of psychology in the department of psychiatry, led the discussion. "This is an example of the clinical problems that you folks will face daily. You must know your own feelings and the feelings of your patients," Dr. Klein said. Dr. Plum discussed the legal and psychological questions: Who should decide and when should the decision be made regarding death? Are proxy decisions better than direct decisions? Other faculty members who led small group discussions were: Drs. Norman Chassin, clinical associate professor of medicine; Norman Solkoff, professor of psychology in the department of psychiatry; Martin Wingate, professor of gyn/ob; Leonard Katz, professor of medicine; and John Rickert, clinical assistant professor of social and preventive medicine. Dr. Philip D. Morey, clinical assistant professor of medicine, explained the evaluation forms and Dr. M. Luther Musselman, clinical professor of medicine and assistant dean, discussed the health insurance plan.O SPRING, 1980 15 Drs. Paul Davis, Evan Calkins Coral Surgeon �-- ~--- -~ -~ - - - --- --- - ·--"'- - ------ -- - - -~ Summer Programs One hundred and thirty-seven students participated in special summer programs in the medical school, according to Dr. John Richert, assistant dean. Thirty incoming medical/dental students got a head start in their education by completing histology/embryology during the summer. This was the fifth year for this special preparatory support program for credit. During the afternoon (June 11-August 3) the students took special courses in anatomy, biochemistry, biophysics and skills development. The professors involved were: Drs. E. Russell Hayes, Michael Meenaghan, Chester Glomski, Joseph Tomasulo and Ms. Audrey Vaughan. Eleven medical students enrolled in the 9-week accelerated program so they could graduate in three years. They each received 12 hours of credit. Dr. Jerry Roth directed the program in pharmacology and therapeutics and Dr. Arlene Collins was in charge of microbiology. Each student spends approximately 15 hours daily reading, listening to taped lectures, in labs or doing other types of self-study. Other professors involved in the accelerated program were: Drs. John Wright, Elliott Middleton and Alexander Brownie. Other summer programs that attracted students were: clinical cancer, American Cancer Society, medical education and community orientation, rehabilitation medicine, Howard Gioia Cystic Fibrosis Scholarship, psychiatry, externships at the VA Medical Center and Deaconess Hospital, family medicine, alcohol and substance abuse, environmental and occupational health, nutrition education, geriatric education, summer fellowships, Cotrans, accelerated and several special programs.D An informal lab dis cussion. Three students solve a problem. t I 16 THE BUFFALO PHYSICIAN �During the summer 26 first and second year medical students were introduced to primary care. Five of the students were in Jamestown, New York, while the others were in hospitals, health clinics and physicians' offices in the Buffalo area. For the first time there were students in Hamburg, Lockport, Andover, North Collins, Livonia, Forestville, Springville and Olean. The Medical Education Community Orientation (MECO) Program, sponsored by the American Medical Student Association, is in its third year. Two second year students, George Rafferty and Michael Cesar, directed the program. Most of the students were on six week stipends, while several worked for seven or eight weeks. Among the contributors were- the Annual Participating Fund for Medical Education (APFME) , New York State Academy of Family Physicians, Lamb Foundation, Jeffrey Fell, Gebbie Foundation, Buffalo Academy of Medicine, Medical Society of Erie County, and Cornell Foundation. There were also several private contributors. The 21 physicians participated voluntarily. Students and preceptors in the Buffalo area: Daniel Summers, Jr., Dr. Michael Noe; Stacey Ackerman, Dr. John McMahon; John Fisgus, Buffalo Medical Group; Ilene Sterman, Dr. Ulrich Bauer; Tom Kuhls, Dr. A. Merlino; Roberta Szczurek, Dr. John Conboy; Cornelia M. Jones, Dr. Winford Quick; Rod Robinson, Dr. James McDaniels; Laura Jenkins, Dr. Jacob Steinhart; Olga Gibbons, Dr. Harry Beirne; Augustus Oehmeng, Dr. Bushan Bhardwaj. (Other areas)- Catherine Bilodeau, Dr. William Fike, Olean; Alford Smith, Dr. Raag, Forestville; Margaret McDonnell, Dr. Tim Siepel, Springville; Diane C. Conlon, Dr. Matlin, Livonia; Diane M. Sinatra, Dr. Frederick Occhino, North Collins; David Kinnard, Dr. William Koch, Andover; James J. Czyrny, Dr. Harry Metcalf, Lockport; Helene Reichman, Dr. Paul Buerger, Lockport; Mitchell Posner, Dr. Donald Robinson, Hamburg. Dr. Bert Rappole, Jamestown was preceptor for students Amy Mason, Susan M. Stephens, Nancy Peters, Pat Baratta, and Donald Spadone.O Cancer Education Programs for 1980 f I April 2 - Lymphomas, Dr. Edward S. Henderson, research professor of medicine. May 7- Sarcoma, Dr. Monica B. Spaulding, assistant professor of medicine. June 4 - Neuroblastoma, Dr. Edward S. Henderson, research professor of medicine. No Fee; A.M.A. Category 1 credit; Call (716) 831-5329 for more information. SPRING, 1980 J 17 MECO Program �- - -- - - --~ - -- -------~~ Faculty Honored ~ . -~---------- - Five faculty members were honored at the annual Medical School faculty meeting. Dean John Naughton presented the Dean's Award to Dr. M. Luther Musselman for his "outstanding contributions" to the School of Medicine. He is a clinical associate professor of medicine, assistant dean and director of the University Health Service. Stockton Kimball awards for contributions to teaching, research and service went to Dr. Felix Milgram, professor and chairman of microbiology, and Dr. Barbara Rennick, professor of pharmacology and therapeutics. The Louis A. and Ruth Siegel awards ($500 each) for distinguished teaching went to Drs. Perry Hogan, associate professor of physiology and Imre Magoss, professor of urology. Three special House Staff Teaching Award Plaques were awarded to Drs. Christopher Barde, M'70, clinical assistant instructor in medicine; John VanTuyl, clinical assistant instructor in surgery; and Marcelino D'Souza, clinical assistant instructor in Gyn/Ob. Ten other faculty members were acknowledged for teaching excellence - Drs. Leon Farhi, professor of physiology; Norman Solkoff, professor of psychology, department of psychiatry; Alan Reynard, associate professor of pharmacology and therapeutics; John Wright, professor and chairman of pathology; Richard V. Lee, professor of medicine; Robert Milch, M'68, clinical instructor in surgery; Robert Welliver, research assistant professor of pediatrics; Ganesh Raghu, clinical assistant instructor in medicine; Mark Daniels, M'78, clinical assistant instructor in medicine; and Helen Findlay, M'77, clinical assistant instructor in medicine. Dr. Musselman, a 1937 Medical School graduate, has been on the faculty since 1947. He took his internship and residency at the Buffalo General Hospital. During World War II he was a Major in the United States Army. From 1942 to 1946 he served in North Africa, Europe, Japan and the Philippines. Dr. Musselman has been an active participant in various drug education programs at the local, national and international levels. He has also served on many university committees and at one time headed the Medical School's Admissions Committee. Dr. Muss elman Dr. Milgram was born in Poland and received his M.D. in 1947 from the University of Wroclaw. He joined the U/B faculty in 1958. In May, 1976 he received an Honorary Doctor of Medicine degree from the University of Vienna. This honor culminates 30 years as a creative scientist and educator. On graduation from the University of Wroclaw, the Polish-born physician joined its department of microbiology. It was then chaired by the noted bacteriologist/immunologist, Dr. Ludwig Hirszfeld. Under the European system however an M.D. degree is not automatically awarded on completion of medical school. Rather, one must go through at least two years of research and additional examinations. On the basis of his thesis on developing a mass examination for syphilis, Dr. Milgram was granted an M.D. degree. 18 THE BUFFALO PHYSICIAN .. �In 1951, a second degree, that of privat dozent which is equivalent to an American Ph.D. degree, was awarded to Dr. Milgram. He then proceeded through all of the steps in an academic career. In 1954, at the age of 34, starting as professor of microbiology, he was active in research, teaching, and editorial work. With Professor Hirszfeld and some of his associates, Dr. Milgram created the Institute of Immunology and Experimental Therapy at the Polish Academy of Science in Wroclaw in 1954. After Hirszfeld's death that year, Dr. Milgram became acting microbiology chairman as well as acting director of the Institute. Over the next three years (from 1954 to 1957) he was professor and chairman of the department of microbiology at the Silesia School of Medicine in Zabrze-Rikitnica, Poland where he was instrumental in establishing a well-known group of young immunologists. After leaving Poland in 1957 and before arriving in this country, he was visiting scientist at the Pasteur Institute in Paris where he worked with Professor Pierre Grabar, noted for his pioneering work in immunofluorescence. While his research activities are mainly in the field of tissue and tumor immunology, blood group, transplantation, there have also been important studies on natural antibodies as well as on the serodiagnosis of syphilis, rheumatoid arthritis and infection mononucleosis. He is also well known for his studies on tissue specificity. These have led to the discovery of a new category of tissue-specific antigens. And he has elucidated the nature of rheumatoid factor, and an antibody associated with rheumatoid arthritis. Together with Drs. Kyoichi Kano, David Hume, and Mel Williams, Dr. Milgram discovered a form of renal graft rejection which is mediated by humoral antibodies. Author of over 300 scientific publications, his scientific achievements rank him among the leading immunologists in the field. Dr. Milgram Dr.Rennick has been on the Medical School faculty since 1965. She received her bachelor's and master's degrees from Wayne University in Detroit in 1942 and 1944, respectively. She received her M.D. from the University of Michigan in 1950. Before coming to Buffalo she was at Upstate Medical Center, Syracuse, Mount Holyoke College, and the University of Cincinnati. In 1974-75 she was the acting chairman of the department of pharmacology and therapeutics. She has served on numerous committees and is active in several professional organizations. .. ... Student Awards Eight second and third year medical students also received awards at the annual faculty meeting. They were: Charles Baudo Award - (A third year student who has best demonstrated a superior fund of knowledge and personal sensitivity for the practice of Family Medicine) -David Duani Edward L. Curvish, M.D. Award - (Highest record in Biochemistry in first year)- Thomas Lane SPRING, 1980 19 d- �~-- -- ~----------- --- ~ - ~ -- - James A. Gibson & Wayne J. Atwell Award~ (Highest record in anatomy in first year]- Donald Cohen Douglas S. Riggs Award - (Academic excellence in Pharmacology] -Linda Paradowski John B. Sheffer Award - (Demonstration of academic excellence in the practical application of pathology]- Lee Yang Kornell L. Terplan Award - (Demonstration of the best knowledge of Pathology in the sophomore year] - Linda Paradowski Ernest Witebsky Memorial Award (Proficiency in Microbiology]- James J. Czyrny Farney R. Wurlitzer Award - (Outstanding work in Psychiatry) - Thomas Pullano; Honorable Mention - Margaret ParoskiD Sisters Department Chiefs Step Down Dr. Charles P. Voltz, M'39, died March 2 in St. Francis Hospital after a brief illness . After a combined 39 years of dedicated service to Sisters Hospital, three of Sisters Hospital's physicians have stepped down from their positions as department heads. Dr. Charles Voltz, clinical assistant professor of medicine, a member of the medical staff for over three decades has relinquished the reins as Director of Ambulatory Services and Director of Medical Education. Dr. Voltz continues his services to the hospital as Director of the Employee Health Service and Chairman of the Ambulatory Care Committee. Dr. Anthony Manzella and Dr. John Edwards, associate professor of medicine/pediatrics, now directs the Ambulatory Services Department on an interim basis until a new director is appointed. Dr. Joseph Link, clinical instructor in pediatrics, has ended his tenure as Chief of Pediatrics after 18 years. Dr. Link joined Sisters' staff in 1948 and will continue to serve on the staff. Dr. Floyd Zaepfel, M'41, clinical assistant professor of surgery, has stepped down after 23 years as Chief of Surgery. He has been a member of the medical staff since 1940 and like Dr. Voltz and Dr. Link, he will continue to serve on staff. Dr. Manzella becomes the new Chief of Surgery.D 20 THE BUFFALO PHYSICIAN �.. Dr. Joseph E. Sokal, research professor of medicine, who retired earlier this year after serving for 24 years as chief of Roswell Park Memorial Institute's Medicine B Department, received the 1979 William H. Wehr Award for outstanding work in the fight against cancer. Dr. Sokal joined Roswell Park in 1955. Active as both a researcher and clinician, he made many contributions in the field of carbohydrate metabolism and endocrinology. He was among the first to apply immunotherapy in cancer treatment. Most significant was his work with immune stimulating agents such as BCG, a tuberculin vaccine, which improved survival rates for leukemia patients. A native of Poland, Dr. Sokal grew up in New York City and is a graduate of Columbia University and the Yale University Medical School in 1940. At Yale he was a Markle Scholar in medical science and held a Medical Research Fellowship awarded by the Jane Coffin Childs Memorial Fund. During World War II, he served in the Pacific Theater of Operations and was among the first U.S. Occupation Forces to enter Japan. Holder of several combat decorations, he was recalled to active duty in the Korean War, serving mainly as a division surgeon in the United States and Germany. Currently associated with Duke University, Dr. Sokal remains on the Roswell Park staff as a consultant. Dr. Wehr, who was acting director of Roswell Park during World War II, retired in 1968. He was a pioneer in the use of radium for cancer treatment and instrumental in developing Roswell Park's medical educational program.O Dr. Sakal Dr. Eugene L. Beltrami, M'54, has been appointed medical director for Blue Cross of Western New York, Inc. He will have reponsibilities for determining medical policy in claims review and will work closely with hospital utilization review committees fn helping to bring about better utilization of hospital beds and more efficient use of auxiliary services, such as laboratory tests, etc. He will work cooperatively with medical staffs of hospitals in the more timely review of problems relating to hospital claims and also act as liaison between Blue Cross Plan and the hospital's medical staffs. Jointly, through improved utilization review they will be working toward the assurance of quality health care in all participating hospitals in the eight counties of Western New York. A native of Buffalo, New York, Dr. Beltrami did his internship and residency at Deaconess Hospital of Buffalo. He will continue to conduct a private practice in Snyder, New York. He serves on the medical staffs of St. Joseph's Intercommunity Hospital in Cheektowaga, New York and Millard Fillmore Suburban Hospital in Williamsville, New York. He also is a clinical assistant professor at the Medical School. Dr. Beltrami is a member of the American College of Utilization Review Physicians, American Academy of Medical Directors and the Medical Societies of the State of New York and Erie County. A former captain in the U.S. Army Medical Corp he served from 1956 to 1958. Before entering medical school he taught science for three years in Buffalo City High Schools.D Dr. Beltrami SPRING, 1980 21 Dr. Beltrami �----------- Summer Fellowships Other committee members Doctors Michael Anbar, professor and chairman of biophysical sciences; Harry Beirne, clinical assistant professor of pediatrics; Murray Ettinger, associate professor of biochemistry; Floyd Green, professor of medicine; Diane Jacobs, assistant professor of microbiology; Edwin Mirand, head, Roswell Park Memorial Institute Graduate Division; Timothy Siepel, clinical instructor of family medicine; Mary Voorhess, professor of pediatrics; John Wright, professor and chairman, department of pathology; Randolph Sarnacki, education research associate, Office of Medical Education. Students: Marvin Maisonave, Brett Shulman. - Seventeen Medical Students participated in the annual summer fellowship program, according to Dr. John Edwards, associate professor of medicine, who is program chairman. Each student received from $800 to $1,000 for eight or nine weeks of work in medical research in the basic sciences and community health problems. The program is funded by the American Cancer Society, SKLAROW, Annual Participating Fund for Medical Education and the bio-medical general research support grant. Five students, Deborah Malumed, Patrick Marabella, Gerald Peer, Kevin Welch and Peter Yeracaris, are continuing their research that they started in 1977 and 1978 when they won a summer fellowship. Others in the program include first and second year students. Alan Bober, Project: Alterations in Electrical Propagation Velocity in the Myocardium in Response to Hypothermia versus Ischemic Injury; Sponsor: Dr. John H. Siegel, Surgery, Buffalo General Hospital. Joseph Failla, Project: Evaluation of Microneurorraphy Technique in the Ulnar Nerve of Cats; Sponsor: Dr. Clayton Peimer, Orthopedics. Richard V. Grazi, Project: A Study of the Incidence of Chromosomal Anomalies in Teenage Pregnancies; Sponsor: Dr. R. Redheendran, Human Genetics. Janice Kurth, Project: Clinical Assessment of the Strength of Remodelled Bone; Sponsor: Dr. E.R. Mindell, Orthopedic Surgery, Erie County Medical Center. Deborah Malumed, Project: Intrafamilial Factors in the Placement of the Elderly; Sponsor: Dr. Evan Calkins, Geriatrics; Dr. Norman Solkoff, Psychiatry. Patrick Marabella, Project: Treatment of Inoperable Lung Cancer, Combined Modality Approach; Sponsor: Dr. Hiroshi Takita, Thoracic Surgery, Roswell Park Memorial Institute. Ralph Mastrangelo, Project: Tumoricidal Properties of a Cancer-Associated Galactosyltransferase Acceptor (CAGA); Sponsor: Dr. Milton Weiser, Gastroenterology, Erie County Medical Center. Charles Nicholson, Project: The Kinetics of Copper Uptake by Isolated Cells; Sponsor: Dr. Murray Ettinger, Biochemistry. Gerald Peer, Project: Use of Small Tidal Volumes to Study Gas Mixing in the Upper Airways; Sponsor: Dr. H.D. VanLiew, Physiology. John Santelli, Project: Socioeconomic Status and Maternal Age As Factors in the Outcome of Pregnancy, Buffalo, N.Y. 1972-77; Sponsor: Dr. Henry Staub, Children's Hospital. Heidi Shale, Project: Ultrastructure of the Nerve Cell Initial Axon Segment and Axon Hillock: Correlations with Function in Normal and Pathophysiological Conditions; Sponsor: Dr. Donald Faber, Physiology. Sharon Silbiger, Project: To Determine the Second Generational Effects of Trauma on the Offspring of the Survivors of the Second World War Holocaust; Sponsor: Dr. Norman Solkoff, Psychiatry, Erie County Medical Center. Abraham Snyder, Project: Neuronal Mechanisms of Selective Attention in the Alert Monkey; Sponsor: Dr. Bruce Dow, Neurobiology. 22 THE BUFFALO PHYSICIAN - �Joseph Wayne, Project: Effects of the L-Ascorbic Acid on Cell Division and Antibiotic Sensitivity in Klebsiella pneumoniae; Sponsor: Dr. Marry Zip£, College of Mt. St. Vincent, Riverdale, N.Y. Brian Weiner, Project: Development of Bacterial Screening Tests for Organic Acidurias; Sponsor: Dr. Robert Guthrie, Pediatrics. Kevin Welch, Project: Cerebral Vasopasm; Sponsor: Dr. Robert Mcisaac, Pharmacology. Peter Yeracaris, Project: Patient Compliance: A Look Towards Prevention; Sponsor: Dr. Robert Dickman, Social & Preventive Medicine.D 8 Transfer Students Eight new members of the junior class are transfers from French, Italian and Mexican medical schools. They are entering U/B via the United States Citizen Foreign Medical Students (USCFMS) pre-clinical review program of the Association of American Medical Colleges. Under this program American students, who have completed their basic science education in foreign medical schools and passed Part I of the National Boards, are accepted into the clinical years in American Medical Schools. The junior year for these transfer students started July 9, and lasted 10 weeks with orientation and intensives lectures and some clinical experiences. Since 1969 the Medical School has participated in a similar program called COTRANS, but external resources were not available to support this program. In December of 1977 the Medical School received a four-year $226,904 grant from HEW to establish the current program (USCFMS). The project director is Dr. John Richert, assistant dean and registrar. Co-directors are Dr. Joseph Aquilina, clinical professor of medicine, and Dr. Frank Schimpfhauser, assistant professor in social and preventive medicine. The 18 facilitators are: Drs. Arlene Collins and Murray Stinson, microbiology; Robert Dickman, medicine; Chester Glomski, anatomical sciences; Jack Klingman, biochemistry; Richard Hull, Murray Morphy, Gloria Roblin and Norman Solkoff, phychiatry; John Sheffer, pathology; Werner Noell, Donald Rennie and Hugh Van Liew, physiology; Edward Nelson, pharmacology; Robert Spangler, biophysical sciences; Richard Smith, anatomical sciences; Jane Mathews Gentry, social and preventive medicine. Other staff members are Marcie Mason, secretary; Klara Papp, evaluation coordinator. The students from Guadalajara - Sharon Bucher, Sotero Escarza, Jonathan Gewirtz, Carol Mahon, David Thompson; from France - Barry Feldman; from Italy - Joel Fiedler; from Monterrey- Juarez Fred Olson.D SPRING, 1980 23 The U/B Department of Neurosurgery and The Dent Neurologic Institute Present a Workshop: "The Aneurysm Patient Preoperative and Postoperative Care" June 12-14, 1980 The Niagara Hilton Niagara Falls, New York Guest faculty: Drs. Maurice Albin, San Antonio; Jack Fein, Eugene Flamm, New York City; Allan Fox, Sydney Peerless, London, Ontario; Robert Wilkins, Durham; John Jane, Charlottesville, Va.; Walter Grand, Jacksonville. The course will include a detailed analysis of current therapy of the aneurysm patient from day of admission to long term follow-up. Registration Fee: $215.00 (Residents: $125.00) U.S. Funds. Information: L.N. Hopkins, M.D. The Dent Neurologic Institute of Millard Fillmore Hospital 3 Gates Circle Buffalo, NY 14209 (716) 886-2058 �----------------- Emission · Tomography -- TWO major clinical study programs based on the newest techniques in emission tomography have been launched jointly by the U/B Medical School and Harvard. The Harvard program will be conducted on the Union Carbide Body Function Imager, and the one at Buffalo will use the Union Carbide Brain Imager. Coordinator of the Harvard studies is B. Leonard Holman, M.D. Dr. Monte Blau, professor and chairman of nuclear medicine, is in charge of the study at Buffalo. Participating Harvard hospitals are New England Deaconess; Peter Bent Brigham; Children's Hospital Medical Center; and Charles A. Dana Cancer Hospital. The Buffalo program will be conducted at SUNY/Buffalo School of Medicine and Buffalo Veterans Administration Medical Center. The objectives of the Harvard Medical School research are multiple. In the area of cardiology, the studies will aim to develop and apply single photon emission computed tomography (ECAT) to two clinical problems: determining the extent of damage and remaining viable myocardium after myocardial infarction; and quantifying regional myocardial blood flow in patients with coronary artery disease. Specifically, the studies will determine (a) the accuracy with which myocardial perfusion defects can be sized using thallium201, (b) the feasibility of measuring myocardial blood flow with single photon radiopharmaceuticals, and (c) the accuracy with which acute myocardial infarction can be sized with technetium99m pyrophosphate. Initially these correlations will be made in animal studies and then in clinical trials. Single-photon ECAT is expected to provide more accurate detection and estimation of the extent of tissue damage than are currently offered by standard two-dimensional nuclear imaging techniques. From this assessment, more precise prognosis as well as suitable medical and surgical management should be possible. At the same time, the clinical and laboratory experiments will evaluate the resolution, sensitivity and quantitative ability of the Union Carbide instrument with various radiopharmaceuticals. This work will include assessing the suitability and accuracy of attenuation coefficient algorithms. The feasibility of using single-photon ECAT to identify ischemia and myocardial damage and to quantify regional myocardial blood flow will be assessed in animal studies of coronary disease. In humans, the technique will be evaluated for relative accuracy in the detection and quantification of infarcts and ischemia, and the quantification of perfusion defects will be related to patient management and disease outcome. Other Harvard studies will be conducted on cancer patients in collaboration with William Kaplan, M.D., of the Charles A. Dana Cancer Hospital. Researchers will attempt to find the precise location of specific lymph nodes in three dimensions. Comparisons with standard Anger camera lymph node images, superimposed bone images and radiographies, will be made for accuracy of localization. 24 THE BUFFALO PHYSICIAN ·- �Med classes are now 25% women They will also explore the potential for defining sites of intrahepatic neoplasia by using iodinated anti-CEA injected through an hepatic artery catheter. An attempt will be made to quantitate the uptake of radioantibody on a per/gram of tumor tissue basis. Tumor blood flow studies will also be conducted to produce a numerical record of activity per/gram of tumor, both before and after chemotherapy. Three dimensional information on blood flow to an intracerebral lesion will also be developed. ., THE BUFFALO STUDY One of the most exciting areas of present-day nuclear medicine involves the development of materials for visualizing brain metabolism. Because such work until now has required the use of positron isotopes, it has been limited to only a handful of research centers around the world. Using a new principal for radio pharmaceutical localization, the Buffalo study aims to greatly extend the range and availability of isotopes for the study of brain metabolism. Such brain metabolism studies should be useful in understanding brain diseases such as stroke, seizure disorders, senile dementias and brain damage from drugs - all cases where there may be regional changes in brain blood flow or brain tissue metabolism. The Buffalo study will use single-line emitters rather than positron isotopes. Some of the greatest promise lies with a group of chemicals classified as "pH shift" brain function agents. These agents are neutral and lipid-soluble at blood pH, and are therefore able to cross the blood-brain barrier. Once inside, where the pH is lower, they pick up a hydrogen ion and change it to a water-soluble form. In this state, the molecules cannot recross the blood-brain barrier, and they remain in the brain long enough to be recorded by the Union Carbide Brain Imager. Areas of high acidity in other tissues- such as ischemic heart muscle or tumors - may also be visualized with agents of this type. Under the supervision of Dr. Blau, two parallel programs of study will be conducted at SUNY/Buffalo School of Medicine and the Veterans Administration Hospital in Buffalo. Following a series of toxicity studies, clinical programs with volunteers and patients will be undertaken. Animal studies of the brain, heart and tumors will be conducted on the Union Carbide Brain Imager during the same period. The combined programs are expected to produce results in radiochemical research and clinical medicine. Clinical studies will be under the direction of Dr. Jehuda J. Steinbach, Chief of Nuclear Medicine, Buffalo Veterans Administration Medical Center. The design of the radiopharmaceuticals will be by Dr. Hank Kung, assistant professor of nuclear medicine. Dr. Steinbach is research assistant professor of medicine and clinical assistant professor of nuclear medicine.O SPRING, 1980 25 More and more of your future colleagues will be women, as the number and percentage of female medical students continue to rise. Total medical-school enrollment has grown from 53,554 in the 1974-1975 academic year to a current level of 63,800, says Dr. John A.D. Copper, president of the Association of American Medical Colleges. In the earlier year, 9,661 were women - 18 % of the total; in the present one, they number 16,141, or 25.3 % . The increase in the distaff rolls has been steady and appears likely to continue. In the 1974-1975 year, the firstyear class of 14,763 included 3,275 women (22.2 o/o). This year's first-year class numbers 16,930, of whom 4,713- 27.8 o/o - are women. Minorities have gained less ground, however. In 19741975, 12.7o/o of the U.S. citizens enrolled in medical school were black, Amerindian, Hispanic, Oriental, or "other"; 14o/o of the current student body is so classified. �~ . --- - - Clockwise from lower left: Dr. and Mrs. Carter PannilJ, Dr. Robert Brown, M'44, Dean John Naughton; Ida Campagna, Elise Riley, Alice Karpik; faculty-alumni visit; Michael Luke and friend; Dr. Edward Carr; John Canty (right) and friends. t Some 225 students, faculty, alumni and their spouses enjoyed themselves at the sixth annual cocktail-reception for seniors at the Frank Lloyd Wright House (alumni association headquarters) on Jewitt Parkway. For the graduating seniors it was one of their last social get-togethers.D 26 Medical Alum: Hosts Sixth An Reception for ~ THE BUFFALO PHYSICIAN �' I nni Association Clockwise from lower left: The Tour; Dr. James Phillips, M'47, Dr. and Mrs. Leonard Katz; Drs. Roland and Sidney Anthone, M'SO; Mrs. John Naughton (JeftJ and Dr. Robert Schultz, M'65; Bruce Naughton; Ida Campagna (left) and Ramon Pabalan (right); Mary Shapiro, Douglas Waldo, Doreen Miller. illllual ~Seniors SPRING, 1980 27 �- ---- --- ~ - - ~- --~- ------- -- ' - - A Stereotactic Surgeon Dr. Patrick Kell y X-ray pictures guide probe ending with an electrode (bright lin e descending from top left} to a specific target area in th e deep brain. THERE ARE A HANDFUL OF SURGEONS whose procedures lie plainly in the realm of science fiction. Among the handful is Dr. Patrick Kelly, M'66. The Attending at the Erie County Medical Center is a stereotactic surgeon. Unlike traditional brain surgery where the skull is opened to view the brain, he uses X-ray films to gain three-dimensional control over a needle-size probe directed through a very small hole in the skull to points deep within the brain. With this information, he is able to produce lesions to treat movement disorders, to treat chronic pain by placing stimulating electrodes or to diagnose and treat inoperable, deep-seated intracranial tumors. Newly arrived from Galveston, Texas where he established a center for his refinement of the 20-year old technique, Dr. Kelly is excited about the possibility of making Buffalo a regional center for stereotactic neurosurgery. For he sees it offering hope to patients whose medical conditions are inoperable by conventional neurosurgical procedures. Dr. Kelly is a clinical associate professor of neurosurgery. He completed a neurosurgery residency at Northwestern University and served on the faculty of the University of Galveston, Texas before coming to Buffalo. How his refinement of the stereotactic procedure works is as follows: The patient, placed under local anesthesia, is conscious at all times, the head held in place by the four pins of the stereotactic apparatus. Then, by using microelectrode-recording techniques studied in Paris and Edinburgh, Scotland under a prestigious Dr. William Van Wagenen Fellowship, Dr. Kelly is able to record brain cell activity. In this way, he achieves unprecedented accuracy in placing the stereotactic apparatus and in guiding the probe in cellular activity. Not only does he view the activity on an oscilloscope but hears it over a loudspeaker in the operating room. The sound, he says, is much like static from a radio, with different parts of the brain producing different sounds. So logical, he adds, is the structure of the brain that specific regions of its sensory thalamus ventralis posterior correspond to parts of the body. And, as he taps a part of the body such as the finger tips, cellular activity in its matching part of the brain is enhanced. By using this topographic information, he then calculates lesion site with pinpoint precision to treat a variety of movement disorders. And, by producing a lesion by heating the end of the probe with radio-frequency current, he is able to stop tremor from Parkinson's Disease and intention tremor due to multiple sclerosis. 28 THE BUFFALO PHYSICIAN �Although quick to note the lesion does not cure Parkinson's, a chronic, progressive and debilitating disease, he points to the creation of plateaus in the functional levels of the patient, and the improvement of the quality of life. Why stereotactic surgery fell out of favor in the sixties, he says, was due to its sometimes devastating side effects when the lesion was not placed with pinpoint accuracy. "As there is variation among persons, there is variation in the brain," he says. With the introduction of L-Dopa in 1968, it became the treatment of choice. Subsequent studies, however, point to a three-to five-year drug effectiveness. That is why Dr. Kelly opts for the stereotactic procedure to stop the tremor, then treatment of the patient with L-Dopa and other anti-Parkinson drugs by a neurologist for the end-stage symptoms of the disease. Another area in which he is finding the stereotactic technique to be gaining effectiveness is in treatment of selected patients with chronic pain. In the two percent he treats, he places an electrode permanently into a specific site in the brain. It is then connected to a receiving coil implanted under the collarbone of the patient. An antenna may then be placed over the skin, and a current that stimulates the brain electrode will block pain for up to 12 hours. But it is in the area of tumors deep within the substance of the brain that Dr. Kelly is most excited. "It is the future of stereotactic procedure," he says. Here, he combined the modern techniques of C-T scanning with stereo-reconstruction. He points to two major treatment approaches for these patients. One is by interstitial irradiation. By relying on threedimension reconstruction of the tumor in stereotactic space, the surgeon is able to place a logical array of radioactive sources in and around the tumor. "While a radiation field lethal to the tumor is created, it is relatively harmless to the surrounding brain. Then, after the desired dosage of radiation is delivered," he said, "the radioactive sources are removed. " The other approach combines laser technology with the stereotactic method to vaporize tissue and thus destroy tumors deep within the brain. For the first time ever, Dr. Kelly used the carbon dioxide laser to vaporize a deep-seated tumor. How he did it was to make a small incision in the frontal area. Then, as he began to vaporize the tumor by laser, avoiding significant n euronal structures, he monitored the size of the gasfilled cavity produced by the laser with X-ray films until the size of the cavity exactly matched the shape of the tumor defined three-dimensionally by preoperative C-T scanning. He noted the patient recovered from anesthesia with no mental or neurological deficit. And four days after surgery, the patient's C-T scan showed total r emoval of the tumor, with no evidence of residual tumor. With these excellent results, he sees hope for other patients whose deep-seated intracranial tumors are inoperable by existing neurosurgical methods.D SPRING, 1980 29 A typical recording trajecto ry through sensory thalamus. N umbers indicate positions a t which tracing obtained; the sp ikes / tracing produced by touching various areas of the hand. Dr. Kell y (left) ch eck s carbon d ioxide laser. �Iris Dedication Dr. Bownie Th e Class of 1979 honored Dr. Alexander Brownie and Dr. Murray Ettinger with sincere thanks an d deep respect through this dedication. To Dr. Alexander C. Brownie: In order to develop a sound working knowledge of the clinical sciences, one must have a strong foundation in the basic medical sciences. It is unrealized by the first year medical student that there is no separation between the basic and clinical years. Rather, it is a continuum of learning. As physicians, we are always striving to gain a better understanding of disease processes. In so doing, we will refer to biochemistry time and time again. At these times, we will be grateful for the excellent background provided by the Chairman and Director of the Biochemistry Program, Dr. Alexander C. Brownie. Dr. Brownie puts a priority on teaching with other things being secondary. His interest in teaching dates back nearly thirty years. At his lectures, one can see his enthusiasm and realize the energy that went into the preparation of the material. Those who know this man, also know of his other contributions to the students and the medical school. Since coming to Buffalo sixteen years ago, he has conducted research in both the pathology and biochemistry departments. He has contributed to our understanding of the pathogenesis of hypertension and the mechanism of action of various steroids. As chairman of the medical school curriculum committee, he strived for an integrated teaching program to make the move from the classroom to the wards a smooth transition. In 1977, he was appointed Chairman of Biochemistry. Under his direction the department has grown to nearly 20 full-time faculty members. Dr. Brownie has strived for excellence of the entire medical school as well as the biochemistry department. As president of the Faculty Council, he was instrumental in defining the academic standards for medical student performance. As one can well appreciate, his contributions to the medical school are numerous. The class of 1979 will remember him most for the time and patience in teaching biochemistry. Dr. Brownie has often stated that "he finds delight in teaching." In turn, we find Dr. Brownie a sincere, critical, intelligent and superb educator. With this in mind, the class of 1979 takes great pleasure in dedicating the 4th edition of the IRIS to Dr. Alexander C. Brownie. To Dr. Murray Ettinger: Dr. Murray Ettinger joined the School of Medicine Department of Biochemistry in September 1969 and began teaching medical students a year later. Over the years, he has come to assume the major share ,of teaching responsibility in biochemistry with Dr. Brownie, and in 1974 was promoted to Associate Professor in the School of Medicine. His research has been concerned with metalloenzyme spectral properties, metal metabolism and diseases, and antidiuretic hormone. 30 THE BUFFALO PHYSICIAN �Dr. Ettinger summarizes his experiences as a professor with the assertion that "teaching is an art form," and that "teaching medical students is one of the most stimulating interactions" within the art. To the first-year students, Dr. Ettinger is wellknown as a professor who believes that lectures ought to be friendly interactions where students' educations should be a selfdirected process. Over the years it has become obvious that in the area of curriculum development, his sympathies have always been with the students, and he personally has been instrumental in implementing more innovations. Dr. Ettinger's sensitivity to student affairs on curriculum matters came to a focus several years ago concerning minority students and those in academic poor-standing in the first year. Believing that faculty policies on this subject were becoming harsh, Dr. Ettinger helped formulate and eventually head the Student Affairs and Academic Standing Committee. Grown from this interest in why people generally had so much trouble with the first semester of medical school, Dr. Ettinger has made some significant contributions in programs for minority students and the overall medical curriculum as Chairman of the Curriculum Committee. Most recently he has been honored with the University Outstanding Faculty Award in 1978. A concrete example of Dr. Ettinger's involvement in improving the curri_culum, which grew out of the program for minority students, is the well-known and well-used Biochemistry Study Manual, developed jointly by Drs. Brownie and Ettinger. The class of 1979 recognizes the impact he has made on our education and dedicates the 4th edition of the IRIS to Dr. Murray Ettinger.D Six physicians were honored at the 8th annual U/B Orthopaedic Resident's Scientific Graduation Day in May at the Erie County Medical Center, according to Dr. Eugene R. Mindell, professor and chairman of orthopaedics. Dr. William F. Enneking, professor and chairman of the department of orthopaedics, University of Florida, was the visiting professor and delivered the 4th Annual Dr. David M. Richards Memorial Lecture on "Aseptic Necrosis." The six graduating orthopaedic residents presented scientific thesis papers. Thomas A. Lombardo, M.D. "Traumatic Dislocation of the Hip in Children"; John A. Moscato, M.D. "Supracondylar Fracture of the Humerus in Children"; Cole S. Northup, M.D. "Supracondylar Femur Fracture in Adults"; Stephen D. Rycyna, M.D. "Posterior Shoulder Dislocations with and without Fracture"; Leo J. Scarpino, M.D. "Synovectomy of the Knee in Rheumatoid Arthritus"; James A. Smith, M.D. "Partial vs. Total Menisectomies in Dogs". Four of the graduating residents, Drs. Lombardo, Moscato, Rycyna, and Smith are remaining in Buffalo entering private practice and all are additions to the attending orthopaedic faculty. One graduate, Dr. Scarpino, is entering private practice in Connecticut while Dr. Northup is taking a fellowship in spinal surgery at the University of Washington Medical Center in Seattle, Washington.D SPRING, 1980 31 Dr. Ettinger Orthopaedic Residents �ROSWELL PARK MEMORIAL INSTITUTE Oncology Seminar Series, 1980 April 24 May 2 Hospice Chairperson: Mrs. Charlotte Shedd, R.N. Sponsored by Hospice Buffalo, Inc.; RPMI; and the American Cancer Society, Erie Cour.ty Unit May 5,6 International Conference on Cancer Among Blacks Chairperson: Dr. Curtis Mettlin Cancer Control, Roswell Park Memorial Institute May 8 Recent Advances in the Diagnosis and Management of Breast Cancer Department of Breast Surgery Chairperson: Dr. Thomas Dao May 16 Multidisciplinary Advances in Adolescent Oncology Chairperson: Dr . Cameron Tebbi June 21 Cancer of the Colon-Rectum - 1980 Department of Surgical Oncology Chairperson: Dr. Curtis Mittelman Endocrinology Chairperson: Dr. Paul Davis Sponsored jointly by RPMI and SUNY I AB PEDIATRIC CONTINUING MEDICAL EDUCATION April 12 A Spring Symposium on Neonatal-Perinatal Asphyxia by Dr. Ralph J. Wynn, assistant professor of pediatrics, at the Sheraton Inn- Buffalo East. (6 credit hours). May 12 Otitis Media Symposium by Dr. Elliot F. Ellis, professor and chairman of pediatrics, at Kinch Auditorium, Children's Hospital. June 5-7 11th National Advances in Pediatrics (allergy, behavioral, pediatrics, gastroenterology, neonatology, neurology, pulmonary disease, pediatric surgery]. Dr. Elliot F. Ellis, program chairman. (14 credit hours). July 10, 11 What's New in Pediatric Lung Disease. Dr. Gerd J.A. Cropp, program chairman. (14 credit hours). July 17-19 3rd National Buffalo Conference on Pediatric/Adult Allergy and Clinical Immunology. Drs. Elliott Middleton, and Elliot F. Ellis, program chairmen. (16 credit hours). (For more information contact Rayna Dutton, CME coordinatory, Children's Hospital, 219 Bryant Street, Buffalo, N.Y. 14222. Tel~hone (716) 878-7689. 32 THE BUFFALO PHYSICIAN �Dr. Alfano Resigns Dr. Guy S. Alfano, resigned as director of the Erie County Medical Center (effective Jan. 5, 1980) to accept a similar position at the Cabrini Medical Center in New York City. The Center is operated by the Missionary Sisters of the Sacred Heart. Dr. Alfano has been director of the ECMC since October 1976. Previously he served as medical staff chief and chairman of the advisory committee. "It is most satisfying to me that I leave the hospital in a stable condition and well poised to help meet the health-care needs of Western New York for many years to come. In my 50 years as a Buffalonian, I have enjoyed many fruitful relationships within the health-care professions and within civil life. I know wherever I may live, I will always be a transplanted Buffalonian." Dr. Alfano is a 1950 Medical School graduate and clinical professor of surgery. He is a past president of the Erie County Medical Society.D Depty County Executive Louis J. Russo is the new director of the Erie County Medical Center. He has supervised the financial practices of the hospital and has earned the respect of the community.D Dr. Allen Honored Dr. James C. Allen, professor of medicine and microbiology, was honored as the "outstanding clinical teacher" by the graduating residents in internal medicine at the Erie County Medical Center. It was the fifth annual award given a faculty member by the graduating residents. Dr. Allen received a monogrammed white coat at the dinner dance at the Sheraton-East. Dr. Allen joined the U/B faculty in 1969. He came from the Johns Hopkins University Medical School where he received his degree in 1955. He received his B.A. from Harvard in 1951. He completed an Osler medical internship and residency at Johns Hopkins before joining the faculty there. He was also associated with the Public Health Service at the National Institute of Health (1959) and was associated with The Rockerfeller Institute for two years. He is the author of numerous scientific papers on immunology and infectious disease, and is active in several professional societies. Also honored at the annual party were Drs. Joan C. Fung and James J. Cirbus. Dr. Fung received the $200 Semmelweiss Award for her work, "The Use of Counter Immuno-electrophoresis in the Diagnosis of Infectious Diseases." This award was created in 1974 by Dr. D.A. Pragay, clinical associate professor of biochemistry/pathology and director of chemistry at ECMC. The award is named for Ignatius Semmelweiss, who pioneered antiseptic and aseptic methods of surgery, obstetrics and gynecology between 1840 and 1865 in Austria and Hungary. Dr. Cirbus, clinical assistant instructor in medicine, received the $100 Norman Chassin Award, given annually to the "outstanding intern of the year." The award is named for Dr. Chassin, a 1945 Medical School graduate, who is a clinical associate professor of medicine.D SPRING, 1980 33 Dr. Allen �• Clockwise from lower left : Discussing the rules for the bladder ball game with Dr. Leonard Katz are James Bronk, Margaret Paroski, Elliot Chartash, John Paroski; the charge to center; the ball is airborne; the route to the goal; the score. All Sports Day Margaret Mcintosh, Connie Jones Some 250 medical students, faculty and their families participated in the first annual Spring Athletic Day in April. There were four main events - cross country running, volley ball, chocolate chip cookie contest, bladder ball and a picnic. Prizes were awarded to the top ten finishers in each event. Peter Condro, Robin Adair, Jim Bracikowski, Eliot Chartash and Tom Lane were in charge of the events. Other committee members - Jim Bronk, Andrea Ciaccio, Drew Costarino, John and Margaret Paroski, Mike Salzler, Judy Weiner, and Dr. Leonard Katz, associate Dean.D THE BUFFALO PHYSICIAN �The Picnic Dean Naughton, Dr. Alexander Brownie �Sophomore Orientation Drs. Katz, Wright Second year medical students met department chairpersons and course coordinators during a mini orientation session during the second week of classes. The 45-minute orientation was followed by an indoor picnic in Squire Hall. Dr. Leonard Katz, associate dean, told the students this was the first such orientation for second year students. "You are entering a new phase of your medical education. Some of the things you learn will probably be proven wrong some day. You will have to be learners the rest of your careers. Learn to inter-act with patients and never let your ideals get away." Dr. M. Luther Musselman, assistant dean and director of the University Health Service, outlined the students' health insurance plan. Dr. John Richert, assistant dean and registrar, introduced the department heads. The chairpersons and course coordinators: Pathology- Drs. John Wright; Microbiology - Felix Milgram, Thomas Flanagan; Social & Preventive Medicine - Glen Gresham, Fran Sherwin; Medicine - James Nolan, Charles Elwood; Medical Genetics Robin Bannerman; Family Medicine - Robert Seller, Raymond Bissonette; Psychiatry - Marvin Herz; Linda Pessar; Pharmacology & Therapeutics -Edward Carr and Robert Mclsaac.D 36 THE BUFFALO PHYSICIAN �Indoor Picnic �BOOK REVIEW by Dr. Ross Markello, M'57, Professor of Anthesiology, Assistant Dean for Graduate Medical Education MEDICAL STUDENTS, MEDICAL SCHOOLS, AND SOCIETY DURING FIVE ERAS: FACTORS AFFECTING THE CAREER CHOICES OF PHYSICIANS 19581976, by Funkenstein, D.H., Ballinger Publishing Company, Cambridge, Massachusetts, 1978 (200 pages). Excerpt: "The data collected in this study do not support the commonly held belief that a medical school is important in the career choices of its students. One of the most cherished ideas of the faculty has been their influence as role models on the career choices of their students. No data were found to support this. No more than 18 percent of the students feel that anyone on the faculty had influenced their choice of career." From the Flexner Report in 1910, medical education policy in the United States has presumed that the process encompassed in the four year curriculum would provide the future physician with fundamental knowledge, skills, and a value system for addressing societal expectations. Daniel Funkenstein, professor of psychiatry and a long-standing member of the admissions committee at Harvard Medical School asserts that value judgments and career choices are determined by forces in society at large and in a general way have been directed before matriculation into medical school. The author suggests skills required for medicine are hi-modally distributed, designated bioscientific and bio-social. Bio-scientific careers are characterized by advanced sophistication for intellectual ability, technical skills, and research aptitude. Most academicians and sub-specialists fall into 38 this category. Interpersonal skills and understanding of human behavior are perceived as desirable but not obligatory. The biosocial careers, on the other hand, command skills in interpersonal relationships, service orientation, and target patient satisfaction. Intellectual and scholarly interests are desirable but not obligatory. Primary care physicians - family practice, general internal medicine, general pediatrics, and psychiatry, comprise the bulk of the bio-social careers. Factors in career choice are determined both intrinsically and extrinsically. Intrinsic factors: 1. basic characteristics at matriculation, i.e., bio-scientific versus bio-social; 2. the value systems of the students; the bioscientific valuing prestige, status, and financial reward rate very highly, while bio-social students place social committment and responsibility at the top of the priority list; 3. lifestyle; amount of time for pursuits outside of the profession and anticipated income were quite important. Extrinsic factors influencing career choice include: 1. the medical school experience and; 2. societal factors - the latter being far more important. Funkenstein divides this century into six eras, five of which he has personally observed. The era to 1939 was the General Practice Era; from 1940-1958, the Specialty Era; 1959-1968, the Scientific Era; 1969-1970, the Student Activist Era; 1971-1974, the Doldrum's Era; 1975-present, The Primary Care and Increasing Government Control Era. The needs and emphasis in each era has been a function of complicated factors, but principally perceived needs and pressures from society at large. The Scientific Era was characterized by rapid growth in research and technology. Almost no one entered the field of family practice from the Northeastern medical schools in those years. We now find ourselves in an awkward dis-synchronization where senior faculty and medical school managers still think in terms of the societal factor that influenced their career choice 20 years ago, and do not understand the disinterest of students for research careers today. Societal pressure today encourages and rewards clinical practice with both money and prestige. THE BUFFALO PHYSICIAN �Funkenstein takes pains to analyse the fascination with psychiatry which peaked around 1970. During the 1960's, there was a large amount of societal pressure which gave prestige to the field and stimulated federal support for research and educational programs. In those years, primary care conferred little status, giving psychiatry an attractive outlet for the students with interpersonal and behavioral interests. Thirdly, a number of individuals were attracted to psychiatry because of the fascination with Freudian psychology. Since primary care is now a prestigious pursuit, since the vast sums spent on mental health did not eradicate the societal need and since psychoanalysis did not prove to be applicable to large numbers of people, Funkenstein is not surprised that the percentage of students choosing psychiatry went from a high of 23 percent in 1969 to four percent in 1976. The percent of biosocial students choosing family medicine rose from zero in 1966 to 88 percent in 1976. One gets a picture of the influence of societal factors when comparing class attitudes. For example, eight percent of the class of 1959 favored group practice versus 99 percent in 1976. In the class of 1963, 49 percent listed research as a most important value in medicine, versus only two percent of the class of 1976. Funkenstein also corollates demographic factors with career choice. The stereotype of the bio-scientific student is an individual with a high science grade point average, who comes from an upper middle class urban or suburban home, living in a family of professional or managerial heritage, and views the practice of medicine as a problem solving exercise whereby one helps people by using science. The bio-social student tends to have a lower science grade point average, but a higher average in the humanities, is from a rural, middle-middle class farm or factory worker home, and views the practice of medicine as a social, interpersonal, helping, caring, art form. pediatrics. Since 1970, background and career choice differences between men and women medical students have disappeared - perhaps because of the feminist movement. Funkenstein makes several important points. Medical personnel have differing values, responding to different internal and external cues which generate conflict in educational and health care policy. The best way of influencing career choice, is to carefully select students. For example, if a medical school wants a high output of primary care physicians, the admissions committee should favor students with 3.3 science grade point average, who do well in the humanities, are socially and behaviorally oriented, come from small communities or rural areas, and who are middle-middle class. We should cautiously apply these conclusions to the U.S. medical student population at large, since Harvard is a special school. The author includes a series of questionnaires which the serious student of evaluation will find useful. Society will likely always have the need for both service and research in health. The onus upon admissions committees is to manage the selection process to assure a heal thy mix of bio-scientific and bio-social students. This book will entertain the average physician for an evening with interesting information presented in engaging style. Most of us can easily identify with the eras Funkenstein describes, finding insight into the career behaviors of ourselves and our colleagues.D The author gives us some insight as to the changing career patterns of women physicians. Prior to 1970, they were primarily daughters of professional career mothers and chose primary care fields, particularly SPRING, 1980 39 �The Class of 1928 Dr. Bruno Schutkeker, M'28, is regarded as the "dean" of the Buffalo psychiatric com~unity. He has been involved in the Meyer Memorial Hospital's Downtown Alcoholism Clinic for most of his professional career. He has also been chief of neuropsychiatry at the VA Medical Center. He is also on the staff of Bry-Lin Hospital and was a member of the Medical School faculty until mandatory retirement at age 70.0 Dr. Thomas F. Frawley, M'44, has been selected president of the American College of Physicians. He recently retired as professor and chairman of medicine at the St. Louis University Medical School. Dr. Frawley lives at 23 Williamsburg Estates, St. Louis, Mo. 63131.0 Dr. Harold P. Graser, M' 44, has been named director of inpatient services at the Buffalo General Hospital Mental Health Center. He is a clinical assistant professor of psychiatry at the Medical School.D The Classes of the 1930's Dr. Charles B. Richards, M'43, formerly of Auburn, N.Y., has retired. He is now living at 4806 N.W. 26th, Tamarac, Florida 33309.0 Dr. Vincent J. Capraro, M'45, was the recipient of the 1979 AWARD FOR OUTSTANDING CONTRIBUTION TO THE AMERICAN COLLEGE OF OBSTETRICIANS AND GYNECOLOGISTS. He was one of six physicians nationwide to receive the prestigious award at the 27th Annual Clinical Meeting of the college which took place in early April. A graduate of the University of Buffalo Medical School, Dr. Capraro received his M.D. degree in 1945. He interned at the E.J. Meyer Memorial Hospital and before returning there for his residency in 1948, served with the U.S. Army for two years as a Captain in the Medical Corps. He is on the Attending Staff at Buffalo Children's Hospital, Erie County Medical Center, Sisters of Charity Hospital, Buffalo General Hospital, Buffalo State Hospital, and the Millard Fillmore Hospital. Presently, he is chairman of the OB-GYN Department at Millard Fillmore Hospital and Chief of the Division of Pediatric and Adolescent Gynecology at Buffalo Children's Hospital. He is a full professor of Obstetrics and Gynecology at the SUNYAB School of Medicine where he has been a faculty member since 1948. Dr. Joseph J. Ricotta, M'43, immediate past president of the National Federation of Catholic Physicians Guild, received the Barnabite Founders' 1979 Man of the Year Award for his work in the Right to Life movement. Dr. Ricotta has been medical director of the Family Life Clinic of the Diocese of Buffalo since 1961. His interest in family planning led to the establishment of similar clinics in Pittsburgh, Galveston, Houston, Honolulu, India, Portugal and the Philippines.O Dr. Capraro has been the recipient of many awards and honors. He was presented the SUNY AB Senior Medical Students' Award as Outstanding Teacher in 1971, the Diploma of Honor of the "Federation Internationale de Gynecologie Infantile et Juvenile", Bordeaux, France in 1972. In 1977, he was the winner of the Argentina Society of Pediatric and Adolescent Gynecology Award, and in that same year the Vincent J. Capraro, M.D. Award was established by his colleagues to be given to the outstanding Dr. Frank Leone, M'32, of Utica, New York has retired from general practice.O Dr. Kenneth H. Eckhert, M'35, clinical instructor in family and legal medicine, has been elected to a three-year term as a councilor of the State Medical Society.O The Suburban Hospital Association of Bethesda, Maryland dedicated its C-wing in honor of Dr. John G. Ball, M'36, and his wife Monica. Dr. Ball founded Suburban Hospital and served on its Board of Trustees for 36 years.O Dr. Matt A. Gajewski, M'39, is chairman of the advisory board, Outer East Side Human Services Clinic in Buffalo. He is also presiding arbitrator (appointed by N.Y. State) to hear no fault insurance cases and workers compensation cases.O The Classes of the 1940's 40 THE BUFFALO PHYSICIAN �Dr. Capraro and director of laboratories at DeGraff Memorial Hospital, North Tonawanda, and Bertrant Chaffee Hospital, Springville. He also serves as pathologist to the Niagara County Coroner's office.D Chief Resident in OB-GYN each year. He is a Fellow of the American College of Obstetricians and Gynecology, the American College of Surgeons, the Federation Internationale de Gynecologie Infantile et Juvenile, the Royal Society of Health in Great Britain, and the Founding Fellow of the International Society for the Study of Vulvar Disease. Dr. Capraro has held offices in several local and nationwide societies and served as President of the Buffalo Obstetric and Gynecologic Society. An internationally known lecturer and contributor of over 120 articles and chapters to medical journals and books, he has also been active on many University committees and in numerous civic affairs both locally and nationally.D Dr. Guy S. Alfano , M'50, director of the Erie County Medical Center, was honored on Columbus Day as the Man of the Year by the Federation of Italian-American Societies. State Supreme Court Justice Joseph J. Sedita outlined future directions Italian-Americans should pursue to an overflow crowd of 1,000 at the Hotel Statler.D Dr. George L. Collins, Jr., M'48, associate clinical professor of medicine, has been elected to the AMA's Council on Constitution. He has also been appointed to the SUNY board of trustees by Governor Carey. The associate chief cancer research internist at Roswell Park Memorial Institute has been active in organized medicine for many years. He has served on numerous committees at the County and State levels. He is a past president of the Medical Society of the County of Erie and the Medical Society of the State of New York. In 1977 he was cited by the Buffalo Evening News as one of Buffalo's "outstanding citizens."D Dr. Alfred Lazarus, M'52, is governorelect of the American College of Physicians for the State of Delaware for 1980. In July he will be a clinical professor of medicine at Thomas Jefferson School of Medicine . He is living at 3303 Coachman Road, Wilmington, De . 19803.0 Dr. Myron Gordon, M'48, is professor and acting chairman of the department of obstetrics and gynecology at New York Medical College.D Dr. Carmela S. Armenia, M'49, is president-elect of the 8th District Branch of the Medical Society of the State of New York. He is a clinical associate professor of Gyn/Ob at the Medical School.D Dr . Herbert Lansky, M'49, has been elected to a three-year term as secretarytreasurer of the College of American pathologists. He is a clinical assistant professor of pathology and legal medicine SPRING, 1980 The Classes of the 1950's Dr. George E. Taylor, M'50, a family practitioner from Cuba, N.Y ., is the new president of the 8th District Branch of the Medical Society of the State of New York . He succeeds Dr. William C. Stein, M'50, of Lockport, N.Y. Dr. Taylor is a past president of the Medical Society of the County of Allegany.D Dr. Victor A. Panaro, M'52, has been elected president of the New York State Chapter, American College of Radiology. He is also a delegate of the House of Delegates, New York State Medical Society. He is a clinical professor of radiology and nuclear medicine at U/B and is associated with the Erie County Medical Center.D Dr. Ernest H. Meese, M'54, is assistant clinical professor of surgery at the University of Cincinnati Medical School. His specialty is thoracic and cardiovascular surgery. Recently Dr. Meese was elected to the board of trustees, Ohio Division, American Cancer Society. He is a past president of the local unit. He is also on the board of trustees of the American Heart Association of Southwestern Ohio. He lives at 174 Pedretti Rd., Cincinnati 45238.0 41 d- �Dr. James R. Nunn, M'55, has been reelected speaker of the congress of delegates of the State Academy of Family Physicians. He is a clinical assistant professor of family medicine and clinical associate in medicine.D Dr. Carl D. Herman, M'57, is assistant clinical professor of physical medicine and rehabilitation (in psychiatry) at the Temple University School of Medicine. Recently he was elected president of the medical staff, Massachusetts Rehabilitation Hospital, Philadelphia. He lives at 1247 Glenburnie Lane, Dresher, Pa. 19025.0 Dr. Melvin Brothman, M'58, has participated in at least six marathons and has cut his weight 70 pounds. Dr. Brothman suggests running three times a week for 30 minutes to keep physically fit. Stretching exercises before and after running are essential. "Running may not add years to your life, but can add life to your years."D The Classes of the 1960's Dr. Gerard Diesfeld, M'60, of Arcade received the past presidents' plaque of the State Division of the American Cancer Society. He was president during 1978-79. He is a past president of the Wyoming County division of the Cancer Society.D Dr. Joseph R. Gerbasi, M'62, clinical associate professor of surgery, is president of the New York Chapter of the American College of Surgeons.D Dr. Marvin C. Kurian, M'64, has been elected a Fellow of the American College of Gastroenterology.D Dr. David E. Pittman, M'64, is an assistant clinical professor of medicine at the University of Pittsburgh. He is also associate attending physician, division of cardiovascular diseases, at the Allegheny General Hospital. He conducted a one-day symposium at the Latrobe Area Hospital, on the Use of Intraatrial Electrocardiography in Differentiating Tachyarrhythias. He has written an article on the same subject. He has written on Primary 42 Pulmonary Hypertension and co-authored Diagnosis of Tricuspid Stenosis with Dr. Christopher J. Dressel. Dr. Pittman lives at 551 Pebblewood Court, Pittsburgh, Pa. 15237.0 Dr. Robert M. Barone, M'66, joined the San Diego Tumor Institute in March, 1980. He will continue as part-time associate professor of surgery at the University of California, San Diego, and chief of surgical oncology at the Veterans Administration Hospital. Dr. Barone will continue to be principal investigator on his three major grants. For the past seven years he has been in academic medicine as assistant professor of surgery at the University of Illinois and at USCD. Between 1974 and 1976 he was an instructor in surgery at the University of California, San Francisco while on active duty with the Navy. At the same time he was head of the Tumor Clinic at the Naval Regional Medical Center in Oakland. His primary research interest include studying the hormonal metabolism of women with metastatic breast cancer. Dr. Barone has also been studying the mechanism of action of a drug used to treat cancer in the past, and a new treatment of metastatic liver cancer. He has also studied the effect of drugs and X-ray on actively grown tumors. He has authored or coauthored numerous articles for professional journals. Two of his most recent articles were published in 1979. "Combination Infusional 5-Fluorouracil and Radiation Therapy for the Treatment of Metastatic Carcinoma of the Colon to the Liver" in the American Society of Colon and Rectal Surgeons; and "Inhibition of Peripheral Aromatization of Androstenedione to Estrone in Postmenopausal Women with Breast Cancer Using b. - Testololactone" in the Journal of Clinical Endocrinology and Metabolism. Dr. Barone, his wife and three children live at 7813 Capri!, La Jolla, Ca. 92037.0 Dr. Baron e I ' �Dr. Edwin H. J enis, M'66, clinical associate professor of pathology, conducted a workshop on kidney disease at a national convention in Las Vegas in November. He has been named to national faculty of medical laboratory experts who volunteer teaching time for workshops and seminars.D I ' Dr. David J. Fugazzoto, M'67, is associate clinical professor of pediatrics at the University of Alabama. He is chairman of the medical staff at Children's Hospital, Birmingham, 1980-81. He lives at 2708 Cherokee Rd., Birmingham. In September, 1979 he authored an article - "Beta Strep Sepsis in Varicella" that appeared in the Alabama Medical Journal.D Dr. Kenneth L. Jewel, M'68, is director of diagnostic radiology and computerized tomography, Mountainside Hospital, Mountain Lakes, N.J. He lives at 133 Lake Drive, Mountain Lakes.D Dr. Robert A. Milch, M'68, clinical instructor in surgery, has been elected Fellow in the American College of Surgeons.D For the second straight year Dr. S.K. Bosu, M'69, was voted the "most outstanding full time faculty teacher in pediatrics" by the residents at the University of California School of Medicine at Irvine. Dr. Bosu is assistant clinical professor of pediatrics.D The Classes of the 1970's Dr. Frederick R. Downs, M'70, of Warsaw, N.Y. is the treasurer of the 8th District Branch of the Medical Society of the State of New York.D Dr. Joseph Gentile, M'70, is assistant attending physician at Millard Fillmore Hospital where he teaches third year medical students. Dr. Gentile is a clinical instructor at the Medical School. His specialty is internal medicine.D Dr. Alan Leibowitz, M'70, has a new dual appointment at the University of South Florida, College of Medicine, Tampa 33612 with the division of digestive diseases and nutrition. He also is assistant chief of medical service at the Tampa VA Hospital. SPRING, 1980 Recently he had been associated with the Buffalo General Hospital, department of medicine.D Dr. Paul M. Ness, M'71, is assistant professor of medicine and oncology and director of the blood bank at Johns Hopkins University.D Dr. Robert A. Cooper, M'72, started a private practice in 1978 in Manhasset, N.Y. His specialty is plastic and reconstructive surgery. He lives at 185 Seiffert Ct., Oceanside, N.Y. 11572.0 Dr. Stephen J. Levine, M'72, is associated with the Holyoke Hospital and a new community medical center in Chicopee, Mass. He lives at 3 Hillcrest Park, South Hadley, Mass. 01075.0 Dr. Kenneth Gayles, M'73, was the guest speaker at the fourth annual Educational Opportunity Awards ceremony. The award recipients were Muriel A. Moore, assistant to the director of the Learning Center, and Frank J. Corbett, director of the Office of Urban Affairs.D Dr. Michael A. Haberman, M'73, is an assistant professor of psychiatry at Emory University Medical School, Atlanta. He is also medical director, department of psychiatry, West Paces Ferry Hospital in Atlanta. Dr. Haberman has co-authored an article, "Autocsastration in Transsexualism," that appeared in the March 1979 American Journal of Psychiatry. He co-authored, "Gender Identity Confusion, Schizophrenia and a 47 XYY Karyotype: A Case Report," that was published in 1975 in Psychoneuroendocrinol ogy.D Dr. Leeland A. Jones, M'73, is involved in family and holistic medicine in Lumberton, North Carolina. He uses the current medalitities of Rx; diets- vegetarianism and fasting; finger pressure to transcutaneous electrical nerve stimulation using acupuncture points, meditation, hypnosis, massage, yoga breathing and dance.D Dr. Bruce M. Klein, M'73, is in his third year of residency at Los Angeles County Hospital. He has applied for a fellowship in pediatric cardiology.D 43 d- �Dr. Edward A. Langford, M'74, has been named a Fellow of the American Academy of Family Physicians. He lives at 438 Willow Green, Amherst, N.Y.D Dr. Alan M. Gewirtz, M'76, is in the first year of a three-year hematology-oncology fellowship at the Yale University Medical School. He lives at 148 Canner St., New Haven, Conn. 06511.0 Sister Marguerite Synski, M'75, is chief resident in surgery at Rochester General Hospital, N.Y. She is one of only four sistersurgeons in the United States. She was on the staff of Strong Memorial Hospital's burn unit and emergency room until the spring of 1978. Sister Marguerite entered the convent in 1965 and took her final religious vows in 1973.0 Dr. John Neander, M'76, has a child psychiatry fellowship at Children's Hospital, Washington, D.C. He is living at 6161 Edsall Rd., #1511, Alexandria, Va. 22304.0 Dr. Tone Johnson, Jr., M'75, is chief medical officer and director of clinical services U.S.P.H.S. OPC of Port Arthur, Texas.D Dr. Anthony C. Sorge, M'75, of Springfield, Virginia completed his residency in internal medicine at the University of Rochester and is in the United States Medical Corps.D Dr. Al Bowen Benson III, M'76, is a clinical associate in internal medicine at the ·university of Illinois. He lives at 1930 Blackthorn Drive, Champaign, Ill. 61820.0 Dr. Cary A. Presant, M'76, is director of medical oncology at the City of Hope National Medical Center, Duarte, Ca. Since 1973 he has been director of the Oncology Clinic at the Jewish Hospital of St. Louis.D Dr. Christine Privitera, M'76, is associated with the Ashland Medical Center, Ashland, Va. Her specialty is pediatrics. She lives at 431 Mount Herman Rd., Ashland 23005.0 Dr. Larry Altschul, M'77, is chief resident in the department of medicine at the Nassau County Medical Center in East Me-adow, N.Y. In July he will have a cardiology fellowship at the same institution. His son was born April 15, 1979. He lives at 42-49 Bowne St., Flushing, N.Y.D CONTINUING MEDICAL EDUCATION PROGRAMS, 1980 For additional information call: 716/831-5526 24-26 4April 27 June 27April May 2 14 June June 19-20 April Colposcopy- Sheraton East Review Course for Recertification in Internal Medicine- Millard Fillmore Hospital Recent Advances in Family Practice Holiday Inn- Grand Island Stress (Hans Selye Day) Stapling in Abdominal Surgery Erie County Medical Center 44 THE BUFFALO PHYSICIAN �Dr. Robert L. Gingell, assistant professor of pediatrics and buswell fellow, has been elected a Fellow in the American College of Cardiology.D Dr. Max Cheplove, M'26, clinical professor of family medicine - Emeritus, was elected president of the Association of Past Presidents of the Medical Society of the County of Erie at the group's annual convocation. at the Buffalo Club. Dr. Clarence A. Straubinger, M'38, was elected secretary and Dr. John J. Giardino, M'58, clinical assistant in orthopedics, was inducted.O Two associate professors - Drs. Herbert Schue} and Robert G. Summers, Jr., anatomical sciences have received renewal of NSF grants. Dr. Schue} has received $90,000 for the study of secretory functions of egg cortical granules in fertilization. Dr. Summers has received $70,000 for the study of fertilization products of the sea urchin egg.D Two faculty members, Drs. Diane Peters, M'75, and John Cudmore, M'62, officers in the New York State National Guard, were among the 380 guard personnel who have volunteered for active duty during the Winter Olympics at Lake Placid. Dr. Cudmore is associate professor of surgery and a Colonel in the Guard, while Dr. Peters is a Captain and a clinical assistant instructor in surgery.D Two faculty members have been elected officers of the medical staff at Bry-Lin Hospital. Dr. Richard Wolin, M'64, clinical assistant professor of psychiatry, is president-elect. Dr. Sebastian Fasanello, M'62, clinical instructor in psychiatry, is secretary-treasurer. Dr. Armand L. DiFrancesco is the new president.D SPRING, 1980 Dr. Walter D. Hoffman, M'64, clinical instructor in orthopedics, has been elected new president of the Western New York Orthopedic Society. Dr. Daniel E. Curtin, M'47, clinical assistant professor of orthopedics, was elected vice president, Dr. Michael S. Feinberg, M'65, clinical assistant professor of orthopedics, was elected treasurer and Dr. John H. Ring was elected secretary.D Faculty Promotions The following 27 Medical School faculty members received promotions effective July 1, 1979. Promotions to Professor: Doctors John Edwards [medicine, and associate professor of pediatrics); Leonard Katz [medicine, and associate dean); Alan Reynard [pharmacology and therapeutics). Promotions to Clinical Professor: Doctors David L. Berens [radiology); Marshall Clinton Jr. [medicine). Promotion to Research Professor: Doctor Edward D. Holyoke (surgery). Promotions to Associate Professor: Doctors Daphne Hare [medicine and biophysical sciences); Chan Y. Jung [biophysical sciences); Robert Klocke [physiology, also professor of medicine); John Krasney [physiology); Kyu-Ha Lee [rehabilitation medicine); David Pendergast [physiology); Harsh ad Thacore (micro biology). Promotions to Clinical Associate Professor: Doctors Ehron Afshani [radiology and pediatrics); Martin L. Gerstenzang (psychiatry); Young Sun Oh [radiology); James G. Stengel (medicine); Marcos G. Viguera [anesthesiology). . Promotions to Research Associate Professor: Doctors Harold 0. Douglass Jr. (surgery); Takita Hiroshi [surgery); Kumao Sako [surgery); Ronald G. Vincent [surgery); Takumo Nemoto (surgery). Promotions to Clinical Assistant Professor: Doctors James L. Budny (neurosurgery); Jean B. Jackson (psychiatry). Promotions to Research Assistant Professor: Doctors Stanley Szefler [pediatrics and pharmacology & therapeutics & BUSWELL); Michele C. Hindi-Alexander [pediatrics). 45 People �President Robert Ketter reappointed four Medical School department chairmen for three-year terms. They are: Dr. Edward Carr Jr., pharmacology and therapeutics; Dr. Monte Blau, nuclear medicine; Dr. Donald Rennie, physiology; and Dr. Felix Milgram, microbiology. Dr. Carr came to Buffalo in 1976 from the University of Louisville Medical School. He has been a consultant to the U.S. Food and Drug Administration. Dr. Blau is a past president of the National Society of Nuclear Medicine. He was on the faculties of the University of Washington, Yale University and Montefiore Hospital before coming to Buffalo. Dr. Rennie has been on the faculty since 1958. His research focuses on physiological effects of temperature and exercise on humans. Dr. Milgram came to UB in 1958 from Poland. He has authored or co-authored more than 200 articles for professional journals.D The only American ever to twice complete the 750-mile bicycle race from Paris to Brest and back in France is Dr. Herman Falsetti, 45. He was an assistant professor of medicine at U/B from 1966 to 1975. He is now professor of internal medicine at the State University of Iowa Medical School. That event, the longest and toughest amateur bicycle race in the world, is run every five years. The first one was in 1891. No American ever had completed it until Falsetti and two fellow Americans did five years ago. (Bicyclists who fail to reach checkpoints by certain times are ejected from the race.) The trio were heroes in France. Of those three, only Falsetti returned in 1979 to try again. He slept only three hours while completing the sometimes mountainous course in 78 hours, an ample 12 hours under the maximum time allowed. Falsetti's six-foot, 175-pound body held up during the race, and he said he would have finished several hours sooner except that, unlike most of the riders, he had no support crew. He had to carry his repair gear and spare clothes on a bicycle rack. At stops, he had to fetch food and water himself. At one stop, he went to a bank for money, to a hardware store for batteries and a flashlight, to a grocery store for food, to a bar for water, and to a control point to check in. That stop took an hour. Bicycling, incidentially, is the second most popular sport in the world, behind only soccer. Amateur bicyclists in Europe serve as paid technical advisers to bicycle companies, so they can train all day. Falsetti trains mainly by running 50 to 60 miles a week and, just prior to an endurance biking race, by also riding about 100 miles a day.O Rich Rougeux, second year medical student, placed 98th in a field of 3,000 in the annual International Skylon Marathon last fall. His time: 2 hours and 45 minutes. Another second year student, David Orgel, finished his first marathon in respectable time. Another fourth year student and several dental students participated.O Dr. Kwang H. Shin, clinical instructor in anesthesiology, has been appointed acting director of the department of anesthesiology at St. Joseph Intercommunity Hospital.D Two second year medical students, Amy Mason and Susan Stephens, are responsible for bringing the national organization, "Women in Medicine," to the campus this year.O Dr. L.N. Hopkins, clinical assistant · professor of neurosurgery, is the new head of the neurosurgery department at the Millard Fillmore Hospital. He succeeds Dr. Walter Grand, clinical assistant professor of neurosurgery, who is moving to Florida. Dr. Hopkins received his B.A. degree from Rutgers University and graduated with an M.D. cum laude from Albany Medical College in 1969. Dr. Hopkins served as an Intern in Dr. Hopkins surgery while attending Case Western Reserve in Ohio and he completed two Residencies, one in neurology and one in neurosurgery. He is active in several local, state and national professional societies.O A $7.5 million research and education facility will be added to the Veterans Administration Medical Center. Construction will probably begin in 1981 and take approximately two years. It will add 60,000 square feet to the hospital. The expansion will provide for a much needed library and audiovisual resource center for all medical and health science students.O 46 THE BUFFALO PHYSICIAN �Dr. Herbert Hauptman, research professor of biophysical sciences, is the new president of the Association of Independent Research Institutes. He is vice president of the Medical Foundation of Buffalo.D Dr. Tim Han, research associate professor of medicine, received the Redway Medal from the Medical Society of the State of New York.D Dr. Thomas L. Stern received the 11th annual Max Cheplove Award from the Erie County Chapter of the New York State Academy of Family Physicians. The Kansas City physician is director of medical and scientific affairs for the American Academy of Family Physicians.D Dr. Arlene D. Albert, a microbiology research instructor, has received a two-year $25,000 fellowship from the Leukemia Society of America, Inc. Her research deals with a substance which binds to the surface of various cells.D Dr. Barry Eckert, assistant professor of anatomy, received a three-year $45,000 grant from the Alexandrine and Alexander Sinsheimer Fund to study the cytoskeleton of normal and malignant cells. The fund aids promising young researchers under the age of 35. Dr. Eckert is one of three scientists in New York and New Jersey to receive a grant.D Drs. Jacqueline Levitt, clinical instructor in medicine, and Earl W. Noble, M'52, have been selected as Fellows in the Veterans Administration Buffalo-Rochester Regional Geriatrics Training Program. Funded by the VA, the program is a cooperative venture between the Medical School, the University of Rochester and the VA to train physicians who wish to specialize in treating the elderly. Dr. Noble has been associated with the Syracuse University Health Service. At one time he was on the U/B Medical School faculty.D SPRING, 1980 The president of Children's Hospital, John R. Jefferies, has been elected to the board of trustees of the National Association of Children's Hospitals and Related Insti tu tions.D People Dr. Emanuel Lebenthal, associate professor of pediatrics, visited a Cambodian refugee camp recently in southern Thailand and saw the world's worst malnutrition. "It was an unbelievable nightmare." The chief of nutrition and gastroenterology at Children's Hospital also attended a nutrition conference in Thailand and Malaysia.D Half a million Americans will suffer strokes during 1979, according to Dr. Reinhold Schlagenhauf£, a neurologist at the Erie County Medical Center, and associate professor of neurology at the Medical School. He notes strokes are prompted by too little or too much blood in the brain. Either condition, he said, may cause permanent damage to this vital organ. The CAT scan has revolutionized stroke diagnosis. "It provides evidence for hemorrhage, blockage or tumors/abcesses which mimic stroke symptoms," he said. He noted every stroke patient can be improved, if only a little. "Early intervention, the sooner the better, is the key to effective treatment. "D Dr. Victoria H. Bessighini, clinical assistant professor of psychiatry, is the new director of the Western New York Children's Psychiatric Center. She has been acting director of the center in West Seneca since August, 1979. She received her medical degree from the University of Athens, Greece; served a residency in internal medicine at the University Hospitals of Athens; a pediatric residency at the Children's Hospital of the University of Athens; a rotating internship at St. John's Long Island City Hospital and a residency in psychiatry at Central Islip Psychiatric Center.D Sir John Eccles, professor emeritus, was vice-chairman of the 8th annual conference of the International Cultural Foundation in Los Angeles recently. He spoke on: "Brain, Freedom and Moral Responsibility."D 47 Dr. Schlagenhauf! �People Three faculty members are the new officers of the GI-Liver Society of Western New York. Dr. Tarik Elibol, clinical assistant professor of medicine, is the new president. The president-elect is Dr. Elton Rock, M'59, clinical instructor in medicine. Dr. Dean Orman, clinical instructor in medicine, is the treasurer, and Dr. Ronald Eckert is the secretary.D Four faculty members are the newly elected officers of the Erie County Medical Society. Dr. George W. Fugitt, clinical assistant professor of urology, is president; president-elect Dr. Joseph A. Prezio, clinical assistant professor of medicine and clinical associate professor of nuclear medicine; vice president Dr. Milford C. Maloney, M'53, clinical associate professor of medicine; secretary-treasurer Dr. Edmond Gicewicz, M'56, clinical assistant professor of surgery.O Four faculty members are new officers of the Erie County Chapter of the American Academy of Family Practice. The new president is Dr. Charles Massaro, clinical associate in medicine and family medicine. Vice president is Dr. Fredric Hirsch, clinical instructor in family medicine; secretary - Dr. Louis Lazar, clinical assistant professor of family medicine and medicine; treasurer - Dr. Robert Corretore, M'56, clinical assistant professor of family medicine and clinical instructor in medicine.D Dr. Kinnard Dr. Ronald G. Basalyga, clinical instructor in Medicine, has been elected a member of the American College of Gastroenterology.O Two alumni and one faculty member have been elected officers of the Medical-dental staff of Our Lady of Victory Hospital, Lackawanna. Dr. Franklin Zeplowitz, M'58, is the new president, and Dr. Joseph Kiji Jr., M'57, is the secretary. The new vice president is Dr. Dogan Perese, clinical associate in neurology, and Dr. Frank Ferro is treasurer.O C.K. Huang, director of the Health Sciences Library, was one of three members of the U/B faculty to receive an Award for Excellence from SUNY Chancellor Clifton R. Wharton Jr. Mr. Huang joined the faculty in 1969.0 Georgirene D. Vladutiu, research assistant professor of pediatrics, received a three-year, $141,486 National Institute of Child Health and Human Development grant. The title: "Endo and Exocytosis of Lysosomal Enzymes in Vitro." She received her Ph.D. from U/B in 1973 and is a member of the Division of Human Genetics at Children's Hospital.O Dr. Debabrata Maulik, assistant professor of Gyn/Ob, has been elected a Fellow of the American College of Obstetricians and Gynecologists. He is director of the perinatology division of the department of Gyn/Ob at the Deaconess Division of the Buffalo General Hospital.O Dr. William V. Kinnard Jr., president of The Buffalo General Hospital, has been selected as a delegate to the highest legislative body of the American Hospital Association. Dr. Kinnard was appointed to a two-year term in the House of Delegates of the A.H.A., effective January 1, 1980. Dr. Monte Blau, professor and chairman of the department of nuclear medicine, was appointed as Chairman of the Los Alamos Scientific Laboratory Medical Radioisotope Advisory Committee in December 1979.0 In addition, he was elected a delegate to the Regional Advisory Board - II of the A.H.A. for a three-year term which will also commence January 1, 1980. Dr. Kinnard currently serves as the secretary of the Western New York Hospital Association. He is a clinical associate professor of medicine.D The Health Sciences Library is training library directors. It is among three in the nation that is an intern training site, according to C.K. Huang, HSL director. June E. Bandemer has started a one-year program.D 48 THE BUFFALO PHYSICIAN �Dr. Robert J. Grantham, assistant professor of community psychiatry, has been named a Mary Switzer Fellow in Rehabilitation by the National Rehabilitation Association.D Dr. Gerd J.A. Cropp, professor of pediatrics and director of the Lung Center of Children's Hospital, received a $5,000 gift from the Ford Motor Company for the Apnea Evaluation Unit. Dr. Ian Nathanson, clinical assistant instructor in pediatrics, is project coordinator. This gift will enable the unit to continue its work on the sudden infant death syndrome.D Dr. Richard E. Bettigole, associate professor of medicine and clinical associate professor of pathology, is the new president of the Blood Bank Association of New York State. He is also a member of the New York State Council on Human Blood and Transfusion Services.D Three faculty members are the new officers of the Western New York Orthopedic Society. Dr. Walter D. Hoffman, M'64, clinical instructor in orthopedics, is the new president. Vice president is Dr. Daniel Curtin, M'47, clinical assistant professor of orthopedics. The treasurer is Dr. Michael Feinberg, M'65, clinical assistant professor of orthopedics, and the secretary is Dr. John Ring.D Dr. Joseph M. Anain, clinical assistant professor of Otolaryngology, was installed president of the medical staff of Sheehan Emergency Hospital. Also installed were: Dr. Jeremiah O'Sullivan, vice president; Dr. John G. Zoll, M'40, clinical assistant professor of neurosurgery, treasurer; and Dr. Rolando T. Velasquez, clinical instructor in gynecologyI obstetrics, secretary.D The President of Memorial Sloan-Kettering Cancer Center, Dr. Lewis Thomas, visited the campus in November to give a Harrington Lecture: His topic: "Individuality and SelfMarking in Biology." The researcher has authored two books that have been best sellers, "The Medusa and the Snail," and "The Lives of a Cell: Notes of a Biology Watcher."D SPRING, 1980 Dr. Martin E. Plaut, associate professor of medicine, has been elected to fellowship in the Infectious Disease Society of America. He is also chief of the infectious disease service at Buffalo General Hospital.D Dr. Theodore T. Bronk, of Niagara Falls, was elected President of the American Cancer Society, New York State Division, Inc., at the 55th Annual Meeting held in Syracuse. Dr. Bronk is the Director of Laboratories at Mt. St. Mary's Hospital of Niagara Falls, and clinical associate professor of pathology at the Medical School. He is a Fellow of the American College of Physicians, the American Society of Clinical Pathologists and the College of American Pathologists. He is also a past President of the Niagara County Medical Society and the Western New York Society of Pathologists. Dr. Bronk graduated from the University of Pittsburgh with a Bachelor of Science degree and received his Medical Degree from George Washington University Medical School. He has been an active volunteer in the American Cancer Society, serving as President of the Niagara County Unit, and as Chairman of the Professional Education Committee and a member of the Board of Directors of the New York State Division.D The Buffalo General Hospital opened a satellite facility in October to provide ambulatory care for the Akron, N.Y. community of 6,300. It will be open weekdays and one evening a week. Dr. Michael Noe, assistant vice president of Buffalo General's ambulatory service and Dr. Ved Bhardwaj. associate chairman of the department of family medicine, will be available in Akron. Two nurse practitioners will also be at the new facility. The unit has three examining rooms, a small laboratory, a consultation room and office space.D Dr. Robert L. Gingell, assistant professor of pediatrics, has been named a Fellow in the American College of Cardiology.D 49 People Dr. Bronk �People Dr. Arthur E. Orlick, research associate professor of medicine, is a Fellow of the American College of Cardiology.D Dr. John M. Lore, Jr. professor and head of Otolaryngology/Head and Neck surgery fires the Cavitron CO• Laser during its first surgical use at Sisters of Charity Hospital. The $23,000 unit will be used initially for head and neck procedures with future possibilities in gynecological surgeries. The laser allows very precise control over the location, size and depth of surgery desired. The unit rapidly removes tissue through a 100°C light beam which causes flash vaporization of tissue on contact. Because of the high temperatures involved, as well as the limited area directly affected by the beam, the laser decreases the amount of bleeding in the surgical site and promotes instant coagulation of severed blood vessels. Surrounding tissues are not disturbed as much as during conventional surgery allowing for a reduction in postoperative pain, discharge, swelling and scarring.D Dr. Lore and Loser Dr. Robert H. Seller, professor and chairman of family medicine, has been named head of the department of family practice of the merged staffs of the Buffalo General and Deaconess Hospitals. Dr. Seller is also professor of medicine.D Two faculty members were listed among the "best medical specialists for children" in the October, 1979 issue of Harper's Bazaar. They were: Dr. Elliot Ellis, professor and chairman of pediatrics (under pediatric allergists); and Dr. Joel Bernstein, M'61, clinical assistant professor of otolaryngology (under pediatric otolaryngologists). Named one of the "best medical centers for children" was the pediatric program and adolescent unit at Roswell Park Memorial Institute headed by Drs. Arnold Freeman, research associate professor of pediatrics, and Cameron Tubbi.D Dr. Gene Stanford is the new director of the Child Life and Education Department at Children's Hospital.D A report by nine Medical School faculty members, all based at the Buffalo General Hospital, indicate that coronary bypass surgery may extend the life of the patient by years and improve the patient's quality of life. The report was presented at the 52nd scientific session of the American Heart Association in Anaheim, California in November. A high proportion of such patients (93 percent in one series) returned to work after surgery. The report was based on examination of 1,051 patients who had the surgery between 1973 and 1977. The study was conducted by Drs. David G. Greene, professor of medicine, Ivan L. Bunnell, M'43, and Robert Kohn, clinical professors of medicine, D.T. Arani, clinical associate professor of medicine, John P. Visco, M'73, assistant professor of medicine, R.N. Tanden (former member of the angiology group), Arthur B. Lee Jr., assistant professor of surgery, George Schimert, professor of surgery, T.Z. Lazos, a surgeon, Walter T. Zimdahl, and John Bozer, clinical associate professors of medicine, and Gretchen Smith, R.N. statistician.D THE BUFFALO PHYSICIAN �Dr. Charles M. Elwood, M'59, died January 18 after collapsing at a North Tonawanda tennis club. The 51-year-old physician specialized in internal medicine. He was attending physician and nephrologist at Buffalo General Hospital and director of its renal isotope laboratory. He was a clinical professor of medicine and pharmacology and co-author of more than 30 articles for professional journals. He was also coordinator for the introduction of clinical medicine at the Medical School. Dr. Elwood served his internship at the Buffalo General Hospital and his residency at the University of Illinois Research and Education Hospital in Chicago. He was a Fellow of the American College of Physicians and active in several other professional associations. In 1954 he was a lieutenant in the United States Army. A Charles M. Elwood Memorial Fund has been established by the Buffalo Medical Group, 85 High St., Buffalo, N.Y. 14203.0 Dr. Norbert Kuch, M'25, of Wayland, N.Y. died December 17 from injuries suffered in a two car accident. His age was 79. He practiced industrial medicine in Buffalo before assuming the practice of Dr. Frederick Buckley in Wayland in 1927. In 1931 Dr. Kuch was instrumental in establishing the Wayland Hospital, which closed after 33 years. He interned at Buffalo Emergency Hospital and took his residency at St. Catherine's Hospital in Brooklyn. In 1975 he was honored on his 50th anniversary as a physician. He never did retire, but he limited his practice the last 10 years.O Dr. Vincent C. Moscato, M'17, an ophthalmologist educator, lawyer and civic leader, died December 15. His age was 83. In 1929 he received his law degree from U/B. During World War I he was on the Army medical staff and he was an eye examiner on the Selective Service Board during the second World War. In 1967 Dr. Moscato was honored for his 50 years of service by the New York State Medical Society. He had been associated with several local hospitals and on the Medical School faculty.O Dr. John F. McGowan, M'36, died November 7 of a heart attack. The Buffalo psychiatrist was 71 years old. He served on the staffs of the VA, Kenmore Mercy and SPRING, 1980 Sisters Hospitals, Roswell Park Memorial Institute and the Bry-Lin Nursing Home. He served nine years in the United States Army in Europe during World War 11.0 Dr. Harold E.A. Cavanagh, M'26, died October 25 in Millard Fillmore Hospital after a long illness. His age was 81. He had been a general practitioner for 49 years and on the staff of Deaconess Hospital. He retired in 1975. He served in both world wars, and was active in several professional and civic organizations. Dr. Cavanagh was a member of the Salvation Army advisory board for 39 years.O Dr . Edward F . Driscoll, M'31, died November 9 in Nashua, N.H. after a long illness. The 73-year-old physician was an internist and gastroenterologist. He served on the UB faculty from 1943 until 1976 when he was named clinical professor of medicine emeritus. Dr. Driscoll was a founder and past president of the Catholic Physicians Guild of the Buffalo Diocese. He was also president of the Buffalo General Hospital medical staff from 1965-67, where earlier he took his internship and residency. For several years he was moderator of WBEN-TV's Medical series, Modern Medicine. He was a Fellow of the Am e rican College of Physicians and a member of the American Society of Internal Medicine, International Society of Internal Medicine and several other national and regional professional societies.O Dr. Thomas W. Atkins, M'53, of Elmira, an attending physician at Arnot-Ogden and St. Joseph's Hospitals and a consulting physician at Schuyler County Hospital, died October 14. Dr. Atkins, a specialist in urology, was immediate past president of the Chemung County Medical Society, a member of the American Urological Society and Northeast Section Urological Society and a diplomat of the American Board of Urology. He also belonged to the Roswell Park Memorial Hospital Surgical Society and was a board member of Blue Cross and Blue Shield of Central New York. A native of Olean, Dr. Atkins was a 1948 graduate of St. Bonaventure University. He served his internship and residency at Buffalo General Hospital and his residency in urology at Roswell Park Memorial Institute.O 51 In Memoriam �~ - ·------- 1980 Alumni Tours PORTUGAL/ MADEIRA May 22 - June 5 $1086/Buffalo- $1078/Syracuse- $1088/Rochester $999/New York City Day 1 through 4- Hotel Altis in Lisbon Day 5 through 7- Estoril Sol in Estoril Day 8 through 14- Casino Park Hotel in Madeira Continental breakfasts everywhere, seven dinners in Madeira. Fly TAP (Portuguese National Airline) out of New York City. IRELAND July 9- 17 $655 Dublin Hotel Burlington (or similar)- 3 nights Limerick Inn or Limerick Ryan Hotel (or similar) in Shannon- 2 nights Mt. Brandon Hotel (or similar) in Tralee- 2 nights Continental breakfasts throughout FLY TIA DC 10 from Niagara. MUNICH/ PRAGUE/ VIENNA August 10- 22 $1699 to $1799 Munich Hilton- five nights Prague Intercontinental Hotel- 3 nights Vienna Hilton- 3 nights Full American Breakfasts and all dinners Fly Swissair 747 from New York City Oberammergau Festival and Passion Play (optional- difference between $1699 and $1799). EGYPT October 12 - 20 Heliopolis Sheraton in Cairo or similar Continental breakfasts- Fly TIA DC 10 from Niagara $804 CHINA (Limited Participation) September 9- 25, 1980 Approx. $3,000 Hong Kong, Kwangchow, Hangchow, Shanghai, Peking. All meals in China plus full American breakfasts included; also 3 other meals in Hong Kong. Fly Buffalo to L.A. to Hong Kong. 52 THE BUFFALO PHYSICIAN �A Message from Lawrence M. Carden, M' 49 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Carden The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978) have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 ----------------------------------------------------------------------------------------------------111111 BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 92000322 400 JIID 44 D R • R 08 E R T l • BROWN 156 BRANTWOOD ROAD BUFFALO NY 14226 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1980 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1980-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1980-01-Spring Table Of Contents A list of subunits of the resource. Dean Naughton's Message Nine Class Reunions, May 10 Spring Clinical Days, May 10 The Class of 1983 National Cancer Grant The Family Asthma Program by Susan Siwiec The Clinical Years Summer Programs MECO/Cancer Education Faculty Honored Department Chiefs Dr. Sokal/Dr. Beltrami Summer Fellowships Transfer Students Emission Tomography Alumni Reception A Stereotactic Surgeon Iris Dedication Orthopaedic Residents Oncology Seminar/Pediatric Symposiums Dr. Alfano/Dr. Allen All Sports Day Sophomore Orientation Book Review by Dr. Ross Markello The Classes Continuing Medical Education People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2018-01-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v14n01 Extent The size or duration of the resource. 56 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/8d892d1b3ddac324569935b757225396.pdf 83de07a9e80653c45894d9c35580a38c PDF Text Text Th• Buffalo . Physician Winter Volume 13, Number 4 SpringClinical Days'79 ~~Right MeciJciM Today ~'- ~~ Right What'- """"~ wit~ ..... - DIAW , ~Right ~Right ~Right Tocl~lciM Tocl~lciM Tocl~ """ , What'- Right wit~ ~ iciM Tod~dichw Tod~iciM ~,.__._ __,~ "" ~ '"""-'------'..) School of Medicine State University '"". . . r What'-S Right witli ~:=-~ wit Tod~iciM TodG' '"""-'-------'~ ""'-----11 of New Yorl\ at Buffalo �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae: As we enter 1980, the School of Medicine is busily engaged in its first Institutional Self-Study in preparation for the accreditation visit of the Liaison Committee on Medical Education (LCME) from October 6-8, 1980. Already, the administration, faculty and students have been involved in a series of meetings and "unit selfstudies" in preparation for the core task. Now, a Steering Committee composed of twenty representatives of various constituencies of the school, including alumni, and a larger Task Force, composed of approximately 80 institutional representatives will meet at frequent, periodic intervals to review the multiple reports and relationships that exist within the school, and to develop the final documents which will be sent to the LCME in August, 1980. Although a time consuming task, it is already apparent that the process of self-study has served to bring representatives of the core university, faculty from all levels, and students together to review and to learn the institution first hand. Sound ideas and concepts about our purposes and missions have emanated from the various forums, and the working committees appear committed to a sound and objective review of the school's programs. . The Institutional Self-Study serves to give all an opportu~ItY to input their ideas and concerns. Accordingly, I invite you to give this process your undivided attention and to use the man~ channels open to you through departmental chairpersons, alumni president, hospital directors, etc., to inform us of your desires and needs. In this way, we will better serve you and at the same ti~e strengthen our commitment to the achievement of excellence ID medical education, biomedical investigation and patient service.O �Winter 1979 Volume 13, Number 4 THE BUFFALO PHYSICIAN I USPS 551-660) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL l:lOAIW I THIS ISSUE Dean aughton's Message (inside front cover) Editor ROBERTS. MCGRA AltAi\ Dean, School of Medicine DR. jOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKA )A DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. LAWRE CE CARDEN Vice President, Faculty of Health Sciences DR. F. CARTER PAN ILL President, University Fotmdation ]OH M. CARTER Director of Public Affairs ]AMES DESA TIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center Spring Clinical Days'79 2 3 6 8 15 16 16 17 21 22 23 24 25 26 27 29 30 32 33 34 35 38 39 40 41 42 43 45 51 52 56 Commencement Students Honored Dr. Gagliardi's Address Post Graduate Matching Co-Chairmen/Spinal Cord Center Spring Clinical Days Cardiovascular Disease Infectious Diseases Cancer Chemotherapy Renal Disease Transplantation Classes Give $25,580 Gastrointentinal Disease Critical Care Medicine HMO's Regulations National Health Insurance Rising Costs Health, Government Medical Alumni Officers People Class of 1929 Class of 1939 Class of 1944 Class of 1949 Class of 1954 Classes of 1959/1964 The Classes 1979 Class Gift In Memoriam Dr. Carden's Message Alumni Tours (Inside back cover) The cover by Donald Watkins focuses upon Spring Clinical Days, pages 2-31. THE BUFFALO PHYSICIA , Winter, 1979 - Volume 13, Number 4, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. WINTER, 1979 1 �The Oath of Hippocrates 133rd Annual Commencement Dean John Naughton welcomed the graduates and their families to the 133rd commencement. He praised the 137 graduates (98 men, 39 women) for participating on student/faculty committees, in social and sporting affairs. "You have been an innovative, active class. You have all made significant contributions to the Medical School and to the community. Twenty-five of you have been elected to the honors society and you have been accepted as interns and residents in good medical centers of this state and the nation. We are proud of each of you." Dean Naughton also complimented the editors of The Iris, Medical School yearbook. He also thanked the class for contributing money for a new sign that will be erected in front of Farber Hall. Class representative Robin Adair said, "we have fulfilled a dream of four years ago. Your degree will open many doors. We have shared fun, our hard work, learning and paid our own way. As we all go our own ways let's make this a better world." Class representative Joseph Gagliardi said, "we are full of excitement, pride and happiness today. Soon we will all be going into the only organized, formal 'slavery' in the free world - internship. We must never lose sight of our original goals and the right to question abilities and judgments. In treating your patients remember that each is a dynamic universe of three interacting galaxies- physical, emotional and spiritual. The poor and elderly deserve good medical care. We must remember our moral and ethical obligations to society. We must remain humble." The yearbook was dedicated to Dr. Alexander C. Brownie, professor and chairman of biochemistry, and Dr. Murray J. Ettinger, associate professor of biochemistry. The Iris co-editors Leonard Feld and Douglas Waldo noted that the two men were sincere, intelligent and superb educators and jointly developed a Biochemistry Study Manual. 2 THE BUFFALO PHYSICIAN -. �Dr. Brownie said he was thankful for the flattering dedication. "I have been on a 'high' since learning of this award. I am delighted that the class also honored my colleague, Dr. Ettinger. We worked and played hard together, and I am grateful for your many contributions. You have been leaders and your constructive criticism has been excellent. We the faculty owe you a lot. Continue toquestion, criticize and read the literature." Dr. Ettinger said, "It feels good to be appreciated. I enjoy my teaching and research and get paid for doing it. My person to person interaction with you folks has been enjoyable . You are the best people I have known. Continue doing what you have been doing and enjoy yourselves." Honored in absentia by the yearbook was Dr. George Thorn, M'29, emeritus professor of medicine at Harvard. His research has concentrated on endocrinology, metabolism and cortisone and ACTH. He pioneered in studies of salt and water metabolism and the effects of high altitude on adrenal function, the myopathy of thyroid disease, and he has made significant contributions in furthering medical knowledge of diabetes mellitus.D Dr. Thorn 21 Students Honored Twenty-one medical students won special honors and awards at the 133rd annual Commencement. John Canty won three awards, Bruce Rodgers, Rebecca J. Jackson, Joseph Caprioli, and Stanley J. Mackowiak each won two awards. Dr. James C. Allen, professor of medicine and chairman of the commencement awards committee, presented the awards. Stanley Ma ckowiak, Dean Naughton, Dr. James C. Allen WI TER , 1979 3 Dr. Constant, Margaret Graf, Dr. Wright �Bruce and Dean Naughton Dr. F. Carter Pannill Jr., vice president of the health sciences faculty, conferred M.D. degrees to 137 graduates and the Ph.D. to 30 others. Dr. John aughton, dean of the School of Medicine, administered the Oath of Hippocrates to the new physicians and Dr. Leonard A. Katz, associate dean, led them in the Charge of Maimonides. The awards and honors: Thesis Honors - John M. Canty, Joseph Caprioli, Leonard G. Feld Baccelli Award- (Academic excellence in the clinical years) -Lloyd M. Lehrer Gilbert M. Beck Memorial Prize in Psychiatry- (Academic Excellence)- Barbara E. Klein Buffalo Surgical Society Prize in Surgery - (Academic excellence- junior, senior years)- Steven M. Elias Children's Hospital Prize- (Excellence in understanding disease in childhood)- Betty S. Spivak Dean's Award - (Participation in extra-curricular activities in the medical school while maintaining a high standard of academic excellence)- Robin H. Adair Gordon S. Ehrlich Memorial Award- (To the graduating student who has best demonstrated an interest in and knowledge of pediatric pulmonary disease]- Karl R. Beutner Bernhardt & Sophie B. Gottlieb Award- (Expertise in areas outside of medicine) -Joseph E. Buran Norman Haber Memorial Award - (For proficiency in Otolaryngology)- Mark E. Brenner Dr. Heinrich Leonhardt Prize in Surgery - (Academic Ex::;ellence)- Gretchen Miller Bruce Rodgers, Dean Naughton, Dr. James C. Allen Andrew Urbach John Canty, Dean Naughton, Or. James C. Allen 4 THE BUFFALO PHYSICIAN �Lieberman Award - (Interest, aptitude in the study of Anesthesiology)- Juanita A. Evereteze Hans f. Lowenstein Award in Obstetrics - (Academic Excellence) - Rebecca J. Jackson Maimonides Medical Society Award - (Proficiency in the basic sciences) - Bruce D. Rodgers Medical Alumni Association Award - (Community commitment) -Bernadette L. Sheridan David K. Miller Prize in Medicine - (Demonstration of Dr. Miller's approach to caring for the sick - competence, humility, humanity) - Douglas A. Waldo John R. Paine Award in Surgery- (Research of merit in the general field of surgery) - Joseph Caprioli Mark A. Petrino Award - (Demonstrated interest and aptitude for the general practice of medicine)- Rebecca J. Jackson Clyde L. Randall Society Award in Gynecology-Obstetrics(Academic Excellence) - Bruce D. Rodgers Emily Davis Rodenberg Memorial Award - (Academic excellence in study of diabetes, its complications)- Ian K. Slepian Philip P. Sang M emorial Award - (Ability to relate well to patients, faculty and staff)- Frank T. Schreck Morris & Sadie Stein Neuroanatomy Award- (Excellence in neuroanatomy) -Stanley J. Mackowiak Up john Award - (Research ability) - John M. Canty John Watson Award in Medicine - (Enthusiasm for and commitment to scholarship in medicine) - John M. Canty Frederick B. Wilkes Pediatric A ward - (To the graduating student entering the career in Pediatrics who has best exemplified Dr. Wilkes' skills and dedication to patients) - Stanley J. Mackowiak d- WI TER , 1979 5 M yra Rubycz, Dr. Harry M etcal f �HONOR MEDICAL SOCIETY Robin H. Adair, James P. Bracikowski, Carl V. Bundschuh, John M. Canty, Jr., Joseph Caprioli, Peter Condra, Jr., Barbara A. Fretwell, Peter J. Jederlinic, Lloyd M. Lehrer, Stanley J. Mackowiak, Edward L. McCleary, Andre S. Midgette, Bruce J. Naughton, Michael R. Privitera, Jr., Lewis A. Roberts, Bruce D. Rodgers, Frank T. Schreck, Peter T. Silberstein, David M. Simpson, Ian K. Slepian, Lynn J. Soffer, Betty S. Spivack, Philip R. Sullivan, Joseph A. Vassallo, Douglas A. Waldo. joe Gagliardi The following basic science students participated in the School of Medicine Commencement: Doctor of Philosophy - Phyllis A. Alexander (anatomical sciences), Bahe Be dian (biophysical sciences), Joel M. Bernstein, M.D. (microbiology), Walter L. Binder (microbiology), Michael A. Cohen (microbiology), Evan G. Dick (physiology), Anne M. Fagundus (microbiology), Ramon Garduno-Juarez (biophysical sciences), Bill Greco (pharmacology & therapeutics), Judith A. Hirsch (physiology), Yee-Kin Ho (biochemistry), Paula S. Hochman (microbiology), Raymond C. Hoehler (physiology), Paula Krasnoff (microbiology), Sara Ellen Locher (biophysical sciences), Martin L. Milgram (microbiology), Carolyn Y. Neuland (microbiology), Carolyn ewton (biophysical sciences), Ricky L. Ornstein (biophycial sciences), Pat Palumbo (pharmacology & therapeutics), Allan J. Rosenspire (biophysical sciences), John D. Tyler (microbiology), Benjamen R. Walker (physiology), Ira Wallis (physiology), John F. Werner (microbiology), Joseph C. Webster (biochemistry), Timothy R. Winship (microbiology), Kai Wong (pharmacology & Therapeutics), Nejat Duzgunes (biophysical sciences), Avery K. Ellis (physiology) .0 Dr. Jules Constant, Michael Luke, Dr. john Wright Joe Gagliardi's Address Dr. Constant, Sonia Lamb, Dr. Wright Writing this speech was difficult for two reasons: first, I am fully aware that my fellow classmates stopped listening to lectures four years ago. Second, today the air bristles with excitement, happiness and pride. Whoa to the speaker who pollutes this atmosphere with a melancholy dissertation on the shortcomings of the medical profession. Therefore, I shall present a bit of homespun philosophy. Very shortly, we shall enter into the only legalized form of slavery in the free world, the internship. In the midst of being an intern, when we are working 80-100 hrs/week; when it's 3 a.m. and we have four admissions; when the flack from resident and attending is fiercer than anything used in W.W. II, we have the right to ask this question: Did I enter medicine because I want to help people or because I have a sado-masochistic streak in me? We have the right to question our abilities, our worth and our judgment, but only for a moment. We must strive not to lose the big picture or forget the fact that internship is only one year though it may 6 THE BUFFALO PHYSICIA �seem like ten. And when we are in a position to influence the course of medical training, to recall the absurdity of being an intern. Though medical training stresses the physical state of the human being, we must never forget that each person is a dynamic universe of three interacting galaxies; the physical, the emotional, and the spiritual. Any of these three spheres can become diseased and when so diseased, will ultimately affect the workings of the other two. Therefore, we should endeavor to look beyond the physical disease, listen beyond the physical symptoms, and feel beyond the physical organs. In this way, we will be able to assess the needs of the entire person. We must attempt to educate our patients and their families about both preventive and interventive medicine. For the patient and his family will affect the ultimate outcome of our endeavors. We should strive to stay current in the medical literature for medicine is an ever expanding field. However, these journals and texts cannot become the be all and end all of our knowledge. Tho I may shock many academic physicians, the New England Journal of Medicine, and Harrison's do not contain all the answers. However, we will always have at our disposal the two most powerful tools of our trade: Our medical experience and our common sense. When the journals fail, these will not. It is important that we adopt an attitude of cautious skepticism toward new drugs and new techniques. Give new ideas and inventions much time to prove their worth and validity- in this way we can avoid future mistakes like Thalidomide. We need to stay abreast of the social, political, and economic issues of our day for these will have as great an impact on the health of our patients as any pathogenic organism but the cure will not be as straightforward. We must be accepting of the poor and the elderly for they are no less a part of humanity and deserve no lesser quality of medical care than our young middle and upper class patients. We as physicians have a moral and ethical obligation to care for all classes of society. We should be slow to condemn our colleagues but quick to offer constructive criticism for policing our profession is an obligation and our goal is to educate and improve the skills of those physicians who may be inadequate not banish them from the profession. Likewise, for the sake of society and the profession, we must never hesitate to admonish and correct those physicians who fall into unethical practices. Despite all our knowledge and years of training; despite the fact that we may save a few lives, we should strive to be humble physicians. Remember the stag who admired his great horns and despised his ugly legs: When the hunter came, his swift legs saved him but later when tangled in the thicket, his horns destroyed him. I hope there is some wisdom in what I have said.O WINTER, 1979 7 Douglas Waldo Dr. Constant, Roger Kais er, Dr. Wright Be rn edette Sheridan, Dr. Corter PonniJJ �Post Graduate Matching Dr. Katz, Juanita Evereteze Eighty-one per cent of the senior medical students received their first, second or third choice in the annual National Postgraduate Matching Program. Almost one-half of the 137 students were matched with their first choice, according to Dr. Leonard Katz, associate dean. Sixty-nine of the students will remain in New York State. Of these 39 selected Buffalo area hospitals for their residencies. Nine students are going to Maryland, seven to Massachusetts, six to Pennsylvania, five to Ohio and 16 students selected hospitals in California, Wisconsin, Florida and Illinois. Fifty-nine students selected medicine as their specialty, 18 surgery, 18 family practice, 16 pediatrics, and 10 Ob/Gyn. Dr. Katz mentioned 23 prominent hospital programs where the students were matched. They are: pediatrics at Medical Center Hospital of Vermont, Case Western Reserve University Hospitals, Bronx Municipal Hospital Center, University of California Hospitals (San Francisco), Children's Hospital (Philadelphia), ew England Medical Center Hospital (Boston), medicine at University of Virginia Hospital, Strong Memorial Hospital (Rochester), Boston City Hospital, University of Iowa Hospitals, Case Western Reserve University Hospitals, New England Medical Center Hospital; Ob/Gyn at Johns Hopkins Hospital (Baltimore), The New York Hospital; surgery at Yale-New Haven Medical Center, University of Minnesota Hospitals, DartmouthHitchcock Medical Center; psychiatry at Yale-New Haven Medical Center, New York University Medical Center; family practice at Charles S. Wilson Memorial Hospital (Johnson City, .Y.). Adair, Robin H., Medical Center Hospital of Vermont, Burlington, Pediatrics Addesa, Albert J., Halifax Hospital Medical Center, Daytona Beach, Florida, Family Practice 8 THE BUFFALO PHYSICIA �Allen, Carol H., Hahnemann Medical Center and Hospital, Philadelphia, Ob/Gyn Amodeo, Donald J., SUNY /Buffalo, Medicine Anson, Philip S., University of Rochester Hospital Program, Rochester, N.Y., Surgery Armenia, Donald J., Grady Memorial Hospital, Atlanta, Anesthesiology Backus, William W., Overlook Hospital, Summit, New Jersey, Flexible Balon, Walter A., Rochester General Hospital, Rochester, N.Y., Medicine Barg, Gale A., SUNY /Buffalo, Medicine Baron, Robert L., Good Samaritan Hospital, Phoenix, Arizona, Family Practice Benerofe, Bruce M., St. Luke's Hospital Center, New York City, Medicine Beutner, Karl R., UCLA Hospital and Clinic, Los Angeles, Pediatrics Blumenreich, Bernice, University of Texas Affiliated Hospitals, Houston, Radiology Diagnostic Bottiglieri, Frank, Johns Hopkins Hospital, Baltimore, Ob/Gyn Bracikowski, James, University of Virginia Hospital, Charlottesville, Medicine Braly, Lawrence F., Montefiore Hospital Center, Bronx, Medicine Brandis, Robert A., Northwestern University Medical School, Chicago, Medicine Brenner, Mark E., SUNY /Buffalo, Surgery Bundschuh, Carl V., University of Chicago Hospitals and Clinics, Chicago, Surgery Buran, Joseph, Millard Fillmore Hospital, Buffalo, Surgery WINTER, 1979 9 James Creighton, Bruce Naughton, Andrew Costarino d- �I Campagna, Ida, William Beaumont Hospital, Royal Oak, Michigan, Ob/Gyn Canty, John, Strong Memorial Hospital, Rochester, N.Y. Medicine Caprioli, Joseph, Yale-New Haven Medical Center, New Haven, Connecticut, Surgery Cardone, Linda, SUNY/ Buffalo, Pediatrics Carl, Allen L., Montefiore Hospital Center, Bronx, Surgery Cellino, Michael R., SUNY/Buffalo, Medicine Chorba, Terence L., University Hospitals, Madison, Wisconsin, Medicine Clark, Letitia, Grady Memorial Hospital, Atlanta, Radiology Diagnostic Condra, Peter, University of Maryland Hospitals, Baltimore, Medicine Corbelli, John C., Millard Fillmore Hospital, Buffalo, Medicine Costarino, Andrew, Children's Hospital, Philadelphia, Pediatrics Creighton, James J., SUNY/ Buffalo, Surgery Crofts, John W., SUNY/ Buffalo, Medicine Denne, Scott C., Case Western Reserve University, Cleveland, Pediatrics Doolittle, Thomas, SUNY / Buffalo, Surgery Dunlap, Bruce, Erie County Medical Center, Buffalo, Ophthalmology Dvorak, Nancy G., Medical College of Ohio Affiliated Hospitals, Toledo, Medicine Eames, Frederick, Hershey Medical Center, Hershey, Pennsylvania, Medicine Egnatchik, James, Millard Fillmore Hospital, Buffalo, Surgery Elias, Steven, Millard Fillmore Hospital, Buffalo, Surgery 10 THE BUFFALO PHYSICIA �Evereteze, Juanita A., Mt. Auburn Hospital, Cambridge, Massachusetts, Medicine Feld, Leonard, Bronx Municipal Hospital Center, Bronx, Pediatrics Feuerstein, Burt G., University of California Hospitals, San Francisco, Pediatrics Finelli, Frederick, Washington Hospital Center, Washington, D.C., Surgery Fang, Katherine, Rochester General Hospital, Rochester, N .Y., Medicine Francemone, Charles J., SUNY / Buffalo, Pediatrics Fretwell, Barbara, University of Maryland Hospitals, Baltimore, Medicine Gagliardi, Natale J., University of Maryland Hospitals, Baltimore, Family Practice Gaines, Eleonore, Harlem Hospital, New York City, Flexible Gold, Andrea S., University of Miami Affiliated Hospitals, Miami, Medicine Graf, Margaret, The New York Hospital, New York City, Ob/ Gyn Hagen, Mark R., Charles S. Wilson Memorial Hospital, Johnson City, New York, Family Practice Hahn, Gary M., Long Island Jewish / Hillside Medical Center, New Hyde Park, New York, Pediatrics Hall, Theodore, Overlook Hospital, Summit, New Jersey, Flexible Harrison, Joseph, Danbury Hospital, Danbury, Connecticut, Medicine Hedaya, Robert, Georgetown Hospital, Washington, D.C., Psychiatry Hewitt, Beth Wadman, University of Maryland Hospitals, Baltimore, Family Practice Hoeplinger, Mark A., SUNY / Buffalo, Surgery Hogrefe, Kenneth, Erie County Medical Center, Buffalo, Ophthalmology Horowitz, Jeffrey D., University of Massachusetts Hospital, Worcester, Medicine Irene, Richard, San Diego Naval Hospital, San Diego, California, Medicine Be nita Walton , Juli e t W ynn d- �David Simpson, Ed McCleary, Michael Privitera Caruana, Jr., assistant af surgery, Mark Jackson, Rebecca, Charles Wilson Memorial Hospital, Johnson City, New York, Family Practice Jederlinic, Peter, SUNY /Buffalo, Medicine Jones, Janis L., Indiana University Medical Center, Indianapolis, Medicine Joyce, Dorothy J., NYU-University Medicial Center, New York City, Psychiatry Kahn, Geralynn, SUNY /Buffalo, Surgery Kaiser, Roger E., SUNY!Buffalo, Surgery Karpik, Alice, Rush Memorial Center, Chicago, Pathology Kashimawo, Tajudeen, Nassau County Medical CenterMeadowbrook, East Meadow, New York, Medicine Kenton, David, University of Miami Affiliated Hospitals, Miami, Medicine Klein, Barbara E., SUNY /Buffalo, Medicine Koenig, Paul A., SUNY /Buffalo, Family Practice La Mancuso, John M., SUNY /Buffalo, Medicine Lamb, John R., SUNY/Buffalo, Medicine Lamb, Sonia, Nassau County Medical Center-Meadowbrook, East Meadow, New York, Medicine Landsman, Ira, SUNY!Buffalo, Pediatrics Lehrer, Lloyd, Boston City Hospital, Boston, Medicine Levine, Myra D., Franklin Square Hospital, Baltimore, Family Practice Levine, Randy, Montefiore Hospital and Medical Center, Bronx, Medicine Lin, Suzanna L., Millard Fillmore Hospital, Buffalo, Medicine Luke, Michael, Brown University Affiliated Hospitals, Providence, Surgery Mackowiak, Stanley, University Hospitals, Madison, Wisconsin, Pediatrics 12 THE BUFFALO PHYSICIAN �Mahoney, Thomas L., University of Rochester Hospital Programs, Rochester, New York, Medicine Majka, Andrew J., University of Rochester Hospital Programs, Rochester, New York, Medicine Marino, Christine A., University of Maryland Hospitals, Baltimore, Family Practice McCleary, Edward L., University of Minnesota Hospitals, Minneapolis, Surgery Meltzer, Stephen, SUNY /Buffalo, Medicine Midgette, Andre S., Hospital of the Medical College of Pennsylvania, Philadelphia, Medicine Miller, Gretchen, Albany Medical Center, Albany, New York, Medicine Miller, James R., Baltimore City Hospitals, Baltimore, Pediatrics Moffat, Douglas, SUNY /Buffalo, Family Practice aughton, Bruce, Northwestern University Medical School, Chicago, Medicine Pabalon, Ramon, Cincinnati General Hospital, Cincinnati, Family Practice Picano, Dennis, Albany Medical Center Hospital, Albany, New York, Medicine Privitera, Michael E., University of Michigan Affiliated Hospitals, Ann Arbor, Psychiatry Rapkin, Andrea, SUNY/Buffalo, Ob/Gyn Regan, Michael, Baylor College Affiliated Hospitals, Houston, Medicine Resmovits, Marvin, Long Island Jewish/Hillside Medical Center, Long Island, Pediatrics Riley, Elise C., Washington Hospital Center, Washington, D.C., Medicine Roberts, Lewis A., Nassau County Medical Center-Meadowbrook, East Meadow, N.Y., Medicine Rodgers, Bruce D., SUNY /Buffalo, Ob/Gyn Rose, Robert J., Franklin Square Hospital, Baltimore, Family Practice Rosiello, Arthur P., Boston University Affiliated Hospital, Boston, Surgery Or. Katz, Ramon Pabalan WINTER, 1979 Lloyd Lehrer Mary Shapiro, Dr. Thomas Cummiskey, clinical assistant professor of radiology. 13 d- �john Canty Albert Addeso, Dr. Katz Dr. Katz, Sonia Lomb Rubycz, Myroslawa, ., Albany Medical Center Hospital, Albany, Ob!Gyn Saltzman, David, University Hospital, Madison, Wisconsin, Ob!Gyn Salzler, Michael, SUNY/Buffalo, Medicine Sampson, Avril M., University of Miami Affiliated Hospitals, Miami, Ob/Gyn Scatena to, lvonne, SUNY/Buffalo, Ob!Gyn Scott, Ronald, SUNY/Buffalo, Radiology-Diagnostic Schimmel, Alan J., SUNY/Stony Brook Affiliated Hospitals, Stony Brook, Medicine Schreck, Frank, SUNY /Buffalo, Pediatrics Sheridan, Bernadette, South Nassau Community Hospital, Oceanside, New York, Family Practice Shields, Peter E., North Carolina Memorial Hospital, Chapel Hill, Orthopedic Surgery Silberstein, Peter T., University of Iowa Hospitals, Iowa City, Medicine Simpson, David, Case Western Reserve University Hospitals, Cleveland, Medicine Sinatra, Lawrence, SUNY/Buffalo, Family Practice Singer, Linda (Sternberg). Lenox Hill Hospital, New York City, Medicine Slepian, Ian K., University of Michigan Affiliated Hospitals, Ann Arbor, Medicine Smith, Gregory, University of California (Davis) Affiliated Hospitals, Davis, Medicine Soffer, Lynn, SUNY/ Buffalo, Medicine Solomon, James A., New England Medical Center Hospital, Boston, Pediatrics Spivack, Betty, SUNY/Buffalo, Pediatrics Spooner, Ted H., SUNY/Buffalo, Surgery Stahl, David, Millard Fillmore Hospital, Buffalo, Medicine Stern, Todd, University Hospitals, Madison, Wisonsin, Medicine Sullivan, Philip R., University of Rochester Associated Hospital Programs, Rochester, New York, Medicine Sze-Tu, Duncan, Charles Wilson Memorial Hospital, Johnson City, New York, Family Practice Thomas, Richard, Community Hospital, Glen Cove, New York, Family Practice Uljanov, Michael A., SUNY /Buffalo, Medicine Urbach, Andrew, Hospital University Medical Center, Pittsburgh, Pediatrics Urban, Richard, Shadyside Hospital, Pittsburgh, Family Practice Vassallo, Joseph, New England Medical Center Hospital, Boston, Medicine Waldo, Douglas, Boston City Hospital, Boston, Medicine Walton, Benita, Dartmouth-Hitchcock Medical Center, Hanover, New Hampshire, Surgery Weisbrot, Deborah, Yale-New Haven Medical Center, New Haven, Psychiatry Wilson, Lawrence, Aultman Hospital, Canton, Ohio, Family Practice Wynn, Juliet, University of Texas Affiliated Hospitals, Houston, Medicine 14 THE BUFFALO PHYSICIA �New Department Co-Chairmen Drs. Vincent J. Capraro and Marcos B. Gallego have been appointed Co-chairmen of the Department of Obstetrics and Gynecology at Millard Fillmore Hospital. Dr. Capraro, M'45, is professor of Gyn/Ob at U/B. He was Chief of the Pediatric and Adolescent GYN at Millard Fillmore Hospital in 1972 until he became Chairman of the OB/GYN Department in 1976. In addition to numerous other awards he has received, Dr. Capraro will be presented with the District II Award by the American College of Obstetrics and Gynecologists. He is also currently involved in writing a chapter entitled "Pediatric Gynecology" for Obstetrics and Gynecology the fourth edition by Danforth, editor. Dr. Gallego received his Medical Degree from the University of St. Tomas in the Philippines and is certified and a Diplomate of the American Board of Obstetrics and Gynecology. His subspecialty is Pediatric and Adolescent Gynecology and Corrective Gynecology Surgery. In 1977, Dr. Gallego served as Director of the Clinical Teaching Unit in the Department of OB/GY at Millard Fillmore Hospital and he is currently an Assistant Professor in Gynecology-Obstetrics at U/B.D Dr. Capraro Dr. Gallego Spinal Cord Injury Center The Erie County Legislature approved creation of a spinal cord injury center at the Erie County Medical Center, according to Dr. Guy Alfano, hospital director and clinical professor of surgery. The center will serve Western New York. Patients will no longer have to travel as far away as Denver, Colorado to receive the acute management they require for spinal cord injury. They will be able to receive their medical/rehabilitation needs from a sophisticated, multi-disciplinary team at the hospital that includes: rehabilitation medicine - · Dr. Glen Gresham; orthopedics- Dr. Eugene Mindell; neurosurgery- Dr. Louis Bakay; trauma - Dr. John Border; nursing - Caroline Granato, R.N.; urology- Dr. Imre Magoss; and radiology- Dr. Eugene Leslie. The $259,000 estimated cost of staffing the 10 bed unit will be more than offset by anticipated annual revenues of $930,750. On average, one spinal cord injury is recorded each week in Western New York. The majority, males, are the victims of vehicular or diving accidents, a sports injury or gunshot wound. And they end up as paraplegics or quadriplegics with paralysis.D WI TER, 1979 15 The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sanes, M.D. that appeared in The Buffalo Physician {19741978) have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 �The 50-year class at Saturday's luncheon - Drs. jam es Tyner, Fred Stoesse r, Anthony Zaia, Victor Cohen, Charles Leone, Norman Heilbrun, Clyde George, Carra Lester and Warren Smith. Spring Clinical Days Cardiovascular Disease On Friday "What's Right With Medicine Today" focused on the past, present and future advances in eight subspecialties of Medicine and Surgery. Recognized experts in these areas have been called upon to emphasize some of the superlative advances in technology, diagnosis and treatments and the positive effect they have on reducing medical cost. Program chairman Dr. Robert Schultz, M'65, introduced the speakers.D There is good news for people with cardiovascular diseases, according to Dr. Francis J. Klocke, professor of medicine and chief of cardiology at the Erie County Medical Center. "It is still our number one health problem (one out of every two deaths in the United States) but there has been a 30 per cent decrease in mortality since 1950. There have been many improvements in the diagnosis and treatment, but we need to know more about which improvements have contributed most to the disease. "We are making inroads in the treatment of hypertension (twothirds are being treated today) and people are changing their diet habits to control cholesterol and obesity. More and more people realize that smoking is bad. The problem is with the teenager, who is smoking more," Dr. Klocke said. He. mentioned the emphasis on exercise-jogging, bicycling, walking. "Heart attacks may diminish with exercise or regular physical activity." 16 THE BUFFALO PHYSICIA �He mentioned several tools-exercise stress tests, coronary anteriography, echocardiography and nuclear cardiology-that have made diagnosis easier. "It is possible in the cardiac catheterization lab to see coronary arteries, with a high degree of safety, in movie and still films." Dr. Klocke discussed and showed slides of two types of cardiac imaging-perfusion scanning and gated blood pool scanning. He also talked about risk factors, treatment and identification. "Coronary problems increase with age and we can't do anything about our inheritance. But we can identify areas where we can make further improvements," Dr. Klocke said. Several of his other observations: - 20 to 40 per cent of people with hypertension are effectively treated today and this will have an impact on incidence of coronary disease; - in the last decade there has been a 10-15 per cent decrease in cholesterol levels in the blood; - our diet patterns are changing; we are eating more vegetable fats, less animal fats; - studies show that heart attacks may decrease with exercise; - nuclear techniques are coming along fast and these increase the precision of our diagnosis; - we have not yet seen the impact of improved diagnosis on mortality, but we soon will; - we are doing much better in CCU's; - oral nitrates are good and we have learned how to give more of them for a longer period of time; they do work if you give them continuously and long enough; - we must learn about primary prevention and control of atherosclerosis and lesions in the arteries. Dr. Francis J. Klocke Dr. Klocke reminded his colleagues of the importance of getting a natural history of their patients. "The sudden cardiac death is still unsolved. We are still learning why this happens. We need better mechanisms for evaluating new therapeutic modalities. Within five years the natural history of coronary disease will be updated importantly for large scale patient registry data."O Infectious diseases remain the best, if not the only examples of medical problems that can be prevented and cured, according to Dr. Richard Lee, Professor of Medicine and Chairman of the Department of Medicine at the Veterans Administration Medical Center. "There is a whole lot that is right about our understanding of the management of infectious diseases." The physician-educator suggested that there are two broad areas of current interest-(1) the definition of the new etiologic agents and new understandings about the mechanisms of infection; and (2) the remarkable successes of prevention and treatment such as active and passive immunization, vector control and the continued struggles to develop chemotherapeutic agents which are at least one step ahead of microbial adaption. WI TER, 1979 17 Infectious Disease �Spring Clinical Days Dr. Ri ch a rd V. Lee Dr. Lee reviewed briefly the present hypothesis regarding Kuru, an unconventional slow virus, and its relationship to cannibalism among the Fore people of New Guinea. He illustrated the transmission of the characteristic spongiform changes of the central nervous system by innoculation of human brain tissue into subhuman primates. "Unconventional agents, like that of Kuru, are very bizarre and frightening. They are not antigenic and they produce no immune responses. We cannot develop a vaccine for primary prevention until we find someway to make these unconventional infectious agents antigenic. In addition, they have remarkable stability to the usual killing agents-heat, boiling, and radiation." The agent of Jakob-Creutzfeldt disease, another unconventional slow virus which produces spongiform changes in the central nervous system, has been transmitted by corneal transplantation. Rabies and measles are the best known of the slow conventional virus diseases that affect man. These agents are quite distinct from the unconventional slow viruses and are preventable by vaccines. After a discussion of the elucidation of the pathogenesis of some infectious diarrheas, especially the "turista," enterotoxin producing E. Coli, Dr. Lee discussed the development and utilization of vaccines. He stated that a new tissue culture derived rabies vaccine is available in Europe but is not yet licensed for clinical use in the United States. This new vaccine has much reduced the tendency to produce central nervous system dysfunction in the recipient, in contrast to the old simple rabbit spinal cord vaccine and the presently used duck embryo vaccine. Dr. Lee pointed out that the use of human immune globulins with antibodies specific for rabies has been available in the form of Hyperab for some years. When a patient has a clear exposure to rabies, usually from a bite of a wild animal, which is omnivorous or carnivorous 18 THE BUFFALO PHYSICIAN �(rodents do not generally carry rabies]. or an unprovoked bite from a sick acting dog, the patient should receive passive immunization with human anti-rabies globulin as well as beginning active immunization with the currently available killed virus rabies vaccine . National and international programs of vaccination have accomplished a great deal of good. Smallpox has virtually disappeared from clinical records as a result of widespread international vaccination campaigns. Dr. Lee urged a certain amount of caution in accepting the notion that we have " eradicated" smallpox virus, and pointed out that physicians and health workers should be careful to maintain their immune status since they are the frontline anytime epidemic disease appears. The failures of the Swine Flu vaccination program, Dr. Lee stated, were due primarily to societal and governmental problems and not scientific sophistication or technologic abilities. The fact that a vaccine could be produced within a 6 or 8 month period of time following the initial reports of swine flu influenza in humans, represents a major testament to our scientific and technologic sophistication. The fact that a major epidemic did not occur was good luck rath er than an y maliciousness on the part of physicians advising the Communicable Disease Center and the Federal government. The complications of swine flu vaccination, in particular Guillain-Barre syndrome, were not unique to the swine flu vaccine , but in fact , are expected risks with any vaccination. Dr. Lee then discussed some aspects of antibiotic resistance. He pointed out that multiple drug resistance transmitted amongst bacteria by extrachromosomal DNA plasmids has become an increasingly important problem. The emergence of multiple resistant nosocomial organisms is in large part related to the use and abuse of antibiotics in the hospital setting. Dr . Lee pointed out, in his closing comments, that present day medicine has very potent weapons against infectious diseases-vaccines and antimicrobial agents. Misuse of these weapons is increasingly common and poses great risks to our society. The failure to vaccinate children and adults effectively against preventable diseases such as measles, diptheria, rubella, and polio represents a tremendous risk to individuals and the community. Inappropriate usage of antimicrobial agents has provided a strong evolutionary selection process for drug resistant bacteria. Dr. Lee concluded by emphasizing that overconfidence about our ability to deal with infectious diseases is perhaps as dangerous as the infectious diseases themselves.D Drs. O.P. Jones, M'54, Bertram Partin, M'53, Ma r vin Kuri an, M'64. The new change in the medical approach to cancer treatment is the successful use of drugs , according to Dr. James F. Holland, Professor and Chairman of Neoplastic Diseases at Mount Sinai School of Medicine, New York City. "There has been much progress in the last eight years. Cancer is a concern of all medical groups because no organ is exempt. We are making steady progress in the treatment of cancer. Since 1970 there has been a decreasing number of deaths. Many more people under 30 have WI TER , 1979 19 d- �Dr. James F. Holland Spring Clinical Days been successfully treated and are alive and well today. This is also true of older people." The Director of Mount Sinai Hospital's Cancer Center mentioned the curative treatment of acute lymphocytic leukemia in children. He noted that the same principles of treatment are applicable to other cancers in adults. Cancer is a disease of cells and exists throughout the animal kingdom and in plants too. "In 1967 there was no survival beyond three years for acute myelocytic leukemia, but today the survival is longer. Many patients who have had chemotherapy the last six years are alive and well. This greater survival is related to the successful treatment by drugs plus immunotherapy." Metastatic breast cancer is a terrible disease and the commonest cancer among American women. He discussed the success that Dr. Richard Cooper has had with chemotherapy for women with breast cancer, with four or more auxiliary nodes involved at the time of surgery, treated in the immediate post operative period for nine months. "After eight years, 68 per cent are alive and well. This is a major change in breast cancer treatment and survival. Chemotherapy is much better than radiotherapy, and it may prove to be better than surgery." Dr. Holland paid a special tribute to Dr. Cooper, clinical associate professor of medicine, for his contribution to American women in his cancer research. "He made an enormous contribution to progress against breast cancer." Dr. Holland said, "Ovarian cancer is increasingly common, and highly lethal. Pelvic examinations to find curable disease are not adequate. Very often the cancer is found too late for curable surgery or effective treatment. Surgery has a helpful but not a curable role when the tumor is spread beyond the pelvis. Chemotherapy The winning exhibit: Outpatient Sphincterotomy for Anal Ulcer by Drs. W.H. Bernhoft, B.A. Portin, R.F. Teitler, F. E. Boemke. Dr. Bernhoft (left) is congratulated for winning exhibit by Dr. Carmela Armenia. Sphincterotomy For Anal Ulcer, an office procedure BAPort1n.M.D. FA.C.S W H Bernholt.M D .FA C S 0_ _,_~ R FTe1tler.M 0 FE Boeh:::.::m:.::,k:.:,e·:._M_ 20 THE BUFFALO PHYSICIA �with the combination of Adriomycin and platinum has apparently eradicated advanced cancer in 25 per cent of women." Dr. Holland discussed a series of studies that involved 2,500 children under 20 years old who had acute lymphocytic leukemia. All died within 15 months in 1956. "We took the best chemotherapy of this initial program and modified it successively as new results became available. By 1976 the children had a 50 per cent survival free of disease. Many patients have survived 10 years without treatment and there is no evidence of the recurrence of the disease." Dr. Holland made several other observations: - the campaign against smoking must take more effective hold to decrease lung cancer deaths; - saving a few thousand children from cancer is more important than an equivalent number of patients at the end of life; - deaths declined after 1970 when Congress appropriated more funds in a national effort against cancer; - postoperative adjunct radiotherapy for breast cancer should not be used any more since it is immunosuppresive and compromises the effect of chemotherapy; - chemotherapy may be more important than radical surgery in breast cancer; - postoperative chemotherapy should be used in most cancers if metastatic nodes are found; - leukemia provides an excellent model system for other types of disseminated cancer; - human leukemia may be due to a virus. There is no proof of this, but no disproof either; - acute lymphocytic leukemia in children is apparently many diseases; - the commonest cancer of childhood is 50 per cent curable today. "Oncologists are a very special group of people. It takes a lot of time, dedicc:tion and determination. They must continue to work as a team in their community and in their institutions. This is going on in Buffalo and is a tribute to the physicians and the community," Dr. Holland concluded.D WI TER, 1979 21 Cancer Chemotherapy �Dr. Sidney An than e Renal Disease, Dialysis The artificial kidney and kidney transplants have been the two outstanding developments since 1950 in renal disease, according to Dr. Sidney Anthone, clinical professor of surgery. "Prior to 1950 most patients with end stage renal disease were doomed with progressive uremia and an early death. No treatment was available for them." The director of dialysis and transplantation at The Buffalo General Hospital said, "40,000 people in the U.S.A. are being kept alive today by the artificial kidney at a cost of one billion dollars a year. Most of these people are leading productive lives, holding jobs, and raising children." The development of the external shunt (1960) was a major event that made possible the repeated use of the artificial kidney to prolong life. In 1964 the internal arterial-venous fistula was introduced making repeated access to the blood stream even more feasible. There are now BOO dialysis facilities in this country. Today dialysis machines are even used effectively in the home by the patient with assistance from his family. Dr. Anthone noted that the Japanese have developed a wearable artificial kidney called JAK-2. The patient wears a jacket and bag. The only problem-the patient must drink three liters of liquid per hour. Dr. Anthone discussed and showed designs of the early dialysis machines. In 1944 Dr. Kolff developed and used the first dialyzer, a rotating drum kidney. Although he had only one survivor out of his first 15 patients the potential for clinical improvement by hemodialysis was evident. This led others to investigate newer designs and clinical uses of the devices in the treatment of people who have lost their kidney function. The physician mentioned other dialysis machines- plate, parallel flow, Mac eill-Collins (first tested and clinically used in Buffalo), and hollow-fiber kidneys. "Dialysis machines today are more sophisticated and almost entirely automated. They can mix dialysate solutions, monitor temperature, conductivity, blood leaks, air bubbles and pressures-thus making the system adaptable to home dialysis." Chronic anemia and renal ostodystrophy are problems associated with renal failure but Dr. Anthone pointed out some new treatment regimens and newer drugs available to successfully treat these problems. Dr. Anthone mentioned Dr. Wells of Duke University who developed new techniques to prevent occurence of hypoparathyroidism after total parathyroidectomy, which is very difficult to treat. He devised a system of dicing up one of the glands into small pieces and implanting them in the muscle of the forearm. "The parathyroid enjoys a unique preference in the body that results in a 100 per cent take after auto transplantation. In time these diced pieces will secrete parathormone. This has worked well for chronic dialysis patients who necessitated total parathyroidectomy for the osteodystrophy of tertiary hyperparathyroidism." Dr. Anthone spoke about the government's role in the treatment of renal disease. "The cost is the big problem. It averages $20,000 per year, per patient in an in-center situation, while home situations cost about $10,000. Since our society is a society 22 THE BUFFALO PHYSICIA �predicated on equal opportunity for all the federal government in 1973 passed a law which amended the Social Security legislation to include reimbursement of all costs for all patients on chronic dialysis or transplanted. Congress had no idea that the number of people necessitating chronic dialysis would multiply so rapidly. The program doubled and tripled in a short time. Congress didn't realize that the patients on dialysis for the first year would continue on dialysis the second, third, and subsequent years. The attrition rate is only 10 per cent a year and new patients appear at the rate of 50 per million population. In 1974 in the U.S.A. there were about 15,000 patients on dialysis at a cost to the government of $250 million; in 1977 33,000 at a cost of $1 billion; and by 1984 it is estimated that over 55,000 will be on dialysis at a cost of $3 billion." The government has set up a complicated bureaucracy in an attempt to cut costs. Each dialysis unit needs a full time secretary to fill out the many forms, and many must employ a full time accountant to comply with the myriads of government regulations. In closing, Dr. Anthone mentioned two other uses of the artificial kidney that have received recent publicity. One, its use for the treatment of schizophrenia and the other, for the treatment of psoriasis.D There are new developments and hopes in transplantation, according to Dr. Thomas E. Starzl, professor and chairman of surgery at the University of Colorado Medical School. "The mechanism of rejection is not fully understood, but a lot is known about it. Study and research is continuing and progress is being made." The educator traced briefly the history of transplants with experimental animals (horses, cattle and dogs] in the late 1950's and early 1960's. Dr. Starzl noted that the field of transplantation was in a quandary until the early 1960's. "Rejection was considered one of nature's most powerful processes, but there were hints that this might not be the case. Then suddenly there were some revolutionary observations. Rejections were shown to be highly reversible and within two or three months some patients could even be taken off steroids. With this information kidney transplants became a reality. At first in the non-related cases of transplants, 30 to 50 per cent of the patients died in the first year. Today 75 to 80 per cent of transplant patients survive for 3 to 5 years." Dr. Starzl said, "There has been much improvement in liver transplants. The longest survivor has been living more than nine years and many others have been living five or more years." He said that the cellular agents of rejection are lymphocytes and something must be done to the recipient to abrogate his response. The Colorado physician noted that research has been slowed because of lack of government funds. This is also true in the case of portable dialysis machines that allow people to work and make a living. "We need a new infusion of funds so that patients can afford new forms of treatment." Dr. Starzl discussed lymph duct drainage which was unreliable a few years ago, but is 95 per cent successful today. WI TER, 1979 23 's econd place exhibit: Maxillofacial Prosthe tics in th e Head and Neck Can cer Patient by Drs. T.R. Cowpe r, Department of Dentistry and Maxill ofa cial Prosth e ti cs R oswe ll Park M em orial Institute. Third pla c e e xhibi t: Cardio vascular/ Pulmonary Testing fo r Sports and Ph ysi cal Fitn e ss b y th e Departm e nt of Ph ysiology at U/B; Drs. P. Cerre te lli, D. Rennie, D. Pende rgast. Transplantation �9 Classes Give $25,580 to Medical School Clockwise from lower left: Drs. John McMahon, Thomas Doblin; Elizabeth Olmstead, George Brady; Ramsdell Gurney, Victor Cohen; Drs. Edward Rayhill, Ed Dunlap, Dean John Naughton, Dr. Nicholas Carosella; James Mohn, James Sullivan; Paul Buerger, Lawrence Carden; Fred Painton Jr., Joseph DiPaola. The 1934 class gave $3,350.00; the 1969 class gave $1,830.00. �In a survey conducted from 1971-76 in 105 centers with 5,000 patients the results were reviewed from 75 to 80 per cent of all renal transplantations done in North America during this period. For the recipients of primary cadaveric kidneys, the six month graft survival was only 55 per cent; the 12 month graft survival was 45 per cent. "Today the average recipient of a kidney transplant faces poor results. Fifty per cent will either be dead or back on dialysis within one year. For non-perfectly matched related cases 70 per cent have a one year success rate; the perfectly matched but not identical twin has a 90 per cent success rate." Dr. Starzl discussed a remarkable improvement from these results in a recent series of patients treated with thoracic duct drainage plus conventional immunosuppression. The six month success rate jumped to 88 per cent. However, he described his difficulties in obtaining funding for such improved care. The difficulties stemmed from rigid guidelines in federal agencies which tended to free therapeutic policies and to discourage innovations.D Dr. Harold Bernhard, clinical associate professor of medicine, discussed some of the modern diagnostic approaches and treatments of gastrointestinal diseases. "Make your office a cancer detection office ." Use of the many new devices will eliminate watchful waiting or exploratory surgery, according to the gastrointerology section head at Millard Fillmore Hospital. "New information is accumulating rapidly. My specialty is very fascinating and progressive. The use of new technology has made our diagnostic efforts more accurate and exciting," Dr. Bernhard said. "Fiberoptic Colonoscopy is an excellent example of recently introduced technology. This flexible instrument allows direct examination of the entire colon with precise diagnosis leading to early and specific therapy. It is used for evaluation of patients with questionable or negative colon x-rays, bleeding, diarrhea, polyps and previous surgery. The ability to remove polyps with the colonoscope has been a remarkable advance. This avoids the need for abdominal surgery and is very cost effective. The risk is less, the cost is less and time loss from work is minimal when compared to a surgical approach. "Colon Carcinoma is one of the major malignancies in this century. There are 100,000 new cases per year, 50,000 deaths and an overall cure rate of only 40 per cent. Until a major breakthrough in therapy occurs, improved survival figures requires finding early cases of colon carcinoma before symptoms occur. This can be done by routine screening for fecal occult blood with Hemoccult slides." Dr. Bernhard recommended this be part of all routine physical examinations just as the Pap smear is in the field of gynecology. "By making our offices cancer detection centers, we can find early cases of colon cancer with an 80 per cent five-year cure rate." The educator noted that jaundice is a physical finding that has always presented a challenge to the physician. While many cases WI TER, 1979 25 Dr. T homas E. Starzl Gastrointestinal Disease Dr. Harold Be rnhard �have an obvious etiology, at times it is difficult to differentiate medical (intrahepatic) from the surgical (extrahepatic) type. The use of "skinny needle" percutaneous transhepatic cholangiography and/or endoscopic retrograde cholangiopancreatography can precisely differentiate whether surgical or medical therapy is indicated. These tests outline the bile ducts with an opaque dye seen on x-rays. The dye is introduced into the biliary system either through a needle inserted into the liver (PTC) or through a cannula inserted into the lower bile duct by way of a duodenal endoscope (ERCP). Peptic ulcer is a major cause of disease and disability in the U.S. with 400,000 hospitalizations and 4 million days of treatment per year. Dr. Bernhard also discussed Cimetidine, a new drug that blocks the ability of the stomach to produce acid. In so doing, it allows healing of duodenal ulcers and there is prompt clearing of symptoms. The clinical results have been very striking. Careful followup will define whether this drug will reduce complications and the need for surgery.D ' ~ i- Critical Care Medicine The computer is an excellent servant (not a magic processor) to the health care team, according to Dr. John H. Siegel, professor and chairman of surgery at The Buffalo General Hospital. It answers questions and analyzes data and it is a very expensive piece of hardware. Dr. Siegel noted that entries can be made by the physician, nurses and technicians so that many patient problems can be studied. It is exceptionally good for burn patients and for patient followups. For the trauma patient it keeps an inventory of injuries, and if the patient is operated on, it records the details. It enables the surgeon to write a simple, quick operative note. "The computer shows the surgeon what he has done and he can compare the results with other patients who have had the same procedure. It will show disease responses and the complications and cause of death. "The computer is excellent for cardiac output studies. It will take primary data and come up with secondary data. It can compare variables. It can look at things in many (20) dimensions. "The computer suggests, adds to, and reinforces the judgment of the physician. It does not replace the physician. In the period 1973-76 at the Buffalo General we have had more admissions in the intensive care unit and the mortality rate has decreased in both general and cardiac surgery. And during the last two years the mortality rate is continuing to decrease steadily and persistently to 10 per cent. " In an intensive care unit like we have at the Buffalo General the computer can automate, monitor, help get clinical and lab data, but it is most valuable as the manager of an enormous data base," Dr. Siegel said. The most important thing you can do in taking care of an injured or critically ill patient is to reduce morbidity. Disability accounts for 70 per cent of medical cost. It is more costly than hospitalization. 26 THE BUFFALO PHYSICIA �Dr. Siegel made several other observations: - the computer is a bunch of machinery only as good as the ideas that make it work; -it can give you and interpret information about a patient faster, more accurately and more precisely; - it is oriented toward education and care. It remembers many things and it gives information that people may have forgotten or don't know; -it provides some kind of a quality review in terms of quality effectiveness by reviewing statistics with regard to outcome; -it serves as a patient's record; - it helps in daily fluid and electro-light balance; it is a bookkeeper; - it analyzes and looks at interaction and frequency of spectrum of change in a patient; - it gives different types of disease responses, and sequence of events; - it looks at things in a systematic way - in a way that a physician can't; - it supplements a physician's clinical knowledge and provides better care; - it helps the physician in making critical decisions for the critically ill; -it can take 11 vc;riables and come up with the answer. In some areas the mortality decrease has been startling because of the computer. "But even the computer can't salvage the patient who is too far gone," Dr. Siegel concluded. Spring Clinical Days Dr. Siegel The Saturday session focused on the changing concepts and rising cost in the delivery of health care. Health Maintenance Organizations, National Health Insurance and the effects of governmental policies on hospitals, physicians and research was discussed by various individuals associated with the delivery of health care.D HMO's do not give patients a free choice and no wide choice of physicians, according to Dr. Edmond Gicewicz. "It is like 'army medicine' because the physicians are on salary and there is not much incentive. It is the government that is creating the crisis in medicine. It is political intrusion into medicine." The clinical assistant professor of surgery reminded his colleagues that the American people live longer today and suffer less from disease. They are getting better care and seeing doctors less. Dr. Gicewicz noted that the federal government has had little success with its social security program (bankrupt); both the subsidized post office and railroads are in trouble and last year's swine flu program was a fiasco. He reviewed several of the goverment health acts. In 1946 the government created a crisis by saying we needed more hospitals. Then the government went on a crusade for more hospital and nurWI TER, 1979 27 HMO's d- �sing home beds. "Today these same bureaucrats say we have too many hospitals and beds. We must cut back. They say there are 600 too many beds in Erie County; 20,000 too many in New York State." The physician-educator discussed briefly the three types of HMO's- staff model, group model and the Independent Practice Association. The staff model is in operation in Cheektowaga. An IPA is being planned for Western New York and it has had two federal grants totaling $760,000 to get it operational. The law states that HMO's must be financially independent and give quality care. The federal government's general accounting office studied 14 various types of HMO's in this country recently. They found that three of them may achieve financial independence; 5 have a fair chance of being financially solvent and six have a poor chance of survival. "This is a ringing indictment. Most HMO's are marginal operations and may go into financial limbo in a few years," Dr. Gicewicz said. He made several other observations: - HMO's are not a good alternative to the private care of medicine; there is less humanization; - the government is making the health care industry the scapegoat; - HMO's are the product of politicians, bureaucrats, and social activists; -HMO is a prepaid health plan; - HMO's have enrolled very few indigent or elderly persons; - HMO's have not directed their medical services to underserved areas; - HMO's don't offer open enrollment; - they have not been able to adequately control costs; - they have underpriced services, lost money and may not be able to pay off their federal loans; - today 190 million Americans are covered with some kind of health insurance. In conclusion, Dr. Gicewicz suggested that more emphasis be placed on preventive medicine. "We must do a better job of educating people so they will lose weight, won't smoke or drink so much or take harmful drugs. These are the big killers and I wish HMO doctors would come up with the solutions. HMO's are not the panacea for either the patients or for the doctors. "D Dr. fam es Tyne r, Rita Swick I The President of the Hospital Association of New York, George Allen, said that his Association is interested in three areas of hospital regulation - quality, (least regulated) quantity and cost control. " ew York State regulates hospitals more than any other state to control Medicaid." Dr. Allen noted that the Association was a trade organization that dealt mainly with local and state government and hospital unions. "Labor costs in hospitals are going up about 4.5 per cent annually, and our major problems are in the New York City area. Medicare is one of the biggest problems." He went on to say that government controls 75 to 80 per cent of hospital revenues and generates 25 per cent of the cost in paper work. "Physicians don't want to get involved in hospital functions, but they must take a more active role in the future ." 28 THE BUFFALO PHYSICIA J �I \ J Mr. Allen spoke of two major regulatory trends; the establishment of hospital facilities standards and the cost and payment controls. Both are related to money matters and have intensified as the cost of hospital care increases. Together, the two have resulted in hospital regulations that are both prolific and broad in scope. In addition, the industry faces demands for compliance with innumerable regulations directed at particular aspects of institutional operation- environmental matters, personnel matters, professional performance matters and others. The result is piecemeal and uncoordinated regulation to an extent known by few, if any, other industries. Regulation of the hospital industry dates back to 1946 with the enactment of the Hill-Burton Act. He reviewed several national and state laws. In 1976 in an effort to promote a reasonably regulatory process, the Hospital Association undertook an in depth study of duplicate regulatory requirements imposed on New York State hospitals. This study identified 164 different agencies (40 are federal, 96 are state, 18 county-city, 10 other) with jurisdiction over acute care institutions. This study did not address a significant component in the regulatory process- cost of compliance. A second study was undertaken two years later and revealed some startling facts: -The annual costs to hospitals and the patients they serve exceeds $1.1 billion; -About 116 million man-hours each year are needed to meet regulatory requirements. That annual commitment is the equivalent of more than 56,000 hospital employees spending all of their time on regulatory matters. This is enough people to staff 75 hospitals, each with an average of 250 beds; - Regulatory matters occupy about 24 per cent of all manhours; - Registered professional nurses spend 1 out of every 5 days they work on regulated matters; -Forms and reports required by regulators are estimated to cost ew York hospitals more than $128 million annually; - In four hospital departments- administration, personnel, social services, and utilization review- more than 50 per cent of overall costs arise from meeting regulatory requirements; - Each year the cost of new hospital regulations adds 4 per cent to the regulatory bill. "About $40 per day per patient is spent on meeting regulatory requirements. This is about 25 per cent of the per diem cost. In Albany the regulatory cost is 26 per cent, 25 per cent in Rochester, 24 per cent in Buffalo and 23 per cent in Syracuse. The health care industry does not challenge the need for regulation. Rather, it challenges the manner and extent of that regulation. One component - revenue control - has driven hospitals into heavy deficiencies. In 1977, 80 per cent of hospitals in ew York suffered deficits," Mr. Allen said. "Regulations are causing hospitals to mortgage their future . They are not putting away funds for depreciation and in 16 years many will be out of endowment funds and will be unable to replace or improve their physical plants. In Great Britain the hospitals' physical plants have completely deteriorated. In New York State hospitals are closing; 34 went bankrupt since 1975. WINTER, 1979 29 Bureaucratic Regulations d- �Dr. Raymond Robillard National Health Insurance "Whenever you see government money the purpose of an institution is perverted. We will no longer be much interested and dedicated to care and curing- as we will be in satisfying government demands in producing progress the way government wants and in spending money the way the government wants us to. There is no example in this country's history that shows government has done a better job than private industry. Colleges and universities are guilty of responding to government money. We must stop this pervasive role of government in health care and the physicians must be a piece of this action." Mr. Allen's other observations: - PSRO's are used by government to control and curtail costs in delivering health care; -the federal government is concerned with cost control; -many state governments have a 'medicaid mortality;' -cost control is above and beyond most regulatory agencies; - in 1968 cost of medicaid in ew York State exceeded the estimates for the entire nation, and in 1969 the state legislature froze medicaid rates; -Blue Cross and Medicaid represent 50 per cent of revenues of this nation; -75 per cent of revenues are controlled by the government; - a 1977 survey shows that 80 per cent of the hospitals in New York State operated at a loss; someone has to make up the deficit; ew York State may be the model for cost containment in the rest of the nation; -nationally hospital costs have been going up 14 per cent annually as compared to 8 per cent in ew York State; - an independent agency should control hospitals -not the Department of Health. In conclusion, Mr. Allen made several predictions: - government will try to control behavior patterns of physicians and patient care; -by 1981 and beyond hospitals will probably be reimbursed (not on costs) by patient care in ew York State called 'diagnostic related groupings; ' - we are headed for a ational Data Bank that will spark a battle over privacy.O In Canada most health care money comes from a general federal-provincial taxation fund, according to the president of the Federation of Medical Specialists in Quebec. Dr. Raymond Robillard said, "The government bargains with the medical association to set the fee schedule . People are admitted to hospitals free. Four-fifths of the cost of medical care for patients is for hospitalization." He went on to say that the doctors have never been consulted on the Canadian Health Program and that hospital administrators have very little leeway in making decisions. "We are not delivering quality health care. The unions are very strong and a strike might be the best thing that could happen." 30 THE BUFFALO PHYSICIA �Mrs. Stockton Kimball , Dr. Gice wi cz, Da vid Satterfield, Drs. Ross Marke lJo, Carme la Arm e nia, Robe rt Schultz, Lawre nce Carde n. The attending neurosurgeon said "the Canadian Health System is an 'export from Great Britain.' Inflation is very high -11 per cent a year, while physicians receive only a four per cent per year increase. Since 1970 the purchasing power of physicians has dropped 32 per cent. The physicians aren't happy and many- 800 to 1,000 per year- are leaving the country. Some are coming to the United States." Dr. Robillard outlined other problems: there are many hospital closings ; there is not much CT scanning available; elective admissions to hospitals is non-existant; hospital deficits are high - $32 million in Quebec; bureaucratic red tape and greed ; physicians are pressured by the government and a ten per cent cut in residents every year. He also observed that doctors get a bad press; there is no elective surgery; no new hospitals have been built in Quebec in 10 years; many doctors have opted to leave the program; the health care system has a terminal disease; government financing is the fault of the system , which is a welfare state system . "The government has already told us that in October, 1979 all medical specialists will be paid on a salary basis and general pr.:tcti tioners on a per capita basis. " Physicians' incomes have eroded. They earn an average salary of $49,000 as compared to $44,800 for lawyers and $43,300 for dentists. But physicians' purchasing power has decreased 32 per cent while lawyers has increased 54 per cent, dentists 58 per cent , accountants 113 per cent and other segments of the population has increased 111 per cent. The doctors have been squeezed very hard. "The cost of medical services in Canada are increasing because people are living longer and new techniques are expensive . By 1985, 12 per cent of the population will be 65 or older. We must either increase taxes or cut down on benefits. There is no other way out and quality of care will probably decrease." WI TER , 1979 31 Spring Clinical Days �Dr. Robillard warned his colleagues, "You will also have state medicine if Senator Edward Kennedy gets his way. When Senator Kennedy tells you the Canadian physicians are happy, he is either ignorant of the situation or lying. You are the last bastion of liberal medicine in the world. If you falter, we in Canada will go down the drain for sure. "0 Mrs. Stockton Kimball, Dr. Gicewicz, David Satterfield Politics/Rising Costs Dr. Keith Leffler Inflation and government intervention have been two of the main reasons for the escalating costs of health care in recent years, according to a University of Washington assistant professor of economics. Dr. Keith Leffler noted that health care costs for the average American family has tripled in the last 12 years. "But we spend twice as much on transportation." Before 1965 the wealthy people consumed most of the health care dollars, but in recent years the poorer people have consumed most of the money. By 1977 the combination of government payments and insurance coverage paid 65 per cent of the physicians' bills, and 95 per cent of hospital bills. "The villain is clear-government subsidies and patients who don't pay from their own wallets. This makes health care more expensive," Dr. Leffler said. "The solution lies in good intentions and incentives. Bureaucratic controls don't make for good incentives. Cost controls don't change the economics of the situation, and government controls will do nothing about the demand for health care." Dr. Leffler made several other observations: - since 1965 medical care cost for people under 19 increased two and one half times while for people 65 and over it increased sevenfold; . - when the government introduced medicare/medicaid in 1966, medical care cost increased 25 per cent; -we spend more on health care than any country in the world; - health care consumption has not increased but distribution has; - in 1970 the well-to-do people became very nervous and purchased more private health insurance; -patients often move from rural to urban areas for surgery; - new restraints proposed by bureaucrats to solve problems usually don't work and are more costly; - physicians' incomes decrease when the output of medical schools increase; - some people believe if you limit the amount you spend on health care you will reduce the cost; - the market is entirely removed from solving cost problems when third party payments are increased. Senator Edward Kennedy's national health care plan is attractive to many and payment by one central agency may help control costs, according to the economists. "We can explain the price of medical care by looking at supply and demand and the availability of physicians and hospitals. The economic market does work," Dr. Leffler concluded.D 32 THE BUFFALO PHYSICIAN �The Stockton Kimball lecturer warned that proposed federal legislation, if passed, would dominate America's health system. Congressman David E. Satterfield of Virginia told the physicians that the Bureau of the Budget has plans to take over the VA Hospitals for a Federal Hospital System. "This is just the first of many steps. There is a strong move in Congress to gain control of the nation's private medical facilities and health professionals. HEW would like to control the licensing of all health facilities including the clinical labs in doctors' offices." The Congressman warned that the HEW Secretary, Joseph A. Califano Jr., wants to impose national guide lines on health institutions and physicians. He wants power, leverage and control of the health care system. "This is too much authority for the HEW secretary." Some proposed legislation would virtually make 'slaves' out of medical students by making them practice in a certain area if they received a capitation grant while attending medical school. "The government would like to look over every physician's shoulder," Mr. Satterfield said. "The lack of a funding mechanism has been the only thing that has saved us from some sort of a national health plan. Some people want a modified plan as a first step. Once we have this, there will be no return from complete government control. So far Congress has been able to hold off the bureaucrats." Mr. Satterfield told the physicians that he was confident that National Health Insurance could be headed off. "But we need your help and hard work. People must tell Congress what they want. I can assure you that each member of Congress will respond to your appeals. This is your front line of defense. If you fail it may be too late. " ational Health Insurance means security to some people. But it is federal control and nationalization of your health care. In the past there have been many bills that are blueprints of a national health plan, and there will probably be many more in the future." Congressman Satterfield made these observations: - HEW wants an alternate health care system; - proponents of HMO's will leave no stone unturned to get them operational; - HEW wants control of our health facilities; - from 1968 to 1978 hospital costs rose 11.8 per cent while income rose 8.6 per cent; - HEW is attempting to compare the value of hospital business with industrial revenues; - if we enact national health insurance, third party payments would go only to federally qualified HMO's. "The winds of socialization are blowing. Medicine is on the front line. You physicians and health professionals are the target; you know the danger. All that is needed is your commitment. Please act now for yourselves, for me and the nation," the Congressman concluded.O WINTER, 1979 33 Health and Government February 29, March 1 & 2, 1980 Sarasota Hyatt House Sarasota, Florida The First Annual Winter Symposium A Continuing Medical Education Conference and Convention of The CME Society "Trends in Internal Medicine-" Gastroenterology, Cardiology and Endocrinology For Family Physicians & Internists Jointly sponsored by The CME Offices of McMaster University, Hamilton, Ontario �Medical Alumni Officers Dr. Carden Or. Lawrence M. Carden is the new president. He is a 1949 Medical School graduate and clinical assistant professor of surgery (urology). He has been on the faculty since 1955. Dr. Carden received his bachelor's degree from the University of otre Dame in 1945. He took his internship and residency at the E.J. Meyer Memorial Hospital. He also had a fellowship at the Roswell Park Memorial Institute. He is chief, department of urology, at Buffalo Mercy Hospital; attending physician at the Meyer; and consultant at Bertram Chaffee in Springville. Or. Carden is a Diplomate, American Board of Urology, and a Fellow, American College of Surgery (Governor). He has been an officer and a member of several professional societies. Golf, sailing and jogging are among his hobbies.D Dr. Robert W. Schultz was elected vice president. He is a 1965 Medical School graduate and has been on the faculty since 1968. He is a clinical assistant professor of medicine. Dr. Schultz took his internship and residency at the Millard Fillmore Hospital where he was chief resident in 1968-69. He was associated with the department of renal disease and hypertension at the Cleveland Clinic the next two years. He was a Captain in the United States Army Reserves from 1965 to 1972. Dr. Schultz is an associate attending in medicine at the Millard Fillmore Hospital and a consultant in nephrology at Sisters, Kenmore Mercy and DeGraff Memorial Hospitals. He is involved in numerous community activities. He is an officer in the Artificial Kidney Center and the American Heart Association of Western ew York. He is a member of several county, state, national and international professional associations. He has authored several articles for scientific journals.D Dr. Schultz 34 Dr. Armenia Dr. Carmela S. Armenia is the new treasurer. He is a 1949 Medical School graduate and associate clinical professor of obstetrics-gynecology. He has been on the faculty since 1957. Or. Armenia took his internship and residency at the Buffalo General Hospital. He was in the United States Air Force from 1953 to 1955, and a senior cancer research surgeon in gynecology at Roswell Park Memorial Institute, 19551957. The physician-educator is associated with Buffalo General, Kenmore Mercy and Children's Hospitals as an attending or assistant obstetrician-gynecologist. He is a member of several professional organizations and has authored several articles for scientific journals.O THE BUFFALO PHYSICIAN �Dr. Doris J. Rapp, clinical assistant professor of pediatrics, has authored a new book, Allergies and the Hyperactive Child by Sovereign Books, 1979. Dr. Rapp suggests a simple, one-week diet that can be used by parents to determine if food treatment can alleviate their child's problems.D The Harvard-Radcliffe Club of Western ew York named Dr. Robert Warner "Harvard Man of the Year" in May. He received the club's highest accolade because of "giving his rich skills and learning for the rehabilitation of children, for the advancement of medicine and for the betterment of others." Dr. Warner directs the Children's Hospital Rehabilitation Center and is associate professor of pediatrics and clinical associate professor of rehabilitation medicine at the Medical School. After graduation from Harvard, Dr. Warner attended the University of Chicago Medical School, took a rotating internship at Buffalo General Hospital in 1939, followed by a special internship in pediatrics at Children's Hospital. In 1955 he was named director of the Rehab Center.D Dr. Steven Grabiec, clinical instructor in pediatrics, has been elected a Fellow of the American Academy of Allergy. He is head of the allergy department at Niagara Falls Memorial Medical Center.D Four faculty members are the new officers of the Buffalo Surgical Society. Dr. Donald J. Kelley, M'52, clinical instructor in surgery, is the new president. Vice president is Dr. Anthony J. Federico, clinical assistant professor of surgery; secretary is Dr. Bertram A. Partin, M'53, clinical associate professor of surgery and acting head of the division of colon and rectal surgery; and Dr. Fero Sadeghian, clinical assistant professor of surgery, is treasurer.D Inducted as Fellows of the American Academy of Orthopaedic Surgeons were Drs. John J. DeMarchi, clinical assistant professor of orthopaedics and James J. White, Jr., M'69. The induction ceremonies were at the Academy's 46th annual meeting in San Francisco.D WINTER, 1979 Six Buswell Fellows presented their scientific work at the fourth annual Buswell Research Day in March. The participants were: Drs. Bo Hainau, Alan Leibowitz, M'70, Arthur Orlick, Mario Pisarev, John Plewes, and Rolf Stahl. All are research assistant professors of medicine. At the dinner that followed the afternoon session, Dr. Margaret H. MacGillivray, professor of pediatrics, addressed the group.D Dr. Robert E. Reisman, M'56, clinical professor of medicine and pediatrics, has been named president-elect of the American Academy of Allergy at the 35th annual meeting in ew Orleans, La.D Researchers at Buffalo General Hospital are seeking volunteers for a study of a new technique to immunize individuals with an allergy to ragweed pollen. Dr. Carl E. Arbesman, clinical professor of medicine and microbiology, and director of the hospital's allergy research laboratory, said that 100 volunteers are needed for the study. He is principal investigator under a three-year grant from the ational Institute of Allergy and Infectious Diseases.D In March the Millard Fillmore Hospital inaugurated a TV microwave system between the Gates Circle and the Suburban Hospitals. This new system will improve communications between the two facilities for meetings and medical conferences. A passive repeater station has been installed atop Kimball Towers on U/B's Main Street Campus to send the microwaves between the two hospitals. At some future date the system may be expanded to include hospitals in Batavia, Niagara Falls and Gowanda.D A third year medical student, Alan Smith, presented his scientific work at the fourth annual Buswell Research Day in March.D Three Buffalo area hospitals - Millard Fillmore, Newfane Inter-community Memorial and Medina Memorial - have created a program to share expertise and services. It will be known as the Niagara Frontier Health Services Consortium.D 35 People �People Dr. Evan Calkins is the new chair-elect of the Medical School's Faculty Council. The professor of medicine and head of the division of geriatrics and gerontology assumes the chair at the end of the 1979-80 academic year. Dr. Benjamin Sanders, professor of biochemistry, was elected for a two-year term as secretary. Other election results: Drs. John Moran, associate professor of biochemistry, and Michael Cohen, M'61, associate professor of pediatrics and neurology, representatives to the executive committee; Dr. Reid Heffner, associate professor of pathology, pre-clinical representative to the steering committee; Drs. John Edwards, professor of medicine and associate professor of pediatrics, and Marvin Herz, professor and chairman of psychiatry, clinical representatives to the steering committee.D Eleven faculty members have been elected officers or board members of the Western ew York Chapter of the Arthritis Foundation. The new vice-president is Dr. Floyd A. Green, professor of medicine. Dr. Ralph J. Argen, clinical assistant professor of medicine, is the treasurer. Board members are: Drs. G. L. Boncaldo, M'57, clinical instructor in medicine; Evan Calkins, professor of medicine; Emoke Gomez, clinical instructor in medicine; Salvator Latona, clinical associate professor of medicine; Edward Marine, clinical associate professor of medicine and family medicine; Nelson A. Torre, clinical assistant professor of medicine; John A. Winter, clinical associate in medicine; Gerard Diesfeld, M'60, clinical instructor in family medicine; and James R. Kanski, M'60, clinical associate professor of medicine. Stephen R. Robshaw was reelected president.D Dr. Gustavo Cudkowicz, professor of pathology and microbiology, received a twoyear $189,016 grant from the American Cancer Society to study cytotoxic activity against tumor cells.D Dr. Milton M. Weiser, professor of medicine, received a one-year $54,955 grant to study a cancer-associated galactosyltransferase from the American Cancer Society.O 36 Dr. Gerald P. Murphy, director of Roswell Park Memorial Institute, received an honorary doctor of science degree from St. John's University in May for his work in improving care of the cancer patient. He is a research professor of urology.D Dr. Erwin eter, professor of microbiology and pediatrics, received the Federal Cross of Merit by the Federal Republic of Germany in May for his contributions to medical research.O Dr. Robin Bannerman, professor of medicine and pediatrics, discussed severe sickle cell anemia at the second international clinical genetics seminar in Athens, Greece recently. The seminar was sponsored by the International College of Pediatrics. Dr. Bannerman is head of the division of medical genetics at Buffalo General Hospital.O Peter Yang, a third year medical student, was awarded the fourth prize in the Roche Awards for Research in the Neurosciences at the National Student Research Forum in Galveston, Texas. "Computer Tomography in Childhood Seizure Disorders" was his research.O Dr. S. Subramanian, professor of surgery, was one of 14 persons of Indian origin in the United States to be honored by the India Embassy in Washington, D.C. recently. He directs cardiac surgery at the Erie County Medical Center and the Buffalo Children's Hospital. At the first such function held by the India Embassy in this country to honor outstanding persons of Indian origin, Ambassador ani A. Palkhivala noted "the decision to honor the galaxy of Indian talent in this country is long overdue. The number of such Indians with outstanding achievements to their credit is large and we had inevitably to restrict the choice of honorees to a very few. " Dr. Subramanian is Honorary Professor of Surgery at the National University of Cordoba, Argentina, Consultant Surgeon and Visiting Professor at the Children's Hospital in aples, Italy, Hunterian Professor of the Royal College of Surgeons in London, England and Knight Commander of the Italian Republic.O THE BUFFALO PHYSICIAN �Dr. Murray A. Yost, M'66, is the new medical director of Planned Parenthood of Buffalo. He replaces Dr. Jack Lippes, M'47, professor of gyn/ob. Dr. Yost is a clinical instructor of gyn/ob and clinical assistant professor of psychiatry. He is the son of Dr. Murray A. Yost Sr., M'33, who has retired. The medical director interned at the University of California Hospital in San Francisco; did his residency at Yale; served as a flight surgeon in the United State Air Force in Japan; took a second residency in gyn/ob at the University Hospital, Cleveland. Recently he was elected to the executive board of the American Society for Psychosomatic Obstetrics and Gynecology.D Dr. John I. Lauria, M'60, associate professor of anesthesiology, is the new president of the medical-dental staff of the Erie County Medical Center. President-elect is Dr. Casimir F. Petraszek. Dr. Franz E. Glasauer, professor of neurosurgery, is the new secretary, Dr. Robert Klocke, M'62, professor of medicine, is treasurer and Dr. Louis J. Antonucci, M'66, clinical assistant professor of ophthalmology, is representative of the voluntary staff.D Three faculty members are new officers of the Buffalo Urological Society. Dr. George Egri, clinical assistant professor of urology, is the new president. President-elect is Dr. George Schillinger, clinical instructor in urology, and Dr. D. G. Wagle, clinical assistant professor of urology, is secretary.D Paul Rosenberg, second year student, was awarded the Horace A. Gioia Super Duper Endowed Scholarship for the study of Cystic Fibrosis in June. Rosenberg was selected by Dr. Gerd Cropp, professor of pediatrics and director of the Lung Center at Children's Hospital. The medical student spent the summer caring for cystic fibrosis patients at the hospital and doing research in lung disease in children. There were 70 applicants for the scholarship sponsored by the Super Duper Owners' Club in memory of the late Horace Gioia, past chairman of the Gioia Macaroni Company.D WINTER, 1979 Research into infant disorders that started at the Medical School in the 1960's has saved New York State "billions of dollars," according to an auditing agency. The audit examined the health department's newborn metabolic screening program which mandates that every baby born in the state get tests for eight diseases which, if not corrected in infancy, can cause mental retardation, sickle cell anemia and other defects. Testing for PKU started in 1964. Dr. Robert M. Guthrie, professor of microbiology with pediatrics, and other researchers developed tests for several other infant disorders. In 1974 tests perfected at U/B were required across the state. In 1977 the cost for blood collection, laboratory work, follow up procedures, diagnosis and treatment came to $1.61 million. The audit said, "left untreated these diseases usually result in severe retardation, requiring a person to be put in an institution for life, and the cost per person is about $800,000."0 Dr. David C. Dean, clinical associate professor of medicine, talked about the preventive techniques to reduce the risk of dying of heart disease. The chief of the cardiopulmonary laboratory at the Veterans Administration Medical Center listed the nine factors as obesity, cigarette smoking, excessive eating, high blood pressure, high blood cholesterol, diabetes, tension, family history of heart disease and exercise.D Dr. Harry A. Sultz, professor and dean, of the School of Health Related Professions, heads a new research program designed to identify occupational and environmental hazards. The new program is a response to the growing public concern about health hazards.D Two faculty members are officers of the medical staff of Lafayette General Hospital. Dr. Fred Shalwitz, M'49, clinical instructor in family medicine, is the new president. Dr. Ru-Kan Lin, clinical professor of radiology, is vice president. Drs. A.A. Bulbulia is secretary and Thomas Augustine is treasurer.D Dr. Richard L. Weiss, clinical assistant professor of orthopedics, has been elected president of the Orthopedics Section of the State Medical Society.D 37 People �Class of 1929 at Spring Clinical Days Standing: Drs. James A. Tyner, Garro L. Lester, Clyde W. George, Norman H eil brun, WarrenS. Smith, George W. Thorn , Ramsde ll Gurney, Michael J. Maggiore. Sitting: Drs. L. J\!axwelJ Lackie, Frederick G. Stoesser, Frank Meyers, Victor L. Cohen (Chairman ), Charles R. Leone, Anthony f. Zaia. Dr. R.E. Schlagenhauf£, associate professor of neurology, recently returned from a visit to India and Kashmir where, as visiting professor, he presented a series of papers on sophisticated neurological diagnostic techniques as well as treatment.D Dr. Richard E. Bettigole has been named by the State to serve a three-year term on the Council on Human Blood and Transfusion Service. He is associate professor of medicine and clinical associate professor of pathology and director of the Hematology Division, Erie County Laboratory; acting head of hematology in the U/B department of medicine and is president of the YS Blood Bank Association.D Dr. Helen Ranney, who was professor of medicine at U/ B from 1970-73, spoke at the fifth Stuart L. Vaughan Memorial Lectureship at the Buffalo General Hospital in May. Her topic: "The Polycythemic Response." The lecture series honors the memory of Dr. Vaughan, M'24, who served as director of 38 clinical pathology and hematology at Buffalo General from 1936 to 1966. He was a member of the Medical School faculty for 43 years. Described by program sponsors as "the father of Buffalo hematology," Dr. Vaughan died in 1972 at the age of 71. The program is held under the auspices of the Stuart L. Vaughan Research Fund, established in 1955 to support hematologic research and teaching at Buffalo General. Dr. Ranney is currently chairman of the Department of Medicine at the University of California at San Diego and is the first woman to hold such a position at a major teaching hospital in the United States.D Dr. Randolph E. Sarnacki, educational research associate in the Office of Medical Education, received his Ph .D. in educational psychology in February. His doctoral research in test taking skills was completed at the School of Medicine, in cooperation with the ational Board of Medical Examiners. He has recently published articles in the March 1979 issue of the Journal of Medical Education, and the Winter issue of the Review of Educational Research.D THE BUFFALO PHYSICIA �Three faculty members are the new officers of the medical staff of Sisters of Charity Hospital. The president-elect is Dr. John Q. Curtin, clinical instructor in medicine. Dr. Donald 0. Rachow, M'53, clinical assistant professor of medicine, is secretary and Dr. J. Theodore Schueckler, clinical assistant professor of anesthesiology is the treasurer. The newly elected president is Dr. Anthony L. Manzella.D Dr. Elliot Middleton Jr., professor of medicine and pediatrics, was a visiting professor at the University of Western Ontario recently. He presented two lectures and accompanying case studies: "Mechanisms in Bronchoconstriction Asthma" and "Some Aspects of Hypersensitivity Pneumonitis. " D The Western New York Society of Pathologists initiated an annual lecture in memory of Dr. Samuel Sanes, who died in July, 1978 , after a distinguished career as a pathologist, educator and community leader. Dr. Steven Hajdu, attending pathologist at Sloan-Kettering Memorial Hospital delivered the first lecture in April at the Erie County Medical Center. He discussed soft tissue sarcomas.D Or. Felix Milgram, professor and chairman of microbiology, received the degree of honorary doctor of the medical faculty of the University of Heidelberg in ovember. In a letter to Or. Milgram, Dean Immich said "the faculty wants not only to acknowledge your exceptional scientific and medical contribution, but it also wants to underline the extraordinary relationship which you have with Heidelberg. The faculty is aware that the decisive scientific education which you received from your two teachers, Hirschfeld and Witebsky, comes from the researchers who themselves worked for a long time in Heidelberg. The faculty is aware of how close the links are between the Heidelberg Institute for Immunology and Serology and your institute."D Standing: Drs. James f. Cre ighton, Robert E. Storms, Roy E. Seib el, John H. Remington , Al fred H. Dobrak, Frank T. Riforgiato, A. V. Postoloff, George C. Brady (Chairman ). Middle Row: Drs. Ruth C. Burton, John L. Lincoln, Elizabeth P. Olmsted, Carlton H. Waters, Frederi ck f. Szymanski, Lamoyne C. Bleich. Sitting: Dr. Everett H. Wesp. Class of 1939 at Spring Clinical Days WINTER , 1979 39 p } 80p 8 �Class of 1944 at Spring Clinical Days Top Row: Drs. Thomas Prentice, Frank Long, Sidney Schaer, Herman Edelberg, Frank Frost, Clinton Strong, Robert Wilkenson, William Major, Frank Marchetta, Carol Shaver, Casimir Pietraszek. Middle Raw: Drs. Sidney Kennedy, Albert Mantani, Anthony Aquilina, Willard Boardman, Eileen Edelberg, Raymond Hudson, James Mahn , Andrew Gage. Bottom Row: Drs. Robert Brown, Irvin Ginsberg, Paul Weygant, Raymond Bondi, ]ames Sullivan , (Chairman). The Buffalo Surgical Society honored Dr. John W. Kirklin, Chairman of the Department of Surgery at the University of Alabama as the 1979 recipient of the Roswell Park Memorial Lectureship. Dr. Kirklin is a renowned vascular surgeon who is being honored for his many contributions to the fields of cardiovascular, pediatric, and general surgery. He delivered the annual lecture in March entitled "Decision Making in Surgery." He also received the Roswell Park Memorial Medal at a dinner at the Statler Hilton. The award honors the founder of RMPI. Officers of the Buffalo Surgical Society are - president Dr. Donald J. Kelly, clinical instructor in surgery; vice president Dr. Anthony Fredireer; secretary Dr. Bertram A. Partin, M'53, clinical associate professor of surgery and acting head of the division of colon-rectal surgery; treasurer Dr. Fero Sadeghian, clinical assistant professor of surgery.O Blood of newborn infants whose mothers took aspirin in the weeks prior to delivery failed to clot at birth, reports Dr. Sumner J. Yaffe of the University of Pennsylvania School of Medicine and Children's Hospital, 40 Philadelphia. He was professor of pediatrics at U/B 12 years (1963-1975). Common medications, as well as alcohol and tobacco, can be damaging, even deadly, to the unborn fetus, he writes in the current issue of Guidelines to Professional Pharmacy. "Caution" and "prudence" are the watchwords Dr. Yaffe offers readers of The Upjohn Company's scientific publication devoted to idea exchange in pharmacy research, education and practice, whenever pregnant women consume any medication, smoke or drink.D Dr. Joseph W. Kramarczyk, clinical assistant professor of anesthesiology, is the new vice president of the ew York State Society of Anesthesiologists. He is an attending anesthesiologist at the Buffalo General and Children's Hospitals. In 1964 he became a Diplomate of the American Board of Anesthesiology and a Fellow of the American College of Anesthesiology. He received his M.D. degree from the St. Louis School of Medicine in 1953. He served in the United States Air Force in the European Theatre during World War II.D THE BUFFALO PHYSICIAN �Dr. P.L. Mollison, director of the MRC Experimental Hematology Unit at London's St. Mary's Hospital Medical School, delivered the Ninth Annual Ernest Witebsky Memorial Lecture in April. Dr. Mollison's pioneering research contributed to safer and more universal use of human blood transfusion and his work has led to safe storage of blood and modern transfusion therapy. He has authored some 180 professional articles as well as the widely used text, Blood Transfusion in Clinical Medicine. Dr. Mollison is also professor of hematology at the University of London (England). The Annual Ernest Witebsky Memorial Lecture is sponsored by U/B's Department of Microbiology and the Center for Immunology. Dr. Witebsky, one of the world's leading immunologists, died in 1969. He was the Center's first director and a Distinguished Professor in Bacteriology and Immunology. In addition to the lecture, three students were presented the Ernest Witebsky Memorial Awards for their proficiency in microbiology. They are medical student James J. Czyrny; dental student Richard Derr and graduate student Christopher J. Papsian.D Dr. Monte Blau, professor and chairman of nuclear medicine, has been appointed Chairman of the Medical Advisory Committee, Bureau of Radiological Health, New York State Department of Health. This appointment was made by Dr. David Axelrod, Commissioner of Health. The Committee's function is to provide advice to the Bureau, upon request, with respect to the development of standards, criteria and policy for the protection of the public health and safety, applicable to the regulation and licensing or registration of uses of radionuclides and radiation producing equipment on humans for medical research, diagnosis and treatment of diseases. The Committee also provides advice with respect to health and safety considerations presented by special applications or classes of applications involving new or complex medical uses of radiation in and/or on humans. The Committee acts in an advisory capacity only, and is not authorized to take any action on behalf of the Department of Health.D Top Row: Drs. Lawrence M. Carden, Richard L. Schwarts, James D. Stuart, Russel J. Van Coevering, Frank A. Pfalzer, Ralph S. Canter, Paul T. Buerger (Chairman). Bottom Row: Drs. Arthur Magerman, James A. Werick, julia M. Cullen, Charles j. Wolfe, Fred Shalwitz, Raber! C. Harvey. Class of 1949 at Spring Clinical Days WINTER, 1979 41 People �Class of 1954 at Spring Clinical Days ~ Top Row: Drs. ,\!alcolm B. Leslie, William Kinkel, James Youker, john Conboy, Ernest Meese, Charles Marino, Louis Cloutier, Harry 0/i\•er, Edward Hohensee. Middle Row: Drs. Norbert Kuberka, Richard Mayer, jacob Lemann, Robert Powalski, Robert Miller, Edward Rayhill, Donald Wilson, Edward Dunlap, {Chairman], Edward Wenzlaff, icholas Carosella, Byron Genner, Edward Bockstahler, Eugene /-/yzy, William /-/award, Benjamin Jenkins. Bottom Row: Drs. Walter Olszewski, Joseph Campo, Sylvia Lizlovs, Dean john aughton, Allen Lesswing, John Kutrybala, Ruth Fuchs. Four Medical School faculty members are officers of the Buffalo area's first kidney dialysis unit outside of a hospital or medical facility. The Western New York Artificial Kidney Center opened April 9th at 237 Linwood Avenue. It will be open six days a week and provide a new alternative to patients who must undergo life-sustaining kidney dialysis two or three times a week. In addition, it is expected to relieve some of the overcrowded local hospital-based dialysis units while providing treatments at lower cost. Officers of the corporation are: Chief executive officer - Dr. Albert D. Menno, clinical assistant professor of surgery; physician director - Dr. Sidney Anthone, M'50, clinical professor of surgery; secretary- Dr. Roland Anthone, M'50, clinical professor of surgery; treasurer - Dr. Robert W. Schultz, M'65, clinical associate in medicine.D The most comprehensive survey of the status of nurse practitioners in the nation, authored by a U/B Medical School faculty member, has been published by D.C. Health & Co.'s Lexington Books. Nurse Practitioners U.S.A., now available locally, is based on a four-year national study headed by Dr. Harry A. Sultz, professor and dean of the School of Health Related Professions. The national study, which was begun in 1973, was funded by the HEW's Division of ursing. The 42 Robert Wood Johnson Foundation funded preliminary preparation for the book.D Dr. Donald S. Faber, Director of the Division of Neurobiology of Physiology is coeditor of eurobiology of the Mauthner Cell (Raven Press, ew York] along with Dr. Henri Korn of Paris, France, who has been a frequent visiting faculty member as a Buswell Fellow. Drs. Faber and Korn have also coauthored two chapters in the book ("Electrophysiology of the Mauthner Cell", pp. 47131, and "The M-Cell as a Model for Multidisciplinary Research in eurobiology," pp. 271-280). Drs. Steven J. Zottoli and Edward Koenig, Assistant Professor and Professor of the Neurobiology Division, respectively, have also contributed chapters (S.J. Zottoli: "Comparative Morphology of the Mauthner Cell in Fish and Amphibians," pp. 13-45; E. Koenig: "Molecular Biology of the Mauthner Axon," pp.167-181).D Dr. Hebe B. Greizerstein, assistant professor of pharmacology and therapeutics, is the new acting director of the state Research Institute on Alcoholism. He has been a research scientist at the Institute since it was established in 1970. Dr. Greizerstein replaces Dr. Cedric Smith who said last fall he would retire April1 to resume teaching at the Medical School.D THE BUFFALO PHYSICIA �Class of 1959 at Spring Clinical Days Top row: Drs. John McMahon , chairman, Jos eph Monte, Thomas Doe blin, George R. Bo e umler. Sitting: Drs. Robe rt Bre nn en, Donie / Koze ro, Se ibe rt Ghe rni/o, Euge ne Smith . Dr. Edmund Klein discussed sun St..reens and cosmetics at the University Health Fair recently. He is a research professor of dermatology. Since sun tans have become more popular more cases of skin cancer are appearing. A substantial amount of solar radiation, ultraviolet light, is absorbed in the ozone layer. The rays that are not absorbed tan the skin. The Southwestern states have the highest amounts of solar radiation. The Buffalo area, northern Washington State and the west coast of Oregon receive the least amounts, according to the associate chief of the dermatology department at the Roswell Park Memorial Institute. Sun screens do what the name implies - they screen out ultraviolet rays. Cosmetics are of no permanent value in improving the quality of the skin or an individual's appearance. And the harmful aspects may be permanent.D President Robert Ketter said, "private support of higher education during the next decade will be more important than it ever has been. While the last decade has been 'lean and difficult' for colleges, inflation and the declining numbers of college-age applicants presage a more difficult time. We will have to rely increasingly on support from alumni, friends, business and industry."D WI TER , 1979 Dr. Jerome Tokars, clinical associate in medicine, has been appointed director of the Wheel Chair Home of Kenmore. He is a 1947 graduate of U/B and affiliated with Buffalo General Hospital. Dr. Tokars succeeds Dr. Clyde George, M'29, who retired.D Dr. Walter T. Zimdahl, clinical associate professor of medicine, was among three sports personalities honored by The Syracuse Club of Buffalo at the annual Harold R. Waldron Sports Dinner in April. Dr. Zimdahl was a regular in the backfield at Syracuse for three seasons. In 1964 he was one of six physicians in the United States named to the Sports Illustrated Silver Anniversary AllAmerican team. In 1971 he was named "Letterman of Distinction" by the Varsity Club of Syracuse. Two famous football coaches, Floyd "Ben" Schwartzwalder and Hugh "Duffy" Daugherty, were also honored.D Dr. J.A. Roth, assistant professor of pharmacology and therapeutics, received a threeyear $91,450.00 ational Institute of Mental Health grant entitled "Characterization of Human Brain Monoamine Oxidase."D Top Row: Drs . Richard E. Wolin, Irving Sterman , James M . Taylor, Bert A. Kies, Jr. Sitting: Drs. Joseph A. DiPaolo , Elizabeth G. Serroge, J. Fred Painton, Jr. (Chairman) . Class of 1964 at Spring Clinical Days 43 People �Three Medical School faculty members were re-elected officers of the W Y Chapter of the American Heart Association. They are: president, Dr. Arthur B. Lee Jr., assistant professor of surgery; first vice president, Dr. Robert W. Schultz, M'65, clinical associate in medicine; second vice president, Dr. Martin J. Downey, M'45, clinical associate professor of anesthesiology. Chapter research grants were awarded to: Dr. Robin R. Charlton, post-doctoral fellow in pharmacology, $12,500 to study molecular events affecting the heart; Dr. Donald P. Copley, M'70, assistant professor of medicine, $10,910 to study effects of reduced blood flow on local muscle contraction in the heart. Three national research grants were awarded to: Dr. Arthur E. Orlick, assistant professor of medicine, $20,750 to study nervous system regulation of coronary blood flow; Dr. J. Craig Venter, assistant professor of pharmacology and therapeutics, $19,800 to study cellular mechanisms in heart muscle; Dr. Philip L. Yeagle, assistant professor of biochemistry, $17,270 to study the behavior of cholesterol in human blood.D Dr. E.A. Carr Jr., professor and chairman of pharmacology and therapeutics, gave a Pfizer Lecture in May at the Pritzker School of Medicine, University of Chicago.D A special "testimonial day" honored Dr. Erwin eter, professor of microbiology and professor of clinical microbiology in the department of pediatrics, in September. There were scientific sessions in Kinch Auditorium at Children's Hospital in the morning. There was a Harrington Lecture in the afternoon at the Medical School, and a dinner at the U/B Faculty Club in the evening. Program participants were: Drs. David T. Karzon, Vanderbilt University; Horace L. Hodes, Mt. Sinai Medical School; Victor D. Bokkenheuser, St. Luke's Hospital Center; Quentin . Myrvik, Bowman Gray Medical School; Gerald J. Domingue, Tulane University Medical School; Georg F. Springer, orthwestern University; Robert Austrian, University of Pennsylvania Medical School; Robert G. E. Murray, University of Western Ontario; and Robert A. Day, a feature science editor.D 44 Dr . Francis J. Klocke has been elected assistant secretary of the 9,500-member American College of Cardiology. He is chief of the Medical School's cardiology division, professor of medicine and assistant professor of physiology.D Dr. John A. Edwards, associate professor of medicine and pediatrics, has been awarded a Research Grant by the National Institutes of Health for a three-year period beginning May 1, 1979. The total amount of the award is $143,147. He is also chief of medicine at Sisters of Charity Hospital. The research will be done in collaboration with Drs. Robin Bannerman, professor of medicine and pediatrics, and Laura M. Garrick, research instructor in medicine. Dr. Edwards is studying inherited anemias in rodents. The main emphasis of the work is on the investigation of iron metabolism. Some interesting and important findings have already come to light regarding the ways in which iron is absorbed into the body from the diet and then carried to the bone marrow where it is used to make hemoglobin - the red pigment of the blood. The Royal College of Physicians, Great Britain's most prestigious medical organization, installed Dr. Edwards as a Fellow of the College in June. Dr. Edwards was in Great Britain attending the 20th year class reunion of his alma mater, the University of Liverpool.O Dr. Louis Judelsohn, emeritus clinical professor of pediatrics, has received the pediatrician award of the Buffalo Pediatric Society for 40 years of outstanding services in patient care, teaching and research.D Dr. Alexander C. Brownie, professor and chairman of biochemistry, has been awarded a $717,802, five-year renewal research grant by the Hypertension and Kidney Diseases Branch of the ational Heart, Lung and Blood Institute. Co-investigators with Dr. Brownie are Drs. Samuel Gallant, assistant professor of pathology, Peter Nickerson, associate professor of pathology, and Josephine Alfano of the pathology department.D THE BUFFALO PHYSICIAN �The Classes of the 1920's Dr. Hobart A. Reimann, M'21, recently had two one-man shows of his 50 pastel paintings. More than half were pu r chased. The professor of medicine at Hahnemann Medical College also received an honorary degree from Thomas Jefferson University; h as published four books and 300 papers. He lives at 125 Old Gulph Rd., Wynnewood, P a . 19096.0 Dr. Marvin A. Block, M'25, received the Liberty Bell Award from the Bar Association of Erie County in May. This is given each ye.ar to a non-lawyer in recognition of commu.mty service which strengthens the Amencan system of freedom under the law. Dr ..Block, was cited for his pioneering work m t.he study of alcoholism and his work ~I th alcoholics. Dr. Block is a clinical associate professor of medicine-emeritus.O The Classes of the 1930's Dr. Orvan Hess, M'31, received AMA's Scientific Achievement Award in July. He has been associated with Yale University Medical School for nearly half a century. Eight years ago he was appoin ted full-time dir~ctor. of Yale's R egional Perinatal Mon1tormg Program. This was the first time he had bee~ paid for his research. He had alw~ys do.ne h~s fetal monitor research in connectiOn With his private practice in ew Ha~en .. Dr. He~s began his fetal monitoring studies with the a1d of a $1,050 grant from the Connecticut Heart Association many years ago.D Dr. Eugene W. Wallace, M '3.3, rece~tly retired from active medical practice. He Is a clinical assistant in family medicine at the University of California College of Medicine at Irvine. He is a member of the Board of Directors, Orange County Chapter, Retired Officers Association. Dr. Wallace lives at 12921 Eveningside Drive, Santa Ana, California 92705.0 Dr. D. B. Walker, M'34, of 46 Belcoda Drive, Rochester, New York 14617, writes that he has retired from medical practice.O WI TER, 1979 Dr. Carl E. Arbesman, M'35, clinical professor of medicine and microbiology, is the principal investigator for an innovative national research project testing new techniques of immunization against ragweed pollen. The three-year study is funded ($150,000) by the National Institute of Allergy and Infectious Diseases. Dr. Arbesm an is also director of the Allergy Research Laboratory at the Buffalo General Hospital.D Dr. Paul A. Burgeson, M'36, retired in May as director of health services at State University College, Geneseo. He lives at Luther Road, Silver Springs, .Y. 14550.0 Dr. Eli A. Leven, M'36, received the Award of Merit for outstanding community service from the Rochester Academy of Medicine. He serves on the board of directors of Blue Shield and the Genesee Valley Medical Foundation and is medical director of St. John's Home. In 1964 Dr. Leven received the President's Citation for Community Service from the Medical Society, State of New York.O Dr. James D. MacCallum, M '37, is the new director of health services at State University College, Geneseo. He lives at 241 Wyoming St., Warsaw, .Y. 14569.0 Dr. David H . Weintraub, M'37, moved to Cleveland from Buffalo in July, 1978. He is presently Director of Ambulatory Pediatric Medical Education and Assistant Director of Pediatrics at St. Luke's Hospital, Cleveland. Dr. Weintraub lives at 3175 Laurel Road, Shaker Heights, Ohio 44120. He is also an assistant professor at Case Western Reserve University School of Medicine.O The Classes of the 1940's Dr. Pasquale A. Greco, M'41, was reelected chairman of the executive committee, Blue Shield of Western New York.O Dr. Philip B. Wels, M'41, clinical professor of surgery, received the distinguished alumni 45 d- The Classes �award at the 40th annual Installation and Awards Banquet in June. Dr. Wels has served the University and the Medical School in numerous capacities since his graduation. He is a Diplomate of the ational Board of Medical Examiners, and chairman of the surgery department at Millard Fillmore Hospital. While an undergraduate, Dr. Wels organized U/B's first fencing team and coached it from 1938 to 1940. He was a member of the 1936 U.S. Olympic Fencing Squad and is now in the U/ B Athletic Hall of Fame and a trustee of the U/B Foundation.D Dr. Ivan L. Bunnell, M'43, clinical professor of medicine, addressed two major national conferences on coronary angiography in April and May. He discussed a technique pioneered by him and his colleagues at Buffalo General Hospital at the orth American Society for Cardiac Radiology at Hilton Head Island, S.C., and at the Harvard University Medical School. Dr. Bunnell is director of the Buffalo General Hospital Angiology Department.D Dr. Eugene Farber, M'43, and Dr. David South of the Stanford University Medical Center report that a new ointment has been developed for the removal of diseased fingernails and toenails without surgery. The two physicians have successfully treated patients with this new ointment. The new ointment has the advantage of being painless and inexpensive. Patients may return to work immediately. The process is useful for a wide range of nail disorders, including psoriasis, fungal diseases, bacterial and yeast infections and injuries. The idea of urea ointment treatment came to Dr. Farber during a recent visit to the Soviet Union where such ointments have been used in the removal of fungal nails.D Dr. Andrew Gage, M'44, is the new president of the American College of Cryosurgery. The chief of staff at the Veterans Administration Medical Center was one of the Buffalo pioneers in cryosurgery's clinical application. He is a professor of surgery at the Medical School. In June 100 physicians, scientists and 46 veterinarians attended a two-day meeting of the American College of Cryosurgery at Grand Island, .Y.D Dr. Myron E. Williams, M'46, has retired from Family Practice. He is school physician, and medical director, St. Lukes, Batavia Nursing Home, associate director of Genesee County Nursing Home, Le Roy Village Green with responsibility for care of approximately 300 patients in Genesee County. Dr. Williams lives at 25 Ross St., Batavia, New York 14020.0 Dr. Jack Lippes, M'47, is the new president of the Buffalo Academy of Medicine. Dr. Lippes received the Planned Parenthood of Buffalo's distinguished service award at the 45th annual dinner meeting in May. The professor of Gyn/ Ob is well known for his international work. He is a consultant to the governments of India, South Korea, Taiwan, Pakistan, Tunisia, Turkey, Afghanistan, and Iran.D Dr. David H. ichols, M'47, professor of Gyn / Ob, was program director for a Gynecologic Survey program in San Antonio, Texas recently. He was also invited to present a paper on "Pelvic Surgery Related to Uterine and Vaginal Decensus" at Union Memorial Hospital in Baltimore.D Dr. James F. Phillips, M'47, has been reappointed to the Council of U/ B by Governor Carey. Dr. Phillips is a clinical professor of medicine and a past president of the Medical Alumni Association. His council term will end July 1, 1988.0 Dr. Raphael S. Good, M'48, is the new president-elect of the American Society for Psychosomatic-Obstetrics & Gynecology. He is also one of four physicians who is a Diplomate of both boards. Dr. Good is associate professor of psychiatry and Ob/ Gyn at the University of Miami and directs the psychiatric consultation-liaison service. He lives at 2901 S. Bayshore Dr., Miami, Florida 33133.0 d-- THE BUFFALO PHYSICIA �Dr. Harold Bernhard, M'49, clinical associate professor of medicine, and Dr. Jerome J. Schentag are co-authors of a paper "Pharmacokinetic and Clinical Studies in Patients with Cimetidine-Associated Mental Confusion." The article was published in The Lancet and presented at the American Society for Clinical Pharmacology and Therapeutics meeting in Kansas City recently.D Dr. Bertram A. Partin, M'53, clinical associate professor of surgery, has been elected vice president of the Buffalo Surgical Society. Recently he was an official guest of the Polish government.D Dr. Michael A. Glucksman, M'54, has been elected president of the Georgia Medical Care Foundation [PSRO). He lives at 1502 Wood Avenue, St. Simons Island, Ga. 31522.0 Dr. Paul L. Weinmann, M'54, clinical assistant professor of dermatology at the Medical School. and chief of dermatology at Sisters Hospital, has been elected President of the Buffalo-Rochester Dermatological Society.D Drs. Bernhard, Schentag The Classes of the 1950's The Anthone twins, Drs . Roland and Sidney, M'50, were honored in August at the annual Gift of Life Testimonial Dinner, sponsored by the Kidney Foundation of Western New York. They are both clinical professors of surgery. On Nov. 6, 1964 they performed the first successful kidney transplant in Western New York. The parents of the two physicians were among 500 people attending the dinner .D Dr. Robert A. Baumler, M'52, rides his 10speed bike to and from his Buffalo office daily. It is a 11 mile round trip for the clinical associate professor of medicine.D Dr. Alfred Lazarus, M'52, is a clinical associate professor of medicine at Jefferson Medical College, Wilmington, Delaware. He is governor-elect of the American College of Physicians (1979) for Delaware. Dr. Lazarus lives at 3303 Coachman Road, Wilmington 19803.0 WINTER, 1979 Dr. Leonard R. Schaer, M'55, is president of the Medical Staff, Kaiser-Permanente Medical Center, Walnut Creek, California. He was also on the program committee for the Western Regional Meeting of the Society of Nuclear Medicine that was held in October. His home address is 107 Post Road, Walnut Creek, Ca. 94595.0 Dr. David Weppner, M'55, clinical instructor in pediatrics, has been named chief of the Sisters Hospital's pediatrics department. He has been on the hospital staff since 1967. He also serves on the staff of Children's and St. Joseph Intercommunity Hospitals and the Erie County Medical Center. Dr. Weppner succeeds Dr. Joseph Link, who retired after 18 years as head of the pediatrics unit.D Dr. Ira Miller, M'56, is a general surgeon in Bethesda, Maryland. His home address is 6800 Selkirk Drive, Bethesda, 20034.0 Dr. Samuel Shatkin, M'58, notes there are about 57 different procedures which are utilized by plastic and reconstructive surgeons. The clinical associate professor of surgery believes that thousands of people have been improved physically and emotionally by techniques of one of medicine's fastest growing specialties.D d- 47 �Dr. Kenneth E. Bell, M'61, has been appointed chief of Ob/Gyn at the New KaiserPermanente Medical Center in Anaheim, California. He is associate clinical professor of Ob/ Gyn at the University of California, Irvine and visiting professor at California State University, Los Angeles. His home address is 6320 Vera Crest Drive, Long Beach, Ca. 90815.0 Dr. Castilone Dr. Harold C. Castilone, M'57, clinical assistant professor of gyn/ob, has donated the use of a $20,000 Carbon Dioxide Laser to the Millard Fillmore Hospital's gyn/ob clinic. Only one other similar instrument is being used in Western New York at this time.D The Classes of the 1960's Dr. Theodore Bistany, M'60, clinical assistant professor of medicine, won a six-minute victory in his 41-foot tartan sloop as the Buffalo Yacht Club opened its 1979 racing season in May. His sloop was timed in one hour, 35 minutes, 12 seconds and had a handicap time of 1:24.38. In June Dr . Bistany won two more races for cruising sailboats from Buffalo to Point Abino, Ontario. "As skipper I made a few technical errors and was lucky to win. My crew is very good and covered my mistakes. They make my job easier. In fact the crew is the number one factor in the success of a boat." One Sunday Dr. Bistany was on call at his office and turned over the skipper's role to Dr. Arthur Lee, assistant professor of surgery, and his son , Michael.D Or. Gerard J. Diesfeld, M'60, clinical instructor in family medicine, is the new president of the ew York State Division, American Cancer Society. He has served on the Board of Directors of the Wyoming County Unit and has been on the professional educational committee.D 48 Dr. Morton E. Weichsel. Jr., M'62, is a full time faculty member of UCLA Medical School (5 years). The Associate Professor of Pediatrics and Neurology, and Associate Chief, Division of Pediatric eurology, has published numerous papers on Developmental eurochemistry and Developmental euroendocrinology. His most recent in Science, 27 April '79, p. 427 was titled "The Effect of Thyroxine on erve Growth Factor in Brain." Or. Weichsel is also Director of the Pediatric Junior Student Clerkship at HarborUCLA Medical Center. He lives at 3205 Crownview, Rancho Palos Verdes, California 90274.0 Dr. Frank E. Ehrlich, M'63, has a new career in emergency medicine. He is director of the emergency room and department at Church Hospital in Baltimore. His home address is 100 . Broadway, Church Hospital, Baltimore, Maryland.D Dr. Albert J. Maggioli, M'63, recently joined the Amherst Pediatric Associates. He had previously practiced in Cheektowaga, ew York. He is a clinical assistant professor of pediatrics at the Medical School.D Dr. Ronald G. athan, M'63, is Director of Out Patient Service, South Arizona Mental Health Center. He is also Adjunct Associate Professor of Psychiatry at the University of Arizona. He lives at 2150 E. Cerrada opac, Tucson, Az. 85718.0 Dr. Richard E. Wolin, M'64, is president, Western ew York Branch, American Psychiatric Association. He is also secretarytreasurer of the medical staff at Bry-Lin Hospital. Dr. Wolin is a Fellow, American THE BUFFALO PHYSICIA �Psychiatric Association and a clinical assistant professor of psychiatry. He lives at 138 Chapel Woods, Williamsville, .Y. 14221.0 Dr. John J. Bird, M'65, is practicing ophthalmology in Chicago. He is a part-time instructor in ophthalmology at Northwestern University. He lives at 1311 Ashland Avenue, Wilmette, Illinois 60091.0 Dr. Paul M. Goldfarb, M'67, whose specialty is surgical oncology, is an assistant professor at the University of California Medical School at San Diego. He recently joined practice at the San Diego Tumor Institute. He lives at 6075 Charre Street, San Diego, Ca., 92103.0 Dr. Albert W. Biglan, M'68, has been appointed clinical assistant professor of ophthalmology at the University of Pittsburgh where he teaches residents pediatric ophthalmology and strabismus. He is the author of four recently published articles and co-author of three chapters in a book in this field. Dr. Biglan lives at F. Sylvan Rd., Pittsburgh, Pa. 15221, and is active in several professional organizations.O Dr. Laurence A. Citro, M'69, is in private practice of radiology at Community General Hospital, Reading, Pa. He is an assistant clinical professor of radiology at the University of Pennsylvania Medical School. Dr. Citro's home address is 520 Lauer's Lane, Wyomissing, Pa. 19610.0 The Classes of the 1970's Dr. Sebastian Conti, M'70, is assistant professor, department of surgery, University of California, Davis School of Medicine and attending surgeon on the vascular and trauma services at the University Medical Center in Sacramento. He completed his surgical residency at Columbia University in 1975. The next two years he was at the USAF Medical Center, Wright-Paterson AFB, Ohio. His wife, Carol, is a lobbyist for Women in Politics at the state capitol. The Conti's live at 2649 Sixth Avenue, Sacramento, Ca. 95818 with their two children - Melanie, 9, and Dominick, 5.0 WI TER, 1979 Dr. . Lynn Eckhert, M'70, is Dean of Admissions at the University of Massachusetts Medical School, as well as assistant professor in the department of Family and Community Medicine. She is also in the private practice of pediatrics. Dr. Eckhert received a Dr. Ph. from Johns Hopkins School of Hygiene & Public Health in Maternal and Child Heath. Her thesis was on Regionalization of eonatal Services in Maryland. She recently published an article on Health Care in the Peoples Republic of China. Dr. Eckhert's address is Worcester, 55 Lake Avenue Massachusetts 01605.0 Dr. Donald H. Marcus, M'71, was recently certified as a Diplomate of the American Board of Anesthesiology. He is a visiting instructor at UCLA Medical School. Dr. Marcus and family (wife, Anna Marie and daughter, Elizabeth] live at 7001 Forbes Avenue, Van uys, California 91406.0 Dr. Scott A. Kirsch, M'71, is associated with the Community Health Plan of Suffolk, Inc. in Hauppauge, ew York. His specialty is Family Practice. He lives at 63 Crossbow Lane, Commack, ew York 11725.0 Dr. Dennis A. adler, M'71, clinical assistant professor of Gyn/Ob, has been elected a Fellow of the American Academy of Pediatrics.O Dr. Kenneth Solomon, M'71, is associated with the University of Maryland Medical School's Institute of Psychiatry and Human Behavior. He is a ward administrator at the Institute and is continuing his teaching and research. His home address is 6222 Greenblade Garth, Columbia, Md. 21045.0 Dr. Dana P. Launer, M'73, is in private practice in California after completing his surgical training at North Shore University and the Cleveland Clinics Foundation. His wife, Pat, is a Ph.D. candidate. They are living at 2206 Caminito Preciosa Sur, La Jolla, Ca. 92037.0 49 �Dr. Larry Schreiber, M'72, is a clinical assistant professor, department of family medicine, at the University of ew Mexico. For the past three years he has been working in a HEW funded rural clinic in Questa, N.M. He is a diplomate, American Board of Family Practice (1977). Dr. Schreiber published a Survey of Hypertension in Spanish American Population of orthern ew Mexico in Preventive Medicine in March, 1979. The Schreiber family consists of wife, Carol, 3 boys - Matthew 10, Lucas 6, Jordan 4, and a girl Gabrielle, 6 months. They live in San Cristobal, N.M. (PO Box 42) 87564.0 Dr. Jeremy Cole, M'73, is an assistant clinical professor of internal medicine at UCLA Medical Center. He is a Diplomate, American Board of Internal Medicine and Pulmonary Diseases. His home address is 9450 Wish Avenue, orthridge, California.D Dr. Roehmboldt Dr. Elaine M. Bukowski, M'74, was in Buffalo for Spring Clinical Days. She is now associated with the Anesthesia department at Duke University, Durham, N.C., 27706.0 Dr. Howard R. Goldstein, M'74, is chief resident in urology at the Columbia University College of Physicians and Surgeons. He and his wife, Judy, are the proud parents of their second child, Lauren Sarah, born ovember 30, 1978. They live at 21409 - 14th Ave., Bayside, N.Y. 11360.0 Dr. Daniel Lasser, M'74, has been working as a Regional Medical Consultant for the National Health Service Corps in ew England for the past year; also practicing at the Allston-Brighton Community Health Center in the Boston area. The Lasser family recently moved to 12 Morton Street, Needham Heights, Massachusetts 02194, with their five month old daughter.D Dr. Kenneth L. Gayles, M'73, is a consultant to the Buffalo Community High Blood Pressure Program. The special state funded program is moving from the St. Augustine Center to Old School 84 on Grider Street.D Dr. Peter C. Welch, M'74, recently entered the private practice of internal medicine and infectious diseases in Mount Kisco, ew York. His address is 395 N. Bedford Road, Chappaqua, New York 10514.0 Dr. James S. Marks, M'73, is a Robert Wood Johnson Clinical Scholar at Yale University, (2nd year of fellowship). Dr. Marks and wife, Judi, announce the birth of Adam Douglas Marks on May 18th, their second child and first son. Adam is the first grandson for Dr. Eugene Marks, M'46. The family live at 134 Dyer Street, ew Haven, Ct. 06511.0 Dr. Mary Elizabeth Roehmholdt, M'75, has completed graduate training in neurology at the Mayo Graduate School of Medicine. She has entered the private practice of neurology with the Buffalo Medical Group. She is a clinical instructor in neurology at the Medical School. At the annual American Diabetes Association meeting held in Los Angeles, last June, Dr. Roehmholdt presented a paper on "TIA and Stroke in a Community-Based Diabetic Population."D Dr. Daniel R. Beckman, M'74, is enjoying small town life in Marshall, Minnesota and also specializing in rural family practice. He received his Family Practice Board Certification- 99th percentile in 1978. Dr. Beckman is president of the S.W. Minnesota chapter of the Flying Physicians Association. The Beckman family consists of wife, Carol, and Kimberly, 2lfz, and Tim, 8 months. The Beckmans address is 501 North Bruce St., Marshall, 56258.0 50 Dr. Tone Johnson, Jr., M'75, is a captain in the medical corps, United States Army Hospital, Fort Polk, Louisiana. His specialty is family medicine. His home address is 146 Maplewood, DeRidder, La. 70634.0 Dr. Robert S. Schulman, M'75, practices Internal Medicine in South Lake Tahoe, California. His address is P.O. Box TF, Tahoe Valley Station 95731.0 THE BUFFALO PHYSICIA �Dr. Anthony C. Sorge, M'75, is in the U.S. Army Family Medicine Training Program at DeWitt Army Hospital, Fort Belvoir, Virginia. He lives at 9306 Wickham Road, Springfield, Virginia 22152.0 Dr. Henry M. Bartkowski, M'76, Ph.D., is a neurosurgery resident at the New York University Medical Center. In addition to residency training, he is currently doing ultrastructural research involving prostaglandins, cerebral edema and the blood-brain barrier. His home address is 500 Second Avenue, Apt. 4F, ew York City, 10016.0 Doctors Francine M'76 and Stephen M'77 Bluttner, moved to Rochester, ew York in July from Freeport, Maine. Francine will be doing a Fellowship in child psychiatry at Strong Memorial; Stephen will be doing a Fellowship in pediatric hematology.D Dr. Stephen Lazoritz, M'76, is Chief Resident in Pediatrics (1979) at the Naval Regional Medical Center, Orlando, Florida. His recent publications are "Depressed Skull Fracture in eonate" Journal of Neurosurgery, May 1979 and "Management of Acute Epiglottitis" in Critical Care Medicine, June 1979. In July he became staff pediatrician at the Medical Center. Dr. Lazoritz's home address is 518 Hickorywood Avenue, Altamonte Springs, Florida 32701.0 Dr. Melvin Pohl, M'76, has entered Family Practice in Las Vegas, Nevada. His address is 2703 Bryant Avenue, Las Vegas 89102.0 Dr. Larry Altschul, M'77, has been selected as chief resident in Internal Medicine at the assau County Medical Center, New York. He succeeds Dr. Michael Aaron, M'76. Dr . and Mrs. Altschul announce the birth of David Altschul in April. The family lives at 42-59 Bowne Street, Flushing, ew York 11355.0 Dr. Mark Jan Polis, M'77, began residency training in urologic surgery at New York University Medical Center in July. His address is 98-17 Queens Blvd., Apt. 3-D, Rego Park, New York 11374.0 Dr. Stephen E. Killian, M'78, is a resident in Family Practice at the University of Virginia Medical School. He lives at 795 Queens Court, Charlottesville, Virginia 22901.0 Dr. Nancy Dvorak, M'79, is a first year resident in Internal Medicine at the Medical College of Ohio at Toledo. Her address is 1803 Brownstone Blvd., Apt. 212, Toledo, Ohio 43614.0 1979 Class Gift Two seniors, Leonard Feld and Douglas Waldo, presented a check for $806.00 to Dean John Naughton and Dr. Leonard Katz for a sign that will identify Farber Hall as the Medical School. WINTER, 1979 51 �Dr. Joseph A. E. Syracuse, M'23, died July In 1. The 81-year-old physician was former chief Memoriam of staff at Buffalo Columbus Hospital. He was a native of Valledolmo, Sicily. He did his internship and residency at Buffalo Columbus Hospital and instituted the department of physical medicine and rehabilitation in 1926. He was also on the staffs of Millard Fillmore and VA Hospitals. Dr. Syracuse was also a consultant to the State Health Department. He was on the Medical School faculty for several years and was co-sponsor of the school 's Baccelli Achievement Award. Dr. Syracuse was a Diplomate of the American Board of Physical Medicine and Rehabilitation. He was active in many local, national and international professional organizations.D Dr. Wayne L. Johnson, professor and chairman of Gyn/ Ob, was killed July 12 when his private single-engine plane crashed into a warehouse while attempting a landing at Palwaukee Airport in Wheeling, a Chicago suburb. The 50-year old physician was also chief of the gynecology-obstetrics services at Children's Hospital. He came to Buffalo in 1973. He had accepted the directorship of educational activities for the American College of Obstetricians and Gynecologists in Chicago . Dr. Johnson had been a private pilot for 10 years. He was a native of Virginia, and was previously a professor of medicine at the University of Washington and Indiana University. He was considered an expert on electronic fetal moni taring and premature infant care.D Dr. Martin L. Gerstner, M'28, died June 12 in Buffalo General Hospital after a long illness. He had been chief of otolarygology at Sisters, Meyer Memorial and Kenmore Mercy Hospitals. He had also been an associate professor at the Medical School, and headed the otolaryngology staff at St. Mary's School for the Deaf. Dr. Gerstner was one of the first Western ew York physicians to use the bronchoscope. He was a lieutenant colonel in the Army Medical Corps in World War II and helped organize the 23rd General Hospital, a mobile unit, which saw action in North Africa, Sicily, Italy and France. He was an active member of several professional associations.D 52 Dr. Charles R. Borzilleri, M'39, died June 11 in Buffalo General Hospital. The 66-year old orthopedic surgeon had been a vice president of Columbus Hospital for 15 years. He retired from the position in 1955. He was also on the staff of Buffalo General, Millard Fillmore and Sisters Hospitals. He took his residency in orthopedic surgery at the University of Virginia Medical School. He was a member of several medical societies. Dr. Borzilleri's father, also a physician, played a leading role in establishing Columbus Hospital.D Dr. Gaetano Runfola, M'21, died July 25 in Columbus Hospital. His age was 80. He took his internship and residency at Columbus and Buffalo General Hospitals. He retired from active surgery in 1958, but continued his practice until a few days before his death. Dr. Runfola was honored in 1971 by his peers for his compassion and his 50 years of medical practice . He was a retired Buffalo School Physician and was cited by President Franklin Roosevelt for his work as an examining physician in the selective service. He was an active member of several professional and civic organizations.D Dr. Raymond F. May, M'27, died June 28 after a long illness. His age was 76. He retired in 1973 after serving the Alden community for 45 years and the Central School for 25 years. In 1954 he was presented the first Kiwanis Service Award, and in 1973 the Alden school district honored him for his service. He was active in several local and state professional societies.D Dr. Ray G. Filsinger, M'29, died May 31 at Sisters Hospital following a long illness. His age was 78. He was chief of pediatrics at Sisters from 1952-1961 and president of the medical staff in 1968. He also held honorary positions at Children's, Millard Fillmore and Lafayette General Hospitals. Dr. Filsinger was a past commander of Milton J. Brounshidle Post No. 205, American Legion. He served in the World War I Air Corps. He was active in several professional organizations.D Dr. Frede rick H . Volk Sr., M'30, died August 5. The retired physician had practiced in Attica, N.Y. for several years. His age was 74.0 THE BUFFALO PHYSICIA �Dr. Oliver Bateman, clinical associate professor of medicine, died May 9, after suffering a heart attack while driving his car. His age was 63. He was president of the Buffalo Academy of Medicine in 1963-64 and had practiced in Buffalo 40 years. He received his medical degree from Duke University and was an attending physician at Buffalo General Hospital. Dr. Bateman was a past president of the Western ew York Society of Internal Medicine, a Diplomate of the American Board of Internal Medicine and a Fellow of the American Rheumatism Society. He was also active in several other local and state professional organizations.D Dr. Abel Levitt, 80, died August 11. From 1934 to 1964 he was a clinical professor of medicine and associate professor of therapeutics at the Medical School. The internist specialized in cardiology and diabetes. He served as head of City Hospital medical services from 1923-1928; chief visiting physician at the E.J. Meyer Memorial Hospital, 1928-1935; and attending physician at Millard Fillmore Hospital from 1942 until his retirement in 1971. Dr. Levitt was also a chief resident and visiting physician at the Buffalo General Hospital. He was a Diplomat of the American Board of Internal Medicine, and a Fellow of the American College of Physicians and the College of Chest Physicians. He was also a member of the Diabetes Association.D Dr. Anthony J. Mancini, M'43, died August 5 in St. Francis Hospital after an illness of several months. His age was 58. He had been on the staffs of Deaconess and St. Francis Hospitals. The general surgeon was a past president of the Deaconess medical staff. He was a Diplomat of the American Board of Surgery and was a Captain in the Army Medical Corps in Germany during World War II.D Dr. James F. Mumma, clinical associate professor of surgery (colon and rectal). died May 29 at his Williamsville, N.Y. home. He was 56 years old. The proctologist at Buffalo General Hospital was a Diplomate of the American Board of Colon and Rectal Surgery and a Fellow of Leahey Clinic of Boston, Massachusettes.D WI TER,1979 Dr. Ward A. Soanes, M'47 died June 28. The 54-year old urologist was a pioneer in the development of cryosurgery of the prostate gland and bladder. The clinical associate professor of surgery in the department of urology had been on the staffs of Millard Fillmore, Meyer Memorial, Kenmore Mercy and Sheridan Park Hospitals. He was also a senior consultant in urology at St. Barnabas Medical Center, Livingston, New Jersey. Dr. Soanes collaborated with Dr. Maurice J. Gonder and the Linde Division of Union Carbide to develop the first cryosurgery operative probes for use in urology. They also initiated basic studies in immunology relating to the prostate gland and the effects of freezing, which occurs with cryosurgery. They coauthored numerous scientific papers and introduced urologic cryosurgery in Canada, England, Germany and Denmark. In the late 1960's Dr. Soanes was instrumental in setting up a urology wing and department at Our Lady of Maryknoll Hospital in Kowloon, Hong Kong. He served in the United States Army during the Korean conflict. He was the principal investigator on several Army research projects; chief of urology at Fort Gordon Hospital, Georgia, and Letterman Army Hospital, San Francisco; and assistant chief of urology at Brooke Army Medical Hospital, San Antonio. Dr. Soanes was a Diplomat of the American Board of Urology and the National Board of Medical Examiners and a Fellow of the American College of Surgeons. He was also active in several other national and international professional organizations.D Dr. George Caccamise, Sr., M'20, died September 3. The 83-year-old physician had practiced in Jamestown, N.Y. for more than 50 years. He was a member of the Board of Directors of Jamestown General Hospital from 1936 to 1951 and chairman of the surgical section in 1960 and 1961. He had been active in several professional and civic organizations. He is listed in Who's Who in the United States. Dr. Cacamise did his post graduate work at Sisters of Charity Hospital and St. Elizabeth's Hospital in Dayton, Ohio. During World War I he served in the U.S. Army Infantry.D 53 �In Memoriam Or. Garth H. Harley, M'39, died March 25th in his Pebble Beach, California home. The 68year-old surgeon served an internship and residency in Detroit, and practiced general surgery in Dearborn, Michigan from 19521971. Since 1971 he had been on the surgical staff at Community and Eskaton Hospital in Monterey.D Dr. Batt A memorial award has been established for Or. Edward J. Batt, M'54, who died April16, 1978 of a heart attack. The first award, a plaque, was presented to his wife at the University of South Dakota Medical School. In 1956, after interning at the E.J. Meyer Memorial Hospital, he moved to Sisseton, S.D. where he was assigned to an Indian Hospital to fulfill his two-year obligation to Federal Health. He spent 20 years as a general practitioner in Sisseton. In 1976 he joined the University faculty and Family Practice Center. Or. Batt was also on the State Health Council, and was active in several professional associations.O Or. Clyde B. Simson, M'38, acting director of the Lafayette Clinic in Detroit, Michigan died December 28, 1978.0 Dr. Richard A. Downey, M'29, died March 7 at the Georgian Court ursing Home after a long illness. His age was 73. The pediatrician served on the staffs of Buffalo General, Children's, Deaconess, Millard Fillmore and Sisters hospitals. He was a clinical assistant professor emeritus having served on the Medical School faculty 42 years (1933-1975). Dr. Downey was a nature photographer and active in several professional organizations. Two surviving brothers are also physicians. Dr. Paul V. Downey is a 1936 Medical School graduate and Dr. Martin J. Downey Jr. was graduated in 1945.0 A research assistant in the department of microbiology, Walter A. Campbell, died March 4 at the VA Medical Center. His age was 48. He joined the staff in 1960 and worked with the late Dr. Ernest Witebsky and Dr. Felix Milgram, professor and chairman of microbiology.O 54 Dr. Elmer Milch, M'33, died March 20 in Buffalo General Hospital after a long illness at the age of 69. He pioneered surgical procedures and medical treatments in Buffalo and nationwide including gastrointestinal surgery for adults and children. In the early 1950's, he was the first surgeon in the state to successfully perform such surgery on a dayold premature infant. From 1952-1955, he was a member of a Buffalo General team that pioneered in the use of anticoagulants to prevent sudden death from heart attack and blood clots in the lungs. The work won national acclaim, and the researchers won first prizes for original research from the Medical Society of the State of ew York and the American Medical Association. In 1969, he was honored by the Albert Einstein College of Medicine at Yeshiva University, New York City, for his "service to medicine and medical education and his abiding interest in health care and dedicated service to humanity." He was an attending surgeon at Buffalo General and chairman of its department of surgery from 1970-1972. He served as president of the hospital's medical staff from 19621965 and was the first physician elected for three terms to the presidency. He also had been an attending surgeon at Children's Hospital and a surgical consultant at Roswell Park Memorial Institute and the Buffalo Psychiatric Center. When Dr. Milch retired in 1973, that year's graduating class of surgical house officers at Buffalo General honored him by dedicating a reference library there as the Elmer Milch Surgical Library. Or. Milch was on the faculty of the UB Medical School for 35 years and was appointed a full clinical professor of surgery in 1965. He was one of the few surgeons named a fellow of the American Gastroenterologic Association and was a founding member of the Society for Surgery of the Alimentary Tract. He also was a fellow of the American College of Surgeons and American Society of Abdominal Surgeons. He was a member of the American Medical THE BUFFALO PHYSICIA �Association, the state medical society and Erie County Medical Society, heading the latter's mediation committee in 1965. Dr. Milch was a past president of the Maimonides Medical Society of Buffalo, a former member of the executive committee of the local B'nai B'rith and had been active in the B'nai B'rith Anti-defamation League. During World War II, Dr. Milch was a captain in the Army Medical Corps. He received a Purple Heart after being wounded while serving with the 23rd General Hospital Unit. Among the survivors is a son, Robert, a 1968 Medical School graduate.D Dr. Charles M. O'Connor, M'24, died June 16 in Millard Fillmore Hospital after a short illness. His age was 79. Following his internship at Buffalo General Hospital he joined the staff of Millard Fillmore and Kenmore Mercy Hospitals. He was active in several professional organizations. Among the survivors is a son, Dr. Charles F., a 1957 Medical School graduate.D Dr. Archibald S. Dean, professor emeritus and former regional director of the State Health Department (1948-1964). died April 21 in Jacksonville, Florida. His age was 84. He was on the U/B faculty for 26 years (19341960). When he retired he was professor of preventive medicine. In 1955 he was named head of the medical school's department of preventive medicine and public health. Dr. Dean was listed in American Men of Science, Who's Who in Government, Who's Important in Medicine and Who's Who Among Physicians and Surgeons. He was a Fellow of the AMA, life member of the American Public Health Association and active in several other regional and national professional associations. He was active in public health conferences worldwide and contributed many articles to health publications. He received his doctorate from the Johns Hopkins School of Hygiene and Public Health. Among the survivors is a son, Dr. David Dean, clinical associate professor of medicine.D WINTER, 1979 The vice president of the Medical Alumni Association, Dr. W. Yerby Jones, died March 14. The 75-year-old physician was former chief of staff at E.J. Meyer Memorial Hospital and a leading ophthalmologist in the area for 50 years. He retired from the Meyer staff in 1972, and was named clinical professor emeritus of ophthalmology at the Medical School in 1971. Dr. Jones was the third black graduate of the U/B Medical School in 1924. Dr. Jones joined the faculty in 1946, teaching one course to junior medical students. During the last 25 years about 85 per cent of the ophthalmologists in the Buffalo area were trained by Dr. Jones at the Meyer Hospital. Many of his former students returned to Buffalo every spring for "eye teaching day." In 1950 this first meeting attracted six people. In 1971, 120 people including 60 ophthalmologists from around the nation attended. Dr. Jones was a Fellow of the American College of Surgeons and the American Academy of Ophthalmology and Otolaryngology. Among his local, state and national society memberships was that of legislative representative, section of ophthalmology, Erie County Medical Society. He was also a member of the medical advisory board for the Association of the Blind for New York State and the Royal Society of Medicine. Prior to joining the University faculty in 1946 as instructor in ophthalmology, he was in private practice. He was also affiliated with the Meyer Hospital and the Buffalo Eye and Ear Hospital as pathologist/ophthalmologist. He has also served as an Attending Physician at the Gowanda State Hospital. The well-loved physician was promoted to associate in ophthalmology in 1951 and six years later became associate clinical professor. In 1961 he became a clinical professor of surgery (ophthalmology). Appointment to head the division of ophthalmology (surgery) at the University followed in 1968. The Urban League Award recipient in 1949, Dr. Jones was cited for occupational and professional achievement as the only black physician on the University faculty and one of 14 to be admitted to membership in the American College of Surgeons. Dr. Jones was the author of several articles relating to his specialty.D 55 �From the Desk of Lawrence M. Carden, M'49 President, Medical Alumni Association Dr. Carden Dear Colleague: It is a pleasure to be serving as your President. I thank you for this honor. The Medical Alumni Association is a unique organization. The Alumni Board is anxious to see it prosper. Because of this desire we have already circulated a questionnaire regarding your feelings about Spring Clinical Days. We were gratified to receive almost 200 replies within several weeks. We are in the process of considering your suggestions. We hope this will improve our annual meetings. Please clear your calender for the week-end of May 9 and 10, 1980 for Spring Clinical Days. As the program develops we will keep you informed. The Alumni Board is anxious to encourage our Senior Medical Students to participate in our activities during Spring Clinical Days. We hope to have the Senior class as our guests at the Stockton Kimball Lecture and Luncheon. I know this would please Mrs. Kimball. Also the Board feels this is an investment in our future. The Alumni is preparing a Medical Seminar for the annual alumni trip Barbados, West Indies - Feb. 29 - Mar. 7). Approximately 12 CME credits will be available. We hope you will consider this when the final plans for the trip are announced. The General Alumni Board - MICHAEL F. GUERCIO, A.S.C. '52, President; DR. JOH R. VO A, D.D.S. '61, President-Elect; WILLIE R. EVANS, Ed.B. '60, Treasurer; CO STANCE M. GICEWICZ, Vice President for Activities; DR. SUSAN D. KULICK, Ph.D. '76, Vice President for Administration; RUSSELL J. GUGINO, A.S.C. '52, Vice President for Athletics; STEPHE C. TOW SE D, J.D. '74, Vice President for Constituent Alumni; ORRI D. TOBBEE, M.B.S. '67, Vice President for Continuing Education; RICHARD A. RICH, B.S. '61, Vice President for Development & Membership; HON. M. DOLORES DENMAN, J.D. '65, Vice President for Legislative Relations; MARK G. FARRELL, J.D. '72, Vice President for Young Alumni; Past Presidents, ERNEST J. KIEFER, PHYLLIS M. KELLY, GIRARD A. GUGINO, GEORGE VOSKERCHIA , MORLEY C. TOWNSE D, EDMOND J. GICEWICZ, M. ROBERT KOREN.D Medical Alumni Association Officers: Drs. Lawrence Carden, M'49, President; Robert Schultz, M'65, Vice President; Carmela Armenia, M'49, Treasurer; Edmond J. Gicewicz, Immediate Past President. Board Members orman Chassin, M'45; Eugene M. Sullivan, Jr., M'63; Robert A. Baumler, M'52; Joseph Pryzlucki, M'73; Paul Wierzbieniec, M'74; Joseph Griffin, M'49; Michael A. Sullivan, M'53, past president.D 56 THE BUFFALO PHYSICIA �Alumni Tours ISRAEL February 10 • 18 $619.00 Tel Aviv Hilton, or Tel Aviv Sheraton (or similar)- 4 nights Jerusalem Hilton or Hotel Intercontinental Jerusalem (or similar) . Fly TIA, DC 10, from iagara Falls. BARBADOS February 29 ·March 7 $679.00 Marriott's Sam Lord's Castle No Meals (optional plan of all full breakfasts plus five dinners costs $134.00). Medical-Dental Continuing Education Seminar. Fly Pan Am, from Niagara Falls. ----------------------------------------------------------------------------------------------------- IIIIII BUSINESS REPLY MAIL FIRST ClASS PERMIT 0. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, .Y. NO POSTAGE STAMP ECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 920003223'fOO DR. ROBERT L. 156 BRANTWOOD BUFFALO THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - -- - - - - - - - - - - - - - -- - - - - - - - - -- - - - - Year MD Received _ _ __ OfficeAddress - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HomeAddress--- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB,MDreceivedfrom---------------- - - - - - -- - - - - - - - - - - - - - - - InPrivatePrnctice: Yes 0 In Academic Medicine: Yes No 0 Speci~~ -----------------------------­ 0 No 0 Part Time 0 Full Time D School ----------------------------------------Title -------------------------------------Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, e t c . ? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1979 Subject The topic of the resource State University of New York at Buffalo. 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Dean Naughton's Message Commencement Students Honored Dr. Gagliardi's Address Post Graduate Matching Co-Chairmen/Spinal Cord Center Spring Clinical Days Cardiovascular Disease Infectious Diseases Cancer Chemotherapy Renal Disease Transplantation Classes Give $25,580 Gastrointentinal Disease Critical Care Medicine HMO's Regulations National Health Insurance Rising Costs Health, Government Medical Alumni Officers People Class of 1929 Class of 1939 Class of 1944 Class of 1949 Class of 1954 Classes of 1959/1964 The Classes 1979 Class Gift In Memoriam Dr. Carden's Message Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. 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You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/394d77840c7ca581c6358434705d887c.pdf 2bed8c40db4c51fb44a2a8c17496ba20 PDF Text Text -- Th~ Buffalo Physician Volume 13 Number 3 Fall1979 I I School of Medicine State University of New York at Buffalo �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine The Winter, 1978 issue of THE BUFFALO PHYSICIAN presented a Medical School Update with emphases on many of the organizational, academic and student functions of the school. The current edition represents another departure from the customary format. Its contents will attempt to review and summarize some of the other important mission areas, those of basic and applied biomedical research. Dr. Edward Carr, Chairman of the Department of Pharmacology and Therapeutics, and Ms. Barbara Mierzwa, Assistant to the Chairman of the Department of Biochemistry, teamed to develop the material for this edition. Thanks to the cooperation and efforts of the various department chairpersons they were able to synthesize a kaleidoscope review of the school's participation in and contribution to this important function. I hope that the report will stimulate your interest to learn more about the specifics and will impress you with the quality and the quantity of the faculty's efforts. On behalf of Bob McGranahan and myself, I thank Barbara and Ted for pursuing such a difficult assignment to completion and for a job well done.D �Volume 13, Number 3 Fall1979 THE BUFFALO PHYSICIAN (USPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD IN THIS ISSUE Dean Naughton's Message (inside front cover) Editor ROBERTS. MCGRA AHA Dean, School of Medicine OR. ]OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. LAWRENCE CARDEN Vice President, Faculty of Health Sciences OR. F. CARTER PANNILL President, University Foundation ]OHN M. CARTER Director of Public Affairs ]AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 2 RESEARCH, A RATIONALE 3 BIOMEDICAL RESEARCH MISSIO 6 ANALYSIS OF ONE MEDICAL SCHOOL'S RESEARCH 11 ANATOMICAL SCIE CES 13 A ESTHESIOLOGY /BIOCHEMISTRY 15 BIOPHYSICAL SCIENCES 18 DERMATOLOGY 19 23 25 FAMILY MEDICINE/INTERNAL MEDICINE MICROBIOLOGY NEUROLOGY 26 EUROSURGERYI UCLEAR MEDICINE 27 OBSTETRICS, GYNECOLOGY 29 ORTHOPAEDICS 30 OTOLARYNGOLOGY 31 PATHOLOGY 33 PEDIATRICS 35 PHARMACOLOGY, THERAPEUTICS 38 40 42 43 44 45 46 PHYSIOLOGY PSYCHIATRY RADIOLOGY REHABILITATION MEDICINE SOCIAL, PREVE TIVE MEDICINE SURGERY UROLOGY /ROSWELL PARK 48 VA MEDICAL CE TER The late Dr. Ernest Witebsky is on the cover, which was designed by Barbara Evans. THE BUFFALO PHYSICIAN, Fall, 1979 - Volume 13, Number 3, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1979 by The Buffalo Physician. FALL, 1979 1 �Research in the School of Medicine-A Rationale Each of the departments of the School of Medicine has an active research program, a function considered important to the success of the instructional program. Since our primary mission is to train physicians, why does a professional school need active highquality research? There are many reasons that justify the pursuit and maintenance of high-quality fundamental and applied research at a medical school. Research has been accepted as a major function of Universities, in many cases exceeding in importance the instructional function of these institutions. This thousand-year old tradition sees the University as a source of knowledge - associating learning with research. The modern University and its professional schools have been challenged by an unprecedented increase in enrollment, which tends to reduce the personal teacherstudent relationship. This trend threatens to convert the University, and especially its professional schools, into training centers in techniques and methodologies, with little or no research activity. Concurrently, the national and not-for-profit research laboratories, where excellent research work is performed in a highly efficient manner, offer an alternative resource of advanced knowledge. These institutions, which were established in response to urgent and concrete national needs or commitments, such as the Manhattan Project or the Space Program, may be considered as superior alternatives to Universities as sources of innovation and technological development. In the appropriation of national resources, it is generally easier to handle research and education as separate entities, administered more effectively in separate institutions. For this reason, the research function in Soviet Russia was virtually removed from the Universities and transferred to the more efficient national research institutions, and a similar trend has been apparent in the U.S. 2 The disadvantages in this general approach outweigh its advantages. This simplistic administrative reasoning does not always offer optimal solutions to the complexity of problems involved in teaching and research. Effective teaching has to be closely associated with research, while effective research cannot proceed for long without an ancillary teaching function. We will limit our present discussion to the first assertion, namely, that effective professional training, including that of physicians, requires association with active research. We shall start with the most obvious arguments - effective teaching calls for enthusiastic teachers; the students will hardly be "turned on" by a professor who is not emotionally involved with his subject. Only creativity in a given area will result in personal involvement and enthusiasm. Although creativity may be exerted also in innovative teaching of a subject, it is obviously more commonly encountered in research activity. In other words, teachers who do research are inherently better teachers. On the other hand, researchers who teach are generally happier and more gratified individuals than those who do not teach. Although full-time teachers may be expected to update their material, the researcher has much stronger incentives to do so and is glad to convey to the students up-to-date information. Next, there is a need for research experience in modern medical education. The modern physician is confronted with much more information and with many more alternatives than his predecessors. The problems he often encounters call for an investigative approach. This rationale can best be taught by instructors with extensive research experience. In fact, the exposure of the students to a research atmosphere, that is, an environment in which there are no ready solutions to all problems, and where there is an ongoing THE BUFFALO PHYSICIAN �effort to identify new problems and try to solve them, is the most appropriate environment for the education of the physician of the future . When we refer to medical research, we should not distinguish between clinical research and research in what is referred to in medical education as the " preclinical sciences," since both these aspects of medical research make comparable contributions to the patient's welfare . This will be apparent in later sections of this report. Also, the public at large has become more aware of the value of research in medicine. The practicing physician who is affiliated with an academic institution and is known to be involved in research, not only finds personal satisfaction, but also enjoys a higher esteem from many of his patients. Likewise , a hospital known for its clinical innovations will attract more severe and challenging cases. Most importantly, such hospitals are in the best position to treat patients successfully. Medical research has to become, therefore , an integral part of medical education, not only for those physicians who pursue an academic career, but also for the practitioners. Consequently , the School of Medicine has to provide an appropriate atmosphere for such training, with its faculty acting as living examples. There are obviously also drawbacks and pitfalls in stressing the research function of a medical school. Research activities may become so attractive to the faculty as to lead to a neglect of the teaching functions . Faculty may become so involved in a particular topic as to lose their sense of proportion , overemphasizing a certain aspect of medicine way beyond its actual role in clinical practice. There may also be a lack of objectivity in cases of scientific controversy . Highly specialized teachers may " lose" their students by going into too much depth for the given level of medical education. These potential pitfalls, which can readily be overcome by appropriate supervision of the curriculum and of the content of individual courses, are by no means a reason for limiting the role of research faculty in medical education. Nevertheless, it is imperative for any good training program to avoid these potential pitfalls by assigning the supervision to individuals with broad research and teaching experience. In summary, effective modern medical education requires a strong research component and only a School of Medicine with a viable research program in all of its Departments, preclinical and clinical, can meet these needs. The research activities of the faculty are, therefore, not a luxury from the standpoint of medical education, but a necessity. Michael Anbar, Ph.D . Professor, Chairman of Biophysical Sciences The Biomedical Research Mission at SUNY/Buffalo Introduction The medical establishment was rudely shocked in 1910 by the publication of The Flexner Report on Medical Education in the United States and Canada. That report visualized the medical educational establishment as little more than a " trade association" and, with few exceptions, was critical of virtually every existing medical school. In the short seventy years that have transpired the country has seen medical education blossom into the very sophisticated system which FALL, 1979 prizes and guards jealously its contributions to undergraduate, graduate and continuing medical education, to the nation's biomedical research mission and to patient care. Today, it is axiomatic that regardless of the size or nature of a medical school , the conduct of research is an essential function . This was certainly not the situation in 1910. The experiences of the past seventy years have not only proved that research is important to the teaching and learning mission, but 3 �that the nation's medical schools have contributed significantly to the nation's total health and medical care mission through the "partnerships" that have existed between governmental funding agencies and research investigators located in the schools. Lest an institution's research mission be taken for granted, it is important that the content, quality, quantity, and productivity of an institution's research program be evaluated internally and externally at periodic intervals. This is accomplished by a number of mechanisms such as site visits, external peer reviews, and budget reviews, to name but a few of the many evaluative mechanisms. This issue of THE BUFFALO PHYSICIAN was organized by Dr. Edward Carr and Ms. Barbara Mierzwa, not as an evaluative tool, but rather as a forum in which the many and varied research projects could be synthesized to present the reader with an appreciation of the extent, complexity and significance of the research activity at SU Y/Buffalo's School of Medicine. The faculty is heavily engaged in that mission as reflected by the reports presented in this issue as well as by its participation in programs supported and sustained by agencies such as the National Institutes of Health and the Veterans Administration. The School's Role in Supporting Its Research Mission The conduct of research is an expected activity of every full-time faculty member. It is for that reason that SUNY accepts the performance of research as a part of the faculty member's job description and does not demand displacement of salary support provided by SUNY when research is being conducted. Similarly, this expectation is built into the faculty promotion process, and as many full-time faculty realize, a portion of each one's academic growth must show significant contribution of new knowledge and ideas to the field of expertise. In addition to significant levels of valuable salary support, SUNY provides the physical environment in which research is conducted. For the Medical School at Buffalo this environment is provided either directly by housing programs in University buildings or by leasing space located principally at affiliated teaching institutions. During the 1960's and early 1970's the provision of ade4 quate laboratory and office space in which to conduct academic pursuits was one of the principal deficiencies faced by the Medical School. This situation was occasioned by the tremendous expansion of the University on the Main Street Campus and the inordinate delay in starting the construction of the new campus in Amherst. During those years the Medical School's basic science faculty were dispersed throughout the City of Buffalo and little could be done to upgrade whatever facilities did exist on the Main Street Campus. Although the research environment is still far from ideal for the basic science faculty, significant advances have been made as a result of progress on the Amherst Campus. A vast majority of the basic science faculty and their programs are now housed in the Farber-Sherman-Cary complex on the Main Street Campus. Many of the laboratory facilities have been renovated for a shortterm period while awaiting implementation of the total rehabilitation of the Main Street Campus for the Health Sciences. However, elements of Neurobiology are still located near Sisters Hospital and on the Ridge Lea Campus and all of the Department of Social and Preventative Medicine is housed at 2211 Main Street. Further progress must await the readying of facilities for the Dental School. SUNY and the State of New York did commission Cannon Associates of Grand Island in 1978 to update the Master Plan for the Main Street Campus. This report has been submitted, and hopefully, further progress toward upgrading the basic science facilities will occur during the early to mid-1980's. The situation for the Clinical Faculty is vastly different. Since teaching, research and patient care are best conducted in a coordinated and semi-integrated fashion, the bulk of the school's clinical research mission is conducted at or near each of the affiliated institutions. The County of Erie, for example, constructed a Clinical Center which SUNY leases for the laboratory support of many of its faculty. Similarly, The Buffalo General Hospital maintains a core research facility, Children's Hospital houses a vast number of laboratories, and The Veterans Administration Medical Center not only houses laboratories, but through its own research program support mechanism nourishes and sustains the work of many faculty members. THE BUFFALO PHYSICIAN �... The Buswell Fellowship Program One of the principal sources of research support in the School of Medicine is the Buswell Fellowship Program. This unique program is supported from proceeds derived from the Hochstetter Endowment. Each year a committee of established faculty scientists reviews the applications for proposed fellowships to select those individuals who evidence outstanding promise as physician investigators. An individual can be funded for up to three years during which he or she must commit eighty per cent of the effort to the research project. The remaining 20 per cent many be spent teaching and/or in direct clinical care. Over the years many of the graduates of this program have gone on to develop into excellent academicians at SUNY/Buffalo and at schools throughout the nation and the world. In 1977 an Annual Buswell Research Day was initiated at which Fellows present the results of their work, and in 1978, the Buswell Committee began inviting Buswell Fellow Alumni to present a lecture at the annual banquet. Dr. Robert Klocke of the Department of Medicine spoke in 1978 and Dr. Margaret MacGillivray of the Department of Pediatrics spoke in 1979. This program provides SUNY /Buffalo the opportunity to contribute in a significant way to the development of future established physician investigators and to be numbered among those few medical schools who can say that they participate in the research mission in a rather direct manner. Medical Student Research Program The school offers research education to the medical students principally through the Summer Research Fellowship Program. In 1979, 81 medical students were supported by stipends while working in either laboratory or clinical settings. Approximately one-third participated in the research program. These students were selected by a faculty committee and supported by funds derived from the institution's Biomedical Research Support Grant, Alumni contributions and speCial endowment and trust funds . The students work with established investigators, yet are expected to perform some level of independent investigation. The school was honored in 1979 by the fact that one of its students, Peter Yang, was invited to present his work at the FALL, 1979 National Student Research Forum conducted in Galveston, Texas. Biomedical Research Support Grant For many years the Public Health Service has provided direct institutional funding to medical schools, research institutes and hospitals which participate in the biomedical research mission. While several national administrations have attempted to eliminate this source of institutional funding, the Congressional consensus is that the BRSG program is essential to the overall good of the National Institutes of Health. These funds, although modest in amount, provide a flexible source of funds with which to help newly recruited faculty to initiate their research programs, for equipping laboratories, and for undertaking modest renovation of research facilities when warranted. The amount awarded each year is determined by the degree of participation in the biomedical research effort. The maximum awarded in any institution in 1978 and 1979 was $200,000. SUNY /Buffalo's share approximated $160,000 placing it in the upper third of the nation's medical schools. In summary, it is the coordination of faculty effort, and the sharing in support of faculty and physical resources from a variety of programs that enables an institution to participate in biomedical research in a significant and productive manner. If successful, the result is advancement of medical knowledge, enhanced professional education at all levels, and improved quality of health and medical care as evidenced either by the eradication of disease or the amelioration of the effects and consequences of chronic debilitating diseases. Flexner's observations in 1910 were apparently sound and correct. Today, the medical schools are challenged to make the research mission meaningful and to use their talents to meet the needs of the students, the profession and the society. I hope that the review summarized in this issue of THE BUFFALO PHYSICIAN indicates that the faculty through the departments are taking the mission seriously and are responding to these multiple needs in a significant and effective way. John Naughton, M.D. Dean, School of Medicine 5 �Analysis of One Medical School's Research: A First Approach ON AUGUST FIFTEENTH of the year seven hundred and seventy-eight the rear guard of Charlemagne's army was attacked in a pass in the Pyrenees by Basques, who were apparently as violently separatist then as they are now. As he was away from the main body of his army, the captain of the rear guard, Roland, had been given a horn with which to sound the alarm in case of attack. Too brave and proud to call for help, he ignored his companions' advice and tried long and hard to fight off the attack without sounding the horn. Three centuries later he was immortalized in the greatest of medieval epics, "The Song of Roland," as the beau ideal of valor. However, most people were apparently more impressed by learning what, in historical fact, had been the outcome for Roland and his companions-wiped out to the last man. Since then there is no recorded instance that anyone has ever passed up an opportunity to blow his own horn. We are no exception in this issue. The research program of the Medical School of SUNY at Buffalo annually generates over eight million dollars (direct costs) for its sup-· port and describes its results in over one thousand publications. Several aspects of the research are noted in this article, which treats the School as a unit.* *Departments involved in each activity are shown by abbreviations: Anatomical Sciences, ANA; Anesthesiology, ANE; Biochemistry, BCH; Biophysical Sciences, BPH; Dermatology, DER; Family Medicine, FMD; Gynecology-Obstetrics, GYN; Medicine, MED; Microbiology, MIG; Neurology, NEU; Neurosurgery, NSR; Nuclear Medicine, NMD; Orthopedics, ORT; Otolaryngology, OTO; Pathology, PTH ; Pediatrics, PED; Pharmacology and Therapeutics, PMY; Psychiatry, PTY; Physiology, PGY; Radiology, RGY; Rehabilitation Medicine, REM; Social and Preventive Medicine, SPM; Surgery, SUR; Urology, URO. Readers wishing to fit any details into the broad program of a given department may then turn to the next section of this issue for departmental summaries. Good research, like good wine, depends on three factors, only one of which man controls. The soil, the climate and the type of grape are 6 the factors in a vineyard and only the latter is at the owner's discretion. After that, except for the exercise of blending skill, there is nothing to do but pray. In research the soil is the technology, the state of the art that determines what can be done. The climate is set by those groups in society that decide in a general way what is valued. Ideas are the grapes - the things that ferment - and the investigator can select those he or she wishes to cultivate. We will look at the product available in the year 1978-79 under the Chateau Naughton** label. Less figuratively, medical research consists of many studies but most of these studies fall into one of two categories. The first category consists of studies that have a practical end in view. They attempt to answer the question, "What is the best way to deal with this problem?" and are chiefly concerned with recognizing, preventing or treating disease. The second category consists of studies that search for new knowledge and ask, "How is it assembled? How does it work?". "It" may be a structure, process, drug or interaction between people. Although the first (end-inview) category of research is often conducted in man by clinicians, this is not always so. Although the second (search-for-newknowledge) is often conducted in vitro or in animals by basic scientists, this is not always the case. For example, in vitro experimental perfusion of organs, e.g. heart, with appropriate sera (MIC) has led to a challenge of previous beliefs that "solid" tissue grafts are rejected by cells rather than humoral antibodies. This laboratory study is clearly aimed at improving survival of transplants, a matter of immense practical importance. On the other hand, a study of the effects of changes in pressure, temperature, and degree of exercise stress on oxygen delivery systems in man (PGY) and other studies of gas exchange in the human lung (PGY, MED, PED) have potential practical usefulness but **Appellation Controlee THE BUFFALO PHYSICIAN �.. primarily approach important basic questions and look for new knowledge in man. The key difference between the two categories of research lies in the type of question asked, not in the personnel or in the site of the investigation. Provided this distinction is clearly kept in mind, the terms "applied" for the first category and "basic" for the second category are reasonable approximations. While single studies usually fall into one of the two categories of research listed above, groups or clusters of studies appear to me to fall into five types. A cluster of studies that are mainly (even if not purely) end-in-view is the first type. At the other extreme, a cluster of studies that are mainly (even if not entirely) search-for-new-knowledge is the second type. The third type is represented by clusters of studies that incorporate both categories of research to a high degree, i.e. they not only include a significant number of basic and a significant number of applied studies, but show a smooth continuum between these categories. The fourth type is a variant of the third. Some clusters have numerous studies from both categories but these are not yet sufficiently linked. The next step should be to link them more closely and this has already been initiated in some instances. As clusters of this fourth type seem to be seeking a center, I shall term them, for lack of a better term, centripetal. The fifth type, centrifugal, forms when a discipline is breaking out of former constraints and the thrust is toward developing more effective studies in both categories. It may be helpful next to describe one example of each type of cluster. It should be stressed that the sets or clusters described here have no organizational basis at all. Even where reference is made to two departments at once, the named departments may not have any organized joint venture. The grouping is simply based on the classification discussed above. 1. Those who best see where they are going are (who else?) the surgeons. Consider several cardiovascular projects. The use of deep hypothermia in children's heart surgery (SUR) and of microsurgical techniques for vascular reconstruction to permit reimplanting of severed fingers (ORT) (very appropriate in snowblower country) may be cited. Work by non-surgical investigators should also be noted, e.g. a follow-up study of the results of open heart surgery (MED). FALL, 1979 Other important studies examine the redistribution of blood that distinguishes septic from other types of shock (SUR) and the metabolic needs of the heart during surgery (BPH, SUR, BCH) or ingeniously monitor fetal heart during delivery (GYN). Incidentally, the applied nature of much cardiovascular research does not imply that basic cardiovascular research is absent in Buffalo. Basic cardiovascular control mechanisms are under investigation (MED, PGY). A possible primitive pacemaker is under study (ANA, PGY), not in the heart but, of all places, in a bat's wing. A truly great advance in treatment of heart disease was made by the Buffalo team of Chardack, Gage and Greatbatch, who put the first implantable pacemaker in a dog on May 5, 1958 and then were the first in the world to place one in a patient on April18, 1960. The use of combinations of cryosurgery plus chemotherapy in prostatic cancer (URO) together with related extensive studies of the pathology of male genitourinary cancer (PTH) fall in another sub-set. If we go further, a study of the use of cryosurgery in cancer of the head and neck (SUR) furnishes still another example of applied research. Several other studies fall in this cluster but only a few have been cited here to serve as examples, a practice that will be followed throughout this article. 2. A cluster of the second type is exemplified by studies of membranes. Mechanisms whereby membranes transport ions and larger molecules, control their own fluidity through sterol composition, and fuse in neurotransmission are all under study (BPH, BCH). Interdepartmental studies focus on ion transport (MED, BPH, PMY). Other studies concern cholesterol interactions in membrane and serum proteins (BCH). Research on serum cholestrol and lipoproteins has important implications in coronary artery disease. Other research concerns the passage of cations across the blood brain barrier (NEU) and- as an example of a clinical study within this largely basic cluster - the passage of water into the brain after trauma (NSR) is under investigation, including the role of dialysis in alleviating brain edema. d- 7 �3. An impressive set of studies, completely spanning the distance between basic and applied, have as their common theme the antigen-antibody reaction. This cluster is comprehensive. It is characterized by a wide range of investigations spread throughout the school. The absence of significant gaps at any stage from the most basic to the most practical studies is to the credit of many departments but the importance of the Department of Microbiology in this area is especially clear. I suggest the reader first read the excellent summary of that department's research, prepared by Ms. Mierzwa and Dr. Milgram, before continuing here . In one subset of studies, the development of immunofluorescence as a research tool (DER, MIC), a study of special situations in which the T-cell's role is circumvented (MIC) and an investigation of biophysical aspects of immunology (MIC) represent basic studies . In another sub-set the role of the immune system in various infections, including cytomegalic virus infections of pregnancy (GYN), hepatitis (PED), and respiratory infections of infants (PED) is investigated. The importance of antibody in colostrum and early milk (PED), the role of mononuclear cells in exudate in suppressing the immune response (PED) and a previously unsuspected direct cooperation between some antibodies and the immune system (PMY) are other noteworthy findings in this sub-set. Allergy to milk (PED) and to insect venom (MED, BCH), asthma (MED, PED) and the Stevens-Johnson Syndrome (PED, DER) are studied in another sub-set. The most extensive panoply is devoted to blood group and tissue antigens (MIC), the relation of the former to red cell membrane function (MED), antibodies to hemoglobin (BCH , MED), transplantation of heme marrow and kidney (MED), plus studies of autoantibodies in various diseases. These include collagen disorders (PTH, MED), diseases of kidney and lung (PTH, MIC), multiple sclerosis (NEU, MIC) and several skin diseases (DER, MIC, PTH), particularly psoriasis and ringworm. Ernest Witebsky cast a long and beneficent shadow. 4. The fourth, centripetal, type of reseaFch cluster develops when historical factors have artificially caused too much separation between end-in-view and search-for-newknowledge research within a given area; good investigators in each of the separated sub-sets 8 then work to approach each other, not with the goal of blending into one amorphous mass that would destroy the value of both sub-sets and create an even worse artificial situation, but rather with the goal of establishing better links. A good example is the use of drugs. While advances in basic pharmacology have been steady and encouraging, the drug explosion associated with this advance in recent decades has showered on clinicians a whole series of drugs to be studied. Basic pharmacologic work at Buffalo includes studies of: the way kidney and lung, as well as liver, metabolize drugs (PMY); renal excretion of basic drugs (PMY), the possibility that Isuprel <~> may antagonize its own effect through a metabolite (PMY); penetration of the central nervous system by antibiotics (MED); effect of intratympanic installation of antibiotics that are ototoxic (OTO); transport of fluoride into bone and teeth (BPH); narcotic (PMY) , alph-adrenergic (BCH) and beta-adrenergic (PMY) receptors. A finding of considerable significance for the treatment of asthma is that corticosteroid drugs triple the number of beta receptors in lung cells (PMY) . Clinical studies include: effect of hypotensive drugs on pulmonary function (ANE); variations in erythromycin absorption (PMY) ; the use of drugs to increase clearance across peritoneal membranes during dialysis (MED), to affect pulmonary function in cystic fibrosis (PED), and to prevent recurrence of myocardial infarction (MED); electron microscopy of tumors to improve chemotherapy (PTH); metabolism of anticonvulsants (NEU); and the alleged effect of antihistamines on corticosteroid metabolism (PMY, PED). The treatment of asthma (PED, PMY, MED), acne and eczema (DER), as well as many types of cancer (MED, ORT and others) is under investigation. Controlled clinical trials are taking place in several disorders, e.g. arthritis (MED), and at least one project (SPM) seeks better methods of designing clinical trials. Finally, adverse effects of chemicals are receiving long overdue attention. Although therapeutic nihilists who wish to abolish advances in therapy are as foolish as the mindless people who think nations can survive indefinitely without nuclear energy, much greater efforts are needed to improve safety in both instances. Adverse drug effects studied here include: reaction between aspirin, Aldomet<~> and the THE BUFFALO PHYSICIAN �red cell membrane (MED); renal lesions from narcotics (MED); a possible way to decrease or even circumvent the serious liver toxicity of Tylenol® (PMY). Toxic effects of oxygen on lungs and blood vessels are under study (PTH, PGY). The effect of pesticides on immunity (PED) and better methods of treating heavy metal toxicity (PMY) are subjects to research here. A longstanding program of research in hallucinogens (PMY) and in the effects of our most commonly abused drug, alcohol (PMY, ANA), continues to be very active. There is also increasing interest in occupational and environmental health (SPM). 5. The fifth type, a centrifugal cluster, develops when a field begins to expand beyond its traditional boundaries and new areas of investigation are explored. As behavioral research shakes off the constraints of Freudian dogma and is also freed from the unrealistic expectations of the Sixties, when universities were expected to solve all social problems at once (and therefore, quite predictably, solved none). this field has new possibilities. Questions under study include: belief systems and attitudes of professionals (PTY, MED); effect of education on locus of professional practice (FMD); and cost effectiveness of professional training (SPM). The effect of climate on dangerous behavior (PTY) is under study, as are problems ranging from vandalism to the absolute worst of all behavior, genocide, and its effect on survivors (PTY). The role of family practitioners in mental health care (FMD) and in treatment of mentally retarded individuals (PTY) has been examined. There are projects to help families find better ways to cope with asthma (PED) and with release of family members from institutions (PTY). Efforts are under way to improve the design of clinical trials in psychiatry (SPM). to improve the benefit/risk ratio of psychotropic drugs by intermittent therapy plus monitoring (PTY). and to learn why patients drop out of therapeutic programs (PTY). Of interest to all physicians is a study of the reasons for after-hour calls (FMD). In other studies the importance of education and motivation as the key factors in rehabilitation has become apparent (REM). as has the need for more standard methods to evaluate improvement (REM). Attempts to quantify thinking disorders (PTY) and the study of hemispheric dominance (NEU, PTY) FALL, 1979 exemplify another thrust of this general program. Many other research clusters exist at Buffalo. They will usually be found to fall, at least roughly, into one of the above types. Without ranging them in any particular order, several should be called to the reader's attention here. The diagnostic process itself is the subject of much research. This involves computerized tomography (RGY, NEU). a novel form of mass spectroscopy that may aid in clinical diagnosis (BPH, PED, MED). use of voice patterns in diagnosis of laryngeal lesions (OTO), an improved nasopharyngeal biopsy forceps (OTO). fetoscopic studies (GYN) and many developments in noninvasive organ imaging, using radioactive drugs. Pioneering work in scanning bone, brain and pancreas ( MD) has led to many further studies. Methods for visualization of joint cartilage (NMD) as well as mechanisms of uptake of radioactive compounds by bone (NMD, PMY) are under active investigation. Visualization of myocardial infarcts (NMD, PMY, RGY) is a continuing subject of study. Improved efficiency (and thus safety) of roentgenographic techniques is under study (RGY). The urodynamics of female incontinence (GYN), the usefulness of sophisticated analyses of electroencephalographic frequencies (NEU). the possibility of predicting impending stroke by visualizing regional blood flow in the brain (NMD). and the value of thyroid scans in head and neck cancer (OTO) are subjects of research. Correlations are being sought between X-ray findings and pain in joints (REM), between colposcopic appearance and histologic findings (GYN). But the most sophisticated instruments in medicine are still the physician and the patient. Therefore research on algorithms for diagnosis of depression (PTY). self-examination for early diagnosis of head and neck cancer (OTO). and the correlation between physical findings and pathology of the prostate (PTH, URO) are worth noting. Buffalo is famous for developing methods for neonatal diagnosis of metabolic disorders (PED, BCH). especially those likely to cause mental retardation, and this research fits in with a broad program of genetic research (PED, BCH, MED, GYN, MIC). Teratology research is particularly directed at brain and palate (PTH). Buffalo is also famous for pioneering work 9 d- �- in fertility and fertility control (GYN). Basic studies include an investigation of the way in which eggs and sperm identify each other (ANA), a process that fortunately must take place somehow, else you would not be reading this page. Endocrine studies range from experimental work on hypothalamic obesity (MED) to very successful use of growth hormone in certain children (PED). There is active research on the thyroid (MED) and adrenal (BCH, PTH) glands as well as diabetes (PED, MED, SPM). Pioneering work on cortisol transport in the blood was conducted in Buffalo (BCH). A strong program of basic work on aging (ANA) is complemented by clinical groups (NEU, PTH) and by a new geriatrics program of growing vigor (MED). There are significant clusters of research on vision (PGY, ANA, BPH), hypertension (BCH, MED, PTH) and blood (MED, ANA, PED, BCH, GYN). Some parts of the vast, centripetal group of cancer studies have been noted above in connection with other clusters. Additional research in the search-for-new-knowledge category is aimed at detecting or exploring differences between the cytoskeleton of normal and cancer cells (ANA), differences between the strong response to heterophile antigen in infectious mononucleosis and the weak response in lymphoma or leukemia (MIC), characteristics of tumor antigens (MIC), remote effects of cancer on the peripheral nervous system (NEU) and the significance of galactosyl-transferase in cancer patients (MED). End-in-view research includes not only the various cancer chemotherapy studies described above but also a study showing that operative treatment is preferable in fractures secondary to cancer (ORT), an evaluation of intravenous hyperalimentation in cancer patients (SUR, OTO) and a study of treatment of neoplasms of the central nervous system in children (NEU). There is also an investigation of a suggested effect of hyperbaric hydrogen on cancer cells (PGY). A key department in many cancer studies is, of course, Pathology. In the field of cancer, the special importance of the Roswell Park Memorial Institute is so great that it would be impossible to do it justice 10 --------- - within the confines of this issue. However, a brief summary of the Institute's program, which has many interfaces with the cancer research of the School of Medicine described here, will be found after the departmental summaries in this issue. Although the present issue has otherwise been devoted solely to the research of the School of Medicine, cooperative studies with other Schools of the University, especially other Health Science Schools, are numerous and fruitful. This analysis has been partial in both senses of the word. Individual pieces of research that do not easily fit into some cluster are often extremely important. Although the number of noxious substances known to batter the poor liver is already so great that it seems almost churlish to suggest another, work on the role of endotoxin as a cause of liver damage (MED) is certainly interesting. Old ideas are constantly challenged and even our once "well-established" ideas of ganglionic transmission are now being modified (PMY). In their search for better ways to understand, diagnose, prevent and treat disease, the curiosity of our faculty members is in a very healthy state, whether they are investigating prostaglandin synthesis in the renal medullary body (BCH, MED, PTH) or evaluating the usefulness of saphenous vein by-pass grafts to improve perfusion (MED). I regret that constraints of space have made it necessary to omit mention of many valuable studies in this summary. I have no way of predicting which studies will eventually be shown, fifty years from now, to have been the most important research conducted here this year. But all in all, it was a good vintage year. Edward A. Carr, Jr., M.D. Professor, Chairman of Pharmacology and Therapeutics; Professor of Medicine THE BUFFALO PHYSICIAN .. �Anatomical Sciences DEPARTMENT OF ANATOMICAL SCIENCES, in addition to a major teaching program which has made it well known to physicians trained at U/B, has a multi-faceted research program encompassing reproductive biology, cell motility, the nervous system, morphological hematology, histochemistry and functional morphology. The department's electron microscope with its associated highly trained technical staff are available to scientists from all of the health sciences research programs. This important resource permits very sophisticated studies, and its central operation makes for efficiency and accuracy in the research to which it is applied. Further acquisition of technical equipment such as a scanning electron microscope will be an essential step toward the further development of the basic technical capability of the Medical School. It will also attract and support significant research programs in the basic medical sciences. Several members of the faculty in Anatomical Sciences are engaged in research on reproductive processes. Robert Summers uses invertebrates as model systems to find out how the egg and sperm identify and adhere to each other. His findings are likely to give clues to the mystery of how cells recognize each other and organize as tissues and organs during embryonic development. He is also trying to develop a diagnostic tool for assessing problems of male infertility. In collaboration with Jack Lippes of the Department of Gynecology and Obstetrics, he is studying the role of human oviductal fluid in fertilization. Herbert Schuel is working on the mechanism for establishing the block to polyspermy during fertilization. This is a critical aspect of reproduction, since penetration of the egg by more than one sperm results in abnormal development and eventual death of the embryo or fetus. Sea urchin ova are being used as a model system to study this process. Dr. Schuel has isolated secretory THE Departmental summaries were prepared by Barbara Mierzwa in collaboration with the chairpersons of each department of the School of Medicine and other members of the faculty designated by the chairpersons. FALL, 1979 (cortical] granules from sea urchin eggs, and shown that they contain a protease resembling pancreatic trypsin. The protease is secreted by the eggs during fertilization and promotes the modification of the egg's surface to prevent additional sperm from entering. He has also gathered evidence that the protease helps to open the secretory granules in sea urchin eggs which then disperse their contents. Similar reactions may be involved in the release of secretory products by all cells. Barry Eckert is also interested in the cellular level of biological activity and structure. Using antibodies that bind to proteins of the cytoskeleton, he has developed a technique for identifying and studying these proteins under the electron microscope. His methodology promises to have applications in understanding differences between normal and malignant cells. John Cotter studies the nervous system, especially its components involved in vision. He is seeking to describe the efferent projections from the accessory optic nuclei and to explain the way in which certain eye movements are generated. The structural effects of alcohol upon the central nervous system are being investigated by Roberta Pentney. Her work adds a new dimension to the traditional physiological and pharmacological approaches to the study of alcoholism. She has already shown that there is damage at the level of the mitochondria within cerebellar Purkinje cells. She has observed that internal membranes of the mitochondria appear to break down under the influence of ethanol. Using reinnervated muscle from neonatal rats, Frances Sansone has shown the persistence of myotubes which appear to be innervated. It is hoped that physiological manipulation may shed light on normal muscle maturation. This work is supported by the Muscular Dystrophy Association. Dr. Sansone is also studying the morphology of cells lining the central canal and ventricles in chicken central nervous system. In the course of this work she has discovered in certain areas of the ventricles the presence of tanycytes, specialized epen~ dymal cells which have retained a tail process. These cells may have special transport properties related to neuroendocrine function. d- 11 �Dean L. Bloch , Ahmad A. Attallah, Dr. Rolf A.K. Stohl, Dr. Jam es B. Lee, and Audrey G. Lee, all members of the hypertension laboratory staff. Richard Webber is studying guppies' peculiar sympathetic trunk which extends into their head region. Insights provided by analysis of this phenomenon may be applied to human development. Dr. Webber is also pursuing the strange finding of mast cells in autonomic ganglia. Theoretically, they should not be there; yet, there they are. He conclusively demonstrated the influence of autonomic activity upon the release of blood cells, using histochemical techniques. His work settled considerable controversy on this issue. Research on the effects of aging upon the central nervous system is conducted by Harold Brody. One of his on-going projects involves collaboration with researchers at the University of Washington in Seattle on the question of neurotransmitter release and endocrine function in the hypothalamus. With another group at the University of Chicago, he is examining morphological changes in anatomical structures related to sleep and circadian rhythms as a function of age. He is also a co-investigator in a Duke University-based study of changes in the central nervous system of- elderly patients. They have been examined for more than 25 years as part of this longitudinal study of functional changes with age. Chester Glomski, has been devoted to research in hemopoiesis, experimental and comparative hematology. He is currently 12 developing a full hematological profile of a newly discovered laboratory rodent, the Mongolian Gerbel. It is one of the rare animals whose red cells exhibit basophilic stippling throughout life, a morphologic phenomenon observed in man only under abnormal conditions. This unique feature together with other unusual hematopoietic and physiologic characteristics makes this species particularly valuable as an experimental subject. In association with oral biologist Joseph Gong, Dr. Glomski is also carrying out experiments to assess the deleterious effects of ultra-low doses of radiation upon hemopoiesis in the bone marrow and other blood forming organs. Lipid histochemistry has been a longstanding area of research for E. Russell Hayes. He developed methods involving the plasmal reaction, enabling detection of unsaturated fatty acids. Recently he established the absence of free aldehydes in cells. Applied studies on the lipid-like secretions of the Harderian gland and on the Stannius body in bony fish have added to what is known about comparative histology and histochemistry. Bats, tree shrews and sloths are the exotic subjects for research studies on the relationships between anatomical structures and function and their evolution. Frank Kallen's measurements of electrical activity in the contractile wing veins of bats (being done in collaborat_ion with Perry Hogan, Physiology) are pointing to the beginnings of what seems to be a primitive pacemaker system. Likewise, information derived from Frank Mendel's research on the suspensory behavior of the sloth is providing leads to understanding the evolution of human shoulder mobility. In related primate studies, Dale Fish is correlating motion pictures of the tree shrew's mastication movements with electrical potentials measured during chewing. Research on these animals is contributing to knowledge about the chewing apparatus and the development of structure-function relationships in primates. The department is also supporting a very active program of research for graduate students. These students are working on problems within the area of specialization of the faculty as noted above and are important co-workers in the research productivity of the department. THE BUFFALO PHYSICIAN �Anesthesiology THE EFFECTS of various types of anesthetic and surgical procedure upon pulmonary gas exchange have been the focus of a major collaborative research program between the Departments of Anesthesiology and Physiology. Robert Schuder in Anesthesiology and John Plewes in Physiology now guide this long and productive program. Members of their research team are measuring the elimination pattern of several inert gases of differing solubility concomitantly with cardiac output and ventilation. By describing the lung as a series of compartments, they are able to evaluate the efficiency of gas exchange. A reduction of blood pressure is occasionally desirable for cardiac surgery, neurosurgery and other procedures associated with copious blood loss. The search for safe and effective hypotensive agents has involved animal studies of trimethaphan, a ganglionic blocker, and nitroprusside, a vasodilator. Experiments have shown that trimethapan interferes with gas exchange and reduces cardiac output. Nitroprusside, on the other hand, appears to have a negligible effect on cardiac output and gas exchange and to be the safer agent for inducing hypotension. Control of ventilation has always been a special problem in surgery on the lung itself. A series of investigations has revealed that the use of a double lumen endotracheal tube to ventilate each lung separately can minimize arterial hypoxia and virtually eliminate contamination of one lung by debris from the operated lung. At the Buffalo General Hospital, Richard Terry has been studying ways to improve the speed and efficiency of administering red cells during surgery and to protect the integrity of the red cells. His investigations of various diluents for red cells have, so far, led to the identification of lactated Ringer's without dextrose as the most practical solution. And, in association with the cardiac surgeons, the anesthesiologists are developing methods for evaluating the safety of different cardioplegic solutions. This work promises to help physicians to select solutions that will provide maximum protection for patients on heart/lung machines. FALL, 1979 Biochemistry THE VIGOR of research in biochemistry may be traced back to the tenure of Richard Winzler in the 1960's. By recruiting faculty with expertise in glycoproteins and molecular enzymology, he added to the department's existing strength in neuro-chemistry and plasma protein chemistry. Most recently, the department has been expanded to include scientists working on membrane structure and biogenesis as well as gene expression. Thus, several clusters of faculty sharing research interests, ideas and facilities comprise the faculty at the present time. The Gene Expression cluster includes Michael Garrick who had been associated with Robert Guthrie in Pediatrics and Microbiology in the development of the newborn screening test for sickle cell anemia. Dr. Garrick is now recognized as an authority on the biosynthesis and genetics of rodent hemoglobins. Other members of this cluster, Edward Niles, David Rekosh and Richard Condit, are investigating fundamental aspects of the function of the genome. With NIH support Dr. Niles is carrying out studies of the transciption of ribosomal DNA while Dr. Rekosh is investigating molecular aspects of protein synthesis and nucleic acid replication using the adenovirus model system. His training in this field took place in the laboratory of Nobel Laureate, David Baltimore. Dr. Condit's approach to the problem of genome organization makes use of viruses carrying conditionally lethal mutations. The Proteins and Metalloenzymes cluster has been active in graduate education, stimulated and facilitated by a high and continuous level of extramural funding for its various research projects. As founding members of the Bioinorganic Group, Murray Ettinger and Daniel Kosman have collaborated with their colleagues in the Chemistry Department in the study of copper-containing enzymes. Dr. Ettinger and Frank Szoka are also seeking to describe the mechanism of action of antidiuretic hormone on the kidney. In another project Dr. Ettinger is gathering data on hepatic copper metabolism which may further understanding of Wilson's disease, hepatolenticular degeneration. 13 d- �- - - ~ brane proteins utilizing his expertise in nuclear magnetic resonance (NMR). In one NIH-funded project he is examining cholesterol interactions in serum and membrane proteins. He is also engaged in a study of cholesterol behavior in human serum lipoproteins. This area of investigation supported by the American Heart Association promises to expand what is known about cholesterol-transporting lipoproteins which have been implicated in the pathogenesis of coronary heart disease. Rakesh Jain , Dr. Murray Ettinger. Moises Derechin has examined many aspects of the physico-chemical behavior of enzymes. His work with Gramicidin A provides a model for the effect of pressure on biologic systems. Robert Noble, who was an Established Investigator of the American Heart Association, is highly regarded for his work on ligand binding to hemoglobin. He also collaborates with Morris Reichlin of the Department of Medicine on studies of hemoglobin antibodies. Among the newest clusters of faculty is the one focused upon Membranes. Karen Ferguson's experimental work is related to membrane biogenesis and specifically, the control of fatty acid composition of membrane phospholipids. Her findings suggest that the sterol composition of membranes may control the fluidity of the membrane through effects on fatty acid desaturation. Philip Yeagle is also interested in membrane biochemistry. He is analyzing mem14 The Endorcinology cluster consists of W. Roy Slaunwhite, John Moran and Alexander Brownie. Dr. Slaunwhite is attempting to determine the structure of transcortin, the cortisol transport plasma protein which he and Avery Sandberg first described in 1959. His findings are necessary for understanding how steroids bind to proteins and to receptors with major significance for hormone action. Dr. Slaunwhite's current findings about the effect of prolactin on the metabolism of the prostate may result in the development of improved cancer therapy. His collaborator in this project has been Wells Farnsworth at the V.A. Medical Center. Chairman Alexander Brownie directs a research team involving faculty from the Department of Pathology, Samuel Gallant and Peter Nickerson. Their main effort is concentrated upon the pathogenesis of experimental hypertension. They have already found that 11-deoxycorticosterone (DOC) is hypertensogenic associated with adrenal cortical dysfunction. This provides a model for a small percentage of the low renin subgroup of essential hypertensives. Another aspect of their research is related to the control of adrenal steroid production with emphasis upon the interaction between ACTH action and the key cytochrome P450 enzymes of the adrenal cortex. John Moran's research on the adrenergicreceptor is carried out with David Triggle of the Department of Biochemical Pharmacology. His recent work with George Sayers at Case Western Reserve University emphasizes the role of ions in the response of adrenal cortical cells to ACTH. The Metabolism and Nutrition cluster consists of Willard Elliott, Jack Klingman, Rapier McMenamy and Benjamin Sanders. Dr. Elliott, whose previous work was on the THE BUFFALO PHYSICIAN �electron transport system of cells, has now moved into the area of snake and insect venoms which affect major phospholipases. His interest in insect venoms has resulted in a productive collaboration with Carl Arbesman, Director of the Allergy Research Laboratory of the Department of Medicine. Dr. Klingman 's research is concerned with the metabolism of lipids in the nervous system. With Dr. J. Lee (Medicine) and Dr. A. Prezyna (Pathology), he is exploring prostaglandin biosynthesis in the renal medullary body. Dr. McMenamy is the biochemist in the research team studying human critical illness. With John Border and John Siegel in the Department of Surgery, he has been looking for metabolic signals which presage improvement or decline in the clinical status of severely traumatized patients. From sophisticated computer analyses of plasma amino acids, such signals have been discovered and are being applied to the treatment of these patients. After a long research career in plasma protein purification and characterization, Dr. Sanders is now heading the newly formed Multidisciplinary Group in the Nutrititional Sciences. This University-Wide Group aims to increase research and education in nutrition in the University by providing the necessary impetus and organization for this important area of health science. Biophysical Sciences BIOPHYSICAL SCIENCES comprise a large number of subdisciplines all of which apply principles and methods of physics and chemical physics to problems in biology and medicine. The Department of Biophysical Sciences is engaged in a very wide spectrum of research activities representing each of the three major domains of the biophysical sciences, namely: theoretical biophysics, experimental biophysics, and applied biophysics, clinical biophysics in particular. The first two areas are of fundamental nature with the objectives of gaining a better understanding of the mechanisms of biological processes. The objective of applied biophysics is to solve clinical, environmental or ecological problems by applying inFALL , 1979 struments and methodologies originating in mathematics, physics , and physical chemistry. The current departmental activities in theoretical biophysics include a study of stochastic kinetics, of thermodynamics of membrane transport, of models of information transfer in the nervous system, and of models of the evolution of the genetic code. Many intracellular reactions involve just a few molecules of a kind in a confined region of the cell. These are conditions where the classical statistical laws of chemical kinetics, which depend on the concentrations of reactants, do not apply. New theoretical approaches, describing the behavior of subcellular systems, are the objective of an ongoing research project in the Department under the direction of Robert Spangler. Similar stochastic approaches are being applied by the same researchers to model chemical oscillators responsible for cellular periodic behavior, such as occur in the heart muscle. The transport of ions and molecules through biological membranes is the key to many biological processes and probably is the key to the phenomenon of life itself. The study of the behavior of biological membranes is the subject of three separate research groups in the Department. Two experimental studies directed by S. Ohki and C. Jung involve the transport of inorganic ions and of sugars, respectively, through biological membranes. In the theoretical field, a study carried out by V. S. Vaidyanathan is aimed at developing specific thermodynamic approaches for tackling such material transfer processes. Interesting, in particular, is an attempt to calculate the ele ctrical potential of excitable membran es, which depends on ion transport, from first princi pies . The nervous system comprises information gathering by biosensors information transfer by neurons, and information storage and retrieval in the brain. Research is proceeding at the Department on the theory of function of biosensors, the eye in particular, and of the modes of information transfer through the network of neurons. This work directed by N. Liebovic is comple~ented by experimental studies on information processing in the mammalian retina. A fourth area of ongoing endeavors in 15 d- �theoretical biophysics involves a new insight in the possible mechanisms of evolution of the genetic code. Assuming that oligonucleotides could have been produced under prebiotic conditions, V. Bedian is calculating the simplest ways by which these could evolve into a self-replicating information carrying system. A special area of research in this Department under the direction of F. Snell involves modeling of the global energy balance which determines the overall behavior of the biosphere. Biophysics thus encompasses the study of biological systems as small as a single biopolymeric molecule or a subcellular structure, and as large and complex as all known forms of life on this planet taken together as a single system. Fundamental experimental biophysics is represented in the Department by a research program on the characteristics of contractible proteins, in addition to studies of membrane transport and neuron excitability mentioned above. There is also a study of coupling of biological oscillators and an investigation of the mechanism of membrane fusion aimed at understanding the mode of release of neurotransmitters. Contractible proteins like myosin are of interest not only in the study of muscle but also for the understanding of cellular function in general where similar proteins are responsible for the mitotic process, as well as for the motility of cells. The ongoing research, under the direction of R. Zobel involves the use of electron microscopy, electrophoresis, and ultracentrifugation in elucidation of the organization of these unique protein molecules into filaments. A related study, focused on the pseudopods of platelets, is attempting to locate actin and myosin within cells and thus get a better understanding of cell motility. The fusion of biomembranes seems to be a prerequsite in the rapid release of neurotransmitter at the nerve ends. Ongoing research on artificial membranes is aimed at gaining a better understanding of the molecular mechanism of this process which seems to be activated by calcium ions. The mechanism of transport of sugars into the living cell is of primary interest not only for the study of cellular nutrition, where it may become a limiting factor of cellular metabolism, but also for the general un16 Dr. Jam e s M cR eyn old s derstanding of protein mediated membrane transport phenomena. The research program on sugar transport in this Department puts it in a unique leading role in this important field . Many clinical problems call for biophysical methodologies as the most effective solution. This Department has active research on a wide range of problems in applied biophysics, under the direction of M. Anbar, including diagnosis of disease by multicomponent analysis of metabolites, study of nutritional pathways in the septic state, study of the special nutritional needs of the heart muscle under hypothermal conditions, monitoring of cell proliferation and of cellular response to ultraviolet light and ionizing radiation in vivo using nonradioactive tracers, investigation of the parameters involved in the transport of local anesthetics into nervous cells, study of the modes of action of inhibitors of dental caries, as well as of the mechanisms of calcification of teeth and of pathological calcification. The development of a reliable calcium microelectrode is a related research problem. Two other topics in clinical biophysics are under the direction of Drs. Anbar and Wobschall, respectively. The former is studying the potential diagnostic uses of absorption of ultrasonic radiation in tissue. The latter is investigating the changes in the electrical imTHE BUFFALO PHYSICIA �pedance across artificial membranes loaded with specific antibodies for the quantitative determination of extremely low concentrations of antigens. A few of these research activities will be described in further detail. Non-fragmenting ionization is a unique method in mass spectrometry which can yield in a few minutes molecular weight profiles of hundreds of metabolites in biological fluids. A molecular weight profile represents quantitatively the relative concentrations of the constituents of a complex mixture sorted out according to their molecular weights. The investigation of these profiles, say in human urine, reveals significant differences due to pathological processes. This approach is being applied by J. McReynolds, R. Abbott and M. Scanlon in collaboration with P. Ogra and H. Faden of the Departments of Pediatrics and Medicine, to the diagnosis of pneumonia and other respiratory infectious diseases, as well as to the diagnosis of infectious hepatitis. Other disorders under investigation include differential diagnosis of viral pneumonia and other viral infections. Another application of the same experimental technique is the identification of bacteria and of viruses through their metabolic products in cultures. The Department maintains a leading role in this area of research. The multiorgan fai1ure in the septic state of critically ill patients poses a severe challenge to the clinician. These patients exhibit significant metabolic aberrations which, if better understood, might lead to improved treatment procedures. The Department is contributing to the solution of this problem by collaborating with J. Border, F. Cerra, and J. Siegel of the Department of Surgery and by developing methodologies based on the use of non-radioactive iostopes as metabolic tracers. Mass spectrometry is the only instrumental technique available for such problems; a unique mass spectrometer capable of quantitative determination of minute amounts of singly labeled compounds such as N 15 or C13 labeled amino acids is at the core of this research problem. A related problem is the identification of specific nutritional needs of the heart muscle under hypothermal conditions, required for open heart surgery. The use of non-radioactive tracers allows the study of the metabolic behavior of the human heart in vivo, and FALL, 1979 may lead, in collaboration with J. Siegel and P. Scott of the Department of Surgery, to the development of a more effective balanced nutrient mixture to be infused during surgery. The measurement in vivo of the rate of tumor cell proliferation following chemotherapy or radiation therapy is the most direct measure of the efficacy of cancer treatment. Using thymidine labeled by non-radioactive isotopes also makes it possible to gain a better understanding of the photobiological and radiation biological behavior of cells in tissue cultures, with the objective of determining whether cellular response remains the same at very low doses of radiation. This study, made possible by the unique mass spectrometric instrumentation of the Department, has direct bearing on the critical question of the existence of a threshold level of radiation or of environmental carcinogens below which no cancer induction would occur. The mode of action of local anesthetics is another topic in clinical biophysics under investigation in the Department. This research under the direction of S. Ohki which involves a combination of methodologies of pharmacology and neurophysiology, has demonstrated the mode of transfer of these agents through the cell membrane and measured its rate. This may lead to improvements in the design of new local anesthetic agents. The use of fluorine-carrying polymeric polyphosphonates as specific fluorine carriers which allow highly effective localized transfer of fluoride ions to tooth surfaces is the subject of another research project in clinical biophysics carried out by Drs. Anbar, Dimetrijevich and Rath in collaboration with the Department of Oral Biology. This novel pharmacological application is based on the unique kinetic behavior of polyelectrolytes. Using ion specific electrodes as well as Auger spectroscopy, it is intended to use the same reagents to elucidate the mode of action of fluoride ions on teeth. Another related topic under investigation is the exploration of the potential use of these reagents for the treatment of pathological calcification and of osteoporosis, both being important disorders of old age. This research will involve, in its later stages, a collaborative effort with the Center for the Study of Aging. 17 d- �These ongoing fundamental and applied research activities illustrate not only the extensive scope of biophysics but also demonstrate the response of the Department to a large variety of crucial problems in the biomedical sciences. The Department thus fulfills a dual role by training fundamental biophysicists and contributing to basic knowledge, as well as by educating medical students and collaborating with different clinical departments in efforts to develop and improve new clinical techniques. Dermatology STATURE of the Department of Dermatology is in part related to its history and its geographic location. As the only dermatologic center between Albany and Cleveland, it serves a large population of varied socio-economic and ethnic groups. This enormous and interesting pool of patients provides a rich source of clinical data on both common and less frequently observed skin disorders. It also contributes to the vitality of the department's research and educational activities. The department was one of the few originally approved for residency training when the American Board of Dermatology was founded in 1932. Since then, the department has been in the mainstream of academic dermatology. Its current standing as a research and training center is a product of a succession of leaders in dermatology including Grover Wende, Earl Osborne and Richard Dobson. Among its most widely recognized achievements has been the development of immunofluorescence as a diagnostic and investigative tool by immunologist Ernst Beu tner, Professor of Micro biology and Research Professor of Dermatology. Application of this technique by members of the department has been of great value in investigating the immunopathogenesis of a variety of skin disorders and has led to improved methods of diagnosis and treatment. Thomas Provost, in collaboration with Morris THE 18 Reichlin and others, has defined subsets of systemic lupus erythematosus which have distinctive mucocutaneous features and different prevalences of renal disease. Drs. Provost and O'Loughlin have demonstrated the value of monitoring serum and in vivo bound pemphigus antibody in regulating immunosuppressive and/or corticosteroid therapy of pemphigus patients. Drs. Provost, Maize and Ahmed have described the probable pathogenic role of cutaneous basement membrane zone antibodies and complement in bullous pemphigoid and the synergistic actions of azathioprine and corticosteroids in treatment of that disease. The clinical studies of James E. Rasmussen, Head of the Division of Pediatric Dermatology, have contributed to the improved management of children with StevensJohnson syndrome and toxic epidermal necrolysis. Dr. Rasmussen has defined the natural history of these life-threatening disorders in children and the lack of rationale for systemic corticosteroid therapy. Studies on immunologic reactions in children with ringworm of the scalp have provided fresh insights into the clinical behavior of the disease as well as a rational basis for effective therapy. He has shown that the patient's immune response (cell-mediated immunity) may be responsible for kerion reactions in Trichophyton tonsurans scalp infections suggesting that therapy should be initially directed towards suppressing this reaction. Under the direction of John C. Maize, the Division of Dermatopathology has become a major referral center for physicians in all parts of the country. His work on diseases of the pigment cell has led to several publications. A textbook on pigmented tumors of the skin is now in preparation. Drs. Maize and Feibleman, in a large-scale study of malignant melanomas of the hands and feet, have contributed to the understanding of the biologic behavior and microscopic morphology of acrallentiginous melanomas, a fourth major subset of primary cutaneous malignant melanoma. In addition to his responsibilities as director of the department's undergraduate teaching activities, Burton S. Belknap has been active in studies in clinical pharmacology. These have led to improved therapy for patients with acne, eczema and psoriasis. THE BUFFALO PHYSICIAN �Family Medicine Internal Medicine RESEARCH IN FAMILY MEDICINE serves and supplements its basic commitment to training family physicians. Although it is one of the newest departments of the Medical School, it has succeeded in carrying out research related to the central concerns of this branch of medicine. Specifically, these studies have been aimed at improving physician-patient interactions and providing services in medically underserved areas. With the support of the Erie County Department of Health and assistance from the University's behavioral scientists, mental health services provided by physicians have been subject to systematic investigation. This project showed that in comparison with physicians specializing in internal medicine, family physicians were used more often by patients seeking mental health services. As a follow-up to this study, data were obtained using video-taped interviews between patients and physicians on the nature and frequency of psychosocial problems mentioned by patients. Analysis of these data is still going on. In cooperation with researchers at the University of North Carolina, after hours calls from patients to family physicians are being recorded and analyzed in terms of their content. After having identified common problems for which patients seek after-hours assistance, training programs for primary care physicians will be reviewed- and subsequently revised - to prepare trainees to handle these problems. The impact of curricular changes has also been examined. A review of the effect of two months of university health or community service experience upon the practice location chosen by graduates suggests that even this brief experience has led to an increased number of graduates practicing in New York State and in medically underserved areas. DEPARTMENT OF MEDICINE maintains a strong research program to support medical education and patient service. Thirty of its 37 active researchers receive grant support from outside the University. The Department derives vitality from the dynamic interaction between its research activities and clinical services. Because basic research is carried out in the teaching hospitals affiliated with the Medical School throughout the community, a productive relationship among scientific investigation, education and medical care has developed. The many collaborative programs between faculty in the basic science departments and those in the clinical departments also contribute to the vigor of the scholarly endeavors of the departments and of the School. The Department of Medicine is organized into divisions, each with its own clinical and research programs. FALL, 1979 Division of Cardiology Under the leadership of Francis Klocke , the Division is conducting a major NIHsponsored program on cardiovascular pathophysiology. A principal focus of the research program is coronary circulation. Having developed unique technology for ac- The computerized rhythm and pump monitoring system . 19 d- �curately measuring total and regional coronary blood flow, researchers have applied this to coronary and other cardiac disorders. They have succeeded in detailing the relationship between the degree of arterial obstruction and regional blood flow in coronary patients using, in part, concepts developed from a bio-engineer's model of stenosis. They have also found that regional flow deficits are more common than suspected in coronary patients. Furthermore, patients can "protect" a diseased area by allowing it to work at a lower-than-normal pace. Recently, the Division has identified a hitherto unsuspected "back pressure" to flow within the heart, which appears to have a significant role in normal and abnormal flow regulation. Other topics of current scientific interest include: neurogenic mechanisms influencing coronary flow; myocardial collateral circulation; metabolic consequences of myocardial ischemia and instantaneous pressure-flow relationships within the coronary bed; and the evaluation of saphenous vein by-pass grafts for improving perfusion. The use of serum myoglobin as an index of myocardial ischemia and/or infarction is being investigated in cooperation with the Division of Immunology. These investigations also encompass myoglobin's basic role in local tissue oxygen delivery. Faculty members are also participating in the follow-up phase of the Veterans' Administration randomized trial of surgery for unstable angina at the V.A. Medical Center. Robert Kohn directs projects at the Buffalo General Hospital on the prevention of reinfarction by use of beta blockers as well as the effect of Persantine<~> on the outcome of coronary artery disease. Also at the General Hospital, David Greene and Ivan Bunnell are conducting a long range follow-up of open heart surgery patients. Statistical information is now available on over 99.6 % of 875 operated on between 1968 and 1976. Division of Endocrinology Paul Davis is studying mechanisms of action of thyroid hormone. He and his coinvestigator, Richard Blanchard, have shown that extraordinarily low concentrations of this hormone have a direct effect on the cellular sodium pump. They have also demonstrated the clinical feasibility of measuring in20 tercellular bound and free triiodothyronine. Stephen Spaulding and Robert LaMantia have been clarifying the role of thyroid hormone in the regulation of growth hormone secretion. The biochemical process by which thyrotropin action on the thyroid is initiated is a particular interest of Dr. Spaulding. Meanwhile, Jack Goldman has been studying animal models of hypothalamic obesity and neuroendocrine aspects of the control of carbohydrate metabolism. Division of Gastroenterology and Nutrition Milton M. Weiser heads this division as he simultaneously pursues a multifaceted program of research. He has found a serum enzyme known as galactosyltransferase in 70 % of patients with different kinds of cancer. In related work, Dr. Weiser's group is seeking an explanation for their finding that the galactosyltransferase acceptor kills cancer cells, not normal ones. Intestinal cell differentiation in plasma membrane formation is also being investigated by Dr. Weiser and his associates. They are correlating changes in the plasma membrane in the intestinal cell with cell differentiation. The Liver Study Unit of this division under James Nolan and Alan Leibowitz has been concentrating on the role of endotoxin in liver disease. They postulate that the failure of the liver to detoxify endotoxins may increase hepatic damage and lead to extra manifestations of liver disease, too. Division of Infectious Disease Over the past five years this division has followed three major directions of research. Neisseria} cell wall antigens involving both the meningococci and gonococci have commanded the attention of Michael Apicella and Jack Breen. Studies of central nervous system penetration by antibiotics have been designed by James C. Allen and Thomas Beam. Their experiments are aimed at the delineation of regional differences in antibiotic concentration and, ultimately, the explanation of certain therapeutic failures in acute bacterial meningitis. Dr. Allen has attempted to correlate deficits in phagocytic activity with various bacterial infections in man. THE BUFFALO PHYSICIAN �Division of Pulmonary Diseases Pulmonary research in the Department of Medicine has been focused upon the exchange of carbon dioxide and oxygen and the factors limiting the speed of this exchange. The enzyme carbonic anhydrase has been shown to be the key catalyst in this exchange, and its concentration in lung tissue may be of great significance in lung disease. A clinical study has revealed that inhalation of pure oxygen, even for only 30 minutes, may produce an increase in arteriovenous shunting in patients with chronic obstructive lung disease. These findings may be of extreme importance in the therapeutic use of oxygen in these compromised patients. Division of Medical Genetics Work in the Department of Medicine's Division of Medical Genetics at the Buffalo General Hospital is integrated with the parallel Division of Human Genetics at the Children's Hospital. Co-ordination of both divisions is the responsibility of Robin Bannerman. Dr. John Edwards, in collaboration with Dr. Bannerman, has had a long research interest in inherited hypochromic anemias of rodents. He was stimulated initially by a quest to find an animal model of human thalassemia. Each of the hypochromic anemias investigated to date have proved to be due to abnormalities in iron metabolism. It has been shown that sex-linked anemia of the mouse is due to intestinal malabsorption of iron. Microcytic anemia of the mouse, is due to a defect in the entry of iron into intestinal muscosal and erythroid cells. Belgrade anemia of the rat is due to an abnormality in the delivery of iron to the developing red cell. These studies on the genetic control of intestinal iron absorption and erythroid cell iron uptake and delivery should prove helpful in the understanding, prevention and treatment of such human ailments as iron deficiency and iron overload. Division of Nephrology and Hypertension This division's research program is related to mechanisms of sodium and water transport across epithelial membranes. Using necturus gallbladder and the proximal tubule of the necturus, this group is also carrying out elecFALL, 1979 The catheterization laboratory. tronmicroscopic studies of normal and altered membranes. Daphne Hare has looked at the flux across membranes in conjunction with her colleagues in the Biophysics Department. Dr. Mookerjee is interested in the immunologic properties of mononuclear cells in relation to renal disease and the suppressive therapy used in transplantation. The Renal Group has also devoted itself to the control of renal blood flow and function in patients with cirrhosis and congestive heart failure. Animal models are also being studied to corroborate these clinical studies, which are under the direction of Rocco Venuto. He is also studying the role of hormones in the control of blood pressure during pregnancy. At the Erie County Medical Center, the Renal Group has several clinically oriented research interests including: the kidney lesion associated with intravenous narcotic use; the role of endotoxin in acute renal failure; and the use of drugs to increase clearance across the peritoneal membrane during dialysis. 21 d- �In the Hypertension section of this division, James Lee and his associates are extending their studies on the role of prostaglandins in essential hypertension. Dr. Lee has won international acclaim for his work in this important area and in particular for his thesis that hypertension may not always be directly related to a circulating substance that causes the constriction of vessels. Rather, he has suggested, hypertension may be due to a failure of the kidney to produce an antagonist to this vascular effect. Division of Clinical Immunology The definition of serological reactions that are characteristic of connective tissue disease, especially systemic lupus erythematosus and the polymyositis syndromes, has been a goal of this group. Its director, Morris Reichlin, works with Peter Maddison, who has been purifying antigens reactive with the sera of patients with systemic lupus erythematosus and with Masahiko Nishikai, who purifies these antigens from patients with polymyositis and dermatomyositis. Their research has led to new diagnostic tests for these diseases and to more accurate prediction of prognoses in individual patients. Dr. Reichlin has maintained a major collaborative research program with biochemist Robert Noble. Together they have been working on the elucidation of the antigenic structure of proteins and have already contributed new knowledge about antibody diversity. Dr. Noble's specialty is structurefunction relationships in hemoglobin. Division of Medical Oncology Edward Henderson has been acting head of this division and in this capacity he continues to coordinate very closely the programs at the Erie County Medical Center, the Buffalo General Hospital, Veterans Administration Medical Center and Roswell Park Memorial Institute. The sum of the efforts in these different locations has been impressive, making Buffalo a leader in the development of new and effective therapies for leukemias, lymphomas and disseminated cancers, including the use of new drugs. Research is now aimed at separating normal from malignant cells to define their interactions, individual controls and their separate responses to treatment. This work may enable the tailoring of specific treatments for individual patients and lead to the development of appropriate combinations of chemotherapy, radiotherapy and autologous bone marrow transplantation for treating metastatic cancers. Monica Spaulding has established ties with other medical centers in her oncology group's program of research on various forms of treating malignant disease, primarily solid tumors. Ma ureen Cannon, Dr. Robe rt Klock e Division of Allergy This division has been involved in research on the immunology of immediatetype hypersensitivity reactions and diseases such as hay fever, asthma and stinging insect hypersensitivity. Current investigation of the immunopharmacology of immediate hypersensitivity reactions and pharmacokinetic studies of theophylline and corticosteroids in asthma promise to add to the understanding of the roles of . immunoglobulins E, G and A in allergies. The work with stinging insects and hay fever has been directed by Carl Arbesman and Robert Reisman. Elliott Middleton, division head, has been carrying out pharmacokinetic studies as well as research on the metabolic abnormalities found in induced asthma. 22 THE BUFFALO PHYSICIAN �Division of Rheumatology Basic research on structure-function relationships of membranes, especially red blood cell membranes, involves biochemical studies of Rh antigenic activity and its relationship to red cell membrane function in health and in certain diseases. Another component of this research deals with the interaction of drugs like aspirin and 'alpha methyldopa with the red blood cell membrane. Floyd Green is director of this division, whose work is supported by grants from the NIH and from the Veterans Administration. A second general area of investigation is arthritis. Non-invasive procedures such as joint scanning are being assessed in terms of their effectiveness in permitting the identification and measurement of joint inflammation. The Department of Nuclear Medicine has been a major collaborator in this program which also includes controlled clinical trials of new drugs for arthritis. Division of Geriatrics/ Gerontology Evan Calkins has assumed responsibility for this division while pursuing his interest in amyloid disease. Although it has been considered a rare disorder having only theoretical interest, amyloidosis has been shown to include several specific syndromes. Furthermore, each of them seems to derive from the accumulation of amyloid fibrils with divergent but characteristic amino acid sequences. Interestingly, several of these syndromes appear to be age-related. The co-investigators in this work with Dr. Calkins are John Wright and Paul Binette, who are hoping to identify the precise clinical features of these syndromes and to explain the process of amyloid resorption and formation. In addition, this newest division of the Department of Medicine is moving toward the study of health care for older people including an evaluation of the attitudes of students and house staff toward elderly patients. Future directions for research will encompass genetic, metabolic, immunologic and other aspects of what is commonly called, "senile brain disease." Division of Clinical Pharmacology [See Also PMY) The Chairman of the Department of Pharmacology and Therapeutics, Dr. Carr, also FALL , 1979 acts as head of this division of the Department of Medicine. Dr. Carr and his colleague, Dr. Edward Nelson, are interested in diagnostic drugs and drug metabolism, respectively. They are also interested in the pharmacokinetics of drugs in the elderly, work which will also involve the Division of Geriatrics/Gerontology. Basic research being conducted in the Department of Pharmacology has become closely associated with clinical studies of drug effects. Microbiology THE DEPARTMENT OF MICROBIOLOGY has been devoted to research in the medical sciences of bacteriology, virology and immunology since its founding in 1941 by Ernest Witebsky. However, its blossoming as a leader in the related area of tissue specific antigens may be traced to its roots in Europe, where the field of immunology was opened at the end of the nineteenth century. Scientists at Heidelberg, where Witebsky was trained, began expanding and deepening their studies of the body's responses to pathogens to include its reactions to both its own and foreign tissues and cells. From these explorations Witebsky went on to characterize antigens specific to various tissues and organs. Having established this groundwork, he undertook fruitful collaborative studies on the pathogenesis of human thyroid disease with Noel Rose and Joseph Kite here in Buffalo. They succeeded in describing a model of autoimmune response, Hashimoto ' s thyroiditis. Studies by Dr. Kite on spontaneously occurring thyroiditis in a strain of obese chickens showed that the animal's own immune apparatus reacted against its own thyroid gland. Ultimately, this vital gland was destroyed. Skillful and sustained analyses led to the elucidation of the genetic mechanisms involved in what was really the organism's attack upon its own tissue. Further advances were made by Ernst Beutner, who had been a student of Witebsky. He established the immunologic basis of pemphigus, a rare but fatal blistering disease. His discovery of pemphigus antibodies on the skin cell surface led to the development of diagnostic tests for early detection of this devastating skin disorder. 23 d- �Progress in immunodermatology continues to be made toward the management of the common problem of psoriasis. Dr. Beutner has demonstrated that antibodies associated with this skin disease exist even before damage to the skin occurs. Moreover, these antibodies themselves seem to exacerbate the condition. Multiple sclerosis, another disorder having an auto-immune component, is being studied from a number of aspects. Victoria Wicher and Chairman Felix Milgram have observed an exaggerated response to basic protein in patients in active phases of the disease. Those who are in an inactive or stationary phase have suppressed response. In any case, basic protein of myelin seems to be the villain. In another project, Dr. Milgram successfully characterized multiple sclerosis antibodies which may lead to timely and accurate diagnosis of this disease. Kidney disease has been the model for basic research on diseases involving immune mechanisms. Guiseppe Andres has worked with animal models for producing autoimmune responses to glomerular and tubular basement membranes. In parallel, Dr. Andres and his colleagues Boris Albini, Jan Brentjens and Bernice Noble, have establi'shed the immune complex origin of many forms of nephritides. Although there is ample evidence for the deposition of immune complexes in the kidney, the nature of the offending antigens is not clearly known. Drs. Andres, Milgram and Albini are trying to determine if these antigens are endogenous or exogenous. In support of the view that the antigen is endogenous, Dr. Andres has injected Drs. J.C. Abeyaunis, Felix Milgram and Kyaichi Kana. 24 animals with mercuric chloride and found that this led to the formation and accumulation of immune complexes in the kidney. Of further interest was the composition of the immune complexes, as units of an autologous antigen and its antibodies. An important but unexpected outcome of this research has been the discovery that immune complexes are deposited not only in the kidney but also in other organs, primarily the lungs. Another recent finding adding to the complexity of research in this area has been that gamma globulin itself may act as a strong antigen. It may react with certain substances which cause its denaturation. This makes detection and isolation of circulating immune complexes difficult. Nevertheless, Dr. Milgram and Kyoichi Kano have made some headway toward the identification of circulating immune complexes using an anti-antibody, a serum factor discovered by Dr. Milgram twenty five years ago. Anti-antibody combines with antibody molecules altered in the reaction with their antigens. By neutralizing or absorbing antiantibody, the transformed antibody and the immune complexes can be disclosed. Research on antigens that differ in their structure in individuals is also being carried out. Antigens include blood groups and histocompatibility antigens, in which the department has considerable expertise. James Mohn, who serves as director of the blood reference laboratory at the Buffalo General Hospital, is an authority on ABO blood groups and, particularly, on subtypes of group A. His colleagues, Reginald Lambert and Roger Cunningham, are also well recognized for their work on blood substances. Dr. Lambert is also the scientific director for the Regional Red Cross Blood Program. Tissue typing, including the matching of donors and recipients for transplant, is a major service of the department that depends directly upon its scientific capabilities. Drs. Milgram and Kano have been investigating transplant problems, particularly hyperacute rejection of renal grafts. Their findings have challenged long-held beliefs that rejection of "solid" tissue grafts was caused by cellmediated immunity. They demostrated that patients in whom immediate rejection of occurred has antibodies that grafts prevented successful transplantation. ExTHE BUFFALO PHYSICIAN J \ �1 I \ periments involving in vitro perfusion of organs, principally the heart, with serum containing transplant antibodies proved that the primary damage was due to antibodies and complement. Thus, antibody-mediated rejection came to be more fully and accurately understood than before. In research on tumor specific antigens, another area of strength in Microbiology, John Abeyounis has demonstrated that some tumor antigens are not unique, esoteric entities. Rather, these antigens have been found to exist in other normal individuals of the same species, even though they are foreign to the tumor-bearing individual. Along the same lines, heterophile antigens, which are uncharacteristic of the individual patient but common to other species, have been studied in diseases such as infectious mononucleosis. These novel antigens apparently stimulate a very strong immune response in the individual to whom they are alien. This response is likely to account for the complete recovery of the patient from infectious mononucleosis. In contrast, there is a very weak response to heterophile antigens in lymphoma and leukemias. Even worse, the antibodies seem to form so gradually that tolerance to the foreign antigen, rather than resistance takes place. Innovative work on the basic phenomenon of cell cooperation in immune responses occupies Diane Jacobs. Although the complementary role of T and B cells is well known, her work has provided insights into some pecularities in regulatory mechanisms of immunity in which the role of the T cells may be circumvented. Genetic aspects of immune responses have been explored by Marek Zaleski. Biophysical aspects of immunology are the major interest of Carel Jan Van Oss. He is known for his studies on the effect of surface tension of bacteria and other particles on their engulfment by phagocytic cells. He has also given concentrated effort to studies of the biophysical aspects of agglutination and recently to dissociating antigen-antibody complexes by means of van der Waals forces. Biochemical aspects of bacterial cells are studied by Joseph Merrick and Murray Stinson whose principal interests are enzyme secretion, membrane physiology and cell wall structure. The Department of Microbiology also has FALL, 1979 a vigorous program in virology. Thomas Flanagan and Arlene Collins have made advances in knowledge about persistent viral infections like measles and their pathological consequences. The emerging importance of interferons and the interactions between disparate viruses are the main interests of Harshad Thacore. Also contributing to Buffalo's leadership in microbiology is the Center for Immunology. This multidisciplinary group of scientists emerged from the Department of Microbiology in 1969 and remains closely associated with it under its Director, Professor James Mohn. The Center's biennial convocations of immunologists from all over the world and regular scholarly meetings of its local members are well recognized for their scientific interest and vitality. Neurology ELECTRODIAGNOSTIC PROCEDURES commonly used in Neurology provide data which are essential for the systematic investigation of such problems as the effects of aging and disease upon the peripheral and central nervous systems. Spectral analyses of electroencephalographic frequencies may prove helpful; and electromyography is being used to study the remote effects of malignancy and ALS on the peripheral neuromuscular system. Variations in minute electrical potentials detected by averaging of far-field, short latency evoked responses appear to be useful in the diagnosis of neurologic disorders. Research in this area involves assessment of responses produced by somatosensory, auditory and visual stimuli in humans, complemented by animal studies intended to identify the anatomic and physiologic origins of these electrical potentials. The use of intraoperative ultrasound was introduced into Buffalo by members of the Department who have turned their attention to Doppler analysis of the flow of blood through the extracranial circulation to the brain. 25 d- �The speed and efficiency of computers in analyzing and correlating data concerning the electrical function and structure of the nervous system have improved the accuracy of clinical neurologic diagnosis. Computer assisted axial tomography of the brain has expanded the neurologist's ability to detect intracranial pathology non-invasively. Faculty members located at the Dent Neurological Institute at the Millard Fillmore Hospital have been in the forefront of the clinical applications of the CAT scanner. In addition to developing the department's diagnostic capabilities, neurologists are engaged in research on clinical and basic neuro-medical phenomena. Scholarly interactions with scientists in the related areas of neuropathology, neurobiology and neuropharmacology are being intensified. Joint conferences for the exchange of ideas and information as well as for development of collaborative research projects are in the offing. Some typical interdisciplinary ventures are: studies on the immunologic substrate of multiple sclerosis; the therapy of neoplastic disorders of the central nervous system in children; the metabolism of anti-convulsants in children; the neuropsychological basis for differential functions of the cerebral hemispheres; and the distribution, metabolism and physiological role of cations in the central nervous system. Such research promises new directions for clinical and basic scientific developments in Neurology. With the addition of new faculty and the exploration of new applications of "state of the art" neurodiagnostic technology, the Department expects to maintain a healthy balance among its triple missions of patient care, undergraduate-postgraduate education and scholarly, scientific achievement. Neurosurgery FINDINGS BASED upon decades of clinical and experimental work and an exhaustive survey of the literature will soon be published in a single, comprehensive volume on head injury. Louis Bakay, Franz Glasauer and George Alker have woven together information on the physiological, pathological, mechanical, anatomical and epidemiological 26 aspects of head injury along with sections on the medical and surgical treatment and medico-legal factors involved in this area of neurosurgery. Over six hundred references and original illustrations have been prepared to complement the text. Although this book caps years of clinical and experimental research, it does not mean the end of scientific investigation in the department. Continuing studies of what happens in the brain when a patient loses consciousness show that there are subliminal changes in neurons. Using neurochemical methods and electron microscopy, alterations in the neurons at the level of the mitochondria are being analyzed. The evidence is that transitory but severe losses of brain function originate at the subcellular level, a finding with important implications for therapy aimed at restoring full brain function. Fundamental research on brain water has been carried out using advanced basic science research tools such as nuclear magnetic resonance (NMR). A project involving Dr. Bakay and Robert Kurland of U/B's Chemistry Department confirmed that freely diffusable water is responsible for brain edema which occurs following trauma. This suggests that since this bulk water comes from the blood stream, alleviation of the edema may be obtained using dialysis. Future studies of circadian rhythm in relation to changes in the water content of the brain are being contemplated. Nuclear Medicine DEPARTMENT OF NUCLEAR MEDICINE is one of two such departments in U.S. medical schools. But its distinction goes beyond this, being solidly based on major contributions to the science of nuclear medicine. A twenty-year tradition of leadership and excellence under Merrill Bender, head of nuclear medicine at Roswell Park Memorial Institute, is being continued there and at U.B.'s three-year old department under Monte Blau. Buffalo's stature in the field also derives from local expertise in the development of radioactive compounds that permit visualizing the pancreas, bone and the brain. These agents are now used routinely throughout the country. THE BUFFALO PHYSICIAN �The discovery of new and improved imaging substances is being pursued by Dr. Blau and his colleagues, Drs. Hank Kung and Robert Ackerhalt. They are seeking radioactive materials for visualizing myocardial infarctions sooner after heart injury than is possible now. Dr. Kung is also seeking radiopharmaceu ticals for visualizing regional blood flow in the brain. The aim of his work is early identification of stroke-prone patients. A central problem in developing useful diagnostic imaging agents is their specificity for the organs and tissues chosen for investigation. The search for cartilage localizing agents to replace less specific bone scanning agents is being undertaken in order to refine diagnoses of arthritis. Floyd Green, head of rheumatology at the Veterans Administration Medical Center, and Karen Rosenspire of the Department of Nuclear Medicine, are working on this problem. They are also looking for ways to assess the severity of arthritic conditions. By measuring the amount of uptake of radioisotopes in affected joints, physicians will be able to obtain quantitative evaluations of their patients' condition as well as the effectiveness of therapy. Although nuclear medicine's significance as a diagnostic discipline is well established, its importance as an investigative technique in the basic medical sciences is also recognized. Analyses of the distribution of radioisotopes which have been injected into the body can provide valuable information about the functioning of organs and tissues to which they are targeted. Thus, while X-rays depict anatomical structures, studies of the patterns and rates of uptake, accumulation and excretion of radioactive substances are adding to basic knowledge about physiology. Along these lines, muscle blood flow under various conditions of exercise is being studied in collaboration with David Pendergast of the Department of Physiology. Likewise, Jehuda Steinbach's research on capillary blood flow is expected to have important applications, for example, in treating diabetes and other conditions where circulation is impaired and in evaluating the effectiveness of surgery to open blocked blood vessels. In addition to concerns about the efficacy and specificity of radioactive diagnostic substances, safety is also a prime criterion in FALL, 1979 their development. Dr. Blau and Ms. Rosenspire are working under a contract with the F.D.A. to ascertain the radiation dose from radioactive agents in the human body, with special focus upon lung imaging agents. Their research involves measuring how fast these substances leave the body and where they accumulate in the process of excretion. Obstetrics and Gynecology THE RESEARCH ACTIVITIES of the Department of Obstetrics and Gynecology are carried out by the faculty in community hospitals affiliated with the School of Medicine as well as Roswell Park Memorial Institute. Basic physiological, immunological and biochemical studies as well as clinical trials of new procedures and techniques are being conducted, all focusing on various aspects of reproductive biology. Dr. Monte Blau 27 d- �The Deaconess Hospital Research Laboratory is the setting for Jack Lippes' current research on human oviductal fluid and its use in fertility. In other work he is trying to identify nutritional factors related to improving the fetus in high risk pregnancies, decreasing infections and lowering neonatal mortality. Debabrata Maulik is also using research facilities at the Deaconess to analyze placental perfusion with respect to nutrition and drug effects. The Maternal Division of the Children's Hospital complex continues to be a primary focus of research activity. The fetal heart preejection phase in the antepartum period is being studied by measuring systolic time intervals at various gestational ages. Fetal electrocardiograms permit basic determinations of the opening of the aortic valve and measurements of the fetal heart pattern of activity during the oxytocin challenge test. Since the pre-ejection period is inversely related to catecholamine levels of the fetus, indirect measures of fetal reactions to stress can be made using this protocol designed by Milo Sampson. A newly acquired transcutaneous P0 2 monitor is proving to be extremely valuable for the proper timing of the administration of oxygen and other gases to the mother during Cesarean section and the early detection of hypoxia during labor. Fetal monitoring will begin once the FDA approves a glue for fixing the electrode on the fetal head. This equipment will permit gathering of basic information on physiological activity occurring during delivery. For this reason it also promises to be an important research tool. Director of Maternal-Fetal Medicine, Martin Wingate, and his associate, Gautam Chaudhuri are studying the inhibition of platelet aggregation by a substance produced by the placenta. The discovery of this antiaggregating material has led to a reappraisal of the homeostatic mechanism which prevents thrombus formation. Because there are indications that teenagers as well as older mothers are more liable to have chromosomally abnormal offspring, a retrospective study of their pregnancies is under way. Drs. R. Redheendran and Nirmala Mudaliar are making systematic reviews of cases from the Children's and Deaconess Hospitals. 28 Dr. Carl Bentzel The effectiveness of prostaglandin E 2 vaginal suppositories in second trimester abortions has been evaluated and reported in the Journal of Planned Parenthood by William Dillon. He is also engaged in controlled studies of the mechanism of the disappearance of lung liquid in hyperinflated lungs of fetal lambs. The detection of differences in vasoactive substances found in normal term placentas versus placentas from pre-eclamptic or toxemic pregnancies is the object of another of Dr. Dillon's projects. Since cell mediated immunity to cytomegalovirus in the mother may be a sensitive indicator of the outcome of intrauterine or perinatal infection in the child, studies are under way to clarify the circumstances surrounding primary infection and reactivation of CMV in pregnancy. Investigators in this research, A. Lele, Y. Agatsuma, A. S. Lele, A. Kaul and P. Ogra, are particularly interested in the cell mediated immunity and humoral immunity to CMV in pregnancy. In a study involving thirty patients who elected termination of pregnancy, the technique of fetoscopy will be addressed and refined to permit its use in diagnosis. This procedure is expected to have important THE BUFFALO PHYSICIAN �applications in patients whose fetuses may have genetic disorders. The effects of external sound stimuli upon fetal movements, breathing and heart rate are being studied using new ultrasonic real time techniques. In addition, normal and abnormal patterns of fetal activity will be sought and related to fetal outcome. In the Perinatal Laboratory of the Children's Hospital, studies on the elevation in serum levels of human hexosaminidase B during pregnancy constitute an important part of its research program. Laboratory Director Patrick Carmody is also planning electrophoretic studies of extracts of normal and steroid sulfatase deficient placentas in order to establish the isozymic patterns of these enzyme activities. At the Buffalo General Hospital David Nichols is operating a urodynamics study unit where electronic urethrocystometry is applied to problems of female incontinence. Mercy Hospital's director of service, Harry Petzig, is correlating tubal ligation with irregular vaginal bleeding. He is also involved in a review of the incidence of breech deliveries over a ten year period. George Loehfelm and Seth Schwartz are following outcomes in relation to specific patterns of histologic abnormalities of the cervix found by colposcopy. Until the time of his tragic death, Wa yne Johnson had continued his studies on uterine activity and the prevention of premature labor. Work was in progress on the effects of new beta adrenergic compounds on uterine muscle strand activity. Orthopaedics T HE BONE PATHOLOGY LAB under the direction of Eugene R. Mindell, is a correlative laboratory where pathological material is processed so that clinical information, radiographic abnormalities and gross and microscopic findings are correlated for improved diagnosis and patient care. This enhances understanding of disease processes. This facility has become a mainstay of research, clinical and teaching programs in the School of Medicine because of the collective expertise of the many medical and basic science disciplines which it represents. FALL , 1979 Long-term studies of fibrosarcomas of bones are being conducted by Dr. Mindell and by John Wright, Chairman of Pathology. Large histological sections of bone tumors, processed in the Bone Pathology Laboratory at the Erie County Medical Center, permit these tumors to be examined in situ . This work is helping to clarify the relationship between the histological appearance of tumors and their potential for growth and metastasis. It is also contributing to the appropriate management of these cancerous conditions. Typical research includes studies of the resection of malignant tumors in cases where limbs have been saved from amputation. Research teams verify diagnoses and examine the adequacy of the resections. Another key resource in research on musculoskeletal problems is the Biomechanics Laboratory directed by John Medige, Associate Professor of Engineering and Research Assistant Professor of Orthopaedics. Experiments on the repair process in the bones of dogs indicate that remodelled bone will return to normal strength even if a large metaphyseal defect persists. These laboratory studies are being correlated with clinical investigations of large persistent skeletal defects in patients. Preliminary findings suggest that, just as in laboratory animals, defects become surrounded by enough remodelled bone so that the injured bone may recover without surgical intervention. Other defects will need treatment and specific indications are being developed by Dr. Mindell for bone grafting surgery. Dr. Medige and his group are also measuring the elasticity of bone under various conditions such as age. These studies and others on acute plastic deformations of the human forearm have been made possible using a Frankel-Burstein torsion testing machine built in the Biomechanics Laboratory. In other research , they have observed that some children's bones bend, rather than break, following injury. In recognition of this fact, physicians have extended their search for symptoms of injury beyond fractures and into the contours of bone. Assessing the relative permanence of these deformations is another problem under current investigation. Research findings have also indicated that fractures occurring in conjunction with a primary disease such as cancer should be 29 d- �treated by operative means. Internal fixation of these breaks not only relieves discomfort, it also increases patients' mobility. Protocols for using adjuvant chemotherapy, particularly platinum, with surgery in osteogenic sarcoma have been designed in collaboration with researchers at Roswell Park Memorial Institute. In other studies twenty cancers caused by radiation were discovered. The dangers of xray therapy have been clearly demonstrated. The suggestion is that radiation should be avoided in treating benign tumors and used only with caution on malignancies. Chemotherapeutic agents like adriamycin and methotrexate may also be hazardous. Research on their effect upon bone remodelling has been planned and grant support for this work has been approved, though not funded at this time , by the National Institutes of Health. The department is also interested in perfecting microsurgical techniques. Clayton Peimer is working on problems in microvascular reconstruction in composite tissue flap survival, including effective replanting of severed fingers and other appendages. In a small but significant animal project on the relationship between meniscal injuries of the knee and degenerative arthritis, it appears that minor injuries to the meniscus may not require surgical repair. Only when damage to the meniscus is severe is the danger of arthritis great enough to warrant its removal. In contrast, a project of national scope involves Theodore Papademetriou, whose research involved the relationship between synovectomy and rheumatoid arthritis. With the clinical facilities and programs of the Erie County Medical Center and the capabilities of both its Bone Pathology Laboratory and the Biomechanics Laboratory, the Department of Orthopaedics has established a research program as a major component of its mission. Its ambition to establish a musculoskeletal laboratory as a focus for its various teaching, research and patient care programs is part of its plan for advancing knowledge and training related to the musculoskeletal system. Support for this proposed clinical unit, which would serve as a major medical reference center for orthopaedics and related areas of medicine, is 30 Dr. M orris Reichlin now being sought. Otolaryngology Clinically oriented research on the detection and treatment of head and neck cancers is the basic component of scientific work in Otolaryngology. A potentially rich source of data for research on all aspects of head and neck cancer is available to the department through its joint operation (with Roswell Park Memorial Institute) of the Eastern Great Lakes Head and Neck Cancer Control Network. Chairman, John M. Lore, Jr. is coprincipal investigator. One of six such networks in the United States under National Cancer Institute sponsorship, this cooperative program among medical personnel and treatment facilities is organized to foster improvements in preventive, diagnostic, therapeutic and rehabilitative services provided to area patients. Details of patient management are recorded in a computerized data base . Because of the scope of this program and the large population that it covers, the network data base is expected to THE BUFFALO PHYSICIAN �be an important resource in the future research efforts of the department. Numerous pilot demonstrations , educational and research activities are carried out within the network. One in particular promotes self-examination of the face and mouth for signs of cancer. Educational exhibits and demonstrations at the Erie County Fair and elsewhere have reached thousands of people. Follow-up of participants who received instruction in selfexamination techniques at the Fair indicate that nearly 50 % of those queried continue to look for signs of cancerous conditions as a part of their own personal health regime. Since self-examination is more economical than screening programs involving the use of health personnel such as dentists or dental hygienists , further research to make selfexamination effective, practical and widely practiced would be appropriate. Once symptoms of cancer or other disorders of the head and neck are discovered, comprehensive assessment of the patient's condition is essential. In order to facilitate systematic recording of pertinent clinical information on the extent of disease, standardized data forms have been developed by the department. From these forms it is relatively straightforward for a computer or nonmedical specialist to establish the stage of disease in accordance with the TNM or any other specified classification system. These forms have been disseminated nationally. In close cooperation with other network institutions, a manual on "Management Guidelines for Head and Neck Cancer" has been prepared and field tested under overall editorship of Sol Kaufman. It fills a need for a succinct exposition of major principles of sound management practice and is expected to be published shortly by the National Cancer Institute . A novel approach for discovering laryngeal lesions is being pursued by Richard Campbell, Director of U/B's Speech and Hearing Laboratory, with assistance from members of this department. The hope is that computer analyses of voice recordings will reveal patterns characteristic of abnormalities and so provide a simple way to screen large numbers of people for disorders of the larynx. Research related to clinical practice has included the evaluation of thyroid scans and FALL , 1979 vascular replacement in head and neck carcinoma. Various aspects of otitis media are being studied by Joel Bernstein in collaboration with faculty in other departments of the Medical School. The effects of intratympanically administered aminoglycoside antibiotics on cochlear and vestibular sensory epithelia are being investigated by Irwin Ginsberg and his associate , Michael Rudnick, at the Hearing Foundation of Buffalo. They are also working on the development of an implantable multichannel electrode array for VIIIth cranial nerve stimulation. Their future plans include a study of control mechanisms of the inner ear microcirculation. Instrumentation to improve diagnosis and therapy is a continuing interest of John Lore. His optical nasopharyngeal biopsy forceps have simplified the examination of the nasopharynx, one of the most difficult areas of the head and neck to observe . He has also developed a fiberoptic headlight that permits an observer, a student or an assistant, to see the same field as the principal examiner. This device has been useful for teaching head and neck examination procedures. A controlled clinical study of intravenous hyperalimentation as an adjunct to treatment of head and neck cancer is being conducted by the department. With advice from John Border in the Department of Surgery, the study is attempting to assess the value of total parenteral nutrition in improving the nutritional and immune status of patients with squamous cell carcinoma of the head and neck. Pathology DEPARTMENT OF PATHOLOGY occupies a unique position in this and other medical schools. As a link between the basic sciences and clinical medicine, pathology is considered a clinical department in some schools and a basic science department in others. At U/B the Pathology Department has status as both a clinical and a basic science department and its research activities reflect this duality. THE 31 d-- �Guiseppe Andres and Jan Brentjens, whose research is on the immunopathology of kidney disease, supervise the Renal Diagnostic Laboratory at the Buffalo General Hospital. One of the few W.H.O.-designated reference laboratories in the United States, this laboratory receives kidney biopsy material from distant parts of the country as well as from local institutions. Analysis of this clinical material in conjunction with experimental models of disease developed at the University campus has contributed to the understanding of these complicated disorders. This work in immunologically mediated diseases has been extended to include disorders of the skin and lung, as well as the kidney and immunologic aspects of renal transplantation. While Drs. Andres and Brentjens pursue their studies of antibody mediated pathology, Gustavo Cudkowicz concentrates on cellmediated mechanisms. He is an expert in experimental bone marrow transplantation, a very risky procedure in contrast to renal transplantation. Centers such as L'Institut de Recherches sur les Maladies du Sang, Hopital St.-Louis, Paris, where Dr. Cudkowicz spent a sabbatical leave, are major sources of human data. Work at these centers provides the necessary corroboration for laboratory findings and so contributes to the further refinement of marrow transplant as a mode of therapy. In addition to his research in this area, Dr. Cudkowicz has been recognized for his expertise in tumor pathology. He serves on NIH committees evaluating research programs and protocols in this important area. Tumor pathology is also a principal interest of John Gaeta, Head of Surgical Pathology. His extensive research on tumors of the male genito-urinary system has resulted in the development of clinically useful classifications of these tumors and to the evaluation of therapy protocols. He continues to work closely with the prostate study group at Roswell Park Memorial Institute and with the Armed Forces Institute of Pathology. Research' on muscular dystrophy is being conducted by Reid Heffner. Since February 1, 1979 he has been director of Erie County's Tissue Pathology Laboratory, one of the Medical School's expanding clinically oriented research resources. Advances in the use of electron 32 microscopy as a practical diagnostic tool are being made by Anand Chaudhry. His work has helped diagnostic pathologists to determine the precise cell line origin of tumors. If regimens are designed with accurate information about the tumor cell type, chemotherapy and radiation therapy can have increased effectiveness. In other projects, Dr. Chaudhry is contributing to experimental teratology, especially on cleft palate and the oral pathology of tumors. His early training in dental medicine prepared the way for his advancement in this area. Building upon a half century of work on brain malformations, Kornel Terplan is continuing his scientific activities at the Children's Hospital. A pioneer in the study of brain disorders, including Down's syndrome, Dr. Terplan served as chairman of the Pathology Department from 1934-1960. Peter Nickerson and Samuel Gallant are members of a team of biochemists and pathologists who are studying the adrenal and pituitary glands in experimental models of hypertension. Dr. Nickerson has described abnormalities in adrenocortical cells which are common to adrenal regeneration hypertension, hypertension in animals bearing tumors secreting pituitary hormones and androgen-induced hypertension. This last Dr. Jon Brentjens with Irene B. Pawlowski and Joyce R. Niesen. THE BUFFALO PHYSICIAN �model of the disease was first described by Floyd Skelton, former chairman of the Pathology Department. In collaboration with Leon Farhi and Sady Matalon of the Physiology Department, Dr. Nickerson is examining the morphology of the lung and blood vessels in oxygen toxicity. Pediatrics THE DEPARTMENT OF PEDIATRICS has a long and consistent history of scientific achievement in the basic medical and clinical sciences. Awards and honors continue to be conferred upon members of the department for their contributions to medicine. Dr. Pearay Ogra, recipient of the prestigious Mead Johnson Research Award in 1978, has studied the immunologic aspects of childhood diseases including hepatitis B virus. Epidemiologic surveys of over 5,000 residents of the West Seneca Developmental Center revealed a high prevalence of the disease. This finding was not itself surprising since a high incidence of hepatitis is not unusual in such institutional settings. However, serological studies of this group led Dr. Ogra's team to the observation that T-cell activity may contribute to the immunologically mediated liver damage in this type of hepatitis. Further studies also showed frequent occurrence of immune complexes containing hepatitis B surface antigen and antibody in chronic antigen carriers. Dr. Ogra's work on influenza virus indicated that immunization with conventional vaccines can provide protection against antigenically similar viruses in a natural setting. Better still, such protection seems to last more than one subsequent epidemic season. In another project, colostrum and breast milk were found to be unusually high in immunologic reactivity for the first four days of lactation. This discovery has significant implications for the maternal-neonatal interaction, especially for newborns whose immunologic system is poor at birth. Dr. Ogra has also extended his research into the mystery of "sudden infant death syndrome." Preliminary data suggest subtle immunologic abnormalities in stricken infants. FALL, 1979 Recently Dr. Ogra and his colleagues, Robert Welliver and Marie Gallagher, have embarked on an extensive project to study the natural history of acute respiratory infections acquired in early infancy. Studies are under way to examine the role of antibody and cell mediated immune responses in the pathogenesis of bronchitis and virus induced reactive airway diseases in childhood. These studies are funded under a five year grant from the National Heart and Lung Institute. Other studies which are being actively pursued in his laboratory include pathogenesis of infections in immunosuppressed subjects and interaction of neutrophils and other mononuclear cells in the blood with common human viruses . Howard Faden and Y. Agatsuma in Dr. Ogra's laboratory are looking at these interactions, using a variety of common viral infections as investigative models. The lustre of the department has also been enhanced by the work of Erwin Neter, Professor of Micro biology as well as Pediatrics. He was the recipient of the Wyeth Award for Clinical Microbiology in 1977 from the American Society of Microbiology and the Stockton Kimball Award from the University. A chance observation of a patient with peritonitis led to his discovery of an unexpected antibody response to the antigen that is common to enterobacteria. This suggested to Dr. Neter that peritoneal irritation may have served as an adjuvant since there was a lower level of response in patients with extraperitoneal infections. Animal studies showed that immunization with common enterobacterial antigen, in the presence of either lymphocytes or macrophages, is far less effective than in the absence of these cells. Whether cellular products or other factors in the exudate are responsible for the immunosuppresive effect remains to be determined. Dr. Neter is also examining cellular immunity to the common enterobacterial antigen and the immune response of patients with malignancy and secondary bacterial infections. Elliot F. Ellis is nationally recognized as an authority on allergy. His principal research interests are in the therapeutics of allergic disease and asthma. Another approach to helping asthmatics and their families has been tried in over 100 families. G. J. A. Cropp and his associate, M. 33 d- �Hindi-Alexander, found that the coping of the families and the health of the patients who participated in the project improved significantly. The families' knowledge about the disease increased, their ability to assist in the management of the patients' problems improved, school absenteeism lessened and visits to the hospital emergency rooms decreased. Dr. Cropp is also working with Frank Cerny on the cardio-respiratory effects of exercise in cystic fibrosis. Results indicate that mild and moderately affected "cystics" maintain their ability to exercise. Only severely diseased patients show a sharp reduction in aerobic power and arterial desaturation during exercise. In another project, regular exercise was shown to increase sputum expectoration, suggesting that physical activity may be an effective alternative to regular postural drainage. They are also investigating the effect of oral theophylline and aerosolized isoproterenol and atropine upon pulmonary function in cystic fibrosis. Pulmonary disorders are also the concern of the Chief of Neonatology, Edmund Egan. Using animal models to assess changes in the permeability of the alveolar epithelium, his experiments promise to yield new insights to the problems of gas exchange in newborns with lung disease. Basic experimental work on the pathogenic mechanism of pulmonary alveolar proteinosis is being carried out by Byung H. Park. Dr. Park, in collaboration with T. P. Lee, is studying the effect of pesticides and other environmental chemicals on immune responses. Emanuel Lebenthal is also committed to a multifaceted research program in pediatric gastroenterology. His recent projects include studies of the immunologic aspects of milk intolerance; the effects of gestational age and diet on human pancreatic exocrine zymogen enzymes; milk protein allergy; and the effect of intrauterine growth retardation on pancreatic zymogen enzymes and small intestinal enzymes. Recent findings in the area of gastroenterology in relation to childhood and development were explored at a five day symposium arranged by Dr. Lebenthal and held in June, 1979. The Division of Human Genetics carries out research on genetic diseases over a broad area. In Biochemical Genetics, Robert 34 Guthrie is continuing to develop new screening tests for inherited metabolic abnormalities in the newborn, in association with Edwin Naylor and Thomas Paul. They are also working on the detection of rare metabolic abnormalities which cause mental retardation. Another member of the Biochemical Genetics group, Mario Rattazzi, is refining a diagnostic method for identifying carriers of Tay-Sach's disease gene. He is also studying the therapeutic aspects of GM' gangliosidosis using animal models. With Georgirene Vladutiu, his research on I-cell disease is contributing to the understanding of exocytosis and endocytosis of lysosomal enzymes by human cells. Although this neurodegenerative disorder is uncommon, it provides an excellent model for studying the pathogenesis and potential treatment of storage diseases. Delineation of rare genetic syndromes by Robin Bannerman and Ramakrishnan Redheendran is an important part of the work which arises from the large volume of referral of affected children to the Division of Human Genetics. Correlation of the phenotypic (physical) features with chromosomal abnormalities, especially in hitherto undescribed abnormalitites, is carried out in collaboration with Richard L. Neu, Director of Cytogenetics. In Dr. Neu's laboratory, Joseph Lanman is investigating patterns of human chromosome replication. Three areas of research are being pursued in the Division of Pediatric Hematology/Oncology. Several research fellows and graduate students are investigating, with James Humbert, the biology of neutrophils submitted to freezing trauma. Such research will hopefully lead to improved methods for preserving neutrophils for transfusion in immunodeficient patients. In another project, Dr. Humbert uses neutrophils damaged by chemicals or viruses and attempts to restore their function by inserting enzyme-antibody complexes into the dysfunctional cells. Shlomo Friedman, whose principal interest is hemoglobinopathies, investigates globin chain synthesis in hematopoietic tissues of patients with thalassemias and sickling disorders. The purpose of these studies is to shed some light on the variability of clinical expressions in such disorders, as well as to provide useful and safe tools for the THE BUFFALO PHYSICIA �prenatal diagnosis of hemoglobinopathies. Richard Sills, whose expertise lies in clotting problems, is conducting a major evaluation of coagulation factors in premature infants, in collaboration with the Division of Neonatology. He is also assessing the possibility of a hypercoagulable status in juvenile diabetics, as determined by platelet function studies. The Department also has well established research programs in Endocrinology. Under the direction of Margaret H. MacGillivray and Mary L. Voorhess, studies are being conducted on the endocrine basis of hirsutism in adolescent girls and young women. In collaboration with members of the Department of Obstetrics and Gynecology, these researchers are attempting to define the source of the abnormal androgen production by detailed measurements of hormones in blood and urine in addition to direct visualization of the ovaries by laparoscopy when indicated. On the basis of these studies, hormone therapy is selected to suppress androgen production and reduce hair growth. The division continues to provide growth hormone therapy for more than 60 children with hypopituitarism. The treatment program is sponsored by the National Pituitary Agency with the understanding that the treatment centers conduct relevant and approved clinical studies which increase knowledge of the role of growth hormone in health and disease. The current studies which qualify Dr. Mario Rattazzi with Catherine Downing and Mark CJosenger. hypopituitary patients for therapy at the Buffalo Children's Hospital include: (1) an evaluation of pituitary gonadotropin production following administration of gonadotropin releasing hormone and (2) the influence of the pituitary hormone on blood glucose regulation with a specific emphasis on the interplay between ACTH and cortisol on epinephrine output. In a separate group of young men who are infertile because they lack pituitary gonadotropins, treatment with replacement hormones (human chorionic gonadotropins and Pergonal) are resulting in testicular maturation and improved masculinization. Drs. MacGillivray and Voorhess are also working with a team of diabetologists (Erika Bruck, Luis Mosovich and Theodore Putnam) and statisticians under the direction of John Siegel in surgery. They are evaluating the role of the major carbohydrate and lipid regulatory hormones in diabetic management. It is known that glucose control varies greatly among diabetic individuals. The goal of the research is to gain more knowledge of the hormonal and metabolic factors which adversely affect glucose regulation in diabetic children and to use this information to formulate improved treatment regimens. The vigor and productivity of the Pediatric Department's research program is based upon both the unique clinical facilities of the Children's Hospital and the large and varied patient population which it serves. With faculty support from the State University, the Pediatrics Department has been able to increase understanding of childhood diseases, knowledge of the basic medical sciences and, at the same time, offer a very high caliber of medical care to children who are ill. Pharmacology and Therapeutics D IVERSITY COUPLED with a commitment to both innovative and classical phar macological studies characterize the research of the Department of Pharmacology and Therapeutics. Using animal models of drug effects and clinical studies in both adults and FALL, 1979 35 d- �children, the faculty pursue varied but complementary research projects aimed at providing a scientific basis for drug therapy. In light of the more than two billion prescriptions written in the United States every year, the potential impact of research in pharmacology may be appreciated. Alcohol and Other Abused Drugs In a series of studies begun in the 1960's, Cedric Smith and his colleagues at the New York State Research Institute on Alcoholism have advanced the understanding of alcoholism as a biological event. The laboratory work of Peter Gessner has similarly focused upon the effects of excessive alcohol ingestion upon the organism. Going beyond the bounds of his work at the bench, Dr. Gessner brings his scientifically established insights into the classroom where he trains medical students to treat alcoholic patients. Dr. Jerrold Winter's studies on morphine receptors and his technique for predicting from laboratory studies the potential hallucinogenicity of new drugs have considerable bearing on the development and use of these potent substances. Clinical Pharmacology The increasing problem of overdoses of acetaminophen (Tylenol®) is a concern of Edward Nelson. A clinical pharmacologist who also holds an appointment as assistant professor of medicine, he is investigating several approaches for preventing or lessening liver toxicity arising from excessive doses of this commonly used analgesic, including the use of metyrapone as an antidote. With faculty in the School of Pharmacy, Dr. Nelson has also carried out clinical studies of variations in individual rates of absorption of drugs such as erythromycin. Improved treatment of asthma may follow from the work of Stanley Szefler. Some of his studies at the Children's Hospital suggest that antihistamines do not interfere with the effect of corticosteroids, a finding contrary to what has been observed in animals. Since modes of therapy have been based almost exclusively on animal models, his human studies may lead to more effective treatment of asthmatics. The asthmatic patient may also benefit from Dr. Szefler's research with Margaret Acara. They are interested in the way in which the kidney disposes of Isuprel® (isoproterenol). It seems that the end product of its metabolism may in fact antagonize its therapeutic effect and thus, the drug may fail to give the expected relief. Renal Pharmacology The work of Drs. Szefler and Acara has been a natural extension of the pioneering work on renal pharmacology done by Barbara Rennick. She is now internationally recognized for having demonstrated the mechanism whereby the kidney excretes certain organic bases. Bruce Pearce, Dr. Margaret Acara. Toxicology The pharmacologists' experience with drugs of abuse, overdoses and other forms of poisoning, together with increasing de~and for solid scientific information on potentially hazardous substances in the environment fuel the Department's further development in the area of toxicology. Although, as scientists, the faculty are seeking new knowledge about 36 THE BUFFALO PHYSICIAN �suspected and known toxins for the medical community and for the public, they are also at work on solutions to current problems. For example, Paul Kostyniak, a co-developer of a special dialysis method for eliminating heavy metals from the body, was on stand-by alert to go to Korea in 1978 during a threatened epidemic of methylmercury poisoning. With the approval of President Ketter, VicePresident Pannill and Dean Naughton, resource allocation and staff recruitment will be aimed at increasing the department's strength in toxicology. Classical Pharmacology Dr. Robert Mcisaac has proved that there is still much more to learn about the pharmacological aspects of the autonomic nervous system. His evidence suggests that traditional anatomical representations of muscarinic and nicotinic transmission are too simplistic. This means that the use of drugs to influence autonomic transmission must be based upon a recognition of the complexity of these loci. Likewise, the long-recognized role of the lungs as a site where drugs accumulate has recently come to be explained by scientists including Jerome Roth. The observation that the endothelium has a role in the transport of drugs like antidepressants and in the metabolism of drugs such as those of the adrenalin type has illuminated the significance of the lungs. This finding is not surprising since the endotheli urn occurs in abundance in the lungs. Work in this very productive area of investigation is being continued by Dr. Roth, Dr. Venter and clinical pharmacologists. And, the usual explanations about how antibiotics kill pathogens are being refined and corrected by Alan Reynard. The belief that an antibiotic acts as a sort of "magic bullet" targeted at the organisms infecting the body has been held since it was propounded hy Ehrlich at the turn of the century. The interaction between the immune system of the body and the drug itself had been overlooked. Laboratory studies by Dr. Reynard and his colleagues indicate that certain antibiotics not only act directly upon disease-causing agents; they may also enhance the ability of the body's own immune system. Further FALL, 1979 applications of Dr. Reynard's work on drugimmune system interactions are expected in relation to transplantation and rejection phenomena. In view of his achievements in this field, he has been named editor of the new Journal of Immunopharmacology. New Areas of Pharmacological Research Giving added breadth to the research activities of the Department of Pharmacology and Therapeutics is Frederick Sachs. In collaboration with researchers in the Departments of Biophysics and Biochemical Pharmacology, he has advanced knowledge of ion transport mechanisms in cells. The search for more efficacious drugs for treating cardiac arrythmias and convulsive disorders may well be aided by the fundamental information being generated by these scientists. Contributions to the basic science of pharmacology are also being made by J. Craig Venter. Utilizing new tissue culture techniques, he has had remarkable success in isolating beta adrenergic receptors. In applying this technique to mammalian tissue, he has discovered that beta adrenergic receptors within one species are not identical, but they may vary among different organs. What is more, he has found that corticosteroids can actually triple the number of beta receptors on a cell and not just interact with existing receptors! This means that refinement of beta-blocking drugs such as Propranolol (Inderal®) may lead to greater selectivity and fewer side effects in patients being treated for diseases such as angina. In addition to research on chemical agents for the prevention and treatment of disease, substances are also being developed to improve diagnosis. A prime concern is that these substances be non-invasive. Edward Carr, chairman of the department, is continuing work that he began at the University of Michigan on radioactive techniques for visualizing organs. Efforts to treat a person who had been exposed to radioactive Lesium at the University's nuclear center, together with the published observations of Tulane cardiologist, George Burch, on the accumulation of radioactive substances in the heart and other muscle, led to the hypothesis that the myocardium might be imaged. Imaging the heart non-invasively and with greater clarity 37 d-- �than in the usual roentgenographic and angiographic techniques was a definite advance in diagnostic technology. Now, going beyond his original work, Dr. Carr is attempting to improve procedures for visualizing myocardial infarctions. It is of historic note that the Chairman of the department at the time when U/B became part of the State University, Douglas Riggs, developed the first clinically practical method for measuring a hormone (thyroid] in the blood. His international renown is also related to his pioneering work on biological feedback mechanisms. Physiology THE DEPARTMENT OF PHYSIOLOGY has evolved over the past 20 years beginning with the arrival of Hermann Rahn, now Distinguished Professor of Physiology, Past President of the American Physiological Society and a member of the National Academy of Sciences. As Chairman from 1956-1973, he recruited a number of faculty who have become outstanding leaders in physiology. One of them, Leon Farhi, now serves as editor of the Journal of Applied Physiology. His enormous contributions to the understanding of gas exchange and lung function have brought him numerous awards. Another of the faculty members recruited by Dr. Rahn, Werner Noell, holds the Jonas Friedenwald Medal for his biophysical and biochemical investigations of retinal function. Dr. Noell himself was responsible for bringing Nobel Laureate, Sir John Eccles, into the neurobiology program in 1968. Dr. Eccles remained an active participant in the program until his retirement in 1974. The present strength of the Division of Neurobiology is rooted in the combined assets of Dr. Noell's and Dr. Eccles' laboratories. The Department may now be viewed as a constellation of four research groups, each with its own resources and scientific orientation: neurobiology; cardiopulmonary function; cellular physiology and hyperbaric/environmental studies. These clusters of faculty with their associated research and technical staffs and special facilities have not dimmed the contributions of individual researchers. Rather, these groups have served to magnify the significance of specialized projects as 38 their findings are brought to bear on the large and complex problems around which the group is organized. The efficiency and productivity of everyone in the group is enhanced by access to shared facilities for instrument design and fabrication, data analysis and computation, graphic arts, and a special department library. Scientists in the neurobiology group have been interested in the problem of vision for over two decades. Werner Noell has developed innovative and fundamental methods for understanding the biophysical and biochemical processes of retinal function. These techniques were applied to investigations on how the rods and cones of the eye transform light into nerve transmissions by his former colleague Robert Miller now at Washington University in St. Louis. Donald Faber is carrying out related work on electrical synaptic transmission while Edward Koenig is studying protein synthesis in the nerve axon and the retina. Another approach to visual processes has been undertaken by new faculty members Bruce Dow, Joan Baizer and David Bender. Using trained monkeys with chronically implanted brain electrodes, they are examining the animals' visual apparatus, which closely resembles that of humans. As in the other research groups in the Department, the value of these individual research efforts is more that the sum of their separate findings. Because of the intensity and frequency of interaction among members of the group, each researcher's work acquires depth, scope and significance in terms of the general area of group research. The pattern of activity and productivity characteristic of these research groups has led to their success in attracting millions of dollars in outside support, primarily from the NIH. The Department of Physiology is probably the only one in the United States to have been awarded two program project grants simultaneously and currently ranks among the top ten in terms of overall research grant support. One major program project grant involving no fewer than ten Departmental faculty is analyzing the effects of high and low pressure, temperature, water immersion and exercise stress on the oxygen delivery systems of the body. Under the direction of Donald Rennie, this group of researchers is measuring THE BUFFALO PHYSICIAN �The h yperbari c cham ber. metabolic and cardiovascular respohses during arm and leg exercise, the effects of high pressure on cardiac cell electrophysiology and cellular transport systems, and the control of ventilation and cardiac output in response to environmental stresses. A by-product of this exercise physiology program has been the development of a test center where nationally ranked swimmers, kayakers and members of the Buffalo Bills football team have been evaluated. The facilities and procedures for these evaluations are under the supervision of David Pendergast. The second NIH program project is coordinated by Leon Farhi. It is aimed at solving problems of gas exchange in the human lung. In addition to five physiologists, there are also investigators from the Pulmonary Division of the Department of Medicine and the Division of Neonatology of the Pediatrics Department. The cellular physiology group under Suk Ki Hong is a major component of one of the NIH program projects. Support for its work also comes to it independently from the NIH as well as from the American Heart Association. In collaboration with the hyperbaric and FALL , 1979 cardiopulmonary groups, Dr. Hong and his colleagues participated in a major U.S.-Japan Cooperative Research Dive in the summer of 1979 at the Japan Marine Science and Technology Center. A saturation dive to 1000 feet sea water depth with two weeks of "bottom time" was programmed for five expert diver-subjects. Four members of the Department were present to contribute their scientific know-how. Dr. Hong was the U.S. coordinator of this program . The Hyperbaric Research Laboratory directed by Claes Lundgren has received funds from the Office of Naval Research to be used in part for the design and installation of a life support system. It will give the Department's hyperbaric chamber the highest pressure capacity for saturation dives (to 5,700 feet sea water) in the country. Research is now underway to assess lung function at great depths. The outcome of these studies will have important implications for diving safety and breathing gear design. Dr. Lundgren is investigating the effects of hyperbaric oxygen on exercise-induced angina in a joint project with the Clinical Hyperbaric Unit of the Veterans Administra39 d- �tion Medical Center. In collaboration with his former colleagues at the University of Lund, Sweden, he is analyzing the alleged cancerostatic effects of hyperbaric hydrogen in an animal model. As part of its commitment to community service , the personnel of this unique laboratory facility offer recompression treatment for decompression sickness. Courses for divers and for diving instructors are conducted on the physiology and health aspects of diving. Inseparable from faculty research is graduate training for which the Department was awarded a USPHS Predoctoral training grant in 1958. It lasted for 18 years, one of the longest on record. The stability and quality of this program moved it to seventh rank nationally in the latest report on graduation education published by the American Council on Education (Roose-Anderson, 1970). Approximately 120 visiting faculty and postdoctoral fellows from fifteen countries have been active in the Department over the past 20 years. Of these visiting scholars, 20 have been Buswell fellows who have described their experience in Buffalo as the richest in their careers. All of them have left and gone on to distinguish themselves in their own institutions. Perhaps even more valuable than the over 600 refere ed articles, books and monographs which the Department has contributed to the lasting literature of science, has been the development of these young scientists who promise to continue to perform high quality research in the futur e. Psychiatry R ESEARCH IN THE PSYCHIATRY DEPARTMENT spans psychological, medical, epidemiological and systems approaches to the problems of human behavior and mental health services. As a reflection of the department's diversity, the faculty work in a variety of clinical, research and teaching settings throughout the Medical School and its affiliated institutions. Marvin Herz is engaged in research aimed at early and effective intervention in schizophrenic crisis. At the present time, there is little data concerning early symptoms 40 of relapse in schizophrenia. Interviews of schizophrenic patients have been conducted to determine what they know about early signs of relapse . Families of these patients have also been interviewed. Up to the present time, 140 patients and family members have been surveyed regarding this question. A related issue is that most chronic schizophrenic patients are maintained on medication on an indefinite basis. The major benefit of this medication is to help prevent relapse. There are many undesirable side effects related to taking maintenance antipsychotic medication. If patients and their families can be trained to identify early signs of relapse, it may be possible to treat them with medication only when these signs appear instead of all the time. A doubleblind controlled study protocol has been prepared and submitted to the V.A. for approval. S. Mouchly Small's research interests and activities are focused on examination and evaluation techniques in psychiatry. As a Director of the American Board of Psychiatry & Neurology, he is Chairman of the Oral Examination and Recertification of Specialists Committees. His efforts are directed toward standardization and objectification of the examination process to increase its reliability and validity. New techniques have been introduced such as the use of videotaped interviews of psychiatric patients with associated multiple choice questions and possibly the latent image feedback technique used in patient-management problem testing. Other studies relate to the attempted quantification of thinking disorders in both schizophrenic and organic brain syndrome patients. Frank Baker, Director of the Department's Division of Community Psychiatry, has been conducting studies of the professional belief systems of various national professional groups including psychiatrists, psychologists, social workers and other human service groups. He is also evaluating the statewide training of case managers and paraprofessionals responsible for coordinating support systems services for deinstitutionalized mental health patients. As increasing numbers of the mentally retarded and developmentally disabled are deinstitutionalized, the impact of their return to community life is also emerging as a major THE BUFFALO PHYSICIAN �public health issue. Barry Willer and James Intagliata are examining this and other community mental health problems with other researchers under the direction of Dr. Baker. Their work involves both State mental health agencies and local mental health groups. The role of the family practitioner in managing the mentally retarded and their families is the subject of one of Dr. Willer's research projects. As the primary health care professional involved with the mentally retarded, the family physician needs basic skills for dealing with the complex medical, psychological and social problems encountered by both patients and their families. Identifying these skills and training physicians to use them are the main goals of this work. Robert Grantham has a special interest in the functions of citizen boards serving these groups. In addition, Dr. Grantham is studying the health-care seeking behavior of minority group members. His collaborator in this study is Myra Gordon, a graduate student in Clinical Community Psychology. With James Intagliata, Dr. Grantham is trying to explain why clients drop out of therapeutic programs. Another member of the Division of Community Psychiatry, John Northman, has been assessing the needs of adolescents in Amherst. In addition, he has looked into the problem of vandalism there for the town's Youth Board. Peter Regan is also interested in health care delivery and education systems. With the support of the Organization for Economic Cooperation and Development, he is studying primary health care systems in member countries: NATO nations, Japan, Australia, and New Zealand. On a local level he is utilizing epidemiological methods to describe the population of 1100 psychiatric patients treated at the Veterans' Administration Medical Center. The Director of Graduate Education in Psychiatry, Murray Morphy, is evaluating the effectiveness of psychiatric education with Zebulon Taintor at the Rockland Research Center and Anne Seiden at the University of Illinois. Senior residents and psychiatrists who recently completed residency programs are being surveyed about their training. A questionnaire on the goals of their educational programs, their utility in practice, causes of stress and the formation of ethical values is being used to gather data on these FALL, 1979 Dr. Eleanor jacobs and other basic elements of education in this specialty. Dr. Morphy is also refining the clinical use of algorithms, particularly in the area of depression. These step-by-step instruments for the evaluation of patients have been used by physician assistants, mental health aides, and social workers as well as by medical students. Modelled after the logic decision tree, these algorithms can help users to assess patient problems accurately and thoroughly and to determine when professional psychiatric assistance is necessary. Various aspects of hemispheric specialization - the differential functions of the two sides of the brain - are being studied by Seymour Axelrod in collaboration with Lillian Leiber in the Department of Neurology. In addition to a large-scale survey of handedness in SUNYAB students and faculty, (in which such variables as birth stress, familial handedness, and generational factors are being examined), they are also engaged in basic research on perception and information processing by each of the brain hemispheres. With the use of a tachistoscope, the speed and accuracy of subjects' responses to linguistic and figural stimuli flashed on the screen are being recorded and analyzed to 41 d-- �assess differential hemispheric functioning. Dr. Axelrod is also collaborating with Reinhold Schlagenhauff of the Neurology Department in studying the effects of senescence on the persistence in the aging brain of the effects of sensory stimulation. The relationship between climalotogical variables and dangerous behavior is being explored by Norman Solkoff. His long-standing interest in violence has also led him to systematic analyses of the Nazi genocide of the Jews and its effect upon survivors and their children. Dr. Solkoff is also involved in research on the effects of instruction in ethics on the ethical attitudes of first-year medical students. Radiology THE VALUE OF X-RAYS, gamma rays and ultrasound as diagnostic and evaluative tools in clinical medicine and in basic research has been well established. However, better techniques and equipment continue to be sought in order to expand the amount and quality of information that can be derived from these apparently simple, but important black and white images. As in so many other branches of medical science, computer technology is opening up new approaches to classic problems. In radiology the problem of contrast among light and dark areas being imaged is of fundamental importance since it is these gradations in tone that provide clinically significant information. Now, computer controlled instruments are being used to scan x-ray images and to digitalize differences in density which occur in them. The computer, in effect, "sees" more than even a trained eye can see and is, therefore, able to provide more information than visual inspection of an x-ray film alone. Also, since poor x-ray films may be scanned and analyzed using these digitalized computer display techniques, the number of retakes may be decreased. The overall result will be safer and more efficient radiologic procedures than ever before possible. Another basic problem in the production of high quality x-ray images has been degradation resulting from scatter. Although 42 grids have been used successfully to reduce this form of noise or image interference, their use requires increased doses of radiation to the patient to compensate for losses in the grid. With assistance from the Health Sciences Instrument Shops, Stephen Rudin and his associates have developed a rotating aperture wheel device (RAW). Their invention virtually eliminates scatter while producing images with remarkable contrast at low to moderate levels of radiation. RAW is also applicable to fluoroscopy and rapid sequence dynamic studies of body functions, where it will result in better quality images with reduced patient dose. Further refinements of this new device are being made with the expectation that it may soon prove to be safe and practical for use on human subjects. George Alker is conducting clinical studies of radiation doses required in various radiologic procedures, including the computer-assisted methods being developed by Dr. Rudin's group. Maria Andres is developing modifications and improvements on air contrast examinations of the gastrointestinal tract in a variety of pathological entities. Soon W. Choi with the electron microscope. THE BUFFALO PHYSICIA �Cardiac nuclear imaging and the clinical uses of Gallium scanning are being investigated by Hussein Abdel-Dayem. His work has provided new insights on cardiac function as well as on the thickness of the wall of the heart. In the long-run, his findings may have considerable impact upon the search for three-dimensional imaging techniques. Rehabilitation Medicine DR. GLEN GRESHAM is continuing his research on the residual functional disabilities of survivors of stroke which he began with the now famous Framingham study. Information on the magnitude and pattern of long-term impairment of function following stroke provides a basis for planning continuing care programs for surviving victims of cerebral vascular accidents. Communitybased epidemiological studies such as this one also permit more accurate prognosis of individual functional recovery than would be possible on the basis of hospital experience alone. Dr. Gresham and his associates have also correlated the radiographic and clinical manifestations of osteoarthritis in a group of elderly patients in Wallingford, Connecticut. Although no single clinical symptom occurred in all knees exhibiting roentgenographic changes, a positive correlation between the latter and certain clinical variables, such as pain, was established. Patients with advanced osteoarthritis, as seen on X-ray, may have no or few functional deficits and so may not require specific therapy. Similar studies are planned in relation to hand and hip involvement. In another project patients who underwent medical rehabilitation were followed to determine how well they maintained their reacquired level of performance. The finding FALL, 1979 that most of these patients retained nearly maximal levels of function seems to reflect the fact that rehabilitation is primarily a process of re-education and motivation. Even patients who are severely disabled, such as those with congenital meningomyelocele, can achieve a high level of success in gaining and maintaining abilities to carry out the activities of daily living. Buswell Fellow Emma K. Harrod is engaged in systematic assessment of these patients to improve continuing care and rehabilitation programs directed at this problem. Instruments used to assess functional abilities are themselves the subject of scientific evaluation. While there are several forms used throughout the country for measuring patients' abilities to perform basic daily tasks, specialists in rehabilitation medicine are seeking some uniformity in the collection and exchange of information about patients. The adoption of a universal instrument would enhance communication of patient information among health care facilities and personnel, thereby facilitating rational referral and discharge planning. Dr. Gresham has been a leader in this movement toward standardized evaluation and reporting. Dr. K. H. Lee, Chief of Rehabilitation Medicine at the Veterans Administration Medical Center, has been involved in the biomechanical aspects of research. Braces that improve the gait pattern of stroke patients, electrical stimulators to facilitate the return of function in patients who have no recovery of motor power in their lower extremities and, recently, a pedaling apparatus for evaluating cardiac and peripheral vascular functions have all been scientifically evaluated by Dr. Lee. While there has been much improvement in function through this type of research, relieving pain in disabled patients is another major concern for physicians in the field of Rehabilitation Medicine. Transcutaneous nerve stimulation is extensively used today, but little is known about its mechanism. Dr. Lee and co-workers are applying it to various pain problems to define both its benefits and the mechanism involved. Biofeedback is another area of research by Dr. Lee. Its application in patients with central nervous system pathology is controversial at this time, although a multitude of benefits is claimed. 43 �Social & Preventive Medicine WHILE EXPERIMENTAL work involving complex apparatus and exotic chemicals is going on in the laboratories of the School of Medicine, members of the Department of Social and Preventive Medicine are at work in their own unique laboratory: the Western ew York community. Harry Sultz describes the eight-county region as a "nearly perfect laboratory." It contains urban and rural areas with a population ranging from the affluent through the least advantaged and including cohesive ethnic groups. This provides the department's biostatisticians, social scientists, health professionals, and technical staff with access to an interesting and scientifically valuable universe for study. For researchers interested in health systems and planning, there are many different and cooperative health agencies, organizations, and institutions to participate in research and planning projects. Erie County, for example, was the site of a classic epidemiological study showing that the incidence of juvenile diabetes increased following mumps epidemics. Studies like this one help to identy risk factors and point to causes of diseases. In addition to improving the understanding of disease, these studies may lead to the development of measures for its prevention and control, a primary goal of this branch of medical science. In collaboration with clinicians, the department is also trying to contribute to rational therapeutics by helping to design clinical trials assessing the efficacy of various modes of therapy. Obstetricians seeking an objective evaluation of different contraceptive methods and psychiatrists interested in measuring the benefits of hospital-based mental health care are typical of the specialists receiving assistance from faculty and staff in Social and Preventive Medicine. As a service to local governments and health planning agencies, the department has undertaken comprehensive analyses of the health needs of various populations and of health services available to them. The data base established by the research team also identifies deficiencies and unnecessary duplications in facilities and health per44 sonnel. The team may also develop rational recommendations for meeting present and future needs. These data and recommendations represent what is known as a "community health information profile," a guide for decision making about health services. Using this approach, the department has studied a variety of health care needs including those of the elderly in Erie County, of handicapped children, and the distribution of primary care physicians in Western New York. Similarly, governmental and professional organizations have funded studies on the recruitment, satisfaction with training, and future practice plans of various health professionals. The American Board of Obstetrics and Gynecology supported and later published the findings of a study conducted by the Department on "Current Practices of Board Certified Obstetricians and Gynecologists in the United States." The Federation of Prosthodontic Organizations was interested in a study of 1977 graduates of prosthodontic programs. And, the National Fund for Medical Education contracted for an analysis of medical education in cost effectiveness. Along the same lines, the U.S. Department of Health, Education and Welfare has supported a study of the functions and education of nurse practitioners. The value of these studies lies not only in the information, analyses, and recommendations that are generated by the department, but also in the format of their presentation. Computer programs have been designed to display data on maps with gradation of color intensity and clear symbols to indicate variations in the distribution of, for example, population, facilities or manpower. This facilitates comprehension of the findings of these studies and so makes them more useful than volumes of text and tables of confusing data. Research on occupational, environmental health is expected to become a major component of the department's research program. Local labor unions have already agreed to participate in studies of health problems related to their working conditions. It has been community cooperation of this kind that has contributed considerably to the development of the department as a leader in the field of public health and as a regional health resource. THE BUFFALO PHYSICIAN �Dr. Judith VanLiew Surgery RESEARCH on the functional changes occurring in the body during critical illness has brought national attention to the Department of Surgery. Carefully designed computer analyses of enormous quantities of clinical data have enabled John Siegel and Frank Cerra to identify patterns of physiological abnormalities in patients with different types of serious illnesses. Similarly, John Border and Rapier McMenamy, Professor of Biochemistry, have found common disturbances in amino acid metabolism in these different categories of patients. Capitalizing on the remarkable efficiency of the computer for processing and integrating these two sets of data, the one physiological, the other biochemical, these researchers have produced profiles of various subsets of patients. These profiles, in turn, provide a rational basis for therapy aimed at normalizing bodily functions and, as such, have proven to be of great clinical value. FALL,1979 Dr. Border's group, including Roger Seibel and John LaDuca, have also succeeded in finding ways to prevent "post traumatic pulmonary failure," a common cause of death following major injury. Their studies at the Trauma Research Unit of the Erie County Medical Center have shown the importance of early detection of hypoxia. If prompt diagnosis is followed by immediate and adequate positive pressure artificial ventilation plus early treatment of all injuries, mortality can be dramatically reduced. Having the patient in a sitting position as soon as possible in the course of therapy has become common practice as a result of their convincing demonstration of its favorable contribution to patient well-being. Members of the department have also made advancements in the direct application of new technology to patient care. Tumors which are inoperable using sharp excision surgical procedures are being treated with cryosurgical techniques developed by Andrew Gage. Skillful application of his methods results in the destruction of the pathologic tissue by freezing while damage to surrounding healthy tissue is avoided. Dr. S. Subramanian, renowned for his work in the area of deep hypothermia, has established a strong program of research at the Children's Hospital. Myocardial preservation during periods of ischemia required for coronary bypass reconstruction has been furthered by the work of George Schimert and his associates, Thomas Lajos and Arthur Lee. Their research is directed at preventing cardiac damage while the heart is separated from its normal blood supply during surgery or while it is being held for possible transplantation. W. G. Schenk, Chairman of the department, is conducting research on the distribution of blood throughout various organs of the body in septic shock. Unlike other conditions of shock where cardiac output is reduced, a high level of energy is expended by the heart in patients with severe infections. This level of exertion cannot be sustained by many patients, even though vigorous heart function seems to increase the patient's chances of survival. By identifying where blood is needed in these patients, Dr. Schenk hopes to find ways to reduce blood flow to organs and tissues where blood is less vitally needed. Thus, the heart may be relieved of some of its burden 45 �and protected for the long-term benefit of the patient. The high regard enjoyed by members of the Department of Surgery rests clearly and solidly upon their contributions to the understanding of human physiology and biochemistry as well as upon their advancement of surgical practice. Keen observation, the utilization of modern computer technology for the analysis of clinical data and commitment to patient care are combined to form a firm basis for further scientific and medical achievements. Urology RESEARCH IN UROLOGY is concentrated upon cancer of the prostate and its management. Various combinations of cryosurgery and adjunctive chemotherapy are being tried and assessed in terms of their effectiveness in curing or palliating prostatic conditions. Debulking by freezing tumors seems to stimulate the immune response as well as provide for the safe removal of malignant tissue. This is followed by a carefully designed regimen of treatment with either 5-FU, cytotoxan or adriamycin to help assure elimination or at least stabilization of the disease. Promising results from these clinical trials have been obtained, especially in patients in advanced stages of malignant disease. Although the cryosurgical procedures involved in these clinical studies have been well developed under the leadership of Maurice Gonder, the chemotherapeutic agents used in treating urologic carcinomas are less well understood. Ruben Cartegena is investigating the efficacy and mode of action of drugs such as diaminodichloroplatinum, Sinemet® and Lergotrile®. These last two substances, known to be inhibitors of prolactin secretion, block the uptake of testosterone by the prostate. Quantitative measures of their action in various stages of prostatic carcinoma are being obtained in order to provide a sound basis for their use in therapy. In related studies the role of prolactin and androgen receptors is being investigated by biochemist W. Roy Slaunwhite. His work is 46 enlarging the scientific basis for treatment modalities involving hormonal manipulation. The significance of his work has been recognized by the National Institutes of Health, which has steadily funded his research in this area. In collaboration with Wells Farnsworth, Dr. Slaunwhite is also studying the effect of LDopa upon prolactin and, in turn, upon the metabolism of testosterone. In controlled clinical trials, patients with advanced prostate cancer seem to improve following administration of L-Dopa. However, even before appropriate therapy can be designed, thorough evaluation of apparently cancerous conditions is essential. For this reason, the urologists are trying to correlate clinical observations such as physical palpability and data from needle biopsy and histological diagnosis with various stages of the disease process. The aim of this work is to provide physicians with a frame of reference for interpreting symptoms and assessing the severity of the disease, prior to the initiation of therapy. Roswell Park Memorial Institute RoswELL PARK MEMORIAL INSTITUTE observed its 80th anniversary last year with a continuing record of basic insights into the nature of cancer and clinical development of investigative leads. The integration of research and clinical responsibilities dates to the origin of the Institute in 1898 as a threeroom cancer laboratory within the University of Buffalo School of Medicine. Roswell Park now serves as the New York State Department of Health's cancer research, treatment and education center, and the latter role involves over 100 staff members conveying laboratory and clinical advances in cancer control to medical students, residents and area physicians. Research accomplishments of the Roswell Park staff the past year included the following in the area of treatment: • Two (CTX-5FU) * and three (CTX-5FU-PRD) drug combinations were as effective and THE BUFFALO PHYSICIAN �• • • • • • • less toxic than five (CTX-5FU-PRD-MTXVCR) drug combinations in treating metastatic breast cancer, and the five-day regimen did not decrease response when administered later as secondary treatment. Prospective randomized trails have proven combination chemotheraphy superior to single agent chemotherapy in advanced stage ovarian cancer, and a regimen of high dose Methotrexate with Citrovorum Factor rescue plus Cytoxan® has proven to be the most effective first-line chemotherapeutic regimen and second-line chemotherapeutic regimen for patients who failed on prior chemotherapy. Use of Ara-C and adriamycin is an effective remission induction technique in treatment of acute myelocytic leukemia, and retention of Ara-C is a strong indicator of how successful treatment will be. Combination chemotherapy and involved area radiotherapy has resulted in improved treatment of children with non-Hodgkin's lymphoma. Corynebacterium parvum administrations, when added to standard chemotherapy, extend the survival of patients with advanced, non-small cell carcinoma of the lung. Combination chemotherapy (including methyl CCNU, DTIC and vincristine) has proven effective in treatment of advanced colorectal cancer which has failed or relapsed after standard chemotherapeutic treatment with 5FU. Cis-diaminedichloroplatinum has demonstrated efficacy in treatment of advanced carcinoma of the prostate and transitional cell carcinoma of the bladder. Intensive multi-sequential chemotherapy involving cis platinum, bleomycin, vinblastine, vincristine, actinomycin D and reductive surgery has been effective in producing long clinical remissions in patients with advanced testicular tumors. *Abbreviations used here are: ARA-C - cytosine arabinoside CTX - cyophosphamide (Cytoxan®) 6 FU - 5-fluoro-uracil MTX - Methotrexate PRD - Prednisone CC U- Lomustine DTIC - Dacarbazine FALL, 1979 Several developments arose in diagnosis and treatment planning: • Measurement of glycosyltranferase levels can detect distant metastases of breast cancer 2 to 3 months sooner than current clinical or physical means, and response to treatment or relapse also is indicated. • The exact stage of chronic myelocytic leukemia may be established on the basis of the karyotypic picture. • Serum alkaline phosphatase isoenzyme levels may be followed to predict patient response to treatment for prostatic cancer. • Within certain limitations, CEA can be used as a clinical prognosticator after surgery in patients with carcinoma of the lung. • Radiopharmaceutical compounds (e.g., polyphosphate, hydroxyethanediphosphonate and pyrophosphate) may be used to detect the presence and extent of bone metastases in the cancer of the genitourinary system. Preclinical insights have established the basis for future clinical investigations: • Animal tests have shown that the effectiveness of Methotrexate against solid tumors can be increased by enclosing or encapsulating the drug in lipid vesicles for administration. • Using man-mouse hybrid cells growing in tissue culture, investigators have traced genetic information implicated in cancer to chromosome 8. • Aryl hydrocarbon hydroxylase (AHH) apparently has no relation to human susceptibility to lung and laryngeal cancer. • Researchers have developed a successful methodology fo r producing highly purified human fibroblast interferon in large quantities from human diploid cells. Several innovative demonstration projects have been initiated: • The nation's first Adolescent Unit devoted solely to the treatment of teenage cancer patients is unifying treatment and rehabilitation programs for the young patients. • A community cancer screening program involving physical examination, pap test, hemoccul t testing, and breast selfexamination instruction at six area hospitals has been established under the auspices of the American Cancer Society. 47 d- �• Pilot studies on effectiveness of ultrasound in the detection of breast cancer are in progress. • Patients with a history of radiation of the head and neck region are being screened to detect benign and malignant thyroid disorders. These studies exemplify the commitment of Roswell Park Memorial Institute to research into the nature and control of cancer. Edwin A. Mirand, Ph.D., D.Sc. Associate Director, Professor and Head of Graduate Division, Roswell Park Memorial Institute V.A. Medical Center RESEARCH SERVICE at the Buffalo Veterans Administration Medical Center provides an opportunity for a large and growing number of faculty to carry on research in areas of their own interest. Laboratory and office space provided for these investigators has grown from 11,700 square feet in 1969 to 19,100 in 1974 and to 20,800 at the present. An additional 800 square feet is now being renovated for conversion into research space. These research areas are supplemented by a 2,300 square foot facility for maintenance and care of dogs, rabbits, guinea pigs, rats and mice and a 1,300 square foot surgical research operating room and attached support facilities. Plans are now being developed for enlarging and renovating the animal maintenance area in FY 1980. Finally, approval has been given by VA Central Office for construction of a new Research and Education Building beginning in 1982. This facility will provide over 20,000 square feet of new research space upon completion. The VA Central Office in Washington provides the bulk of financial support for research at the VA Medical Center. The budget for the Buffalo VA from this source has increased from $500,000 in 1969 to $600,000 THE 48 in 1974, and is currently (in 1979) $1,000,000 bringing us to the top third of all VA Medical Centers. These funds are presently assigned to 26 investigators and to the support of shared facilities including an electron microscope, an analytical ultracentrifuge and an automated amino acid analyzer. A total of 62 faculty members are engaged in research on 112 separate projects. Of these investigators, 24 receive funds from VA Central Office and 11 receive outside funds from agencies including the NIH, the NSF and the American Heart Association. Work by these researchers resulted in the submission of 34 abstracts and the publication of 83 papers in 1978. Programs receiving research support from VA Central Office include studies of: antibiotic penetration into the central nervous system in meningitis; myocardial ATP levels in cold- and potassium-arrested heart muscle; the role of tight junction in renal water transport; metabolic and neuroendocrine functions of the hypothalamus; radioactive tracer uptake by bone and anoxic myocardium; the role of insulin and glucagon in hepatic regeneration; the medical or surgical management of angina; cryosurgery of tumors; intermediary metabolism in experimental obesity; red cell membrane proteolipids related to the Rh system; the biochemical and biophysical aspects of insulin action in facilitating glucose transport; control mechanisms of lymphocyte transformation; hemoglobin structure at a biophysical level; biochemical aspects of protein abnormalities in autoimmune diseases; mechanisms of proteinuria; immunologic specificity of cytochrome c; the biophysics of salt and water transport; new scanning agents for early imaging of myocardial lesions; and studies of new techniques for brain perfusion scanning. The VA Central Office has identified eight areas of research which are to be given support on a high priority basis. These include: aging, alcoholism, chronic ischemic heart disease, chronic obstructive lung disease, diabetes mellitus, schizophrenia, spinal cord injury and tissue regeneration. Jack K. Goldman, M.D., Associate Professor of Medicine and Associate Chief of Staff for Research, V.A. Medical CenterD THE BUFFALO PHYSICIAN �A Message from Lawrence M. Carden, M' 49 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Carden The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sanes, M.D. that appeared in The Buffalo Physician {1974-1978) have been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N.Y. 12246. The cost: $12.95.0 ·---------------------------------------------------------------------------------------------------- IIIIII BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POST AGE WILL BE PAID BY ADDRESSEE Buffalo Physician 139 Cary Hall 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP ECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 9Zoou3zzJtto D • 1 6 OBE T L . B T OOr B 0 RO 0 Y 1 Zlb UFFALO THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1979 Subject The topic of the resource State University of New York at Buffalo. 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Dean Naughton's Message Research, a rationale Biomedical research mission Analysis of one medical schools research Anatomical sciences A Esthesiology/ biochemistry Biophysical sciences Dermatology Family medicine/Internal medicine Microbiology Neurology Neurosurgery/Nuclear medicine Obstetrics, Gynecology Orthopaedics Otolaryngology Pathology Pediatrics Pharmacology, Therapeutics Physiology Psychiatry Radiology Rehabilitation medicine Social, Preventive medicine Surgery Urology/Roswell Park VA Medical Center Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v13n03 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Description An account of the resource Special Research Issue Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/613b592a8cc55c210ce3d8e522584703.pdf 0e11c83fb9c7dc005a10369214c5685e PDF Text Text �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine To Alumni and Alumnae: An article in the Spring issue of THE BUFFALO PHYSICIAN resulted in a great deal of expressed concern and anguish from many of SUNYAB's medical students, faculty and alumni. These concerns were expressed verbally and in writing as well as through other channels of communication. The provocative article in question reported an avocation of an alumnus dedicated toward collecting memorabilia, particularly remembrances of Nazi Germany and World War II. The alumni and students were concerned that publication of such sensitive material reflected an antisemitic attitude on the part of the School of Medicine, and in particular, the Dean's Office and its administrative staff, and questioned the appropriateness of publishing non-medical activities of alumni, faculty and students. Neither the President of the Alumni Association nor the Dean review or judge material submitted to THE BUFFALO PHYSICIAN prior to publication. This has been the sole responsibility of the Editor, as it should be. The only exception to this policy has been the personal letters which I insist on writing (and oftentimes rewriting) and the special Update Issue in December, 1979, dedicated to the current status of the School of Medicine. I wish to assure each and every student, faculty member and alumnus that there was no intent on the part of the School of Medicine to offend anyone, and that the article in no way signals a prejudicial attitude of the School. Obviously, the concern raised by those who were offended deals with the School's attitudes regarding the Jewish Community. If such concerns are raised in regard to religion they are also . probably raised in regard to other matters of social concern such as race and sex. The School hopes that it has been apparent that judgments at SUNY-Buffalo are not rendered on the basis of religion, race or sex. The faculty will continue to champion fairness to all and to encourage that decisions regarding acceptance to and graduation from medical school are based upon pe~­ formance independent of one's religious beliefs, color, ethniC background, or sexual identity. The same principles apply to faculty selection and promotion. These policies reflect my professional and social attitudes as well. Thus, although the Dean's Office does not censor the material presented in THE BUFFALO PHYSICIAN. it does not encourage that material non-relevant to medicine or inflamatory to any segment of our alumni and friends be published. Obviously, each student, faculty member and alumnus is free to pursue his or her own personal interests without intrusion from the School of Medicine. On behalf of the administration I express my sincere regret for this incident and ask that those who were rightfully offended bear with us and help insure that such an error in judgment is not repeated in the future. On behalf of the faculty and administration the School thanks you for your patience, understanding and continued participation and support of SUNYAB's programs.D Sincerely, JOHN NAUGHTON, M.D. Dean ,, �Volume 13, Number 2 Summer 1979 THE BUFFALO PHYSICIAN [US PS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERT S . M CGRANA HAN Dean, School of M edicine DR. }OHN NAUGHTON Photog raphy HUGO H . UNGER EDWARD NOWAK Visual D esig ners RICHARD MACAKANJA DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumn i Association OR. EDMOND GICEWJCZ Vice President, Faculty of Health Sciences OR. F . CARTER PANN ILL President, University Foundation }OHN M . C ARTER Direc tor of Public A ffairs }AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center The Buffalo \bbnell~Z Ph~ician Surnnlftl979 IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Gottlieb Dedication 4 The Clinical Biophysicist by Dr. Michael Anbar 10 Physicians Give $323,571.80 13 Health Sciences Library 14 The 1918 Class 16 Continuing Education 17 Dr. Schubert/Family Medicine 18 Medical Ethics 21 The Aging Clock 22 Dr. Nelson 23 Primary Care Center 24 Radiopharmacy 26 Poet Physicians by Dr. O.P. Jones 29 Dr. Nader/ Myocardial Infarction 30 Antique Cars 32 Dr. Weiser 33 The Gin Plague 34 School Nurse Practitioner 35 Cellular Engineering 36 Hospitals Merge 37 Dr. Roblin 38 Clinical Years 39 The Dr. Wehr Award 40 Royal Flush 41 Margaret Graf's Day 42 The Classes 44 People 47 In Memoriam 48 Alumni Tours The cover by Barbara Evans is all about money. On pages 10-13 is a list of physicians who gave gifts to the Medical School through the U/ B Foundation. THE BUFFALO PHYSICIAN, Summer, 1979- Volume 13, Number 2, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1979 by The Buffalo Physician. SUMMER, 1979 1 �The family - The Gottlieb Dedication Dr. Gottlieb, President Ketter Dr. Gottlieb, his granddaughter, Elizabeth Porter, Mrs. Gottlieb, Dr. Solon Gottlieb, Dr. Gottlieb's son. The Bernhardt S. and Sophie B. Gottlieb Collection and Study Room dedication (May 2) was a family affair. Dr. Gottlieb, M'21, and several members of his family participated along with President Robert Ketter and several other university administrators. The 6,000 volume collection and room were established through the creation of a $75,000 endowment fund by Dr. Gottlieb. "This is my Blst birthday and one of the happiest days of my life. Both Sophie and I have always been interested in family psychiatry and people's emotions," Dr. Gottlieb said. He also reminisced about his days as a student at U/B. Dr. Ketter said, "On behalf of the University, I am honored to dedicate this collection and Study Room to the future enrichment of our faculty and students, and to the advancement of The Behavioral Sciences and Psychiatry. "The collection and room, and the endowment which funds them, represent one more aspect of the long association which Dr. Gottlieb and his family have had with this University. It has been an association typified by support of the University's commitment to excellence. "As is the case with most universities today, our Libraries have been severely affected by inflationary costs which have increased at a greater rate than acquisition budgets. It is extremely important, therefore, that friends such as Dr. Gottlieb are willing to step forward to assist us in our efforts to continue to enhance the reputation and growth of the University. We are deeply grateful; and we are proud to dedicate this collection, which will continue to grow, and which will serve not only the present but the future." 2 THE BUFFALO PHYSICIAN �To commemorate the occasion of the formal dedications of the Drs. Bernhardt S. & Sophie B. Gottlieb Behavioral Sciences and Psychiatric Collection Endowment Fund, a special exhibit was arranged at the Health Sciences Library. The cases contain varying materials relating to the individual contributions of both Dr. Gottlieb and his wife, as therapists, authors, donors and philanthropists: 1. Original typescripts of their published books, along with several copies of the volumes. 2. Copies of books donated to the library from their personal collection. 3. Copies of works which were currently obtained utilizing the newly established endowment Fund. Health Sciences Librarian C.K. Huang noted that "the endowment created by Dr. Gottlieb will serve to enlarge and enrich an area of medicine here at U/B in terms of scientific material available to students and practicing clinicians." In 1966 the Gottliebs also established an annual award for the senior medical student who best exemplifies how "living and learning go hand in hand," through continuing personal interests and activities in art, literature, community affairs and other areas while pursuing the study of medicine. Other University officials who participated in the dedication ceremonies were: John M. Carter, U/B Foundation president; Saktidas Roy, director of university libraries; and Jonathan A. Dandes, director of corporate relations at the Foundation.D Dr. Gottlieb, Dean Naughton Three generations of Gottliebs hove attended the University: Dr . Bernhardt S., Class of 1921, his son, Solon, Class of 1952, and his grandson, Stephen Weinstein, Class of 1970. GOTTLIEB, BERNHARDT STANLEY. Born May 11, 1898, New York City; State University of New York at Buffalo 1921, Doctor of Medicine; Columbia University College of Physicians and Surgeons 1938, Doctor of Medical Science in Psychiatry; Interned: Erie County Hospital , Buffalo 1919-1920; Lafayette General Hospital, Buffalo, 1920-1921. Residency : New York Psychiatric Institute, 1935-1938; New York Neurological Institute, 1936-1937. Psycho-analytic training: New York Psycho-analytic Institute 1938-45. Professional Experience : Associate Attending Psychiatrist : Vanderbilt Clinic, Presbyterian Hospital, New York City and Assistant Attending Psychiatrist, Kings County General Hospital 1955-. Private practice 1937-. Type of Practice : Neurology and Psycho-analysis, full time. Teaching: Assistant Clinical Professor, State University of New York at Downstate 1955-. Member: Association for Research in Nervous and Mental Disease, American Medical Association, Royal Society of Medicine [England), Pan American Medical Association . Publications: Prognosis in Hebephrenic Schizophrenia, Columbia University Press, 1938; Understan- ding Your Adolescent, Rinehart, 1957; What a Bay Should Know about Sex, 1960; What a Girl Should Know about Sex, 1961; What You Should Know about Marriage, Bobbs Merrill, 1962; Prognosis Criteria in Hebephrenia, American journal of Psychiatry, September 1940; Prognosis in Hebephrenia, Psychiatric Quarterly, January, 1941 . GOTTLIEB, SOPHIE B. Born December 9, 1897, Died December 24, 1970; Columbia University, Barnard College , 1920, Bachelor of Science; Teachers College , Columbia University, 1935, Master of Arts, 1960, Doctor of Education. Teaching and case work in Program Clinical Case Work, New York Board of Education 1935-1937. Social Investigator 1935 and 1937-1939, New York Department of Welfare; Instructor Family Life and Personality, 1960-1962, Brooklyn College; Private practice: 1939-1970; Psychotherapist 1949-Postgraduate Center of Mental Health, Individual and group psychotherapy; Marriage Counselor. Certified, New York.D SUMMER, 1979 3 �The Clinical Biophysicist and His Role in Modern Medicine by MichaelAnbar, Ph.D. Professor and Chairman, Department of Biophysical Sciences A good friend of mine, a practicing physician, once asked me: "Your research on new diagnostic techniques is very interesting, but we clinicians can hardly cope with the current avalanche of medical technology, so what use is there for more of the same?" He was right, we really do not need more of the same, in fact maybe we have too much of it already. Medicine today uses routinely numerous techniques and devices which originate from biophysical research. Prominent among these are radiological diagnosis and nuclear medicine, radiation therapy and electrocardiography. Many new methodologies are now at the stage of evaluation or of tentative general acceptance. These include, among many others, ultrasonic imaging, phonocardiography, laser surgery, ultrasonic Doppler blood flow meters, computerized axial tomography and mass spectrometric pulmonary monitors. Dr. Anbar's seminar 4 The introduction of this sophisticated instrumentation into the hospital poses a number of new problems to health care personnel and to the public in general. First there is the initial cost of the new equipment which in many cases is almost prohibitive. Next there is the cost of operation and service of the equipment, which together with the initial cost of the equipment, imposes prohibitive expenses on the patient. The hospital has also to absorb new types of personnel, such as the medical technologist, the clinical engineer, and the computer specialist needed to operate and maintain the new equipment. In addition there are the biomedical engineers, in industry and in research institutions, who continue to come up with new engineering developments and exert a continuous pressure to upgrade and update the equipment in use, making it obsolete almost on the day of delivery. In spite of the present severe fiscal crisis in the health care industry it can be predicted with certainty that the current trend of introducing newer and better medical technology to diagnosis and treatment will continue, though at a slower pace. The limitations on resources will, however, impose significant constraints on the acquisition of new equipment and on the utilization of the existing instruments. The extent of use and the ultimate utility of such equipment will be scrutinized and cost vs. benefit considerations will have dominant influence on the implementation of new techniques and devices. In order to cope with the new constraints, major changes will have to take place in the way medical technology develops. The current development of clinical instrumentation has generally followed one of two alternative patterns-first, there have been THE BUFFALO PHYSICIAN �engineering solutions and devices developed for some other purpose and the manufacturers or the development engineers, seeking a new market for their technology, have penetrated the health care field. The extent of this penetration has been in many cases a function of advertisement and persistence not less than a function of an optimal fulfillment of a clinical need. Second, there are clinicians who have identified a medical need but having insufficient scientific and technological knowledge failed to translate it adequately and called for an engineering solution to a poorly formulated problem. The engineers confronted with such a problem come up in many cases with excellent solutions to the problem as presented to them, but in some cases their whole effort may only marginally meet the real clinical need. Both these types of technological development have been lacking in extensive research that has to precede any far reaching development. For instance, in a development of the first kind a company that has specialized in flow meters is going, obviously, to advocate the use of a flow meter for a certain clinical need, even if the latter would be better served by a pressure transducer or by a heat sensor. In the second case, the clinician, lacking adequate technological knowledge may easily predetermine the development of a suboptimal or even impractical solution to his problem, by preselecting a specific inadequate technological approach. Meeting a specific need is generally a function of the preformulation of the problem, since even the most elegant engineering solution will not negate a poorly formulated problem. Both types of suboptimal developments of medical technology could be avoided if the clinician would be accompanied by a researcher (not by an engineer) who could help to identify and formulate the problem taking into account a maximal number of options, and who would select the best technical solution from the many offered by industry. This researcher should preferably be trained as a clinical biophysicist. What is a clinical biophysicist, or what is a biophysicist for that matter? I have been asked on several occasions what are we doing in a department entitled "Department of Biophysical Scie.nces?" Well, we must be teaching and carrymg out SUMMER, 1979 Karen Haydock, a graduate student, discusses her project. research in biophysics, whatever that is. But what is biophysics? Unlike chemistry, pharmacology, or physiology, it is not clear to many what is the connotation of biophysics. To tell the truth, there are many biophysicists who hesitate to define the scope of their own scientific discipline. The reason for this is that unlike most disciplines, biophysics does not have a single set of fundamental concepts or a central methodology. In other words you may easily find two senior biophysicists actively engaged in research who do not share any common intradisciplinary fundamental scientific background. This could hardly happen to two biochemists or pharmacologists. To make things even more confusing we have here a department of biophysical sciences which must encompass even more than just this elusive biophysics. So what do the biophysical sciences encompass? To answer this question is not easy, but it is a key to understanding the background of the clinical biophysicist. The advent of physics has completely and permanently changed the understanding of the world of biology. Although life and living systems are part of the physical world, the complexity of these systems and the very fact that we ourselves and our own cognitive faculties are part of them, made their objective exploration lag behind the investigation and elucidation of non-living entities. Physics has offered a critical and quantitative approach to many biological problems, including the most fundamental ones. These include the mechanisms of maintenance, o- 5 �Dr. James McReynolds, associate professor, demonstrates the defusion pump that serves the mass spectrometer. regeneration, and evolution of living systems or even the problem or the origin of life itself. Physics has also provided biology with many highly useful tools, such as X-ray diffraction, measurement of rapid and small changes in electric potential, atomic, electronic and nuclear spectroscopies, or devices to assess isotopic composition which allows us to study the dynamics of biochemical processes. These instruments have facilitated the exploration of biological systems in an unprecedented objective and quantitative manner. The physical scientists who specialized in the handling of biological problems and those biologists who adopted the concepts and methodologies of physics as well as its instruments, call themselves biophysicists. This development in the history of science, followed a course similar to one that took place somewhat earlier in the chemical sciences, where physical chemistry became a discipline by its own right. In fact scientists originally trained as physical chemists, who became involved in biological problems joined the ranks of the biophysicists. There has been talk about biophysics being an interdisciplinary discipline, but this is sheer nonsense, since interdisciplinary disciplines do not exist. There are inter6 disciplinary teams or projects and there are disciplines which grew out of the contribution of one existing discipline to another. The contributors generally have no impact whatsoever on their original discipline and their contributions are evaluated and appreciated by the accepting discipline, although their training and methodologies may be alien to the latter. If this process of contribution repeats itself many times then the contributors, who have a common background and similar goals, form a new discipline of their own. Ultimately they train new researchers, who were never involved in the original discipline, in the new specialty. Biochemists, for instance, contribute little new ideas or concepts to chemistry but they elucidate the chemical hehavior of biological systems. Biophysicists, similarly, do not make their contributions to physics-they are not a special kind of physicist, but they constitute an important essential part of the biomedical sciences. Still their special scientific background and their objectives make them members of a special discipline-that of biophysics. Biophysics has generated practically every fundamental concept in modern biology, from the elucidation of the structure of nucleic acids and the genetic code, to the understanding of the complexities of organ systems such as the heart muscle, the kidney, Graduate students, Gene Nelson and Stephen Scott. THE BUFFALO PHYSICIAN �or the nerve system. Biophysics has so profoundly affected biology that many modern biologists consider it unequivocally as part of biology without even referring to its origins in the physical sciences. Nevertheless, the process of transfer of concepts and techniques from physics and physical chemistry to biology is going on, and the current biophysicists continue, under the banner of biophysics, to contribute to the understanding of living systems. Biophysics has also a different, somewhat narrower, connotation. Biophysics is the discipline which leads to the understanding of the action of physical forces on biological systems, such as pressure, electric potential, light, or ionizing radiation, as well as with physical forces exerted by biological systems, such as electric potential, mechanical action, or light emission. In other words biophysics encompasses radiation biology, photobiology, bioelectricity, mechanobiochemistry, and bioluminescence among others as subdisciplines. This narrower definition is less likely to be challenged by the modern biologist, but it severely limits the scope of contribution of the physical scientist to biology. If Crick wanted to repeat today the elucidation of the structure of DNA, he would have to identify himself as a physicist while making one of the all time greatest contributions to biology. But as a physicist he did not increase the field of knowledge in physics, he applied an established technique in structural physical chemistry to a very fundamental problem in biology- he should be defined, therefore, as a biophysicist par excellence. We prefer, therefore, to broaden our definition and include both definitions of biophysics under the umbrella of biophysical sciences. This approach has another significant advantage, allowing us to include also clinical biophysics as a distinct subdiscipline among the biophysical sciences, together with different aspects of theoretical and experimental biophysics. Clinical biophysics comprises a whole array of contributions of biophysical research to the diagnosis or treatment of disease. It includes therefore, contributions in areas as diverse topics as diagnostic radiology, nuclear medicine, ultrasonic imaging and flow rate measurement, bioelectric diagnosis (ECG, EMG, and EEG), phonocardiography, radiation therapy, the use of lasers in surgery, SUMMER, 1979 functional prosthetic devices (e.g. hemodialysis, pacemakers). and different aspects of modern instrumental clinical chemistry which utilizes highly sophisticated techniques, such as nuclear magnetic resonance or mass spectrometry. Clinical biophysics is distinguished from biomedicalengineering by its objectives, its methodology, and its final product. Its objective is to apply physical principles, techniques, and devices to achieve a better understanding of clinical problems and thus lead to their ultimate solution. It uses research methodology to achieve its objectives, and its final product is generally a new concept or technique applicable to a clinical situation, or a device which provides a new or better way to tackle a specific medical problem. In the latter case we will usually need an additional engineering development phase before such a "breadboard" device may be tested and used under routine clinical conditions. Clinical biophysics, is, therefore, not infringing on the function of biomedical engineering, but is complimentary to it. In fact it should augment the function of biomedical engineering by providing it with new challenges accompanied by a quantitative, rigorously produced data base. Quantitative analytical approaches to clinical situations (e.g., cost-benefit and decision analysis in clinical diagnosis) are an integral part of the technical background clinical biophysicists are expected to use in the evaluation of competing solutions to a given problem. In this respect they have a similar background to that of biomedical engineers. Like the latter they may be also strongly involved in the application of computers and mini-processors in handling and interpretation of clinical information. Clinical biophysicists concerned with real time therapeutic feedback control systems are expected to also have an adequate knowledge of computer interface techniques. It is also conceivable that certain biomedical engineers who become deeply involved in clinical research rather than in engineering development will define themselves as clinical biophysicists. A clinical biophysicist who is expected to have a broad and diverse training in physics, physical chemistry, electronics, and computer science, and who has had research experience in solving clinical problems by the d- 7 �application of concepts and techniques originating from physics, is in a position to evaluate a new clinical problem and select the best among the different available solutions. The clinical biophysicist has generally no vested interest in a particular engineering solution to the problem and should be capable of evaluating the adequacy of available instrumentation for solving a given clinical problem in conceptual rather than in simply operational terms. Thanks to his research training the clinical biophysicist may reformulate a clinical problem altogether and meet, therefore, a more general objective. In order to be in a position to utilize his technical background and experience in a clinical institution, the clinical biophysicist has to have the confidence and respect of the medical personnel; he has to have a sufficiently prestigious status. To attain such a status within a clinical institution the biophysicist has to have a doctoral degree and to be actively engaged in clinical research, obviously in one of the areas of biophysics. Only such a person may be in a position to challenge a senior clinician at the level of conceptual analysis of the best way to achieve a given clinical objective, or even reformulate the objective altogether. A biomedical engineer, on the other hand, will not fulfill his function because he is trained to come up with solutions to well defined problems, and in many cases his main concern is to optimize existing technical solutions. A biomedical engineer may, for instance, find or develop a better elastomer for an artificial heart pump, but he is not expected to and generally will not ask the clinician whether an assisting blood pumping device is the only or the best solution for a given clinical situation of heart failure. This is exactly the type of problem to be tackled successfully by a clinical biophysicist. To recapitulate, in order to implement modern medical technology in a manner justifiable on medical, ethical, and economic grounds, one needs a cooperative team consisting of personnel trained in medicine, clinical biophysics, and biomedical engineering. The clinician together with the clinical biophysicist formulate the problem and select an optimal solution from a set of plausible approaches. Then the biophysicist together with the biomedical engineer will select the ap8 propriate instrumentation, if commercially available, modify and adapt available instruments or design and construct appropriate new diagnostic, therapeutic or prosthetic devices. The biophysicist, who is in a much better position than the clinician to translate the clinical needs into engineering requirements, is indispensible for effective development of new medical technology and for the optimal utilization of the existing one. To come back to my friend's question about our new diagnostic techniques-we are not aiming at the development of new and more sophisticated clinical instrumentation, in our research we are applying some state of the art methodologies to the solution of clinical problems which have no comparable alternatives. If we are successful, some new instrumentation will have to be developed for routine clinical use-this· is where the contribution of engineering will be involved. In spite of the obvious need for clinical biophysicists in clinical institutions, in addition to biomedical engineers, clinical engineers, and medical techologists, there are very few biophysicists who specialize in clinical biophysics and are ready to carry on their research work in a hospital environment. For only such researchers would be available as collaborators and consultants regarding the use of biophysical devices and techniques. To meet this urgent need our Department has initiated a graduate training program in clinical biophysics. The purpose of this program is to produce Ph.D.'s well versed in the different aspects of clinical biophysics who have gained first hand experience in clinical institutions. This department is part of the medical school and dental school and is affiliated with a large medical research institute (Roswell Park Memorial Institute), while drawing extensively on the capabilities of a number of departments in the faculties of Science and Engineering. The Department offers at present a number of formal courses in clinical biophysics, most of which are available to the medical students as electives. Seven of the 26 members of our faculty are researchers with M.D. or M.D.Ph.D. degrees, some of them being practicing hospital physicians. Four other faculty members are researchers with engineering degrees actively involved in biomedical engineering. The rest of the faculty have their primary training in physics or physical THE BUFFALO PHYSICIAN �chemistry. This combination of research and teaching staff provides a unique environment for the training of clinical biophysicists. Plans are presently drawn to allow undergraduate students to major in the biophysical sciences along three professional career paths: theoretical biophysics, experimental biophysics and clinical biophysics. Some of the undergraduates majoring in clinical biophysics may end up as medical technologists or as biomedical engineers while others may enter medical schools, but we hope that many of these students will continue their graduate studies in the field of clinical biophysics, since they would be optimally prepared for such a career. We believe that this intiative taken by our Department to train clinical biophysicists from the college level up, is a step in the right direction to meet the current national needs. Since there are at present few newly evolving professional specialties which offer challenging and socially desirable careers, there is a good chance that the training programs for clinical biophysicists will attract top rate young scientists. This will definitely improve the quality of health care in the foreseeable future and maintain a high standard in years to come. If our analysis of the present situation is correct, there exists a need for hundreds of Ph.D. clinical biophysicists to fill the Graduate students, Karen Haydock, Vahe Bedian and Van Kurtz, use the biophysics library. existing gap in the operation of clinical institutions all over the country and possibly all over the world. At the same time we are offering the medical students an introduction to clinical biophysics to make them aware of the extensive potential of this field and make it easier for them to communicate and collaborate with clinical biophysicists. Achieving this type of collaboration between these two types of our alumni is at present one of the primary goals of our Department. Biophysical sciences thus encompass the most fundamental problems confronting current science, such as the origin of life, how do we store and retrieve cognitive information, or how are the latter processes affected by our emotional states. They also include more readily accessible problems such as the mechanisms of rna terial transport through biological membranes, the mechanisms of radiobiological effects, the mechanism of bone remodeling, or the function of photoreceptors. And, last but not least, they include the application of fundamental principles of physics and physical chemistry to daily clinical problems such as providing information about changes in the elasticity of arteries, assessment of the radio-sensitivity of tumors or the understanding of the mechanism of cardiac arrythmias. The latter exemplify the contributions of clinical biophysicists.D �Physicians Give to the Medical School In 1978 the University received gifts from 778 physicians (through the U/B Foundation) totaling $323,571.80. Most of the money was designated for the Medical School. One physician made a gift of $180,000.00. We at the Medical School appreciate your support. Without your support many programs would have to be curtailed or eliminated.D Abbert, Martin F. Addesa, Albert J. Alden, Carlos C. Alessi, Edward C. Alfano, Guy S. Alford, J. Edwin Alford, Kenneth M. Alker, George J., Jr. Allen, James C. Ament, Richard Ames, Wendell R. Andaloro, William S. Andelman, S.Y. Anderson, Elroy E. Anscher, Richard M. Aquilina, Anthony M. Aquilina, Joseph T. Arani , Djavad R. Argentine, Leonard A. Armenia, Carmela S. Armenia, John V. Arthurs, Glenn Robert Ascher, Julian J. Atkins, Thomas W. Averbach, Irwin Jay Babcock, Bruce D. Baeumler, George R. Bannerman, Robin M. Barany, John S. Barlow, Jared C. Baron, Michael B. Barron, Stephen A. Bartels, John D. Batt, Richard C. Batt, Ronald E. Bauda, Charles A. Baumler, Robert A. Bean, Berten C. Bendich, David Benjamin, Craig L. Benken, Lawrence D. Benny, John M. Bermann, Max M. Bernhard, Harold Bernhoff, Willard H. Bernat, Robert Bernstein, Charles Bernstein, Joel M. Birtch, Paul K. Bistany, Theodore S. Blake, James R. Blakey, Ernest A. Bleich, LaMoyne C. Block, Marvin A. Bloom, Marvin L. Bloom, William H. Blum, Robert Boardman, Willard H. Boeck, Virgil H.F. Bonafede, Vincent I. Bondi , Raymond G. Bone , Kenneth W. Borman, James G. Bosu, Sogba K. Botsford, Mary Henrich Boyle , Richard C. Bramer, Clifford F. Brandetsas, Peter G. Brandl, James J. Bratt, Floyd C. Breakell , EdwardS. Brenner, Robert A. Brody, Harold Brothman, Melvin M. Brotman, Barry G. Brown, Robert L. Bruno, August A. Bucher, William C. Buckley, Richard J., Jr. Budny, James L. Bukowska, Eugenia F. Bumbalo, Thomas S. Bundrock, Gloria A. Bunnell, Ivan L. Burgess, Gordon Burns, John B. Burr, Janice M. Burstein, Alan G. Bye, Michael R. Calkins, Evan Campagna, Franklyn Cantwell, Earl K. Capuana, Nicholas J. Carboy, David T. Carden, Lawrence M. 10 Carlin , James W. Carosella , Nicholas C. Casagrande, Peter A. Catalano, Russell J. Cavalieri, James L., II Celestino, Vincent S. Celniker, Ben Chaikin, Nathan W. Chapman, Ralph R. Chardack, William M. Chassin, Norman Chazan, Joseph A. Chen , C. James Cheplove, Max Cherkasky, Paul Cherry, Alfred V. Chirlin, Elaine S. Chirlin, Paul J. Ciesla, Theodore F. Cimino, Eugene Anthony Clack, William E. Clark, Alice L. Clayman, Sidney Clemens, Mary Clinton, Marshall Cohen, Arthur N. Cohen, Gary N. Cohen, Michael E. Cohen, Stanley L. Cohen, Victor L. Coleman, Benjamin Collins, James R. Collins, Robert J. Colton, Ralph M. Comerford, Thomas E., Jr. Comfort, Bernice S. Conrad, Carl R. Constantine, John M. Cooper, Anthony J. Cooper, Richard G. Copley, Donald P. Corretore, Robert B. Cowan, Martin Cowper, Alexander R. Creighton, James J. Crohn, Edward B. Crosby, John P. Cudmore, John W. Cullen, Julia Cumbo, Thomas J. Cummiskey, Thomas G. Curtin, Daniel E. D'Arrigo, PeterS. David, JosephS. Davis, Bernie P. Davis, Harvey D. Davis, Paul J. Dayer, RogerS. DeLaus , Frank V. DePaula, Geraldine F. DeSantis, Carlo E. Diesfeld, Gerard J. Dillon, William P. DiPoala, Joseph A. Dischinger, Frederick W. Doan, Glenn B. Dobmeier, Lawrence J. Dobrak, Alfred H. Dobson, Richard L. Doeblin, Thomas D. Donatelli, Charles Donohue, John M. Doubrava, Sterling M. Drazek, George A. Driver, Maier M. Druger, George L. Duffner, Patricia K. Dunghe , Adelmo P. Dunlap, Edward A., Jr. Dunlop, James A. Durshordwe, Clarence J. Dwoskin, Joseph Y. Dwyer, Thomas J. Dzubaty, Michael Eckert, George L. Eckhert, Kenneth H. Eckhert, Kenneth H., Jr. Edmonds, Robert W. Edwards, John A. Ehrenreich, Donald L. Ellis, George M. Eluard, Alain Elwood, Charles M. Erickson, George M. Etling, George F. Evangelista, Italo A. Evans, Alfred S. Evans, Jay I. Fahey, Daniel J. Falcone, Alfred E. Falsetti , Dominic F. Farber, Jason E. Far hi , Leon E. Farugia, Joseph V. Fasanello, Sebastian S. Falla, Ernest A. Feinberg, MichaelS. Ferguson, Wilfrid H. Ferlisi, Joseph A. THE BUFFALO PHYSICIAN �Felt, Wolfgang Fischer, Willard G. Fisher, Donald M. Fisher, Grant T. Fisher, Wilbur). Fix, L. Walter Fleisher, David R. Fleming, William A., Jr. Fletcher, RichardS. Float, john W. Floccare, Anthony). Fogel, Sander H . Foit, Norman). Foti, Anthony M. Franco, Albert A. Frankfort, Ian Freeman, james J. Freer, jack P. Friedberg, Eugene Friedland, Elmer Friedman, Bernard B. Friedman, Irwin Friedman, Ronald). Frost, Frank T. Fuhr, Neal W. Gabryel. Timothy F. Gaeta, john F. Galdys, Bronislaus ). Gardner, Richard M. Garvey, Ronald F. Gelormini, Carmen D. Genewich, joseph E. Gentner, George A. Geoghegan, Thomas G. George, Clyde W. Georgi, William H. Gerstner, Martin L. Gesson, Bruce H. Giambrone, james P. Gibbs, john W., Jr. Gibson, Robert). Gicewicz, Edmond). Giller, jerald Gilson, Benjamin I. Ginsberg, Irwin A. Glauber, jerome). Glazier, William L. Glennie, Robert D., Jr. Glockner, Franklin Godfrey, joseph D. Goergen, Peter F. Gold, jack Golden, Lawrence H. Goldfarb, Allen L. Goldstein, Frederick P. Goldstein, Henry N. Gordon, Myron Gorman, Fred E. Goshin, Authur R. Gottlieb, Bernhardt S. Gottlieb, Solon H. Graber, Edward J. Graber, james E. Graff, Harold L. SUMMER,1979 Graser, Harold P. Grauer, Seymour D. Grayson, Thomas L. Greco, joseph M. Greco, Pasquale A. Greene, Lawrence S. Greengold, Myron C. Gresham, Glen E. Guerino!, Gerald T. Gulino, Lorie A. Gurney, Ramsdell Guarneri, Victor Guthiel, George N. Guttuso, Thomas). Haar, jean G. Haber, Francis B. Haberman, Michael A. Haight, Rothery). Hall, Donald W. Hall, Robert). Hamilton, Robert W. Hanavan, Eugene). Handel, Cleora K. Handel. john W. Handler, MarkS. Hanson, Florence M. Hanson, Warren H. Harer, Adolf E. Harrison, Nedra). Harrod, Emma K. Hashim, Sami A. Hatch, Glenn C. Hauler, Donald R. Hevizy, Louis Hawro, Vincent A. Heerdt, Mark E. Heier, Ellwyn E. Heilbrun, Mark Peter Heilbrun, orman Heimback, Dennis P. Helfer!, Irving Heller, Marie H. Herbert, Anita). Herrmann, jack W. Hetzer, Barbara). Heus, E. George Hewett, William). Heyden, William C. Hill, joseph M. Hoak, Frank C. Hobbie, Thomas C. Hodes, Marion E. Hoeffler, Hugh B. Hoffman, Leon Hollis, Warren L. Homokay, Ernest G. Hornung, Norman E. Howard, William). Howland, Murray S., Jr. Huber, Franklyn A. Humphrey, Thomas R. Hurley, jerome E. Imburgia, Ross Impaglia, Michael A. Isaacs, Eli H. jackson, Stanley). jacobson, Evelyn H. jaeger, Robert M. jewel, Kenneth L. johnson, Curtis C. jones, Ralph, Jr. joseph, Brian S. judelsohn, Richard C. Kaehler, jeffrey L. Kaine, Richard Kane, Ernest G. Kane, Leo A. Kane!, Harris H. Kano, Kyoichi Kanski, james R. Kaplan, Milton P. Kaplan, Murray C. Kaplan, Z. Micah Karsh, Sanford J. Katz, Leonard A. Kelley, Donald). Kelley, Walter Ransom Kelsey, Robert D. Keyes, Howard C. Kibler, Douglas L. Kij. joseph F., Jr. Kiley, john L. Kime, james S. King, Walter F. Kinkel, William R. Kinzly, john C. Kipping, Hans F. Kirsch, Scott D. Kleinman, Harold L. Klementowski, Kenneth V. Kling, Robert W. Klocke, Francis). Klocke, Robert A. Knapp, Russell G. Kohli, Romesh Kolbrenner, Louis Korn, john T. Kostecki, john W. Koukal, Ludwig R. Kozera, Daniel C. Kramer, David Krauss, Ruth F. Kriteman, jacobS. Kritkausky, Anthony R. Kroopnick, Robert B. Krueger, Harold P. Kuch, Norbert W. Kuhl, john Randolph Kunz, joseph L. Kuritzky, Paul Kuritzky, Sharon Kuwik, Richard) . LaForge, Harry G. Laglia, Vito P. La Mancusa, S. joseph Lang, Gordon R. 11 Langford, Edward A. Lapp, Milton C. Lascari, Andre D. Lazarus, Victor C. Leberer, Richard). Lee, Herbert E. Leibowitz, Alan I. Lemann, jack Jr. Lent, Melbourne H. Lenzner, AbrahamS. Lenzner, jacobS. Leone, Charles R. Leslie, Eugene V. Lessler, Paul A. Leven, Eli A. Levine, Donald A. Levinson, Warren Levy, Harold). LeWin, Thurber Liberman, Seymour). Lichtenstein, Heinz Lichtenstein, Mark Lieberman, Samuel L. Lies, Bert A. , Jr. Lipp, William F. Lippes, jack Lippschutz, Eugene). Lockie, George N. Lockie, L. Maxwell Loeser, Eugene W. Lord, Alvah L. Loree, Paul). Lowe, Frederick A. Lubow, Lawrence, D. Lundgren, Claese Lundquist, john Richard Luparello, Thomas J. MacCallum, james D. Mackey, Edmund A. Madden, Michael M. Maestre, Federico). Maggioli, Albert) . Malinov, David N. Maloney, Milford C. Mancuso, Vincent S. Manders, Karl L. Manning, Edwin). Marino, Charles H. Markello, Anthony P. Markovitz, julius T. Marks, Eugene M. Marshall, Clinton Martin, Ansel R. Masotti, George M. Massie, Mary jane Matasar, Kenneth W. Matuszak, Diane L. Maunz, Don Loren May, Charles E. Maynard, Robert E. Mazza, Michael A. Meese, Ernest H. Menchini, john P. Mernan, Winifred G. d- �Metcalf, Harry L. Meyer, Patricia A. Milanovich, Robert Milch, Robert A. Milgram, Felix Miller, Donald E. Minkel, Amos)., Jr. Mitchell, Alfred A. Mitchell, Raymond W. Magerman, Jeffrey A. Mohn, James F. Mont, Hallie Buchanan Monte, joseph F. Montes, Mario Montgomery, Warren R., Jr. Moore, Darwin, D. Moore, Shedrick H. Morelli, Daniel). Morey, Philip D. Morphy, Murray A. Moskowitz, Robert M. Mosijczuk, Askold D. Molt, Frederick E. Moudy, Philip C. Mruczek, Arthur W. Munschauer, Richard W. Murphy, john P. McCormick, Robert C. McCue, Daniel). McCutcheon, Sue A. McDonough, Thomas C. Mcintosh, Robert G. McMahon, Daniel). McMorrow, Kathryn J. McNeil, Crichton Nagel, Richard). Nakandakari, Masao Nakata, Harry H. Narins, Richard B. Natalizio, Charles F. Nathan, Ronald G. Naughton, john P. ess, Paul M. Neter, Erwin Neumann, Peter Newman, Richard P. Niswander, Kenneth R. Nohejl, Bruce M. Norman, N. Allen Noshay, William C. Novak, jan M. Nunn, james Nuwer, Donald C. Ohler, Ralph M. Oblelz, Benjamin E. O'Brien, Matthew J. O'Connor, john D. O'Connor, john). Oestreich, Mitchell O'Gorman, Kevin M. Orman, Dean E. Orr, james M. Osofsky, Marvin G. Palmer, Milton A. Panaro, Victor A. Panner, Molly S. Parlante, Vincent J. Paroski, jacqueline L. Paul, Norman L. Paull, joel H. Payne, Lawrence Peacock, Robert A. Pellicano, Victor L. Perkins, Raymond C. Pescovi tz, Harold Petersen, Walter R. Phillips, james F. Phillips, Michael M. Pierce, Allen A. Pieri, Doris Pieri, Steven Pietraszek, Casimer F. Pirson, Herbert S. Pitkin, john T. Pittman, David E. Pleskow, Adrian). Pleskow, Sanford R. Ploss, Robert E. Pohl, Melvin I. Polis, Mark). Porrath, Saar A. Partin, Bertram Post, Robert M. Potenza, Lucien A. Prentice, Theodore C. Prior, Bradley W. Pschierer, Francis). Publow, David G. Purple, Donald G. Raab, Thomas A. Rachow, Donald 0. Rahner, Richard A. Ranchoff, john Y. Rayhill, Edward A. Reeber, Erick Reed, Roy E. Regan, Thomas C. Rekate, Albert C. Rennick, Barbara R. Repicco, john A. Reynhout, jonathan C. Richards, Charles C.B. Rickloff, Raymond). Ridall, Earle G. Riforgiato, Frank T. Riggs, DouglasS. Ristin, Norman I. Rivo, Ellicott Robinson, john Rock, Elton Rocktaschel, William G. Rodenberg, Thomas A. Rodner, Robert D. Romanowski, Richard R. Ronca, Paul C. Rosenbaum, Myron G. Rosenblatt, Maxwell Rosing, Douglas R. 12 Rosner, Edward W. Ross, Harold G. Ross, Joseph Rothfleisch, Sheldon Rowe, Albert G. Rowley, RichardS. Rowlingson, john C. Rube, Joseph Ruh, Joseph F. Rutecki, Joseph E. Saks, Gerald L. Saltzman, Alan R. Sanderson, George M., Jr. Sanford, Clarence E. Sansone, Michael A. Sayres, Barbara Blase Scamurra, Vincent Schaefer, Arthur). Schaer, Leonard R. Scheiber, Stephen C. Scherer, William P., III Scheuermann, Henry A. Schiavi, Anthony B. Schiferle, Ray G. Schiff, Lester H. Schlisserman, Albert Schlisserman, Helen F. Schneider, Max A. Schnitzler, Robert N. Schubert, Daniel S.P. Schutkeker, Bruno G. Schwartz, Lawrence). Schwartz, Wilbur S. Schwartz, Fred S. Schwebel, Walter Z. Secrist, Robert L. Segel, Nathan P. Seibel, Roy E. Seigel, Arthur M. Selkirk, George H. Serrage, Elizabeth G. Shaheen, David). Shalwitz, Fred Shammash, jacob B. Shanbrom, Edward Shatkin, Samuel Shaver, Carrol J. Sheesley, Byron E. Sheffer, john B. Sherrill, Gene D. Shields, john E., Jr. Shulman, Myer Shumway, Clare N., Jr. Siegel, Louis A. Sielski, Lester S. Sievenpiper, Timothy S. Simpkins, Herbert W. Simpson, S. Aaron Sklar, Bernard H. Slepian, Alexander Smith, Adolph Smith, Cedric M. Smith, Edgar C. Smith, Eugene Smith, Howard C. Smith, Wilbur L., Jr. Smolens, Bernard Smulyan, Harold Sobocinski, RobertS. Sakal, joseph E. Solomon, Irwin Solomon, Rebecca G. Solomon, Yale Spagna, Anthony A. Spiegelman, Harry Spoor, john E. Spoto, Russell C. Sprecker, Donald H. Squadrito, john). Stafford, Walter F., Jr. Staiman, Richard I. Stein, Alfred M. Steiner, George L. Steinfeld, Michael Steiman, Henry H. Stoff, jeffrey S. Stoll, Howard L., Sr. Stone, Edward R. Stone, judith L. Baron Stone, Steven Strachan, john N. Straubinger, Clarence Strong, Evan H. Stulberg, Burton Sullivan, Eugene M. Sullivan, Eugene M., Jr. Sullivan, james R. Sullivan, Michael A. Sussman, Robert B. Sussman, Sylvia W. Sutton, Paul Sutton, Reginald M. Szefler, Stanley J. Tamer, Dolores Tanner, Charles J. Tedesco, joseph C. Teich, Eugene M. Terry, Richard N. Thau, Warren L. Thomas, Donald Thurn, Roy J. Tirone, Charles S. Tornow, W. William Tracy, Ann A. Tramont, Andrew V. Trefts, Hazel). Tress, jonathan H. Tutton, joseph C. Ullrich, Reinhold A. Valentine, Edward L. Valvo, jospeh A. Van Coevering, Russell J. Vasilion, Peter Venuto, Rocco C. Vidal, Ronald A. Voelkle, Albert). THE BUFFALO PHYSICIAN �Despite our every e ff ort to avoid error s, th ey some times do occur in th e process of annu a l reporting. If your nam e has been accidentally omitted or misspe lled , please notify th e U/B Foundation and accept our sincere apologi es. This listing refl ec ts individu als whos e gifts were gi ven during the 1978 calendar ye ar.D Vogt, Arth u r C. Vo n Schmi d t, Ba r bara Wa dl e r, Marvi n Wadsworth, john Wa ka i, Cooli dge S. Wa lcza k, Pau l M. Waldeck, Be nj am in j. Wa ldma n, Irv ing Wa ldo, Irma M. Wa lke r , H ele n G. Wa ll ace, Euge ne W. Wa lls, W. Scott, JIJ Wa lls, Wa lter S. Wan ka, joseph Warner, Robe rt Wasson, Richa rd D. Wate rs, Franklin E. Webber, james T. Webster, Willi amS. Wegner, Kur t j. Weige l, ja mes W. We inbe rg, Mor ton B. Wei n berg, Pau l C. We inberg, Sidney B. Will ia ms, james S. Willi a ms, john R. Willi ams, Richard W. Win e r, Marvin N. Wir tze r , All a n S. Wa ld man, Sherman Wolfe, He r be rt S. Wormer, Donald A. Wr ight, john R. Wyn n, Ralph j. Wei ner, Ir vi ng Wei ner, Max B. Wei nste in , Ba r ry A. We int ra u b, David H. We is, Fra ncis R., Jr. We iss , Charl ott e C. Weiss, Leo nard We iss, Robert M . We lch, Mark W. We ls, Philip B. We nde, Reinha rdt W. Wesp, Eve re tt H. Wherl ey, Be nj a min Whit e, Madeli ne j. Whi te, Wa rd j. Whi ting, Frede ri ck D. Whit ney, Eugene B. Wil es, Charl es E. Wi les, ja ne Brady Wi les, john B. Wil kinso n, Robe r t G. Yab lonsky, Cha rl es P. Yeos tros, Saran tos j. Yoch e lson, Leon Yoo n, Sigmu nd Yost, Murray A., Jr. Zel ler, james F. Ziegler, David C. Zimmerman, Haro ld B. Zinke, My ra R. Zygaj, Eugene j. Health Sciences Library The third annual meeting of the Friends of the Health Sciences Library was held in the Buffalo Academy of Medicine Room of the Health Sciences Library. The well attended meeting heard an optimistic report from the President, Dr. John M. Hodson. During the past year, the number of contributions of books and other medical memorabilia to the library through the Friends of H .S.L. were noteworthy and considerable. These included Dr. Archibald Dean's personal library presented by Dr. Dean; books of Dr. John Folts, Class of 1874, School of Medicine, presented by a relative. In addition, volumes on military medicine of the Civil War and World War I, belonging to Dr. Edwin Meyer, were donated by Mr. Anthony Ciko, Librarian of the Erie County Medical Center. Dr. Edward Rozek presented to the History of Medicine Collection medical books and surgical instruments. Gifts presented through the Friends of H.S.L. included photographs of various medical notables by Dr. O.P . Jones, Dr. Archibald Dean, and Dr. Robert L. Brown. A large group picture of physicians of Buffalo (all identified) circa 1899, was presented to the History of Medicine Collection by Dr. Lyle Morgan. Finally, the library received from the Friends of H.S.L. the completed bronze death mask of Roswell Park, M.D . This resulted primarily through the efforts of Dr. Robert L. Brown. He tracked down the plaster cast done SUMMER, 1979 by Dr. Charles Bethune just prior to the cremation of the famous physician; this plaster form was used and cast into bronze. Dr. Hodson also reported on the numerous inquiries regarding the Dr. Rudolph E. Siegel Student Essay Contest on the History of Medical Sciences, which the Friends of H.S.L . is sponsoring. He was confident that there would be many papers submitted before March 31st, 1979 deadline . Following the business meeting, the membership and guests were treated to an excellent historical presentation by Dr. Wilmot Jacobsen, the guest speaker. Dr. Jacobsen came to Buffalo from Johns Hopkins . After an active career in teaching and service at the Buffalo Children's Hospital, in retirement, he has continued his scholarly endeavors, especially in the fields of natural sciences and medical history. Dr. Jacobsen chose as his topic: " The Assassination of President McKinley-Medical controversy." The talk was accompanied by most interesting slides illustrating The Pan-American Exhibition in Buffalo, along with other related pictures to President McKinley's visit. The Officers elected for the coming year are: Dr. John M. Hodson, President, Dr. David Dean, Vice-President, and Mrs. Mildred F. Hallowitz, Sec'y-Treas.D John M. Hodson, M.D. , President, Friends of H.S.L. 13 �The 1918 Class Medical school enrollments are at a record high. The annual Association of American Medical Colleges survey shows that there are 62,242 medical students (4 percent rise] enrolled this year. There are 16,530 first-year students this year, a two percent rise over the previous year.D The year 1918 was an epoch-making one for the University of Buffalo School of Medicine. It marked the graduation of the first class of which a pre-medical course in arts and sciences was required. Until 1913, a student could enter medical school directly from high school. That year the American Medical Association ruled that medical schools which wished to maintain Class A ratings must require at least one year of pre-medical work from all candidates for admission. Although U/B was then officially 67 years old, it was only a loose collection of professional schools. It had tried, and failed, to establish a liberal arts college. In the Fall of 1913, to meet the needs of its School of Medicine, it offered for the first time a one-year program called simply Courses in Arts and Sciences. (Five years later this was increased to two years and, in 1920, to four, at which time the State Education Department authorized the university to confer bachelors' degrees.) The first pre-medical students were required to take chemistry, physics, biology and one modern language, preferably German or French. One of them, Mary J. Kazmierczak, had never really obtained a high school diploma. She had dropped school to help support her family and then studied with tutors and in night school to obtain the necessary credits. She had no trouble completing the required pre-medical courses and being accepted by the Medical School. The new requirement had reduced the number of applicants considerably and the class of 30 that was accepted was half the size of that of the previous year. Three of the others accepted already had bachelors' degreesAlice May Bullett, Everett T. Mercer and W. Edward McGarvey. Another student, who was to graduate with the class, Ella M. Bergtold, was already in Medical School and so did not have to conform to the requirement of a pre-medical year. She had been admitted in 1912 and had been going to school half time, working the other half for Dr. Grover W. Wende, noted Buffalo dermatologist. There were no government loans or incentive payments for students in those days. Tuition for the pre-medical year was $100, that for the first two years of medical school $185, the last two $225. The class included the three women previously mentioned and a fourth, Katherine F. Carnivale. There was also a black, Henry Harrison Lewis, and Abdo M. Haroney, of Syrian background. Only two students had automobiles and only one, Dr. Stanislaus Nowak, married during his medical school years. The responsibilities of marriage on a limited budget were too much for him and he failed to graduate with the class. Three others dropped out earlier - one because he couldn't tolerate dissection, two because of illness. In the class' junior year the United States entered World War I. Some of the students joined the Red Cross Society, the Medical Reserve Corps or both. Those who could afford it purchased Liberty Loan Bonds. Classes ended in April, 1918, so that the students could take an intensive course of field military medicine. 14 THE BUFFALO PHYSICIAN �The year book advertises military uniforms - $35 and up for those of serge or wool, $7.50 for khaki. "What part some of us must take in this great war we know not," the editor commented. "For all the future is hazy and uncertain." But of one thing there was no doubt. "Surely the medicine of tomorrow will be on a higher plane than that of today, and the doctors of tomorrow will be accomplishing wonders unheard of today." Dr. Herbert U. Williams, professor of pathology, predicted what some of those "wonders" might be in his article on "The Outlook of Medicine." His predictions proved amazingly accurate. They included: • The development of precision instruments for diagnosis, instruments that would be used as generally as the thermometer and the stethoscope. • The harnessing of new forms of radiant energy, like the "spectacular recent discoveries X-and radium rays." • The ability to look into the living body and see details of soft tissue "as clearly as we can read a printed page." • New medicinal compounds with results as far-reaching as those that came from ether and cocaine. • New specific drugs of value, "such as quinine is for malaria. " • A substance that will kill bacteria in the human body without injuring tissues. • Isolation of the organisms responsible for infections such as smallpox and scarlet fever. • Development of antitoxins in cultures of living cells growing in synthetic media instead of a live horse. • On the economic side, more salaried positions under the government, fewer independent practitioners, some form of insurance that would put the expense of sickness on the community instead of on the sufferer. Dr. Williams was less sure about the discovery of the causes and cure of malignant tumors. Whether these would be found during the lifetime of anyone then living, he said, "cannot be predicted from data in sight." Dr. James E. King, who taught obstetrics and gynecology, urged the importance of postgraduate study, in patients, consultations, courses and clinics. In medical school, he pointed out, one doesn't learn medicine - only how to study medicine. The successful physician "realizes the limitations" of his training and continually updates it. The year book was dedicated to another professor, Anatomist James A. Gibson, who had died earlier in the year. The James A. Gibson Anatomical Society is named for him. What, then, of the Class of 1918? Dr. Dan H. Mellen, who practiced surgery in Rome, N.Y. , became president of the State Medical Society, commissioner of public welfare in Rome, owner of the former Rome Colonels Baseball Club. After his death in 1957 his sister, Marian E. Mellen, gave $25,000 in his memory for the general support of the School of Medicine. SUMMER, 1979 15 d- �Dr. Kazmierczak, the first woman of Polish-American parentage to be licensed as a physician in New York State, became a leader in her profession and the community. She served as secretary of the Erie County Medical Society, its first woman delegate to the State Medical Society, president of the local Women Physicians League and the Women's Medical Society of New York State; scholarship chairman for the American Medical Women's Association. She was twice president of the Buffalo Board of Education, secretary of the Buffalo City Planning Commission, a member of the Board of Directors and the Executive Committee of Blue Cross of Western New York. In 1953 both she and Dr. Mellen were cited by U/B for their leadership in civic affairs. Dr. Louis C. Kress became director of the New York State Institute for the Study of Malignant Disease now Roswell Park Memorial Institute. Dr. Lewis, believed to be the first black graduated from the Medical School, practiced on Michigan Ave. and helped found Phi Omega Chapter of Omega Psi Phi, graduate chapter of the national black fraternity founded here in the 20s. He died in 1952 at the age of 57. Dr. Haroney also died while relatively young. Dr. Bullett married another member of the class, Dr. Garry R. Burke. They went to Puerto Rico to do their internships and become medical missionaries. Dr. Burke died some years ago. Dr. Bullett lives in Alameda, Calif. Dr. Nowak went back to school and got his degree the following year. He died Oct. 31, 1977, in Lansing, Ill. Four members of the class still live in the Buffalo area. Only one, Dr. Mercer who lives in Hamburg, still sees any patients. The others, all retired, are Dr. Kazmierczak, Dr. Morris Newman and Dr. John D. Fadale of West Seneca. A fifth, Dr. Joseph P. Garen, lives in Rochester.D Continuing Education June 4-8- June June July Sept 8-1021-2319-2114-16- Five continuing medical education programs are scheduled for summer and early fall, according to Dr. Martin Wingate, assistant dean and professor of Gyn/Ob. Infant Nutrition and Development of GI Tract (presented by the Pediatrics Department) Workshops in Cardiac Auscultation (American College of Cardiology) Advances in Pediatrics (Pediatrics Department) Pediatric and Adult Allergy and Clinical Immunology (Department of Pediatrics) Gynecologic Surgery, Dr. David Nichols, Professor of Gyn/Ob 16 THE BUFFALO PHYSICIAN . �Since graduating from the Medical School in 1965 Dr. Daniel S.P. Schubert has enjoyed a distinguished career as a clinician, educator and author. He has been on the faculty of the Case Western Reserve University Medical School since 1972. He was promoted to associate professor of psychiatry in 1977. He is also director of research in the department of psychiatry at Cleveland Metropolitan General Hospital. Some of Dr. Schubert's current professional activities include examining candidates for the American Board of Psychiatry and Neurology. He is also secretary of the hospital medical staff and the Cleveland Psychiatry Society. In 1975 he served as a delegate to the Ohio Psychiatric Society. The following year he received a special award for outstanding service to the Council of the Ohio Psychiatric Association. Since 1971 Dr. Schubert has been consulting editor, Journal of Creative Behavior. He has been associate editor, Ohio Psychiatric Association Newsletter since 1975. He also has served on numerous committees. Dr. Schubert has authored or co-authored 30 articles for professional journals; presented nine papers at scientific meetings; reviewed eight books and has several other articles in press. Dr. Schubert received his B.A. rcum laude) from U/B in 1955. In 1969 he received his Ph.D. in psychology from the University of Chicago. He interned at Meyer Memorial Hospital and took his residency in psychiatry at Yale, 1969-72. In 1969 Dr. Schubert married Nancy S. Lapham. The couple has a son, Alexander, born in 1973. They live in Shaker Heights and are active in church and civic activities.O Dr. Schubert Dr. Schubert Family Medicine Dr. Pohl A 1976 Medical School graduate is happy with his life and the choices he has made. Dr. Melvin I. Pohl said, "I really enjoy what I do. I feel like I'm good at what I do, and getting better." He is a resident in family medicine at the Deaconess Hospital. "I have more responsibility. I spend three half-days at the Family Practice Center treating patients. The intimacy with patients is the thing I enjoy the most. Listening to my patients, examining them and then treating them is very rewarding," Dr. Pohl said. The 26-year-old physician is glad that his first year of internship is behind him. "My internship was an intense year of hard work, fatigue, frustration and fear. I worked 10 hours a day, five days a week. Every third night I worked all night and the following day." Dr. Pohl's hobbies include travel, swimming, reading and playing the piano. Both professionally and personally, he is relaxed, confident and interested in people.O SUMMER, 1979 17 �Human Values Medical Ethics A student faculty panel suggested that dehumanization is caused in part by the 'tons' of material , some of it irrelevant, that medical students are required to memorize. "In my case," said second year medical student, Gus Geraci, "dehumanization started when I applied to medical school. "I was reduced to a set of statistics even before my interview. I was asked why I got a 'B' in organic chemistry. After my rejection letter I wondered who I was and where I was going. Then 10 days before orientation I was accepted. Once classes start you don't have time for friends and you are not sensitive to people around you. During our first two years we are rewarded for grades, memorizing, and spewing it back on an examination. "There is not enough reward for being a human being." Mr. Geraci participated on a panel discussion - "Does Medical Education Dehumanize the Physician?" - along with a fourth year student, Paul Paroski, and faculty members, Drs. Norman Solkoff, professor of psychology, and John Wright, professor and chairman of pathology. Paul Paroski noted that the transition between the basic science years and clinical years was difficult and dehumanizing. "I felt like I was back in high school. I thought I was losing myself. No one defined our purpose as third year students. I had no free time. All I wanted to do after leaving the hospital was go home and eat and sleep. Maybe we all have to go through this to be a good physician." Dr. Wright suggested that the current attitude of patients and consumers towards the medical profession indicates that something is wrong. He asked several questions: - is medicine an academic pursuit or a trade? are we just learning for learning's sake or to apply knowledge in a practical sense? - is there something in the training of a physician that makes him less human? - is self sacrifice a necessary part of the profession? - is dehumanization a pre-requisite for becoming a good physician? "Self education is the most important part of your medical education," Dr. Wright said. "You must learn to teach yourself after graduation, because 10 years from now many of the things you have learned will be outdated." Dr Wright went on to say that students expect to be introduced to life when they enter medical school, but instead they are introduced to death, especially in anatomy classes. "The sudden transition from lay person to physician during your freshman orientation may be dehumanizing," Dr. Wright said. Dr. Solkoff suggested that perhaps curriculum demands are so great that students are overwhelmed, preoccupied and less sympathetic. He cited a survey he had taken of medical and law students to show how personality characteristics related to academic success. "The results suggested that although there was no basic personality pattern distinction to the medical students, they did obtain significantly more deviant scores on the 18 THE BUFFALO PHYSICIAN �masculinity-femininity scale than the general college population. Freshman law students expressed significantly more cynical attitudes than did medical students. However, by the time the two groups became seniors, this difference disappeared due to the significant increase in cynicism scores of the medical student, and the significant decrease in the law students' scores on this variable." At the outset of the seminar the participants admitted that they probably would ask more questions than they would answer. And they did. It is a very complex subject that can't be adequately dealt within one hour. But it gave stucJ.ents and faculty an opportunity to discuss the problem freely. In conclusion Dr. Solkoff said, "we should perhaps strive for a better balance between humanization and technical know how for physicians."D The rights of a newborn should and must be protected as diligently by physicians as the rights of older patients, according to Dr. Edmund A. Egan II. "The physician and other clinicians must participate in decision making on medical care given infants especially if the judgment of the physician is in conflict with the parents of the child." The case discussed at the seminar on human values and ethics featured a newborn baby born with Down ' s Syndrom (mongolism). The infant also had duodenal atrisia. The baby would probably starve to death in about three weeks unless immediate surgery was performed. With surgery, Dr. Egan noted, the infant could live well into adulthood although permanently dependent upon family and society. In such a case the physician should be an active advocate for the infant's rights, seeking to convince the parents to opt for surgery rather than taking a passive course. The associate professor of pediatrics and chief of neonatology at Children's Hospital, told the students that the physician has four alternatives if his option differs from that of the parents. He can withdraw from the case; seek a court order to perform surgery; abide by the parents' decision; or continue to care for the infant without surgery. When faced with such a situation, the physician must consider whether the proposed treatment will benefit the infant, not whether it will benefit his parents or society. The physician-educator noted that the treatment must have a minimum goal of achieving a conscious and pain-free life for the infant. If treatment if instituted or continued without minimum goals, it can be considered torture. Dr. Egan urged the future physicians to be more aware of their advocate role for the newborn when they are caring for them. "Don't have your decisions colored by emotional factors." In conclusion Dr. Egan said, "in your careers you will be faced with this or a similar case which poses an ethical dilemma. Think it through before it arises." d- SUMMER, 1979 19 Newborn Rights �Abortion "Having an abortion is a difficult decision for most women," according to a philosopher, two social workers and a physician. This panel spoke about the social, economic and emotional problems of abortion at the final medical ethics seminar of the academic year, sponsored by the Human Values and Medical Ethics Education Committee of the Medical School. Dr. Richard Hull, associate professor of philosphy, posed three important questions: (1) is the fetus a person with a serious right of life? (2) if the fetus is a person with a right to life - does the mother's views take precedence over the fetus' right? (3) should the right of the mother always be respected? "There has always been a conflict of interest between the mother and the fetus' right to life." The traditional view of when life begins as well as the recent Supreme Court Decision that said "the fetus becomes a person when it is capable of life independent of the mother," was discussed as well as voluntary and involuntary pregnancies and what to do when the life and health of the mother is at stake during a pregnancy. The pros and cons of abortion were not discussed during this 90 minute session. The history of abortion was reviewed by Natalie Evans, director of the E.J. Meyer Memorial Hospital's social services. "Women had more rights on abortion in the 1800s than since 1950. Even the Greeks and Romans had abortions. Our state legislatures became interested 10 years ago and five years ago we had the Supreme Court decision. Today the debate continues." Angela Lawrence, a Meyer Hospital social worker, noted that women's lib coupled with sexual liberation caused teen-age pregnancies to boom. "One out of 10 pregnancies in New York State are teen agers, and two out of four Erie County teen agers terminate their pregnancy. We make it clear to the young females that they have the right to decide whether to have the baby or have an abortion." Dr. Theodore Schulman, clinical assistant professor of gyn/ob, noted that 47 per cent of the abortions in the United States are 18 and 19 year olds. "This is the most difficult group to deal with because of the social situation. It is very emotional for these young women.'' The physician told the medical students and faculty that abortion is a poor solution to the problem. "The prevention of pregnancy should be our first goal. Young women exposed to good sex education programs have fewer pregnancies. Both men and women should use the traditional forms of contraceptives to avoid pregnancies. There are lots of problems with birth control pills." Dr. Schulman went on to say that 30 to 40 percent of all pregnancies in the United States are being aborted. "A decision on abortion is very difficult for all women and fathers. A value judgment is necessary."D 20 THE BUFFALO PHYSICIAN �The Aging Clock The human body may be programmed to self-destruct with aging, according to a California scientist. Dr. Takashi Makinodan, addressing the sixth International Convocation on Immunology, said "the immune system which protects the body from foreign substances, falters with age. As a result diseases in which the agents of the immune system turn on the body may occur as part of aging. The target can be any tissue in the body - blood vessels, the heart or the brain." The professor of medicine at UCLA said, "one hallmark of aging is loss of homeostasis. In all animals ranging from mice to man we see certain normal immune reactions decline with age. We know the decline is related to changes in the environment of the cells in the immune system and changes in the cells themselves. Associated with loss of our ability to respond to foreign agents seems to be a loss of ability to maintain self-tolerance. The rate of breakdown varies among individuals and may be accelerated by factors such as viral infections." The director of geriatric research at Veterans Administration's Wadsworth Hospital Center in Los Angeles has done research in which certain cells from young mice are frozen and later injected into them as they age to bolster their immune system. He said a means to control the immune system with aging might minimize diseases seen among the elderly. "We think the aging clock of the immune system is the thymus. One way to counteract aging of the immune system may lie in increasing the activity of certain cells as an individual gets older," Dr. Makinodan concluded. More than 60 scientists from 11 countries, including specialists in diseases such as rheumatoid arthritis and various hypersensitivity reactions spoke during the four-day meeting. Some of the other speakers were Dr. K. Ishizaka, who discovered the antibody class responsible for hypersensitivity reactions such as hay fever; Dr. Peter A. Miescher, who discovered systemic lupus erythematous as an immunological disease; and Drs. Nathan J. Zvaifler and John H. Vaughan who are experts in rheumatoid arthritis. Among other scientists on the Convocation program are former students of the U/B Department of Microbiology, including Drs. Georg Wick (Austria). Noel Rose (Detroit). John Klassen (Canada). and Juan Andrada (Argentina) as well as several U/B and Buffalo specialists in microbiology, medicine, pathology, and pediatrics, such as Drs. Milgrom, James Mohn, Ernst Beutner and Guiseppe Andres. A highlight of the Convocation was an Ernest Witebsky Lecture by Dr. Philip Y. Paterson, professor of microbiology-immunology at Northwestern University. The Convocations have been held in alternate years since 1968. They are sponsored by the Center for Immunology. Dr. Witebsky was the Center's first director. He died December 7, 1969.0 SUMMER, 1979 21 �Dr. Nelson Dr. Lincoln D. Nelson M'46 and his wife, Lenore, at work in one of their hospital operating rooms. When Dr. Lincoln D. Nelson, M '46, went to the Philippines 25 years ago, he was the only American missionary-physician for the entire island of Mindanao, second largest in the archipelago. He performed his first operations on the ground floor of a grass-roofed house belonging to Bethel Mission, an outpost of the Association of Baptists for World Evangelism, Inc. His wife, the former Lenore Butts of Hamburg, a graduate of the Millard Fillmore Hospital School of Nursing, assisted him. Today Dr. Nelson commutes between two 18-bed hospitals-one on the site of the original mission dispensary, the other on the island of Leyte 150 miles away-in a four-passenger Cessna 180 piloted by himself or his son, David J. He has a staff of more than 60, including four Filipino general practitioners, an American pediatrician, seven nurses, lab technicians and trained attendants. One of the technicians, Ella Grover, completed her training at Millard Fillmore Hospital in 1957, and is currently helping set up a new lab and office for a third hospital of the mission on the main island of Palawan. The two existing hospitals see over 1500 outpatients monthly and admit 150-169 inpatients. In 1974, in recognition of his accomplishments, the Philippine College of Surgeons accepted Dr. Nelson as a fellow. In May, 1978, Dr. Nelson was the first non-Filipino physician to receive the Humanitarian Award of the Manila Medical Society. Dr. Nelson's sights were set on the missionary field when he graduated from the School of Medicine. But first there was an internship to do-at Hackensack Hospital, Hackensack, N.J.-and then service with the Navy. When the Navy sent him to the Philippines in 1949, Lenore, whom he had married while he was still in medical school, went with him. The first of their five children, Linda, was born during their tour of duty. Lenore, like her husband, had always wanted to be a missionary. She had attended the Baptist Bible Seminary in Johnson City, N.Y., before studying nursing. In the Philippines the young couple spent their free time visiting the missions maintained by the Association of Baptists for World Evangelism and determining where their services were most needed. Back in the United States, Dr. Nelson was discharged from the Navy in 1951. Six months later the Nelsons and their family-a second child, David, had been born in the States-returned to the Philippines. Although medical care is improving, life expectancy in the islands is 20 years less than it is in the United States. Infant mortality is high. In the provinces, most babies are still delivered in their homes by midwives, but increasingly the problem cases are referred to the two small hospitals. Dr. Nelson and the Filipino general practitioners see relatively few of the so-called diseases of civilization-ulcer, high blood pressure, cancer and heart disease. They treat, instead, patients with tuberculosis, malaria, "snail fever," which farmers acquire working in the rice fields, dysentery and vitamin deficiencies. 22 THE BUFFALO PHYSICIAN �Dr. Nelson estimates that 30% of his surgery is for obstetrics and gynecology, 10% for goiter (the hospitals lie in a "goiter belt.") Cleft lip and choriocarcinoma are also common. The UB graduate is concerned about more than the bodies of his patients. On weekends he and Mrs. Nelson often travel to one of the 100 churches of the Baptist fellowship in their province. He preaches and counsels Filipino pastors. She sings or helps with Sunday School. Dr. Nelson believes that "a personal commitment to Christ gives purpose to life and the peace of heart so urgently needed in today' s world." Linda, their first daughter, is now Mrs. Steve Conklin of Santa Barbara, Calif. David, the missionary pilot, has a wife, Rebecca, and two children. Sanda lives in Denver with her husband, Larry Blanchard, a student in the Conservative Baptist Theological Seminary. Michael, a graduate of Cedarville College, Ohio, also hopes to attend a seminary. The youngest, Shirley, was graduated this year from Faith Academy in Manila and will study nursing at Porter Memorial Hospital, Denver. Every fifth year the family is home on furlough. They talk at churches to enlist support for their work and Dr. Nelson takes refresher courses to keep up with advances in medical practice. During his first furlough, in 1956-57, he worked in the Pathology Department at Meyer Memorial Hospital and took back a microtome so that he could prepare his own tissue slides. On his current furlough he is doing emergency room work in a hospital in Santa Barbara, California.D Sisters of Charity Hospital will extend its medical arm out to the Village of Alden by establishing a Primary Care Center in that community this summer. The proposed 3,000 sq. ft. center will provide the services of at least two hospital employed family physicians assisted by a medical resident with specialists available by appointment according to Sister Mary Charles, hospital president. The plan calls for Sisters Hospital to act as a mothership for the center. Electrocardiograms and routine X-ray procedures will be performed at the center and interpreted by specialists at Sisters Hospital. Laboratory specimens will also be sent into the Buffalo hospital daily, with results sent back out to Alden the next day. Alden fire companies will work along with Sisters own ambulance service in providing emergency transportation to the center, and if need be on to Sisters Hospital. The hospital also plans social service, geriatric counseling and health education programs for the Alden area. The center will be open 60 hours per week with physicians available by phone during closed hours. The primary care center will be the first of its kind in Western New York and should provide a good example on how urban hospitals can better lend their services to the underserved rural communities which surround our cities. The hospital will invest approximately $200,000 to get the facility operational.D SUMMER, 1979 23 Dr. Lincoln D. Nelson, his wife, Lenore, and their youngest daughter, Shirley, at home in the Philippines. Primary Care Center �Mr. Robert Wicks, clinical instructor of medical technology, analyzes nuclear medicine data on the computer. in Nuclear Medicine. Radiopharmacy Center The Radiopharmacy Center is unique. Dr. Monte Blau said, "it is a model in the state and nation because virtually all of the nuclear medicine done in Buffalo Hospitals is with material prepared in the Center. Compoun- Mr. Wilbur Quoin, research assistant professor of nuclear medicine, teaching health physics to the undergraduates in the Nuclear Medicine Technology program. Mr. Sonde/ and Ms. Bukoskey "milking" the Iorge isotope generator in the Rodiophormocy Center. Dr. Samuel Sostre, Director of Nuclear Medicine at The Buffalo General Hospital, and assistant professor of nuclear medicine, examines a liver-spleen study. 24 THE BUFFALO PHYSICIAN �ding of the drug, calibration of the radioactivity and quality control are done centrally instead of at each hospital. The drugs are prepared in the early morning hours and delivered to each hospital." As chairman of the Joint Radioisotope Committee, Dr. Blau is responsible for the license that the medical school holds for the use of radioactive materials. The license delegates wide authority for the experimental and clinical use of radioactive materials. The professor and chairman of the nuclear medicine department at the Medical School said, "the broad license makes it possible for the center to provide health physics services to the local hospitals. This covers all clinical and research activities of hospitals using isotopes. Development of new drugs is also done at the Center." The educational activities of the Center includes teaching fourth year medical students, residents and graduate students in chemistry, biophysics, natural sciences and undergraduates in the pharmacy school. There is also a quarterly technologist workshop at Roswell Park Memorial Institute and a once a month continuing education program at the Erie County Medical Center for physicians. A new Bachelor of Science Degree program in nuclear medicine technology is offered jointly by the Schools of Medicine and Health Related Professions. Dr. Jehuda Steinbach, clinical assistant professor of nuclear medicine and chief of the VA Hospital's Nuclear Medicine Service, is the program director. This new program is designed to fill the present gap in manpower training for nuclear medicine by providing academic as Filling vials with Radiopharmaceuticals for delivery to area hospitals. well as clinical educational experiences in formal program of study. "The activities of the Radiopharmacy Center are the heart of many of the educational and service activities of the nuclear medicine department," Dr. Blau said.D Drs. Hank Kung, research instructor in nuclear medicine, (foreground) and Robert E. Ackerhalt, clinical assistant professor of nuclear medicine and radiology, conduct research on new radiopharmaceuticals. Ms. Judith Dudkiewicz, cJinicat.,.iQstructor of medical technology, and Mr. A. Lyles prepare radiopharmaceuticals for administration to clinic patient. 1 SUMMER, 1979 25 �POET PHYSICIANS By Oliver P. Jones, Ph.D., M.D. Distinguished Professor Emeritus Dr. Jones gave this talk at the Roswell Park Memorial Club Institute Medical November 15, 1977. In the late 1940's, the Library Committee of the Medical School consisted of E.A. Sharp, M.D., '98, Julius Richter, M.D., '04 and O.P. Jones, Ph.D., as chairman. One of its functions was to approve requests for new acquisitions or to recommend them. The advantage of being chairman-there were no chairpersons at that time-was to preview the new books before they were catalogued and shelved. Hence, it came about that I ordered Mary Lou McDonough's "Poet Physicians." This was a fortuitous selection-at least for me-because portions of this book were used as source material in 1950 for a talk before The Elizabeth Blackwell Society. This society was a successor to the Women's Medical Club formed at the University of Buffalo before the turn of the century. Her book also focused my attention on Frederick Peterson, M.D. (U.B., 1879) who was subsequently described as a poet, pathologist, psychiatrist and humanitarian in an article in the Buffalo Physician derived from a presentation before the Roswell Park Medical Club in February of 1970. There are 412 names listed in the Cumulative Index of Poet Physicians. Of these, McDonough selected 110 for her anthology. Physicians did not always write classical poetry. The quality of their poems varied from lyrical heights down to the depths of mundane doggerel. It is a wonder that they wrote at all for so much of it was composed in the quiet of a sickroom or in the lonely house after midnight when they found a few brief hours alone.McDonough said, "Through all these records there runs a thread of lyric poetry about everything from birth to death, and one learns quickly that these men and women know whereof they speak." McDonough's book has an impressive list of physicians who wrote poetry including: Hippocrates, Lucretius, Keats, Rabelais, Goldsmith, Holmes and Zinsser. Of those who contributed truly classical poetry we have, Sir Arthur Conan Doyle, Havelock Ellis, Edward Jenner, Walter Pope, Frederick Peterson and William Carlos Williams. Since that time, Murray Verso has attracted my attention to some others, namely, Schiller, Erasmus Darwin-grandfather of Charles-and Sir Samuel Garth, who like Peterson had been a poet before commencing his medical studies. Now, let me return to Frederick Peterson who graduated from the University of Buffalo in 1879, but received his diploma a year later after he was of legal age. This has all been detailed in the Buffalo Physician but for those who may not have read that issue, suffice it to say that a school teacher in Sioux City, Iowa recognized his literary ability and constantly encouraged him. His verses appeared in a local newspaper under the pseudonyms of Pier of Redstone. (This presumably refers to Pieria, one of the early sites of worship for the Muses in Macedonia.) Peterson retained his early interest in poetry which grew with intensity throughout his entire professional life. In 1882 he wrote the lyrics for The Sweetest Flower That Blows which was set to music by James H. Rogers in 1886. This became famous and was sung for many years by prima donnas all over the world. In 1916 he published a book on "Chinese Lyrics" which was just the way his study of Chinese art impressed his mind. This time he used the pseudonym of Pai Tashun (Chinese for Son of Peter). The following poems are examples of his works: 26 THE BUFFALO PHYSICIAN �William Carlos Williams is also of particular interest to us because he was one of the twelve recipients of the honorary degree of Doctor of Laws awarded by the University of Buffalo on the occasion of its centennial celebration in 1946. He has been termed a poetanesthetist, a physician who probes with words in the same way that he finds with a needle the exact spot at which to apply a sedative or a stimulant. His poem "Le Medecin Malgre Lui" which translated means the physician in spite of himself, is perhaps appropriate at this time. Sometime during the summer of 1976 at Lake Chautauqua, I docked my cruiser at Dr. and Mrs. Gordon Culver's place. Conversation covered a wide range of topics until the name of their granddaughter was mentioned - Caitlin. This was only the second time I had encountered this given name-the other being Dylan Thomas' wife, Caitlin Macnamara. This led to a discussion of Thomas' life and works-especially the film scenario "The Doctor and the Devils." The plot for this was woven around the character of Dr. Robert Knox, the anatomist of the early nineteenth century in Edinburgh, who was supplied bodies by two Irish laborers-Burke and Hare. This prompted Dr. Culver ('37) to lend me a book by Warren entitled The Doctor's Window. Unfortunately some previous owner had removed-or ripped off as we now say-the Frontispiece, "A Cure for the Gout" by Sadler, the title paper and the fourth illustration entitled "The Doctor" by Fildes. Fortunately the Preface was intact and signed "I.R.W., Buffalo, N.Y., September 3rd, 1897." After much delay-caused by the mutilation of an otherwise good book-I finally searched for I.R. Warren in the obituary index of the library of The Buffalo and Erie County Historical Society Museum. Excerpts from the Buffalo Evening News, 18 April 1951, are as follows: Miss Ina Russelle Warren, the famed "Lucy Lincoln" whose columns in the B.E.N. have been a household institution to millions of Western New York women for 39 years, is dead. The 73-year old columnist died in Columbus Hospital at 9:30 o'clock this morning (April18, 1951), 14 hours after she was struck by a taxi in Washington St., near Clinton. Born in London, Eng., 3 Sept. 1877, Miss Warren was the daughter of the late Margaret Davies Warren and William Fenner Warren, an organist. After an education, mostly in private schools in England, she came to America with her parents. They settled first in Ottawa, Ont., then moved to Buffalo. Miss Warren came by her literary talents naturally. An uncle, Samuel Warren, Queen's Counsel, doctor of civil letters and fellow of The Royal Society, was an author, an attorney and Sheriff of London. He was the author of "Passages from the Diary of a Late Physician." Miss Warren launched her literary career at the age of 16. She was particularly interested in verse on homey subjects ... over a 13 year period (1898-1911), she turned out six anthologies. The Doctor's Window was published in 1898. Information about the title page was obtained at The Buffalo and Erie County Public Library. The publisher was Charles Wells Moulton, Buffalo, 1898. SUMMER, 1979 27 THE IDIOT Through his misshapen soul and brain No thought has passed and left its trace, And all that brings man joy and pain, Finds in his heart no dwelling place; His life is the world's stain. The horrid vacant visage !ears And shows its heritage of woe, Its scars-the sins of ancient years. Could any love or hate it?-No! Pity may give her tears. HEREDITY I met upon the woodland ways At morn a lady fair; Adown her slender shoulder strays Her raven hair; And none who looks into her eyes Can fail to feel and know That in this conscious clay there lies Some soul aglow. But I, who meet her oft about The woods in morning song, I see behind her far stretch out A ghostly throngA priest, a prince, a lord, a maid, Faces of grief and sin, A high-born lady and a jade, A harlequinTwo Jines of ghosts in masquerade, Who push her where they will As if it were the wind that swayed A daffodil. She sings, she weeps, she smiles, she sighs Looks cruel, sweet or base; The features of her fathers rise And haunt her face. As if it were the wind that swayed Some stately daffodil, Upon her face they masquerade And work their will. �Le Medecin Malgre Lui Oh I suppose I should wash the walls of my office polish the rust from my instruments and keep them definitely in order build shelves in the laboratory empty out the old stains clean the bottles and refill them, buy another lens, put my journals on edge instead of letting them lie flat in heaps-then begin ten years back and gradually read them to date cataloging important articles for ready reference. I suppose I should read the new books. If to this I added a bill at the tailor's and at the cleaner's grow a decent beard and cultivated a look of importanceWho can tell? I might be a credit to my lady Happiness and never think anything but a white thought! In her anthology, Miss Warren had 115 entries of whom 30 were medical doctors. Of these Holmes is represented twice while Jenner and Peterson were each allowed one poem. Miss Warren said, "The volume is compiled especially for the Doctor, with the hope that he may find it a restful diversion from an arduous practice." In her notes she had this to say about Garth and Chaucer: Garth. "The Dispensary" is a burlesque poem in six cantos, written in defense of an edict passed by the College of Physicians, July, 1687, which required medical men to give gratuitious advice to the poor. The poem was published in 1696. Chaucer. "A Fourteenth Century Doctor" is from "The Canterbury Tales," and is the oldest poetic description of a physician in modern English literature. Finally, one never knows when, where or by whom a medical student may be inspired to versification. On 29 February 1940, the osteology assignment was in my gross anatomy course-as I recall-the temporal bone. Before the usual Saturday morning recitation, Nathan P. Segal, M.D., '43 asked to be excused for lack of preparation. However he did submit the following poem indicating that he had at least thought about the assignment. Ode To a Bone I sat and studied a human bone And just as soon my thoughts did roam No clothes are the ultimate of the nudist trend Yet barer still reposed my osseous friend. 'Tis utterly certain his favor you wouldn't keep If you assented that beauty was only skin deep Oh woe is me, I may have been guilty of a slur For I suddenly bethink me, the him might be a her. But male or female at this present date It remains but a skeleton of its former state The references are arranged in the order quoted or paraphrased material first appeared in the article. 1. Mary Lou McDonough, Poet Physicians, Springfield, Thomas, 1944 2. Jones, O.P. Dr. Frederick Peterson-Alumnus, Poet, Pathologist, Psychiatrist, Humanitarian. Buffalo Physician 4: No. 4, 38-53, 1970. 3. Verso, M.L. The literary doctor, Victorian Hist. J. 47: 7-22, 1976. 4. Obituary. Ina Russelle Warren. Buffalo Evening News, 18 April 1951, p. 55, c. 4-5. 5. Ina Russelle Warren, The Doctor's Window, Buffalo, Moulton, 1898. So now I knight you Sir neuter gender And pray I never meet you when off on a bender. 'Tis easy to philosophize on your past life Your moments of grandeur, your moments of strife To choose from the infinity of pattern prevailing The one most suitable to our subjective bewailing. But I choose to think of you my anemic friend As one who went out laughing at the end Certain of the hours you added of weary strife To the already over burdened young med-student's life. As to whether or not this will ever find its way into someone's anthology-only time will tell.D 28 THE BUFFALO PHYSICIAN �A 1971 Medical School graduate has prepared a "protocol" for use by hospital personnel to help alert them to possible child abuse cases. Dr. Dennis Nadler said the written guidelines for detecting and reporting suspected abuse cases are important because, "unless you are attuned to it, a lot of it gets by." The acting chief of pediatrics at the Erie County Medical Center noted that up to 100 suspected abuse cases a year are spotted and reported by hospital personnel, but some slip by, usually because the doctor handling the case treats it without stopping to think the injury might have been the result of abuse. If a parent brings a child in for treatment who he or she has abused the parent is not likely to admit the abuse, according to Dr. Nadler, assistant professor of pediatrics at the Medical School. "Also these parents are prone to giving fake names, addresses or phone numbers. They even use stolen health insurance cards, in an effort to hide their identity and thwart any investigation. Habitual child abusers tend to skip from one hospital to another to avoid being recognized by the staff in any one emergency room." At ECMC, all suspected abuse cases are reported by hospital personnel on a standard reporting form, which is forwarded to the head of ECMC's social services office. This office alerts state and county officials and the pediatrics chief.D ~yocardial Infarction The pathway back from a myocardial infarction is slow. It requires understanding and patience, according to Dr. Allen Goldfarb, director of the Coronary Care Unit at Millard Fillmore Hospital. He noted that today the road back is safer and easier than a decade ago. "Education of the patient is the key to the hospital's program. We want to prevent a second attack and prepare the patient for discharge," the clinical associate professor of medicine said. Dr. Goldfarb is a 1951 Medical School graduate. The patient receives several pieces of literature that cover diet, medication and activity. The patient is taught some basic, simple anatomy and physiology, especially as it relates to the heart and its functioning. Many aspects of the program have been done before by several hospital departments, including nursing and physical therapy. "Now it is centralized and coordinated and small group therapy is used for the first time," Dr. Goldfarb said. "A well educated patient is much less likely to have a second coronary," Dr. Goldfarb said. He praised the dedicated staff who plan the materials and do the teaching.D SUMMER, 1979 29 Dr. Nadler �Dr. Argue, Lewis Smith and Don Flagler with a replica of a 1901 Olds. Antique Cars Dr. John Argue is an antique car buff. The 1935 Medical School graduate not only restores old cars, but he drives them. His summer car is a restored 1957 white two-door Lincoln Continental, Mark II and during the winter he prefers his 1972 Saab, which is fiberglass and rust-resistant. Mrs. Argue drives a 1969 Lincoln Continental, but changes to a 1966 Ford Station Wagon in the winter. She is interested in her husband's hobby and often drives with him to antique auto shows. Dr. Argue started his collection in 1950 when he purchased and restored a 1934 Packard Series 1100, rumble seat convertible. He has 26 cars (11 are at various stages of restoration). Dr. Argue has two good friends, one a body repair man, the other a mechanic. They work on his cars during their off-duty hours. All of the cars are in running condition and are frequently driven to antique car meets as far as Michigan, Indiana and Maryland. "We have no crash program. The men work a few hours a week or a month, and sometimes it is 10 years before an automobile is completely restored. The minimal cost of restoring a car is about $7,000," Dr. Argue said. 30 THE BUFFALO PHYSICIAN �.. ,.. • One of his favorite cars is a 1935 Pierce Arrow, model 836-A (8-cylinder, four-door sedan) with 45,800 miles. It is a four-time national champ and winner of a junior and senior prize from the Antique Automobile Club of America and the same from the National Pierce Arrow Society. Another favorite is a 1935 Rolls Royce, Phantom II with a Hooper Limousine body. It is a 6cylinder, right hand drive with only 15,000 miles. Dr. Argue has had this car 15 years. A 1946 7-passenger Chrysler black Crown Imperial is another favorite. Dr. Argue found this car in Florida in good shape with only 35,000 miles. In his 27 years of buying and restoring cars, Dr. Argue has had to order a crank shaft from England and leather upholstery from Scotland. "This took some doing and it was months before we received our order," Dr. Argue said. One of his favorite stories is about a 1928 Reo that he purchased in 1953. "It came in 10 bushel baskets. It took 8 years to restore this car." Recently Dr. Argue bought another Reo to finish the restoration. Dr. Argue has donated two of his oldest cars- a 1904 Covert and a 1907 Metz - to the Wilson Historical Society. A new historical society building is under consideration to house the antique cars and other memorabilia. After completing his internship and residency at the E.J. Meyer Memorial Hospital in 1937 Dr. Argue started his general practice in Wilson, New York. He has been on the staff of Millard Fillmore and Mt. St. Mary's, Niagara Falls Memorial and Lockport Memorial Hospitals. Currently he is on the staff of Mt. View Hospital, Lockport, where he has been chief of staff, and Inter-Community Memorial Hospital, Newfane. Dr. Argue was a flight surgeon (Captain) in the United States Air Force during World War II. He is a past president of the Niagara County Medical Society and the Gross Medical Society. He is a Charter Member and Diplomate of the American Board of Family Practice.D A 1928 Reo Convertible coupe with rumble seat . Clockwise from right- 1935 Phantom II, Rolls Royce, limousine body by Hooper; 1946 Chrysler seven passenger sedan; Ast?nMartin model DB-5- this model was used in the James Bond movies; Dr. Argue examines his 1935 Pierce Arrow model 836-a , flve passenger, four-door sedan. �Dr. Weiser Dr. Weiser A new serum marker for cancer as well as a new therapeutic factor in man has been identified, according to Dr. Milton M. Weiser who heads the Gastrointestinal Unit at the Erie County Medical Center. He is also professor of medicine and director of the gastrointestinal/nutrition division. The marker, an enzyme, is revealed by a simple procedure, he said. This procedure takes a day and a half to separate the abnormal from the normal enzyme in a patient's serum. In studies on patients, almost 70 percent of those with cancers of the breast, colon, pancreas or lung were found to be positive for this enzyme, he said. And in studies on the largest group -117 with carcinoma of the colon- 85 were found to be positive for the enzyme. "We actually picked up the enzyme in eight out of nine patients with cancer of the colon so small it had not yet penetrated the intestinal wall," he said. He noted that further simplification of the test may well lead to a screening test for cancer. "While there will never be an absolutely certain test for cancer, our procedure was positive in only one non-malignant disease, that of celiac disease which mimics cancer in its symptoms and in some tissue characteristics," he said. Dr. Weiser is now trying to develop a radioimmunoassay to screen much larger numbers of patients. He noted some new findings to be unplanned. "They are accidentally discovered," he said. In some patients with large, extensive cancers, the enzyme was not detected. "What we did find was a different factor in their serum that inhibited the enzyme." This factor, of small molecular weight, has been purified and, on early studies, was found to kill cancer cells while leaving normal ones alone. Still struggling to establish an operational GI laboratory at the new hospital, he hopes to begin clinical studies here as well as at the Buffalo General Hospital and Roswell Park Memorial Institute. "We have been planning these studies for some time," he said. Dr. Weiser, who came to Buffalo in July, previously headed studies on specific GI problems at the Massachusetts General Hospital in Boston and was associate professor of medicine at the Harvard Medical School. Initial enzyme tests and the discovery of the new, possibly therapeutic factor, were developed by Dr. Weiser and former student Dr. Daniel K. Podolsky in the laboratory headed by Dr. K.J. Isselbacher at Massachusetts General Hospital. A graduate of the University of Michigan Medical School of Medicine, Dr. Weiser completed postgraduate training in Internal Medicine and Gastroenterology in Ann Arbor. Following that, he was an NIH Special Fellow in molecular biology at Albert Einstein where he worked on bacterial cell wall synthesis and studied an enzyme similar to that of his current studies. High on his list of priorities for Buffalo is the establishment of a strong academic program in gastroenterology and nutrition with emphasis on the nutritional aspects of disease backed by a strong scientific base. In addition to his work on cancer he is looking closely at the role of vitamin D and calcium absorption in intestinal diseases as well as pinpointing the immunopathology of 32 THE BUFFALO PHYSICIAN �Crohn's disease and ulcerative colitis. He finds Buffalo an exciting place to work. He points to the excellent work under way on liver disease at the Buffalo General Hospital by Drs. James Nolan and Alan Leibowitz and the newer work of Veteran Hospital's Edward Penner and Jan Nowak. He hopes to attract new faculty to work on the immunology of inflammatory bowl disease as well as the nutritional aspects that come with aging. And there is the support by Drs. John Siegel, Edward Henderson, William Carter, Ralph Bernacki, Monica Spaulding and Morris Reichlin. "All have been very encouraging," he said. He looks forward to developing optimal collaborative programs. "There is much expertise available in Buffalo in immunology and oncology. That is what attracted me to this area," he said.D Dr. Roy J. Thurn, M'52, has written an article, The Gin Plague, published in Minnesota Medicine, April 1978. This plague from 1720 to 1750 in London and other British cities is an example of unprecedented mass alcoholism. It gave rise to increased crime and mortality and decreased birth rate. Its evil was brought to the attention of the public and Parliament by a writer, Henry Fielding and an artist, William Hogarth. The plague was controlled by taxes. Dr. Thurn said, "It is not the purpose of this article to make conclusions, but to present an interesting facet of history, the significance of which is enhanced by our present extensive problem with alcoholism. There are a few thoughts and questions engendered, however. One thought is that the gin plague was ameliorated by making gin too expensive for widespread consumption by means of taxes. Taxes are generally regarded as odious, but what would happen in our society if liquor was cheap? The federal tax on a gallon of distilled spirits is $2.10, in Minnesota the state tax is $4.39 a gallon. This accounts for one-third of the price. It might be asked, should the taxes be higher still? Another aspect to consider is that the gin plague is an example of a societal disease that came upon a susceptible population. Did the availability of street drugs come upon a susceptible young population in the sixties in the same way? Finally, did the gin plague in England in the mid-seventeenth century affect the outcome of the American Revolution? The generation of English soldiers for that war had its origin during the period of the gin plague." Dr. Thurn is an assistant clinical professor in family practice at the University of Minnesota Medical School. He is also associate director, Smiley's Patient Clinic at the Medical School. He is active in several state, regional and national professional associations.D SUMMER, 1979 33 The Gin Plague �Dr. Evelyn Cunonon, clinical instructor in pediatrics, and Mrs. Virginia McMurtry, school nurse practitioner, at school 61. At the College Learning Lob Mrs. Donna Radecki, school nurse practitioner, and Dr. Barbaro Steinbach, pediatrician, examine a patient. School Nurse Practitioner Dr. Dorothea Downey, M'69, clinical instructor in pediatrics, and Mrs. Alva Morticelli, school nurse practitioner, at school 66. The nurses in this new program are receiving clinical experience in several Buffalo Public Schools. Miss Mary Norma O'Hara, R.N., associate professor of nursing is codirector of the program along with Dr. Henry Staub, associate professor of pediatrics. The 9-month School Nurse Practitioner Program, funded by HEW's division of nursing, prepares nurses to evaluate and manage the physical and psychosocial health status of school-age children and adolescents in collaboration with physicians and other health professionals.D At the Waterfront School Mrs. SoJJy Florence, school nurse practitioner, and Dr. John Menchini, M'67, clinical assistant professor, visit with a patient. �Dr. Linda Kam, M'72, clinical instructor in pediatrics, and Mrs. Helen Esford, school nurse practitioner, examine a patient at school 45. Dr. Staub, Mrs. Donna Radecki, school nurse practitioner, and Ben Tarantino, fourth year medical student, at school 42. Cellular Engineering Man has in his genes the ability to live 95 or 100 years, according to Dr. Robert A. Good, internationally known immunologist. "But most of us are robbed of this by what I call diseases of aging. These include diseases of the vascular system, kidney, central nervous system and cancer." The president and director of Sloan-Kettering Institute for Cancer Research noted that 'cellular engineering' holds the potential to allow man to avoid the diseases of aging and die instead from "the beautiful death of old age." Dr. Good, who said his wife actually coined the term 'cellular engineering,' said the discipline is distinctly different from genetic engineering, "which is an emotion laden topic." The scientist said, "cellular engineering is here right now. We are able to treat 16 diseases from the very rare severe combined immunodeficiency disease to the more common aplastic anemia." He explained cellular engineering does not involve tampering with man's genetic makeup, but is "what we have known as approved medical practice involving work with drugs, surgery and manipulation of cells. But the goal may never be accomplished because it is linked to limiting food intake. Ironically, man has always sought food as protection against early death." Dr. Good's lecture was sponsored by the department of anatomical sciences at the Medical School.D SUMMER,1979 35 �Buffalo General/Deaconess Merge Dr. Casagrande Dr. Winie cki The newly-combined medical staff of The Buffalo General Hospital and the Deaconess Hospital has elected Dr. Peter A. Casagrande, M'43, clinical assistant professor of orthopedics, as its first president and named Dr. Joseph J. Winiecki as presidentelect, to take office as president in January, 1980. The hospitals merged January 3, 1979. Dr. Casagrande, an orthopedic surgeon, had been elected last fall as president of the medical staff at Buffalo General. Dr. Winiecki, who specializes in internal medicine, had been serving as vice president of the Deaconess medical staff and was due to become president of the Deaconess staff next June. Dr. John Hodson, M'56, clinical assistant professor of urology, who had been serving as president of the Deaconess staff, joined Dr. George A. Cohn, clinical professor of neurosurgery, immediate past president of the BGH staff, in being designated as an immediate past president of the combined staff. Other officers of the combined staff are Dr. Irwin Friedman,clinical associate professor of medicine, vice president; Dr. John Cudmore, M'62, clinical associate professor of surgery, secretary; and Dr. John J. McMahon, M'59, clinical associate in medicine, treasurer. Dr. Friedman, who had been president-elect at BGH, will become president of the combined staff in 1981. Dr. Oguz K. Sarac, clinical instructor in surgery, who had been secretary of the Deaconess staff, will become president of the new staff in 1982. Dr. James R. Kanski, M'60, clinical associate professor of medicine, who had been serving as vice president of the BGH staff, will become president in 1983. The combined medical staff includes about 780 members. The staff merger was accomplished under principles of consolidation and a single set of bylaws as previously prepared by an InterHospital Staff Executive Committee and approved by both staffs. The combined medical staff has also approved a transition plan to consolidate the organizational structure of the two former staffs, including the combining of some committees and the continuing of some separate committees for the two sites, all subject to review in one year. Current clinical department and division heads at both sites will retain their positions for up to a year. Later in 1979, the Hospital University Committee will recommend the choice of a single department head and, if appropriate , a chief of service. Neal E. Wixson, vice president for Professional Affairs at BGH, who played a major role in drafting the new bylaws and transition plans, pointed out that, "Our new combined medical staff includes every specialty and sub-specialty in the practice of medicine. The combined staff will be a cornerstone in the implementation of programs and services for a 1070-bed hospital in two locations providing a full range of services." 36 THE BUFFALO PHYSICIAN �This is the largest hospital in Western New York, according to J. Allen Berne!, president of the Deaconess Board of Directors. "At the same time, this eliminates a total of 107 beds from our former separate operations. This is a major step toward eliminating the surplus number of hospital beds in Erie County, a key factor in containing the cost of health care in our area. These 107 beds have been gradually phased out of service at both sites in anticipation of the merger and they will be closed immediately, without any adverse effect on patient care." The Buffalo General Board of Trustees Chairman, Andrew B. Craig, III, said, "merger of these two excellent hospitals is a significant event for Western New York. It strengthens our ability to serve the health care needs of our communities and the region. It presents the combined institution and its staff with an unequalled opportunity to further expand and improve the Buffalo General and Deaconess programs."D Dr. Gloria L. Roblin feels strongly the use of hypnosis in the treatment of various medical disorders is valuable, but should be limited and carefully controlled. "When every standard approach has failed, you try hypnosis." The clinical professor of psychology in the department of psychiatry instructs medical and dental students in the uses of hypnosis. "It can be particularly useful for such varied tasks as relief of chronic pain, quitting smoking, improving psychoanalysis, curbing high blood pressure and controlling nausea during pregnancy." Dr. Roblin emphasized that hypnosis should never be used for any of these conditions until after a person has been examined completely by a physician. Whatever the problem that is being attacked by hypnosis, the basic method of inducing hypnosis is the same, according to the professor. "There is no guarantee that hypnosis will stop a person from smoking. I use the suggestive powers of hypnotism in trying to persuade my subjects to give up the weed. I say it is poison to your body, and hope the subject will quit. You can't have two urges at once - the urge to smoke and the urge to protect your body." Dr. Roblin has no explanation for what hypnosis is and how it works other than a general feeling that involves talking directly to the unconscious portion of the subject's mind. "The mind is a tape recorder and it picks up whatever is around it in sound and in visual images. The best subjects for hypnosis are willing subjects. A person who absolutely does not want to be hypnotized probably will not be."D SUMMER, 1979 37 Dr. Roblin �The Clinical Years Drs. Aquilina, Calkins The clinical years will be a new learning experience. This is what 140 third year students were told at a special one-day orientation before beginning their clinical rotations in the teaching hospitals. Four senior medical students-Robin Adair, James Creighton, Frederick Eames, and Myra Rubycz-outlined some of their experiences in making the transition from basic science classes to clinical settings. Dr. Nancy Nielsen, assistant instructor in medicine and chief medical resident at the Buffalo General Hospital, led the panel. Nine faculty members spoke briefly about their respective disciplines. They were: Drs. Marcos Gellego, assistant professor of gyn/ob; Ellen S. Dickinson, clinical assistant professor of neurology; Donald Becker, clinical professor of surgery; S.K. Park, clinical associate professor of psychiatry; Marvin Herz, professor and chairman of psychiatry; James Nolan, professor of medicine; Evan Calkins, professor of medicine; Joseph T. Aquilina, M'41, clinical associate in medicine; and Erika Bruck, professor of pediatrics. Dr. Aquilina also introduced seven new third year students who completed their basic science requirements in medical schools in France, Italy and Mexico. They are: Jack L. Gabay, Jeffrey Isen, Christopher Rigsby, Andrew W. Ross, Walter R. Siemian, Edward A. Toriello and Richard G. Williams. They will complete their clinical years at U/B. Medical ethics and human values was the theme of the morning session directed by Dr. Robert L. Dickman, assistant professor of medicine and social and preventive medicine. He told the third year students that they would have an opportunity to reflect on issues that they will be facing during the rest of their careers. "You will be troubled by major ethical dilemmas and this is the way it should be. We will try to suggest ways of coping with these dilemmas." Two audio-visual presentations-"Please Let Me Die," and "Who Should Survive" were shown. The first featured a 27-yearold man who was severely burned and had lost his eye sight. The second featured a new born baby with Down's Syndrome (mongolism). The Reverend Lewis Bigler, chaplain at the Roswell Park Memorial Institute and Buffalo General Hospital; Dr. Edward Marine, clinical associate professor of medicine and family medicine; Dr. Norman Chassin, clinical associate professor of medicine; Dr. Norman Solkoff, professor of psychology in the department of psychiatry; and Dr. Leonard Katz, associate professor of medicine and associate dean, led small discussion groups.D 38 THE BUFFALO PHYSICIAN �The Dr. Wehr Award The Roswell Park Memorial Institute named a special award after a 1930 Medical School graduate. The first annual Dr. William H. Wehr Award was presented last summer to Dr. Merrill A. Bender, chief of the Institute's Nuclear Medicine Department and internationally-recognized leader in the field which specializes in the use of radio-active materials for medical diagnosis and treatment. Dr. Bender is also a clinical professor of nuclear medicine and clinical assistant professor of radiology at the Medical School. The presentation was made by Dr. Wehr, who retired in 1968 after serving 37 years at Roswell Park. The award will be presented annually to senior Roswell Park staff members for outstanding work in cancer research, treatment and education. Dr. Bender, who joined Roswell Park 25 years ago, played a lead role in the development of radio-isotope scanning, which through the administration of radio-active material, produces pictures for diagnostic purposes. In collaboration with Dr. Monte Blau, professor and chairman, department of nuclear medicine and professor of biophysical sciences, he developed a highly sensitive photo-scanning device that became the model for present-day scanner instruments. In addition, they developed several radioactive drugs in use today. Dr. Bender also designed a highly sensitive and fast scintillation camera. It was originally intended for use in detecting tumors but now is employed throughout the world as a means of diagnosing heart disease without the necessity of coronary artery catherization and its hazards. He was elected president of the Society of Nuclear Medicine in 1967 and served on a number of Atomic Energy Commission panels and committees. From 1968 to 1972, he was chairman of the American Board of Nuclear Medicine, during which time he spearheaded a successful fight which led to the recognition of nuclear medicine as a special branch of the medical profession which deserved its own residency training programs and examinations. More than 4,000 nuclear medicine physicians have since been trained in this specialty. A native of Cleveland, Ohio, and graduate of the Harvard University Medical School, Dr. Bender joined Roswell Park in 1953. He was appointed chief of the Nuclear Medicine Department in 1959. Dr. Wehr was one of the first physicians in the nation to use radium in cancer treatments. He was on the Medical School faculty for 28 years (1934-1962). When he retired he was a clinical associate in surgery. He lives at Lighthouse Point, Florida, 33864.0 SUMMER, 1979 39 Dr. Bender �The Royal Flush Dr. Felix Milgram Dr. Martin Milgram Dr. Henry Milgram We hope that the Chairman of the Department of Microbiology, Dr. Felix Milgram, will forgive us the poker title but the situation is asking for it. The last member of the Milgram's family received the MD degree thus completing the MD's royal flush. The Milgram's family is a rarity with a century long medical tradition and all members of the family are MD's. Doctor Milgram's father, Henry Milgram, was a general practitioner. The wife of Dr. Felix Milgram, Halina, also a daughter of a physician, is a dermatologist in the department of dermatology in the Roswell Park Memorial Institute. The oldest son of Milgram's, Henry, received his MD in 1971 from U/B, after finishing undergraduate studies at Columbia College. He is a resident in the pediatrics allergy training in Children's Hospital in Boston. Martin Milgram received his S.B. from MIT and MD from the Columbia University College of Physicians and Surgeons in 1977. The medical tradition in Milgram's family can be traced to 1886, in which year Dr. Milgram's great uncle graduated from the University of Vienna. The same University in 1975 bestowed on Dr. Felix Milgram an Honorary Doctor Degree in Medicine for his contributions to immunology. It indeed is a rare occurrence when all members of a family are physicians, but it is much rarer that all members of the family are also scientists. The major domo, Dr. Felix Milgram, once a successful practitioner, is a world renowned immunologist to whom clinicians and researchers from the whole world come for training. Doctor Halina Milgram, a well known diagnostician is not only a practicing physician but also an outstanding researcher. Doctor Henry Milgram has several scientific contributions in the field of infectious diseases and Dr. Martin Milgram, involved in research since his college years, is a co-author of several publications in the field of immunopathology. One may truly say that Dr. Felix Milgram who is a well known organizer of medical communities was able to organize a microacademia in his own home, which as some of us know, is not an easy task. On the occasion of the graduation of the last representative (Martin) of Milgram's MD family, best congratulations to the new physician, best wishes and much success to Dr. Henry Milgram and admiration to both parents. (K.W.)D Dr. Halina Milgram 40 THE BUFFALO PHYSICIAN . �Clockwise : Margaret Graf prepares a quick breakfast in her apartment; off to the hospital; examining a patient in the intensive care unit with Dr. Fred Geisler, surgical resident; discussing a case with Drs. Mike Tamul, anesthesiology resident, Frank Cerra, assistant professor of surgery, Bill Luria, surgical resident; attending a case presentation; studying; checking the oil; grocery shopping; the end of a busy day. SUMMER,1979 A Typical Day for Margaret Graf Days are long for third and fourth year medical students. Margaret Graf's day began at 6:30 a.m. and often ended 17 hours later at 11:30 p.m. After a quick breakfast she was off to the Buffalo General Hospital where she was a sub-intern in the intensive care unit (surgical). At the hospital there were morning rounds with physicians and patients, daily reports, case presentations, conferences and many other medical activities. After hours she shopped, cleaned her apartment and played some tennis.D 41 �The Classes The Classes of the 1920's The Classes of the 1940's Dr. Milton A. Palmer, M'27, ophthalmologist, retired as President of the Buffalo Eye Bank and Research Society, Inc. (1957-1978). He was elected President Emeritus of that society. He is a honorary member of the Buffalo Ophthalmalic Club; and honorary life member of the Alumni Association of U/B; an honorary life member of the Alumni Association of U/B; and a member of the Fifty Year Club of American Medicine [AMA). Dr. Palmer lives at 18 Park Blvd., Lancaster, New York 14086.0 Dr. Harold K. Palanker, M'40, moved to Albuquerque, New Mexico in January. He is a surgical consultant and surgeon at the VA Hospital's ambulatory care unit. He lives at 1542 Catron SE, Four Hills, Albuquerque, N.M., 87123.0 The Classes of the 1930's Dr. Myron G. Rosenbaum, M'34, practices orthopedics in Albuquerque, New Mexico. His address is 143 Madison N.E. (87108) .0 Dr. Samuel L. Lieberman, M'38, was a guest columnist in January in the Buffalo Courier Express. He expressed his ideas on the escalation of medical/hospital costs. Dr. Lieberman is a clinical associate professor of anesthesiology at the Medical School and chief of anesthesiology at DeGraff Memorial Hospital.D Dr. Lawrence Golden and his wife, Nancy, a family th erapist, demonstrate their "walk and talk" program for p ersons recovering from heart attacks at the Millard Fillmore Hospital. Dr. William J. Staubitz, M'42, was honored in January by the Buffalo Urological Society. The former chairman of the urology department, who retired July 1, received a plaque in honor of his outstanding contributions to the field of urology. Dr. Staubitz traced the development of urology in Buffalo from 1851 in a talk, "The Birth and Development of a Specialty." He continues to be a professor at the Medical School and an attending physician at the VA Hospital. Formerly he was chairman of the urology departments at Buffalo General, Meyer Memorial and Children's Hospitals. From 1949 to 1960 he was chief of urology at Roswell Park Memorial Institute.D Dr. Joseph J. Ricotta, M'43, founder and director of the Buffalo Diocesan Family Life Clinic, has been elected president of the National Federation of Catholic Physicians Guild, which had 4,700 members representing the United States and Canada. Buffalo has been selected as the site for the upcoming convention of Catholic physicians and those interested in the medical field to be held September 26-29.0 A husband-and-wife health team, [the Goldens), help heart attack victims return to normal living. "These people may have to alter their life styles and we can help them in our 12-week 'talk and walk' program," Dr. Lawrence Golden, M'46, said. He is chief of the cardiology section and the department of medicine at Millard Fillmore Hospital and clinical professor of medicine at the Medical School. The exchange of information that occurs at the weekly two-hour sessions is very important to these people, according to Dr. Golden.D �Dr. Thomas F. Frawley, F.A.C.P., M'44, professor and chairman, emeritus, department of internal medicine, St. Louis University School of Medicine, has been appointed to the Residency Review Committee - Internal Medicine which is comprised of representatives from the American Board of Internal Medicine, American College of Physicians and the Council on Medical Education. He will represent the American College of Physicians. This committee sets and enforces standards of quality for graduate education in Internal Medicine and evaluates new and existing programs prior to granting official approval. Dr. Frawley is a Regent, American College of Physicians. He lives at 23 Williamsburg Estates, St. Louis, Mo. 63131.0 Dr. Arthur J. Schaeffer, M'47, was elected secretary of the American Society of Ophthalmic Plastic and Reconstructive Surgery at the annual meeting in Kansas City. He is a clinical associate professor of ophthalmology at the Medical School.D Dr. James A. Werick, M'49, is coordinator of the medical residency program at Sheehan Memorial Emergency Hospital and Sisiters of Charity Hospital. The internist was appointed chief, department of medicine, St. Francis Hospital, Buffalo, on January 1, succeeding Dr. Francis E. Kenny, M'31. Dr. Werick lives at 169 Lancaster Ave, Buffalo 14222.0 Dr. Robert Sussman, M'57, is clinical assistant professor of psychiatry at the New York Medical College. He was appointed Director, Division of Alcoholism, United Hospital, Port Chester, New York. He is a Fellow, American College of Physicians; Fellow, American Psychiatric Society, New York State and Westchester County Medical Societies. Dr. Sussman lives at 19 Hayhurst Road, New Rochelle, New York 10804.0 Dr. John Armenia, M'58, director of ophthalmology at the Erie County Medical Center, received $10,000 from the Buffalo Eye Bank and Research Society and the Lions Club Blind and Charity Fund to equip a lowvision examining room at the hospital. Dr. Armenia is a clinical professor of ophthalmology at the Medical School.D Dr. Lloyd H. Leve, M'58, of Rochester has given the Medical School 10 photographs of winter scenes.D Dr. David E. Denzel, M'59, has been elected chief of staff at Lockport Memorial Hospital. He succeeds Dr. Paul T. Buerger, M'49, for a two-year term of office.D The Classes of the 1960's Dr. Roger A. Ronald, M'61, is changing his specialty to anesthesiology at the Millard Fillmore Hospital. He is a clinical associate in medicine at the Medical School and has been in the department of medicine at the hospital for several years.D The Classes of the 1950's Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, gave two lectures at the University of Oklahoma Health Sciences Center, Oklahoma City, in December. The titles were: "A Student's Impression of Austin Flint (The American Laennec) 18481849" and "Medical Apprenticeships in the Early 19th Century." Recently Dr. Jones edited a 20-page pamphlet, "History of the International Society of Hematology, 19461976." He also lectured at Roswell Park Memorial Institute on "Dr. Roswell Park's Lantern Slides Illustration Medicine and Surgery in Classic Art and Satire."D SUMMER, 1979 Dr. James T. Bumbalo, pediatrician, M'62, is special medical advisor to the Jamestown, New York public school systems. He is the 1979 president of the W.C.A. Hospital Medical staff and the past president of the Jamestown Medical Society, 1977 and 1978. Dr. Bumbalo lives at 15 Emory Drive, Jamestown 14701.0 Dr. Albert J. Maggioli, M'63, is a clinical assistant professor of pediatrics at the Medical School. On March 1 he joined the American Pediatric Associates in Williamsville. Dr. Maggioli is the Pediatric Society Representative to HSA Task Force 43 �Committee on Infant Mortality; chairman of the Erie County Medical Society Membership Committee; and a member of the State Medical Society committee on membership benefits. He lives at 288 Robin Hill Drive, Williamsville, New York 14221.0 Medical Center, Ann Arbor. He is in private practice of Diagnostic Radiology, Ultrasound, and Nuclear Medicine with Toledo Radiological Associates, Toledo, Ohio. He is a member of various professional organizations in his specialty.D Dr. Joseph A. Dipoala, Sr., M'64, practices internal medicine in Rochester, New York. He is a member of numerous medical societies, including the American Holistic Medical Society and AMIM. Dr. Dipoala lives at 2511 Highland Avenue (14610).0 Dr. Brian Kaufman, M'77, has accepted a fellowship in Critical Care Medicine at Ellis Hospital, Schenectady, New York - Albany Medical College of Union University for July 1, 1980. Dr. Kaufman lives at 2 Tyler Court, Guilderland, New York 12084.0 Dr. Adele M. Gottschalk, M'67, whose specialty is general surgery, is a member of the Permanente Medical Group at Harbor City, California. She is newly elected as president of the medical staff at Kaiser Hospital, Harbor City, and the outgoing secretary of the medical staff of 150 physicians at the hospital. Her address is 6542 Ocean Crest Drive C 301, Rancho Palos Verdes, Cal. 90274.0 Dr. S.K. Bosu, M'69, whose specialty is neonatology, is an assistant clinical professor of pediatrics (neonatology) at the University of California School of Medicine at Irvine. He was awarded the 1977/78 prize in pediatrics by the University for being voted the most outstanding teacher [full time faculty in pediatrics) by the residents.D The Classes of the 1970's Dr. Howard R. Goldstein, M'74, is a senior resident in urology, Squier Urologic Clinic, College of Physicians and Surgeons, Columbia University, New York. Dr. Goldstein and his wife, Judy announce the birth of Lee Joshua's sister, Lauren Sarah, November 30th, 1978. He was the recipient of an award in the Ferdinand C. Valentine Urology residents essay contest for his paper "The Value of Intravesical Thiotepa in Recurrent Superficial Bladder Tumors Treated by Radiotherapy." The Goldsteins live at 214-09 14th Avenue, Bayside, New York 11360.0 Dr. William G. Novak, M'75, completed a residency and fellowship training in radiology at the University of Michigan 44 People Dr. Harold Bernhard, M'49, clinical associate professor of medicine, has been elected president of the Western New York Society for Gastrointestinal Endoscopy. Dr. Vilayat M. Ali, clinical associate professor of medicine, is the new secretary. Dr. Charles Michalko, M'66, is treasurer. Dr. Steven Stowe is vice president. Dr. Leonard Katz, associate professor of medicine and associate dean of students and curricular affairs, is a member of the council.D Dr. S. Mouchly Small, professor of psychiatry, was named Psychiatrist of the Year by the Area Council II of the American Psychiatric Association in November, 1978. He was recognized for his long, creative career in psychiatry which included being a pioneer and contributor in community psychiatry; for training a generation of psychiatrists, many of whom occupy key positions in the academic world; for his contributions to muscular dystrophy and continuing education.D Two associate professors of anatomy, Drs. Herbert Schue} and Robert Summers, have been invited to participate in the Gordon Conference in New Hampshire in July/ August. Dr. Schue} will talk on "Plasma Membrane and Cortical Granule Mediated Blocks to Polyspermy in Sea Urchin Eggs" and Dr. Summers will chair a session on "Sperm Behavior During the Fertilization Process."D THE BUFFALO PHYSICIAN �Dr. Theodore T. Bronk, clinical associate professor of pathology and Director of Laboratories at Mt. St. Mary's Hospital in Niagara Falls, is vice president elect of the New York State Division of the American Cancer Society. He is a Fellow of the American College of Physicians, the American Society of Clinical Pathologists and the College of American Pathologists. He is also a past president of the Niagara County Medical Society and the Western New York Society of Pathologists.D Dr. W.C. Elliott, professor of biochemistry, has written "The Chemistry and Immunology of Reptilian Venoms" IN "Biology of the Reptilia" (C.Gans, ed.) Vol. BB Physiology (C. Gans and K.A. Gans, eds) pp. 163-436, Academic Press, London.D Two assistant professors of physiology, Drs. Joan S. Baizer and David Bender, are studying sight as a function of the brain. They have received a three-year $125,000 grant from the National Eye Institute. Drs. William Maguire and Steven Hoffman are also involved in this study that uses young rhesus monkeys.D Three faculty members are new officers of the Columbus Hospital medical-dental staff. Dr. Charles A. Bauda, clinical instructor in family medicine, is the newly elected president. Vice president is Dr. Robert J. Lascola, clinical instructor in surgery, and Dr. Joseph S. Calabrese, clinical assistant professor of gyn/ob, is treasurer. Dr. Edward M. Apen is treasurer.O Four faculty members have been elected officers of the executive committee of the Medical Board of Children's Hospital. Dr. Theodore Schulman, assistant professor of Gyn/Ob, is the new president. He is a Fellow of the American College of Obstetrics and Gynecology. Other officers: President-elect, Dr. Theodore Putnam, clinical assistant professor of pediatrics; Vice President, Dr. David Klein, associate professor of neurosurgery; secretary-treasurer, Dr. John Fisher, clinical associate professor of pathology.D SUMMER, 1979 Three Buffalo physicians have been playing tennis together for 30 years. They are Medical School graduates-Drs. Marvin Block and Milton Kahn graduated in 1925 and Dr. Benjamin Obletz in 1932. The fourth tennis player is Dr. Samuel Traeger, an optometrist. Many times a neighbor or business associate joined the foursome. Drs. Block and Kahn have been playing handball together for 60 years. They both played basketball at U/B. The foursome all played tennis in college and participated in many local tournaments.O Dr. Frank Schimpfhauser, assistant dean and assistant professor of social and preventive medicine presented the findings of his national study and recent monograph entitled "A Systematic Assessment of Clinical Teaching Skills and Strategies in the Health Sciences" at the Eastern Educational Research Association Meeting in February in Charleston, S.C. He was also invited to chair a symposium and present his study findings at the American Education Research Association Meeting in San Francisco in April.O Dr. Harry Metcalf, M'60, has been elected president of the Research Education Foundation of the New York State Academy of Family Physicians. He is a clinical assistant professor of family medicine and director and chairman of the Medical School's Admissions Committee. Dr. Herbert Laughlin, clinical instructor of family medicine, was elected treasurer. Elected to the executive committee were Drs. Herbert Joyce, M'45, clinical assistant professor, and Robert Seller, professor and chairman of family medicine.D Dr. Joel M. Bernstein, M'61, clinical assistant professor of otolaryngology, received his Ph.D. in microbiology in 1978. In May of 1979 he will be a lecturer at the 2nd International Symposium on "Middle Ear Effusions" at Ohio State University, Columbus. The following November he will participate in the International Symposium on Allergy in Jerusalem. In February Dr. Bernstein spoke at Columbia University on "Mediators of Inflammation in Middle Ear Effusions."O 45 �People The cover story in the February issue of Scientific American is a report of a research project by Drs. Hermann Rahn and Charles V. Paganelli, professors of physiology and Dr. Amos Ar, senior lecturer in the physiology department at Tel Aviv University in Israel. "How Eggs Breathe" is the title of the report. A technique for measuring the pressures of oxygen and carbon dioxide in chicken eggs is depicted on the magazine's cover. Faculty members and alumni are newly elected officers of the medical staff of Sheehan Emergency Hospital. Dr. Joseph J. Ricotta, M'43, is the president and Dr. Joseph M. Anain, clinical assistant professor of otolaryngology, is the vice president. Dr. John G. Zoll, M'40, clinical assistant professor of neurosurgery, is the treasurer. The secretary is Dr. Jeremiah O'Sullivan.D In the experiment, the magazine says, "18day-old chicken eggs, each specially fitted with a metal connector and a fine plastic catheter, are removed temporarily from an incubator. A plastic syringe is attached to the connector in order to sample the gas in the air cell at the blunt end of the egg. (After the sample has been taken, the syringe is tilted so that the drop of mercury inside seals off the opening, preventing the gas sample from being contaminated with atmospheric air.) At the same time a smaller glass syringe is connected to the plastic catheter and a sample of oxygenated blood is removed from a sample in a placenta-like membrane within the egg. After samples of blood and gas have been taken from each egg the concentrations of oxygen and carbon dioxide in the samples are determined." Dr. Frederick Sachs, assistant professor of pharmacology, therapeutics and biophysical sciences, received a $13,500 grant from the Muscular Dystrophy Association to continue his research project-"Properties of VoltageDependent Channels in Tissue-Cultured Muscle Cells."D Scientific American says the article "shows the egg to be a not quite self-contained life support sustem for the developing embryo. It holds all the ingredients required for the growth of the chick from single fertilized egg-cell-except oxygen. To supply that essential ingredient the egg 'breathes;' by simple diffusion, through microscopic pores in the shell, oxygen finds its way in and carbon dioxide leaks out." The authors said "our interest in bird eggs started 10 years ago when O.D. Wangensteen, now associate professor at the University of Minnesota, joined our respiration group as a post doctoral fellow. One day he asked, 'How do eggs breathe?' Since none of us knew, he proceeded to demonstrate for the first time how Fick's law of diffusion would explain the gas exchange across the eggshell of the chicken. We have since studied respiratory processes in the eggs of many bird species, both in the laboratory and on field expeditions to various parts of the world."D 46 Dr. Lucille Lewandowski, clinical assistant professor of psychiatry, defines stress as "a non-specific response of the body to any demand, unpleasant or pleasant." Having things to do can help people handle stress. She listed working with plants, caring for pets, reading and exercising as things to do to combat stress. Dr. Lewandowski is chief of the alcohol treatment center at the VA Hospital.D Three faculty members, who are also alumni, are the new officers of the Kenmore Mercy Hospital medical staff. Dr. Leo E. Manning, M'50, clinical assistant professor of medicine, is the new president. Presidentelect is Dr. Edward A. Rayhill, M'54, clinical assistant professor of family medicine. Dr. George M. Sanderson Jr., M'50, is the new treasurer. He is a clinical assistant professor of anesthesiology.D Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics, received a $13,530 grant from the New York State Health Research Council.D Dr. Cedric Smith, professor of pharmacology and therapeutics, was a "visiting professor" at St. George's University, Grenada, West Indies in February.D THE BUFFALO PHYSICIAN �In Memoriam Dr. Robert Blum, M'42, died January 28 in Sloan-Kettering Memorial Hospital. His age was 67. He had been a member of the medical staff at the Buffalo General Hospital since 1949, and was president of the medical board in 1975. Dr. Blum was born in Austria and attended the University of Vienna Medical School before coming to Buffalo. He served in the Philippines and Japan during World War II. Dr. Blum was a Diplomate of the Board of Internal Medicine. He was a clinical associate professor of medicine at U/B for 21 years.D Dr. Raphael M. Baratta, M'24, died November 23, 1978 at the age of 80. He lived and practiced in Brooklyn, N.Y. He was active in many professional associations and received many honors.D Dr. Allan L. Grossberg, research professor of microbiology, died February 11. The 58year-old scientist, an associate chief cancer researcher at Roswell Park Memorial Institute, had been on the staff since 1956. He received his education at the California Institute of Technology. During World War II he did atomic research. Dr. Grossberg was author or co-author of more than 80 scientific pape~s: ~e c~-authored a textbook, Antibody Speclflclty, With Dr. David Pressman.D Dr. E. Hoyt De Kleine died February 25 at Royal Oak, Michigan after a short illness. The 69-year-old plastic surgeon was an associate in surgery at the Medical School from 1946 to 1957. He was a consulting surgeon at Millard Fillmore and Children's Hospitals and a senior surgeon at Buffalo General Hospital. Dr. De Kleine was a past president of the Upstate New York and Buffalo Plastic Surgery Societies. He was also active in several other national and international professional associations. His hobbies included wood carving, gardening and needlepoint. He also designed sets for performances of the Amherst Players.D SUMMER, 1979 Dr. Clyde B. Simson, M'38, died of a heart attack on December 28, 1978 at his home in Detroit. He was acting director of the Lafayette Clinic at the time of his death. For 22 years he had been chief of the Adolescent and Children's Service.D Dr. Joseph Farugia, M'21, died December 13, 1978 in Mount St. Mary's Hospital, Niagara Falls. His age was 80. He was a former public school physician. Dr. Farugia was honored in 1978 by the Century Club as "Man of the Year."D Dr. Ira C. Wollen, M'29, died February 2 in Douglas Memorial Hospital, Fort Erie, Canada. His age was 80. The retired family practitioner was past president of the Medical Board of Directors at Lafayette General Hospital. He had been active in several other professional associations and the U/B Medical Alumni Association.D Dr. Wilfrid H .. Ferguson, M'33, died February 18. The 70-year-old physician had practiced in Brockport, N.Y. since 1946. He served in World War II and was active in several professional organizations.D 47 �U/B ALUMNI ASSOCIATION 1979 Travel Program SWISS ALPS/ FRENCH RIVIERA June 24 - July 9 DANUBE CRUISE & VIENNA/ ISTANBUL September 29 - October 13 SICILY October 30- November 7 $650 leaving from Buffalo (Capitol International Airways - DC 8; 7 nights in the Swiss Alps at the Swiss Alpine Village of Thyon 2000; first-class accommodations for 7 nights on the French Riviera; Continental breakfast daily) $1549leaving from New York City (Pan American Airlines 707 Jet Clipper; 2 nights at the Istanbul Sheraton; Danube Cruise including Izmail, Soviet Union, Bucharest, Romania, Belgrade, Yugoslavia, Budapest, Hungary, Bratislava, Czechoslovakia; three full meals (aboard ship); 2 nights Vienna Hilton, Full American breakfast in Istanbul and Vienna) $460 leaving from Buffalo (Trans International Airlines - DC-10 ; Deluxe accommodations for 7 nights at the Hotel Zagarella or the Sea Palace; Continental breakfast daily) NOTE: These prices all include the 15o/o tax rounded off to the nearest dollar. BROCHURES ON THESE TOURS WILL BE PROVIDED AS SOON AS THEY ARE AVAILABLE. The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTANCE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGINO, A.S.C.'52, Vice President for Athletics; JOHN R. VONA, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVANS, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.' 42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIAN, B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMOND J. GICEWICZ, M.D.' 56; M. ROBERT KOREN, L.L.D.'44.0 Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members - Robert Schultz, M'65; Norman Chassin , M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; Nancy Nielsen, M'76; Robert Baumler, M'52; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmelo Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 48 THE BUFFALO PHYSICIAN �A Message from Lawrence M. Carden, M'49 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Carden The articles, A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself, by the late Samuel Sones, M.D. that appeared in The Buffalo Physician (1974-1978} hove been printed in book form by State University of New York Press, 99 Washington Avenue, Albany, N. ¥ . 12246. The cost: $12.95.0 ---------------------------------------------------------------------------------------------------- IIIII I BU SI N ESS REPLY MAIL FIRST CLASS PERMIT NO. 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 y 14226 BUFFALO ------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - -- - - - - - - - - - - - - - -- - -- - - - -- -- - - - - - Y e a r MD Received - - - Office Address-- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ----HomeAddress - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB,MDreceivedfrom--------------------------------------InPrivatePractice: Yes ~ No ~ SpecialtY----------------------------~ In Academic Medicine: Yes ~ ~ No Part Time ~ Full Time ~ School --------------------------------------Title - - - - -- -- -- - - - - -- - - - - -Other: Medical Society Memberships: - - - -- - - - - - - - -- - - - -- - - - - - - - - - - - - - - - - - - NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - -- - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1979 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1979-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1979-02-Summer Table Of Contents A list of subunits of the resource. Dean Naughton's Message Gottlieb Dedication The Clinical Biophysicist by Dr. Michael Anbar Physicians Give $323,571.80 Health Sciences Library The 1918 Class Continuing Education Dr. Schubert/Family Medicine Medical Ethics The Aging Clock Dr. Nelson Primary Care Center Radiopharmacy Poet Physicians by Dr. O.P. Jones Dr. Nader/ Myocardial Infarction Antique Cars Dr. Weiser The Gin Plague School Nurse Practitioner Cellular Engineering Hospitals Merge Dr. Roblin Clinical Years The Dr. Wehr Award Royal Flush Margaret Graf's Day The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v13n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/76eee948f32980ad889eba41669208f6.pdf 013025b14a143908601b5cf770f42cbd PDF Text Text �Dr. Victor Cohen, M'29 Dr. J. Edwin Alford, M'34 Dr. George C. Brody, M'39 Dr. J. Fred Painton, Jr., M' 64 Nine Class Reunions, May 11, 12 Pictures were not available for Drs. James R. Sullivan, M'44, Paul T . Buerger, M'49, Ed A . Dunlap, M'54, John J. McMahon, M'59, Douglas Roberts, M'69. Nine classes will have reunions during the 42nd annual Spring Clinical Days, May 11 and 12. Approximately 700 physicians and their wives are expected to attend the reunion dinners. Several of the class reunion chairmen are pictured here. Dr. Victor L. Cohen of Buffalo is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Richard A. Downey, Jay I. Evans, Raymond G. Filsinger, Clyde W. George, Ramsdell Gurney, Norman Heilbrun, L. Maxwell Lockie, Frank Meyers. (From New York State) Garra L. Lester, Chautauqua; Michael J. Maggiore, Endwell; WarrenS. Smith, Bluff Point; Anthony J. Zaia, Oneida. (From out of state) John B. Anderson, Cleveland, Ohio; James E. Dailey, Weslaco, Texas; Ernest B. Hanan, Springfield, Missouri; Rudolph W. Kouchy, Minneapolis, Minnesota; Charles R. Leone, Erie, Pennsylvania; Frederick G. Stoesser, Jupiter, Florida; George A. Thorn, Cambridge, Massachusetts; Lee Weinstein, Harrisburg, Pennsylvania; Jack M. York, Perry, Ohio.D �Volume 13, Number 1 Spring1979 THE BUFFALO PHYSICIAN (USPS 551-860) Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRANAHA Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS 2 3 4 11 12 14 15 16 by Drs. Progoy, Korenyi-Both Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. EDMOND GICEWICZ Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center IN THIS ISSUE Class Reunions (inside front cover) Dean Naughton's Message The Follies The 1982 Class Dr. Marconi Faculty Retire Dr. Ogra Dr. Gonder/Dr. Dewitz Lithopedion Profile 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 36 37 38 44 51 52 Primary Ambulatory Care Physicians Honored Dr. Melant/Dr. Coventry Dr. Herz/Residents Graduation Martinique MECO Colon Cancer Tennis Tourney Drs. Herbert!Seibel!Culver 42nd Annual Spring Clinical Days Deep Sea Diving Dr. Ettinger Erie County Medical Center Physicians Honored/Faculty Promotions Transfer Students Dues Paying Alumni, 1978 Continuing Education Programs Inner-City Well Health Clinic People The Classes In Memoriam Alumni Tours The cover by Donald Watkins focuses on the 1982 class on pages 4-10. THE BUFFALO PHYSICIAN, Spring, 1979- Volume 13, Number 1, published quarterly Spring, Summer, Fall, Winter - by tbe School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1979 by The Buffalo Physician. SPRING, 1979 1 �Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine Dear Alumni, Alumnae and Friends: President Carter's 1980 Budget proposals confirm the worst in terms of what medical schools have been expecting for quite some time. Principally, his message confirms a change in federal posture toward the funding of medical education and biomedical research. For instance, he recommends a reduction in the level of medical school capitation support by 50 per cent in 1980 and a reduction to zero thereafter. This posture has the support of Secretary Califano who is convinced that the health manpower problem, save for specialty and geographical maldistribution, has been resolved. The budget provides modest increases, mostly inflationary adjustments, in the biomedical research program. Thus, it is apparent that as long feared the Federal Government has every intention of disengaging itself from the direct support of medical schools. Although we would like to think that these attitudes are short-sighted and alterable, the current posture for budgetary reductions and stabilization makes it highly unlikely that President Carter's recommendations in these areas will be overridden. The above message, of course, means that SUNY /Buffalo as well as its three sister schools will become ever more dependent on state, local and alumni support if the present quality of programs is to be maintained and if new, needed programs are to be inaugurated in the future. In the years ahead, it is obvious that we will all have to work together as constructively as possible to accomplish the goals and objectives which we have established for ourselves. I am confident that despite this significant change in public federal policy that we at SUNY/Buffalo will continue to work cooperatively to make positive gains for the betterment of medical student education and health care in Western New York. Sincerely, JOHN NAUGHTON, M.D. Dean 2 THE BUFFALO PHYSICIAN �Clockwise above: Dr . Jules Constant; Anthony DiBenedetto, M.G.; Anthony DiBenedetto lectures to Drs. Alexander Brownie, Murray Ettinger; The Finale Wesley Blank in wheel chair gives " Saturda y Night Fever" to examining physicians; Dean John Na ughton, Dr. Leonard Katz; Martin Hale; Nickolas Bertini; John Case; Sylvia Turner, Wesley Blank; Richard Frimer, Dawn Desiderio. Medical School Follies Some 400 students, faculty and friends attended the second annual Medical School Follies last spring. It was an evening of laughs, music, song and dance sponsored by the second year medical students. After cocktails the guests were treated to over 24 acts performed by students, ranging from the sublime to the ridiculous. Photos by Barry Kahn, 1980 Class SPRING, 1979 3 �The 1982 Class Dr. F. Carter Pannill Jr., vice president for the Faculty of Health Sciences, welcomed the 135 new medical students at the opening orientation session in Butler Auditorium. "We are deeply concerned with you and your activities. This is a large university and sometimes it is difficult to get things done. When you need help, please come and see me. My door is always open." Dr. Pannill said, "in any case I will shake your hand in four years when you graduate. We are proud of you and wish you well in your new profession." The chairman of the admissions committee told the students something about themselves. Dr. Harry Metcalf said, "your average age is 22.8; 45 of you are women; 90 are men; 12 are minority students. There are 132 residents from New York State (59 from Western New York). There are only three out of state residents." Dr. Metcalf pointed out that the students were tops in their high school and college classes. The science majors had a 3.54 average. The Medical School received 3,500 applications and conducted 900 interviews before selecting the current class. Speaking for Dean John Naughton, Dr. Leonard Katz told the newcomers "we want your input." The associate dean for student and curricular affairs urged the students to participate in all the activities of the Medical School. "In spite of the prediction that by 1990 there will be an excess of physicians, there will a future for each of you. The medical profession is changing. Today's physician must be more aware and concerned with the many social and environmental problems smoking, drugs, alcoholism and the elderly." 4 THE BUFFALO PHYSICIAN �Orientation speakers : Drs. Metcalf, Richert, Schimpfhauser, Katz, Pannill, Markell a. Dr. Katz urged the new students to be concerned with primary care in the city centers and the rural areas. "We must all work together as a team to solve the health care problems of the future." Dr. Ross Markello, assistant dean for graduate education, said his job was to interact with the students and the hospitals. "If you have any problems, please come and see me. Things are much different than when I entered medical school 25 years ago. Sex was a dirty word and abortion was illegal. The life you will lead in your chosen profession will be changing constantly." Dr. Frank Schimpfhauser spoke briefly about two new programs- the year committee and the student profile. "We have made attempts to work with students and faculty to improve teaching and learning. The Medical School's year committees, made up of course coordinators and students from each class, welcome your input and will seek your opinions on how well we are doing throughout your medical program." Dr Schimpfhauser heads the office of educational evaluation and research. As a part of thd-SPRING, 1979 5 Dr. Plaut �profile program he noted that the students would be surveyed from time to time during the next four years regarding personal attitudes, career interest and expectations, and behaviors as student-physicians. Mr. Rudolph Williams, assistant dean and financial aid officer, discussed scholarship and loan support. "There is no money, but I am here to help you in any way I can." Dr. M. Luther Musselman told the students of the new and better benefits of the University health insurance plan. "It is the best program we have had." The assistant dean and director of health services also outlined the special clinics and other services available on both the Main Street and Amherst Campuses. There was a 4 p.m. picnic at the end of the first day but not before the students had lunch and discussions with upper class student leaders and faculty. There were also pictures taken, tours and briefings on registration and study habits by Meryl McNeal. Dr. Martin E. Plaut, associate professor of medicine, spoke about his interviews, rejections and frustrations in getting accepted to medical school in the 1950's. "Getting accepted is the toughest hurdle. You are well enough equipped to become successful physicians and most of you will make it. In 24 months you will be entering your third year clerkship. At this time you will learn to talk to people about their medical problems and diagnose their illnesses." Dr. Norman Solkoff, professor of psychology in the department of psychiatry, noted that the Medical School was dedicated to producing good physicians. "Medical ethics and dilemmas won't be neglected. Several special seminars are being planned for the year. We urge your participation." The final day of orientation featured a clinical case presentation by clinical and basic science faculty, luncheon with preceptors and administrators and a hospital visit with the preceptors. The students heard patient X, a 49-year-old man, who had recovered from open-heart surgery. He told them he was in good health until he had an acute myocardial infarction in 1967 when he 6 THE BUFFALO PHYSICIAN �was 39 years old. The students asked questions and learned how his life style had changed before his surgery in 1977 and during his rehabilitation last year. The patient told the students that before his heart attack he took on more things than he could do. "Now I pace myself. I have changed my attitudes and work habits. I watch my diet and walk and ride my bicycle daily." Dr. Francis J. Klocke, professor of medicine, said "we have done this operation for several years. There are no cook-book rules on age. Recently I discharged a 73-year-old man after open heart surgery." Dr. Edward A. Carr, professor and chairman of pharmacology and therapeutics, told the students about the three drugs hydrochlorothiazide, propranolo, nitroglycerine- the patient had been taking during his illness and prior to his hospitalization. During hospitalization the patient went from three drugs to nine. During surgery and recovery patient X used 26 different drugs, not all at once. Dr. Carr asked a moral/ethical question: "How much can you commit to any one man?" The professor of medicine discussed drug interaction, time-delay curves and risky drugs. Dr. Barry S. Eckert, assistant professor of anatomy, showed slides of the heart in his basic anatomy presentation. Dr. John Wright, professor and chairman of pathology, discussed briefly the three stages of myocardial infarction - death, removal of dead tissue and scar formations. Dr. Murray N. Anderson, professor of surgery, said that if there is an obstruction in the artery "you can open it up or by-pass it. Heart surgery improves the quality of life and life expectancy of the patient and prevents future myocardial infarction. There is no upper age limit. The physical condition of the patient is the determining factor. If he is a chain smoker we might refuse to do surgery." Dr. Marjorie Plum, associate professor of psychology in the department of psychiatry, showed the students a 20-minute video taped interview with patient X about his recovery. He admitted that he was depressed after his first heart attack because "I didn't The clinical case was discussed by Drs. Carr, Klocke, Naughton, Dickman, Eckert, Anderson, Plum. SPRING, 1979 7 �know how it would affect my life. My doctors were always open and candid. I am strating a new life, working again and enjoying it. I think my life expectancy is the same as anyone." Dean John Naughton moderated the panel discussion that followed. He also analyzed the patient's recovery in seven areasmedical, psychological, physiologic, socially, sexually, vocationally and recreationally. "We put a lot of emphasis on rehabilitation of heart victims, the nation's number one disease. There were 1.2 or 1.3 million episodes in 1973. Half of the people survived. People who accept having a heart attack don't have a good record of rehabilitation, while defiers have an excellent record. Early, active and mobile rehabilitation is very important. The cost is staggering...:_ $17 to $30 billion annually." During the panel discussion, Dr. Robert Dickman suggested that the moral questions of medicine must be dealt with. "There is a scarcity of resources. How should we allocate them? Should the lottery be used?" Clockwise from right: Drs. Milford Molone y, Russell VanCo evering, Robert Ehrenreich, Pearay Ogra, Dennis Sullivan , Francis Klocke. �Clo ckwis e from left: Drs. Robe rt Patterson , John Conboy, Robert Kohn , Morris Unh er, John Naughton, David Copl ey. The assistant professor of medicine and social and preventive medicine noted that today the rich and socially prominent are getting open-heart surgery. At the Friday luncheon for preceptors and students Dr. Robert J. Patterson emphasized the flexibility of the program. "If some groups don't hit it off we will make adjustments and changes." The director of the program and clinical associate professor of Gyn/Ob urged the physician/preceptors to have a plan for their students. "The first 60 days of clinical experience is very important." Dr. Katz noted that this is the third year of the program. He told the students that the preceptors are doing this because they want to. Following the luncheon the students were introduced to clinical medicine by the preceptors in the several teaching hospitals. The physician preceptors and their departments are: Anesthesiology - Robert Harvey, Timothy Sievenpiper, Julie Cullen; Dermatology - James Rasmussen; Family Practice Peter Goergen, Frederic Hirsch, Leslie McLaren, Robert Miller d- SPRING, 1979 9 �Julie Nickelsen, James Nunn, Winfred Quick; Medicine - Israel Alvarez, John Conboy, Donald Copley, Kenneth Gayles, Robert Kohn, Milford Maloney, Donald Miller, Phillip Morey, Carol Segal, Michael E. Sullivan, Luis Valls; Neurology - Stephen Barron, LeoN. Hopkins; Obstetrics & Gynecology- Ronald Foote, Rosendo Intengan, Kenneth Kahn, Robert Patterson, Emerson Reid, Morris Unher, Russell Van Coevering, Murray Yost; Otolaryngology - Irwin Ginsberg; Pediatrics - Cynthia Clayton, Robert Ehrenreich, Pearay Ogra, Henry Staub, Dennis Sullivan; Psychiatry - John Robinson; Surgery - James Allen, Roland Anthone, Frank Cerra, William Heyden, Robert Milch, Richard Peer; Urology- Joseph Dwoskin, Dale Skoog. First and second-year preclinical advisors: Doctors C. John Abeyounis, Margaret A. Acara, Seymour Axelrod, Alexander C. Brownie, Arlene Collins, Roger K. Cunningham, Murray J. Ettinger, Thomas D. Flanagan, Peter K. Gessner, Perry M. Hogan, Suk-Ki Hong, Jack 0. Klingman, Robert J. Mcisaac, Frank Mendel, Peter A. Nickerson, Roberta J. Pentney, Barbara R. Rennick, Alan M. Reynard, Gloria L. Roblin, Benjamin Sanders, Frances Sansone, Norman Solkoff, Judith Van Liew.D Clockwise from right: Drs. John Robinson, Leonard Katz, Luther Musselman and Jack Richert; Roland Anthone, John Wright, Ross Markello. �Dr. Ronald Marconi, M'76, is one of 18 family practice residents in the United States to receive a 1978 Mead Johnson Award of $1200. He is the only recipient in upstate New York. The award is given on the basis of scholastic achievement, leadership qualitities and qualification for and interest in family practice. Dr. Marconi, now chief resident of the Family Practice Program at Deaconess Hospital, got his medical education the hard way. The son of Mr. and Mrs. Fred Marconi of South Wales, he was graduated from State University College at Buffalo in 1968. After applying to several medical schools and being turned down, he took a job teaching science at Bennett High School and a second, part-time, job in the laboratory at the Buffalo Veterans Hospital. He also began studying for a master's degree in biology at State College in the hope that the degree would bolster his chances of getting into medical school. With course work finished and only his thesis to complete, he reapplied to medical school. By late spring of 1972, when he had still had no notice of acceptance, he flew to Mexico and enrolled in the Autonomous University of Guadalajara Medical School. Since classes were conducted in Spanish, he was required to take an intensive summer course in that language before attending his first lecture. His wife, the former Judy Daly of Buffalo, and three daughters, ranging in age from five months to five years, accompanied him to Guadalajara. For the next two years they lived frugally on money they had saved and borrowed while Ron attended classes and, on his own, studied for the National Boards, Part I. (Under the recentlyestablished COTRANS Program, students who passed all parts of the boards could apply for transfer to a school in the United States at the end of the sophomore year.) As a student, Ron was instrumental in starting a clinic in a section of Guadalajara where there had been no health care for the poor. Today that clinic is an official teaching clinic of the Autonomous University. In 1974 Ron passed the National Boards with grades high enough to win acceptance to the SUNY /B School of Medicine. He was one of five students in foreign schools accepted by SUNY /B that year. (Since 1969-70, the School of Medicine has accepted 51 such students, 26 of them from the University of Guadalajara.) After graduation in 1976, Dr. Marconi entered the training program for family practitioners at Deaconess Hospital. He was the first resident from the program to take special training in obstetrics at the Los Angeles County Hospital-University of Southern California Medical Center, paving the way for a continuing affiliation with that institution. Today he, his wife and their four daughters - a fourth born since their return to Western New York- live at 4162 Vinewood Rd., Williamsville.D SPRING, 1979 11 Dr. Marconi �11 Faculty Retire Dr. Bumbalo Eleven Medical School faculty members, who reached age 70 on or before the last day of August, have retired. Collectively they have served the University 316 years. They are Drs. Virgil H.F. Boeck, Thomas S. Bumbalo, Arthur J. Cramer, Irwin Felsen, Joseph D. Godfrey, J. Curtis Hellriegel, Frederick K. Neuburger, Nelson G. Russell, Harold Schweitzer, Edith E. Sproul and Martin G. Staiman. Dr. Boeck is a 1931 Medical School graduate. He has been on the faculty since 1949, and is a clinical assistant professor of medicine. He took his residency at the Buffalo City Hospital and the E.J. Meyer. Dr. Boeck is a Diplomate, American Board of Internal Medicine and a Fellow, American College of Physicians. He served as a battalion surgeon four years in the Pacific theatre during World War II. After his discharge as a Major he did post graduate work at Harvard University Medical School. He is an attending physician emeritus at Millard Fillmore Hospital and chief of medicine emeritus at St. Joseph's Intercommunity Hospital. He is an active member of 20 professional and civic societies. Dr. Bumbalo is a 1931 graduate of the U/B Medical School. He has been a clinical professor of pediatrics since 1963. He has been associated with the E.J. Meyer hospital since his internship in 1932, and has been medical director since 1972. He has also served as attending pediatrician, head of pediatrics, chief attending, assistant and associate medical director at the Meyer. Dr. Bumbalo has also been attending pediatrician at Children's Hospital since 1936; a consulting pediatrician to four other area hospitals and on the courtesy staff of seven others. He is a Fellow, American Academy of Pediatrics. He has been active and an officer in numerous city, state, regional and national professional societies. Dr. Bumbalo has also been active in civic organizations. He has authored or co-authored 35 scientific papers for professional journals. Dr. Cramer Dr. Godfrey Dr. Cramer joined the faculty in 1936 as an associate in pediatrics and retired 42 years later as clinical associate in pediatrics. He received his M.D. from U/B in 1932 and took his internship and residency at Children's Hospital, 1932-1936. Dr. Cramer has been senior attending physician at Children's and Buffalo General; chief of pediatrics at Kenmore Mercy; health officer in Kenmore, N.Y. where he practiced; and on the pediatric staff of DeGraff Memorial and Millard Fillmore Hospitals. He served with the U.S. Army Medical Corps in World War II from 1942-1946 in the European theatre with the 3rd and 7th Army. As a Captain and Major he was awarded five battle stars. At one time he was Chief Communicable Disease Officer in Munich. He is a Fellow, American Academy of Pediatrics, past president of the Buffalo Pediatric Society and has been active in several other professional and civic organizations. A stroke forced him into semi-retirement in 1969, but he still serves on the staff of three nursing homes, reads scientific journals and is a 'Ham' radio operator. Dr. Godfrey is a 1931 graduate of the U/B Medical School. He has been a clinical professor of orthopaedics since 1942. He is an orthopaedic consultant in four Buffalo Hospitals (General, Children's, Mercy, Roswell Park) as well as the United States 12 THE BUFFALO PHYSICIAN �Naval Academy, United States Military Academy. Dr. Godfrey is a Diplomate, American Board of Orthopaedic Surgeons and a Fellow, American College of Surgeons (life member) . He was the Buffalo Bills team physician. He was named "Mr. Sports Medicine" in 1977 by the American Orthopaedic Society for Sports and was given the "President's Challenge Award" by the National Athletic Trainers Association in the same year. In 1976 Canisius College honored him with their "Distinguished Alumnus Award." Dr. Godfrey has been a member and an officer in many national professional associations. He has addressed many professional organizations in Belgium, Canada and the United States. He had post graduate training at Temple University's Shriners' Hospital for Crippled Children, Philadelphia. During World War II Dr. Godfrey was a Lieutenant Colonel and chief orthopaedic service, 23rd General Hospital in the African and European theatres. Dr. Neuburger, clinical associate professor of otolaryngology, joined the faculty in 1948. He received his M.D. from the University of Vienna Medical School (Austria) in 1933. After a four-year internship and residency there he did five years of postgraduate work at Brooklyn Jewish, New York University, Buffalo General and Children's Hospitals. Dr. Neuburger served as a Major during World War II with an evacuation hospital in the European theatre and at Walter Reed Hospital. Dr. Neuburger has been active in local and national professional societies. He has been on the staff of Buffalo General and Children's Hospitals. His father, Max, was an internationally known medical historian and professor of medicine at the University of Vienna. Dr. Sproul joined the faculty in 1962 as a research associate professor of pathology. She received her M.D. from the College of Physicians and Surgeons, Columbia University. She also took her Residency there, after interning at Strong Memorial Hospital, Rochester, N.Y. Dr. Sproul was chairman of the department of pathology at American University, Beirut, Lebanon four years. She has been affiliated with Buffalo General Hospital and Roswell Park Memorial Institute. Before coming to Buffalo she was associated with two New York City hospitals, Presbyterian and Francis Delafield. Dr. Sproul is active in several professional organizations. Dr. Staiman, clinical assistant professor of psychiatry, joined the faculty in 1954. He has taught medical students in group psychotherapy and supervised residents for 24 years. He is a Diplomate in clinical psychology, American Board of Professional Psychology and a Fellow, American Psychological Association, American Orthopsychiatric Association and American Group Therapy Association. Dr. Staiman received his PhD. from New York University in 1949; his M.A. from Columbia University in 1932. He served during World War II in the Correction Division, Adjutant General's Office in the Pentagon. Before the war (for 10 years) Dr. Staiman was director of classification for the New York City department of correction. In November, 1969 he retired as chief of psychology at the Veterans Administration Hospital, a position he held for 17 years. In October 1978 Dr. Staiman was inducted into the Alfred University Athletic Hall of Fame. He received his B.A. degree from Alfred in 1931 where he was a star_L_ on the gridiron. 0 SPRING, 1979 13 Dr. Neuburger Dr. Sproul Dr. Staiman �Dr. Felsen joined the faculty in 1971 as a clinical instructor in family medicine. He received his M.D. degree in 1934 from the University of Glasgow. Dr. Hellriegel, a 1933 Medical School graduate, joined the faculty in 1966 as a clinical associate in Gyn/Ob. Dr. Russell joined the faculty in 1939 as a clinical assistant professor of medicine. He received his M.D. from McGill University in 1934. Dr. Schweitzer, a 1931 Medical School graduate, joined the faculty in 1939, as a clinical assistant professor of medicine.O Dr. Ogra Wins Award Dr. Ogra Dr. Pearay L. Ogra, professor of pediatrics and microbiology and director of the division of clinical infectious diseases and virology at Children's Hospital has been awarded the prestigious E. Mead Johnson Award for original and significant research in pediatrics. According to the American Academy of Pediatrics which presented the award at its annual meeting in October in Chicago, Dr. Ogra was selected for his contributions in the field of immunologic defense mechanisms operating at the mucosal barrier of the respiratory and gastrointestinal tracts. He is the first Buffalonian selected to receive the award since its inception in 1939. Previous winners include Drs. Albert Sabin and Benjamin Spack. Dr. Ogra joined U/B in 1966 as a Fellow in virology and instructor in the department of pediatrics. In 1974, he was named professor in both pediatrics and microbiology. He is a native of Kashmir (India) and was graduated from the Christian Medical College at Ludhiana there. He completed residency training at the Government Medical College (Srinagar), the Christian Medical College, Binghamton General Hospital, the University of Chicago Hospitals and Clinics and New York University-Bellevue Medical Center. He is certified by the American Board of Pediatrics and the National Registry of Microbiologists and is a Fellow of the Royal Society of Medicine, the American College of Pediatricians and the American Academy of Pediatricians. Dr. Ogra has authored or co-authored some 65 professional papers and has served as editorial consultant for the Journal of Pediatrics, the New England Journal of Medicine, Pediatrics, Infection and Immunology, Applied Microbiology, Journal of Infectious Disease and the American Journal of the Diseases of Children. Dr. Ogra is also a member of U/B's Center for Immunology, a consultant to the Erie County Virology Labratory and has served also as consultant to the U.S. Public Health Service and the World Health Organization and has been a member of a special study section for the National Institutes of Health. He and his wife, Dr. S.S. Ogra, assistant professor of gynecology and obstetrics at U/B, have two children.O 14 THE BUFFALO PHYSICIAN �Dr. Gonder Named Acting Chairman .. Dr. Maurice J. Gonder, chief of urology at the Veterans Administration Hospital and clinical associate professor at the School of Medicine, has been named acting chairman of the U/B Department of Urology. Dr. Gonder, who succeeds Dr. William Staubitz who retired his chairmanship this spring, has been on the U/B faculty since 1960. Prior to that time, he was chief of urology at Ireland Army Hospital, Ft. Knox, Ky.; and at the 97th General Army Hospital, Frankfurt, Germany. Dr. Gonder received his MD degree from the University of Iowa, interned at Madigan Army Hospital in Ft. Lewis, Wash., and completed residency in urology at Brooke Army Hospital in San Antonio where he became assistant chief of urology from 1954-58. A native of Boone, Iowa, he has been active in urological research concentrating on diseases of the prostate and has authored or co-authored some 60 professional papers including textbook material. He is a Diplomate of the American Board of Urology as well as a Fellow of the American College of Surgeons and a member of the American Urological Association, the Erie County and New York State Medical Societies. Dr. Gonder holds current hospital staff appointments at Erie County Medical Center, the VA, Kenmore Mercy, Buffalo General and Sheridan Park Hospitals.D Dr. Charles F. Dewitz has the distinction of being the longest practicing physician of the 1914 U/B Medical School graduating class. In 1977 he gave up his office on Main Street where he had practiced for 25 years. Recently Dr. and Mrs. Dewitz celebrated their 60th wedding anniversary. They were married November 2, 1918 at Bethel Baptist Church on Johnson Street. Mrs. Dewitz was a nurse at Buffalo General Hospital when her future husband was an intern. Exercise and moderation are the keys to healthy living, according to the 93-year-old physician. He eats sparingly, smokes a pipe and has a drink once in a while. Dr. Dewitz began his medical career when he was 15 years old working in the lab of the late Dr. Charles Stockton. Dr. Dewitz has been devoted to his profession. He rarely took a vacation. He enjoys hearing from his former patients and continues to read medical journals.D SPRING, 1979 15 Dr. Gonder Dr. Dewitz �Biochemical ''Profile'' of a Lithopedion by Drs. D.A. Pragay and Korenyi-Both Dr. Pragay is a clinical associate professor of biochemistry and pathology. Dr. Korenyi-Both is a clinical assistant professor of pathology. Both are affiliated with the chemistry laboratory at the Erie County Medical Center; and the departments of neurology and biochemistry and the Medical School. The Lithopedion "stone baby" is a calcified fetus. It is a very rare finding. Approximately 330 recorded cases are known in the whole of medical literature. The first case was described by Albucasis (936-1013) during the Arabic Era in Medicine. His observations were translated later into Latin and published in 1459 in Venice, and in 1779 in Oxford. The second recorded case was published by Israel Spack in 1557. Since the introduction of systematic medical publication, these observations increased in number. During a regular autopsy precedure performed in 1977 in the Meyer Hospital, a lithopedion was found. The mother suffered a myocardial infarct and died one hour after admission to the hospital. During the autopsy, the lithopedion was detected. This lithopedion was firmly attached to a loop of the maternal ileum in the abdominal cavity. X-ray bone analysis revealed that the fetus died at approximately nine months of age. From the very scanty data available one could assume that the dead fetus was subjected to a mild mummification and to calcification for 20-25 years in the abdominal cavity. Histological, morphological, electronmicroscopical and chemical analysis were done on the tissues of the fetus. The length of the body of the fetus was 30cm; the chest circumference 20 em; the weight was 730 gm (vs 3,000-3,500 gm weight of a normal nine month old fetus). Macroscopical examination revealed brain tissue, and then liver, large and small intestines, uterus and bladder in the abdominal cavity and muscle in the extremities. From those tissues muscle only showed definite microscopical structure. Dry weight analysis showed a definite increase of the dry weight in the lithopedion tissues when compared to normal fetal tissues. The lithopedion was completely surrounded by a calcified shell o.1-1.3 em thick. The shell showed an inorganic composition very similar to egg shell (hen]. Tissues were wet washed and analyzed for inorganic components. The study revealed increases in sodium, and magnesium, loss of potassium and chloride, and an enormous increase in calcium and phosphorus. All these data point in one direction: the mother organism tried to "inactivate" and isolate the dead fetus as a "foreign body." Properly prepared tissue homogenates were studied for enzyme activity. The enzyme activity of the extracts was only approximately 1 o/o of the activity found in the extract of normal fetal tissues. The following enzymes analyzed showed a low but definite activity: transaminases (ASPAT, ALAT) lactic dehydrogenase, creatine kinase, gamma glutamyl transpeptidase (LDH, CK, GGT]. The isoenzymes of LDH and CK were also discernible in different tissues and showed the characteristic isoenzyme composition of the fetal tissue. Although lithopedions were studied in the past, this was the first time when chemical analysis was also performed. The detailed results will be published and are in press.D 16 THE BUFFALO PHYSICIAN �Fourth year student Robert Rose with Dr. Gerard Diesfeld, M '60, in Arcade, New York. Dr. Carol Segal reviews a patient's chart with Donald Armenia, fourth year student. Primary Ambulatory Care Fourth year medical students are getting a good feel for patient care in the required one month primary ambulatory care rotation in the teaching hospitals and city clinics. Students have their choice of four departments- family medicine, medicine, gyn/ob or pediatrics. More than one-third of the students selected the family medicine program at Deaconess Hospital. This program gives students exposure to treating patients not hospitalized. Dr. Daniel Morelli, clinical instructor in family medicine, directs the program that emphasizes continuous patient care. Students in the Deaconess program can work at the Center with a physician in the community or in a rural setting in Arcade, Springville, Wellsville, Dansville, Warsaw or Saranac Lake. At the new Erie County Medical Center students see the range of common patient problems (diabetes, congestive heart failure, hypertension, arthritis) in the general adult medicine clinic headed by Dr. Carol Segal, clinical assistant professor of medicine . She hopes that the students will see the results of their patient evaluation during several patient visits. At the East Side Health Clinic directed by Dr. Jacqueline Levitt, clinical instructor in medicine, and the downtown alcoholic clinic students may see a different patient population with other health problems.D SPRING, 1979 17 Dr. Clifton Strong, M'44, and Ramon Pabalan, fourth year student, in Springville, New York. �Two Physicians Honored Dr. Bruck Dr. Staubitz Two Medical School faculty members were among 15 retirees honored at the annual Commencement Luncheon by President Robert L. Ketter at Spaulding Dining Room. Erika Bruck, professor of pediatrics. Dr. Bruck has been with U/B and Children's hospital since 1947. She directed Children's Clinical Chemistry Laboratory from 1947 to 1949, and again from 1951 to 1968. A graduate of the Friedrich Wilhem Universitaet Medical School, Breslau, Germany, she completed an internship there and was affiliated with the University of Istanbul before emigrating to the U.S. In this country, she completed an internship and residency at Goldwater Memorial Hospital, New York City. Following that, she was on the staff of the Children's Hospital of Cincinnati and was a research fellow in pediatrics at the Children's Hospital of Philadelphia before coming to Buffalo. Since 1952, Dr. Bruck's primary research interests have been concerned with respiratory function in children, with disorders in the central nervous system in children, with fibro-cystic disease of the pancreas, and with the problems of dehydration. Her findings have been widely published in medical journals, and she is a member of a number of medical professional societies. William J. Staubitz, professor and chairman of the Department of Urology. Born in Buffalo, Dr. Staubitz attended Gettysburg College on a football scholarship before taking his medical degree at U/ B. He was chief of urology for twelve years at Roswell Park and joined his alma mater in 1960. Concurrent with his U/B appointment, he has been chairman of the departments of urology at Meyer Memorial and Children's Hospitals. He served as co-chairman of U/B's Department of Surgery in 1965-66, has served on a number of Health Sciences search committees, was chairman of the University Residency Committee and of the School of Medicine's Research and Development Committee for seven years, and was president of Medicine's Faculty Council for a term. Now a member of the Clinical Council of the School, he serves on its executive committee and on similar committees at Buffalo General and the Meyer. One of the developers of a surgical technique for removing certain deposits from tumors of the male sex organs, Dr. Staubitz has been an attending and consulting physician at a number of hospitals, has held visiting professorships throughout the world, is a widely published researcher, was the second Buffalo resident ever to be elected to the American Association of Genitourinary Surgeons (the first was Dr. Roswell Park). and was the first American to be president of the Canadian Urologic Association.O 18 THE BUFFALO PHYSICIAN �( Dr. Joseph Melant calls himself an advanced amateur historian who has collected all kinds of medals, documents, 800 books, and personal reminders of World War II. The April 1943 Medical School graduate is living in Sarasota, Florida where he also has autographs and memorabilia of famous people who made history in the 1930's and 1940's. Some of these include Harry Truman, Omar Bradley, Winston Churchill, Franklin Roosevelt, Dwight Eisenhower, Adolph Hitler and Hermann Goering. Dr. Melant also has Lady Churchill's autograph on a first-day cover of the Winston Churchill stamp commemorating his Iron Curtain Speech. The stamp is postmarked May 13, 1965 at Fulton, Mo., where Churchill first coined the term "Iron Curtain." Autographs of Edward, Duke of Windsor, and Wallis, Duchess of Windsor, are also on the cover owned by Dr. Melant. Before he moved to Florida in 1977 much of his collection was either sold or given to Mount Holyoke College and Mt. Mercy Academy. Dr. Melant still owns the last Nazi flag that flew over Dachau concentration camp the day it was liberated. He served with the 85th field hospital in England, France and Belgium and on VE day he was across the Rhine from Bonn. He has returned to Germany eight times to search for documents and autographs and meet some of the people close to Hitler. In 1972 Dr. and Mrs. Melant had dinner with Albert Speer, Hitler's minister of armament. One of the 22 defendants at Nuremberg, Speer spent 20 years in prison. He authored two of the best sellers about the Third Reich. Dr. Melant has also visited with other associates of Hitler in recent years. Dr. Melant's office includes a bust of Hitler, a wall of medals, many books and badges. Some of the momentos were given him by patients and others were purchased from dealers or at auctions. The Melant's live at 4219 Francis Bacon Lane, Sarasota, 33583.0 Dr. Melant -------. ...... -u······---- ..,...,...,.. ..._ _ _ ___ «,t<'lt(ftj - .. . . . ~~-..- •• . . . ..,... fU ol( ijlllec Dr. Charles B. Coventry The eastern entrance to the Amherst Campus has been named the Charles B. Coventry Entrance. Dr. Coventry was the first professor of physiology and medical jurisprudence and one of the founders of U/B. Dr. Coventry was born in 1801 and died in 1875. In 1825 he received his M.D. from the College of Physicians and Surgeons of Western New York at Fairfield, Herkimer County. Dr. Coventry practiced medicine with his father in Utica, N.Y. until 1828 when young Coventry was appointed to lecture on Materia Medica at the Berkshire Medical College, Pittsfield, Mass. The following year he was appointed to the chair of Obstetrics and Materia Medica, a position he held until 1832. When the medical department at Geneva College was organized in 1834 Dr. Coventry accepted the chair of Materia Media and Obstetrics. In 1846 he was one of seven professors named to the new U/B Medical School. When he resigned in April1851, because of an extensive family practice in Utica, Dr. Coventry was named the first Emeritus Professor of the University.O SPRING, 1979 19 Dr. O.P. Jones wrote a story on Dr. Coventry that appeared in The Buffalo Physician, Vol. 8, No. 3, p-54, Spring, 1974. �New Psychiatry Chairman Dr. Herz Dr. Marvin Herz has been named professor and chairman of psychiatry. He replaces Dr. S. Mouchly Small, who retired after 26 years as chairman. Dr. Herz comes to Buffalo from the Georgia Mental Health Institute in Atlanta where he has been director of research and medical director. From 1972-77 he was associate professor of clinical psychiatry, College of Physicians and Surgeons, Columbia University; director of community services, New York State Psychiatric Institute; and associate attending psychiatrist at Presbyterian Hospital, New York City. He has also been associated with Yale University, Albert Einstein College of Medicine, and the New York State Psychiatric Institute as director. Dr. Herz has also been professor of psychiatry at Emory University. Dr. Herz did his undergraduate work at the University of Michigan, received his Master's degree from Yale and his M.D. from the Chicago Medical School. He interned at the University of Illinois Hospitals and took his residency at Michael Reese Hospital. The educator is a Fellow, American Association for Social Psychiatry, American College of Psychiatrists, American Academy of Psychoanalysis, and American Psychiatric Association. He is a Diplomate, American Board of Psychiatry and Neurology in Psychiatry and American Board of Medical Examiners. He has also been active in several other professional organizations. Dr. Herz has made significant contributions to the mental health services delivery field. He is listed in "Who's Who in Health Care" (1st edition, 1977). He has authored or co-authored 40 professional papers and has served as publication reviewer for the American Journal of Psychiatry. He has also served as an educational consultant for the National Heart, Lung and Blood Institute and a consultant to the Task Panel of the President's Commission on Research and Mental Illness.D Residents Graduation Three graduating residents in orthopaedics and one senior medical student presented thesis papers at the 7th annual Residents' Scientific Program and Graduation Day in May, according to Dr. Eugene R. Mindell, professor and chairman of orthopaedics. Dr. John A. Hefferon, "Fractures of the Forearm, An Analysis of 70 Cases;" Dr. David M. Roe, "Fracture Dislocations of the Lumbar Spine, An Analysis of 50 Cases;" Dr. Jimmy S. Snur, "Fractures of the Distal Femoral Epiphysis". In addition, Greg Roberts, senior medical student, delivered a paper entitled "Elasticity and Plasticity of Rat Femora." The Visiting Professor, Dr. Carl T. Brighton, professor and chairman, department of orthopaedics at University of Pennsylvania, delivered two lectures entitled "Epiphyseal Cartilage Plate" and "Electricity in Bone Repair."D 20 THE BUFFALO PHYSICIAN �A Martinique Experience Physicians left the inhospitable climate of Buffalo in March for a one-week combined continuing education-pleasure trip to Martinique. Martinique, a department (state) of France and aptly called the isle of flowers, has to be one of the Caribbean's most beautiful locations. Delicate and brilliantly-hued everywhere,from the north mountainous rain forests where the ever-present sun is usually obscured by rain clouds and dense jungle growth to the low lands in the south where sugar cane and distilleries predominate. The French influence is strong; our U/B party was quartered at the Meridien, a luxury hotel in the Air France chain. Located across the bay from the capital, Fort de France, a city of 100,000, the alumni made many a passage from the newer resort of Trois Islets by ferry, a pleasant half-hour ride. Numerous restaurants featured an attractive blend of continental and Creole fare, which delighted the most discriminating palate. The U/B party of 150 included dental alumni, who also were engaged in seminars, and about 70 others who were strictly vacationers. The program provided an update on current practices in cardiology and the psychosocial factors in cardiac disease. The techniques for alleviating stress was emphasized. The faculty included: Dr. Sebastian S. Fasanello, clinical instructor in psychiatry; Dr. Lawrence H. Golden, clinical professor of medicine; and Nancy P. Golden, family therapist, child and family service.D SPRING, 1979 21 �Dr. Debobroto Moulik, assistant professor of Gyn/ Ob at Deaconess Hospital, with second-year students, Wendy Kahn and Stacey Ackerman. MECO Myra Rosenstein, a second-year medical student, with Dr. P.V . Mehta, clinical instructor in medicine, at the Ambulatory Core Center, Buffalo General Hospital. During the summer 37 first and second year medical students were introduced to primary care. Fourteen of the students were in Jamestown, New York for the first time, while the others were in hospitals, health clinics and physicians' offices in the Buffalo area. The Medical Education Community Orientation (MECO) Program, sponsored by the American Medical Student Association, is in its third year. Two second year students, Robert Shalwitz and Donald Switzer, directed the program. Most of the students were on six week stipends, while several worked for seven or eight weeks. Among the contributors were- the Annual Participating Fund for Medical Education (APFME). New York State Academy of Family Physicians, Lamb Foundation, Jeffrey Fells, Gebbie Foundation, and Cornell Foundation. There were also several private contributors. The 42 physicians participated voluntarily. The Outer East Side Health Center and the West Side Health Center participated for the first time in this program. Participating in the program: STUDENT PRECEPTOR Robert Shalwitz ....... Orlando Alvarez ...... James Conway ........ Brett Shulman ......... Diana Ellis ............ David Small ........... Dr. Harry Beirne, pediatrics Dr. Richard Carlson, medicine Dr. Richard Carlson, medicine Dr. Paul T. Buerger, gyn/ob Dr. Stephen Farkas Dr. Jaime Revollo, family medicine 22 THE BUFFALO PHYSICIAN �Robert Ignasiak ....... Myra Rosenstein ...... Ken Entes ............. Thomas Dew .......... Larry Sporn ........... Mona Fleiss ........... Stacey Ackerman ...... Wendy Kahn .......... Greg Goldberg ........ John Zalewski ......... Pat Diesfeld ........... Natalie Schwartz ...... Marjory Dube ......... Robert Parkes ......... Barry Schiff ........... Donna Oehman ....... Dr. Morton Lipsitz, medicine Dr. Michael F. Noe, medicine Dr. John Conboy, medicine Dr. John McMahon, medicine Dr. Anthony Merlino, medicine Dr. Ulrich Bauer, pediatrics Dr. Jack Lippes, gyn/ob Dr. Jack Lippes, gyn/ob Dr. Bertrand Rqche, family medicine Dr. Robert Corretore, family medicine Dr. William Heyden, surgery Dr. Joseph Armenia, medicine Dr. Milford C. Maloney, medicine Dr. John Gab bey, family medicine Dr. Jacob Steinhart, pediatrics Dr. Melvin Deister The students participating in the Jamestown area program are: Don Switzer, John Mageli, Harvey Arbesman, Mary Frank, Diane Sinatra, Robert Braco, Robert Walsh, Susan Pettitt, John Ninos, Steven Wilson, Todd Jacobson, Alfred Smith, Margaret Werick, John Paroski. Coordinating the Jamestown preceptors was Dr. Lillian Ney. Other participants: Doctors Anderson, Messinger (ob/gyn); Bumhalo, Lisciandro (pediatrics); Lewis, Liebentritt (family practice); Gutierrez (Primary Health Care Center, Salamanca); Rappole, Lynn (general surgery); Kumar (neurosurgery); Campbell, Heverly (Emergency Room); Danahy, Ungerer (orthopedic surgery); Davis, Franks (ophthalmology); Finklestein (public health); Sinatra, Sood, Ervin (medicine) .0 Cancer of the Colon ,, Eating green vegetables and cabbage in particular, may help protect individuals from cancer of the colon, according to Dr. Saxon Graham. His study is based on the comparison of the diet of 257 white males with cancer of the colon and 783 controls. The professor of sociology and social and preventive medicine noted his research shows that decreased frequency of eating certain vegetables corresponded with increased risk of colon cancer. His findings appear to parallel research in which laboratory rats fed cabbage, broccoli, brussels sprouts and turnips showed increased activity of a chemical which inhibits cancer. Dr. Graham said the study found no correlation between risk of colon cancer and a diet high in meat or beef. Several researchers from Roswell Park Memorial Institute were involved in this study.D SPRING, 1979 23 Robert Shalwitz, second-year medical student, examines a youngster at the West Side Health Center with Dr. Harry Beirne, clinical assistant professor of pediatrics. �Dr. David Dean, clinical associate professor of medicine, and students. The organizer of the tourney, Christine Miller, 3rd year student; Myra Rosenstein, 3rd year student; Dr. Leonard Katz, and the tennis tourney winner/assistant organizer, John DeBerry, 2nd year student. 4th Annual Tennis Tourney Seventy medical students and faculty participated in the fourth annual round-robin tennis tournament in September. Approximately 250 cheered their favorites and attended the picnic that followed. The top three students were Avi Jain, John DeBerry and Rakesh Jain. The three faculty winners were - Dale Fish, Mario Montes and David Myers.D Dr. Jock Richert, David Kurss, 1st year student, Alan Schimmel, 4th year student. Some played volleyball. 24 THE BUFFALO PHYSICIAN �Dr. Anita J. Herbert, M'63, an internist, ended her 10-year practice in Bradford, Pa. in June to teach at the Boston University Medical School. She will also be on the staff of Boston City Hospital. Her experience in Bradford prepared her for her new position. She was on the Bradford Hospital medical staff, and active in the American Heart Association. Dr. Herbert has also been the Bradford Area School District physician for several years and a consultant to the McKean County Department of Children's Services' Child Abuse Program. She interned and took her residency at the E.J. Meyer Memorial Hospital and the Alleghany General Hospital in Pittsburgh. Dr. Herbert's new duties in Boston will include teaching medicine, providing out-patient care at Columbia Point Health Center in Boston as part of a training program for students in the primary care graduate training program and supervising in-patient care. The physician sees her role as a faculty member as one of encouraging residents to enter the "primary care specialty of general internal medicine" and to practice in rural areas such as Bradford. She says that she will now be able to guide doctors in these directions on a different level, on the teaching level, where residents make their decisions rather than on the "front lines" of the private practice.D Dr. Roy E. Seibel, director of the radiology department at Deaconess Hospital, has been appointed to head the same department at Buffalo General Hospital, as another step toward the planned merger of the two hospitals. Dr. Gordon J. Culver, who had served as head of the department at BGH since 1949, stepped down as department head six months before his scheduled retirement "in order to facilitate a more orderly transition to a joint administration of the two radiology departments," according to BGH president, Dr. William V. Kinnard, Jr. Dr. Seibel has been the chief radioiogist at the Deaconess since 1946. Born in Buffalo, he graduated from the University of Buffalo in 1935 and earned his medical degree from UB in 1939. He served as a staff physician with the H.N.JAdams Memorial Hospital in Perryburg from 1940-1942, did his internship at Deaconess from 1942-1943, and took his radiology residency at the Peter Bent Brigham Hospital in Boston, Mass. from 1943-1946, before returning to Buffalo to head the radiology department at the Deaconess. Certified by the American Board of Radiology, Dr. Seibel also is an clinical associate professor of radiology at the UB Medical School. Dr. Culver, who was 65 last February, is staying on in the radiology department at BGH for the present as a full-time radiologist and to assist Dr. Seibel in his administrative duties. Dr. Culver is a native of Randolph, N.Y. who earned his medical degree from UB in 1937 and has been with Buffalo General ever since, serving his internship and residency in radiology at the High Street hospital before being appointed as a staff radiologist in 1941. He is a clinical professor of radiology. Dr. Kinnard said Dr. Seibel "is working closely with the BGH administration to finalize proposals for early improvement of our X-ray facilities."D SPRING, 1979 25 Dr. Herbert Drs. Seibel/Culver Dr. Seibel Dr. Culver �42nd Annual Medical Alumni Spring Clinical Days Theme: What's _Right with Medicine Today May 11, 12, 1979 Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, MAY 11 8:00 Registration 8:30 Welcome: Edmond Gicewicz, M.D . '56 President, Medical Alumni Association Clinical Associate Professor of Surgery John Naughton, M.D. , Dean, School of Medicine 8:45 WHAT IS NEW IN NEUROLOGY by William Kinkel, M.D. '54 Clinical Professor of Neurology; Clinical Associate Professor of Anatomical Sciences 9:30 DIALYSIS AND RENAL ADVANCES by Sidney Anthone M.D . '50 Clinical Professor of Surgery 10:15 Coffee 10:45 ORGAN TRANSPLANTATION by Thomas Starzl, M.D., University of Colorado Medical School 11:30 GASTROENTEROLOGY by Harold Bernhard, M.D. '49 Clinical Associate Professor of Medicine 12:15-12:30 Business Meeting FRIDAY AFTERNOON 1:15 INFECTIOUS DISEASES by Richard Lee, M.D. Professor of Medicine 2:00 CARDIOVASCULAR by Francis Klocke, M.D. '60 Professor of Medicine, Physiology 2:45 3:15 4:00 Coffee CHEMOTHERAPEUTICS by James Holland, M.D., Mt. Sinai Hospital COMPUTERS IN CRITICAL CARE by John Siegel, M.D., Professor of Surgery; Research Professor of Biophysical Sciences SATURDAY MORNING, MAY 12 9:00 CHANGING CONCEPTS IN THE RISING COST OF HEALTH CARE SATURDAY AFTERNOON UB MEDICAL ALUMNI ANNUAL LUNCHEON AND 1:00 STOCKTON KIMBALL MEMORIAL LECTURE (speaker not announced at press time) SATURDAY EVENING, 6:30 Class Reunions: 1929, 1934, 1939, 1944, 1949, 1954, 1959, 1964, 1969 26 THE BUFFALO PHYSICIAN �The new hyperbaric research Jab. Deep Sea Diving I, 1 The director of the hyperbaric research laboratory has received two grants totaling $300,000 from the Office of Naval Research for deep sea diving research and renovation of the facilities. Dr. Claes E.G. Lundgren stressed that the research aspects of the project would be for the improvement of deep sea diving safety and efficiency. "We want to make diving more productive by studying the physiological and medical problems related to diving. We hope we can increase the amount of cumulative time deep sea divers can spend on the ocean bottom. The current average is about 30 hours." The professor of physiology hopes to give his students much more exposure to the safety and research aspects of diving. Dr. Lundgren suggested that this project could have a good affect on recreational diving. "Our civilian community is becoming more interested in swimming and diving and they will also reap some rewards from our research."O SPRING, 1979 27 �Dr. Ettinger Honored Dr. Ettinger Dr. Murray J. Ettinger, associate professor of biochemistry, was among 10 members of the U/B community to receive $1,000 for "outstanding" service to the University. The awards were funded by the U/B Foundation Inc. These awards are intended to begin a tradition of recognizing "dedication and meritorious" on-the-job and community efforts. President Robert L. Ketter presented the awards at the dedication of the Baird Point amphitheatre project. Dr. Ettinger joined the Medical School faculty in 1969. He received his doctorate in pharmacology from Hahnemann Medical College, Philadelphia in 1965. Dr. Ettinger was nominated by a colleague for "his excellence, innovativeness, and devotion in teaching, his creative and superb research," and his "very impressive contributions" to the Medical Faculty Council as chairman of its committee on academic and student affairs. A major contributor to the biochemistry teaching program in medicine and dentistry, he is especially involved with sometimes ill-prepared minority students. For these students, he and another professor, Dr. Alexander C. Brownie, developed a supplementary course which runs parallel to the regular one. "There is clear evidence," a colleague notes, "that in a large number of instances this enables students to achieve satisfactory grades and, indeed, sets learning methods which pay off in other aspects of the basic science program." Consistently recognized in student evaluations as a top teacher, Ettinger also offers courses for both undergraduate and graduate students. He is a member of the Bioinorganic Graduate Group, which consists of faculty from chemistry and biochemistry, and is principal investigator of two funded research projects. He is said to have "the most graduate students in his laboratory" of anyone in biochemistry. During Ettinger's tenure as chairman of the Medical Faculty's panel on academic standards and student affairs, a new approach to the assessment of student performance was devised. As another faculty member describes it, "he was very instrumental in getting us to identify problems as early as possible in a student's career in the Medical School, and this has led to appropriate modifications of that student's curriculum. The curriculum may be lengthened as a result, but the policy insures that students are retained and successfully complete their training program. We have been working with these guidelines for several years now and it is clear that they work. "0 28 THE BUFFALO PHYSICIAN �Clock wise from lower left: Dr . Francis ]. Klock e, M'60, guests from the Peoples R ep ublic of China, Dr. Guy Alfano, M'50; Dean John Naughton, Walter Floss; the a udi tori um; Dr. John Border ; th e lobby; Dr. and Mrs. George Hatem from The Peoples Repu blic of China, Dr. Th omas Bumbalo, M'31. Erie County Medical Center Approximately 3,000 people walked through the new 775-bed hospital during two days of open house and ribbon cutting in July. The patients were moved into the 12-story building a few days later. The ultra-modern hospital is one of the finest in the Northeast. It was in the planning stage 10 years and took seven years to build. County Legislator Roger I. Blackwell said, " this is the most magnificent thing to happen in Erie County."D Photos by Sheldon Dukoff SPRING, 1979 29 Tina Santonocito opens the $127 million Erie County Medical Center with the h elp of County Executive Edward Regan. Mr 1 Regan is now State Comptroller. �Five Physicians Honored Five physicians were honored by the graduating residents in internal medicine at the new Erie County Medical Center (formerly Meyer Ho.s pital). It was the fourth annual awards program sponsored by the residents. Dr. Evan Calkins, professor of medicine and head of the new division of gerontology, was honored as the "outstanding clinical teacher." He received a monogrammed white coat at the June 17th dinner dance at the Sheraton-East. Dr. Calkins headed the department of medicine for 17 years. He received his M.D. from Harvard in 1955. Dr. L. Yu, research assistant instructor in biochemistry, received the $200 Semmelweiss Award for his work on "Urinary Catecholamines in Trauman-Septic Patients by High Performance Liquid Chromatography." This award was created in 1974 by Dr. D.A. Pragay, clinical associate professor of biochemistry and pathology, and director of clinical chemistry at the hospital. This award is named for Hungarian born Ignatius Semmelweiss, who pioneered antiseptic and aseptic methods of surgery and gynecology between 1840 and 1865 in Hungary and Austria. Dr. Yu was born in Taiwan and received his undergraduate education at the University of British Columbia, Vancouver, Canada. He graduated with honors from the U/B biochemistry department and is completing a post-doctoral fellowship in clinical biochemistry at the Erie County Laboratories. Three clinical assistant instructors in medicine, Drs. Evelyn Bargman, Steven Lanse, and Edward Stehlik, won the coveted Norman Chassin award ($100 each) as the outstanding interns in the department of internal medicine. Dr. Lanse is a 1977 U/B Medical School graduate. Dr. Bargman received her M.D. from the University of North Carolina in 1977, and Dr. Stehlik is a 1977 Tufts Medical School graduate. This award is named for Dr. Chassin, a 1945 Medical School graduate, who is a clinical associate professor of medicine. 46 Faculty Promotions The following 46 Medical School faculty members received promotions effective July 1, 1978. Promotions to Professor: Doctors Carl Bentzel (medicine); Francis Klocke (physiology); Robert A. Klocke (medicine); Marek Zaleski (microbiology). Promotions to Clinical Professor: Doctors James F. Phillips (medicine); Casimir F. Pietraszek (medicine); Robert E. Reisman (pediatrics and medicine). Promotions to Associate Professor: Doctors Boris Albini (microbiology); Michael Cohen (neurology and pediatrics); Arlene Collins (microbiology); Donald Faber (physiology); Marjorie Plumb (psychiatry); James Rasmussen (dermatology and pediatrics); Frances Sansone (anatomical sciences); Judith Van Liew (physiology); Roger Cunningham, (microbiology). Promotions to Clinical Associate Professor: Doctors Giovanni Costa (medicine); John E. Fitzpatrick (pathology); John Northman (psychiatry); Joohg 0. Rhee (psychiatry); Roger W. Seibel (surgery). 30 Promotion to Assistant Professor: Doctor Hank F. Kung (nuclear medicine). Promotions to Clinical Assistant Professor: Doctors Arnold A. Abramo (pediatrics); Bhaskas Achar (gyn/ob); Chung-Hyun Bae (radiology); Kumaran Bahuleyan (neurosurgery); Jared Barlow (anesthesiology); Robert M. Barone (surgery); John J. DeMarchi (orthopedics); Francesco Giacobbe (pediatrics); Peter Goergen (family medicine); William Gross (gyn/ob); Theodore J. Hajek (pediatrics); John F. Hartman (pediatrics); Rosen do Intengen (gyn/ob); Jayaraj S. Kumar (pathology); Shashikant B. Lele (gyn/ob); Bert A. Lies (orthopaedics); Martin Mango (medicine); Robert M . Matthews (anesthesiology); Gerald E. Patterson (gyn/ob); Sateesh K. Satchidanand (pathology); Lester N. Schiff (pediatrics); Aaron Searle (pediatrics); Robert J. Zwirecki (neurology). Promotion to Research Assistant Professor: Doctor Anthony M. Avellanosa (neurosurgery). THE BUFFALO PHYSICIAN �Drs. Joseph Aquilina, and Jack Goldman, associate professor of medicine and chief of endocrinology at the VA Hospital with several of the students. Seven new members of the junior class are transfers from French, Italian and Mexican medical schools. They are entering U/B via the United States Citizen Foreign Medical Students (USCFMS) pre-clinical review program of the Association of American Medical Colleges. Under this program American students, who have completed their basic science education in foreign medical schools and passed Part I of the National Boards, are accepted into the clinical years in American Medical Schools. The junior year for these transfer students started July 10, and lasted 10 weeks with orientation and intensive lectures and some clinical experiences. Since 1969 the Medical School has participated in a similar program called COTRANS, but external resources were not available to support this program. In December of 1977 the Medical School received a four-year $226,904 grant from HEW to establish the current program (USCFMS). The project director is Dr. John Richert, assistant dean and registrar. Co-directors are Dr. Joseph Aquilina, clinical professor of medicine, and Dr. Frank Schimpfhauser, assistant professor in social and preventive medicine. The 12 facilitators are: Drs. Arlene Collins, microbiology; Robert Dickman, medicine; Chester Glomski, anatomical sciences; Jack Klingman, biochemistry; Richard Hull, Murray Morphy, Gloria Roblin and Norman Solkoff, psychiatry; John Sheffer, pathology; Werner Noell and Hugh Van Liew, physiology; Edward Nelson, pharmacology. Other staff members are Vickie Leone, secretary; Meryl McNeal, study skills coordinator, and Klara Papp, evaluation coordinator.D New transfer students: Drs. Edward Toriello, Andrew Ross, Richard Williams, Christopher Rigsby, Walter Siemian, Jeffrey Isen, Jack Gabay. 7 Transfer Students �Dues Paying Alumni, 1978 The number of dues-paying medical alumni increased again last year. A special thanks to this group as well as to those who give annually. And to the nine reunion classes - 1933, 1938, 1943, (April 1943), 1948, 1953, 1958, 1963, 1968 and 1973 - who contributed $20,800 to the Medical School, a thank you. We at the School of Medicine appreciate your support and participation.D 1917 Thompson, Myron A. Tillou, Donald J. 1919 Goldstein, Henry N. 1920 Nigro, Bart A. Schultz, Cecil L. Walker, Irwin M. 1921 Morgana, Dante J. McGroder, Elmer T. Reimann, Hobart A. 1923 Burwig, W. Herbert Butman, Harold A. Koch, Caryl A. Siegel, Louis A. 1924 Colton, Ralph M. Sanborn, Lee R. 1925 Block, Marvin A. Clark, William T. Culver, Claire H. Hogben, Margaret M. Kahn, Milton E. Kuch, Norbert W. Linton, Mary D. Loder, Margaret M. 1926 Cheplove, Max Pisa, Joseph J. Sanford, James J. Sullivan, Eugene M. Sr. 1927 Berwald, Herbert Criden, Frank M. Maderer, Robert E. Meissner, William W. Murphy, Gerald E. Riwchun, Meyer H. Saunders, Richard L. 1928 Bratt, Floyd C. Brock, Thelma Bukowska, Eugenia F. Burns, John B. Etling, George F. Gardner, Richard M. Hill, Joseph M. King, Walter.F. Markovitz, Julius T. Schutkeker,Bruno Stoll, Howard L. Walker, Helen G. 1929 Cohen, Victor L. Evans, Jay I. Filsinger, Raymond G. George, Clyde W. Gurney, Ramsdell Heilbrun, Norman Lester, Garra L. Lockie, L. Maxwell Meyers, Frank Thorn, George W. Tyner, James D. 1930 Bonafede, Vincent I. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. Sr. Smarzo, Frank B. 1931 Barone, Michael H. Bean, Richard B. Boeck, Virgil H. Ciesla, Theodore F. Connelly, Gerald T. Da Luisa, G.A. Donovan, Donald E. Godfrey, Joseph D. Glick, Arthur W. Heier, Ellwyn E. Kenny, Francis E. Kuhl, John R. March, Thomas A. Naples, Angelo S. Oderkirk, Francis V. Schwartz, Jerome Tedesco, Joseph C. Ullman, Robert A. Walls, WalterS. 32 1932 Goodman, C.H. Leone, Angelo F. Leone, Frank G. Obletz, Benjamin E. Olszewski, Bronislaus S. Smolev, Joseph M. 1933 Anna, Wilfrid M. Baube, John L. Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti, George M. Mountain, John D. Yost, Murray A. 1934 Alford, J. Edwin George, Alfred L. Haight, J. Rothery Kinzly, John C. Kraska, Michael D. La Forge, Harry G. May, Charles E. O'Connor, John D. Ridall, Earle G. Rocktaschel, W.G. Slatkin, Edgar A. Weiner, Max B. 1935 Ames, Wendell R. Arbesman, Carl E. Bernhoft, Willard H. Coleman, Benjamin Drexler, Bernard Furlong, Maurice B. Gray, James H. Kelly, Miles W. Lampka, Victor B. Madsen, Niels G. Mecklin, Bennie Moran, Charles E. Peschio, Daniel D. Rosokoff, Solomon Young, GeorgeS. 1936 Batt, Richard C. Brundage, Donald W. Burgeson, Paul A. Cherry, Alfred Crosby, John P. Eschner, Edward G. Glauber, Jerome J. Helfert, Irving Hoak, Frank C. Houston, Thomas F. Leven, Eli A. Lipp, William F. Pellicano, Victor L. Wherley, Harold F. 1937 Alford, Kenneth M. Ball, William L. Banas, Charles F. Culver, Gordon J. Flemming, Theodore C. Goodman, Soll Jackson, Stanley J. Koepf, George F. Lanahan, Rose M. Lipsett, Robert W. LoGrasso, Alice A. Mac Callum, James D. Murray, Alice B. Musselman, M. Luther Shapiro, Norton Tranella, Augustus J. Weiner, Irving Weintraub, David H. White, William F. 1938 Catalano, Russell J. Cooper, George M. Doll, Leo J. Jr. Fait, Norman J. Gilson, Benjamin I. Hertz, Carl Kaminski, Chester J. Kritkausky, Anthony R. Law, Harry C. Lieberman, Samuel L. Me Neil, Crichton Oehler, H. Robert Phillies, Eustace G. Rosenblatt, Maxwell Straubinger, Clarence A. Sydoriak, Walter L. Terry, Richard N. 1939 Alden, Carlos C. Jr. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Caldwell, Milton V. Cammer, Leonard Dobrak, Alfred H. Gajewski, Matt A. Geckler, John H. THE BUFFALO PHYSICIAN �Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Olmsted, Elizabeth P. Postoloff, A.V. Remington, John H. Riforgiato, Frank T. Seibel, Roy E. Siegel, Marvin Squadrito, John J. Storms, Robert E. Wesp, Everett H. Winer, Marvin N. 1940 Ascher, Julian J. Benny, John M. Clinton, Marshall Eppers, Edward H. Hildebrand, Wm. Jr. Kane, Francis D. Molyneaux, Evan W. Montgomery, Warren R. Jr. Morgan, Lyle N. Palanker, Harold Reitz, Russell E. Rekate, Albert C. Roberts, Norbert J. Schaus, James P. Jr. Severson, C. Henry Siegner, Allan W. Trippe, Louis A. Umiker, William 0. White, John D. 1941 Aquilina, Joseph T. Bean, Berten C. Cooper, Anthony J. Edmonds, Robert W. Gentner, George A. Greco, Pasquale, A. Gross, Arnold Hall, Donald W. Hanavan, Eugene J. Jr. Henrich, Mary I. Herrmann, Jack W. Hull, Bradley Jr. Kidder, RussellS. Jr. Kleinman, Harold L. Lenzner, Abraham S. Me Cue, Daniel J. Me Grane, James L. O'Brien, John J. Pierce, Allan A. Pitkin, John T. Radzimski, Eugene H. Shubert, Roman Wels, Philip B. Zaepfel, Floyd M. 1942 Ascher, Julian J. Axelrod, Sidney J. Battaglia, Horace L. SPRING, 1979 Bauda, Charles A. Blum, Robert Brown, Kent L. Cotroneo, Vincent S. Follette, William J. Eckhert, George L. Clifford, Francis J. Hall, Frank M. Kibler, Diana D. Marmolya, Boris L. Parlante, Vincent J. Persse, John D. Jr. Presant, Herman M. Smith, Martha L. Yochelson, Leon 1943 Behling, Ralph T. Birtch, Paul K. Bloom, Marvin L. Bone, Kenneth W. Buckley, Richard J. Collins, Robert J. Evans, Alfred S. Grayson, Thomas L. Guarneri, Victor Haber, Norman Humphrey, Thomas R. Jones, Richard J. Krauss, Ruth F. Lent, Melbourne H. Marano, Anthony J. Martin, Ronald E. Meyer, Franklin Minkel, Amos J. Jr. Moyce, Robert W. Me Cormick, Robert C. Niesen, William C. O'Gorman, Kevin M. Petersen, Walter R. Pleskow, Adrian J. Prior, Bradley W. Richards, Charles C. Ricotta, Joseph H. Selkirk, George H. Sherrill, Gene D. Slepian, Alexander Smith, Ralph E. Jr. Swarthout, Gertrude S. Tanner, Charles J. Jr. Trefts, Hazel J. Trovato, Louis A. Unher, Morris Valvo, Joseph A. Williams, John R. Wolfgruber, Paul J. 1944 Aquilina, Anthony M. Blodgett, Robert N. Boardman, Willard H. Bondi, Raymond G. Bramer, Clifford F. Jr. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frawley, Thomas F. Frost, Frank T. Gage, Andrew A. Ginsberg, Irwin A. Graser, Harold P. Kennedy, Sidney R. Jr. Long, Frank H. Jr. Major, William K. Perkins, Raymond C. Prentice, Theodore C. Ross, Joseph Schaer, Sidney M. Shaver, Carrol J. Stafford, Walter F. Jr. Strong, Clinton H. Sullivan, James R. Weygandt, Paul Wilkinson, R.G. Jr. 1945 Adler, Richard H. Andaloro, William S. Baisch, Bruce F. Capraro, Vincent J. Chassin, Norman Ellis, George M. Jr. Forgrave, Edward G. Fugitt, George W. Jr. Grabau, A. Arthur Greenwald, Richard M. Johnson, James H. Joyce, Herbert E. Laglia, Vito P. Lazarus, Victor C. Longstreth, H. Paul Poda, George A. Quinlivan, John K. Robinson, John G. Rogers, William J. III Shaheen, David J. Sheedy, K. Joseph Steinhart, Jacob M. Tannenhaus, Joseph D. Templer, Wayne C. Thorngate, George IV Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Allen, John G. Baer, Richard A. Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Herman, RalphS. Jr. Howard, Chester S. Imburgia, Ross Impellitier, Carl J. Irons, Annabel M. Joy, Charles A. 33 Levy, Harold J. Lundquist, J. Richard Marks, Eugene M. Morgan, Thomas W. Musser, Frederick E. Petzing, Harry Piccoli, Amo J. Pirson, Herbert S. Rowe, Albert G. Tardif, Henry M. Walczak, Paul M. Walsh, William P. Williams, Myron E. Jr. 1947 Arthurs, G. Robert Baker, William C. Breakell, Edward S. Bukowski, William M. Curtin, Daniel E. Dean, Robert J. Edgecomb, William S. Ehrenreich, Robert J. Julian, Peter J. Kipping, Hans F. Lippes, Jack Marchand, Richard J. Nuwer, Donald C. Phillips, James F. Riordan, Daniel J. Schaefer, Arthur J. Stagg, James F. Tokars, Jerome I. Waite, John H. Ward, Robert Whiting, Frederick D. Wildhack, Robert H. 1948 Bailie, Allston G. Borman, James G. Fahey, Daniel J. Gambacorta, Joseph P. Good, Raphael S. Gordon, Myron Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Liss, Judith L. Marinaccio, John J. Martin, Ansel R. Miller, Daniel G. Minde, Norman Moore, Darwin D. Paul, Norman L. Regan, Cletus J. Regan, Thomas C. Schiff, Lester H. Shapiro, Alfred J. Shore, Charles Solomon, Irwin Solomon, Rebecca G. Stone, Edward R. Turner, Wilbur S. �Van Avery, Jasper L. Jr. Weinberg, Paul Zola, S. Paul 1949 Abel, Frances R. Armenia, Carnielo S. Aust, J. Bradley Jr. Berl, Alfred Buerger, Paul T. Carden, Lawrence M. Dennen, Philip C. Erickson, George M. Franz, Robert Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Jr. Rosner, Edward W. Sanford, Robert D. Schneider, Max A. Shalwitz, Fred Stuart, James D. Waldo , Irma M. Weinstein, Judith Weinstein, Pierce Werick, James A. Wolfe, Charles J. 1950 Alfano, GuyS. Anthone, Roland Anthone, Sidney Benken, Lawrence D. Benninger, Robert A. Berman, Herbert L. Bisgeier, George P. Brody, Charles Busch, Grace B. Cecilia, Carl A. Chambers, Ftank Jr. Conte, Anthony Dunghe, Adelmo P. Jr. Dunn, James C. Falcone, Alfred E. Gelormini, Carmen D. Howe , Charles A. Jr. Kling, Robert N. Leberer, Richard J. Lyons, Richard E. Manders, Karl L. Meyer, Patricia A. Patterson, Robert J. Primeau, Daniel F. Robinson, Roy W. Sanford, Clarence E. Shulman, Myer Sikorski, Helen F. Solomon, Yale Thomas, Donald B. Waite, Gertrude L. Wasson, Anne A. Webster, WilliamS. Weinberg, Sidney B. Zygaj, Eugene J. 1951 Baratt, Theodore Belsky, Jay B. Bolgan, Frank J. Bruno, August A. Conrad, Carl R. Danzig, Leonard S. Engel, Eli Goldfarb, Allen L. Keicher, Kathryn M. Koukal, Ludwig R. Krueger, Harold P. Leslie, Eugene V. Murphy, Thomas J. Phillips, Daniel A. Pleskow, Marvin J. Ploss, Robert E. Reinhard, M.C. Schultz, Gerard E. Secrist, Robert L. Shanbrom, Edward Smolens, Bernard Teich, Eugene M. Weigel, James W. 1952 Adams, Donald J. Banas, John J. Baumler, Robert A. Brown, Alvin J. Chernoff, Seibert G. Corley, Barbara G. Davis, Bernie P. Fuhr, Neal W. Genewich, Joseph E. Gottlieb, Solon H. Hurley, Jerome E. Kelley, Donald J. Krohn, Melvin R. Lapp, Milton C. Lazarus, Alfred Loeser, Eugene W. Jr. Mac Lead, Colin C. Mitchell, F. Douglas Schmitt, James N. Sheesley, Byron E. Simpson, S. Aaron Sprecker, Donald H. Steiner, Oliver J. Stulberg, Burton Szabo , Imre Thurn, Roy J. Underwood, S. Jefferson Wegner, Kurt J. Weiss, Charlotte C. Whatron, Cloyd F. Zeller, James F. 1953 Atkins, Thomas W. Carlin, James W. Cohen, Stanley L. Coleman, James R. Comerford, Thomas David, JosephS. Delerme, Felix A. Fogel, Sander H. Garvey, Ronald F. Geoghegan, Thomas G. Gold, Jack 34 Handel, John W. Johnson, Curtis C. Lee, Herbert E. Lenzner, JacobS. Maloney, Milford C. Maynard, Robert E. Nagel, Richard J. Orr, James M. Panner, Molly R. Partin, Bertram A. Rachow, Donald 0. Simpkins, Herbert W. Smulyan, Harold Sobocinsiski, RobertS . Spagna, Anthony A. Strachan, John N. Sullivan, Michael A. Ullrich, Reinhold A. Wadler, Marvin Wakai, Collidge S. 1954 Beltrami, Eugene L. Campo, Joseph L. Carosella, Nicholas C. Cloutier, Louis C. Conboy, John L. Foley, Robert D. Genner, Byron A. III Glucksman, Michael Haines, Robert W. Hanson, Florence M. Hohensee , Edward W. Howard, William J. Lemann, Jacob Jr. Lesswing, Allen L. Lizlovs, Sylvia G. Marino, Charles H. Meese, Ernest H. Miller, Robert H. Murray, Donald J. Norman, N. Allen Oliver, Harry T. Olszewski, Walter A. Pletman, Robert J. Rayhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Wilson, Donald M. Youker, James E. 1955 Beahan, Laurence T. Celestino, Vincent L. Collins, James R. Dean, Robert T. Jr. Fagerstrom, C. Daniel Franco, Albert A. Garvey, James M. Gazzo, Frank J. Gianturco, Michael J. Hashim, Sami A. Lamancusa, Sam J. Leonhardt, H. Albin Martin, Robert E. Mye, George L. Jr. Nunn, James R. Palmerton, David L. Peterson, John H. Schaer, Leonard R. Schiavi, Anthony B. Schiferle, Ray G. Jr. Smith, Robert A. Stengel, James G. Sullivan, William J. Jr. Von Schmidt, Barbara Weppner, David F. Whitney, Eugene B. Winter, John A. Wormer, Donald A. 1956 Alker, George J. Jr. Ben-Asher, M. David Corretore, Robert B. Dentinger, Mark A. Gicewicz, Edmond J. Goergen, Peter F. Jr. Goldstein, Frederick P. Haar, Jean G. Haber, Francis B. Heimback, Dennis P. Jones, Oliver P. Sr. Kunz, Joseph L. Me Intosh, Robert G. Me Cutcheon, Sue A. Nuessle, Frederick C. Ollodart, Robert O'Neill, Hugh F. Reeber, Erick Reisman, Robert E. Ronca, Paul C. Schnake, Edward G. Sklar, Bernard H. 1957 Beck, Arthur L. Jr. Berghorn, Bronson M. Boncaldo, Germante Bongiovanni, John R. Celniker, Benny Chafel, Frank J. Eisenberg, Marvin N. Friedman, Gerald Gulino, Lorie A. Kanel, Harris H. Klein, Harvey Z. Lasry, James E. Lowe, Charles E. Metsch, Herbert Miller, Richard F. Myers , Robert C. Silver, Herbert Sussman, Robert B. Waldman, Sherman 1958 Alessi, Edward C. Anderson, Elroy E. Armenia, John V. Batt, Ronald E. Boyle, Richard C. Brothman, Melvin M. Cohen, Gary N. Dischinger, Frederick W. THE BUFFALO PHYSICIAN �Dickson, Robert C. Falsetti, Domonic F. Float, John W. Genco, Michael T. Glazier, William L. Guerinot, Gerard T. Kane, Leo A. Korn, John T. Kunz, Marie L. Mazza, Michael A. Perez, Robert J. Potenza, Lucien A. Rahner, Richard A. Rivo, Elliott Rothman, Walter H. Spivack, Morton Stein, Alfred M. Taylor, Richard L. Waldman, Irving Wasson, Richard D. Weinberg, Morton B. Wende, Reinhardt W. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Brennan, Robert J. Brenner, Robert A. Cohen, Donald L. Doubrava, Sterling M. Ferlisi, Joseph A. Grauer, 'Seymour D. Heafitz, Morton H. Isaacs, Eli M. Kostecki, John W. Mangan, William J. Monte, Joseph F. Morrell, Noel H. Oberkircher, David J. O'Brien, Charles W. Richardson, Burt W. Rock, Elton M. Spoto, Russell C. Stevens, Jason H . Zara, Sabah E. 1960 Abramson, William E. Antkowiak, Joseph G. Bernat, Robert Chazan, Joseph A. Dayer, Roger S. Diesfeld, Gerard J. Donius, Donald Gamziukas, Algirdas Graber, Edward J. Guttuso, Thomas J. Hammel, Donald A. Harrington, John H. Kanski, James R. Jr. Kenner, Harris M. Klocke, Francis J. Metcalf, Harry L. Nakata, Harry H . Rakowski, Daniel A. Riggio, Charles J. SPRING, 1979 Saks, Gerald L. Sauer, Robert H . Shapiro, Marvin Stein, William J. Steinberg, Irwin Tuyn, John A. Wayne, MartinS. 1961 Bernstein, Joel M. Brody, Harold Cimino, Eugene A. De Santis, Carlo E. Disraeli , Allan S. Fleisher, David R. French, Paul D. Hatch, Richard C. Hewett, William J. Manning, Edwin J. Porrath, Saar A. Rader, Stephen D. Ronald, Roger A. Schnatz, Paul T. Skarin, Arthur T. Szuter, Carl F. Usiak, Ronald H. 1962 Armenia, Joseph P. Cowan, Martin Fasanello, Sebastian Fisher, Jack C. Floccare, Anthony J. Klein, Morton P. Lang, Gordon R. Loree, Paul J. Lubin, Arnold Madden, Michael M. Markello, Anthony P. Morey, Philip D. Ney, Robert G. Oberkircher, Oscar R. Pohl, Alan L. Polatsch, Bernard Resnicoff, Seth A. Scherer, William P. Ill Steinhart, Melvin J. Tzetzo, George R. 1963 Bermann, Max M. Blake, James R. Burgess, Gordon H. Carboy, David T. De Laus, Frank V. Ehrlich, Frank E. Fatta, Ernest A. Foti, Anthony M. Maggiolo, Albert J. Malinov, David N. Narins, Richard B. Nathan, Ronald G. Post, Robert Repicci, John A. Scheurmann, Henry A. Seidenstein, Harvey Spielman, Robert B. Steiner, George L. Tirone, Charles S. Tutton, Joseph C. Wadsworth, John M . 1964 Carr, Jeffrey S. Cherkasky, Paul Di Poala, Joseph A. Feinstein, Michael Goldstein, Gerald B. Leff, David A. Mukamal, Ronald S. Ney, Lillian V. Reilly, John F. Jr. Rothfleisch, Sheldon Scheiber, Stephen C. Weinstein, David J. Williams , Richard W. Wolin, Richard E. Ziegler, David C. 1965 Cardamone, Joseph G. Feinberg, Michael S. Giller, Jerald Grisanti, Anthony V. Hurwitz, Lawrence B. Jeffery, Gary H . Kolin, Irving S. Krall, Joseph I. Marantz, Calvin Schnitzler, Robert N. Schubert, Daniel S. Schultz, Robert W. Steckelman, Joel Verby, Harry D. Wherley, Benjamin J. Young, Ronald R. 1966 Antonucci, Louis J. Barlow, Jared C. Bradley, Thomas W. Carmola, John R. Klementowski, Kenneth Lindenbaum, Jeffrey E. Martinak, Joseph F. Rappole, Bert W. Saab, Richard J. Sperling, William L. Spoor, John E. 1967 Augustine, Thomas Jr . Benson, Robert M. Berkowitz, Norman Daffner, Richard H . Epstein, Barry M. Fugazzoto, David J. Giambrone, James P. Gibbs, John W. Jr . Gottschalk, Adele M. Hoffman, Leon Kaplan, Murray C. Kriteman, JacobS . La Gratta, Robert J. Levine, Allwyn J. Lo Galbo, Anthony J. 35 Miller, Donald E. Saroff, Marie I. Sheedy, J. Brian Sheehan, Thomas P. Sosis, Arthur C. Starr, GeorgeS. Strosberg, James M. Young, Linda Young, Richard 1968 Barron, Stephen A. Clack, William E. Cramer, Gary H. Cumbo, Thomas J. De Paula, Geraldine F. Dobmeier, Lawrence J. Druger, George L. Friedman, Ronald J. Gesson, Bruce H. Joseph, Brian S. Kaine, Richard F. Kaplan, Milton P. Kaplan, Z. Micah Karch, Gary D. Kramer, David Kulman, Harold L. Martin, Raymond A. Matasar, Kenneth W. Milanovich, Robert A. Peck, Alan H. Rodner, Robert D. Schwartz, Lawrence J. Shultz, Barry S. 1969 Blanc, Alan H. Bosu, Sogba K. Bowers, Joel B. Cavaliere, James L. II Citro, Laurence A. Dayton, Lang M. De Paula, Carl J. Gibson, Robert J. Hevizy, Louis Horwitz, Hanley M. Knapp, Russell G. Major, William K. Jr. Milazzo, RichardT. Jr . Rothman, Warren Scanlon, Thomas S. Sherer, David M. Smallwood, Michael F. Smith, Wilbur L. Jr. Weinstein, Barry A. White, Madeline J. 1970 Copley, Donald P. Davidoff, Allen Fischbein, Charles A. Fischbein, Ellen R. Forden, Roger A. Krauss, Dennis J. Lippmann, Michael L. Prenner, Bruce M. Seigel, Arthur M. Ungerer, Robert M. d- �Vandersea, Harold M. Wirtzer, Allan S. 1971 Abeles, Micha Anscher, Richard M. Brotman, Barry G. Bullock, Alan H. Capuana, Nicholas J. Greenberg, Harvey Guedalia, John C. Handler, MarkS. Hoffman, David E. Kirsch, Scott D. Lewin, Stanley B. Marcus, Donald H. Mazeika, Denis G. Mosijczuk, Askold D. Me Coy, James J. Jr. Paull, Joel H. Potts, David W. Richardson, Douglas S. Sa pin, Neil J. Solomon, Kenneth Staiman, Richard I. VanSlooten, Dale A. Wendell, John M. Witter, Theodore 0. 1972 Berkson, Richard A. Frankfort, Ian M. Kroopnick, Robert B. Natale, Dennis L. Price, Karen A. Rubin, Stuart Toledano, Stuart R. 1973 Dunn, Nancy L. Greco, Joseph M. Haberman, Michael A. Hayes, Maxine D. Kuritzky, Paul Kuritzky, Sharon Launder, Dana P. Mruczek, Arthur W. Przylucki, John E. Wiles, Charles E. III 1974 Beckman, Daniel R. Budny, James L. Bukowski, Elaine M. Burstein, Alan G. Clark, John H. Glazier, Wayne B. Greene, Donald R. Lemmer, Joseph P. Morelli, Daniel J. Moore, Sarah E. Pleskow, Sanford R. Russell, Eric J. Schulman, Elliott A. Stomierowski, Louise M. 1975 Bendich, David Burdick, James Cohen, William I. Daniel, Emmeth A. Li, Lillian Y. Szefler, Stanley J. Trautman, Paul 1976 Benson, Al B. III Bob, Harold B. Bye, Michael Gabryel, Timothy Gitterman, Ben Marconi, Ronald Wiles, John 1977 Billi, John E. Doniger, AndrewS. Feldmann, Spencer G. Harrison, Nedra J. Kuritzky, Alan S. Losonsky, Genevieve A. Magerman, Jeffrey A. Raab, Thomas A. Schmitt, Carl J. Stiles, Reginald B. Szabo, Robert M. Vidal, Ronald A. Woodcock, Jonathan H. Zornek, Nicholas F. Jr. Non-Alumnus Contributors for 1978 Abdelmessih, Fawzi F. Bernstein, Charles Blase, Barbara A. Damsey, Joan Davis, Mary Fenger, John B. Florsheim, Anne Johnson, James H. Karelitz, Julian R. Kinney, Ethel E. Kireishi, Faruk M. Lemann, Jack Jr. Lenzer, Alfred Lippschutz, Eugene Machowiak, Edwin Mindell, Eugene R. Me Laughlin, John J. Naples, John D. Privitera, Louis M. Shane, Ronald W. Tazier, Barbara Udwadia, Rusi Warner, Robert Winiecki, Joseph J. Yared, Joseph G. Continuing Education Programs Ten Continuing Medical Education programs have been tentatively scheduled during the next five months, according to Dr. Martin B. Wingate, assistant dean and professor of Gyn/Ob. The dates and titles of the programs are: April 29 21 26 May June 27-28 11-12 4-8 June 8-10 21-23 July 19-21 March Practical Neurology for Physicians in Primary Care Biofeedback Symposium Ultrasound and Fetal Growth Tests for Monitoring Fetal State - Medical Legal Aspects RPMI Chest Radiology Spring Clinical Days Infant Nutrition and Development of GI Tract (presented by the Pediatrics Department] Workshops in Cardiac Auscultation (American College of Cardiology] Annual Advances in Pediatrics, sponsored by the Department of Pediatrics, State University of New York at Buffalo, and the Children's Hospital, will be held in Niagara Falls, New York. Write CME Division, Children's Hospital, Buffalo, New York 14222. Second Annual Buffalo Conference on Pediatric/ Adult Allergy and Clinical Immunology, will be held in Niagara Falls, New York. Write CME Division, Children's Hospital, Buffalo, New York 14222. 36 THE BUFFALO PHYSICIAN �Clement Peterson, second year student, ond Bernadette Sheridan, fourth year student. Inner-City Well Health Clinic Under the supervision of 10 physicians, 35 second, third, and fourth year medical students are running the Inner-city Well Health Clinic at 608 William Street. The clinic is open from 10 a.m. to 3 p.m. every Saturday from October to May. Dr. Ben H. Echols, clinical instructor in medicine, is the medical director. The faculty advisor is Dr. Winford Quick, clinical instructor in family medicine. The clinic gives diagnostic and physical examinations and referrals to patients. Since 1971 medical students have been involved in a similar clinic at 485 Washington Street.D Bernadette Sheridan, fourth year student, and Coral Surgeon, third year student. Dr. Echols and Augustus Ohemeng, second year student. Mike Miller, administrator, ond Kathi Chavous, secretary. �People Buffalo's Veterans Hospital was among six medical centers designated to train VA geriatric fellows. Dr. Evan Calkins, professor of medicine at the Medical School, will direct the program .. Physicians already certified as specialists in internal medicine, psychiatry or family practice will be given two years study in caring for the aged. The program is designed to provide needed skill to help a veteran population in which the elderly will soon be predominant.D Dr. Giovanni G. Costa, clinical associate professor of medicine, was honored by the Baccelli Society for 25 years as a distinguished medical researcher. From 1958 to 1963 he was senior cancer research internist at Roswell Park Memorial Institute. Dr. Costa was on the Harvard University medical faculty from 1968 to 1970, and was director of the Clinical Research Center at the Virginia Commonwealth University the next five years. He received his medical degree in 1953 from the University of Genoa. In 1959 he received his Ph.D. in biochemistry from the University of Oklahoma.D Two faculty members, Drs. D.A. Pragay and Philip Li, are charter members of the National Academy of Clinical Chemistry. Dr. Pragay is also a FeUow of the Academy. He is a clinical associate professor of biochemistry and pathology and director of clinical chemistry at the Erie County Medical Center. Dr. Li is associated with Children's Hospital and is assistant professor of pediatrics and clinical assistant professor of pathology.D The late Dr. Rufus R. Humphrey, Professor Emeritus of Anatomy, before the University became part of the State University of New York, was honored posthumously by having a Symposium on the Mexican Axolotl dedicated to his memory at the annual meeting in Toronto, Canada, in December 1977. He was a member of the Department of Anatomy (now Anatomical Sciences) for 34 years until his retirement to Indiana University at Bloomington in 1957.0 Dr. S. Subramanian, chief of cardiovascular surgery at Children's Hospital was honored by 80 former patients, 3 months to 17 years old, and their families in August. They came from Ohio, Massachusetts and Western New York to celebrate Dr. Subramanian's 10th anniversary of working with pediatric heart patients. Recently the professor of surgery at the Medical School was named chief of the newly created section of cardiac surgery at the Erie County Medical Center. He will remain in the same capacity at Children's Hospital.D Dr. Francis J. Klocke, professor of medicine and physiology, and 20 other U/B researchers and clinicians are doing collaborative research of heart and lung diseases under a five-year $2.5 million grant from the National Heart, Lung and Blood Institute. Five years ago the same group received a similar grant. Others involved include: Drs. David G. Greene, Morris Reichlin, Robert Klocke (all professors of medicine); Dr. Perry Hogan, associate professor of physiology; Dr. Alan Saltzman, assistant professor of medicine; and Dr. Robert E. Mates, professor of mechanical engineering.D Dr. Erika Bruck, professor of pediatrics, was honored recently by former students and colleagues upon her retirement. She joined the U/B faculty in 1945. Dr. Charles U. Lowe, special assistant for child affairs at HEW, was the main speaker at the dinner at the Plaza Suite restaurant. Dr. Bruck will continue her association with the university as a professor emeritus. Moderator of the day-long program was Dr. Mitchell Rubin, professor emeritus, who was instrumental in Dr. Bruck's coming to Children's Hospital and the Medical School.D Dr. Helen M. Ranney, who was professor of medicine at U/B from 1970-73, recently received the Gold Medal for "distinguished professional accomplishments" to the Alumni Association from the Columbia College of Physicians and Surgeons. It was the first time in the 119 year history of the Alumni Association that a woman was so honored. Dr. Ranney is professor and chairperson of the department of medicine at the Medical School in LaJolla, California.D 38 THE BUFFALO PHYSICIAN �William L. Strauss, a graduate student in the department of pharmacology and therapeutics, received a $10,000 fellowship from the Pharmaceutical Manufacturers Association Foundation Inc. He was one of 10 to receive the award from among 80 applicants in nation-wide competition. In his research Strauss will seek to isolate, purify and determine the structure of receptors in cell membranes which interact with adrenalin to keep body tissues functioning.O Dr. Paul Kostyniak, assistant professor of pharmacology and therapeutics, received a $6,000 research starter grant from the Pharmaceutical Manufacturers Association Foundation Inc. to develop techniques which speed elimination rates of mercury and other heavy metals from the body.O Dr. Norman Courey, clinical professor of Gyn/Ob, presented papers at the 9th annual Philippine Obstetrical Gynecological Society meeting in Manila recently. He is director of Ob/Gyn at the Erie County Medical Center.O "Persistent Virus Infections" was the topic of Dr. Thomas D. Flanagan's address at the December meeting of the Buffalo Academy of Medicine. He is professor of microbiology at the Medical School.O Mr. Fraser M. Mooney is the new associate administrator at the Erie County Medical Center. He was assistant administrator at the county hospital when it was Meyer Memorial. He left it in April 1977 to be associate administrator at Sheehan Emergency Hospital and four months later became administrator.O Dr. Louis Bakay, chairman of the department of neurosurgery, has been elected vicechairman of the Research Committee of the World Federation of Neurology. Recently he was a visiting professor at the University of Oklahoma.O SPRING, 1979 Dr. D.A. Pragay, clinical associate professor of biochemistry and pathology, has been invited to become a member of the prestigious International Society of Clinical Enzymology (ISCE). Dr. Pragay is also director of clinical chemistry at the Erie County Medical Center.O Three medical students were among 11 health sciences students at U/B named to the 1978-79 edition of Who's Who Among Students in American Universities and Colleges. The students are honored for academic achievement, community service, leadership in extracurricular activities and future potential. Listed in the current edition are - James Bracikowski, 4th year; Robert Shalwitz, 3rd year; and John DeBerry, 2nd year.O Two faculty members, Drs. Harry Sultz and Donald B. Thomas, are co-chairmen of a special Erie County Health Department task force to look at ways in which the school health program can better meet the needs of students. Dr. Sultz is a consultant to the department and acting chairman and professor of social and preventive medicine. Dr. Thomas is a clinical assistant professor of social and preventive medicine and deputy county health commissioner for personal health services. The task force hopes to have recommendations to be implemented at the start of the 1979-80 school year.O Dr. James R. Nunn, M'55, clinical assistant professor of family medicine, has been elected Speaker of the Congress of Delegates of the New York State Academy of Family Physicians for 1978-79. Dr. Herbert E. Joyce, M'45, clinical assistant professor of family medicine, was elected alternate delegate.O Dr. Dogan Perese, clinical associate in neurosurgery, is the new secretary of the medical staff of Our Lady of Victory Hospital, Lackawanna. Two Medical School graduates, Drs. Franklin Zeplowitz, M'58, and Joseph Kij Jr., M'57, were elected vice president and treasurer. Dr. John P. Grimaldi is the new president.D d- 39 Dr. Progoy �People Dr. Richard Dobson, professor of der. matology, received four honors recently. He has been appointed assistant editor of the Journal of the American Academy of Dermatology; edi-tor of the Year Book of Dermatology; elected to the American Board of Dermatology ; and vice president of the American Academy of Dermatology.D Dr. Harold Brody, professor and chairman of anatomical sciences, was the recipient of the Robert W. Kleemeier Research Award by the American Gerontological Society. Dr. Brody won the award for his research in the field of aging that involves aging of the normal human nervous system. He will present the Robert W. Kleemeir lecture at the Society's next meeting in Washington, D.C. Dr. Brody is a past president of the Society. He is a member of the National Advisory Council of the National Institute on Aging, chairman of the American Executive Committee of the International Association of Gerontology and editor-in-chief of the Journal of Gerontology.D Dr. Rune E. Grubb, professor of medical microbiology, University of Lund, Sweden , has been appointed a lifetime member of the professional staff of the Center for Immunology at the Medical School.D The mechanisms by which the cortex or outer layer of the adrenal gland controls production of vital hormones in the body is the continued subject of study by a group of researchers . Dr . Alexander C. Brownie, professor and chairman of the Department of Biochemistry, has received an $83,438 grant renewal from the National Institute of Arthritis, Metabolic and Digestive Diseases to aid basic research into these mechanisms which may lead to further knowledge of diseases such as hypertension. Over a four-year period Dr. Brownie's project has received some $248,000 from the NIAMD . Others involved in the study are Drs. Samuel Gallant, assistant professor of pathology and Peter Nickerson, associate professor of pathology at U/B.D 40 Four faculty members have been reelected officers of the Erie County Chapter of the New York State Academy of Family Physicians. Dr. Richard J. Leberer, M.50, clinical assistant professor of family medicine was re-elected president; Drs. A. Charles Massaro, clinical associate in medicine and family medicine , vice president; Frederic M . Hirsh, clinical instructor in family medicine, secretary; Robert B. Corretore, M'56, clinical assistant professor of family medicine/clinical instructor in medicine, treasurer.D Dr. Willard B. Elliott , professor of biochemistry, has received a $99,160 NIH grant to characterize phospholipases from venoms. The grant runs for three years.D Four associate professors - Drs. Murray Ettinger and Daniel Kosman, biochemistry, Robert Bereman and Robert Kurland, chemistry - have received a $35,000 NSF (first of three year grant). This Bioinorganic Research Group is investigating the genesis of the structure and function in metalloenzymes.D Dr. Alexander C. Brownie's work on hypertension is supported by a $130,259 grant from the National Heart and Lung Institute. Dr. Brownie is professor and chairman of biochemistry.D Dr. Murray Ettinger, associate professor of biochemistry, has a $176,000 NIH grant that runs through July, 1983 to study the molecular basis of antidiuretic hormone action.D The National Institute of Arthritis, Metabolism and Digestive Diseases has awarded a $146,000 grant to Dr. Michael Garrick, associate professor of biochemistry and pediatrics, for studies on the biosynthesis and genetics of hemoglobin. The grant runs through April, 1981.0 THE BUFFALO PHYSICIAN �NIH's General Medical Sciences division is supporting the work of Dr. W. Roy Slaunwhite, professor of biochemistry, on the structure of human transcortin.D Dr. Gerald P. Murphy received the 13th annual Heath Memorial Award from the University of Texas M.D. Anderson Hospital and Tumor Institute in November. The Heath Award is given for "outstanding contributions to the better care of cancer patients." Dr. Murphy is director of Roswell Park Memorial Institute and research professor of urology at the Medical School.D New York State's geneticists received a $300,000 grant for screening, diagnosis, counseling and treatment for genetic diseases when Congress passed the National Genetic Diseases Act. Drs. Robin Bannerman, professor of medicine and pediatrics, and Robert Guthrie, professor of microbiology and pediatrics, received $25,000 to extend services in Western New York. Dr. Guthrie will use the GM Mass Spectrometer in the biophysical sciences department in Cary Hall for special diagnostic services for mental retardation. Dr. Bannerman heads the joint division of medical genetics based at Buffalo General and Children's Hospitals.D Dr. Murray Ettinger, associate professor of biochemistry, is president elect of the Medical School's Faculty Council. He succeeds Dr. Michael Cohen, clinical associate professor of pediatrics and neurology, when his term expires in the spring of 1979. Other new officers elected include: Parliamentarian - Dr. Glen Gresham, professor and chairman of rehabilitation medicine; steering committee members Drs. John F. Moran, associate professor of biochemistry, Robin Bannerman, professor of medicine and pediatrics, John Cudmore, M'62, clinical associate professor of surgery; Dr. Arlene Collins, associate professor of microbiology, will continue her two-year term as secretary. Dr. Peter Goergen, clinical assistant professor in family medicine will serve as an alternate on the executive committee.D Dr. Edward Niles, assistant professor of biochemistry, has a $28,000 NIH grant to continue his work on the in vitro transcription of tetrahymena pyriformis (rDNA) .D People Dr. Pearay L. Ogra, professor of pediatrics, has received a $700,000 five-year grant from the National Heart, Lung and Blood Institute to study respiratory syncytial virus. Dr. Ogra is also director of the division of infectious disease and virology at Children's Hospital. Other faculty members involved in the study are Drs. Gerd Cropp, professor of pediatrics; Theodore Putnam, clinical assistant professor of pediatrics; and research assistant professors, Robert Welliver and Marie Gallagher.D Dr. Hermanl Rahn, professor of physiology, gave the first Wallace 0. Fenn Memorial Lecture at the University of Rochester Medical Center in February.D The Buffalo General Hospital has received a $67,315 grant to establish a health center in Akron. The Center will be staffed by a physician, nurse practitioner and aides. The grant was awarded by the State Office of Health System Management.D The Medical School along with the VA Medical Center and the University of Rochester will launch a co-operative program to train physicians who wish to specialize in treating the elderly. Dr. Evan Calkins, professor of medicine and chief of the division of geriatrics-gerontology, will direct the program. Co-directors are Dr. T. Franklin Williams, medical director of Monroe Community Hospital and Dr. Harold Brody, professor and chairman of anatomical sciences and acting director of the multidisciplinary center.D Mr. Daniel Mateleska is the new assistant director of Deaconess Hospital. He comes to Buffalo from the Olean, N.Y. General Hospital where he was assistant administrator.D Mr. Mateleska SPRING, 1979 41 �People Dr. Ignatius S. Bertola has been appointed head of physical medicine and rehabilitation at Buffalo Columbus Hospital. He has been on the staff since 1969. He is a Diplomate of the American Board of Orthopedic Surgery.D Dr. Henry E. Black, clinical associate in medicine, will succeed Dr. Edward Marine as chairman of the Deaconess Hospital's department of medicine. Dr. Black has been chief of the cardiology division at Deaconess since 1974. Dr. Marine, clinical associate professor of medicine and family medicine, will head the newly opened Health Care Plan Medical Center in Cheektowaga.D Dr. Martin Wingate, professor of Gyn/Ob, has been named assistant dean and director of continuing medical education.D The U/B chapter of the Student National Medical Association (SNMA) honored two faculty members recently. Dr. Winford Quick, clinical instructor in family medicine and Dr. Werner K. Noell, professor of physiology, received certificates of merit for outstanding service in the education of medical students. Dr. Quick is on the staff of the Erie County Medical Center.D Dr. Alan Reynard, associate professor of pharmacology and therapeutics, has been appointed executive editor of a new journal, Journal of Immunopharmacology.D Four faculty members, who serve on the Erie County Laboratory staff, have new appointments. They are: Dr. Konrad Wicher, director of department of microbiology of Erie County Laboratories, professor of clinical microbiology was appointed clinical professor of pathology; Dr. Richard Bettigole, director of the department of hematology and bloodbank of Erie County Laboratories, associate professor of medicine was appointed clinical associate professor of pathology; Dr. Desider A. Pragay, director of the department of clinical chemistry of Erie County Laboratories, clinical associate professor of biochemistry was appointed to clinical associate professor of pathology; Dr. William Bartholomew, assistant director of the department of clinical microbiology of Erie County Laboratories, associate professor of clinical microbiology was appointed clinical associate professor of pathology.D While studying for his doctorate in educational psychology, Randy Sarnacki is working for Dr. Frank Schimpfhauser, assistant dean for development and evaluation. Mr. Sarnacki's home is in Syracuse. He received his master's degree at U/ B in 1977. He is working in the areas of testing, performance and evaluation.D Dr. Raymond P. Bissonette has been named to the 20-member National Advisory Council on Health Professions Education. The Council evaluates applications for government medical grants. He will serve a threeyear term. Dr. Bissonette is assistant professor of family medicine and clinical assistant professor of social and preventive medicine. He is also curriculum coordinator for the department of family medicine.D The Medical School received a $2,400 contribution from the United Torch Fund of Gowanda, Inc. The money will be used to support faculty research efforts related to health and disease.D Three faculty members are the new officers of the Western New York Chapter of the American Heart Association. Dr. Arthur B. Lee, Jr., assistant professor of surgery, is president. The new first vice president is Dr. Robert Schultz, M'65, clinical associate in medicine. Dr. Martin J. Downey Jr., M'45, is second vice president. He is a clinical associate professor of anesthesiology.D Three faculty members are new officers in the Maimonides Medical Society. A Buffalo surgeon, Dr. Franklin Zeplowitz, is president. Dr. Herbert Berman, M'50, clinical assistant professor of surgery, is vice president. Drs. Morris Fine, clinical instructor in pediatrics, is secretary and Yehuda Laor , clinical associate professor of nuclear medicine and radiology, is treasurer.D 42 THE BUFFALO PHYSICIAN �In a recent "Run For Your Life" event a team headed by Dr. Charles Paganelli, professor of physiology, finished third in tthe Family Division. Other members of Dr. Paganelli's team were Jacqueline Dahl, Paul Funch and Robert Paganelli.D Dr. Eugene R. Mindell was visiting guest professor for the Yale Orthopaedic Association Alumni meeting in New Haven in June. He delivered the Carl Henze Memorial Lecture, "Etiology of Bone Sarcoma." Dr. Mindell is professor and chairman of orthopaedics at the Medical School.D Dr. James P. Giambrone, M'67, clinical instructor in medicine, is the new vicepresident of the Deaconess Hospital Foundation. Drs. Henry E. Black, clinical associate in medicine, and Kenneth H. Eckhert, Jr., M'68, were re-elected as directors (second consecutive terms). Newly elected to three-year terms as directors were Dr. Willard G. Fischer, M'36, John D. Naples, Sr., Donald R. Becker, clinical professor of surgery, and Herbert E. Joyce, M'45, clinical assistant professor of family medicine.D Five faculty members are officers or directors of the Erie County Unit of the American Cancer Society. Dr. Nancy J. Stubbe, clinical instructor in surgery, is the new president and Dr. H. James Wallace Jr., research associate professor of medicine, is president-elect. Reelected as directors: Drs. Richard G. Cooper, clinical associate professor of medicine and assistant professor of otolaryngology; Robert M. Moskowitz, M'65, clinical instructor in medicine; and Ronald Vincent, research assistant professor of surgery.D Mark Hagen, a fourth year medical student, was one of 38 medical students to receive a MAP-Reader's Digest International Fellowship. He will be in India the first four months of 1979 working in rural hospitals and clinics. Since this program started seven years ago more than 500 students have served in 50 developing countries.D SPRING, 1979 Physicians at five teaching hospitals Buffalo General, Children's, Deaconess, Erie County Medical Center and Millard Fillmore - are doing a national study to determine the short-term and long range effects of voluntary sterilization on women. A $105,000 grant from the Center for Disease Control will help finance the project. Dr. Norman G. Courey, clinical professor of Gyn/Ob, is the project director. Other physicians in the study are: Drs. David Nichols and Jack Lippes, professors of Gyn/Ob; Wayne Johnson, professor and chairman of Gyn/Ob; Robert Patterson, clinical associate professor of Gyn/Ob; and Marcos Gallego, assistant professor of Gyn/Ob.D A medical researcher is a contributing author to a new English-language edition of a classic German reference book on the pathology of laboratory animals. Dr. Robin M. Bannerman, professor of medicine and pediatrics and head of the division of medical genetics at U/B, is one of four authors of the chapter on blood diseases. The chapter includes an extensive section on the use of animal models in simulating human hereditary blood disorders, which Dr. Bannerman and his laboratory associates at U/B have investigated over the past 10 years. The new two-volume, 3,000-page Englishlanguage edition, titled Pathology of Laboratory Animals, is being published by the internationally-known Springer-Verlag scientific publishing firm of New York and Berlin. The English version is expected to become the standard reference work in its field, as was the German text, Pathologie der La boratoriumstiere.D Dr. F. Carter Pannill Jr., vice president of health sciences, has recently returned from medical practice at a Sioux Reservation in Eagle Butte, S.D. Dr. Pannill, an internist, has participated in a variety of programs sponsored by the Indian Health Service which was invited to provide medical care at the reservation. More than 5000 Sioux on the Eagle Butte Reservation are served by two full-time physicians, a 30-bed hospital and five outpatient clinics.D 43 p 1 eop e �The Class of 1918 Dr. Everett T. Mercer, M'18, of Hamburg, New York, writes that he has "almost retired" from the general practice of medicine.O The Classes of the 1920's Dr. Hobart A. Reimann, M'21, is still active as professor of medicine at the Hahnemann Medical College Hospital, Philadelphia. He retired recently as associate medical director of the hospital.D Dr. George B. Kuite, M'27, is retired from private practice. He lives at Intervale Road, North Conway, New Hampshire 03860. Dr. Kuite is an honorary life member of numerous professional organizations and an honorary life Fellow of the International College of Surgeons.O The Classes of the 1930's Dr. Thomas March, M'31, is listed in Who's Who in the West. He has retired as director of the V.A. Hospital in Tacoma, Washington. His home address is 12793 Grayelly Lake Drive, S.W. Tacoma, 98499.0 Dr. John F. Argue, M'35, of Wilson, N.Y. received the President's Citation of the Medical Society of the State of New York. It honors physicians for community service not related to medical practice. The citation noted 37 years as "an active concerned citizen of his Niagara County Community." Dr. Argue was founder and president for many years of the Historical Society of Wilson. His other activities were with the Boy Scouts, Lions Club and the Exley United Methodist Church. In 1970 he was president of the Niagara County Medical Society.O Dr. Martin A. Angelo, M'36, is living at 4602 King Palm Drive, Tamarac, Florida 33319.0 The Classes of the 1940's Dr. John D. White, M'40, semi-retired anaesthesiologist and medical author, lives in Tavernier, Florida. He was recently elected to the Board of Directors of the Health Systems 44 Agency of South Florida, Miami. He is PSRO Advisor, Monroe County, and a member of the Board of Directors of the Monroe County Sub-Area Council, HSA of South Florida.O Dr. William Staubitz, M'42, won the Class C golf championship at Wanakah Country Club in September. He recently retired as chairman of the urology department.D Dr. Maynard H. Mires, M'46, was recently elected to the National Office of Surgeon General, Sons of the American Revolution. Dr. Mires is an associate professor of community medicine at Dartmouth. He is also associated with the State Health Department in Concord, New Hampshire, 03301.0 Dr. M.E. Hodes, M'47, is professor of medical genetics and medicine at Indiana University School of Medicine. He recently returned from a year's sabbatical at Hebrew University-Hadassah Medical Center in Jerusalem, Israel. He was Fogarty International Fellow and Lady Davis Visiting Professor in the Department of Human Genetics. Dr. Hodes lives at 648 Edgemere Drive, Indianapolis, Ind. 46260.0 Dr. Anthony S. Merlino, M'47, has been named chairman of the board of Buffalo Columbus Hospital. The clinical assistant professor of medicine was appointed chief of medicine at the hospital in 1973.0 Dr. David H. Nichols, M'47, professor of gynecology-obstetrics and head, department of obstetrics and gynecology, Buffalo General Hospital, was Visiting Professor at the University of Texas Health Sciences Center at Dallas, Southwestern Medical School last March. He lectured on recent developments in genital reconstructive surgery in women, describing new techniques developed at Buffalo General Hospital.D Dr. James F. Phillips, M'47, has been named to the council of U/B by Governor Hugh Carey. Dr. Phillips is a past president of the Medical Alumni Association and a clinical associate professor of medicine.O THE BUFFALO PHYSICIAN �Dr. Arthur J. Schaefer, M'47, has been elected secretary of the American Society of Ophthalmic Plastic and Reconstructive Surgery. He is a clinical associate professor of ophthalmology .0 The Classes of the 1950's Dr. Guy S. Alfano, M'50, clinical professor of surgery at the Medical School, has been appointed superintendent of the Erie County Medical Center by County Executive Edward Regan (subject to confirmation by the County Legislature). Dr. Alfano has been interim director during the past two years as the county abandoned Meyer Memorial Hospital to occupy the new facility. He has been associated with the hospital for 30 years.O Dr. Joel G. Brunson, M'50, is professor and chairman of the pathology department at the new medical school at Morehouse College in Atlanta. The first class of 24 students started in September. Dr. Brunson had been in Beirut with American University. His new address is 150 S. Atlanta St., Apt. 12-J, Roswell, Ga. 30075.0 Dr. Alfred E. Falcone, M'50, formed his own surgical team from Syracuse, N.Y. and spent the month of June, 1978 at Santarem in the Central Amazon Region in Brazil on a special project. Dr. Falcone reported that this was "an opportunity to help appreciative people who have no access to specialty services. It was a most rewarding experience." He lives at 514 Bradford Parkway, 13224.0 Maurizi will coordinate scientific programs as well as investigate and evaluate credentials of prospective members to ACCP. He is chief of pulmonary medicine at Deaconess Hospital and past president of the American Lung Association of Western New York.D Dr. James M. Orr, M'53, chairman of the department of pediatrics of the Holzer Clinic, Ltd. in Gallipolis, Ohio, was elected secretary-treasurer of the American Group Practice Association at the group's 29th Annual Meeting in New Orleans. Dr. Orr served terms as vice chairman and chairman of the credentials committee of AGPA before being appointed to the Board of Trustees in 1975. As a board member, he became the trustee liaison to the credentials committee. A past president of the Northeastern Region of AGPA, Dr. Orr has much experience in association management and protocol. Founded in 1949, AGPA is the national voluntary professional organization of group medical and dental practice. Through the more than 14,000 affiliated physicians and dentists in its member groups, AGPA works to keep group practice in the forefront of American health care by promoting and fostering the group practice concept.D Dr. Larry Beahan, M'55, captured first place overall in his 20-foot Highlander Big Rock Candy Mountain in September at the Buffalo Yacht Club's annual Ryan Cup series for centerboard boats. He is a clinical assistant professor of psychiatry at the Medical School.D Dr. Milton Robinson, M'51, is conducting a series of workshops for health professionals on human sexuality in Niagara Falls, N.Y. The psychiatrist noted that human sexuality encompasses a wide range of attitudes and feelings that are often difficult to discuss.O Dr. Edward H. Kop£, M'55, is the first Nevadan to be honored as "Physician of the Year." In 1971 he was the Robbins Physician of the Year for the State of Nevada. Last June Dr. Kopf was presented an award by the City of Hope for the Physician of the Year for the State of Nevada, 1978.0 Dr. Jerome Maurizi, M'52, clinical associate professor of medicine, was reelected to a second three-year term as New York State Governor to the American College of Chest Physicians. He is one of two physicians from New York to represent the state in the medical policy making body. Dr. Dr. Charles Goldfarb, M'56, is a clinical associate professor at Rutgers University and New Jersey Medical Schools. He is also director of psychiatry at Muhlenberg Hospital. Recently he contributed chapters to two books. He is also active in local, regional, state and national professional societies.O SPRING, 1979 45 Dr. Maurizi �Dr. Robert Reisman, M'56, has been elected treasurer of the American Academy of Allergy during the 34th annual meeting in Phoenix. He is a clinical associate professor of medicine and dinical assistant professor of pediatrics.D Dr. Philip A. Brunell, M'57, is professor and chairman of the department of pediatrics, The University of Texas Health Science Center at San Antoni.o. He is co-editor of a textbook, Principles of Pediatrics; Health Care of the Young. He is active in at least a dozen professional associations.D Dr. Donald R. Hauler, M'57, has assumed the position of Third Marine Division Surgeon in Okinawa. He had been living in Virginia. He is active in Aerospace and Amphibious Medicine and in the Society of Navy Flight Surgeons.D Dr. Harris H. Kanel, M'57, is chairman of the medical staff at Riverside Medical Clinic and associate professor of orthopedic surgery at Lorna Linde University, California. He lives at 5281 Candelwick Street, Riverside, Ca. 92501.0 Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics, has been reelected president of the Western New York Chapter of the Leukemia Society of America. He is also chairman of the Public Health Committee of the Medical Society, County of Erie.D Dr. Earl A. Brandl, M'591 has been appointed medical director of the Harrison Radiator Division (Buffalo) of General Motors Corporation. Dr. Brandl joined General Motors in 1963 and has been assistant medical director of Harrison since 1970.0 The Classes of the 1960's Dr. William E. Abramson, M'60, has been elected president of the Sheppard and Enoch Pratt Hospitals medical staffs in Towson, Maryland. He lives at 8218 Marcie Dr., Baltimore, Md. 21208.0 46 Dr. Theodore Bistanty, M'60, scored a first place on corrected time in the Buffalo Yacht Club Class A-cruiser race on Pt. Abino Bay in August. He skippered his 41-foot Tartan Niagara around the 12-mile triangular course in one hour 31 minutes and 56 seconds. Earlier in the year the clinical assistant professor of medicine skippered the Niagara to a 3rd place finish over-all in the 9th annual Lake Erie Race. He received the Courier Express trophy for being the first Buffalo boat across the line in the prestigious 210-mile race. He sailed with a seven-man crew.D Dr. Francis J. Klocke, M'60, professor of medicine and physiology and chief of the cardiology division of the Medical School, has been named a member of the National Advisory Committee to the Mayo Foundation's Biotechnology Research Resource and Program Project. Members of the committee meet annually with researchers at the Mayo Clinic, Rochester, Minn., to review, counsel and provide perspective to the project funded by the Division of Research Resources and the National Heart, Lung and Blood Institute.D Dr. Marshall A. Lichtman, M'60, has edited a new book, Hematology for Practitioners, for internists and family practitioners (Little, Brown & Co., Boston). The book condenses the sophisticated literature of a complex specialty to present clinically oriented discussions that focus on the practical aspects of diagnosis and management of the major abnormalities of blood cells and coagulation proteins. Dr. Lichtman is professor of medicine and of radiation biology and biophysics at the University of Rochester, Rochester, N.Y. His specialty is internal medicine and hematology. Dr. Lichtman is a member of several national/international professional societies. He is a Diplomate, National Board of Medical Examiners (1961), and American Board of Internal Medicine (1967). He has been an editor and consultant to several national societies. Since 1962 Dr. Lichtman has been invited to give 69 lectures at Universities, hospitals or national societies. He has authored or coauthored 75 scientific articles for professional journals and 23 chapters for books. He has THE BUFFALO PHYSICIAN �been principal or co-investigator for 13 research awards and grants. As a medical student he won several honors and awards.D Dr. Donald J. Drake, M'61, has been elected Chief of Staff at the Haag Memorial Hospital, Newport Beach, California - a 471 bed acute care hospital. He writes: "Don, his wife and 8 children live 'all over the place' in Costa Mesa, California. (1829 Tahiti Drive, 92626). Come visit!"O Dr. James R. Markello, M'61, has assumed a new position as professor of pediatrics and director of ambulatory pediatrics at the East Carolina School of Medicine. He has been a member of the Ambulatory Pediatric Association Board of Directors and chairman of regions for that association. Dr. Markello lives at 413 Longmeadow Road, Greenville, North Carolina 27834.0 Dr. John W. Cudmore, M'62, has been appointed commander of the 244th Medical Group, New York Army National Guard. A Colonel in the Guard, Dr. Cudmore now commands six medical units in the state. He is a clinical associate professor of surgery.D Dr. Edwin H. Jenis, M'66, has been named to a national faculty of medical laboratory experts. The clinical associate professor of pathology volunteered his teaching time for educational workshops and seminars during the joint meeting of the American Society of Clinical Pathologists and the College of American Pathologists in St. Louis. Dr. Jenis is director of pathology at the Millard Fillmore Hospital.O Dr. Joseph F. Martinak, M'66, is associated with the Family Health Center of Seven Lakes, West End, North Carolina 27376.0 Dr. Alvin J. Schachter, M'66, is in pulmonary medicine and associated with St. Michael's Hospital in Milwaukee. His home address is 9600 Juniper Trail, Mequon, Wis. 53092.0 Dr. Stanley M. Feldman, M'67, is in private practice of cardiology-internal medicine in Lauderdale Lakes, Florida. He is also chief of medicine at the Florida Medical Center of Fort Lauderdale.D Dr. Rae R. Jacobs, M'62, has been elected a Fellow, Ecologic Research Society and International Society for the Study of Lumbar Spine. He is chairman of a task force for this society. Dr. Jacobs is associate professor of surgery, chief of orthopedic surgery, VA Hospital, Kansas City, Mo. In 1979 he will be on a sabbatical fellowship to tour the Association for Osteosynthesis Trauma Centers in Europe; study the biomechanics of spinal fractures with physicians in Sweden and Switzerland. Dr. Jacobs' new home address is 7262 Mastin Dr., Merriam, Kansas 66203.0 Dr. Ronald Levy, M'67, a psychiatrist, has come up with a simple test using checkers to help determine the problems of disturbed children. Dr. Levy calls his method "statogram." He told about it at a recent meeting of the American Academy of Child Psychiatry. The "statogram" provides a pictorial representation of the child's perception of his closeness to - or distance from - each member of his family.D Dr. Arnold N. Lubin, M'62, is a Colonel in the United States Air Force. He is affiliated with the USAF Hospital, Mather AFB, near Sacramento, California. His home address: 6616 Chiquita Way, Carmichael, Ca. 95608.0 Dr. Nicholas L. Schenck, M'68, recently moved his practice of head and neck surgery from Melbourne, Florida to San Diegod-- SPRING, 1979 47 �California. Dr. Schenck is assistant clinical -professor of surgery at the University of California at San Diego.O Dr. Julian R. Karelitz, M'68, is in private practice in California. His specialty is nuclear medicine. He is living at 2420 Duxbury Place, Los Angeles, 90034.0 Dr. John E. Shields, M'68, has accepted a position as gastroenterologist with the Hampton Medical Group, a multi-specialty group. His home address is 237 Main St., Westhampton Beach, N.Y. 11978.0 Dr. John R. Fisk, M'69, has joined the Loyola University faculty in the department of orthopaedic surgery. Recently he was affiliated with Emory University. His address: Loyola University Medical Center, 2160 S. 1st Avenue, Maywood, Ill. 60153.0 Dr. David Schreiber, M'69, is assistant professor of medicine at Harvard Medical School. He is also chief of gastroenterology at the West Roxbury VA Hospital. He lives at 55 Cushing Road, Westwood, Massachusetts 02090.0 Dr. Robert J. Gibson, M'69, is an assistant professor of preventive medicine at the Emory University Medical School, Atlanta, Ga. He is also associate chief, department of family practice at the Medical Center, Columbus, Ga. His home address is 7858 Flat Shoals Dr., Columbus, Ga. 31904.0 The Classes of the 1970's Dr. Dennis DuBois, M'70, is the new director of the Coronary Care Unit at the Buffalo General Hospital. He succeeds Dr. Joseph Wanka, clinical associate professor of medicine, who is moving to Florida. Dr. DuBois joined the BGH staff in 1977. He is a clinical instructor in pediatrics at the Medical School. From 1975 to 1977 he was director of the coronary care unit for the USAF Medical Center at Wright-Patterson Air Force Base in Ohio.O 48 Dr. Roger A. Forden, M'70, was recently promoted to clinical assistant professor of pediatrics at U/B. He lives at 106 Patton Place, Williamsville, N.Y. 14221.0 Dr. Thomas V. Krulisky, M'70, is assistant professor of psychiatry at the USC School of Medicine. He has been certified by the American Board of Psychiatry and Neurology (June, 1978). Dr. Krulisky was appointed to the USC Department of Psychiatry Graduate Education Committee as coordinator of 1st year Psychiatry Residency Program. His home address is 3306 Haven Way, Burbank, California 91504.0 Dr. Robert E. Lee, M'70, is a Fellow (faculty and staff position) at the Child and Adolescent Psychiatry Division, Langley Porter Neuropsychiatric Institute, UCSF Medical Center, San Francisco. He is a recent recipient of a three-year American Psychiatric Association-National Institute of Mental Health research fellowship. Dr. Lee writes that he "strongly desires to hear from former colleagues (who are greatly missed!), especially those of Class of 1969." Dr. Lee and his wife, Amy, live at 1279-C Lendrum Court, San Francisco, California 94129.0 Dr. Jan M. Nowak, M'70, recently joined the department of medicine in the section of gastroenterology at the Veterans Administration Hospital of Buffalo as an assistant professor of medicine at the Medical School. Dr. and Mrs. Nowak have three children, David 7, Judith 4, and Josh 1.0 Dr. David A. Bloom, M'71, is associated with the department of surgery at UCLA as chief resident in urology. He recently returned from London where he spent a year as Registrar in Pediatric Urology. Dr. Bloom is a diplomate, American Board of Surgery.O Dr. Kenneth J. Clark Jr., M'71, is an attending for the Mountain Area AHEC Family Practice Program in Asheville, North Carolina. He lives at 27 St. Andrews Road, Ardent, N.C. 28704.0 THE BUFFALO PHYSICIAN �Dr. Stanley B. Lewin, M'71, completed cardiology fellowship training at the University of Michigan, Ann Arbor and has entered private practice as a member of a multispecialty internal medicine group in Harrisburg, Pennsylvania. He plans to participate in the teaching program of the Hershey Medical Center. Dr. Lewin's home address is 6306 Stephen's Crossing, Mechanicsburg, Pennsylvania 17055.0 Dr. Stephen R. Marder, M'71, is an assistant professor in residence (psychiatry) at UCLA. He spent two years at NIH doing research on schizophrenia and is now continuing research at UCLA and Brentwood Veterans Administration Hospital. Dr. Marder and his wife, Paula, (married in 1976) live at 442 Avenue E., Rodondo Beach, California 90227.0 Dr. Neil N. Senzer, M'71, practices pediatric hematology oncology in Miami, Florida. His home address is 13711 SW 90th Avenue (33176).0 Dr. Robert Einhorn, M'72, has been appointed attending radiologist of the Perth Amboy General Hospital Medical Staff in New Jersey.D Dr. Richard N. Warnock, M'72, an orthopedic and hand surgeon, is living at Five Greenbriar Estates, North Reading, Mass. 01864.0 Dr. Lawrence Zerolnick, M'72, is living at 3803 Seven Mile Lane, Baltimore, Md. 21208.0 Dr. Sanford Holland, M'72, is assistant professor and medical director of respiratory therapy at The New Jersey Medical School in Newark. His specialty is anesthesiology and critical care. Recently Dr. Holland presented papers at the Second World Congress on Intensive Care in Paris and at the 7th annual meeting of the Society of Critical Care Medicine in New Orleans. He has also authored or co-authored several articles for professional journals. He is living at 770 Ocean Parkway, Brooklyn, N.Y. 11230.0 Doctors Bill and Donna Hrushesky, M'73, are now living at 5049 Colfax Avenue South, SPRING, 1979 Minneapolis, Minnesota 55419. Donna entered group practice and Bill will be junior staff at the University of Minnesota in oncology.D Two 1973 graduates, Drs. Dexter (Butch) Levy and Frederick Buchwald are clinical instructors at Mercy Medical Center, Denver, Colorado. They are also partners in family practice at the Stagecoach Family Health in Evergreen, Colorado. Dr. Levy lives in Conifer, Colorado, Rt. 2, Box 263-C, 80433. Dr. Buchwald lives in Idaho Springs, Rt. 1, Box 404, 80452.0 Dr. James S. Marks, M'73, began a Robert Wood Johnson Clinical Scholars Fellowship at Yale University School of Medicine (July, 1978). He lives at 134 Dyer Street, New Haven, Connecticut 06511.0 Dr. Charles John McAllister, M'73, has formed Nephrology Associates in Clearwater, Florida. He is also Director of the Kidney Care Dialysis Center. Dr. McAllister has published articles (or in press) in such publications as Clinical Nephrology, JACEP, Journal Tennessee Medical Association, and the Southern Medical Journal. He lives at 2433 Fairbanks Drive, Clearwater 33416.0 Dr. Patrick L. O'Connor, M'73, is associated with the Northwest Medical Center, St. Albans Hospital, St. Albans, Vermont 05478. The O'Connor's have two children, Carey Michele, 6, and Jill Elizabeth, 1. They are living at 20 Berkley Terrace.O Dr. Ira H. Pores, M'73, is finishing his cardiology fellowship at Johns Hopkins Hospital and will be going into private practice in Milburn, New Jersey. His present address is 9454 Kilimanjara Road, Columbia, Maryland 21045.0 Dr. Robert J. Schulman, M'73, recently completed two years in the National Health Service Corps. He is an assistant clinical professor of pediatrics in community pediatrics at U/B and is associated with Deaconess Hospital and the Health Care Plan, Inc.D d- 49 �Dr. Daniel Botsford, M'74, is living in Bangor, Maine where he is in private practice in neurology.D Doctors Johri and Kathleen Braico, M'74, are the proud parents of a son, Christopher, born last Halloween. They moved to Glens Falls (12 North Road), New York 12801, in July to open a private practice in pediatrics.D Dr. Elaine M. Bukowski, M'74, finished a residency in anesthesiology at the Buffalo General Hospital in June and has been staff anesthesiologist at Western Pennsylvania Hospital since July, 1978. She is board certified by the American Board of Anesthesiology. Dr. Bukowski's home address is 6 Bayard Road, Apt. 657, Pittsburgh, Pa. 15213.0 Dr. George M. Kleinman, M'74, has been appointed to the staff of the pathology department, Massachusetts General Hospital, as assistant neuropathologist, and instructor in pathology at Harvard Medical School. His wife, Jettie Hunt Kleinman, is a fourth year pathology resident at the Massachusetts General Hospital, and clinical fellow in pathology at Harvard Medical School. They reside at 99 Pond Avenue, Brookline, Massachusetts 02146.0 Dr. Hing Har Lo, M'74, is assistant professor of radiology/nuclear medicine at Emory University Medical School, Atlanta, Ga. 30303.0 Dr. Sarah E. Moore, M'74, is in private practice of Family Practice and Internal Medicine. Her home address is Mile Stretch Road, Biddeford Pool, Maine 04006.0 Dr. Diane Peters, M'75, a surgical resident at the Buffalo General Hospital, is a Captain in the National Guard. She was recently appointed commander of the 243rd medical company, the first woman physician to command such a unit. Dr. Peters is a clinical assistant instructor in surgery at the Medical School.D 50 Dr. Lawrence G. Millhofer, M'75, has moved to Connecticut from San Francisco after completing his medical residency in internal medicine. He lives at Juniper Farm, RFD #4, Colchester, Connecticut 06415.0 Dr. Thomas C. Rosenthal, M'75, opened a private family practice in Perry, New York in July and joined the staff of the Warren Community Hospital. He is also a clinical instructor at the Medical School (Deaconess Hospital) in family practice.D Dr. William I. Cohen, M'75, has completed his pediatric residency at Pittsburgh's Children's Hospital. He has joined the pediatric staff of the Penn Group Health Plan, Western Pennsylvania's only federally qualified HMO. He is living at 6351 Douglas St., Pittsburgh, Pa. 15217.0 Doctors Linda Shriro Schenck, M'77 and Carlos Schenck, M'76 are medical fellows in psychiatry at the University of Minnesota, Medical Center at Minneapolis. They also announce the birth of Carlin Klarissa last winter. They write "there is quite a Buffalo enclave here in the Twin Cities: Bill and Donna Hrushesky, M'73 (Bill is an Oncology Fellow and Donna just went into private practice with an HMO-type group). Jim Kern, M'76 is a third year resident in internal medicine; Darryl Leong, M'76 is a medical fellow in pediatrics; Ira Salam, M'77 and Richard Terry, M'77 are medical fellows in internal medicine." The Schencks live at 4715 Girard Avenue South, Minneapolis, Mn. 55409.0 In Memoriam Dr. John Ellis, M'35, an Albion, N.Y. physician and his wife were killed September 16 when the light plane he was piloting crashed near a rural road at Venice Center. The 67year-old Dr. Ellis apparently was trying to land the four-seat Cessna in the road when it crashed. Dr. Ellis had been active in several professional and civic organizations. He practiced in Holley, N.Y. before coming to Albion in 1943. He was a former chief of staff of the Arnold Gregory Memorial Hospital in Albion and served many years as an Orleans County coroner. He served in the Navy during World War II.D THE BUFFALO PHYSICIAN �Dr. Howard G. Dayman, M'34, internationally known in the field of respiratory diseases, died July 25. The clinical assistant professor of medicine was 67 years old. After serving as a staff physician at the Raybrook State Hospital at Saranac Lake from 1935 to 1946, he was director of pulmonary diseases at the E.J. Meyer Memorial Hospital from 1946 to 1953. Dr. Dayman was also director of pulmonary diseases at the Rehabilitation Institute of Chronic Diseases at the Medical School. He joined the faculty in 1947. He was a Fellow, American College of Chest Physicians and the American Thoracic Society. He was a clinical associate at the Buffalo General Hospital. Dr. Dayman wrote many articles on the effects of ventilation in medical journals and textbooks.D Dr. Richard B. Bean, M'31, died suddenly June 25 near Saranac Lake, N.Y. of heart disease. His age was 70. He interned and was house surgeon at Children's Hospital. Dr. Bean was a general practitioner in Castile, N.Y. for 10 years. He was a past president of the Wyoming County Medical Society and served in the Navy during World War II. After the war he joined the Veterans Administration and held various positions - chief medical officer of the Buffalo Regional Office and assistant chief of staff at the Buffalo VA Hospital; chief of staff and director at Albany VA Hospital and area chief of staff in Boston for New York and New England. In 1969 he retired to Winter Park, Florida. Dr. Bean was active in several professional and civic organizations.D Dr. Herbert K. Wittig, clinical instructor in family medicine, died July 11 of a coronary. His age was 63. He had been a general practitioner for 30 years in the Bailey-Kensington area. He did his undergraduate work at U/B and received his M.D. from Middlesex College in Massachusetts.D Dr. Edmund A. Biniszkiewicz, M'28, died August 18 at the age of 75. He retired in 1974 after 59 years as a general practitioner. He was a past president of the Deaconess Hospital medical staff, where he had been since graduating from U/B. He interned at Our Lady of Victory Hospital in Lackawanna. He was a member of the Medical Arts Society for 50 years and at one time served as its president.D SPRING, 1979 Editor's note: Dr. Samuel Sones, M '30, died July 10, 1978. He requested that this quotation from a Jetter by Dr. John H. Waite, M'47, professor and chief of surgery, Earl K. Long Memorial Hospital, Louisiana State University, Baton Rouge, La., Nov. 21, 1977, be his obituary in the Bu ffalo Physician.D When my classmates and I went out to the Meyer Hospital, your Surgical and Autopsy Pathology Conferences were like a spot of sunshine in a stormy week. Your humorous and live way of bringing out a point and keeping our attention interested me in teaching, and influenced my style, even now. (I remember how you accused me of being cocksure about my diagnosis of a penile lesion, to the loud guffaws of Hal Peskowitz and Charlie Ross!) Surgeons like Anatomic Pathologists, who are unfortunately being outnumbered by Clinical Pathologists these days. Another thing: You knew and recognized us as individuals, even by name, frequently. Some of us even felt familiar enough with you to call you by your first name, Sam, or Sam·my, a very rare thing in medical studentprofessor relationships! At any rate, the memory of your warm, loving and lovable relationships with your students does continue to inspire me. That a person such as you should get the disease you have is ironic, and makes me sad and angry. I am sure you have been angry too, to say the least, and I personally happen to think that may explain the remarkable success you have had in your long fight. Fight on! We are all pilgrims through life. You're making the most of your pilgrimage, even though the way has been pretty rocky during the past few years. As a matter of fact, in my estimate you are making more out of your pilgrimage because the way is rocky. Comfort is very important, and I wish that for you.D Dr. Spencer Z. Selleck, M'15, died November 22, 1977 in Bath, N.Y. of acute pulmonary embolism. His age was 84.0 Dr. Robert J. Sickles, M'48, died December 27, 1977 in Pasco, Washington of hepatic coma. His age was 54.0 Dr. Stanislaus Nowak, M'19, died October 31, 1977 of arteriosclerotic heart disease in Lansing, Illinois. His age was 81.0 51 Dr. Sones �U/B ALUMNI ASSOCIATION 1979 Travel Program SAN FRANCISCO/ HAWAII/ LAS VEGAS May 14-25 SWISS ALPS/ FRENCH RIVIERA June 24 - July 9 DANUBE CRUISE & VIENNA/ ISTANBUL September 29 - October 13 $747leaving from New York City or Syracuse $862 leaving from Buffalo (United Airlines; 2 nights in San Francisco at the San Francisco Hilton; 7 nights in Honolulu at the Holiday Inn Waikiki; 2 nights in Las Vegas at the Aladdin Hotel, half day sightseeing tours of San Francisco and Honolulu) $650 leaving from Buffalo (Capitol International Airways - DC 8; 7 nights in the Swiss Alps at the Swiss Alpine Village of Thyon 2000; first-class accommodations for 7 nights on the French Riviera; Continental breakfast daily) $1549 leaving from New York City (Pan American Airlines 707 Jet Clipper; 2 nights at the Istanbul Sheraton; Danube Cruise including Izmail, Soviet Union, Bucharest, Romania , Belgrade, Yugoslavia, Budapest, Hungary, Bratislava, Czechoslovakia; three full meals (aboard ship); 2 nights Vienna Hilton, Full American breakfast in Istanbul and Vienna) The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTANCE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGINO, A.S.C.'52, Vice President for Athletics; JOHN R. VONA, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVANS, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.'42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIAN, B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMOND J. GICEWICZ, M.D.' 56; M. ROBERT KOREN, L.L.D.'44.D Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members - Robert Schultz, M'65; Norman Chassin, M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; Nancy Nielsen, M'76; Robert Baumler, M'52; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmela Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 52 THE BUFFALO PHYSICIAN �I A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Gicewicz -------------------------------------------------------------------------------------------------- Ill II I BUSINESS REPLY MAIL FIRST CLASS PERMIT NO. 221 0 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 BUFFALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435· MAIN STREET, BUFFALO, NEW YORK 14214 ORe ROBERT L• BRO~N 156 BRANT~OOD ROAD BUFFALo 1~226 NY THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) N a m e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received---Office Address--------~---------------------------------­ HomeAddress------------------------------------------1{ not UB, MD received f r o m - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - In Private Practice: Yes~ In Academic Medicine: Yes No~ SpecialtY----------------------------~ ~ ~ No Part Time 0 Full Time ~ School--------------------Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, e t c . ? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1979 Subject The topic of the resource State University of New York at Buffalo. 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Class Reunions Dean Naughton's Message The Follies The 1982 Class Dr. Marconi Faculty Retire Dr. Ogra Dr. Gonder/Dr. Dewitz Lithopedion Profile by Drs. Progoy, Korenyi-Both Primary Ambulatory Care Physicians Honored Dr. Melant/Dr. Coventry Dr. Herz/Residents Graduation Martinique MECO Colon Cancer Tennis Tourney Drs. Herbert/Seibel/Culver 42nd Annual Spring Clinical Days Deep Sea Diving Dr. Ettinger Erie County Medical Center Physicians Honored/Faculty Promotions Transfer Students Dues Paying Alumni, 1978 Continuing Education Programs Inner-City Well Health Clinic People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-20 Is Part Of A related resource in which the described resource is physically or logically included. 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School of Medicine State University of New York at Buffalo \ \ �Dear Alumni and Alumnae, Dean Naughton From the desk of John Naughton, M.D. Dean, School of Medicine T his issue of THE BUFFALO PHYSICIA represents a slight departure from previous publication in that its conten~s .refle~~: report on the current status of the School of Med1cme. dedication of a single issue for this report seemed timely ?ec~us~ of the many significant changes that have transp•re : SU Y/Buffalo in a relatively short span of time and because t. e school will shortly embark on a prolonged period of self-stu~y Ill . f or Its . accre d'Itahon . . Committee preparation visit b y T h e L'Iaison on Medical Ed.ucation in October, 1980. d Mr. In preparmg and organizing the present report l aske !late Robert McGranahan and Dr. John Richert to assemble and co 1 the available material. Input was obtained from departmenf chairmen, hospital directors, faculty, and student lead.er~ 0 f organizations, administrative staff, and from the mynac ~ periodic reports submitted to my office during the past thre~ to four years. Many aspects of the reported activity going on hac 0 be restricted or minimized in order to synthesize a single, cohm-t . · t a prehens1ve report. The staff and I apologize for any deletwns individual contributors might detect, yet think important. On behalf of the administration faculty and students l hope that the readers find this report i~formative and contributo~·· Hopefully, it will serve to convey a sense of satisfaction that. t. e SU Y/Buffalo School of Medicine is meeting its responsibiht•~s in preparing physicians to serve the needs of society, ~n promoting teaching effectiveness and in participating in 1 e nation's biomedical research mission. �Winter 1978 Volume 12, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL l.lOARlJ IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 I TRODUCTION 2 MEDICAL SCHOOL ADMISSIONS Editor First Year Class, Advanced Standing, COTRANS, Fifth Pathway, CU Y Biomedical Sciences, Admissions Policy Committee. ROBERTS. MCGRA1'\AIIA:\ Dean, School of Medicine DR. jOHN NAUGHTON 4 Overview, Office of Medical Education, Integration of ew Programs, Adviser Programs, Preceptorship Program, Summer Fellowship Program, MECO, Year Committees, Student Performance, ational Board Examinations, Graduate Medical Education Placement, Financial Aid. Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. W ATKI S Associate Editor FLORE CE MEYER EDUCATIO AL PROGRAMS 10 STUDE T HONORS A D AWARDS Alpha Omega Alpha, Medical Assistance Program, CIBA Award, Who's Who Among Students, james A. Gibson Anatomical Society, Thesis Honors, Awards for Academic Excellence. 11 STUDE T GOVER ME T A D ORCA IZATION Polity, Organization of Student Representation, Student National Medical Association, American Medical Student Association. CONSULT ANTS President, Medical Alumni Association DR. EDMOND GICEWICZ Vice President, Faculty of Health Sciences DR. F. CARTER P ANN ILL President, University Foundation jOHN M. CARTER Director of Public Affairs ]AMES DESANTIS Teaching Hospitals The Buffalo General Children's Deaconess Erie County Medical Center Mercy Millard Fillmore Roswell Park Memorial Institute Sisters of Charity Veterans Administration Medical Center 13 13 13 13 GRADUATE MEDICAL EDUCATIO CONTI UI G MEDICAL EDUCATION GRADUATE STUDE T EDUCATIO ORCA IZATION, GOVER A CE Governance, Executive Committee, Facul!y Council, Pre-clinical Council, Clinical Council, Administrative Committees. 15 ASSOCIATED ORGANIZATIO S Alumni Association, University of Buffalo Foundation, Inc., Research Foundation of the State University of ew York, Annual Participating Fund for Medical Education. 17 SPECIAL PROGRAMS Buswell Fellowship, Biomedical Research Support Grant, Harrington Lecture. 18 FACULTY A WARDS FOR EXCELLE CE I PURSUIT, SERVICE A D TEACHING ACADEMIC Stockton Kimball Award, Dean's Award , Siegel Teaching Awards. 19 TEACHING HOSPITALS Buffalo General, Children's, Deaconess, Erie County Medical Center, Mercy, Millard Fillmore, Roswell Park . Memorial Institute, Sisters, Veterans Administration Medical Center. 28 MEDICAL SCHOOL DEPARTME TS 38 38 39 THE RESEARCH MISSION PHYSICAL F AGILITIES HEALTH SCIENCES LIBRARY Dr. Gicewicz's Message (inside back cover) Basic Sciences Units, Clinical Sciences. The cover by Barbara Evans and Donald Watkins, visual designers, depicts the academic life of medical students. THE BUFFALO PHYSICIA , Winter, 1978 - Volume 12, Number 4, published quarterly Spring, Summer, Fall Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, ew York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. WINTER, 1978 1 �Medical School Admissions is directed by Dr. Harry Metcalf. The Director is responsible for the activities of the admissions staff, and he is ably assisted by the Coordinator, Dr. Phyllis Blazer. In addition he chairs and coordinates the work of the Admissions Committee. This committee's membership is recommended to the Dean by the Admissions Policy Committee, a standing committee of the Faculty Council, and is appointed by the Dean. Since 1976 the committee has had representation from the student body as well as from full-time and voluntary faculty. T HE OFFICE OF MEDICAL SCHOOL ADMISSIONS Introduction T his report is designed to summarize the many and varied medical education activities currently conducted either under the auspices of or in collaboration with the SU Y/Buffalo School of Medicine. A status report to the alumni and friends of the school seemed particularly appropriate at this time because the institution is about mid-way between accreditation visits by The Liaison Committee on Medical Education (LCME). a substantial number of changes in faculty, administration and facilities have occurred within a relatively short span of time, and because the faculty, administration and student body will soon embark on a self-study in preparation for the next accreditation visit by the LCME in October, 1980. Although historically such a report must be viewed as a cross-sectional analysis of the life of the institution, it is hopefully coordinated in such a manner that the longitudinal nature of the enterprise can be appreciated by those who have been associated with the School of Medicine for a period of years and so that future change can be appreciated in proper context by those who have become a part of the institution only recently. The contents of this report were sought from and contributed by a large number of individuals. The necessity to limit the size of the report required a great deal of collation and synthesis, and unfortunately, a considerable amount of deletion. Hopefully, those individuals whose submissions were altered will understand this need and will appreciate that such decisions were not based on any differences in personal points of view. The present report serves to present a coordinated view of the School of Medicine and enables the school's alumni and friends to comprehend the enormity and complexities of its present responsibilities and programs. 2 Med1col School Applicol1ons, committee Accepts, and Enrollment, 1964-1978 55 45 I 390 Comm111ee Acceptances I 35 340 25 290 I ~ I I i!': 1 5 f 1\ ~ "" ~ Appltconts ,' ' v ,/ 240 I 05 / ____,,r--"' ,... t90 / I ~ 140 .• ···········•••·····•····•• Enrollment 90 6~ ... -~~·····;;;;··· 70 72 74 76 78 Year of AdmiSSIOn Figure I Figure I depicts the activity of the Admissions Office from 1964 through the summer of 1978. The number of applicants increased significantly from 1964 through 1974, and since 1974 there has been a decrease in the volume of the applicant pool. The sharpest decrease was from 1976 to 1977, and this was related in large part to the institution of an application fee of $25.00. An application fee was necessitated at each of the four SUNY Schools of Medicine because the resources required to staff and equip this important function were no longer available from state funds. The institution of an application fee did not detract from the quality of the applicant pool. The Admissions THE BUFFALO PHYSICIA �Committee found that a greater proportion of the applicants reviewed and interviewed during 1977-78 represented individuals with a strong desire to study at SUNY /Buffalo. The number of committee acceptances to actual student placements has increased significantly during the past four years. This change reflects the competitiveness of the pool. The entering class in 1978 had a mean science grade average of 3.54. The mean MCA T Science and total MCAT scores for the entering classes from 1964 through 1977 are depicted in Figure II. The School of Medicine enrollment totals 570 students. MCAT Science and combined total scores for UB and all U.S. medical school odmittees; 1964-1977 ...... ~ ~ 700[ UB ..... ~ ::.: .I 1978- Introduction 500 of new MCAT UB 700[ ~ ..... ~ :a; 500 ~G7 4_L~6~6-L~G~a-L~7=o~~7=2~~~~~76~ Entering Class Figure II The average age of the 1978 entering class is 22.4 years, up slightly from the figure of 21.4 years for the 1977 First Year class. The total applicant pool was composed of 21 per cent women; the class composition is approximately one-third women and two-thirds men. All applications, regardless of program, are processed through the single Admissions Committee. Thus, this committee is responsible for selecting a core class each year of 135 students, the few students who can be accepted into advanced placement should vacancies occur in the second or third years, COTRA S students, Fifth Pathway students, and those students in the CU Y Biomedical Science Program who will do their clinical training at Buffalo and receive their Doctor of Medicine degree from SUNY /Buffalo. WI TER, 1978 The School of Medicine began accepting ew York students enrolled in foreign medical schools into the third year class in 1969. From 1969 to 1977 at least five students were accepted via COTRANS each year and the class size was expanded from 135 to 140. In order to comply with Federal Capitation guidelines for 1978 the class size was expanded to 141. These students must pass all parts of Part I of the National Board for Medical Examination (NBME) and are accepted on a competitive basis. The Doctor of Medicine degree is awarded upon satisfactory completion of the clinical work. The school accepts 21 students each year for a year's clinical training into The Fifth Pathway Program. These students have completed the requirements for the Doctor of Medicine degree at the time of acceptance into the program, but must perform a period of supervised clinical training in order to qualify for acceptance into an American Graduate Medical Education Program. Satisfactory completion of the program is accompanied by certification by the School of Medicine. The School of Medicine upon authorization by its Executive Committee in 1969 made a commitment to participate fully and to the best of its ability in providing educational opportunities for students of minority or disadvantaged status. Since the ince,ption of that commitment SUNY / Buffalo has been regarded as a leader in the field. Under the leadership and direction of Mr. Rudy Williams the school has received extramural support to provide the necessary prerequisites of a viable and meaningful educational experience. Despite a laudable record in this area the number of minority applicants decreased significantly in 1977 to 290. The 1978 entering class has 11 minority students. In 1978 the Faculty Council and the Executive Committee approved participation of the School of Medicine in the program conducted by the CUNY School of Biomedical Sciences. This program admits high school graduates from urban environments who will complete their education in a period of six to seven years. CUNY is not accredited for granting the professional degree. Schools of Medicine which accept CUNY students participate in their selection for the CUNY portion of the educational experience and those 3 d- �students then do their clinical work at the selecting medical school. The first six CU Y students will be processed through SUNY /Buffalo's program in 1980. High school principals in Buffalo and Erie County have been made aware of this program and are encouraged to have qualified students apply to CU Y for admission to this special and unique program. Admissions Policy Committee The Admissions Committee is the operational committee of the School of Medicine. Matters of policy are developed by the Admissions Policy Committee. Any major changes in policy are recommended by this committee to the Faculty Council for review and approval, and ultimately to the Executive Committee. Educational Programs OverviewThe curriculum offerings are structured so that a medical student can proceed through the School of Medicine either in a series of four 10-month yearly sequences or in an accelerated program designed to permit graduation after three complete years of academic work. This latter program is open to a limited number of students. The opportunity to combine the required educational experience with preparation for basic research and training is also available to a limited number of students; these students can earn both the Doctor of M.ed~cine a~d Doctor of Philosophy degrees Withm a penod of six years. . The Offic~ of Medical Education, working m concert With the faculty, received two extramural awards from the Department of Health, Education and Welfare for the funding of (1) a Summer Enrichment Program which is made available on an option to all students during the summer prior to their entrance into the First Year; (2) a ten-week pres cri p tio n-e nri chm en t pre-en trance program for those United States citizens (foreign medical students] who have made application through the Coordinated Transfer Application System (COTRANS] and have been admitted into the school's third year curriculum. 4 In general, the medical school curriculum is structured as two years of pre-clinical basic science training and two years of clinical training. The school introduces clinical experiences during the first year. The core didactic material is complemented with a series of elective experiences. The third year is comprised of a 12 week rotation in general surgery and the surgery specialties, 11 weeks of medicine, six weeks in pediatrics, gynecology-obstetrics and psychiatry, and one week in neurology. In addition, students obtain a limited third year experience in dermatology. With the exception of a mandatory four-week experience in Primary Ambulatory Care Medicine, the fourth year is an elective experience. Reviews of the student electives during the past three to four years indicate that each class elects to spend about half of its senior year in programs offered by the Department of Medicine, and that each elects the equivalent of a month's experience in pediatrics, surgery and radiology, about two weeks equivalent per student in neurology and dermatology and approximately a oneweek experience in the remaining disciplines. In excess of 90 per cent of the fourth year students do their fourth year in Western New York. · Self study in th e health sciences learning resources center. THE BUFFALO PHYSICIA �Office of Medical Education The Office of Medical Education (OME) was established in 1975, bringing into being an idea formulated by the Special Curriculum Committee Report of 1967. The OME brings together all the functions of undergraduate medical education: academic, student affairs, advisement, records, financial aid, minority affairs and educational evaluation and research. Dr. Leonard Katz, Associate Dean for Student and Curricular Affairs, heads this office. Dr. John Richert, is Assistant Dean for Records, Student Affairs and Curriculum. Mr. Rudolph Williams, Assistant Dean for Financial Aid, is also actively involved in student affairs and minority student activities. The newest component of the office is the Educational Evaluation and Development Unit formed in 1976 with the recruitment of Dr. Frank Schimpfhauser. Dr. Schimpfhauser has been joined by Mr. Randy Sarnacki, a doctoral candidate in educational psychology and Ms. Klara Papp, also an educational psychology major. The Education Evaluation and Development Unit has as its major goal assisting individual faculty departments and various committees of the School in providing improved curriculum and instruction. In addition to heightening the faculty's awareness of the sensitivity toward the teaching-learning process through existant and newly implemented committee structures, the unit has made significant progress in upgrading the many educational programs and course offerings of the School. The unit has provided faculty and department expertise in designing and implementing evaluation procedures, planning and developing proposals which have secured extramural support for new and innovative curricular programs and has provided several members of the faculty instructional improvement opportunities in areas such as lecturing, student assessment, and curriculum materials development. For purposes of conducting educational and behavioral research, the unit has fully implemented a computer accessible student data base. The new student data base contains medical school performance data, entering student achievement characteristics, and over 200 non-cognitive variables now collected at specific points throughout the student's undergraduate and graduate WINTER, 1978 program. Questions related to curricular impact on medical student values, professional behaviors and career choice and practice location are among those currently being studied for purposes of curricular planning and longitudinal research. Integration of New Programs Dr. Leonard Katz, working with the Curriculum Committee of .the Faculty Council, has coordinated the development and implimentation of a number of new educational programs, each designed to reflect the school's awareness and responsiveness to needed change and to provide integration of necessary educational content without educational disruption. Education committees are appointed by the Dean to bring together faculty members and students interested in these areas. They include: Alcoholism and Substance Abuse Education Committee: Drs. Peter Gessner, Chairman; Marvin Block; Lucille Lewandowski; William Webster; Stephen Stayer; Marcia Russell; Cedric Smith; Michael oe; Robert Whitney; Frank Schimphauser; Students: John Bahouth, Sylvia Turner. Cancer Education Committee: Drs. Edward Henderson, Co-Chairman; John Wright, Co-Chairman; Nancy Stubbe; John Gaeta; Richard Johnson; ~ames Humbert; Myroslaw Hreshchyshyn; Richard Cooper; H. James Wallace; Alan Reynard; Marjorie Plumb; Gerard Burns; Edwin Mirand; Frank Schimpfhauser; Leonard A. Katz; Student: Monica Spaulding. Cost Effectiveness and Quality Assurance Education Committee: Drs. Paul Davis, Chairman; Michael Anbar; Raymond Bissonette; Alexander Brownie; Edward Carr; Elliot Ellis; Glen Gresham; Milford Maloney; John Wright; Robert Kohn. 5 d- �Environmental and Occupational Health Committee: Drs. Harry Sultz, Chairman; Paul Kostyniak, Acting Chairman; Marvin Amdur; John Gentry; Monte Blau; Beverly Paigen; Mitchell Zavon; Elizabeth Macintyre; Students: Geralyn Kahn; Terence Chorba; James Miller. Human Values and Medical Ethics Education Committee: Drs. Norman Solkoff, Co-Chairman; Robert Dickman, Co-Chairman; Robert O'Shea; Donald Becker; Peter Gessner; Leonard A. Katz; Norman Chassin; Henry Staub; Mila Aroskar ( ursing); Louis Swartz (Law); R.T. Hull (Philosophy); Father Jack Chandler; Rabbi Martin Goldberg; Rev. Charles Bachman; Students: M. Werick Paroski; John DeBerry; Archimedes Thomas; Mark Hagen. Geriatrics Committee: Drs. Evan Calkins, chairman; Harold Brody, J. Warren Perry, John Robinson, John Border, John Bozer, Ferdinand Paolini, John Hodson, S. Mouchly Small, Mr. Rudy Williams. Soon to be established will be a Nutrition Educational Committee. Each of these committees has approached its responsibility somewhat differently but there has been a great deal of creative activity generated. Alcoholism and Substance Abuse, for example, has been successful in stimulating an increase in the teaching of these problems within existing required courses. It has brought together some of the teaching activities in the second year into an "Alcoholism Week." A highly successful elective was developed to take students into clinical settings as well to introduce them to some of the various facets of the problem of alcoholism. Dr. Peter Gessner won a Career Teaching Award from NIAAA ( ational Institute of Alcoholism and Alcoholism Abuse) and has attracted financial support from the ew York State Division of Alcoholism, Department of Mental Hygiene. The Human Values and Medical Ethics group, led by Drs. Robert Dickman and Norman Solkoff, has developed a series of exciting offerings, many of which are given as noon time seminars. In addition, there has been a distinct increase in the amount of re6 quired course time devoted to these areas, both in the basic sciences and in the clinical courses. For the coming year, the following topics are being presented as part of the noon time seminar series: Fall Theme: Utilitarian and deontological patterns of decision-making in medicine. The seminar topics were: Informed Consent and the Right to Withdraw Consent to Treatment; The Right to Psychiatric Treatment; Involuntary Sterilization of the Retarded; Euthanasia and the Dying Patient; Issues in Abortion. Spring Theme: Conflicts between the Hippocratic/free enterprise and the civil service views of the profession. The spring seminar topics are: Justice and Health Care Delivery; Allocation of Scarce Medical Resources; Confidentiality of Psychiatric Information; Incompetent Practice; Nontherapeutic Medical Experimentation. Dr. Richard Hull, associate professor of philosophy, helped prepare a syllabus for the seminars and participated in some of the sessions. The Cancer Education Committee under the leadership of Drs. Edward Henderson and John Wright has been actively reviewing the content of courses related to cancer. There have been applications for support submitted to the National Cancer Institute to promote cancer education in Buffalo. Dr. Paul Kostyniak is acting chairman of the Environmental and Occupational Health Education Committee while Dr. Harry Sultz is on sabbatical leave. This committee is looking into expanding teaching resources and offerings to students. The Committee will bring a number of speakers to the campus to discuss this highly relevant subject. Two medical students, Mr. Terence Chorba and Ms. Geralyn Kahn received fellowship support to prepare materials for the committee. The Cost Effectiveness and Quality Assurance Education Committee is chaired by Dr. Paul Davis. This work is supported by a grant from the National Fund for Medical Education to assist its efforts to introduce these issues into the medical students' program. Dr. Ben Sanders, Chairman of the Multidisciplinary Graduate Group on Nutritional Sciences, has received local support from Tops Foods for a utritional THE BUFFALO PHYSICIAN �Seminar series. This year an ambitious program is planned and includes the following topics: Pathophysiology of Intestinal Absorption; Current Clinical and Research Trends in Fat Soluble Vitamins; Relationship of Cancer and Cancer Therapy to utrition; Vitamin Facts and Fictions: Science Versus Anecdote. Adviser Program During the first semester each first year student is assigned an academic adviser from the basic science faculty. The purpose of the Adviser Program is to provide guidance to the student in the development of his/ her curriculum. This function includes advisement on elective courses, academic progress and other matters relating to the educational programs of the School of Medicine. The program functions in concert with other programs of the school and the University to provide personal services to the student, thereby helping to bridge the gap between college and medical school. Preceptor Program Concomitantly, each student is assigned a clinical preceptor. The Preceptor Program provides the student with an early introduction to the clinical setting and an opportunity for discussion of relevant issues in the practice of medicine. During the first year the preceptor and the assigned group of students are expected to meet on a regular basis in relation to patient contact in a clinical setting. It is anticipated that the preceptor will continue with each student until and beyond graduation from medical school. Dr. Robe rt Patterson is coordinating the program for 1978-79. He is assisted by Dr. Stephen Barron. Dr. Robe rt Patte rson with first year students at the preceptors' luncheon. Summer Fellowship Program Funds from a number of organizations national, local and private - are used to promote student research and training during the summer months between the first and second and second and third year. The particular work to be pursued by a student is determined by his/ her interest and specific arrangements are made with a faculty adviser. The selection of students is based on competition for the limited funds available and is done by the Summer Fellowship Committee, currently chaired by Dr. John Edwards. MECO Program Since 1976, members of the student body working through the American Medical Student Association (AMSA) and the American Medical Association have sought and obtained funds to provide summer preceptorship-employment opportunities for students. This program has been successful in obtaining support from several sources including the Annual Participating Fund for Medical Education (APFMEJ, The Lamb Endowment Fund, and the Gebbe Foundation in Jamestown, New York. During 1978, 40 students participated and were placed in sites in Buffalo, Jamestown, Salamanca, as well as in other communities in Western New York. The student coordinators are Donald Switzer and Robert Shalwitz. Year Committees Year Committees were formed in 1977 to provide a forum for the regular review and discussion of curriculum improvements , academic policies and student performance standards. Each Year Committee is comprised of the course coordinators for that year and includes in its membership representation from the ranks of the preclinical and clinical faculty, volunteer faculty, and designated r epresentatives from the Dean 's staff. From the activity reports submitted to the Dean, it has become clear that significant teaching-learning issues have been addressed in the Committees' first year of operation and that a numb er of new policy recommendations have b een provided to the appropria te committees of the Faculty Council for furth er considera tion and action. The chairmen are: Drs . Alexander Brownie Thomas Flanagan, Philip Morey and Kamai Tourbaf. dWI TER, 1978 7 �Student Performance The program of each medical student is monitored by the departmental faculty responsible for a curricular offering, by the committees assigned to coordinate each year's program and the Executive Committee of the School of Medicine. Each year the evaluation program has been revised and upgraded to ensure the student a fair and objective appraisal of his/her effort and to ensure evolution of a strong faculty committed to sound pedagogical principles. Student feedback is encouraged and sought through course evaluation and by participation in committee work. While it is difficult to determine all the parameters of medical student performance the School of Medicine has used two as indices of relative performance. These are the results of participation in the National Boards and placements in graduate training, i.e., internships and residencies. Student Performance on Part IT NBME, 1973-1978 550 525 Notional Mean ------------------------ ., 500 ~ ~ 475 c:: ~ 450 425 400 Number of Students 90 86 92 108 114 122 Percent Passing 98 94 90 95 94 98 2 6 5 7 76 77 78 Percent Honors 4 73 6 74 75 Graduating Closs Figure IV Student Performance on Part I NBME, 1972-1978 550 525 ., ~ ~ 500 - - - - - - - ~·.!·~·.! ~..!_n- - - - - 475 g 450 ~ 425 400 Number of Students 119 120 Percent Posstnq 75 78 Percent Honors 9 74 75 119 131 117 122 79 73 93 90 93 12 19 15 78 79 80 10 76 77 111 (June only) similar upward trend is reflected by the performance of the graduates of 1977 on Part II of the exam (Figure IV). Although the School of Medicine does not place great emphasis on the BME in its educational mission there is little doubt that overall medical student performance on these exams provides one of the few external indices of how SUNY /Buffalo students perform in relation to students throughout the United States. Students who take the examination, even though done voluntarily, should be motivated to perform up to their abilities and capacities. Graduating Closs Figure ll I Figure V Percent of First and Second Choice Placement for Internships, 1967-1978 NBME The ational Board Examinations are not required, but approximately 95 per cent of SUNY /Buffalo's students take Parts I, II and III. Figure III depicts the mean scores on Part I from the graduating classes from 1974 through 1980. The classes from 1977 through 1980 have scored well above the National Mean and from 12 to 19 per cent of those taking the examination in these graduating classes have achieved Honors status. A 8 85 ~ <:: 80 {: ::, ~ '.... <> 75 ~ ~ ~ 70 65 78 Year of Graduation THE BUFFALO PHYSICIA �Since medical school education is one part of the educational spectrum, placement in graduate medical education programs serves as another marker of student performance and acceptability. Figure V indicates the per cent of graduates who received either their first or second choice placement from 1967 through 1978. In 1978, 89 per cent of 139 graduates received either their first, second or third place choice. The per cent distribution who chose to remain in Western ew York and ew York State is depicted in Figure VI. Many of the school's graduates Internship Location for Classes 1972 - 1978 0 Western New York rlJ Other New York 40 II) ~ ~ ..... ~ ..... ~ 20 ~ ~ 10 Year of Graduation Figure VI continue to be accepted in programs regarded as among the most prestigious in the country. Advisement on graduate opportunities is provided largely by faculty members within the clinical departments of the school. Some departments, like the Department of Medicine, have developed an adviser program whereby students may work closely with a senior faculty member in choosing programs. The departmental efforts are supported by a team within the Office of Medical Education. Recently, this team has bee n expanded to include Dr. Thomas G. Cummiskey, clinical assistant professor of radiology, who provides support for applicants in pediatrics, gyn/ob and radiology; Dr. Joseph Caruana, assistant WINTER , 1978 professor of surgery, who aids students applying to surgery and the surgical specialties; Dr. Leonard Katz works with students seeking positions in medicine, family medicine, psychiatry and the remaining disciplines. Assistant Deans, Dr. John Richert and Mr. Rudy Williams, have ably assisted the effort in providing each student the opportunity to review their academic record and to gain a good sense of overall personal performance in Medical School. Dean's letters are prepared for each student and sent to each of the programs to which the student applies, leading to over 1300 letters per year. Ms. Mary Shapiro and her staff, including Ms. Doreen Miller and others, have provided the service with good spirit as reflected by the fact that both received plaques of appreciation from recent graduating classes. Financial Aid The School of Medicine's current financial aid policy provides for 100 per cent of a student's need to be satisfied. The budget reflects the total cost of attending this medical school at approximately $7,000 per year with tuition and fees accounting for $3,115 of the total aid provided. All financial aid administered by the University is in the form ew York State Higher of loans with the Education Services Corporation (NYHESC) Loan providing the foundation for the total aid program. Interest rates vary from a low of three per cent for University-sponsored programs to a level of seven per cent for NYHESC funds to a high of 10 and possibly 12 per cent on funds provided by the American Medical Association, Robert Wood Johnson and Health Education Assistance Loan Programs. Under the present economic climate student debt levels are rising rapidly commensurate with the cost of attending medical school. It is the philosophy of the School of Medicine that financial aid be awarded solely on the basis of financial need. Where resources are available parents are expected to assume the financial responsibility for the student's education. In all cases, parental income information is required regardless of dependency status. Several Emergency Loan Funds are functioning at maximum capacity and are providing valuable assistance in emergency 9 d-- �situations. These include the Clara March Fund, the Botsford Fund and the Medical Emergency Loan Fund established by faculty contribution in 1975-76. A long term loan fund has been established by a member of the community. The Dr. Pasquale Greco Loan Fund provides low interest loans to third and fourth year students from Western ew York. Student Honors are selected, on a national competitive basis, to participate in the Medical Assistance Program-Readers Digest International Fellowships (MAP-ROlF). After the student is awarded the grant he/she is obligated to spend a minimum of ten weeks at the place of assignment which is in a carefully planned and well supervised clinical setting in one of 82 developing countries. While working in these rather primitive settings, the student becomes familiar with the cultural, social and medical problems characteristic of the host country. Each year the student body selects a sophomore student to receive the CIBA Awa~d in r~cognition of outstanding commumty serv1ce in such activities as the F OURTH YEAR MEDICAL STUDE TS Dean Naughton and two honor students. organization and staffing of neighborhood health clinics or the development of, and participation in, efforts ranging from tutorial to disease screening programs. In October of each year, the School selects eight students from the junior and senior class for nomination to WHO'S WHO AMO G STUDE TS IN AMERICA UNIVERSITIES A D COLLEGES. The selection is based on scholarship ability, participation, leadership, academic and extracurricular activities, citizenship, service to the School and potential for future achievement. Alpha Omega Alpha The Buffalo Chapter of Alpha Omega Alpha, Epsilon chapter in ew York, was founded in 1924. Each year students are selected for scholastic excellence as well as "integrity, capacity for leadership, compassion and fairness in dealing with one's colleagues." Limited to a maximum of one-sixth of the graduating class, the new members are inducted in a solemn ceremony. The current officers of the chapter: President, Dr. Ronald Boersma; Vice President, Dr. Nancy Nielsen; Sec'y.-Treas., Dr. James Brennan; and Councillor, Dr. Wilmot Jacobsen. James A. Gibson Anatomical Society The James A. Gibson Anatomical Society was founded by the classes of 1919 and 1920 in honor of Dr. James A. Gibson, late Professor of Anatomy and Secretary of the Medical Faculty. Its object is to promote high scholarship and to stimulate interest in investigation among medical students of the University. The Society also sponsors an annual lecture by a prominent scientist. Thesis Honors Thesis Honors is awarded for a meritorious thesis based on an original contribution to medicine by a medical student working under the sponsorship of a faculty member. While this recognition usually implies original laboratory or clinical research, contributors to the ethical or historical aspects of medicine may also qualify. The possible field of subjects is wide, but emphasis is placed on evidence of creativity THE BUFFALO PHYSICIA �and originality. All medical school students are encouraged to take a special study with the guidance of a faculty sponsor, which is then submitted to the Thesis Honors Committee. The Committee, composed of representation from the clinical and basic science faculty and administration, appoints a suitable review sub-committee to review the thesis. The student must defend the thesis and on the basis of attainment, the Committee recommends to the Dean the awarding of Thesis Honors to the student. Awards for Academic Excellence Members of the graduating class and their colleagues in the second and third years are recognized for outstanding achievement in the clinical sciences, basic sciences and service to the School and community at the School's commencement exercises. An Awards Committee composed of clinical and basic science faculty, administration, and students determines the recipients of many of the awards with the advice of appropriate departmental faculty; other awards are made directly by departments under whose aegis the award is provided. The individual awards are listed below. Senior Class THESIS HO ORS Baccelli Award Gilbert M. Beck Memorial Prize i~ Psychiatry, Buffalo Surgical Society Prize in Surgery, Children's Hospital Prize, Dean's Award, Bernhardt & Sophie B. Gottlieb Award, Dr. Heinrich Leonhardt Prize in Surgery, Lieberman Award, Hans J. Lowenstein Award in Obstetrics, Maimonides Medical Society Award, Medical Alumni Association Award, David K. Miller Prize in Medicine, John R. Paine Award in Surgery, Mark A. Petrino Award, Clyde L. Randall Soc.iety Award in Gynecology-Obstetrics, Emily Davis Rodenberg Memorial Award, Philip R. Sang Memorial Award, Morris & Sadie Stein Neuroanatomy Award, Upjohn Award, John Watson Award in Medicine. Sophomore and Junior Classes Charles Bauda Award, Edward L. Curvish, M.D. Award, James A. Gibson & Wayne J. Atwell Award, Douglas S. Riggs Award Westwood Pharmaceuticals, Kornell L. Terplan Award, Ernest Witebsky Memorial Award, Farney R. Wurlitzer Award. WI TER, 1978 Student Government Organization I Polity is the sole student government in the medical school. It was formed in order to govern student affairs, to promote more efficient communication among students, faculty and administrative officers, and to facilitate student participation in the deliberative and policy-making processes of the school. Polity is composed of 20 voting members, five elected representatives from each of the first through fourth year medical school classes, and of an Executive Committee of a President, Vice President, Secretary, and Treasurer. Elected class representatives also serve as co-equal class officers. Polity's activities are quite diversified. Polity is responsible for the allocation of the mandatory medical student fees. The requests for funding are many and varied, and Polity representatives must judge the merits of each request and allocate the money to the student body's best advantage. · Polity also acts as a liaison between students and the administration of both the medical school and the University at large. Student representatives and the medical school administrative staff meet several times a semester to discuss problems concerning such matters as curriculum, student representation on committees, parking, exam policies, health insurance, and financial aid. Many problems are solved immediately. Others are referred to the medical school's many active committees for resolution and action. Polity is also involved in trying to bring students closer together and making medical school fun. A school-wide activities budget line has financed such functions as the Annual Tennis Tournament, a skating party, and the very successful Med School Follies held each spring. Plans are already being made this year for a school-wide dance and Spring Sports Day. Polity is also responsible for coordinating student representatives to medical school committees. Student representation on these 11 �committees is constantly expanding and Polity is making a real effort to get feedback to the students. This year a new "Communications" budget line was opened to finance class newsletters. Polity, as the sole student government of the medical school, represents the will and opinion of the students. Polity spends much time debating issues in the medical school, and attempts to formulate a well reasoned opinion to be presented to the administration for consideration. Polity also deals with much of the day-today medical school business-running committee elections , dispensing information to students, dealing with drug and equipment salesmen , and setting up parties, etc. The Organization of Student Representatives The Organization of Student Representatives (OSR) was established in 1971 by the action of the Assembly of the Association of American Medical Colleges. Each medical school is allowed to select one representative from its student body as an institutional representative to the OSR. The OSR meets once a year at the AAMC Annual Meeting and on a regional basis with the Group on Student Affairs (GSA) each spring. At these meetings the representatives become informed of national medical education issues and have an opportunity to interact with other constituent members of the Association: In between the annual meetings, the busmess of the OSR is carried out by the Administrative Boards of the three AAMC Councils . The chairperson and chairpersonelect of the OSR are voting members of the Executive Council. Peter Shields, a member of the Fourth Year Class, is currently chairperson of the National OSR. Student National Medical Association The goals of the Student National Medical Association are: 1) increase the public awareness of the medical needs of the minority communities, 2) supplement the education of medical students who are particularly interested in the health care needs and problems of the minority communities, 3) provide programs for the recruitment and retention of minority medical students, 4) provide social outlets for its members to relieve the pressures and anxiety of medical school. The SNMA of Buffalo has pursued these goals with a wide array of programs and activities .· The SNMA sponsored Well Health Clinic is a facility in Buffalo where the medically indigent may receive physical examinations and primary screening for diabetes mellitus, hypertension, and various anemias. This clinic is free of charge and staffed by students and residents under the supervision of voluntary physicians in their spare time. A monthly journal club and guest speakers provide supplementary education. Faculty members are honored with awards for teaching excellence in both basic sciences and clinical areas. The SNMA provides students to speak to elementary and high school classes. Pre-medical college students are actively encouraged to apply to medical schools. Picnics, parties and group outings constitute the social activities . American Medical Students Association The American Medical Students Association (AMSA) is an independent national organization of medical students dedicated to the improvement of health care, medical education and health care delivery. AMSA is not affiliated with the American Medical Association (AMA). There are over 130 local chapters throughout America. The New Physician and Infusion are the organization's official publications . Students at the SUNY /Buffalo School of Medicine founded the Medical Education and Community Orientation Project (MECO); Women in Medicine; and Humanistic Medicine which are particularly popular AMSA activities. THE BUFFALO PHYSICIAN �Graduate Medical Education coordinates and supervises a vast array of internship, residency, and fellowship programs. The clinical departments through the hospital system supervise the training of 475 to 500 interns, residents and fellows each year. Approximately one-third of the graduate trainees are alumni of the SUNY /Buffalo School of Medicine and the remainder are recruited from the other schools of the United States. While there are s~ill a fe·w· non-integrated University super~Ised trammg programs the vast majority are mtegrated by the responsible departmental faculty. ~radua.te trainees at all levels participate actiVely m the educational process of medical students. T HE SUNY/BUFFALO SCHOOL OF MEDICINE Continuing Medical Education SUNY / Buffalo has long been an acknov.:-ledged leader in Continuing Medical EducatiOn (CME). During the 1978 academic y~ar Dr. Martin Wingate was appointed Dire~tor and A~sistant Dean of Continuing Medical Education in addition to his duties in the Department of Gynecology/Obstetrics. He has appointed an Advisory Committee to develop the institution's program in CME. As the need for on-going physician education and recertification expands this educational unit w~ll concentrate on supporting and encouragmg the University departments to organize educational programs on a con~inuing basis to meet the needs of physicians m Western New York. CME will expand and refine its evaluation capabilities in accordance with the accreditations provided by the Liaison Committee on Continuing Medical Education (LCCME). WINTER, 1978 Graduate Student Education T he educational quality of Master's a d D~ctor of. Philosophy students in the Hea~h Sciences IS coordinated through the Office of th~ Dean for Graduate Studies. Each basic science depar.tment offers strong graduate student expenences which are designed to prepare outstanding scientists and teachers. Some of SUNY /Buffalo's programs are included among the leaders in their fields throughout the United States. These programs are reviewed for content and quality by outside consultants every five years. Organization, Governance L ike all schools of medicine in the United States the SUNY /Buffalo institution is a complex structure whose functional organization does not fit readily a rigid or stagnant organizational chart. The SUNY /Buffalo School of Medicine administratively resides in the Faculty of Health Sciences of SUNY /Buffalo together with its sister schools of Dentistry, Nursing, Pharmacy; and Health Related Professions. The Dean reports to the President of the University through the Vice President for Health Sciences. Internally, the school is structured with a core administrative staff responsible for faculty affairs and promotions, budget and facilities, curricular development and implementation, student affairs, educational evaluation, financial assistance, university affairs, admissions, hospital and clerical affairs, and continuing medical education. These functions are performed and executed, for the most part, in the administrative and executive offices located in Farber Hall on the Main Street Campus. The actual operational implementation of undergraduate medical education, graduate student education, and of graduate medical education is carried out through the departmental structure. Each department chairman has major responsibility for development and implementation of the specific curricular offerings assigned to the department and for coordinating and deploy13 d- �ing the available resources used in the conduct of the particular program. The school's educational, research and patient care programs are administered through 25 departments and their sub-units located throughout the City of Buffalo and Erie County. Governance The School of Medicine is governed by a dual governance with an Executive Committee and a Faculty Council. Executive Committee The Executive Committee is chaired by the Dean. Its membership includes the chairperson of each department, President of the Faculty Council and nine elected representatives of the Faculty Council. The Vice President for Health Sciences or his designee serves as an ad hoc member of the committee. The Executive Committee is charged with the ultimate responsibility for decisions related to faculty and student affairs. It meets at regular monthly intervals, and can be called into special session if and when warranted. Faculty Council This governing body was constituted in its present form in 1971. Its function is to encourage and assure participation by the faculty in initiation, development and implementation of the educational programs of the School of Medicine with respect to policies and procedures governing the curriculum of the school, students, admissions, academic programs, awarding of degrees, faculty appointments, promotions and tenure, grievance procedures, and organizational structure of the School of Medicine. The Faculty Council's activities are coordinated and directed by an elected President. Its business is conducted through a Steering Committee composed of the elected officers, eight standing committees, and a monthly · business meeting of the total Council. Actions of the Faculty Council which imply policy change within the school are referred to the Executive Committee for further review and acceptance or rejection. 14 The standing committees of the Faculty Council are: 1. Curriculum; 2. Admissions Policy; 3. Appointments, Promotions and Tenure; 4. Elections & By-Laws; 5. Affiliated Institutions; 6. Facilities Planning and Budget; 7. Student Affairs and Academic Standing; and 8. Economic Status. The Faculty Council is involved at multiple levels with the functions of the school. Through its various committees the Faculty Council has initiated, developed, and suggested many of the policies currently governing the day-to-day operations of the medical school. Presently the admissions policies of the school, the curricular policies, the guide lines for Faculty promotions and tenure as well as the procedures for student grievances and promotions have been discussed, debated, and approved by past and present councils. Policies and guidelines that affect student and faculty alike are continuously being revised and updated through this mechanism. The faculty through this governing body has had a continuing and influential role in policy matters affecting the school. Pre-Clinical Council This ad hoc body is membered by the Basic Science Department chairpersons and meets at periodic intervals to advise the Dean in matters related to basic science education. It is chaired by a chairperson selected from within the group. Clinical Council This ad hoc body of Clinical Department chairpersons meets at monthly intervals with the Dean to advise that office on matters related to clinical affairs and graduate Many memorial plaques are in the main lobby of Farber Hall. THE BUFFALO PHYSICIAN �medical education. It is chaired by an individual selected from the membership of the group. Administrative Committee The academic work of the Dean's office is conducted through the appointment of committees. Appropriate work is delegated either through the Executive Committee or the President of the Faculty Council for assignment to standing committees. Despite these mechanisms, at least 22 other committees are required to conduct the ongoing affairs of the School of Medicine. Associated Organizations works with many health related organizations to facilitate its educational and research programs and to help the quality of their services. There are several autonomous organizations with which the school enjoys an ongoing relationship. Among these are the Alumni Association of the School of Medicine, the University of Buffalo Foundation, Inc., the Research Foundation, and the Annual Participating Fund for Medical Education (APFME). T HE SCHOOL OF MEDICI E Alumni Association The school's alumni association is among the most active and vigorous in the United States. Its President relates directly to the Dean's Office in matters of mutual concern and its administrative offices are located on the Main Street Campus. The Dean or his designee meets with the Alumni Board at its monthly meetings. The association participates actively in a number of important fund raising functions each year, including the Century Fund and the Class Reunion Gift Programs. The annual Spring Clinical Days (medical school homecoming) is always well attended. A nationally prominent speaker is invited to give the Stockton Kimball Memorial Lecture. Another feature of the two-day conference is the 50-year class reunion dinner and several other five-year class reunions. "What's Right With Medicine" is the theme of the 42nd annual Spring Clinical Days, May 11 and 12, 1979. On February 13, 1979 the association WI TER, 1978 will co-sponsor a medical/dental symposiumexcursion to Tahiti. Every year the association sponsors a senior class reception; awards preceptorships to medical students; contributes to the Medical School Yearbook and Register. University of Buffalo Foundation, Inc. This organization is the private fund raising arm of the University. Its officers and staff work closely with the President of the Alumni Association and the Dean in coordinating fund raising activities such as the annual Phonothon Century Drive Campaign and Class Reunion Gift Programs. In addition, the Foundation solicits private donors and administers some of the endowment funds of the School of Medicine, most notably the Gordon Heyd and the Clara March endowments. Research Foundation of the State University of New York This organization administers the research grants received by many of the faculty of SU Y/Buffalo. In some instances, some federally granted programs are administered directly by the hospital system. Annual Participating Fund for Medical Education In 1953 a group of physicians, alumni of the School of Medicine, having in common a loyalty to the school and a concern for its many pressing problems, began a series of intense discussions which resulted in the for15 �·I mation of an organization that became the Annual Participating Fund for Medical Education (APFME). The primary objectives of the Fund in its formative period were to provide supplementary financial support for the grossly inadequately funded basic science departments (recently moved into new facilities in Capen Hall) and to improve the relationships of the faculty and administration of the school with the area physicians and the community at large. The School of Medicine in common with many private schools of the time was experiencing increasing difficulty in providing the essential resources to maintain educational, research and service programs of high quality, and the slowly increasing numbers of the full time clinical faculty were sharing in the widely experienced problems of many schools. The initial members included Drs.: Edgar C. Beck, Grant Fisher, Henry Kenwall, Stockton Kimball, Harry LaForge, and Marvin Bloom. They were soon joined by Drs. John L. Donahue, Kenneth H. Eckhert, Donald W. Hall, Thurber LeWin, Leo M. Michalek, John J. O'Brien, Kevin M. O'Gorman, Harold K. Palanker, Victor L. Pellicano, Bertram A. Partin and William J. Staubitz. Within a short period the Fund developed a large group of devoted physician members who formed the nucleus of the active fund raising organization, soliciting annual pledges from all physicians of the region (alumni and non-alumni) and from other graduates wherever they might be geographically located. In the March 12, 1955 issue of the Journal of the American Medical Association, a highly complimentary report on the background and activities of the APFME appeared, and in 1957 the officers and executive committee of the Fund received an honorable mention from the distinguished Lane Bryant Awards Committee for their volunteer efforts in service to the community and the family of man. The 1956 report of the reaccreditation survey by The Liaison Committee on Medical Education specifically identified the importance of the Fund as a factor in achieving many improvements over the conditions existing at the 1945 survey. With the advent of the merger of the University of Buffalo with the State University of ew York in September 1962 the need for the Fund to continue its salary support 16 terminated. The Fund, however, recognizing along with the University the continuing requirement for flexible funds for the support of activities not directly appropriate for state tax support, or for those situations which required quick decisions incompatible with the bureaucratic process, began in consultation with the school to develop alternative programs. Since 1962, for periods of varying duration the Fund has supported student scholarships directed to strengthening selective and competitive recruitment of outstanding student candidates, summer clinical practice fellowships, a medical newsletter and some of the expenses associated with the annual alumni Spring Clinical Days. For a period it contributed to the publication costs of the Buffalo Medical Journal, the predecessor of the currently published The Buffalo Physician. THE BUFFALO PHYSICIA �Special Programs Buswell Fellowship T he funds for the Buswell Fellowship program are provided by the Ralph Hochstetter bequest to the School of Medicine in Buffalo. The bequest was given in the name of Bertha and Henry Buswell, his sister and brother-in-law. Henry Buswell was a physician in Buffalo. The funds are to be used for the purpose of the support of Doctors of Medicine who have completed the necessary preliminary training to enable them to engage in research in their chosen field. The funds are administered by the Dean of the School of Medicine who appoints a Buswell Committee composed of representatives from the Basic Science and Clinical Faculty of the Medical School to advise on the selection of Fellows. The committee receives applications from faculty sponsors on behalf of each Buswell applicant. The sponsor and the department chairman describe the role of the applicant in the ongoing research program as well as his/her participation in the department programs. The committee ranks applications numerically on the basis of scientific merit. The quality of the Buswell Fellowships awarded has become comparable to that of an IH Research Fellow. Reading X-rays is an important part of the clinical experience. Buswell funds are used to attract Fellows of excellent quality who will be likely to remain in this Medical School or to be d- WINTER, 1978 17 �recommended to another as Academic Faculty. This is a particularly valuable mechanism with which to strengthen faculty especially, when extramural research funds are diminishing. The committee also selects Fellows who are outstanding, mature, research scientists who come to Buffalo to collaborate with a particular research program of our faculty, but will subsequently return to their permanent appointments elsewhere. An Annual Buswell Research Day has provided a forum at which Fellows present the current developments in their research programs which were achieved during the tenure of their Buswell Fellowship. An afternoon scientific program attended by the faculty is followed by a reception. Buswell Alumni speak at a dinner meeting after the reception. In 1978, Dr. Robert Klocke discussed the continuation of his pulmonary research at the Buswell Day Dinner meeting. When Dr. Klocke was a Buswell Fellow he began the studies that culminated in his current research program. A fourth year student, John Canty, was invited to present his work this year for the first time. Biomedical Research Support Grant (BRSG) This program is made available through funds provided by the federal government. The amount of medical funding is based on the level of participation by the faculty of the School of Medicine in the nation's biomedical research mission. The funds are used to help newly recruited faculty initiate their research efforts in the interim between beginning their duties at SU Y/Buffalo and the time at which they can compete favorably for extramural research support. The funds are also used to equip unique or especially promising research programs. Like the Buswell Fellowship Program faculty compete for funding support by submitting a grant proposal. A faculty committee reviews the application and awards them on the basis of merit for funding. As the available pool of federal research has become more and more fixed the number of faculty seeking BRSG support has increased. Unfortunately, the requests each year far exceed the funding capacity provided by this program. 18 Harrington Lectureship Dr. Devillo White Harrington (1844-1905), a member of the clinical faculty of the U/ B School of Medicine, was professor of genitourinary and venereal diseases from 1886 to 1905. In 1896, to commemorate the 25th anniversary of his graduation from the School of Medicine (1871), he made the initial gift to establish the endowed lecture fund which bears his name. The fund was supplemented by a bequest on his death in 1905. The terms of the gift specify that "these lectures are to be given by men chosen by the medical faculty in such subjects as shall interest not only the advanced students in the university, but the medical profession generally." Since 1967, under the authority of a continuing resolution of the Executive Committee of the School of Medicine, a committee composed of students, faculty and administrators select Harrington Lecturers to speak on subjects of particular interest to students. Faculty Awards For Excellence In Academic Pursuit, Service And Teaching I n 1963 Dr. Douglas M. Surgenor, then Dean of the School of Medicine, initiated two awards to recognize unusual faculty contributions to the school. One, named the Stockton Kimball Award in honor of the former faculty member and dean, acknowledged outstanding contributions in the areas of research, teaching and service. The other, the Dean's Award, reflected the unusual and important qualities of great value to the school not recognized by other existing awards. The recipients since the founding of the awards are: The Stockton Kimball Award 1963 Dr. John D. Stewart Dr. Ernest Witebsky THE BUFFALO PHYSICIA �The Teaching Hospitals conducts its clinical education in nine teaching hospitals located throughout the City of Buffalo and Erie County. Each provides varied relationships with the school and together they supply the faculty and students with an extraordinary amount of teaching material and resources in which to conduct programs in primary, secondary and tertiary patient care. Hospitals in which clinical education research and care activity related to th~ school's mission are: The Buffalo General Hospital, Children's Hospital of Buffalo, Deaconess Hospital, Erie County Medical Center, Mercy Hospital, Millard Fillmore Hospital, Roswell Park Memorial Institute, Sisters of Charity Hospital, and the Buffalo Veterans Administration Medical Center. Together these hospitals provide the resources and facilities to maintain a graduate medical education program which approaches a total of 500 interns, residents and fellows and they provide educational experiences for 270 to 300 third and fourth year medical students. In addition, most of the full time clinical faculty are located in these institutions. The major teaching hospitals coordinate the education, patient care missions either through Hospital-University Education Committees or in the case of the Veterans Administration Medical Center through the mechanism of a Vice President's Committee. THE SCHOOL OF MEDICINE Dr. David K. Miller Dr. S. Mouchly Small Dr. Mitchell I. Rubin Dr. John R. Paine Dr. Hermann Rahn Dr. Oliver P. Jones Dr. Samuel Sanes Dr. Kornel L. Terplan 1977 Dr. Carl E. Arbesman Dr. Erwin eter 1978 Dr. Leon E. Farhi 1964 1965 1966 1967 1968 1976 The Dean's Award Dr. Samuel Sanes Dr. Oliver P. Jones Dr. Stuart L. Vaughan Dr. Charles E. May Dr. Robert L. Brown Dr. Kenneth H. Eckhert Dr. Robert L. Brown Dr. Edward F. Marra Dr. John B. Sheffer 1976 Dr. James P. olan 1977 Dr. Douglas M. Surgenor 1978 Dr. Clyde L. Randall 1963 1964 1965 1966 1967 1968 1973 1974 In 1977 Dr. Louis A. Siegel, a former volunteer faculty member of the Department of Obstetrics and Gynecology, and now a resident of Southern California, endowed a series of three awards to be given for excellence in teaching by members of the preclinical, clinical and volunteer faculty. The awards based on student nomination and student committee review have been given to: 1977 Dr. John Wright Pre-clinical Dr. Margaret MacGillivray Clinical Dr. Henry Black Volunteer 1978 Dr. John Wright Pre-clinical Clinical Dr. Sattar Farzan Volunteer Dr. Stefan Madajewicz WI TER, 1978 The Buffalo General Hospital Since its opening in 1858 as a private, nonprofit institution, The Buffalo General Hospital has been a major teaching hospital for the School of Medicine. Recently, the Board of Trustees reaffirmed, as part of the missions and goals of the hospital, the conduct of appropriate educational and research activities and have developed Principles of Affiliation between The Buffalo General Hospital and the SUNY/Buffalo Faculty of Health Sciences. These principles will be the basis of updating the hospital's current affiliation agreement to reflect current programs in the medical, dental, nursing, pharmacy and health related professions. The hospital contains 749 licensed adult beds, all of which are considered suitable for 19 d- �teaching. The hospital admitted in excess of 20,000 patients and provided 225,000 patient days of service in 1977. In addition, the ·I Emergency and Ambulatory Care Clines recorded 75,000 visits. All physicians on the active staff of the hospital hold faculty positions at the University, and the great majority are involved in the hospital's teaching programs. About 200 medical students participate in the educational activities in the hospital during the year. Buffalo General maintains a House Staff of about 125. In all, nearly 200 residents and interns receive a portion of their training here each year. The services include all major medical and surgical sub-specialties except pediatrics and obstetrics, which are provided by affiliation with the Children's Hospital of Buffalo. Clinical departments-many with fulltime heads, and all with teaching programs-include ambulatory services , anesthesiology, dentistry, dermatology, family practice, medicine, neurology, neurosurgery, nuclear medicine, obstetrics and gynecology, ophthalmology, orthopedics, otolaryngology, pathology, pediatrics, psychiatry, radiology, radiation therapy , rehabilitation medicine, surgery and urology. Training is also conducted in such areas as allergy, angiology, cardiology, endocrinology, gastroenterology, hypertension, infectious disease, liver disease, medical genetics, nephrology, and open heart surgery. Students will find active clinical programs in these areas, supported by fully-equipped laboratories. Research training is provided in modern laboratories located in three research buildings, and continuing education is also available in a full complement of wellequipped diagnostic laboratories. Units for acute care include a Coronary Care Unit, Intensive Care Unit, Cardiorespiratory Unit, and a Special ICU for physiologic monitoring of selected, criticallyill patients where modern computer technology is being applied to patient care. There is a well-equipped medical library with approximately 4500 current monographs and texts, about 145 current subscriptions to journals, and a complete audiovisual learning center. 20 Children's Hospital of Buffalo Since its founding in 1892, the Children's Hospital of Buffalo has been devoted to providing the ultimate in pediatric and maternal health care. As a regional referral center and the only pediatric hospital in the country with a maternity unit, the hospital is equipped to provide unique patient care. The hospital has 199 pediatric beds, 67 beds for obstetrical/gynecological patients, 18 beds in the Intensive Care Unit, and 29 beds in the Intensive Care ursery. In 1977, 21 ,000 patients were admitted to Children's, including more than 12,000 in pediatric service and more than 6,000 in obstetrical/gynecological service; more than 1 ,200 general surgical procedures were performed, and there were 2,565 babies born at Children's. In addition, more than 113,000 outpatient visits were recorded. Five hundred and sixty physicians serve on the medical staff. Members of the medical staff also hold positions on the faculty of the University, thus maintaining a dual responsibility of academic activity and hospital and community service. As a tertiary care facility, Children's offers a wide range of advanced care. The Regional Intensive Care ursery serves as the major center for the care of sick and premature newborns in Western New York. ewborns from across the seven-county area are brought to the ursery, often, in a special high-risk infant transport unit which is staffed by a team of respiratory therapists and infant intensive care nurses. The Nursery, under the supervision of Dr. Edmund Egan, has four neonatologists. The Children's Lung Center, established in 1976, is one of the few such pediatric centers in the Northeast. Here, children with pulmonary diseases are evaluated and therapy is recommended. Expanded computerization is allowing the Center to increase the number of patients it serves. As a perinatal center, the hospital provides specialized care to high-risk mothers. This superior level of care is made possible through utilization of the many general and specialized facilities available within the hospital and through the combined skills of physicians , nurses and technicians. The Rehabilitation Center, located on Delaware Avenue, is also an important part THE BUFFALO PHYSICIAN �' I of Children's Hospital. In 1977, 13,956 visits were recorded, and another 14,641 outpatient visits were registered in the Center's Speech and Hearing Clinic. Diagnostic evaluation performed at the Center deals with such diseases and disorders as cerebral palsy, pediatric amputeeism, birth defects and neuromuscular problems. The Department of Cardiology and the Division of Cardiovascular Surgery at Children's Hospital is world renowned. Children from across the United States and five foreign countries were treated here in 1977 for heart diseases or defects, and members of the cardiology and cardiovascular surgery teams frequently travel to other hospitals to share their experience and knowledge with students and colleagues. Other areas in which the medical staff has particular expertise include allergy, genetics, virology, neurology, radiology, pedodontics, gastroenterology, and child psychiatry/behavioral sciences. The Children's Hospital serves as a center for instruction and research in problems relating to the care and maintenance of maternal and child health, and maintains a working relationship with the School of Medicine. The School's Department of Pediatrics, Pedodontics, and Obstetrics/Gynecology are physically located within the hospital, as well as offices for such specialties as Pediatric Surgery, Pediatric eurosurgery and Cardiovascular Surgery. In May 1977 the Hospital and the University entered into a formal affiliation agreement which recognized the common purposes and objectives of the two organizations. It was agreed that each institution was organized for the goals of furnishing essential and related community services which could be developed more completely and efficiently through joint cooperation. The agreement also called for the provision of equipment, laboratories, seminar rooms and related facilities by the Hospital for use in affiliated programs. Second year students at the University study physical diagnosis at Children's Hospital, while third year students undertake studies in clinical pediatrics. In this area, students work directly with patients and assume responsibility for follow-up work. During their fourth year, medical students are offered elective studies. It is during this WINTER, 1978 time that they may concentrate in subspecialty areas such as neurology, gastroenterology or ambulatory pediatrics. Students who are interested in surgery may also study pediatric procedures under Dr. Theodore Jewett or Dr. James Allen. Interns and rotating students spend as long as one month or as little as two weeks in the Department of Pediatric Surgery learning necessary techniques. As teaching institutions, Children's Hospital and the University provide an atmosphere in which theory and practical experience overlap, and medical education is an ongoing opportunity. Numerous programs are co-sponsored not only for students, but for non-students as well. Continuing Medical Education programs provide up-to-date information to all physicians who wish to stay abreast of rapidly changing technology, and seminars and clinical conferences are held so that specialists may share their knowledge dA clinical experience. �and expertise with their colleagues. Special lectures and postgraduate programs are also scheduled. The Department of Pediatrics, under the direction of Dr. Elliot F. Ellis, is particularly active in coordinating ongoing training programs for physicians throughout Western New York. Research facilities in the hospital allow University personnel to conduct studies in many pediatric areas such as virology, cardiology, bacteriology, neonatology and pedodontics. This research has led to advances in the detection, treatment and/or prevention of childhood disorders. Deaconess Hospital Established in 1895 by a group of German "Deaconessess" as a home for the aged, Deaconess Hospital has grown to a 428-bed, 44-bassinet non-profit general hospital serving a wide spectrum of patients from Western New York. Specialized units and services include a 20-bed ICU-CCU, a hemodialysis unit, premature nursery, in-out surgery unit, orthopedic center, radiation therapy and nuclear medicine departments, the Wettlaufer Eye Clinic, Family Planning Project and the only university-affiliated Family Practice Residency Program in Western New York. Services rendered in 1977 include 13,323 in-patient admissions, accounting for 128,916 patient days of care; 70,433 out-patient visits, and 32,767 emergency room visits. In response to state legislation requiring family practice residencies at all State University medical schools, Deaconess Hospital and SUNY /Buffalo School of Medicine introduced a jointly sponsored Family Practice Program in 1969. The hospital's Family Practice Center opened its doors at 840 Humboldt Parkway, Buffalo, that same year, one of just 45 such centers in the entire country. More than 200 medical students participate annually in ophthalmology, surgery, cardiology, radiology, gyn/ob, family practice, medicine and anesthesiology. The students are assigned a preceptor their first year of training here. This physician/advisor, who is a faculty member at the School of Medicine and a practitioner at Deaconess, guides the student throughout his/her four years of medical school. 22 The hospital's departments of Medicine and Family Practice participate in the physical diagnosis training for second year students. Also in the second year, the Department of Surgery offers "Introduction to Clinical Surgery" as an elective course. Third year medical students receive routine assignments in surgery and gyn/ob departments while fourth year students rotate among seven departments. Every year the hospital employs third and fourth year students as externs. This year 36 students will serve as externs. There are 74 residents and fellows in family practice, medicine, urology, radiology, otolaryngology, surgery and gyn/ob. Deaconess Hospital conducts university grand rounds in obstetrics and gynecology (city-wide), and surgery, on a rotating basis with other university-affiliated hospitals. Family Practice grand rounds, held weekly at Deaconess Hospital, are sponsored by the Department of Family Medicine and involve faculty from all university departments. The hospital also offers several residencies and training programs not affiliated with SUNY /Buffalo School of Medicine, including ophthalmology and pathology. The hospital's Department of Anesthesiology offers elective experience for residents of other specialties, as well as a course for extern students. Deaconess Hospital and The Buffalo General Hospital are presently in the process of merging their facilities, staffs and resources. Formal approval of the merger is expected by January 1979. Erie County Medical Center The relationship between the new Erie County Medical Center and the University of Buffalo School of Medicine is a unique one. The Center, opened in July, 1978, replaced the old E.J. Meyer Memorial Hospital. With the support of the County of Erie and because of the diversity of its patient population, the "Meyer" has long been a focus for the training of health care professionals. THE BUFFALO PHYSICIAN �1"- \1EMOR'r OF DR. EDWARD J. MEYER '-., 1~6t)-19V) THE GF EROUS BFOUEST OF WHOSE WIDOW S. MARGARET BERRIC K MEYER PROVIDED 1 HE \ ATOMY LABORATORIES OF THIS BUILDING ..____.__.. __ > :t T The Hospital provides clinical facilities for all of the Health Sciences schools and accounts for 42 per cent of the clinical activity for these schools. Providing the new Center with an optimum educational environment are 70 conference rooms, an amphitheater which seats 180, a library equipped with 13 study carrels and a complete self-study syllabus for third and fourth year medical students as well as professional office space. Clinical Services are enhanced by an active program of research located in five onestory wings built by the County of Erie on the hospital campus and leased to the University. Patient care, teaching and research are integrated throughout the new Medical Center. All Center physicians and dentists hold faculty positions at the University of Buffalo School of Medicine or Dentistry. About 110 faculty are full time; most funded bilaterally by County and University. This mutually beneficial relationship also serves the best interests of the Western New York community, since it attracts large numbers of skilled health professionals to the area, and ensures a high standard of care to its citizens. The Erie County Laboratory which is located in the Center is heavily service oriented. It provides all laboratory services for the Center and also serves as a reference facility for state and public health laboratories and is a major national training site for clinical biochemists and clinical microbiologists. Among others who receive training here are medical/laboratory technologists and a wide range of clinical inWINTER, 1978 vestigators. Senior staff also have research projects under way. A complete general hospital, the Center is owned and operated by the Couty of Erie to serve all of its residents. Its patient population is accounted for by the usual range of services that are offered for the care of inpatient adults and children, as well as: extensive outpatient Medical/Dental clinics; emergency psychiatry services round-theclock; a comprehensive physical rehabilitation center; a hemophilia center operated and funded by the Hemophilia Foundation of Western New York; an inpatient and outpatient alcoholism service; chronic renal disease and transplantation center; treatment of tuberculosis and chest disease; drug detoxification; medical/rehabilitation care for children attending School 84 adjacent to the Center; and a high security area of 20 beds for inmates of the Erie County Holding Center and area County/State correctional institutions in need of medical treatment. The advanced design and technology of the Center not only makes it a modern teaching hospital, but provides a new patient care atmosphere. There is: a unit dose pharmacy system for safety and efficiency; total separation of soiled and "clean" systems; more patient-nurse contact; more privacy for patients; a new dietary system; and more convenient work space for physicians and nurses. Patient care systems are supple'mented by complex mechanical and electronic devices. A monorail network delivers supplies throughout the 12-story tower and returns used materials to the ground level supply department. A computer monitors systems critical to hospital operation and patient care, while a pneumatic tube system whisks records, laboratory specimens, between hospital departments. An administrative control center on each floor of 80 patients serves as the heart of the patient communications system, relieving nurses of much pap~rwork. The new Medical Center requued 10 years of planning and seven years to build. With experience gained over the more than half a century as the old "Meyer" in meeting changing demands for service, teaching and research, plus one of the most modern and sophisticated facilities in the nation, the hospital looks to the future with optimism and confidence. 23 d- r I I I �Mercy Hospital Mercy Hospital, owned and operated by the Sister of Mercy, is a 413 bed, community teaching hospital, serving the Southtowns area. It employs the "Friesen" architectural and health care delivery concept, which has also been adopted by the new Erie County Medical Center. When the present construction is completed in October, 1980, all patient care will be rendered in a facility which is less than 11 years old. The ground level of this building consists of clinics and support service divisions which include the Emergency Room. Differing from other hospitals, the large Coronary Care Unit is also on the ground level for easier access from the Emergency Room and these services. The clinic areas on the ground level also include private physicians' offices in pediatrics, orthopedics, Ob/Gyn, endocrinology, pulmonary disease and cardiology. This permits house staff participation in a private practice setting. The hospital also has a 30 bed unit devoted to rehabilitation. Mercy Hospital has been actively involved in Medical Education since 1950 when it sponsored an affiliation with the Georgetown University Medical School, which continued until 1969. At present, Mercy is participating with the SUNY/Buffalo residency programs in medicine, obstetricsgynecology and nuclear medicine. There is active rotation of these residents between Mercy Hospital and the teaching Hospital System . In addition, four University orthopedic residents rotate through the Mercy Orthopedic Service each year. Mercy Hospital also has approved free-standing residencies in plastic surgery and pediatrics. Approximately 50 per cent of the Mercy To The Memory: Of Dr. James A. Gibson 3, 1867 O clober 4, 1917 June Dedicaled Bx: The Medical Class Of \9\8 24 pediatric residents training time is spent in the University Program at the Children's Hospital. Approximately 100 members of the active staff at Mercy hold faculty appointments in the University. There is an assigned active rotation of the University junior medical students through the pediatric and obstetrical services. Each year the Department of Medicine trains approximately 28 first and second year students in physical diagnosis. Electives in endocrinology, gastroenterology, nuclear medicine, orthopedics, internal medicine, pediatrics, cardiology and plastic surgery are ALUMNI ROOM IN LOVING MEMORY OF GROVER W. WENDE~ M.D. DEDICATED BY HIS SON DAVID T. WENDE AND THE MEDICAL ALUMNI 1928 frequently pursued at Mercy by the students. These disciplines are under the direction and supervision of board certified or subspecialty certified staff physicians, who also are members of the University Medical Faculty. Mercy Hospital also owns and operates Trocaire Junior College. The hospital is a resource training center for the associate degree nursing students, the operating room technician and X-ray technician students from Trocaire College; graduate nursing students from SUNY/Buffalo and D'Youville College; and for laboratory technology students from Daemen College. The hospital also offers clinical experience for West Seneca Adult Education BOCES Practical Nursing Program and medical record administration students from Alfred University. The Mercy Emergency Room personnel is active in the Advanced Emergency Medical Technicians Training Program (Paramedics) . This involves the life support system of the Mercy (LaSalle) ambulances in the prehospital management of acute coronary and severe trauma victims. THE BUFFALO PHYSICIA �CHARLES GORDON HEYD 1885 -1970 M.D. UNIVERSITY OF BUFFALO 1909 DISTINGUISHED ALUMNUS AND BENEFACTOR OF THE SCHOOL OF MEDICINE Millard Fillmore The Millard Fillmore Hospital system is a voluntary, non-profit group of two general hospitals. It is an affiliated teaching hospital of the SUNY /Buffalo School of Medicine. The hospital at Gates Circle has 560 beds. Included are a 10 bed Intensive Care Unit and a four bed open heart Intensive Care Unit, a six bed Respiratory Care Unit, two Coronary Care Units totaling 28 beds and a 16 bed Intermediate Coronary Care Unit, and a 12 bed Intermediate Care Unit for medical and surgical patients. Special features include the Harry M. Dent Neurologic Institute with two CT brain scanners, the only civilian hyperbaric chamber in Upstate New York, the only computerized pulmonary function laboratory with five outside terminals, and a new comprehensive laboratory with the only hospital-based sequential multiple analyzer with computer in Western New York. As a teaching hospital students at the Medical School participate in the hospital as follows: First year students take elective courses at the hospital; second year students are taught physical diagnosis; junior clerkships are offered in medicine, neurology, obstetrics/gynecology and surgery (Fifth Pathway); senior elective courses are offered in anesthesiology, radiology, pathology and urology as well as the above departments; also in the medical sub-specialty areas of cardiology, respiratory disease, nephrology, gastroenterology and hematology; and in surgical sub-specialty areas of orthopedics, plastic surgery, ophthalmology, E. .T., cardio-vascular and thoracic surgery. The hospital offers approved programs of post-graduate training in medicine, surgery, neurology, urology, anesthesiology and pathology. The departments of Obstetrics/Gynecology and Radiology participate in the School-sponsored city-wide residencies in their respective fields. WI TER, 1978 The new Suburban Hospital is located in Amherst just two miles from the new university campus. This 151-bed (expandable to 700 beds) general hospital was opened in August 1974. The hospitals combined admit over 25,000 patients a year, including almost 3,000 newborns, record almost 50,000 emergency department visits per year and almost 20,000 outpatient visits a year. Roswell Park Memorial Institute Roswell Park Memorial Institute is the New York State Department of Health's cancer research, treatment and education center. The dedication of the Institute to "investigate the cause, nature, mortality rate, treatment, prevention and cure of cancer and allied diseases" provides the Buffalo community with a unique resource for instruction related to scientific methodology, preclinical research,and the clinical care of cancer. The establishment of educational activities as an integral component of the Roswell Park program has been recognized through federal designation of the Institute as a comprehensive cancer center. Formal education at Roswell Park began in the early 1940's with the inauguration of residency programs. Today there are 80 residents and clinical fellows training in 17 clinical areas. These clinical programs also are set now in the context of a multi-faceted curricula including postgraduate, graduate, and undergraduate offerings as. well as programs in allied health and p~bhc education. The more formal academiC programs are conducted by senior staff personnel who also hold professional appointments at SUNY/Buffalo, Niagara University, Canisius College, D'Youville College, Daemen College, Erie Community College and other academic institutions. Over 100 members hold appointments to external academic faculties. 25 d- �The educational collaboration between the School of Medicine and Roswell Park Memorial Institute includes (1) curriculum offerings for second and fourth year students, (2) affiliated residencies, and (3) clinical fellowship opportunities. These programs are strong in terms of patient load, contact with senior staff, access to Ph.D. faculty, and an opportunity to observe the vertical integration of comprehensive cancer care in a multidisciplinary team focused upon a particular disease site. Roswell Park faculty are responsible for offerings in the School of Medicine curriculum in the following academic programs: anesthesiology, biochemistry, biophysics, gynecology, medicine, microbiology, pathology, pediatrics, pharmacology, radiology, and surgery. Senior medical school electives provided at Roswell Park include clerkships in: radiation therapy, outpatient, surgical pathology, head and neck surgery, Medicine A, B, and C, general surgery, breast surgery, gynecology, nuclear medicine, urology, and rehabilitation medicine. Also electives in biological research: clinical pharmacology, biological research: cell culture, cell biology, pathophysiology, endocrinologic and metabolic problems. These electives provide medical students with a special exposure to management of cancer patients and clinical investigative research. Resident physician training programs are conducted in 12 clinical areas. These programs are approved either independently or in conjunction with the School of Medicine and other area institutions. Clinical fellowship opportunities are offered in five additional areas: ·. CLARA· A. ·MARCH 1883 --1967 M.D. UNIVERSITY OF BUFFALO 1907 LOYAL ALUMNA AND PHILANTHROPIST THE SCHOLARSHIP FUND WHICH SHE SO GENEROUSLY ENDOWED WILL BENEFIT GENERATIONS OF STUDENTS TO COME 26 anesthesiology, breast surgery, medical viral oncology, neurosurgery, and thoracic surgery. Participants in clinical training programs on the Roswell Park campus also benefit from close interaction with Roswell Park Graduate Division of SUNY/ Buffalo and its ten academic departments in the life sciences. These resources provide opportunity for interdisciplinary training and incorporation of relevant aspects of preclinical studies. The national trend toward continuing medical education has been addressed at Roswell Park in collaboration with the SUNY/Buffalo Office of Continuing Education. Since 1975 the Institute has offered a four-track program [i.e. extensive course, specialty seminars, visiting clinicians, and interdisciplinary conferences) on its campus. These programs, through the joint sponsorship of the Office of Continuing Education, achieved American Medical Association approval for Category I credit. Sisters of Charity Hospital In the early years, Sisters of Charity Hospital was U/ B's main teaching hospital. Some of the hospital's physicians have been Deans at the Medical School. Dr. Austin Flint was the most notable. Recently there have been new affiliation agreements developed between the hospital and the medical school. Two full time faculty members, Dr. John Lore, chief of otolaryngology and head/ neck surgery, and Dr. John Edwards, chief of medicine, are based at Sisters. These two physicians and others serve on medical school committees. All attending pathologists at Sisters Hospital hold clinical appointments and are active in weekly classroom instructions of medical, dental and graduate students in the Department of Pathology at the medical school. Dr. John Sheffer is responsible for design and coordination of the Pathology Laboratory Course. Dr. Paul Milley conducts a course on Head and Neck Pathology for third and fourth year medical students on Dr. Lore's elective otolaryngology program. The Hospital pathology department participates in the program for elective assignment in pathology for third and fourth year medical students. THE BUFFALO PHYSICIAN �Residents in the Medical School Otolaryngology and Head and eck Surgery Program receive part of their training at Sisters Hospital and plans are being considered to extend this aspect of the Medical School/Sisters Hospital relationship to the residency program in Internal Medicine. Full time faculty participate as Grand Rounds speakers in the hospital's CME program and as conference speakers in the hospital's Internal Medicine residency program. Sisters Hospital medical residents do subspecialty electives at the University's other teaching hospitals. Last summer, Sisters Hospital provided four medical student fellowships, two of which were awarded to SU Y/Buffalo students. In September 1978, the hospital and its medical staff participated in the physical diagnosis for second year medical students. The University supports a study of "Hyperlipidemia in Diabetes Mellitus." Another research program is "Total Parenteral utrition as an Adjunct to Head and eck Cancer Patients." Veterans Administration Medical Center The Buffalo V.A. Medical Center, located in close proximity to the SUNY /Buffalo School of Medicine, represents a full range medical facility of 858 inpatient beds, 36 nursing home beds and a large ambulatory care program. The Buffalo V.A. Medical Center is committed to quality patient care, educational opportunities, including clinical experience for students in the health sciences and research efforts geared toward the advancement of health science knowledge. Because of its fully developed special medical programs, wealth of resources and educational affiliation potentialities, it operates as the key support hospital for other V.A. Medical Centers in a wide medical geographic district. The long standing affiliation between the V.A. Medical Center and the School of Medicine and other SU Y/Buffalo Health Sciences Schools continues to be of mutual benefit. Responsibility for meeting educational standards rests with SU Y/Buffalo Schools of Health Sciences. This mutually advantageous and interdependent affiliation has developed in an exceptionally fine manner in Buffalo, resulting in enriched WINTER, 1978 resources and outcomes for both institutions. The strength and intensity of the affiliation has increased substantially in the past five years, and many more students are assigned to this hospital for clinical training. Each year several thousand Health Sciences students receive educational experiences at the V.A. Medical Center. This mutual venture has facilitated the successful use of multidisciplinary ventures in education, training and delivery of health care among the various components of the medical community. The V.A. Medical Center provides the basic support systems for these training programs and contributes substantially to the graduate continuing medical education programs. The V.A. Medical Center is committed to a strong multifaceted research program. Funds for the various projects typically come from the V.A. merit review system, .I.H. research grants, and other federal granting agencies. Several research investigators with joint university and V.A. appointments are represented in active research programs in the V.A. Center (e.g. endocrinology, rheumatology, immunology, nephrology, etc.). The intensification of this research affiliation trend has been notable in the past few years. The V.A. Medical Center - SUNY /Buffalo affiliation relationship is guided by the Vice President's Committee which is composed of the Deans of the Schools. of Health Sciences Faculty, several department chairmen of the School of Medicine and key V.A. representatives. The Committee is chaired by the SUNY /Buffalo Vice President for Health Sciences. The Committee reviews all matters of policy that relate to the eff.ective affiliation commitments of educatiOn and research, reviews and approves all professional staff appointments. The committee has been effective as a working body to insure that the mutual resources of each affiliation unit are utilized to the maximum benefit of each group, thereby enchancing the ultimate goals of quality patient care, high level education opportunities and visionary research efforts. d27 �Departments DEAN'S STAFF coordinates and administers the educational and research functions of the School of Medicine. The operational activity is conducted through 25 departments, seven basic science and 18 clinical science. Most departments, but not all, are structured along disciplinary identifications. Larger departmental units conduct their programs through a divisional structure, each directed by a head responsible to the department chairperson. The Dean and his staff relate to chairpersons on a one-to-one basis or in group forums such as the Pre-Clinical Council , Clinical Council, Executive Committee and Faculty Council. The basic science departments are responsible for the education of all Health Sciences students, the conduct of graduate programs at the Master's Degree and Doctor of Philosophy Degree levels, and for providing required educational and research support to the clinical units. The clinical departments participate principally in medical student and graduate medical education, (interns and residents), and many provide required clinical supervision and training for other Health Sciences students. Continuing medical education is conducted through the departmental structure and coordinated through the Office of Continuing Medical Education. THE Interdepartmental Studies Under the joint auspices of several of the departments of the school, several courses are offered which provide a collaborative approach to medical education integrating basic medical science and clinical science material. It is anticipated that this " team approach," in each course adds depth and breadth to the students' curriculum. SUNY /Buffalo, like other American medical schools, is a complex and diversified organization. Thus, it mirrors most medical schools in many aspects and has some programs not found at most institutions. Table I depicts the departmental comparison of SUNY /Buffalo with two of its sister schools in the SUNY system. SUNY /Buffalo has 25 departments compared to 22 at School A and 18 at School B. In the basic science structure SUNY /Buffalo has a 28 Table I Comparative Departmental Structure of SUNY / Buffalo and Two Sister Medical Schools Department Anatomical Sciences ........ . Biochemestry ............... . Biophysical Sciences ........ . Microbiology ........ .. ..... . *Center for Immunology .... . . Pharmacology ....... .. ...... . Pathology . . . ................ . Physiology .................. . *Neurophysiology ....... ... . . Social, Preventive Medicine .. Anesthesiology ..... . ... . ... . . Clinical Pathology ........... . Dermatology ................ . Family Medicine . .. .... ... .. . Medicine .. . ................ . eurology . ... ........ . ..... . SUNY/ Buffalo School A School B X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X X Neurosurgery ...... .. ....... . Nuclear Medicine . .. . . .... .. . Obstetrics/Gynecology ...... . Ophthalmology ............. . Orthopedics .. . .. . .. . .. . .... . X X X Otolaryngology .............. . Pediatrics ................•... Psychiatry . ... ........ . . . .. . . *Clinical Psychology ......... . Radiology ................... . Rehabilitation Medicine ..... . Surgery ... . ................. . Urology . ... . ............... . Totals . . . .. . .. .. .... . X X X X X X X X X X 23 X X X X X X X X X 25 X X X X 18 "'Umts Department of Biophysical Sciences , a large Division of Neurobiology and a Center for Immunology, not found at the other two schools. In the clinical organizational structure, SU Y/Buffalo has departmentalized all surgical specialties whereas the other two schools have not, and SUNY / Buffalo conducts specialty programs in Dermatology and Nuclear Medicine. THE BUFFALO PHYSICIA �A basic science lab. Biochemistry Dr. Alexander Brownie was appointed Chairperson in 1977. This department has a SUNY allocation of 18.7 faculty and 11.5 nonteaching positions. During his first year in the chair Dr. Brownie has revitalized the department and has recruited four new faculty members to strengthen its educational and research program. This department is one that has been reunited on the Main Street Campus in refurbished quarters. Previously its faculty was divided between the Main Street Campus and the Bell Plant. The medical student course is taught over the entire two semesters of the first year. The department's research efforts include a bioinorganic research group dedicated to the study of metalloenzymes, especially copper-containing proteins; collaborative studies in Human Critical Illness between Dr. Rapier McMenamy and Dr. John Border ; allergenicity of patients stung by insects or snakes; gene expression ; hemoglobin synthesis and hemoglobinpathies; membrane synthesis ; biochemical endocrinology; and neurochemistry. dBasic Sciences Anatomical Sciences This department is chaired by Dr. Harold Brody. Its present SU Y funding provides for 17 faculty positions and 14.8 non-teaching positions. The department conducts all education in Gross Anatomy, Embryology, Histology, and Neuroanatomy for medical, dental, and other health sciences students. During Dr. Brody's tenure as Chairperson, the department has initiated research programs in reproductive biology, cell biology and electron microscopy. These programs are in addition to the chairperson's own program in the area of aging. The initiation of the new investigative programs was made possible through the recruitment of new faculty personnel and through the remodeling of the quarters in which the department is housed. The latter was managed through the utilization of available federal Capitation Funds, state allocated resources, and the generosity of the Class Reunion Gift Program sponsored by the alumni association in 1976. WI TER, 1978 A typical lecture. ~ - ._ -14' t.;..;4.,.- - ..... ~.. ~-- ~_,._.., 29 . ~ �A seminar. Biophysical Sciences Dr. Michael Anbar assumed direction of this department in 1977. It is supported with 7.7 faculty and 2.8 non-teaching positions. Since Dr. Anbar's arrival, most of the department has been relocated from the Ridge Lea Campus to Cary Hall on the Main Street Campus. In addition, the School of Medicine developed a Mass Spectrometry Center which now houses four units. These units provide a research capability which permits in the diagnosis of metabolic disorders by multi-component analysis; the detection of stable isotopics in pharmacological and oncological studies; and study of multiple organ failure. The departmental faculty is reorganizing its medical student curricular offerings to provide students with the nature and basis of clinical biophysics. The topics included are diagnostic imaging; measurement of blood flow and pressure; radiation therapy; hemodialysis; cardiac pacemakers and electro-rescissi tation; and the clinical implications of regulation and control of biological systems. 30 Microbiology Dr. Felix Milgram is Chairperson. Its funding support includes 19.9 faculty and 14.2 non-teaching positions as well as 2.0 teaching positions administered through the Center for Immunology. Both the department and the Center were initially headed by Dr. Ernest Witebsky. Today, the Center for Immunology is directed by Dr. James Mohn. The department has maintained and expanded in the rich tradition in immunology which has been synonymous with its long history as well as providing basic educational and research activity in bacteriology and virology. The department has maintained its strong tradition of combining laboratory and lecture in its educational format. Its graduate program is the largest of its type in the United States. The department has been a world leader in continuing medical and graduate education, and has become well known for the international convocations it conducts on regular intervals. Although its research contributions and research programs are too numerous to summarize in a short space, there is virtually no area dealing with tissue specificity or the immunopathological process that its faculty either has not contributed to or made a substantial initial contribution. During the 197778 academic year $823,000 in research funds was generated by the microbiology faculty. THE BUFFALO PHYSICIA �Pathology This department which spans the basic and the clinical sciences is supported with 16.6 faculty positions and 14.7 non-teaching positions. The unit is directed by Dr. John Wright. He directs and coordinates a large educational effort for undergraduate medical students, residents and graduate students, ensures the quality of service delivery in the teaching hospitals, and large research enterprise. The department's research efforts have often been of a collaborative nature and thus its programs have often been joined to the immunological efforts of Microbiology and the endocrinological programs in Biochemistry. Pharmacology and Therapeutics Dr. Edward Carr, nationally recognized leader in clinical pharmacology, assumed direction of this unit in 1976. Since that time he has reorganized the department and has produced a strong academic program which supports both the basic sciences and the clinical sciences. He has recruited several new faculty members, and Dr. Peter Gessner and Dr. Paul Kostyniak have provided invaluable faculty leadership in the areas of alcoholism and of environmental health, respectively. SU Y support provides 12.1 faculty and 5.5 non-teachings positions. The department provides significant educational support to the Departments of Medicine and of Pediatrics in addition to its normal medical, health sciences and graduate student responsibilities. Its research programs span a number of important areas including toxicology, alcoholism, behavioral effects of drugs, the role of cardiac receptors and betablockade, calcium transport in the myocardium, role of the endothelium in drug metabolism, and the role of the kidney in metabolyzing drugs. The contributions of its faculty to the discipline are legendary. It is supported by 21.4 faculty and 11.8 non-teaching positions. The department receives two NIH sponsored Program Project Grants, one to determine the effects of high and low pressure, temperature, water immersions, and exercise stress on the oxygen delivery systems of the body, and the second to coordinate the work of the five respiratory physiologists in the department. Each is funded at a level of $2 million for five years. Dr. Claes Lundgren directs the first effort and Dr. Leon Farhi the latter. In addition to the above significant research areas the department has a cellular physiology program directed by Dr. Suk Ki Hong, and a large neurobiology program. The latter was directed by Dr. Werner Noell until recently when Dr. Donald Faber assumed its leadership with Dr. Noell's retirement from administrative duties. This unit, still split between the Main Street and Ridge Lea campuses, once housed the Nobel Laureate, Sir John Eccles. A physiology experiment. Physiology The Department of Physiology, under the direction of Dr. Donald Rennie, represents one of the largest and strongest applied physiology departments in North America. WI TER, 1978 31 �Clinical Sciences Anesthesiology This department, one of four presently directed by an acting chairperson, is headed by Dr. John Lauria. A search committee led by Dr. Eugene Mindell, is at work screening candidates, and a permanent chairperson should be on board for the 1979 academic year. The faculty provides selected third year medical students with a two-week clinical experience and offers a month's elective experience to fourth year students. Its research program concentrates on the pulmonary effects of agents which are used to induce hypotension. Dermatology SUNY/Buffalo has the only free standing department in the state system. It is ably led by Dr. Richard Dobson. During his tenure the department has developed a balanced program of education, research, and patient care, and has established a position of national leadership in the area of academic faculty development and of dermatological continuing medical education. Its annual national meeting each spring in Buffalo has consistently been oversubscribed. The department strength includes a Division of Pediatric Dermatology directed by Dr. James Rasmussen, a Division of Dermatopathology directed by Dr. John C. Maize, and an active investigative and service program in its Psoriasis Research Center. Family Medicine L i .k e . D e r m a t o I o g y , t h e S u r g i c a I spec1alt1es, Nuclear Medicine , and Rehabilitation Medicine, this unit, directed by Dr. Robert Seller, is a young free standing departmental partner in the programs at SUNY /Buffalo. Its departmental headquarters are housed at the Deaconess Hospital and in a model Family Medicine Center located near the hospital on Humboldt Parkway. The department trains a total of 36 residents, and contributes to medical student education throughout the four years. Its offerings include a formal preceptorship program in the second year and an Ambulatory Care experience during the fourth year. 32 General Surgery Six teaching hospitals provide the base for most of the departmental teaching, research and service functions. The department is chaired by Dr. Worthington G. Schenk, Jr. Medical students take their clinical surgical clerkships at The Buffalo General Hospital and the Erie County Medical Center, with elective rotations at Children's, Deaconess, Millard Fillmore and VA. The first six weeks of the clerkship is in general surgery, the last six weeks in one of the nine specialty areas. Fourth year students may choose from several one-month sur~i~al electives. The Surgical Residency Trammg Programs are considered nationally competitive. A computer program, developed under the leadership of Dr. John Siegel, is used to improve the care of the critically ill patient at the Buffalo General; and a major trauma research center, funded through support from the ational Institutes of Health and directed by Dr. John Border, is housed at the Erie County Medical Center. The department's research efforts include the internationally acclaimed Trauma Research Center (Dr. John Border), a comp~terized intensive care unit (Dr. John S1eg~l), development of techniques for impro~mg m~ocardial preservation during penods of 1schemia (Drs. George Schimert, Thomas Lajos and Arthur Lee), and advances in cryosurgery (Dr . Andrew Gage) . lts educational programs have been coordinated principally by Drs. Donald Becker and John Cudmore. A p hysician and resident examine a patient. �The Westside Clinic. Gynecology/ Obstetrics This department, directed by Dr. Wayne Johnson, conducts its program in seven area teaching hospitals which provide support for one of the largest ob/gyn teaching programs in the country. In association with the Department of Pediatrics and Children's Hospital it conducts a Perinatal Regional Care Program with Dr. Edmund Egan, associate professor of pediatrics, directing the Neonatal Intensive Care Unit and Dr. Martin Wingate, professor of ob/gyn, directing the Maternal-Fetal Unit. The department developed with the aid of Federal Capitation funds, the Clyde L. Randall Learning Center in honor of his many contributions to the department, the discipline and the medical school. Two important programs are the Oncology program directed by Dr. M. Hreschyshyn and the Urodynamics Laboratory directed by Dr. David ichols. WI TER, 1978 Medicine Dr. James Nolan has served as Acting Chairperson since January 1, 1978, succeeding Dr. Evan Calkins, who during 17 years as chairperson built a strong academic unit. This department by far the largest and most complex in the medical school, conducts its educational and research activities throughout the teaching hospitals and on the Main Street Campus. Its medical student educational offerings include faculty participation in the first year clinical preceptorship program, direction and implementation of the Introduction to Clinical Medicine course, an 11-week clerkshop experience and approximately 50 per cent of the fourth year learning experience. The department has fostered a strong research emphasis and many of its investigative efforts complement the work of the basic science departments. There are strong clinical investigative programs in cardiology, respiration, allergy and immunology, infectious diseases, gastroenterology, hypertension, prostaglandins, and renal disease. SU Y resources provide 23.3 teaching and 12.3 non-teaching positions and a total annual budget slightly in excess of $1 million . The academic programs are directed and coordinated through the chairperson with the aid of divisional leaders. Several of these individuals are nationally and internationally recognized leaders in their fields. Included among them are Drs. Francis Klocke (cardiology), Robert Klocke (pulmonary disease), Evan Calkins (geriatrics), Milton Weiser (gastroenterology and nutrition), Elliott Middleton (allergy), Morris Reichlin (immunology), Paul J. Davis (endocrinology), James C. Allen (infectious disease), Carl Bentzel (nephrology), Floyd Green (rheumatology), Robin Bannerman (genetics), and Edward Carr, Jr. (clinical pharmacology). d33 �Neurology Dr. Jerry Chutkow assumed direction of this department as its first full-time University Chairperson in 1977. Since that time he has reorganized the faculty, created a division of Pediatric Neurology, headed by Dr. Michael Cohen, and strengthened the teaching program. During 1979, efforts will be directed toward initiating and adding significant research activity to its programs. Medicine Technology, medical students and graduate students. It operates a Radiopharmacy Center which supplies high-quality short-lived radiopharmaceuticals to many of the Buffalo area hospitals. Its research activities are concentrated on the improvement of nuclear medicine imaging techniques with new radiopharmaceuticals and improved instrumentation. Ophthalmology Neurosurgery This unit is directed by Dr. Louis Bakay. The departmental faculty have been leaders in cerebrovascular and neurosurgery, pediatric neurosurgery, and the care of head injuries. Nuclear Medicine Dr. Monte Blau serves as the first fulltime University Chairperson of this specialty department. Although a new Medical School department, its members have long been numbered among the leaders of this field in the United States; a great deal of their pioneering work was performed at the Roswell Park Memorial Institute. The department provides educational opportunities for undergraduate students in Nuclear Removing a vial of radioactive drug from the autoclave in the nuclear medicine lab. This department has been without a fulltime chairperson, and a search committee will be convened in 1979. Faculty of the department conduct three free standing residency programs. The department through a University appointed committee, bestows the prestigious Howe Medal to a leader in the field under the auspices of the Buffalo Ophthalmological Society. Orthopaedics This department is chaired by Dr. Eugene Mindell. It participates actively in the Anatomical Sciences program, and has major research programs in bioengineering and bone pathology. The department's patient care mission stresses management of the injured patient by caring for the musculoskeletal problems and emphasizes multidisciplinary care in the treatment of the arthritic patient. Otolaryngology Dr. John Lore chairs this department. Its faculty is responsible for preparing medical students to perform examinations on the head and neck and to conduct graduate training in otolaryngology. Although staffed by a limited number of full-time faculty it has a heavy research commitment as exemplified by its participation in a ational Cancer Institute sponsored clinical trial on Total Parental Nutrition as an Adjunct to Head and eck Cancer Patients; a chemotherapy trial on the treatment of squamous cell carcinoma of the head and neck; direction and coordination of a Regional etwork Demonstration Project for Head and Neck Cancer; and the establishment of a microvascular laboratory. 34 THE BUFFALO PHYSICIA �Pediatrics Like the Department of Medicine, this department is quite large and extensive with many sub-specialty divisions and groups, and a large research program which supports and complements its educational-patient care program. The department is chaired by Dr. Elliot Ellis. While the majority of its functions are housed in the Children's Hospital of Buffalo its faculty fulfills obligations to existing programs in the other teaching hospitals especially Mercy and ECMC as well as to various community clinics and organizations. The department has spawned two highly innovative teaching programs; one is the information retrieval and utilization program coordinated by Mrs. Carol Wargula, and the second, a pediatric interview program headed by Dr. Harry Beirne. Its major research programs are conducted in juvenile diabetes; developmental aspects of intestinal enzymes; enzyme replacement therapy in genetic disorders· immunologic aspectic of hepatitis B infe~tion· neutrophil functions; and immunotoxicology.· The department has a long tradition of academic excellence. It flourished for many years under the direction of Dr. Mitchell 1 Rubin. Some of th~ earlier faculty recruits: notably Drs. Erwm Neter, Erika Bruck Robert Warner and Robert Guthrie are stili active contributors to advances in 'pediatric care. Under the direction of Dr. Elliot F Ellis, a number of new leaders have bee~ recruited; among these are Drs. Gerd Cropp (pulmonary disease). Emanuel Lebenthal (gastroenterology), Edmund Egan II (neonatology). James Humbert (hematology/ oncology). Mary Voorhess (endocrinology) and B.H. Park (allergy/immunology). Dr. Pearay Ogra won the prestigious E. Mead Johnson Award in 1978. WI TER, 1978 Eye testing. Psychiatry Dr. Marvin Herz assumed leadership of this department in 1978. He replaced Dr. S. Mouchly Small who chaired the department for 26 years. The department has the major responsibility for most, if not all, of the behavorial, psychological and psychiatric education of medical students and a graduate education program. It developed, under the leadership of Dr. Gloria Roblin, one of the first courses in Human Sexuality in the United States. It has a strong Division of Community Psychiatry, headed by Dr. Frank Baker. The department's research activities span a wide range of areas including the relationship of the delivery of mental health services to the treatment of schizophrenia. 35 �Rehabilitation Medicine Dr. Glen Gresham assumed direction of this department in 1978. A university residency program in physical medicine and rehabilitation directed by Dr. K. H. Lee offers four years of training. There is also a federally-supported summer elective program for 12 second year students, and year-round clinical electives. Medical rehabilitation is a university-affiliated clinical and teaching program offered at four teaching hospitals. There are special outpatient programs for handicapped drivers and cardiac rehabilitants. Radiology This department is chaired by Dr. Eugene Leslie. It offers a full spectrum of educational activities for medical and graduate students, and resident-in-training in diagnostic imaging and therapeutic radiology, continuing education and in-service programs for technicians and nurses. Residency training is enriched by campus visits of outstanding radiologists from other cities. The Radiologic Learning Center is located at the Erie County Medical Center. It is a nationally organized teaching file that originated at the University of California and is available through the American College of Radiology. The U/B radiology department contributed to the head and neck portion of this file. Patient care includes the full spectrum of diagnostic imaging and of therapeutic radiology in the participating hospitals. Major research includes: the effects of alcohol on the gastrointestinal tract; diagnostic imaging techniques and devices; computerized tomography (C.T.) applications in clinical medicine; cardiac nuclear imaging and clinical uses of Gallium scanning; and clinical radiation physics and radiobiological studies. 36 Rehabilitation of patients is important. THE BUFFALO PHYSICIAN �A typical te aching hospital situation. Social and Prevantative Medicine This department stresses the development of the medical students' understanding of the role of the physician in the resolution of the many pressing current health and medical care problems which exist in the modern community. It is directed by Dr. Harry Sultz, acting chairperson. During the last academic year major changes have occurred in both content and format of courses. A unit on the organization of health care was shifted to the second semester of the freshman year; the subject matter of epidemiology and biometry was integrated into a 17-week unit offered during the sophomore year and; the unit on cost effectiveness and quality assurance was expanded and placed at the end of the sophomore year. Human Values and Medical Ethics has been expanded as a component of undergraduate and graduate medical education, continuing medical education and education of nurses and other health care personnel. Two research grants which total more than one million dollars provide support for the study of functions and education of nurse practitioners and social epidemiology of cancer. WI TER, 1978 Urology This department uses the facilities of six hospitals to teach medical students, surgical and urology residents, nurses and technicians and other paramedical personnel. Dr. Maurice Gonder, acting chairperson, directs this unit. It coordinates its research activities with other basic science and clinical departments. Some projects include: the evaluation of prolactin and androgen receptors in prostatic cancer; the use of cryosurgery and chemotherapy for the locally invasive prostatic cancer; the role of prolactin in prostate metabolism; the use of cytoxan - 5 fluorouracil (FU) in advanced prostatic cancer; the adjunctive chemotherapy of bladder carcinoma using diamino-dichloro platinum; fluorouracil and adriamycin; and the use of Sinmet and Lergotril in the treatment of advanced prostatic carcinoma. 37 �Physical Facilities The Research Mission SUNY/Buffalo's faculty has always accepted the premise that an excellent educational program requires a strong research effort to sustain and nourish it. A recent review of the research funding from 1962 through 1978 included a per annum accumulative growth of approximately 162 per cent with the Health Sciences Faculty accounting for 59 per cent of the total extramural funds recruited to the SUNY/Buffalo Campus in 1977. The research support administered by the Research Foundation on behalf of the School of Medicine approximated $7.8, $8.2, and $8.1 millions in 1975-76, 1976-77, and 1977-78 respectively. These amounts do not reflect resource funding administered through the teaching hospitals nor faculty participation in the Veterans Administration research mission. In reviewing the 1978 entitlement for the Biomedical Research Support Grant, the SU Y/Buffalo School of Medicine ranked 42nd among the 109 medical schools which qualified for this award. SU Y/Downstate, a school with a much larger faculty, ranked 57th and SUNY /Upstate, a school of comparable faculty size ranked 74th. It is apparent that SU Y/Buffalo's faculty are viable and vital partners in the nation's biomedical research mission. The school's research mission is enhanced internally by the Buswell Fellowship Program and by an active summer research fellowship program for medical students. Although the school ranks among the nation's leaders in quantity and quality of research support and activity, it is a mission which cannot be taken for granted. Not only is a medical school's internal vitality nourished by this mission, but its visibility and reputation externally are dependent on it. Thus, an ongoing commitment to this important mission by the faculty must be sustained and the University must provide the necessary facilities and support structures in which the work can be conducted. 38 T he tremendous expansion of the Buffalo campus which accompanied its joining the SUNY system created horrendous problems for virtually every segment of the University. The School of Medicine faculty was seriously impacted by this situation, and for years its basic science faculty was located on the Main Street Campus, at 2211 Main Street, the Bell Plant, and the Ridge Lea Campus. The development of the new University Campus in Amherst will eventually make adequate room and facilities available on the Main Street Campus to house the Health Sciences Programs including many of those in the School of Medicine. Unfortunately, the ew York State fiscal crisis delayed the time table for the completion of the Amherst campus, and thus the envisioned rehabilitation of the Main Street Campus. evertheless, opening some of the Amherst Campus has made it possible to relocate many of the off-site programs. During the 1977-78 academic year the School of Pharmacy and the Department of Biology vacated Cary Hall and moved to Amherst. The vacated facilities were refurbished and those units of Biochemistry, Microbiology and Pathology located at the Bell Plant were moved back. For the first time in SUNY /Buffalo's history these three departments are united in a single complex. During the same period a major portion of the Neurophysiology program which had been located at 2211 Main Street near Sisters Hospital was relocated in Cary Hall. Most of the Biophysics Department was relocated from the Ridge Lea campus to Cary Hall. Concurrently, the Stockton Kimball Tower was being renovated to house many of the programs of the School of Nursing and the School of Health Related Professions. Completion of this project will make some additional space available for the School of Medicine to house some of its administrative and other academic functions. While these developments are helpful and encouraging, there will still be fragmentation of some basic science programs for an indeterminate period of time, and it will not be possible to upgrade all of the facilities that require elimination of obsolescence until additional space becomes available on the Main Street Campus. Since it is apparent that it may be several more years before total renovation of the THE BUFFALO PHYSICIAN �Health Sciences facilities will be completed on the Main Street Campus, the school has worked with the departments to upgrade as many facilities as it can. Major projects, each of which have facilitated the work of the School of Medicine, have been completed since 1974. Included among these are the development and equipping of three new laboratories in the Department of Pharmacology; the total renovation of the environmental laboratories in Physiology; renovation of a new laboratory suite in Microbiology; construction of a learning center; construction of a reproductive biology center and new electron microscopic suite in Anatomical Sciences; and the renovation and reorganization of the administrative offices. These projects were completed through joint cooperation and assistance with the Facilities Planning Office of SU Y/Buffalo, and the ability of the school to utilize resources made available from a number of programs, including the generous support of private donors and the Alumni Organization. There is still great need to upgrade and develop student support facilities on the Main Street Campus. The lecture rooms in particular do not lend themselves to the ultimate in modern teaching techniques. In order to accomplish required renovations the School of Medicine has submitted a proposal to the APFME for renovation of a major lecture room. This proposal is in the process of appraisal and review, and hopefully, will be found worthy of this organization's support. The third and fourth year medical students and the clinical faculty are dispersed throughout the region in existing clinical facilities. Each teaching hospital provides office, laboratory and teaching facilities. In 1977, the SUNY system completed negotiations with the Children's Hospital of Buffalo which made it possible for the institution to be reimbursed for the cost of supporting the faculty's academic efforts. Similar agreements will eventually be developed with The Buffalo General Hospital and the Erie County Medical Center. At the present time many of the academic activities at ECMC are housed in facilities leased by SUNY /Buffalo. The Veterans Administration Medical Center has renovated many areas of their physical plant to accommodate and support the teaching mission, and during 1977-78 added 2,500 more square feet of research laboratory space. WINTER, 1978 Health Sciences Library The Health Sciences Library in Stockton Kimball Tower serves the faculty, students, and staff of the Schools of Medicine, Dentistry, Nursing, Pharmacy, and Health Related Professions. It also serves to back up the libraries of the teaching hospitals in Erie County. Its collection is comprehensive, including materials on all the subject fields of interest in the teaching, research and clinical programs of the units which it serves. About 2,700 current periodical ti ties are received and more than 180,000 books, bound periodical volumes and audiovisual items are available. The library is a member of MEDLINE and TOXLINE and Bibliographic Retrieval Services (BRS) Networks, all online computer information retrieval systems for searching over 3,000 international health science journals and thousands of other scientific books, reports and journals. The library's facilities are available for reference use and a trained professional staff is on hand to assist the reader. The library is one of the designated resource libraries in the program of the New York and ew Jersey Regional Medical Library, and serves health professionals of the eight counties of Western New York, through hospital and health institution libraries. Many local physicians have allied themselves with the Library by joining the Friends of the Health Sciences Library. The Friends meet at the Library at least once a year, hear speakers on research topics and HSL innovations, and in general help maintain interest in Library developments. This year, the Friends are sponsoring the second annual Rudolph E. Siegel Student Essay Contest on the History of the Medical Sciences. The Library's History of Medicine Collection which includes a number of early (17th and 18th century) medical classics and an excellent overview of 19th century medicine has recently added several early medical instruments and, among others,: 39 �Wier, Johann, 1515-1588. Opera omnia. Ed. nova ... Amstelodami: Petram VandenBerg, 1660. Wier is considered the founder of medical psychiatry. Contained in this edition is his De praestigiis daemonum, first published in 1563, in which he opposed the current belief in demons and denounced witchcraft as crude superstition. Willis, Thomas, 1621-1675. Cerebri anatome: cui accessit nervorum descriptio et usus. Landini, John Martyn & James Allestry, 1664. First ed., -2nd issuance. This excellent edition contains 15 folded copperplates after the drawings of Sir Christopher Wren fl£-3~-1-9-a} and Richard Lower {-l-635-1700}. This work is considered one of the greatest aR€1 most--desirablt! books in the history of the brain and neurology. Alpini, Prosper, 1553-1616. De praesagienda vita et morte aegrotantium. (The passages of life and death in disease]. Venice, Heirs of Melchio Sessa, 1601. First ed. This is the greatest- Renaissance classic on prognosis which concentrates on .the pa 1 ieoot::s mental state and its bearing on health as well as the usual physical and diagnostic signs. Last spring, the Health Sciences Library dedicated the Bernhardt S. and Sophie B. Gottlieb Collection in the Behavioral Sciences and Psychiatry. Bernhardt Gottlieb, M'21, is a psychiatrist. His late wife, Sophie, was a psychologist. The endowment fund will be used to enrich the Health Sciences Library's Collections in the fields of psychiatry and psychology. The materials purchased with this money will be integrated into the collection, but it will be easily recognized by the unique Gottlieb Collection bookplate each will carry. Because of Dr. Gottlieb's generosity HSL already has a number of precious volumes on neurology and psychiatry, several new journal subscriptions and many current books in behavioral sciences and psychiatry. These additions to the Library and all the purchases to be made in future years will be of immeasurable value to present and future physicians in the Buffalo area. The Library's Media Resources Center, which houses a collection of audiovisual materials (slide, video cassettes, filmstrips, audio cassettes) in the basic and clinical sciences has continued to improve and expand its services to students and faculty. Among the titles which have been added to the collection in resent months are: The Psychiatry Learning System, a 38-part video 40 cassette series produced at the Medical University of South Carolina; Basic Diagnostic Radiology, a 16-part slide/audio cassette series by Lucy Frank Squire, M.D. and Alice Ettinger, M.D.; Gross Anatomy,a 13-part slide set produced by the National Medical Audiovisual Center; and the American Physiological Society's Illustrated Lectures in Acid/Base Physiology, Cardiac Physiology, Renal Physiology, and Renal Pathophysiology. The materials, cataloged and arranged according to the National Library of Medicine's classification system, are located on the third floor of the Library, Stockton Kimball Tower. Facilities and equipment for individual and group use of the materials are also available. The Information Dissemination Service (IDS) of the Health Sciences Library is designed to expedite the dissemination of information to the faculty and practicing physicians. The service is available through the hospital library or by calling 831-4937 to receive computerized literature searches, photocopies of articles, loan of books, or reference service. As the library's "thankyou file" indicates, the ever-increasing variety and flexibility of data bases have proved invaluable in retrieving information tailored to specific clinical or research problems. Sameday service insures that faculty receive the information rapidly for timely application in the patient care setting. ACKNOWLEDGEMENTS The staff of the BUFFALO PHYSICIA wish to express its gratitude to the many contributors who made this issue possible: Drs. Guy S. Alfano, William Kinnard, Gerald Murphy; Sister Sheila Marie, Sister Mary Charles; Frank Crane, Benjamin Webster, john Jeffries, joseph Paris. Drs. Martin Wingate, Donald Rennie, Harold Brody, Alexander Brownie, Michael Anbar, Felix Milgram, john Wright, Harry Sultz, john Lauria, Richard Dobson, Robert Sellers, jerry Chutkow, Louis Bakay, james olan, john Lore, Eugene Mindell, Eugene Leslie, Marvin Herz, Maurice Gonder, G. Worthington Schenk, Jr., Wayne johnson, Glen Gresham, Monte Blau, Edward Carr, Elliot Ellis, Edmond Gicewicz, Marvin Bloom, Robert Brown, Frank Schimpshauser, Leonard Katz, john Richert, Harry Metcalf; C. K. Huang, Rudy Williams; Students - john and Margaret Paroski, john DeBerry, james Bracikowski. THE BUFFALO PHYSICIA �A Message from Edmund Gicewicz, M'56 President, Medical Alumni Association Dear Colleague: You all have received brochures on the alumni tour to Tahiti, February 13, 1979. The Medical Alumni is sponsoring a medical symposium during this event and, as in the past, topics of general interest will be presented. Continuing Medical Education (C.M.E.) credit will be offered to those who attend this symposium, which primarily is offered several mornings during the course of the trip. I have been told that the excursion is rapidly selling out, so those of you who have any intentions of attending this event, please make plans with the general alumni office . Past Medical Alumni trips to the Caribbean and elsewhere have been well attended and thoroughly enjoyed. We urge a good medical turnout. Dr. Gicewicz --------------------------------------------------------------------------------------------------- IIIII I BUSINESS REPLY MAIL FIRST CLASS PERMIT 0 . 2210 POSTAGE WILL BE PAID BY ADDRESSEE Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 8 HALO, N.Y. NO POSTAGE STAMP NECESSARY IF MAILED IN THE u ITEDSTATES �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - -- -- - -- - - - -- - - - - - Year MD Received---OfficeAddress------------- -- - - - -- - - - -- - - - - - - - - - - - - - - - - - - - HomeAddress--------- - - - -- -- - - -- - - -- - - -- - - - - - - - - - - - - - - - - - If not UB, MD received f r o m - - - - - -- - - - - - - - -- - - -- - - - -- - -- - - - - -- - - - - fuPrivatePmctice: Yes 0 No In Academic Medicine: Yes 0 0 Speci~~-------------------------------­ No 0 Part Time 0 Full Time 0 School----------------------Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?-------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-04-Winter Table Of Contents A list of subunits of the resource. Dean Naughton's Message Introduction MEDICAL SCHOOL ADMISSIONS First Year Class, Advanced Standing, COTRANS, Fifth Pathway, CUNY Biomedical Sciences, Admissions Policy Committee EDUCATIONAL PROGRAMS Overview, Office of Medical Education, Integration of new Programs, Adviser Programs, Preceptorship Program, Summer Fellowship Program, MECO, Year Committees, Student Performance, ational Board Examinations, Graduate Medical Education Placement, Financial Aid. STUDENT HONORS AND AWARDS Alpha Omega Alpha, Medical Assistance Program, CIBA Award, Who's Who Among Students, james A. Gibson Anatomical Society, Thesis Honors, Awards for Academic Excellence. STUDENT GOVERNMENT AND ORGANIZATION Polity, Organization of Student Representation, Student National Medical Association, American Medical Student Association. Graduate Medical Education Continuing Medical Education Graduate Student Education ORGANIZATION, GOVERNANCE Governance, Executive Committee, Facul!y Council, Pre-clinical Council, Clinical Council, Administrative Committees. ASSOCIATED ORGANIZATIONS Alumni Association, University of Buffalo Foundation, Inc., Research Foundation of the State University of ew York, Annual Participating Fund for Medical Education. SPECIAL PROGRAMS Buswell Fellowship, Biomedical Research Support Grant, Harrington Lecture. FACULTY AWARDS FOR EXCELLENCE IN ACADEMIC PURSUIT, SERVICE AND TEACHING Stockton Kimball Award, Dean's Award, Siegel Teaching Awards. TEACHING HOSPITALS Buffalo General, Children's, Deaconess, Erie County Medical Center, Mercy, Millard Fillmore, Roswell Park . Memorial Institute, Sisters, Veterans Administration Medical Center. Medical School Departments: Basic Sciences Units, Clinical Sciences. The Research Mission Physical Facilities Health Sciences Library Dr. Gicewicz's Message Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n04 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/c43c592a3124cc7e47142531f92ecff6.pdf bd767c9ff96da79c7983ae7dbf3b903b PDF Text Text �Medical Alumni Officers Dr. Gicewicz Dr. Edmond Gicewicz is the new president. He is a 1956 Medical School graduate and a clinical assistant professor of surgery. He has been on the faculty since 1966. Dr. Gicewicz did his undergraduate work at U/B. He is on the medical staff at the Millard Fillmore Hospital, director of medical services at General Mills, and Erie County Medical Examiner. In June, 1978 Dr. Gicewicz received the U/B Alumni Association's Samuel P. Capen Alumni Award, for exceptional contributions to the University and its alumni. It is the Association's highest honor. Dr. Gicewicz is a Fellow, American College of Surgeons, and the American College of Sports Medicine. He is also a Diplomate, American Board of Surgeons, and a member of the Academy of Sports Medicine. He is a member of the U/B Athletic Hall of Fame and has devoted much of his personal time to the University as athletic team physician. He is a past president of the Williamsville Central School Board and the U/B Alumni Association.D Dr. W. Yerby Jones was reelected vice president. He is a 1924 Medical School graduate and has been on the faculty for 25 years. Since 1946 Dr. Jones and the E. J. Meyer Memorial Hospital have trained about 85 percent of the ophthalmologists in the Buffalo area. He retired in 1971 as clinical professor of surgery ~ophthalmology). Prior to joinmg t?e l!niversity faculty he was m pnvate practice and affiliated with the Meyer Hospital and the Buffalo Eye and. Ear Hospital as pathologist/ophthalmologist. He has also served as an attending physician at the Gowanda State Hospital. Dr. Jones is a Fellow of the American College of Surgeons and the American Academy of Ophthalmology and Otolaryngology. In 1949 he received the Urban League Award for occupational and professional achi~v~ment as the only black physiCian on the University faculty and one of 14 to be admitted to membership in the American College of Surgeons. Dr. Jones is the author of several articles relating to his specialty. He is also active in several professional organizations. He is Emeritus.D Dr. Jones Dr. Carden Dr. Lawrence M. Carden is the new treasurer. He is a 1949 Medical School graduate and clinical assistant professor of surgery (urology). He has been on the faculty since 1955. Dr. Carden received his bachelor's degree from the University of Notre Dame in 1945. He took his internship and residency at the E. J. Meyer Memorial Hospital. He also had a fellowship at the Roswell Park Memorial Institute. He is chief, department of · urology, at Buffalo Mercy Hospital ; attending physician at the Meyer; and consultant at Bertram Chaffee in Springville. Dr. Carden is a Diplomate, American Board of Urology, and a Fellow, American College of Surgery (Governor). He has been an officer and a member of several professional societies. Golf sailing and jogging are am on~ his hobbies.O �Fall1978 Volume 12, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARIJ editor R OBERT S. MCGRANAHAN Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H . UNGER EDWARD NOWAK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Scien ces DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS I THIS ISSUE New Officers (inside front cover) 2 Dean Naughton's Message 3 Dr. Gicewicz's Message 4 Spring Clinical Days 14 Classes Give $20,800 20 Commencement 21 Students Honored 27 Dr. Calkins Honored 28 Physicians Give $146,608.65 31 Dr. Francis Klocke 32 Faculty Honored 34 Reception for Seniors 36 Summer Programs 37 Senior Citizens/Medical Costs/Dr. Jason 38 Erie County Medical Center 39 Summer Fellowships 40 Evaluation Committee 41 Medical Education Programs/Medical Problems 42 Dr. Bosu 43 Dr. Hashim/Dr. Weiser 44 Congenital Hypothyroidism 45 Tay-Sachs Disease 46 Aging Study 47 Patient Package 48 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VII). Response of Readers to Dr. Sanes' Article VI. by Samuel Sones, M.D. 54 People 56 Letter from Dr. Calkins 59 People 63 The Classes 67 In Memoriam 68 Alumni Tours Photographer Dennis Atkinson and Donald Watkins, visual designer, combined th eir talents to produce the cover picture. For story on the new Erie County Medical Center please turn to page 38. THE BUFFALO PHYSICIAN, Fall, 1978 - Volume 12, Number 3, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. FALL, 1978 1 �Dear Alumni and Alumnae: Dean Naughton From the desk of: John P. Naughton, M.D. Dean, School of Medicine I am pleased to report that the School of Medicine has been successful in its attempt to recruit a Chairman and Professor of Psychiatry capable of filling the void created by the mandatory retirement of Dr. S. Mouchly Small. As each of you know, Dr . Small served the institution faithfully and well as Chairman and Professor of Psychiatry for twenty-six years. During that lengthy tenure he guided the department through the transition from a private medical school to a state operated school; emphasized and acted out a primary emphasis on the importance of medical student teaching; became a recognized leader and authority in the areas of Continuing Medical Education and physician recertification; and developed a significant number of well trained psychiatrists who are making their contributions on the local and/ or national mental health scene. Dr. Marvin Herz will move to Buffalo from the Georgia Mental Health Center in Atlanta, Georgia where he has been Director of Research for the Georgia Mental Health Institute. (It's good to know that not all Atlantans must derail themselves in Washington, D.C.!) Prior to his Atlanta experience Dr. Herz was in the Department of Psychiatry at Columbia University for ten years. There he established himself as a teacher, clinical investigator, clinician and administrator. His contributions to the field of Mental Health Services Delivery are particularly noteworthy. I hope that each of you is as enthusiastic and supportive of Dr. Herz's coming to SUNY-Buffalo as I am. He will uphold the tradition of excellence championed by Dr. Small, and be instrumental in moving the department another step forward into its rightful place as one of the major departments in the state and nation. Before closing, it might be encouraging and reassuring to you to review the School of Medicine's record in recruiting new departmental chairmen during the past three years. They include Dr. Elliot Ellis, Pediatrics from the University of Colorado; Dr. Theodore Carr, Pharmacology and Therapeutics, University of Louisville; Dr. Michael Anbar, Biophysical Sciences, Stanford Research Institute; Dr. Glen Gresham, Rehabilitation Medicine, Tufts; Dr. Jerry Chutkow, eurology, Mayo Medical School and Mayo Clinic; and Dr. Monte Blau, Nuclear Medicine, Roswell Park Memorial Cancer Institute. Sincerely, JOHN NAUGHTO , M.D. Dean 2 THE BUFFALO PHYSICIA �A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Colleagues: Your alumni embarks on the new year with a good deal of optimism and enthusiasm for the future. We intend for Spring Clinical Day, which will be held in late April or early May, 1979, to become a bit more aggressive in our response to the bureaucrats and other self serving groups who make a habit of attacking medicine. Our plans call for the Spring Clinical Day scene to be, "What's Right In American Medicine." We plan to emphasize the quantum jumps that medicine has made in the past fifteen years for the benefit of our citizens. We also plan to indicate how bureaucracy hinders the practice of medicine in our country. With these thoughts as an introduction to our coming year, might I encourage you to respond promptly when your dues letters are received, since plans must be made for the smooth running of our medical alumni office. We will continue to serve our Medical School with continued dedication. Sincerely, Edmond J. Gicewicz, M.D. Dr. Gicewicz FALL,1978 3 �The medical ethics panel: Drs. Robert Dickman, H.T. Englehardt, Jr. , Dean John Naughton, David M. Klein and Margaret Werick, sophomore medical student. MEDICAL ETHICS AND HUMAN VALUES Spring Clinical Days Dr. Sullivan, Sue Halpern , acting alumni secretary. By Dean John Naughton I am pleased to have been invited to participate in this important and timely seminar on Medical Ethics. The panel that has been assembled is indeed an impressive one, and the range of topics listed is certainly broad enough to highlight and emphasize the fact that there is virtually no area of medical education or medical practice which does not have an ethical consideration related to it. Obviously, in contrast to the remaining speakers I am neither expert nor specialist in any aspect of ethics. However, as a physician, an investigator, an educator and an administrator, I certainly must deal with many matters in a rational and correct manner. In these roles, I am concerned that today 's medical students and practicing physicians are provided the necessary opportunities to explore those issues which concern them and are helped to achieve that sense of security which is required when arriving at difficult decisions without being unjustifiably burdened by unnecessary guilt feelings or other consequences. The question that I have been asked to address relates to the interaction of the medical education system with the areas of ethics and human values. If one evaluates the title, it is apparent that several questions may have been suggested simultaneously by the program committee. Among them might be: 1. Is there a role for ethics and human values in medical education? This question suggests a yes or no outcome, when you and I know there is only a single correct conclusion. 2. Does medical education have a role for ethics and human values? Again, there is no alternative answer to an affirmative response. 3. Do medical schools in today's situation, in particular, SUNYBuffalo, include or encourage the development of ethical behavior among its students? There are probably a number of alternative responses for this question. 4. Is medical education in 1978 devoid of ethical material in its educational programs? Certainly, a question which deserves explanation. The above are four examples of questions that the program committee may have had in mind when they set up today 's agenda. There could be others as well, and members of that body can 4 THE BUFFALO PHYSICIA �probably state them with greater clarity and more preciseness than I. That is beside the point. The salient fact is that your program committee has seen fit to emphasize a need to explore questions of whether your School of Medicine sees a role for giving conscious and overt priority to the areas of medical ethics and human values, and if it does what are some of the conceptual needs and goals that should be met. I am delighted to report that the faculty and student body of SU Y-Buffalo's School of Medicine does acknowledge a need and a responsibility to provide an emphasis on and an intellectual experience in the areas of medical ethics and human values. This has been amply demonstrated during the past three years by the gradual, yet sustained, evaluation of formalized sessions on problems in medical ethics; the creation of a multidisciplinary, inter-school committee whose charge is to bring a structure, program objectives, and a body of content information to the faculty and students, and as you will hear from Margaret Werick in the next talk, by active participation by the students in guiding the faculty on the specifically perceived needs of the students. The administration of the School of Medicine has aided these efforts through inspiration, the provision of necessary fiscal support to carry out many of the objectives of the committee, and by recruiting outside experts and professionals from agencies such as the Endowment for the Humanities to serve as expert consultants to the administration, faculty and students. It is my belief from traveling to other medical schools throughout the United States and from my meetings with the Deans of the other eleven medical schools in New York State that SU Y-Buffalo is doing as good a job in this area as many schools with slightly more structured programs, and a better job than are a vast majority of American Medical Schools. It is far too early to explore all the reasons for this judgment, but there are two factors worth reporting: 1. SUNY-Buffalo, in contrast to many medical schools, has a stronger, more visible interface with the problems of the practicing physician, and thus, his problems quickly become the student's problems. d- FALL, 1978 5 Dr. James R. Nunn chats with a colleague. �SUNY-Buffalo, while maintaining most of the elements of a traditional medical education experience, has developed a capacity for flexibility and the initiation of new programs. Now, having arrived at the point where it is apparent at SUNY-Buffalo, at least, that students, faculty and administration are in agreement that consideration of and education in medical ethics and human values is important; that there is a role for such information in medical education, and that medical educators have a role to play as well, it seems necessary to relate one to the other. As an individual, I became aware of this role in the mid1960's. Interestingly enough, neither because of the conflict related to Viet Nam nor the counter-culture, but because of a single, dramatic event which was destined to change many, if not all, of the relationships of society to the medical world; namely, the first successful cardiac transplantation by Christiaan Barnard. At that time, I was numbered among the seemingly dying band of human clinical investigators. During the week immediately preceding this amazing feat, I had reviewed Dr. Shumway's paper on cardiac transplantation in animals and his concluding speculation that cardiac transplantation in humans was at least ten years away because of the lack of acceptance by the medical community, and more importantly, by the society. Then, like the precipitous force of a tornado spawned from out of the blue, Barnard accomplished and acknowledged this feat almost as if it were accomplished overnight. He proved Shumway's speculation wrong in every way. The medical profession was stunned, but accepting; patients with cardiovascular disease throughout the world were volunteering to be subjects for transplantation; and the society was filled with new hope that life, at whatever costs, risk and inconvenience, could and should be maintained. I was directing an experimental cardiac rehabilitation program at the time, and even some of the best performing patients queried me as to when they should have a transplantation. I bring this event to your attention, because from my perspective it was at this point in modern medical history that society handed to the medical profession a warmth that it was not prepared to accept. 2. Drs. Pannill, Naughton The 50-year class reunion Brock, and Floyd C. Bratt. Drs. Joseph M. Hill, Bruno Schutkeker, Thelma Spring Clinical Days 6 THE BUFFALO PHYSICIA �Nevertheless, the medical profession's role formally assumed some of those functions which are still probably best left with other noble professions such as theology, and law. In fact, even though still young and naive, I predicted to myself that in future years we would be exploring problems such as we are today. During the dozen or so years that have transpired since that historic event we have experienced the gradual, yet obvious, vocal and intellectual concern about ethics and human values in medicine . My prediction is that the depth of interest and concern will intensify, because the problems and dilemmas with which we deal will become more complex. As a medical educator I welcome the formalization of a body of knowledge dealing with the areas of ethics and human values. But, I also feel that just as we approach other areas of medical education with a critical appraisal, we do the same in this area . Among the reasons for today's symposium must be listed a need for knowledge on how to deal with difficult issues which bring science into conflict with human need. As these conflicts are identified and explored, there can be a tendency to do harm either to needed and justified scientific inquiry advances in the name of human concern and dignity, and thus human need could be rendered a disservice. This can be prevented if the faculty charged with developing the program applies the same critical standards to its content and productivity as do other faculties. Let me dwell on a couple of examples which demonstrate my concern: 1. Many advances in medicine have been thwarted out of misplaced concern for human values. As an example, postinfarction care highlights this situation. Many of you in this room, as was I, were raised with the concept that for the myocardial infarction patient, activity in excess of normal walking was harmful. We were taught that the heart required at least six weeks of complete bedrest if it was to heal properly. Today, we know that such advice for most myocardial infarction patients was unwarranted and that in fact, such advice was harmful in all aspects of recovery and rehabilitation. Why have our attitudes changed? Because through the careful and critical acquisition of knowledge we discovered that properly applied, physical activity is beneficial, not detrimental, for cardiac patients. Today, I ask you, what were and ardFALL, 1978 7 Dr. Carmela Armenia �the ethical considerations in this matter? Similar examples could be presented in regard to the use of coronary care units, invasive cardiology, and coronary by-pass surgery. 2. I am pleased to have been among the first to use "informed consent," and am of the belief that in time we will all find that properly and judiciously used, it is a tool which will facilitate communication between physician and patient. But, for many, informed consent is seen as a primitive tool, a barrier to communication rather than a facilitator. In my opinion, this unfortunate situation has not been created by the medical profession, per se, but rather by a lack of understanding on the part of many ethicists who perceive the medical scientific community as oblivious to the advisability and desirability of this procedure. Obviously, the medical schools must strive to educate future physicians on the value, and implementation of informed consent, but just as importantly, we must educate them to relate their concern and acceptance not only to patients but to the society at large. From the above, I hope it has become apparent, that as an educator and physician, I see a role for education in medical ethics and human values for medical students and physicians, and could elaborate in still other areas of concern. But you have many experts with you today to help you in these matters. I would like to complete my presentation by presenting just one more area for your consideration. It is easy to accept a need for education in medical ethics when one is faced with the difficult life and death issues presented to the profession by the patient in chronic renal failure, the child with acute leukemia, or the results of an acute injury- a Karen Ann Quinlan. We cannot, in my opinion, allow these issues to be the sole focus of the profession's concern with medical ethics and human values. To be sure, they are important issues, but they are tertiary level The winning exhibit: Hemodynamic Monitoring in Acute Myocardial Infarction by Drs. Goldfarb, Conti, Yaung, and Golden af department af medicine, Millard Fillmore Hospital. �Spring Clinical Days Alumni are honored at the luncheon issues and comprise a small fraction of the areas with which we must concern ourselves. In the years ahead the Western world, the United States in particular, will undergo dramatic change in its social priorities and health care needs. As resources become more limited the medical profession will be faced with the need to make difficult decisions that would be avoided and even ignored during the years of an expanding economy and population base. Schools of Medicine must prepare future physicians to deal with these problems through the development of the adequate knowledge base, critical analysis, and proper discussion and evaluation. We must accept and be prepared to deal with the fact that as resource limitations increase, yet technological advances continue, physicians as individuals and as a profession will be faced with the task of making serious ethical decisions which will place us in ever increasing dilemmas, but because the choices will not be between good and bad, but rather which good will best serve the needs of the profession and of the society in the years ahead. Thus, our tasks will become even more complex and difficult, and our need for a sound foundation in ethical decision making will be even greater.D Margaret Werick, a second year medical student, suggested that the physicians think about the advances that have been made in medicine since they graduated. "These changes have brought ethical dilemmas in recent years. Today there are many problem areas - abortions, sexual therapies, drugs, test tube babies, and alcohol. These problems must not be sidestepped. "Medical students want to observe erhics around the clock, not just one hour a day or week. You as physicians must have a sincere interest in ethics as well as clinical problems." Ms. Werick reviewed the early history in medical ethics at the Medical School. In 1976 an ad-hoc student-faculty committee was formed and a symposium on Humanistic Medicine followed. Then d- FALL , 1978 9 Medical Ethics �Dean John Naughton named the Human Values and Medical Ethics Education Committee. Several seminars followed and more are planned for next year. In conclusion Ms. Werick said, "no one can give you your morals, but physicians can give you guidelines and teach you how to handle ethical dilemmas." Ethics means customs and habits, according to Dr. Robert Dickman. "It is a code of behavior or medical etiquette that covers everything from bedside manners to advertising to split fees." The assistant professor of social and preventive medicine, who was instrumental in putting this two-way program together, spoke about the rigorous discipline that is demanded of physicians. "Each of us must have a set of moral principles that has universal appeal. These principles will tell us how to act in certain situations." Dr. Dickman mentioned the intense four-week medical ethics seminar that he attended in 1977 at Georgetown University's Rose Kennedy Center for Bioethics. "I was one of 15 physicians from around the country at this seminar. Only one other person was from academic medicine. "To understand medical ethics it is important to understand what it is not. It's not just putting humanism in health care. It's not family medicine. It is not medical sociology. Rather it is an approach, a way of negotiating or talking about various moral intuitions we have which refer to specific dilemmas in the health care field." Dr. Dickman asked, "how do we distribute health care goods and values- in our society?" He spoke of two philosophies- doing the greatest good for the greatest number of people; and actions taken regardless of consequences. Drs. Venkayaraman Balu, Elaine Bukowski and David Dean at one of the winning exhibits {3rd place tie) during Spring Clinical Days. �Spring Clinical Days "What about individual freedom and the rights of the patient? The rise in medical technology has placed before us a variety of ethical dilemmas which never existed - such as our ability to preserve life which also may entail considerable suffering. The Hippocratic Oath tells us we have to preserve life, prevent suffering and promote well being. But now with the expanded technological bases, the first two come into conflict and we have many ethical dilemmas involving them," Dr. Dickman said. "There is also the doctor-patient relationship. It used to be a very private affair in the home. Today the decisions are made in the hospital and held up to public scrutiny." In conclusion Dr. Dickman said, "ethics is a precise approach to problems. To many, ethics and medicine should be more closely related." There are many value judgments that are important in decision making, according to Dr. H.T. Englehardt Jr. "Ethical values are not the only values that guide us in making decisions." The professor of bioethics at the Rose Kennedy Center for Bioethics, Georgetown University, suggested that physicians should conduct themselves "in a way that isn't private to their own views. If we are going to talk about ethics we must understand what we mean by it. Ethics is not coercion but only a suggestion of how to negotiate a problem. Ethics attempts to achieve clarity." The physician-philosopher noted that ethics won't tell you which decision is best. "But it helps us get along with our patients, with society and with our colleagues. Ethics is a form of putting all issues on the table for negotiation." Dr. Englehardt pointed out that the AMA had its first code of ethics 130 years ago. Ethics is definitely tied to history, he said. Medicine is free pursuit, the educator asserted. "But how do you balance goods and values as they relate to health care?'' FALL, 1978 11 �Dr. Englehardt asked the physicians how they viewed medical practice? Is it acute care, preventive medicine or ordinary health care? He mentioned brain death vs body death; being alive as a person and being alive as a human. In conclusion Dr. Englehardt suggested that only recently has medicine viewed itself. Sensitivity and humanism are essential, according to Dr. David M. Klein, associate professor of neurosurgery at U/B. "People either care about people or they don't. We must find medical students who care about people." Dr. Klein noted that he and most people in the audience have always been faced with ethical problems. "I have always discussed problems with the patient and the immediate family . Sometimes the family seeks the advice of the clergy, a social worker, a nurse or a close friend. But then the dilemma : which advice to take?" Dr. Klein went on to say that it is important to educate the patient and in the case of children the parents. " This makes decision making easier. " He also suggested that the concern of the physician for the patient's sensitivity should be divorced from ethical principles. "Our chief concerns evolve around the right to know, the right to live, the right to die. " Dr. Klein touched briefly on government influence at the national and state levels. Different states have different laws regarding treatment of certain diseases. And in some cases a physician must refer to the courts and seek their help. "We as physicians should participate more and get out into the community among our patients and friends and make them understand our problem. We must have practical solutions without too much dialogue. "The delivery of good care is most important. Philosophers can provide us with a better ethic, but not necessarily with the best ethic," Dr. Klein concluded. S econd place exhi bit: Long-te rm Survival after Coronary By-pass Surgery by Drs. Green e, Bunn eJl, A rani, Schimert, Lajos, Lee, T andan, Z imdahl, Bozer, Kahn , and Smith [R.N.) of Buffalo General Hospital. GERY G.:rERM SIIMVAL AFTER C ---- I ------- i .. �Spring Clinical Days .. The health services distribution panel: Drs. Howard M. Spiro, Sidney Anthone, Mila Aroskar. Distribution of Health Services The panel moderator for the Friday afternoon session, Dr. Mila Aroskar, associate professor of graduate nursing education at U/8, said "money and lots of it won't solve all our problems. We must learn how to distribute the money we have to provide the best health care." Dr. Howard Spiro announced that he had devoted his life to the gut. The Yale University professor of medicine suggested that we humans must share medical resources. "We can't do everything we would like to all at once. Medical paraphernalia is costly. Insulin and digatalis is cheap; plastic surgery, artificial hearts and drugs for cancer are costly." The Yale physician indicated that there will soon be some new disorders that "we will have to treat and hopefully cure. As practicing physicians we must decide who will be treated for what. The central, hard decisions of the past 30 years have not changed. We are concerned with medical care and returning the sick to good health." Is it right to sacrifice lives today in hopes of saving future lives? Dr. Spiro noted that physicians aren't trained to allocate resources for patients. "Time as a resource is very short for the physician. He is always under 'the gun of time.' How we spend our time is very important." The physician-educator told his colleagues that life is sacred. "No human should make life or death decisions; this belongs to God." d- FALL,1978 13 �Ten Classes Give $20,800 to Medical School Drs. Thelma Brock, Harold Stoll A.; ..J.29>.' p;. r •l\11.\ FOliNli\TI0\1 ·~ 00 ~ .d ' f..,W& ;:/ p Clockwise from lower left: Drs. William Georgi, John Donohue; Peter Monsky, Robert Milch, John Bivona; Michael Sullivan, Robert Maynard; Norman Paul, Lester Schiff, Daniel Fahey, Donie/ Miller, Norman Minde, Leon Grof; Franklin Campagna, Alfred Stein, Irving Waldman, Gory Cohen, Reinhardt Wende, Michael Genco, Melvin Brothmon, Richard Romanowski; Amos Minkel, John Williams; Charles Tirone, Anthony Foti; Russell Cotolono, Clarence Stroubinger; Norbert Rausch, J. Curtis Hell riegel. 14 THE BUFFALO PHYS ICIAN 3~ �Dr. Spiro believes that patients should be selected on a "first come, first served basis" when limited resources are involved. But often the emergency patient is treated before the routinely ill patient, he said. "The economist has all of us in the palm of his hand because of the rapidly rising health care costs. But if we put the cost of preventive medicine (smoking and drinking) into the system, the price will rise even more," Dr. Spiro concluded. Justice must be included as a goal in health planning of the future, according to Dr. Robert M. Veatch. "But there will have to be a compromise between freedom and justice. We don't want justice to sacrifice our freedom." The senior associate, Institute of Society Ethics and the Life Sciences, The Hastings Center, Hastings-on-the-Hudson, noted that physicians are trapped between their Hippocratic Oath commitment and the allocation of scarce resources. "Equality, freedom and efficiency are very important to our health care system. Physicians are perplexed by the difficult choices that they face . Most of their decisions have social implications." Dr. Veatch noted that cost containment was a problem. The cost for artificial hearts and kidneys is staggering. "We just can't afford to pay for everything that it would be nice to have." He agreed with Dr. Dickman on the conflicting philosophies of the Hippocratic Oath. "There is no guidance as to which patient comes first. Do we assist one patient in great need or several with lesser problems? "Physicians can stay loyal to the Hippocratic Oath or they can abandon this tradition and get involved with social ethics and the allocation of scarce resources. These two choices are perplexing to many physicians," Dr. Veatch said. On medical research Dr. Veatch believes there is nothing morally wrong so long as the subject is made aware of the risks and benefits. "Tension between justice and freedom will intensify. And the allocation of scarce resources will continue to be a problem," Dr. Veatch concluded. As a surgeon Dr. Sidney Anthone, M'50, has been making ethical and moral decisions for many years. About 40,000 Americans are suffering from acute kidney disease. Some legislators and administrators in this country, who supported the kidney dialysis program for humanitarian reasons when it was first enacted six years ago, are having second thoughts about it because the costs are becoming enormous. "It is likely that the Federal Government will be paying $1 million in the next fiscal year to keep sufferers of incurable kidney disease alive, an amount that is from three to six times the cost that dFALL, 1978 15 Spring Clinical Days Dr. Ro be rt Ve at ch �Spring Clinical Days Facing Death One of four seminars: Drs. David M. Klein, Jr., Edmund Egan. H.T. Englehardt, was anticipated when Congress enacted the program in 1972," Dr. Anthone said. An estimated 55,000 Americans may require dialysis treatment by 1984. How many such programs can the government afford? The clinical professor of surgery at the Medical School noted that at least 16,000 people are waiting for kidney transplants. Who should get them- a child or an adult? "The best results come from a live, relative donor." In conclusion Dr. Anthone said, "physicians must use their own good judgment and stay within the law. "0 In his second panel appearance Dr. Englehardt talked about death and dying. "It is possible to call someone dead when actually he isn't. There is the operational and conceptional definitions of death. Karen Quinlan is probably dead but there is no way we can fashion an operational death, but conceptionally she is dead." The bioethics professor suggested that freedom- the right to refuse treatment - must be respected. "Common law has recognized the sense of privacy. The respect for people and the value for human life is important. But how much do we want to invest in the treatment of people and the preservation of life? Sometimes the cost of treating a terminal disease is too much." Dr. Englehardt mentioned several court cases on suicide and death in Texas, New York and Massachusetts. "Individuals have different interests in the way they live, so they probably have different ideas on how they want to die," he concluded. Dr. Edmund Egan believes newborn children are real people even though they can't make decisions and should be treated as such. But he admits that the role the physician has in arriving at decisions is different than with older children or adults. "The role of the physician must be that of a child advocate. The infant is the patient, not the parents," the associate professor of pediatrics said. "Treatment must have a goal. If treatment is instituted or continued without a goal it can be considered torture. The decision must be made in the infant's interest even though it affects the parents' life style. However, the parents must be involved," the chief of neonatology said. "The physician must explain all of the options, state his recommendations and explain why. Total honesty and candor are important." Dr. Egan cited a case history of two children born with brain damage. Both had a 50 percent chance of survival at a hospital cost of $50,000 each. The mother of baby A didn't want the baby; the mother of baby B wanted her baby. Should they both be treated at society's expense? Should these babies be treated because they deserve a chance in life even though they will be retarded?, Dr. Egan asked. 16 THE BUFFALO PHYSICIA l �l Third place (tie) exhibit: Dr. Gresham, department of rehabilitation medicine, E.J. Meyer Memorial Hospital/SUNY! Buffalo. "At what point does an infant become the property of parents or a chattel of the state?" Dr. Egan asked. "We are faced with a society that is 'biased for life' and forbids suicide as a way of dying. Because of our investment in technology and life support paraphernalia we have built into our thinking additional biases," Dr. David M. Klein, associate professor of neurosurgery at U/B, said. "There is no good or bad way to die, but there should be free choice. It is difficult to terminate life support because you are bucking tradition." Dr. Klein noted that there is disagreement among the courts in the various states about a person's 'right to live.' "When you think your patient is going to die plan ahead. Sit down and think about your approach to the family. Don't walk away. You have a responsibility to the family. Do everything you can to make the patient and survivors comfortable," Dr. Klein said. In conclusion he reminded his colleagues that "dying is an individual thing and should be so treated. " D "Stockton Kimball played an important role in my career of medical education." This is what Dr. George E. Miller told his colleagues at the annual Stockton Kimball Memorial luncheon as he reviewed his 16 years in Buffalo (1943-1960). "This is homecoming for both me and my wife." The professor of medical education and the coordinator of international activities for the University of Illinois Medical Center noted that Stockton Kimball's work had gone around the world. "It was Dr. Kimball who gave us encouragement, support and leadership to consult experts in the education department at U/B that resulted in changes in medical education. Because of this enFALL, 1978 d17 A Tribute to Stockton Kimball �Mrs . Geo rge Mill er, Drs. John Ri chert, Lawrence M. Carden, Edm ond J. Gi cewicz . Dr. Ge orge Mill e r, lunche on speake r. counter, a major new program was developed at U/ B in medical education, " Dr. Miller said. In the early 1950's a group of 'Young Turks' at the U/ B Medical School were stimulated by Dr. Edward M. Bridge, professor of pharmacology, to engage in regular debate about medical education. The medical students and faculty collaborated with professors in other disciplines at U/ B in what was called "Project in Medical Education. " The main question 25 years ago was: Are medical educators going to restore order to education? When these two unacquainted disciplines - education and medicine - came together at U/B for the first time things begin to happen. The two groups slowly identified what practices would be most useful to the medical educators . "It was Dr. Kimball 's quiet influence and advice that was helpful and made this a unique university experience," Dr. Miller said. A year-long teacher training program with medical students and faculty (both basic science, clinical and education) participating in seminars was one result. Dr. Miller spoke of a paper he had written, on the Buffalo medical education program, "Adventure in Pedagogy. " Nine months later the New England Journal of Medicine condemned his article as a " Disaster in Pedagogy." The Illinois educator paid tribute to Nathaniel Cantor, a behavorial scientist. "He was a very controversial man, who made us look at ourselves and examine how we applied learning techniques to others. He was an educator who sought continuing knowledge. Dr. Cantor gave us a 'once in a life-time experience' in his seminar sessions in 1954. He proved to us that what we were doing as teachers often got in the way of the learning process. Dr. Wm. Carlos Williams, a physician-poet, was a major contributor to our seminar sessions." Dr. Miller mentioned others who contributed to the "Project in Medical Education." They are- Drs. Edwin F. Rosinski, Robert S. Fisk, G. Lester Anderson, Ivan Bunnell, Philip Wels, David Greene, Lawrence Golden, and John Boylan, all U/ B faculty members. Hilliard Jason, a medical student, at that time took a year off his studies to help on the project. 18 THE BUFFALO PHYSICIA �From the Buffalo program Dr. Miller authored a book, "Teaching and Learning in Medical School." It has been reprinted three times. Recently the book was printed in a fourth language. Contributing editors were Drs. Ira S. Cohen, psychology; Harold P. Graser, psychiatry; Stephen Abrahamson, RobertS. Harnack and Adelle Land, education. The book is dedicated to the memory of Nathaniel Cantor, Ph.D., "who pointed the way" and Stockton Kimball, M.D., "who provided the encouragement." In 1959, one year after Dean Kimball's death, there was a decline in medical education in Buffalo. "The transplant was cut off, but the colonization began," Dr. Miller said. Many of the people in Buffalo that were associated with this new medical education program went to other medical schools in Michigan, Virginia, California, Illinois, Ohio and to Canada, Australia and the Philippines and initiated this new approach to medical education. "This was the kind of a bountiful harvest - that started from a small beginning at U/B 25 years ago under a visionary man, Dean Kimball," Dr. Miller said. "Today," Dr. Miller asserted, "the lecture is widely used. Is it used skillfully? Does the instructional program match the objectives? The only purpose to be served by teaching is to make individual learning more efficient and more effective. Unless this belief permeates a school an educational program becomes a mockery of education." He asked his colleagues how many have tried to improve your teaching skills through better preparation? Are you effective and efficient? What is our responsibility as educated physicians in this contemporary society? He challenged the students to develop skills in critical thinking. Dr. Miller recalled what John Gardner once said, "whenever reorganization is proposed people will object because they have become attached to the old arrangements. I advise against all such attachments. Put your faith in ideas, ideals, movements and goals. Don't put your faith in organization forms." In conclusion Dr. Miller said, "there are many battles ahead. I would hope for a dean that would tolerate and support thoughtful research as Dean Kimball did 25 years ago. I have nothing but respect, admiration and gratitude for him."D Dr. George E. Miller, Mrs. Stockton Kimball, Drs. Michael Sullivan, Norman Chassin. Spring Clinical Days Presented to Mrs. Stockton Kimball by Dr. Robert Brown, associate dean, was a rubbing of a model of a cast that will be placed in the main lobby of Farber Hall. "In Fond Memory of Stockton Kimball 1902-1958 M.D. University of Buffalo, 1929 Dean, School of Medicine, 1946-1958 Whose Vision, Sincerity and Integrity so Distinguished The Office of the Dean" FALL, 1978 19 �132nd Annual Commencement A total of 5,500 degrees were conferred this year during the General Commencement and 12 additional individual commencement ceremonies. Since its founding in 1846, the University has awarded nearly 100,000 degrees. The 1978 class was awarded 3,607 bachelor's, 1,485 master's, 445 academic or professional doc- torates, and 25 associate's. Chancellor Clifton R. Wharton of State University delivered the major address at the 132nd General Commencement in Memorial Auditorium.D Dean John Naughton welcomed the graduates and their families to the 132nd commencement. He praised the 139 graduates (116 men, 23 women) for being an active and innovative class. "You have made significant contributions to the medical school and the community. You have been interested in our admission policies and in primary care. You performed well in your externships and in the clinical process. You have been accepted as interns and residents in good medical centers of this state and the nation." Dr. Naughton also complimented the editors of The Iris, Medical School yearbook. Class representative Clifton Peay said, "we can no longer afford to pay lip service to the concept of preventive medicine. It must become a reality if we are to pass life on to our offspring. We must all work toward providing quality health care as a human right. Doctors must refrain from the habit of unrestrained prescribing of chemical agents. They must re-educate our people who feel there is a chemical answer to each problem." Class representative Mary Carnes said, "we have been a family the last four years. We have shared many feelings, experiences, joys and frustrations. When we leave here today we will carry with us as our family name this university." In dedicating the yearbook to Dr. Evan Calkins, professor of medicine and head of the division of gerontology, Salvatore DelPrete, co-editor, praised Dr. Calkins for being a personable man dedicated to his profession. Dr. Calkins said, "I hope I can live up to this honor. This most distinguished class has worked hard and inspired us to be better teachers." He charged the graduates to "set good goals for yourselves; be good physicians; take good care of your patients, your family, friends and colleagues. Money and social status aren't everything; happiness is more important. "0 20 THE BUFFALO PHYSICIA �26 Students Honored Twenty-six medical students (19 seniors, 7 sophomores and juniors) won special honors and awards at the 132nd annual commencement. Seniors Fred Geisler, Kenneth Glick, and Michael Wolff each won two awards. Dr. James F. Phillips, chairman of the awards committee, presented the awards. Dr. F. Carter Pannill, vice president of the Faculty of Health Sciences, conferred medical degrees on 139, the Ph.D. degree on 19, and the Master's degree on 11. Dr. John Naughton, dean of the School of Medicine, administered the Oath of Hippocrates to the new physicians and Dr. Leonard A. Katz, associate dean, led them in the Charge of Maimonides. The awards and honors: Alpha Omega Alpha (Honorary Medical Society) Robert Anolik, Carl J. Bodenstein, Christopher T. Burn, Irene A. Burns, Daniel P. Cannucciari, Molly L. Carnes, Richard R. Curran, Salvatore A. DelPrete, Elizabeth A. Doherty, Edmond S. Fries, Mark S. Glassman, Kenneth L. Glick, elson B. Isada, Joyce R. Leslie, Gary A. Merrill , Dean Mitchell, Lynnette K. ieman, Lois A. Polatnick, Barry I. Rosenberg, George E. Ruta, Paul Summergrad, Bennett S. Vogelman, Michael L. Wolff 1'hes1s Honors - Fred H. Geisler Baccelli Award- (Academic excellence in the clinical years) -MarkS. Glassman Gilbert M. Beck Memorial Prize in Psychiatry - (Academic excellence) -Susan L. Kraus Gillette Buffalo Surgical Society Prize in Surgery - (Academic excellence- junior, senior years) - Elizabeth A. Doherty Childrens Hospital Prize- (Excellence in understanding disease in childhood)- BennettS. Vogelman d- FALL, 1978 21 L ynn elle Nieman �Dean's Award - (Participation in extra-curricular activities in the Medical School while maintaining a high standard of academic excellence)- Salvatore A. DelPrete Bernhardt & Sophie B. Gottlieb Award - (Expertise in areas outside of medicine)- Franklin G. Gillig Dr. Heinrich Leonhardt Prize in Surgery - (Academic excellence) -Alan R. Koslow Lieberman Award - (Interest, aptitude in the study of Anesthesiology)- EdmundS. Freis Hans f. Lowenstein Award in Obstetrics - (Academic excellence) - Joyce R. Leslie, Nelson B. Isada Maimonides Medical Society Award - Proficiency in the basic sciences)- Kenneth L. Glich Medical Alumni Association Award- (Community commitment)- Franklin Marsh, Jr. David K. Miller Prize in Medicine - (Demonstration of Dr. Miller's approach to caring for the sick - competence, humility, humanity) -Paul Summergrad Bennett Vogelman, Dean Naughton, Dr. James Phillips Dr. Eugene Mindell, Iris Buchanan, Dr. John Wright John R. Paine Award in Surgery - (Research of merit in the general field of surgery) - Fred H. Geisler Mark A. Petrino Award - (Demonstrated interest and aptitude for the general practice of medicine) -Gary E. Eggleston Clyde L. Randall Society Award in Gynecology-Obstetrics(Academic excellence)- Lynette K. Nieman Emily Davis Rodenberg Memorial Award - (Academic excellence in study of diabetes, its complications) - Kenneth L. Glick Philip P. Sang Memorial Award - (Ability to relate well to patients, faculty and staff)- BennettS. Vogelman Morris & Sadie Stein Neuroanatomy Award- (Excellence in neuroanatomy) -Gary A. Merrill Up john Award - (Research Ability) - Michael Wolff John Watson Award in Medicine - (Enthusiasm for and commitment to scholarship in medicine) - Michael Wolff Charles Bauda Award- (A third year student who has best demonstrated a superior fund of knowledge and personal sensitivity for the practice of Family Medicine) -Frank J. Bottiglieri Edward L. Curvish, M.D. Award - (Highest record in Biochemistry in first year) - DavidS. Duani James A. Gibson & Wayne J. Atwell Award - (Highest record in anatomy in first year) - Cynthia J. Parlato Douglas S. Riggs Award - Westwood Pharmaceuticals (Academic excellence in Pharmacology) -Edward L. McCleary Kornell L. Terplan Award - (Demonstration of the best knowledge of Pathology in the sophomore year) - Edward L. McCleary Ernest Witebsky Memorial Award (Proficiency in Microbiology) - Jamie E. Kerr Farney R. Wurlitzer Award (Outstanding work in Psychiatry) - Randy L. Levine 22 THE BUFFALO PHYSICIA �Dean Naughton, Sal DelPrete, Franklin Marsh The following basic science students participated in the School of Medicine Commencement: Master of Arts - (all from the department of microbiology) Pamela J. Baker, Anne Fagundus, Tanveer F. Haider, Paula S. Hochman, Karen A. Olson, David C. O'Neil, Joseph P. Portanova, Timothy R. Sinship, Kathryn Zadarlik. Master of Science - (from department of biophysical sciences) Henry Manuel, Taquia Mehdi. Doctor of Philosophy - Henry M. Bartkowski, M.D. (anatomical sciences), Maria M. Chan (microbiology), Tina C. Chow (microbiology). Robert A. Cunningham (physiology). Philip Dembure (biochemistry). Bonni S. Dutcher (pharmacology and therapeutics). Marie R. Gallagher (microbiology), Stevan Jacobs (pathology). Christopher Jones (biochemistry). Ching-Lung Ko (biophysical sciences). Renee LeBoeuf (biophysical sciences). Steven A. Lobel (microbiology]. John M. Markinko (microbiology]. Friedl Muller-Landau (biochemistry), Michael D. Rudnick (anatomical sciences). Richard A. Smith (anatomical sciences). Christine Szymanski (pathology]. Matthew Witten (biophysical sciences). Yee Pang Yung (microbiology).D d-- FALL,1978 23 �Mary "Molly" Carnes Reflections by Mary Carnes I am really honored to be speaking to you tonight. I thought you might like to hear some rousing, inspirational words about how you should all go out into the world and "make like good doctors" - work hard, do good, be honest, make people well, and uphold the high standards of medicine in this country. But then I thought more about you people whom I have come to know over these past four years, and I decided you would probably do all that anyway. So I want to say something a little more personal. When we started medical school four years ago, we were 135 or so individuals. We were very different people. We came from different backgrounds, ideas, and perspectives. Some of us were from the country, some from the city; we were veterans, college radicals, jocks, and hippies. But over these four years we have shared many experiences and feelings. This has created a band among us, making us sort of like a family. We dissected cadavers together; mastered Krebs Cycle together; histology, pathology and microbiology. These are no longer just words or names of courses to us. They are a stream of feelings and memories. We share so many common memories. Surely you all remember the pain of watching one of your fellow classmates give his first patient presentation in front of grand rounds. Remember standing in surgery for hours, with tired feet and wandering mind and being brought abruptly from your reverie by the surgeon's third or fourth impatient cry of Cut! Cut! Remember the joy of participating in your first delivery in obstetrics. And how those babies kept coming and coming and coming all night long. We have shared much - times of incredible joy, times of bitter frustration. But tonight is our graduation, and the last time we will all be together as a family. Tonight is the night to be sure and give a warm hug to those people with whom you dissected a cadaver, to the person with whom you studied the convolutions of the brain, to your drinking buddies, to those people who had to listen to you give your first patient presentation, and to everyone else in our family. ext year, and in the future, when you are all in different places and in different specialties, you will carry with you almost as part of your family name - the State University of ew York at Buffalo School of Medicine; and that you all graduated in the class of 1978. I'm going to miss you all.D Certainly in this Class of 1978 there is a large percentage of persons who were active in this past era known as the '60s. Many of us here were outspoken advocates of the numerous social issues that have reshaped the thinking and policy of our country forever. The underlying thesis of these activities of the 60's was the infusion of moral and human ethics into our world but particularly human conduct. We as remnants of that era, who have now entered the profession of medicine, must infuse this system 24 THE BUFFALO PHYSICIAN .. �.. with those beliefs that can benefit mankind. 1. We must recognize that the issue of a clean environment is important to us as physicians as those new, early biochemical markers of disease in persons who are with or without any symptoms. I ask, what good will suffice for us if we continue these technological miracles of diagnosis but yet fail to support efforts to eradicate environmental risks that threaten our very existence . We must coalesce with elements in our world to reduce our risks to these environment causes of disease as diverse as chemical contamination of our world; to support for gun control legislation. After all, homicide is a major cause of death. We must as physicians support progressive legislation thus to enact standards of "preventive health " or else our hospitals will forever be museums - populated by those " interesting cases " derived from man's misuse of his world. 2. One of the most current problems staring at 20th century man is drug abuse. Physicians are targeted by various groups rightly or wrongly - as being the prime stimulus for this problem. Too often physicians have prescribed chemical agents at their patients' insistence and despite their suppressed better judgment. We cannot allow this habit of unrestrained prescribing of chemical agents be they sedatives, tranquilizers or whatever, to continue with our generation. We must seize the initiative to reeducate our people to break this mental dependency of chemicals. There must be an end to our existence as a pilloriented society with the false belief there exists a chemical answer to every problem. I challenge my classmates to explore other areas as viable alternatives to human conflict than the easy availability of a prescription pad. 3. Health care , as we now approach the 21st century, is no longer a privilege but a human right. Good health care should not be a commodity available to the highest bidder or purchaser . or should be it reserved for those with higher social incomes or social privy but its access to all people should forever be our vow. We must continue to democratize health care delivery to guarantee each person of high quality, affordable health care. There must be plans and efforts made to develop an equitable health care system or else "health care as a right" will remain only a slogan. Our responsibility as physicians is to provide each resident of the United States with the same high quality health care which the great from all over the world come here to receive. 4. Another problem to be resolved is the high cost of a medical education. The physician-to-be finds himself overwhelmed and heavily indebted with the huge expense from his medical education. The effect that this has on the delicate doctor-patient relationship is frightening. The rising cost of a medical education has rapidly emerged as a new discriminator as well as penalizer of those who desire to pursue a career in medicine . A solution must urgently be found or we will produce an elite corps of affluent physicians drawn from upper-income persons who only can afford the cost. FALL, 1978 25 Remnants of the Sixties by Clifton Peay Cli fto n Peay, Dr. Harr y M etcal f �I have deliberately used ideas that hold great significance to me. However, I challenge this class that in addition to the practice of medicine, to maintain a strong sense of social commitment. Finally, we can no longer afford to pay lip service to the concept of preventive medicine, it must become a reality if we are to pass life on to our off-spring. We must never forget this.D Dean Naughton's Address Louise Barbieri, Dr. Harry Metcalf Lois Palatnick, Dr. Pannill On behalf of the faculty of the School of Medicine I welcome the parents, relatives and friends of the candidates who will receive either the Doctor of Medicine, Masters of Science, Master of Art or Doctor of Philosophy degree. It is an honor to present these candidates to you for the bestowing of their degrees. The medical school class of 1978 is 139 strong, the largest single class graduated by this school during any of its 132 years. This class has proven itself particularly innovative, fertile and active. During its forty-five month association with SUNY-Buffalo its members, either as individuals or as an organized body, have made significant contributions to our institutional life. While too numerous to mention, some should be recalled because they exemplify each of our commitments to scholarship, patient care, institutional life and community interest. When the present era of the School of Medicine is reviewed, it is my opinion that your class more than any other will be credited with providing the necessary impetus for reforming a sense of espirit de corps and institutional identity within the school; and for making a commitment to and demanding a high level of academic excellence. The latter has been demonstrated by your performances on internal and external measures of intellectual achievement. While you were doing that, members of your class were making substantial contributions to other programs. Most significant of these should be considered your interest in the admission process and in opportunities to work in areas of primary patient care. Your class developed, pursued and implemented a program for student participation in the work of the admissions committee, and others sought and obtained sufficient funding which made it possible for medical students to work productively in an externship capacity during vacation time . There is no doubt that these two programs and others with which you were associated will continue for many years beyond your departure from SU Y-Buffalo . By all accounts you have performed well on the clinical services and you have shown a capacity for combining intellectual growth with compassion for patient problems. Your recognition as mature 26 THE BUFFALO PHYSICIAN �students of medicine could not have been any better signified than through your nearly total acceptance to a large number of excellent medical centers throughout ew York State and the nation. Your acknowledgement of quality, dedication and the pursuit of excellence as important attributes of accomplishment is clearly demonstrated by your choice for this year's Iris Dedication. For all of your achievements the faculty and I offer our congratulations; for your promise in the future comes our expression of best wishes and good luck. Mr. Vice President, based on their accomplishments during the past four years, the faculty of the School of Medicine is fully satisfied that these graduates are prepared for, capable of and ready to assume the responsibilities entailed with the requirements of graduate medical education, and we are completely satisfied that each member of the class will exemplify the characteristics of dedication, charity, compassion, scholarship and understanding in the years ahead. More importantly, we are confident that they will place their responsibilities as physicians and citizens above their individual self-interests. For the faculty I am pleased to welcome them to a profession which so sorely requires their energies and talents.O Mr. and Mrs. Simon Shaham Dr. Calkins Honored Dr. Evan Calkins was honored by the 1978 yearbook, The Iris. He has been chairman of the Medical School's department of medicine for the last 17 years. He is heading a new division of gerontology that will focus on medical care of the aging. Dedication to Dr. Calkins: "Dr. Calkins, over the last several years, we have watched you walk down hospital corridors with your characteristic 'Calkins stroll,' and we have been amazed that despite the deep concern for often seriously ill patients, and for the future of medical education in Buffalo, you somehow managed to have a warm smile and perhaps a few encouraging words for those of us you met on your way. Many of us have seen you at a patient's bedside and have watched you instill in that patient a sense of warmth and reassurance simply by showing honest concern for his well-being. Those of us who have seen this have also noticed that when you leave a patient's room you somehow manage to leave behind a part of yourself that seems to give the patient peace in knowing that you truly care not about 'the gallbladder in 319' or about Dr. Y's review of the literature, but about him as a person. "Dr. Calkins, we the Class of 1978 acknowledge the concern you show for our education and for the welfare of our patients. Therefore, we would like to take this opportunity to thank you, and to publicly dedicate this, the third edition of The Iris, to you for exhibiting the qualities which we believe are the signs of a truly outstanding physician - amiability, compassion, concern, courage, knowledge and understanding."D FALL, 1978 27 Sal DelPre te , Dr. Evan Calkins �Physicians Give to the Medical School In 1977 the Medical School received gifts from 790 physicians (through the U/B Foundation) totaling $146,608.65. The average gift was $185.60. We at the Medical School appreciate your support. Without your support many programs would have to be curtailed or eliminated.D Stanley Abo Charles G. Adams Donald J. Adams Albert J. Addesa Richard H. Adler Carlos C. Alden, Jr. Edward C. Alessi GuyS. Alfano J. Edwin Alford Kenneth M. Alford James C. Allen Clara M. Ambrus Julian L. Ambrus Richard Ament Wendell R. Ames William S. Andalaro S. Y. Andelman Murray N. Andersen Charles L. Anderson John R. Anderson Sidney Anthone Djavad Arani Carl E. Arbesman John F. Argue Carmela S. Armenia John V. Armenia Glenn R. Arthurs Julian J. Ascher Thomas W. Atkins Irwin J. Averbach Sidney J. Axelrod Bruce D. Babcock George R. Baeumler Robert C. Bahn William C. Baker William L. Ball John J. Banas Robin M. Bannerman JohnS. Barany Jared C. Barlow Donald L. Barone Robert M. Barone Stephen Barron Richard C. Batt Horace L. Battaglia Charles A. Bauda Richard A. Baumler Thomas R. Beam, Jr. Richard B. Bean Ralph T. Behling David M. Bendich Craig L. Benjamin Lawrence D. Henken Leland R. Bennett Robert M. Benson Bronson M. Berghorn Robert E. Bergner Richard Berkson Leonard Berman Harold Bernhard William H. Bernhoft Charles Bernstein Mark L. Bernstein Herbert T. Berwald Ernst H. Beutner Theodore S. Bistany James R. Blake LaMoyne C. Bleich Marvin A. Block Willard H. Boardman Virgil H. F. Boeck Vincent J. Bonafede Germante L. Boncaldo Raymond G. Bondi Lawrence B. Bone Anthony J. Bonner, Jr. James G. Borman Sogba K. Bosu Mary Henrich Botsford John W. Boylan John Bozer Brendan C. Brady Clifford G. Bramer James J. Brandl Edward S. Breakell Robert J. Brennen Thelma Brock Harold Brody Melvin M. Brothman AI ta K. Brown Alvin J. Brown Kent L. Brown Robert L. Brown August A. Bruno Richard J. Buckley James T. Bumbalo Thomas S. Bumbalo Ivan Bunnell James P. Burdick Gordon H. Burgess John B. Burns 28 Alan G. Burstein Paul N. Burstein Grace L. Busch Evan Calkins Earl K. Cantwell Lawrence L. Carlino Nicholas C. Carosella Edward A. Carr, Jr. Samuel J. Castilone Mary L. Catalano Benny Celniker Frank J. Chafe! Nathan W. Chaikin Ralph R. Chapman Norman Chassin Joseph A. Chazan C. James Chen Seibert G. Chernoff Alfred Cherry Erwin Chillag Eugene A. Cimino Eugene E. Cisek Alice L. Clark Daniel H. Clark John M. Clarke Thomas B. Clay Mary Clemens Marshall Clinton Arthur H. Cohen Gary N. Cohen Victor L. Cohen Benjamin Coleman James R. Collins Robert J. Collins Mario L. Collura Thomas E. Comerford, Jr. John L. Conboy Bruce F. Connell John J. Connelly John M. Constantine Richard Cooper Barbara G. Corley Robert F. Corretore Vicent S. Cotroneo Paul B. Cotter, Jr. Martin Cowan Alexander R. Cowper Frank M. Criden John P. Crosby Richard P. Cudahy Julia Cullen Gordon J. Culver Thomas J. Cumbo Daniel E. Curtin Richard H. Daffner PeterS. D'Arrigo Bernie P. Davis Faith B. Davis Harvey D. Davis Paul J. Davis Roger S. Dayer Lang M. Dayton Philip C. Dennen Mark A. Dentinger Carl J. DePaula Geraldine F. DePaula Robert L. Dickman Gerald J. Diesfled Frederick W. Dischinger Samuel A. Dispenza Lawrence J. Dobmeier Alfred H. Dobrak Richard Dobson Thomas D. Doeblin Donald F. Dohn Charles Donatelli Donald Doni us S.M. Doubrava Ronald I. Dozoretz Maier M. Driver Adelmo P. Dunghe James C. Dunn Nancy L. Dunn Clarence J. Durshordwe Melvin B. Dyster Michael Dzubaty George L. Eckhert Kenneth H. Eckhert WilliamS. Edgecomb Robert W. Edmonds John A. Edwards Robert J. Ehrenreich Jonathan S. Ehrlich Marvin N. Eisenberg George M. Ellis Nitza F. Ellis Rose Ruth Ellison Charles M. Elwood Eli Engel George M. Erickson Edward G. Eschner George F. Etling Italo A. Evangelista Jay I. Evans Daniel J. Fahey Alfred E. Falcone Dominic F. Falsetti Jason E. Farber Leon E. Farhi Joseph V. Farugia Sattar Farzan Sebastian S. Fasanello Joseph A. Ferlisi THE BUFFALO PHYSICIAN �Willard G. Fischer Grant T. Fisher Jack C. Fisher Wilbur J. Fisher William A. Fleming Theodore C. Flemming Marshall Fogel Sander H. Fogel William J. Follette Roger A. Forden Francis A. Fate Albert A. Franco Hal A. Franklin Paul D. French Bernard B. Friedman Irwin Friedman Ronald J. Friedman Frank T. Frost David J. Fugazzotto eal W. Fuhr Arthur Funk ..... Timothy F. Gabryel Richard R. Gacek Andrew A. Gage Matt A. Gajewski Henry S. Gardner Richard M. Gardner Myron Garsenstein Albert A. Gartner Michael T. Genco Joseph E. Genewich Byron A. Genner III George A. Gentner Thomas G. Geoghegan Alfred L. George Joseph R. Gerbasi Eli Germanovich Henry Gerwitz James P. Giambrone John W. Gibbs Edmond J. Gicewicz Irwin A. Ginsberg William L. Glazier Franklin Glockner Chester A. Glomski George R. Glowacki Joseph D. Godfrey Peter F. Goergen Arthur C. Goetzman Lawrence H. Golden Allen L. Goldfarb Frederick Goldstein Henry N. Goldtsein Carlon H. M. Goodman Sol! Goodman Myron Gordon Fred E. Gorman · Bernhardt S. Gottlieb Solon H. Gottlieb Adele M. Gottschalk Edward J. Graber James E. Graber Harold L. Graff Seymour D. Grauer James H. Gray, Jr. FALL,l978 Joseph M. Greco Pasquale A. Greco Floyd A. Green Harvey Greenberg Lawrence S. Greene Myron C. Greengold Richard M. Greenwald Joseph E. Griffin Bernard F. Groh Victor Guarneri Lorie A. Gulino Robert Guthrie Thomas J. Guttuso J. Rothery Haight Henry W. Haines Donald W. Hall Frank M. Hall Robert J. Hall Eugene J. Hanavan MarkS. Handler Florence M. Hanson Warren J. Hanson Nedra J. Harrison Sami A. Hashim Donald R. Hauler Vincent A. Hawro Mark E. Heerdt Ellwyn E. Heier Mark P. Heilbrun Norman Heilbrun Irving Helfer! Burton L. Herz Barbara J. Hetzer Louis Hevizy William J. Hewett Frank C. Hoak Thomas C. Hobbie Marion E. Hodes John M. Hodson Hugh B. Hoeffler David E. Hoffman Leon Hoffman Walter D. Hoffman orman E. Hornung Hanley M. Horwitz William J. Howard Murray S. Howland, Jr. Thomas R. Humphrey Jerome E. Hurley Eugene C. Hyzy Jacqueline Ihrig John R. Ingall Charles G. Jackson Stanley J. Jackson Rae R. Jacobs Evelyn H. Jacobsen Robert M. Jaeger Kenneth G. Jahraus Gary H. Jeffrey Kenneth L. Jewel Irving B. Joffe Curtis C. Johnson James H. Johnson Ronald P. Josephson Peter J. Julian Richard F. Kaine Ernest G. Kane Harris H. Kane! Kyoichi Kano James G. Kanski James R. Kanski Z. Micah Kaplan Leonard A. Katz Donald J. Kelley John P. Kelly Peter M. Kelly John H. Kent Howard C. Keyes William J. Kibler Joseph F. Kij, Sr. John L. Kiley William R. Kinkel John C. Kinzly Hans F. Kipping Scott B. Kirsch David M. Klein Harvey Z. Klein Jennie D. Klein Morton P. Klein Michael M. Kline Robert A. Klocke Russell G. Knapp Wallace A. Knight Romesh Kohli Louis Kolbrenner Leo E. Kopec John T. Korn Ludwig R. Koukal JacobS. Kriteman Melvin R. Krohn Harold P. Krueger Robert J. Krug Norbert W. Kuch John R. Kuhl Joseph L. Kunz Alan S. Kuritzky Paul Kuritzky Sharon Kuritzky Bertram G. Kwasman John N. LaDuca Harry G. LaForge Vito P. Laglia S. Joseph LaMancusa RobertS. LaMantia Bernard R. Landau Gordon R. Lang Milton C. Lapp Andre D. Lascari Louis Lazar Alfred Lazarus Richard J. Leberer Herbert E. Lee Edward A. Legarreta Jack Lemann, Jr. Melbourne H. Lent AbrahamS. Lenzner Angelo F. Leone 29 Charles R. Leone Frank G. Leone John A. Leone Eugene V. Leslie Paul A. Lessler Lloyd H. Leve Eli A. Leven Daniel B. Levin Warren Levinson Harold J. Levy Lucille M. Lewandowski Thurber LeWin W. Reese Lewis Seymour J. Liberman Heinz Lichtenstein Bert A. Lies, Jr. Jeffrey E. Lindenbaum William F. Lipp Jack Lippes Eugene J. Lippschutz Robert W. Lipsett Richard C. Lisciandro L. Maxwell Lockie Marilyn A. Lockwood Eugene W. Loeser Lawrence Loewinthan Anthony J. LoGalbo Alice Challen LaGrasso H. Paul Longstreth Alvah L. Lord Paul J. Loree Charles E. Lowe Ulana Loza J. Richard Lundquist Thomas J. Luparello James D. MacCallum WilliamS. MacComb Michael M. Madden Niels G. Madsen Federico J. Maestre William K. Major, Sr. David N. Malinov VincentS.Mancuso Karl L. Manders Leo E. Manning Calvin Marantz Charles H. Marino Anthony P. Markello Ross Markello Eugene M. Marks Joseph F. Martinak Kenneth W. Matasar Charles E. May Arthur E. Mays, Jr. Michael A. Mazza Robert C. McCormick Daniel J. McCue Sue A. McCutcheon James L. McGrane Robert G. Mcintosh Pravinchandra Mehta Joseph M. Mele John P. Menchini Winifred Mernan Sol Messinger d- �Harry L. Metcalf Herbert Metsch Patricia A. Meyer Leo M. Michalek, Jr. Charles H. Michalko Bruce F. Middendorf Dugan Middleton RichardT. Milazzo RichardT. Milazzo, Jr. Felix Milgram Donald E. Miller Richard F. Miller Roy D. Miller Mona T. Milstein Richard L. Miner Amos J. Minkel, Jr. Alfred A. Mitchell F. Douglas Mitchell Arthur Magerman Jeffrey Magerman James F. Mohn Hallie Buchanan Mont Mario Montes Shedrick H. Moore Raymond L. Moreland Philip D. Morey Lyle . Morgan Askold D. Mosijczuk Robert M. Moskowitz Frederick E. Mott Philip C. Moudy Joseph R. Mullen Richard W. Munschauer Gerald E. Murphy Peter J. Murphy Alice B. Murray Robert C. Myers Kathleen W. Mylotta Richard J. Nagel Masao akandakari Richard B. Narins Ian athanson Lawrence J. Nemeth Erwin Neier Lillian V. Ney Robert G. Ney David H. Nichols Ellen M. Nicholson EarlW. oble Michael Noe N. Allen Norman William C. Noshay Donald C. Nuwer Oscar R. Oberkircher Ralph M. Ohler Benjamin E. Obletz John J. O'Brien John D. O'Connor Kevin M. O'Gorman Pearay L. Ogra Bronislaus S. Olszewski Walter A. Olszewski Dean E. Orman JamesM. Orr Marvin G. Osofsky J. Frederick Painton Harold K. Palanker Milton A. Palmer Victor A. Panaro JohnS. Parker Vincent J. Parlante Jacqueline L. Paroski Thomas E. Pastore Gerald E. Patterson orman L. Paul Victor L. Pellicano Raymond C. Perkins John D. Persse Harold Pescovitz Diane Peters Frank A. Pfalzer, Jr. James F. Phillips Michael M. Phillips Doris MacKay Pieri Steven E. Pieri Herbert S. Pirson John T. Pitkin David E. Pittman Adrian J. Pleskow Marvin J. Pleskow Sanford R. Pleskow Warren Pleskow Robert E. Ploss Alan L. Pohl orbert W. Pohlman David W. Potts Robert J. Powalski Herman M. Presant Thomas F. Pres tel John E. Przylucki Francis J. Pschierer David G. Publow Dennis R. Pyszczynski Eugene H. Radzimski Richard A. Rahner John Y. Rancholl Bert W. Rappole Edward A. Ray hill Erick Reeber Roy E. Reed Peter F. Regan III John F. Reilly Victor Reinstein Robert E. Reisman Albert C. Rekate Barbara R. Rennick Charles C. B. Richards Harr:y B. Richards Earle G. Ridall M. M. Riddlesberger Frank T. Riforgiato Norman I. Ristin Meyer H. Riwchun Douglas L. Roberts Trevor Robinson William G. Rocktaschel Robert D. Rodner Richard R. Romanowski Paul C. Ronca 30 Myron G. Rosenbaum Thomas C. Rosenthal Douglas R. Rosing Edward W. Rosner Sheldon Rothfleisch Richard N. Rovner Albert G. Rowe John C. Rowlingson Stuart Rubin Gerald T. Rutecki Joseph E. Rutecki Gerald L. Saks Alan R. Saltzman George M. Sanderson, Jr. Samuel Sanes Clarence Sanford Frances Marie Sansone Leland E. Sargent Phoebe Saturen Richard L. Saunders Barbara Blase Sayres Vincent Scamurra Thomas R. Scanlon Arthur J. Schaefer Leomard R. Schaer Sudney M. Schaer Worthington G. Schenk, Jr. William P. Scherer III Anthony B. Sciavi Ray G. Schiferle Edward G. Schnake Robert N. Schnitzler Robert W. Schuktz Bruno G. Schutkeker Edward L. Schwabe Paul Schwach Harvey Schwartz Wilbur S. Schwartz Robert Secrist Ray E. Seibel Arthur M. Seigel Elizabeth G. Serrage David J. Shaheen Fred Shalwitz Jacob B. Shammash Edward Shanbrom BernardS. Shapiro Marvin Shapiro Norton Shapiro Koorosh Shariat Thomas P. Sheehan Byron E. Sheesley John B. Sheffer Gene D. Sherrill Louis A. Siegel Herbert Silver Sigmund B. Silverberg Herbert W. Simpkins S. Aaron Simpson Bernard H. Sklar Alexander Slepian S. Mouchly Small Eugene Smith James A. Smith Vernon G. Smith Wilbur L. Smith Bernard Smolens Joseph M. Smolev RobertS. Sobocinski Joseph E. Sokal Yale Solomon Russell C. Spoto Donald H. Sprecker John J. Squadrito Walter F. Stafford, Jr. James F. Stagg Richard I. Staiman George Starr Alfred M. Stein William J. Stein George L. Steiner Oliver J. Steiner James G. Stengel Irving Sterman Carl A. Stettenbenz Rocco L. Stio Edward R. Stone StevenS. Stone John N. Strachan Clarence A. Straubinger Evan H. Strong Burton Stulberg Eugene M. Sullivan Michael A. Sullivan Robert B. Sussman Sylvia W. Sussman Stanley J. Szefler Carl F. Szuter John Talbott Joseph Tannenhaus Charles J. Tanner Richard G. Taylor Joseph C. Tedesco Eugene M. Teich Richard N. Terry Hyman Tetewsky John B. Theobalds Roy J. Thurn Donald J. Tillou Charles S. Tirone Carl A. Todaro R. Ronald Toffolo Edwin B. Tomaka W. William Tornow Andrew V. Tramont August J. Tranella Hazel J. Trefts Anthony C. Trippi Joseph C. Tutton George R. Tzetzo S. Jefferson Underwood Robert M. Ungerer Morris Unher Edward L. Valentine J. Theodore Valone Joseph A. Valvo Russell J. VanCoevering II Rocco Venuto THE BUFFALO PHYSICIAN ., �Ronald A. Vidal Myrtle Wilcox Vincent Peter Vlad Albert J. Voekle Barbara von Schmidt Marvin Wadler Coolidge S. Wakai Paul M. Walczak Irving Waldman Irma M. Waldo Helen G. Walker Eugene W. Wallace Walter Scott Walls Joseph Wanka Robert B. Ward Robert Warner Richard D. Wasson Franklin E. Waters Kurt Wegner James W. Weigel Morton B. Weinberg Sidney B. Weinberg PaulL. Weinmann Barry A. Weinstein David H. Weintraub Charlotte C. Weiss Robert M. Weiss Mark W. Welch Philip B. Wels Reinhardt W. Wende David F. Weppner Everett H. Wesp James J. White, Jr. William F. White Frederick D. Whiting Eugene B. Whitney Charles E. Wiles Jane Brady Wiles Howard C. Wilinsky Robert G. Wilkinson James S. Williams John R. Williams Richard W. Williams Marvin N. Winer John A. Winter Allan S. Wirtzer Herbert W . Wittkugel Charles J. Woeppel Sherman Waldman Herbert S. Wolfe Leonard Wolin Everett A. Woodworth Donald A. Wormer John R. Wright Leon Yochelson Murray A. Yost Ronald F. Young Floyd M. Zaepfel James F. Zeller Richard Zeschke Edward J. Zimm Harold B. Zimmerman Despite our every effort to avoid errors, they sometimes do occur in the process of annual reporting. If your name has been accidentally omitted or misspelled, please notify the U/ B Foundation and accept our sincere apologies. This listing reflects individuals whose gifts were given during the 1977 calendar year.O Dr. Francis Klocke Dr. Francis J. Klocke, professor of medicine and chief of the Division of Cardiology, has been elected a member of the prestigious Association of American Physicians. Only 500 senior academic physicians specializing in internal medicine are members of the Association which was founded in 1887 to advance scientific and practical medicine. Election to membership is based on candidates' distinguished activity in patient care, teaching and research. Dr. Klocke is the second Buffalo area physician currently a member of the Association; the other is Dr. Evan Calkins, chief of U/B's Division of Gerontology. A native of Buffalo and a graduate of Manhattan College and the U/B School of Medicine (1960). Dr. Klocke joined the medical faculty at U/B in 1965 as assistant professor of medicine. He was named chief of U/B's Division of Cardiology in 1976 and is currently professor of medicine and assistant professor of physiology. Dr. Klocke is currently chairman of the Policy Advisory Board of the Coronary Artery Surgery Study involving 17 medical centers FALL, 1978 nationwide and funded through the National Heart, Lung and Blood Institute (NHLBI). The Study's primary goal is to evaluate surgical or medical treatment on long-term survival of selected groups of patients suffering from coronary artery disease. Last year, the NHLBI funded a $2.5 million grant at U/B to increase basic knowledge of cardiopulmonary dysfunction and improved diagnosis and treatment of heart/lung diseases. Dr. Klocke is the chief investigator of the five year grant which involves some 20 U/B researchers in five programs and nine projects ranging from basic cellular research to clinical treatment. A research group headed by Dr. Klocke five years earlier received a similar grant for $2 million. Prior to joining the U/B faculty, Dr. Klocke, based at E.J. Meyer Memorial Hospital, was a clinical associate at the then National Heart Institute as well as chief resident physician. He has authored or co-authored some 40 professional articles in the area of coronary disease and has served on the editorial board of the American Journal of Physiology and Journal of Applied Physiology.D 31 �Faculty Honored Dr. Farhi Dr. Randall SEVEN FACULTY MEMBERS were honored at the annual Medical School faculty meeting. Dean John Naughton presented the Dean's Award to Dr. Clyde L. Randall for his "outstanding contributions" to the School of Medicine. Dr. Leon E. Farhi received the Stockton Kimball award for his contributions to teaching, research and service. The Louis A. and Ruth Siegel awards ($500 each] for distinguished teaching went to Drs. Sattar Farzan, Stefan Madajewicz and John Wright. Two special House Staff Teaching Awards went to Drs. ancy Nielson and Richard M. Lewis. Dr. Randall ended 38 years of service to the Medical School in 1975 when he retired and went to Johns Hopkins University to coordinate a new international program of education in gynecology/obstetrics. In his career at U/B Dr. Randall served as professor of Gyn/Ob since 1942 and as chairman of the department for more than a decade. He was also vice president for the Health Sciences, acting dean of the Medical School and chief executive officer. In 1971 he was cited by the School of Medicine "for 34 years of devoted service to medicine and this school." Dr. Randall has headed the department of obstetrics/gynecology at three Buffalo Hospitals - Buffalo General since 1942, the E. J. Meyer Memorial and Children's since 1960. He has also served as a consultant in ob/gyn at Douglas Memorial, DeGraff, and Gowanda State Hospitals. In 1948, when cytological testing for uterine cancer was in its infancy. Dr. Randall supported the development of the first local laboratory to do such testing for obstetric and gynecological patients. Dr. Randall has contributed to the knowledge of uterine and ovarian neoplasms through publications, discussions and as a member of the editorial board of OBSTETRICS A D GYNECOLOGY. He is a Fellow of the American Association and the American College of Obstetricians and Gynecologists, the American College of Surgeons, American Gynecological Society, Royal College of Obstetricians and Gynaecologists (England]. New York Gynecological Society, Dallas SW Clinical Society, and Kansas City Academy of Medicine. Dr. Farhi, who is internationally known for his work in the field of respiration, joined the faculty in 1958. The professor of physiology received his M.D. degree from the Universite of St. Joseph, Beirut, Lebanon, in 1947. He did his internship and residency at Hadassah University Hospital. From 1952 to 1955 he was a postdoctoral fellow at Trudeau (NY) Sanatorium, University of Rochester (NY) and the Johns Hopkins University. Before coming to Buffalo, Dr. Farhi headed the respiratory research laboratory at Hebrew University. He was also an assistant professor of physiology there. Dr. Farhi was the project director of the $1.5 million Environmental Physiology Lab that includes centrifuge, building, related laboratories and computer system. Dr. Farhi has written extensively for scientific journals. He has served as editor or on the editorial boards of four others. He is invited regularly to participate in international symposia. Dr. Farhi has been a consultant to the United States Public Health Service and a member of the cardiovascular and pulmonary study section, National Institutes of Health. 32 THE BUFFALO PHYSICIAN } J �Dr. Farzan, clinical associate professor of medicine, was graduated Summa Cum Laude from the Tabriz Medical School in 1956 and served in the Iranian Army. He came to the Medical School in 1968. He was an intern and resident at the Washington (D.C.) Hospital Center (1960-62). From 1962-64 he was a second year resident in medicine at the University of Louisville Hospital. The following year he was chief resident physician at the B.S. Pollack Hospital for Chest Diseases, in Jersey City. From July 1965 to December 1966 he was senior staff physician and assistant medical director of the Kentucky State Tuberculosis Hospital. Currently, Dr. Farzan is an attending and consultant for the Meyer, Children's, Veterans and Newfane Intercommunity Hospitals. He has been assistant medical director of Mount View Hospital in Lockport since 1966. Dr. Farzan was named an "outstanding teacher" in 1975 by the graduating residents in internal medicine at the Meyer Hospital. Dr. Madajewicz is a research cancer clinician at Roswell Park Memorial Institute. He has taught many third and fourth year medical students. Dr. Wright has been professor and chairman of the department of pathology at U/B and the Buffalo General Hospital since 1974. The 1977 yearbook, The Iris, was dedicated to him for his "teaching excellence." The 1978 class honored Dr. Wright "for his constant service to them when they were sophomores." The Canadian-born physician graduated with honors from the University of Manitoba's School of Medicine in 1959. He completed a rotating internship at the Winnipeg General Hospital and a year's residency in medicine there before switching to pathology at the Baltimore City Hospitals in 1961-63 and the Buffalo General Hospital (1963-64). Dr. Wright was a Fellow in endocrinology at Buffalo General Hospital for a year (1965-66) before joining the U/B faculty as instructor in pathology. Two years later, in 1967, he went to Johns Hopkins School of Medicine as assistant professor of pathology, where he also served as visiting pathologist at Baltimore's Union Memorial Hospital and as assistant chief of pathology for Baltimore City Hospitals. The 44-year-old pathologist, who is noted for his studies in the amyloid-aging link, is a member of the Maryland Association of Pathologists, the Medical!Chirugical Faculty of the State of Maryland as well as the American Society of Clinical Pathologists and the International Academy of Pathology. Dr. Lewis will be chief resident in medicine at the Meyer Hospital next year. He has been chairman of the House Staff Association this year. He did his undergraduate work at the University of California, Santa Barbara and received his M.D. from the University of Vermont in 1976. He worked as research assistant in the infectious disease unit for 18 months at the Vermont Medical School before entering medical school. Dr. Nielson is a 1976 graduate of the U/B Medical School, and has been teaching medical students at the Meyer while continuing her post graduate education. Thirteen other faculty members were acknowledged for teaching excellence- Drs. John Bracio, Harold Brody, Alexander Brownie, Don Collure, Jules Constant, Murray Ettinger, Leon Farhi, Margaret MacGillivray, Herman Mogavero, Henry Polin, Thomas Raab, Ramanujapuram Ramanujan, and Alan Reynard.D FALL, 1978 33 Dr. Farzan The Stockton Kimball Award, an eight inch Steuben Crystall Plaque, with the inscription from the Hippocratic Oath, was awarded to Dr. Farhi. Dr. Wright �Clockwise from lower left: Dr. O.P. Jones, M'56, Wynne Kulick; Dean John Naughton, Drs. Erwin Neter, John Wright; Jeffrey Pitts, Gary Merrill; John Valvo, Clifton Peay, Doreen Miller, Doug Powell; Drs. Robert Kahn , Jules Constant; Mr. and Mrs. Richard Angelico and friend. ' It was a fun afternoon for the 200 students, faculty, alumni and their spouses who attended the fifth annual cocktailreception for seniors at the Frank Lloyd Wright House (alumni association headquarters] on Jewett Parkway. For the graduating seniors it was one of the last social get-togethers.O 34 Medical Aluni Hosts Fift: Reception j THE BUFFALO PHYSICIAN �\ rini Association :th Annual for Seniors FALL, 1978 Clockwise from lower left: a friend chats with David Rohrdanz and Henry Wilamowski; Drs. Lawrence Golden, M'46, Norman Chassin, M'45; Dr. john Richert, Michael Blume, Steve Stone; Drs. Evan Calkins, Thomas Flanagan; Benedetto Tarantino and friend; Dr. and Mrs. Michael Sullivan, M'53, Dr. and Mrs. Edmond Gicewicz, M'56; Drs. Robert Schultz, M'65, Norman Chassin, M'45; Marc Daniels and friend. 35 �Summer Programs The histology/ embryology lab . Dr. Joseph Tomasulo, clinical assistant professor of anatomical sciences, and a first year medical student. Graduate and first year students participated in special summer programs in the medical school, according to Dr. John Richert, assistant dean. Seven incoming medical/dental students and six graduate students got a head start in their education by completing histology/embryology during the summer. This was the fourth year for this special preparatory support program for credit. During the afternoons (June 5-July 28) the students took special courses in anatomy, biochemistry, biophysics and skills development. The professors involved were: Drs. E. Russell Hayes, Michael Meenaghan, Chester Glomski , Joseph Tomasulo, Harold Brody, Murray Ettinger, Michael Anbar and Ms. Meryl McNeal. ine medical students enrolled in the 9-week accelerated program so they could graduate in three years. They each received 12 hours of credit. Dr . Jerry Roth directed the program in pharmacology and therapeutics and Dr. Arlene Collins was in charge of microbiology. Each student spends approximately 15 hours daily reading, listening to taped lectures, in labs or doing other types of self-study. Other professors involved in the accelerated program were: Drs. John Wright, Elliott Middleton and Alexander Brownie.D Dr. David Mount, clinical assistant professor af microbiology, and four second year students- Dennis Smith, Kenneth Kuchta, Steve Sparr, and Don Cohen- in the accelerated program. 36 THE BUFFALO PHYSICIAN �Forcing senior citizens to lower their heat may cause them irreparable harm, according to Dr. Harold Brody, professor and chairman of the anatomical sciences department. "One danger, just beginning to be recognized, is accidental hypothermia," he said. Dr. Brody's words on the subject are part of the written testimony submitted to the Public Service Commission (PSC] in opposition to the National Fuel Gas (NFG] Co.'s proposed 16 per cent rate increase. Dr. Brody also pointed out the tendency of senior citizens to pay a utility bill even when a Social Security or pension check cannot cover the cost of food and medicine as well. "There is a possibility that some senior citizens may be denying themselves proper diets in order to pay energy bills," he testified.D Senior Citizens The outgoing president of the Medical Society of Erie County suggested that the medical and patient communities and industry join in a partnership to hold the line on medical costs. Dr. Anthony J. Federico, clinical assistant professor of surgery, urged the society to take a leadership role in the medical community to curtail spiraling costs by supporting local health maintenance organization involving an independent practitioners association. "I believe we are on the threshold of a major change in the way we practice our profession. We must guide our patients responsibly through the best of quality medicine with regard to the most economical manner in achieving it." In conclusion, Dr. Federico said, "I would rather see the physician community join in partnership with industry and our patients rather than with the federal government through a national health insurance program."D Medical Costs Dr. Hilliard Jason, a 1958 Medical School graduate, is the director of a new National Center for Faculty Development at the University of Miami Medical Center. On July 1 the Association of American Medical Colleges terminated their operation of the Faculty Development Division. Dr. Jason and his colleagues expect to continue to offer a variety of workshops on faculty development. Dr. Jason has been with AAMC since 1974. Before 1974 he was a full -time educational consultant to the Lister Hill National Center for Biomedical Communications of the National Library of Medicine since July of 1972. From 1966 to 1972, he was the Director of the Office of Medical Education, Research and Development at Michigan State University where he was Professor of Medical Education, Professor of Psychiatry and Professor of Educational Psychology. Dr. Jason is a Canadian by birth. He received his Bachelor of Science degree at McGill University and his Doctorate of Education at UB.D Dr. Jason FALL, 1978 37 �Th e N e w Hospital Erie County Medical Center A 17-year dream has come true . The new air-conditioned Erie County Medical Center that took seven years to build after 10 years of planning opened July 15. The $113 million facility, dedicated July 9, is among the most modern medical centers in the nation. The new Grider Street facility is twice the size of the E.J. Meyer Memorial Hospital, but has the same number of beds, 785. Under the 12-story tower is the three-story main building housing the clinics, radiology therapy, surgery, rehabilitation medicine , medical records and supply processing. Patient rooms are located in the four-wing tower. Each wing is equipped with a team conference center that replaces the traditional nurses' station. Each patient room has a "nurse-server" containing patient supplies and medications, a patient's chart and a space for storing fresh and soiled linens. Charts will be locked in the patient's room. At the center of each floor is an administrative control center designed for hospital personnel to clear entering patients, staff, visitors and supplies. Pneumatic tubes will link most hospital departments. Written messages, medications, specimens and false teeth can be sent through the tubes. Telephone-style button controls and an automatic empty carrier tube return gives greater efficiency to the hospital operation. Automated carts, running on a monorail system, distribute new supplies throughout the hospital. An ambulance ramp leads directly into the emergency room area and computerized patient monitoring systems. Menu items are prepared in a conventional manner in the hospital kitchen and blast-frozen for future use. Meals are not prepared for serving until they are delivered the the galley section designed to serve a 20-patient area. Visitors and staff members eat in the cafetorium, a combination cafeteria and auditorium.D 38 THE BUFFALO PHYSICIAN �Summer Fellowships TWENTY MEDICAL STUDENTS participated in the annual summer fellowship program, according to Dr. John Edwards, associate professor of medicine, who is program chairman. Each student received from $800 to $1,000 for eight or nine weeks of work in medical research in the basic sciences and community health problems. The program is funded by the American Cancer Society, Annual Participating Fund for Medical Education, and the bio-medical general research support grant. Four students, John Canty, Alan Smith, David Lipman and Jonathan Felsher, are continuing their research that they started in 1976 and 1977 when they won a summer fellowship. Others in the program include 12 first year students and 6 second year students. Student Eric Berger, '81 john Canty, 79 joseph Caprioli, '79 jonathan Felsher, '80 Marshall Goldstein, 81 Nancy Keller, '81 David A. Kolb, '80 David Lipman, '80 Deborah Malamed, '81 Patrick Marabella, '81 Thomas D. Masten, '80 john Monaco, '81 Gerald Peer, '81 Evan Schwartz, '81 Heidi Shale, '81 Alan Smith, '80 joseph Tabone, '80 Peter Yang, '80 Peter Yeracaris, '81 Kevin Welch, 81 FALL, 1978 Other committee members Drs. Michael Anbar, biophysical sciences; Gerard Burns, surgery; Murray Ettinger, biochemistry; Floyd Green, medicine; Diane Jacobs, microbiology; Edwin Mirand, Roswell Park; John Richert, assistant dean; John Seigel, surgery; and Mary Voorhees, pediatrics.D Sponsor Dr. Harold Brody, Anatomy Dr. Robert E. Mates, E.j. Meyer Hospital, Cardiology Dr. Frank B. Cerra, Surgery, Buffalo General Hospital Dr. F. Sachs, Pharmacology Dr. Edward B. elson, Pharmacology Dr. Howard Faden, Virology Lab, Children's Hospital Project Lipofuscin in Relation to Age in Brain Stem Transmural Variations in Myocardial Resistance and Blood Flow Further Investigations into the Nutritional Basis of Energy in Cancer Voltage clamp studies on isolated cardiac Purkinje cells A Therapeutics Approach to Aceteminophen Hepatotoxicity Effect of Hydrocortisone on Phagocytosis & Superoxide Production by Polymorphonuclear Leukocytes Clinical Application of Neurophysiologic Techniques: Investigation of the Fresponse in patients with amyotrophic lateral sclerosis Antigenic Variation of HA Protein and Base Composition of the HA Gene of Influenza A Virus Intrafamilial Factors in the Placement of the Elderly Effects of Chemotherapy on Immune Status: "Unblocking" The Management of the Complaint of Headache in a University Hospital Emergency Room and Walk-In Center Sweat Electrolyte Measurements in Premature and Full-term Infants Low tidal volumes and the penetration of gases of various diffusivities into the human lung Using the Dynamic Center of Mass as a Mass Screening Technique in Scoliosis Dr. S. Barron, Dent. Neurologic Inst., Millard Fillmore Hospital Drs. Thomas Flanagan/ Edward iles, Microbiology Dr. Evan Calkins, Medicine; Dr. orman Solkoff, Psychology Dr. Hiroshi Takita, Roswell Park Memorial Institute Dr. Robert L. Dickman, Social & Preventive Medicine 2211 Main Street Dr. Gerd Cropp, Children's Hospital Dr. Hugh VanLiew, Physiology Dr. Sheldon R. Simon, Children's Hosp. Med. Center, Boston, Mass. Dr. j.C. Winter, Pharmacology/Therapeutics Morphine and Endorphin-induced analgesia and stimulus control: Influence of serotonergic agonists and antagonists The Relationship of Early Membrane Effect of TPA and PGF' to Cell Cycle Kinetics Carcinoma of the Esophagus Dr. Charles E. Wenner, Roswell Park Dr. Hussein Abdel-Dayem, Radiology, E.j. Meyer Hospital Dr. Paul Berger, Radiology, Children's Hospital Measurement of Normal Ventricular Size in Children Utilizing Computed Tomography Patient Compliance and AppointmentKeeping Bahavior at the West Side Health Center Effect of Hemorrhage on the Cerebral Vasculature Dr. Robert Dickman, Social & Preventive Medicine Dr. Louis Bakay, Neurosurgery, Meyer Hospital 39 �Evaluation Committee I I Fifty-four medical school faculty members and students are serving on four "year committees" to review students' academic progress, evaluation procedures and the academic program. There is one committee assigned to each of the four years, according to Dr. Leonard Katz, associate dean for student and curricular affairs. Dr. Harold Brody, professor and chairman of anatomical sciences, is chairman of the first year committee. Serving with him are: Doctors Alexander C. Brownie, Biochemistry II; Murray J. Ettinger, Biochemistry I; E. Russell Hayes, Histology/ Embryology; Frank C. Kallen, Gross Anatomy; Donald W. Rennie, Physiology; Gloria L. Roblin, Human Behavior; Norman Solkoff, Human Behavior; Harry Sultz, Social and Preventive Medicine; C. Richard Zobel, Biophysics. Dr. Richard H. Adler is clinical sciences representative; Dr. Henry E. Black, volunteer faculty representative; and Rudy Williams is the office of medical education representative. Student representatives are Vivien Carrion, ancy Keller and Dennis Smith. Dr. Thomas D. Flanagan, professor of microbiology, is chairman of the second year committee. Others on the committee are: Doctors Robin M. Bannerman, Medicine General; Raymond P. Bissonette, Gyn/Ob; Robert L. Dickman, Social and Preventive Medicine; Richard V. Lee, Diagnostic Skills; Robert J. Mcisaac, Pharmacology/Therapeutics; Gloria L. Roblin, Human Behavior and Sexuality; Norman Solkoff, Human Behavior and Sexuality; John R. Wright, Pathology. Dr. Roger S. Dayer is the volunteer Faculty representative; Dr. Pearay L. Ogray, the Clinical Sciences representative; and Dr. John A. Richert is the Office of Medical Education representative. Student representatives are Joseph Gagliardi and John D. Mageli. Dr. John W. Cudmore, clinical associate professor of surgery, is chairman of the third year committee. Serving with him are: Doctors Harry J. Alvis, Fifth Pathway; Joseph T. Aquilina, Medicine; Evan Calkins, Medicine; Ellen S. Dickinson, eurology; Marcos B. Gallego, Gyn/Ob; Wayne L. Johnson, Gyn / Ob; Stanley Levin, Pediatrics; Seung-Kyoon Park, Psychiatry. Dr. Robert J. Grantham is the Basic Sciences representative; Dr. Philip D. Morey is the Volunteer Faculty representative; and Dr. Frank T. Schimpfhauser is the Office of Medical Education representative. Student representatives are Andrew Costarino and Lynnette Nieman. Dr. Raymond P. Bissonette, assistant professor of family medicine and clinical assistant professor of social and preventive medicine, is chairman of the fourth year committee. Serving with him are: Doctors Harry M. Beirne, Pediatrics; Burton S. Belknap, Dermatology; John I. Lauria, Anesthesiology; Eugene V. Leslie, Radiology; Kamal Tourbaf, Medicine; Richard W. Williams, Surgery. Dr. Edward W. Hohensee is the Volunteer Faculty representative; Dr. Leonard Katz represents the Office of Medical Education; and Dr. Barbara R. Rennick is the Basic Sciences representative. Student representatives are Terrance Chorba, Franklin Marsh, and Paul Paroski.D 40 THE BUFFALO PHYSICIAN �Continuing Medical Education Several Continuing Medical Education Programs are scheduled for Fall, 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: September 16-0bstetric Anesthesiology and Perinatology, Dr. Richard Ament, clinical professor of anesthesiology. September 22-Mental Health Planning and Evaluation, Dr. Barry S. Willer, assistant professor of psychiatry (psychology). September 22-Division of Community Psychiatry, Colloquium with Professor Gerald Caplan, Dr. Don Bartlett. October 5-6-Division of Community Psychiatry, Rural Mental Health, Dr. Don Bartlett. October 7-Electrocardiography: Diagnosis of Chamber Overloads, Dr. Jules Constant, clinical associate professor of medicine. October 12-13-The Uncompensated Hypersensitive, Dr. Robert Schultz, clinical associate in medicine. Treatment of Coronary Artery Disease, Dr. Lawrence Golden, clinical professor of medicine. October 14-15-Advances in Pediatric Endocrinology and Diabetes (to be presented by the pediatrics department). October 26-27-Clinical Dermatology (at Hilton Head, South Carolina), Dr. Richard Dobson, professor and chairman, department of dermatology. October 27-28-Radiology of the G I Tract, Dr. Eugene Leslie, clinical professor and chairman, department of radiology and clinical professor of nuclear medicine. November 16-17-Minimal Cerebral Dysfunction (with CIBAJ, Dr. Michael E. Cohen, clinical associate professor of pediatrics and neurology. November 27-28-Massive Blood Replacement. There will be no major reform in the nation's medical schools until educators admit that there are significant problems, the chairman of medical education at the University of Southern California's Medical School said Monday. "We have five major problems, and perhaps the most significanL.one is an unwillingness to look at the problems," Dr. Stephen Abrahamson said at the President's Dinner of the Buffalo Academy of Medicine. Addressing about 90 persons in the Statler Hilton's Georgian Room, Dr. Abrahamson said educators should be concerned about the cost of medical education and the medical schools' dependence on federal grants and financing from other outside sources. Other major problems, he said, are administrative structures that place too much power in institutions' medical departments and pressure from outside groups with specialized interests. "Unfortunately, there probably won't be another major reform in the field of medical education until the problems become quite acute," Dr. Abrahamson concluded.D FALL, 1978 41 Medical Problems �Dr. Bosu Wins Award Dr. Bosu Dr. Sogba K. Bosu, M'69, won the exceptional employee award (1977) of the Memorial Hospital Medical Center, Long Beach, California. He is a clinical assistant professor of pediatrics (neonatology) at the University of California at Irvine Medical School. In making the award, the medical director of Miller Children's Hospital, Dr. Harry Orne, said "Dr. Bosu is my concept of the ideal physician. He is an unusually dedicated, caring, warm person who gives freely of himself in time and skills to patients, parents and the Center's staff." The sentiment was echoed by a member of Infant Special Care's nursing staff, who said, "He is the most wonderful man. He comes here at 4 a.m. even when he's not on call. He's here seven days a week, always." "I stay until my work is finished," Dr. Bosu explained his daily long hours which begin well before dawn and extend until late in the day, usually between 7 p.m. and 9 p.m. The native of Nigeria came to the United States sixteen years ago to pursue his studies. He received his bachelor's degree from Cornell University, Ithica, .Y. Dr. Bosu took a three-year pediatric residency at Children's Hospital, Buffalo, and a neonatology fellowship at Children's Hospital, Montreal. He then served as research instructor in pediatric hematologyoncology at the Roswell Park Memorial Institute, Buffalo, the oldest cancer research institute in the world. Before joining Memorial, Dr. Bosu took up private practice in Long Beach with the Family Health Program, a prepaid medical group. He is secretary/treasurer of the Long Beach Pediatric Society and active in the Los Angeles and Orange County Pediatric Societies. In his limited spare time, Dr. Bosu swims, plays tennis and is an avid reader, particularly of military history. His greatest avocation, however, is politics. Fully versed in international politics, he intends to pursue a second career in this field if, upon his return to igeria within two years, the climate is right. His native country is currently undergoing a constitutional change from military to civilian government. If the new leaders fail to chart a course for Nigeria that Dr. Bosu believes is in the best interests of his people, then he will first seek political office as a congressman or senator and "someday will go for the presidency," he says.D 42 THE BUFFALO PHYSICIAN �Obese people tend to eat more when the amenities of the dinner table are plush, according to Dr. Sami A. Hashim, a 1955 Medical School graduate. An attractive goblet and a bit of candlelight tend to make obese people eat beyond their physiological needs. Dr. Hashim said that lean and obese volunteers were brought to the St. Luke's Hospital Center in New York City. It was here that the volunteers ate tasteless though fully nutritious food served in a variety of ways. First, the food was offered through a tube. "The obese patient reduced his intake drastically," Dr. Hashim said, "consuming about one-tenth of the calories he needed to maintain his weight." However, the lean subjects ate just enough to maintain their body weight. In this case both the obese and lean subjects consumed just the number of calories their bodies required. That meant that the obese were eating far less than usual because they were drawing upon excess reserves. Then the situation was changed to make eating the same food somewhat more attractive. Although nothing the researchers did to make the formula seem more appealing seemed to have any effect on the lean people, the obese subjects changed their eating habits drastically. "When we switched the automatic feeding from a tube to a paper cup," Dr. Hashim said, "the obese adult would consume twice as much. We put the formula in a crystal goblet and he doubled his intake again." The researcher went on, "We put a candle in the room and he consumed even more." When the obese subjects were told the feeding machine had broken down and were introduced to regular food, they ate still more. The hopeful note is this: The responses to those influences appear to be learned responses- and so they can be unlearned. "We've got to make the obese person less aware of the external, train him to listen to his internal and physiological voices," Dr. Hashim said.D Dr. Hashim Dr. Milton M. Weiser has been named professor of medicine. He comes to Buffalo from the Harvard Medical School where he has been since 1967. He has also been an associate physician at the Massachusetts General Hospital. In 1973 he was professor-incharge of gastroenterology at the Harvard-MIT program in health sciences and technology. Dr. Weiser received his M.D. from the University of Michigan in 1959. He did his undergraduate work at Wayne State University, Detroit. He interned at Southern Pacific General Hospital, San Francisco and was a resident at the University of Michigan Medical Center. In 1965-67 he was a postdoctoral special fellow (auspices of IH gastroenterology section) in the molecular biology department, Albert Einstein College of Medicine , Bronx, N.Y. He is a Diplomat, American Board of Internal Medicine , and is a member of several other professional associations. Dr. Weiser has authored or co-authored 30 scientific articles; seven abstracts; one book and chapters in four other books.O Dr. Weiser FALL, 1978 43 �Congenital Hypothyroidism Two PEDIATRICIANS are doing their part to minimize the effect of Dr. MacGillivra y Dr. Voorhees congenital hypothyroidism. Both Drs. Margaret MacGillivray and Mary Voorhess are trying to recognize the problem as close to birth as' possible. They are co-directors of the division of endocrinology at Children's Hospital and professors at the Medical School. Most affected children have subtle signs of the problem at birth, according to the two pediatricians. "We look for these signs during routine nursery examinations, but diagnosing the problem does not always mean mental retardation will not occur. Similarly, delayed diagnosis does not always result in retardation," Dr. MacGillivray said. A technique for screening newborns wasn't available until 1973, although methods to screen for less common problems causing mental retardation previously existed . The test is based on one developed in 1961 by Buffalo's Dr. Robert Guthrie, professor of microbiology and pediatrics, to detect phenylketonuria (PKU), a disease which often leads to mental retardation. A drop of blood from a newborn is collected on a filter paper and a small piece of it undergoes a process called radioimmunoassay. If the first test shows the presence of thyroid hormone is below a certain level, a second test using a drop of blood taken at a later date is performed. In the second test radioimmunoassay is performed to measure thyroid hormone and also thyroid stimulating hormone. Only a handful of states have yet to mandate screening using radioimmunoassay to test for congenital hypothyroidism. New York State 's Public Health Law was amended effective last July 6 to order screening of all newborns for the condition. However, because of state fiscal problems, statewide screening is not yet mandated. In Erie County local resources and CETA funding is being used for a pilot program to screen newborns at Children's and Mercy hospitals.D 44 THE BUFFALO PHYSICIA �Dr. Rattazzi holds a cat just before an enzyme infusion experimen t, while Ms. Catherine Dawning, a technician, and ,\ lark Glosenger, second year medical and summer ,\larch of Dimes Fellow, look on. A cure for Tay-Sachs disease is theoretically possible, according to Dr. Mario Rattazzi, research associate professor of pediatrics. He has been encouraged in his research by the recent discovery of a breed of domestic cat that manifests a genetic disease analagous to Tay-Sachs. He recently received a $160,000 grant from the ational Institutes of Health to develop an "animal model" of Tay-Sachs and related diseases that could eventually lead to an effective therapy for human victims. Tay-Sachs disease is a storage disease, an inherited metabolic disorder that inevitably results in blindness, retardation and death before the age of five. This disorder strikes more Jewish families, especially those with ancestral roots in Central and Eastern Europe. Ashkenazi Jews run a far greater risk of carrying the potentially deadly gene, according to Dr. Rattazzi. "Everybody is a carrier for about six deadly genes. We don't know it and live happily. These genes are part of our makeup just like the genes for red hair or blue eyes," Dr. Rattazzi said. "All Jewish couples who want to have children should be screened," Dr. Rattazzi said. Children's Hospital offers this service for a nominal fee. If the couple both carry the gene, they are advised. They are told that, should the woman become pregnant she has recourse to amniocentesis, a procedure in which the amniotic fluid surrounding the fetus is tapp ed. If the lysosomal enzyme Hex A is not found in this sample of amniotic fluid, the parents are advised that the fetus has Tay-Sachs disease. "If the fetus is affected we present the parents with the options. We, as geneticists, do not try to tell parents that they have to have an abortion. The decision is up to them. As genetic counselors, we have to take into account the moral and religious points of view of our counselees," Dr. Rattazzi said. The peditrician-researcher believes eventual treatment of Tay-Sachs disease based on enzyme replacement is possible, at least in principle. But a cure may be years of work away.O FALL, 1978 45 Tay-Sachs Disease ,\Is. Elizabeth ,\1. Villari, o technician, is separating leu k ocytes from the blood of a jewish co uple fo r ToySachs disease tes ting w hile Dr. Rattazzi abser\'es. �Aging Study Dr. Brody There is a long road ahead for solutions to problems of aging and the elderly, according to Dr. Harold Brody, M'61, acting director of the Multidisciplinary Center for the Study of Aging. "But we are making progress because government policy makers are taking notice." The Internationally-known gerontologist notes that there are more elderly people today and they are gaining political clout. Dr. Brody is also professor and chairman of the department of anatomical sciences at the Medical School. He is past president of the American Gerontological Society and a member of the advisory council to the National Institute on Aging of NIT. As a participant at an international meeting in France which attracted scientists in biology, medicine, sociology and psychology, voluntary retirement, financial security and other topics affecting the elderly were discussed. There were also reports dealing with anatomical and physiological process of aging, according to Dr. Brody. He notes that while senile dementia-a condition with symptoms that include loss of recent memory-is tied to morphological changes in the brain, and while aging causes a decrease in the number of cells in certain parts of the brain, scientists still don't know precisely what changes occur in the brain during various stages of aging. "Part of the basic researcher's problem is a lack of suitable animal models by which the aging process can be studied from birth to old age," Dr. Brody points out. Rats, for instance, must be more than 24 months old to be considered 'elderly.' But most grant monies are given for a limited three-year study which means that by the time the rat is at a prime age for study, the money may no longer be available. And although certain primates might be more ideal as animal models, it takes them 22 years to reach 'old age.' A hopeful note, however, is an ongoing NIA study of men who will have extensive medical and psychological tests during a 35-year period. A similar study with women is being planned by the Institute. Gerontologists, Dr. Brody explains, are interested in helping people live better, not necessarily longer lives. Some people may be disappointed that the scientists aren't instead seeking keys to immortality and eternal youth. "Our society is so obsessed with youth that it's a natural response for people to dread growing old. But no diet or quasi-medical regimens touted for wrinkle-free skin or eternal youthfulness exist today.'' There is no scientific evidence that massive amounts of Vitamin E, food combinations or injections of local anesthetics will deter aging. Dr. Brody believes heredity, more than diet or exotic panaceas, will be discovered to have more bearing on the speed and degree to which we age. "While it's good for people to practice preventive medicine through careful diet and exercise to perhaps lessen chances of debilitating medical problems, there's no evidence these measures slow down the aging process of body organs," Dr. Brody notes. While as a basic scientist, he's concerned with the physiological process and causes of aging, he is also concerned with the non-medical problems of old age. 46 THE BUFFALO PHYSICIA �"Some obvious things aren't being done nationally," he points out, "especially in the areas of transportation and security of the elderly." Assuming health care were readily available to all senior citizens, the problem of how they can get to this care is an enormous one, for many can't physically navigate even the steps of a public transit system. "The elderly are afraid of being 'ripped off'-a real and disturbing problem especially in urban areas. They're afraid to leave home, they're afraid to go shopping and they're afraid to be at home alone. What kind of life is that?" he asks. Dr. Brody concedes that in the area of building access, recent legislation mandating that all HEW-funded buildings be adapted for use by the handicapped will benefit many elderly as well. "But if public transportation isn't equipped with fewer steps or hydraulic lifts to enable the wheelchair-bound to get on the bus, the advantage of remodeled buildings will have been lost," the educator notes. "But we don't know how many people would choose voluntary retirement if they had no worry of how to pay utility and food bills, or the impact of delayed retirement on the overall job market. We also need to know what type of review system could be developed to determine employees' productivity so retirement, or continued employment could perhaps be based on the results," he says. "Is the 77-year-old physician who began jogging at 67 and has set new track records in his age group atypical or could others do the same? Or would many even want to?" Dr. Brody asks. The answers to these and other questions require more research, but the gerontologist says now we're looking at the problems and hopefully the answers will follow.D The Department of Pharmacology and Therapeutics tried an experiment this year with the sophomore medical class. The purpose of the experiment was to make the students more aware of FDA drug regulations as well as help them develop communicative skills with patients, especially in regard to drug effects. Students were given the opportunity to write a Patient Package Insert for Meperidine Hydrochloride (Demerol) for extra credit on the final Pharmacology Examination. The Inserts were intially evaluated by departmental faculty, and the best were submitted to the FDA for an unofficial evaluation by Dr. Lloyd G. Millstein, Acting Director, Prescription Drug Labelling Staff, Bureau of Drugs, and Dr. Louis Morris, Supervisor of the Patient Package Insert Program, FDA. Dr. Robert Mcisaac, Pharmacology Coursemaster, announced that in the opinion of the evaluators, the best insert was written by David Duani, and the second best insert was prepared by Mary Anne Kierman. Honorable mention was awarded to Katherine Jasnosz, Thomas Masten, and Thomas Pullano. Fifty-nine students took part in the exercise this year. Dr. Millstein expressed great interest in the project and urged that it become a regular part of the department's educational program.D FALL, 1978 47 Patient Package �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part VII Response of Readers to Dr. Samuel Sanes' Article VI By Samuel Sones, M.D. And so, almost from the beginning, I came to see myself writing as an advocate of fellow patients and their families, even if, in doing so, I ended up as an adversary of physicians and other professional members of the medical team. Indeed, I feel so deeply about other cancer patients, especially those in the leukemia-lymphoma group, and so close to them and their families, that I am seized with a sense of guilt that- limited by my literary skill - I haven't written as clearly, strongly and empathically in their behalf as I should. * Writing for The Buffalo Physician means different things to me. * * * At best, it is a mental and emotional tonic. Anticipating my articles, planning and executing them, submitting them on time for press deadlines strengthens my morale and selfesteem against the depressive effects of my cancer and its treatmen!. * * * At worst, in writing my articles I impose upon myself (it may be the masochist in me) a couple of negative feelings, one of fear and one of guilt. * * * As for the feeling of fearOriginally I saw my articles telling simply the story of my own cancer and my own response to it. Hence the title of the series, "A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself." But I have always been afraid that readers brought up on comprehensive reviews of the literature and reports of randomized studies on numerous patients will find my personal and anecdotal, selective and impressionistic narrative lacking in scientific significance and clinical relevance. * * * I soon realized that I was not alone - that I was not merely an individual physician-patient with my own disease and my own response to it, but one of many cancer patients facing similar problems. "Rehabilitation" and "Reconstruction" are recent concepts in the treatment and care of cancer patients. Progress in surgical, radiation, chemo- and immunotherapy has prolonged survival and increased chances for personal, social and occupational activities. Stroke patients have always been thought af as stereotypes for rehabilitation, particularly physiotherapy. Today rehabilitation may be becoming more indicated, applicable and productive in cancer patients. The Roswell Park Memorial Institute runs a busy Physiotherapy Department for both inpatients and outpatients. The department was set up with its present facilities just two years ago with Susan Barr as director. The photograph shows a practice staircase for patients in the RPMI Physiotherapy Department. Rehabilitation As for the feeling of guiltBefore I learned that I had disseminated cancer I had been a physician for 43 years and a volunteer in the American Cancer Society for 25. Yet until I was a cancer patient myself, I never really grasped all that it means for a person and his family to face cancer, particularly cancer of an incapacitating, painful, incurable type. * * But let's put aside discussion of my self-imposed fear and guilt. The basic question about my articles on communication in cancer is this: Does what I have written, in a personal and anecdotal, selective and impressionistic way (I've tried to be fair, though, by choosing positive and negative examples) possess validity for the every day practice of medicine - does it have meaning for the average physicianmember of the medical teampatient-family relationship? One source for an answer to that question is the comments which I have received from readers physicians and non-physicians - by word of mouth, telephone and mail. These comments answer a unanimous "Yes." (Readers with adverse criticism of my articles don't get in touch with me. Perhaps they don't consider it worth their time to criticize me.) You can judge for yourself. The editor of The Buffalo Physician has kindly decided to publish readers' comments to my six articles on communication as he did to my first five articles in the series. Here they are. COMME TS FROM PHYSICIA S From a UB senior medical student (now a physician) with Hodgkin's Disease Stage JIB, who was chosen by his fellow seniors to give a class address at the 1977 Commencement of the School of Medicine (excerpts from the address) Thank you all who made it possible for me to speak tonight and a special thanks to Dr. Sam Sanes and his articles on communication in The Buffalo Physician for helping me to formulate the following ideas. THE BUFFALO PHYSICIA RECONSTRUCTION �At his admission to the RPM! Feb. 7, 1978, Dr. Sones' anemia, recurring fever and chills, muscular weakness and pain, etc., had made him an invalid. He couldn't dress himself in street clothes. He couldn't walk upstairs without help and support. He couldn't turn in bed from side ta side. One afternoon he slipped and fell to the living room floor. His wife had to telephone the police rescue squad to get help in lifting him up. On being admitted to the RPM!, Dr. Sones was placed in a daily physiotherapy program. When I started medical school I often joked with a friend of mine, a fellow orderly at a local hospital, on how we fought disease and death by collecting dirty linen from various floors. To say the least, the battle against disease and death is quite a bit more complicated and difficult .. Today 140 of us - as new physicians - will embark upon that battle with a measure of scientific competence certified by our diplomas. Yet as we leave here tonight there are two essential elements, besides scientific competence, of our profession which we must attain, which are not really taught in any formal lecture setting. Nor is any clinical rotation especially designed to provide these interpersonal skills and attitudes - the capacities to communicate with and have compassion for our patients and their families. Our exposures in medical school to these skills and attitudes have been varied depending upon certain faculty members with whom we have worked in school and hospital, clinic and office ... Becoming scientifically competent in the management of disease is a function of lecture halls and laboratories, clinical rotations, textFALL, 1978 books. Communication and compassion depend upon our personal orientation to the physician-patient relationship and the examples set for us by other physicians-faculty members ... Each of us has seen some physician proficient in his ability to communicate, to be compassionate. He or she is easily recognized by the medical student, house staff, nurses and above all by patients and their families ... The doctor who, in addition to making a diagnosis and prescribing treatment, finds time to sit down and openly discuss the diagnosis and its implications, or who will explain upcoming procedures and answer questions to release anxiety and doubts, is a complete physician. This completeness ought not to be excluded by the practice of a specialty or subspecialty ... As physicians we must realize that as individuals performing our scientific tasks we are replaceable. (i.e. Someone else can read that EKG, remove that gall bladder, or whatever.) What is unique to all of us is our personalities and the interpersonal dynamics which we apply to the physician-patientfamily relationship ... Tonight we leave here 140 strong - with a scientific competence for which our diploma certifies us - to pursue further training. We will need to add to the competence we've acquired in medical school the skills of communication with and compassion for the patient and family. This will require much effort, constant trial and error and self-discipline until each one of us can become the house officer or attending physician who is the complete doctor - a medical scientist and an empathic physician in one. * * I was on duty in the emergency room. An elderly black man about 70 years of age, retired but working part time as a security guard, came in with his middle-aged daughter. His only other close relative was a blind wife who lived as a recluse with him in a small rural town about 15 miles from Buffalo. The patient's chief complaint was severe pain in the lower back. The prostate gland was "frozen." X-ray films of the lumbo-sacral spine showed osteoblastic metastases. Neither the patient nor his daughter knew anything about a diagnosis of cancer of the prostate. Some time before, however, the patient had gone to a general practitioner in Buffalo with a complaint of difficulty in voiding urine. I telephoned the general practitioner from the emergency room. He had referred the patient to a urologist in a suburb adjacent to Buffalo who had done a transurethral resection. The pathological diagnosis was carcinoma. As far as I could find out over the phone, the urologist had not told the diagnosis to the patient or his daughter. (In this instance there was no question of talking to the blind, reclusive wife, but the daughter was Dr. Sones lifts weight with leg to strengthen quadriceps muscle (under supervision of Susan Barr]. Dr. Sones had severe quadriceps weakness which prevented him from getting out of a chair, walking independently and climbing stairs. * From a resident at a voluntary teaching hospital in Buffalo affiliated with the UB Medical School [word of mouth). Some of the residents, especially the foreign graduates, think your articles in The Buffalo Physician are classics. Residents not on the mailing list of the journal read the articles in the hospital library. Here's an example of fouled-up physician-patient-family communication which I ran into recently. I wonder about the factors involved. 49 d- �Dr. Sones strengthens arms with pulleys. His arms were weak from disuse, and with the weakened quadriceps he needed to rely on his arms more than ever. available for communication of the diagnosis.) He had referred the patient back to the general practitioner in Buffalo, who told me over the phone that he had informed the patient that he had cancer. The patient and his daughter vehemently denied having received this information. The fact is, however, that the patient was never scheduled for a follow-up visit with either the urologist or the general practitioner and received no treatment. I must mention that about this time in the relationship between the general practitioner and the patient the physician became ill with coronary heart disease and was off practice for some time. Of course both the patient and the daughter were most angry in their expressions to me that they had apparently not been told of the cancer. The daughter was especially so. I admitted the patient to the hospital for hormonal control of his cancer. What factors really went wrong here in the general practitionerurologist - patient - family communication? Whom to believe? * * * From a Buffalo physician who overheard an attending surgeon during a conversation in a hospital coffee shop complain about a newly-built surgical suite. (word of mouth) Why did they locate the new operating rooms so that the surgeon, after completing an operation, upon leaving "surgery," can't avoid encountering the patient's family in an adjacent waiting room? * * * From a Buffalo physician whose wife had recently died of carcinoma of the breast with metastases. (a phone call) Maybe you'll convert a few before the day of reckoning. For goodness' sake keep on writing. The Buffalo Physician arrived this afternoon and this evening I read your Article VIC. I just had to telephone you immediately. I have been reading your articles and should have been in touch with you before, but after my wife died I just couldn't come to terms with the subject of cancer. Her illness and death were too much for me. I want to tell you that everything you said about communication in Article VIC is the truth. I can't tell you the problems my wife and I had communicating with her physician. He had absolutely no empathy with us or our problems. Even though I myself am a physician, he would never take time out in the hospital to sit down and talk to me. I had to invite him to lunch to get enough of his time and attention to learn what I needed to know. Toward the end my wife confronted him with his lack of compassion. "Don't you ever think of me as anything more than a blood count?" she asked. From a general practitioner, not a UB graduate, in Massachusetts who is under treatment for histiocytic lymphoma (a letter) * * * From a general surgeon in New York State (a letter) I continue to enjoy your articles in The Buffalo Physician. Your complaints about physicians and malignant disease could be extended across the whole spectrum. I think a great many doctors are insensitive - mercenary - gods, etc., and it's always been something like that. I am particularly struck with the ones who are gods. When a situation gets out of control they have to get out so it will not come to their attention that they are ordinary persons. I have just finished reading "Informed Consent." It's really just about breast surgery but is something for a surgeon to think about. Somewhat more pessimistically than you, I think that many physicians are tradesmen - not very kind or concerned, many on ego trips and just can't stand anything that threatens them. I think that Medicine generally is in for a big kick in the ass. The days of the god-like physician are coming to an end. 50 * * * After reading about you and your fine work (on communication with families of cancer patients) in the October, 1977, Medical World News, I feel prompted to write. I also have histiocytic lymphoma - abdominal -discovered in July, 1976. Surgery was performed followed by 21 radiation treatments, then 6 weeks of induction drug therapy vincristine, streptomycin and prednisone. Since then I have been on maintenance of cytoxan, B.I.D. and prednisone for the first 7 days of each month. When I saw my oncologist about 10 days ago he informed me that he will stop my medication at the end of 18 months - March 31, 1978 - because it has been found that to extend medication beyond 18 months results in leukopenia, perhaps pancytopenia. My oncologist also informed me some time ago that I was in remission. I advised him to put on his records that it's a cure. He laughed and said, "I hope so." I am 67 years young, married and have 5 children. I am a GP and a Regional Medical Examiner. I would greatly appreciate hearing from you, telling me everything you possibly can about our histiocytic lymphomas. Dr. Sones strengthens trunk and hips through resistive exercise (proprioceptive neuromuscular facilitation techniques) to enable him to turn over more easily in bed. �(Dr. Sanes' note: Physicians with the same cancer sometimes communicate with each other. It's interesting that in corresponding with this physician I learned that he had been on the staff of J.N. Adam Memorial Hospital at Perrysburg, N.Y., in the late 1940s. His first son was born in Buffalo.] * * * From a family practitioner in Indiana (a letter) Your article Part VI Dis excellent. "Pathology" and "Psychiatry" are surely at opposite ends of the spectrum as far as objectivity and subjectivity- the concrete and abstract - are concerned. And yet you would have made an excellent psychiatrist or family doc. * * * From a family practitioner in New Mexico (a letter) I've been following you through The Buffalo Physician. I think often of your attitude and approach to your illness. My father had "microscopic" prostatic CA diagnosed when having a TUR done for BPH 3 years ago. No gross abnormalities. Received radiation treatment and just this winter presented with osteoblastic lesions. His attitude is good and I really think that is helping. His internist is wonderful, but the urologist is a non-feeling, callous person. He is a "good" doctor as far as his strict medical responsibilities are concerned but he really flunks as a doctor when you really look at the patient. I think my father is about to switch physicians. It really is a humbling experience and makes you wonder why people like that urologist would even want to be in our profession. * * * From a public health physician in California whose wife had a coronary by-pass operation (a letter) I am stimulated to write of your articles Parts VIC and Din The Buffalo Physician. They are very good, to the point, and you do get your message across. I think sometimes that we physicians do not like to be associ a ted with "failure." This applies to chronic disease including cancer. FALL, 1978 Dr. Sones begins to walk in parallel bars when he is very weak. The failure will be a reflection on our professional ability. Thus when the point is reached when "nothing can be done" the physician tends to retreat just when he is needed more. You are so right- communication between physician, patient and family is crucial and in my experience not very well done by many physicians. For my wife's surgery, our chief communicator was a nurse in the surgeon's office. She reviewed things pre-operatively thoroughly. She communicated with me about every half hour while my wife was in surgery for 8 to 9 hours and postoperatively she was the one who talked to us specifically. Without her I think that I would have floundered dreadfully and I would not have been prepared for how ~ru­ ly waxy the patient looks Immediately post-op. * * * From a missionary physician in the Philippine Islands (a letter) Every time I read another of you.r installments in The Buffalo Physlcian I resolve to write my appreciation for each one. Then I lay the magazine aside and don't do anything about it. . I appreciated the articles on "communication." It takes on a different tone in different cultures, but still most patients and families want to know what to expect, etc. So when I feel a "lump" in the breast and take it out for a biopsy, and wait on the laboratory technician to freeze it and stain the tissue, "read" the lesion through our binocular microscope picked up in Buffalo 51 and come up with a diagnosis and decision of what to do, I usually tell the patient and husband why a radical mastectomy (or whatever] must be next. Perhaps the communication is less detailed and technical than back in western culture. Certainly it seems to be accepted with less outward show of emotion- not always, but usually. I'm sure it's because there is a very broad acceptance that God is still in charge and has reasons for the illness. He certainly is as far as our lives are concerned. It seems to me that one of the reasons the patient and family aren't clued in on such problems is that in the western society so many doctors are involved in a case that no one takes the initiative or feels responsible or expected to tell them. Of course there is the occasional attending MD who warns the others, "No one tells anyone anything. I'll do it." Then he does what he feels best and junior physicians feel bound to keep quiet. * * * From a professor of surgeryoncology in Louisiana (a letter) As a former student of yours who currently spends much of his time practicing and teaching the management of patients with malignant disease, I greatly appreciate your point of view and eloquent expression in The Buffalo Physician articles. If dDr. Sones walks in parallel bars against resistance (proprioceptive neuromuscular facilitation techniques) to strengthen his gait pattern. �Dr. Sones walks up regular stairs with assistance of physical therapist after being graduated from practice staircase. there is a special emphasis in my teaching it is along the lines of "caring" for the patients and families as you express in such depths. You may be sure that your poignant, eloquent, beautiful remarks and stories will survive my teaching and those of my students and that your name will survive them. * COMME * * TS FROM PHYSICIANS NO From a retired public health nurse, also a wife, mother and cancer volunteer, with a 12-13 year survival from Stage IV lymphosarcoma and 1 112-year survival from cancer of the colon (a letter) When The Buffalo Physician arrived, I immediately read your article VI B. I liked your handling of that difficult subject. I found it straightforward. The case examples you used were evidence of the complexity of the problems. I found them easily understandable and wished cancer patients and their families could see the articles. Certainly you should not fear offending any physicians who do. ow for a little on communication on my side. I realize daily how much more complicated it is to communicate than we realize. Can anyone not afford really good communication? If you can use my material on communication you are more than welcome. In 1966 at the initial diagnosis of lymphosarcoma my internist told my husband and me that I would be dead in three years. I think my internist who gave me three years to live was very uncomfortable with the subject of lymphosarcoma because he thought that medical intervention is rarely helpful, does not influence the course of the disease and sometimes makes problems for the patient and family. In 1976 when I had my second primary cancer, adenocarcinoma of the colon, removed surgically, I had another experience with physicianpatient-family communication. The internist always made the prognosis sound rosy. I guess his intention was to be reassuring. At first my husband liked his approach. I learned to distrust the internist. The surgeon was informative, shared his evaluations, discussed alternatives freely and prepared me for the worst. It was the surgeon who convinced me that I ought to get well. Strange to say my husband in time learned to trust the surgeon more than the internist, who was a personal friend for many years. * * * From a former Buffalo nurse who became a nursing missionary and an ordained minister in her denomination and served many years in the Kentucky hills. Now retired and living in a small town in New York State (population 500), a town which has no physician, she is still ministering as a volunteer to the needs of the sick and their families including some with cancer. The nearest voluntary teaching hospital in 25 miles distant. (a letter) I received the 1977 Fall edition of The Buffalo Physician with Article VIC, so I had some interesting reading. It would seem to me that the doctors who read your articles should be alerted to better communication between doctor and patient and family. I learned something that I was not aware of ... that provision of the New York State Hospital Code on Patient-Family rights. I don't know whether Pennsylvania has the code incorporated into law 52 or not, but I have been amazed how careless doctors have been about telling patients and families what is taking place. I can understand that there is the "other side" of overconcern by patients and families and demanding calls, etc. My latest experience involved a great niece in Pennsylvania (a thirdyear college student] who wasn't feeling well. Her parents made an appointment for a medical checkup. She went into the hospital for a complete GI series, intravenous pyelography and all kinds of lab work. They had her in the hospital 10 days. The urologist scheduled her for a cystoscopy under anesthesia. Her parents were told that he would just work her in the next day as they had a heavy schedule (any time from 8 AM to afternoon). The parents went into the hospital and waited until their daughter was taken to the OR at 2 PM. They were not told that there was a place for them to wait outside of the OR. The daughter got into the recovery room at 4 PM and then to her own room about 5:30 PM. No doctor had showed up. So the mother asked the nurse on the floor why she and her husband hadn't had any word from the physician as to what had been found. By this time it was about 6:30-7 PM. The nurse said that she would call the resident. He didn't know anything as he hadn't been in on the case. The nurse suggested to the mother that she see if she could get hold of the urologist. She finally did, at his home. He inquired, "Hasn't the resi- Dr. Sones walks on level without devices or assistance. �dent seen you?" "But he hasn't been on the case," she replied. The urologist said he would call the resident and have him see the parents. All the resident had was a tape recording made at the time of cystoscopy but he did come and tell the mother and father that there had been no left ureteral orifice in the bladder. That meant the daughter "had been born with no left kidney." By that time the mother was really upset. She was told to return in the morning to see the urologist. She was at the hospital by 8 AM but the urologist had already been there and discharged the daughter to the care of the "medical man." I have kept my big mouth shut but I'm glad I wasn't in on the situation. I did say that I couldn't have imagined any urologist or surgeon whom I had known not making certain that parents knew what he had found. The interesting part is that the urologist had seen the daughter several times over the years since she was a small child because she had an occasional recurrence of a mild cystitis. So he knew the family. (He has never had to wait for payments of his bills, either.) I'll write later about my neighbor with Parkinson's Disease and poor communication. I get calls, "Ethel, what should I expect from this or that medicine my doctor just gave me?" If my old PDR doesn;t have the answer, I telephone the pharmacist about 11 miles away. * * * Besides physical advantages, the Physiotherapy Department at the RPMI provides psychologic benefits. Hope and optimism pervade the atmosphere of the department. The therapists are encouraging, supportive, personal in their attention and concern for the patient. Their lively, buoyant spirit is contagious. Patients find themselves looking forward to their therapeutic sessions as a pleasure rather than a workout. They take on a feeling of confidence, of determination to keep going and improving "day by day" as this poster on the wall of the Physiotherapy Department advises. From a Protestant minister in New York State, an American Cancer Society volunteer who has served as bishop of his denomination [a letter) It was in mid-October 1977 that I attended a Cancer Care and Clergy Workshop sponsored by the American Cancer Society. I carried away a portfolio of valuable material and in particular I was interested in the series of papers that you had prepared for The Buffalo Physician in respect to your own experience, no longer as "a potential cancer patient" but an actual one. Before I had the chance to read any of the papers, I was conversing with a neighbor who had just discovered that his sister-in-law had been diagnosed as a cancer patient, and hoping to be helpful to him and members of his family, I turned over the entire folio to him, "on loan." It was only yesterday that he returned it with much thanks. It was, therefore, only last evening that I read your exceptional papers. I thank you for them, and for the honesty and insight they reveal. I shall cherish the possession of them and hold them for frequent future re-reading. How very deeply your colleagues in the profession must feel an indebtedness to you for the perceptive and comprehensive way you have outlined problems and possible therapy as you have encountered them. As a non-medic, I certainly have gained much from your observations and comment. SPECIAL ACKNOWLEDGMENTS May Sherman Rosen, UB, MD'41, and Lily Gordon, R.N., for originally prompting the writing of Articles VIA- VIF. ACKNOWLEDGMENTS (photographs, drawings, captions in margins] -American Cancer Society; R. Abbey; S. Barker; Buffalo Evening News; M.D. Diedrick; E. Mirand; New York State Division, American Cancer Society; New York Times; M.D. Spencer. BIBLIOGRAPHY (Articles VI E-F] Abrahams, R.D., Nat Alone With Cancer, Charles C. Thomas, 1974; American Cancer Society, Cancer Facts and Figures, 1977-78; Belsky, S., and Ryan, L., How To Choose Your Doctor, Fawcett Publications, 1957; Casterline, R.L. (excerpted], Federation Bulletin, 1977; DeVries, P., The Blood of the Lamb, 1962, Madder Music, 1977, Little Brown & Co.; Forbes Magazine (Sept. 1, 1977, March 6, 1978); Highet, G., The Immortal Profession, Weybright and Talley, 1976; Holland, J., Psychologic Aspects of Cancer - Cancer Medicine, Holland, J.F. and Frei III, E., Lea and Febiger, 1973; James, A.C., Cancer Prognosis Manual, American Cancer Society, 1967; Kelly, 0., and Becker, R., Make Today Count, Del a corte Press, 1975; Rosenbaum, E.H., Living With Cancer, Praeger Publishers, 1975; Rosenfeld, S.S., The Time of Their Dying, W. W. Norton, 1977; Roswell Park Memorial Institute, Regional Report, 1977; Sabov, S.E., and Brodsky, A., The Active Patient's Guide to Better Medical Care, David McKay Inc., 1976; Salmon, S.J., Personal Communication, 1976; University of Rochester School of Medicine and Dentistry, Clinical Oncology, American Cancer Society, 1974; Weineman, B. H., et al, JAMA v. 237, p. 2403, May 30, 1977. FALL, 1978 53 �Of course it was with a frequent use of the dictionary that I made my way through them, but that was not too difficult, and as they were addressed to professionals it is quite appropriate that medical usage should characterize them. But it has occurred to me that what you have to say certainly merits a much wider circulation than simply the local medical fraternity, important as that is. Why not ask your wife to re-edit some parts of your observations in good newspaper English , as she is so well able to do, and to make your observations widely comprehended? I, for one, know a large number of People ministers who could profit enormously thereby, and as for men in our Seminaries, I should make your papers "required reading." And as one who has some appreciation of the Boston-Peabody tradition, I know how much they would be welcomed. Perhaps this note is already too long, and that was not my intention originally. It was rather to salute you as a wise and consistent teacher, physician and friend. Perhaps you are now doing some of the best teaching you have ever done -and hopefully it may be to a wider audience than you ever expected to reach, and with an ex- Dr. Erwin eter received The Golden Medal of Merit and a Diploma from the German Government of the State of BadenWurttemberg at the Castle Ludwigsburg, Stuttgart, in April. Several other people were also honored by the President of the State at a special ceremony. The Mayor of Strasbourg was the main speaker. Dr. eter is professor of microbiology and professor of clinical microbiology in the department of pediatrics.D Drs. eter, Filbinger cellence of quality hardly to be surpassed. A tip of my hat to you, Sir, and my sincere best wishes to the very end here, in Buffalo. Beyond that we each have our own convictions. * * * AUTHOR'S SUMMARY to Articles VI A-F on communication (and compassion) between physician and cancer patient's family: "Taking care of a cancer patient includes caring for the cancer patient's family." Two faculty members are new officers of the Buffalo Urologic Society. Dr. George Egri, clinical associate in urology, is the new vice president and Dr. George Schillinger, clinical instructor in urology, is secretary-treasurer. Dr. John P. Grimaldi is president. He is chief of urology at Our Lady of Victory Hospital, Lackawanna.D More than 300 scientists from 11 countries participated in the Sixth International Convocation on Immunology in June at the Center for Immunology at the Medical School. Dr. Philip Y. Paterson, professor of microbiology and immunology at Northwestern University, delivered an Ernest Witebsky Lecture as part of the fourday meeting.D Dr. Jules Constant, clinical associate professor of medicine, is the new president of the Buffalo Academy of Medicine.D Dr. Joseph J. Winiecki, clinical instructor in medicine, has been appointed to the Board of Trustees of St. Joseph Intercommunity Hospital, Cheektowaga. He is also president of the medical staff.D THE BUFFALO PHYSICIAN �Seven Buffalo physicians affiliated with the School of Medicine have been listed by Town & Country Magazine's national directory of the best medical specialists. More than 80 physicians across the country who represented some 40 institutions were interviewed by the magazine to determine the choices. All physicians listed in the directory were selected by other physicians within the same medical specialty. Two dozen specialists are represented in the directory. Area physicians named are: Cardiology, Dr. David G. Greene, professor of medicine; Heart Surgery, Dr. S. Subramanian, professor of surgery; Orthopedic Surgery, Dr. Eugene Mindel!, chairman and professor of orthopedic surgery; Skin Cancer, Dr. Edmund Klein, research associate professor; Dermatopathology, Dr. John D. Maize, assistant professor of dermatology; Allergy, Dr. Elliot F. Ellis, chairman and professor of pediatrics; and Diabetes, Dr. Alfred R. Lenzer, assistant clinical professor of medicine.D Two Buffalo professors are editors of a two-volume comprehensive text on allergies which has been published by the C.V. Mosby Co. Allergy: Principles and Practice deals with the basic science as well as clinical aspects and is the largest reference of its type dealing with allergy. Editors are Dr. Elliot F. Ellis, professor and chairman of pediatrics at U/B and pediatrician-in-chief at Buffalo Children's Hospital; Dr. Elliott Middleton Jr., professor of medicine and pediatrics as well as director of the U/B Allergy Division, Buffalo General Hospital; and Dr. Charles F. Reed, professor of medicine at the University of Wisconsin School of Medicine, Madison. The text features more than 100 recognized authorities as contribu tors.D Three alumni have been installed (twoyear terms) as officers in the Buffalo Ophthalmologic Club. Dr. Edward W. Hohensee, M'56, is the new president. He is a clinical assistant professor of ophthalmology. President-elect - Dr. Louis Antonucci, M'66, clinical assistant professor of ophthalmology; treasurer Dr. Kenneth Klementowski, M'66.D FALL, 1978 People Dr. Rune Grubb discussed "Implications of Advances in Knowledge on Genetic Markers of Human Immunoglobulin" at the 8th annual Ernest Witebsky Lecture. Dr. Grubb heads the department of medical microbiology at the University of Lund in Sweden.D Three alumni are the new officers in the Western New York Society of Internal Medicine. Dr. William J. Mangan, M'59, clinical associate in medicine, is president. The first vice president is Dr. Nicholas C. Carosella, M'54, and Dr. James Giambrone, M'67, clinical instructor in medicine, is treasurer. The 2nd vice president is Dr. Cornelius J. O'Connell, clinical associate professor of medicine and microbiology. The secretary is Dr. Jeremiah O'Sullivan.D Dr. John M. Lore, Jr., professor and chairman of otolaryngology, has been elected chairman of the Joint Council for Approval of Advanced Training in Head and Neck Oncologic Surgery. The Council consists of eight members, four from the Society of Head and Neck Surgeons and four from the American Society for Head and eck Surgery. Its function is to develop guidelines for the evaluation of Phase III Head and Neck Oncologic Surgeon Training Programs throughout the country. These are new post-residency programs now being established following the pioneering efforts of the two head and neck societies in defining a comprehensive curriculum for training head and neck oncologic surgeons. Phases I and II constitute the basic and intermediate surgical experiences, respectively, and are normally satisfied by two years of surgical residency, plus further residency in general surgery, o t o I ~ r y ~ g o 1. o g y , o r p 1a s t i c s u r g e r y , culmmatmg m board eligibility in one or more of these disciplines. Phase III Programs would be open to qualified candidates who have successfully completed Phases I and 11.0 55 �Letter The Editor Buffalo Physician Dear Sir: I was surprised to open the pages of the Spring issue of the Buffalo Physician and note the "spread" concerning my stepping down as Chairman of the Department of Medicine. I had not realized that this occasion would be memorialized in quite this fashion. Several months ago it occurred to me that someday someone might be interested in recalling the history of our department. While the events were still fresh in my mind I prepared some notes concerning two phases of our program which particularly interested me - the recruitment of research-oriented full-time faculty, and the development of our inter-hospital house staff program. When our office was contacted for some "background material" for the article, it was thought that this material might be helpful. I had never intended, however, that these comments would provide the basis for what might be interpreted as a review of the overall accomplishments of our department. As it stands, the article creates a decidedly odd and, I believe, erroneous impression, both of our history and our goals. I hope, therefore, that I might be permitted to provide these additional comments. There is no question that two decades ago the department was suffering from severe constraints of budget and laboratory facilities. As a result, the research effort was limited in scope. The quality, however, was good. In addition to strong, though focused, programs in cardiology, nephrology, and rheumatology, the department was distinguished by the presence of one of the country's strongest research and training programs in the area of allergy, under the direction of Dr. Carl Arbesman. The fact that this program was housed in a makeshift annex and received essentially no University support whatsoever conveys, I believe, an important lesson to those who attribute our present problems to shortage of University funds and space. The most unique characteristic of our department at that time, as it had been for many years, was its excellence in the teaching of clinical medicine. Under the leadership of my two distinguished predecessors, Drs. John Talbott and David Miller, our School had enjoyed the presence of two distinctive teaching services, each of which provided an excellent setting for the teaching of medical students Bottom row: Drs. Bernard Mazur, G. Lawrence Sheehan, john B. Burns, Donald Purple. Second row: Drs. George Guthiel, Wolter King {co-chairperson), Eugenia Bukowska, Harry Spiegelman, Thelma Brock {cochoirperson), Bruno Schutkeker, Floyd Brott, Albert j. Voeklle . Back row: Drs. Vincent Howro, Glenn Hatch, Raymond Rickloff, Howard Stoll, Martin Gerstner, Howard Keyes, Clyde George, joseph Hill, Frederick Lowe, julius Markovitz. Class of 1928 at Spring Clinical Days 56 THE BUFFALO PHYSICIA �Class of 1938 at Spring Clinical Days Bottom row: Drs. Richard N. Terry, Russell J. Catalano, Clarence A. Straubinger, Carl Hertz, Charles Donatelli. Back row: Drs. Alfred A. Mitchell, Leo J. Doll, Jr., John Goeckler, Harry C. Law, Walter L. Sydoriak, Norman J. Foit, Eustace G. Phillies, Chester J. Kaminski, Vincent L. Rutecki. and house staff. Throughout the decade of the 1950's, the Department of Medicine at the Buffalo General had attracted an excellent house staff, many of whom brought backgrounds of experience at a variety of different medical schools. With Dr. Talbott's encouragement, a number of the graduates of this program had gone on to fellowship training in some of the strongest specialty programs in the country. Some had already been "woo'd" back to the department; others were eager to return to make their careers here. These people have provided a wonderful reservoir of leadership and strength throughout the course of the past two decades. At the Meyer Hospital, despite its notable deficiencies in architecture, Dr. Miller had, through his personal example, developed a truly remarkable teaching program for students and house staff. To have served under his leadership has had a major impact on the lives and careers of everyone who had this privilege. A number of the graduates of this program have continued to devote their energies to patient care and teaching at this hospital and are recognized by the students and house staff of the present day as among the strongest and most helpful clinical teachers in our program. A number of other graduates have entered private practice in the Western New York area, and contributed very FALL, 1978 effectively to the level of patient care in this area. Thus, when I was asked to join the department 17 years ago, there was an abundance of strength upon which we could and did build. In particular, I acknowledge the privilege of sharing responsibility for department leadership with David Miller over a period of several years. He taught me much about people and academic medicine; the opportunity to work with him has been one of the happiest dividends of my "Buffalo adventure." I cite these points simply as illustrations of the obvious fact that while the researchoriented dimension cited in your article represented an interesting and important aspect of the life of our department, I do not think it should be regarded as the "central theme." If I were to characterize this theme, I would use the words "diversity" and "commitment to teaching and to patient care." I cannot hope in this letter to put in perspective the many developments in which I have been privileged to participate. As I view them now I believe that two deserve special mention. The first is the extension of our teaching activities to involve many institutions throughout the city. The first example, of course, was the increasing participation of the Department of Medicine at the V. A. Hospital under the able direction of Dr. J. 57 d- �Aquilina. This hospital, which served as the site of the initial subinternship program about 14 years ago, has played a role in several other innovative programs, notably the "Saturday morning clinics" and initial efforts at teaching the "Mechanisms and Manifestations of Disease." The V.A. Hospital has also served as the focal point for the Physical Diagnosis course, and now participates in all aspects of the teaching program. Other examples include the increasing involvement of faculty members at the Roswell Park Memorial Institute, the development of a broad range of teaching programs at the Millard Fillmore Hospital, the unique cooperation between the Departments of Medicine and Family Medicine at the Deaconess Hospital, the development of good programs in general medicine and in several subspecialty areas at the Buffalo Mercy Hospital, the establishment of the Maternal Health Service at the Children's, and, most recently, the decision to develop a teaching program at the Sister's Hospital, with the ap- pointment of Dr. John Edwards as chief of medicine there. Paralleling this has been a sustained commitment to student teaching. I believe that the two most important developments in this area have been the continued evolution of the third year clerkship, and the steady growth of the subinternship and elective programs in the fourth year. Thus, the Department of Medicine has attempted to achieve a healthy balance between a sound program of clinical teaching and a strong commitment to biomedical research. Both facets have been and are still important. We hope that future developments will permit us to continue to maintain this balance. If the "going" becomes difficult, however, we could not do better than to recollect the example of people like John Talbott, David Miller, Carl Arbesman, David Greene, John Boylan and many others, who showed us how much can be accomplished with limited resources and under difficult circumstances. Sincerely yours, Evan Calkins, M.D.D Bottom row: Drs. John Fenger, Thomas Geoghegan, Robert Maynard, Richard Nagel, Thomas Cumerfard, Jacob Shammash, Joseph Ruh, Herbert Constantine, James Orr. Second row: Drs. Donald Ehrenreich, Jacob Lenzner, Michael Sullivan, Donald Rachow, Stanley Cohen, Harley Lindquist, Sander Fogel, Howard Smith, Molly Seidenberg. Back row: Drs. Milford Maloney, Reinhold Ullrich, John Handel, Herbert Lee, Bertram Partin, John Strachan, Herbert Simpkins, Jerome Hurley, Jack Gold, Harold Smulyan, James Coleman, Thomas Atkins, James Carlin. Class of 1953 at Spring Clinical Days 58 THE BUFFALO PHYSICIAN �Class of 1958 at Spring Clinical Days Bottom row: Drs. Michael T. Genco, William Glazier, Samuel Shatkin, John Giardino, Michael Mazza. Second row: Drs. Irving Waldman, Gary Cohen, Franklyn Campagna, Melvin Brothman, Lloyd Leve, Alfred Stein, Gaspare Alfano. Back row: Drs. Frederick Dischinger, Robert Perez, Richard L. Taylor, Dominic Falsetti, John Armenia, Richard Wasson, Richard Romanowski, Reinhardt Wende, Elliott Rivo, Franklin Zeplowitz, Joseph Zizzi, Richard Boyle, Elroy Anderson, John Float, Joseph Bellanti, Richard Rohner. Dr. Om P. Bahl, professor and chairman of biological sciences and director of the division of Cell and Molecular Biology, received the 1978 Jacob F. Schoellkopf Award of the Western New York Section of the American Chemical Society in May. He was honored for his biochemical research, including the development of a highly sensitive, low-cost pregnancy test. Dr. Bahl's work has won acclaim worldwide and has been recognized as a significant breakthrough in determining the molecular structure of biochemical materials. The annual award, consisting of a gold medal and citation, was established by the society in 1930 in honor of the late Jacob F. Schoellkopf Sr., who pioneered establishment of the chemical industry in Western New York.D Dr. Emanuel Lebenthal, associate professor of pediatrics, and chief of the division of gastroenterology, has been appointed to the Federal Drug Administration Committee (FDA) which reviews chemically modified food starches in infants' food.D FALL, 1978 Four faculty members have been elected officers of the Millard Fillmore Hospital Medical staff. President- Drs. Gerald Swartz, clinical instructor in ophthalmology; President-elect - Frank J. Bolgan, M'51, clinical associate professor of surgery; Secretary - Victor C. Lazarus, M'45, clinical instructor in urology; Treasurer - Henry P. Carls, clinical associate in surgery.D Dr. Robert J. Kratzel, clinical instructor in microbiology, has been appointed director of technical services for the Greater Buffalo Red Cross.D Three faculty members have been installed as officers of the medical staff of Sisters Hospital. President-elect - Drs. John Q. Curtin, clinical instructor in medicine; SecretaryDonald 0. Rachow, M'53, clinical assistant professor of medicine; Treasurer - J. Theodore Schueckler, clinical assistant professor of anesthesiology. Anthony L. Manzella of Buffalo is the new president.D 59 People �Three alumni are newly elected officers of the Medical Society of Erie County. Dr. John J. Giardino, M'58, clinical instructor in orthopedics, is the new president. Presidentelect is Dr. George Fugitt, M'45, clinical associate in urology, and secretary-treasurer is Dr. Milford P. Maloney, M'53, clinical associate professor of medicine. The new vice president is Dr. Joseph A. Prezio, clinical assistant professor of medicine and clinical associate professor of nuclear medicine. Committee chairman: Ethics - Dr. James F. Phillips, M'47, clinical associate professor of medicine; Legislation - Dr. Edmond J. Gicewicz, M'56, clinical assistant professor of surgery; Public Health - Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics; Economics - Dr. Louis J. Antonucci, M'66, clinical assistant professor of ophthalmology; Medical education - Dr. Edward Hohensee, M'54, clinical assistant professor of ophthalmology; Peer review - Dr. William C. Heyden, M'63, clinical instructor in surgery.D People Bottom row: Drs. Wilfred H. Ferguson, J. Curtis Hellriegel, Louis A. Vendetti. Bock row: Drs. Norbert G. Rausch, Henry Haines, Ernest G. Homokoy, Louis Kolbrenner. A comprehensive, practical reference and teaching resource book dealing with detection, diagnosis and treatment of respiratory diseases has been written and illustrated by Dr. Sattar Farzan, clinical associate professor of medicine. A Concise Handbook of Respiratory Diseases was published in March 1978 by the Reston Publishing Company (Prentice-Hall). The book is written primarily for nurses, respiratory therapists and technicians and students in various allied health fields. The book discusses in detail all the common pulmonary disorders in a direct, easy-to-read and understandable graphic style. In addition it covers in similar depth all the important extra-pulmonary conditions that result in respiratory impairment, respiratory failure, and the care-andtreatment of these various conditions. The emphasis throughout is directed toward practical solutions and clinical importance. Dr. Farzan is medical director of the respiratory therapy department and attending physician in medicine and pulmonary diseases at the E.J. Meyer Memorial Hospital; special consultant at the Children's Hospital; attending and consultant at the V.A. Hospital; and visiting professor at the Buffalo General Hospital. In 1975 he received the Distinguished Teaching Award by the graduating University Medical House Staff.D Dr. Gerald P. Murphy has been named vice president and president-elect of the Association of American Cancer Institutes. He is director of Roswell Park Memorial Institute and research professor of urology.D Four faculty members are new officers in the Buffalo Gynecologic and Obstetric Society. Dr. Paul T. Buerger, M'49, clinical assistant. professor of Gyn/Ob, is the new president; vice president is Dr. John D. Bartels, M'56, clinical associate professor of Gyn/Ob; secretary is Dr. Wayne L. Johnson, professor and chairman of Gyn/Ob; treasurer is Dr. John H. Peterson, M'55, clinical assistant professor of Gyn/Ob.D Class of 1933 at Spring Clinical Days 60 THE BUFFALO PHYSICIA �Two clinical assistant professors of surgery were honored recently by Sister's Hospital. Dr. Anthony J. Federico was honored for his dedication, skills and accomplishments in treating the heart. Dr. James H. Cosgriff, Jr., was honored for his specialty in treating and writing about emergency medical services. He has been associated with the hospital since 1951.0 An extensive review on the mechanisms of action of sedative / hypnotics has been authored by Cedric M. Smith, professor of pharmacology and therapeutics, who also serves as Director of the Research Institute on Alcoholism. This review is a major chapter in the longstandard reference work in pharmacology, The Handbook of Experimental Pharmacology, in a special two-volume series on Addictions, edited by William R. Martin: Smith, Cedric M.: The Pharmacology of Sedative/ Hypnotics, Alcohol, and Anesthetics: Sites and Mechanisms of Action. In: Handbook of Experimental Pharmacology 45/ 1: Drug Addiction I, William R. Martin (Ed.]. Heidelberg: Springer-Verlag, 1977, pp. 413587. The editor of the series, Dr. Martin, is well-known to Buffalo medical students as a regular visiting professor in the sophomore course in Pharmacology.D Dr. Edmund A. Egan II, associate professor of pediatrics, and chief, division of newborn medicine, has been elected a member of The Society for Perinatal Research.D Dr. George Schimert, professor of surgery, and head of the Division of Cardiac Surgery at The Buffalo General Hospital, received a Community Service Award at the Sweetheart's Ball for Senior Citizens. Sheriff Kenneth Braun presented the heart-shaped plaque to Dr. Schimert on behalf of the Erie County Sheriff's Department Project Awareness. The plaque was inscribed "In grateful recognition of services rendered to the people of Erie County." Dr. Schimert was chosen by the awards committee because of his work with open heart surgery on Senior Citizens.D FALL, 1978 Class of 1948 at Spring Clinical Days Bottom row: Drs. Norman Paul , Norman Minde, Leon Graf, Allston Balie. Back row: Drs. Dan Fahey, Ansel Martin, Lester Schiff, Dan Miller. People A former Medical School faculty member, Dr. Jimmie Holland, has been appointed chief of psychiatric service at Memorial Hospital for Cancer and Allied Diseases, the treatment unit of Memorial Sloan-Kettering Cancer Center in New York City. She is past director of the E.J. Meyer Memorial Hospital psychiatry department and former associate professor of psychiatry at U/B. Her husband, Dr. James Holland, was head of Medicine A at Roswell Park Memorial Institute. He is now oncologist at the Mt. Sinai Medical School in ew York City.D Dr. John R.F. Ingall has assumed the position of associate medical director of the Michigan Cancer Foundation, Detroit. He was director of the Regional Medical Program of Western New York for a decade and clinical assistant professor of surgery. Mrs. Ingall was a research assistant professor of medicine and pediatrics at U/8.0 61 �Class of 1943 (December) at Spring Clinical Days Bottom row: Drs. Kevin O'Gorman, Morris Unher, Edmund Tederous, Harold Feldman , Thomas Heineman. Back row: Drs. John Williams, Joseph Ricotta, Amos Minkel, Marvin Bloom, Salvatore Colangelo. Dr. Eleanor A. Jacobs received the Equal Employment Opportunity award for "outstanding and dedicated service" from Joseph Paris, VA Hospital director. Dr. Jacobs is a research associate professor of psychology in the department of psychiatry.D Three alumni are new officers of the GILiver Society of Western ew York. Dr. James F. Phillips, M'47, clinical associate professor of medicine, is president; Drs. Elton Rock, M'59, clinical instructor in medicine, and Dean Orman, M'65, clinical instructor in medicine, are secretary and treasurer. Dr. Tarik Elibol, clinical assistant professor of medicine, is vice president and president-elect.D Dr. Joseph H. Kite, professor of microbiology, has been named by President Robert Ketter to chair the University-wide biohazards committee. Dr. Ketter said, "this committee will provide a most important service to campus researchers." Other Medical School faculty on the committee are - Drs. James F. Mohn, James C. Allen, Edward A. Carr Jr. , Michael oe and Anne M. Heide.D 62 Dr. Barbara R. Rennick, professor of pharmacology and therapeutics, has been appointed associate editor of Pharmacological Reviews for the years 1978-1981.0 Four faculty members have been installed as officers of the Buffalo Gynecologic and Obstetric Society. Dr. Paul T. Buerger, M'49, clinical assistant professor of Gyn/Ob, is the new president. Other officers are: vice president, Dr. John D. Bartels, M'56, clinical associate professor of Gyn/Ob; secretary, Dr. Wayne L. Johnson, professor and chairman of Gyn/Ob; treasurer, Dr. John H. Peterson, M'55, clinical assistant professor of Gyn/Ob.D Dr. S. Subramanian, professor of surgery and chief of cardiovascular surgery at Children's Hospital, was honored recently as "Citizen of the Year" by the orth Buffalo Jaycees. Dr. Subramanian was cited for "dedication to healing and his unselfish willingness to share the gift of medical skill with children who might not otherwise survive." The Honorable Edward V. Regan presented the award to Dr. Subramanian.D THE BUFFALO PHYSICIA �The Classes of the 1940's Dr. John Zoll, M'40, was honored by Sisters Hospital for "his skills as a surgeon and his exemplifying the Catholic physician." The clinical associate professor of neurosurgery was chief of neurosurgery at Sisters from 1952 to 1977. Dr. Zoll's research in neurosurgery and epilepsy is extensive.D The Classes The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, has been reelected to the Erie County Board of Health. He is a clinical professor of medicine.D Dr. Eugene W. Wallace, M'33, has retired from his position as Chief of Correctional Medicine for the County of Orange, California. He is a clinical assistant of family medicine at the University of California College of Medicine at Irvine.D Dr. Alfred V. Cherry, M'36, was honored as a "loyal, industrious, dedicated expert orthopedist devoted to quality patient care," by Sisters Hospital. The clinical assistant professor of orthopedics has been at the hospital since 1948 and chief of the orthopedics division since 1964. He is a Fellow, American College of Surgeons.D Dr. William J. Staubitz, M'42, has been elected president of the American Board of Urology. This board consists of 12 trustees who certify candidates who wish to specialize in urology. Dr. Staubitz is professor and chairman of the department of urology at U/B.D Dr. Thomas F. Frawley, M'44, is professor of medicine and chairman, emeritus, of internal medicine, at the St. Louis (Missouri) University School of Medicine. He was recently elected Regent, American College of Physicians and will serve on the Board of Regents policy-making body of the College. He was also appointed Commissioner, Joint Commission on Accreditation of Hospitals. Dr. Frawley's specialty is endocrinology and metabolism.D Bottom row: Drs. Alexander Slepian, William H. Georgi, Adrian ]. Pleskow, Victor Guarneri, Salvatore J. Brucato, Harald Graser, Alfred S. Evans. Back row: Drs. John M. Donohue, Robert]. Collins, Kenneth W. Bone, Robert D. Glennie Jr., Robert G. McCormick, Charles C. Richards, Gustave V. Mil key, Duncan K. MacLeod, John C. Ninfo, L. Waiter Fix, Ronald E. Martin. Class of 1943 (April) at Spring Clinical Days FALL, 1978 63 �Class of 1963 at Spring Clinical Days Bottom row: Drs. John Fanelli, Anthony Fati, Charles Tirone, Frank DeLaus, John Repicci. Bock ro w: Drs. Eugene Sullivan Jr., W illiam Heyden, Stephen Joyce, John Stumpf, Lawren ce Sobocinski, Ern est Fotta, Joseph Tutton. Dr. H. Paul Longstreth, M'45, has moved to Georgia where he is associated with the University of Georgia Health Service at Athens. He had been a clinical associate professor of medicine at the Medical School and past president of the Medical Alumni Associ a tion.D Dr. William R. Taylor, M'45, is emergency room physician at the Feather River Hospital, Paradise, California. He writes "In March 1978 I played the role of Emil deBecque in theatrical production of the Rodgers & Hammerstein version of South Pacific. A critic, who first saw it 26 years ago with the original cast said, 'His portrayal of the Frenchman was most adequate for the role, but he was not superior to Ezio Pinza.'" (Editor's ate: Touche!)O Dr. Albert G. Rowe, M'46, was honored by Sisters Hospital for "his philanthropic efforts for the medical community through contributions toward hospital equipment and medical education." He is a clinical assistant professor of anesthesiology at the Medical School.O 64 Dr. Fred Shalwitz, M'49, clinical instructor in family practice at the Medical School, is President of the Medical Staff of Lafayette General Hospital, Buffalo.D Dr. Harold Bernhard, M ' 49 , clinical associate professor of medicine , has been elected Governor for orthern ew York of the American College of Gastroenterology.D The Classes of the 1950's Dr. Edward Shanbrom, M'51 , practices Hematology - Research and Development, in Santa Ana, California. His address is 2242 Liane Lane (92705) .D Dr. M. David Ben-Asher, M'56, practices internal medicine in Tucson, Arizona. The former president (1976) of Pima County Medical Society was appointed to the Arizona State Board of Medical Examiners and is listed in "Who's Who in Western United States." Dr. Ben-Asher is a clinical associate in internal medicine at the University of Arizona College of Medicine.D THE BUFFALO PHYSICIAN �Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer for the S.P.R. Medical Club meeting held at the Park Lane Manor House, in April. He spoke about "A Student's Impression of Austin Flint."D Dr. Erick Reeber, M'56, has been elected to a second term as Speaker of the House of Delegates of the Minnesota Academy of Family Physicians. He lives at 416 orth Red Lake Avenue, Bagley, Minn. 56621.0 The Classes of the 1960's Dr. Kenneth E. Bell, M'61, recently completed a term on the Board of Directors of the Southern California Permanente Medical Group and has been appointed Chief of Ob/Gyn at the new Kaiser-Permanente Medical Center in Anaheim, California. Dr. Bell is assistant clinical professor of ob/gyn at the University of Southern California and also the University of California at Los Angeles.D Dr. Martin Cowan, M'62, has been appointed chief of obstetrics/gynecology at the new 297-bed Community General Hospital of Sullivan County. Dr. Cowan lives at 13 Shelly Drive, Ellenville, New York.D Dr. Richard S. Merrick, M'64, has been with the Southern California Permanente Medical Group since 1970, department of internal medicine. He has been director of the Alcoholism Clinic since 1971. Dr. Merrick lives at 1970 Galerita Drive, San Pedro, California 90732.0 Dr. Cary Presant, M'66, is an assistant professor of medicine and assistant professor of radiology at Washington University School of Medicine in St. Louis. He is Director of the Oncology Clinic at The Jewish Hospital of St. Louis and is Chief of Medical Oncology, Division of Radiation Oncology at Mallinckrodt Institute of Radiology. He has been chairman of the Melanoma-Sarcoma Committee of the Southeast Cancer Study Group for the past 3 Bottom row: Drs. Anthony Bonner, Sara Sirkin, Robert Milch, Jonathan Reynhout , Thomas Cumbo. Back row: Drs. George Durger, Barry Shultz , Lawrence Dobmeier, Kenneth Matasar, John Bivona, Peter Mansky, Leonard Argentine. Class of 1968 at Spring Clinical Days FALL, 1978 65 �years, and is the author of over 50 articles and abstracts in the field of Medical Oncology, Hematology, Lymphocyte Biochemistry, and Kinetics of Cytotoxicity of Antitumor Drugs. He and his wife have 4 children, live at 440 West Point Court, University City, Missouri 63130.0 Dr. David J. Fugazzotto, M'67, is practicing with a four-man group in his specialty of pediatrics in Birmingham, Alabama. He is also an associate clinical instructor at the University of Alabama (Birmingham) Medical School. In January 1978 Dr . Fugazzotto was elected President-Elect of the Jefferson County Pediatric Society, after two years as Secretary-Treasurer. His home address IS 2708 Cherokee Road, Birmingham 35216.0 Dr. Arthur C. Sosis, M'67, practices dermatology in Allentown, Pennsylvania. He was recently promoted to assistant clinical professor of dermatology at Temple University Health Sciences Center, The Skin and Cancer Hospital of Philadelphian Dr. Robert J. Loweinger, M'69, is co-author of an article, "Maffucci's Syndrome: A Mesenchymal Dysplasia and Multiple Tumor Syndrome," that was published in the British Journal of Dermatology in 1977 (96,317). Dr. Loewinger has completed his dermatology residency at Washington University, St. Louis. He is now affiliated with the Doctors' Clinic in Vero Beach, Florida. His home address is 1360 White Heron Lane, 32960.0 Dr. Ronald F. Teitler, M'69, is now practicing colon and rectal surgery in Buffalo. He recently moved to 61 Wellingwood Drive, East Amherst from Chester, New York.D Dr. Richard A. Manch, M'71, became Board certified in Gastroenterology in 1977. He lives at 12240 N. 63rd Street, Scottsdale, Arizona 85254, and practices in Phoenix.D Dr. Paul A. Orens, M'73, is a Diplomate of the American Board of Family Practice. He practices in Latham, New York and is also a clinical assistant in Family Practice at Albany Medical School.D Dr. Daniel Pietro, M'73, completed a cardiology fellowship at Harvard-West Roxbury Veterans Administration Hospital and will re main on their staff as chief of cardiology. He is also an instructor of medicine at Harvard Medical School. Dr. and Mrs. Pietro now have two children - Terresa (three years old) and Michael, who was born in January, 1978. They live at 35 Willard Street, Dedham, Massachusetts 02026.0 Dr. John C. Rowlingson, M'74, is assistant professor of anesthesiology at the University of Virginia Medical Center, Charlottesville. He writes "as of July 1, 1978, I will be assuming the above position with my time split between operating room duties and the Pain Clinic." His memberships include the Virginia and American Society of Anesthesiologists, American Society of Regional Anesthesia, and the International Anesthesia Research Society.D Dr. William A. Bryant, Jr., M'75, is Chief Resident Designate in Pediatrics for 1978-79 at the University of Maryland Hospital, Baltimore.D The Classes of the 1970's Dr. Jan M. Novak, M'70, recently returned to Buffalo to join the department of medicine, division of gastroenterology, of the Medical School. Dr. Novak had been an assistant professor of medicine at the Medical College of Georgia in Augusta. His home address is 94 Exeter Road, Williamsville, New York 14221.0 66 Dr. Ronald Marconi, M'76, of Williamsville, N.Y. is the recipient of a $1,200 award from the American Academy of Family Physicians to help finance his graduate training in family practice at Deaconess Hospital. He was among 18 to receive the Mead Johnson Award for Graduate Education in Family Practice.D THE BUFFALO PHYSICIAN �In Memoriam Dr. Hiram G. Hotchkiss, M'14, died October 15, 1977 in Winter Park, Florida. His age was 87.0 Dr. Robert J. Michele, M'08, died October 19, 1977 of azotemia in Dansville, N.Y. His age was 92.0 Dr. Mildred K. Kamner, M'24, died last winter. She was a pioneer in the treatment of industrial alcoholism and retired as assistant medical director of the ew York Telephone Company. Her age was 73. Dr. Carl C. Koester, M'20, died December 22, 1977. The 81-year-old otolaryngologist lived in Batavia, N.Y.D Dr. Frederick B. Wilkes, M'43, died May 25 at his home after a brief illness. His age was 60. He had been a pediatrician for 29 years and former president of the Children's Hospital medical staff. He was a clinical assistant professor of pediatrics. Dr. Wilkes served in the Army Medical Corps as a captain for two years during World War II. He was stationed in England. He completed his internship and residency at Children's Hospital after the war. He was active in several professional associations.D Abigail Fillmore Chapter, National Society, Daughters of the American Revolution, dedicated a marker (in May) in memory of Dr. Albert James Myer at Forest Lawn. He was an 1851 Medical School graduate. General Myer established the Signal Corps of the Army and in 1870 founded the United States Weather Bureau under the supervision of the Signal Corps. He was born in ewburgh, .Y., in 1828, lived most of his life in Buffalo. He died in 1880.0 FALL,1978 Dr. Anthony C. Scinta, M'11, died September 11, 1976 in Rochester, New York. His age was 87. He was a general practitioner, and belonged to the Rochester Academy of Medicine and the Rochester Pathologic Society.D Dr. Henry J. Brock died April 8 in Buffalo General Hospital. The clinical professor of medicine retired in 1974 after serving on the faculty for 37 years. His age was 72. He had been on the Buffalo General Hospital staff since 1934. He was also an attending at the V.A. Hospitals in Buffalo and Batavia. From 1959 to 1975 he was a consultant on dust diseases for the ew York State Workman's Compensation Board. He was a diagnostician for the Erie County Chest Clinic from 1941 through 1975. Dr. Brock, a Harvard Medical School graduate, was a Fellow in the American College of Physicians, the American College of Cardiology and the American College of Chest Physicians. He served in orth Africa during World War II as a Major in the Medical Corps. He contributed articles to professional journals and presented papers at conferences and seminars.D Dr. Herbert W. Wittkugel, clinical instructor in family medicine, died April 15 in a swimming pool accident in Florida. His age was 59. He was on the medical staffs of Deaconess and St. Francis Hospitals. He was a Fellow, American Association of Family Physicians. Dr. Wittkugel came to Buffalo in 1952 from West Germany. He received his M.D. from Wuerzburg University in 1944.0 67 �U/B ALUMNI ASSOCIATION 1978 Travel Program INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 iagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet- four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- ERNEST J. KIEFER, B.S.'55, President; MICHAEL F. GUERCIO, A.S.C.'52, President-Elect; CONSTA CE M. GICEWICZ, Vice President for Activities; DOROTHEA W. STERNE, Vice President for Administration; RUSSELL J. GUGI 0, A.S.C.'52, Vice President for Athletics; JOH R. VO A, D.D.S.'61, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D.'76, Vice President for Continuing Education; ROGER P. KRUEGER, B.S.'51, Vice President for Development and Membership; M. DOLORES DENMAN, J.D.'65, Vice President for Legislative Relations; STEPHE C. TOW SEND, J.D.'74, Vice President for Young Alumni; WILLIE R. EVA S, Ed.B.'60, Treasurer; Past Presidents, PHYLLIS M. KELLY, B.A.'42; GIRARD A. GUGINO, D.D.S.'61; GEORGE VOSKERCHIA , B.A.'54; MORLEY C. TOWNSEND, J.D.'68; EDMO D J. GICEWICZ, M.D.'56; M. ROBERT KOREN, L.L.D.'44.0 Medical Alumni Association Officers: Drs. Edmond J. Gicewicz, M'56, President; W. Yerby Jones, M'24, Vice President; Lawrence Carden, M'49, Treasurer; Michael A. Sullivan, M'53, Immediate Past President. Board Members- Robert Schultz, M'65; Norman Chassin, M'45; Charles Tanner, M'43; Eugene M. Sullivan, M'26; George W. Fugitt Jr., M'45, Program Committee Chairman; Carmela Armenia, M'49, Exhibits Committee Chairman; James F. Phillips, M'47, Past President.D 68 THE BUFFALO PHYSICIAN �A Message from Edmond Gicewicz, M'56 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically con tribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. ---- --------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF" MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - -- - - - - - - - - - - - -- - - - - - - - - - -- - -- - Year MD Received _ _ __ OfficeAddress---------------------------------------------------------------------------------HomeAddress ---------------------------------------------------------------------------------If not UB, MD received from------------------------------------------------------------------------ In Private Practice: Yes 0 No In Academic Medicine: Yes 0 0 Speci~~-------------------------------------------------------­ No 0 Part Time 0 Full Time 0 School ---------------------------------------Title Other: Med~alSocietyMembersh~s:----------------------------------------------------------------------- NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - ------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-03-Fall Table Of Contents A list of subunits of the resource. New Officers Dean Naughton's Message Dr. Gicewicz's Message Spring Clinical Days Classes Give $20,800 Commencement Students Honored Dr. Calkins Honored Physicians Give $146,608.65 Dr. Francis Klocke Faculty Honored Reception for Seniors Summer Programs Senior Citizens/Medical Costs/Dr. Jason Erie County Medical Center Summer Fellowships Evaluation Committee Medical Education Programs/Medical Problems Dr. Bosu Dr. Hashim/Dr. Weiser Congenital Hypothyroidism Tay-Sachs Disease Aging Study Patient Package A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VII). Response of Readers to Dr. Sanes' Article VI. by Samuel Sones, M.D. People Letter from Dr. Calkins People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n03 Extent The size or duration of the resource. 72 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1fdafcabfcc949735f48657ca95edc41.pdf b281f0ad1f976642fbdd36c149d4c669 PDF Text Text The Buffalo Physician Volume 12, Number 2 summer 1978 School of Medicine State University of New York at Buffalo �Dean Naughton From the desk of: JohnP. Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae, Intern Matching Day has become one of the traditional events which highlights the fourth year. Dr. Leonard Katz and I have become intrigued by the excitement which this event brings to ou~ students as well as the significance it has for the School 0 Medicine. With the 1978 matching process completed, we have taken the opportunity to review the experienae of the past three years. Some of the comparative results are as follows: 1. In the years 1976, '77 and '78 respectively, 86, 83 and ~9 P.ercent of the participating students received one of theH h.rst three choices with 62, 56 and 66 percent of the respective classes receiving their first choice. . . . he 2. One hundred and sixteen students participated 1ll t match in 1978, and 22 of their classmates obtained graduate training opportunities outside the NIRMP system. 3. Seventy-three students will remain either in Buffal~ 0 ~ New York State while 65 will train in 23 other states. It IS 0 some interest that only 19 selected training sites in states that might be considered as comprising the Sun Belt of the United States. k 4. Since 1976 the number of students matched at New Y~r State medical centers outside the Buffalo area has mcreased from 16 in 1976 to 37 in 1978. Conversely. th~ number that remained in Buffalo decreased from a high 0 66 in 1976 to 36 in 1978. The latter decline is probably related to our students' increased acceptability for placed ment at the national level, and in part, to the yet unresolve teaching hospital situation in Buffalo. 5. Forty-four of the 1978 graduates selected training oppo.rtunities in Internal Medicine, 36 in Surgery, 12 In Obstetrics-Gynecology, 13 in Pediatrics, 14 in Family P~ac­ tice, with the remainder identified as orthopediCS, pathology, psychiatry, radiology, anesthesiology, neurology and ophthalmology. The alumni, faculty and student body can and should be pleased by the strongly competitive results of the 1978 match. Dr. Katz and I know that just as has been the situation with every other graduating class these graduates will represent the institution and the profession in fine fashion. Sincerely. JOHN NAUGHTON, M.D. Dean ------------------------~- �Volume 12, Number 2 Summer 1978 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRANAHAN Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation }OHN M. CARTER Director of Public Affairs }AMES DESANTIS The Buffalo Physician Volume 12, N\UY\ber 2 Surnrno< 1978 IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Postgraduate Matching 9 Continuing Medical Education/Primary Care 10 Immunopathology of the Skin 11 Family Practice 12 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-F). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family. by Samuel Sanes, M.D. 22 Cardio-Respiratory Function 23 Medical Ethics 24 Residents, Interns 26 Health Care Plan/WNY Group Health Plan 27 Photographic Hobby 28 President's Associates Dinner 29 The Gottlieb's Collection 30 Health Sciences Library/Admission Film 31 Dr. Bernardis/Anesthesiology Programs 32 Korean Volunteer 34 Nutrition Seminars 42 $58,532 Grant 43 VA Hospital Expansion 44 MECO Program 46 Dr. Dunn 47 $166,607 M/S Grant 48 Dr. Solomon 49 Harrington Lecture 50 Dermatology Conference 54 The Classes 57 People 59 In Memoriam 60 Alumni Tours The cover by Barbara Evans, graphic artist, focuses on postgraduate matching, pages 2-8. THE BUFFALO PHYSICIAN, Summer, 1978- Volume 12, Number 2, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class post~ge paid at Buffalo, New York. Please notify us of change of address. Copynght 1978 by The Buffalo Physician. SUMMER. 1978 1 �Post Graduate Matching Eighty-nine per cent of the senior medical students received their first, second or third choices in the annual National Postgraduate Matching Program. Two-thirds of the 138 students were matched with their first choice. Dr. Leonard Katz, associate dean, named several prominent hospital programs where the students were matched. They a . pathology and medicine at Boston City Hospital; primary medicre. at University of California (San Francisco); family practice n~ University of Arizona and Wilson Memorial; radiology at St a Memorial and University of California (San Die;~)~ anesthesiology at New York Hospital and Massachusetts General: pediatrics at Yale-New Haven Medical Center; psychiatry a; North Carolina and Massachusetts General; medicine at Pittsburgh University Health Center, Baltimore City Hospital Dartmouth Affiliated Hospital, Southwestern University of Texa~ Affiliated Hospitals at Dallas, Beth Israel in Boston, and Boston University. Dr. Richard Williams, Donald Hickey and daughter. Achtyl, Thomas R., Saint Claire's Hospital, Schenectady, N.Y. Family practice Agin, Elliot D., Baystate Medical Center, Springfield, Massachusetts, Medicine Aldrich, Cheryl M., Nassau County Medical Center, Meadow- brook, New York, Medicine Altm~yer, Stewart R., SUNY! Buffalo, Medicine A~b1s, Do~othy, Highland Hospital, University of Rochester, FamIly Practice Angelico, Richard, SUNY/ Buffalo I, Buffalo General Hospital, Surgery 2 THE BUFFALO PHYSICIAN �Anolik, Robert, Children's Hospital, Philadelphia, Pediatrics Arno, Tom, Syracuse Medical Center, Internal Medicine Barber, Nathaniel A., State University-Kings County Medical Center, Brooklyn, Medicine Barbieri, Louise T., Grady Memorial Hospital, Atlanta, Anesthesiology Baron-Stone, Judith L., Eastern Virginia Graduate Medical School, Norfolk, Pediatrics Bennett, Brenda A., Harlem Hospital, New York City, Medicine Bennett, Gregory J., Ohio State University Hospitals, Columbus, Surgery Bergenstock, Ray W. SUNY /Buffalo, Medicine Beverley, Mauvareen A., Harlem Hospital, New York City, Medicine Bezouska, Christine A., SUNY /Buffalo I, Buffalo General Hospital, Surgery Blume, Michael H., University of Maryland Hospital, Baltimore, Medicine Bodenstein, Carl, Phoenix Affiliated Hospitals, Arizona, Pedicatrics Bowers, Roger, University of Michigan Hospital, Ann Arbor, Radiology Boyle, John J., Hospitals of the University Health Center, Pittsburgh, Surgery Brower, Steven T., Boston University Affiliated Hospitals, Surgery Brown, Russell G., North Carolina Memorial Hospital, Durham, Psychiatry Buchanan, Iris D., Montefiore Hospital Center, New York City, Pediatrics Burn, Christopher T., University of California Hospitals, San Francisco, Primary Medicine Burns, Irene A., SUNY /Buffalo, Pediatrics Brenda Bennett, Or. Katz. d- John and Mrs. Valvo, Russell Brown, Bob Farkas (standing); Clifton Peay, Mrs. Brown (sitting). �Registrar Dr. John Richert, Dr. Katz congratulates a student. Mrs. Anolik, Mr. and Mrs. Paul Summergrad. Burns, Paul, The New York Hospital, New York City, Anesthesiology Busch, Richards, SUNY/Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Campbell, Deborah, Montefiore Hospital Center, New York City, Pediatrics Cannucciari, Daniel P., Strong Memorial Hospital, Rochester, New York Diagnostic Radiology Carnes, Molly, University of Wisconsin Hospital, Madison, Medicine Clarke, Cassandra, Harlem Hospital, New York City, Medicine Copoulos, Ellen J., Montefiore Hospital Center, New York City, Medicine Cordero, Pedro, Montefiore Hospital Center, New York City, Surgery Cummings, Rondie E., University of Maryland Hospital, Baltimore, Pediatrics Curran, Ricahrd R., SUNY/Buffalo, Medicine Daniels, Marc B. SUNY/Buffalo, Medicine Del Balsa, Angelo, National Naval Medical Center, Bethesda, Surgery Del Prete, Salvatore A., Dartmouth Affiliated Hospitals, New Hampshire, Medicine DiMino, Thomas J., SUNY!Buffalo, Ob/Gyn Doherty, Elizabeth A., Millard Fillmore Hospital, Buffalo, Surgery Dorfman, Stuart L., Community Hospital, Glen Cove, New York, Family Practice Eggleston, Gary E., Aultman Hospital, Canton, Ohio, Family Practice Elman, Richard S., University of Arizona Affiliated Education Program, Tucson, Family Practice .. Farkas, Robert, University of Texas Southwestern AffllJated Hospitals, Dallas, Medicine 4 THE BUFFALO PHYSICIAN �Franczyk, Chester F., Children's Hospital, Akron, Ohio, Pediatrics Freis, Edmond, Massachusetts General Hospital, Boston, Anesthesiology Gawronski, Stephen J., Millard Fillmore Hospital, Buffalo, Surgery Geisler, Fred H., SUNY /Buffalo I, Buffalo General Hospital, Surgery Gilbert, Lewis A., New Britain General Hospital, Connecticut, Surgery Gillette, Susan K., Cambridge Hospital, Massachusetts, Psychiatry Gillig, Franklin, Millard Fillmore Hospital, Buffalo, Surgery Glassman, Mark, Yale-New Haven Medical Center, Pediatrics Glick, Kenneth, Baltimore City Hospitals, Medicine Goldstein, Scott, Lenox Hill Hospital, New York City, Surgery Groves, Dennis P., Millard Fillmore Hospital, Buffalo, Medicine Gutman, Harvey, Montefiore Hospital Center, New York City, Surgery Haumesser, John C., SUNY /Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Heller, Andrew, Millard Fillmore Hospital, Buffalo, Surgery Hendrick, William J., University of Rochester Associated Hospital Programs, Ob/Gyn Hickey, Donald D., Medical Center Hospitals of Vermont, Burlington, Surgery Hoffman, Michael E., University Hospital Medical Center (University of California San Diego), Surgery Horn, Harvey, Lenox Hill Hospital, New York City, Surgery Isada, Nelson B., University Hospitals, Madison, Wisconsin, Medicine The reception . SUMMER, 1978 5 The Robert Anolik's. �Paul Paroski presents a class gift to Doreen Miller as Gary M errill observes. Jones, Sheryl, SUNY/ Buffalo II, Meyer, Deaconess, VA Hospitals, Surgery Kaplan, Steven J., SUNY/ Buffalo I, Buffalo General Hospital, Surgery Kaufman, Gary, Bronx Municipal Hospital Center, Surgery Kavanagh, Kevin, La Crosse Lutheran Hospital, Wisconsin, Surgery . Killian, Stephen, University of Virginia Hospital, Charlottesville, Family Practice Koslow, Alan R., Stanford University, Surgery Kramer, Mark J., Charles S. Wilson Memorial Hospital, Johnson City, New York, Family Practice Kulick, Eric, Menninger Clinic, Topeka, Psychiatry Kusalavage, John J., SUNY/ Buffalo, Ob! Gyn Lachman, Leigh J. , Georgetown University, Washington, D.C., Surgery Leslie, Joyce, Charles S. Wilson Memorial Hospital, Johnson City, New York, Family Practice Levinson, Bradley A., St. Vincent's Hospital, New York City, Surgery Marchetti, David L. SUNY/ Buffalo, Ob! Gyn Margolis, John L., Brown University Affiliated Hospitals, Providence, Surgery Marsh, Franklin, Harlem Hospital, New York City, Medicine Mattrey, Robert, University Hospital Medical Center (University of California San Diego), Diagnostic Radiology Mazzone, Thomas, Millard Fillmore Hospital, Buffalo, Surgery Meltzer, Roberta, Hartford Hospital, Connecticut, Medicine Merrill, Gary A., Children's Hospital of Northern California, Oakland, Pediatrics Miles-Matthias, Paul, Cincinnati General Hospital, Ohio, Surgery Minkoff, Peter J., Community Hospital, Glen Cove, New York, Family Practice Mitchell, Barry, SUNY/Buffalo I, Buffalo General Hospital, Surgery Mitchell, Dean, St. Josephs Mercy Hospital, Ann Arbor, Michigan, Flexible Morgan, Charles W., Genesee Hospital, Rochester, New York, Medicine Morris, Linda J., Georgetown V.A., Washington, D.C., Medicine Nieman, Lynnette K., SUNY / Buffalo, Medicine John Valvo, Steve Brower, Stephen Gawronski, John Boyle, Tom Arno. �Robert Anolik, Stephen Killian and friend, Michael Wolff. Mario Santilli, Barry R osenberg, Mark Glassman. O'Brien, Matthew, SUNY /Buffalo, Medicine O'Connell, David, SUNY/Buffalo, Pathology O'Gorman, Kevin, Mercy Hospital, Buffalo, Medicine Paroski, Paul A., Montefiore Hospital Center, New York City, Pediatrics Paul, Douglas P., University Hospitals Health Center, Pittsburgh, Medicine Peay, Clifton L., SUNY/Buffalo, Medicine Pitts, Jeffrey C., SUNY/Buffalo, Medicine Polatnick, Lois, SUNY/Buffalo, Medicine Powell, Douglass, Syracuse Medical Center, Ob/ Gyn Pszonak, Robert, University of Hawaii Integrated Residency Program, Medicine Reich, Joel J., George Washington University, D.C., Medicine Reinfurt, Frederick L. SUNY / Buffalo, Psychiatry Rey, Michael, Nassau County Medical Center, New York, Family Practice Rich, Kenneth J., University of Kentucky Medical Center, Lexington, Orthopedic Surgery Reynolds, James, Meyer Hospital, Buffalo, ophthalmology Roberts, Gregory, University of Miami Affiliated Hospitals, Surgery Rohrdanz, David, Memorial Hospital, Scottsdale, Arizona, Family Practice Rollo, Daniel P., Hershey Medical Center, Pennsylvania, Ob/ Gyn Rosenberg, Barry I., University Hospitals, Boston, Medicine Ruta, George E., University of Colorado Affiliated Hospitals, Denver, Pediatrics Rutecki, Paul, Baylor College Affiliated Hospitals, Houston, Neurology Sangster, David, University of Louisville Affiliated Hospitals, Kentucky, Family Practice Santilli, Mario D., Millard Fillmore Hospital, Buffalo, Surgery Scanlon, John P., University Hospitals of Madison, Wisconsin, Medicine d- SUMMER,1978 7 Mary Shapiro receives congratulations f rom Lynette Nieman and a gift f rom the fourth year class. �Dr. Williams, Dean John Naughton, Dr. Frank Schimpfhauser, assistant dean. Mark Glassman, Salvato re Del Prete, Dr. Katz . Schenk, Alan R., Mount Sinai Hospital, Miami, Medicine Seidman, Steven M., North Shore University Hospital, Manhasset, New York, Ob/ Gyn Seretan, Douglas, Stamford Hospital, Connecticut, Medicine Shaham, Elsagav S., SUNY / Downstate Medical Center, Brooklyn, Ob! Gyn Shaham, Simon Z., SUNY/ Buffalo, Ob/ Gyn Sharrieff, James R., Wayne State University Affiliated Program, Detroit, Medicine Smith, Claudette, SUNY / Buffalo, Ob/ Gyn Somogyi, Ronald M., SUNY/ Buffalo, Medicine Spector, Laurence D., Boston University Affiliated Hospitals, Flexible Stanley, Covia L., New Hanover Memorial, North Carolina, Ob!Gyn Steier, Jeffrey, University of Minnesota Hospitals, Minneapolis, Neurology Steinhart, Curt M., University of Southern Florida Affiliated Hospitals, Tampa, Pediatrics Stempsey, William E., Boston City Hospital, Pathology Sternberg, Richard J., New York Medical College-Metropolitan, Surgery Strader, Stephen E., St. Clare's Hospital, New York City, Family Practice Streit, Andrew W., St., Joseph's Hospital, Michigan, Family Practice Summergrad, Paul, Boston City Hospital, Medicine Tarantino, Benedetto, Rochester General Hospital, New York, Medicine Tedesco, Salvatore A., State University-Kings County Medical Center, Brooklyn, Surgery Tracy, Charles, Mount Auburn Hospital, Massachusetts, Medicine Valvo, John R., Strong Memorial Hospital, Rochester, New York, Surgery Vogelman, Bennett, University of Wisconsin Hospital, Madison Medicine ' Wilamowski, Henry, Meyer Hospital, Buffalo, Ophthalmology Wolff, Michael L., Beth Israel Hospital, Boston, Medicine Wopperer, Paul J., University of Rochester Associate Has ital Programs, Ob/Gyn P 8 THE BUFFALO PHYSICIAN �Continuing Medical Education Several Continuing Medical Education Programs are scheduled for spring and summer, 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: May 11 - American College of Surgeons, Western New York Chapter, Dr. Frank Gerbasi. May 21-24- The Third Annual Westwood -Conference on Clinical Dermatology, Dr. Richard L. Dobson, professor of dermatology. June 1-2 - Coronary Artery Disease, Dr. Joginder Bhayana, associate professor of surgery, and Dr. David Dean, clinical associate professor of medicine. June 10, 11 - The Aneurysm Patient, Dr. Walter Grand, clinical assistant professor of neurosurgery. June 10- Gastrointestinal Bleeding, Drs. Syde Teheri, clinical instructor in surgery, and Leonard Berman, clinical associate professor of surgery; Buffalo District Medical Tennis Association. June 12-15- The Sixth International Convocation on Immunology, Dr. James Mohn, professor of microbiology. June 19-23- The Eighth Annual Conference on Immunopathology of the Skin, Dr. Ernst Beutner, professor of microbiology and dermatology. June 21-23 - Gynecologic Laparoscopy, Dr. Norman Courey, clinical professor of gynecology/obstetrics. Primary Ambulatory Care Rotation Fourth year medical students will be required to begin a one month primary ambulatory care rotation July 1 in one of four departments - family medicine, medicine, gynecology/obstetrics, pediatrics. This new program has been approved by the faculty council and the executive committee. During the rotation period, 75 per cent of the student's time must be spent in ambulatory or out-patient care. The .goal of the course is to train students in the full range of pnmary care delivery. The four faculty members, who will direct the p~ograms .. a.reDrs. Robert Seller, professor and chairman of fam1.l~ medicm.e, Faith Davis, clinical associate professor of mediCme, Dav1d Nichols, M'47, professor of Gyn/ Ob, and Henry Staub, associate professor of pediatrics. Members of the primary care subcommittee of the curriculum committee are- Drs. Evan Calkins, Richard Lee, James Nolan, Ray Bissone tte, Frank Cerra, Frank Schimpfhauser, Stanley Levin, Julie Nickelsen, David Nichols, Henry Staub, and student representative Celia Quinnonez. D SUMMER, 1978 9 �Immunopathology of the Skin heard about what is new in the field of immunopathology of the skin from a distinguished panel of experts. The participants in the seventh annual conference came from Europe, Canada and this countrty. Heading the list was persuasive histologic/immunologic/ultrastructural evidence by NIH's Dr. Steven Katz on the role of Langerhans cells as an epidermal form of macrophage. As such, he said, they may well be implicated in the reticuloendothelial system. Dr. Ernst Beutner's laboratory evidence that stratum corneum antibodies react at all sites of trauma to the skin was backed up by convincing clinical studies by Poland's Dr. Stefani a Jablonska of their involvement during the earliest changes in the Koebner phenomena, even before sciatic lesions become clinically or histologically evident. There is also wider use of immunofluorescence for diagnosis of vasculitis. Its promise for future development? Significant, according to Dr. Michael Fellner of New York Medical College. That the Braverman histamine injection test is useful to pinpoint immune complex involvement with this type of lesion was reviewed. How the Yale investigator's method works is to cause deposition of circulating immune complexes in vessels with histamine. Noted Dr. W. Mitchell Sams of North Carolina, "an injection of 0.051 m1 of a histamine solution containing 0.121 mg per m1 of histamine is adequate to elicit such a response." When it came to pinpointing the various types of bullous diseases, the debate raged unabated. For these diseases are not only distinguishable by immunological findings but by patient response to treatment as well. While Dr. Jablonska leaned toward patients with linear IgA deposits as having an atypical form of dermatitis herpetiformis, Dr. Katz reserved judgment. And when it comes to vasculities, a type of hypersensitivity itself, and other hypersensitivities, there was not much that was new to report. But that IgE class antibody may well be involved in producing bullous pemphigus lesions was suggested by Buffalo's Dr. Carl E. Arbesman, clinical professor of medicine and microbiology. Because the evidence is indirect at this time, he cautioned on the need for further proof. Turning to the laboratory production of pemphigus, Case Western's Dr. Beno Michel pointed to living skin explants but two milimeters square that develop lesions in the presence of purified pemphigus antibody. Originally produced by him, it is now being duplicated in the laboratories of Drs. John Schiltz, Beutner, and Chorzelski. Dr. Schiltz went on to demonstrate the activation of lytic enzymes with pemphigus antibodies. Tracing immunologic events in systemic sclerosis were Pittsburgh's. Dr. G. Rodnan an? Dr. Jablo~ska. Because of a greater understandmg of the underlymg mechamsms of immunologic dis- FIFTY PRACTICING PHYSICIANS The 8th annual conference on Immunopathology of the Skin will be June 19-23 at the U/B Medical and Dental Schools in Farber Hall. The five-day meeting is sponsored by the departments of microbiology and dermatology in cooperation with the Center for Immunology. Dr. Ernst Beutner, professor of microbiology and dermatology, will direct the conference again this year. There are seven visiting faculty members on the program and 10 from U/B. The Summerhill Foundation, the Immunofluorescent Testing Service and the Westwood Pharmaceutical Company are supporting the meeting. 10 THE BUFFALO PHYSICIAN �turbances and therefore more awareness of these diseases, they are being more closely identified with immune complex disease. Another important phenomena, that of the unified concept of autoimmunity, its pathologic as well as physiologic types, was presented by Dr. Beutner. Starting with pemphigus a pathologic type he noted its binding to normal skin invivo. Such is not the case for human autoantibodies, he said. They that fall into the physiologic class and participate in reactions when skin is damaged, aid in its removal. At times they even appear to participate in lesion development, he said. But due to the diversity of causes and reactions involved with physiological skin autoantibodies, Dr. Beutner was quick to point to the need for his theory to be proven. Turning to lesion development, he noted that Munro micro abscesses seen in all forms of psoriasis appear to be assured by a physiologic autoimmune response to the stratum corneum. What tests are best to pinpoint the various forms of connective tissue disease SLE, mixed connective tissue disease and 10-15 per cent of scleroderma cases that are seen was presented by San Francisco 's Dr. Denny Tuffanelli, as well as S. Jablonska, and U/ B's Peter Maddison and Morris Reichlin based on their respective patient populations studied. There was agreement on the sign for a different course of the disease for the clinical picture of scleroderma. Rather than contraindicating the use of corticosteroids, they pleaded for its use at this time . It produces remarkable improvement and the disease is more benign. Only rarely, they said, were they able to observe kidney changes and only when disease progresses did anti DNA antibody seem to occur. Among unusual circumstances not belonging to the disease were clinical signs such as scleroderma, no rnp, changes appearing with rnp antibody. Agreed was the prognostic value of these tests. The Conference was the seventh to be sponsored by the U/ B's department of microbiology as well as the Summerhill Foundation and the Westwood Pharmaceutical Corporation. It was run by Dr. Ernst Beutner, professor of microbiology and dermatology at U/B.O The family practice residency elective, com~unity-univ~rsity service , initiated in 1975 is popular and effective, accordmg to Dr. Robert H . Seller, professor and chairman, family m~d~cine d~part­ ment. Sixty-four percent of the graduates who participated m the elective are practicing in underserved areas. Of the 22 recent graduates, 16 (73 o/o ) are practicing in New York State, and 10 are practicing in medically underserve? areas. Four of the six others are practicing in underserved areas mother states. Dr. Seller is director of family practice at Deaconess Hospital. Since the family practice program started in 1971, 67 percent of the 36 graduates (excluding those in military service) are practicing in New York State.O SUMMER, 1978 11 Or. Beutn er Family Practice �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VIF Cancer: Its Effect on the Family of the Patient Communication Between Physician and Patient's Family By Samuel Sanes, M.D. Over the years cancer will strike in approximately 2 of 3 families . The patient may be a spouse, son or daughter, parent, brother or sister. At the Roswell Park Memorial Institute, Dr. Sones knew two male twins who had Hodgkin's Disease simultaneously. The father of a UB medical student who developed Hodgkin's Disease lived for years with follicular lymphoma until it turned fatal. Dr. Sones and his brother, at virtually the same age, showed lymphoma-leukemia of a related histopathologic type. The following illustrations call attention to the occurrence of cancer in families well known in politics and government. Editor's Note: Dr. Sanes wrote this article VIF on the "How" of physician-patient-family communication under considerable physical and psychological strain. Indeed, there was a question whether he would be able to start and finish it. Dr. Sanes had not been in satisfactory physical condition since his splenectomy in August, 1977. He had been housebound. His chief problems were: (1) an abnormal blood picture with anemia requiring transfusions, thrombocytopenia with agglutination of platelets, and leukocytosis with up to 42,000 white cells per cu.mm. uncorrected, with nucleated red blood cells, myeloid cells and giant platelets (conversion to leukemia was considered); (2) daily fever, often accompanied by shaking chills; (3) generalized muscular weakness and pain; and (4) dypsnea on exertion. In February, 1978, the muscular weakness and pain became so severe that Dr. Sanes required assistance to leave bed, to get off the toilet seat and to get out of the bathtub. Writing became difficult. He entered Roswell Park Memorial Institute Feb. 7 and remained there four weeks. During that time he had two transfusions of packed red blood cells, one of whole blood and one of platelets. Bone marrow biopsies were made. To determine the cause of the fever and chills he had numerous blood and urine cultures, surgical consultations, IVP, barium enema, total body gallium scan, ultrasonic scan, body CAT scan, intravenous therapeutic test doses of the antibiotics Carbenicillin, Keflin and Tobramycin. He also had oral Chloromycetin. For his neurological complications he had a neurologic consultation and electromyograms. [There was some question that a neuropathy might be related to the original lymphoma.] During his stay in the Institute, Dr. Sanes developed bronchopneumonia. He returned home March 10 with the same problems he had had when he entered the Institute. He required assistance to get up out of bed or a chair, and to get upstairs. But he had never missed a deadline for The Buffalo Physician previously and he was determined not to do so this time. Unable, because of his muscular weakness, to write his initial draft in longhand as he usually had, he dictated it while lying in bed. His wife typed it and returned it to him for editing, then retyped it with his suggested changes. In his previous articles relating to communication between the physician and the cancer patient and the family, Dr. Sanes had answered the "five Ws" of such communication - Why, When, Where, Who and What. In this one he discusses "How?" HOW? In answering the six questions involved in physician-patientfamily communication- "the five Ws and the H" - it is the "H" that is most important. The "five Ws" - the why, when, where, who and what discussed in previous articles - all lead up to the "H" -how to communicate. The "H" wraps up all the other elements of communication in one effective package. The way we tell the patient and the family is as important as what, why, when and where we tell them. 12 THE BUFFALO PHYSICIAN �"It isn't what he says that's the problem," one of President Carter's aides told a newspaper reporter earlier this year. "The problem is in the way he says it. " What is true for the President is just as true for the physician who wants to establish good communication with the patient and his family. I am sure that you have deduced from reading my previous articles that as a matter of principle I believe in telling the whole truth in complete honesty. And for telling not only the whole truth but the same truth to both patient and family. My wife and I both want to know the same truth. My physicians understand this. She tells me what she learns. I tell her what I think. We keep nothing from each other. Not all physicians, and not all family members, believe that this is a good idea. * * * But even when such an attitude prevails, it is my observation from the experience of my wife and me and that of others I have seen in the lymphoma-leukemia clinic that I attend, patients and families are better able to cope when there is free and open, equally-shared, communication. The chief of that clinic has a hard and fast rule that he will not accept patients unless both patient and family know the diagnosis. Sometimes either the patient or the family object to the other being informed. When a college student was referred by a private physician who had not told him that he had leukemia, the parents, who knew, asked that their son be kept in the dark. "It's so cruel to tell him that he has a fatal disease," the parents begged. "Please don't." "I must," the chief. of the clinic told them firmly. "Otherwise I cannot accept him as a patient." The parents gave in, but asked that the physician inform their son privately. They could not bear to be present. He refused. "I want to talk to the three of you together, " he told them. He took the patient and his parents into the small room in the clinic that is set up for just such purposes. "You've been pretty sick for some time," he told the student. "Do you know what you have?" "Leukemia," the boy responded calmly, without hesitation. Though no one had spelled his illness out for him he had known all the time. Getting everything out in the open made things easier for both the patient and his parents. They could talk to each other again without trying to hide what they knew or suspected. Treatment continued in a regular manner. As Roman Catholics - the son was particularly devout - they gained psychological and spiritual comfort from arranging for a priest to visit the patient regularlysomething they would have hesitated to do when they were trying to hide the truth from each other. * * * What I know or believe about the "how" of communication can be summed up in four maxims that I have learned from a journalist (my wife), a television producer, and two general authors. dSUMMER, 1978 13 JOHN V. LINDSA Y , fo rmer congressman from and ex-mayor of New York City. In 1977 his twin brother David di ed of cancer. �HUGH L. CAREY, present governor of New York. In 1974 his wife, Helen, aged 49, died of cancer when he was congressman from Brooklyn. In addition to Rep. Carey she left 12 children . • Upon entering office, Gov. Hugh Carey set up a Helen Carey memorial within the Patient Welfare Fund of Roswell Pork Memorial Institute. Money from this memorial, to which the governor makes periodic contributions, was used to refurnish and renovate a solarium named for the late Mrs. Carey on the fifth floor of the institute. Gov. Carey came here for the dedication. In 1977 the governor vetoed the bill passed by the State Legislature for permitting the use of Laetrile by cancer patients. Laymen as well as governmental figures may be moved, by the occurrence of cancer in their families, to enlist in the fight against the disease. 1. My wife, with 38 years of experience as a communicator, especially in writing about health problems, says that "the more and better the communication, the more and better information for making decisions." 2. When I first served as co-ordinator of a television program, Modern Medicine, the producer, a specialist in medical broadcasts for the public, told me: "Never underestimate the intelligence of your audience but never overestimate its information.'' 3-4. The two general authors wrote so as to qualify what some might find too harsh in my principle of the communication of the whole truth honestly. The first said: "Honesty doesn't mean cruelty when it's truth with emotional support." The second stated: "Painful truths should be delivered in the softest terms, and expressed no farther than is necessary to produce their due effect." It is with these four maxims in mind that I have formulated my own credo as to "how" to communicate with cancer patients and their families. * * * If I were a public relations man preparing a television program to dramatize perfect physician-patient-family communication, I should probably start with an archetypal physician like Marcus Welby. He would have a certain physique, beard and hair style, type of dress, voice, manner, knowledge and expertise in oncology, emotional stability, integrity, sensitivity, attentiveness to the individual and concern for the needs of others. Undoubtedly there are such physicians in real life. I myself have been fortunate enough to find some who come close to such an ideal. * * * But I have to admit that most physicians do not fall into this perfect pattern. Despite often superior academic records in school, scientific and technical success in postgraduate education and practice, many lack the ability to relate personally to patients and their families. Perhaps in some cases this trait has bEfen taken out of them by an education that stressed science and technology over humanistic medicine. (I was interested to read in the Spring issue of The Buffalo Physician that the School of Medicine is setting up a course in humanistic medicine. As a physician-patient with an end-state illness for which scientific medicine can offer little or nothing to help, I have certain feelings about humanistic medicine and medical students. At this time, however, I will not digress to discuss them.) Since we don't live in a world of idealized television programs, we have to work with what we have. * * * Doctors and patients and families are all human beings and all different. 14 THE BUFFALO PHYSICIAN �The doctor who meets the needs of one patient and one family, professionally and in communication, may have no rapport at all with another. I've seen this repeatedly during my five years of weekly or biweekly attendance at the lymphoma-leukemia clinic of the cancer institute. Most of the average 30 patients and their families who come to the clinic daily are happy with the regularly scheduled physicians. Some, however, are satisfied only with a specific doctor. If he is absent they see another only reluctantly or refuse to be examined or treated at all. I can cite two such cases, both patients in wheelchairs who had come a considerable distance to keep their appointments. The first, an elderly woman, agreed to see another physician when the receptionist informed her that the physician she considered "hers" had been called away on an emergency. But after she had seen the designated doctor she sat in her wheelchair waiting to be picked up muttering "I came all that way and then couldn't see my doctor- a fine thing!" The second, a younger man, obviously very ill, adamantly refused to accept a substitute when informed that his regular physician was out of town. "But all of our doctors are equally good," the receptionist told him. "I don't care about that," he rejoined, "If I have a choice I want to see my own doctor, and if I can't see him I'm going home. I'll come back tomorrow when he's here." * * * The doctor the patient or family member insists on seeing may be the one that another refuses to see. It isn't easy to meet the communicative needs of hundreds of patients with different problems and personalities, backgrounds and outlooks. This is particularly true when the doctor is dealing with persons facing and coping with a chronic incapacitating potentially fatal disease like cancer. But if a physician can't be all things to all people, there are steps that he can follow to communicate more effectively with all of his patients. Here are some of them. * * * Establish rapport. During the workup, the oncologist or specialist should establish a personal relationship with the patient and family. One of the advantages of having a primary care physician is that this rapport is already assured. * * * Be available and be on time. The family shouldn't have to run around the hospital looking for the physician. He should make an appointment to talk to them and then, if possible, not keep them waiting unnecessarily. A medical oncologist kept a newspaper editor waiting nearly two hours after the appointed time when he came in to talk about his sister's disease. d- SUMMER, 1978 15 BIRCH BA YH, U.S. Senator from Indiana. In 1971 his wife, Marvella, 38 years old, had a modified mastectomy for carcinoma fallowed by X-ray and chemotherapy. Her husband dropped out of the running for the Democratic presidential nomination to be with her. "My husband was marvelous and terrifically understanding," Mrs. Bayh recalled after the operation. "After I learned I had cancer I was crying and said to him, I'm only 38 years old and I'm going to go through the rest of my life with only one breast." He said, ''I'm five years older than you ore and I've gone through my life without any." He let me know that he married me and loved me - the 'me' that no bodily amputation can change." As for her husband's sacrifice of a try at the presidential nomination, she said: "I thought that it was a beautiful thing to do and the greatest gift he could give me. He was home every evening and I really appreciated it." �"I had cancelled some of my own appointments to go to the physician's office," the brother told me. "There was no one else in the waiting room. The physician was alone in his inner office and he remained alone. I heard him talking a couple of times on the telephone. The secretary informed him of my arrival and reminded him later, but he just didn't seem to realize that my time was valuable too." F. RAY MARSHALL, U.S. Secretary of Labor in President Carter's cabinet. In 1978 his 15-yeor-old son, second youngest of Mr. Marshall's five children, had his left arm amputated for bone cancer (sarcoma]. * * * Take time. This is especially important when first explaining the diagnosis, course and prognosis. Sit down with the family member. An elderly physician once told me, when I was a lot younger myself, "One minute sitting down is worth five standing up when speaking to a patient or a member of his family." This is as true when making rounds as it is in your office. * * * Go through the formalities of introduction. Be calm and poised, open but not casual, objective but not cold, warm and concerned. "Communion is vital in all true communication." A consoling hand on the arm or shoulder of the person to whom you are talking can mean more than words in helping him accept what you are saying. Your TQ (touch quotient) may be more important than your IQ (intelligence quotient). "He was all right, I guess, in giving information, but he was such a cold fish," a physician's widow said of the manner in which an oncologist who treated her husband during his terminal cancer communicated with her. One physician, acting on the advice of his clergyman father, started out in practice by greeting his patients and their family members with a warm handclasp when he saw them in his office or in the hospital. Now, he says, they often reach out to grasp his hand before he has extended it fully. Such gestures are particularly important in a university or governmental hospital or a cancer center where the patient may be assigned to a physician he has never seen or heard of. The physician will seem warmer and more concerned if he introduces himself by name, position and relationship to the patient or family member. * * * Your rapport with a cancer patient or a member of his family can be seriously damaged or utterly destroyed if you take too many "times out," even for professional purposes. And certainly they are not there to listen to a telephone conversation with your stock broker or a friend who wants to make a golf date. * * * Be truthful and honest within the limits of available knowledge. The family may press the physician for definite answers on treatment, course and prognosis. Their own future plans depend upon what happens to the patient. The physician should tell them honestly, when he cannot give guarantees, that medicine is not an exact science but remind them that research is constantly going on. A void interruptions. 16 THE BUFFALO PHYSICIAN �* * * Use simple, understandable English, not medical terminology or jargon. The medical term may be more precise, more part of the physician's speech, but it may mean little to the patient or the family. Don't talk as if you were delivering a paper on the subject at an international meeting of your professional society. This is true for even well-educated, otherwise sophisticated persons. My wife tells me of a general news reporter with a considerable reputation in other fields who filled in for her on the medical beat one day, covering a seminar on cancer. When he returned to the office to write the story, she asked him how things had gone. "Fine," he responded. "The seminar was interesting and I learned a lot. But they kept using one word I didn't understand." The word was "carcinoma." A UB student majoring in psychology asked to interview me on tape about my illness. The interview was to be his term project for a class on "Death and Dying." To his first question, about my diagnosis, I replied "histiocytic lymphoma." He stopped the tape. "Lymphoma," he asked, "is that cancer?" (Incidentally, he received an "A" on his project.) * * * Avoid expressing your thoughts and emotions in non-verbal forms which may upset the patient or family. Watch your facial expression, tone of voice, even bodily movements. "One's face ofttimes says more than one's tongue." And in speaking to a wife or mother, do not take a patronizing, male chauvinistic attitude. Incidentally, from·my personal experience and observation of other patients, I have the impression that women physicians are more empathic than most men. I remember one physician in his 40s with fatal cancer who derived most of his comfort, encouragement and support from the woman physician on the service where he was being treated. Perhaps he adopted her as a mother. * * * If the patient has cancer, say the word. And specify the type of cancer. Don't evade or equivocate by saying "tumor" or even "malignancy." If you use a term like "lymphoma," explain that it is a type of cancer. (Perhaps I have been remiss in this series by dropping the qualifying adjective "malignant" from before the words "lymphoma" and "hepatoma," but I have, after all, been writing for a medical readership.) A husband and wife interviewed on national television said that they went for months after being informed of the husband's diagnosis ignorant of the fact that he had cancer. "We thought it was only lymphoma," the wife said. Unless the physician is very plain-spoken, the family member may not grasp what he is saying, may shut out of his mind what he doesn't want to believe. He may accept "tumor" or "lymphoma" as something other than cancer. d- SUMMER, 1978 17 Former President GERALD R. FORD. In 1974 his wife, Betty, 56 years old, had a radical right mastectomy for carcinoma followed by chemotherapy. �But when you do give a verdict of cancer, explain it. All cancers are not equally life-threatening, and the patient and family should know that. Correct any misconceptions they may have. A young wife I know was thrown into hysteria when her physician told her that the small spot on her cheek was "basal cell cancer" and didn't explain anything more. ROSAL YNN CARTER, wife of Jimmy Carter, president af the USA. In 1940, when she was 13 years old, her father died of leukemia. She helped her widowed mother raise 3 younger children. Thirteen years later, in 1953, when she was married to Jimmy Carter, her father-in-Jaw died of cancer. * * * Use a printed sheet or diagram to help get the message across. The family and the patient himself may get more from an objective, illustrated statement about the type of cancer, stage, treatment, course and prognosis than from what the physician tells him face-to-face. They can read the statement at their leisure, when they are calmer- re-read it if necessary. Dr. Shirley Salmon's study indicated that pre- and postoperative information needs to be presented in writing as well as in conversation. This is also true of directions for therapy. The physician is not only the source of information but the source of instruction. When I returned from the cancer institute in March I was taking a total of ten drugs, some as many as four times a day. In my mental and physical state I was unable to keep them all straight. It was up to my wife to administer them. Some patients who aren't able to cope with the numbers and kinds of drugs prescribed have to be admitted to a hospital for treatment that might otherwise have been given at home. Repeated errors of administration when dealing with today's powerful drugs could be life-threatening. Many clinics, including Roswell Park Memorial Institute, prepare pamphlets for distribution to patients telling them everything possible about their type of cancer, including after care. * * * Listen to the questions the family member asks and then answer them to the best of your ability. Communication is aural as well as oral. It is important to listen as well as to talk in communicating with the family. No question is unimportant to the family member asking it. Answer as succinctly and briefly as possible, mentioning but not dwelling upon - every qualification and reservation (except where more emphasis is required legally). "Whenever I ask a doctor a straight-out question," one of my fellow lymphoma patients commented, "he takes 20 minutes to answer 'maybe.' " Some family members, even some patients, will write out their questions ahead of time. They may fear that, in the awesome presence of the physician, they will forget something that they want to ask. Or that the physician, busy and impatient, just won't wait for them to finish asking their questions orally. If a patient or family member comes to you with such a list, don't put him down as a neurotic. Save his list and those of others who question you in this way, and write a book of answers. It might be a best seller. * * * 18 THE BUFFALO PHYSICIAN �See that the family gets information, education, advice and counsel about non-medical problems that may arise as a result of the patient's cancer. That means that the physician himself must be familiar with hospital and community facilities and able to communicate the facts about them to the patient and the family. It would be most helpful if this could be done in written form, complete with addresses and phone numbers. * * * Give the family your telephone number. Assure them that they should feel free to call if the patient's condition changes, if there are unanticipated side effects to treatment - infection with fever, hemorrhage or other medical problems. A physician, particularly a medical oncologist, may want to set aside a "telephone hour" in the day during which he can take calls of a non-emergency nature without interrupting his regular office hours. The lymphoma-leukemia clinic that I attend encourages patients and their families to phone their physicians when they have questions about their condition, particularly when there is any change in it. I have done so myself on several occasions. When I developed shingles after radiation therapy, my fever continued to rise for several days. At that point I called the clinic and was given a special appointment in the afternoon to avoid infecting others during morning clinic hours. Another time I had a cold that hung on for several days with pharyngitis and laryngitis. Fearing tracheobronchitis, again in the face of a rising fever, I called my clinic physician at home at 7:30 a.m. * * * Assure the family that you will stick with the patient and with them for the duration of the illness and beyond, as emphasized in the section on "What?" * * * Don't try to give all of the information at once. Be prepared to repeat at future times some of the information given during the first interview and to expand upon it. The shock of learning the diagnosis may be all that the family can truly absorb at one time, even though they indicate that they want to know "everything." * * * Keep the family informed as to new developments, including changes in treatment and reasons for them. * * * Keep your promises to the patient and the family. If you promise a report on the outcome of a biopsy, blood test or X-ray study at a given time, don't keep the patient waiting or forget about it entirely. He and his family will be on tenterhooks until they hear, even if you told them that you wouldn't telephone unless there was something abnormal. Call them anyway, as soon as you know the results. * * * SUMMER, 1978 19 \ ~ • Education · -'" · "· • Service • Re c-e .:~rch ---- -., r-., \,} \J :-:. / >,.·... /- ,(: ,.("'": ,:·::':·< ..., -r.:. (->~~- ") ~~-7' ), I': ~.,_ _~, r~;::( t-.;;-~- (~\·"·1. r '' . :. ,c:-- \ --. ~r -,v ·t .. ~... ~ ":~ ~:. :...' .-\; --· ·~~ . t·''"'J'(j~$~~~1' 0:.. ~ ~ .. 'J5llr~r~J~\"-~l ·- /_\ ;: r,,:"M'S:r_4:tJ- ~ ,¥}1·,; -' I IJ('"~-: ,'·: ~<\>2 '~r~r·,,sr ·\ / ·-~· ~/ }('..J, .. \ !. I \J;~;-'l I \ ( I. A'- •,/ 1 ·: -1' ~· ~..,~ ) \ .':.,. . ;> ·"'!j~ I rf ----~- J~ ,/ J~ -/?. / {; \'1T~ r r l . ~ ~ ~ ~ r~ May the occurrence of cancer in a family influence the patient or relative to take a special interest in fighting the disease? Both Mrs. Bayh and Mrs. Ford participated in public education programs on cancer after their diagnoses. Mrs. Bayh became national co-chairman of the 1974 American Cancer Society Crusade. Mrs. Ford served as national honorary Crusade chairman in 1975-76. While his wife was in the hospital, President Ford appealed to those who might want to send flowers to contribute instead to the American Cancer Society. �Don't get angry if asked about a new proved or unproved treatment or procedure reported in the press or elsewhere and whether it could be applicable to the patient's case. The family is constantly reaching out for any hope that it can find. It has no way of judging newly-reported knowledge other than asking about it. If the physician has information, opinion or judgment on which to reply to their question, he should do so . If not, he should tell them that he will look into it. FRANK DILLON, a social science teacher from Beachwood, Ohio, won $50,000 in a contest and donated his entire winnings to the American Cancer Society. Before the contest, Dillon said: "My mather, her two sisters and my father have all died from cancer. Because my dearest family has been wiped out by cancer I am going to try my hardest to win the grand prize for the American Cancer Society." * * * Don't get angry if a friend of the family intervenes. This may happen when the patient and the family are passive persons who hesitate to trouble the physician because he is too busy or because of the awe in which they hold him. I'm not a very assertive patient myself. I don't like to complain. (I also fear being a neurotic.) Most often it is my wife who insists, when I have a problem, that I get in touch with the physician about it. When I have refused, or neglected to do so, she has sometimes gone to the physician behind my back. Without her, or a friend who would fulfill a similar function, often I would do nothing, perhaps brood and get worse. My physician in the lymphoma-leukemia clinic recognizes this. He recently told me not to withhold my complaints or kid about them, but to tell him about whatever was troubling me. * * * Preserve hope, encouragement and support as far as possible. * * * No matter how well a physician communicates, he must be prepared for a variety of reactions on the part of the patient and the family. Rarely, because of a family member's lack of knowledge and insight, he may not be able to communicate at all. Novelist Peter de Vries writes in "The Blood of The Lamb" of the father of a leukemic child who met a 300-pound woman in the hospital lounge. She was pacing back and forth in a rumpled house dress, a cigarette with an inch of ash hanging from her mouth. "Boy, dis place," she said. "When me and my little girl come in here she didn't have nothing but leukemia. Now she's got 'Ammonia.' " While the father listened unbelievingly she continued: "Ammonia, dat's serious. She's in an oxygen tent and I can't smoke there. It's a tough break for her because like I say at first she didn't have nuttin' but a touch of leukemia. I don't believe I ever heard of dat before. What is it?" For the patient and family who are capable of understanding, good communication will soften the blow, but it cannot assure the physician that they will always accept the news as he would have them accept it. 20 THE BUFFALO PHYSICIAN �Here are some of the reactions he can expect from families. No apparent reaction or denial. Some persons don't show distress at all. This may be because of their own inhibitions, their wish not to "bother the doctor," or their inward denial of what he is saying. Psychologic shock A wife's legs may collapse under her if she is standing when she learns that her husband has cancer. She may leave the hospital and go out in a snowstorm without her coat and boots. A man learning of a similar diagnosis in his wife may forget where he parked his car or be unable to drive it home when he finds it. The husband of a registered nurse was "numb for three days" after learning that she had lymphoma. When possible, it may be well to suggest that another member of the family or a friend who will be under better emotional control accompany the spouse to the interview. Tears. Even strong men may weep upon learning that a wife or child has cancer. A medical student told me that when he went to his father's place of business to tell him of his diagnosis of Hodgkin's Disease "my father broke down and cried." Anger or rage. The anger is against fate, but initially the physician may bear the brunt of it. He may be accused of delayed diagnosis, misdiagnosis, even malpractice. He may even be threatened physically. Be patient. The rage will abate. Insistence on more communication, a second or third opinion, referral to another physician or to a medical or cancer center, a written report. Don't respond angrily. Wouldn't you want to be sure if you received a diagnosis of cancer in a member of your family? An obsessive desire to know everything that is going to happen, and exactly how and when. A physician's wife with such an obsession made herself so disliked by the nursing and medical staff that eventually the floor nurses refused to have her husband admitted as a patient to their floor. They took her unsatisfied curiosity as obnoxious testiness. * * * In the foregoing article I have focused on physician-patientfamily communication at the initial diagnosis of cancer, the onset of treatment and throughout a relatively satisfactory course. I have avoided the "how" of communicating with the family of the patient facing impending or imminent death. I could have discussed this from personal experience. As a patient, I took a turn for the worse on February 19 at the institute. I remained semi-conscious - comatose with failing BP vital signs for some time. The attending physicians informed my wife that I might not pull through the day. She immediately telephoned my brother and sister. In 16 hours I rallied and recovered. If I live long enough, if my physical condition permits and if The Buffalo Physician is still publishing my articles, I shall write about the "how" of communication during this apparent terminal episode, of course based on my wife's observation and experience.c Acknowledgments and bibliography for Articles VI will follow the upcoming article. SUMMER, 1978 21 �Dr. Ge isle r condu cts preliminary testing on th e ne w servo ve ntilator. Cardia-Respiratory Function Dr. John H. Siegel, professor and head of the department of surgery at The Buffalo General Hospital, and senior medical student, Fred H. Geisler (Ph.D.) have developed a new, safer technique for the determination of cardio-respiratory function in critically ill patients. This technique, believed to be the first of its kind in the country, has been investigated in canine experiments in our Surgical Research Laboratories. The advantage of the technique is that it does not require the withdrawal of blood or the introduction of additional catheters into the circulatory system. To make it possible to carry this out in its clinical phase, the method requires two servo ventilator respirator units. This ventilator affords much greater control of the therapy available to the patient than standard respirators because it is electronically controlled. Thus, the patient's ventilator therapy can be specified with greater range and accuracy. Also two of these ventilators can be linked together so that the patient can be switched from one type of gas mixture to another containing some trace inert gasses, which make it possible to measure the respiratory functions, cardiac output, and pulmonary ventilation. Both units will send respiratory function information to be analyzed by the research computer facility in our Special ICU. Clinical application is expected to begin soon.O 22 THE BUFFALO PHYSICIAN �Medical Ethics What is medical ethics? It's about how to act in certain medical dilemmas, according to Dr. Robert L. Dickman, assistant professor of medicine and social and preventive medicine. "It's no different from moral philosophy, but it's applied to health care." Dr. Dickman's concern with medical ethics is as a physician and educator. He recently completed a four-week seminar in medical ethics at Georgetown University. "Medical ethics is based on a feeling that doctors are going to be faced with making these decisions and that some grounding in how to make them can serve them in good stead. Some physicians have made the decisions based on the approach we would like everybody to use in the future, but there was no guarantee," he explained. "Now we would like to make this kind of grounding part of the developing process of medical students," Dr. Dickman said. "To understand medical ethics," he said, "I think that it's important to understand in some ways what it's not. It's not just putting humanism in health care. It's not family medicine. It's not medical sociology. Rather, in the sense most people use it, it's an approach, a way of negotiating or talking about various moral intuitions we may have which refer to specific dilemmas we have in the health care field." The emergence of medical ethics as an important issue is related to many factors, but most closely to rapid advances which have occurred in medical technology. "The rise in medical technology has placed before us a variety of ethical dilemmas which never existed - such as our ability to preserve life which also may entail considerable suffering," Dr. Dickman said. "The Hippocratic oath tells us we have to preserve life, prevent suffering and promote well being," he said of physicians. "But now with the expanding technological bases, the first two come into conflict and we have many ethical dilemmas involving them." He added: "It seems to indicate we'd better get a clearer idea of what we're talking about." The Karen Quinlan case has quickly become a classic example of a dilemma involving medical ethics. Others involve more intangible ideas, such as the use of limited "medical resources." For example, what does a physician do when he has three seriously-ill kidney patients who need a transplant, but only one donor kidney which is available? Which patient gets the transplant? How do you select that patient? Dr. Dickman said the advent of medical ethics also has come hand-in-hand with stress on humanism in health care and discussion of such issues as the rights of the patient, physician and society and how they relate to one another.D SUMMER, 1978 23 Dr. Dickman �were awarded to 134 residents and interns who completed all or part of their specialty training at the University participating hospitals - Buffalo General, Deaconess, Children's, E.J. Meyer Memorial, Millard Fillmore, Veterans, and Roswell Park Memorial Institute. Chairing the University Residency Program Committee is Dr. Eugene R. Mindell, professor and chairman of orthopedics. CERTIFICATES Residents, Interns Honored Dermatology Residents - Drs. Anthony Vincent Amoruso, Jr., Gerald F. Foster, Steven Alan Franks, Garry Bruce Gewirtzman, Geraldine Mary Stapleton Family Practice Residents - Drs. Alan G. Burstein, Edward A. Langford, Isaiah Meggett, Daniel J. Morelli, Cynthia P. Northup, Susan M. Ostrowski, Jaime M. Revollo, Donald W. Robinson, Renee Samuelson, Reginald M. Sutton, Jon R. Yerby, James M. Wetter, Dennis C. Whitehead Gynecology-0 bstetrics Residents - Drs. John M. Antkowiak, Hassan Azadpour, Frederick K. Beck, Selfa D. Martinez, Orlito A. Trias, Thelma J. Yambao Medicine Internships- (categorical medicine) Drs. Martin M. Barron, Paul B. Cotter, Douglas E. Faig, Laird A. Findlay, Theresa Jen, Linda A. Marchetta-Wild, Thomas F. Tse, Peter J. Wolk. (categorical medicine-primary care) JohnS. Clarke Residents - Drs. Leonard B. Berkowitz, Robert P. Gatewood, John C. Giacomini, Ellie J. Goldstein, Andrew W. Green, Mark C. Hamilton, Michael B. Heller, Howard Hoffman, Lucien N. Jassy, Kevin T. Kollar, Dennis S. Krauss, Rachel G. NxumaloMohapeloa, Usha Mathur, Marvin A. McMillen, Michael C. Moore, Kathleen M. Mylotte, Paul M. Passamonte, Sanford R. Pleskow, Harley S. Schultz, Arthur C. Sgalia, Henry T. Shenfield, Eddie Skipper, David K. Smith, Frederic A. Stelzer, David Taylor, Charles A. Wasicek Neurology Residents - Drs. Randolph S. Geslani, Antonio Rosich Pla Neurosurgery Resident- Dr. Leonard Strichman Orthopaedics Residents- Drs. Peter James VanGiesen, Paul John Vilardi Otolaryngology Residents - Drs. Samir E.G. Elias, Howard M. Kaplan Maria Cristina Zepeda ' Anatomical Pathology Residents- Drs. John E. Asirwatham, Daya Balu, George Eugene Boldu~, Jr., Usha Chopra, Roseanne Cullen, Anupa R. Dalal, Antomo Teng Dy, Danilo Medina Giron, Gerald Grossman ~arbjit. Singh Hundal, Claudio P. Juarez, Byung Kyoo Lee, Nisha~ IJaz Mtan, Orner A. Oruc, Somboon Thamtakerngkit Clinical Pathology Residents - Drs. Daya Balu, Byung Kyoo Lee, Somboon Tham takerngkit 24 THE BUFFALO PHYSICIAN �Pediatrics Residents - Drs. David E. Arond, John H. Bartley, Sharon Buckwald, Stephen Commins, Atiya B. Khan, Henry I. Levine, Ian Thomas Nathanson, Anthony A. Portale, Gilbert M. Rose, Carlos H. Schenck, Stanley J. Szefler, Gerald John Tiberio, Donald P. Younkin, David M. Walter Physical Medicine & Rehabilitation Residents - Drs. Heung Chul Park, Hoon Kyou Whang Psychiatry Residents - Drs. Olga Cruz-Barrios, Balvinder S. Kang, Myong W. Kim, Mukhtar H. Shah, Sudha Krishna Swamy, Nageswara Rao Vallabhaneni Diagnostic Radiology Residents - Drs. Young D. Cho, Mitsuhiko Hirano, Lawrence D. Lubow, Ashok Nigam, Ronald Darcy Osgood, David Martin Wiechec Radiology Resident - Dr. Adel Mohammed Elkousy Surgery Residents (general surgery) Drs. Mohinder Paul Singh Ahluwalia, Robert Charles Brown, Jr., John R.N. Bulova, Joseph A. Caruana, Jr., Edward P. Dalton, Jose F.T. da Rosa, Luis Francisco Espaillat, Allen David Kemp, Jayesh Ramanial Modi, A. Mathew Philip, Syed Tasnim Raza, Marc D. Rudich, Paul P. Schwach, Michael Nicholas Skaredoff, Daniel R. Wild (plastic & reconstructive surgery) Dr. Gabriel 0 . Mooney (cardio-tboracic surgery) Drs. Bashir Ahmad Chowdhry, F. Mora Jara (colon & rectal surgery) Dr. Ghassan Khani Urology Residents - Drs. Peter E. Fujiwara, Gregory F. Kondray, Steven Warren Ross, Sami Kirollos Salib 0 Dr. Fogel Drs. Sander Fogel, M'53, and Spencer Raab, M'54, were nat identified correctly on page 54 of Vol. 12, No . 1, Spring 1978. We regret the error. SUMMER, 1978 25 �Health Care Plan A 1970 Medical School graduate is director of the Health Care Plan Inc. that will probably be open in late summer or early fall. Dr. Arthur Goshin, former assistant commissioner of the Erie County Health Department, has received a $999,606 grant from HEW for a pre-paid group insurance program which would cover physician and hospital services for subscribers. The clinic will be located at French and Union Roads, Cheektowaga. Dr. Goshin laid the ground work for the Health Care Plan several years ago before he left the county. Originally, plans called for the insurance program to be closely tied to the county government, by operating out of the county's network of clinics which are mostly in the inner city areas of Buffalo. " Because of the county's financial situation, we decided to move from the county government to the suburbs. Despite the site switch there will be a good mixture of people enrolled in the plan. We have a 'wide-open market' for picking up subscribers from all of Erie County, " the clinical assistant professor of social and preventive medicine at the Medical School, said.D W.N. Y. Group Health Plan Western New York Group Health Plan Inc. has received a $75,000 HEW grant to study the feasibility of establishing a form of health maintenance organization different from that proposed by Health Care Plan Inc. which received a grant of nearly $1 million recently. This grant may lead to offering services to the public in 1979. The involvement of an 'independent practitioners association' is a possibility under this plan, according to Mary E. Lundberg, executive director of Western New York Group H e alth Plan. Under this plan, physicians who have a contract with the program to provide services to members continue to practice independently in their established offices. "This approach broadens the physician base. It is similar to the Blue Shield organization in that independent physicians are participants and remain in their offices. Depending on the structure of the organization, it may or may not be attractive to physicians," Ms. Lundberg said. The executive director noted there is a 'guarantee' that subscribers will receive medical care, eliminating the problem which now exists when ill persons have difficulty finding a doctor who will accept new patients. The target population for the organization is Erie and Niagara Counties.D 26 THE BUFFALO PHYSICIAN �Red Rose in Blue Droplet is the 1975 Stereo Division Contemporary Medal winner from the PSA International Exhibition of Photography. The smallest droplet and most globular that Dr. Stell achieved. A. reproduction of Dr. Stell's original sl!de. Photographic Hobby A 1936 Medical School graduate is enjoying his photography hobby in Sun City, Arizona (16029 Meadow Park Dr.). Dr. Bernard S. Stell is involved in stereo, specifically stereomacrography. He has developed the technique of photographing droplets of water that refracted light the same as another lens on a camera. The color slides that he submitted to local and international photo contests earned him several silver and gold medals in slide competitions and stereo salons. Dr. Stell is author of an article, "Water Droplet Lens" that appeared with illustrations in the May, 1976 Photographic Society of America Journal. His color slide was reproduced on the front cover. Dr. Stell moved to Sun City in July 1975. He has been an officer and program chairman in the local photo club for two consecutive years. He said his teaching experiences at U/B and Canisius have been a great help. He has judged international stereo competitions in Prescott, Arizona and San Bernardino, California. At the PSA International Convention in Detroit in September of 1977 he presented a program, "Stereomacrography: Inferences and Calculations for Slide Bar and Flash." Dr. Stell had a severe myocardial infarction in May of 1972 while practicing in Eggertsville, New York. "Thanks to Dr. Walter Zimdahl, who took care of me and still examines and guides me, I am just as busy now as I was in my private practice and feeling fine, too." Dr. Zimdahl is a clinical associate professor of medicine at the Medical School. D SUMMER, 1978 27 Dr. Stell �President's Associates Dinner Several medical alumni attended the third annual President's Associates Dinner May 3. Convened annually each spring, this formal dinner acknowledges the tremendous efforts made by President's Associates in support of excellence at the University. To date, members of the President's Associates have donated over $5 million to assist the University in its continuing mission to provide outstanding education and research capabilities to faculty and students. A distinguished group of alumni and friends of U/B, the President's Associates have through their support assured the academic excellence of the University. Individuals become members of the President's Associates by outright cash gifts or by utilizing the appropriate deferred giving instruments. Further information may be obtained by contacting: Mr. Jonathan A. Dandes Director, The President's Associates University at Buffalo Foundation, Inc. 250 Winspear Avenue Buffalo, New York 14215 (716) 831-4234 Dr. and Mrs. Pasquale A . Greco, M'41, and Dr. and Mrs. Grant T. Fisher, M '25, at President's Associates Dinner. 28 THE BUFFALO PHYSICIAN �Announcing the creation of the Bernhardt S. & Sophie B. Gottlieb Collection in the Behavioral Sciences are: (seated} -Dr. Bernhardt S. Gottlieb, M'21, and President Robert L. Ketter. (standing from left}- John M. Carter, President, U!B Foundation, Dean John Naughton, and Saktidas Roy, Director, University Libraries. BERNHARDT S. AND SOPHIE B. GOTTLIEB COLLECTION IN THE BEHAVIORAL SCIENCES The Bernhardt S. and Sophie B. Gottlieb Collection in the Behavioral Sciences was dedicated on May 2. Made available through an endowment provided by Dr. Bernhardt S. Gottlieb M'21, through the University at Buffalo Foundation, the Collection will be housed in the Health Sciences Library. Dr. Gottlieb, a semi-retired psychiatrist, now does consulting work in New York City and Fort Myers, Florida. The Gottlieb family has a long and distinguished history at U/B. Dr. Gottlieb's son, Solon, graduated from U/B Medical School in 1952, and his grandson, Dr. Steven Weinstein, graduated in 1970 and is a practicing allergist in California.D SUMMER, 1978 29 �Health Sciences Library Report of the Annual Meeting of the Friends of the Health Sciences Library, 1977, by the President, John M. Hodson, M.D. The Friends of the Health Sciences Library marked their second anniversary on Wednesday, October 19th, 1977, at the Buffalo Academy of Medicine Room, at the library. The well attended meeting heard Dr. Hodson's report on the year's activities and accomplishments. There are now 160 members and four honorary members. During 1977, Dr. Oliver P. Jones, Dr. Robert L. Brown, Mrs. Stockton Kimball and Dr. Archibald Dean were made honorary members. This category of membership is restricted to individuals who in addition to having recognition for service in their profession have also demonstrated an active interest in the various activities of the Health Sciences Library. Perhaps the outstanding achievement of 1977 was the establishment of a student essay contest on any topic in the history of medical sciences, sponsored in memory of Dr. Rudolph E. Siegel. Dr. Siegel, a notable medical historian, was Emeritus Assistant Professor of Medicine at UB until his death in 1975. This contest is open to students currently enrolled in the pre-professional and professional health sciences programs at the University. The first winner of the $200 prize will be announced in May, 1978. During the year many gifts were made to the Friends of the Health Sciences Library for the History of Medicine Collection. Outstanding gifts were offered by the Craig Developmental School which transferred 750 volumes accepted into the collection. Other substantial donations were made by Dr. Martin J. Littlefield, Drs. Bernhard S. & Sophie B. Gottlieb, and by Dr. Berkeley Zinn. An interesting and informative program followed the Presidential address. Guest speakers for the evening were Susan Chamberlain, Assistant Health Sciences Librarian, who spoke on the Information Dissemination Services of the Health Sciences Library, citing interesting case examples, and Dr. Ronald Batt. Dr. Batt's subject was Mitchell Rubin, notable pediatrician, and the Buffalo Children's Hospital; this presentation was based on an oral history interview between Drs. Batt and Rubin. Discussion and questions followed each speaker's talk.O Officers re-elected for 1978. They are President, Dr. John M. Hodson; Vice-President, Dr. Oliver P. Jones; Treasurer, Dr. James D. Ritzenthaler; Secretary, Mildred F. Hallowitz. Admission Film "Admission Possible" is a 15-minute film strip about the Medical School. It gives potential students a birds-eye view of the academic life at UB. It shows several labs and classes in the basic sciences as well as the clinical activities of the several affiliated hospitals. It also shows some of the recreational and cultural and sporting activities available in Western New York. Dr. Harry Metcalf, chairman of the admissions committee, noted that the film is shown by members of the admissions committee to potential students who have been invited to the campus for interviews for admission to the Medical School.D 30 THE BUFFALO PHYSICIAN �Dr. Lee L. Bernardis, research associate professor of pathology and research professor of surgery, has received a new $99,000 three-year grant from the National Science Foundation. Dr. Bernardis plans to conduct further studies on the "weanling rat ventromedial syndrome" and intends to extend these investigations to explore the role of the dorsomedial nucleus and other hypothalamic and mescencephalis structures. In his 17 years at U/B he has published 184 papers and attracted (directly or indirectly] $2,829,419 in research and training support funds. He has worked with Drs. J. David Schnatz, V.K. Vance, Werner K. Noell, Lawrence A. Frohman, A.C. Brownie, J. Goldman, and W.G. Schenk, Jr. Dr. Bernardis has sponsored several Ph.D. graduates and postdoctoral fellows . He has been invited to participate in several national and international conferences. He has been a guest lecturer in biochemistry, anatomy, medicine and nutrition. Dr. Bernardis was born in Austria, educated there and in Canada. In 1945 at Franzens Universitat in Graz he worked under Karl von Fisch (Nobel Laureate, 1973) Wilhelm Goetsch and Karl Umrath. Dr. Bernardis received his Ph.D. in 1949. Two years later he emigrated to Canada and in 1961 he received another Ph.D. from the University of Western Ontario. The same year he joined the Urban Maes Research Foundation at the Louisiana State University where he worked with Dr. Floyd Skelton in experimental hypertension. When Dr. Skelton came to U/B in 1961 as chairman of pathology, Dr. Bernardis was invited to join the faculty. The educator-researcher is a member of 14 scientific societies; holds a Canadian private pilot license; and is a licensed glider pilot in Germany, Canada and the United States. Dr. Bernardis is also a boxing enthusiast, having coached and participated in the sport.O Dr. Bernardis As director of educational programs for the anesthesiology department and attending anesthesiologist at the Buffalo General Hospital, Dr. Richard Ament, M'42, clinical professor, has arranged a series of Visiting Professor Programs in the University affiliated hospitals. June 5,6 - at the VA Hospital: Dr. Stanley Deutsch, chairman, department of anesthesiology, University of Oklahoma. Nov. 27, 28 - at the E.J. Meyer Memorial Hospital: Dr. Howard Zaunder, chairman, department of anesthesiology, State University of New York at Syracuse. Dr. Ament also announced a continuing education program on September 16 at the Sheraton Inn-East on Obstetrical Anesthesia and Perinatology. Guest speakers will include Drs. Jess Weiss and Gerard Ostheimer from the Boston Hospital for Women and Dr. Mieczyslaw Finster, from the Obstetrical Anesthesia Service at Columbia-Presbyterian Medical Center.O Anesthesiology Programs SUMMER, 1978 31 Dr. Bernardis �Korean Volunteer • l -:::!!II From left to right, Drs. John R. Fisk, Duk, Y. Lee, Thomas E. Whitesides, Jr., professor of Orthopedics Emory University, and Y. Park. Dr. Lee and Dr. Park are participating Korean orthopedic surgeons assisting in the Children's Program. Dr. Fisk assisted by area Korean orthopedic surgeons at the operating table. A 1969 Me.dical School graduate, who is assistant professor of orthopedic surgery at Emory University in Atlanta, is treating handicapped Korean children. Dr. John Fisk was with the United States Army in Korea from 1974 to 1976 and during his off-duty time he performed corrective surgery on 67 children and examined 375 other crippled children at various clinics. Dr. Fisk worked with the Holt Adoption Agency of Eugene, Oregon and Seoul to organize a program that has continued to function in his absence. A year ago he returned to Seoul for 10 days with Dr. Thomas Whitesides, chairman of the section of orthopedic surgery at Emory University. Dr. Fisk performed surgery on six children with spinal deformities caused by polio at the Sam Yook Children's Rehabilitation Center. The American team saw 150 other children in outpost clinics. The two surgeons also presented lectures and participated in educational program sponsored by the Korean Orthopedic Society. Dr. Fisk plans to return to Korea at least once a year to perform surgery, lecture and examine children. "At the heart of the program are four hospitals in Seoul, which are donating physician time and space for the care of the children," Dr. Fisk said. The Korean orthopedic surgeons in these institutions, many who are United States trained, don't charge for their services and the hospitals keep costs at a minimum. "It costs about $250 to treat each child," Dr. Fisk said. These medical expenses are met through donations. In 1975 and 1976 the program was supported by contributions from multi-national industries in Korea and by the Officers Wives Club of the United States Army in Korea. "This year we expect to meet approximately 60 per cent of our annual $35,000 budget through donations made by the Korean Chamber of Commerce and Industry. It is encouraging to see able Koreans striving to support social service programs in their own 32 THE BUFFALO PHYSICIAN �country, but outside support is still needed. The Depuy Surgical Supply Company has donated $1,400 worth of surgical tools for spinal operations," Dr. Fisk said. Within the last 10 years, polio in certain regions of Korea has been epidemic. It is estimated that in one province there are 5,000 children with crippling deformities resulting from polio. There are active vaccination programs, but these have often been ineffective because of the absence of regulations requiring vaccination and the remoteness of some communities. Crippled children are frequently abandoned to institutions in hopes that the children will receive better care than their families can provide. The Holt office in Seoul suggested that if care could be provided for these children before they were abandoned the orphan situation would be assisted, according to Dr. Fisk. "There are 44,000 crippled children in the public schools of Korea. This does not include those not able to go to school. The crippled children in Korea have a much tougher time than in the United States. To get into college, a child has to take an examination. Part of the examination, about 20 points, is in physical fitness. Crippled children can waive this part, but are given only 10 points. So academically, they have to do much better from the very beginning," Dr. Fisk said. Through Holt's social service contacts around Korea, children from indigent families are brought together for screening clinics. To date 450 have been examined and 75 received corrective surgery. The Holt Children's Service was established by an Oregon farmer after the three-and one-half year war. The Emory University Clinic has initiated a fellowship program for Korean orthopedic surgeons to study for one year in the Atlanta clinic. In 1975 Dr. Fisk met a Korean crippled orphan and took him to the American Army hospital for surgical treatment and eventually adopted him. He and his wife adopted another Korean child during his military service.O Clinic crew for a ru ral visit to the island of Cheju Do, including the governor of the province, spring 1976. SUMMER, 1978 33 The first clinic crew on the rural island of Cheju Do, fa ll1 975. �Nutrition Seminars "If you have a drug-induced nutritional problem you better look for signs of nutritional deficiencies in your patient." This is what Dr. Daphne Roe, nutrition professor at Cornell University, told Medical School students and faculty at the first lecture sponsored by the biochemistry department and the Medical School. The educator went on to say that studies of 200 years ago showed many drugs and reduced food intake had caused malnutrition. "Today when you see malnutrition associated with drug intake, it is often difficult to solve the problem. Symptoms of many drug-induced nutritional deficiencies can mimic those associated with other conditions." Dr. Roe said, "sore throat and tongue and cracks appearing at the corners of the mouth can indicate a riboflavin deficiency. But these symptoms are also indicative of other conditions." Some drugs create deficiency through decrease in food intake, while others cause malabsorption, hyperexcretion, or impaired utilization of nutrients. "Amphetamines initially decrease the amount of food intake while cathartics decrease nutrients' absorption. Diuretics and digitalis glycocides increase fluid loss while thyroid hormones increase the metabolic rate," the nutrition professor said. "Very few labs are set up to do nutrition tests. Quality control is often poor or lacking when a nutrition profile is required of a patient," Dr. Roe said. "Many cancer patients suffer from food intake loss because certain drugs cause loss of appetite. This results in weight loss. But if the drug is controlling the disease this may be more important than the weight loss," Dr. Roe said. The nutrition professor urged the students to learn about drugs that are to be used on a short term basis. Many other drugs can be used day after day, month after month, without harming the patient. In conclusion Dr. Roe touched briefly on the interplay of alcohol, diet and drugs. "The worse off the patient is to begin with the worse off he will be nutritionally." A Vanderbilt University nutrition professor reviewed the process of nitrogen fixation in the second nutrition conference. "It all starts down on the farm with food." Dr. Harry P. Broquist described the function of amino acids in the plant world and how this relates to our food supply. Dr. Broquist reminded the medical students and faculty in an illustrated lecture that nitrogen comes from the atmosphere and from fertilizers. "To feed the masses we must have cheaper fertilizers," he said. "There is a huge gap in calorie intake between people in the developed and developing countries. People in developed countries consume 2,941 calories per day as compared with 2,033 per day for the developing nations. Animal protein per person, per day is 84.1 in developed countries and 52.4 per day in developing nations," the educator-scientist said. 34 THE BUFFALO PHYSICIAN �The nutritionist noted that strides are being made to provide more food for people of the world. "Scientists have developed a shorter growing cycle for wheat and Purdue University has developed a strain of corn that has a higher amino acid content. And the mixture of soybeans and wheat grains make a complete nutritional supplement. " Dr. Broquist is hopeful that we will soon be producing animal food in such quantities that we will be able to keep grain for people . The nutrition professor recommended two new books on the subject: Present Knowledge of Nutrition by the Nutrition Foundation and Biochemical Concepts by McGilvrey. He plans to use both textbooks in his classes at Vanderbilt. A lower protein diet is important if osteoporosis is to be controlled or cured, according to Dr. Nelson Westmoreland of the Harvard School of Public Health. "It is important that we try to maintain as close to a one-to-one ratio of calcium and phosphate in our bodies. But we are only achieving a one-to-two ratio in our everyday diets in the Western World." In his address to Medical School students and faculty Dr. Westmoreland noted that soon after people reach the age of 21 a slow bone deterioration begins. "There is no prevention at hand, but we hope through proper diet this situation can be reversed." The Harvard nutrition expert said, "studies show when people grow up in high fluoride areas their teeth and bones are tough and there is less chance of osteoporosis. If we would allow fluoride to be in all our drinking water we would have no osteoporosis. When animals are fed a high phosphorus diet, bone deterioration is greater." Dr. Westmoreland suggested that people over the age of 25 should take a calcium supplement to get the calcium-phosphate ratio normal. He also noted that vegetarians have less osteoporosis than people who eat proteins. "Meat is high in phosphate and low in calcium, and this is bad for us," he said. More exercise will also keep the bones and muscles 'toned up,' he said. People should stay away from processed foods because many times phosphates are added. These include soft drinks, processed cheese, potato chips and frozen bakery goods. "The amount of calcium is not important but the ratio between calcium and phosphate is. The best foods to maintain a balanced ratio are dairy products, vegetables, pancake syrup and seaweed," Dr. Westmoreland said. Osteoporosis causes bones to become less dense, thinner and more susceptible to breakage. An elderly person who thinks he or she broke a hip in a fall may be suffering from a break which occurred a few seconds before the fall, the Harvard nutritionist concluded. d- SUMMER, 1978 35 �Testing the patient rather than predicting from his diet how much folate is absorbed was urged by Dr. Neville Colman, the Bronx Veterans Hospital hematologist and nutritionist. In his review of the biochemical background of folate deficiency - since it may lead to megaloblastic anemia - the South African educated physician/researcher showed that what is now known of food absorption has been based on false premises. So unpredictable are the factors involved, he added, that we are unable to determine how much folate one will get from a specific diet. Prompting megaloblastic anemia is defective DNA synthesis, he said. "We know that high folate deficiency correlates with a defect in DNA synthesis. While we can initiate DNA chains we cannot elongate them. This may well be the defect in DNA synthesis." Among possible causes for folate deficiency, he noted were inadequate ingestion, absorption and utilization along with an increase in requirement, excretion loss or destruction. Folate that is destroyed in the body increases body requirements as does the loss of natural folate in food through cooking and canning, he said. Alcohol may also play a role. That alcoholics with poor diets have poor folate absorption has been proven by measuring folate absorption at various points in the intestine, he added. In Dr. Colman's review of two varying aspects of folic acid, he pointed to polyglutamate that is poorly absorbed in the gut. Monoglutamate, on the other hand, is absorbed. Therefore put to rest was the belief that orange juice is a readily absorbed form of folate. "Not so," he says. Only one-third of it is monoglutamate. The remaining, that of polyglutamate, inhibits folate absorption. Reaffirming the urgency of folic acid in the diet were studies of rural/urban groups in South Africa. Most cases of megaloblastic anemia seen were from the countryside, he said. A third of the women of child-bearing age as well as increasing numbers of both sexes from ages 40 to 80 had it. Unable to change their traditional diet, their staple - maize - was fortified with 500 micrograms of the tasteless B vitamin. "We were thus able to prevent folate deficiency and cure megablolastic anemia," he concluded. A University of Wisconsin nutrition expert noted that people all over the world have become more conscious of nutritional deficiencies in the last two decades. "Nutritional standards are important if we are to improve the health of people," Dr. Alfred E. Harper, professor and chairman of the department of nutritional sciences at Wisconsin said. "But setting standards is a very complex problem and good judgement is essential. If there were no health problems we would not need nutritional standards. The quantity and quality of nutrients is very important to people of all ages. It is important to the pregnant woman if her child is to be born healthy. In medical practice prognosis is improved if you can maintain nutritional standards." 36 THE BUFFALO PHYSICIAN �The Recommended Dietary Allowance (RDA). formulated by the Food and Nutrition Board of the National Academy of Science/National Research Council of the U.S., indicated the amount of essential nutrients each person in a healthy population needs in order to maintain reasonable health. Although the RDA estimates are generally higher than the Minimum Daily Requirement (MDR). they are not intended to be therapeutic dosages. RDA is established for children, pregnant women and adults since nutrient requirements differ among these groups. Dr. Harper, who served on the Food and Nutrition Board for ten years, reported that rigorous testing by one or more of three methods is used to determine the appropriate nutrients' allowances. Blood levels of the nutrients can be studied to see at what level deficiency occurs and another test can determine how much of the nutrient is lost in the body through metabolism. But if there's no way to accurately measure the loss, adults with a known deficiency are given supplements to see how much must be taken to remove the deficiency. While Dr. Harper pointed out that the RDA estimates aren't absolute, he added they're as accurate as possible with some leeway on the 'high' side. Adjustments in RDA are made if evidence later warrants. "One has to know what is and is not known about nutrition so the diet and the potential need for nutritional supplements can be adequately assessed. But more importantly to patients, we need to know how to apply all this information appropriately on an individual basis. "Nutrition inadequacy is even a problem in the Unite? States. Surveys show that hospital patients suffer from ma~nut~I­ tion and some people die from it. Obesity and other chrome diseases have triggered a world-wide interest in nutrition," the Wisconsin professor said. "People realize that there are many things about the environment that they can't control, but they know they can control food intake. There are many skeptical, critical people." Dr. Harper suggested that "we must modify our diets if we are to manage our health problems." He also spoke of the role of nutrition in the management of surgical patients. . "We can be proud of our achievements in nutrition durmg the last 50 years, but we must not become complacent. Scurvy and goiter were among the earliest public health problems. Our knowledge of the use of protein, calcium and iron proved effective," Dr. Harper concluded. Providing enriched diets for alcoholics will not prevent cirrhosis. Abstinence will. That is exactly what Dr. Charles S. Lieber proved through an elegant array of research and clinical .investigations. "Of the patients 1 see three out of four are excessive drinkers. Most have developed some form of liver disease. These range from hepatitis to cirrhosis, the third most common cause of death in large urban areas among the 35 to 55-age group." SUMMER, 1978 37 The commanding officer of Clark Air Base in the Philippines has invited Medical School fa cult y members to visit th e base hospital near Manila and give talks to the staff. In a letter to Dean John Naughton, Colonel Robert R. Smith said, "because of our distance from the states it is very difficult, and at times impossible to maintain satisfactor y l e vels of continuing education among members of our professional staff. If some members of your teaching staff are planning a vacation in the Orient this year, we would be pleased to act as host during their stay at Clark Air Base. We would also offer transportation to our base from the Manila International Airport. " 0 �Continuing, Dr. Lieber noted alcohol to be unlike other drugs. It has high caloric value, it impairs the appetite, and its calories are empty ones. He also cautioned on secondary deficiencies that it may trigger. These include nutritional loss, ethanol-induced GI damage, intellectual dysfunction, energy wastage, and increasing activity of toxic agents. Turning to treatment for alcoholism, Dr. Lieber showed why milk is no longer being used. So low have lactase values been found to be in man - among blacks they are even lower - that after alcohol ingestion these values are not even measurable. And in questioning whether an adequate diet maintains alcoholics, he said that while the standard model, that of the mouse, supported this claim, his clinical evidence did not. A restudy by Dr. Lieber revealed that, unlike man, mice have a natural revulsion for alcohol. They therefore avoid any fluid that contains it. By eliminating solids, and supplying mice with an all liquid diet - one that includes along with alcohol sufficient food intake for normal growth - Dr. Lieber found that after 12 to 24 days mice developed fatty livers. "We now had an experimental model to produce striking liver changes with an adequate diet," he said. "And we could once and for all forget about an enriched diet for the treatment of alcoholism.'' When treating alcoholics, Dr. Lieber cautioned on their increased capacity to rid themselves of drugs. "You must therefore adjust dosage accordingly. But development of liver injury may upset dosage as well. It may call for further readjustment." Among a host of complications reviewed by Dr. Lieber was that of alcoholic hepatitis. He wondered whether the water retained by protein causing the liver to swell may not be the missing link between a fatty liver and necrosis. And he implicated malnutrition- promoted by alcohol consumption- in cirrhosis. Speculating on how injury occurs to the liver, he pointed to the possibility of the ballooning of hepatocytes, an early lesion, and noted central sclerosis as a marker to predict cirrhosis patients. With ten million alcoholics in this country, he called for the need of a biologic marker to compare their differing levels of treatment. Dr. Lieber is now trying to validate this marker in a number of populations. "Because we have developed all of these complications in an experimental animal, we may have a better handle to prevent and treat cirrhosis. It is the most serious form of alcoholism," the Mt. Sinai School of Medicine professor concluded. Engineered or fabricated foods can stretch the world food supply and provide good nutrition at low cost, according to Dr. Herbert Sarrett, vice president of Mead Johnson Company, which specializes in food supplements. "Most of these foods are uniform in quality, are palatable and stable." Engineered foods include infant formulas, meal replacements for those on weight loss or special diets, convenience dinners, imitation basic foods (such as egg and meat 38 THE BUFFALO PHYSICIAN �substitutes) and minor ones as whipped toppings and imitation bacon chips and potato chips. Dr. Sarrett noted that these foods are fortified nutritionally to provide equivalent nutrients of basic foods they have replaced. "But they should not be counted upon entirely to supply the United States Recommended Daily Allowance (R.D.A.) of vitamins and minerals. More public education is necessary so consumers can more effectively determine whether or not they're getting the U.S.R.D.A. of essential vitamins and minerals in their diet," he said. "But there's a hazard in a lack of consumer education about these foods which means some may tend to overuse snack and imitation foods. By eating basic foods in combination with the engineered ones, there's less chance that these other, vital nutrients will be omitted from the diet," Dr. Sarrett concluded. When 18-year-old kids have a cholesterol count of 400 they have heart attacks, according to Dr. Robert S. Lees, director, arteriosclerosis center, Massachusetts Institute of Technology. "This is a real tragedy, but these young people can be treated successfully with a low fat diet. By controling the diet the kids will overcome the high cholesterol and grow out of the problem." Dr. Lees noted that often high cholesterol is prevalent at birth. "The earlier you start treatment the better. A diet low in saturated fats and high in protein does nothing for arteriosclerosis," Dr. Lees said. "People want to be fat, happy and long lived," the nutrition expert said. He warned that monkeying with a diet is dangerous. He would not recommend a certain calorie intake or a particular food for an entire population. "There is no evidence that changing a diet will prolong life. Scandinavian people have the longest life and have a high cholesterol diet. Changing their diet would not guarantee a longer life," Dr. Lees said. The MIT Professor pointed out that most diseases are inherited. "If your cholesterol is high, probably your parents had the same problem." Dr. Lees admitted that all the answers to arteriosclerosis are not known. But he did make these observations - "heavy smokers and sedentary people have the highest rate of arteriosclerosis while active people are less prone to the disease. And the older you are the higher the risk. Twenty years ago women were not troubled with arteriosclerosis, but in the last five years they have almost caught up to men because of their heavy smoking." Dr. Lees concluded by pointing out that no one knows for sure what is normal. "But if your cholesterol count is 220 or above your chances of a heart attack are good." "We are at a point where we can use blood substit~te preparations for transplant purposes," Dr. Robert P. Geyer said. He is acting chairman, department of nutrition, Harvard School of Public Health. d- SUMMER,1978 39 �In his illustrated lecture to medical students and faculty he noted that an oxygen transport system is needed. In his experiments with blood substitutes he emphasized that blood volume, metabolism and oxygenation must be maintained. The blood substitute, he says, passed all the appropriate criteria when exchanged for whole blood in rats via infusion. He pointed out the rats infused behaved normally, that regulation of oxygenation and metabolism was maintained and that new blood cells were manufactured. "The rats lived with no ill effects despite the fact the oxygen transport by red cells ceased during a 24-hour period," he added. One advantage of blood substitutes in the future could be that no blood typing would be necessary prior to use in emergency cases or cases of carbon monoxide poisoning. "Blood substitutes will not force blood banks out of business or make blood donors unnecessary," Dr. Geyer concluded. "Obesity is a very severe disease. Thirty per cent of us have it, and it should be treated," according to Dr. Robert Henkin, director of the center for molecular nutrition and sensory disorders at the Georgetown University Hospital. "It is possible by using a controlled zinc diet to reduce the appetite of obese people to the extent that they will lose weight. But the patients must be monitored very closely by a physician," the nutrition expert said. But Dr. Henkin pointed out that appetite is not the only factor of obesity. In his experiments Dr. Henkin noted that animals will stop eating and growing when they are on a zinc depleted diet. They will also drink more sodium chloride, while normal rats reject sodium chloride. "We don't know exactly how zinc effects the appetite, but we do know that histidine does effect the appetite, and causes people to lose weight. We also know there is some correlation between zinc, protein and taste buds." Dr. Henkin made several other observations: - many structures in our oral cavity need zinc; - zinc is very active in crossing the brain and is needed for nerve growth; - zinc can cause changes in the system - nausea and upset stomach; - smoking doesn't affect zinc intake; "Giving more zinc to cancer patients is very provocative and much more study is needed. How much and when to add zinc to food is not clear," Dr. Henkin said. In his illustrated lecture Dr. Henkin touched briefly on the several ways to increase and decrease appetite. "Appetite and taste are not directly related, but we see changes in both when zinc is depleted. One of the main characteristics of zinc is that it turns on and off the intake of food." "The eating habits of Americans has changed markedly in the last five years," according to Dr. Robert Nesheim, vice president for development and marketing for the Quaker Oats Company. One 40 THE BUFFALO PHYSICIAN �simple statistic proved his point: "food dollars spent .in restaurants, and for fast foods and convenience foods has Increased considerably while tonnage sold in supermarkets has leveled off." The researcher cited a change in employment. "There are more working women and they demand convenience foods when they return home in late afternoon." Dr. Nesheim said "the food industry responds to nutritional needs of people when the consumer understands what is going on. The industry is not one company, but many small companies with different problems and limitations." The Quaker Oats executive pointed out that fiber is a very popular issue today, "but it is not a cure-all for all health problems. Often people don't know whom to believe, especially when scientists don't agree on a particular issue. People have overreacted and claim benefits that have not been proven. The crude fiber analysis we use now comes from the late 1800s and is based on measurement of fiber in animal feed. This may not be related to the physiological benefits of fiber in the human diet. After we are able to measure dietary fiber correctly, we can start examining some of its claimed popularized benefits. We thought it was important that consumers have a good quality bran product available and they have complete instructions for its use." In his illustrated lecture Dr. Nesheim showed that fats in our diet have increased since 1909 while carbohydrates have declined. Protein and food energy have remained about the same. Many more fruits and vegetables, meat, poultry and fish are consumed today, according to several surveys. "We in the food industry must make every effort to increase consumer awareness about nutrition. The food industry is responsive to nutritional issues. We must relate to individuals as well as population groups. A product must satisfy consumer taste and be economical. Then repeat sales will come. No amount of advertising can change this." Dr. Nesheim spoke briefly of the regulatory implications imposed on the food industry by the Food and Drug Administration and how the Federal Trade Commission controls advertising claims. The scientist doesn't believe the American diet is changing. "Even when it comes to sugar consumption, there is misunderstanding. Despite claims to the contrary, consumption of sucrose per capita has not changed much in the last 40 years. The difference is in the form it takes. My mother used to bring home 100-pound bags of sugar. Today we eat sugar in convenience foods." Dr. Nesheim said. Vitamin E has been considered an essential nutrient for about 20 years, according to Dr. J.G. Bieri, chief of the Nutritional Biochemistry Laboratory at the National Institute of Arthritis and Metabolic and Digestive Diseases. This was the 12th and final nutrition lecture. "In recent years there have been 'fads' focusing on Vitamin E and claims about its effectiveness in treating medical probl~~s. It is an essential nutrient of the human diet, but it has no abihty d- SUMMER, 1978 41 �prolong life, treat heart disease or improve sexual performance," Dr. Bieri said. "Many of the claims made for Vitamin E by manufacturers are without basis in fact. They take a little bit of fact and magnify it, trying to give a little scientific credence to the claim," the government scientist said. Dr. Bieri noted that "there is a lot more misinformation than information coming out about Vitamin E. The public finds it an interesting topic. Some of the misinformation has been based on animal studies of Vitamin E deficiency. Scientists know they can't extrapolate from those tests to humans. Some of these claims are in no way related to any scientific work." Synthetic Vitamin E is a hot item in the stores with white middle class women taking large amounts of the vitamin each day. Dr. Bieri said "about 90 per cent of the Vitamin E consumed as a supplement passes through the body. It's money down the drain." The scientist-educator explained that Vitamin E is a plant product. "It is probably the most widely distributed of all vitamins and it is almost impossible to have a diet deficient in it. Vegetable oils are the main sources of Vitamin E, but there are significant amounts in all nuts, whole wheat and eggs." Meats and vegetables, while low in Vitamin E, probably account for 15-20 percent of the Vitamin E in the average American diet. "Our diet is higher in Vitamin E than Canada, Japan or England." In conclusion Dr. Bieri said "there have been reports of Vitamin E toxicity, but the phenomenon is not well documented by any scientific studies."O $58,532 Grant The School of Medicine has received a two-year $58,532 grant from the National Fund for Medical Education to support an innovative project "Medical Education in Cost Effectiveness; A Longitudinal Approach." Dr. Harry A. Sultz, professor and acting chairman of the department of social and preventive medicine, is the principal investigator. The study will develop and test a sequence of competencybased learning modules specifically designed to prepare physicians to make cost-effective patient management decisions. The longitudinal instructional model will expand upon existing content and develop new content related to health care costs and quality assurance as part of a cross-curricular, multi-departmental effort. Problem-oriented written clinical simulations and other instructional materials will be developed for use in the learning modules. The project director is Jane S. Mathews, clinical assistant professor and research associate in the department of social and preventive medicine. Other faculty members involved in the study are - Drs. Leonard Katz, John Richert, Frank Schimpfhauser, Thomas Burford, Stanley Levin, Evan Calkins, Raymond P. Bissonette, and Frances S. Sherwin. 0 42 THE BUFFALO PHYSICIAN �- .~ Th e new wing. VA Hospital Expansion The Veterans Administration Hospital broke ground for a new outpatient wing last year. The $7.1 million addition will be located on the south side of the hospital to the right of the main entrance on Bailey Avenue, according to Joseph Paris, hospital director. There will be 53,000 square feet in the three-story building. The addition will have no windows, because its diagnostic and treatment functions do not require any and also as an energy conservation measure. In addition to treatment areas the new facility will have space for radiographic laboratory and pharmacy services. Mr. Paris indicated that there would be some renovation in the existing hospital near the new addition. "We have reached the point where we need more space to treat the 150,000 out-patients," Mr. Paris said. Sometime in 1979 the new addition will be completed.D SUMMER, 1978 43 �Seven st udents who participated in the MECO p rogram last summer talk informally about their experiences. They are all membe rs of the 1980 class. From left- Mary Driscoll, Eva Klonowski, Ma rk Borer, Harvey Arbesman, Lynn S teinbrenner, Jim Conway and John Shayne. MECO Program During the summer 22 first and second year medical students received an early introduction to primary care. The Medical Education Community Orientation (MECO) program, sponsored by the American Medical Student Association, is in its second year. Two second year medical students, James Bracikowski and Peter Condra, started working on the project in October, 1976. They had to raise enough money locally to pay $85.00 weekly stipends to the students for six or eight weeks. Among the contributors were - the Annual Participating Fund for Medical Education (APFME), Medical Alumni Association, Erie County Medical Society, New York State Academy of Family Physicians, Lamb Foundation, and several private contributors . The 18 physicians participated voluntarily. The students worked out of the physicians' offices or community hospitals. Three new hospitals - DeGraff, Columbus, Mount St. Mary's were in the program for the first time this year. According to the student coordinators, Dr. Harry Sultz , professor and acting chairman of the department of social and preventive medicine, and Dr. Robert M. O'Shea , associate professor of sociology, are working on a statistical anal ysis for the final report. The student participants agreed that " it was a great experience in clinical medicine . We learned a lot about the problems of the patient. " 44 THE BUFFALO PHYSI CIAN �Participating in the MECO program: FIELD STUDENT PRECEPTOR Arbesman, Harvey Medicine Dr. David Dickman (Ambulatory Care) Buffalo General Hospital Medicine Dr. Anthony Merlino Buffalo Columbus Hospital Pediatric Nephrology Dr. Tadla Baliah Children's Hospital Medicine Dr. Morton Lipsitz 860 W. Ferry St. Dr. Frederic Hirsh Family Practice 3435 Bailey Avenue Dr . Avrom Greenberg Medicine Delaware Avenue Medical Center, 1275 Delaware Avenue Dr. Dennis A. Nadler Out-patient Pediatrics E.J. Meyer Hospital Medicine Dr. Syed Haq 2121 Main Street Dr. Samuel Galeota Medicine 1388 E. Delavan Ave. Dr. Semen Doroszczak Family Practice 919 Kenmore Avenue Dr. Robert Corretore Family Practice 350 Alberta Drive Dr. Peter Vlad Pediatric Cardiology Children's Hospital Pediatrics Dr. Robert Warner 962 Delaware Dr. Salvatore Latona Medicine Mount St. Mary's Hospital, Lewiston Dr. Salvatore Latona Medicine Mount St. Mary's Hospital, Lewiston Medicine Dr. David Carlson DeGraff Memorial Hospital, North Tonawanda Dr. David Carlson Medicine DeGraff Memorial Hospital, North Tonawanda Dr. Melvin Oyster Family Practice Niagara Falls Memorial Hospital Family Practice Dr. John McMahon 1616 Kensington Avenue Family Practice Dr. Herbert Wittkugel 71 Kenmore Avenue Dr. Ulrich Bauer Pediatrics 2618 Union Road Family Practice Dr. Ian Frankfort 1825 Maple Road Balon, Walter Bertini , Nicholas Borer, Mark Buran, Joseph Conway, James Denne , Scott Driscoll, Mary Gold, Andrea Klonowski, Eva Koenig, Paul Masten, Tom Ninos, John Parker, William Paroski, John Picano, Dennis Rose, Robert Shayne, John Silberstein, Peter Sporn, Lawrence Steinbrenner, Lynn Sze-tu, Duncan SUMMER, 1978 45 �Dr. Dunn Dr. Qunn "The Buffalo winters are too much," said Dr. James C. Dunn. The physician-educator is now teaching anatomy at the University of Arizona Medical School in Tucson. Dr. Dunn is the first clinician hired to work with the full time faculty in the anatomy department there. The U/ A Medical School graduated its first class in 1973. Born in Lackawanna in 1928, Dr. Dunn has been on the U/ B Medical School faculty for 20 years. He is a 1950 graduate. Dr. Dunn served on the admissions committee from 1967 to 1970, under the chairmanship of Dr. Philip Wels. Dr. Dunn, on his own time, visited 18 negro colleges in the south and recruited 28 minority students for the Medical School. Most of these students graduated from U/B and are doing well, according to Dr. Dunn. From 1950 to 1967 only 12 negro students were accepted. Medical education has always been one of Dr. Dunn's chief interests. He has visited medical schools in Europe, England, Australia and Israel. "Our medical education is superior. Even though students complain, our selection policies are better. We select the students in the beginning. By contrast most foreign countries admit several thousand medical students and only a small percentage finish ." As an educator Dr. Dunn has tried to emphasize the clinical application of the cadaver. "I believe in taking students on hospital rounds in their first year in medical school. Often these visit my office, and observe while I am performing surgery. Observing surgery is a great help to them when they are dissecting a cadaver." When Dr. Dunn entered the medical school in 1946 he was the first black since Dr. W. Yerby Jones was graduated in 1924. "Dr. Jones was one of my idols, a great inspiration to me in my formative years. He emphasized scholarship." Dr. O.P. Jones, now an emeritus professor, was a member of the admissions committee when Dr. Dunn was accepted at U/ B. Dr. Jones was one of Dr. Dunn's professors and 20 years later he joined Dr. Jones' department as a clinical associate professor of anatomy. He is also a clinical assistant professor of surgery. Dr. Dunn took his internship and one year of his residency at the Bellevue Hospital, Columbia Division, New York City. He returned to Buffalo and took three more years of his residency (he was chief resident, general surgery) at the Veterans Administration Hospital under Dr. William Chardack, associate professor of surgery. In 1955 Dr. Dunn served in the Army Medical Corps as captain for two years. While in Buffalo Dr. Dunn was affiliated with three hospitalsOur Lady of Victory in Lackawanna, Buffalo Mercy and Children's (until 1970) . He is a Diplomate, American Board of General Surgery and National Board of Medical Examiners. He is also active in several other professional societies. Dr. Dunn's wife, Dr. Imogene G. Johnson, received her M.D. in 1949 from Howard University. She has been on the U/ B faculty for 15 years as a clinical assistant professor of pathology. She is also a pathologist at Columbus Hospital. The Dunn's have four childrenJames Clarence II, a pre-med student at Allegheny College; Gina, a junior at Houghton College; Gregory, a junior at Baker Victory High school; and Guy, a sophomore at Orchard Park Central. Dr. Dunn's hobbies include photography and playing the violin. He performs regularly with the Mercy String ensemble.D 46 THE BUFFALO PHYSICIAN �$166,607 Multiple Sclerosis Grant professor and chairman, department of microbiology at the Medical School, received a $166,607 three-year grant from the National Multiple Sclerosis Society, effective in January. Since 1973 Dr. Milgram has received $378,426 from the Society for his research. He will continue his immunologic and serologic studies of neurological diseases including multiple sclerosis. In one experiment, Dr. Milgram compared reactions of lymphocytes, the white blood cells governing the body's immune responses, from MS patients and from non-MS persons, when they were exposed to basic protein. He observed that MS lymphocytes were stimulated to a lesser degree than were those from other donors. (Basic protein, BP, is a component of myelin, the fatty and protein material ensheathing certain nerve fibers. Myelin loss in the central nervous system produces the symptoms associated with MS.) Dr. Milgram thinks this lack of response occurs because BP might induce stimulation of suppressor cells, a subset of lymphocytes that "turns off" other lymphocytes. He hopes to confirm these preliminary observations and to recover, if possible, the suppressing factor from BP-stimulated lymphocyte cultures. For this research, he will compare lymphocyte activity in cells taken from MS patients with those from normal donors and from persons with other neurological diseases. Lymphocytes from each donor will be divided. One portion will be cultured with BP; the other, without BP. After the incubation period, the supernatant fluid will be separated from the cells which will be washed and cultured with fresh lymphocytes from the same donors. These mixed cultures will be exposed to plant substances (lectins) known to stimulate cell proliferation. To measure the degree of lectin-induced cellular activity, a radioactive "tracer" (thymidine) will be added to the lymphocytes precultured with and without BP. In related research, Dr. Milgram plans to expose the supernatant fluids to the same varieties of lectins and to other lymphocytes that have been treated previously with a drug that "turns off" cellular activity. The activity measured in these supernatant cultures will be compared to determine whether a soluble inhibitory factor is produced by BP-stimulated cells. In addition, Dr. Milgram's study of reactions of MS sera to preparations of human brain tissue will be extended. Earlier work in his laboratory has indicated that brain tissue fractions appear to exert an antigenic effect on MS and non-MS sera. Dr. Milgram plans to purify this active fraction and, if successful, he will attempt to increase the sensitivity of the sera to brain fractions with the aim of establishing a sensitive diagnostic blood test for MS.D DR. FELIX MILGROM, SUMMER, 1978 47 Dr. Milgrom �Dr. Solomon Dr. Solomon Let us walk with utmost delicacy, Away from life's hellish road, through grassy Trails that guard Nature's fecund floor, past trees, Ancient oaks, elms, and pines, that shade the leas From Apollo's ire, The orbiting fire, To the flowing stream of our infancy. Let us walk with lightened step, hand in hand, Across sterile beaches and sunburnt sand That harbor no life except empty shells Of men and snails and funereal bells. Let us trod with light Step past all this blight And joyously swim in our mother's hand. Let us walk with our spirits while we may, Past Ulro's asphalt land where others stay To rot and decay, immersed in mem'ries Of life's infections and infirmities. Let us fly with haste From this snowcapped waste, For we, with Love, in Eden's rains shall play. A 1971 Medical School graduate, Dr. Kenneth Solomon, is a psychiatrist and a poet. His first book, Journey to Hygeia , was recently released by Vantage Press. It is a collection of poems written between 1964 and 1973, covering the doctor's late adolescent and early adult years. There are selected free verse, rhyming works, sonnets, couplets and quatrains. Hygeia is the Greek word for health. The 30-year-old psychiatrist has published many poems in magazines and anthologies. His poems range from 17 syllables to 17 pages. "The Hadj," an Arabic word pronounced "hodge," is a 17-page poem about an allegorical pilgrimage to Mecca. Dr. Solomon credits his NYU English professor, Byrne Reginald Spenser Fone, "as opening up the world of poetry to me." The book is dedicated to Professor Fane (wherever he may be). "All of my friends at NYU were writing poetry or folk singing or both and we gave each other support and mutual admiration." Dr. Solomon says his poetry has undergone changes since 1964 when he began writing. ''I'm writing less about Swahili mythology and events that happened in Russia 200 years ago. A lot of my early poems dealt with the big city. I adopted the subway as a symbol of all that was wrong with man and technology. My poetry has gotten shorter as my time gets shorter. Now I say in three words what I used to say in 20 lines." Dr. Solomon's newest love is haiku, the Japanese form in which thoughts are expressed in 17-syllable poems. He says he enjoys toying with different rhythms and he credits his musical background for this. Dr. Solomon used to be a professional jazz musician and still plays as a hobby. The jacket cover of the book says Solomon's "personal dream is to unite C.P. Snow's two cultures and be a Renaissance Man." As part of this unity, he uses Shakespeare in teaching his classes at the Medical College of Virginia where he is an assistant professor. "I tell my students if they want to study senile dementia they should read 'King Lear.' If they want to study paranoia, 'Othello' is perfect." The reaction to the book has been, "Gee I didn't know you did. that!" He knows a few of his friends have purchased the book, but he doesn't know how many of the first printing of 4,000 have been sold. Dr. Solomon is realistic about the plight of poetry in today's society. "We're just not a poetry-reading people . The only reason Shakespeare sells is that it's required reading in high school. My first love has always been poetry. But I was realistic enough to know that I couldn't earn a daily living writing poetry.'' Poetry and psychiatry are not such strange companions. "While psychiatry is very analytical it is also very intuitive. The two are quite close together," Dr. Solomon said. Dr. Solomon does not limit his writing talent to poetry. He has had nine professional papers published in psychiatric and medical journals. He is also turning to prose, working on what he hopes will be his first novel and several short stories. His wife Mona and children- Dori and David- are quite excited about the book and family hobbies - reading, music and people. Dr. and 48 THE BUFFALO PHYSICIAN �Mrs. Solomon are also car-rally enthusiasts and they h~ve trophies to prove it. Dr. Solomon, who grew up in New ~ork C~ty, didn't have a driver's license until he was 20. Now he IS makmg . up for the time he spent on the subways. Dr. Solomon's goal: "to live life to the fullest and to touch, m an existential sense, as many human beings as I possibly can."O New Modes of Reproduction New modes of reproduction in the future will improve the quality of the newborn, according to Dr. Joseph Fletcher. He cited artificial insemination as one of these "new modes" of reproducing and indicated that 1.5 million persons in the United States are already products of this process. Dr. Fletcher is a visiting professor of medical ethics at the University of Virginia. The Harrington lecturer suggested other future alternatives to reproduction - a fetus delivered from a glass womb; women delivering infants who have other genetic mothers; and the reproduction of youngsters who are identical to their one parent. Dr. Fletcher said, "women with sterility and ovulation problems might find the transfer of the ovum of another woman to themselves to be another alternative mode in the future. For the woman who can't or doesn't wish to carry her child, relief is in sight. Her fertilized ovum might be transferred to another woman's uterus for the nine-month period." Dr. Fletcher also predicted that when artificial placenta is perfected, fertilized eggs will be brought to term in glass wombs. This possibility would permit fetal development to be observed, he said, thus leading to further knowledge which could save many infants. "We've become used to putting premature infants in mechanical incubators, so the glass womb would only expand the time the fetus would spend in a carefully controlled environment," he pointed out. He also foresees: "in vitro" fertilization of the ovum and its subsequent implantation, cloning, and parthenogenesis (development of an egg without fertilization). "Given our new and growing medical capabilities to control human conditions, it's irresponsible to continue to reproduce by 'sexual roulette' as these options become available," Dr. Fletcher said. He noted that each person carries seven to ten deleterious genes which can, in some situations, lead to conditions or diseases in offspring which are undesirable. He added that the presence of these genes in the general gene pool will more than double in 100 years. Dr. Fletcher suggested that in the future sex will be used for lovemaking, with other modalities of reproduction used for babymaking. Though some view this as tampering with nature, he reminded the audience that medicine interferes with nature for clinical reasons of well-being. "While people aren't obliged to have children, they are ethically obliged to have the healthiest ones possible," he added. "I believe sexual roulette often produces victims. In the future, this need not be," he concluded.O SUMMER, 1978 49 Dr. Fletcher The Harrington lecturer was selected by a student-faculty committee of the Medical School. The lectures were created in 1896 by the will of the late Dr. Devillo W. Harrington, professor of genital and urinary diseases at the School of Medicine. �Associate dermatology professors Drs. John Maize, Thomas Provost; Dr. Dobson; Drs. Harvey Banker (England), Stephanie ]ablonska (Poland), Rudi Cormane (The Netherlands), Ted Chorzelski (Poland). Second Annual Westwood Conference on Clinical Dermatology Approximately 300 jammed each session of the second annual Westwood Conference on Clinical Dermatology. Some practicing dermatologists came from Hawaii and Vienna, while others came from Canada and Buffalo. And joining a distinguished national panel of speakers were participants from Poland, Holland and England. Sprinkled amid four-crammed days of diagnostic/treatment sessions on some major skin diseases were social events. These included a reception/cocktails at the beautiful Albright Knox Gallery, a surprise speaker (comedian Henny Youngman) whose one-line anecdotes highlighted the banquet. And a special women's program that featured a visit to Niagara Falls, Our Lady of Victory Basilica!, the horticultural gardens, and a tour of the Westwood Pharmaceutical plant. Learning however was not confined to the eight technical sessions. There was also an opportunity to turn lunch hours into round-table discussions or into individual consultations. These ranged from pathology, psoriasis, bullous diseases, immunology, vasculitis, 50 ichthyosis, clinical dermatology to therapy, melanoma, cancer, therapy, pediatric dermatology and pigmentation. Starting off the Conference was a session on diagnosis/treatment of pigmented tumors. In his overview on the basic structure/ form of melanocytes, Yale's Dr. Joseph J. McGuire noted that pigmented cells do not vary in number rather they vary in function in the various races. U/ B's Dr. John Maize followed with a review of the critical features and histological patterns of various acquired melanocytic lesions as well as those that often simulate them. Mostly benign, he pointed to reliable methods of disgnosis and treatment. But he cautioned on the need for a complete, careful examination of a patient's entire skin for there has been a steady rise in the incidence of malignant melanomas during the past 30 years. The halo phenomenon/its clinical and pathologic implications as well as clinical diagnosis of malignant melanoma were the topics of Harvard's Dr. Martin C. Mihm, Jr. THE BUFFALO PHYSICIAN �He cautioned that although physicians appear to have greater awareness of the clinical features of early melanomas, diagnostic accuracy based on clinical features alone is unreliable. According to an NYU Skin and Cancer study, the clinical accuracy of differentiating malignant melanomas from other pigmented lesions was only 64.4 per cent. He went on to stress the importance of proper biopsy technique for diagnosis and as a guide to therapy. Turning to the intricacies of histologic diagnosis, Dr. A. Bernard Ackerman of New York University stressed patterns of growth rather than cytologic minutiae. "Architecture," he reiterated, "is the most important thing for diagnosis." Early diagnosis as well as improved prognosis with early effective surgical treatment was the message from NYU's Dr. Matthew Harris who works closely with the department of dermatology's skin and cancer unit. He also urged complete and careful preoperative evaluation before any type of definitive surgery. And he noted that specific tests for immunologic competence and melanoma antibodies are now underway at NYU. In a special lecture on skin diseases in black patients, Brown University's Dr. Charles J. McDonald stressed the management of pigmentary problems. In some patients with vitiligo it is preferable to depigment than to attempt repigmentation he noted. On therapy, Scripps Clinic Dr. Richard B. Stoughton noted the effects of topical an- Frank Nero, presr'd ent, W es tw oo d Pharmaceuticals; I Dr. Richard Dobson, professor and chairman, dermat~ ~gy department; Dr. John Naughton, Dean, School of Medrcrne. d- SUMMER, 1978 51 �The evening banquet. tibiotics when treating acne. He also discussed properties of various topical steroids and guidelines for their use in treating specific inflammatory diseases. Arkansas' Dr. G. Thomas Jansen presented a practical guide to treatment of precancerous lesions, urging office management of these common disorders. What is true about what is new? In the treatment of acne and use of topical steroids, U/B's Dr. Richard L. Dobson pointed to inconsistencies in the literature on therapy. Next on the program were the clinical challenges of those disorders that often are perplexing both in terms of diagnosis and treatment. Albert Einstein's Dr. Michael Fisher classified the causes of purpura due to Dr. ]ames E. Rasmussen, assistant professor of dermatology, visits with a participant. 52 disorders of coagulation, platelets, vessels and extra-vascular tissue. Mayo Clinic's Dr. Harold 0. Perry, in his presentation of a practical guide to diagnosis/management of chronic vasculitis and panniculitis, noted clinical findings to be often nonspecific, and etiologies diverse. In his discussion of immunodeficiency, Wisconsin's Dr. Richard Hong noted the wide variety of associated cutaneous lesions. Pediatric dermatology. In his exhaustive differentiated diagnosis of exanthems, Dr. Fisher emphasized their varying chemical patterns. A simplified classification/approach to the diagnosis and treatment of ichthyosis was reviewed by Harvard's Dr. Irwin M. Freedberg. U/B's Dr. James E. Rasmussen reported that children with kerion have delayed hypersensitivity to Trichophyton while those with chronic inflammatory ttinea capitis were lacking these responses. Turning to atopic dermatitis, Dr. Dobson emphasized its pathogenetic mechanisms. He noted that despite the large amount of research being done on this disorder, "It still remains a puzzling one." The practical role of immunofluorescence in diagnosis and as a guide to therapy was presented by U/B's Dr. Thomas T. Provost. Medical College of Virginia's Dr. William P. Jordan then turned to guidelines for patch testing. He noted that the standard screening series is of great value provided there is an awareness of the multiple sources of the basic chemicals. THE BUFFALO PHYSICIAN �Eleven visiting faculty members will be featured on the program at the third annual Westwood Conference on Clinical Dermatology May 21-24 at the Sheraton-East Inn, Buffalo. Dr. Richard L. Dobson will again direct the fourday meeting. Eight U! B faculty members from the d.ermatology department will also be conference participants. The confe.rence JS ~pproved for 27 h~urs of Category I, Continuing Medical Educatwn cred1t by the Amencan Academy of Dermatology and the AMA.D In his review of cutaneous/systemic varieties of collagen vascular diseases, U/B's Dr. Sean O'Loughlin emphasized laboratory evaluation of these patients to diagnose and monitor effective treatment. In his discussion on what is new in immunology, Wisconsin's Dr. Richard Hong aired some exciting developments. "Immunologic competence can be reconstituted in both animals and man by thymus transplants," he said. Apparently, the thymus loses its antigencity and is not rejected after only a few days of culture in vitro. Leading a distinguished panel on psoriasis was London's Dr. Harvey Baker. In his review of its various clinical patterns, he noted some of its unusual features. Miami's Dr. Kenneth Halprin turned to its pathogenesis, suggesting that a single abnormal protein in the epidermal cell membrane may well be the basic defect. Reviewing chemotherapy of psoriasis was Brown's Dr. Charles J. McDonald. He noted the newest star on the horizon to be mycophenolic acid. Reasonably effective, it may soon be available for general use, he said. St. John's Dr. Harvey Baker then pointed to extensive studies that indicated a single weekly dose of methotrexate minimizes hepatic damage. Daily therapy is hazardous and is not recommended, he added. Concluding with an update on the results of photochemotherapy was Cleveland Clinic's Dr. Henry H. Roenigk. He noted the PUV A appears to be effective and complications few. Still in the experimental stage, he advised against general use of this modality before FDA approval. SUMMER, 1978 From Amsterdam, Holland's Dr. Rudi Cormane, a report on exciting results wh.en treating ichthyosis and Darier's disease With an oral vitamin A derivative. "A virtual complete clearance is achieved in all patients,." he said. This treatment is now under study m this country. Culled from their clinics in Warsaw were a variety of rare but fascinating cases by Dr~. Stephanie Jablonska and Tadeusz Chorzelsh Dr. Alexander Berman (Milwaukee) reported several cases of depigmentation surrounding flat warts that were produced after treatment with a keralytic agent.D Drs. Sean O 'Loughlin, Thomas Provost. 53 �The Classes The Classes of the 1920's Dr. Raphael M. Baratta, M'24, is a retired Family Practitioner. He has received certificates of appreciation from every president from Franklin Delano Roosevelt to Lyndon Johnson for uncompensated service to the Selective Service System. He is justly proud of his 27 years of service to the nation. Dr. Baratta lives at 291 Avenue W, Brooklyn, New York 11223.0 The Classes of the 1930'S Dr. Thomas S. Bumbalo, M'31, retired as Medical Director of the E.J. Meyer Memorial Hospital in February, having reached mandatory age of 70. Dr. Bumbalo is also a clinical professor of pediatrics at the Medical School. He is a Diplomate of the American Board of Pediatrics and served on the staffs of the Meyer, Children's, DeGraff, Brooks Memorial and Tricounty Hospitals. Dr. Bumbalo won national recognition some years ago for his research in diagnosis on pin worms in children.D Dr. Carl E. Arbesman, M'35, received the Distinguished Service Award of the American Academy of Allergy in Phoenix recently. The clinical professor of medicine and microbiology has been a member of the Academy since 1938 and a Fellow since 1941.0 Dr. Richard C. Batt, M'36, has been named a Fellow of the American College of Radiology. He is affiliated with hospitals in Glens Falls, Corinth, Ticonderoga and Wilton, all in New York State.D Dr. Harold F. Wherley, M'36, writes that he is "semi-retired" from his specialty of ophthalmology/otolaryngology. His son, Dr. Ben Wherley, M'65, also an ophthalmologist, is in practice with him at the Boulevard Medical Building, Dover, Ohio.D 54 Dr. Charles Becker, M'38, retired as chief of pathology at Sisters Hospital in December, 1977. He had been on the staff since 1946. He is clinical associate professor of pathology at the Medical School.D The Classes of the 1940's Dr. Kevin M. O'Gorman, M'43, has been appointed to the Board of Trustees of Hilbert College, Hamburg, New York.D Dr. Joseph J. Ricotta, M'43, of Buffalo, is the president-elect of the National Federation of Catholic Physicians' Guild.D Dr. George H . Selkirk, M'43, clinical associate professor of medicine, has joined the Sisters Hospital medical staff. He interned at Buffalo General Hospital and did his residency at Children's Hospital.D Dr. John L. Smith, M'46, has been named a Fellow of the American College of Radiology. He is affiliated with Green Hospital of Scripps Clinic Medical Institutions, LaJolla, Ca. and the University Hospital of San Diego.D Dr. Arthur J. Schaefer, M'47, of Snyder, New York, has been giving lectures and speeches at the Will's Eye Hospital in Philadelphia, the annual Oculo-Plastic Ptosis dinner meeting at the Union League in Philadelphia and at the American Academy of Ophthalmology and Otolaryngology in Dallas. He is a clinical associate professor of ophthalmology at the Medical School.D Dr. John B. Sheffer, M'47, has joined the pathology department at Sisters Hospital, after nearly 20 years as chief of pathology at Deaconess Hospital. He is also a clinical professor of pathology at the Medical School. At one time he was chief of laboratory services at the VA Hospital.D THE BUFFALO PHYSICIAN �Dr. George L. Collins, Jr., M'48, clinical assistant professor of medicine, was named one of nine "Outstanding Citizens for 1977" by the BUFFALO EVENING NEWS. The President of the New York State Medical Society was cited for his work at "resolving what he terms crises over the state's costly medicaid program and the malpractice insurance issue." The newspaper annually names persons who have contributed strongly to the well-being or progress of the Buffalo area and the Niagara Frontier.D Dr. Robert J. Hall, M'48, has been appointed chairman, section of cardiovascular diseases, Pan American Medical Association Inc. He has been elected to membership in the Association of University Cardiologists. Dr. Hall is medical director of the Texas Heart Institute, Houston. The Institute is operated jointly with St. Luke's Episcopal Hospital and Texas Children's Hospital in the Texas Medical Center.D Dr. Harold Bernhard, M'49, clinical associate professor of medicine at the Medical School, has been elected Governor for Northern New York of the American College of Gastroenterology. He is also the new president of the G.I. Liver Society of Western New York.D The Classes of the 1950's Dr. Laurence T. Beahan, M'53, is a backgammon enthusiast. It's a game for all ages. There is skill involved, percentages to consider and a choice of moves. It is also a good family game to play. Dr. Beahan is a clinical assistant professor psychiatry at the Medical School.D Dr. John B. Fenger, M'53, whose specialty is physical medicine and rehabilitation, is practicing in Phoenix, Arizona. He lives at 1901 East Thomas Road.D Dr. PaulL. Weinmann, M'54, has been appointed Chief of the Department of DerSUMMER, 1978 matology at Sisters Hospital. He is a clinical assistant professor of dermatology at the Medical School.D Dr. Richard R. Gacek, M'56, has been appointed professor and chairman of the department of otolaryngology and communication sciences at SUNY/Upstate Medical Center, Syracuse, New York. Dr. Gacek was formerly chairman of the department of otolaryngology at the University of Massachus.etts Medical School, Worcester. Dr. Gacek IS a member of numerous professional societies and serves as editor-librarian of the American Otological Society. He is also chairman of the Scientific Review Committee of the Deafness Research Foundation. He is the author or co-author of more than 50 professional articles and publications in addition to seven book reviews published in the New England Journal of Medicine.O Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was a guest lecturer at the University of Michigan Center for Continuing Medical Education, in March. He spoke about " Morphologic Hematology: Historical , Aspects."D Dr. Bernard H. Sklar, M'56, is President of the medical staff of Fair Lawn Memorial Hospital, Fairlawn, New Jersey. He is also Medical Director of the Ridgewood Nursing Home in Ridgewood, New Jersey.D Dr. Samuel Shatkin, M'58, is president of the New York State Society of Plastic, Reconstructive and Maxillofacial Surgeons. He is clinical associate professor in surgery at U/B and an attending physician at Buff~lo General Children's, E.J. Meyer Memonal, and St. J~seph's Intercommunity h~spitals. He is chief of Plastic and Reconstructive surgery at Buffalo Veteran's Administration Hospital. In addition, he is a consultant in Plastic Surgery to the State Health Dep~rtment. . Dr. Shatkin is currently servmg ~s pre~I­ dent of the American Society of Maxi~lofacial Surgeons. He is immediate past president of the Society of Plastic Surgeons of Upstate d55 Dr. Shatkin �New York and immediate past president of the Phi Lambda Kappa Medical Fraternity. He is a past chairman of the New York State Medical Society Section on Plastic, Reconstructive and Maxillofacial Surgery. Dr. Shatkin has also held numerous other offices in several other Societies and he is a member of the American Society of Plastic and Reconstructive Surgeons, American Society of Aesthetic Plastic Surgeons, Head and Neck Society, American Cleft Palate Society, Buffalo Plastic Surgery Society, Fellow, American College of Surgeons, American Medical Association and the Erie County Medical Society. 0 Dr. Frank A. Perlroth, M'67, has been practicing internal medicine/nephrology in Palo Alto, California for the past three years. He is also an instructor in medicine at Stanford University. He lives at 95 Joaquin Road, Portola Valley, California 94025.0 Dr. S. K. Bosu, M'69, practices pediatrics/neonatology in Long Beach, California. He is Associate Director of Newborn Services, Earl and Loraine Miller Children's Hospital Medical Center in Long Beach. Dr. Bosu is also an assistant clinical professor of pediatrics at the University of California at Irvine School of Medicine.D The Classes of the 1960's Dr. Kenneth E. Burstein, M'65, of Los Gatos, California, is practicing medicine in San Jose. He married the only female rabbi who serves as chief rabbi of her own congregation in the United States and the world, he claims.O Dr. Barry Feinblatt, M'65, clinical associate professor of pediatrics, has joined the Sisters Hospital medical staff. He interned at Buffalo General Hospital and took his residency at Children's Hospital.O Dr. Daniel Schubert, M'65, is an assistant resident in the department of psychiatry at Western Reserve University, Cleveland, Ohio. He will be entering a Family Practice Residency in July, 1978 at Howard University in Washington, D.C. (a three-year program).D Dr. David Wallack, M'66, is chairman of the department of internal medicine, Littleton Medical Clinic, Littleton, Colorado. He is also associated part-time with the University of Colorado School of Medicine. Dr. Wallack writes, "a third daughter (Marissa Beth) was born to my wife Bonnie and myself on 26 August 1977."0 Dr. David L. Larson, M'67, is medical director of the Gulf Coast Regional Mental Health-Medical Rehabilitation Center in Galveston, Texas and is working in conjunction with the University of Texas.O 56 The Classes of the 1970's Dr. Michael L. Lippmann, M'70, is with the Pulmonary Disease Section of Albert Einstein Medical Center's Northern Division, York and Tabor Roads, Philadelphia, Pennsylvania. He writes that he has moved at least five or six times up and down the East coast over the eight years since graduation. He also says that he is "eagerly looking forward to our tenth reunion in 1980."0 Dr. Bruce M. Prenner, M'70, practices pediatric/adult allergy in San Diego, California. He was recently board certified in Pediatrics (1976) and Allergy/Immunology (1977). His articles have appeared in the "American Journal of Diseases of Childhood" and "Annals of Allergy." Dr. Prenner is also an assistant clinical professor of pediatrics at the University of California (San Diego) School of Medicine. He lives at 11702 Shadowglen Road, El Cajon, California 92020.0 Dr. Jeffrey Rothman, M'70, is a Diplomate of the American Board of Internal Medicine in the subspecialty of endocrinology and metabolism. He was recently appointed to the faculty of SUNY /Downstate Medical Center as clinical assistant professor of medicine. Dr. Rothman lives at 489 Maine Avenue, Staten Island, New York 10314.0 THE BUFFALO PHYSICIAN �People Dr. James K. Smolev, M'70, is chief resident in urology at The Johns Hopkins School of Medicine, Baltimore. As of July, 1978 he will be chief of urology, Baltimore City Hospitals and assistant professor of urology at the Johns Hopkins Hospital. Dr. Smolev, his wife, Linda, and daughters, Jennifer and Melanie live at 203 Stanmore Road Baltimore, Maryland 21212.0 ' Dr. Martin Brecher, M'72, reports the case of a small boy who apparently had been successfully treated for pelvic rhabdomyosarcoma, without surgery. The research assistant professor of pediatrics at the Medical School made the report in an article for the Journal of Surgical Oncology. The case Dr. Brecher reports on involved a boy admitted to Roswell Park Memorial Institute when he was two and one-half years old. The parents rejected surgery and the boy was placed on a treatment of regimen combining radiation therapy and chemotherapy. The residual tumor mass disappeared approximately one year after treatment began.D Dr. Ismil Ismael, M'72, is practicing pulmonary medicine in San Jose, California. He is also a clinical associate at Stanford Medical School. Dr. Ismael lives at 2201 McLaughlin No. 3, San Jose, California 95122.0 Dr. Joel H. Block, M'75, will be starting his Chief Residency in Radiology at Sinai Hospital, Baltimore, Maryland in July. Dr. Block and his wife, Mary Anne, are expecting a child in August. They live at 129 Maybin Circle, Owings Mills, Maryland 21117.0 A third year medical student, Peter Shields, has been elected national president of the Organization of Student Representatives. The organization is associated with AAMC.D SUMMER, 1978 Dr. Walter Grand is the new chairman of the department of neurosurgery at Millard Fillmore Hospital. He is a clinical assistant professor of neurosurgery at the Medical School. Dr. Grand received his M.D. from Albert Einstein College of Medicine.D Dr. Emma K. Harrod has been elected to a second term as president of the YWCA of Buffalo and Erie County. She is a clinical associate professor of pediatrics an? ~lin~cal assistant instructor in rehabilitatiOn medicine. Dr. Harrod is also medical director of the United Cerebral Palsy Association, and former Erie County Deputy Commissioner of Health.D Dr. Philip K. Li is the new directo~ of clinical laboratories at Children's Hospital. He is assistant professor of pediatrics. ~nd pathology at the Medical School. Dr. LI IS a laboratory director of the American Board of Bioanalysis, and a charter Fellow of the National Academy of Clinical Biochemistry.O Dr. Elliott Middleton, professor of medicine and pediatrics, will speak on "Drug Development for Asthma" at the sixth International Symposium on Medicinal Chemistry in Brighton, England (University of Sussex) in September. In April he spoke on Asthma at the Jones Memorial Hospital, Wellsville, at the Ellis Hospital, Schenectady. In May Dr. Middleton addressed the annual meeting of the American Thoracic Society in Boston. His topic: "Methods in Epidemiology Research: Studies of Anti-Asthma Drugs." He also addressed the Cleveland Allergy Society on "Pathogenesis and Drug Therapy of Asthma," in May. Recently Dr. Middleton co-authored a chapter for a text book and two articles for professional journals.D Mrs. Esther Eddy is the new director of pharmacy services at Children's Hospital. She is a graduate of the U/B School of Pharmacy.D 57 �People Four faculty members are the new officers of the Millard Fillmore Hospital medical staff. Dr. Gerald Swartz, clinical instructor in ophthalmology, is the new president. President-elect is Dr. Frank J. Bolgan, M'51, clinical associate professor of surgery; secretary and treasurer are Drs. Victor C. Lazarus, M'45, clinical instructor in urology, and Henry P. Carls, clinical associate in surgery.O Six Buswell Fellows presented their scientific work at the third annual Buswell Research Day in April. The participants were: Drs. Arthur E. Orlick, Rocco C. Venuto, M'67, Robert C. Welliver, Alan I. Leibowitz, M'70, Masahiko Nishikai and Ulrich K. Schubart. All are research assistant professors of medicine. At the dinner that followed the afternoon session, Dr. Robert Klocke addressed the group as "guest Buswell honoree." He is associate professor of medicine and assistant professor of physiology.O Dr. Robert Warner, clinical associate professor of rehabilitation medicine, has been named by Governor Carey to the New York State Advisory Council on the Disabled. Dr. Warner is also associate professor of pediatrics.O Dr. Michael F. Noe, clinical assistant professor of medicine, is the new medical director for ambulatory care at the Buffalo General Hospital. He came to Buffalo in 1975. Dr. Noe received his M.D. from SUNY Upstate Medical Center in Syracuse in 1969, and a Master of Public Health from Tulane University in 1973. He served four years of residency in clinical preventive medicine and internal medicine at the Tulane Medical Center.D Dr. John A. Edwards, associate professor of medicine and pediatrics, is the new chief of the department of medicine at Sisters Hospital. He has been on the U/B faculty since 1967 and at the Buffalo General Hospital. He received his medical degree from the University of Liverpool in 1959.0 58 Dr. Rose Ruth Ellison, professor of medicine, has been elected to a third term as vice president of the Leukemia Society of America Inc. She is chief of oncology at the E.J. Meyer Memorial Hospital and chairman of the Cancer Education Committee at the Medical School. Dr. Ellison is chairman of the society's Medical and Scientific Advisory Committee.O Dr. Joseph P. Gambacorta, M'48, is the new president of the Sheehan Memorial Emergency Hospital. Dr. Joseph J. Ricotta, M'43, is vice president. Dr. Joseph M. Anain is secretary and Dr. Jeremiah O'Sullivan is treasurer.O Three Medical School faculty members are newly elected officers of the executive committee of the Medical Board of Children's Hospital. President - Dr. Bernard Eisenberg, clinical associate professor of pediatrics and clinical assistant professor of social and preventive medicine; president-elect - Dr. Theodore Schulman, clinical assistant professor of Gyn/Ob; vice-president - Dr. Theodore Putnam, clinical assistant professor of pediatrics; secretary-treasurer- Dr. John E. Fisher.O Several Medical School faculty members are members of the Singing Doctors at Sisters Hospital. They are Drs. John M. Benny, M'40, clinical assistant professor of medicine; Ivan L. Bunnell, M'43, clinical professor of medicine; Jose F. Cunanan, clinical assistant professor of Gyn/Ob; William H. Merrilees, clinical instructor of Gyn/Ob; and William W. Meissner, M'27.0 Dr. Daphne Hare believes the federal government is short-changing working women in both Social Security and income tax. The associate professor medicine said, "ideally, people should be taxed as adult human beings and not as appendages." The longtime advocate of equal rights for women was interviewed recently by Sue Buyer of the Buffalo Evening News. Dr. Hare is also an assistant professor of biophysical sciences at the Medical School.D THE BUFFALO PHYSICIAN �Dr. Norman Solkoff contends that violence and crime are the price a democracy pays for the freedom it offers its citizens. "Any democracy must take the risk of violence," the professor of psychology in the department of psychiatry said. He believes that research may uncover the reasons and perhaps even the remedy for violence, which is a little understood form of behavior.O Dr. Arthur Lee, professor of surgery, recently piloted Lady Marmalade to 18th place in Division II, Class C at St. Petersburg, Florida. He also participated in the Southern Ocean Racing Association Regatta in Ft. Lauderdale.O Drs. Joseph R. Gerbasi, M'62, and Morris Reichlin, professor of medicine and research professor of biochemistry, have been named associate editors of the Journal of Immunopharmacology, a new international scientific publication.O In Memoriam Dr. Josef Bleichfeld, M'51, died February 16 in Millard Fillmore Hospital. The general practitioner was a former school physician for the Cleveland Hill School District. He served on the medical staffs of Millard Fillmore and St. Joseph Intercommunity Hospitals, and was a member of several professional associations.O Dr. Chauncey Lapp, M'21, died May 17, 1977 in Boca Raton, Florida of congestive heart failure. The 80-year-old physician had prac.ticed in Corning, N.Y. Before moving to Flonda he was on the staff of the Corning Hospital and district health officer.O Dr. Roswell P. Keyes, M'26, died November 20, 1976 in Bellingham, Wash. His age was 75.0 SUMMER, 1978 Dr. J. R. Borzilleri, M'34, died January 20. The 70-year-old physician was the first president of Blue Shield of Western New York and a former president of Columbus Hospital (1945-1953). He was also on the staffs of Children's and St. Francis Hospitals and headed the Worthington Corporation Clinic. He was a past-president of the Western New York Hospital Council. After graduating from U/B Dr. Borzilleri continued his studies in neurosurgery at Bellevue Hospital, New York City. He served four years with the Army's Surgical Auxiliary Unit in Europe during World War II, and took part in the Normandy invasion. He was a Major when discharged. He had been in retirement since 1972. He was active in several professional associations.O Dr. Herbert S. Coe, M'41, died January 22. His age was 71. A specialist in internal medicine, Dr. Coe was involved in the Manhattan Project, a World War II nuclear research effort by scientists that led to production of the first American atomic bomb. He established and owned the former Memorial Medical Center in Cheektowaga. He retired two years ago. Dr. Coe was born in Salamanca, N.Y. and did his undergraduate work at Alfred University. He was a Fellow, American College of Family Physicians.O Dr. Symon H.C. deZeeuw, clinical assistant professor of psychiatry, died January 30. The 53-year-old physician was chief psychiatrist in charge of liaison service at the E.J. Meyer Memorial Hospital's Psychiatric Department. He was a staff psychiatrist at Buffalo General Hospital and at Brothers of Mercy Nursing Home. Dr. deZeeuw was born in the Netherlands and graduated from the University of Leyden. He serv~d his i~­ ternship at Buffalo General Hospita~ and his residency at the Meyer. He was a Diplomate of the American Board of Psychiatry and Neurology and a Fellow of the American Psychiatric Association.O 59 �U/B ALUMNI ASSOCIATION 1978 Travel Program ORIENT August 3-17 Three cities - Tokyo, Hong Kong, Kyoto $1095.00 plus 15 % tax/service from Buffalo $ 995.00 plus 15 % tax/service from San Francisco Deluxe hotels/ American breakfasts daily, plus two gala dinners, sightseeing. Japan Airlines - 747 (355 seats). New Otani Hotel, Tokyo - 6 nights, Mirimar Hotel, Hong Kong - 4 nights, Kyoto International Hotel, Kyoto - 4 nights - American breakfast daily two dinners (optional meal plan available). *Commercial flight to San Francisco, Japan Airlines direct to Tokyo . OPTION : Continuing Education Program for Dental Alumni at Gifu College of Dentistry is $149.00 including transportation to Gifu and accommodations at the Gifu Grand Hotel. INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 Niagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet -four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- PHYLLIS M. KELLY, B.A. '42, President; ERNEST J. KIEFER, B.S. '55, President-elect; JOHN R. VONA, D.D.S. '61, Vice President for Activities; WILLIE R. EVANS, Ed.B. '60, Vice President for AdiT1inistration; MICHAEL F. GUERCIO, A.S.C. '52, Vice President for Athletics; M. DOLORES DENMAN, J.D. '65, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D . '76, Vice President for Continuing Education; CHARLES S. TIRONE, M.D. '63, Vice President for Development and.Membership; ROBERT E. LIPP, J.D. '68, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D. '74, Vice President for Young Alumni; JAMES J. O'BRIEN, J.D. '68, Treasurer; Past Presidents, GIRARD A. GUGINO, D.D.S. '61; GEORGE VOSKERCHIAN, B.A. '54; MORLEY C. TOWNSEND, J.D. '68; EDMOND J. GICEWICZ, M.D . '56; M. ROBERT KOREN, L.L.D. '44; WELLS E. KNIBLOE, J.D. '50. Medical Alumni Association Officers: DRS. MICHAEL A. SULLIVAN, M'53, President; W. YERBY JONES, M'24, Vice President; EDMOND J. GICEWICZ, M'56, Treasurer; JAMES F. PHILLIPS, M'47, Immediate Past President. Board Members- CARMELO S. ARMENIA, M'49; GEORGE W. FUGITT, M'45; ROBERT W. SCHULTZ, M'65; EUGENE SULLIVAN, M'63; CHARLES TANNER, M'43; LAWRENCE M. CARDEN, M'49, Program Committee Chairman; NORMAN CHASSIN, M'45, Exhibits Chairman; MILFORD C. MALONEY, M'53, Past President. 60 THE BUFFALO PHYSICIAN �A Message from Michael A. Sullivan, M'53 President, Medical Alumni Association Dear Fellow Alumni . It is with great pieasure that I invite you to personally participate In the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your · · . org amzatwn and I urge you to send in your d ues as tang1'bl e · ev1dence o f your much needed and apprec1ated support. Dr. Sul/ivan ---- ------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 ·----------------------------------------------------------------- ...... THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received _ _ __ OfficeAddress------------------------------------------HomeAddress------------------------------------------IfnotUB,MDreceivedfrom-------------------------------------fuPrivatePractice: Yes D NoD In Academic Medicine: Yes D Speci~~----------------------------~­ No D Part Time D Full Time D School----------------------------Title ---------------------------------------'-- Other: Medical Society Memberships:----------------------------------~~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-02-Summer Table Of Contents A list of subunits of the resource. Dean Naughton's Message Postgraduate Matching Continuing Medical Education/Primary Care Immunopathology of the Skin Family Practice A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-F). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family. by Samuel Sanes, M.D. Cardio-Respiratory Function Medical Ethics Residents, Interns Health Care Plan/WNY Group Health Plan Photographic Hobby President's Associates Dinner The Gottlieb's Collection Health Sciences Library/ Admission Film Dr. Bernardis/ Anesthesiology Programs Korean Volunteer Nutrition Seminars $58,532 Grant VA Hospital Expansion MECO Program Dr. Dunn $166,607 M/S Grant Dr. Solomon Harrington Lecture Dermatology Conference The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n02 Extent The size or duration of the resource. 64 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/e0233b57f12a0fea7675c53c57bb15d0.pdf d700de301c7a092e962a8da180233a53 PDF Text Text 111eB Ia Physician Spring 1978 Volume 12 Number I School of Medicine State University of New York at Buffalo �Dean Naughton From the desk of: John P. Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae One of the ongoing, yet great, challenges for any faculty is to respond to the need for change without suffering from tremendous turmoil and loss of critical curricular content that today's medical students will require in future years. I am certain each of you is aware of the tremendous pressures that are brought to bear on Schools of Medicine to revise their course offerings in areas such as alcoholism, oncology, preventive medicine, geriatrics, and humanism and ethics to list just a few. There is little doubt in rriy mind that we have an obligation to prepare today's medical students to meet the perceived needs of society. The question for the Dean's office, the curriculum committee and faculty is how best to accomplish the task with minimal disruption and optimal preservation of those elements considered essential to ensuring an excellent medical education. I am pleased to report that Associate Dean Leonard Katz, working in consort with his staff and the curriculum committee have initiated some innovative and creative concepts which appear to be meeting these needs. Each area of emphasis listed above is or soon will be receiving the attention of a multidisciplinary and interdepartmental committee. The committees through their chairmen will advise the Curriculum Committee and the administration on how best to address the needs of each particular area. We have been elated by the success and enthusiasm which has resulted from the work of committee dealing with the problems of alcoholism and with ethics and human values. The former has initiated coordination and intergration of the curricular offerings in alcoholism taught by six different departments; the result is that the six departments will teach their material on alcoholism during a single two-week period this year. Dr. Peter Gessner, Professor of Pharmacology and Therapeutics, has been instrumental in bringing this program together. Seminars and special lectures in Humanistic Medicine are being developed and administered under the presence and leadership of the Committee on Ethics and Humanistic Values. The latter group's success has been acknowledged and rewarded by the Alumni Association requesting participation by the coordinators in helping to devise the program for Spring Clinical Days on April 28 and 29, 1978. While it is too early to speculate on how effective we will be in meeting our responsibilities in the other areas, I am reassured that we have a faculty responsive to student and societal needs, and that SUNY /Buffalo offers the flexibility that any institution requires to adapt to the need for change. As always, I hope that you as alumni are supportive of these steps and that you will feel free to offer advice in any areas of concern that you might have. . Sincerely, JOHN NAUGHTON, M.D. Dean �Spring 1978 Volume 12, Number 1 TI-IE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD Editor ROBERTS. MCGRA AHA Dean, School of Medicine DR. jOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Visual Designers RICHARD MACAKAN)A DONALD E. WATKINS Associate Editor FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. MICHAEL SULLIVAN Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JOHN M. CARTER Director of Public Affairs }AMES DESANTIS The Buffalo Physician IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Class Reunions 3 Dr. Nolan/Gerontology Division 4 History, Department of Medicine by Evan Calkins, M.D. 6 Dr. Small 7 Continuing Education 8 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-E). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes, M.D. 19 Health Problems 20 Alumni Contributors, 1977 23 Dr. Knox 24 Neonatal Medicine 28 Neighborhood Health Care 29 National Medical Fellowships 30 41st annual Spring Clinical Days 32 New Department Chairmen 34 Mel Diedrick 36 Seven Faculty Retire 37 Dr. Quick 38 Children's Hospital Appointments 39 Today's Student 40 Endowment Fund/Dr. Shapiro 41 Dr. Anderson 42 Medical Ethics 48 Historical Society 49 Genetic Clinic 50 Tennis Tournament 51 People 52 The Classes 57 In Memoriam 60 Alumni Tours The cover by Donald Watkins focuses on the 41st annual Spring Clinical Days, pages 2, 30, and 31. THE BUFFALO PHYSICIAN, Spring, 1978 - Volume 12, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1978 by The Buffalo Physician. SPRING, 1978 1 �Dr. Thelma Brock, M'28 Dr. Clarence Stroubinger, M'38 Dr. William Georgi, M'43 Dr. Michael Sullivan, M'53 Eleven Class Reunions, April28, 29 Dr. J. Curtis HelJriegel, M'33 Dr. Anthony Foti, M'63 (co-chairman with Dr. Charles S. Tirone, chairman, whose picture was not available]. Eleven classes will have reunions during the 41st annual Spring Clinical Days, April 28 and 29. Approximately 650 physicians and their wives are expected to attend the reunion dinners. Several of the class reunion chairmen are pictured here. Dr. Thelma Brock of Buffalo is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Edmond A. Biniszkiewicz; Richard M. Gardner; Martin L. Gerstner; Vincent A. Hawro; Walter F. King; Robert E. O'Connor; Bruno Schutkeker; Joseph A. Schutz; George L. Sheehan; Harry Spigelman; Albert J. Voelkle; Helen G. Walker. (From New York State) Floyd C. Bratt, Rochester; Eugenia F. Bukowska, Hamburg; John B. Burns, Binghamton; Warren G. Cross, Albany; L. Barrett Davis, Westhampton Beach; John D. Noto, Garden City; Edward F. Dodge, Niagara Falls; George N. Guthiel, Rochester; Glenn C. Hatch, Penn Yan; Frederick A. Lowe, Niagara Falls; Donald G. Purple, Corning; Howard L. Stoll, Little Valley. (From out of state) Drs. Harry L. Chant, Baltimore, Maryland; George F. Etling, Hackettstown, New Jersey; Joseph M. Hill, Dallas, Texas; Howard C. Keyes, Bellingham, Washington; Julius T. Markovitz, Pompano Beach, Florida; Bernard A. Mazur, Fallsbrook, California; Benjamin J. Ollodart, Hollywood, Florida; Raymond J. Rickloff, Naples, Florida. 0 Pictures were not available for Drs. Kevin O'Gorman, M'43, Lester Schiff, M'48, Gary Cohen, M'58, Robert Milch, M'68, and Michael Sansone, M'73. 2 THE BUFFALO PHYSICIAN �Dr. James P. Nolan has been named acting chairman of the Medical School's department of medicine. He succeeds Dr. Evan Calkins who resigned in January. Dr. Nolan, professor of medicine at the University, will continue as chairman of the department of medicine at the Buffalo General Hospital. A cum laude medical graduate of Yale in 1955 Dr. Nolan completed his internship and residency in medicine at the Grace-New Haven Hospital after serving two years as Lt. Commander with the U.S. Navy Medical Corps. He is a Fellow of the American College of Physicians; a Diplomate of the American Board of Internal Medicine; on the editorial advisory board of Journal of Medicine: Experimental and Clinical, and is a member of numerous professional societies. He came to Buffalo in 1963 as assistant professor of medicine from Yale University where he was instructor in medicine and associate physician at Grace-New Haven Hospital. D Dr. Nolan DR. Gerontology Division EVAN CALKINS, who has been chairman of the Medical School's department of medicine for the last 17 years, will head a new division of gerontology within the department. The division will focus on medical care of the aging. Dr. Calkins said the new division would work closely with U/B's Multidisciplinary Center for the Aging, headed by Dr. Harold Brody, which is involved with other aspects of aging. Dr. Brody is professor and chairman of anatomical sciences. Dr. Calkins noted that only a handful of U.S. medical schools currently offer a clinical geriatric program in medicine similar to the one to begin at U/B, but believes the area of geriatric medicine/gerontology to be one of great need in Western New York and one which inevitably will constitute a major national priority in the future. After studying the relationship between geriatric programs and university centers- in England, where geriatric medicine has developed as an independent specialty, comparable to those of internal medicine, or family medicine, Dr. Calkins has concluded that this is too narrow an approach to the medical problems of the aged for direct application here. Therefore, the U/B program will seek to coordinate and develop a more total care approach through cooperation from established medical specialties, as appropriate, as well as other health disciplines such as Dentistry, Nursing, Pharmacy and the Health Related Professions. "Fortunately, there are a number of U/B faculty interested in gerontology who have achieved national reputation in the field, so the interest and talent is already here," Dr. Calkins points out. A portion of the Division's program will concentrate on patient care as well as evaluation of various modes of care for the elderly. But it will also provide excellent opportunities for clinical and basic science research in gerontology and geriatric medicine. D SPRING, 1978 3 Dr. Nolan Dr. Calkins �A Brief Personal History of The Department of Medicine, SUNY - Buffalo Under the Leadership of Dr. Evan Calkins, 1961-1977 It is now 17 years, almost to the day, since Dr. Calkins accepted the position of Head, Department of Medicine, at the Buffalo General Hospital and Co-chairman of Medicine at what was then known as the University of Buffalo. Here are Dr. Calkins' comments about the initial philosophy, goals and growth of the department during his tenure as chairman: I was particularly excited about this opportunity for two reasons. First, Buffalo had then, as it does now, a strong group of basic science departments. (These, in turn, had been stabilized during the hard years of the late 1950s through the vision and efforts of the Annual Participating Fund for Medical Education). Second, the Department of Medicine was relatively small and unstructured. The number of full-time faculty was perhaps 20. There were no organized subspecialty divisions; commitment to research was focused in only three areas (cardiology, renal physiology, and uric acid metabolism). headed by Drs. David Green, John Boylan, and Charles Bishop, respectively. With the anticipated "merge" of U/B into the SUNY system, it seemed clear that there would be significant opportunities for growth. I was excited by the prospect of playing a key role in the development of the goals for this venture, and in seeing how it all turned out. Our plan was simple. A. Develop a program of house staff education whose quality would be second to none, but which would establish as its goal the achievement of a broad base of experience in general Internal Medicine rather than the subspecialties. Although the importance of this goal is now widely recognized, at that time it ran distinctly counter to the fashion of most university medical centers. B. Establish as our major goal a program of "faculty development." Faculty recruitment efforts would be focused primarily on young people right out of fellowship training. 4 The Buswell endowment program, one of our School's unique assets, should provide a sound basis for permitting these young people to get off to a good start. As the department grew in size, we should be able to develop opportunities for continued appointments for many of the best of these young faculty members so that they could become integral parts of our department. In order to be sure that this faculty development program was placed on a sound basis when viewed from the national perspective, we elected to focus our attention on areas in which our School was already strong, in the basic sciences-Immunology, Physiology, and Experimental Pathology. Insofar as possible we have fostered the development of a program of joint recruitment and appointments with these departments. In addition, to provide a small group of academic leaders within the department, we attempted to identify a few distinguished academic physicians who would be willing to join us, and whose major commitments clearly lay in the areas of faculty development, teaching, and research. The third goal we had before us was the amalgamation of the then-separate house staff and faculty programs at the three major affiliated hospitals (Buffalo General, Meyer and Veterans Administration) into a single multi-faceted University department. When I first came to Buffalo, I thought that these objectives might be accomplished in perhaps 6 or 7 years. As it turned out, it has taken us the full span of 17 years to make reasonable progress. As is often the situation, we have experienced a mixture of successes and failures. In September of 1965, following the resignation of Dr. Miller as Co-chairman of the department, I was asked to serve as the Chairman of the "combined department," with a mandate to develop the inter-hospital program described above. On March 3, 1968, following Dr. Miller's retirement as Director THE BUFFALO PHYSICIAN �of Medicine at the Meyer, I accepted the position, in order to devote my efforts to building up that portion of the program. Dr. James Nolan, one of the young faculty members whose initial independent academic program had been established in Buffalo in accordance with the policies outlined above, was appointed Chief of Medicine at the Buffalo General, and Vice Chairman of the Department. This was a "big step" for the department, and it was accompanied by a significant loss in the competitive position, in the recruitment of house staff, which had been achieved by the single-hospital program at the Buffalo General. Nevertheless, in about three years, the program was once again attracting excellent graduates from many medical schools throughout the country. In 1971, the house staff program was further expanded to incorporate the independent internship and residency training activities at the V.A. Hospital. In 1976 Dr. Joseph Aquilina, Chief of Medicine at that hospital, indicated his desire to withdraw from that office, and Dr. Richard Lee, of Yale University, was appointed Chief of Medicine there and Vice Chairman of the Department. At the present time the department includes a total of 350 faculty members, approximately 70 of whom are either full-time or "geographic full-time." It incorporates 12 semi-autonomous subspecialty divisions, each of which maintains academic as well as patient-care programs at two or, at times, three of the affiliated hospitals. The department currently provides training for 84 interns and residents in general medicine, and an additional group of approximately 30 subspecialty residents or fellows. Graduates of the program, both at house staff and faculty levels, have had no difficulty in achieving excellent appointments in other medical schools throughout the country. Alumni of the house staff program include over 60 people who now hold full-time faculty appointments at this or other Schools of Medicine - a few have become Department Chairmen, and a number of others have been promoted to the rank of Full Professor. While most of these people hold faculty appointments in Medicine, others hold their ranks in Departments of Psychiatry, Neurology, Radiology and especially, various aspects of Community Medicine. Most of the SPRING, 1978 alumni have entered private practice, in association with Medical Schools. Over 30 of the alumni currently serve as members of the volunteer faculty in our Departments of Medicine, Psychiatry, Radiology, and Family Medicine. In addition, approximately 35 fulltime faculty members whose initial faculty appointment following fellowship training, was in this department have gone on to earn tenured appointments in this and other medical schools. Dr. Calkins comments on the future It is clear that Buffalo medicine is now on the road to major changes in conjunction with the proposed merger of the medical staffs of several hospitals, and occupancy of the new Grider Street facility. Although he is stepping down as Chairman, Dr. Calkins has indicated his desire to continue as a full professor within the department, and to participate actively in the affairs of the department and school. In selecting the next area for focus of attention, Dr. Calkins has identified the field of geriatrics and gerontology as an area of great need in our community, and an area which, inevitably, must constitute a major national priority in the future. "I predict that all medical schools will, in time, sense a need to develop academic programs in this area," Dr. Calkins said. Two and one-half years ago, Dr. Calkins spent a brief "mini sabbatical" in England, primarily for the purpose of studying the relationship between the geriatric programs and university centers which had been developed in that country. In England, the field of geriatrics has been developed as an independent specialty comparable to the fields of Internal Medicine, Family Medicine, Pediatrics, and the like. Dr. Calkins emphasized that he did not believe that this represented a sound avenue for development in our University or probably in our country. "Instead," he stated, "I think that representatives of the various subspecialties that now exist, Medicine, Family Medicine, Neurology, Psychiatry, and the various surgical specialties, together with the other health disciplines, including Nursing, Dentistry, Pharmacy, and the Health Related Professions, should consider ways in which individual members of these departments and schools can work together for the 5 d-- �development of coordinated programs of care and study. "Fortunately," Dr. Calkins pointed out, "There are a number of faculty members here in Buffalo who are interested in this area and have already achieved national reputations. What seems to be missing is a focused clinical commitment to this field." Dr. Calkins is looking forward to working closely with Dr. Harold Brody, Acting Director of the Center for Aging, and other faculty members interested in this field so that together they may achieve a coordinated University-wide program. Dr. Calkins has not yet developed detailed plans concerning where individual "models," as he calls it, can be established. He emphasizes that while a portion of this program should be focused toward patient Dr. Small Dr. Small care, and in evaluation of modalities of care, this field also represents outstanding opportunities for research. "As our department has grown larger, and the complexities have multiplied, I have been increasingly disturbed by the fact that my own scholarly efforts have had to be placed on the back burner," Dr. Calkins stated. "I am looking forward, to resuming, as actively as I can, my individual research efforts, as well as attempting to serve as catalyst for this new cooperative program." Dr. Calkins, who lives in Hamburg, is the father of 9 children, including one physician, one medical student, and one pre medical student. His wife, also a physician, currently serves as a member of the Hamburg School Board. 0 Dr. S. Mouchly Small has retired as director of psychiatry at the E.J. Meyer Memorial Hospital ending an administrative association of 27 years. He will continue his teaching and research activities as professor of psychiatry at the School of Medicine and as an official of various national, professional and scholarly organizations. Dr. Small, who is 64 years old, received his medical education at Cornell University Medical College and then taught psychiatry at Yale, Cornell and Columbia Universities. He came to Buffalo as chairman of the department of psychiatry and director of psychiatry at the Meyer Hospital in January 1951. Under his leadership, the University department achieved rapid growth and national renown while the department at the Meyer Hospital underwent successive advances as it was transformed from a receiving hospital into its current status as an 80-bed acute treatment center providing high quality care for approximately 1,800 inpatients and 20,000 outpatient visits a year. Dr. Small spearheaded the establishment of the Erie County Mental Health Board and served as its first part-time director in addition to his other duties and subsequently as a member of the Board. Presently Dr. Small is a director of the American Board of Psychiatry and Neurology, a Regent of both the American College of Psychiatrists and the American College of Psychoanalysts, Chairman of the Scientific Advisory Committee of the Muscular Dystrophy Association as well as holding Fellowships or Memberships in 27 professional societies and associations. 0 6 THE BUFFALO PHYSICIAN �The following Continuing Medical Education programs are scheduled for March, April, May and June 1978, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: Continuing Education Programs Two High Risk Obstetrics Problems: The Prevention of Neurologic Deficits and Teenage Pregnancy. Dr. Martin B. Wingate, professor of gynecology/obstetrics. March 22 - Hyper-Lipidemia Updated, Dr. Jules Constant, clinical associate professor of medicine. April13- Newer Non-invasive Imaging, Dr. George J. Alker, Jr., clinical associate professor of nuclear medicine. April 15 - Leukemia, Dr. Ehsan K. Afshani, clinical assistant professor of pediatrics and radiology. April 22 - Neuromuscular Diseases, Dr. Reinhold E. Schlagenhauf£, associate professor of neurology. April 28-29- 41st Annual Spring Clinical Days, "Ethical Problems in Medicine." Dr. Lawrence M. Carden, clinical assistant professor of urology. April 8 - Geriatric Medicine, Center for Study of Aging (CME cooperating), Dr. Harold Brody, professor and chairman, department of anatomical sciences. May 11 - Annual Meeting American College of Surgeons, WNY Chapter (CME cooperating). May 13-14 - Hypertension, Niagara County Medical Society & CIBA (CME cooperating) Dr. James T. Moore, chairman. May 18-20 - Emergency Pediatrics, Dr. Norman S. Ellerstein, assistant professor of pediatrics, Children's Hospital. May 21-25 - Dermatology, Westwood Pharmaceuticals, (CME cooperating), Dr. Richard L. Dobson, professor and chairman, department of dermatology. May 4 - Allergy & Respiratory Diseases, Dr. Elliot F. Ellis, professor and chairman, department of pediatrics and Dr. Elliott Middleton, professor of medicine and pediatrics, Children's Hospital. June 1, 2 - Coronary Artery Disease. Dr. David Dean, clinical associate professor of medicine and Dr. J. Bhayana, associate professor of surgery, Sheraton East. June 1-3 - The Aneurysm Patient: Pre-operative and Postoperative Care. Dr. Walter Grand, clinical assistant professor of neurosurgery. June 12-16 - Advances in Pediatrics, Children's Hospital, Dr. Elliot F. Ellis, professor and chairman, department of pediatrics, and Dr. Stanley Levin, professor of pediatrics. June 21 - Gynecologic Laparoscopy, Dr. Norman S. Courey, clinical professor of gynecology I obstetrics.D June 10-11 - SPRING, 1978 7 �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VIE Cancer: Its Effect on the Family of the Patient Communication Between Physician and Patient's Family By Samuel Sanes, M.D. Editor's Note: In his current article, Dr. Sanes gives his answer to the fourth of six questions relating to communication between the physician and the cancer patient and the family. In Article VI C he answered the first three of the "five Ws and the H" Why, When and Where. In Article VID he discussed Who. Now he continues with answers to What. In Article VI F he will discuss How. WHAT? Following radiation therapy and during chemotherapy, Dr. Sones developed a chronic pancytopenia. For about four years the hematocrit stood at 35. The white blood count averaged from 3000-4000 per cu/mm and the platelet count from 70,000-80,000. In SeptemberOctober, 1976, cellular components of the blood began to decrease progressively. Maintenance chemotherapy was discontinued. The bone marrow was hypocellular. With the hematocrit dropping to 25 (hemoglobin 8.5 grams) during the next eight months, symptomatic effects included pallor of skin, Jack of physical strength and energy, dyspnea on exertion and edema of the legs. At all times the physician should tell the responsible family member or members the truth as far as it is known. That means during the initial work-up, at diagnosis and throughout the entire course of the illness. My wife has always wanted such communication. Indeed, she has insisted upon it, not only from my physicians but also from me as a physician-patient. She has also kept abreast of developments in the field of lymphoma by reading medical textbooks and journals and talking to other patients with the disease. It is true that my wife's background and knowledge are different from those of the average family member of a cancer patient. She is the wife of a physician and has been a medical reporter for 36 years. But what she wants in communication is what the responsible family members of most cancer patients want. This is true even if they cannot bring themselves to question the physician because they feel in awe of him or think he is too busy to be bothered, or because they are in a state of psychologic shock or depression. Last week a former neighbor, the wife of a public high school teacher who had been a high school teacher herself before the birth of her three children, telephoned my wife and me. (She knew that I had cancer.) Her 75-year old mother, an alert, active widow living alone on the other side of the city, had consulted a rheumatologist about pain in the back and ribs. He admitted her to the hospital for diagnostic tests, then told the daughter - but not the mother -that he had discovered "cancer of the bone with anemia." The daughter was so overcome that she couldn't collect her wits enough to ask for further explanation. The rheumatologist immediately referred the mother to a medical oncologist in a group practice on the staff of another hospital. From the daughter on the phone came all of the questions she had failed to ask the rheumatologist and had had no chance, as yet, to ask the medical oncologist. What kind of bone cancer was it - the specific type? How long did her mother have to live? What quality of life could she 8 THE BUFFALO PHYSICIAN �expect? Would there be pain? Could she continue to live alone in her house? How would the disease be treated- chemotherapytransfusion? What side effects and complications might the mother suffer? How much would the treatment cost? What were the advantages and disadvantages of treatment by a private physician and in a cancer center? How long and how often would the mother have to be in the hospital? Should she be told of the diagnosis and outlook? ... "Wait a minute," we told her. "Make a list of all of your questions. Ask your mother's present physician, the oncologist, to answer them to the best of his knowledge. Telephone his office. Maybe he'll answer the questions over the phone. If he's busy, perhaps he'll call you back. Or his secretary will make an appointment for him to see you in his office or at the hospital." In a few days the daughter telephoned us again. Her mother's disease, she said, had been diagnosed as "multiple myeloma." "I did as you advised," she said. "I made my list and called the physician's office. He was busy, but he called me back. He answered my questions frankly and honestly on the phone - except that he was unable to make any estimate of what the drugs for chemotherapy might cost. He will tell my mother the diagnosis so that she can participate intelligently in all decision making." In some patients it is not only desirable but imperative that family members be given all of the answers. This was true of the 90-year-old father referred to in Article 6D who was too confused and upset to understand the diagnosis of metastatic cancer of the neck, source undetermined, and the options open to him. Even with a young, seemingly well-adjusted cancer patient, capable of understanding and making personal decisions at the time of diagnosis, and· along the course of illness, a situation may arise which requires the physician to communicate with a family member. This was true of a 40-year-old wife and mother who suddenly developed a visual defect in one eye after she had been under treatment for lymphoma for some time. She drove with her husband the 50 miles to the cancer institute. It was not the day of her regular appointment and they had to wait while someone located her physician. She sat silently beside her husband. Neither spoke. When the physician arrived, the visibly distraught wife went into the examining room with him. "What did the doctor say?" her husband asked when she reappeared. "He said that the eye ... Oh, I don't know what he said ... Why didn't you come into the room when he examined me?" she wailed. In his relationship with a family member or members, a physician ought not be just a scientific diagnostician and therapist. He should also be an all-around compassionate communicator. He should supply factual information, educate, advise, counsel, make arrangements and referrals, support the family psychologically. SPRING, 1978 9 On July 27, 1977, Dr. Sones, as an outpatient, received his first transfusion of 2 units of packed red blood cells. (Needle in vein of right forearm . Inflow of 2 units of r.b.c.s. takes 4-5 hours .) Symptoms were slightly relieved for a few days. Hematologic findings did not improve appreciably. On Aug. 8, 1977, Dr. Sones entered the Roswell Park Memorial Institute for a splenectomy on the gamble that "hypersplenism " might be a causative factor for his pancytopenia. The spleen was enlarged in a plan X-ray film of the abdomen. It measured twice normal size on regular scan. In total body gallium scan there was no evidence of cancer. Splenectomy had been considered for several months previously by Dr. Sones' physicians, but he had resisted having the operation in the hope that the hypocellular bone marrow, with sufficient time, would recover. �~ l -* - -...::._ On Aug. 10, 1977, Dr. Sones had a laparotomy. The enlarged spleen was removed. Biopsies were made of liver, periaortic lymph nodes and crest of iliac bane. On the night before surgery Dr. Sones received a transfusion of 2 units of packed red blood cells; during the operation 3 more units of red blood cells and 8 units of platelets were administered. He should never forget that the etymological derivation of the word "doctor" is from the Latin word meaning "teacher." The doctor should be prepared to answer the questions the family asks (no question is unimportant to them) and also the ones it does not ask. His answers will help the family care for and support the patient, anticipate problems and cope with them, look after and preserve its own well-being and integrity. Here is a list of "what" questions. (You will note that it includes most of those asked by the daughter of the mother with multiple myeloma.) Not all will come up during the course of every physician-patient-family relationship. Those that do come up may come up at different times. The list doesn't include all possible questions. I have implied, raised or answered others in previous articles and will do so in the next article on the "how" of physician-patient-family communication. * * * 1. What examinations and laboratory tests will be done dur- ing the initial workup? Why? If the diagnosis turns out to be "cancer," the family has been prepared to some extent. The psychologic shock will not be so great. * * * 2. What is the diagnosis? I believe that the family should be told the specific name and character of the cancer in terms that it can understand. It should know, for example, that it is dealing with "multiple myeloma," not simply "bone cancer." Family members often gain considerable satisfaction from "researching" what has been written about the disease in Merck's Manual, the public or medical school library, NCI-ACS pamphlets or from one of the public information services set up by NCI-ACS or a cancer center. If they have been given too broad a diagnostic category they may be confused and even angered by discrepancies between what they have been told by the physician and what they have learned elsewhere. * * * 3. What are the options regarding consultation and management of the disease? What other physicians and institutions might be considered? While the final decision rests with the patient, if he is capable of making it, the family often has considerable input in arriving at that decision. * * * 4. What, if anything, is known about the cause of the disease? If industrial or agricultural factors are or may be involved, the answer to this question may be important to the family financially and in terms of its own health. The family of an asbestos worker with carcinoma of the lung, mesothelioma or GI cancer may be entitled to financial redress. And because asbestos particles are known to cling to workers' clothes when they leave the plant, persons exposed to those particles in the home may want to undergo physical examination themselves. 10 THE BUFFALO PHYSICIAN �If there is a possibility that a genetic or familial factor plays a part in the cause and development of the disease, others in the family should be alerted. This is true of close relatives of a patient with cancer of the colon due to heredo-familial polyposis, or the daughter or sister of a patient with carcinoma of the breast. (I often wonder about the possible etiologic or pathogenetic factor(s) in the reticulum cell sarcoma (histiocytic lymphoma) and the hairy-cell leukemia (leukemic reticulo-endotheliosis) diagnosed in myself and my brother respectively when we were the same age.) If the cause of a specific type of cancer is not known or proved, it is equally important to communicate this to the family of the patient. A husband may be worried that his fondling of his wife's breasts in love play caused her mammary cancer. The wife of a 65-year-old patient with carcinoma of the colon who reads somewhere in the recent popular press of high fiber cereals being touted as preventives for such cancers may blame herself for not having fed her husband any bran during their 40-year marriage. These seem like silly examples, but I have run into both of them, and even sillier ones. Fearful of being confirmed in their guilt feeling, family members may hesitate to ask the question that is troubling them. The physician should recognize their anxiety, determine the cause and answer the unasked question. * * * 5. What does the physician propose as primary and adjunctive treatment for the cancer - surgery, radiation, chemo-, hormonal, immunotherapy, a combination of these, or experimental therapy? What about reconstructive and rehabilitative, supportive and palliative treatment? The family should understand that the management of cancer, even the same type of cancer, may differ in different patients. * * * 6. What are the possible frequent, temporary or permanent, tolerable or serious side effects, complications or sequelae of the proposed type of treatment? In some instances these factors may cause more problems than the disease itself. Patients undergoing radiation therapy, chemotherapy or both may experience side effects ranging from nausea, alopecia and fatigue to infections, pancytopenia or hemorrhages. During chemotherapy there is the danger of incompatabilities between drugs prescribed for the cancer and those which the patient may buy over the counter or another physician may prescribe for another condition. Think also of patients undergoing surgical procedures such as mastectomy, radical head and neck or gynecologic operations, or abdominal-perineal resection with colostomy. The colorectal service at a cancer institute has a check list of items to be carried out before performing abdominal-perineal resections with colostomy. d- SPRING, 1978 11 The pathologic report on the spleen was ... "Congestion of the red pulp. Except for few scattered megakaryocytes no evidence of extramedullary hematopoiesis. No malignant tumor cells." Biopsies of liver, periaortic nodes and ilac bone showed no evidence of reticulum cell sarcoma. Dr. Sanes Micros spleen I~~ ~- ... ~ :::" )J )J )J liver I~ ... node ~~ •t • marrow ~.j ~ ., ~ • �One of these is to talk with the family. A sequela for the male, they indicate, may be impotence . Even such a relatively trivial thing as a stitch abscess can be alarming to the patient and family who have not been told that it may occur. (There's nothing "trivial" to an uninformed cancer patient and his family.] An elderly man living in a small town underwent a laparotomy at a cancer center about 250 miles away. One night - several weeks after he returned home - he noticed as he was getting ready for bed that his undershirt was stained red and yellow. The stain overlay the inferior end of his healed incision at the umbilicus where he couldn't see clearly. So he asked his wife to look at it. She saw an opening in the incision through which blood and pus oozed and a couple of "black things" that she couldn't identify. Instead of waiting for morning to see the local family practitione r or to telephone the surgeon at the cancer center, she got her husband up in the middle of the night and hustled him off by automobile to the cancer center where a surgical resident without ado cleaned up the perforated abcess, removed two loose black sutures and sent the couple home with the assurance that all was well. In the immediate postoperative period, the chief complication Dr. Sones suffered was paralytic ileus. He retained a nasogastric tube for 9 days postoperatively. He had intravenous fluid for 11 days. A Foley catheter was kept in for 15 days. The oncologist who treated the 75-year-old widow with multiple myeloma referred to earlier could have spared her, and her daughter, much concern and agitation if he had warned them that there can be side effects to a supportive treatment such as a blood transfusion. The patient had a transfusion in a teaching hospital affiliated with a medical school, then went home. Within a short time she felt feverish and developed chills which made her shake . She called her married daughter in considerable alarm , not knowing what was happening to her. She didn 't associate the symptoms with the transfusion but with her disease . The daughter, leaving her children, drove over posthaste. When she saw her mother shaking, she telephoned me . I asked her if her mother had a fever. She said that her forehead felt hot, but there was no thermometer in the house. I told her that her mother was probably having a transfusion reaction. (I could speak from personal experience. I had had such a reaction myself.] I suggested that she call her mother's oncologist and check. She 'phoned me back and told me that she had called the office of the group with which the oncologist practiced and been informed that since it was Thursday, he had the day off and wasn' t available. Meanwhile she had gone out and bought a thermometer and taken her mother's temperature. It was 101' orally, and she was still having chills. I told her that the oncologist must have someone taking his calls on his day off and suggested that she call the group again. In a short time she was on the line to me . She had telephoned the group and found that the oncologist did have a regular back-up physician, in fact, an associate, but he was unavailable because it was a religious holiday for him. This time the daughter explained her problem and the receptionist said that she would get in touch with another physician in the group who could prescribe Benadryl. In several hours the mother's temperature came down and she was soon feeling herself again. * * * 7. What will management and treatment cost, in the beginning and throughout the course of the disease? To my knowlege few physicians have any clear idea of the actual cost of the drugs and tests they order. A medical student, himself a victim of lymphoma, confirmed this for me by routinely asking the interns and residents with whom he worked the cost, to the patient or a third-party payer, of the treatments they prescribed or the operations in which they participated. None had any idea. Some were openly irritated at being questioned. 12 THE BUFFALO PHYSICIAN �I can cite a personal example of the value of having an idea beforehand of the cost of a drug. My physician at the cancer institute prescribed a five-day course of Carbenicillin, explaining that the drug was "rather expensive. " The information saved shock and the embarrassment of mind and purse that might have otherwise occurred when my wife went to a cut-rate drugstore to pick up the drug and found that even with my senior citizen's discount the cost of the prescription was $41.50. * * * 8. What is the importance of follow-up examinations? The family should be impressed with the fact that the threat of cancer never ends, even with a supposed "cure," and that it is good insurance to have periodic checkups. A particular cancer, supposedly in complete remission, may recur, even after five years. Some, like those of the colon or breast, may be multiple, appearing at successive times, or clinically mestastasize late. There are indications that in some patients radiation therapy or chemotherapy for cancer may, years later, cause leukemia or other cancers. It is for these reasons that cancer institutes make a real effort to keep in contact with patients and their families long after they have undergone treatment, encouraging them to return at regular intervals for examination. A woman whom I met at the institute didn't look as if she had ever been sick a day in her life. But she told me: ''I'm like you. I have cancer. Mine is in the urinary bladder [non-invasive papillary carcinoma Grade I). I feel fine and I wouldn't know that I had cancer from the way I feel. But I come to my urologist every three months anyway for cystoscopic examination. He has impressed me and my husband with the need to keep an eye on things. " Patients with unexpected complaints following surgery and those on radiation-chemotherapy predisposing them to infections, etc. should be encouraged to make emergency telephone calls and visits if problems arise, without waiting for their regular follow-up visits. * * * 9. What changes and limitations will the patient's disease and treatment impose upon his appearance, personality, physical functioning, working at his occupation or profession, school and university attendance, daily habits of living, diet, exercise, sports, sex, travel, social activities, interaction with family members and others? What can family members do in the face of these changes and limitations? For just one extreme example, think of what it means to a patient who has undergone radical head and neck surgery, and to his family, to be hospitalized 300 miles from his home for several months while undergoing reconstruction and rehabilitation. * * * 10. What problems may arise in the family as a result of the patient's disease and treatment? I have mentioned them before, but let me repeat. They may be physical, mental, emotional, sexual, social, legal, economic, religious, philosophic, etc. In Dr. Shirley Salmon's study of laryngectomees (cancer patients), spouses were asked to indicate, in order of descendid SPRING, 1978 13 Two days postoperatively Dr. Sones' blood picture was hematocrit 36, white blood co unt up to 12,000 per cu/ mm and platelets to 112,000. �On Aug. 27, 1977 - 17 days postoperatively Dr. Sones, with all "tubes" out, eating a soft diet and voiding urine on his own, wos ready for discharge from the Institute. importance, problems for themselves and their mates which they saw to be a direct result of laryngectomy. (Remember that the overall 5-year survival-"cure" rate for cancer of the intrinsic larynx runs 70-85%.) The spouses ranked speech communication the first problem, followed by social, psychological, employment, alcohol, sexual and financial problems. There was no indication that any of these problems would have existed if it had not been for the cancer and laryngectomy. * * * 11. What source can the patient and family turn to for advice and help with such problems, in the medical care system or in the community? The physician should be familiar with persons and agencies outside his own area of expertise or professional interest and should make that information available to the patient or family if or as the need arises. A printed form or brochure that lists addresses, phone numbers and persons to contact in the area can be most helpful. Roswell Park Memorial Institute and the State Health Department have prepared such a brochure for Western New York. The list includes State and County Departments of Health and Social Service, the Visiting Nurse Association, the County Unit of the American Cancer Society, the Leukemia Society, the State Rehabilitation Department, New Voice Club, Reach for Recovery and Ostomy groups, other cancer patients and their relatives, a number of voluntary community, family service and religious organizations, the Red Cross, Salvation Army, labor unions, private companies, et al. For a number of years I served as chairman of the Committee on Services to Patients in my county unit of the American Cancer Society. All requests for service were referred to me for personal check with the patients' physicians before they were granted. Nearly all requests came from family members, on their own or through non-medical persons. Only a few (actually I can't remember more than two or three) were prompted by the patient's physician. * * * 12. What about the prognosis? The physician's relationship with the patient and the family throughout the course of the disease may depend to a large extent upon how he answers this question. (In any disease most physicians are primarily interested in diagnosis and treatment. Patients and families are chiefly concerned with prognosis.) A physician must tell the truth derived from scientific evidence and clinical experience. At no time should he destroy hope by projecting personal feelings, fears and hangups. He should not make unjustified predictions based on his own lack of up-to-date knowledge and experience in oncology. * * * Many physicians are altogether pessimistic and defeatist about cancer even before the lesion is thoroughly evaluated from an oncologic standpoint. 14 THE BUFFALO PHYSICIAN �You can see this when a physician is confronted with cancer in a family member. I can cite two instances from personal experience. In the early years of the use of the "Pap" smear and the concept of preinvasive uterine cancer, I reported to a young physician that his wife had squamous cell carcinoma-in-situ of the cervix (previous Class III smears.) The physician, who worked in a highly specialized field far removed from gynecologic oncology, threw up his hands in despair. Yet this cancer approaches a 5-year cure rate of 100o/o. Today the American Cancer Society omits carcinoma-in-situ of the cervix from its statistics of incidence and death. Years ago a middle-aged urologist broke down in tears when he came to the laboratory to check a report of focal intra-epithelial carcinoma with slight superficial invasion noted accidentally in one microscopic section of the gall bladder which had been removed from his wife for chronic cholecystitis and choleliathiasis. The wife was not informed of the cancer. There was no further treatment. At that time the overall survival rate for carcinoma of the gall bladder was 2%. But for focal superficial carcinoma with micro-invasion the survival rate was at least 50%. The wife outlived her husband by years. He died unexpectedly from an acute hypertensive cerebral hemorrhage. * * * The two physicians mentioned above heard only the words "carcinoma" and "cancer." They reacted emotionally to the pathology of semantics rather than responding rationally to the semantics of pathology-oncology. To them "carcinoma" or "cancer" had the too-often popular connotation of an always progressive fatal disease with a short course. They failed to recognize that each carcinoma-cancer is a particular disease process in a particular patient in a particular medical setting with its own particular course and outcome. There are many measurable variables which can and should be considered in arriving at a possible prognosis - duration of symptoms and signs, manner of detection or diagnosis, location (organ, site in organ, region]. rate of growth, size, gross appearance, histo-cytopathologic type and grade, stage, kind of border microscopically, local and general effects-anatomical and functional, available methods of treatment, response to treatment, side effects, complications and sequelae of treatment, age and sex of patient, patient's physical and physiologic state - immunity, pregnancy, pre- or post-menopause, etc. Further, in considering prognosis, the physician must also remember the still unidentified variables which we may classify under the term "luck." On the day of my 4-year survival from disseminated reticulum cell sarcoma I teased my clinic oncologist, "What do you think - the result of your scientific treatment or of luck?" A patient himself, with a 9-year history of Hodgkin's Disease, he replied smilingly, "Let's not exclude luck." Metastatic cancer cells may lie dormant for prolonged periods. A certain percentage of cancer patients who refuse treatment survive 5 years. The medical literature contains reports of "spontaneous cures" of pathologically verified cancers. * * * d- Some physicians go so far as to translate their pessimism and defeatism into specific chronologie terms, perhaps in response SPRING, 1978 15 After discharge . . . at home, Dr. Sones showed a pseudomonas urinary tract infection. This cleared up with Carbenicillin therapy. There remained, however, three main problems: 1. Anemia (within 2-3 months the hematocrit dropped from the postoperative 36 to 27-24.) 2. Agglutination of blood platelets with venous thromboses of veins in fingers. 3. Daily fever of unknown origin up to 100101' at night. Three transfusions of packed red blood cells (2 units each) were given Oct. 21, Nov. 16 and Nov. 30, 1977. (Should a patient - particularly a physicianpathologist - with agglutinating platelets and venous thromboses, even though on aspirin therapy, sit with his legs crossed?) �the exasperating demands of the patient and family for a categorical answer. If such a prediction doesn't come true, the cancer patient and his family may make cynical and derisive jokes or vent anger and resentment about the physician's "dead in 3 years" or "6 months to live" verdict. (In his 1977 novel, "Madder Music," Peter De Vries has a satirical passage in which his healthy "hero," imagining himself dying and wondering how long he has (to live) ponders "the timehonored six-months-to-a-year.) Hopelessness and helplessness may disorganize family life. They can send patients and families to other physicians or even lead them to consult quacks or to use scientifically unproven methods at a time when cancers may still be in controllable form. * * * Let me cite the experience of a fellow patient at the cancer institute-a 47-year-old man. The photograph depicts one day's allotment of pills and capsules for Dr. Sones - aspirin {vs. platelet agglutination], isoniazidpyridoxine and Keflex {vs. infection-fever}, Losix {vs. edema of legs}. Any drugs prescribed p.r.n. do not appeqr in the photograph. A surgeon in his home town in a neighboring state did an exploratory laparotomy on him and found a hepatoma. The condition was inoperable, he told the patient and his wife, advising him to "quit work, stay home and be comfortable as long as you can" since "you'll be dead in six months." The patient had been in seeming good health. It just didn't seem possible. He was the head of a household of six persons. What would they do without him? He and his wife were desperate. They considered Laetrile but finally decided, instead, to seek a second opinion at Roswell Park Memorial Institute. "What can they do for you there?" his surgeon chided him. "They'll just experiment on you." The surgeons at the Institute were less gloomy. They removed the hepatoma with the left lobe of the liver. There was no additional treatment. Only follow-up visits were scheduled. The patient returned to his home and job. He engaged in his favorite sports of fishing, target shooting, and motorcycling. _ When, 3 years later, he complained of upper abdominal pain, he underwent a second laparotomy at the Institute during which metastases were noted. He was placed on experimental chemotherapy. To date - five months after laparotomyhe continues a fairly active home and sports life. He has given up his job but he periodically drops into his previous place of employment to help out. Every month he comes with his wife the 300 miles from his home to the cancer institute. He takes his turn in driving the automobile. In Buffalo he and his wife telephone or visit my wife and me at our home. A physician may feel that a given cancer patient may not live more than a short time after diagnosis. He has a right to express his opinion. But actually he is sticking his neck far out if he thinks that he can make an absolute chronologie prediction at the initial diagnosis and onset of treatment of what an individual patient will do with an individual cancer. Dr. Roger Terry, professor of pathology, USC Medical Center, puts it aphoristically: "Each patient is unique and each cancer that may develop is also unique." (False optimism in prognosis may be accepted more tolerantly by patient and family than rank pessimism and defeatism, but the physician who is falsely optimistic may lose credibility especially if the patient or a member of his family is knowledgeable about medicine-a doctor or nurse, for example.) Within the limits of available oncologic knowledge and practice, the physician, after considering the measurable and unidentified variables, can only predict statistically, on the basis of percentages and averages. He can only give odds. The individual 16 THE BUFFALO PHYSICIAN �cancer patient may surprise him. There have been inaccuracies in prognosis even in patients referred to hospices for end-stage care. * * * Here are two points in regard to prognosis which I picked up as a physician-patient in the adult leukemia-lymphoma clinic. (They would not have come to my attention in clinics for carcinoma of the lung, esophagus or pancreas, with constant overall5year survival rates through the years of 5-10 o/o , less than 5o/o and 1 o/o respectively. Most patients with these cancers die within 6 months-2 years of diagnosis.) 1. Prognosis for cancer patients may change for the better with the passage of time - even over a relatively short period, e.g. 5-30 years. There has been a definite change in the overall 5-year survival rates of chronic forms of leukemia from the 1940s to the 1970s. For men the rate has risen from 14o/o to 30%, for women from 17% to 34%. In Hodgkin's Disease, during the same years, the overall 5-year survival rate for both men and women has risen from 25% to 54%. In estimating prognosis for cancer, physicians must keep in mind the possibility of future progress against the disease. 2. Control in the management of a cancer at a certain time in the history of Oncology is a more realistic goal than cure. This point can be emphasized in stating the prognosis for patients with leukemia and lymphoma and will contribute to their understanding and composure and to that of their families . A long-term fellow lymphoma patient expressed it better than I when he said to a husband waiting for his wife- a newly-admitted patient- to return from the examining room: "Maybe they won't cure you here .. . but they'll keep you living as long as possible." * * * So let's summarize the answer to our final question, "What about prognosis?" Tell the truth as far as it is known from a scientific-clinical basis. Beware of personal, emotional influences which project pessimism and defeatism or false optimism. Preserve hope if possible. Take all measurable and still unidentified variables into consideration. Avoid specific chronologie predictions. Keep in mind the possibility offuture progress in diagnosis and treatment. Set up control as a more realistic goal than cure at a certain limit of oncologic knowledge and practice. Never forget you're dealing with an individual cancer and caring for an individual patient and his family. * * * Now let's see how the foregoing points were reflected in the prognosis of my own cancer. In Feb. 1973, on my first visit to the Roswell Park Memorial Institute, I asked the oncologist who examined me about the outlook for a patient with disseminated reticulum cell sarcoma [of the diffuse histologic type]. He described his informal prognostic classification of the lymphomas as "good" and "bad." Disseminated histologically diffuse reticulum cell sarcoma (histiocytic lymphoma), he said, was not just a "bad" one; it was "the worst." He couldn't give me an absolute prognosis, but he would check the Institute's computer for the most up-to-date percentages of survival with the latest therapy. The next time I saw him he had the percentages of survival for 1, 2 and 5 years. He didn't know whether he ought to disclose them to me. The overall 5-year survival rate on the basis of the Institute's experience, he said, was 5%. Reports in the literature, however, were appearing with more hopeful results - 5-year survival rates up to 10o/o. (My wife shared this information.) C) SPRING, 1978 17 The hematocrit, after the Nov. 30, 1977 transfusion, reached 29. On Dec. 2 Dr. Sones complained of hoarseness and sore throat. The next morning he awoke with difficult swallowing and breathing. His private otolaryngologist found non-inflammatory edema of the extrinsic laryngeal folds, marked on the le f t side (cause ?}. Arrangements were made for a tracheostomy if it became necessary. Telephone consultation between Dr. Sones' otolaryngologist and his RPMI oncologist led to the prescribing of prednisone. Fever disappeared. In two days the extrinsic laryngeal edma subsided. Hematocrit went to 32. The prednisone was continued daily. With a reduced dosage of prednisone the hematocrit dropped to 28. Dyspnea on exertion was severe. On Jan . 6, 1978, Dr. Sones had a transfusion of 2 units of r . b.c.s. with improvement in breathing. The daily dosage of prednisone was increased. On Jan. 11 the hematocrit was 29. �On Feb. 22, 1978, Dr. Sones marked his five-year survival from disseminated reticulum cell sarcoma . During the past five years he encountered physical and psychologic difficulties which he faced day by day as best he could with the help and support of his physicians, other health personnel , family members, friends and fellow patients . In March, 1973, at the start of treatment for his cancer, Dr. Sones on the basis of the most optimistic scientific information available was informed that his chance of surviving five years was 5-10 %. Not only has Dr. Sones attained a five-year survival, but today as far as can be determined medically, his cancer is also in remission. His chief complaints stem from the side effects of therapy. ACKNOWLEDGMENTS M.D. Diedrick (drawings) ; H. Moayeri, M.D. (check of captions for photographs); J. W. Pickren, M.D. (microscopic slides and surgical pathology report); M.D. Spencer (photographs); SUNYAB- D. Atkinson (photographs). I have now gone 5 years with my disseminated-diffuse reticulum cell sarcoma. It is in remission as far as can be determined medically. (There is no guarantee against relapse .) Living, especially in the past year, has not always been easy, confortable, happy or desirable. But until recently I remained fairly active and productive. From 1973-1977 my wife and I spent 3 months during each winter in Guadalajara, Mexico. I have never missed a Buffalo Physician press deadline for one of my articles. I am sure that some of my physician friends, when they first learned of my diagnosis, gave me "6 months-1 year to live. " I could read the prognosis in their faces and in their manner to me. Actually in 1973 the computer's percentage for my 6 month-1 year survival was 50 %. At the end of my second year of survival I ran into a physician on the street who hadn't seen me since my initial diagnosis. He greeted me in wide-eyed amazement, blurting out, "Gee , ... you look great for a guy who is supposed to be half dead!" I didn't bristle at his remark. In fact, it cheered me. Originally the computer had estimated that in two years I would be three-quarters dead. It had prognosticated a 25 % 2-year survival rate. The patient with reticulum cell sarcoma (histiocytic lymphoma) first diagnosed in 1978 - only 5 years after the diagnosis of my disease - can hope for an altogether different prognosis from the one I received in 1973. The contrast is made in the opening paragraph of a May 30, 1977, article in the JAMA. The first sentence abstracts an article in Cancer 30: 31-38 1972: "The (histologically) diffuse histiocytic lymphoma is the most virulent histologic form of lymphoma and few patients achieve remission with single-agent chemotherapy." The second sentence abstracts 3 articles published in 1974-1975 (Lancet 1:248-250; Blood 43:181-189; Cancer 35:1050): "It has recently been shown that patients with diffuse histiocytic lymphoma (even in advanced stage) who achieve complete biopsyproven remission (with combination chemotherapy) often sustain prolonged disease-free survivals and perhaps cure." The American Cancer Society iiJ. its 1978 "Facts and Figures" under "Treatment Trends" lists histiocytic lymphoma (reticulum cell sarcoma) among eleven tumors that formerly were considered incurable but that now are frequently controlled. (To be continued with Article VIF on How). 0 BIBLIOGRAPH Y To appear with Article VI F on "How." 18 THE BUFFALO PHYSICIAN �M'25, heads a special physicians committee established by the State Medical Society in 1975 to help doctors with health problems relating to alcohol, drugs and mental illness. "We are a committee of physicians intent on helping our fellow physicians without any coercive or punitive approach. Our concern is with the physician's health. It doesn't necessarily mean that a physician's patients are suffering because he has an illness. But, on the other hand, that's possible and that's what we are trying to obviate," Dr. Block said. The percentage of the physician population with alcoholism and mental health problems, Dr. Block said, is judged to be similar to that of the general public. Drug dependence is probably more common because of physicians' easy access to drugs. In some cases physicians suffer from one of the three problems while in others, there may be multiple afflictions. Alcoholism is thought to be the most prevalent of the three. If six per cent of the adult population are alcoholics, then about 2,000 of the state's 33,000 physicians have alcoholism problems, according to Dr. Block. There is no way of telling how many of the physicians are getting proper treatment. The sole purpose of the committee in contacting those with problems, Dr. Block said, is to deliver the simple message: "Please get yourself treated before something happens you'll regret." The committee (members are not made public) does not attempt to coerce a physician to get treatment, nor threaten punishment - such as loss of license - if he fails to do so. The committee will accept reports of physicians with problems from family members, patients or other doctors. When the information is from family or colleagues, the names of the informants are kept confidential. In the case of a patient report, the individual must identify himself and his name will be passed on to the physician in question. This precludes the possibility of patient harassment via the committee, Dr. Block said. When the name of a physician is received, two members of the committee are instructed to meet with him as a team. Those meeting with him, live in other areas of the state, do not know him personally and are specialists in his particular problem. While they encourage him to seek treatment and may refer him to a specialist, they may not take him on as a patient. They meet with him only once, unless he initiates future contact. Otherwise, there is no followup, no attempt to see if he seeks treatment and no records are kept. If the informants are physicians, they are told contact has been made. "We've been criticized because we don't take any punitive measures, but in my opinion our efficiency lies in our approach being non-punitive," Dr. Block conlcuded.D DR. MARVIN A. BLOCK, SPRING, 1978 19 Dr. Block Health Problems Dr. Block served 15 years as chairman of the state medical society's Committee on Alcoholism and was a member 17 years and chairman 10 years of the AMA's Committee on Alcoholism. He is a clinical associate professor of medicine (emeritus) at the Medical School. �Alumni Contributors, 1977 The number of dues-paying medical alumni increased again last year. A special thanks to this group as well as to those who give annually. And to the nine reunion classes - 1927, 1932, 1937, 1942, 1947, 1952, 1957, 1962 and 1967 - who contributed $23,010 to the Medical School, a thank you. We at the School of Medicine appreciate your support and participation. 0 1917 Atkins, Leslie J. Thompson, Myron A. Tillou, Donald J. 1919 Crage, Frances M. Goldstein, Henry N. Pech, Henry L. 1920 Graczyk, Stephen A. Schultz, Cecil L. Walker, Irwin M. 1928 Brock, Thelma Bukowski, Eugene F. Burns, John B. Etling, George F. Gardner, Richard M. Hill, Joseph M. Markowitz, Julius T. Schultz, Robert W. Schutkeker, Bruno Stoll, Howard L., Jr. Walker, Helen G. 1929 Burwig, W. Herbert Koch, Caryl A. Cohen, Victor L. Evans, Jay I. George, Clyde W. Heilburn, Norman Lockie, L. Maxwell Thorn, George W. Tyner, James D. 1924 1930 Sanborn, Lee R. Bonafede, Vincent I. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. 1921 Morgana, Dante J. Reimann, Hobart A. 1923 1925 Culver, Claire H. Linton, Mary D. Hogben, Margaret Loder Unrath-Zick, Clara 1926 Brown, Henry Sullivan, Eugene M. 1927 Berwald, Herbert Chaikin, Nathan W. Criden, Frank M. Funk, Arthur L. Kij, Joseph L. Meissner, William W. Murphy, Gerald E. Palmer, Milton A. Riuchun, Meyer H. Saunders, R. L. Valone, J. Theodore Northrup, Robert R. Olzewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. 1933 Anna, Wilfred M. Baube, John L. Hellriegel, J. Curtis Hobbie, Thomas C. Homakay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti, George M. Mountain, John D. 1934 Alford, J. Edwin Anderson, John V. George, Alfred L. Kinzly, John C. May, Charles E. O'Connor, John D. Ridall, Earle G. Rosenbaum, Myron G. Slatkin, Edgar A. Weiner, Max B. 1935 Barone, Michael H. Bean, Richard B. Boeck, Virgil H.F. Bumbalo, Thomas S. Connelly, Gerald T. Glick, Arthur W. Godfrey, Joseph D. Heier, Ellwyn, E. Kuhl, John R. March, Thomas A. Oderkirk, Francis V. Schwartz, Jerome H. Walls, Walter Scott Ames, Wendell Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Coleman, Benjamin Drexler, Bernard Kelly, Miles W. Lampka, Victor B. Madsen, Niels, G. Mecklin, Bennie Moran, Charles E. Rosokoff, Solomon Ryan, Francis W. Weig, Clayton G. 1932 1936 Goodman, Carlton H. Leone, Angelo F. Leone, Frank G. McGee, Hugh J., Jr. Batt, Richard G. Burgeson, Paul A. Cherry, Alfred V. Crosby, John P. 1931 20 Eschner, Edward G. Greenberg, Avrom M. Hoak, Frank C., Jr . Houston, Thomas Kriegler, Joseph Leven, Eli A. Lipp, William F. 1937 Alford, Kenneth M. Ball, William L. Banas, Charles F. Challen, Alice A. Goodman, Sole Koepf, George F. Lenahan, Rose M. Lipsett, Robert W. MacCallum, James D. Musselman, M. Luther Nicholson, Ellen M. Tranella, Augustus J. White, William F. 1938 Catalano, Russell J. Doll, Leo J. Fait, Norman J. Gilson, Benjamin I. Law, Harry C. Mitchell, Alfred A. Phillies, Eustace G. Rosenblatt, Maxwell Straubinger, Clarence A. Terry, Richard N. Kaminski, Chester J. Lieberman, Samuel J. Oehler, H. Robert 1939 Alden, Carlos C. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Caldwell, Milton V. Cammer, Leonard Dugan, William Feightner, Francis W. Gajewski, Matt A. Goldstein, Kenneth THE BUFFALO PHYSICIAN �Harris, Harold M. Magi!, Marvin Olmstead, Elizabeth P. Postoloff, A.V. Riforgioto, Frank T. Seibel, Roy E. Storms, Robert E. Wesp, Everett H. Winer, Marvin 1943 Behling, Ralph T. Birtch, Paul K. Bloom, Marvin L. Bull, James R. Buckley, Richard J. Collins, Robert J. Evans, Alfred S. Galdys, B. Joseph Grayson, Thomas L. 1940 Haber, Norman Ascher, Julian J. Humphrey, Thomas R. Benny, John M. Kennan, WilliamS., Jr. Clinton, Marshall, Jr. Krauss, Ruth F. Eppers, Edward H. Marano, Anthony J. Hildebrand, William Jr. Martin, Ronald E. Montgomery, Warren R., Jr. Meyer, Franklin Palanker, Harold K. Minkel, Amos J., Jr. Reitz, Russell E. O'Gorman, Kevin M. Rekate, Albert C. Petersen, Walter R. Severson, Charles Henry Segel, Nathan P. Siegner, Allan W. Selkirk, George H. Trippe, Louis A. Sherrill, Gene D. Umiker, William 0. Smith, Ralph E., Jr. Urban, Stanley F. Swarthout, Gertrude S. White, John D. Tanner, Charles J. Jr. Zoll, John G. Trefts, Hazel J. Trovato, Louis A. 1941 Unher, Morris Cooper, Anthony J. Edmonds, Robert W. 1944 Gentner, George A. Boardman, Willard H. Gross, Arnold Bondi, Raymond G. Hanavan, Eugene J., Jr. Brown, Robert L. Henrich, Mary I. Edelberg, Eileen L. Hull, Bradley Edelberg, Herman Kidder, RussellS., Jr. Egan, Richard W. Fountain, Newland W. McCue, Daniel J. Frost, Frank T. McGrane, James L. Matt, Frederick E. Ginsberg, Irwin A. O'Brien, John J. Hudson, Raymond A. Pierce, Allen A. Kennedy, Sidney R., Jr. Radzimski, Eugene H. Major, William K. Schonher, Nancy M. Long, Frank H., Jr. Wels, Philip B. Perkins, Raymond C. Wolin, Leonard Pietraszek, Casimir F. Zaepfel, Floyd M. Prentice, Theodore Schaer, Sidney M. 1942 Shaver, Carrol J. Addessa, Albert J. Stafford, Walter F. Ament, Richard Strong, Clinton H. Axelrod, Sidney J. Wilkinson, Robert Battaglia, Horace L. Bauda, Charles A. 1945 Clarke, M. John Adler, Richard H. Cotronea, Vincent S. Adaloro, William S. Eckhert, George L. Chassin, Norman Follette, William J. Cotter, Paul B. Kibler, Diana D. Forgrove, Edward G. Marmalya, Boris L. Fugitt, George W., Jr. Milazzo, RichardT. Grabau, A. Arthur Parlante, Vincent J. Greenwald, Richard M. Smith, Martha L. Johnson, James H. Laglia, Vito P. Staubitz, William J. Yochelson, Leon Longstreth, H. Paul SPRING, 1978 Quinlivan, John K. Rogers, William J., II Rutecki, Joseph H. Shaheen, David J. Sheedy, K. Joseph Steinhart, Jacob M. Templer, Wayne C. Thorngate, George V. Tybring, Gilbert G. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. Ward, Robert B. 1946 Allen, John G. Bauer, Charles D. Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Howard, Chester S. Irons, Annabel M. Levy, Harold J. Marks, Eugene M. Mires, Maynard Naples, R. Joseph Petzing, Harry Piccali, Amo John Tardif, Henry M. Tornou, Willard W. Walczak, Paul M. 1947 Bachman, David D. Curtin, Daniel E. Dennen, Philip C. Edgecomb, William S. Kipping, Hans F. Marchand, Richard J. Phillips, James F. Schaefer, Arthur J. Sheffer, John B. Stagg, James F. Todaro, Joseph C. Tokars, Jerome Whiting, Frederick D. Wildhock, Robert H. 1948 Bloom, William H. Borman, Col. James G. Fahey, Daniel J. Gordon, Myron Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Martin, Ansel R. Miller, Daniel G. Minde, Norman Moore, Darwin D. Regan, Cletus J. Regan, Thomas C. Shapiro, Alfred J. 21 Solomon, Irwin Stone, Edward R. Van Avery, Jasper L., Jr. Weinberg, Paul C. 1949 Armenia, Carmela S. Bradley, Aust Berl, Alfred Bernhard, Harold Carden, Lawrence M. Carlino, Lawrence L. Erickson, George M. Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Rosner, Edward W. Schneider, Max A. Shalwitz, Fred Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Bisgerer, George P. Brody, Charles Busch, Grace B. Cecilia, Carl A. Dunghe, Adelmo P.J. Dunn, James C. Leberer, Richard J. Manders, Karl L. Meyer, Patricia A. Robinson, Roy W. Scamurra, Vincent Sikorski, Helen F. Solomon, Yale 1951 Barott, Theodore Bleichfeld, Joseph Bruno, August A. Danzig, Leonard S. Davis, Harvey D. Goldfarb, Allen L. Kaplan, Marvin Leslie, Eugene V. Munoz, Pilar Murphy, Thomas J. Pleskow, Marvin J. Secrist, Robert L. Smith, Adolph Smolens, Bernard Teich, Eugene M. Weigel, James W. 1952 Abo, Stanley Adams, Donald J. Baumer, Robert A. Davis, Bernie P. Dyster, Melvin B. Fuhr, Neal W. Genewich, Joseph E. �Gottlieb,·Solon H. Kelley, Donald J. Krohn, Melvin R. Lapp, Milton C. Loeser, Eugene W., Jr. MacLeod, Colin C. Miller, Roy D. Panaro, Victor A. Rohner, Richard Ranchoff, John Y. Robbins, Travers Schmitt, James N. Sheesley, Byron E. Simpson, S. Aaron Sprecker, Donald H. Stulberg, Burton Szabo, Imre Thurn, Roy J. Underwood, S. Jeffersc Wegner, Kurt J. Zeller, James F. 1953 Carlin, James W. Camerford, Thomas E .. Delerme, Felix A. Ehrenreich, Donald L. Fogel, Sander H. Georghegan, Thomas G Gold, Jack Handel, John W. Johnson, Curtis C. Lee, Herbert E. Maloney, Milford C. Maynard, Robert E'. Nagel, Richard J. Panner, Malley R. Partin, Bertram A. Rachow, Donald 0. Ruh, Joseph F. Simpkins, Herbert W. Sobocinski, Robert S. Strachan, John N., Jr. Sullivan, Michael A. Ullrich, Reinhold A. W adler, Marvin 1954 Beltrami, Eugene L. Campo, Joseph L. Cloutier, Louis C. Conboy, John L. Foley, Robert D. Genner, Byron A., III Hansen, Florence M. Hohensee, Edward W. Hoshino, Arthur Y. Howard, William J. Marino, Charles H. Hyzy, Eugene C. Jenkins, Benjamin C. Lemann, Jacob Lesswing, Allen L. Lester, Carra L. Lizlovs, Sylvia G. Meese, Ernest H. Miller, Robert H. Norman, N. Allen Olivier, Harry T. Pletman, Robert J. Royhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Wilson, Donald M. 1955 Collins, James R. Dean, Robert T. Fagerstrom, Charles D. Franco, Albert A. Gazzo, Frank J. Hashim, Sami A. Mye, George Lai, Jr. Palmerton, David L. Peterson, John H. Schaer, Leonard Schiavi, Anthony B. Schiferle, Roy G., Jr. Weppner, David F. Whitney, Eugene B. Winter, John A. Wormer, Donald A. 1956 Alker, George J., Jr. Barnum, W.J. Ben-Asher, David M. Corretore, Robert B. Darlak, Joseph J. Dentinger, Mark A. Gicewicz, Edmond J. Goergen, Peter F. Goldstein, Frederick, P. Hodson, John M. Kunz, Joseph L. McCutcheon, Sue A. Mcintosh, Robert G. Nuessle, Frederick C. O'Neill, Hugh F. Popper, Jordan S. Reeber, Erick Reisman, Robert Sklar, Bernard H. 1957 Berghorn, Bronson M. Celniker, Benny Cusick, John K. Garseristein, Myron Gulino, Lorie A. Hetzer, Barbara J. Kanel, Harris H. Lowe, Charles E. Metsch, Herbert Meyers, Robert C. Shapiro, Bernard S. Sussman, Robert B. Thorsell, H. Gregory Waldman, Sherman 1958 Alessi, Edward C. 22 Armenia, John V. Boyle, Richard C. Brotherman, Melvin M. Diesfeld, Gerard Dischinger, Frederick W. Eisenberg, Benson L. Falsetti, Dominic F. Kane, Leo A. Kunz, Marie L. Murphy, John P. Stein, Alfred M. Tracy, Ann A. Waldman, Irving Wasson, Richard D. Wende, Reinhardt, W. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Brennen, Robert J. Graver, Seymour D. Houck, John E. Mongan, William J. Monte, Joseph F. Rock, Elton M. Spoto, Russell C. 1960 Abramson, William E. Antkowiak, Joseph G. Bond, A. Gordon Chazan, Joseph A. Graber, Edward J. Guttuso, Thomas J. Harrington, John H. Kanski, James R. Klocke, Francis J. Metcalf, Harry L. Patridge, Eugene T. Riveria, Eugene P. Sauer, Robert H. Steinberg, Irwin Saks, Gerald L. Shapiro, Marvin Steinberg, Irwin Tuyn, John A. 1961 Cimino, Eugene DeSantis, Carlo E. French, Paul D. Hatch, Richard C. Manning, Edwin J. Porrath, Saar A. Ronald, Roger A. Skarkin, Arthur T. Szuter, Carl F. Wilinsky, Howard C. 1962 Cowan, Martin Floccare, Anthony Graber, James E. Hilbrun, M. Peter Klein, Morton P. Loree, Paul J. Madden, Michael M. Morey, Philip D. Ney, Robert G. Oberkircher, Oscar R. Steinhart, Melvin J. Tzetzo, George R. 1963 Hermann, Max M. Carboy, David T. Ehrlich, Frank E. Fisher, Donald M. Foti, Anthony M. Joyce, Stephen T. Lessler, Paul A. Maggioli, Albert J. Narins, Richard B. Repicci, John A. Scheuermann, Henry A. Steiner, George L. Tirone, Charles S. Wadsworth, John M. 1964 DiPoala, Joseph A. Ferrari, Anthony V. Glowacki, George R. Ney, Lillian V. Rothfleisch, Sheldon Salton, William Schubert, Daniel Sterman, Irving Weinstein, David J. Williams, Richard W. Wolin, Richard E. 1965 Bucher, William C. Cardamone, Joseph G. Feinberg, Michael S. Grisanti, Anthony V. Hurwitz, Lawrence B. Jeffrey, Gary Kroll, Joseph I. Marantz, Calvin Steckelman, Joel Young, Ronald F. 1966 Althaus, Sean R. Antonucci, Louis J. Fricke, Wayne P. Klementowski, Kenneth Lindenbaum, Jeffrey E. Rappole, Bert W. Spoor, John E. 1967 Anderson, John R. Augustine, Thomas A. Bodner, Stanley J. Cohen, Arthur H. Daffner, Richard Gibbs, John W., Jr. Hoffman, Leon THE BUFFALO PHYSICIAN �Josephson, Ronald P. LaGratta, Roger J. Robinson, Trevor Sheehan, Thomas P. Sosis, Arthur C. Starr, George Strasberg, James M. Young, Linda Young, Richard J. 1968 Carl, Marc Cumbo, Thomas J. Dobmeier, Lawrence J. Jewel, Kenneth L. Joseph, Brian S. Kaine, Richard F. Kaplan, Milton P. Kaplan, Z. Micah Karch, Gary D. Peck, Alan H. Rodner, Robert D. Sayres, Barbara A. Shields, John E., Jr. Sievenpiper, Timothy S. Spiegel, Stuart C. 1969 Cavalieri, James L. Gibson, Robert J. Hevizy, Louis Horwitz, Hanley M. Major, William Saab, Richard J. Scanlon, Thomas S. Smith, Wilbur L. Weinstein, Barry A. 1970 Copley, David P. Fishbein, Charles A. Fishbein, Ellen R. Forden, Roger A. Frankel, Lawrence S. Krauss, Dennis J. Lippman, Michael Massaro, Russell P. Ungerer, Robert Wirtzer, Allan 1971 Anscher, Richard M. Antkowiak, John M. Brothman, Barry G. Bullock, Alan H. Greenberg, Harvey Handlers, Mark S. Kirsch, Scott D. Mazeika, Denis G. Masijczuk, Askold D. Solomon, Kenneth Witter, Theodore 0. 1972 Berkson, Richard Bob, Harold B. Frankfort, Ian Ismael, Ismil Jackson, Stanley J. Toledano, Stuart R. Doldan, Federico G. Egri , George Elibol, Tarik 1973 Fisher, F. Craig Fisher, Frank Bone, Lawrence B. Dunn, Nancy L. Florsheim, Anne Hollac, Ralph R. Haque , Ikram U. Launer, Dana P. Helm, Frederick Orens, Paul Kmiecik, Tadeusz Levitt, Jacqueline R. Liang, Shin Yin 1974 Lloyd, Catherine Bukowski, Elaine M. McNeil, Dr. & Mrs. Crichton Burstein, Alan G. Meyer-Bahlburg, Dr. Heino F. L. Moore, Sarah E. Milkey, Gustave P. Morelli, Daniel Mindell , Eugene R. Rowlingson, John C. Mongia, Satish K. Stamierowski, Louise C. Mudaliar, Nirmala Munabi, Abraham K. 1975 Murphy, John P. Hendrich, David Nowakowski, Paul A. Fenzl, Robert E. Pappas, Harry J. Powell, Jeffrey P. Roehmholdt, Mary Elizabeth Potter, Paul H. Ronca, Paul Faculty-Non-Alumni Rovere, Raphael A. Anuntalabhochai, Boonchuay Sarac, Oguz K. Bernstein, Charles Schmidt, Barbara Von Besseghini, Italo Sullivan, Judith P. Calkins, Evan Taheri, Syde A. Corbett, Ms. Jeanette Winiecki, Joseph J. Daly, Joseph J. Yassa, Fayek G. Dean, David C. Zimdahl, Walter T. Diji, Augustine Dobson, Richard L. Dr. Knox, Mayo Clinic Physician A Mayo Clinic physician, who received the M.D. and Ph.D . degrees from U/B in 1965 through a combined program, has been named associate director for continuing education (research training and degree programs) in Mayo Foundation, division of education. Dr. Franklyn G. Knox, 40, is currently professor of physiology and medicine, Mayo Medical School and chairman of the department of physiology. As associate director for education: research training and degree programs (a new position). Dr. Knox will be responsible for research training programs of Mayo Foundation and degree programs offered through the Mayo Graduate School of Medicine. His duties will involve the coordination of training and funding, as well as liaison with the University of Minnesota Graduate School for degree programs. After serving as a staff associate at the National Heart Institute and a faculty member of the University of Missouri School of Medicine, Dr. Knox was appointed a Mayo consultant in 1971.0 SPRING, 1978 23 �"T he New Horizons . 1n Neonatal Medicine Conference participants came from 20 states, four Canadian provinces, Puerto Rico and the District of Columbia. Dr. George Giacoia, program chairman. gut is the limiting organ for survival and early malnutrition rather than hypoxic damage may be the main determining factor in quality of life in low birth weight infants." This is what Dr. Paul Swyer told the 302 physicians and nurses who attended the two-day symposium, "New Horizons in Neonatal Medicine." The associate professor of pediatrics at the University of Toronto discussed several aspects of energy metabolism in newborn infants, including his own research. The director of the division of Perinatology Hospital for Sick Children said, "on the average 50 days elapsed before a baby of 1000 gm. reached a weight of 2000 gm. The 20 gm. per day of weight gain is comprised by 3 gm. of protein, 1.8 gm. of fat and the remainder of water. The number of calories expended in synthesizing new tissue amount to about 15 cal/kg/day. This process seems to occur by two different mechanisms: a steady synthetic activity occurring in the muscles and comprising two-thirds of the metabolic cost of growth while the remainder one-third occurs in pulses after each meal and is related mostly to the incorporation of aminoacids into proteins. The latter process is responsible for the postprandial thermic effect. It is of interest that while in adults the thermic effect involves carbohydrates, aminoacids and lipids in newborns is mostly due to proteins metabolism." A Case Western Reserve University pediatrics professor spoke about the anti-infective properties of breast milk. Dr. Marshall Klauss said, "known resistant factors include a polysassacharide (bifidus factor) responsible for the selective growth of anaerobes in breast fed infants, an anti-staphylococcus factor and a protein, lactoferrin, which inhibits bacterial growth." The director of neonatal nurseries, University Hospitals, Cleveland, focused his attention on the role of cellular elements in breast milk: lymphocytes and macrocytes. The "magnificent" macrophytes, as Dr. Klauss termed it, has a number of important functions which include: interaction in some way with lymphocytes allowing these cells to produce secretory immunoglobin A, production of lyzozyne, which, together with a peroxidase, destroy bacteria and finally phagocytosis of bacteria. Milk lymphocytes produce a secretory immunoglobin A quite different from maternal IgA. Dr. Klauss' group has been able to demonstrate in breast milk an antibody against pathogenic E.coli present in the GI tract of the mother which is absent in her blood. His group was also able to demonstrate antitoxin against E. coli (presumably produced by milk lymphocytes under the influence of milk macrophages) which explains the rarity of E. coli enteritis in breast fed infants. In a panel discussion on neonatal nutrition Dr. Klauss said, "in the animal world there is marked correlation between the composition of breast milk and the frequency of breast feeding. Some animals whose breast milk have a high protein and fat content, such as the rabbit, fed infrequently (every 12 hours) while others whose breast milk have a low caloric content are almost continuous feeders. Man seems to belong to the lattar group which would indicate that the present practice of feeding newborns every 3-4 hours may need to be revised." 24 THE BUFFALO PHYSICIAN �Dr. Marshall Klauss addressing a session. Dr. Gordon Avery reviewed pertinent aspects of neonatal gastrointestinal physiology. He emphasized that the jejunum should be assimilated to a parynchemal organ. "In fact, there are mucosal transport systems similar to those present in the renal tubule." He is professor of child health and development, George Washington University and director of neonatology, Children's Hospital National Center, Washington, D.C. After summarizing the limitations in the absorption of fats, carbohydrates and protein seen in low birth weight infants, Dr. Avery reviewed aspects of intestinal motility. He described a gradient of activity between the proximal and distal ends of the bowel and characterized peristaltic activity in low birth weight infants as being "disorderly and disorganized." This was documented by balloon studies. Dr. Avery stressed the complexity of the regulation of intestinal motility as evidenced by the multitude of factors modulating such activity. In addition to neurological stimuli, a number of hormones are known to either stimulate (eg. gastrincholecystochynin) or depress (eg. secretin, glucagon) intestinal motility. Dr. Avery also referred to experiments which show how sucking and swallowing act as physiologic triggers of peristaltic activity through the secretion of enteric hormones. Dr. John Driscoll summarized the experience with parenteral nutrition in low birth weight infants at the Babies Hospital in New York. He reviewed metabolic studies performed in a group of 21 low birth weight infants receiving 100 cal/kg by the parenteral route. "The average weight gain was 11.8 gm/day. All were in positive nitrogen balance (avg..9 gm/kg/day) and undesirable effects were minimal." Dr. Driscoll cautioned against the routine use of parenteral nutrition (especially with indwelling catheters) in very low birth weight infants because of lack of data concerning the effect of the intravenous administration of an imbalanced aminoacid mixture. Dr. Driscoll is associate professor of clinical pediatrics, College of Physicians and Surgeons, Columbia University and director of neonatal nursery and intensive care units, Babies Hospital, New York City. d- SPRING, 1978 25 During a coffee break Dr. Leo Stern {center), and Dr. Gordon Avery {right) chat with a colleague. �Drs. John Drisscoll , John Sinclair Bleeding disorders and thrombocytopenia in the newborn were discussed by Dr. William Hathaway, professor of pediatrics, University of Colorado School of Medicine, Denver. He emphasized the difficulties in establishing the diagnosis of coagulopathy in babies of very low birth weight. A number of physiologic abnormalities were reviewed. Dr. Hathaway presented preliminary evidence of transient deficiences in Fletcher and Fitzgerald factors who are in part responsible for a prolonged, partial thromboplastin time in infants of low birth weight. He attributed thrombotic tendencies in some of these infants to a transient deficiency of antithrombin III. Dr. Hathaway also discussed the problem of disseminated intravascular coagulation in the neonatal period. He cautioned against utilizing platelet counts as the only screening parameter in DIC. He reported on a number of infants severely asphyxiated at birth who had severe DIC with normal platelet counts. Exchange transfusions were recommended in these patients in view of the high risk of intracranial bleeding. Dr. Hathaway told about his experience with platelet microthrombi disease, a condition occurring in newborns with respiratory distress syndrome in which platelets are primarily consumed. Dr. Hathaway also presented preliminary data of a work done in collaboration with Dr. Paul Calker revealing significant number of infants with idiopathic thrombocytopenia. Dr. John Freeman reviewed neonatal convulsions. His collaborative study of cerebral palsy included 50,000 babies. The incidence of neonatal seizures was 3/1,000 livebirths. Fifty percent of the seizures occurred on the first day of life. In this study, seizures occurring in the first 24 hours carried a mortality of 83 o/o and only 10 % of the survivors had an excellf!nt prognosis. The associate professor of neurology and pediatrics at Johns Hopkins University reviewed the different causes of neonatal seizures and focused on the importance of perinatal asphyxia. Because of the close correlation between severe perinatal asphyxia and poor outcome he elaborated on the vicious circle produced by brain asphyxia. "Asphyxia produces local changes in the brain circulation with consequent localized cerebral edema which in turn produces further compromise of cerebral circulation." Dr. Freeman suggested asphyxia may also cause impairment of glucose transport into the brain cells. Forms of therapy which deserved investigation in the future include early use of diuretics, steroids and even glucose despite normal blood sugar levels. Dr. Freeman is also director, Seizure Clinic, John F. Kennedy Institute at Johns Hopkins. Dr. Leo Stern reviewed acceleration of lung maturation with consequent increased production of lung surfactant produced by a number of substances such as betamethasone heroine, thyroxine and methylprogesterone. His experiments in rabbits has shown that aminophyline also increase surfactant production but by a different mechanism- inhibition of phosphodiesterase. The chief pediatrician at Rhode Island Hospital issued a strong warning against the use of these agents in pregnant women until more knowledge is accrued on the significance of the side effects (arrest in lung and brain development) reported in animal studies. 26 THE BUFFALO PHYSICIAN �Drs. William Hathaway, George Giacoio The Brown University professor of medical science talked about the treatment of neonatal jaundice with phototherapy. Although in vitro the energy spectrum of light at 450 armstrong activates the bilirubin molecule which breaks down into water soluble dipyrroles attempts to quantitatively recover these compounds in the urine in treated infants failed. "Recent evidence has been presented showing that the energy derived from light alter the steric configuration of the bilirubin molecule allowing to be transported into the bile without prior conjugation with glucuronic acid." Dr. Stern voiced the concern of photobiologists that other needed substances may be similarly affected and lost from the body. A Tufts University pediatrics professor stressed the importance of proper identification of syndromes to provide parents with an accurate prognosis, genetic counseling and possible therapy. Dr. Murray Feingold reviewed a number of syndromes from his vast personal experience and pointed out several important diagnostic tips. He mentioned that scleroderma in a neonate is very likely the harbinger of progeria. "Coarse facies in the neonate is almost never an indication of mucopolysaccharidoses. Instead, likely possibilities are mucolipidosis (I cell disease) or fucosidosis." Dr. Feingold also directs the Center for Genetic Counseling and Birth Defects Evaluation, Boston Floating Hospital for Infants and Children, Boston. In leading a panel discussion on neonatal nutrition, Dr. John Sinclair reviewed necrotizing entercolitis, a disease affecting primarily asphyctic infants of low birth weight. The McMaster University pediatrics professor said, "the state of knowledge on necrotizing enterocolitis in 1976 is no different than the understanding of retrolental fibroplasia in 1950 when about 12 different factors were listed as possible etiologies. It was not until 1952 when the critical role of oxygen in retrolental fibroplasia SPRING, 1978 27 Dr. Paul Swyer �was uncovered." Dr. Sinclair expressed hopes that in the near future a better understanding of the condition will allow for the prevention of this devastating disorder. Dr. Sinclair is the director of the Neonatal Unit, McMaster University. Dr. Philip Calcagno, professor and chairman of pediatrics, Georgetown University reviewed neonatal renal physiology and renal failure in the neonatal period. He was on the U/ B faculty from 1948 to 1962. Another former U/B pediatrics professor (1963-1975), Dr. Sumner Yaffe, discussed neonatal pharmacology. He presented results of his research in the distribution and elimination of digoxin in neonates. His findings of increased tissue binding of digoxin (erythrocytes, cardiac muscle) coupled with enhanced elimination by the kidney provides a reasonable explanation for the larger dosage needed in newborns when compared to older infants and adults. Dr. Yaffe is professor of pediatrics and pharmacology, the University of Pennsylvania School of Medicine, Philadelphia. Four other U/B Medical School faculty members participated in the two-day conference. Dr. Elliot F. Ellis, professor and chairman of pediatrics, welcomed the group. Others who contributed significantly to the program were- Dr. Mary Voorhess, director of endocrinology, Children's Hospital; Dr. Margaret MacGillivray, co-director of endocrinology, Children's Hospital; and Dr. Pearay Ogra. All are professors of pediatrics.D Neighborhood Health Care Dr. Staub Neighborhood health care must be strengthened in critical, lowincome areas in Buffalo to overcome pediatric car-e deficiency according to Dr. Henry P. Staub, associate professor of pediatrics. In a special report the pediatrician noted a distressing cycle of "poor nutrition, poor health, poverty and learning problems." Dr. Staub suggests 'well child' clinics, in which children receive free routine examinations to spot any developing health problems. These clinics, he said, should be closely associated with the Erie County Health Department's neighborhood health centers now operating in several inner city sites. "These centers," Dr. Staub explained, "could become responsible for the primary care that is provided by the Health Department in the neighborhood. That means that well child clinics should function as outreach for the health center. These well child clinics would function as a satellite and would remain or be placed in areas of greatest need, such as housing projects. A child who became ill would be seen by the same groups of health providers. At the present time, the family of a sick child has to shift for themselves to find a provider, usually a hospital emergency room. "D 28 THE BUFFALO PHYSICIAN �National Medical Fellowships Twenty-seven first and second year minority medical students at U/B have National Medical Fellowships. Dr. and Mrs. William E. Cadbury, Jr. visited with many of these students in the fall to help them with their problems. It was their fifth visit to the Medical School. "We visit every medical school every other year to talk to the minority students in our program so we can make more intelligent decisions," Dr. Cadbury said. He is executive director of the scholarship program. Mrs. Cadbury, an attorney, is a staff associate. The Cadburys joined the organization in 1969. "The success of the program over the years has been gratifying. The minorities who have gained admission to medical schools have done well. And they have especially done well at U/B because the medical school is dedicated and committed to helping minorities. The success rate among minorities today is higher than it was among all students 10 years ago," Dr. Cadbury said. "Health care in the U.S. is worst among minorities. We believe most minority students are dedicated to helping minorities and will do so when they complete their medical education." Fellowships are granted to 95 per cent of minority students who apply. They are given only for the first two years. Fellowships are given to students who come from families with very modest incomes, according to Dr. Cadbury. NMF was founded in 1946 as Provident Medical Associates by Dr. Franklin C. McLean, a pioneer in the movement to increase opportunities in medicine for black Americans. The organization initially focused its aid on black physicians seeking specialty training. A few years later as NMF, Inc. its emphasis shifted to helping black students in medical schools. In 1970, NMF began to include members of other under-represented groups American Indians, Mexican-Americans, mainland Puerto Ricans and black Americans (both men and women). Because NMF's resources are limited, its awards are never enough to meet all of a student's needs, but are meant to supplement grants and loans from other sources. In 1976-77 NMF made 1,495 awards totaling $1,558,883 to minority medical students in 112 institutions. A non-profit taxexempt organization. NMF has no funds of its own, but relies on gifts from foundations, corporations and private donors. Dean John Naughton hosted an informal luncheon for the Cadburys. Richard Roy, second year student, and president of the Student National Medical Association, presented a plaque to the visitors. The citation: "In appreciation of your constant service and many contributions to medical education."D SPRING, 1978 Dr. and Mrs. Cadbury 29 . �41st An1 State University at Buffalo Medicc Theme: Ethical Dilemmas in the Practice of Medicine April 28, 29, 1978 Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, APRIL 28 Registration 9:00 9:30 Welcome: Michael A. Sullivan, M.D. '53 President, Medical Alumni Association Clinical Associate Professor of Medicine 9:35 RELEVANCY OF MEDICAL ETHICS Moderator: Robert Dickman, M.D. Assistant Professor of Medicine Introduction "Role of Ethics and Human Values in Medical Education" John Naughton, M.D. Dean, School of Medicine 9:50 "Medical Student InterestActivity in Medical Ethics Margaret Werick Sophomore Student 10:00 "Bioethics- An Overview" Robert Dickman, M.D. 10:30 "Relevance of Ethics to Medical Decision Making and MD's Role in Society" H. T. Englehardt, Jr., M.D., Ph.D. Professor of Bioethics Rose Kennedy Center for Bioethics Georgetown University 11:15 "Ethical Concerns of a Practicing MD" David M. Klein, M.D. Associate Professor of Neurosurgery 11:35 Discussion "Relevancy of Medical Ethics to the Practice of Medicine" Moderator: Dr. Dickman 12:0012:15 Intermission 12:1512:45 Business Meeting 12:452:00 Luncheon FRIDAY AFTERNOON 2:00 DISTRIBUTION OF HEALTH SERVICES Moderator: Mila Aroskar, Ed.D. Associate Professor, Graduate Nurse Education "Justice in Health Robert M. Veatch, Ph.D. Care Delivery" Senior Associate Institute of Society Ethics and the Life Sciences The Hastings Center, New York City 30 THE BUFFALO PHYSICIAN �.ual ~Alumni Spring Clinical Days 2:45 Audience Discussion 3:00 "Allocation of Scarce Resources" Howard M. Spiro, M.D. Professor of Medicine Yale University School of Medicine 3:45 "Comments from a Transplant Surgeon" Sidney Anthone, M.D. '50 Clinical Professor of Surgery 4:00 Audience Discussion FRIDAY EVENING, 6:30 Class of 1928 Reunion Reception and Dinner SATURDAY MORNING, APRIL 29 9:00 FACING DEATH IN THE PRACTICE OF MEDICINE Moderator: Robert Dickman, M.D. I 1 "Overview of Ethical Considerations" H. T. Englehardt, Jr., M.D ., Ph.D. "Ethical Problems in the Newborn Nursery" Edmund Egan, M.D. Associate Professor, Chief of Neontaology 10:00 "Ethical Problems in the Care of Terminally Ill Adults" David M. Klein, M.D . 10:3011:45 Small Seminars 9:30 I. "Human Experimentation" Mila Aroskar, Ed.D. Howard M. Spiro, M.D. II. "Patient's RightsInformed Consent" Louis Swartz, Ph.D., LL.M. Associate Professor Law & Jurisprudence Norman Solkoff, Ph.D. Professor of Psychology Department of Psychiatry III. "Death & Dying" H. T. Englehardt, Jr., M.D., Ph.D. David M. Klein, M.D. IV. "Justice and National Robert Veatch, Ph.D . Health Insurance" Robert Dickman, M.D. SATURDAY AFTERNOON 1:00 UB MEDICAL ALUMNI Guest Speaker: George E. Miller, M.D. ANNUAL LUNCHEON Co-ordinator for International Activities; AND STOCKTON KIMBALL Professor of Medical Education, University of Illinois College of Medicine, Chicago MEMORIAL LECTURE SATURDAY EVENING, 6:30 Class Reunions: 1933, 1938, 1943, (April), 1943, (December), 1948, 1953, 1958, 1963, 1968, 1973 SPRING, 1978 31 �New Department Chairman Dr. Anbar Four department chairman have been named in biophysical sciences, neurology, rehabilitation medicine and biochemistry by Dean John Naughton. Dr. Michael Anbar has been appointed professor and chairman of the biophysical sciences department. He comes to Buffalo from the Stanford Research Institute where he was director of the Mass Spectrometry Research Center. It was here that Dr. Anbar developed new instrumentation and methodologies using stable isotopes and mass spectrometry. Dr. Anbar did his undergraduate work in Tel Aviv. He received both his Master of Science and Doctor of Philosophy degrees from Hebrew University in Jerusalem in 1950 and 1953. He received a UNESCO Research Scholarship in 1954-55 and was a lecturer and research associate in the chemistry department at the University of Chicago. From 1956 to 1967 he was associated with the Weizmann Institute of Science as research and senior scientist; associate professor and head of the radiation research department, and director of the Radioisotopes Training Center. In 1963-64 Dr. Anbar was granted a sabbatical to do research at the Argonne National Laboratory. He was also a visiting professor at Stanford University. Dr. Anbar has been a consultant to the American Atomic Energy Commission. For six months in 1967-68 he was a researcher with NASA in California. He has published 176 articles in scientific journals. Dr. Jerry G. Chutkow has been named professor and chairman of the neurology department. He comes to Buffalo from the Mayo Clinic and Graduate School in Rochester, Minnesota where he has been associate professor of neurology and consultant since 1970. Dr. Chutkow Dr. Chutkow was educated at the University of Chicago bachelor of arts (with honors) 1952; bachelor of science in anatomy, 1955; doctor of medicine (with honors) 1958. He interned at the Presbyterian Hospital, New York City, and did his residency in internal medicine at the University of Chicago Hospitals and Clinics, 1959-1962. He also did a neurology residency from 1964-1967 and was a research assistant at the Argonne Cancer Research Hospital. The next two years he was in the U.S. Army Medical Corps as chief, neurology service and internist, department of medicine, Martin Army Hospital, Ft. Benning, Georgia. Before going to the Mayo Clinic he was on the faculty of the University of Chicago School of Medicine. Dr. Chutkow won several honors and scholarships at the University. He is a Fellow, American College of Physicians, American Academy of Neurology, American College of Nutrition. He has three American Board certifications: Medical Examiners, Internal Medicine, and Neurology and Psychiatry. Dr. Chutkow has published numerous articles for professional journals on his research interests. They are: metabolism of magnesium in the central nervous system; and regulation of copper transport into and out of the CSF, brain and spinal cord. 32 THE BUFFALO PHYSICIAN �Dr. Glen E. Gresham has been named professor and chairman of the department of rehabilitation medicine. He comes to Buffalo from Tufts-New England Medical Center, Boston where he has been associate professor of physical medicine and director of outpatient and continuing care services, Rehabilitation Institute since 1970. He has also been on the medical school faculties at Yale and Ohio State Universities. Dr. Gresham received his A.B. degree (cum laude) from Harvard College in 1953; his M.D. in 1958 from the College of Physicians and Surgeons, Columbia University. He had his clinical training at University Hospitals of Cleveland and Western Reserve University Medical School. In 1960-62 he was in Atlanta with the Communicable Disease Center. The physician-educator is a Fellow, American College of Physicians, and a Diplomate, National Board of Medical Examiners, Dr. Gresham is licensed in Ohio, Connecticut and Massachusetts. In Ohio he directed an arthritis clinic and a coronary prevention program and in Massachusetts he was a consultant in rheumatology and rehabilitation and in Connecticut he was chief, clinical epidemiology, Eastern Research Support Center, V.A. Hospital. He served on numerous other commissions and foundations in the three states. Dr. Gresham has authored or co-authored 21 scientific articles for professional journals. He received the Distinguished Service Award from the Massachusetts Council of Organizations of the Handicapped in 1972; and the National Foundation Fellowship in Rehabilitation (internal medicine) in 1962-64. Dr. Alexander C. Brownie is the new chairman of the department of biochemistry effective September 1. Dr. Brownie is professor of biochemistry and research professor of pathology. He joined the faculty in 1963. He has b een acting chairman the last year. Dr. Brownie received his Ph.D. in biochemistry from Edinburgh University, Scotland in 1955. He was a research trust Fellow in clinical chemistry at the Royal Infirmary in Edinburgh the following year. From 1956 to 1962 he was a research Fellow in pharmacology and therapeutics at Queen's College, University of St. Andrews in Scotland. The year before coming to Buffalo Dr. Brownie was at the University of Utah where he was a United States Public Health Service Research Fellow in Steroid Biochemistry. The 1974 Medical School graduating class presented Dr. Brownie with an award for "Insight and Dedication to Teaching." He has been an outstanding lecturer in medical biochemistry, general pathology, biochemical endocrinology and metabolism. He was also a course coordinator for physiological biochemistry and the medical-dental biochemistry course. Dr. Brownie has served on numerous departmental, medical school and University-wide committees. He has also participated as a speaker and panelist in many conferences, workshops and symposia.D SPRING, 1978 33 Dr. Gresham Dr. Brownie �Mr. Diedrick Mel Diedrick Freelancing and teaching occupies the time of Melford Diedrick, who is in semi-retirement at his Honeoye Lake home near Rochester, New York. He has been spending his weekends here since 1948. The medical illustrator joined the U/B faculty in 1935 as a part-time morgue diener and animal caretaker. "It was Dr. Kornel Terplan, professor of pathology, who gave me 'squatter's rights' in his lab at The Buffalo General Hospital," Diedrich said. It was in this lab that his career as a medical illustrator almost ended when he stuck his hand with a needle while sewing up a body. Dr. Terplan recognized the need for a medical illustrator and knew Mel had been trained at Johns Hopkins Medical School by Max Brodel, one of the great names in this field. Two years later, in 1937, when the photographer at The Buffalo General Hospital died, Diedrick was named assistant curator of the Pathology Museum at the Medical School. In this position he had an income, time to do some free-lance drawing, and make models. In 1945 Diedrick almost moved to Chicago to work for Dr. Max Thorek, a famous surgeon. But the Buffalo Medical Community matched the enticing offer. But it was 1947 before he had the faculty title, Director of Medical Illustration, bestowed on him by Dean Stockton Kimball. In 1953 Diedrick had his own department and studio on the Main Street Campus, adjacent to the anatomy department. Prior to that date he worked at the High Street Medical School Building, and in 1964 he moved to 2199 Main Street. When he retired in June he had three staff members- photographer, graphic artist, secretary - all very knowledgeable. There was no trained medical illustrator at the U/B Medical School that was founded in 1846 and this was a challenge to Diedrick and he made the most of it. He is a talented successful artist, who has considerable knowledge of biology, anatomy, histology and many other things. "I've learned my profession the hard way - through clinical observation, study and research. The first step is acquiring information - usually verbal communication with the physicianauthor. No one can make a good medical drawing without knowing his subject. Often I search the scientific literature of the last 10 or 20 years. Sometimes I spend several hours in a hospital viewing a procedure. Then I apply a scientific approach to my illustration. "Anything visual is a means of communication. No task is too small. A graceful letter is very demanding and contributes to the efficiency for the highest level of illustration," Diedrick said. Most of his illustrations are for the printed page periodicals, journals and books. On any given day one or more of the 1,000 Buffalo physicians might ask Diedrick to create a picture of a patched heart, show a prepyloric ulcer or illustrate the latest technique for pinning a fractured hip. Whatever the project, the artist has one objective, depict the subject clearly and truthfully. He works mostly with pencil for preliminary sketching, and wash or print ink for the finished rendering. But he also uses a camera. "Often a camera will show too much or too little. Drawings can eliminate the non-essential 34 THE BUFFALO PHYSICIAN �Opening into avex. of deferred. details and focus more dramatically on the main element. It is also difficult to show the differences in tissue with photography, but in a drawing this can be accomplished by contrasting colors and stylized surface characteristics. "My most satisfying accomplishment was the only book that I illustrated in its entirety, Vaginal Surgery, by Drs. David H. Nichols and Clyde L. Randall, local physicians," Diedrick said. He was also the principal illustrator of three widely used specialty books - "Atlas of Operative Teaching Anus Rectum and Colon" by Drs. Harry E. Bacon and Stuart T. Ross in 1954; "An Atlas of Surgical Exposures of the Extremities" by Drs. Banks and Laufman in 1953; and "An Atlas of Neurosurgical Techniques" by Dr. James Poppen in 1960. In the 1950s he drew the illustrations for the UB/WBEN modern medicine television series. His illustrations for "The Way to Better Health and a Longer Life" for the Buffalo Evening News magazine features written by Mildred D. Spencer, won first prize from the New York State Division, American Cancer Society. Society. Diedrick is an accomplished musician. He plays the violin, piano and electric organ. He was the founder and long-time president of the Cheektowaga Symphony Orchestra. Diedrick plays tennis, water skiis, sails and is handy at making things for the house. He is past president of the Association of Medical Illustrators and hosted the annual meeting in Buffalo in 1963. He has held several other offices in the association and is currently chairman of the amendments committee. In his quiet, honest, reliable way Diedrick will continue to preserve and carry on the ideals and traditions of the Brode! School of Medical Illustrators.D SPRING, 1978 35 �7 Faculty Retire Dr. Murphy members, who reached age 70 on or before the last day of August, have retired. Collectively they have served the University 261 years. They are Drs. Michael H. Barone, William G. Ford, Francis E. Kenny, James E. Long, Walter T. Murphy and Benjamin Obletz. An attorney, Leonard Finkelstein, lecturer in legal medicine, is also retiring. All are emeritus. Dr. Barone joined the faculty in 1948 as an assistant in otolaryngology and retired 29 years later as clinical assistant professor of otolaryngology. He received his M.D. from U/B in 1931 and interned at Buffalo Columbus Hospital and took his residency at the Buffalo Eye and Ear Hospital. His additional post graduate training was in facial and plastic surgery at Walter Reed Hospital. Since returning to Buffalo he has been associated with Deaconess, St. Francis and Columbus Hospitals. Dr. Barone is a past president of the American Society of Ophthalmologic and Otolaryngologic Allergy. His other professional memberships include the American College of Allergy, Pan Am Allergy Society, Pan American Association of Oto-Rhino-Laryngology and Broncho-Esophagology and American Academy of Ophthalmology and Otolaryngology. He has taught, presented numerous papers and published many articles. He was a Major and commanding officer of the 27th Field Hospital in China during World War II. His son, Robert, a 1966 Medical School graduate, is acting chief, department of surgical oncology, VA Hospital, LaJolla, California. Dr. Murphy joined the faculty in 1951 as an associate in radiology and retired 26 years later a clinical professor of radiology. He is a 1930 U/B Medical School graduate. He took his internship and residency at St. Francis Hospital, New York City. In 1932-33 Dr. Murphy had a pathology fellowship in Vienna, Austria under Professor Carl Sternberg. He returned to Buffalo the following year as assistant on surgical radiation therapy service at Roswell Park Memorial Institute. In 1939 he became director of radiation therapy. In 1960 he was consultant to the International Atomic Energy Agency in Vienna. The following year he became consultant (and in 1963 chief) in radiation therapy at the Buffalo General Hospital, a position he held for 10 years. Although he has retired from private practice in Buffalo, he is active as a consultant in Florida (Comprehensive Cancer Center, University of Miami Medical School, Jackson Memorial Hospital). He lives in Florida seven months each year. Dr. Murphy is a Fellow, American College of Radiology, and a member of the International Society of Radiation Therapists. He has written two books on Radiation Therapy, authored or coauthored 34 scientific papers and eight chapters to other books. In 1972 he was a consultant in making sound movies on radiation therapy for the American Cancer Society, and in 1974 he was a consultant in preparation of the 25th edition of Doorland Medical Dictionary. The Buffalo Evening News named Dr. Murphy an outstanding citizen in 1960. He has been an active member of numerous national and international associations. He has given lectures and seminars in the United States and many countries in Europe, Asia and South America. SEvEN MEDICAL SCHOOL FACULTY 36 THE BUFFALO PHYSICIAN �Mr. Finkelstein received his LL.B. degree in 1929 from U/B. He joined the faculty in 1957 as an assistant in legal medicine and retired 20 years later as lecturer in legal medicine. Mr. Finkelstein was chief of the appellate bureau from 1947 to 1969. Dr. Ford joined the faculty in 1940 as assistant in medicine and retired 37 years later as clinical assistant professor of medicine. He is a 1933 U/B Medical School graduate. Dr. Ford served in the United States Army Medical Corps during World War II. Dr. Kenny is a 1931 Medical School graduate. He joined the faculty in 1936 as an assistant in pathology and bacteriology and retired 41 years later as clinical assistant professor of medicine. He was on military leave from 1943-45. He did his postgraduate work at the Buffalo General Hospital and the University of Frankfurt, Germany. Dr. Long joined the faculty in 1946 as an assistant in medicine and retired 31 years later a clinical assistant professor of medicine. He is a 1931 U/B Medical School graduate. Dr. Long was a Major in the United States Medical Corps during World War II. He has authored several articles for professional journals. Dr. Obletz joined the faculty in 1938 as an instructor in surgery and retired 39 years later a clinical professor of orthopedics. He received his M.D. in 1932 from U/B, and his master's degree from the University of Iowa in 1937. He is also a graduate of the U/B School of Pharmacy. Dr. Obletz was a Major in the United States Medical Corps during World War II. He has authored or co-authored 16 scientific articles for professional journals.D The E.J. Meyer Memorial Hospital has added its first general practitioner, Dr. Winford A. Quick, to its staff. Dr. Guy S. Alfano, hospital director, called the appointment of Dr. Quick a breakthrough in providing total medical services to patients at the hospital. "This will correct a situation that in the past allowed patients to be treated by their own general practitioners while confined to the hospital. This will allow us to provide medical services to the entire community." Dr. Alfano said, "in the new Grider Street facility our basic objective is to make the hospital available to a wider range of patients. There will be no exclusions because of class. In the past, it has been the middle class citizens who did not want to come to Meyer. We want a hospital where everyone will be comfortable in coming here." He said many top physicians in the nation received their training at Meyer and then left the hospital. Dr. Alfano noted that it was somewhat of a novelty to have a physician who was trained out of the city join Meyer's staff. Dr. Quick received his medical degree from Albany Medical College. He is also a graduate of the Deaconess Hospital's Family Practice residency program.D SPRING, 1978 37 Dr. Quick �Children's Hospital Appointments Dr. Lee Dr. Chong Dr. Topper Dr. Egan Six NEW APPOINTMENTS to the Children's Hospital staff have been announced by Dr. Elliot F. Ellis, professor and chairman of the department of pediatrics. Dr. Hsin Chang has been named research assistant professor in hematology. She comes to Buffalo from Columbia University where she was an instructor in pediatrics at the College of Physicians and Surgeons and assistant pediatrician at Babies Hospital. Dr. Chang received her Bachelor of Medicine from National Taiwan University in Taipei in 1969. During the next two years she did graduate research in the biochemistry department at Columbia University. She interned at the Long Island College Hospital, Brooklyn, and did her residency at Downstate Medical Center, Brooklyn. In 1974-75 she had a fellowship in pediatric hematology-oncology at Babies Hospital. Dr. Tee-Ping Lee is research assistant professor of allergy/immunology. He comes to Buffalo from the University of Wisconsin where he was assistant scientist in the department of medicine the last five years. He received his bachelor's degree from Taiwan University in 1962; his master's degree in nutritional science from Cornell University in 1966; and his Ph.D. degree in biochemistry from the University of North Carolina in 1970. The next two years he was a post-doctorate fellow at Yale University. He has authored or co-authored several articles and abstracts. Dr. Edmund A. Egan II is associate professor and chief of the division of neonatology. He comes from the University of Florida College of Medicine in Gainesville where he has been since 1973. He was an associate professor and associate director of the pediatric pulmonary center, and director of the pediatric residency training program. Dr. Egan received his M.D. from Emory University, Atlanta, Ga. in 1967. He interned and did his residency at the University of Florida. From 1970-72 he was chief of neonatology, Madigan General Hospital, Fort Lewis, Washington. The following year Dr. Egan was an investigator in the Perinatal Research Laboratory, University College Hospital Medical School, London, England. He has participated in symposia in Argentina, France and England. He has authored numerous articles for professional journals and has been active in many regional and national professional associations. Dr. William H. Topper, who comes from Tripier Army Center in Hawaii, has been named assistant professor of pediatrics in the division of neonatology. He received his bachelor's degree in 1967 from Penn State University and his M.D. in 1971 from Jefferson Medical College. He interned and took his residency at Duke University Medical Center. Since 1974 Dr. Topper has also been clinical assistant professor at the University of Hawaii School of Medicine. He is a Major in the United States Army Medical Corps. Dr. Robert C. Welliver is a research assistant professor in the division of infectious disease and virology at Children's Hospital. He received both his bachelor's and M.D. degrees from the University of Florida in 1968 and 1972. He comes to Buffalo from the UCLA Hospital in Los Angeles where he took his internship and residency. 38 THE BUFFALO PHYSICIAN �Dr. Martin B. Wingate is the new chief of the division of maternal/fetal medicine at Children's Hospital and professor of gyn/ob. Since 1975 he has been at the Albany Medical Center of Union University where he was professor of pediatrics, obstetrics and gynecology and chief, section of perinatology. He was also associate chairman, gyn/ob, and director of the ultrasound section, Albany Medical Center Hospital. Dr. Wingate was educated at the University of London where in 1948 he received his M.R.C.S., L.R.C.P. The next two years he was a medical officer in the Royal Air Force. From 1950-1962 he held several appointments at the University of London. From 1963-66 he was a senior lecturer in gyn/ob at the University of Bristol. This was followed by faculty and hospital appointments at the University of Manitoba, Winnipeg, Canada; Temple University, Thomas Jefferson University, and St. Christopher's, Philadelphia. He has been board certified in England, Canada and the United States, and has been invited to present 200 papers in these countries. Dr. Wingate has contributed chapters to seven textbooks, and published numerous articles for scientific journals.D Dr. Welliver Today's Student The medical student accepted by U/B today is more interested in a variety of areas in contrast with his counter part admitted 25 years ago, according to Dr. Harry Metcalf, director of medical admissions. "Today's medical student is more humanistic. We realize the physician we graduate must be technically well educated and have humanistic qualities to successfully treat patients." Dr. Metcalf noted that each successive year the new students have higher grade point averages in the sciences, and higher scores on the Medical College Admissions Tests. Last fall96 of the 135 entering students had at least a 3.4 or higher grade point average in science subjects despite the fact that nearly 25 percent of them had majored in areas other than the sciences during their undergraduate education. And 110 of the 135 scored greater than the 'standard' MCAT score - nearly double the number from the 1973 entering class. There were 4300 applications considered for the current first year class. About 800 were invited to the campus for personal interviews by two members of the admissions committee. The committee is composed of 24 active members including four medical students and faculty members who cut across various ethnic, racial and philosophical boundaries.D SPRING, 1978 39 Dr. Metcalf Dr. Wingate �Endowment Fund The Board of Trustees of the State University of New York have established an endowment fund named in memory of a former Buffalo pediatrician and his wife which will be used to enrich teaching programs at the School of Medicine. To be known as the DeWitt Halsey Sherman and Jessica Anthony Sherman Foundation, the endowment will be used primarily for the teaching of pediatrics, under the terms of Dr. Sherman's 1940 will. The endowment, valued at about $40,000, became available after the death last year of beneficiary to Dr. Sherman's estate. Earlier, part of Dr. Sherman's estate was transferred to the U/B Medical School upon the death of the benefactor's widow, Jessica, in 1955. Those funds were used in the construction of Sherman Hall on the U/B Main St. campus. Born in Buffalo in 1864, Dr. Sherman earned medical degrees from the University of Pennsylvania and the University of Buffalo medical schools in the 1890's. He was appointed professor of pediatrics at U/B in 1909, marking the first time pediatrics received recognition as a full unit of the U/B School of Medicine. Dr. Sherman was also active as an officer and editor for the American Pediatrics Association and he is remembered for his role in the expansion of Children's Hospital from 16 beds to a 250bed facility.O Dr. Shapiro Dr. Shapiro A 1968 Medical School graduate has joined the staff of the Health Subcommittee of the Committee on Human Resources in the United States Senate. The Subcommittee, under the Chairmanship of Senator Edward M. Kennedy (D-Mass.). plays a key role in drafting of federal health legislation. Dr. Stuart H. Shapiro has primary responsibility for legislation relating to health planning, cost containment, national health insurance, family planning, manpower policy, and mental health policy. Dr. Shapiro brings to the job the unique combination of skills in both health policy and clinical medicine having completed a residency in radiology at the Massachusetts General Hospital. He continues on the faculties of Harvard Medical School, Harvard School of Public Health, and Georgetown Medical School. Before joining the health Subcommittee, Dr. Shapiro was Deputy Commissioner of the Massachusetts State Department of Public Health. In 1973 Dr. Shapiro received his Master of Public Health degree from the Harvard School of Public Health.O 40 THE BUFFALO PHYSICIAN �Dr. Anderson still makes his rounds of hospital and hou se calls . Miss Sara Ne wman is ch eere d by his visit at the Bertram Cha ffee Hosp i tal in Springvi ll e. Dr. Anderson A 1934 Medical School graduate is still making house calls in Western New York. Dr. John V. Anderson works in and around Delevan and often drives 75 miles in bad weather. He has been doing this since 1936. The 73-year-old physician is called "Dr. John" by many of his patients. His friends say he has never refused to make a house call, day or night, in the four decades of general practice. Sometimes he gets a snow-plow escort from the State Police when he has to travel to towns like Lime Lake, Machias and Bliss. Dr. Anderson is the only doctor in the Delevan area, and is candid about the future of country doctors. "People like me are on the way out. Most doctors today want to be in groups - no house calls or night calls. Personally I like being independent and would not have it any other way. I love to contact people in their own homes." Dr. Anderson is also a banker in Delevan. He served as president of the Bank of Delevan from 1947 to 1962 and continues as bank director. He was also briefly mayor of the village between 1940 and 1942. His hobbies are music and sailing.D SPRING, 1978 41 �Humanism, Medical Ethics Margaret Werick, second year student and co-chairman of the seminars with Dr. Solkoff (right) and Steven Wilson, second year student. Two MEDICAL SCHOOL graduates talked about "death and dying" Drs. Katz, Dickman at a special seminar sponsored by the Medical School. Dr. Martin Brecher, M'72, presented the case of an 8-year-old boy with cancer, and Dr. Robert Dickman, M'68, presented the case of an 87-year-old man with cancer and heart disease. Mrs. Rita E. Caughill, associate professor of nursing at U/B, and a consumer, Anita Brayman, also participated on the panel. The boy had cancer when he was 16 months old. Initial treatment was successful, but his cancer recurred and he lost his hearing and became a quadriplegic. He now has contracted rapidly progressing pneumonia, and suffered respiratory arrest following admission to the hospital. While there is little hope he is mentally alert. His physicians and family must decide whether to place him in a respirator, which will sustain his life. He will probably have to remain on the respirator as long as he lives. What decisions should they make and what factors should they take into consideration? Medical and health science students were asked these questions and reviewed the two cases. Dr. Dickman told the students that "there are a variety of philosophical points of view regarding the concept of death and dying that you can take. And I think everyone has to think through those philosophies before dealing with life and death situations." Dr. Dickman stressed humanistic medicine. "Obviously, humanism in health care implies, humanism on both sides of the coin. Years spent as clinicians tend to 'dehumanize' medicine for some physicians because they see patients only as ailments or identify them by their hospital room numbers." The clinical assistant professor of social and preventive medicine said physicians should not allow their own emotions to 42 THE BUFFALO PHYSICIAN �rule in helping patients and families make decisions when the patient's death is imminent, the doctors' emotions should not be left out completely. "When my grandfather died, I saw his doctor cry. I haven't seen a doctor cry since. Unfortunately that was 15 years ago," Dr. Dickman said. Mrs. Caughill said, "technology should not be allowed to take the place of care and compassion. Decisions about what measures should be taken to sustain life in critically-ill patients should be 'team decisions' involving patient, family physicians, nurse, clergymen and anyone the family wants included. It should not be a one-sided decision. The doctor is not shrinking his responsibility if he fails to make the decisions alone." Dr. Norman Solkoff, professor of psychology in the department of psychiatry, said there would be other seminars during the year on ethical and philosophical ramifications of medical issues. He and Dr. Dickman are co-chairmen of the Medical School's human values and medical ethics committee. In the case of the eight-year-old suffering recurrent cancer, the parents opted for the respirator because they felt there was still hope, explained Dr. Brecher. He is assistant research instructor at U/B and Roswell Park physician. Dr. Brecher noted the boy underwent surgery and radiation treatment five years prior to recurrence of cancer and was receiving chemotherapy when pneumonia struck. "Parents," Dr. Brecher noted, "must be the final arbiters in these cases, but they should have the trust of the patient's physician so they can make the appropriate decision." Anita Brayman, a woman who once had to decide whether to prolong treatment for an elderly parent, told those attending the seminar that she consulted only the physician and the clergy. "I wanted facts from the physician but did not want to be swayed by his feelings," she said. Ms. Brayman said she would not want amputation for the elderly patient, but would insist on the respirator for the youngster. "And I would pray over the decision," she added.D "All of my friends became better friends. I was a hero to them." This is what a 51-year-old Ohio contractor told medical students at the second medical ethics-humanism seminar. Bill Mullen had his larynx removed two years ago because of cancer. He spoke with the aid of a pneumatic device (one end in his mouth, the other pressed against a surgical opening at his throat). He praised his family and his physician in helping him through his fight against cancer which culminated in radical neck surgery and a laryngectomy. Dr. Donald Shedd gave his patient's case history and moderated the session. Dr. Shedd is professor of surgery at the Medical School and chief of head and neck surgery at the Roswell Park Memorial Institute. d- SPRING, 1978 43 Last year an ad-hoc studentfaculty committee on medical ethics was formed. In March U/B's chapter of the American Medical Student Association sponsored a symposium on "Humanistic Medicine." The symposium was organized by Irene Burns and Paul Paroski, fourth year students. In April there was a special seminar "Let Me Die," and in May there was a clinical case conference at the VA Hospital on "Death and Dying." In May Dean John Naughton named the Human Values and Medical Ethics Education Committee. Medical School faculty members are: Drs. Donald Becker, Norman Chassin, Stanley Levin, Robert O'Shea, Fred Snell and Russell Markello. Students are: Paul Paroski, Irene Burns, Mark Hagen, John DeBerry, Archimedes Thomas and Margaret Werick. Ms. Mila Aroskar from the School of Nursing, and two additional medical school faculty members, Drs. Peter Gessner and Leonard Katz, also joined the committee.D �Mr. Mullen, Drs. Jacobs, Shedd "My surgeon came to see me 30 straight days after surgery. My doctors told me what to expect and everything about talking. I got what I wanted. A partial laryngectomy the first time so I could continue to talk for one year," Mr. Mullen said. "My decision to have surgery was easy. I wanted to live because my wife, son and daughter mean so much to me." Mr. Mullen, a heavy smoker prior to diagnosis of squamous cell carcinoma in 1974, underwent radiation treatments, and later had lymph nodes in the right side of his neck removed. He subsequently had the larynx removed with recurrence of his cancer and has recently been a patient at Roswell Park. "As a result of my surgery, I have become more concerned with helping others," said Mr. Mullen who voluntarily counsels patients, who like himself, have lost their "voicebox" because of life-saving surgery. Dr. Eleanor Jacobs said a major problem facing patients who lose a body part because of accident, illness or surgery is the time lag between the patient's adjustment of self-image to the altered physical reality. She is research associate professor of psychology in the department of psychiatry at the Medical School. "We see this same situation among formerly obese patients who, despite weight loss, continue to walk as if they were still obese and generally act as if they still carried a great deal of weight," she noted. Dr. Jacobs stressed the importance of the family 's emotional support of the patient who loses a body part in order to bring about reintegration of self to self-image. Also featured on the program was Dr. Norman Schaaf of Roswell Park and a professor of maxillofacial prosthesis restorative dentistry at U/B, who showed the audience various types of prostheses used for head and neck patients who have undergone radical surgery which has led to disfigurement. 44 THE BUFFALO PHYSICIAN �"In maxillofacial prosthetics, many types of 'non-living' materials can be skillfully fashioned to cover permanent disfigurement of the head and neck and to conceal surgical openings left of necessity by the surgeon," Dr. Schaaf concluded.O Two medical alumni discussed the "patient's right to know" at the third medical ethics-humanism seminar. Dr. Bertram Partin, M'53, a surgeon for 20 years, noted "that you must be reasonable in telling a patient what might go wrong. But don't tell the patient so much that it will devastate him. All rules don't apply to all patients. These are 'judgment calls' that rest on the 'artful' approach of the physician." The clinical associate professor of surgery and acting head, division of colon and rectal surgery, noted that it is important to "know your patient. There is much that a conscientious physician can learn from a patient. Some patients want to know everything about their medical problems, while others prefer to know as little as possible." Dr. Partin defended the practice of permitting surgical residents to perform surgery with supervision. "How else can he learn? Residents teach me all the time. Maybe the resident is better than the attending physician." Dr. John Pifer, M'66, discussed four troublesome areas in communicating with patients-prescription drugs, diagnostic procedures, surgery and terminal illness. "There is a great disparity between what is done and what ought to be done; what is told patients and what is not. Only occasionally are patients told the side effects of drugs or why we prescribe the drug, or when the patient should begin to see an improvement in his condition. The assistant professor of medicine acknowledged that very often patients are not informed on diagnostic procedures. "We as physicians should tell them the consequences of doing the procedures or not doing them. Then we should ask the patient-what is your choice?" Dr. Pifer noted that there are twice as many hysterectomies and tonsillectomies performed in this country as there should be and perhaps many instances of unnecessary coronary artery surgery. "It is very difficult to tell people they have a terminal illness, but often a patient is more comfortable knowing he has a terminal illness. If there is a strong indication that the patient can't tolerate this information he should not be told. A patient should be told the side effects of chemotherapy." Dr. Pifer said one in 2,000 will have a heart attack following coronary arteriography and one in 10,000 will die as a result of having this diagnostic procedure. Louis H. Swartz, assistant professor of law, outlined briefly New York State's public health law and civil practice law and rules. "Informed consent cases are not likely to happen unled-SPRING, 1978 45 �something goes wrong. Use layman's language when talking to your patients and make a reasonable effort to get through to them. Tell them how much time they will lose from work." Mr. John Jefferies, Children's Hospital administrator, pointed out that hospitals get sued a lot because of poor communication between physicians and patients. "Give your patients a cost estimate. In litigation suits people reject both the hospital and physicians especially in cases of terminal illness. Often parents are too demanding of the hospital and the physician." A third year nursing student, Lynn Bugay, suggested that the patient should be a part of the health care team. "Most patients lack a general awareness of their 'Bill of Rights' which outlines what they have 'a right' to know." Approximately 15 minutes of the CBS special on Ghost Surgery was shown at the beginning of the seminar by Dr. Norman Solkoff, co-chairman of the Human Values and Medical Ethics Committee. The film detailed the fact that many patients are operated on by residents rather than their personal physician. The patients were led to believe that their personal physicians performed their surgery. MEDICAL SCHOOL ENROLLMENT AT RECORD HIGH: There are more students studying medicine in U.S. medical schools today than at any other time an Association of American Medical College's study shows. In September, 1977 there were 16,136 first-year students admitted to the Nation's 120 medical schools bringing the total enrollment for all four years to an all-time high of 60,039. Females composed 25.6 percent of the entering class and minority students composed 9 percent of the class. The percentage of minority students did not increase over last year but the total number did increase. The percentage remained the same because of the total increase in students.O Human experimentation, who shall survive, and the use of coercion and informed consent, genetics and bio-engineering were discussed in three seminars by two University of Virginia medical ethics experts. In a 90-minute session at the VA Hospital, Drs. Joseph Fletcher and Howard Brody agreed that human experimentation is not a signficant issue because of informed consent. "Often times there is a lot of manipulation even when informed consent is given by a patient, and this is troublesome. Experimentation on very young children, the mentally ill, military personnel and prisoners is also troublesome." Dr. Fletcher, a theologian, noted that we must consider our values and priorities. "Honest, competent and effective judgment is important. If there are unusual risks involved the investigator should be the first to undergo the experiment. Often it is not as simple as right or wrong or what is best. "Make your moral judgments on the moral rule - 'never harm a patient'," Dr. Fletcher said. "The beneficial consequences to the patient should be one of the guidelines." The university professor urged the continuation of peer review and close scrutiny of research. "We don't have the answers to many serious questions that basic science and clinical researchers are asking." Dr. Brody, author of Ethical Decisions in Medicine, asked whether informed consent should be flexible or absolute? "There are many social benefits that come from medical research. Is it worth ruining a person's life to help society?" Dr. Brody believes that research on prisoners is wrong and that there should be a complete moratorium on prison research. 46 THE BUFFALO PHYSICIAN �More than 100 medical and health sciences students participated in a lively discussion on "Who Shall Survive" in a medical ethics seminar chaired by Dr. Howard Brody. The audience viewed a 10-minute segment of a Johns Hopkins Hospital film about a baby that was allowed to die 15 days after birth because of mongolism. The parents of the child made this decision. The pros and cons of at least 20 difficult questions were discussed. Dr. Brody noted that there were no clear-cut answers, but the students did clarify the issues. "It was a fuzzy case and there were many underlying ethical alternatives." A passive or active death was a major issue. The students were divided on the 15-day dehydration type death of the new baby. Some advocated the use of an overdose of drugs. "Why prolong the suffering when a more active way of dying could provide relief?" Dr. Brody pointed out that there were no legal guidelines for such a case. But what is morally right in such situations was thoroughly aired. Is the physician always compelled to save a life? Were there any other alternatives for the parents who made the decision? Perhaps the hospital, attending physicians, the nurses or the courts should have been more involved and objected? In such cases what is the burden to society and does this outweigh the burden of conscience? The conflict between what is merciful and what is right was discussed at length.D A health care team composed of a physician, nurse and a clergyman may be the model of the future, according to Dr. Granger Westberg. This combination has been working successfully in several Wholistic Health Care Clinics in Ohio, Illinois and Minnesota. They were developed with funding from the W.K. Kellogg Foundation. Speaking at the fifth medical ethics seminar the University of Illinois clinical professor of community and preventive medicine listed four emotional causes of illness - grief, stress, life changes and loss of job or loved one. "More than half of the people who aren't feeling good today can trace their ailments to one of these causes. Some days 90 per cent of our population is emotionally upset. "Good medicine is practiced in these clinics and in addition we can take care of the patient's personal problems if he has any. We find that patients, who come to these clinics voluntarily, are more willing to talk in an informal setting with a physician, a nurse and a minister," Dr. Westberg said. These clinics are located in churches in rural areas and inner cities. Alternate sites for future clinics include a YMCA and a hospital outpatient clinic. "We have all kinds of nice looking doctors' offices all over the country. I want to put doctors in a different setting that can encourage people to talk about things which make people sick. d- SPRING, 1978 47 �setting where it's OK to talk about meditation, about praying, about God, about Christ, about guilt and about forgiveness." By including clergy and pastoral counselors in the health care team, Dr. Westberg has attempted to compensate for a way of thinking which dates back to the early Greek philosophers and carries through to modern medicine which separates the body and spirit. Dr. Westberg said medicine traditionally has not focused on both the physical and spiritual and that those physicians who have attempted to do so have been hampered by a lack of time and by their medical training. "They don't have the insight and they don't have the training," he noted, explaining the average physician is only trained to focus on physical ills. "One of our physicians is an ordained minister and he claims you can't be both a doctor and a minister," he added. Clergy, on the other hand, are trained to look beyond the merely physical and are a natural complement to the physician as part of the health care team. A Lutheran minister with several years experience as a hospital chaplain, Dr. Westberg bases his concern with the spirit on his experiences and those of other clergy and physicians. While Dr. Westberg equates spiritual with religion, he said religion does not enter into discussion, unless initiated by patients. He deliberately changed the spelling of holistic in the names of the centers to stress wholeness and avoid confusion with holiness. The educator/theologian noted that nurses are moving into the preventive medicine and teaching areas more and more. "They like it and are good at it," he said. Dr. Westberg suggests that parents, social workers, teachers and clergy be recruited to counsel people who are distraught because of stress, grief, life changes or losses. "We must find more people willing to help people, and we must concentrate our resources on health education and preventive medicine. We must be more humanistic in our approach to health care," he concluded.D Historical Society The Medical Historical Society of Western New York has two interesting dinner programs planned, according to Dr. Robert A. Baumler, M'52, president of the society. On April 9, Dr. Melvin Tucker, associate professor of history at U/B, will be the speaker. His topic: "The Physicians and Illnesses of Queen Elizabeth I." On June 11, Dr. John Hodson, clinical assistant professor of urology, will speak on "Rejuvenation, a Surgical Tonic." Both meetings are on Sunday evenings with cocktails at 6 p.m., dinner at 7 p.m. The meetings are at the Historical Museum on Elmwood Avenue. Dr. Baumler noted that students, faculty, practicing physicians and other interested people are invited to attend the meetings. The Medical Historical Society is an affiliate of the Buffalo and Erie County Historical Societies. The annual dues of $20.00 covers membership in both. Information on joining the society can be obtained by calling 873-9644 or writing to 25 Nottingham Court, Buffalo, 14216.0 48 THE BUFFALO PHYSICIAN �Regional Genetic Clinic "To provide first class genetic diagnostic and counseling services for the Western New York Community of some two million persons," is the main objective of the Regional Genetic Clinic based at Children's Hospital, stated Dr. Robin Bannerman. The magic key in opening the door towards eliminating birth defects is prevention. Through the Genetics Clinic, explains Program Director Bannerman, families can receive genetic counseling and be advised on chances of bearing a genetically defective child. Through services including cytogenetics, biochemical genetics, dermatoglyphies, clinical diagnosis and genetic counseling, prospective parents can receive concrete evidence of their chances of bearing a normal child, rather than settling for uninformed guessing and odds-making. Genetic counseling is a relatively new medical specialty, developed within the last 20 years. Most couples who seek genetic services are already parents of a child with birth defects, or are concerned that a family member's health problem may be hereditary and want to find out the chance of recurrence. Others may be members of families or ethnic groups in which a particular disorder occurs more frequently than in the general population. The Children's Hospital Genetic Clinic was initiated on a pilot basis in April, 1975 and consolidated under March of Dimes funding in 1976. During that time, over 500 patients were seen at the clinic. The geographic catchment area comprises seven counties of Western New York: Erie, Niagara, Chautauqua, Cattaraugus, Genesee, Wyoming, Allegany and to some extent counties in Pennsylvania bordering New York State. Children's Hospital Genetics Clinic now provides the main organizational focus for clinical genetics in this community. The $23,350 grant from the March of Dimes enables the clinic to not only provide genetic services to the Western New York population but also professional educational programs offering clinical genetics to trainees in various specialties, physicians and other health professionals in the community. Through funding of various research and service programs such as this, the Western New York Chapter intends to make a significant contribution towards improving the outcome of pregnancy and therefore, eventually the quality of life. D SPRING, 1978 49 Dr. Bannerman received his M.D. degree from Oxford University in England where he specialized in medical genetics . Presently, in addition to his responsibilities as Director of the Genetics Clinic, he is Professor of Pediatrics at SUNY at Buffalo, attending physician at Children's Hospital and Buffalo General Hospital, and consulting physician at E.J. Meyer Memorial Hospital, and Roswell Park Memorial Institute. Dr. Bannerman is also a member of the March of Dimes - Western New York Medical Advisory Committee. �Where is the food? Drs. Leonard Katz, Jack Richert, and Jeffrey Pitts, fourth year student. Dean John Naughton relaxes with the students. Gary Merrill, fourth year student, Dr. Alexander Brownie (with hat]. Tennis Tournament Sixty medical students and faculty participated in the third annual round-robin tennis tournament in September. Thomas Doolittle, a third year medical student, organized the tourney. Approximately 200 turned out to cheer their favorites. The seven high student scorers were Peter Silberstein, David Simpson, Jeffrey Horowitz, Wesley Blank, Stephen Benham, Vivian Fasula, and Richard Busch. The top faculty scorers were Drs. John Richert, assistant dean and registrar; Charles Andrews, clinical assistant instructor in medicine; Marcia Gamarra, clinical assistant professor of pathology; Mario Montes, clinical associate professor of pathology and dermatology; Gary I. Cohen, clinical assistant instructor of medicine; and Sateesh Satchidanand, clinical assistant instructor in pathology. D 50 THE BUFFALO PHYSICIAN �Three alumni have been elected officers of the Eighth District branch of the Medical Society of the State of New York. Dr. William C. Stein Jr., M'50, of Lockport, is the new president for the next two years. Dr. George E. Taylor, M'50, of Cuba, is the presidentelect, and Dr. Carmela S. Armenia, M'49, of Tonawanda, is the secretary. He is also a clinical associate professor of gyn/ob. Dr. Harvey J. Blanchet Jr., of Medina is the new treasurer.O Three alumni are the new officers of the Western New York Alumni of Phi Lambda Kappa, national medical fraternity. Dr. Franklin Zeplowitz, M'58, is the new president. Dr. Paul Davis, professor of medicine, is the vice president. Dr. Sara Sirkin, M'68, clinical instructor in ophthalmology, is secretary; and the treasurer is Dr. Douglas Sirkin, M'67, clinical assistant professor of radiology and nuclear medicine.O People Dr. McCauley Dr. Harry A. Sultz, professor and acting chairman, department of social and preventive medicine, is the principal author of a book dealing with nurse practitioners' impact on health care delivery. Dr. Judith A. Sullivan and her associates at the University of Rochester's School of Nursing co-author the book.O Dr. A. McGehee Harvey, professor of medicine at Johns Hopkins Medical School, gave the second annual John H. Talbott visiting professorship and lecture at The Buffalo General Hospital. Dr. Harvey discussed "100 years of Research on Myasthenia Gravis." The lecture series honors Dr. Talbott, former head of the hospital's department of medicine. He is now clinical professor of medicine at the University of Miami in Florida. Dr. Harvey attended morning report and made ward rounds at the Buffalo General. He gave a clinical conference at the VA Hospital, visited laboratories and talked with faculty and house staff. During his three days in Buffalo, Dr. Harvey participated in morning report and grand rounds at the E.J. Meyer Memorial Hospital and also visited the research building.O Dr. Elizabeth McCauley has been appointed coordinator of the psychoendocrinology clinic at Children's Hospital. She is a clinical assistant professor of psychology in the department of psychiatry and pediatrics.O Dr. John Wright, professor of pathology, is the new president of the Medical Faculty Council. Dr. Michael E. Cohen, M'61, clinical associate professor of pediatrics and neurology, is vice president, and Dr. Arlene Collins, assistant professor of microbiology, is secretary.O Raymond Koehler, a graduate student in the physiology department, won a $250 prize as a finalist in the first annual Graduate Student Research Awards presented by the Buffalo Chapter of Sigma Xi. The title of his study: "Influence of Arterial Hypoxia on Cardiac and Coronary Dynamics in the Conscious Dogs. "0 Dr. Solkoff Dr. Elmo L. Knight, clinical assistant professor of pediatrics and otolaryngology, is initiating a program at Children's Hospital that will lead in the discovery and understanding of communications disorders in children. Dr. Knight is also director of the hospital's Speech, Hearing and Language Clinic.O SPRING, 1978 Dr. Norman Solkoff is the new acting director of the department of child psychiatry and behavioral sciences at Children's Hospital. He is professor of psychology in the department of psychiatry.O 51 �The Classes The Classes of the 1920's Dr. Louis Finger, M'24, has been honored for 50 years of medical service from many professional organizations, as well as the University of Buffalo. He hopes for "third generation in medicine for four of eight grandchildren." Dr. Finger lives at 501 East 79th Street, New York City 10021. 0 Dr. John J. Bernhard, M'25, has retired. The Fellow of American College of Surgeons lives at 924 N. 33rd St., Allentown, Pennsylvania. 0 People Dr. John W. Boylan, professor of medicine and physiology, is the recipient of the National Kidney Foundation's Distinguished Service Award. Dr. Boylan, past chairman of the Foundation's national scientific advisory board, is chairman of the Inter-Society Planning Committee for Kidney Research, involving the Foundation and six other agencies. 0 Dr. John Siegel, professor of surgery, has been appointed to the New York State Board for Medicine by the Regents of SUNY. 0 The 4th Wahle Memorial Lectureship in Hematology was given by Dr. Wendell F. Rosse at the Buffalo General Hospital in January. Dr. Rosse is professor of immunology and medicine and chief of the immunohematology section at Duke University. He spoke on "Paroxysmal Nocturnal Hemoglobinuria as a Myelodysplastic Disorder." He also visited the Roswell Park Memorial Institute and the E.J. Meyer Memorial Hospital where he conducted Grand Rounds and Hematology-Oncology Rounds. The Wahle Memorial Lectureship was established through an endowment fund bequeathed by Richard E. Wahle and Helen Johnson Wahle to the Medical School. 0 52 Dr. Milton A. Palmer, M'27, is now practicing part-time in his specialty of ophthalmology. He is a Life Member of many professional organizations including the Eye Bank Association of America. He was elected President of the Buffalo Eye Bank and Research Society, Inc. for the 21st consecutive year. Dr. Palmer lives at 18 Park Blvd., Lancaster, New York. 0 Four members of the 1927 class were honored at the 171st annual convention of the New York State Medical Society for 50 years of service in the medical profession. They are Doctors Joseph F. Kij Sr., Joseph C. Krystaf, Joseph F. Painton and Meyer H. Riwchun. 0 The Classes of the 1930's Dr. J. Edwin Alford, M'34, clinical associate professor of surgery (colon and rectal surgery), at the Medical School was recently elected dean of the Saturn Club, Buffalo. 0 THE BUFFALO PHYSICIAN �Dr. J. Rothery Haight, M'34, retired as director of the Gowanda Psychiatric Center, Helmuth, New York, in August. He and his wife expect to travel and visit their three sons and their families; each is currently serving in the Armed Forces. D Dr. Eustace Phillies, M'38, consulting hematologist at Sisters Hospital, was honored recently for his 30 years of service. Dr. Phillies said, "it is refreshing to see fine people from all over the world establish themselves at Sisters and the opportunity for me to work with them. This hospital has been growing and keeping pace with changes in the medical world." D Dr. Grosvenor W. Bissell, M'39, whose specialty is internal medicine and endocrinology, is clinical professor of medicine at Wayne State University, and professor, department of medicine, at Michigan State University. He recently published a book chapter entitled "Diagnosis of Hypoparathyroidism" in Current Diagnosis 5, 1977. D Dr. Ruth C. Burton, M'39, writes, "retired by Syracuse University (for having reached the dishonorable age of 65) where I was Director of Psychiatric Services in the Student Health Service. Have assumed position of Director of Psychiatric Services at CrouseIrving Memorial Hospital." Dr. Burton is a clinical assistant professor at Upstate Medical Center and an Adjunct Associate Professor, department of psychology at Syracuse University. D The Classes of the 1940's Dr. Robert N. Blodgett, M'41, has retired from general practice, but he is still on the staff of the Lakeside Memorial Hospital in Brockport and Park Ridge Hospital, Rochester. D Dr. Philip B. Wels, M'41, clinical professor of surgery, is a Fellow of the American College of Gastroenterology.D SPRING, 1978 Dr. Richard Ament, M'42, is listed in the 1978 edition of Who's Who in America. He has also been appointed to the following positions: vice chairman of the American Medical Association Section on Anesthesiology; Anesthesiology representative to the American Medical Association Interspecialty Advisory Board; American Medical Association representative to the Council on Medical Specialty Societies; and American Medical Association Section Representative to the Joint Nominating Committee of the American Board of Anesthesiology. Dr. Ament is a clinical professor of anesthesiology. D Dr. Evans Viral Infections of Humans, authored by Dr. Alfred S. Evans, M'43, has been selected as the best book on a medical subject for physicians by the American Medical Writers Association. Dr. Evans is professor of epidemiology, Yale University Medical School. He lives at 38 Dogwood Circle, Woodbridge, Conn. 06525. Dr. Evans is past president of the American Epidemiological Society and the Beaumont Medical Club. D Dr. Amos J. Minkel, Jr., M'43, Family Practice Board Member, has been working full time in the Emergency Department of St. Luke's Memorial Hospital Center, New Hartford, New York. D Dr. George L. Collins, Jr., M'48, was named as one of nine outstanding citizens of the Buffalo area for 1977 by The Buffalo Evening News. The clinical assistant professor of medicine at U/B and cancer research internist at Roswell Park Memorial Institute is president of the New York State Medical Society. He was cited especially for his work at resolving what he terms crises over the state's costly medicaid program and the malpractice insurance issue. Dr. Collins recently was named by Governor Carey to the council of SUNY /B. He is a director of Houdaille Industries and has been active in operations of the Buffalo Sabres as a member of the executive committee of the Niagara Frontier Hockey Corporation. D 53 �The Classes of the 1950's Dr. James C. Dunn, M'50 , has moved to Tucson, Arizona. He has been a clinical associate professor of anatomical sciences and clinical assistant professor of surgery at the Medical School. He also served on the admissions committee for several years. Dr. Dunn was a senior surgeon at Our Lady of Victory and Buffalo Mercy Hospitals. He practiced in Lackawanna and Orchard Park. Dr. Dunn is a Diplomate, American Board of Surgery and a Fellow, American College of Surgery. D Dr. Myra R. Zinke, M'50, has closed her private New Jersey office and is now associate professor of medical science, teaching physicians' assistants at AldersonBroaddus College in Philippi , West Virginia. D Dr. Sander H. Fogel, M'53, is assistant professor of clinical psychiatry at New York Medical College. He is also a consultant in child psychiatry to Mothers Manual Magazine. Dr. Fogel is president and chairman of the committee on public policy and chairman of the committee on continuing education, Psychiatric Society of Westchester County. Recently he presented papers at the World Federation of Mental Health in Vancouver and the World Congress of Psychiatry in Honolulu. He represented the American Psychiatric Association at the International Congress of Psychosomatic Medicine in Japan. He also lectured on family and group psychotherapy in Japan and Taipei. D Dr. Fogel Dr. Raab 54 Dr. Bertram A. Partin, M'53, clinical associate professor of surgery and head of the division of colon and rectal surgery has completed a two-year term on the Executive Council of the American Society of Colon and Rectal Surgeons. He is chairman of the self assessment examination committee of this society. Dr. Partin is also chairman of the post graduate teaching course programs in colon and rectal surgery for the Annual Clinical Congresses of both the American College of Surgeons and The American Medical Association. He has recently been elected to membership on The American Board of Colon and Rectal Surgery, the examining and certifying agency for this specialty. D Dr. Donald J. Murray, M'54, practices diagnostic radiology in Scottsdale, Arizona. He writes "I have had almost no contact with my classmates since graduation, except for the 1974 20-year reunion, which I enjoyed very much. I'm getting along OK, and I hope all my classmates are too!" Dr. Murray lives at 2341 North 57th Place. D Dr. Spencer 0. Raab, M'54, has been appointed professor of medicine and chief, division of hematology/oncology at the East Carolina University School of Medicine, Greenville. This is a new four-year school which accepted students for the first time last September. Dr. Raab is recruiting faculty for his new department. Dr. Raab (formerly at the University of Arkansas) is a member of the Southeast Cancer Study Group which has an active program in clinical research in hematologic malignancies and solid tumors. His wife, Mary, is a physician. She is a 1968 graduate of the Medical College of Pennsylvania. They are collaborating on research projects concerning stem cells using the usual in vitro bone marrow and blood culture techniques. The Raabs have three children and live at 307 Windsor Rd., Greenville, N.C. 2,7834. D THE BUFFALO PHYSICIAN �Dr. James R. Nunn, M'55, clinical assistant professor of family medicine at the Medical School, has been elected to the Board of Directors, Blue Shield Association (National Associations of Blue Shield Plans) and also elected Speaker, Congress of Delegates of the New York State Academy of Family Physicians. 0 Dr. Richard R. Gacek, M'56, is professor and chairman of the Department of Otolaryngology and Communication Sciences at the SUNY Upstate Medical Center in Syracuse. 0 Dr. Warren E. Levinson, M'57, associate professor of microbiology, University of California, was the winner of a Kaiser Award, established by the Henry J. Kaiser Family Foundation for excellence in teaching. D Dr. Sherman Waldman, M'57, clinical assistant professor of pediatrics, has been elected to the national board of trustees of the Leukemia Society of America, Inc. He will serve with a team of volunteers from chapters throughout the country committed to furthering the search for control and cure of leukemia. 0 The Classes of the 1960's Dr. Robert P. Geraci, M'62, has been appointed chief of anesthesiology at The Genesee Hospital (Rochester, New York). Dr. Geraci spent two years in the Navy as a staff anesthesiologist at the U.S. Naval Hospital in Portsmouth, Virginia before joining the University of Rochester as an attending anesthesiologist. He is currently a clinical assistant professor of anesthesiology at the University of Rochester and the University of Pennsylvania and is a consultant in anesthesiology at the Veterans Administration Hospital in Canandaigua, New York. D SPRING, 1978 Dr. John L. Kiley, M'62, is practicing psychiatry (Adult and Child) in Rochester, New York. He is also a clinical assistant professor at the University of Rochester. 0 Dr. Melvin J. Steinhart, M'62, is associate professor of psychiatry and medicine at Albany Medical College of Union University. He is also Chief, Psychiatric Liaison-Consultation Service. Dr. Steinhart was the recipient of a NIMH Training Grant for Liaison Psychiatry. D Dr. Anthony C. Trippi, M'62, is an assistant professor of surgery (neurosurgery) at the University of Southern California. From 1969-1970, Dr. Trippi was stationed at the 71st Evacuation Hospital in Viet Nam. He was at Fitzsimons General Hospital, Chief of Neurosurgery Service, from 1970-1971. His latest paper "Dorsal Column Stimulation in Multiple Sclerosis-Preliminary Report" will be published shortly. Dr. Trippi lives at 900 Fallen Leaf Road, Arcadia, California 91006. D Dr. A.J. D'Allesandro, M'65, is Medical Director, Greater Bridgeport, Connecticut Regional Narcotics Program. He is also Senior Psychiatrist (assistant director of the Alcohol Program) Fairfield Hills Hospital, Newtown, Conn. The board-certified psychiatrist lives in Newtown (Box W). 06470. 0 Dr. Robert E. Jordon, M'65, is professor and chairman, division of dermatology, at the Medical College of Wisconsin [Milwaukee). He recently moved from Mayo Clinic to the above new position. He is on the editorial board of the Journal of Investigative Dermatology, and on the board of directors of the Society for Investigative Dermatology. He is a member of the Central Society for Clinical Research. D Dr. Ira M. Feldman, M'66, was recently elected to Fellowship in the American College of Cardiology. Dr. Feldman is an assistant clinical professor of medicine at the University of Miami School of Medicine. He lives at 2071 NE 210 Street, North Miami Beach. 0 55 �Dr. Eugene M. Spiritus, M'66, specializes in pulmonary medicine and is also director of respiratory services at St. Joseph's Hospital in Orange, California. 0 Dr. John E. Spoor, M'66, is Director of Student Health Services, State University College at Oneonta, New York. His article "Rural Advanced EMT Training" was published in Emergency Medical Services, Vol. 6 #5, Sept/Oct 1977. 0 Dr. Michael I. Weintraub, M'66, was promoted to clinical associate professor of neurology at New York Medical College in June. He has written the current Monograph in Clinical Symposia, Hysteria: A Clinical Guide to Diagnosis. Dr. Weintraub has authored a textbook, A Clinician's Manual of Hysterical Conversion Reaction, that was published in 1977. He has also written 45 articles for other professional journals. 0 Dr. John Randall Anderson, M'67, is a family practitioner in Little Falls, New York. His address is 241 Burwell Street. 0 Dr. Albert W. Biglan, M'68, has started a private practice in Pittsburgh, Pennsylvania, in the field of pediatric ophthalmology and strabismus after completing a one year fellowship at the Indiana University Medical Center. Dr. Biglan is also a clinical instructor at the University of Pittsburgh. He lives at F Sylvan Road (15221). 0 Dr. John E. Shields, Jr., M'68, is in full time practice of gastroenterology and alcoholism. He lives at 310 West Neck Road, Huntington, New York 11743. 0 Dr. Sogba K. Bosu, M'69, of Seal Branch, California is associate director, Newborn Services, Long Beach Children's Memorial Medical Center and is on the clinical faculty at the University of California/Irvine School of Medicine. 0 56 The Classes of the 1970's Dr. Elliott Brender, M'70, writes that he will be doing a fellowship in Colon and Rectal Surgery at St. Marks Hospital in England. His home address at present is 540 Midvale Way, Mill Valley, California 94941. 0 Dr. Carl Ellison, M'70, is practicing pediatrics in Cincinnati, Ohio. His address is 3655 Stettinius Avenue, 45208. 0 Dr. Michael Lippman, M'70, has a full time hospital based position at the Albert Einstein Medical Center, Philadelphia, in his subspecialty of pulmonary disease. He is also a clinical instructor at Temple University. Dr. Lippman is certified by ABIM. His article "Drug Induced Lung Disease" appeared in the November, 1977 issue of MED. CLIN. NA.O Dr. Sigmund S. Gould, M'71, completed two years as staff ophthalmologist at Portsmouth Naval Hospital, Virginia. In July, he opened an office for the practice of ophthalmology in Greensboro, North Carolina. His address is 1707 Milan Road. 0 Dr. Lawrence D. Lubow, M'71, is now practicing radiology at the Skokie Valley Community Hospital. He lives at 1321 Canann Court, Glenview, Illinois, 0 Two 1971 graduates, Drs. John M. Antkowiak and Martin Mango, have joined the Sisters Hospital medical staff. They both did their flOSt-graduate work in Buffalo hospitals. 0 Dr. Bennett G. Zier, M'71, has established permanent residence in San Francisco. He writes that he would "really enjoy h·e aring about my fellow colleagues." Dr. Zier's address is 59 Marne (94127). 0 Dr. John E. Knipp, M'72, is practicing internal medicine and gastroenterology at 61 East Main Street, Washingtonville, New York, 10992. 0 THE BUFFALO PHYSICIAN �- Dr. James S. Marks, M'73, began working for the Center for Disease Control, Atlanta, Georgia in July, 1976. He has been involved in the investigation of Legionaire 's Disease, Guillain-Barre post Influenza Immunization and Measles . The pediatrician presented a paper on measles vaccine efficacy at the 26th Annual EIS Conference in April. Dr. and Mrs. Marks had a baby girl, Amy Lynn, born in May, 1976. They live at 7712 Burkey Drive, Reynoldsburg, Ohio 43068. D Dr. Paul A. Orens, M'73, family practitioner, is a clinical assistant in family practice at the Albany Medical College . He lives at 25 Linda Court, Delmar, New York. D Dr. Michael A. Sansome, M'73, has joined the Sisters Hospital medical staff. He is an ophthalmologist and took his post-graduate work at the E.J. Meyer Memorial Hospital. D Dr. Henry M . Bartkowski, M'76, is a neurosurgery resident at N.Y.U. Medical Center. His home address is 372 Edwards Terrace, Ridgefield, New Jersey 07657. 0 Dr . Larry Schlachter, M'76, is finishing a second year of general surgery and starting a residency in neurologic surgery at Emory University School of Medicine, Atlanta, Georgia on July 1st, 1978. D Dr. Ira L. Salam, M'77, is an intern in internal medicine at Metropolitan Hospital, New York City. He will be continuing his internal medicine residency at the University of Minnesota Hospital , Minneapolis, starting July 1, 1978. His address is 100 West 92nd Street-29F, New York City 10025. D In Memoriam Dr. Howard R. Goldstein, M'74, completed general surgery training at North Shore University Hospital, Manhasset, New York. He is now a resident in urology at the Squier Urological Clinic, College of Physicians and Surgeons, Columbia Presbyterian Medical Center, New York City. D Dr. Diane L. Matuszak, M'74, is a commissioned officer of the United States Public Health Service . She is the Director of the USPHS Buffalo Outpatient Clinic. Dr. Matuszak returned to Buffalo in July, 1977, after completing a Family Practice residency in Waco, Texas. Her home address is 3935 Autumnway Lane, Hamburg, New York 14075. D Dr. Erie Russell, M'74, is chief resident (1977-1978), department of radiology, Montefiore Hospital, Albert Einstein College of Medicine, Bronx, New York. He will be entering a fellowship in neuroradiology at New York University Hospital in July 1978. Dr. Russell was the recipient of the Annual Tausend Award for contributions in the field of diagnostic radiology for 1977. D SPRING, 1978 Dr. Stephan P. Salasny, 71, a practicing Buffalo obstetrician until he was disabled in 1952, died on December 28. He graduated from U/B School of Medicine in 1932 and completed his obstetric training at the school in 1935. He was on the staffs of Emergency, Sisters and Meyer Memorial Hospitals. D Dr. David Davidson, M'34, died April 15, 1977 of heart disease . The specialist in internal medicine was a resident of Miami Shores, Florida. D Dr. Robert D. Davis, M'51, Olean, New York urologist, died January 5 in Daytona Beach, Florida where he was vacationing. He was 55. Dr. Davis was chief of surgery at Olean General Hospital for 16 years. Dr. Davis was born in the Panama Canal Zone. He was a World War II Air Force veteran. He was a member of the American Urological Association and other professional societies and a charter member of the American Geriatric Society. D 57 �In Dr. Rufus R. Humphrey, Emeritus Professor of Anatomy, died on November 13, Memoriam 1977 following a heart attack in late September. Dr. Humphrey received his Ph.D. from Cornell University in 1923 and shortly thereafter joined U/B's department of anatomy where he taught histology and embryology until he retired on July 1, 1957. Usually he was the first professor to lecture formally to first year medical students. After leaving Buffalo he joined the department of zoology at Indiana University as a Research Scholar. His most outstanding work was in the field of experimental embryology in the Mexican axolotl and Amblystoma. His work on problems related to sex reversal led to the discovery of new genes. Over the years he personally assisted needy medical and dental students financially. 0 Rufus R. Humphrey Memorial We believe that many of Dr. Humphrey's former students and colleagues would wish to participate in a permanent memorial to the teacher whose dedication, patience and sincerity influenced so many during his 34 years in the Department of Anatomy. A bronze memorial plaque placed in the lobby of Farber Hall, we feel, would be a fitting tribute, and a return to the tradition long practiced at the old school on High Street. Those old plaques have now been reinstalled in the Farber lobby and it is hoped this space will become a memorial ball for faculty, staff and students of the school. Donations in the form of checks made out to the Medical Faculty Fund should be sent to: John H. Warfel, Ph.D. SUNY! Buffalo Department of Anatomical Sciences 303 Farber Hall Buffalo, New York 14214 Funds in excess of that necessary to purchase the plaque will be added to the Ellis and Helena Humphrey Student Loan Fund which Dr. Humphrey established in memory of his parents in 1959. John H. Warfel, Ph.D. Robert L. Brown, M.D. 58 Dr. Annette T. Stenstrom M'24, died March 26, 1977 of heart disease in Holmes Beach, Florida. She was 82. She had been certified by the American Board of Radiology.O Dr. Carl C. Koester, M'20, died December 21st in Batavia, New York. He was 81. The ear, nose and throat specialist practiced in Genesee County for more than 50 years. He did his post graduate work at Harvard and the University of Michigan Medical School. Dr. Koester became chief of the nose and throat department at St. Jerome Hospital and was named chief of staff in 1951. He was a past president of the Buffalo Otolaryngological Society. At the request of the Board of Education in 1924 he helped organize the nose and throat services in Batavia schools. Dr. Koester was an active Kiwanian and served the organization in numerous local and state offices. He was a former president of the Genesee County Medical Society and served as consultant at the Veterans Administration Hospital and attending surgeon at the Buffalo Eye and Ear Infirmary. 0 Dr. Norman Haber, M'43, died December 5th in Millard Fillmore Hospital after a long illness. He lived in Williamsville. The 59year-old ear, nose and throat specialist was chief of the medical staff at DeGraff Memorial Hospital, North Tonawanda. Dr. Haber had a special interest in rhinoplasty, plastic surgery of the nose. He formerly was on the medical staffs of Buffalo General and Children's Hospital. Dr. Haber was a member of Alpha Omega Alpha medical honorary society and Phi Lamba Kappa medical fraternity. He did his internship and residency in surgery at Meyer Memorial Hospital. He was a captain in the U.S. Army Medical Corps during World War II, serving in the China-Burma-India Theater. Following military service, he completed his residency in otolaryngology at Children's and Buffalo General Hospitals. He went into private practice of otolaryngology and plastic reconstructive surgery in 1950. He was active in various community and professional organizations. 0 THE BUFFALO PHYSICIAN �Dr. Herbert J. Ulrich, M'30, an internist, died October 17, 1977. His age was 71. He was on the Medical School faculty from 1935 to 1976 and was on the medical staff at the E.J. Meyer Memorial Hospital for 40 years. He was also attending physician at Millard Fillmore Hospital from 1938 to 1972. He was on the Emeritus staff of both hospitals and the Medical School. Dr. Ulrich was a Fellow of the American College of Physicians.D Dr. Robert J. Maichle, M'08, died October 19, 1977 at his home in Dansville, N.Y. at the age of 92. He interned at St. Mary's Hospital in Rochester and became a resident surgeon in 1909. He practiced in Cohocton from 19101926, before moving to Dansville. He continued to make house calls at the age of 91. Dr. Maichle was on the medical staff of Dansville Memorial Hospital where he was chief of staff from 1956-58. In 1964 the Dansville Chamber of Commerce named him "Man of the Year." He was active in several professional and civic organizatons and received several other honors for his dedicated service.D Dr. Raymond Blohm Jr., M'47, died in September. The 53-year-old Army Colonel was deputy commander and deputy for medical activities and medical education at Fitzsimmons Army Medical Center in Denver, Colorado. He was a former medical consultant to the Army Medical Command in Europe and chief of the department of medicine at Walter Reed Medical Center, Washington, D.C.D Bruce J. Baust, 43, administrator of Deaconess Hospital since 1970, died September 27 after a five-month illness. He was a graduate of the Syracuse University College of Business Administration. He also had a degree in hospital administration from Columbia University School of Public Health and Administrative Medicine.D Dr. George E. Leone, M'29, died April 30, 1977 in Southampton, New York. He was a Colonel in the United States Army.D SPRING, 1978 Dr. Evelyn E. Alpern, M'26, died October 26, 1977 after a long illness. Her age was 73. She was one of the nation's early child psychiatrists and was instrumental in training mental health workers of various disciplines in the field of child psychiatry. Dr. Alpern was executive director (1949-69) of the Child Guidance Clinic at Children's Hospital, and a consultant in out-patient and in-patient services at the hospital. A practicing psychiatrist for 38 years, Dr. Alpern was cited for distinguished service to the community by the Western New York District Branch, American Psychiatric Association, in 1969. Before coming to Buffalo she was director of the Providence, Rhode Island Child Guidance Clinic and taught psychiatry at the Brown University Medical School. She was associate clinical professor of pediatrics and child psychiatry at the Medical School. She was a Fellow, American Orthopsychiatric Association; American Psychiatric Association; and the American Academy of Child Psychiatry. Dr. Alpern was a past president of the Western New York District Branch, American Psychiatric Association. She was a contributing editor to the Journal of the American Psychiatric Association and to other scientific publications.D Dr. Herbert R . Reitz, M'36, died November 3, 1977 in his home in Venice, Florida after a long illness. He moved to Florida in 1971 after a long professional career in Buffalo. He served on the medical staffs of Buffalo General and Children's Hospitals. His graduate work was done at the University of Pennsylvania. Dr. Reitz was assistant clinical professor of ophthalmology at the Medical School from 1942-1974. He was a World War II veteran. He was a Diplomate of the American Board of Ophthalmology and Otolaryngology and a Fellow of the American College of Surgeons. He was also active in several other professional associations.O Dr. Frederick H. Petters, M'14, died April 12 in Cocoa Beach, Florida.D 59 In Memoriam �U/B ALUMNI ASSOCIATION 1978 Travel Program GREECE May 14- 22 Niagara Falls departure $689 (Trans International Airlines DC-8 stretch jet- Royal Olympic Hotel - continental breakfast daily - your choice of lunch or dinner daily). ORIENT July 31 - August 14 Buffalo departure* $1259 San Francisco departure $1144 Japan Airlines - 747 (355 seats). New Otani Hotel, Tokyo - 6 nights, Mirimar Hotel, Hong Kong - 4 nights, Kyoto International Hotel, Kyoto - 4 nights - American breakfast daily two dinners (optional meal plan available). *Commercial flight to San Francisco, Japan Airlines direct to Tokyo. OPTION: Continuing Education Program for Dental Alumni at Gifu College of Dentistry is $149.00 including transportation to Gifu and accommodations at the Gifu Grand Hotel. INNSBRUCK/ ST. MORITZ/ MUNICH October 11 - 26 Niagara Falls departure $746 (Capitol Airlines, DC-8 stretch jet- four nights Holiday Inn in Innsbruck, four nights Hotel Albana in St. Moritz, Arabellahaus in Munich - deluxe hotel option and dinearound meal option available). The General Alumni Board- PHYLLIS M. KELLY, B.A. '42, President; ERNEST J. KIEFER, B.S. '55, President-eJect; JOHN R. VONA, D.D.S. '61, Vice President for Activities; WILLIE R. EVANS, Ed.B. '60, Vice President for Administration; MICHAEL F. GUERCIO, A.S.C. '52, Vice President for Athletics; M. DOLORES DENMAN, J.D. '65, Vice President for Constituent Alumni; SUSAN D. CARREL, Ph.D. '76, Vice President for Continuing Education; CHARLES S. TIRONE, M.D. '63, Vice President for Development and.Membership; ROBERT E. LIPP, J.D. '68, Vice President for Legislative Relations; STEPHEN C. TOWNSEND, J.D. '74, Vice President for Young Alumni; JAMES J. O'BRIEN, J.D. '68, Treasurer; Past Presidents, GIRARD A. GUGINO, D.D.S. '61; GEORGE VOSKERCHIAN, B.A. '54; MORLEY C. TOWNSEND, J.D. '68; EDMOND J. GICEWICZ, M.D. '56; M. ROBERT KOREN, L.L.D. '44; WELLS E. KNIBLOE, J.D. '50. Medical Alumni Association Officers: DRS. MICHAEL A. SULLIVAN, M'53, President; W. YERBY JONES, M'24, Vice President; EDMOND J. GICEWICZ, M'56, Treasurer; JAMES F. PHILLIPS, M'47, Immediate Past President. Board Members- CARMELO S. ARMENIA, M'49; GEORGE W. FUGITT, M'45; ROBERT W. SCHULTZ, M'65; EUGENE SULLIVAN, M'63; CHARLES TANNER, M'43; LAWRENCE M. CARDEN, M'49, Program Committee Chairman; NORMAN CHASSIN, M'45, Exhibits Chairman; MILFORD C. MALONEY, M'53, Past President. �A Message from Michael A. Sullivan, M'53 President, Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Sullivan ·------------------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 c ll 22 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Y e a r MD Received---Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Home A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB,MDreceivedfrom-------------------------------------InPrivatePractice: Yes ~ In Academic Medicine: Yes No ~ SpecialtY------------------------------ ~ No ~ Part Time 0 Full Time ~ School--------------------Title - - - - - - - - - - - - - - - - - - - - - - Other: Medical Society Memberships:-----------------------------------~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1978 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1978-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1978-01-Spring Table Of Contents A list of subunits of the resource. Dean Naughton's Message Class Reunions Dr. Nolan/Gerontology Division History, Department of Medicine by Evan Calkins, M.D. Dr. Small Continuing Education A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI-E). Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes, M.D. Health Problems Alumni Contributors, 1977 Dr. Knox Neonatal Medicine Neighborhood Health Care National Medical Fellowships 41st annual Spring Clinical Days New Department Chairmen Mel Diedrick Seven Faculty Retire Dr. Quick Children's Hospital Appointments Today's Student Endowment Fund/Dr. Shapiro Dr. Anderson Medical Ethics Historical Society Genetic Clinic Tennis Tournament People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-12-12 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v12n01 Extent The size or duration of the resource. 64 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/18c76f88ece5d6b028093f93732fe74d.pdf c89ec701c0d43f185635f473c0c9949a PDF Text Text The Buffalo Physician SCHOOL OF MEDICINE VOLUME 9, NUMBER 2 STATE UNIVERSITY OF NEW YORK AT BUFFALO �From the desk of PaulL. Weinmann, M'S4 President, Medical Alumni Association The Meaning of "My" As 1975 moves past the three-quarter mark and another New Year still remains a season in the future, we find ourselves taking some basic principles for granted. Such a principle concerns the physician-patient relationship which is at times subject to honest misunderstanding. Our consumer-oriented society is committed to freedom of choice for all patients in the determination of their physician. This right, however, implies an equal freedom for physicians. In practice, this situation resolves in patients consulting that physician who is most co~­ veniently available; and the physician accepting whoever walks into hiS office. Indeed, as soon as a mutual relationship is established, the patient often speaks of "using" the doctor and physicians speak of "my" patient. Unfortunately, some physicians think of patients possessively. They confuse the meaning of "my" of possession, such as my hat or my coat with the relational meaning of "my", as my brother or my school. We physicians should remind ourselves of this distinction. When several physicians are concerned with the welfare of a patient, neither has a possessive claim. It would also contribute to sounder physicianphysician relations if referring physicians will remain sensitive to the implications of calling another physician in consultation. Similarly, it would be equally appropriate for all of us, physicians and patients, to be reminded of the free choice in their behalf of the ancillary paramedical professionals in hospitals, laboratories, pharmacies and offices. In the ultimate analysis, we should perpetually communicate our traditional"humility and respect for all individuals, despite the pressures of time and circumstance which impinge on us. () �Summer1975 Volume 9, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT The Meaning of " MY" (inside front cover) cGRANAHAN 2 Intern Matching Managing Editor 8 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (part IV, conclusion) by Samuel Sanes, M.D. 5. M MARION M AR IONOWSKY Dean, School of Medicine DR. jOHN N AUGHTON 14 Nutrition Lectures Photography 20 Maternal/Fetal Care Center H UGO H. UNGER EDWARD NOWAK 26 West Side Health Center Medica/Illustrator 29 Library Hospital Relations 30 New Gyn-Ob Learning Center 33 Cardiac Care 34 Family Care Center 37 Dr. Mosher 38 USFMS Come Home 41 Health Care Prize 42 Hematology Division: Erie County Lab 47 Dr. Miller 48 Honorary Medical D egrees by Oliver P. ]ones, Ph. D., M .D . 57 Rare Books j OHN C. CARTER 58 Student Homecoming Director of Public In formation 61 LARMP Rural Extern 62 Continuing Education Programs PAULl. KANE 63 The Classes Vice President for University Relations 64 People 66 In Memoriam 68 Alumni Tours M ELFORD J. DIEDRICK Visual Designers RI CHARD M ACAKAN)A D ONALD E. W ATKINS Secretary FLORENCE M EYER CONSULT ANTS President, Medical Alumni Association D R. P AUL l. W EINMANN President, Alumni Participating Fund for Medical Education DR. MARV IN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation ]AM ES D ESANTIS Director of University Publications DR. A . W ESTLEY ROWLAND The cover by Barbara Evans, graphic designer, focuses on Intern Matching pages 2-7. THE BUFFALO PHYSICIAN, Summer, 1975 - Volume 9 , Number 2, published quarterly Spring, Summer, Fall, Winter - by the School of M edicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class poastage paid at Buffalo, New York. Please notify us of change of address. Copyright 1975 by The Buffalo Physician. SUMMER, 1975 1 �Intern Matching Mary Shapiro, Dr. Cummiskey While a few in the senior medical class were recipients of unhappy tidings, things seemed to be falling pretty well into place for them by the time results of the National Intern and Resident Matching Program were announced on March 5th. From Dr. Thomas G. Cummiskey, former assistant dean at the School of Medicine, the 114 participants in the Program that attempts to match their preferences with those of hospitals in the United States, learned that 33 or a third of their class will remain in Buffalo for postgraduate training. "Another 22 seniors," Dr. Cummiskey, who is now a radiology resident said, "will continue their training in other parts of New York State, with the majority going to New York City." Fifteen of the 131-member senior class did not participate in the matching plan. "They elected to make their own arrangements," he continued. The seniors learned that they would be widely scattered around the country, in fact around the world. "Those matched with hospitals outside New York," Dr. Cummiskey reported, "will go to 23 states, with Pennsylvania receiving the largest number, eight. There is even one of you going to Honolulu, Hawaii, with the U.S. Army." Half of those who participated in the Program were matched with their first choice hospital, while 75 per cent were matched with a hospital among their first three choices. Almost all of the seniors will continue their training at University-affiliated hospitals. Attesting to the high caliber of the class, Dr. Cummiskey pointed to "matches" at Los Angeles Harbor Hospital as well as the Mayo Graduate School. Fifty-four chose medicine, 22 surgery, 16 pediatrics, 11 family practice, 10 flexible programs, 6 psychiatry, 3 pathology, 2 obstetrics/gynecology, and one apiece for diagnostic radiology, ophthalmology, and neurology. Filled were University programs in medicine at the Buffalo General/E.}. Meyer Memorial Hospitals. "They received all12 rotating and 18 straight medicine residents sought," Dr. Cummiskey pointed out. Millard Fillmore Hospital filled its request for four straight 2 THE BUFFALO PHYSICIAN �medicine residents while Children's Hospital filled its program in straight pediatrics (13) as did Deaconess Hospital requests in flexible (5) and straight surgery (3). And for those who helped ease their path in Medical School- especially student affairs secretary Mary Shapiro and Or. Cummiskeythunderous applause from the Class of 1975. Aldridge, J anerio, £.].Meyer Memorial Hospital, Buffalo, rotating surgery Anolik, Kenneth, E.J. Meyer Memorial Hospital, Buffalo, straight medicine Arnold, Stephen, E.J. Meyer Memorial Hospital, Buffalo, straight medicine Asbell, Penny A., Yale-New Haven Medical Center, straight medicine Asheld, John J. Jr., Meadowbrook Hospital, East Meadow, New York, straight medicine Barker, Marilyn A., Children's Hospital, Buffalo, straight pediatrics Bartkowski, Henry M., completion of MD/ PhD program in 1976 Bauer, Charles, Santa Clara Valley Hospital, San Jose, Ca. pathology Bellany, Paul E., Case Western Reserve, Cleveland, straight medicine Bendich, David, Montefiore Hospital Center, New York City, straight pediatrics Berman, Donald E., Presbyterian Hospital, Pittsburgh, Pennsylvania, straight medicine Blasberg, Dennis, U. of California at Davis, rotating surgery Block, Joel H ., U. of Maryland Hospital, Baltimore, straight pediatrics Blum, Charles T., Millard Fillmore Hospital, Buffalo, flexible Blum, Craig, Deaconess Hospital, Buffalo, straight surgery Brady, Brendan, Buffalo General Hospital, straight surgery Stephen Arnold dPatricia Hart, Frank Cole, John Theobalds The John Stefanos SUMMER, 1975 3 �Bromberg, Kenneth, New York Hospital, New York City, straight pediatrics Bryant, William A. Jr., U. of Maryland Hospital, Baltimore, straight pediatrics Burdick, James P., Millard Fillmore Hospital, Buffalo, straight medicine Calhoun, Alan J ., Albany Hospital, New York, straight medicine Calhoun, Robert A., Syracuse Medical Center, New York, pathology Campanella, Vincent A., Children's Hospital, Buffalo, straight pediatrics Cassia no, Coley J ., Moses H. Cone Memorial Hospital, Greensboro, North Carolina, family practice Chodak, Gerald, Buffalo General Hospital, straight surgery Cohen, William I., Presbyterian Hospital, Pittsburgh, straight pediatrics Cole, Frank E., Mayo Graduate School, Minnesota, straight medicine Colman, Marc, Los Angeles County Harbor General Hospital, California, straight surgery Cukierman, Jack, Millard Fillmore Hospital, Buffalo, straight medicine Mary Roehmboldt Dahn, MichaelS., Boston City Hospital, Massachusetts, straight surgery Daniel, Emmeth, D.C. General Hospital, Washington, D.C., straight medicine David, Ronald, Presbyterian Hospital, Pittsburgh, Pennsylvania, straight pediatrics DiSanto, Joseph, Wilmington Medical Center, Delaware, straight pediatrics Durso, Raymond, Meadowbrook Hospital, East Meadow, New York, straight medicine Dynski, Sr. Marguerite, Rochester General Hospital, New York, rotating medicine Echols, Ben H., Cincinnati General Hospital, Ohio, straight medicine Fankuchen, Elliot, Miriam Hospital, Providence, Rhode Island, medicine Fenzl, Robert E., Medical College, Milwaukee, Wisconsin, ophthalmology Ferrer as, Richard, Medical College of Virginia, Richmond, straight surgery Franklin, Hal A., New Hanover Memorial Hospital, Wilmington, N.C., rotating medicine Freer, Jack P., Millard Fillmore Hospital, Buffalo, rotating medicine Gersoff, AndrewS., Maricopa County Hospital, Phoenix, Arizona, flexible Ciaccio, Richard G., Roswell Park Memoria/Institute, Buffalo, research Goldwasser, David, Hartford Hospital, Hartford, Connecticut, flexible Gray, Sandra A., E.]. Meyer Memorial Hospital, Buffalo, rotating medicine Groskin, Stephen, University Hospital, Columbus, Ohio, family practice Guice, Marcus L., Baylor College Affiliate, Houston, Texas, straight medicine Hall, William, George Washington University, Washington, D.C., straight medicine Hanlon, Donna, Rush-Presbyterian St. Lukes Hospital, Chicago, straight medicine Harrison, Eileen, Albany Hospital, New York, straight pediatrics Hart, Patricia, Harlem Hospital, New York City, straight medicine Hedger, John, Millard Fillmore Hospital, Buffalo, straight surgery Henderson, Joseph, U.S. Navy, National Naval Medical Center, Bethesda, Md., rotating medicine Hirsch, Eugene, Grady Memorial Hospital, Atlanta, Georgia, straight medicine Hochberg, Lynne, E.]. Meyer Memorial Hospital, Buffalo, rotating medicine Holifield, Edward, Charity Hospital, New Orleans, Louisiana, flexible Jaffe, Kenneth, Worcester City Hospital, Worcester, Massachusetts, family practice Johnson, David, Charles S. Wilson Memorial Hospital, Johnson City, New York, rotating medicine Johnson, Tone Jr., Lake Charles Charity Hospital, Louisiana, family practice Kaiser, GeraldS., E.]. Meyer Memorial Hospital, Buffalo, rotating medicine Keyes, John, Buffalo General Hospital, straight surgery King, Peter, Deaconess Hospital, Buffalo, straight surgery Klein, Leonard, U. of Texas S. W. Affiliated Hospitals, Dallas, rotating medicine Klug, David, St. Lukes Hospital, New York City, straight medicine Kostraba, Nina, E.]. Meyer Memorial Hospital, Buffalo, rotating medicine 4 THE BUFFALO PHYSICIAN �Marcus Guice, Or. Cummiskey Lambert, Michael, Worcester City Hospital, Massachusetts, straight medicine Lapidus, Robert, U. of Miami Hospitals, Florida, straight medicine Lari, Steven, University Hospitals, Madison, Wisconsin, straight psychiatry Levine, Richard, Buffalo General Hospital, rotating surgery Lewis, James M., U. of Maryland Hospital, Baltimore, family practice Li, Lilian Y., U.S. Army, Letterman Hospital, San Francisco, psychiatry Licciardi, Ludwig, St. Lukes Hospital, New York City, straight surgery Lovecchio, John, Case Western Reserve Affiliated Hospital, Cleveland, rotating ob/ gyn Meyers, Mary Lou, Strong Memorial Hospital, Rochester, New York, flexible McMillen, Marvin, E.]. Meyer Memorial Hospital, Buffalo, flexible Miller, Kenneth B., E.]. Meyer Memorial Hospital, Buffalo, flexible Millhofer, Lawrence, St. Mary's Hospital, San Francisco, California, straight medicine Morton, Gregory K. III, U.S. Army, Tripier Army Medical Center, Honolulu, Hawaii, flexible Muido, Leo, Syracuse Medical Center, New York, straight pediatrics Mukherjee, Ani!, D.C. General Hospital, Washington, D.C., straight medicine Natalizio, Charles, E.]. Meyer Memorial Hospital, Buffalo, straight medicine Neuman, Peter, Buffalo General Hospital, straight surgery Nicoll, Christine, U. of California at San Francisco, clinical pathology Novak, William, U. of Michigan Affiliated Hospital, Ann Arbor, diagnostic radiology Olcott, Stephen, U. of California at Davis Affiliated Hospital, flexible Pagano, Gary, Veterans Hospital, Cleveland, straight medicine Peters, Diane, Buffalo General Hospital, straight surgery Piirmann, Margaret, Chas. S. Wilson Memorial Hospital, Johnson City, New York, family practice Powell, Jeffrey, Millard Fillmore Hospital, Buffalo, straight surgery Quaytman, Miles, Sheppard & Enoch Pratt Hospital, Baltimore, psychiatry Rade, Michael, E.]. Meyer Memorial Hospital, Buffalo, straight surgery Ragusa, Michael, Millard Fillmore Hospital, Buffalo, rotating surgery Ramirez, Manuel, Mt. Sinai Medical Center, Chicago, straight surgery SUMMER, 1975 d-5 �Thomas Rosenthal Tone Johnson Michael Rade, Stephen Olcott, William Novak 6 THE BUFFALO PHYS ICIAN �Rapp, Dianne R., internship not applied for Regalla, Sylvia, Millard Fillmore Hospital, Buffalo, straight medicine Rinow, Michael, E.]. Meyer Memorial Hospital, Buffalo, straight medicine Roehmboldt, Mary, Mayo Graduate School, Minnesota, straight neurology Rosenthal, Thomas, Deaconess Hospital, Buffalo, family practice Rothfeld, Glenn, U. of Kentucky Medical Center, Lexington, family practice Rowland, Michael, E.]. Meyer Memorial Hospital, Buffalo, straight surgery Roza, Eli, Jewish Hospital, St. Louis, Missiouri, straight medicine Sadow, Stephen, NYU Medical Center, New York City, rotating surgery Salzano, Thomas, E.]. Meyer Memorial Hospital, Buffalo, straight medicine Sampson, Hugh, Jr., Children's Memorial Hospital, Chicago, straight pediatrics Santasiero, Ronald P., Deaconess Hospital, Buffalo, family practice Schechter, Michael, Temple Univ. Hospitals, Philadelphia, straight pediatrics Schiff, Jill B., Hahnemann Medical Center, Philadelphia, straight medicine Schneider, Joseph A., Los Angeles County, USC Center, California, rotating psychiatry Schulman, RobertS., E.]. Meyer Memorial Hospital, Buffalo, rotating medicine Schwartz, Jan A., Children's Hospital, Philadelphia, straight pediatrics Sdao, Michael W., Denver General Hospital, Colorado, rotating psychiatry Severin, Hayden D., Metropolitan Hospital Center, New York City, straight medicine Sorge, Anthony C., U. of Rochester Assoc. Hospital, New York, rotating medicine Stefano, John A., Beth Israel Hospital, New York City, straight medicine Steinfeld, Michael L., E.]. Meyer Memorial Hospital, Buffalo, rotating medicine Stratford, William, Millard Fillmore Hospital, Buffalo, straight surgery Stubenbord, John C., E.]. Meyer Memorial Hospital, Buffalo, straight medicine Szefler, Stanley 0., Children's Hospital, Buffalo, straight pediatrics Kenneth Bromberg Taxier, Michael, Medical College of Virginia, Richmond, straight medicine Theobalds, John B., Deaconess Hospital, Buffalo, family practice Tolins, Christine L, St. Vincent's Hospital, New York City, flexible Tomiak, Henry Jr., Albany Hospital, New York, straight pediatrics Trautman, Paul D., St. Vincent's Hospital, New York City, rotating psychiatry T riftshauser, Clark, Millard Fillmore Hospital, Buffalo, straight medicine Ben Echols and son Vasily, David B., Allentown Hospital, Pennsylvania, rotating medicine Wang, Cynthia, U.S. Public Health Service, Staten Island, straight medicine Weiss, Robert}., Millard Fillmore Hospital, Buffalo, rotating medicine Whitehead, Dennis C., Deaconess Hospital, Buffalo, family practice Witter, Theodore, Lebanon Hospital Ctr., Bronx, straight ob/ gyn. Woodman, Henri T., E.]. Meyer Memorial Hospital, Buffalo, straight medicine Zinn, Steven L., Temple University Hospitals, Philadelphia, straight medicine SUMMER, 1975 7 �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Editor's No te: W ith this seco nd installm ent of Part IV, Dr. Sanes co ncludes his discussion of certain m echanisms which cancer patients use to co pe w ith their disease. He takes up " Hum or and W it" and " Mutuality." Th e f irst installment of Part IV cove red " Anger" and " Faith and Prayer." Part IV (concluded) His Relationship With Other Cancer Patients And Some Of The Things He Learned From Them By Samuel Sanes, M.D. HUMOR AND WIT Cancer is not a matter for levity and flippancy. Did you ever hear a professional comedian of any type, even the sadistic Don Rickles, make cancer or the cancer patient the butt of his gags? Molly McGee of radio's " Fibber McGee and Molly" would have said " T' ain' t funny, McGee. " Healthy persons find it hard to take" cancer" as a fun subject. Last year " All in the Family" ran a program on the threat of breast cancer and a possible mastectomy for Edith Bunker. Happily the lesion proved benign. A woman, assumedly not a cancer patient, protested in a letter to the TV editor of The New York Times : " I fail to see how the above-mentioned episode, which dealt with a profoundly disturbing problem, could even remotely be called humorous. The fact that the episode .. . happy ending .. . does not absolve its producers from showing greater responsibility and sensitivity . .. " An English play, " The National Health," opened on Broadway last Fall. It found cancer, among other serious illnesses, a subject for laughter. Clive Barnes, critic for The New York Times, labeled the play an exploration " into the queasily dangerous area of bad taste" but felt that the playwright's comedic approach was redeemed by his " compassion and concern . . . He regards life so highly," Barnes wrote, " that he can make a joke about terminal cancer and get away with it. " * Feve r sig nals dan ge r to lymphomaleukemia patients on radiation, ch emoand steroid therapy. They worry more about in fec tions - bacterial, viral, fungal, " protozoal" - than they do about their primary disease. In the 2 ~ years since diag nos is and onset of treatment Or. Sanes has had three infections -shingles and two "viral" respiratory in fec tions, one complicated by unilateral purulent rhinitis which cleared rapidly with antibiotic. * * Cancer patients resent even more than healthy persons do any indication that others take cancer lightly. " I don' t mind joking about my condition," one commented, " provided I do it myself. " (Actually the " All in the Family" program mentioned before was urged upon the producer by a woman aide who had had a mastectomy.) There is, in fact, a certain amount of good-natured " needling," joshing and banter among physicians and other members of the medical team and their patients in the lymphoma-leukemia clinic in the cancer institute. Cancer patients with a sense of humor and a knack for wit who joke about other matters are quite capable of doing so about their own disease and themselves. Usually it is a self-kidding, bitter-tender, ironic, sort-of-gallows humor but humor nevertheless. 8 THE BUFFALO PHYSICIAN �- Mrs. Birch Bayh, wife of the senator from Indiana, since undergoing a mastectomy for cancer of the breast, refers to herself and fellow patients as " bosom buddies." - Another woman who had been surgically treated for mammary cancer wrote to Mrs. Ford, wife of the nation's President, an archetypal Republican conservative: " Perhaps we 'radicals' could get together. " - A high school girl with whom I would wait in the hematology OPD clinic " guessed' that she must have caught leukemia from going to the movies too frequently . She saw " Love Story" (in which the heroine had leukemia) five times. - A teen-aged boy under radiation therapy for Hodgkin' s Disease stumped me with the riddle " Why is a patient under radiation treatment like a pornographic movie?" " I don' t know," I responded. " Why?" " Because they' re both X-ra(y)ted. Get it?" - A college girl composed but didn' t submit a three-word , threeline rhyming verse in response to a Buffalo newspaper columnist's invitation to a " shortest poem" competition. In those three words and three lines her verse was an epic poem, covering the whole struggle for adjustment by the patient discovered to have lymphoma-leukemia. "Mope Hope Cope." - I visited in the hospital a physician of my age group, a former student of mine and a professional colleague for 37 years, with metastases showing up less than 18 months after the original resection of the colon for cancer. (We had both learned of our diagnoses at the same time in February, 1973.) He had received a course of radiation and was suffering from severe radiation proctitis as well as the side effects of chemotherapy. He lay in bed, his face creased in pain. I stood at the bedside. After our initial greeting, we were both silent. Then he looked up at me seriously and said, "Sam, would you do something for me?" " Anything," I replied, " anything at all. What is it?" " Will you please find me the name of the guy who coined the term ' the golden years' ?" " But why?" " I want to give him a good kick in the ass. " " Hoping all the time,". I rejoined, "that he also has radiation proctitis. " You should have heard the two of us disseminated cancer patients explode into laughter so loud that it must have startled the patient in the room across the corridor. - There was nothing laughable to the onlooker in the sallow-faced young woman with dark circles under her eyes who hobbled into the lymphoma-leukemia clinic doubled up in pain. Her husband walked behind her, his arms around her waist, his hands pressing on her abdomen . A nurse hurried up, offering to bring a wheelchair. " No," the patient thanked her. " The pain is less when I walk this way. The pressure of my husband' s hands seems to relieve it. " " Isn' t there something I can do?" the nurse persisted. d- SUMMER, 1975 9 Coming back to Buffalo from a threem onth stay in Guadalajara, Mexico, Dr. Sames res umed his biweekly checku ps at the R oswell Park M em orial Institute's ly m p hom a-leukemia clinic. On his fi rst revisit, after blood co unt, X- ray f ilm of ches t and weigh-in, Cora Taylor, clinic aide, takes Dr. Sanes' temperature. " Normal - no feve r. " �" Yes," the patient responded with a wry laugh as she leaned doubled up over the clinic secretary's desk . " How about getting me a ' whole body transplant' ? Don ' t you have a Dr. Frankenstein on your staff?" - Another woman sat next to me in the diagnostic X-ray department. She had had surgery for cancer of the rectum and had a colostomy, hepatic and pulmonary metastases. Looking up from the morning newspaper she had been reading, she turned to me and sighed wistfully, " If only one of those ' breakthroughs' I' m always reading about in the headlines would turn out to be a ' true break' for us cancer patients." Humor , genuinely felt and expressed, is an excellent coping mechanism for some cancer patients. It saves them from denying their predicament, from indulging in self-pity. It releases inner tensions . And it permits them to make other patients as well as themselves feel brighter and better. * Already apprised of temperature and w eight readings, hematolog ic and X-ray reports , Dr. Michael C. Snyderman, who sees Dr. San es reg ularly in the clinic, obtain s an interv al history, this tim e a threem onth one, f rom th e clinical summary which Dr. Sanes ' Mexican physician has sent back with him. Dr. Snyderman then does a physical examination . " No new nodes palpable. Live r and spleen not fe lt." * * MUTUALITY Albert Schweitzer wrote of the brotherhood of those who suffer pain. I write of another brotherhood, perhaps a closer, more exclusive one, that of cancer patients, particularly those with the same type and stage of cancer. Cancer patients identify with each other in a different, more intimate way than they do with persons among other groups to which they belong, including their immediate families . For example : A 50-year-old woman with presumptive carcinoma of the sigmoid was admitted to the colon service of the cancer institute for a resection. The patients on the floor visited her, included her in the group. They talked to her, told her to have courage, made her feel " one of the family. " When the operation disclosed a benign lesion, everything changed. The other patients still spoke with her , but there was a difference. Sh~ was no longer one of them. Politely but firmly they shut her out. (It was an example, you might say, of the " haves " versus the " have nots. " ) My own experience and observations bear out what I read in a recent article, " Cancer Patients Help Themselves, " from which I shall borrow certain statements. The empathy of cancer patients for each other can be of real value as a coping mechanism in a program of treatment and rehabilitation . For years I have heard lay persons and physicians who haven' t had cancer themselves decry the " segregation" of cancer patients in their own clinics and hospitals, groups and clubs, and hospices for the dying. Cancer patients, they have emphasized, are just like any other patients and should be treated as such. It is " unhealthy" to consider them otherwise. Now, on the basis of my own experience and observations of other patients, I would take some exception to that attitude. In a hospital where there are no natural, informal, spontaneous groups of certain kinds of cancer patients, it could be valuable to create officially-structured ones. 10 THE BUFFALO PHYSICIAN �The association with fellow cancer patients " meets an individual' s need for security, belonging, companionship, and mutual support" from those like him, a need that can be met in no other way. * * * Let me give some examples. The lymphoma-leukemia clinic for adults at the cancer institute is a natural, spontaneous, informal group not only for patients but also for the members of their immediate families who accompany them . At any morning session where I go for a checkup there are 15-30 patients of all ages, backgrounds, and walks of life. " There are others like me." I am not alone. The clinic group acts as a reinforcement community or g roup therapy session for both patients and relatives. (It is often difficult to tell, from their appearance, which is which.) Long-time patients talk to each other, compare notes on their disease, tests, therapy, and its side-effects. They air their worries and concerns, gripes and peeves, problems of everyday living. They also talk about the pleasant happenings and enjoyable activities in their lives. N ew patients are "surprised and relieved that others felt helplessness," uncertainty and frustration just as they do. A patient may be calmed by learning that others, too, have thought of suicide as a way out and have managed the situation in their own ways. " I thought I was the only one to ever think of suicide. I thought I was crazy for thinking it." Within the group praise for psychologic strength and perseverance may help patients renew their feelings of self-esteem. As the weeks pass, the whole group takes courage from seeing a fellow patient make good progress. Certain patients with 5-10 year survival or " cure" prove even the improbable dream comes true. Sometimes one patient will fail to show up and word will go around that he is worse and has been admitted to the cancer institute as an inpatient. If, in a few weeks, he is back in the clinic again in good spirits, it is eviden ce that another battle has been won, for a while anyway. If he does not return, some of the group, who have formed a close attachment for him, suffer a wrench. But they keep on hoping with trust in their physicians and a longshot gamble on research. They obtain satisfaction and support from sharing their ability to keep going despite everything. " How are you this morning?" inquires the clinic secretary of a lymphoma patient on a revisit. " Terrible," answers the woman, " but I'm here and that makes all the difference in the world." What is true in the outpatient clinic is also true among hospitalized patients. They support each other in times of stress. A physician who had to undergo radical surgery for infiltrating, recurring but non-metas tasizing cancer lay in bed, depressed, refusing to talk to anyone, including his wife. The woman who occupied the room across the corridor had extensive cancer with no prospects for control and cure. All she could hope SUMM ER, 1975 11 Following the ph y sical examinatio n, Dr. Sn y derman in for m s Dr. Sanes of his f indings, the labo rato ry and Xra y resu lts. He m a k es recomme ndatio n s and gives ass urance. d- �for was palliation. Her husband denied the seriousness of her disease and didn't visit her. But she refused to surrender. Getting dressed one morning, she crossed the corridor to say a word to the doctor, whose depression the nurses had told her about. "Come on," she said. "Get up. Look at all the other patients. Look at me. And you're an M.D. I'm going to the beauty parlor and when I come back I expect to see you up and walking around." Her efforts, along with those of another patient, a college student with multicentric cancer, finally did what the professionals had been unable to do - got the physician-patient out of bed and onto the road to psychologic adjustment for operation. * At 6 PM May 10, 1975, Or. Sanes achieved the longest-term goal he had set for himself when radiation therapy was initiated for his disseminated cancer in March, 1973. He attended the 45-year reunion of his Medical School class. He had beaten the 76% two-year mortality rate for disseminated reticulum cell sarcoma. Dare he hope to attend his 50-year reunion with triumph over the five-year mortality rate of 90-95%? * * During the first three months after my own diagnosis and the onset of radiation therapy, I often fretted about my condition, whether the side effects I was experiencing were real or whether I was neurotically imagining them. At my lowest ebb, my wife called a friend, a clergyman who had been under treatment at the institute for disseminated reticulum cell sarcoma for ten years. She relayed to me what he told her about his own early reactions to his disease and its treatment, his subsequent progress and setbacks. Aware though I was that every case differs, it was very reassuring to me to know that he had come through it all and was still pursuing a happy, productive life. A year later I was able to give some of this same reassurance to another physician with disseminated cancer when he was placed on chemotherapy. Alarmed at how he felt, he telephoned me to compare side effects and I could assure him that what was happening to him was perfectly" normal" in relation to the drug he was taking. * * * Yet despite all the evidence that cancer patients can and do help each other, many physicians are fearful of their "interference" in the treatment and rehabilitation picture. It is difficult to persuade some physicians to act as sponsors or advisors for groups of cancer patients who have undergone definitive treatment- "laryngectomies,"" ostomies," "mastectomies" - and want to band together, in officially-organized groups, for mutual comfort and support and to help others. Sometimes a head of service or an administrator will refuse to permit representatives of such groups to visit patients in the hospital before and after treatment. I myself was politely turned down by a hospital social worker whom I met at a public function. "Now that I am doing fairly well myself," I suggested, "I might be able to give some psychologic support to other physicians with disseminated cancer while they are hospitalized. Do you think that you could use me? I would be glad to come in to see them and talk with them." 12 THE BUFFALO PHYSICIAN �"Oh, I'm afraid that some attending physicians wouldn't like that," she told me. I heard nothing more of the matter. Obviously hospital visiting should be done only by persons who are properly qualified, selected, trained, and oriented. The physician should realize, however, that there are things that he and other members of the basic medical team cannot do for certain cancer patients and be prepared to utilize anyone who can help. The list is a long one. Besides clergymen and other cancer patients, it includes dentists, secretaries, social workers, psychiatric and family counselors, visiting nurses, homemakers, physical and vocational rehabilitation and prosthetic specialists, representatives of the Cancer Society and other community agencies, officials of industry, labor, and government. * * * The coping ability of cancer patients, particularly those active with disseminated disease, in the face of their uncertain future never ceases to impress me. - I was waiting my turn in the lymphoma-leukemia clinic one day when a new patient came in and sat down beside me. He was obviously frightened. It showed in his eyes, his voice, his posture. "Your next patient is terribly scared," I told my physician as I went into the examing room. "They all are," he responded. "The remarkable thing is how well, in time, they cope, even then they have to be hospitalized. Ninety-five percent of them meet their disease not only with courage and with lifeaffirming drive but even with heroic efforts to continue their everyday activities. Only five percent give up- lie in bed in a fetal position with eyes tightly shut or the bedclothes pulled over their heads or sit all day in a chair, glum and silent, guzzling beer." If ever I start sinking into a slough of discontent and self pity when doing as well as can be expected with my cancer, I will quickly pull myself up through the lesson I learned from this incident in the lymphoma-leukemia clinic. -An ambulatory patient with a reputation as a chronic complainer, a man in his sixties, was listing his gripes in a whining voice - gripes about his state of health, his treatment, his personal and family problems. (Actually he was in remission). A woman patient known for the low boiling point of her temper and for her outspokenness listened as long as she could stand it. Then: "What are you griping about?" she virtually yelled at the other patient so that everybody could hear. "You're alive, aren' t you! " SUMMER, 1975 13 REFERENCES: Am.]. Nursing 74 #4 pp. 650-1, April, 1974 (Cancer Patients Help Themselves - quotations, etc.). The Bible (David - Psalms 46, 71. Paul, - I Corinthians, 15). Buffalo Evening News p. 39, March 15, 1974 (Mrs. B. Bayh); p. 1, Oct. 3, 1974 (M rs. Ford- "radicals"). Cancer, Care, Clergy Foreword, New York State Division, American Cancer Society (unqualified clergymen). Lancet pp. 1435-1436 June 23, 1973 (G.W. Milton). Los Angeles Times Pt. 11 p. 5 March 15, 1974 (R. Cantor. Newsweek p. 30 Oct. 7, 1974 (Pres. Ford - quotation). New York Times Pt. 11 p. 17 ]an. 20, 1974 ("All in the Family" - letter); p. 46 March 26, 1974 (ibid-aide); p. 18 Oct. 12, 1974 ("National Health"). Saturday Review-World pp. 82-89 Aug. 24, 1974 (The Rev. T.M. Hesburgh). PHOTO-CREDITS: SUNYAB Department of Medical Illustration, D. Atkinson. ACKNOWLEDGMENTS: S. E. Sakal M.D., C. W. Aungst, M.D., M.C. Snyderman M.D., E.M. Noles R .N., M. Cormack R.N., M. Solomon Addendum: Reference New York Times (Dr. Gary Leinbach), p. 1, July 22, 1974 �Nutrition Lectures Monkeys may be good experimental animals for studying nutrition. But Dr. George Kerr, who opened a series of nutrition lectures sponsored by the department of biochemistry, believes that our answers will come from the communities themselves, from the way that different people with different backgrounds look at food . "We need to know what people are thinking and what they already know about food, " the pediatrician/ nutritionist who heads Harvard School of Public Health's primate center said. " A recent Harvard study points to young people being kept in fine physical shape on lower caloric intakes than is indicated on present-day charts." Obversely he feels that different cultures, customs, and beliefs may interfere with good health. In tracing what we know about nutrition right back to biblical days, he pointed to Hippocrates' awareness that a lack of some foods may cause important diseases, the prevalence of smallpox, scurvy, and the Black Death with the Roman diet, and early knowledge on fetal development/ nutrition related systems from artist/ anatomists such as Leonardo di Vinci. From a search to prevent scurvy, came the scientific method and from Malthus the ultimate equation- that all available food is divided by those who eat it. There was also the theory of predictable growth in the early 1900's as well as an increase in epidemic diseases over the next quarter century. Deploring blindness that is caused by vitamin A deficiency, he pointed to the cost of but a dime a year per person to prevent it. " Nutrition education," he said, "can not only be good but can cause a great deal of damage. " In black children, where rickets seem to be so prevalent, knowledge of their lactase deficiency has led to elimination of milk from their diet. " We must point out that even a small amount of it per day will provide the vitamin 0 that is needed," Or. Kerr said. And if we are ever going to get a handle on obesity, he believes that " we have got to stress that a fat baby is not always a sign of health." The biggest problem in nutrition today? Or. Kerr points to coronary artery disease that seems to be associated with it. And what is most needed for people in emerging countries today? Food and contraceptives, he concluded. Not only does cardiovascular disease account for a huge number of deaths in this country but the clinical course for those alive/ disabled remains a gloomy one. With coronary care units and bypass surgery less than triumphant, Dr. Robert McGandy sees the emphasis today on prevention. Atherosclerosis, says the epidemiologist/ pathologist/ n u tri tionis t from the Harvard School of Public Health, is the main cause of heart attacks, strokes, and is related to hypertension. In this disease, both large and medium-size arteries become plugged by fat or blood lipids as they are called. " This narrowing of area available for blood flow causes reactive pressure on artery walls," he said. A commonplace disease, some get it earlier than others. And rare is the individual with no signs of it at all, he said. While it usually begins 14 THE BUFFALO PHYSICIAN �very early in life - in the teenage years - it may take another 40 to become advanced enough to produce myocardial infarctions or final stage thrombosis. While statistics point to a leveling off of this disease during recent years, it also cautions the one out of every five males in this country who will develop coronary artery disease, the 30 per cent who will die after the first heart attack , and another 40 per cent who will follow within a week. " If you make it after the first myocardial infarction, chances are that the risk of a second one will increase four to fivefold over the next three years, " Dr. McGandy said. Most investigators agree that diet is directly linked to a change in blood lipid levels. " In comparing one population to another, diet alone accounts for all variability in blood lipid levels," he said. It alone acts independently of other risk factors such as obesity, smoking, diabetes , etc. which seem to act in a synergistic manner. " Diet is the simplest to manipulate," Or. McGandy continued. " For it relies on substitutes." Is cardiovascular disease inevitable in any population? No, was his response . Nor is it one of aging nor can it be passed off on bad genes. While the American diet is changing, he attributes it more to convenience and expense than to education. " We should reduce our levels of lipid intake," he cautioned . " For only in Western society have cholesterol levels been found to advance with age ." Substitute margarine for butter, skim or low fat milk for the whole variety, eliminate egg yolks, and trim fats off meat, he concluded. Or. Herrara There is a definite relation between mental retardation and nutrition. What this relation is was explored by Dr. Guillermo Herrara at the third nutrition lecture. Two common diseases in the early 20th century were associated with malnutrition and mental retardation. " Pellagra affected epidemic numbers in certain mountainous regions of South America and Switzerland, " the Harvard School of Public Health nutritionist said. Adding animal protein to the diet of these niacin-deficient children quickly brought the disease under control. In Guatamala half the children were affected by a disease known as deaf mutism. Because of an iodine deficiency during their critical growth period, these children were unable to produce a thyroid hormone so essential to development of their central nervous system. "They become helpless, " Or. Herrara notes. " They are incapable of caring for their own needs ." Iodized salt intake reduced the problem. Studies show that one quarter of the world's children are undernourished he said . "One consequence of early malnourishment," he said, " is stunting in growth. " But other negative environmental factors may be linked as well - lower income families, increased morbidity, greater parental absenteeism/ alcoholism. In Chile the malnourished child is apathetic, hostile, less able to relate to his environment. And in Bogota a 14-point gap in IQ between the under nourished/ nourished can only partly be explained by better educated parents, a mother more apt to play with and to teach her children. d-- SUMMER , 1975 15 �In the experimental animal, protein restriction during the critical 21-day period of brain growth leads to reduced DNA levels, a situation that Dr. Herrara notes can never be reversed. " The evidence suggests that the situation may be similar in humans ," he said . And protein/ calorie malnutrition may be one variable causing mental retardation . To better cope with adverse pregnancy factors and morbidity in families at high risk in Columbia a longitudinal study has been undertaken . While some pregnant mothers receive health care or food supplements for varying periods, others get psychological help or a combination. With only one third of the study complete, Dr. Herrara notes that larger size babies appear to result from greater protein intake. " Birth weight correlates well with greater cognitive development," he said. What happens when you get too much or too little vitamin A, D , E or K? Dr. K.C. Hayes would vouch for the safety of only one of these popular fat soluble vitamins. Too much of vitamin A, explained the nutritionist from the Harvard School of Public Health, may never lead to death. " You get so sick that you just stop taking it. " So unique is its structure that it fits right into the cell membrane and becomes active. While the bulk of our supply comes from green leafy vegetables, we derive the other half of our needs from meat, fish or poultry . Infants require about 2000 units a day. But that adults need more, in fact 5000/ ul/day, he attributes to their larger size. While other tissues are not as specific to vitamin A as is the retina , the veterinary medicine/ pathology trained Dr. Hayes said that "without it you cannot even form a cell. " And its deficiency remains the single most important cause of blindness in the world today. Among conditions that may develop when you get too little of it are : night blindness or nyctolopia as it is called xerophthalmia where an extreme dryness of the eye' s conjunctiva gives a skinlike appearance hydrocephalytic fetus due to increased cerebrospinal fluid pressure in malnourished pregnant women inanition or exhaustion from starvation that leads to death. Its range of safety is tremendous before toxicity sets in. Then mitosis or cell division is stimulated. " There is a whole process of epithelium bone differentiated changes, capillary walls collapse, there is hemorrhaging and damage from overflow of this vitamin from its storage sites in the liver may even lead to death. " But a lot of damage can also be caused from the calcification process. " In a calcium or vitamin D deficient diet," Dr. Hayes explained, " you end up drawing lots of calcium away from the bone. In a condition known as hypercalcemia, 15 per cent more calcium is deposited in tissues such as liver/ kidney. As one gets older, bones get thinner and thinner. It is a clinical picture that we also see in kidney disease and rickets as well. " 16 THE BUFFALO PHYSICIAN �A cholesterol-like structure, vitamin D forms in body and skin. Some ultra violet light can activate this vitamin taken up by the liver. "The new structure then moves to the kidney where there is a constant filtering of blood serum, phosphorus and calcium. And it is stored there," he said. Its daily requirement? "No one yet knows. We are just starting to measure its movement in the blood." Even nature seems to understand our need for vitamin E, Dr. Hayes continued. "Large amounts of it are found with unsaturated fats in wheat germ." So important for man are vegetables he said that not enough of vitamin E may lead to damage of membrane in smooth muscles as in muscular dystrophy and in white muscle disease that affects calves/lambs in the spring. But long usage of this vitamin in monkeys even leads to gastric ulcers, Dr. Hayes cautioned. "While we do not yet clearly understand how it protects us, 7 to 10 units a day of vitamin E seems adequate. " In premees, hemolytic anemia can be a problem. It results from a lack of prothrombin so important in the clotting mechanism. " Because vitamin K or potassium seems to influence its synthesis, it is given routinely to the fetus during delivery and to the new infant until its bacterial colony in the intestine is firmly established to ensure lifelong protection. " The vitamin for Man? "No doubt about vitamin E," Dr. Hayes said. Or. Douglas M. Surgenor, professor of biochemistry, directs the conference. While little is known on the effect of diet on aging, there are hints coming from studies with experimental animals and man. "All we have today," pointed out Dr. Robert McGandy, who presented the fifth in a series of nutrition lectures, "are untestable theories which do not fit the facts." For instance, whenever reserve capacity of whatever we can measure in the body diminishes - be it basal metabolism, cardiac, glomerular filtration rate - the remaining cells seems able to take over their function. Studies point to some reversible forces in aging however. " We know that the life expectancy for those living in the city drops five years," the Harvard School of Public Health nutritionist said. And for those who never marry, are divorced or widowed, lifespan is shortened a like number of years. Obesity, he pointed out, can also lop off four to 15 years as attested by cardiovascular and cancer deaths. And if you smoke a pack or two of cigarettes daily, you may lop off another seven to 12 years from your lifespan. The largest drop, that of 15 years, comes from strokes or heart attacks in those with the highest blood lipid or cholesterol levels. But if you are female, you will live three years longer than a male, he pointed out. Or if you are an offspring of parents who live to 90 or more, you will add seven to eight years to life expectancy. Much of what we know about nutrition has come from small laboratory animal studies, he said. If a laboratory rat is fed one half of its SUMMER, 1975 17 d- �usual food intake, it will still achieve 95 percent of its skeletal dimensions . And free of all body fat, it will increase its lifespan an average threefold, " Dr. McGandy said. " While we know that we can delay the onset of change, once the process of aging begins, it proceeds at exactly the same pace. " Pathological evidence in human/ animal tissue reveals cell accumulation of a pigment known as lipofuscin. " This aging pigment is prominent in cardiac muscle," he said. But other than these studies , there is no evidence for man that an obese person who loses weight and stays thin has a more favorable mortality rate. He believes that cancer, particularly tumors of the lung , bowel, and breast, may be linked to diet as in cardiovascular disease today. " The evidence is growing on environmental involvement," he said . While cancer of the colon is more common in this country today , it is almost never seen in developing countries. And when orientals move to our west coast or to Hawaii and its more Western lifestyle, their risk of this disease increases . The same, he said, holds true for breast cancer. " This hormone-related tumor may be susceptible to dietary intake. " A study of middle class Americans - those with resources and a knowledge of good dietary habits , shows no nutrition problems in aging . " All we do know about this group is that calories are obesityrelated ," Dr. McGandy said. For over a year' s time, five calories a day or 1800 a year will add half a pound of fat to any man or woman who continues to eat in the same old way. He believes that a change in basal metabolic rate may account for this and that a new diet for this less active group is indicated. The real problems of diet and aging are socio-economic - money , isolation, and the ability to shop right. " It is not one of a change of taste or smell, loose fitting dentures , etc. " Because iron intake in this country is as low as anywhere in the world, and anemia or some form of it is so prevalent, he feels that " we need to carefully pick our foods to get sufficient vitamins and to fortify the American diet through iron intake. " Setting up specific nutritional requirements for a defined group of people," he believes is going to be a significant problem. " Nutritional problems are related to socio-economic conditions. Several studies in Europe and the United States indicate conclusively that at low socio-economic levels nutrition is usually poor and as a result more babies die ." That is what Dr. George Kerr said in his lecture on " Nutrition and Pregnancy." " You can't put nutrition in a box because it interacts with many things . At one time people thought nutritional problems could be solved easily by taking a pill. But it is much more complex, " Dr. Kerr said . " There is less good knowledge available today about nutrition and pregnancy than in most other scientific areas. But proper diet and nutrition are important to healthy babies. " Half of all infant deaths in the United States are attributable directly or indirectly to low birth weight. Pregnant women whose social environment place them in the "risk" category are most likely to deliver 18 THE BUFFALO PHYSICIAN �babies weighing less than five pounds, and these small newborns are highly vulnerable to injury and disease. Dr. Kerr cited two main problems regarding nutrition and pregnant women : physicians have believed the epidemiological data, and too often nutrition is equated with weight. The Harvard pediatrician-nutritionist traced the history of pregnancy and nutrition since the days of Hippocrates. " It wasn' t until the 1600' s that we had an accurate description of the fetus. And the first pediatric textbook wasn' t written untill700." " About 1800 there were great advances in anesthesia and improved surgical techniques. Also there was less infection when doctors began washing their hands. But eclampsia was still unsolved. " It wasn' t until1899 that diet became a factor. A German physician was interested in making deliveries easier for his patients. So he decided to make the babies smaller by putting the pregnant women on a low calorie diet. " In 1911 food was found to be a cause of problems during pregnancy. And during the next 10 years there was considerable statistical evidence to support the fact that nutrition was an important factor in childbirth." Dr. Kerr pointed out that the recommended weight gain for expectant mothers has changed many times over the years. " The current optimal weight gain for pregnant women is 24 to 27 pounds. Why? Probably because we don' t want a fat woman and a large baby born to a small woman might cause delivery problems. " Some people have suggested a diet analysis, but this is very difficult. "When you write down your food consumption for a day or week, what do you compare it with?" In conclusion Dr. Kerr made several observations : beware of rules; weight gaining during pregnancy is a very insensitive gauge of a healthy woman; high risk population needs closer supervision during pregnancy; any diet should contain a wide variety of food ; when a pregnant mother is hungry she should be allowed to eat; be careful of medication. A higher level of it goes to the fetus than remains with the mother; it is unwise for a woman to become pregnant when she is ill or dieting .O SUMM ER, 1975 19 �Maternal/Fetal Care Center The team discusses patient problems at weekly meeting. Because insults that can happen to a baby during intrauterine life are permanent ones, a coordinated team effort in Buffalo is helping to prevent them from happening. So impressed was Dr. Wayne L. Johnson- he is one of only 16 in this country licensed in the new subspecialty of maternal-fetal care - of the high-risk pregnancy program run by Dr. Loren P. Petersen at the University of Indiana when he was there, that the Buffalo gynecology/obstetrics chairman asked the young 37 -year-old perinatalogist to set up a similar educational approach to caring for high-risk patients in Buffalo. Here they would look at the effects of genetics, pregnancy on maternal disease, try to determine how the newborn adjusts or adapts to health and disease during pregnancy and labor, and search for better diagnostic tests for infection in both mother and fetus. Dr. Petersen came. And in the new division of maternal and fetal medicine that he now heads at the Children's Hospital, the care that a team of specialists is giving to mothers at high risk is helping to lower the perinatal mortality rate in this city that has been higher than the national average- 20 versus 17 per thousand- and which jumps twofold in Lackawanna. "So incredible has the experiencing of life" been for Dr. Petersen that he is dedicated to giving the best possible care to those at high risk. "Each time I enter a delivery room, am faced with a patient who represents a combined total of 120 years of life, and for whom problems during delivery without trained personnel may lead to complications causing retardation over a lifetime, I know we cannot afford not to do something." If 20 there is prevention of just one retarded child, then the associate professor of gyn/ob feels that not only has a lifetime of tragedy been eliminated for a family, but a quarter of a million dollars saved by the State. A leading cause of perinatal problems is that of premature birth. Preventing it by intrauterine resuscitation of the infant during labor and delivery by Caesarean section, Dr. Petersen feels, may well lead to a better-quality infant. And because diet alone may prevent irreparable damage to the child, many things are being done in this area to improve perinatal care. The evidence, notes the Fellow of the American College of Obstetrics/Gynecology and Diplomate of the American Board of Obstetrics/Gynecology, is clear that through adequate nutrition of the mother, we can create a more healthy environment for the baby. Now assessing protein nutrition measurements during pregnancy is technician Joe Dunn. But what the maternal/fetal care team finds so exciting today is not just dealing with the effects of a genetics problem in pregnancy but in preventing them. One way is through intrauterine treatment of a defect to prevent retardation. Having a baby, notes the Minnesota/Oregon trained specialist - he received a medical degree from the University of Minnesota in 1964 where he also completed an internship; an ob/gyn residency and a master's in biochemistry earned at University of Oregon - is just the start of life. To determine those at high risk, there are now three diagnostic evaluations. One is for placental (HPL) and fetal function. Another, on plasma estriol determines fetal well being, while noninTHE BUFFALO PHYSICIAN �Dr. Swtantarta Ogra sets up culture on breast milk. Joseph Dunn, medical biochemist, measures plasma estriol levels. SUMMER, 1975 William Schmidt, clinical biochemist, measures level of urea nitrogen . Nurses also learn about mothers at high risk from Or. Johnson . 21 �Patient at high risk gets sage advice from Dr. Petersen. vasive sonar testing determines fetal growth and development as well as recognizes some fetal abnormalities during early pregnancy. In the perinatal laboratory, biochemical studies are helping to unravel some of the unknowns that may lead to better patient care. There is assessment of risk to the fetus via drugs, viral and bacterial effects. And for the rH baby, there are intrauterine transfusions . But for perinatologists, viral infections remain an eternal frustration . These unsolved problems, notes Dr. Petersen, can produce mental retardation in the fetus and are implicated in cytomegalorivus, herpes, rubella as well as infections such as toxoplasmosis during pregnancy. There are also tests to determine human placental function, human fluid studies with amniocentesis as well as a hard look at the mechanisms of labor in order to develop better tests on the fetus in trouble, those with feeding and growth problems. While high risk clinics are now located in the community as well as at the E.J. Meyer, Buffalo General, Deaconess, and Children's Hospitals, Dr. Petersen is convinced that an even greater Fetal m o nitoring g ives Dr. Johns on (left) fetal electrocardiog ram as well as a num ber of m easurem ents w hose meaning Mennan Greatbatch project engineer Alf red L. Johns ton is trying to uncover. 22 THE BUFFALO PHYSICIAN �Sonar technician Carol Jonas determines growth and development of fetus through sonar testing. Nurse Paula Clay back responds to "hot line" query on management of toxemia. public awareness is necessary "if we are to recognize all of the babies in trouble, and where possible, help them." Not only is there fetal monitoring during labor, but for patients with monitoring problems there is research underway with engineering expertise from the firm of Mennan Greatbach Electronics as well as a study of its newer aspects - systolic time intervals - to pinpoint babies in stress. Notes Dr. Petersen, "one of our Fellows, Dr. Milo Sampson, has a degree in electrical engineering and physics. And he knows a great deal about fetal monitoring." There is also a close look by Dr. Swtantarta Ogra at how much immunological protection a baby gets through mother's breast milk, and there are studies on drug inhibition of labor as well as its physiological aspects by Dr. Wayne L. Johnson. In a genetics, obstetrics/gynecology clinic to be set up at the Children's and headed by Dr. Robin Bannerman, there will be genetic counseling and amniocentesis studies underway. d-- SUMMER, 1975 23 �Round-the-clock consultation is now available to area physicians via a 24-hour perinatal hot line as well as the latest perinatal developments through a monthly newsletter that is funded by the March of Dimes . At weekly Friday meetings , all of a patient's problems are reviewed by the team - social workers, nutritionists , nurses, pediatricians, geneticists, practicing obstetricians and students . " These meetings ," points out Dr. Petersen, " started last year at the hospital. " Training others to care for those babies in trouble is another important facet of division activities. Not only are residents and medical students exposed to fetal intensive care but nursing students as well. Soon to be underway is one of but a handful of Fellowship programs in maternal/fetal medicine in this country. " Two Fellows - Drs . Sampson and Shailaga Didolkar - will start this July, " notes Dr. Petersen. And because the area of neonatalogy is such a multidisciplinary one, residents will also rotate through all of its services. Concern continues as to lack of public awareness on the effects that drugs may have on a child over a lifetime. " This creation of man, " Dr. Petersen cautioned, " led to the thalidomide tragedy of a decade ago. And it is still proving to be unsafe in the young - be it an excess of vitamin A, a food fad or an alcohol problem. " Jan et Ne wman, R.N., in fe tal inte nsive care is a m ember of the team . 24 While the list of harmful drugs for fetal growth and development now numbers over 200, drug therapy has spelled the difference for many mothers. However a cautionary note was expressed on the cystic fibrotic or diabetic woman who is now getting pregnant. " They are imposing potential severe problems on their babies, " he said. Because most people need a friend, Dr. Petersen hopes to convince volunteer groups to adopt a high-risk mother. " We need to establish a meaningful relation that is beneficial to the individual, " he continued. And because mortality rates in this state are not solely due to disease- murders, accidents account for a very high percentage- he feels that we may not be giving our young an opportunity to create a meaningful life, that " perhaps we in medicine should be looking at more of these things. " Through a program to be offered this fall on those qualities of life that make it worth living, he hopes a panel of experts/ laiety may pinpoint opportunities by which the young may experience a more meaningful life as well as areas in Buffalo where it can be improved . For the clinician/teacher/researcher, life continues to remain absolutely profound . " I want everyone to experience the process of living. " (, THE BUFFALO PHYSICIAN �The Ellicott Complex on th e Amherst Campus. SUMMER, 1975 25 �T HE Helen Winterhalter, a student in the pediatric nurse program, and Dr. Beirne, medical director, examine a patient. WestSide Health Center Debrah Pope, RN and a pediatric nurse associate, and Dr. Beirne examine a baby. 26 WEST SIDE HEALTH CENTER at 17 Pennsylvania Street (Lakeview Apartment Complex) is a partnership affair. Involved in this unique partnership are Children's Hospital, the City of Buffalo, the Erie County Health Department and the Community Board. Dr. Harry M. Beirne, assistant professor of pediatrics, is the director of the pediatric program and is assisted by Dr. Mary Brady and Debra Pope, RN/PNA. Miss Pope is a graduate of the Pediatric Nurse Associate Program at SUNYAB and functions in the extended nurses role seeing pediatric patients under supervision of the pediatricians. Dr. Alan Shields, of the Erie County Health Department, is the physician for the Adult Program. The Health Center serves the families of the lower west side of Buffalo, an area that is underserved medically. One indicator of the medical need is the high percentage of under immunized children in the grade schools in the vicinity. The department of pediatrics has attempted to apply modern concepts of community pediatrics at the center. Primary pediatric care is offered including well and sick child care. Subspecialty or surgical care is provided by referral to Children's Hospital. The emphasis is on prevention of disease and the promotion of normal growth and development. Screening is a major aspect of the program including testing at specified ages for Mary Barth, public health nurse, checks the blood pressure of a patient. �I - Secretary clerk Carmen Carrion -- -- ---- - - - lead poisoning, anemia, urinary abnormalities and infections and tuberculosis. Developmental screening is also an integral part of the ongoing care of children. Visual and audiometric hearing screening is planned for the near future. Currently a health worker is being trained to perform sweep screening audiometry on preschool age children. Several family health workers funded through the City of Buffalo Office of Manpower Planning and the Erie County Health Department are working in the clinic assisting in clinic procedures including interpretation for Spanish speaking patients and doing outreach work. They work under the supervision of Mrs. Anne Dickens, the clinic's Social Worker. The pediatric and adult clinics operate primarily on an appointment basis. The pediatric clinic is open from 9 a.m. to 5 p.m. on Tuesday and Thursday, Monday morning and Friday afternoon. The adult program has hours Monday afternoon and Friday morning. Currently, approximately 80 patients a week are scheduled at the Health Center. Every Wednesday morning a Maternal and Infant Care Clinic meets in the same facility. This clinic is a part of a city wide program directed by Dr. Adebayo S. Ademowore and funded by the Department of H.E.W. through the New York State Department of Health. Dr. James Chen is the OB-GYN physician for this clinic which provides comprehensive prenatal care including nutritional and social evaluation and counseling as well as family planning services to "high risk" populations. Medical secretary Jenny Maroney Susan Ganzer, a social worker, (right) visits with a patient. SUMMER, 1975 - 27 --- �Dr. Mary Brady, pediatrician, and Kathy DiGaudio, RN, with a patient. A coordinated program has been worked out between the pediatric and M&IC clinics at this facility. Expectant mothers who choose to have their pediatric care at the center and who deliver at Children's Hospital are interviewed by the Pediatric Nurse Associate (PNA) in the prenatal clinic during the last trimester of pregnancy. The Mary Barth and Mr. Russell Smith, a community health planner consultant. pediatricians and PNA subsequently begin their direct health care supervision of the baby in the newborn nursery. It is felt that this close cooperation between these programs will contribute to an optimal beginning care for these infants. Mr. Russell Smith, a health worker and member of the Community Board of the West Side Health Center, said the clinic was established with the philosophy that the best way to successfully deliver health care to the poor is to make use of the resources of the private sector. " We seek to integrate public and private resources in a partnership that will be beneficial to community residents. " In the fall of 1969 a group of medical students at the University working together with community people started to work actively to bring about a health center. At that time the medical students were reacting to what they felt were the needs of the people of the area for community based health services. The West Side is made up of a diversity of ethnic and racial groups including Puerto Rican, Black, Native, and Italian Americans, Arabs and others. For various reasons including language barriers, cultural practices and the lack of ambulatory medical facilities in the immediate area many of these people were not receiving medical care. On February 1 , 1972 the Center started as the Allentown-Lakeview Community Health Center on 273 Maryland Street. It was here that a group of people (volunteers, nurses, physicians, dentists and medical students) started to lay the ground work for the present program.O Secretary clerk Linda Chapman 28 �Library Hospital Relations The Health Sciences Library is expanding and strengthening its service relationship with area hospital libraries, according to Mr. C.K. Huang, health sciences librarian. "In recent weeks our staff members have visited major hospitals and health institutions to explain our services. " Currently delivery service (interlibrary loan) to users in hospitals is provided by the Information Dissemination Service of the Health Sciences Library. Services include loan of books, copied journal articles, computerized bibliographical searches through the various data bases of the SUNY Biomedical Network and the MEDLINE terminal of the National Library of Medicine. "We encourage hospital staffs to take full advantage of the services available to them. University faculty members stationed in the hospitals may request delivery service from the Health Sciences Library through their hospital library," Mr. Huang said. " Or they may come to the campus and use the library. They have the same privileges as a faculty member stationed on campus." Hospital staff without a faculty appointment may obtain a courtesy card from the library if they wish to borrow material. The Current Awareness or Selective Dissemination of Information (SDI) is another service by which researchers are kept alerted to new journal articles in their areas of interest. This is done through the SUNY Biomedical Network or MEDLINE. User profiles may be stored and automatically processed each month against the most current available data base. The current awareness profile will provide users with citations two to three weeks before they are available in the Index Medicus. The Information Dissemination Service of the library was established in 1970 with a three-year grant from the Lakes Area Regional Medical Program. This provided needed library services to the health professionals of Western New York. This service has been continued with support from the University, the Regional Medical Library and other cooperative programs. The library serves as· a backup to area hospital libraries, according to Mr. Huang. "This is the same principle under which various University branch libraries have been established to meet local service needs. Examples such as the Bell Science Library, the Ridge Lea Library, and the proposed Bio-Pharmacy Library provide library services for the faculty and students stationed in those locations. Other off-campus units, such as the departments of oral biology and physical therapy, also maintain small collections for their faculty. The Health Sciences Library provides backup support to all these unit libraries as well as supporting the hospital libraries." An updated union list of current periodical holdings of all hospital libraries in Western New York is being published, Mr. Huang said. A similar union list for audiovisual materials is being considered. These efforts will encourage the hospital libraries to share their resources and this will provide better service to its users. 0 SUMMER, 1975 29 �New Gyn-Ob Learning Center President Robert Ketter greets Dr. Randall. Sophomore medical student Nancy Nielsen and Or. Vincent Capraro in the learning center library. A student works through filmscript and workbook. A new gyn-ob learning center on the third floor of Children's Hospital Annex is helping students learn about patient care. Named the Clyde L. Randall Learning Center (he is a former department chairman who retired after 37 years of distinguished University service), it is open 24 hours a day, seven days a week to medical, nursing, graduate, and postgraduate students. Its new classroom can hold up to 70 students, explained Dr. Wayne L. Johnson. And, the gynecology-obstetrics chairman continued, but a few paces from the lecturn is a battery of switches from which a lecturer can operate videotape, movie/slide projectors (overhead and opaque ones), lights, and PA system. Students are assured a quiet place for study. " In the learning laboratory, " he continued, " are individual study carrels equipped with caramate tape-slide projector programs with earphones." Even in the seminar room, where small group conferences may be held, there are slide/ movie projectors. In its library are reference books, journals, video- tapes, tape-slide programs, audio-tapes, and programmed texts . There is a complete listing of all audio-visual material, as well as topics for which a student is responsible. And if the student wishes to study at home, there are checkout privileges as well. Because " learning is something that is done by an individual," Dr. Johnson and others have prepared learning packages that will help him do just that. During the first week of the junior clinical clerkship, students spend much of their time in the Learning Center picking up the basics from these audio-visual aids on things they will need to know during their hospital duty. They range from the proper scrubbing of hands to the basics of labor and delivery. " The instructor," explained Dr. Johnson, " is then free to discuss patient problems with students as well as applications for the basics they have learned." for example, in a learning package on normal labor, the student receives filmscript, workbook and suggestions that he read objectives of the package, view the film, and take the post test, Dr. Johnson explained. " If the student has not been 100 percent accurate, he is asked to work through filmscript and practice cycles, try for a perfect score, and then completely assess the learning package. We want the best possible teaching program," he said. During the remaining time on clinical clerkship, juniors rotate in small groups through five teaching hospitals. Explained Dr. Vincent Capraro who heads the gyn-ob teaching program for students and residents, " we want them to view the whole spectrum of problems that a woman may have during reproductive years as well as something about the older patient." 30 THE BUFFALO PHYSICIAN �Dr. and Mrs. Randall were honored at two receptions. One, an open house held in the new Clyde L. Randall Learning Center where his portrait will permanently hang, was sponsored by the gynecology-obstetrics department. At the other, held in the University Faculty Club by the department, the Medical School, and the Buffa lo Gynecologic and Obstetric Society, luggage was presented to him. 1. Drs. Evan Calkins, ]ames Nolan, Randall; 2. Drs. Randall, Thomas Cummiskey, John Armenia, Bernard Smith; 3. Dr. Luther Musselman, Mrs. Randall, Dr. Robert Warner; 4. Dr. John Richert, Dr. & Mrs . Vin cent Capraro; 5. Dr. Richard Romanowski, Mrs. Randall, Dr. Craig Benjamin; 6. Drs. Williard Elliott, Joseph Lee; 7. Drs. Werner Noell, Randall; 8. Me/ford Diedrick, Dr. Wayne Johnson. SUMMER, 1975 31 _j_ 0 - �Dr. Randall's receptio n: 9. Lois Lewis, Dr. Randall, Barbara Lannen; 10. Drs. 5 . M ouchly Small, O. P. ]ones, Randall; 11. Dr. Ruth M cCrorey, M r. C.K. Hua ng; 12. Drs. ]iri Lukas, A nke Ehrhardt, Elizabeth McCauley, Heino M eyer-Bah/burg. That the teaching program is a good one, Dr. Capararo attes ts to the wealth of well-trained, highly-motivated teachers on the gyn-ob clinical faculty. Coordinating teaching efforts at the Buffalo General is Dr. Paul K. Birtsch; at Childrens, Dr. Loren P. Petersen; at the E.J. Meyer, Dr. Charles J. Woeppel; at Deaconess, Dr. Jose f . Cunanan; at Millard fillmore, Dr. Robert V. Moesch ; and at South Buffalo M ercy , Dr. Harry E. Petzing. Pointed out Dr. Capraro, elective programs are tailormade to a senior's taste. And in their search for a flexible program, students and residents are queried as to likes/ dislikes at the end of each rotation period. () 32 THE BUFFALO PHYSICIAN �Millard Fillmore Hospital (Gates Circle) has expanded its capability to care for its most critically ill heart patients. It has eight more beds in its cardiac care unit bringing the total to 44. Dr. Lawrence H. Golden, chairman of the department of medicine and chief of the Cardiology Section, said the " beds will be used for our most desperately ill patients." Dr. Golden is a 1946 Medical School graduate. Dr. Allen Goldfarb, director of the Cardiac Care Unit, explained that the new unit has additional sophisticated equipment offering hemodynamic monitoring. Each room in the new unit has a cardiac defibrillator at the patient's bedside, according to Dr. Goldfarb, a 1951 Medical School graduate. "Ours is a total approach to cardiac care," Dr. Golden said. " We offer the best possible medical care, but we don' t just put a patient in a bed and think of him as a cardiac. Coincident to his arriving at Millard Fillmore Hospital, he is put into a rehabilitation program which covers his understanding of his medical problems, his diet, exercise and physical therapy, and last but not least, a psychological approach to his illness. " Patients admitted to the Millard Fillmore Suburban Hospital and requiring treatment in a cardiac care unit are transported to Millard Fillmore Hospital (Gates Circle) once their condition is stabilized. A specially equipped ambulance is used which provides the cardiac care unit with a constant electrocardiagram reading and direct telephone communication.() Hospital Expands Cardiac Care Dr. Go ldfa rb (left) and O r. Golden view patients' heartbeats in the new C. C. U. with monitor technician R oz Easton. SUMMER, 1975 33 �Family Care Center T he new Family Care Center is serving 100 outpatients a day. The Center serves the health needs of residents of Buffalo' s East Side and is funded by a $686,088 Federal Grant ($337,533 is from Erie County via HEW). The Center, which opened in December, occupies a large part of the old School 84 on the grounds of the E.J. Meyer Memorial Hospital. "Our entire service area is Erie County but we are realistic and realize that most of our patients are going to come from the immediate neighborhood," said Dr. Ferdinand A. Paolini, project director. He is also director of clinics at the Meyer Hospital and a clinical associate professor of medicine at the Medical School. " The program at the Center is oriented toward the family - low income persons, young and old. We are treating the family as a whole and providing comprehensive care for every member of the family. We want our patients to consider our clinic, our team as their physician," Dr. Paolini said. Dr. Paolini, Mr. Leftridge Dorothy Mason, assistant director (middle), Dr. Jean Grif fin , asssistant professor of pediatrics (standing), visit with a patient (left). �1 Mrs. John Smeader, R.N., weighs a patient. Norman McClain, L.P.N., takes a blood sample. J Dr. Nirmala Mudaliar, clinical associate in GYN/ 08 (left), and Mrs. John Sunday, R.N. (standing) check the blood pressure of a patient. I 35 �The Center will have a staff of 42. This includes physicians in pediatrics, obstetricsgynecology, and internal medicine; nurses, technicians, social workers, counselors, lab assistants, secretaries and representatives from mental health and Office of the Aging. There are also two special units- dentistry and pharmacy. The Center has extensive X-ray equipment and a laboratory to do a limited amount of analysis work, according to Mr. Henry Leftridge, program administrator. There is also an emergency room for minor problems. Patients with major problems requiring emergency care will be taken to Meyer Hospital. The idea for the Center was developed in 1973 by Erie County Executive Edward V. Regan and officials of the County Health, Mental Health, Social Services and Office of Aging Departments. A community group headed by Mr. Joseph Gist was also involved in planning the Center. The Center is open from 8 :30a.m. to 4:30p.m. five days a week on an appointment basis. Persons without appointments are often accepted. 0 Or. Jean Griffin examines a patient. Cynthia Leftridge works in the lab. Mr. Max Lendner, a case worker, interviews a patient. 36 THE BUFFALO PHYSICIAN �II I Dr. Mosher Will Retire July 1 Dr. W illiam E. Mosher, Erie County Health Department Commissioner for the last 16 years, will retire July 1. He has been on the Medical School faculty since 1951. The 65-year-old Dr. Mosher is a clinical professor of social and preventive medicine. Terming his decision " difficult," Dr. Mosher said " it is time for me to seek a less demanding way of life than that of a public official in charge of a large department. I hope to do some consulting and perhaps some part-time teaching." A native of Ohio, Dr. Mosher received his medical degree from Syracuse Medical School in 1936 and his master' s degree in public health from the Harvard School of Public Health in 1939. Except for a period from 1943-1946 when he served in the United States Navy, Dr. Mosher has worked in public health since 1937 when he joined the State Health Department as an epidemiologist-in-training. Looking back on his 38 years of delivering health care to the public, Dr. Mosher said "our greatest accomplishments have been where we' ve been able to do it on a mass basis. " He cited the eradication of such dreaded infectious diseases as polio and diphtheria and the almost total extinction of tuberculosis as solid accomplishments. Dr. Mosher is also proud of the neighborhood health centers that his department has established in the inner city and Lackawanna . "We have led the nation in neighborhood health care, " he said. Dr. Mosher was appointed a deputy health commissioner for Erie County in 1950, first deputy commissioner in 1954 and health commissioner in 1959. He is the au thor of several scientific papers and a co-au thor of the book, " Long Term Childhood Illness." In 1972 he received the Hermann M. Biggs award for his outstanding work in public health from the New York State Public Health Association . Dr. Mosher was named an outstanding citizen by The Buffalo Evenings News in 1960. In 1965 he received a brotherhood award from the National Conference of Christians and Jews. (> SUMMER , 1975 37 Or. M os her �Or. Alvis USFMS Come Home by Harry]. Alvis, M .D. The Medical School accepted five third year students through COTRANS in August 1974. They all attended foreign medical schools. Th ey are: Michael Bye, University of Rome; Steven Karp, University of Brussels; and three from Guadalajara, Mexico- Thomas Foreman, Ronald Marconi, and Warren Thau. 0 In recent months the impact that foreign medical graduates are having on the U .5. medical scene has received much publicity. Some has been good, some not as good. Mixed into it however is the neglected problem of Americans who study at foreign medical schools because they were not accepted in American ones. But let us not dwell on the reasons why they were not accepted. For the past few years there has been close to three aspirants for each seat available in freshman classes in all of our medical schools. The two largest clusters of American medical students studying outside the United States are in Bologna, Italy and in Guadalajara, Mexico. There are twice as many at Guadalajara as at Bologna. This is a condensed report of how sons and daughters of our neighbors can return to the health-care system in our country as physicians. The best overall route back is COTRANS. It is a program sponsored by the Association of American Medical Colleges (AAMC) in which something less than half of the U.S. schools have agreed to participate. The Medical School at the State University at Buffalo has been a limited participator in the past. Hopefully its participation will grow in the future. To utilize this route, students enrolled in a foreign medical school must apply through AAMC headquarters in Washington for permission to take Part I of the National Boards. Passing this examination ostensibly makes one eligible for return to the U.S. system via the 42 out of a total of 115 medical schools that participate in the program. But there is another gimmick which must also be satisfied. Each school can set its own standards for passing this examination. For some the standard is overall passing, for others it is passing each subject. The standard at Buffalo today is passing all subjects. Some will say that this is a more stringent requirement for entering the clinical years of the curriculum than is now required of registered students. Others point out that this requirement assures at least a level of competence in the basic sciences gained in a school where there is no other basis of comparison with U.S. schools. Passing Part I of the National Boards falls far short of guaranteeing a place for return to the health-care system in America however. Not all of the participating schools take returnees each year. A school may take only a few COTRANS candidates for advanced standing or entry into the clinical years. The track record for this route of return- about half the number who inquire complete an application, only half of this number show up for the exam, and about half who do take the exam will pass it successfully. In a recent year, only a little over half of those who passed - ISO students- were able to find a position in a U.S. medical school. Years ago the Educational Council for Foreign Medical Graduates (ECFMG) agreed that the requirement of a foreign internship for a U.S. medical student was not as practical or useful as spending a comparable period as a clinical clerk in an approved affiliated teaching hospital in this country. Accordingly, ECFMG accepts an academic year of " supervised clinical experience" in lieu of a foreign internship. Some foreign medical schools that require completion of an internship before awarding an MD degree will accept a period as a clinical clerk in an American affiliated hospital as an equivalent. 38 THE BUFFALO PHYSICIAN �One can therefore use the ECFMG clerkship route to obtain an ECFMG certificate after successfully passing the exam. The certificate is a key to open the door; for its holder is eligible for appointment to any approved residency training program in this country. Eligibility for appointment is a big step. While obtaining such an appointment may not be easy, it does put the USFMS graduate on " a par" with other graduates of foreign medical schools. And since ECFMG is widely accepted for a hospital training program appointment, its certificate is recognized for licensure requirements. The most recent way a USFMS may return to our system is through the FIFTH PATHWAY. It is a name coined by the inner AMA circle in their response to a lawsuit filed against organizations who control the health care system in this country. Most are aware that the AMA has no legal status in any jurisdiction and that whatever it says does not make anything legal. While this proposal did relieve the heat from a threatening lawsuit, it established nothing legally. Several states subsequently enacted laws to legally establish something resembling the FIFTH PATHWAY proposal. In Ohio, while such a law was enacted one year, it was rescinded the next. It caught some students from the Guadalajara Autonoma medical school in a very awkward position. The program was devised chiefly at the insistence of an organization of parents of students there as a mechanism to avoid Mexico's requirement that a year each of internship and social service must follow four years of medical classes. According to students, social service amounted to a year in a usually poorly-equipped rural clinic having the most elementary tools of the trade, often no drugs to dispense, and a large number of clients with no means to purchase them even if they were available. An additional complaint was that students were on their own. There was no backup or guidance. The FIFTH PATHWAY resembles, in content, the ECFMG Clerkship. While its nine-month supervised clinical experience is a varied one, its qualifying exam must be taken before the training period (as recommended by the AMA). In response to an aggressive lobbying campaign, the New York Assembly passed a law in 1972 which legalized implementation of programs that resembled the AMA' s FIFTH PATHWAY proposal. It did have a fatal flaw- it was so loosely worded that it would have opened the floodgates to all foreign medical graduates. Governor Rockefeller therefore vetoed the bill. . In 1973 a renewed effort met with passage by the Assembly of another bill in which that defect was corrected - the route was open only to U.S. citizens at the time of enrollment in a foreign medical school. There was still abundant room for manipulation and confusion for the bill required a qualifying exam. Unspecified however was what was considered to be an acceptable exam, what is a passing grade or when the exam should be taken in relation to participation in the program. It left these important decisions to each sponsoring school. While the New York State Board for Medicine carefully reviewed what it felt to be appropriate, no guidelines for a statewide uniformity of standards were printed by them. Persistent inquiry however revealed that the dSUMM ER, 1975 39 Routes By Which An American Can Enter U.S. Health Care System As A Physician I. REGULAR Premedical preparation - usually fo ur years but not always a legal requirement. M edical School - usually fo ur years w ith clerkship of s uperv ised clin ical experience in third year and a fo urth or senior year of electives. Postgrad uate training - three to five o r m o re years. Inte rn s h ip inco rporated in so m e way into residency p rog ra m. No m o re ge n era l rotating intern ships. MD Degree - on g raduation f rom most U. S . med ical schools. Licensure - achieved v ia N BM E (3 parts) o r FLEX that is usually tak en by end of firs t p/ g y ear. II. COTRANS - A AM C-s po n so red program in w hich less than half of the U.S. medical schoo ls participate. Premedical preparation - same as l. M edical Sc hoo l - some fo reig n m ed ical school. Part l of N BME taken on co m p letio n of basic science courses. S om e schoo ls accep t o n basis of overall passing, others o n passing of each s ubject. C linical su bjects taken at U.S . m ed ical school usually at s tart of third y ear. MD degree - on g raduatio n f rom U.S. m edical schoo l. Licensure- same as I lll. FMG Premedical preparation - as requ ired by foreign m edical schoo l. S om e schools g rant limited advanced stand ing fo r co urses taken in college but this p ractice is fading. M edical School - in fo reig n country course of s tudy varies f rom fo ur to seven years. General pattern includes what we k n ow as p rem ed in to m edical schoo l curriculum. Postg radu ate training - completion of in ternship requirem ent if there is one. After passing ECFM G exam and obtaining certif icate, obtain U.S . hospital appointment fo r U.S . postg raduate prog ram . Licensure- v ia FLEX. �IV. USFMS - can be identical with III Route. Premedical preparation - usually as I. Medical School- usually as III. ECFMG- take and pass exam. ECFMG clerkship - three threemonth periods of supervised clinical instruction in hospitals affiliated with medical school and in program sponsored by medica/school. Postgraduate training - After obtaining ECFMG certificate, obtain U.S. hospital appointment for U.S. p/ g program. This route appeals most to those in European medical schools. licensure- via FLEX. V. FIFTH PATHWAY - devised for students enrolled at Autonoma School of Medicine, Guadalajara but may be used by others in any Mexican medica/school. Premedical preparation- same as I. Foreign Medical School - usually four years. Internship and social service required by government prior to MD degree. Clerkship - nine months of general supervised clinical instruction in hospitals affiliated and sponsored by medical school. While authorized by New York State in 1973 the law is so loosely worded that it leaves considerable discretion to sponsoring school. NOTE: Principal attraction of this program over full ECFMG route is avoidance of government-required Social Service year which many consider NOT a learning experience limited supervision, instruction, facilities in rural clinics where social service is usually performed. Its chief criticism is that program is still quite new. No one yet knows full story on reciprocity for these programs in various states or acceptability of license secured via this route. VI. Eight Semester - often sought by students at Gudalajara. While student pays tuition to school in Mexico he obtains instruction in a U.S. hospital. There is some effort to indirectly associate this program with a U.S. school sponsorship. The program was not approved for Buffalo for a variety of reasons. Board favored ECFMG as the most relevant exam available today, that it should be taken before entry into the FIFTH PATHWAY Program, and that a passing score (scaled score of 75) represents an acceptable standard of performance. This view is not held or adhered to by every hospital or school offering such FIFTH PATHWAY -type programs. At U/B the Committee handling such programs decided by majority vote to adhere to Board for Medicine concepts- that ECFMG is an appropriate qualifying exam and that it should be passed prior to entering the program with a scaled score of no less than 75. All of these options however are left to the discretion of each sponsoring school. While surveillance at some schools over such programs may not be as complete as at Buffalo, the Committee feels that these programs will provide a legitimate mechanism by which Americans can return to the U.S. health care system. They also feel they should be conducted in such a way as to protect patients from exposure to students trained in a substandard way. The committee functions as follows: A chairman handles all correspondence to ensure the consistency of information given to all applicants. The applicant, along with a completed application form, must submit a copy of his academic records (undergraduate and graduate), a transcript of his medical school's records at least through the third year, and letters of recommendation from physicians who have some knowledge of his character, conduct, and professional potential. These are assembled and circulated through the committee for comment and a majority vote determines whether a candidate is acceptable or not. The committee also determines how many candidates can be accommodated in specific hospitals in the community. Internal medicine, surgery, ob/gyn, pediatrics, and social/preventive medicine are represented on the committee by physician members who assign each transferee to specific sites for their department's portion of "supervised clinical experience." Those conducting the training evaluate by submitting performance reports. Candidates are notified periodically on their progress by their local preceptor. On important matters, the transferee will be notified by the committee chairman, and a departmental representative will help on any problems that may arise on his portion of the training experience. While there has been no effort to publicize these programs, "word of mouth" has led to a steady flow of inquiries about Buffalo. The program began in the Fall of 1974. The first student has enrolled and others are in process during the winter. There are now more applications than places. Priorities established by the committee are for Western New York residents, other New York residents, and other states in that order. We now have applications from all over New York, Pennsylvania, Ohio, Texas, California, and New Jersey. While there are similar programs in New York City, the number of applications exceeds the number of available places. There is another program often referred to by students at Guadalajara as the EIGHTH SEMESTER Program. While students pay tuition to a school in Guadalajara they train in a U.S. hospital. When this program was discussed some months back, serious objections were raised by our school about providing the training and Guadalajara supplying the 40 THE BUFFALO PHYSICIAN �academic credit and rece1vmg the tuition. The Clinical Council strenuously objected on the basis that a student would occupy a training place that could otherwise be used for a COTRANS transfer student. When such a COTRANS student occupies a place there is some possibility for U/B receiving capitation funds. Still another objection raised centered on Guadalajara enrolling more students than they can train, as well as charging a high tuition fee. Lack of sufficient facilities to train such a large number of students leads to behavior that smacks of "operating a diploma mill." Cooperation in such a venture, it was therefore felt, encourages further development in that direction. Students involved are the "forgotten men and women." They know they will receive a more useful and valuable clerkship-type of experience in a hospital back home than the training they receive in limited Guadalajara facilities. There are emotionally-laden pro and cons for the EIGHTH SEMESTER Program. At U/B the Clinical Council has approved both ECFMG and FIFTH PATHWAY programs to be used in lieu of a foreign internship. There is no EIGHTH SEMESTER Program in Buffalo. ') A project team from the School of Architecture and Environmental Design won a national architectural research award for development of a system for ambulatory patient care. The award was given by the magazine, Progressive Architecture. The award-winning research project undertaken for the Lakes Area Regional Medical Program, was headed by Gunter Schmitz and Scott Danford, professors in the School of Architecture and Environmental Design. Working with them were campus associates and medical administrative and planning professionals at the Buffalo General Hospital. The award also cited Architecture and Environmental Design Dean Harold L. Cohen and Lawrence Zimmerman, project coordinator. Utilizing the out-patient department of the Buffalo General Hospital as a test case study, the team developed a program under which teams of observers with tape recorders observe the routines of hospital doctors and other members of the medical staff, seek data about patients as to the average length of stay in the hospital, type of sickness and injury, treatment, sex, age, and identify bottlenecks in terms of hospital administrative procedure and building design. Ultimately, the information obtained is fed into a computer which prints out optimum floor plans to best satisfy the needs of doctors, nurses, patients and staff. Such a system might indicate that the hospital involved needs new administrative procedures rather than a new building, Dean Cohen explained. "We're not interested in building a building. We're interested in solving a problem." Dean Cohen believes an architect should be more than a designer of buildings. "We believe in basing a design on the needs of people." 0 SUMMER, 1975 41 BUFFALO PROGRAMS At Buffalo the School of Medicine sponsors both ECFMG and Fifth Pathway programs. They are supervised by a committee of five faculty members from departments of Internal Medicine, Surgery, Ob/Gyn, Pediatrics, and Social and Preventive Medicine. For further information write to: Harry]. Alvis, M.D. Chairman, USFMS Prog ram Millard Fillmore Hospital 3 Gates Circle Buffalo, New York 14209 Architecture Prize For Health Care Plan �Dr. Richard E. Bettigole Hematology Division: Erie County Lab Mary Jane Kassin, laboratory assistant, stains blood smears while medical technologists Nina Skomra and Barbara Wozniak, do prothrombin times. Dr. Ronald A. Rohe; Rita Rose Palmer, senior hematologist; and Mildred Pfeil, Nurse Donor confer in blood donor room. 42 THE BUFFALO PHYSICIAN �Like all diagnostic laboratories, the Hematology Division of Erie County Laboratory is providing service to patients. Drs. Richard Bettigole and Ronald A. Rohe who direct the division that includes blood bank and hematology laboratories hope these services will lead to better diagnosis and care. To handle the heavy load of services to patients at the E.J. Meyer Memorial Hospital, its satellite clinics in the community as well as those run by the Erie County Health Departments, 39 full-time plus 26 part-time personnel provide round-theclock laboratory coverage. Coordinating division activities is Rita Rose Palmer. In the blood bank - accredited by the American Association of Blood Banks - about 5,000 units of whole blood or packed red blood cells are prepared for transfusion annually, along with fresh frozen plasma and other blood Sorting out service requests and bloods are Karen Hill, m edical technologist, and Deanna Lipiarz, laboratory assistant. Looking at slides of bone marrow from patients with agranulocytosis with Drs. Bettigole and Rohe and first year resident Denis Hammand are senior medical students Robert Calhoun and Michael S chechter. Frankie D esults, chief technologist, regroups blood s received f rom the R ed Cross w ith senior technologist Diane Baehre and m edical tech no logist Mary Buchanan . products. Blood can also be donated by hospital personnel, friends and relatives of patients in our blood donor facility or at the Red Cross, says Dr. Bettigole. Like other hospitals in Western New York, E. J. Meyer' s blood needs are largely met by a regional Red Cross blood program that is directed by Drs. Reginald Lambert and Kathryn Zelenski (both are on the microbiology department faculty). d- SUMMER, 1975 43 �- Doing blood differentials are Kathy Powalski and Nancy Dispenzsa, medical technologists. Rita Dykstra, medical technologist, does platelet counts. Working on crossmatching of blood for transfusions are Jackie Stanfield, medical technology student; Leah Steinberg, laboratory technologist; and Sue Full, medical technology student. A variety of services are offered in the hematology laboratories, which also act as a reference laboratory for State quality control programs. They range from the routine to the unusual, notes Dr. Bettigole, who is an associate professor of medicine at U/B. In the routine hematology section, there are complete blood counts, differentials, platelet and reticulocyte counts, etc. underway while a number of special hematology tests are done in the residents laboratory. Here there are also tests for red cell osmotic fragility to rule out hereditary spherocytosis and leukocyte alkaline phosphatase for patients who may have chronic myelocytic leukemia. And there are screening tests for glucose-6 phosphate dehydrogenase deficiency as well as smearing, staining, and interpreting of bone marrow aspirates. Among tests performed in the coagulation section are routine partial thromboplastin times, prothrombin times, fibrinogen levels, etc. as well as tests for platelet function, fibrin-fibrinogen degradation products, and factor assays for patients with bleeding disorders or what appears to be a hypercoagulable state. The demand for serum vitamin B12 and folic acid level determinations is heavy. These are done in the nutrition laboratory and help in the evaluation of macrocytic anemias. Here there is also development of a procedure for measuring levels THE BUFFALO PHYSICIAN �of vitamin B. (pyridoxine) in serum which "appears to be important in some patients with refractory anemia," says Or. Bettigole. In the hemoglobin laboratory there are tests for serum haptoglobulins, hemoglobin and Gr-6-Pd variants that are studied by electrophoresis. Residents in internal medicine and clinical pathology, hematology fellows, and senior medical students also learn about clinical problems of patients with hematologic disorders. Said Or. Bettigole, "we acquaint them with laboratory procedures that are needed to diagnose and treat these patients." Also learning about hematology and blood bank procedures are medical technology students. Sharing their expertise in hematology are Drs. Robert Cotsen, Rose Ruth Ellison,Kamal Tourbaf, and others. Marie Gebhard (left) and Alan Kosinski (right), medical technology students, watch Robert Schroeder, laboratory assistant set up erythrocyte sedimentation tests. Automated procedures for blood counts are underway by Beverly Brovata and Barbara Wozniak, medical technologists. Ellen Morse, laboratory assistan .t, files laboratory reports. Dr. Bettigole and research instructor Elean Robson are taking an especially close look at fibrinogen metabolism for diagnosis and therapy of those with intravascular coagulation syndrome. And in cooperation with Or. Julian Ambrus of Roswell Park Memorial Institute they are studying patients with cancer, while Or. Rohe is trying to develop methods to diagnose and treat those patients with abnormal hemoglobins or thalassemia syndromes. d- SUMMER, 1975 �Jeanne Seybold, senior medical technologist, does routine and special coag ulation tests. " We find the division a fascinating and exciting area of medicine and laboratory technology in which to work, " notes Dr. Bettigole. So do many students and house-staff who continue to sign up for electives in hematology. 46 Dr. Bettigole received his medical degree from Columbia College of Physicians and Surgeons, interned at Bellevue Hospital and was a resident in medicine and hematology at the University of Oklahoma Medical Center. He held appointments at Memorial Sloan-Kettering Cancer Center and Cornell Medical College before coming to Buffalo and served for two years with the U.S. Navy . He is on the board of directors of the Blood Banks Association of New York State, is vice chairman of the Western New York Regional Blood Program's medical/ scientific advisory committee, and chairman of the Buffalo Chapter, American Red Cross' Committee on Platelets and Leukocytes. The hematologist is a Fellow of the American College of Physicians and a member of the Harvey Society. Dr. Rohe received a medical degree from Syracuse University, interned and completed a residency in medicine at Buffalo General Hospital, and served for two years with the U.S. Navy. He returned to Buffalo as a Fellow in Hematology and worked with Dr. Helen Ranney who now heads the department of medicine at University of California (San Diego).o THE BUFFALO PHYSICIAN �Emeritus Professor Dr. David K. Miller was granted professor emeritus status by the Board of Trustees of the State University of New York in March. Dr. Miller, who served both the Medical School and the E.J. Meyer Memorial Hospital for more than 34 years , retired in 1971. The outstanding teacher , scholar and clinician was professor of medicine and associate director of medicine at the Meyer Hospital when he retired. Dr. Miller received a bachelor's degree from Illinois Wesleyan College in Bloomington in 1925 followed by a medical degree from Harvard University in 1929. After completing an internship at Boston City Hospital he studied in both Germany and Austria. From 1931 to 1937 he was assistant in medicine and assistant resident physician at the Rockefeller Institute for Medical Research before coming to Buffalo as instructor in medicine. Two years later he became director of medicine and head of the department of medicine at E.J. Meyer Memorial Hospital (1939-1967) as well as professor of medicine at the University. From 1937 to 1948 he directed the laboratories at Meyer Hospital. In July, 1967 Dr. Miller asked that he be relieved of his hospital duties . A Fellow in the American College of Physicians, a member of county , state, and national medical societies as well as the Buffalo Academy of Medicine, American Society of Clinical Investigation, Society of Experimental Biology and Medicine, and the Harvey Society, he has also written numerous articles on anemia, blood and bone marrow. The 71year-old physician was the recipient of a special plaque at the annual 1969 Stockton Kimball Luncheon for " contributions as outstanding teacher, scholar and clinician. " 0 SUMMER, 1975 47 Or. Miller �Honorary Medical Degrees by Oliver P. ]ones, Ph.D ., M .D. Distinguished Professor On 25 February 1879 The University of Buffalo conferred an honorary degree of Doctor of Medicine for the last time. It was bestowed upon Professor Charles Avery Doremus, Ph.D. When Julian Park wrote his history of The University of Buffalo in 1917, he only knew of ten honorary degrees in medicine because the first Minute Book of the University Council, containing the records from 1846 to 1855, had been lost. Professor Oscar A. Silverman, then Director of Libraries , recognized the Minute Book of the Medical Faculty (3 October 1846 to 30 March 1878) in the library collection of Rev. John C. Lord . He called Chancellor Furnas' attention to the fact that Miss Grace Rumsey Smith, former member of the University Council, had obtained the Lord Collection from Dr. Charles Cary, whose wife was Evelyn Rumsey . Miss Smith gave the Lord collection to the Lockwood Library of the University of Buffalo. It is understandable why Or. Cary, who graduated from the University of Buffalo in 1875 , should have had the Minute Book, because he succeeded Professor George Hadley in 1878 as Registrar of the Medical Faculty. Apparently some of Dr. Cary's books were also included in the Lord collection. Shonnie Finnegan, Archivist, made it possible for me to read and analyze this Minute Book. The first entry about honorary degrees in the Minute Book was on 16 June 1847 ... Dr. Hamilton proposed the name of Phineas Burdick upon recommendation of Dr. (Miles) Goodyear, curator (Cortland County), for the honorary degree of M .D . at a future time .. . . The second entry was on 13 June 1848, the last half of which is copied here The following gentlemen were recommended by the Curators and the Faculty to the Council for the honorary degree of Doctor of Medicine : Gustavus A . Rogers (Bath , Steuben County), Jeremiah L. Knight and Jenks S. Sprague. Drs. (W.H.) Reynale, (Owen) Munson and (M .B.) Bellows were appointed a committee to examine the claims of Israel Chissom, Italy Hill (Yates Co.) for an honorary degree and report at the next annual meeting. Drs. (E.H .) Porter, (George) Hadley and (Miles) Goodyear were appointed a committee to examine the claims of Phineas Burdick for an honorary degree and report at the next annual meeting. Adjourned - Sine die Austin Flint, Registrar. The following day commencement exercises were held at the Washington Street Baptist Church and the first honorary degrees of Doctor of Medicine were conferred on Gustavus A. Rogers , Jeremiah S. Knight and Jenks S. Sprague as recommended by the Curators and Faculty. Their names are listed in the Annual Announcement for 1848 . Dr. Rogers , Curator from Steuben County, already had an M .D. degree, whereas Knight and Sprague were very likely apprentice physicians who were recommended by the Curators from their respective counties - Oneida and Otsego. The other cases are interesting because they represent two different approaches to the glory of an honorary medical degree. Burdick had a curator present his claims to the curators and faculty , who in turn had them examined by a committee. Chissom also had a curator intercede for 48 THE BUFFALO PHYSICIAN �him (Fig. 1), but for some unknown reason , the curator from Yates County had a medical student contact the faculty and other curators . The latter case is very interesting because, although P.K. Stoddard did not graduate until 14 June 1848, he recommended Chissom for an honorary degree the day before (Fig . 2). The title of Stoddard' s thesis was " The Medical Profession ." He may have written that public estimation of the medical profession was at a new low, not because of a lack of confidence in individual members of the profession but a want of confidence in the profession as such. He may have pointed out that in New York City there were at least fourteen different kinds of doctors . The Minute Book does not mention Burdick again, but the entry of 17 April1849 states ... Dr. Flint and (Erastus) Wallis were appointed to a committee to examine the claims and credentials of Dr. Chissom of Italy Hill, as a candidate for the honorary degree of Doctor of Medicine .. .. Although this is the last reference to Chissom in the Minute Book, Shonnie Finnegan, University Archivist, uncovered four letters and some notes from Stoddard to Dean Hamilton between 15 January to 26 February 1849. It was presumptuous on Stoddard's part to ask the Dean to have Dr. Voorheis bring the missing numbers of the Buffalo Medical Journal to him in Prattsburgh. He concluded this letter , " I would still urge the claims of Dr. Chissom to have an honorary degree . Pleae give him a hearing and oblige. " Over three weeks had elapsed when he wrote the following : Prattsburgh , Feb . 8, 1849 Prof. Hamilton Dear Sir: Not hearing from you through Dr. Voorheis as I expected , I am again induced to address you , begging pardon for this second intrusion upon your time and notice. If it is not too much trouble I wish you would write me, stating the terms upon which the Journal may be obtained , also whether all the back Nos. can be furnished and the terms . Dr. Voorheis joins me in recommending to your favorable notice, Dr. Chissom of Italy Hill as a suitable candidate for an honorary degree. I spoke to you of him last spring and gave you a letter from Dr. Oliver of Penn Yan setting forth his character and standing in the profession . Any required number of such papers can be obtained from members of the profession in his own and adjoining counties. He is able and will reward you for any trouble or expense you may incur in the prosecution of this enterprise. Write soon and state what more will be necessary on our part to secure for him a degree and it shall be done if possible in time. Yours with respect, P.K. Stoddard A.D. Voorheis d-SUMMER , 1975 49 �Apparently Dean Hamilton answered this letter because Stoddard replied as follows: Prattsburgh, Feb. 17, 1849 Prof. Hamilton Dear Sir: In answer to your inquiries with reference to Dr. Chissom I reply. Dr. Israel Chissom is 45 years of age and has required a good English literary and medical education. Though his professional life has not been one replete with striking incidents he has ever distinguished himself as a close and accurate observer of diseases in general and in one instance he diagnosed a case of pregnancy and maintained his position in opposition to the opinion of Dr. (Menzo) White of Cherry Valley (Otsego Co.) and other distinguished medical gentlemen. The result proved the correctness of his position and confirmed the solidity of his reasoning. He was licensed to practice in Medicine and Surgery by the Yates County Medical Society in August 1826, has since been and is still a practicing physician and I believe a member of the society. He is quite an eccentric character, but his moral and intellectual qualities are not questioned by those who are not acquainted with him and are endowed with sufficient capacity to judge of his merits. Yours, etc. , P.K. Stoddard On the back of this letter there is a note from Dr. A.D. Voorheis concurring with the above statements, another one signed by five physicians and a note from Stoddard saying: The above names are of some of the most respectable physicians of Yates County in which Dr. Chissom resides, his P.O. address is Italy Hill, Yates County, as is that of the Doubeldays and Wixson, the Olivers live in Penn Yan. I am not prepared to send for the Journal at this time. P.K. Stoddard The last letter of recommendation written on 26 February 1S49, came from the President of Yates County Medical Society. In spite of all this pressure on the faculty and curators, there is no evidence that Chissom ever received his much sought after honorary degree. In other words, Kemp's Law also worked in those days, namely," An applicant's acceptability is inversely proportional to the amount of pressure brought to bear on the Admissions Committee." Even without this law, some of Stoddard's letters to the Dean were presumptuous and patronizing, to say nothing about the hint of a bribe, which, in themselves, would be enough to squash the recommendations. Is it not strange that the only correspondence preserved in the Dean' s office for over one hundred twenty-five years, should be that connected with an unsuccessful attempt to obtain an honorary degree? 50 THE BUFFALO PHYSICIAN �The faculty was so preoccupied with answering charges leveled at them in anonymous letters to the press in February 1850 about Dr. White's demonstrative midwifery, that they forgot to record that twenty-seven candidates had satisfactorily passed their examinations before the Faculty and Curators. Although Austin Flint was dean at that time, he had to rely upon the Commercial Advertiser, 28 February 1850, for an account of the annual commencement for his editorial in the Buffalo Medical Journal. From this we learn " The Honorary degree of M.D . was conferred upon Samuel Carey of this city. " Two years later the Minute Book has the following entry for 19 February 1852... The Registrar was directed to notify Harvey Jewett of Allen 's Hill (Ontario County) New York that the honorary degree of M .D . was conferred on him during the session 1849-50 and to applogize for the facts not having been communicated before .. . Hence, by 1850, the University of Buffalo had granted five honorary medical degress . A year later they gave one to Aaron B. Bly of Sauquoit, Oneida County, and in 1852, Charles W . Wilcox , Buffalo and Walter Eliot Lauderdale, Geneseo , New York each received one. Prior to 13 March 1852, recipients of honorary degrees were notified either by a letter from the Registrar, by an article in the local newspaper or in the Buffalo Medical Journal. However, Harvey Jewett was not informed by any method. At the faculty meeting on the above date, it was " Moved by Dr. Flint, seconded by Dr. Hamilton, that the Dean be authorized to procure proper certificates, duly attested on parchment, to be forwarded to those receiving the Honorary Degree of Doctor of Medicine. Carried .. . " No copies of these certificates have come down to us . The Minute Book entry for 27 April 1853 states . . . On motion of Dr. Wallis (curator from Erie Co.), seconded by Dr. Hart (curator from Oswego Co.), Dr. Comfort Hamilton of Erie, Pennsylvania was recommended for the Honorary Degree of Doctor of Medicine. The entry for 22 February 1854 states ... The honorary degree of Doctor of Medicine was conferred upon the Hon. Daniel P. Bissell of Utica .. . A subsequent article in the Buffalo Medical Journal reiterated this. But the account in the Commercial Advertiser stated erroneously that an honorary degree had been conferred upon Dr. Henry Russell of Utica! The " Hon. " was prefixed to Bissell's name because he had been appointed Canal Commissioner by the Legislature and was Manager of the State Hospital. Dr. Bissell had previously graduated from Yale Medical College in 1826 so that the added degree was conferred in recognition of the positions of honor and trust which he had conscientiously discharged. Hence, from 1848 to 1854 the University of Buffalo had granted ten honorary degrees of Doctor of Medicine which heretofore had not been reported. Now then , from 1855 on it has been possible to cross check the Minute Books of the University Council and Medical Faculty with editorials in the Buffalo Medical Journal and Commercial Advertiser. In so doing , three more unreported honorary degrees have been discovered which escaped Julian Park's attention. As will be seen, one case was not in the typescript of the Council Minutes. In 1855, Dr. Cornelius Failing, Reynolds Basin, Niagara County was given an honorary degree and a year later, Dr. J. Marion Sims, New York City and Dr. James D. Trask, White Plains each received one. dSUMMER , 1975 51 Or. Wallace W. McGrory, a renowned authority on kidney disease, spent a week as visiting lecturer in the department of pediatrics. From the professor and chairman of pediatrics at the New York Hospital and Cornell Medical Center, students, housestaff, and area physicians learned about patient problems as well as some very exciting and provocative concepts in patient management. A rekindling of interest in the kidney seemed to be the general consensus at the conclusion of the visit. 0 �Until this time there was no inkling about the qualifications for an honorary degree. The Hon. George W. Clinton, President of the Board of Trustees had this to say (Those) who received honorary degrees as marks of the eminent appreciation in which they were held by the Council and Trustees for services rendered to humanity. An honorary degree thus granted , without the knowledge or solicitation of the recipients , was a testimonial to their merit, which , though not needed by these distinguished gentlemen, would not be unvalued .... There is no doubt that both of these men truly deserved to be honored because of the prestige they enjoyed as physicians - Sims for his treatment of vesicovaginal fistula and Trask for his prize essay on placenta previa . Dr. White was undoubtedly the most influential member of the faculty because for many years he was also member elect to the University Council from the Medical Faculty. Therefore, he could reasonably assume that his recommendations of outstanding practitioners in his specialty would be granted an honorary degree . At a later date, the University might have given them a degree which they did not already possess, such as Doctor of Science or Doctor of Laws . The two physicians were recommended for honorary degrees in 1860 - Dr. Frank Newburn of Drummondsville, C.W . (Quebec) and Dr. Richard Charles of Angelica, N .Y. For some unexplained reason the Council did not grant Charles his degree until a year later. We know nothing about Charles but we know Newburn was the preceptor for Dr. Robert H . Dee who graduated in 1852. Honorary degrees were granted to Dr. Eber Smith Carlisle, Plessis, Jefferson County in 1864, Dr. George Swinburn, Rochester in 1866, and Dr. Theodore Evans, Paris, France in 1868. There is nothing in the minutes of the Faculty and Council and newspapers to indicate the qualifications of these degree recipients. Dr. Theodore Evans may have been an acquaintance Dr. White made during his visit to Paris in the winter of 1866. Unfortunately, White did not mention Evans in his letters to the Buffalo Medical Journal. At the Faculty meeting held 18 February 1870, the Minute Book states, "Dr. Ross ' application for this degree (M .D.) was laid on the table, and the dean instructed to write that not being known personally to the Faculty his application is for the present deferred. " This is the last we hear about Ross. Two honorary degrees were granted in 1871, namely , to Dr. Edward Smith, Lewiston, and Dr. George Mann , Newfane. But " The application for honorary degree from Dr. G. G. Brush of Sheaklyville, Pa. (Mercer County) was referred to the Curator from Pennsylvania, namely, Dr. Lawrence Bennett, to be reported on next year. " He was not mentioned again. According to the Buffalo Medical Journal and the Commercial Advertiser, forty-five regular medical students were graduated on 23 February 1875 and W . McCollum of Lockport received an honorary degree of Doctor of Medicine. For some unexplained reason neither the Minute Book of the medical faculty nor the typescript of the Council minutes mentions McCollum. Both editorial accounts of the commencement exercises definitely state that he did receive such a degree . The following year (1876) , the typescript of the Council minutes mentions that Or. H. D . Vosburgh , Lyons , New York, was granted an honorary degree. The Minute Book does not mention it but the Buffalo Medical Journal does. Perhaps this discrepancy was due to Secretary Hadley's 52 THE BUFFALO PHYSICIAN �poor health because, following the entry for 7 february 1876, this statement appears The minutes which follow were copied after Professor Hadley's death, the notes made at the meetings but which he had been unable to copy in this book. This was done at the request of the dean by E.V.S. (Stoddart), April 18, 1878. The most noticeable error of omission is that it was not recorded the faculty ever met to examine the candidates in the class of 1876 and recommend them to the Curators. This also happened in 1850. On 25 february 1879, by vote of the University Council, the honorary degree of Doctor of Medicine was conferred upon Professor Charles A. Doremus, Ph.D., who had joined the medical faculty, not as a practicing physician but as a Professor of Chemistry. This was the last honorary medical degree granted by the University of Buffalo and it was the first appointment of a non-medical professor to its faculty. No mention of this honorary degree is in the Minute Book of the Medical faculty very likely because it was considered presumptuous to recommend one of their own for such an honor. The Council could by its own volition, or with a little suggestion, award the degree. Hence, it is so recorded in their minutes and reported in the Buffalo Medical Journal. According to all available information in local newspapers, the Buffalo Medical Journal and the minutes of the Medical faculty and University Council, twenty-three honorary Doctor of Medicine degrees The new Center for Immunology headquarters. Secretary Shari Wilson goes over some of her day's tasks with Center director Dr. ]ames F. Mohn. SUMMER, 1975 53 d- �Letter from Curator of Yates County to medical student_ 10 June 1848. 54 THE BUFFALO PHYSICIAN �were conferred between 1848 and 1879 without any formal examination of the recipients. Of these, three were granted to physicians not residing in New York State - Pennsylvania, Canada and France. During this same period at least four physicians applied unsuccessfully for such an honor. The doctorate was conferred in other fields two and a half centuries before it was awarded in medicine. There was a definite distinction in the colonies between physicians who were permitted to practice because of the completed apprenticeship and those who had graduated at a regular medical school, because they were entitled to write M.D . after their name. The latter were permitted to charge higher fees. In those days, a General Assembly or State Legislature could license physicians and even confer medical degrees . Legends : Photographs of letters found in the late Dean Edward Koch's files . They were mounted and framed by Dr. Robert L. Brown and are now in the A cademy of Medicine Room in the Sto ckton Kimball Tower. d- Letter f rom m edica l s tudent to Prof. F. H. Hamilton fo r Faculty and Curators - 13 Jun e 1848. l r ? !L . ~/ .,/ ( l l "<.;. f..(" / If t' ( / ( ' ...., ( ... .I I I 0 I ( ~ t "~ r J 1: ,- SUMMER , 1975 55 �References The references are arranged in the order quoted or paraphrased material first appeared in the article. 1. Park, ]. : A history of the University of Buffalo. Pubs. Buffalo Hist. Soc. 22: 1-87, 1917. 2. Minute Book of the Medical Faculty of the University of Buffalo (1846 to 3. 4. 5. 6. 7. B. 9. 10. 11. 12. 13. 14. 15. 1878). Archives, State University of New York at Buffalo. Editorial - Commencement. Buffalo Med. ]. 4: 62, 1848. Archives, State University of New York at Buffalo. Jones, O.P.: Kemp's Law, ]. Med. Educ. 36: 1741-42, 1961. Editorial - Commencement. Buffalo Med. ]. 5: 629-30, 1850. Editorial - Commencement Exercises. Buffalo Med. ]. 11: 639-40, 1856. McDonald, H.].: The doctorate in America. ]. Higher Educ. 14: 189194, 1943. Editorial: The term "Doctor in America." ]. Am. Med. Ass. 129: 1168, 1945. Sisson, A.F.: History of the doctorate. Chiropract. Physn. 28: 17-23, 1961. James]. Walsh, History of Medicine in New York, New York, Americana Soc., 1919, 5 vols., I. William F. Norwood, Medical Education in the United States Before the Civil War. Philadelphia. Univ. Penn. Press, 1944. Editorial - Compliment to Gen. Taylor by the New York State Society. Buffalo Med. ]. 4: 714, 1849. l am indebted to Ms. Mary H. Littlemeyer, Senior Staff Associate of Association American Medical Colleges and Ms. Victoria Elsner, Research Associates, American Medical Association for their valuable assistance. New York State Education Law, Art. Vlll, Sect. 355, para. 2 f. At the battle of Buena Vista (1847), Gen. Zachary Taylor is reported to have said that he would not leave his sick and wounded behind him. The President of the New York State Medical Society wanted to recommend Gen. Taylor to the Regents of the University for an honorary degree of M.D. However, Dr. Frank H. Hamilton, our first dean, offered some resolutions, expressing the sentiments of the Society, as a substitute for the diploma which were recorded and transmitted to the General. Why did the University of Buffalo stop conferring honorary Doctor of Medicine degrees in 1879? Was it a local decision, or a prohibition by some national body? In 1877 the American Medical College Association (A.M.C.A.) ruled: ARTICLE IV. OF HONORARY DEGREES. An honorary degree of "Doctor of Medicine" may be granted in numbers not exceeding one yearly, to distinguished physicians or scientific men of over forty years of age. But in such case the diploma shall bear across its face the word "Honorary" in conspicuous characters, and the same word shall always be appended to the name of the recipient in all lists of graduates. Part of the entry in the Minute Book for 12 April1877 states, "The dean was authorized to give certificates of election to two members of the Faculty as delegates of the American Medical Association in Chicago and also to the meeting of Associated Medical Colleges (sic) June next. Also to two delegates to meeting of the State Medical Society at Albany." As to whether the credentials of the delegates were ever used we do not know because there is no other entry in the minutes and there is no record that the University of Buffalo was a member of the A.M.C.A. at that time. A year after the University of Buffalo granted the last honorary Doctor of Medicine degree, the Association (A.M.C.A.) reported at its meeting in 1880 that it "has greatly diminished the number of diplomas that are bestowed without thorough study and examination." The University of Buffalo was among the first to abolish this practice because in 1881 only six schools reported conferring the honorary M.D. Today, the State University of New York is prohibited by statute from granting any honorary degrees. " 56 THE BUFFALO PHYSICIAN �Rare Books Discovered A first edition of Thomas Addison's monograph on what is now termed " Addison 's disease" titled : On the constitutional and local effects of disease of the supra-renal capsules, was identified while cataloging by Mrs. Mildred Hallowitz, associate librarian in charge of the History of Medicine Collection. This volume, published by Samuel Highley in London, 1855, is valued for the association of the donation and for its research value, as well as for its monetary value (which seems to be high). The donor was Dr. George W . Thorn, a former student of Dr. Frank Hartman, professor of physiology at the Medical School. At the time of the donation (1964) , Dr. Thorn was Hersey Professor of Theory and Practice of Physic and Physician-in-Chief of the Peter Bent Brigham Hospital (Harvard University). Dr. Thorn felt it was only fitting to give this valuable monograph to the University after he had received it from a grateful patient, who had recovered from the disease. " The History of Medicine Collection has other such interesting materials, which are now being cataloged and which we hope to make accessible to the community for research purposes," Mrs. Hallowitz said. The collection contains approximately 7,250 volumes of primarily 18th and 19th Century imprints. Many notable individuals have donated their personal collections to the University Library, e.g ., Drs. Roswell Park, James Platt White, Charles Stockton, George N . Burwell, Austin Flint, etc. " This collection affords great interest for research not only in the medical sciences, but to sociological and historical researchers as well. For example, we have had graduate students doing research on the 19th Century medical profession's attitude toward women . They found a wealth of primary source materials in our collection. " We would like to encourage the use of the collection. We also would like to suggest that any individual who is contemplating discarding his personal collection should consider donating the volumes to the History of Medicine Collection," Mrs. Hallowitz said. O SUMMER , 1975 57 �Third year medical student Marcellene Doctor at the pediatric clinic at the Cattaraugus Indian Reservation. Student Homecoming V isiting the pediatric clinic at the Cattaraugus Indian Reservation at Gowanda was like going home for Miss Marcellene Doctor, a third year medical student. The clinic is located in the same building where Marcellene attended elementary school in the 1950's. For two other third year medical students, Betty Gidney and Gene Schwartz, it was an opportunity to observe a pediatric clinic in action in a reservation setting. Dr. Gerald Daigler, a 1968 Medical School graduate, drives from his Springville office to the clinic every Thursday. He is a clinical instructor in pediatrics at the Medical School. Since 1972 Dr. Henry Staub, associate professor of pediatrics and director of pediatrics at the E. J. Meyer Memorial Hospital, has been involved with the health care of children on the reservation. Several medical students have had summer fellowships and worked with Dr. Staub on the reservation. Marcellene received her bachelor of science degree in medical technology in 1970 from Long Island University. She hopes to make a major contribution to the health care of her people in the years ahead. O THE BUFFALO PHYSICIAN �Dr. Daigler examines a patient while Marcellene Doctor (left) observes. Third year medical students Gene Schwartz and Betty Gidney console a youngster. SUMMER, 1975 59 �Dr. Daigler, Marcellene Doctor, Dr. Staub 60 THE BUFFALO PHYSICIAN �It is business as usual for the Lakes Area Regional Medical Program. But sometime in the near future (probably early in 1976) the LARMP will be combined with the Comprehensive Health Planning Agency and be known as Health System Agencies. This became a reality when President Gerald Ford signed the National Health Planning and Resources Development Act of 1974. " Basically the bill will eliminate the CHP and RMP agencies, but not their function ," Dr. John R.F . Ingall, said. He is director of the Buffalo based LARMP and chairman of the National Association of Regional Medical Programs. In assessing the potential impact the new legislation will have on Western New York and Northwestern Pennsylvania, Dr. Ingall expressed hope that the best functions of both RMP and CHP can be preserved and a new agency, separate and distinct from existing agencies, will be created to meet the many challenges as specified in the law. The current LARMP projects are: the Telephone Lecture Network, Allegany County Mobile Health Unit, Lakes Area Regional Tumor Service Registry, Rural Externship Program, Emergency Medical Services Project, Regional Hypertension Program, Rural Laboratory Improvement Project, Two-County Nutrition Project (Chautauqua and Cattaraugus Counties), Health Related Facilities Staff and Training, and Household Survey of the Elderly. Also, the Ambulatory Care Services Planning Model, Regionwide Medical Genetics, the Aging Relocation Survey, Rehabilitation for Aphasia Patients, Primary Care Nurse Practitioners Program, and the Domiciliary Staff-in-Service Training Program. O Rural Extern Program Approximately 50 health sciences students will participate in the fifth annual Rural Extern Program that begins June 16. The studen ts will be assigned to preceptors in the rural communities of Western New York and Northwestern Pennsylvania. In 1974, 57 students participated in the program; in 1973, 55; in 1972, 35; in 1971, 22 . In the past students from the other health professions participated. The eight-week assignment will allow students to get first hand experience in living and working in rural areas where health man power is usually scarce. It is hoped that some of these students will want to practice in these areas after graduation. Each student receives a weekly stipend and will work directly with a physician in one of the rural communities. Mr. William Crage will direct the project for the Lakes Area Regional Medical Program that provides the funds .O SUMMER, 1975 61 16 LARMP Projects �Eight Continuing Education Programs Eight Continuing Medical Education Programs are scheduled for May and June, according to Mr. Charles Hall, director of the programs. The dates , titles and chairmen of the programs are: May 1-15-31 Three Days in May-Recent Trends in Diagnosis and Therapeutics 54th Annual Program, Drs. R . H . Sellers, J. Nunn, H . Black. May 2-3Ophthalmology, Dr. T .J. Guttuso May 8American College of Surgeons, Western New York Chapter, Spring Program, Sports Medicine, Drs. W . Rogers, G . Reading May 9-10UB Alumni Spring Clinical Days 38th Annual Program, Dr. M .A. Sullivan May 14-15-16 Children Needing Rehabilitation , Dr. R. Warner , Mr. Tom Rozek May 19-20-21 Immunopathology of the Skin, Dr. E. Beutner ]urze 2-6 Refresher Seminar in Pediatrics, Dr. E.F. Ellis ]urze 4-5-6 Gynecological Laparoscopy, Dr. N .G . Courey. O 62 THE BUFFALO PHYSICIAN �The Classes of the 1950's Dr. Tommy Rodenberg, M '51 , of Hollywood, Florida, is a gourmet cook. It is his hobby and he has discovered a lot of short cuts that can be used with good taste. The 59-year-old gynecologist has a file box full of recipes that he refers to as "quick and easies ." These are the ones that either take a short time to make, or they can be hurried in one way or another without seriously affecting the finished product's guality.O Dr. Robert A . Baumler, M '52, recently became a Red Cross five-gallon blood donor. He is a clinical assistant professor of medicine and on the staff of Buffalo General Hospital. O The Classes of the 1920's In recognition of his 24 years as director of the Wadley Institutes, Dr. Joseph M. Hill, M ' 28, on the occasion of his 70th birthday was honored by an International Symposium on Oncology and Hematology in Dallas, March 27-28, 1975. One of his classmates, Dr. Bruno G . Schutkeker, M '28 (former assistant clinical professor of psychiatry) was in attendance. Dr. Oliver P. Jones , M'56, distinguished professor, chaired the session on Blood Banking .O Dr. Joseph S. David, M '53, is chief of staff, Children' s Hospital of Orange County, California . He has been chief of surgery at Children's and is also head of Section of Pediatric Surgery and associate professor at the University of California at Irvine Medical School. Or. David lives at 2141 Liane Lane, Santa Ana. O The Classes of the 1940's Dr. Irwin A. Ginsberg, M ' 44, has been elected chairman of the board of trustees of St. Mary's School for the Deaf. He is a clinical associate professor of otolaryngology and anatomical sciences at the Medical School. O Dr. Paul M . Walczak, M ' 46, president of the Millard Fillmore Hospital Medical Staff has been named a consultant to the department of surgery on the staff of the Roswell Park Memorial Institute. In a letter notifying Dr. Walczak of the appointment, Dr. Gerald P. Murphy, Institute Director, said " The mutual interest in our programs, which you have supported and expressed, as well as your own contributions to the American College of Surgeons and other surgical organizations in the area, would be most beneficial for our Institute." He is a clinical assistant professor of surgery at the Medical School. 0 Dr. Walter M. Lonergan, M '48, has been promoted to Rear Admiral in the United States Navy. He is at the Naval Regional Medical Center, Charleston, S.C. O SUMMER, 1975 The Classes of the 1960's Dr. Donald A. Hammel, M ' 60, is president of Portage County, Ohio, Medical Society for 1975. He was recently appointed chairman of the radiology department, Robinson Memorial Hospital, Ravonna, Ohio. He is commanding officer at the 2291 US Army Hospital (USAR), Akron, with the rank of Major. O Dr. Jack C. Fisher, M '62, has been appointed to the faculty of the University of California School of Medicine at San Diego as associate professor of surgery and head of the Division of Plastic Surgery. He will serve in a clinical capacity both at the University of California Medical Center and at the Veteran's Administration Hospital in La Jolla, California. O 63 �The Classes Dr. Leonard Jacobson, M '64, is a Diplomate, American Board of Ophthalmology, and a Fellow, American Academy of Ophthalmology and Otolaryngology. He is a part-time instructor at the University of Cincinnati School of Medicine. Dr. Jacobson lives at 5931 Bayberry Drive, Cincinnati. <> Dr. David Wallack, M '66, has served as a clinical instructor in medicine at the University of Colorado for the last three years. Dr. Wallack and his wife announce the birth of their second daughter, Sarena Beth, on February 3, 1975. The Wallacks live at 1091 E. Panama Drive, Littleton, Colorado.<> People Dr. Robert L. Gingell has joined the cardiology department of Children's Hospital and has been named assistant professor in the Medical School. Dr. Gingell comes to Buffalo from Baltimore, Maryland where he was assistant professor of pediatrics at the University of Maryland Hospital. He is a graduate of American University and the University of Maryland School of Medicine and served his internship at the University of Maryland Hospital Baltimore. In 1971-1973 he had a fellowship in pediatric cardiology at Johns Hopkins Hospital. <> Dr. Roger B. Perry, M '68, is now board certified in diagnostic radiology and is an attending radiologist at Michael Reese Hospital and Medical Center, Chicago. <> Dr. Lawrence J. Schwartz, M '68, has completed his two years service as staff ophthalmologist at Kenner Army Hospital, Fort Lee, Virginia, and is now in private practice in Los Angeles at 1155 North Vermont Avenue. <> The Classes of the 1970's Dr. Allan Wirtzer, M'70, recently completed his dermatology residency and is in private practice in Van Nuys, California. <> Dr. Robert Cooper, M '72, will be chief resident in general surgery in 1975-76 at the University of Maryland Hospital, Baltimore. He has been accepted as a resident in plastic surgery for 197678 at the Nassau County Medical Center, Meadow Brook, New York. Dr. Cooper lives at 18 Coachman Court, Apt. 101, Randallstown , Maryland. <> Dr. Arnold Scherz, M '73, pediatric resident at Albert Einstein-Bronx Municipal Hospital Center, New York, has been chosen chief pediatric resident for 1976-77 academic year. Dr. Scherz lives at 1925-25C Eastchester Road, Bronx.<> Dr. Howard R. Goldstein, M'74, will be a first year resident in surgery at North Shore University Hospital in Manhasset, New York, starting July 1, 1975. Dr. and Mrs. Goldstein announce the birth of a son, Lee Joshua, on August 23, 1974. The Goldsteins live at 214-09 14th Avenue, Bayside, New Jersey. <> 64 Mr. Carter Or. Gingell John M. Carter, executive vice president of the University at Buffalo Foundation, Inc. since 1973, is the new president of the Foundation. Mr. Carter replaces John Latona who has served in the post since 1972. Mr. Latona will serve as president of a yet unamed not-for-profit development corporation which will coordinate construction of a Faculty-Alumni Center and supporting commercial development on the new U/ B Amherst Campus. Mr. Carter joined the staff of the U/ B Foundation in 1969 as vice president for alumni affairs, after serving for three years as director of alumni relations at Michigan State University, where he was employed for nine years. Mr. Carter holds undergraduate and master ' s degrees from Michigan State. In his new post, Mr. Carter will head the private non-profit corporation chartered by the New York State Board of Regents to act as the University at Buffalo' s agent in soliciting, collecting and administering private monies.<> THE BUFFALO PHYSICIAN �People Dr. S. Mouchly Small, professor and chairman of the department of psychiatry at the Medical School, has been elected corporate member of the National Muscular Dystrophy Association. He is currently a director of the Association. (' Dr. Guiseppe A. Andres , professor of microbiology and pathology, participated in conferences held in The Netherlands, Wayne State University, Instituto Superiore de Sanita in Rome, at Columbia University, and at 2nd International Congress of Immunology where he also chaired workshop. He has also been appointed special consultant in Children' s Hospital, department of pathology. He has been named to international committee of advisors organizing an International Congress of Nephrology.O Dr. Carel J. van Oss, professor of microbiology , gave a seminar at McMaster University, Hamilton, Ontario and participated in a Universities' Space Research Association study on the Establishment and Operation of a Space Processing Research Institute in Washington, D .C. He was elected a member of the International Society of Biorheology and has been appointed as a Consultant to the Diagnostic Products Advisory Committee of the Food and Drug Administration. 0 Dr. Pierluigi E. Bigazzi, research associate professor of microbiology, lectured at the University of Arkansas , University of Rochester, University of Connecticut, as well as at the International Cancer Meeting, Florence, Italy. O Dr. Reginald M . Lambert, associate professor of microbiology, is a member of task force on problems associated with fractionation of plasma in the United States. He attended the national meetings of the American Red Cross Blood Program and the American Association of Blood Banks in Anaheim, California and was cochairman of the session on blood groups.O Dr. Eugene A. Gorzynski, associate professor of microbiology, presented a discussion at the Association of Military Surgeons, meeting in San Diego. He received the Meritorious Service Medal from the President of the United States for his contributions as a consultant to the Army and Navy Surgeons General during the period 19691974. 0 SUMMER, 1975 Dr . Konrad J. Wicher , professor of microbiology, lectured on asthma and infection at the University of Rio de Janeiro, Brazil, and presented a seminar at the University of Cordoba in Argentina. He presented lectures at the Sth Latin-American Congress of Allergy and Immunology in Buenos Aires. 0 Dr. Ernst Beutner, professor of microbiology and research professor of dermatology, was awarded a renewal of an NIH research grant for model of hypersensitivity induced periodontal disease. Dr . Douglas Surgenor , professor of biochemistry, has been appointed a member of the advisory panel on National Health Insurance and to the sub-committee on health of the House Committee on Ways and Means. Dr. Surgenor is president of the Center for Blood Research in Boston. Four alumni are among the new officers of the medical and dental staff of DeGraff Memorial Hospital, North Tonawanda. Dr. Edward S. Rosner, M ' 49, is the new president. Other officers : Dr. David E. Carlson, M '62, vice president; Dr. Norris Miner, M '32, treasurer; and Dr. Norman Haber, M ' 43, chief of staff. Dr. Robert]. Reszel is the president elect and Dr. Paul A. Paroski is the new secretary. Dr. Robert Guthrie, professor of microbiology and pediatrics, was cited in the September 1974 issue of ASM News for his work on PKU and other related research. The article also noted a Nicaraguan postage stamp which indirectly honors Dr. Guthrie by acknowledging the significance of the PKU test. 0 Dr. Gu'stavo Cudkowicz, professor of microbiology and pathology, was appointed as a member of the Scientific Advisory Committee, General Clinical Research Center, Roswell Park Memorial Institute. He spoke at St. Jude Children's Research Hospital (Memphis) at the 3rd midwest autumn Immunology Conference and at the 2nd International Congress of Immunology. He is also a consultant for the National Cancer Institute. ) 65 �Dr. Erwin Neter, professor of microbiology, was appointed Section Editor of the Manual of Clinical Immunology of the American Society for Microbiology,and is a member of the Deutsche Gesellschaft ftir Hygiene and Mikrobiologie E.V. Dr. Neter participated in the meeting of the East Japan Association of Japanese Bacteriologists in Tokyo, and attended an NIH conference on nosocomial infections at Bethesda. He also attended meetings in London for the Internatiot;lal Society of Nephrology, the International Congress of Pediatrics, Buenos Aires, and presented a series of three lectures at the University of Heidelberg, Germany. <) Dr. Felix Milgrom, professor and chairman, department of microbiology, chaired a workshop and presented papers at the Second International Congress of Immunology in Brighton, England; the 5th International Congress of the Transplantation Society, Jerusalem, Israel; the lOth Symposium of Collegium International Allergologicum, Copenhagen, Denmark. 0 During two scientific exchange visits (1969, 197 3) Dr. Elias Cohen reviewed clinical and research activities in the Soviet Union. He saw the blood banking centers in Leningrad and Moscow, lectured and visited with scientists. Dr. Cohen also observed and discussed the use of fresh cellular blood components, as well as the u tilization of other blood products. Dr. Cohen is a research associate professor of microbiology at the Medical School. 0 Dr. Rose R. Ellison has been elected vice president for medical and scientific affairs for the Leukemia Society of America. Dr. Ellison is an associate professor of medicine at the Medical School and associate director of medicine at the E.J. Meyer Memorial Hospital. <) Dr. Joseph M. Merrick, professor of microbiology, spent three months with Dr. D. Sulitzeanu, department of immunology, Hadassah Medical School, in Jerusalem, Israel. <) Dr. Thomas D. Flanagan, associate professor of microbiology, presented lectures in immunology and pathology at the University of Linkoping, Sweden. Dr. Flanagan was appointed Director of the Erie County Virology Laboratory. <) 66 Dr. Norman G. Courey has been appointed director of obstetrics and gynecology at the E.J. Meyer Memorial Hospital. He is a clinical associate professor of gynecology and obstetrics at the Medical School. Dr. Courey was formerly director of ob/gyn at Deaconess Hospital. <) Dr. Harold Brody, professor and chairman of anatomical sciences at the Medical School, has been named to the National Advisory Council on Aging of the National Institutes of Health. The Council is an advisory body for the newlyestablished National Institute on Aging that will conduct and support biomedical, social, and behavioral research and training related to the aging process and the diseases, other special problems and needs of the aged. Dr. Brody also serves as president of the American Gerontology Society and is editor-inchief of the Journal of Gerontology. 0 In Memoriam Dr. Bernard M. Norcross, Jr., M'38, died January 11 after a three week illness. The 59year-old physician was a recognized authority on the treatment of rheumatism. He interned at the Buffalo General Hospital before joining the staff in 1941. He served with the United States 8th Army in Italy from 1942 to 1946. Dr. Norcross was a clinical associate in medicine. He had been on the Medical School faculty since 194l. C Dr. Herbert L. Traenkle, M'32, died March 1 in his home in Lake Park, Florida. The 70-year-old Buffalo dermatologist retired in March 1974. He served his residencies at the Buffalo General and E.J. Meyer Memorial Hospitals. He had been on the staff of Buffalo General since 1938. Dr. Traenkle served in the Army Medical Corps during World War II. He was a member of the American Academy of Dermatology and Syphilology. 0 THE BUFFALO PHYSICIAN �Dr. Abraham H . Aaron, M 'l2, died February 24 in his Buffalo home. The " elder statesman" of Buffalo medicine and internationally-respected gastroenterologist was 85 years old. He had practiced in Buffalo for 63 years (1918 until Jan. 1/ 75). Dr. Aaron had achieved distinction as a skilled practitioner, a gifted teacher, a professional leader and an editor of the foremost journal in his field of specialization, Gastroenterology. Known as " Uncle Abe" to generations of UB medical students, he was a clinical professor of medicine emeritus . He served on the faculty for 38 years. In 1951 the University cited him as an outstanding teacher. In 1958 the American Gastroenterological Association presented Dr. Aaron its highest honor, the Julius Friedenwald Medal, " for outstanding achievement in gastroenterology. " Dr. Aaron had served as treasurer of the association in 1926-33 and president in 1944-45. He was a founder of the post graduate medicine department in 1921 and headed it from 1925-49. During those years he brought area hospitals into a program aimed at bringing new techniques of diagnosis and treatment to practicing physicians . The value of such postgraduate work is now widely recognized and in 1963 the AMA inaugurated a program in the field. In March 1971, 10 of this country's most distinguished " elder statesmen" of medicine came to Buffalo to honor Dr. Aaron on the 50th anniversary of UB's continuing medical education program. He was an assistant attending physician at the Buffalo General Hospital from 1918-44, and attending physician and rotating chief of medicine until 1956, when he became attending physician emeritus. He was president of the staff in 1948. The Dr. A .H. Aaron Library was dedicated in his honor at the Buffalo General Hospital in 1969. In 1958 The Buffalo Evening News named him an " outstanding citizen" because he had a strong sense of responsibility to his profession and his community. He was a past president of the Erie County Medical Society, the Buffalo Academy of Medicine and the Medical Alumni Association. He served as vice president of the State Medical Society and chairman of several committees . He was a former delegate to the AMA and also chaired several committees. From 1940 to 1950 he was chief examiner for the National Board of Medical Examiners in Western New York. Dr. Aaron was a Diplomate of the American Board of Internal Medicine and a member of the sub-specialty board of gastroenterology which he headed from 1946 to 1951. He was the author or co-author of more than 50 medical papers. He was the first to report on the liver-function dye test in 1921 and the first to describe the use of cortin to treat patients with Addison ' s Disease. Dr. Aaron was a strong believer in the importance of the practitioner in the over-all medical teaching program. He was instrumental in setting up a program at the Buffalo General Hospital whereby resident physicians and interns could participate in the care of private patients under the over-all direction of their attending physicians. He had served as president of the Tuberculosis and Health Association of Buffalo and Erie County since 1959, and was responsible for introducing several of its programs to combat chest disease . Earlier he had served as a director of the association and its first vice president. Dr. Aaron will probably be best remembered for his humanity- by the patients who warmed to his gentleness and his genuine interest in them as individuals; by the physicians he taught (especially the 20 he took into his own office over the years to " give them a start"); and by hundreds of others who never knew him well but profited by the example he set, the programs he introduced, and his conception of the practice of medicine. ( Or. Aaron SUMMER, 1975 67 In Memoriam �Alumni Tours Ireland -July 25-August 2, 1975 Niagara Falls and New York City Departures Five nights in Dublin & two nights in Limerick (Shannon) Cost: $419.00 per person, plus 15% tax; Continental breakfast daily and four dinners, hotel and round trip air fare. Munich- September 26-0ctober 4, 1975- Buffalo Departure " Octoberfest" with accommodations at the Munich Sheraton Hotel Cost: $469.00 per person, plus 15% tax. Optional tours at extra cost to lnnsbruck, Salzburg, East & West Berlin For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 The General Alumni Board- DR. JAMES J. O 'BRIEN, LL.D. '55, President; GEORGE VOSKERCHIAN, Presidentelect; DR. GIRARD A. GUGINO, D.D.S. '61, Vice President for Activities; WILLIAM MCGARVA, B.A. '58, Vice President for Administration; DR. ANN L. EGAN, Ph.D. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; RICHARD A. RICH, B.S. '61, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; ROBERT E. LIPP, LL.D. '54, Vice President for Public Affairs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents: DR. FRANKL. GRAZIANO, D.D.S. '65; MORLEY C. TOWNSEND, LL.D. '45; DR. EDMOND ]. GICEWICZ, M.D. '56; M. ROBERT KOREN, LL.D. '44; WELLS E. KNIBLOE, J.D. 'so. Medical Alumni Association Officers: DRS. PAULL. WEINMANN, M '54, President; MILFRED C. MALONEY, M '53, Vice President; JAMES F. PHILLIPS, M'47, Treasurer; LAWRENCE H. GOLDEN, M'46, Immediate Past President. Annual Participating Fund for Medical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM, M ' 43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident; KEVIN M. O 'GORMAN, M '43, Treasurer; DONALD HALL, M' 41, Secretary; MAX CHEPLOVE, M'26; Immediate Past-President. 68 THE BUFFALO PHYSICIAN �A Message from PaulL. Weinmann, M'54 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. ------ -------------------------------------------------------· First Class Permit No. 5670 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 R. RO ERT L• 56 ANT 0 0 y UF"F LO 'i226 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - -- - - - -- - -- - -- - - - - - - - - - - - - - -- -- ---Year MD Received--- Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HomeAddress-------------------------------------------IfnotUB,MDreceivedfrom-------------- - - - - -- - - - - - - - - - - - - - - - - - - InPrivatePrnctice: Yes 0 In Academic Medicine: Yes No 0 Speci~~-----------------------------­ D No 0 Part Time 0 Full Time D School-------------------------------Title Other: ---------------------------------------------------------------------------------------- NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?--------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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The distinction between titles and alternative titles is application-specific. Buffalo medical review Table Of Contents A list of subunits of the resource. The Meaning of "MY" Intern Matching A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (part IV, conclusion) by Samuel Sanes, M.D. Nutrition Lectures Maternal/Fetal Care Center West Side Health Center Library Hospital Relations New Gyn-Ob Learning Center Cardiac Care Family Care Center Dr. Mosher USFMS Come Home Health Care Prize Hematology Division Erie County Lab Dr. Miller Honorary Medical Degrees by Oliver P. Jones, Ph.D., M.D. Rare Books Student Homecoming LARMP Rural Extern Continuing Education Programs The Classes People In Memoriam [sic] Alumni Tours Date Created Date of creation of the resource. 2017-11-07 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v09n02 Extent The size or duration of the resource. 72 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/37de03b3da6616db789ae3fdf4add074.pdf 46909b91081a91192d93e13bb66f7c46 PDF Text Text �Dean Naughton Dear Alumni and Alumnae I had the opportunity recently to join with some of the school's administrative staff. faculty, alumni and students in the first Alumni Phone-A-Thon sponsored by the University of Buffalo Foundation. Inc. Many of those alumni who ma} have forgotten to contribute to their school over a period of years were contacted. The event must be rated a "success" if for no other re.tson. a congenial group composed of individuals of dh erse backgrounds joined together for a common purpose. As might have been expected we communicated with a large number of alumni who were desirous to participate in alumni and Medical School acti\'ities. This method of communication and fund raising provided insights that we all too often lose sight of. For instance, many of the alumni were from classes as far back as 1933. Some of them are now retired and live on fixed incomes, and among their number, some are beginning to suffer from the ravages of chronic illness. cilh~r directly or with a relative. It is apparent that these physicians represent individuals for ,,·hom we need to develop relationships which flow from us to them rather than from them to us. And. of course. there was a small number of alumni who had either overcommitted resources to other causes of greater importance to them or who just do not see an existing relationship between their professional lives and their origin as ph~ sicians '' ithin the School of Medicine. As has been the situation with other U.B. Foundation efforts. the staff did a commendable and highly professional job. In looking over their efforts on our behalf 1 have found that the Foundation has generated and administered the following for the School of Medicine in recent years: Activity From the desk of John P. )Jaughton, M.D. Dean, School of Medicine Funds Generated l. Class Rc11nion Gift Progrl.lms (1975. 1976. 1977) ..•......... . ....•. SIIIU.IIUO 2. Century Club. 1916 •• . , • • •• • •••• , • • • • • • • • • • • • • • • • . • • • • •••••••• •• •• 10:1.931 3. Century Club. 1975 . •. . ..• . ... • .....•... , . .. .. , . . • • . • • . . . . . . . • , . . . 65,-149 4 Or. Louis A. and Ruth Siegel Teacher's Award Fund . . • . . . . . . . • . . 15.l)t)(l 5. Dr. Pa!lquale A Greco l.oan Fund .. .. . .. .. . . . .. .. .. .. .. .. .. .. . 50,000 6. :\1oir P. Tanner Research Fund .................. .. .............. .. :!t ,ono 7. Tops Nutrition Lecture Series . . . . . . . . • • . . . • . • . • . • • • . . . • . . . . . 2.000 8. BcrnarcJ S. & Sophie B. GottJieb P!;)Ch~o~tnatnc L1brar) Fund 75.000 9. Dr. Charles A. Bauda A\\ard m Famih l\lcdicmc . . . • . • . . . . . . . . . . . . . :!.OliO 10. GIara A. March Emer!(ency Loan Fund. ....................... · 30.0ll0 11 . Clara A. March Medical Scholarship Fund • , . . . • • . . . . . . . . . . . . . . . . fill.llOO 12 Ernest & Katherine Fe} ler Fund for Research 1n Hod,.:kms D1~casc 10,000 On behalf of the faculty and students of tho School I wish to thank those alumni. alumnae. and friends who have contributed to these various programs. and I wish to congratulate the Uni\ crsity of Buffalo Foundation. Inc. staff on the fine job they have done and are doing for the cause of medical education in the Western New York area. Sincerely. John l\aughton. ~t.D. l)ean ' �Winter 1977 Volume 11. ~umber 4 THE BUFFALO PHYSICIAN Published b\ tlw School ol \JedJcJne State l'nl\ l'rsJI)' O/ .\t!\1. York ol Buffalo EDITUKJAI. BOAI<U J'dllur ROUER1 S \lcGK1" \IIA'\ .\lanolung 1:d11nr :--l.\RlO'\ 1\l·\RIO:\ti\\:O.K\ Dea11, Sclrool oj Mt'airnue DR. jOHN NAUC.IHON l'lrotog,raplry Ht.:coH U:-.;cLR ED\\"ARI NO\\ AK \.'rsua• D S,lltrs RICHARD MAC \KA:-.:1 \ 00l\ALD E. WATI'l~!> S "tary FLORll"<.l V1L HR CONSULT ANTS Presidr11t, Medrcal Alurwrr A$s,,oatron DR MICHAll SULLI\' \~ \'ICe Prt!>rderrt. Faculty of Healtlt S, ierrce:- DR F Pre~rdtul, c o\RTIR PAN~ ILL Umt•asrh. F~>1mdatron jOHl\-M CAKT£R I Dirtctor o' Publr 4 fa1rrjA~H;!> OlS \"1~1::. 1>-: THIS lSSL E Dean ~aughton's ~lessage {inside front co\'er} 2 The 1981 Class 8 Clinical Preceptorship 10 A Phvsician Faces Disseminated Rettculum Cell Sarcoma in Himself (Part VI-OJ Cancer: Its Effects on the Famil) of the Patient: Communication Betvveen Physician and Patient's Family · by Samuel Sones. At.D. 16 Dr. Sklarow Award 17 Summer Fellowships 18 The Geriatric Patient 22 Gastroenterolog) 25 Dr. Sullivan's Message 26 Gardening 27 Dr. Surgenor Resigns 28 Faculty Promotions I CIBA Award 29 Greenhouse Gardening 30 Dr. Small 31 Cotrans Plan 32 Summer Programs 34 Streets. Facilities :\amed for Ph)sicians 36 Photo Exhibit 38 Clinical Component 39 Obesity 40 Post-cardiac Reconditioning 41 Alumni Tours 42 The Entertainers 4-1 A Medical Student's Impression by Oliver P. Jones, Ph.D., M.D. Distinguished Professor Emeritus 54 VA Hospital Reno\·ation 55 Seminar in Cancun 56 Alumni <\ward Honors Dr. Thorn 57 ~leyer Hospital Honors Three Physicians 58 Facul~ lionored 60 Emeritus Center 62 The Classes/Antiques 66 People 69 In Memoriam 70 Auto Accidents i1 Dr. Lester/HEW Grant 72 >-:uclear Medicine/Death The cover br Donold Wotk1ns THE BuFFALO PH)'~ICIAN Winter, 1977 - \ olume 11 !\:umber 4. publi..hed quarterly Spnng Summer, Fall, Winter - by the School of Medicine State University of New York at Buffalo. 3435 Mam Street Buffalo. New York 14214. Second cla~s postage paid at Buffalo, New York Pleac;e notify us of change of address. Copyright 1977 by The Buffalo Physic1an. \\'INTER. 1977 �welcomed the 135 new medical students at the opening orientation session in Butler Auditorium. "You are a very select group because more than 4,000 students were rejected. Medical School is very demanding. but I am confident you will complete the program." Dr. Ketter told the 1981 class that the basic science programs at U/8 were among the best tn the nation in spite of the crampt•d space. "\\'e hope there will be more space available in the very near future. Since your classes will be on this campus you won't have to ride the buses to the new Amherst Campus. You are fortunate to be here. and we are happy to have you. Have a good time and a good educational experience." Speaking for Dean John Naughton. Dr. Leonard Katz told the ne\'\'Comers that they were entering medicine at an exciting. challenging time. The associate dean for student and curricular affairs. said, "we want to help you maintain your interest in people. Medicine must be more accountable to patients." Or Katz reminded the students that they will be tested. retested and tested again and again. "Your education will continue alter you receive your degree in four years; beyond your residency; in fact throughout the rest of your lifetime. P RESIDENT ROUERT L. KETTER The 1981 Class 2 THE BUFFALO PHYSIClAN �Pres1denr Robert Keller welcomes rhe 1981 class. Also slllmg from rhe lt•ft -Dr:. M. Luther Musselman. Harry .\fetcalf. Leonard Katz. John R1cher1, frank Sch•mpfhauser, Rudr WJ1l1ams. "The needs of tomorrow are changing. The life expectancy for men has risen from 08 to 72 years and for \\'Omen from i2 to 82 years. \'\'hy this change? Probably a change in life style- more exercise. less smoking and more nutritional foods.· In conclusion Dr. Katz said. "}ou vo,,ill be called upon to look .11 the changing role of the physician and to assume more responsibility. This is a huge challenge. but I am sure you are up to it. " WINTER, 1977 �Clockwise (rom left: Drs. lrwm Gmsberg, l.eo Kane, Fronk Sch1mp(houser, Pearoy Ogro. Donald Gregon·. Louis Antonucci. The chairman of the admissions committee told the student:; something about themselves. Dr. Harr) L. Metcalf said, "your average age is 22 and you come from 65 different undergraduate colleges and universities: 46 of vou are women and 89 are men. 25 are minority students. There ar·e 129 residents of New York State (52 from Western \Je·w York). There are onl} six out of state residents." Or. ~tetcalf pointed out that 11 have graduate degrees: there are 24 different majors. Most of the students are science maJors. (biolog) dominant) but a few majored in literature, histor). economics, political science. psychology. sociology and anthropology. Most of the students were in the top 10 percent of their high school and college classes. The Medical School received 4,296 applications {3,111 male, 1,185 female) and conducted 554 personal interviews. The school accepted 327 students to fill the 135 places. d- THE BUFFALO PllYSIC!Ai\ �"You will be a member of a health care team working with many health professional:; in a hospital. We hope you \\ill cooperate to make the patient better and the \\"Orld a better place to live." Or. :'\tetcalf concluded. Mr. Rudolph Williams, assistant dean and financial aid officer. discussed scholarship and loan support . "There is no money," he said jokingly. but "we would like to have your personal tuition check for $3,000 soon ... Dr. l\1. Luther l\1usselman told the students the benefits of the Unhersit~ health insurance plan. The assistant dean and director of health services also outlined briefly the special clinics and other services available at the University Health Services. Or. Frank Schtmpfhauser outlined the class profile and noted that he worked with both students and faculty to enhance the lc.ll·ning process. lIe heads the office of educational evaluation and research at the Medical School. There was a 5 p.m. picnic at the end of the first day but not before the students had lunch and discussions with upper class student leaders and facult). There were pictures to take. tours, brtefings on registration and stud) habits by Meryl Mcl\:eal. C/ockWJsc from np.hl: Drs. Sebastian FosaneJ/o, \\'il/1am Herden. ,\ furruy Morphr. Raber! Kohn. Hobe rt H. \Iiller, Russell \'an Coeverm~. WINTER. 1977 �Dr. Martin E. Plaut told the new students that the) were an elite group: survivors of a huge number of applicants. The associate professor of medicine asked the students to keep alive their curiosity for learning. 'You must continue to learn the rest of your life. Don't tread water Keep abreast of changes in science and your profession. Almost one-half of what you learn this first semester \\ill b(' obsolete in three years ... "If you expect fame. fortune and a -10 hour week you are embarkin8 on the wrong profession." according to Dr. Edward A. Rayhill, clinical assistant professor of family medicine. "If you don't like people and aren't interested in their problems you should not be entering medical school." Dr. Rayhill noted that he was nervous. "It is not easy for us in 'middle age' to face the reality forced upon us by our colleagues in neuroanatom) that millions of our brain cells have ceased to function. As your preceptor il is not easy for me to face a class of incessantly questioning young. highly intelligent minds with many more functioning neurons and sharp synapses. It is embarrassing to be asked questions for which we have no answers. But ask them you must. "\Ve will intimidate and harass you. embarrass and degrade you and give you what seems to be an unending procession of examinations. But this is what your patients will do ever~ da) of your professional lives. We are determined to humble you as we have been humbled.'' In conclusion Or. Rayhill said. "medicine is not a profession that admits of many mistakes. We have erred and our errors have been painful: we hope to minimize your inevitable errors Our purpose, collectively. is to save lives, to help preserve health and the well-being and to relic\·e pain. We rna) seldom cure but \\C should always comfort. Good luck and my best wishes lor your future happiness in your chosen profession." The clin.col corrt•lotions panel -Drs Richard Lee..\farjorie Plumb, Ruth Ellison. Irene Burns. tourlh y ..or student, and Re\·erend LeiVIS Bigler 6 THE BUFFALO PHYSICIAN �A clinical correlations conference featuring a multidisciplinary discussion of cancer and lunch with clinical preceptors was the feature of the third and final day of orientation. Dr Edward Carr. professor and chairman of pharmacology and therapeutics. moderated the conference that featured nine faculty members. one student and a minister. Dr. Rose Ruth Elhson. professor of medicine, presented a cancer patient, outlined briefly her medical history, and then asked for questions from the students. The patient. a 36-year-old nurse, had three operations in the last 13 months. In spite of chemotherapy, she said she "had lived a normal life the last four months." The patient told the students "to forget the statistics. Believe only what you see and what the patient tells you. If you follow through. this will make diagnosis easier. Patients need competence and compassion from physicians and I have received both. "1 don't fear death. But I don't want to be separated from my husband and two children. My husband is an optimist, I am a realist. I believe a patient has a right to know about cancer." After the patient was d1smissed, several faculty members discussed the case with the students Normal anatom~ and lymphatics \\as presented in an illustrated talk b~ Dr. Vija)a Shankar. assistant professor of anatomy. Dr. John Wright. professor and chairman of pathology. discussed the pathological aspects of the pat!ent as well as the types and the spread of cancer. ~tanograph) and epidemiology was the topic of Dr. Victor Panaro. clinical professor of radiology. "Every woman between the age of 40 and 45 should have a mammogram. because this is an accurate means of detecting unsuspected cancer of the breast. A mammogram should be taken in high risk patients or when a patient has a questionable mass.·· Dr. Alexander Brownie, professor and chairman of biochemistry, talked about estrogen receptors. "I have been studying breast cancer for 20 years and there have been many changes. There will be many more changes in your lifetime." The characteristics of the breast was discussed by Dr. Gerard Burns, professor of surgery. "A lump on the breast doesn't necessarily mean cancer The five year survival rate of untreated breast cancer is 15 or 20 percent; for radical mastectom). 63 percent." The drug explosion \\'as the topic of Dr. Alan Re}nard, associate professor of pharmacology and therapeutics He touched on the interactions of tumors. drugs and the patient: selective toxicity: dose response curve and the resistance to multiple drugs. A video taped interview with the same cancer patient who appeared in person at the morning session \'-as the feature of the final 40 minutes. Dr. ~larjorie Plumb. assistant professor of psycholog-) in the department of psychiatry. interviewed the patient. Dr Richard Lee. professor of medicine, moderated the panel composed of two faculty members. a minister and a fourth yet1r medical student. The Reverend Lewis Bigler said, "sometimes I cry with a patient. The patient respects a doctor who says. 'I don't know.' Patients must be in on the decision side of treatment and dying. You as medical students must come to grips with your own death before you advise dying patients."D \'\'£1\JTER. 1977 i Dr. Robert Patterson �Clinical Preceptorship Program The four-year clinical preceptorship program is in its second year. Another 47 new physician preceptors have been ass•gned to the 135 new students. who will graduate in 1961. The students will ha\'e personal guidance during the next four years. They \'\·ere matched with their preceptors according to their interests and goals. No faculty member will have more than eight students. according to Dr. Robert J. Patterson, clinical associate professor of gynecology-obstetrics, who coordinates the program for the second consecutive year. Dr. Patterson welcomed the new preceptors and students at the luncheon. "This should be a fun experience for everyone- no tests. and no fixed curriculum. We want the students to have a broad exposure to clinical medicine. The results during the next four years will onl> be as good as the people involved - both preceptors and preceptees." The 44 preceptors, who were assigned to last year's entering class. will continue advising the students assigned to them. ''Both students and preceptors were pleased with the close relationships that developed between the two groups during the first year. This is why we are expanding the program to cover the new students," Dr. Patterson saia. The first meeting between student and preceptor was during orientation in August. At this meeting the preceptor introduced the student to clinical medicine. The preceptors met with their students at least twice during September and monthly during the academic year. These two-hour student-preceptor meetings are in a clinical environment. "An effort will be made to expose the student to real problems in health care, psychological and sociological perspectives of medical problems and economic issues. The meetings during the first year will be most critic,tl." Dr. Patterson said. Vr. Gloria I, lloblm. clmu;o/ profossor of psychology in the department of psrchJOtrr. /top cenrPr//euds one of the human behavior discussion groups. 8 THE BUFFALO PHYSICIAN I �The 47 new physician preceptors and their departments are: Anesthesiology - Leo Kane, Thomas O'Connor; Dermatology Gordon Burgess. Sean O'Laughlin; Family Practice - Peter Goergen. Frederick I lirsh. Lesley McLaren, Daniel McMahon. Robert H. Miller, Stuart Rubin; Medicine- Israel Alvarez, joseph Armenia*, Robert Kohn. jacqueline Levett, Martin Mango. Donald Miller. Luis Valls: Neurology - Walter Olszewski; ;\Jeurosurgery - Walter Grand: Ob Gyn - Donald Gregory. Louis Heviz)-. Morton Klein. Theodore Shulman, Morris Unher. Russell VanCoevering; Ophthalmology Louis Antonucci; Orthoped1cs - james P. Cole, Stephen Joyce; Otolar}ngologyC)- ril Bodner. Irwin Ginsberg*; Pediatrics - Frank Giacobbe. Robert Gingell, Peara) Ogra. Daniel Pierani. Catherine So. Henry Staub. Carl Villarini; Psrchiatry - Sebastian Fasanello. ~lurray .Morphy. Daniel Rako'A ski: Radiolog} - David Hayes; Rehabilitative .\1edJcine - Kyu Lee; Surgery- Roland Anthone, Frank Cerra. William He~den. Paul Lee; Urolog} - Dale Skoog. First and second-year preclinical advisors: Doctors Se~mour Axelrod, Alexander Brownie. Arlene Col1ins. Murra} Ettinger. Thomas Flanagan, Peter Gessner, Perry Hogan. Robert Mcisaac. Peter 'ickerson, Roberta Pentney. Barbara Rennick. Alan Reynard, Gloria Roblin, BenJamin Sanders, Frances Sansone. Norman Solkoff. judith Van Liew.D \Vl:--ITER, 1977 (Clockwise jrom lower left} Advisors luncheon with students - Drs. Alexander Brownie, S.N. Vijayoshankor, Fronk C Kallen. Murray Ettinger, John 1'\, Richert, Harold Brad}'. "Prt>ceptors (or the 1980 Closs. �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part VI D Cancer: Its Effect on the Family of the Patient Communication Between Physician and Patient's Family B} Samuel Sanes, M.D. Editor s 1\iote Th1s article was submitted for publication Sept. 15, 1977. Dr. Sanes wrote the first draft just before he entered the Roswell Park tl.lemorial Institute in earl> August for a laparotomy, and completed Lhe final draft upon his return home. In September. 1976. Dr. Sancs' cancer was still in remission. His relatively stable chronic pancytopenia. however. began to grow progressively worse. By July. 1977. the hematocrit was 25. the\\ B.C. 2600 and the platelet count-15.000. Among all [ JSt\ cancer pat1ents aged 15-34 years, lt!ukcnHa and lymphoma (espec1olly Hodgkin's D1seasej stand out (1974 statistics} in inc1rlence and mortal It)'. Other leac/mg cancers include, for the mole sex. those of testis and skm (melanoma}; for the femoln St!x, those of brt•ost oncl cer\'ix; and, for hoth sexes combined. those of brain and nervous systt•m. Carcinoma of thyroid and ovary. sarcoma of soft tissue and bone and malignant teratoma also occur w1th Ct!rtoin frequency 1n the 15-34year age group. Two causative factors were considered: fll Bone marrow depression from X· radiation the rap} and from daily maintenance cytoxan Lherap~ . (Bone marro\\ biopsies showed "hypoplasia." Discontinuance of chemolherap)-. though. brought no improvement in the marrO\\ , Out the marTO\\ got no worse. Bmeeld) blood counts kepi going dowm\ard) (:!) " l-1~ per~plenism " t.:-.=uclear scan :;ho\\cd the spleen to be twice the normal size.) Finall~ accedinl! to the opinions of his medical oncologists. Dr. Sanes gambled on a splenectomy Aug. 10, 1977. Biopsies of liver, abdominal I~ mph node!> and ihac bone were made at the same lime. Dr. Sanes was discharged home 11 d.1ys post· operatively. Any sustained hematologic effects of the splenectomy \\ill be reported with the next article. VI E. Introduction In Article VI C 1 gave my answers to three of the six questions - the "five Ws and the H" - relating to communication between the physician and the cancer patient and the family. I d iscussed Why. When and Where. In the current article I continue with answers to Who. In the following articles, VI E and F I will discuss What and How respectively. Who? 15 34 In answering the question "Who?" we must consider both the giver and receiver of information and support. The first is the ph~sician - or those members of today's medical team whom he calls in for communicating in their special fields of expertise. The second is the family member or members who deserve. seek and need information and support. ***** If the family of an adult patient has a primary-care ph)sictan (family practitioner or internist), 1 feel that il is his responsibility to provide or arra nge for the principal communication with the family from the first complaint throughout the course of the disease. 10 THE BUFFALO PIIYSlClAN " �Even when specialists enter the picture. the primary-care physician should retain his relationship with the family. visiting the patient daily when he is in the hospital and continuing his visits, as needed. after the patient returns home. Unfortunately many families toda}, in all socioeconomic groups, have no primary-care physician. In such instances, the responsibility for the initial communication becomes that of the specialist who makes the diagnosis and carries out the indicated treatment. Usually this \.viii be a surgeon or a gynecologist. (The latter ma} act as a primary-care physician for his cancer patients and their families.) When the specialist has communicated his findings, results of treatment, recommendations for further therapy and follow-up examination, estimate of the outlook as he sees it, etc., he may suggest that the patient and family find a primary-care physician (a family practitioner or internist-medical oncologist) to provide continuing and over-all care. II the patient and famil> have no preference, he may make a referral or suggest that they call the County Medical Society for a list of names. In either instance. the specialist should go over the pertinent aspects of the patient and family situation with the new physician - in person. in writing or by telephone. (If the patient already has a primary-care physician who referred him to the specialist, the latter should. of course. keep him fully informed at all times.) But the fact that there is a primary-care ph)stcian doesn't free the specialist of all future responsibility for communicating with the patient and family. He should make it clear to them that he will continue to be available for follow-up examinations or consultations on problems in his field and that he will personally confer with the primary-care physician if referrals to other specialists are needed. When diagnosis, treatment and follow-up are given in a cancer institute. medical center, university or government hospital whether in outpatient clinic or inpatient service- communication may come chiefly from residents or fellows. Attending physicians - full-time or part-time - should, however, be available and accessible to the patient and the family. If there is a primary-care physician, he should always receive a full typed report promptly and should feel free to phone or come in to discuss the patient's condition. ***** In today's medical practice a physician does not have to do all of the communicating with patients and their families himself. There are others who can be helpful to certain patients and their families - perhaps more helpful than he can be. either because they are more readily available and accessible or have special knowledge and skills in patient-family education. counseling. service. psychologic and spiritual support. Among them are nurses (practitioners, educators. home visitors), admission and discharge co-ordinators, social \.\-Orkers, dietitians, clergymen, counselors (psychiatric, family), rehabilitation, prosthetic and vocational specialists, representatives of the American·cancer Society, patients, patients' relatives. et al. By using them wisely the physician can save his own time and effort and serve the patient and family better. cJ- WINTER, 1977 II t\t the liB School of c\ledicine in Classes 1973-1977, four students being to/lowed ond/ or treated for Hodgkin·s Disease were graduated os ph}·src1ons. three Jn the class of '73 and one Jn the Class of '77. The o\·er-ol/ fi\·e-}'eor sur\'ival rote Jar Hodgkm's Disease rncreosed from 25 ' to 54 ,..~ in the 20 years prior to 1977 At present Hodgkin·s Disease StOllI! 1-11 rs reported to hove a fi\ en or ··cure" rote up to 90-95 o. Cancers in the 15-34-reor age group get special not1ce in the daily press when they occur in notionally-known amateur and professional athletes, particularly rootball players �f:R.W:ST (1-:R:-JIP.) Dt\ \'IS Born 1939. Running bock for Srracuse llni1·ersity 1959-61 . One uJ the grcult•sl pln}crs tn collt:grolt• football hrslon Ftrsl black plu} cr to ~\ tn the lleisman lrophj, 1%1 Drafted h} the \\'oshmgton Red Skrns Then traded lo the <.:lei eland Bran ns Was ro JOin Jrnr Bro11 n rn the buckftcld Dted of leukemra 1963 lwforu pluymg a stnglc down m rht• ,\ FL Age 23 ) curs. BHI \~ 11'/CJ PICCOLO Rorn 1943 Runnrng bock l'lo} ••d 1\ rlh Chrcago /lQurs 19b5·1!169. In .\Jtl\', l'lh!l, diap,nosrs of pr1mor} moiJgnun1 terutomu of mt•drostrnum, preclominuntl} ~m­ hn·onol Cl'll corcmnmn Doll nhrll courst•, 1969·1970, 1\'tlh mclasloses to lt'fl cht•sr wall, It-/! lung, mediastinum. heart and lll't>r. 'I rt~olnll'nl consisted of surgerr. rodrollnn, clwmn- and oxpt•rimenro/ im· munot/wrup}' DPoth funt·. 1970. ,\ge 26 }·ears. Wi(t• and rhrt•e chtldrf'n sun·in~cl "In r!'lrospPct" (ul I'Od·stugc of Piccolo's il· /ness]. wrft• /t•lr "thor she and Brion should hol'f! hct•n told mort• about the realities of his condllwn J\nd} cr. sht• hucl nm·cr asked" The development and expansion of lhe "medical team" in recent years to include such ancillar> members is a response to the patient's- and family's- need for the services they have to offer. sen·ices not furnished by many ph) sicians. Yet some physicians look upon such ancillary personnel as interfering in the physician's domain. They resent their efforts to help. This is true even in large general hospitals or cancer centers which have organized departments or staffs in ancillary fields. One such oncologist heads a cancer service where some patients and families get little or no information, either in the hospital or upon discharge. about problems that lie ahead and how to cope with them. Yet when ancillary personnel. recognizing these needs. volunteer their services as communicators, the oncologist tells them: "That's my business. not yours. I'll tell the patient and famil)' what I want to tell them when I want to tell them and how I want to tell them." Even physicians who regularly turn to ancillary personnel when a patient or family is medically indigent or on welfare may not think of involving them in the care of private patients and their families. On the other hand, there are some physicians"' ho may see the existence of such personnel as an excuse to abrogate their own continuing responsibilities for communication. How do patients and their families feel about communication with ancillary personnel? They welcome it if they need and want information and support that their physicians cannot or will not give them. When being asked whom they would most like to have seen preoperatively, in addition to the physician, the largest number of 59 patients v.·ho had undergone laryngectomies for cancer and of 47 spouses voted for "another laryngectomee and spouse." Others whom they listed were esophageal speaker, speech pathologist, minister. counselor. artificial larynx speaker. tev' Voice Club member. American Cancer Society representative. Ancillary personnel can smooth the path almost ever} step of the way. In the section on "When?" in Article VIC l didn't stress communication on discharge from the hospital. but latet 1 overhead a conversation that indicated that here, too, ancillary personnel can play a ,·ery important role. Some patients go home with little more communication from their surgeon than "You can go home now- I'm through \\ilh you." Even !his rna\ come to them indirecth when a nurse enters and says. "The doctor has signed your discharge. You can go any time.'' The family may not even be present. In contrast to this. the discharge co-ordinator on the head and neck service of the cancer institute whom I overhead covered everything, answered all of the questions a 70-year-old man and his son '"'anted to knov•. It was a perfect job. I was as moved b) its perfection as I might have been by a Cezanne still-life or a Chopin :\octurne played by Rubinstein. Communication with ancillary personnel will not, of course, satisfy patients and families when it comes to information about the medical aspects and problems of their disease. 12 THE BUFFALO PHYSICIAN ... �Here they want to talk to the physician personally. And the anpersonnel with whom I have discussed the subject agree. Such personnel do not view themselves as entering a patinnlfamil~ slituation on their own. as replacing the physician. They consider themselves members of a medical team of which the physician remains the captain. They wish to be called in by him, to report to him. to consult with him. to be supervised by him. to have him answer the medical questions. They want to help- but they want and expect the physician always to remain in the picture. How long this co-operative attitude will continue I'm not sure on the basis of the hostility I hear expressed, especially by nurses. against physicians who do not communicate well or fail to seek assistance in communicating with patients and families. When u physician fails to come up to their expectations of a complete man - not just in scientific competence but also in his attitude and behavior as a person. in his communication and compassion they are disillusioned and bitter Certain leaders of the nursing professiOn are alread~ speaking of the nurse as an autonomous professional. (In fairness I must add thts. In preparation for\\ riling this article I interviewed the director and departmental heads of a metropolitan Visiting i\ursing Association which olfers comprehensive services. They told me that there are certain physicians who consistently initiate relations with and utilize services of the association for cancer patients and their ramilies in the most effective ways and with the highest cooperation.) cillar~ *'"*** The question of who in the patient's family should be the recipient of information is often answered by the patient himself. not always wisely. He may. of course, refuse permission for an~ such communication. If he does not, the obvious choice should be the person or persons who are closest in relationship and/or will be taking responsibility for the patient's continuing care and support. For most patients - but not all - that means the closest of kin - spouse, parents, son or daughter. brother or sister. It may, however. be a more distant relative - a nephew or niece - or a close friend. ln these days of free life styles, it rna~ be a "friend" who is living with the patient as a spouse. what we would once ha\'e referred to as a 'common-law \'\'ife or husband." In the case of a fellow patient of mine in the lymphomaleukemia clinic of the cancer institute, a bachelor physician in his 70s, it could have been a housekeeper of many years (until his death not long after c\iagnosis.J She brought him to the clinic by automobile for his periodic checkups, waited to drive him home, looked after him there, visited him \'\hen he was an in-patient. There will be times when problems arise and difficult decisions have to be made that the communicating famil) member will want to bring in others in the famil}. d-WINTER. 1977 ED\\',\RD fDuKEJ ,\E\\ \fr\.\'. Guard. 1\1 age :!3, 111'0 years after mokmg lhe .\tiami Dolphms, noted Sl\·e/IJng in neck. FoliO I\ ing delay of se\"eral months. hen-egg-sized lump remo\·ed Jan 3. 1975 S1\ days postoperatn·ely. while Xewman was tolk1ng 1\'llh famlir and girl friend. Goth}. his ,\!.D. come 1nto the hospllal room with pothologic report - thyroid cancer. Another opcrallon was necessary. "If 11 werun·r for my family and Cathy, I'm not sure I would have made II," wrote Newman. "/ thmk 1 would have hod o breakdown " Second operation (thyroidectomr and lymphadenectomy). Path. report - negoti\·e (or cancer. Durmg the 1975-1976 seasons. Sewmon pla}ed m c\'err Dolphin game•.\forried Cathy Jun. 1977 with plans Ia ha\·e o familr. �ltoll~:H'J' {llOHJ JOlli':SOv . Defensin! end for Arm} in early 1970s rn 197-1 l~rst black football player Pll'ctt•tl c:optoin in West Pomt's histnt). hut ne\'l'f pia red us such. Vunng ~prmg drills before his scmor seo~on , o d10gnosls of malignant (?soft tissue) tumor of right elbow Hod ll-hour operation at \\alter Reed llospllol and more than sen•n weeks of radiation theropr. Rcmamed os coptom when teammolt·~ rr•fust>d to accept h1s resignatiOn Vres~t·d 10 sweat clothes, never m1ssed o proct1ce and look calisthenics. On game do}·:.. dressed m helmet and paiT of block and gold s" eats. pres1ded at coin toss Then t\'OtCht•d gomt•s from side/me. \\.'os graduated on schedule· 10 1976 as o lieuwnont 10 li.S. Army-Tn{antry. Hr\ Y,\10,\/V {Rt\ Y) HESTEH. Ltncbock(•r. Plored 1\'ith New Or/eons Sotnts and Honolulu 1/owoiian~. T.I!SS than three \'ears a(lf'r leo\'lng pro football died of leukemia \1o), 197i. Age 28 years. Spent much of h1s last yeor alone 10 o .\'ew Orleans hosp1tol room. "W11h his d}·ing breath he hod o smtlc on hts (oce," so1d his mother. " I-Ii~ courage was just amaz1ng " I know of a daughter caring for a 90-year-old father who called in all of her brothers and sisters from \"arious parts of the country. including one who was a retired physician. to help decide about a proposed treatment. The father was too confused and upset by the diagnosis to make the decision himself. and she didn't want to accept the responsibility on her own. In another instance, a wife and mother. facing the imminent death of her husband, asked the phystcian to talk to their two teenaged sons. The physician himself. sensing a special need, may suggest that he talk to the famil~ as a whole. Not all family members are able to cope. In some instances the physician may recognize at the onset or during the course of the disease that the responsible family member or members selected as recipients of his communication and as providers of care and support cannot face the knowledge of the facts and the practical problems involved. They may even want out of their responsibilities, though they hesitate to say so. This is not strange. Even certain physicians and nurses can't face looking after advanced-terminal cancer patients professionally, let alone those nearest and dearest. But it's more than a matter of mental and emotional adaptability. Age. physical strength, general health, background and experience. training and skills. available time and other factors may also play roles The v\'ife of an elderly patient, for example, may find it wellnigh impossible to get him from bed to a \<\heelchair, to handle a colostomy, to give hypodermic injections or even to read a thermometer. When this becomes obvious, the physician should explore with the patient and involved family member or members. the social worker or visiting nurse. whether there is anyone else who might lake over some or all of the care functions. Thereafter the communication about these functions would be between the ph~ sician and whoever is selected. The patient's failure to ask the physician to talk to the family or the family's failure to ask questions shouldn't be taken by the physician as an easy way out of an unpleasant. unwelcome duty. He has a legal. professional and moral responsibility to communicate with the family unless specifically requested not to do so. I believe that this is true even when the patient is a physician himself. A patient, whether a Ia~ person or physician. should not be expected to do all his own communicating with the famil~. ~or should a member of the family be left to tell the patient the diagnosis. or to communicate other crucial information about the course and progress of the disease. One final \'\Ord If the patient is a close relative of a physician who is not involved medically, it is on!~ professional courtesy, if the patient has no objection. to keep that physician informed of the diagnosis and course of the disease. This can be through face-to-face conversation. telephone or. if the physician lives at a distance. by leiter. ***** 14 THE BUFFALO PHYSICJAN .. �.. In my own case, perhaps because I am a ph)'sician with some know-how in the field. perhaps because of the personalities involved, communication at the cancer institute has generall~ been excellent. :-vt} physicians have told me what I needed and \\anted to know. There has been no need to rei} on ancillary personnel for specific information. although lhey have been continuall> helpful in encouragement and support. My wife has shared fully in the communication. (I have taken it upon myself to keep m) brother and sister informed.) Although my wife does not accompany me on m} regular clinic visits. she has been present at ever) decision-making stage to hear what was being discussed. ask questions and contribute her own thoughts. She went with me on my first visit to the institute for history and physical examination. The nex t week, after closed staging. my medical oncologist and therapeutic radiologist told us, together, what they proposed to do, why, and the results to be expected. Later. when I developed. in succession, shmgles with rising fever, a type of Lhermitte's Syndome. acute abdominal pain (?bowel obstruction) and a critical level of pancytopenia. she as well as I participated in discussions of what was to be done. Before my recent splenectomy. my regular clinic oncologist. the head of the service and the surgeon ,.. ho \\as to operate jointly met us and told us what they planned to do and why. answered all of our questions. During my hospitalization they communicated their findings twice daily. At least one of those times my wife \\as present. \\'hen a urologic problem arose. my medical oncologist called my priv.lle urologist to discuss it with him. On the morning of my discharge. my surgeon. who was on his way out of town, came into my room and told me everything l wanted or needed to kno\1\. He discussed how things looked, what to expect, restrictions on activity. He wrote out a prescription and made an appointmen t, precise as to day and hour, for my postsurgical checkup- an appointment that the floor nurse confirmed in writing before I left. When 1 had to excuse myself to go to the bathroom because of "antibiotic diarrhea," the surgeon stayed on to answer my remaining questions through the closed door. On my checkup visit at the clinic a week later, the surgeon and my medical oncologist together talked frankly with my wife and me. answered our questions. assured us that we could call either of them at any hour of the daj or night if we were worried or if anything ontoward occurred. AUTHORS '0TE As wrirer of lhcse article:. on ph~sician-patient-fam1l> commumc.111on, I ''as particularly struck h> the report in the Buffalo Phys1c1an (Fall 1977) on rhe remarks or senior class represenlall"e Thomas Raab at !he 131st Annual CommencPmenl or the U B School of :0.1cdicmc. Con..,cntional medical education. Raab said. has done hule to prepare the young doctor·for com·e) mg a dia~nosis of a potentiaJI> fatal disease or lor o£fcnng conlinuing support ulong with medical cure. FOHRI-.5'1 GREGG. Rom 1'133 Tackle and guurd. Played in 188 consecutive ,\FL ~umcs . \fade oil - .\'FL team erght con· secutn·e llmt:s. Smce 1975 coach ai Cle,·eIand Bro\\ ns. .r\lthou17.h just outside lhe 15-3-1 a~e group. Gregg de\ eloped a cancer common to moles of that j!roup m a pre· moiJS(nont lesion whrch he hod had as 0 piO)Cr Gregg hod had o mole on his left thigh e\·cr srnce he could remember. While at 1976 Super Bowl Game. ,\tiami, noted a p1mp/e growing aut of mole. 1::xcrsed mole ..malignant melunoma . . , Lymph node drssecuon followt:d "free of metusiOses. ·· .\'o adJUnctn e lheropy. JUS I period1c checkups. Gregg srJid: "You change your priorities after go1ng lhrou~h something Ilk!-! chat You realize uhat's rmporranl You (md OUI II'S )OUr fam11) and re/ig10n. Aflt!r that comes \'Our JOb •• " H on SFL Cooch-oflhe-\'eor Award 1n 1976 Wllh Browns' \\'11, L5 record. Inducted JOio Pro Footboll I loll of Fame July dWINTER, 1977 Jj :w, 1977. �SOURCES Of PHOTOGRAPHS '\ \. 0 CAPTIO\.S Amcncan Cancer Sac1t•ly Da\IS, Johnson); A Short Season. feannie ~lams, Dell Pubhshwg Co Inc.. Sew York. N.). 11112, EJuffolo E-;H:nmgs i\'CI\:> - Larry Fclser (Gregg. llc:;tcrj; DHJdnck. ,\1,0. [Druwwgs-Fig. l, 3): i':allonol Enqu1rer - Ed "\ewman (.\'••11 man]: 'l he Atlanta Journal Ron llutlspcrh (fohnson]: I'hc :'l!ew York T1mes c;,~ralcl J;skt·no:.l (<;regg-llall of f'ome}; ~\ho's Who'" /'oorbn/I, Honold/,. ~lende/I and Tirnoth} R Phnrt•s, ,\rlinglon /louse, .\'ew Brwn 1'1ccolo - llochclltJ. ,\' Y. 1'17-l 131AI.IOGRJ\PIIY- to appear with :\rt1cle VI f "1}1)1\ .. ACK:>.:O\\'I.EDG:-.IE:-.."I'S- R. Abbey; Dept. of ,\ll'clu;al lllusrrallan Sl ,\'\ AB - ,\1.0. IJu•drrch. I) 1\tkrnson Or. Sklarow Award l assumed that Ruab (nO\\ Dr. Raab) based his remarks on hts own obsen·auons and ele:pcrltlnces and those of his fellu\\ student:. at our school 1n the pa~t four vears. • There could be no bclter \\ltncss than Dr. Raab - as med1cal student nnd graduate- to pass judl!ment on the teachmg of commumcat10n, speciC.call~ \\ith the cancer paltent and famil~ Dr. Raab 1s h1mself n patient m the ~arne lt:JUkemJa-1~ mphoma clinic I attend Ill the cancer 1ns11tute. He has llodgkm':. Disease StaJ<le 11 in remissiOn. The dJ.tl(nosis \\aS made in the first pari of h1s junior year m medical school. :-.:o,ember. 1!115. lie had .t biopsy of a mudinstmal mass (mediasllm>scup~) sragmg laparotnrn~ \\llh splenectom~, supervoltage mantle X-r .ul!.llion, oral <Jnd Intra\ enous t;hcmo· therap~. Yet hi' completed his junwr and scmor )Cars with sallsliJClor~ gradPs on time. And hn was Jlraduatcd with his class, whrch honored hrm h~ choosllllo! hun rls representall\'c to speak .11 the comml.'nccment exercises. I haven't had anythm~ to do formally \\lth undergraduate medical education since mv r1•tirement from UB in 1971. I've' heard and rend a lot .1uout courses being mtroduced 1nto toda~ 's nwdical curricula to tr.ach students communication with and compassiOn Cor patients w11h chronic serious. potcntiull~ fatal disease, .rntl their families. These ~;oursos go b) \ artous n.1mes in \ ar1ous schools- "person.1l .md suci<~l medicine," ''death 01ntl d) inJl," ntc. !I'm not sure whether an) MC t~flercd to UU medical students I 1 wonder. thou~h. ho11 man) of the students\\ ho take them feel that the~ h,r\·c gained any re.tl rns1ght mto meeting the needs of future pal!ents and tlwiT f.rmllu.:s nr \\ hl'ther the~, us Or. R.1.1h remarked about h1~ four year» of medic<rlt•ducatwn. still feel unprepared at graduat1on.O A 1977 Medical School graduate, Dr. Steven B. Lanse, was the first recipient of the $250.00 Or. Louis Sklarow award. This first annual award was given by the Buffalo Federation for Jewish Philanthropies to Or. Lanse as an "outstanding graduate." Dr. Lanse received his B.A. degree from Queens College in 1973 and was elected Phi Beta Kappa. He is currently continuing research work in genetics at the Children's Hospital and has also undertaken a new project involving geriatric medicine at the E.j. Meyer Memorial llospital. He is also doing postgraduate training in the Umversity program in internal medicine. The Annual Or. LOUIS Sklarow Award was set up by Dr. Sklarow who practiced medicine in Buffalo and Niagara Falls for thirteen years prior to his death in April. 1975. He came to Buffalo from Russia at the age of 10 and studied in Buffalo. After graduating from medical school in 1929 he interned at Meyer ~lemorial Hospital where he later became the Assistant Medical Superintendent. He was always interested in helping young people. After the government built a hospital at Iroquois. New York he practiced there among the Indian people. particularly with the Thomas indian School. He also carried on a private practice in Gowanda. New York. He later studied ophthalmology in Vienna. Austria. He was also affiliated with the Albany General Hospital and with the VA Hospital.O 16 THE BUFFALO PHYSICIAN �Summer Fellowships • Ninetee n medical studen ts participated in the annual summer fe llowsh ip program, according to Dr. Perry Hogan, associate p rofessor of physiology who is program chairman. Each student receives from $750 to $1,000 for eight or nine weeks of work in medical research in the basic sciences and community health problems. The program is funded by the American Cancer Society, the Louis Sklarow fund and the bio-medical general research suppor t grant. Three thi rd year students, joh n M. Canty, Lynn Soffer. and Thomas C. Cooli ttle. are contin uing their resea rch that the} started in 1976 when they vvon a summer fellowship. Others in the program include -eleven freshmen a nd five sophomores. Other committee members Drs. Gerard Burns. surger}: John Edwards and Rocco Venuto, medicine: Edwin Mirond. RPM/ graduate education: Mar} Voorhess. pediatrics; and John Richert. assistant dean and registrar. $1000 Contin uing Research Projects Recipient John~~ c.mt~ . ';'9 Thomas C Doolittle. '79 Site. Sponsor Ur R Jl · rl 1::. :O.Iales C.mholo!(y. I::.J. ,\ !eyer Hospital Or. l:!u)wne :O.tmde ll. Orthopedics E.J. ~!eyer llospttal Dr. Diane M . jacobs Microbiolo11~ SL'\:YAB Project Transmural Variations in :\tvocard1al Res1stanct: and Blood Flow · Btomechanics of Bones \\ith Large Defects and Remodelin~ Lynn Soffer. ·; g MEDICAL RESEA RCH Allen Carl ·-g The Influence of Serum Factors on the Poh m\ xin 13 Modulation of Lipopolysaccharide Triggeru1J.! ol ~!urine Bone-MarrO\\ Derived L~ mphoc~ tcs Ur. J. Bcrkomlz. Interaction Between Octapepl!de-Cholecystokmn1. gastr in and Secretin on Dog .~ntrnl Smooth ~lu~cle Gastroenterolog~. Joseph Caprioli , '79 Cardiopulmonary and :-.tetabolic function in the Chronicallv Crilicallv Ill John G. COJsc. Jr .. '80 fine Specificity of Antigen Receptors on Murml! '1'. Lymphocytes ~larjor~ Parsons Dube. '80 Role of (1\Ja + K ) -ATPase on PAH Transport Iiden Feil. '80 Obesity -The Tip of the Iceberg. A Stud) of tlw Relationship Between Obesity and Personnlllcnlth Habits Chromosome Analysis of Couples in Western 1\<•'A York with Three or More Spontaneous t\boruons Turnover of Enolase in Aged 1'\ematodes Jonath.m Felsh<>r, '80 '\ Stud~ of A!ling in the Central Nervous System Steven Eli,ts, ' 79 Kenneth Enlt•s. '80 of the Fisher Rat Mark A.C. Hoeplin~er. ·;g Clinical and Pathological Correlauon of Periphct.JI Toxic Neuromyopathies Due to Alcoholism Robert 1.. lgnas1.1k. Jr .. '80 Local Protein Svnthesis tn Selected :-.h elinatcd Axons of the Goldfish Spinal Cord · KOJtht•rine M jasnosz, '80 Antibiotic Susceplibilil~ Pallerns of the Rc~p•rator) Flora of Patients with C\ slic Fibrosis Rccombmalion Between SV-tO and Host o:-.:A Da\ id J. l.ipm.m, '80 John ~t.w·li. '80 Bruce D. Rntlgcrs. ·;g Alan C. Smtih, '80 Roher! J. Wnlsh. '80 WINTER. 1977 Coronarv Venous PCO' as an Index of Mvocard1o1l l sche~ia · Colposcopy as a Diagnostic Tool for the ldenti£ic,llion and Localization of Pre-lnvasice Carcinoma of the Cervix In Virro Demonstration of the Promoring Acli\'ll~ of Sterculic Acid Reel Outer Segmesl Disc SheddinR and Suhsl•qut·nt Pha11ocytosis and lysis b} the Pigment Epilheltum in the Retina of the Rat 17 :\assau Co. Med1cal Ce nter, East ~leadO\\ , Drs. john Border. Frank Cerra. Surgery. E.J. Meyer Hospital Dr ~!orris Re ' ;hlin, \'.A. llospital Dr Suk Ki I long. PhysiOlogy. Sl'l\:YAU Ur. R<i\ mond Bissonette. Familv Practice. SUO\:YAB :-.:.Y. Ur. Richard L. :-...eu. Human Gl'netics. Children's Hospital Dr. R. Lane. 13iochcm•strv SU!\:YAll Or. Harold Brod\. An.tlom' SL:\:YAB Dr. Andras Korenn-Bolh, :-\curomuscu lar-La bora tor\, E.J..\lc~ cr Hospital Dr. Ed\\a d Koenig, Ph\ siolo~\ Sl'~YAB Dr. Em m :\cter Uactenolog~, Children's Hospital Dr. :O.liin Gut.ti. ~li~;rohiolog~ RP~Il Or. rrdnCIS I "'locke. ~ledu:ine. E.J ~le~er Hospital Dr. llaluk C.1gl.u, Ob/ Cyn. :-.till.trd Fillmore Hospital Dr. Ch.trltJs E. \Venner, Uwcht'mtstn I{P~Il llr Wt•rncr K ''\oell, 1\:t! urulog~, SU:\'YAB �The Geriatric Patient IN HIS Glen \'on Fosse n, a rt•presentotn·e of Ho e r1~ tdr\'isro n o f Pfrzer Pharmaceuticals} ~·isrts with Dr. Small, con(l!rt•nce drn!clor. In Sepember Dr Small stepped down as chorrmon o( the department of psychiatry. o position he hod held SIOCe Hl51. INTRODUCTORY remarks before 750 people at the Sheraton Inn-Buffalo East, Dr. S. Mouchly Small. symposium chairman, said there are an estimated 22.4 million persons over 65 years of age in the United States. Each day more than 4,000 Americans reach the age of 65 and are classified as "the aged. " The great majority are subjected to mandatory retirement e\·cn though they feel and think the same as the} did the da) before they reached this point of no return. The decision to base retirement at a given chronological age regardless of vocation. ph~stcal and mental health dates back to the Social Security Act of 1933. It has little scientific basis and was arrived at without ad equate consultation with those who were affected bv this law. "The creation of the National Institute ·on Aging and the recent appointment of its first Director. Dr. Robert N. Butler. with a budget increase to $26 mi1lion for fiscal1977 is a ra) of hope and suggests a commitment by our Federal government to support basic research on the process of aging and the problems associated with it. Perhaps with increased knowledge about the elderly we may be able to dispel the misinformation and discriminatory. derogatory stereO!) ping of the elderly which is all too commonplace today." Dr. Small said. He is professor and chairman of the department of psychiatry at the Medical School and director of psychiatry at the E.j. Meyer Memorial Hospital. In her presentation Dr Eleanor A. jacobs said. "one of the highest priority challenges in modern behavioral science is represented by the question: How. and h) what methods do we retain the basic human resources of aging and aged individuals'? To begin to answer that challenge. we must dispense with the concept of chronological age as a criterion of abilit}. efficiency. and competence." The associate professor of ps)chology in the department of psychiatr) suggested that assessment measures (both psychological and physiological) must be and are being de\'eloped to derive a range of functional age criteria. "The functional efficiency of the 95 per cent of those retired individuals who "'ill live out their lives in the community must be maintained. while restorative tactics are utilized with the 5 per cent who are living their last years in an institutional setting." 18 THE BUFFALO PHYStCIA~ �• The clinical psychologist at Buffalo's Veterans Hospital pointed out that much has been written about the cognitive deficits found among elder!~ individuals. yet research studies indicate that the "well-aged" can learn. retain. and perform with a high degree of accuracy. given slightly more time than a younger person. "The well-aged who do not retire or disengage from the role of productive citizen, and who have a high number of options in life-style have greater longevity. fewer chronic medical conditions. less affective depressions. and a fuller. more satisfying life. The well-aged who face mandatory retirement without meaningful, productive life goals thereafter. and 'v\ ho have a limited or non-existent number of tife-style options, tend to experience a shortened life-span. many chronic medical conditions, increased cognitive deficits, chronic affective depression. and nn arid psychological existence." The aged and aging persons living in institutional settings (4 to 5'7r of the elderly population) must be given a greater number of life-style options. a sense of responsibility. and a sense of worthwhileness if the tide of deterioration is to be turned. Dr. Jacobs said. "Multi-disciplinary approaches combined with on-going research efforts are essential. Within the institutional setting. programs which combine reality-orientation. life-st~ le opllons in regard to daily habits and living arrangements. physical fitness programs. and the effective use (not over-use) of appropriate medications such as \'asodilators and anti-depressants appear to offer real benefit," Or. Jacobs concluded. In discussing the use of drugs for treating the aged psychiatric patient. Or. Melvin Steinhart said "elderly persons may suffer from the same emotional illnesses as younger individuals d:\pproximolely '150 allend o one-day srmposium on Socio-Medical l\lunagenwnl of the Gcriotnc Patient \VI\1TER. 1977 19 �panel Drs. Eleanor Jacobs. t\bruham .\llonk. Melvm Steinhart. - neuroses. personality disorders. schizophrenia, affective disorders. and anxiety. In addition. they have a fairly high incidence of organic brain syndromes . Especially regarding the latter, differential diagnosis is essential to be certain that treatable illnesses, such as space-occupying lesions, cardiovascular problems. and metabolic disorders are not overlooked. Senile dementia. a progressive degenerative process. is quite common and usually is of the Alzheimer type rather than being due to arteriosclerotic cardiovascular disease. the latter usuall~ involving extrocerebral arteries and producing lacunar disease." The 1962 U/B Medical School graduate. who is associate professor of medicine and psychiatry at Albany College of Union University, said "chronic organic brain syndromes most frequently include the following signs and symptoms: disorientation, labile affect, impaired judgment, concrete thinking, and a personality change which generally leads to behavior which is out of character for a given individual or exaggeration of previous personality trails. Disturbed intellectual functioning is almost always present and usually includes impaired retention. recall. and recent memor}. Loss of recent memory may lead to paranoid ideation since the person denies the loss and must find an explanation as to why he or she cannot find articles they've misplaced. "Many persons with marginally compensated chronic organic brain svndromes, when they lose their usual environmental orienting cues (such as at night or being placed in unfamiliar surroundings) will develop an acute organic brain syndrome (delirium) characterized by clouding of the senorium. confusion, perplexity. stupor, visual hallucinations, fear, agitation. misidentification of objects and persons, misperceptions leading to illusory phenomena. and paranoid ideation which usually relates to fear of bodily harm. This process is frequently referred to as the Sundowner Syndrome. It is a sensory deprivation delirium and should not be treated with "minor" tranquilizers such as chlordiazepoxide (LibriumJ, diazepam (Valium), barbiturates, or chloral hydrate since such sedative/hypnotic drugs cloud the 20 THE BUFFALO PHYSICIAN �senorium and therefore \.'.-ill worsen the patient's status Rather. every effort should be made to keep the patient oriented: thts includes leaving a light on at night. ha\'ing a calendar and clock within vie\v, and repeated orientation by a supportive person in the environment - preferably the same person," Dr. Steinhart said. He pointed out that drugs are extreme!} useful in mental and emotional disturbances of the elderly. but should be used with the objective of helping the person to functiOn at his or her optimum. Therefore, drugs cannot be emplo~ed in a vacuum hut necessarily include maintaining the patient's self-esteem and interpersonal relationships. Particularly with those who have chronic organic brain syndromes efforts should be made to keep the patient active during the day so he will sleep at night (and therefore decrease the incidence of "sundowning"). Principles of drug therapy in the elderly must include the following, according to Or. Steinhart: 1. Alterations in absorption. storage, metabolism. excretion, and increased sensitivity of the nervous system to drugs as well as the patient's cardiovascular. renal. and hepatic functions; 2. Avoidance of polypharmac}. if possible. but recognition of possible drug interactions since many elderly persons must take numerous medications. A drug history should include those obtainable without prescription; 3. A\·oidance of drugs ~hich may further impair the patient: 4. The simultaneous use of more than one psychotropic drug of a given type (such as two tricyclic antidepressants) has no rationale; 5. Use liquid preparations when possible this enhances patient compliance: 6. Use the smallest amount of psychotropic drugs possible; 7. Use "drug holidays," such as no medication on weekends, to deplete the adipose tissue of drugs and hopefully prevent the onset of tarditive dyskinesia. Dr. Steinhart made several other observations: -Antipsychotic drugs (major tranquilizers) are useful in treating organic as well as so-called 'functional' psychoses: -Antiparkinson drugs have been shown to be of no value if used prophylactically; · -Anxiolytics {minor tranquilizers) are safer than barbiturates but should be used with caution since thev can cloud · the sensorium, leading to a toxic confusional state: -Lithium may be needed in the treatment of the eldedy for manic-depressive psychosis. In conclusion. Dr. Steinhart said, "all of the ps}chotropic agents discussed can render considerable impro\·ement in elder!) patients. but the) should be used with care and never as substitutes for interpersonal relationships; self-esteem, or to keep a patient 'quiet' mere!~ to cater to the needs of medical or paramedical personnel." 0 WINTER. 1977 21 �Dr Katz reads the X-rO}'S lo llcd\·ika Urban and Drs. Lou b and t.l1sili. Gastroenterology Dr. f:clmund Tarlor, clm1cal fellow in gaslroenterolog~. Joel Owerbach, Pharm.D . candidate. ond Jeffrer Selrzt>r, fourth rear medica/ student. Since 1968. the University postgraduate program in gastroenterology has trained I 1 gastroenterologists, six of whom have remained in Buffalo and three more are currently in the program. Specialization in gastroenterology requires t\vo years of training after residency in internal medicine. Drs. James P. Nolan, professor and head of the department of medicine, and Leonard Katz. associate professor of medicine, have been co-directors of the program since it began. A new full-time chief of the division is being recruited. In the interval Dr. Bruce R. Sckolnick, clinical assistant professor in medicine. is acting director. In addition to training specialists in gastroenterology. twenty to twenty-four Fourth Year medical students each year have spent one month on the service. The program. while based at the E. J. Meyer Memorial Hospital includes teaching rounds and conferences at the Buffalo General Hospital and next year will include some activities at the Veterans Administration Hospital. In addition to full or part-time faculty members, Drs. Bruce Sckolnick. and Alan Leibowitz. M'70, clinical instructor of medicine. and Raphael Sanchez. clinical assistant professor of me dicine. a large number of practicing gastroenterologists contribute their time to teaching in the program in the GastrointesUnal Clinic, in teaching rounds or at conferences. Former dTHE BUFFALO PHYSICIA �J Dr. llartwrg '",\lax·• Boepple. ,\1"76. a resident. Dr. Kat1. examines esophageal motrlitr traCin!! wrth students and resrdents. (from left] Dr. Tse, students Owerboch, Seltler, Drs Kotl. Kenneth James Clark. gas· lroenterology fellow. Gerold Ko1ser. l\-1"75 resrdent. Ellis. Boep· pie WINTER. 1977 Dr. Kotz drscusses a problem with Dr. Tom "J se, a rP.sldP.nt �Clinical assistant instructors and medtca/ students JOin Dr Katz m a discussiOn of patient's problems. From the left - Drs Kc•nnt•th J Clark. Joseph ,\listti, ~llchael ,\laare. und llt·tl\'tlw Urban (fourth year srudenlj. and Dr. Ed word l.oub. cllntcul osstslunl insrrocror in medtctne. trainees of th1s program ha,·e remained active participants in the program and are enthusiastic teachers: Drs. Ronald Basalyga and Dean Orman, ~1'65. hoth clinical instructors of medicine. William Flemming, :-.r64. clinical assistant professor of medicine, Donald t\1tller. M'67. clinical associate in medicine. and Oa\'id Vastola. clinical instructor of pharmacy. Since becoming Associate Dean at the Medical School, Dr. Katz has maintained an active commitment to the G.I. program. He conducts regular rounds at the E.J. Meyer Memorial Hospital three days per week, attends the G.I. clinic as one of the group of attendings who staff that clinic, participates in the noon hour G.l. conferences at the E.J. Meyer Memorial Hospital and when possible the G I conferences at the Buffalo General. Dr. Katz insists. "I hope never to give up clinical medicine and my climcal activities and teaching are a \·ery good balance to my role as a dean in that I work directly "'·ith students in patient care and tr~ to make a personal contribution to their education." 0 i\wry Ellis, fourth rear medical student, and Dr Katz t~xnminf! u polwnt. Or. G!l/ t\scure. clinical fellow in gasrroenlero/agy. and Dr Katz . THE BUFFALO PHYSICIAN �At a time of urgent concerns with hospital mergers. hurcaucr.ttic intrusions into patient care and hospital reimbursement. spectors of National Health Insurance and so man~ other grav•~ issues facing physicians it seems rather naive to spend my time writing and yours reading about Continuing Medical Education There arc other committees. associations. and individuals far more knowledgeable to speak on all of the former subjects. and I rPel that the active Alumni. constituted for the most part by practicing physicians. should concern itself with the problem of Continuing Medical Education. At one end of the spectrum we Me d,1ily bombarded with colorful brochures inviting us to travel to Tahiti to be better informed on the habits of T lymphocytes: and at the other end, a two week cram course in Chicago in February which covers the entire gamut of any field of medicine one is interested in. ll is not the content of these courses I take issue wilh as much as the intent. In the former situation. if we serious!} v-:ish to accumulate Continuing Medical Education credit. the shadow of mixing so much pleasure with business surel~ discredits it. In the latter. courses designed to re-educate a physician in every detail of his specialt) for purposes of recertification surely are out of touch with the realities of practice. I have no doubt that in ' the near future all physicians ''iII he faced with some educational requirements for recertification or re-licensing probably enforced b) fee schedules based on one's credits We must somehow ensure that the requirements he reasonable and good for both the physician and his patients. it seems almost embarassing for us to say to a politician that we m.ty not pass a certifying examination. but that \\e are excellent physicians. In the realit) of the situation. it would be the unusu.1l practicing physician who could without much extra preparation pass most Board exams as nov. constructed. Before any irreversible legal requirements are enacted .md most importantly before they are given the advice and support of medical authorities on the subject, who all too often arc solely educators rather than practicing physicians. those who are to be most affected must be heard from. Our own department of Continuing Medical Education is an excellent example of the form and substance of Continutng Medical Education that is needed. At the present time it is threatened by the current budgetary problems that plague all areas of the Stale system. The Department needs our support and suggestions to destgn a curriculum which will fulfill the needs of the practicing physician to which he will respond in .t posili\'C fashion. and if necessary to design a certifying examination \\hich will take into account not the detail that an individual knows about a subject but his approach to a cl4tical problem. It is then necessar~ to have some workable form of peer review which ensures that a man practices what he preaches. 0 A Message from Michael A. Sullivan, M'53 President Medical Alumni Association Dr Sullivan WINTER,1977 25 �Gardening Gardening and plant life is an interesting hobby for Dr. and Mrs. William H. Georgi. "It makes our lives more colorful and exciting." During the winter months they spend many hours working with 'plant families,' and in nice weather grooming and planting in their 18 various herb, asparagus and other vegetable gardens around their home in Colden, New York. Dr. Georgi is a 1943 Medical School graduate and head of the department of physical and rehabilitation medicine at the Buffalo General Hospital and acting chairman and clinical associate professor of rehabilitation medicine at the University Vtrs. Georgi is a substitute teacher of physical education and health in the Orchard Park School system . "When I'm not teaching, I work in our two-and one-half story greenhouse and exterior gardens plus giving lectures and tours of our gardens to civic groups, hobby and garden clubs. This keeps me busy. We love to share our gardens and enjoy helping visitors who come to see our plants. We try to advise them about the feeding, lighting and watering techniques that we have learned from experience." Mrs. Georgi has done a great deal with herbs and has helped others start herb gardens. She has written a handbook, Herbs Are Fun and Easy, Delicious and Nutritious. "Parsley and basil are easy to grow from seed or a cutting, but chives should be started with small plants. Sage, thyme, rosemary and lavendar are more difficult to raise." she said. Begonias, impatiens, spider plants and the various types of coleus are easy to grow and add color to the greenhouse. Mrs. Georgi is proud of her icicle plant with pink blossoms that open in the morning and close in the evening. They also grow verbena. orchids and bougainvillaea. Dr. Georgi has created a special asparagus garden. He also raises bees and makes his own honey. The plant lovers serve herb tea, her b bread and herb honey to visitors.O Dr. und Mrs. W11/JOm Georg1 26 THE BUFFALO PHYSICIAN �''ll is a once in a lifetime opportunity." That is how Dr. Douglas MacN. Surgenor describes his new post in Boston where he will be Director of the Northeast Regional Red Cross Blood Program, president of the prestigious Center for Blood Research (CBR) and visiting professor of pediatrics at the Harvard Medical School. Dr. Surgenor assumed his new position in June. The Northeast Regional Red Cross Blood Program - the largest of 57 Red Cross blood programs across the U.S .. serves Massachusetts and Maine with a variety of sophisticated blood products and professional services. The program collects about 1000 units of blood daily to meet the needs of 233 hospitals in Massachusetts and Maine. CBR, an independent research institute devoting its attention to blood, is the successor of the world famous Harvard group, led by the late Professor Edwin J. Cohn, which made so many contributions to medicine during and after World War 11. These included the development of serum albumin and immune globulin for human use. the development of new methods of collection and processing of blood. and for the preservation of the formed elements of blood. Dr. Surgenor was a member of this group from 1943 until he came to Buffalo in 1960. A participant in virtually every level of medical decision making. Dr. Surgenor began his U/ B career 17 }ears ago. Startmg out as chairman of biochemistry in 1960, under his leadership the department grew both in number of faculty as well as range of research. From 1962-68, when he was dean of the Medical School he started The Buffalo Physician. From 1967-70 he \\as provost for the Health Sciences, and recent!} professor of biochemistry. More recently. as head of the medical admissions committee. Dr. Surgenor had been witness to the imbalance between the number of those who wanted ''in" and the available places. With un· wavering support from Dean Naughton he pointed to an admissions system today that is equitable, conforms with school policies and is in compliance with mandates from the federal and state governments. "The Committee assumes all decision making," he said. "Because it has complete responsibility for student selection, every applicant is assured of a fair hearing. This is what I am most proud of," he added. As teacher, researcher, and writer. Dr. Surgenor has made invaluable contributions to blood banking and research. He has served on many boards and as a consultant to numerous organizations. and was recipient of the American Heart Association's Citation for Distinguished Service to Research in 1968. Since 1972, he has served as president of the Center for Blood Research, also located in Boston. In Boston. Dr. Surgenor wants to harness the strengths and resources of the academic community to help solve the complex problems of delivering blood services to one of the most advanced medical regions in the country. His appointment as visiting professor at Harvard- a distinguished appointment reserved fo r a few of the leaders of medical science, is an important tribute to Dr. Surgenor from the Harvard Community, and is an indication of the help he can mobilize in reorganizing the Blood Program.D WfNTER. 1977 '.!.7 Dr. Surgenor Resigns Dr Surgenor �Promotions to Assistant Professor: Doctors Thomas Beam, John Breen, Peter Maddison (all from medicine). Dennis Nadler, T. Dennis Sullivan (from pediatrics). Robert L. Dickman (social and preventive medicine). Faculty Promotions The following 56 Medical School facult}' mem hers received promotions in August, 1977. Promotion to Professor: Doctor Eugene Gorzynski (microbiology). Promotions to Clinical Professor: Doctors Irwin Ginsberg (otolaryngology); William Kinkel (neurology): M. Steven Piver (gyn-ob) . Promotion to Research Professor: Doctor Clara M. Ambrus (pediatrics}. Promotions to Associate Professor: Doctors Joginder Bha~ ana (general surgery); Stephen Spaulding (medicine); Robert Summers (anatomical sciences): Richard Williams (general surgery). Promotions to Clinical Associate Professor: Doctors Mir V. Ali (medicine): Edwin Manning (neurology): Frank Marchetta (otolaryngology); Yoskiaki Tsukada (pathology): Adrian Vladutiu (pathology}. Promotion to Research Associate Professor: Doctor l larold J. Wallace (medicine). CIBAAward Promotions to Clinical Assistant Professor: Doctors Paul Buerger. Paul Burstein, Harold Castilone, C. James Chen, Wilfred E. L. Gordon. Donald C. Gregory, Kenneth Kahn, Morton P. Klein, Daniel Kozera. Henry L. Pech, Milton G. Potter, Lawrence Roth, Russell J. Vnn Coevering (all from gyn-ob). Israel Alvarez. Tarik EJibol, Maher Hathout, Kosta V. Prchkov, Bruce R. Scholnick (all from medicine). Michael S. Feinberg, Irving Sterman (both from orthopedics). Sunder B. Hattangadi, Balvinder Kang, Myong \\on Kim. Sudha Krishnaswamy. Mukhtar Shah. N. Vallabhaneni (all from psychiatry). Sung Choi. radiology). ~1artin Fleischer (both from Also- Daya Balu (pathology): Rama M. Guntupulli (anesthesiology}; Louis Lazar (famil> medicine): Elizabeth McCauley (pediatrics). Promotions to Research Assistant Professor: Doctors Sigurdur Bjornsson (medicine): Edwin W. Naylor and Georgirene Vladutiu (pcdiatrics}.O The CIBA Pharmaceutical Company has again made possible an award recognizing a sophomore student "who has performed laudable extra-curricular activities within the community." Andrew Majka of Gasport, New Yurk is this year's award recipient. During the summer of 1976, Andrew served as the Director of the Niagara County Health Camp, a camp for underprivileged child ren. Also at this time Andrew volunteered one night a week to work at the Migrant Ministry Health Clin ic at Mt. View Hospital in Lockport, New York. For 3 years beginning in October 1973 Andrew was a volunteer with the Tri-Town Ambulance Service. responding to local calls and those from nearby Royalton and Hartland. The CIBA Award consists of a complete set of the CIBA Medical Volumes ill ustrated by Frank Netter .O 28 THE BUFFALO PHYSICIAN �Greenhouse Gardening I 1 t A 1950 Medical School graduate enjoys greenhouse gardening. Or. Sidney Anthone, clinical associate professor of surgery. built the greenhouse on the second floor back porch of his home in Central Park to please his wife. "Perhaps had I realized there would be 19 cartons of glass cut pieces and metal strips dumped at the curbside in front of our home I would have thought differently about building our own greenhouse," Dr. Antbone said. It was a "fun" six-month building job for father and son. Although 20-year-old David is a junior at the University of Denver, he spends enough time at home to enjoy the wide variety of fresh flowers and plants. Dr. Anthone finds it relaxing to work among the plants even though he claims to be no professional. "What a delight to look outside on a snowy or rainy day and see the beautiful, colorful plants inside.'· Or. Anthone said. Mrs. Anthone and her three daughters enjoy the collection of daisies, azaleas, chrysanthemums and Gloxinia, a tropical American Herb with leafy stems and blossoms of pink, white and violet. "Seeing hibiscus. orchids and gardenia plants grow in our enclosed garden along with cacti and ivy gives pleasure to the entire family." There has been a constant battle with mealy bugs that appear as while clumps of cotton on the plants. but they have been controlled by spraying. One area of the greenhouse is like an "intensive care unit" for the plants. Dr. Anthone admits that he never really talks to his plants but he does plug in music. "I like to listen to the plant growing. We both seem to do better with music. "0 WINTER. 1977 Dr Anlhone 29 �Dr. Small IJr. Small Dr. S. Mouchl)- Small stepped down as chairman of the department of psychiatr)-, a position he has held since 1951. He will continue to be professor of psychiatry at the Medical School. The distinguished physician-educator has had an illustrious career. He has not only been director of psychiatry at four Buffalo Hospitals- Buffalo General. Childrens, E.J. Meyer Memorial and Veterans Administration - but he has also been a consultant to the Surgeon General of the United States Army. United States Information Agency, Peace Corps and Defense Department. Dr. Small has also been a consultant to corporations and colleges. Dr. Small is a Fellow in seven professional organizations American Association for Social Psychiatry, American College of Psychiatrists. American Medical Association, American Psychiatric Association, American Public Health Association, New York Academ} of Medicine, and New York Academy of Sciences. He is a Diplomate in the Pan American Medical Association and the American Board of Psychiatry and Neurolog). He is a member of 40 local. State. regional. national and international boards. councils and associations. Dr. Small is listed in Who's Who in America. American Men of Science. \ ol. II, Directory of Medical Specialists. Biographical Directory of the American Psychiatric Association, and the Association of American Medical Colleges Duectory. Professor Small is co-author of a book. Prospects und Proposals : Lifetime Learning for Psychiatrists. He is also author or co-author of 64 other professional articles. Dr. Small has been the recipient of 9 special honors or prizes for his "outstanding professional activities in mental health, leadersh1p, dedication and service to the community and his profession " Dr. Small received his bachelor of science degree (cum laude) from City College of New York in 1933; his M.D. from Cornell University Medical College in 1937. He was on the faculties of Yale, Columbia and Cornell Universities before coming to Buffalo. The 1977 Medical School yearbook, The Iris. paid a special tribute to Dr Small for his 26 years as chairman of the psychiatry departmenl.D 30 THE BUFFALO PIIYSICIAN �Dr. Joseph ,\qu!lma, chnlcol professor of mcdlcmc. supervises the examination of a patient. Students from left -Ronald S. Sco!l. Donald f. Amodeo. •\'oncy G. D1·orak. . \/bert}. Addeso Jr.. PhilipS Anson. Kurl R Bcutner. Cotrans Plan Six of the seven new members of the junior class are transfers from Guadalajara and Juarez Medical Schools in Mex1co. They are entering U/ 8 via the COTRA:\S Plan of the Association of American ~tedical Colleges. Under the program. American students who have completed their basic science education in foreign medical schools and have passed Part I of the National Boards. may be accepted into tho clinical years in American medical schools. This program is in its eighth year at U/B. Over 400 applications were received in Buffalo this year from studen ts who were unable to find places in first year classes in this country when they graduated from college. The junior year for these transfer students started August 8 with a one-week "crash course" in physical diagnosis. Directed by Or. Joseph Aquilina at the VA Hospital. two students were assigned per preceptor. There were intensive lectures in the morning and ward rounds in the afternoon. The preceptors were: Drs. Jamshed Ahmad. ~faher Ilathout, and Won Yang Kim. The new students started their clinical \\'Ork in surgery (6-weeks) at the E.J. Meyer Memorial Hospi tal and then rotated among the other associated hospitals. The> alJ plan to practice medicine in the United States. They will be members of the 1979 class.O WINTER. 1977 Dr. Moher Hathout, cllmcol oss1stont professor in medicme. w1th the new students. �The histolo~r/embrrologr lob . Summer Programs T here was variety and flexibility in the summer program formedical students, according to Dr Leonard Katz, associate clean for student and curricular affairs. Eight incoming medical/dental students got a head start on their education by completing histology/embryology during the summer. This was the third year for this special preparatory support program for credit. There was also a non-credit course. introduction to biochemistr). The professors teaching this eightweek course were: Drs. E. Russell Hayes, Michael t-.leenaghan, Chester Glomski, Joseph Tomasulo, Frances Sansone and Joseph Natiella. Visiting lecturers were: Drs. Frank Corbett, Malcolm Slakter and S. Mouchly Small. Six medica I studen ts enrolled in the accelerated program so they could graduate in three years. Dr. Robert J. Mcisaac directed the program in pharmacology and therapeutics and Dr. Arlene Collins was in charge or microbiology. Each student spends approximately 15 hours daily reading, listening to taped lectures. in labs or doing other types of self-study. Dr Regmald Sllles• .\1"77, (front r1ghl} chols informally wilh some of the summer program students �.\ fonr sum mer hou rs ore spent m !he micro lob b) these fh·e medical ~tudenrs (1980 class). Back ron from the left - Frederic~! FmeJI,, Peter JederlmiC, Do\'id T. ,\Jaun t. clin ical assisrant professor of m1crob1ologr. Fron r ro w (rom left- Stefon Pri bil, Joseph ll arr~son. Stephen M eltzer. Drs. Alexander Brownie and John Fopeano directed a special biochemistry review course for students who had difficulty last year. The emphasis was upon individualized self study. The clinical areas had specializations in psychiatry for 14 students directed by Or. S.K. Park at the E.J. Meyer Memorial Hospital. Dr. Marcus Gallego had 14 students in ob/gyn at the Millard Fillmore Hospital. Eight second year students worked with Or. Edward Marine in the depart,ment of medicine at Deaconess Hospital on a special summer externship program. Several students also worked in pathophysiology with Or. Julian Ambrus at Roswell Park Memorial Institute and with Or. Theodore Herman at Veterans Administration Hospital in hyperbaric medicine. Approximate]; 15 students are participating in the second annual skills development course. Funded by an HEW grant it is taught on an individual basi~ by Meryl McNeal. It is based on the Hanau Learning Method and designed to improve the study habits of medical students, according to Rudy Williams, assistant dcan.D Dr Joseph Tomasulo, clinical assistant professor of ouotomicol sc1ences. explains on experiment to Rod Robmson, first year medical sludenr. Pet er ] ederlinic listens to lopes in the Resources Learnmg Cente r. 33 �PROMI~E'\T PHYSlCIA'\S. who either were graduated from the Medical School or served on its faculty. were honored when the State Uni\·ersity Board of Trustees approved names and name changes for facilities and roadwa) son the ~lain Street campus. -Hochstetler Hall to Grover W. Wende Hall. One of the country's foremost dermatologists. Grover Wende graduated from U/B in 1889. He served on the Surgeon General's advisory committee for the detection and treatment of venereal and skin diseases during World War I. The Wende Building will be used as a multi-media center. -Old Faculty Club to Edgar C. Beck Hall. Edgar Beck graduated from U/B in 1919 and served as associate professor of clinical medicine and consultant attending physician at Buffalo General Hospital until his retirement in 1969. Beck Hall will house the office of the Vice President for Health Sciences. -Carbon Research Laboratory to Lucien Howe Research Building. Lucien Howe graduated from the Ro)al College of Surgeons in England and later served as president of the Buffalo Academy of Medicine. A professor of ophthalmolog~ at U/ B for 30 years, he helped establish the Buffalo Eye and Ear Infirmary in 1876. The Howe Research Building is used by several departments including chemistr~ and engineering. -1\:orton Circle Drive to Charles D. Heyd Drive. Charles G. Heyd graduated from the U/ B Medical School in 1909. In 1932 he received the Legion of Honor for service to France during World War I. The Heyd Dri\·e circles the central portion of the U/ 8 Main Street campus. F OUR Streets, Facilities Named for Physicians Other Main Street campus cha nges: -Lockwood Library to Charles D. Abbott Library. Charles D. Abbott was the first director of Lockwood Library and served in that position from 1935 to 1961. A Rhodes Scholar. he also served on the U/B English facuhy. The Abbott Library will hold collections for the health sciences. -Norton Hall to Daniel H. Squire Hall. Daniel Squire was among the university's first dental school graduates in 1893 nnd joined its faculty the following year. He also served as dean of the school from 1912 to 1935. -Cooke Hall to Mearl D. Pritchard Hall. Mearl Pritchard received his pharmacy degree in 1921 and remained acti\'e in university affairs for the rest of his life. A pharmacist for 50 years. he received citations for service to his profession. education and the universit}. Pritchard Hall will be used as an office building for several U/B departments. Amherst campus names approve d include: -E. Carleton Sprague Road. a portion of the Service Center Road extending from the electric sub station to the Crofts Service Building. E. Carleton Sprague was chancellor of the universit} from 1885 - 1895. A prominent attorney and orator. he added the Schools of Pha r macy, Dentistry and Law during his chancellorship. 34 THE BUFFALO PHYSICIAN �-Daniel J Kenefick Place. a roadwa)' near the Statler Food Commissary. Daniel J. Kenefick was the "father" of the City of Buffalo Charter. under which the go\·ernment of Buffalo now functions. A Supreme Court justice and district attorney, he was also the first chairman of the City's Board of Education. -Kanazawa Island. situated in Lake LaSalle near the Joseph Ellicott Complex. Kanazawa is Buffalo's "sister cit~ .. in Japan. Several cooperative programs involving community and university persons have been initiated between the two cities. -John James Audubon Parkwa}, the North Campus Boulevard. The John James Audubon Parkway will eventually circle the U/B Amherst campus. Portions of the parkway. which have been called the North Campus Boulevard. are completed and in use, while future plans call for its connection with the Parkway in the Audubon New Community and the proposed Lockport Expressway. -Claude E. Puffer Grove. located at the Rensch campus entrance near Sweet Home Road. Claude E. Puffer was the vice president for business affairs at U/B from 1964 - 1970. He ser\'ed as acting chancellor of U/ B during the mid 1950's and held several other key administralion posts at U/ B. -Melvin H. Baker Chilled Water Plant and MeadO\\<. ~1elvin H. Baker was a founder and former chief executive of the National Gypsum Company. A noted humanitarian. Mr. Baker served as general chairman of the State American Cancer Societ} and the executive committee of the Crippled Children's GUild of Buffalo. -Wilson S. Bissell Building, the former U/ B Band Building located on Millersport Highway. Wilson S. Bissell served as chancellor of U/B and was a law partner of Grover Cleveland. In 1892 he was appointed to Cleveland's Cabinet as Postmaster General. -Lars G. Sellstedt Crafts Center, located in the Ellicott Complex. Lars G. Sellstedt came to Buffalo from Sweden in 1842. Closely associated with both Millard Fillmore and Grover Cleveland, he painted both their portraits. He was also instrumental in the founding of the Buffalo Fine Arts Academy. The names of Hochstetler, Lockwood, Norton and Cooke were previously approved for transfer to facilities at the Ll/8 Amherst campus. 0 WINTER. 1977 35 �Gcometnc {best 1n shOI\'J. Photo Exhibit Approximately 60 photos were entered in the fi rst annual medical staff photography exhibit at Sisters of Charity Hospital. There was a variety of subjects in black and white and color - everything from an esophagus to a chimpanzee. from facial studies and geographic obser\'ations to African Safari. Dr. Paul Milley, pathologist, took ribbons for the "'best of show" and first and second prize for black and white. The Tahitian won first prize in color for Dr. Donald 0. Rachow, clinical assistant professor of medicine. Dr. Joseph Link's Alaskan coastline placed second. He is clinical instructor in pediatrics. The judges were Frederick Marschall and Robert Muffoletto.O 36 THE BUFFALO PI IYBICIAN �HomN\'Onl rn lhe Rorn (lsi place, block & while}. 1 } �Techmcian Mal"} Carroll. Dr. Carr A Clinical Component A clinical component has been added to the Department of Pharmacology and Therapeutics. One example is the new research facility located at the Veterans Administration Hospital. Accessibility- the hospital is just across from the University campus - plus greater recognition of the Veterans Administration Hospital as a major teaching hospital provided the impetus. according to Dr. Edward A. Carr. Jr. In the new facility. the pharmacology-therapeutics chairman will continue to investigate radioactive diagnostic compounds. especially those used in imaging the heart. His other research interests center on endocrine pharmacolog} and problems of adverse reactions to drugs. Since every successful clinical pharmacology program in the United States has developed through cooperation between the basic pharmacology department of a medical school and its various clinical departments, Dr. Carr is pleased to see this cooperative arrangement developing here. The clinical pharmacology program he developed at the University of Michigan is administratively based in medical school pharmacology, but has developed close relations with internal medicine. pediatrics, and other clinical departments. This same arrangement has now been initiated at Buffalo. 38 THE BUFFALO PHYSICIAN �\ Because he firmly believes that education for physicians and dentists in the use of drugs must continue over a lifetime. Or. Carr feels it is especially important to give them a good start. This can be done through a well organized program in medical and dental school that provides a continuum. starting at the basic level and going right up through the clinical years. '' For example," he said, "students learn the basic pharmacology of narcotic analgesic drugs in their course in Fundamentals of Pharmacolog) during the second year. This is an area where striking basic advances are currently being made. "But. as clinicians, students will later be faced with the problem of choosing a specific drug for a specific pain problem . They will need to consider its principal effects. its interaction with other drugs, and its relation to other possible ways of relie\·ing pain. Knowledge of ways to avoid the need for drugs in many clinical situations is just as important as knowledge of the indications for drugs," he added. When sufficient personnel is available, Dr. Carr hopes to offer a course for clinicians in the area, to update them on the use of certain important drugs. and the changes that have taken place over the past decade. Hoping this will be beneficial to them, he feels sure it will also benefit those giving the instruction. "Whene\ er I have a chance to discuss pharmacology and therapeutics with a group of clinicians practicing in the community," he stated. "I always learn some interesting points from them. This type of education is bilateral." 0 The physiological causes of obesity are being studied by Dr. Jack Goldman, associate professor of medicine. Using rats in which lesions have been created in the hypothalamus, he observes the metabolic systems of the animals and their non-lesioned counterparts. "I would guess we are 25 years from explanations of the physiological reasons people become overeaters," the chief of endocrinology and associate chief of staff for research at the Veterans Administration Hospital, said. "We can be sure that no diet or no drugs will help a patient keep off lost weight unless the person changes his eating habits. There are no miracle cures," Dr. Goldman said. "Amphetamines initially curb the appetite by working on that portion of the hypothalamus which controls hunger and satiet). B> increasing early weight loss. they may encourage the patient to stick to the diet. For patients who must lose 100 pounds or more, the pills can get them through the first few weeks of dieting with little or no side effects. After that, the patient generally feels less inclined to overeat. but an intensive program to help the patient change his eating habits must also be included for weight loss to be permanent," Dr. Goldman concluded. 0 WINTER, 1977 39 Obesity Study �A reconditioning session. Post-cardiac Reconditioning A This program was financed by on initial grant from the Bernhard Hoffman Memorial Foundation. Dr. Lawrence Golden. M'46, chairman of the deportment of medicine and chief of the section of cardiology at the Hospital and clinical professor of medicine, supervised the program. Dr. Barry Franklin, a physiologist. coordinated the program. He is now at Case Western Reserve University. Nurses, physical therapists and secretaries also assisted in the program. THREE-MONTH pilot program of post-cardiac reconditioning at the Millard Fillmore Hospital shows some positive results, according to Dr. Italo Besseghini, clinical associate in medicine. He was one of the program's medical supervisors. Eighteen of the origmal 23 participants completed the threemonth program. They showed a decrease in body weight as well as in body f_atness, as measured by a caliper test. "They showed an average increase in functional capacity of 11.7 per cent, as measured by an oxygen consumption test. This implies an increase in energy production that made physical tasks easier for the men," Dr. Besseghini said. In addition many of the participants showed a lower heart rate and lower blood pressure, indicating an increase in the efficiency of the cardio-vascular system. Dr. Besseghini said there were no major changes in levels of serum cholesterol or triglyceride concentrations among the participants during the three months. The hospital's cardiac reconditioning program was Western New York's first outpatient group-exercise program specifically for persons who have had or are prospective candidates for a heart attack. It was held four times a week and each participant was required to attend three weekly sessions. Dr. Besseghini explained that tltis program represents a relatively new approach for rehabilitating heart patients. Traditionally, individuals who had heart attacks were advised to limit their exercise to walking. Those who did exercise usually had no way of knowing what amount of activity was best for them. This program taught participants two important lessons. There is an optimal amount of exercise from which they can benefit, and for each person that amount is different. 40 THE BUFFALO PHYSICIAN �Each individual underwent a stress test which measures his ability to perform an exercise. usuall) walking a treadmill or riding an exercise bicycle During testing an individual's heart rate and blood pressure \\as measured and an electrocardiogram. recording the action of the heart muscle, was taktm. "We wanted to find out his maximal functional capacity: his ability to take in and utilize oxygen. The key to the reconditioning program is the person's maximal heart rate - the number of beats per minute at the point when he begins showing fatigue during a stress test," Or. Besseghini said. The exercise program. he added, focuses on a patient's exercising only to the point where he reaches 70 per cent of his maximal heart rate, a figu re which is referred to as the optimal heart rate. Several times during each session, participants were asked to take their pulse rates and report them to a secretar) who altends along with a supervising team including a physician and nurse. An electrocardiogram also is taken before and after c.tch session. "A patient should be in a program like this for about a year. It wou ld allow him to become aware of his limitations on the way he exercises, the intensity he can handle and allo\\ him to become independent," Dr. Besseghini said. He also noted th.tt "exercise per se is not really going to pre\'ent a heart attack. Howe\'er. a person who is well conditioned is going to come through a heart attack much quicker. much safer and with less loss of function." 0 ,. AJurrnrrl To~s, Dr Besseghini 1978 JANUARY 30 • FEBRUARY 6 NASSAU $519 Buffalo depature (World Airways, DC-8 stretch jet - South Ocean Beach Hotel - full American breakfast and dinner daily- free tennis & golf). MARCH 12-19 1978 Medical-Dental Continuing Education Seminar MARTINIQUE $516 Niagara Falls Departure (Capitol Airlines DC-8 stretch. deluxe Meridien Hotel - free tennis and water sports; optional dining plan ava ilable: 5 dinners, 4 breakfasts, S75.00) MAY 14 • 22 GREECE $677 Niagara Falls depature (Trans International Airlines DC-8 stretch jet- Royal Olympic Hotel- continental breakfast daily- your choice of lunch or dinner daily). For details write or call: Alumni Office. Sl'N'r AB 123 Jewett Porkwo) Buffalo, N.Y. 1421-l {716} 831-4121 WINTER. 1977 41 �l'r<ture• b) Roman Poblon. 1117!1 cJa;o Clockwise from lower left. Dean John Naughton recei\'es diplomac}' award; Hogt•r Kaiser. Gretchen M1lll'r, Myra Rubrcz. Joe Buran; The "1\lod-mt'c/rrgols" represented the 1980 class; The Mad-med Tabernacle Chmr: Don i\rmen10. J\lork Hogen, Mike Ce/lino, Becky Jackson. Dick Irene, Doug Waldo: ,\ I}TO Ruhrct., ]Ill Joyce. Margaret Graf, Robrn Adair. co-producer of the Follies. The Entertainers 42 THE BUFFALO PHYSICIAN �\ Clockw1~e from obo\·e: The Lesch Syhan Band; Beth Wadman. Gale Borg. foe Gagliardi. foe Buran, Jim Bracikon·sk1. Roger Kaiser. Don Armenia; The Chr~srmos Chair- Don Armen10. Fred Eames, Barbaro Fretwell. Becky Jackson. Doug Waldo, Rob1n Adair, foe Gagliardi. Pere r Condra. conductor and composer; Joe Gagl1ord1, dm~clor. producer and .\1 C of the Follies: Benny Day. The 1979 Class is working on the program for the second annual Christmas Holiday Sing-along and the Med School Folli es that will be presented in December and March. This class has distinguished themselves as scholars and entertainers. Peter Condra was both composer and conductor of the "MadMed Tabernacle Choir" that gave a rousing 45-minute performance last December. joe Gagliardi directed and produ ced the three-hour Follies. He was also the M.G. Robin Adair was cocreator of the spring Follies that featured special acts from the other three Medical School classes. Approximately 100 students participated in the two special events.D WJNTER, 1977 43 �A Medical Student's Impression by Oliver P. Jones. Ph.D., M.D. Distinguished Professor Emeritus When "A Profile of our First Faculty" \\as prepared for the Buffalo Physician most of the material ''as gleaned from ohituaries and biographical sketches. In most of these. perhaps because of personal attachments. there 'Aas a predisposition to eulogize the professor's virtues and strong points and suppress his \\eaknesses and peculiarities. Yet much of the interest \\ hich attaches to him upon moral and philosophical grounds depends upon a knowledge of both sides of the question. But what did the students think about our first faculty? \\'hat impression did our first facult} make upon the students? To date. no old allies nor letter files have disclosed diaries or notes made about their lectures and the impression the~ made upon their listeners. Ilowever, let us consider that for about 350 }ears, it \>\as <l matter of conjecture as to whether Andt·eas Vesalius could draw or delineate until notes written b} a medical student. Vitus Tritonius, about Vesalius's first Paduan dissection were discovered among the manuscripts in the National Library in \ i('nna. According to Charles 0'!\lalley. the medical historian the diagrams "hich Vesalius used were fashioned after Galen and Guinter of Andernach and were used as demonstrations before he began his dissection. ~1ore important are lhe notes '' ritten hy a German medical student - Baldasar Heseler - who allenclcd Vesalius's demonstrations at Bologna in 15-lO Hts notebook \\,ts subsequently found among the manuscripts in the Ro~ al Lihr.tr~ of Stockholm in 1846. There it remained until it \\as disco\·ered and translated from Latin into Swedish b~ Ruben Eriksson \\'ho subsequently had it translated into English tn 1959. The notebook \'erified many of Vesalius's own statements about his activities and methods. Fortunately for those interested in our first faculty tt \\<IS onl} 122 years after the} began their lectures at the Universit) of Buffalo that it \>\aS my prh ilege to read and analyze a diar) or journal written b} one of our students, the top man in h1s classfrom 31 January 1848 to 18 April1849. In addition Lo entries concerning his association with the Medical Department of the University of Buffalo, there are others relating his experiences as Health Physician for the City of Buffalo during the choler<~ epidemic of 1852. The diar} was among rare books O\\ ned by the late Dr. Ellicott I Iague, ophthalmologist and bibliophile. I lis son. Or. Thomas Hague. who grew up with some of my children, kne\\ of my interest in medical history and lent me the notebook for my study. The diary has hard CO\'ers \\.'ith marbling, a leather spine and measures 6 1/: x 8 mches. The title page reads - journal of Studentia Medici Contraria Contraribus; ho"' e\·er. it is not until page 143 that the author identified himself as J.D. Hill. He was an excellent penman but an erratic speller, e\'en \\ ith respect to ordinary English words. Our latinists believe Hill meant to \\rite Student instead of Studen!ia (Fig. 1}. That is: Physictans study contraries by their opposites, which rna) be a reflection of the allopathic reaction to homeopathy. john Davidson Hill was born in Manchester, l\:e'A York. 29 April 1822. He was raised on a farm and at 15 years of age was the sole manager of 500 acres of land. He left the farm when he 44 THE BUFFALO PHYSICIAN �~~LLUA' tf~~ was 17 vears old and entered Lima (KY.) Seminar~ to seek an education and the wider \\'alks of life. Aftemards. he studiml medicine in the office of Or. Dayton in Lima and matnculatcd in 1847 at Geneva :-.ledical College. Apparently Hill did not keep a diary at Geneva as he did at Buffalo and referred I? his experience there in just a couple of sentences about h1s former professors. The first entr\' in the diar} is undated but \'\·as probably written at home i~ Victor. Nev. York before he left (31 January 1848) :** dWINTER. 1977 45 �In this lillie volume I wish to record such dailr mcidents as rna:. be deemed \\Orth~ of recollcclion. as ~uides in the unknown futurt> and it may be, its rn\'i\'al may serve a pleasant past-time in a lonel~ hour when bod~ and sp1rit are wtJaried \\ ith the dail} routine of life. Then, too. the fillin~ up of the blank pages in this lillie book. shall btl de\'oted a few moments of each da) as it passes to the unrecallable past: and as its author increases 10 days. the recorded pages of th1s book multiply. may he increase as rapid!) in kno\'l.ledge. in \\isdom and the pO\\I'rs of the "healin!Z arts In view of our interests in the Bicentennial Year. I am going to start with the entry for 22 February 1848 which reads: Each return of the anniversar:t of the birthday of George Washington brings to mind the rHcollections of a great and a good man. The m1nd dwells with pleasure upon the memory of those "bright particular stars" that liMhtcd our country throuRh the perils of the Revolut1on and mude it free. None in the galaxy shown out during the entire contest with such bright enduring efrulgence as the character whost' h1story commenced on thr 22nd of February. 1731 ... . The entry for 28 March 1848 reads: Webster {Anatomist) lectur<'d on the eye. Flint on acute and chronic lar~ n~itis. The former of \\hich the first recorded case \\aS that ul which George Washinj!ton diod. A year later (1849). Hill was so engrossed with clinical subjects that he did not have time to write so philosophically. However, it was coincidental that the ent r~ for 2~ Februar~ should read: "Dr. Flint gave us toda~ what he had to sa~ on laryngitis or inflammation of the larynx. or more proper!~ thl! submucous tissue \.\>ith the infiltration of lymph and serum . This is a most fatal d isease and of recent origin, it is the disease of which Washington died. Treat.: Blood-letting, emetics. cathartic. calomel -revulsions and tracheotomy .... For forty }Cars I have taught gross anatom). among other subjects. and it is difficult to shed one's tools of the trade, so to speak. Hence, \.\hen it was my privilege to read and analyze this diary - my immediate reaction was to dissect it. This could he done sys tematically by cataloging th e entries under such headings as - weather, civic events, recreation, the medical school and the faculty. etc. It was done for the faculty by nottng the number of the favorable and unfavorable or derogatory remarks written by I rill about each of the eight individuals out of a total of 326 entries. In essence: some professors could do no wrong while others were not complimented for any thing Student's Comments in Diary Professor Webster Lee Flint Hadley Coventry White Hamilton Entries Favorable Unfavorable 32 2-1 73 42 34 44 3 3 3 1 1 0 60 0 0 0 3 0 2 4 8 17 1 0 Demonstrator Ford 46 THE BUFFALO PHYSICIAN r �We will hegin by talking about Dr. Corydon La Ford. Demonstrator of Anatomy and our first Librarian. He was the first person to meet and teach the students - with the exception of Austin Flint who. as Treasurer. collected the moncv - no credit being allowed. In those days. Dr. Ford was not c\;cn considered a member of the faculL~. because only the se\ en professors occupying the chairs of their respecti\ e departments were so considered. Dr. Ford collected S5.00 from each student. The duties of the demonstrator were as follows: I. The demonstrator shall be appointed annuall) h) tlw Faculty on the nomination of the Professor of Anatomy. II. He shall he responsible to the Professor of t\natomy for the management of the Dissecting room and for all dissections and preparations that may be required uf him for purposes of illustration. Ill. He shall provide all subjects for the Dissecting room, ;~s well as those for the necessar} use of the Professors of Anatomy & Surgery without an) expense to the college. rv. It is understood that the subjects (cadavers) are to he obtained in such a manner as not to compromise the interests of the Institution. '\ow to continue with Ford who had 17 enll·ies. one fa\'orahlc and none unfavorable: · :?4 Jan 1849 . Dr. Ford 113\ tJ hi~ las! lecture. il was on the ncn I!S of organrc life. Aflcr the lecture, we contributed 10 make the doctor u pre~cnt of a gold gunrd chain and draught resolutions c:~.prc-.sm~ the hi~o~h r•·~arcl \\ hich Dr. Ford is esteemed b} the class .. Dr. Ford remained in Buffalo until 1852 and then left for S) racuse where he was Professor of Ana tom~ in the Dental School. In 1854 he accepted the chair in Anatom) at the Universi~~ of ~1ichigan. Two years later. the .\linute Book of the ~lcdical Faculty of the University of Buffalo reads: 29 Scpl. 1856:1-'acull) mcelrng held allhe \l~dic.ll Coltegt:. On nllllwn or !hi' Dean (Roc:ht!Sler) II was reque::.ted lo wrilc lo lht! Prcsldenl of the .lo.ledical School ill Ann t\rhor remonstrating agninsl tlw illh•mpl IU pror.ur<! multJriat provided O) the la\\S made especiilll~ for lht: benerll or the \:ew York schools ... . 25 Del. 1851i Faculty meeting held at the .lo.ledical Colll'~l'. Dr. Rochester read the correspondence with the .lo.ledical Facult~ of !hi' llniver~ily of :vtic:hrgan: and on motion of Dr. Hamihon il was rl'~oh­ ed WI' do no! consider the answers addressed lo our DP.an suflrcit•nlh explicit - and thai we deem it due to the importance of !he sllhJt'!:t that the Facuh) of the Universrt) or ~tichigan should di~llnctl~ dccl.rre their futun• intentions in relallon lo this maller In conclusion. Ford carried the skills of his trade\\ ith "bod,· snatchers" and "resurrectionists" v..-ith him- which meant som~! of his anatomical material was obtained from Western :\e\\' York . We now know that Dr. Edmund Andrews. the demonstrator at Ann Arbor. had an agent in Buffalo who_received S25. for every specimen sent by express - labeled "pickles" or "fresh paint". The medical students had nothing to do with this enterprise. Dr. James Webster, the Professor of Anatomy had three favorable and no unfavorable entries. Prior to his appointment at Buffalo, he had accumulated twent}- years of teaching experience. The three favorable entries are as follows: 1. Prof. Webster gave his second lecture on General Anatomy. It was a very good lecture .... d- WINTER. 1977 47 �2. Prof. \Vebsler gave two lectures on the brain. II \\as an e~­ cellent brain for demonstration and Webster ts tht! man that can demonstrate it 3. Webster gave his farewell address to the students of Buffalo College. It was a \'er) fine production and the Prot. went off with the best wishes of the class. Or. Charles Alfred Lee (It is interesting to note that he latini1.ed his name - Carolus Alfredus - when he signed diplomas) had probably contributed more to the medical literature than an) other American author. by the time of his death in 1872. lie \\,ts our professor of pathology and materia medica. ThPre are twent}-four entries in the diary - 3 favorable and no unfavorable ones as follows: 1. Prof. Lee ga\'e his introductory lecture. It "''ds a very fine production well worth) of publication .... 2. Prof. Lee gave us lwo most excellent lectures. high!) important and full of instruction. Subject: The causes of disease which he divides into cognizable and non-cogntzahlc 3. Last and greatest of all the profs. Lee. gave us two splendid lectures on epidemic cholera They were preeminent!) practical. Dr. Lee is worthy of our heart's best il nd \\'armest emotions .... A recurrent theme in medical histor) is that Austin Flint. Sr. good teacher who influenced thousands of students. After all. he taught at Chicago. Buffalo, Louisville. ~ew Orleans. Long Island and New York City. He was our first Professor of Prtnciples and Practice of Medicine and Clinical ~ledicine. \'\aS a The diary contains 73 entries about Flint, 3 favorable .1nd :J unfa\'orable. Lei us consider the entry for 24 March 18-18. which ts the first of three fa\'orablc ones about Flint: Allcnded Dr Flint's lecture on auscultation and percussion . He had given one lecture which 1 missed. !think the Dr. vcr~ clear in his elucidation on this subject and for this reason seek his lectures. Hill was scheduled to attend Flint's lectures durmg the seconcl term of medical school but Prof. james Webster, who commuted from Rochester. N.Y. did not arrh'e on Lime to give his lecture on anatom} 3 April18-l8. so the entry reads: Prof. Webster v~as absent tod.l} so I allendcd one of Dr. Flmt's le ctures on pleuritis. II was ,, vm~ practical lecture. He recommended the students to read an article wrillen b) Dr Stokes and pubhshed m Braith\\aite's Retrospect 4. :-=o. :! on the same subject. This reference was erroneous but there is an article b) James Hope on the treatment of chronic pleuris~ with effusion in \\ hich he de\'oted a paragraph to Stokes' mode of treatment with cold Lugol's iodine and mercurial ointment. The third favorable entry was just 5 days before graduation: ... Flint finished on scarletina, a n!r} ~ood lecture for him. He also made some uppropnate remarks to thu class on the retrospect I\ e .md prospective and then bid us farewell ..•. The first two unfavorable entries follow: 1. Or. Flint ~o~ave u clinic but did not amount to an) part1cular sum and I do not deem it worth} or a S}nopsis on this page.• . 2. Bore with lectures oil day Flint gave two lectures on T)phus, and this hos become stale enough and not finished yet. .. . 48 THE BUFFALO P!IYSICIAN �Why was Hill bored all day with lectures and Flint's lectures on typhus "stale"? There is really no clue in the diary - but there is one in the Annual Announcement of the }.tedical Department of the Universitv of Buffalo for 1849. There we learn, after graduation. that Hill had selected Typhus or Sh1p f'e\·er as hts thesis subject. Hence. much of what Flint had to say about the subject was very likely a restatement of information already known to Hill from other sources. The final unfavorable entry was on: 9 Apnl 1849 ..• Flint was still on Smallpox -and small was hu, lecture. The entry about Flint - "and small was his lecture" \·vas written in di~inutive script. (Fig. 2 line 3 from top). Perhaps Flint was just as tired of giving lectures as Hill as of listening to them. (By the way, the medical course that year had been extended from 16 to 20 weeks.} Whatever the reason, it is obvious that llill's admiration and respect for Flint as a teacher had diminished between 2-t March 1848 and 13 April1849. Rather than to leave these entries with a sour note. tvvo more will be quoted to show that Hill could be quite objective v1.:hen he felt so inclined. First. let us remember that this was onh the fourth lecture course given b) Flint. The first was at ·Rush }.1edical College. The entry for 21 t-.1arch 1849 provides a clue that Flint was destined to become a great teacher by challenging the students to contribute to and advance our knowledge of medicine by stating: · ...Flint took up remittent fever. gave the histor~ . phenomena . somt• of the supposed causes and patholog~. The latter hO\\ ever. he concluded we knO\\ next to nothmg and hoped the subject '"ould meet with the attent1on from the present class if anyone located [,.,·orahl~. to receive an opportunit) to investigate the subject. . • . Hill was the top man in his class when he graduated 18 April 1849 and records the events of that evening as follows: ... Prof. Flint had a levee at 9 o'clock this evening. It was quite pleasant so far as I was capable of judging.... Or. George Hadle). the son of Or. James Haole), \"'.'hu wtts Professor of Chemistry and Pharmacy at Geneva Medical College, was one of the youngest members of the facult). He had one favorable comment among 42 entries: . .. Prof. Ha(IIC) ~ave us a most instructive lecture on chlormc, 1ts properties. mode of preparing and ph}siological effects - chlormc. Cl-35.4. All its combinations with oxygen are obtained from the chlorate of potassium. . . Dr. Charles B Coventry came to the Unh·ersit) of Buffalo as Professor of Physiology and Medical Jurisprudence. However. in view of his experience at the Medical Institution of Gene\'i.l College, he was first assigned the chair of Obstetrics and Diseases of Women and Children - primarily because Dr. James Platt White had no previous teaching experience in those fields. Of the 34 entries. there was one favorable apd two somewhat unfavorable ones as follows: !.Prof. Co\'entr~ .1ppeared before the class in the morning ilnd )lol\'C his introdu-ctor) lecture to the course on ph~siolog) . Th1s wus a beautifully \Hillen ancl studied lecture . ... dWINTER. 1977 49 �2.There were no lectures in the mornin~. In the afternoon Co\"entr~ contmued his medical jurisprudence '"hich has become qu1te stale .. •. 3. Co,·entr~ completed the subJeCt of toxicolog) and th1s ''ound up his course for th1s term and the bo~s all expressed their grallfica· lion that the course \'I. as through .... Dr. James Platt White. who did more than anyone else to establish the University of Buffalo, had no pre\'ious teaching experience before he \·\'as appointed to the chair of Obstetrics and Diseases of Women and Children. Because he was supremely ignorant of dogma, he revolutionized the clinical teaching of obstetrics with what he termed demonstraUve midwifen. Of the 44 entries, there are four unfavorable and no favorable ones. The first one is quoted entirely: 24 Feb 1848. Wont to the Colle~e . Attended some of the lectures. Webster ~ave his introductory to h1s course on anatomy. it was the same as I heard nt Gene,· a. Prof. \\'hite gave his introductur~, it was rather a hard lecture comang from a professor of the University of Buffalo or any other college. Care should be taken in the appointment of professor:. that the) be interestin~. allractl\'e and lnstruch\'C m the1r address .tnd stvle of deli\"erv. Mind you - this was written 114 yea~s before our ~ledical School had a Standing Committee on Promotions and Tenure and Search Committees. The last three unfavorable ones are: 2. \\ hlle made somethmg of a bust on hemorrhaJ!e. He announced .tt the commencement of his lecture he "as going to enforce the old and orthodox doctrine of turning to dehver and condemns the late doctrine of ha\·in~ the placenta dehvered prenou:. to the fetus . etc. etc. 3. White on Chlorisis whtch did not amount to an) particular sum .... 4 . White continued his lingo on hysteria but it was ne1ther here nor there..•. This entry brings out Hill's wry sense of humor and sarcasm. [Fig. 2 first line). Since Hill belittled the lecture and made a pun about it being neither here nor there, James Plall White very likely espoused the theory that the uterus in cases of sexual deprivation would rise up and wander through the body in search of moisture and humidity. The entr)- about Flint -"and small was his lecture" \o\hich was written in diminutive script .tlso illustrates his wry sense of humor. Dr. Frank Hastings Hamilton was our first Dean and Professor of Principles and Practice of Surger~ and Clinical Surger)-. He established a record in the diary by accumulating the most unfavorable comments - eight out of 60 entries. Before commencing with these entries, there is one which brings out certain aspects of our human frailties . . . .The lime from the above date (1 Januar~ 1849) to the present (19 Januarr 1849) ha~ been devoted to attending medical lectures \\ithout anything peculiar havin11taken place \\ ith the except1on of one of our Professor~ (Hamilton) honng got a black eye and some student placed a note on the Professor's table asking him if "his black e}e \\OS m strict accordance with the principles Inculcated 10 his introductor} lecture" of which the Professor took umbrage As for Professor I lamilton's black eye. If we give him the benefit of a doubt- let us sa~ that his second wife did it. On the other hand. Hamilton was known to have waged and won a 50 THE BUFFALO PHYSICIAN �/I..:!, ~ Co:~/;:_.. ~ ~.4- If~ .. ,.~ 7~~ !;;/- ~ $~~ ~--.::: ~ ~~, If~ ~ ~ ~~./~?6,7- successful war against scandalous suits for mal-practice which were then common in Western r\ew York. He may have met with an unsympathetic listener. The first five uncomplimentary entries are: 1 . Dr. Hamilton, after an absence of 1\\0 weeks. commenced bonn~o: us this morning on sycoma or Elephantiasis (wart or cond~ lom.•J of the nose. Thb tumor may be either flesh) or adipose. Treatmont: Extirpation . • .. 2. llamilton. gassed awa~ on laryngotom} and tracheotom} . . .. (Flint. 6th ed . page 283) "Patients should never be allowed to die from strangulation for want of timely surgical interference". 3. llamilton made some remarks on vesicle calculi. lie named tho three most important varieties: viz. Lilhates. Phosphate. anrl \1ulberry - after which he performed the lateral operation on the subject (cadaver) This was most bungling)~ done . •.. 4. llamilton continued on the subject of amputations and performed se\'eral on the subject (cada\·erl in his bungling \\a) 5. Hamilton lectured. or rather read from a book on Strabismus. Thts lecture did not amount to much • . . . The next uncomplimentary entry needs a few introductory remarks to make it meaningful to those not acquainted with the early history of our ~1edical School. The .-\nnua/ ,\nnouncement for 1846- The "BuHalo Ctt} Hospital" •s a general charity for the reception of stck seamen. Cttizen~o. etc. The students wtll be ,tdmitled to the wards of the hospttal at such hour of each dav as the se\'eral medical officers are in attendance. and free of charg~ . Although these promises were never kept. there is nothing in the newspapers of that period about student protests and demands. This does not mean that they were incapable of such things. but rather that they were just too busy attending medical WINTER, 1977 51 ~JAitwz~~ �classes all day and serving as apprentices during the evening in a physician's office . John D. Hill was Dr. Horatio 1\. Loomis' apprentice. Loomis was capable of inciting others to write derogatory articles lor him. The next entry follows: 17 .\lor 1849 •• \\'hen I returned to the oHice was requested ro make some copies of .1 counter statement showmg Or. Hamihon as he i!> believed to be. a man devoid of truth and common veracit~ . On 20 March 1849, the Mormng Express published a letter addressed to the public which was signed b) etght physicians including Loom is. It is assumed that the diarist supplied Loomis with some of the infla mmatory remarks used in the attack on the funding by the Legislature of the Buffalo City Hospital because the word "veraci ty" was used. ?!-~~- d,<k/:i:~ ~7/t ~~~ h- :P£_ :Y/~ ,i;;, ~A-4f.- ~~ /'~ 7--:-, p-;tt:~ fi' ~ ~-~~ »-~-~ ~-7 J-:AI;.~ .~ ~ ~ P..~-.~~~~~~--~ -/~ ~ t?-.~~ d -0 It is interesting to note that 4 of the 8 physicians were also among the seventeen who protested vehemently about Dr. White's demonstrative midwifery. The last three unfavorable entries follow: 7. Hamihon bored us on artificial pupil and caterack (cataract) . • . 8. The Facull}' completed the exammation of the candidares and voted on the recommendation to come before the Curators tomorrow. most of whom hove heen notified. myself excepted. This is characteristic of rust as mean a man as the Dean of this Facult~. Frank H. Hamilton. Hill was a very suspicious person -just paranoid enough to make him brill ian t. Hamilton left him as the last candidate because Hill was top man in his class. This morning (17 April t849) was summoned to appear before thu Facuhv On mv arri\·al before this bod\ the Dean informed me th,ll the Fa~ulty wo.re unanimous 10 recomm~nding me to come before rhe Curators For wh1ch informallon I tipped m} btlaver to the learned Professor and thanked him for 1he1r most JUSI decision. and immediately made my appearance before the Curators. and ''1th the other candidates wa~ examined before noon and afrer noon. :\1 the close of the examination the Facult~ and Curators conJOint!} voled rhe degree of Doctor of ~1edicine on 19 cand1dates. This e,·ening attended a levee at Dr. Hamilton's. The Doctor made a desperate effort to make him~elf agreeable and cle\'er requesting me to take a glass of sherr} wilh him before we parted. that we might for~et the unpleasant past. Do not kno\\ "hether I shall or not. perhaps' We now know what one medical student thought about our heroes - the first facult)- of lhe Uni\·ersity of Buffalo. Harvey Cushing (1934) had this to 58) about them, "They made for the next five years as notable a faculty of energetic men as one could hope to find anywhere.'' They had their weaknesses and their 52 THE BUFFALO PHYSICIAN �strong points. Little did John D. Hill realize when he wrote the diary that Dr. James Platt White would turn out to be a veritable knight in shining armor. Perhaps there is only one diary like the one presented. but it is my pleasant thought that much memorabilia is still preserved by neglect. in the dusty and forgotten corners of private and public buildings. and that, hopefully. the future will bring to them the attention that their importance deserves. considering the humanizing light they may cast on the greater. or lesser. figures of our medical past. 0 Footnotes •Presented be(oru the Fr~ends of The Health Science Library, S.U ..\'. Y.• \.B. :w October 1976 "*There has been minor editing of the diar}' in the wo~ o) spellm11 out oiJbreviations. adjusting punctuallon to moke for easier reodmg, and corrt'Cilng what opp!!Ors to be typo!(raphical errors In the ongmul or whate\'er con~rs lht• changes deemed necessorr - /Jke the omission oi dotes 'I hi~ t..'l1minotes the JO· sertions a( mony s1cs which if often required look rather pedantic. Re)erences l'he references ore arranged m the order quoted or paraphrased moHmul f~rsl appeared m the ort1cle. 1. Jones, O.P A profile of our first facult}. BuHalo Physician 8: ,\o l, 16-li, l!li,i of the :-.tedical Facuh~ of the Um\·ersit~ of Buffalo 11B·Iti to l8i8J. Archi\'CS. Stole l nJ\'ersJI~ oj Xe1' York ot Buffalo. 3. I om mdebled lo ,\fs. .\lory fo Pu~h. Reference Archn·Jsl, l nl\·ersJI~ of .\fJch1gan. Bt!ntle}' H1stoTJcal L1brory and ,\llchJgan H1storico/ Collectwns, for thP. information about "AnolomJcol Procuremenl m lhe Old Oo}s" lllut•lkt!, D. F.: Universit} of Michigan Med1cal Bullelin XXVIIIJan.-Feb., Hlol, pp. 1-li.J 4 Cushing. II C. The Pioneer :O.Iedical School:. of Central Xe\\ York. (s.l .-..n ) :?. ~linute Book 193-l. 36p. WINTER. 1977 53 �VA Hospital Renovation A $300,000 renovation now undenvay on the fifth and eighth floors of Veterans Administration Hospital will lead to better health care facilities for patients as well as more space for teaching. It is the result of a greater role for \ AH as a major teaching and research hospital of the School of Merline. "~ot only has the number of nursing students who receive their clinical training at VAH increased sixfold over the past four years (from 120 back in 1972 to over 700 toda} )." sa)s ~1r. Joseph Paris. "but the number of medical students who receive their training in medicine and surgery has markedly increased as well." Mr. Paris is director of the Veterans AdmiDistration Hospital. And more surger> and medicine residents are now working at the VAH than ever before. Mr. Paris added that "it is a result of integrated University residency programs in both medicine and surgery." Students are also benefiting from expanded library .hours which supply almost round-the-clock services. He also pointed to several recent ke) faculty appointments. "Our physicians hold joint Unh·ersit) /Hospital appointments," he said. Noting the former crowded medicine/surgery teaching facilities at VAH- these are the hospital's two largest teaching programs - Dr. Daphne Hare pointed to the difficulty in accommodating more than a handful of nursing/medical students on teaching rounds and at patient consultations. Dr. Hare is Associate Chief of Staff for Education at VAH and is associate professor of medicme and biophysics at the University. :-..!ow all this is undergoing change. Facilities to examine and care for patients arc being improved and increased as the professional staff is augmented. "With a reduced number of patients assigned to each medical/nursing team, more effective and efficient patient care will be provided," Dr. Hare said. Teaching will also improve. There will be a >Aell equipped conference room, a number of new treatment rooms. and enlarged office space. "These will accommodate the numerous consultants and staff members who now carry on their teaching/clinica l responsibilities in the halls," she added. "As the first to receive comprehensive renovation support for an integrated service/education facility. we will carefully evaluate its successes, failures. The Veterans Administration in Washington wants to use our findings in future renovations," Or. Hare said. 0 54 THE BUFFALO PIIYS!Cit\1\. �Sentinar in Cancun I t was the last day of February when 30 ph}sicians headed for Cancun, t-..1exico to participate in the annual Continuing Education Seminar on Clinical Trends. Dr. James F. Phillips. M'47, clinical associate professor of medicine, moderated the panel that included Drs. Robin M. Bannerman, professor of medicine and pediatrics; Charles M. Elwood, M'59, clinical professor of medicine and director of Renal Isotope Laboratories at Buffalo General Hospital; and Bernard H. Smith. professor of neurolog). They discussed genetics. primary renal disease, strokes. the sickling diseases, bowel disease, headaches and hypertension (newest drugs used in treatment). ante-natal diagnosis. epilepsy. and an up-to-date appraisal of acid-base balance. The physicians and their wives found the sea and sun healthful and the remnants of Mayan culture fascinating. They enjoyed the walled city of Tulum, sitting high above the Caribbean. and inland the much larger site of Chichen Itza. where archaeological and architectural evidence of a remarkably accomplished Mayan people of the 16th Century left lasting impressions on the U/B group.D f rant. left to nght. Drs ,\nthony Schion, ,\-1'55. Niagara Foils. Anthony Yerkov1ch. Lake \'ic~~ and Charles Elwood. M'59. Buffalo. Second row, lu(t to nght : Drs. Edward Weppner, Niagara Falls. John Ziolo. M'63. Clarence. and Robin Bannerman. Buffalo. one of the teaching faculty members. Middle of photo. lost row. Edmond Gicew1cz . .\1'56. Buffalo. At El Castillo a pyramid doting bock to the fifth century in Chichen Itzo, Dr. Robert Corretore. M'56 in bock wearing white cap and retired physician Dr. Joseph Forugio. M'21 of Lewiston w1th hat. IJsten to rour guide Oswoldo (right}. -~-- \VI \ITER. 1977 Drs Bannerman and Yerko\·ich or the Temple of the Warriors, another remnant of o splendid, lost Ma}•on CJ\'ilu.auon surrounded by jungle. 55 �Alumni Award Honors Dr. Thorn T he U/ B Alumni Association has established a new award named for a prominent medical sc1entist, Dr. George W. Thorn, a 1929 honor graduate of the U/ B School of Medicine. Dr Thorn was in Buffalo to present the first award to dental researcher, Dr. Robert J. Genco, for exceptional professional achievement in dental education. The award was among several made at the annual U/ B Alumni Association's Installation and Awards Banquet in june. Dr. Genco has been on the U/ B dental faculty since 1967. He is a professor of oral biology and director of graduate periodontology. Dr. Thorn. a native of Buffalo, was co-discover of cortin and is presently physician-in-chief emeritus at Boston's Peter Bent Brigham Hospital and Hersey Professor emeritus. Harvard Medical School. Thorn taught at U/B and worked with Dr. Frank A. Hartman on adrenal gland experiments, the basis for his national reputation. Their work with synthetic hormones is credited with reducing the mortality rate of Addison's disease victims from over 80 per cent to less than 15 per cent. Dr. Thorn's career was marked by early meteoric events. Onl y 10 years after his graduation he received the highest recognition that can be given a medical scientist. the Gold Medal of the American Medical Association. The coveted positions he held at Harvard for some three decades were awarded him only three years later, and in 1943 he was one of the youngest persons ever to receive the Chancellor's Medal from U/ B. In April the Alpha Omega Alpha Society at Harvard presented a film that paid tribute to Dr. Thorn's distinguished career. The author of more than 50 publications in scientific Journals, Dr. Genco is internationally known for his work in immunology and oral disease. At the 1975 International Association of Dental Research meeting in London. he received the Basic Research in Oral Science Award. given only to one person each year. Students ask to work in his laboratory during their free time. He has interested them in the correlation between basic medical sciences and problems of the oral cavity, and shares the credit for many predoctoral students being asked to present their laboratory findings at national meetings. He is also responsible for several major research grants awarded to the School of Dentistry and has served on a number of peer review panels for the 1\:ational Institutes of Health.O Mrs. Thorn. Dr. Thorn, Dr. and Mrs. Edmond Gicew1cz. Dr. Gicew1cz was one of five to rece1ve the Dislingu1shed Alumni Award for significant career and community achievements. 56 THE BUFFALO PIIYSICIAN �Meyer Hospital Honors Three Physicians Dr. Paul J. Davis. professor of medicine. was honored as the "outstanding clinical teacher'' by the graduating residents in internal medicine at the E.J. Me~er Memorial Hospital. It was the third annual a\\'ard given a faculty member by the graduating residents. Or. Davis received a monogrammed white coal at the june 18th dinner dance at the Sheraton-East. He also heads the unh•crsity\'\'ide endocrine program. l'he physician-educator came to Buffalo in 1975 from Baltimore where he headed the endocrine division of the Hopkms Sen ice at Baltimore City Hospital for five years. The 40-yenr old professor of medicine is a graduate of Harvard t\1edical School (1963) and completed a residency in medicine at the Bronx 1\lunicipal Hospital Center In 1967 he joined the Johns Hopkins medicine faculty. set\'ed for two years with the Public Health Ser\'ice. was a senior staff Fellow in the endocrine section of NICI m·s gerontolog~ research center. and a clinical associate in its clinical ph~siology brt~nch as well. Dr. Davis is .1 Diplomate of the American Board of Internal ~ledicine and .t Fellow of the American College of Ph)sicians. His research interests include the mechanisms of action of thvroid hormone, .1ction of insulin in renal tubules. water metabolis~. the e\'olution of extracellular hormone-binding proteins. and testing of the free hormone hypothesis of endocrine action. Also honored at the annual Meyer Hospital part} were Drs. :'\iorman 0. Kalmin and Geraldine Sledziewski. Or. Kalmin recei\'ed the $200 Semmelweiss Award for his work on Serum Ferritin as an indirect measurement of bone marrO\\ iron stores This .tward was created in 1974 b~ Dr. O.A. Pragay. clinical associate professor of biochemistry and director of chemistry at the Meyer Hospital. The award is named for Ignatius Semmelweiss. who pioneered antiseptic and aseptic methods of surgery, obstetrics and gynecology between 1840 - 1865 in Austria and Hungary. Or. Kalmin received his MB Bch degree from the University of Witwatersrand, johannesburg. South Africa in 1971. He did postgraduate work at the Johannesburg General Hospital and has been a Fellow in hematology at the Meyer Hospital the last year. Or Sledziewski receh•ed the SlOO i\orman Chassin Award. The a\\ard is given annually to the "intern of the year." Dr. Sledziewski is a 1976 graduate of the U /8 ~1edical School. Her postgraduate work has been in internal medicine at both the Meyer and VA Hospitals. This award is named for Or. Chassin, a 19-:15 ~ledical School graduate. who is a clinical associate professor of medicine.D \IVI\!TER. 1977 Dr Do\"Js Dr Kolmm �FACULTY ME~lBERS were honored at the annual ~tedical School faculty meeting. Dean john 1\aughton presented the Dean's ~1edal to Or. Douglas M. Surgenor for his "outstanding contributions" to the School of Medicine. Stockton Ktmball awards for each indi\ idual's contribution to teaching, research and sen·ice went to Drs. Erwin Xeter and Carl Arbesman The Louis A. and Ruth Siegel a\'\ards (S500 each) for distinguished teaching went to Drs. Henry E. Black. \largaret H. MacGillivray and john R. Wright. Or. Surgenor joined the faculty in 1960 as professor and head of the department of biochemistry. From 1962-68 he was dean of the Medical School and from 1967-71 he was provost of the Facult} of Health Sciences. He resigned to de\ote full time to teaching and research as professor of biochemistry. Or. Surgenor left U/0 in June to accept the presidenc> of Boston's Center for Blood Research. He did his undergraduate work at Williams College and the University of Massachusetts and received his Ph.D. from Massachusetts Institute of Technology in 1946. He was a teaching fellow and research chemist there before joining the Harvard University Medical School. Dr. Arbesman, clinical professor of medicine and microbiology, has been on the facult} since 1941. He recei\'ed both his bachelor and M.D. degrees (1935) from U/8. In hts 40 years as a ph~sician-educator he has contributed over 300 arttcles on his research and trained 34 physicians from 16 countries. Many are professors or chairmen of academic departments while others are famous clinicians and researchers. He has devoted his life to the study of allergy since he suffered from severe eczema and bronchial asthma. He also heads the allergy research laboratory at The Buffalo General and Children's Hospitals. As an outstanding clinician and researcher Or. Arbesman has received invitations from academic institutions and hospitals throughout the world to participate in conferences and clinical consultations. Or. Neter is professor of microbiology at the Medical School and professor of clinical microbiology in the department of pediatrics at Children's Hospital. He is also director of bacteriology at Children's and consultant bacteriologist at Roswell Park Memorial Institute. He has been on the U/B facult) since 1936. He received his M.O from the University of Heidelberg in 1934. Dr. Neter. an internationally known and highly respected microbiologist. immunologist and pediatrician. received the Wyeth Award in clinical mtcrobiolog) from the American Society of Microbiology in ~1ay. Or Neter has made numerous outstanding and original research contributions in his three maJor areas of interest - the etiology and diagnosis of disease, the chemotherapy of infections. and the characterization of endotoxins. Three faculty members received the Louis A. and Ruth Siegel awards for distinguished teaching in the pre-clinical and clinical sciences. Dr. VfacGillivray. professor of pediatrics. and head of the endocrinology didsion at Children's Hospital. was awarded one of the clinical citations for superior teaching. She joined the U/8 faculty in 1974. Dr. MacGillivray ts a graduate of the University of Toronto. She took her internship and residency at Cedars of S ix Faculty Honored The Stochton K1mboll Award. on eight mch Steuben Crystal Plaque, with inscripoon from the Hippocratic Oath, was awarded to Drs Arbesman and 58 THE BUFFALO PHYSICIAN �Dr. ,\ rbesmon Dr. Black Or. MacGillivrnr Lebanon Hospital in Los Angeles. and was a research fellow in the division of biology. California Institute of Technology, Pasadena. She was also a research fellow in metabolism and endocrinology on the children's service at Massachusetts General Hospital. Boston. Dr. Wright. professor and chairman of pathology, v.·as the recipient of the basic science award-for excellent teaching. He also heads the pathology department at The Buffalo General Hospital. He joined the U/B facult~ in 1974. The 1977 graduating class dedicated The Iris. Medical School Yearbook. to Dr. Wright for his "excellency in the lecture hall and the hospital laboratory." The Canadian born physician-educator graduated with honors from the Universit\ of Manitoba's School of Medicine in 1959. He completed his int~rnship and residency at Winnipeg General Hospital and then switched to pathology at Baltimore City Hospitals (196163) and The Buffalo General Hospital (1963-64). The following yea•· he was an instructor at U/B, and in 1967 he went to Johns llopkins University as assistant professor of pathology. Dr. Black, clinical associate in medicine, was honored for his excellent teaching as a "volunteer.'' He joined the faculty in 1970, and is chief of the cardiolog) division at Deaconess Hospital. He is also on the staff of The Buffalo General. Children's and Veterans Administration Hospitals. Recently he was a visiting professor at the University of Guadalajara. Dr. Black received his Bachelor of Medicine and Bachelor of Surgery degrees in 1958 from Birmingham University ~tedical School in England. He interned at the United Birmingham Hospitals and earned a post-graduate diploma in obstetrics and gynecology. In 1960 he entered the Royal Navy as a medical officer. In 1965 he was appointed a specialist in internal medicine by the Ministr) of Defense. London. and appointed to the Royal 'aval Hospital, Haslar. England. Dr. Black is a Fellow of the Royal Societ~ of Medicine of London. He is a member of the Royal College of Physicians of Edinburgh. the American College of Physicians and the American Hearl Association.O \VI:--JTER. 1977 59 Dr. Surgenor Dr. \t'nght Dr. Neier (Le{l} receh•es the Wyeth Award from Dr. H 0. Halvorson, pres1dent of the American Society for Microbiologr for "outstanding research accomplishments." �Emeritus Center T he new U/8 Emeritus Center for retired teaching facult~ and administrators was officially dedicated September 27. President and i\.1rs. Robert Ketter participated in the ceremonies along with Willard A. Genrtch, a SU'\!Y regent. He was the principal speaker at the dedication. The facility is open from 12:30 p.m. to 3 30 p.m. five days a week. It is located in 161 Harriman (former site of the art library). Any retired teacher or administrator is welcome to visit the Center and participate in the variety of events and programs. Four emeritus physicians. all former Medical School facult) members. have enthusiasticall~ endorsed the new Center. They are Drs. O.P. Jones. Clyde L. Randall. Mitchell Rubin. and Kornel Terplan. The Center. conceived by retired psychology professor Rose Weinstein, is the first of its kind in the United Stales to offer an oncampus facility for those who want to stay in touch with their colleagues after retirement. "We are stressing the humanistic npproach to retirement and believe many people want to continue to be creative. We hope the Center will facilitate the transition from active to retired status," Professor \\'einstein said. Ruth East is the administrati\'e assistant and can be reached at 831-4813 The Center has an executi\ e committee composed of Or. Harold Brod). professor and chairman of anatomicaJ sciences: Or. John Meacham. assistant professor of psycholog): Professor Paul Mohn. engineering-emeritus: Or. Harriet i\.tontague. mathematicsemeritus: Or. Evelyn Jung. dentistry-emeritus: protessor J. 13urgcss Coleman. engineering-emeritus: professor Fred Thomas. engineering-emeritus: and professor J. Gibson Winans. physics-emeritus. The staff also includes a dozen or so volunteers including m.my faculty wives and students. ,\n in(ormaJ mnetmg 1n th" Enumtus Center loungl' -(from 1eJl) - llornt•ll .\lontogul'. pro(Pssor cmc•ritus, motht·motJcs: Paul ~; . .\fohn. profes>or enwntus. mechomcaJ enRint!ennl{: \Irs Dwnno Slolm. o \·olunlcer; Dr. Harold Hrod} , professor onu chairman of onoto1mcol scwnccs. Stondmg 1s Ann 1\eller. gruduoto• student \'olunll•er. and Row 1\ Pills It 1n, prnf••ssor •·merttus. ps} cholop.\ �Four f•merttus foculfl· nwmhcrs were among thost> uttendmg tl11• Ct'nff•r's d••dJCII· tion. from the ll'(t. fJrs. \\'JIIium Block. cngmeenng: Howard l'ost. cht•mJsfn, (J l'. ]nn!'s, onotorn); and Roger Grotw1ck, former d"on oj mt•n. In addition to the spacious, tastefull~ decorated lounge there are private offices where retirees can visit with friends. current faculty members and students. Some people may want to ha\·e formal meetings or informal seminars. These and other activities and projects can be arranged. The lounge area can be subdivided to accommodate up to three simultaneous functiOns b~ us~ of folding doors. The an'tl is carpeted, outfitted with arm chairs and drapes and decorated with art selected by the art department. TV. coffee. magazines, newspapers and other amenities are a\·ailable. ''The setting is inviting. We want to entice retired people to lea\'e home and come back to the campus," Professor Weinstein said. Eleven months in development. The Center emerged from tin idea of Professor Weinstein's. "Earl) in my retirement I was aware of both a desire to enjo) m) separation from the rigors of full-time working and teaching and simultaneous!) a sense of loss. . loss of regular contact with the academic communit) that had been my life for 18 years. Then l realized that retirement represented not only a loss for the retired facult) member but the Universit)-'s loss as \\ell." An emeritus center seemed to Professor Weinstein as a way for the University to end the waste of facult~ skills. talent and experience that retirement often represents. President Robert L. Ketter agreed and encouraged Professor Weinstem to develop the Center. President Ketter said. "the concept of an emeritus center reflects the deep com·iction that the aggregate of knowledge and skills represented by our retired faculty should be retained and nurtured beyond the years of active teaching. I believe that significant relatiOnships \\ ith colleagues. continuing interests with students, and many community wide contacts may be meaningfully facilitated by life-time membership in such a proposed center. Indeed. it is quite possible that for some retired faculty ne'' ,md challenging roles ma~ emerge .. :· Eventualh. Professor \\einstein sa\s, the Emeritus Center concept may be extended to the Amherst Campus. And beyond th.Jt, it could conceivably develop into the nucleus for an area-wide consortium of retired professors, including those from surrounding colleges.O W!:--JTER. 1977 hi �The Classes The Classes of the 1920's Or. john ) Bernhard, M'25. has retired. The Fellow of the American College of Surgeons lives at The Lakes, Apt. 92-l, K 33rd St , Allentown, Pennsylvania.D Or. Floyd C. Bratt. M'28, fami1y practitioner in Rochester, P.:ew York is listed in Who's Who in America.O Antiques, Indian Art Dr and ,\lr:;. Bert Lies A 1964 Medical School graduate is a dealer in antiques and Indian art. Or. Bert Lies. an orthopedic surgeon, is enthusiastic about his hobby. Some 15 years ago when he was an intern and his bride was teaching school, she bought an oriental rug. At the time, he was flabbergasted at the cost. Smce that time they have been offered four times what they paid for the rug. Because of his scientific background Or. Lies does not JUmp into anything without careful research. He joined the Textile Museum in Washington for its publications and subscribed to the catalogs of the leading antique auction firms in the nation. Dr. Lies decided to specialize in 18th Century American country furniture. "I am not interested in collecting the mahogany furniture from the big centers in New York, Boston and Philadelphia. I'm interested in the lighter woods used by rural cabinet makers. My choice is strictly from a personal, aesthetic point of view." Recently Or. Lies got an antique dealer's license so he could buy, sell and upgrade his collection. He also learned to re-evaluate museums. "It is one thing to go to a museum as a tourist but quite another to go as a collector. You introduce yourself to the curator of the department that interests you. l\luseum people are super \'\'hen they realize you are interested and knm,vledgeable." Dr. Lies' interest in American folk art led him to an interest in American Indian art. "When you're dealing with Indian artifacts, you're dealing with people who are still living and some of the really great Indian craftsmen are still alive ... Last summer the Lies famil) and an ant1que dealer vis1ted the Sioux and Crow Reservations in South Dakota. The children have been along on so many buying and studying trips that their 11-yearold daughter "can pick out a Queen Anne's chair" and the 8-yearold can "tell a Caucasian rug from a Turkish one and a Navajo rug made for commercial purposes from a quality Navajo weaving." The clinical associate in or thopedics admits that antiques may become his full time occupation when he retires from medicine.O 62 THE BUFFALO PHYSICIA• �The Classes of the 1930's Or. Mar~ Catalano. ~1'30. \\as honored recentlv at a reunion in the T0\\'11 of Tonaw~nda bv more than 300 women whose babies she deiivered.D Or. Harold Bernhard. M'49. is the ne\\' president of the G. I. Liver Society of Western '-:ew York. He is a clinical associate professor of medicine.D Or. Benjamin I. Gilson, M'38. practices gynecologv in Brooklyn. !\ev. York. Or. Gilson is a Fellow of American College of Obstetricians and Gynecologists: and a Fellow of American College of Surgeons. He lives at 768 East 19th Street. Brooklyn 11230.0 The Classes of the 1950's Or. Karl Lee Manders, M'50, neurological surgeon. is coroner of Marion County (Indianapolis, Indiana). He is chairman of the department of medical and surgical neurology at Community Hospital; and medical director of Communit> Hospital Rehabilitation Center F'or Pain. Dr. Manders is also an assistant (part-time) in neurological surgery at Indiana Universitv School of Medicine. He lives at 5845 Highfall Road, Indianapolis.O Or. Leonard Cammer. M'39, New York City psychiatrist. reports that his book, Freedom From Compulsion. now appears in the Pocket Book Edition. (September, 1977). Or. Cammer also authored L'p From Depression and Outline of Psrchiatry.O Dr. Allen Goldfarb, M'51. has been named a Fel1ow of the American College of Cardiology. He is a clinical associate professor of medicine at the Medical School.D The Classes of the 1940's Or. Edmund M. Collins. ~1'44, maxillofacial surgeon. is a cltnical associate at the School of Basic Medical Science, Unh•ersit\ of Ilhnois. Or. Collins was recentlv elected Secretarv-Treasurer of the America~ Academ\ of Medical Directors. He lives at 9 Greencr~ft, Champaign. Illinois 61820.0 Or. William J. Sullivan. M'55. receh·ed a Ph.D in Psychoanalysis in June, 1977, from the Southern California Psvchoanalvtic Institute. The assistant climcal· professo~ of psychiatry at UCLA is a Diplomate in Psychiatry of the American Board of Psychiatry & Neurology. He is also on the faculty of the Southern California Psychoanalytic Institute of Beverly Hills.O Dr. joseph Sheedy, M'45. won the Buffalo District Golf Association Senior Gross Championship in a playoff in june. The 57year-old physician, an a-handicapper. scored a birdie-4 on the second hole. Or. Sheedy is the Buffalo Sabres team physician and often plays golf with Richard Martin.O Dr. Edmond Gicewicz, M'56, has been named a Fellow of the College of Sports Medicine. lIe is a learn physician at U/B and clinical assistant professor of surgery. He also was among five to receive a Distinguished Alumni Award for significant career and community achievements at the annual Awards Banquet.O Dr. \'\'illiam H. Bloom, M'48. whose specialt~ is neurolog1cal surgery. is Presi- dent, Suffolk County (i':e'' York) Medical Societv 1976-1977: and President, Suffolk Acade.mv of Medicine 1977-1978. Dr. Bloom lives at· 158 South Pentaquit Avenue, Ba) Shore, New York.O Or. George L. Collins Jr .. M'48. has been named by Governor Carey to the council of the University. Or. Collins is president of the New York State Medical Society. He is a clinical assistant professor of medicine.O WINTER. 1977 · Or. Sherman Woldman, M'57. is the new president of the Board of Trustees of the Western "Jew York Chapter, Leukemia Society of America. He is a clinical assistant professor of pediatrics at the Medical School.O 63 �Dr. .\IP.Iculf T h e Classes of the 1960's Dr. Hdrn L. Metcalf. \1'60. is the nc\\ director of the Medical School's admissions committee. He is a clmical assistant professor of familv medicine. He was a \!a,·al Officer from. 1960-64. and joined the facultv in 1970. The Buffalo native received his B.A. degree from U/B in 1956.0 Dr. Paul Loree. M'62. of Grand Island. is the proud owner of a 1929 Hudson Dual Cowl Phaeton. It is one of six such automobiles 10 the United States. It is often on display at special antique car rallies.D Dr. Arnold N. Lubin, 1\1'62. has been promoted to Colonel at Griffiss Air Force Base Hospital. He interned at Children's 1Jospital before joining the service in 1965. Dr. Lubin has a master's degree in public health from Johns Hopkins Uni\'ersit~. He completed his residency at the School of Aerospace Medicine, Brooks AFB. Texas.O Dr. DanielS. P. Schubert. M'65. has been promoted to associate professor of psychiatrY. Case Western Reserve Universitv Schooi of Medicine. In 1969 he received hi~ Ph.D. in psychology from the University of Chicago. lle took his residencv at Yale University. Dr. Schubert has auth~red or coauthored 28 scientific papers for professional journals. I Ie has also presented several papers at scientific meetings.O Dr. Ronald F. Young. l\.1'65. is associate professor of neurosurgery. at UCLA School of ~lcdicine and Chief of the dh ision of neurosurgery. Harbor General Hospital. Torrance. California. His home address is 3632 Navajo Place. Palos Verdes. California 90274.0 Dr. Donald M. Pachuta. l\.1'66. is associate professor of medicine at the University of Maryland School of ~1edicine. Baltimore.O Or·. Laurence A. Citro. M'69. is a clinicHI associate of radiology at the University of Pennsylvania. He lives at 161-1 Cleveland Avenue. Wyomissing, Pennsylvania.O 64 Dr. John R Fisk. M'69. is assistant professor of orthopedic surgery at Emor~ Uni\'ersit~ School of ~1edicine. Atlanta. During his two-}car army stint in Korea he performed correcti\'e surgery on 67 children during his off-duty hours. In ~larch of 1977 he returned to Seoul for 10 da\·s with Or. Thomas \Vhttes1des. Emorv ·Universitv orthopedic surgery chairman. perform su;gery on 10 children with spinal deformities. Dr. Fisk's work is sponsored by the Holt Adoption Agency of Eugene. Oregon.O to Dr. Hanley M. Horwitz. M'69, has been a Diplomate of the American Board of Plastic Surgeons.O nt~med T he Classes of the 1970's Dr. \1ichael G. Batt. ~1'70. moved recently from the Buffalo area to Park Medical Building. 180 Park A\'enue. Portland. Maine 04102. He is a member of the American Board of Internal ~1edicine.D Dr. Jan ~1. ~ovak, M'iO. whose specialty is gastroenterology. is a clinical assistant professor of medicine at the Medical College of Georgia in Atlanta.O Dr. Jeffrey G. Rothman. M'70. completed fellowship training in endocrinology at the University of Pennsylvania in june. 1977 and is now in private practice limited to endocrinology. His home address is 489 Maine Avenue. Staten Island, 1ew York 10314.0 Dr. I Jarold M. \'andersea. ~1'70. is practicing orthopaedic surgery in 0:ew Bern. '\orth Carolina.O Dr. :\orman S. Ellerstein. M'71, is concerned about children S\\allo\\'ing garage products (insecticides. gasoline. weed killers. paints. varnishes. etc}. The medical director of the outpatient department at Children's Hospital notes that nothing in the garage has safety caps and many of the products are poisonous. Dr. Ellerstein is assistant professor of pediatrics at the h1edical Schooi.O THE BUFFALO PllYStCIAN �Dr. Dennis A. ~adler. ~1'71, is acting director of the department of pediatrics at the E.J. ~!eyer :V1emorial Hospital. He is the youngest (31) department head at the hospital. and an assistant professor in pediatrics at the Medical School.O Dr. Kenneth Solomon. !\.1'71. has mo\'ed to the ~1edical College of \'irginia where he is assistant professor in the department of psvchiatr~. He will be doing psychopharmacological research in-patient work and teaching. I lis new address is 801 Hartford Lane. Richmond, Va. 23235.0 Dr. Dennis R. Gross. ~1'72, recent!) moved from Brooklyn. l\Je\o\ York to Florida. He is practicing pediatrics at 165 Montgomery Road, Altamonte Springs. (32701)0 Dr. Sanford J. Karsh. ~1'72. just completed a fellO\'\ship in endocrinology at the Universitv of South Florida in Tampa He has entered ate practice in Pompano Beach. Florida. The Diplomate of the American Board of Internal \t1edicine lives at 39-!1 ~.\\'. 81st Terrace. Coral Springs. Florida 33065.0 pm Dr. Marc Leitner. M'72, writes "After living for 18 months in Israel, l finished m) pediatric residency at the Tufts-1\:ew England Medical Center in Boston. Presently I am a Fellow in Neonatology at the Uni\'ersity of California at San Diego. t-.1y plans after my fellowship \\ill he to return to li\'e in Israel." Dr. Leitner's address at present is 5-130 University Avenue. San Diego. California 92105.0 Dr Stephen J. Levine. ~1'72. mo\'ed to Bangor. \1aine in June 1977 from Metropolitan Boston. Massachusetts where he had been working for the last 31!!! years in neighborhood health centers and. in the past year. in pri,·ate general practice. His residency program at the Eastern t-.1aine Medical Center will lead 10 certification in Family Practice. Dr Levine's home address is 818 Ohio Street. Apartment 25. Bangor. Maine 04401.0 \-\'1\!TER, 1977 Dr. Philip ~1oudy. !\.1'72. is reading and interpreting ultrasound as a diagnostic ser\'ice in the radiology department at the ~tillard Fillmore Hospital.O Dr. Jack Sternberg, ~1'72, recently moved to Little Rock. Arkansas to go into solo prh·ate practice in medical oncology. His address is 26 Longlea Drive (72212).0 Dr. Maxine Hayes. M'73. received her M.A. degree in public heallh at the Harvard College Commencement in June. In 1976 she completed her postgraduate training at the Boston Children's Hospital. Her address is 2507 Meadow St.. Jackson. Miss. 39212.0 Dr. Arthur \\'. ~lruczek, M'73, recently opened a private practice of ophthalmolog;· in Medina. New York. Dr. Mruczek is an ass1stant clinical professor at the Medical School.O Dr. Daniel R. Beckman, M'74. has moved to Minnesota from Santa Monica. California. His new address is Doctors' Plaza, 300 S. Bruce Street, Marshall. Minnesota 56258.0 Dr. Richard J. Goldberg. M'74. is chief resident in Psychiatry at Yale-New Haven Hospital. Yale Universit~ School of Medicine. lie has been appointed as a Falk Fellow of the American Psychiatric Association.O Dr. Harold Cardinal Valer}. M'76, is a general surgery resident at the Cedars-Sinai ~fedical Center. Los Angeles. California. He lives at 350 The Village. Redondo Beach. California 90277.0 �' People . Several physicians 1vere 1n attendance at the General Alumni Association's Re union for all 50-year graduates in .\lor Among the guests were Drs. Willram .\1 .\fe1ssne r, .\1'27, Lawrence L. Carlmo. ,\!'2i, Eluabe th W1sbaum and Franklin C W1sbaum. a 1926/aw graduate. Dr. Jerome A. Roth. associate professor of pha r macology and therapeutics, has had a new publication accepted by Molecular Pharmacology, "Inhibition of Human Brain Type B Monoamine Oxidase by Tric) clic Ps) choactive Drugs."O Or. Louis Baka). professor and chairman of neurosurgery. has been elected to the editorial board of the Acta Neurochirurgico. an international neurosurgical publication. lt is also the official organ of the European Association of "Jeurosurgical Societies.O Four faculty members are new officers of the Erie County Medical Society. Dr. Anthony J. Federico. clinical assistant professor of surgery, is the new president. Or. John J. Giardino. M'58. clinical instructor in orthopedics, is president-elect and the new vice president is Or. George W. Fugitt. M'45. clinical associate in urolog}. Dr Frank A. Pfalzcr. M'49, clinical instructor in surgery. is the secretary-treasurer.O Or. Victor A. Harris is the new clinical psychologist at the Family Practice Center. He \viii assist in the development of the undergraduate curriculum. He has been coordinator of research and evaluation at the Niagara Falls Community Mental Health Ccnter.O Fo ur faculty members are the new officers of the Buffalo Surgical Soc1ety. The newly elected president is Dr. Donald R Becker. clinical professor m surgery. Or. Donald J Kelley. ~1'5.2. clinical instructor in surgery. 1s the new vice president. The sccretar~ is Or. Bertram A. Partin, M'53. clinical associate professor of surgery and acting head of the division of colon and rectal surgery. Dr. Anthony Federico is the new treasurer. I le is clinical assistant professor of surgery.O Dr. Mildred Gordon. associate professor of anatomical sciences. is co-author of a new book, Male Reproducllve System. with Or. Robert Yates of Tulane Universitv. lie is chairman of the anatomy departm.ent. The publisher: Masson Publishing USA, Inc .. New York, Paris. Barcelona. Milan. Dr. Gordon IS also associate editor of Pharmacological Reviews.O 66 THE BUFFALO PHYSICIAN �People Dr. Eugene R \1indell. professor and chairman of orthopedics. has been elected to a six-year term, American Board of Orthopedic Surgery.O The director of the Health Sciences Library, C K. Huang. has been elected chairman of the ~1edical Library Association's international cooperation committee. He was also nominated to the board of directors of the Medical Library Association.D Three part-time faculty appointments have been made at the Family Practice Center. The\' are: Drs William Coch, Robert j. Gibson. :-.i·sg, and S~dney McLouth. All are clinical instructors 0 Dennis Williams is the new administrator at the Familv Practice Center. He comes to Buffalo from- Lovsville, Pa. where he \\·as administrator for the Perry Health Center. Inc.. a rural health clinic.O Dr. Myroslaw M. Hreshchysh) n is the new president of the Buffalo Gynecologic and Obstetric Society. He is a professor of gyn/ob at the Medical School and head of its Division of Gynecologic Oncology. Other officers are: secretary, Or. john D. Bartels, M'56, clinical associate professor of gyn/ob; and treasurer, Dr. Wayne L. johnson, professor and chairman. department of gyn/ob.D Dr. Stanley Cohen. who was on the Medical School facultv from 1968 to 1974, is the 21st recipient of the Parke. Davis Award of the American Association of Pathologists. The award, which carries a check for Sl,OOO and a gold medal. is given annually to the AAP member under 40 "who has contributed most to the conquest of disease." Dr. Cohen is professor and associate head of pathology at the Unive rsity of Connecticut School of Medicine in Farmington. He was honored for helping demonstrate the importance of "cell mediated immunity" in protecting the body against disease-producing organisms and malignant cells.O \\'INTER. 19ii The sound of music may soon become a regular therapeutic tool for teenage patients at Roswell Park Memorial Institute. Dr. H. james Wallace, research associate professor of medicine and Ros\\>ell Park's director of Cancer Control and its Adolescent Program said. "the music therapy program at Roswell Park is a pilot project of the American Cancer Society's 1'\ational Rehabilitation Committee and if it \vorks well here could become accepted practice for cancer patients at hospitals elsewhere in the nation. Music therapy has been successfulJy employed to ease emotional problems and it is felt that its principle could be applied in helping the adolescent cancer patients in their recovery efforts."O Dr. J. Warren Perry, dean of the School of Health Related Professions since its inception in 1966, resigned in August. Dr. Perry will assume a faculty position for interdisciplinary teaching assignments in health sciences and continue various responsibilities such as membership on the Primar> Care Committee of the Institute of Medicine, anJ the ~1edical Advisory Committee of the Veterans' Administration.O A scientific paper by Dr. Mary Davis, a psychiatric resident at the E.J. Meyer Memorial Hospital has been published in Comprehensive Psychiatry. The title: "Disease and its Treatment: Values in Medicine and Psychiatry." Dr. Davis is a graduate of the University of Texas Medical Branch, Galveston. The article will be abstracted in Psychiatry Digest.O Dr Raymond P. Bissonette, assistant professor of family ,nedicine, is Treasurer of the Board of Directors of Transitional Services, Inc. This is an agenc> serving Erie County which prov1des specialized services to reintegrate former mental patients into community living.O Or. Felix Milgrom, professor and chairman, department of microbiology, is president of the Western New York Branch of the American Society for Microbiology for the 1977-78 year. Dr. Thomas D. Flanagan, professor of microbiology, is vice presidenl.O 67 �People Two second year medical students. t-.1ark Glasengcr. and Thomas P. Pullano. each received $1.000 ~arch of Dimes medical student research grants for work during the 1977 summer in Children's Hospitai.D Two faculty members are officers of the American Cancer Society's Erie Count) Unit. Dr. Ronald G. Vincent. research assistant professor of surgery, was re-elected president. Dr. Nancy Stubbe. clinical instructor in surgery. was named vice president.O John R. Jefferies is the new director of ChildreR's Hospital. The 47-year-old administrator comes to Buffalo from Columbus, Ohio where he has served in a similar position since 1970. He has also served as the chief executive officer in pediatric hospitals in St. Petersburg. Florida and Salt Lake Cit). Utah.O Two physicians, Drs. Jerry Tokars and Anibal Vasquez, who had played only one golf tournament together. won the 35th annual Cherr) Hill Club's Tournament in June. Dr. Tokars is a 1947 Medical School graduate and clinical associate in medicine. while Dr. Vasquez, a native of the Dominican Republic, is a surgeon.O Two medical School faculty members are among 13 scientists who have been honored by Mallinckrodt, Inc. of St. Louis for their pioneering work that played an important part in the foundation of nuclear medicine. Drs. Merrill A. Bender and Monte Blau teamed to develop a high contrast photo recording system for diagnostic doses (1956): introduced mercury-203 chlormerodrin for brain tumor localization (1960). and autofluoroscope imaging system (1960), selenium75 selcnomethionine for pancreas scanning (1961). and fluorine-18 for bone scanning (1962). Dr. Bender is clinical professor of nuclear medicine and clinical assistant professor of radiology. Dr. Blau is professor and chairman of the department of nuclear medicine and professor of biophysicial sciences.D 68 Or. Samuel Sostre has been named head of nuclear medicine at The Buffalo General Hospit<JI. The assistant professor at the t-.tedical School was chairman of the department of nuclear medicine at the United States Air Force Medical Center at Wright-Patterson Air Force Base in Ohio. He had a rank of Lieutenant Colonel. Dr. Sostre is a graduate of the Universitv of Puerto Rico School of Tropical Medi~ine. He took his internship and residency at the Travis Air Force Base Medical Center in California. In 1973 he had a Fellowship in nuclear medicine at the johns Hopkins Universit~ Hospital. Baltimore. Dr. Sostre is married and the father of two sons and two daughters.O Two facult) members are newly elected officers of the Deaconess Hospital medical staff. Dr. Albert D. Menno. clinical assistant professor of surgery. is the new president and Dr. John ~I Hodson, M'56. is the new \'ice president. He is clinical assistant professor of urolog~. The secretary is Dr. joseph Winiecki and the treasurer is Dr. Oguz K. Sarac.O Or. S. Mouchly Small, professor of psychiatry. has been re-named to the National Muscular Dystrophy Association board of dircctors.O Four Medical School faculty members are new officers at the Buffalo General Hospital. Dr. George A. Cohn, clinical professor of neurosurgery. is the newly elected president. Drs. Peter A. Casagrande, M'43. clinical assistant professor of orthopedics is presidentelect: Irwin Freedman. clinical assoc1ate professor of medicine. \'ice president: and James Kanski, M'60. clinical associate professor of medicine. secretary-treasurer. 0 Dr. Clifton R. Wharton Jr. is the ne\\ Sl '\ Y chancellor. He has been president or Michigan State Universit) the last se\'en years. He replaces Dr. Ernest Boyer. \\ ho was appointed U.S. Commissioner of Education in Januar). 1976 h:. President Carter. 0 Dr. Edward B. 1\:elson. assistant professor of pharmacology and therapeutics. is a Diplomate, American Board of Internal l\1edicine. 0 THE BUFFALO PIIYSlCJA �Dr. John E. Houck. M'59. died August 19, four months after a heart attack. His age was 49 Since 1972 he had been director of the (\!iagara Falls Community ~1ental Health Center and a clinical instructor of psychiatry at the Medical School Previously Dr. Houck had been director of the ~iagara County Mental Health Services; executive director, Niagara Count~ Mental Health Board; ps~­ chiatric director. Mt. View Hospital. Lockport and staff psychiatrist at the Buffalo VA Hospital. He was a Fellow. American Orthopsychiatric Association. In 1974 he was elected director of Region II. National Council of Communitv I lealth Centers that included New York~ New Jersey. Puerto Rico and the Virgin lslands.D In Memoriam Dr. john R. Van Buren. ~1'48. died '\0\·ember 26. 1976 of respiratory failure. The 72-} ear-o ld physician lived in Benicia, California.O Dr. joseph G. Krystaf. M'27, died June 22 after a long illness. His age was 74. He interned at the old Buffalo City Hospital and did post-graduate work at Columbia Medical School and Hospital. New York City. He was on the staff of The Buffalo General. Children's and Veterans Administration Hospitals. Dr. Krystaf was a Fellow of the American Societ~ of Otolaryngology and a member of the American College of Surgery and Ophthalmology. He was on the Medical School faculty for 29 years (194~-1973) and was an assistant clinical professor of surger} (otolar} ngology) when he retired.D Dr. joseph LaDuca. M'17. died June 27 in t\11. St. Mary's llospital. Lewiston, New York. His age was 84. He served as chief school physician for many years. prior to his retiremenLO WINTER. 1977 Dr. Roswell K. Brown, 80, died Mav 15 in Santa BcHbara, California. He served ~n the faculty 25 years (1938-1963). He was an assistant dean from 1950 to 1955 and retired a clinical professor of surgery. Dr. Brown had been on the surgical staffs of Buffalo General, Children's and E.J. Meyer Memorial Hospitals and was a past president of the Buffalo Surgical Society. He also served on the New York State Board of Regents. He was a graduate of Cornell University Medical School. He and his wife were medical missionaries in the t\liddle East from 1929-34. During this time he \\as a surgeon at Kennedy ~1emorial Hospital in Tripoli, Lebanon. He was associated with a Santa Barbara hospital after he moved to California. Or. Brown was a Fellow. American College of Surgeons and associate director of the 1 ational Trauma Program. He was retired Colonel of the United States Marine Corps. He was also active in several other national professional associ a tions.O (i9 �A uTo Dr Stoles Auto Accidents ACCroE-...'TS cause very serious Lrauma. according to Or. John D. States, professor of orthopedic surgery at the University of Rochester School of Medicine. He spoke at the opening meeting of the Buffalo Academy of Medicme. "We can do something about highway accidents and traffic trauma through vehicle design. The shoulder-lap belts function very well. Unfortunately. usage rates are still disappointingly low - about 25 per cent with the ignition-interlock system and about 5 per cent usage before that." the national authority on motor vehicle safet} said. "The airbag is highly effective. but the cost is high and its reliability shaky," the chief of orthopedic service at General Hospital in Rochester said. He pointed out that the three structures accounting for the most injuries are the windshield. the dashboard and the steering column. Or. States suggested that the final solution is not the airbag. "The passive restraint system offered as an option in the Volkswagen Rabbit is a viable alternative. The VW Rabbit has a single shoulder belt. Instead of a lap belt. the car has a knee bar of molded plastic foam to guard against impact. It is highly effective and the usage rate is 90 per cent. .. In his illustrated lecture the orthopedic surgeon said \\ e kill 50,000 people annually on our highways. "Members of~ our family or mine could be among the next victims. In young people (under 24 years of age) highway accidents are the most common cause of death. Heart disease and cancer takes the most li\'es. but auto accidents are a close third ... Dr. States said the helmet laws are a good example of what is going on. Eight states have repealed them because of pressure from the cyclists and politicians. "The real issue is an emotional one. restriction of freedom," he said. Driver education is good but statistics shO\\ that good students are good drivers and poor students are poor drivers. Automobile accidents are on the decrease. but bicycle and motorcycle accidents are increasing, he said. In conclusion Or. States said improved designs in automobiles and elimination of road-side hazzards will decrease accidents in the years ahead. "We are making progress. but it is slow." 0 70 THE BUFFALO PHYSICIAN �Dr. Lester Dr. Garra L. Lester, M'29, was honored for his 40 years of service to Chautauqua, New York recently. The citation: Chautauqua Institution - Certificate of Recognition and Appreciation- awarded to Dr. Carra L. Lester in honor of bis 40 years of outstanding service to his Community to which he bas indeed been l'\.'edded- for better or for worse, to the richer or the poorer, in sickness or in health - be it morning, noon or the middle of the night - the wonderful friend, gentleman and skilled man of medicine has served h1s Community so unselfishly and un- tiringly. It is only fitting that Chautauqua Institution and the surrounding areas hereby wish to pay tribute to the great ability which he has shown m the profession of medicine, and also to express their heartfelt thanks and great appreciation for all that he has come to mean to their community. Chautauqua and, indeed, the world is a better place because of his presence here. Dr. Lester is a Fellow, American Academy of Family Practice, American Geriatrics Society and Mayo Foundation Alumni. He has also been school physician in Chautauqua County for many years. He is a member of several professional associations.D $226,904 Grant The Medical School received a four-year $226.904 grant from HEW to establish a "model educational training program" for qualified United States students who have been studying at foreign medical schools. The first program will begin July 1. 1978, and over the next four years 41 students will be admitted. Dean John Naughton said. "we are particularly pleased with the grant since federal legislation has mandated by formula that all medical schools participate in the coordinated transfer application system (COTRANS).'' The Medical School has participated in this program since 1969. although external resources were not available to support the program. The authors of the grant proposal, Dr. John Richert, project director and assistant dean and Dr. Frank Schimpfhauser, codirector and assistant dean, have indicated that the major program elements will include a diagnostic testing and prescriptive remediation program for the transfer students prior to their entry into the formal third year medical program, as well as educational monitoring and post-testing at regular intervals throughout the third and fourth year clinical curriculum. According to Dr. Joseph Aquilina, clinical professor of medicine \Vho is also a co-director of the project, the U/ 8 Medical School was one of only eight medical schools nationally to receive the competitive grant awards. Under this program (COTRANSJ American students, \<\ho have completed their basic science education in foreign medical schools and passed Part I of the National Boards, are accepted into the clinical years in American Medical Schools.D WIJ\'TER. 1977 71 �Dr. Jehuda Steinbach. clinical asststant professor of nucle.~r medicine and chief of the Veterans Administration I lospital's ~uclear Medicine Service. will be the clinical program director of a new major. The Bachelor of Science in nuclear medicine technolog~ is a joint program offered b~ the Schools of Medicine and Health Related Professions. Dr. Steinbach is also a research assistant professor of medicine. Students pursuing the new major will select their area of concentration at the beginning of the junior year. Students' clinical training in affiliated hospitals will be arranged under direct supervision of the Department of Nuclear Medicine faculty. The VA Hospital has been designated as the major teaching hospital. Roswell Park Memorial Institute, Mercy. and Chi ldren's hospitals will provide add i tiona! clinical sites. Dr. Steinbach said that the skills of the nuclear medicine technologist complement those of the nuclear medicine physician and other professionals in the field. The nuclear medicine technologist perfo rms diagnostic procedures including the operation of imaging devices used to detect certain abnormal conditions in the body. Also, the technologist must have expertise in techniques and safety precautions required for the handling of radioactive substances. Emphasizing the need for this new program. Dr. Steinbach said most technical manpower in nuclear medicine has been provided by on-the-job training involving varied backgrounds such as medical technology, radiologic technology or radiation therapy. The new program is designed to fill the present gap in manpower training for nuclear medicine by providing academic as well as clinical education experiences in a formal program of study.O Nuclear Medicine Dr. john H. Talbott is not intimidated by death or talk about the p reparation of death. To him, death is a fact of life. I le understands the dying patient often has special needs - needs that can go unmet. "I do not think life should be prolonged unnecessarily, I think death should be very dignified; it is a very personal act," Dr. Talbott said. For himself and his wife he has drawn up "li\ ing wills." The clinical professor at the Universit) of Miami Medical School says, "death today deserves a fuller, freer discussion." From 1946 to 1959 Dr. Talbott was professor of medicine at U/ B and chief of medicine at The Buffalo General Hospital. The next 12 years he was editor of JAMA. Dr. Talbott says he wants to live a full and long life, "but not at all costs. If my death is near and cannot be avoided. and if I have lost the ability to interact with others and have no reasonable chance of regaining this ability, or if my suffering is intense and irreversible. I do not want to have my life prolonged. I would then ask not to be subjected to surger y or resuscitations. Nor would I wish to have life support from mechanical ventilators." To car ry out his instructions Dr. Talbott names his son and daughter or his personal physician.O Death With Dignity 72 THE BUFFALO PIIYSIC!AN �A 1\1essage from Michael A. Sullivan, M'53 President, Medical Alumni Association Dear Fellow Alumni. . It is with great pleasure that I invite you to personally participate In the affatrs of the l\tedical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr Su/111 on ·------- ----------------------------------------------------First Class Permit No. 2210 Buffalo, N.Y BUSINESS REPLY MAIL POSTAGE WILL BE PAID BY- Buffalo Physician . 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 • • THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type aU entries.) 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Dean Naughton's Message The 1981 Class Clinical Preceptorship A Physician Faces Disseminated Rettculum Cell Sarcoma in Himself (Part VI-D). Cancer: Its Effects on the Famil) of the Patient: Communication Betvveen Physician and Patient's Family by Samuel Sanes, M.D. Dr. Sklarow Award Summer Fellowships The Geriatric Patient Gastroenterology Dr. Sullivan's Message Gardening Dr. Surgenor Resigns Faculty Promotions / CIBA Award Greenhouse Gardening Dr. Small Cotrans Plan Summer Programs Streets, Facilities Named for Physicians Photo Exhibit Clinical Component Obesity Post-cardiac Reconditioning Alumni Tours The Entertainers A Medical Student's Impression by Oliver P. Jones, Ph.D., M.D., Distinguished Professor Emeritus VA Hospital Renovation Seminar in Cancun Alumni Award Honors Dr. Thorn Meyer Hospital Honors Three Physicians Faculty Honored Emeritus Center The Classes/ Antiques People In Memoriam Auto Accidents Dr. Lester/HEW Grant Nuclear Medicine/Death Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-05 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v11n04 Extent The size or duration of the resource. 76 p. Spatial Coverage Spatial characteristics of the resource. 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Nu•ller 2 •••••, 1177 �Dear Alumni and Alumnae: It is a pleasure to report to you on an event which c\•idenced the spirit and quality of our student body. On March 1H. 1!177, the Second Year Class coordinated and orchestrated the ":-.ted School Follies.'' This occasion reinstituted the tradition of .tn annual student night which had formerly been cunduded by members of the Fourth Year Class, but which in rc<.cnt years had disappeared from the scene. Dean Naughton From the desk of John P. Naughton, M.D. Dean, School of Medicine There were several points \.\ hich ~erved to make this a memorable occasion. The entire event was organiznd and carried off solely on the initiative of the medical students. The setting for the event was the Canisius College Student Center, nnd the atmosphere was one of collegiality, warmth and friendliness. The pro~ram content included a di~play of talent. creativity and imagination. The skits did not evidence a sense of frustration or anger, but rather one of intellectual curiosity. personalit) growth. and appreciation. Each revealed a mixture of acting talent. musical genius and awareness of life. For an observer like myself. the totality of the experience demonstrated how fortunate we are to have a gifted group of medical students"'' ith rather expansive interests. One can only be reassured that the School of Medicine has been strengthened b> the contribution of these students, and can only be optimistic of the other marks thai the) will make in the life of the Institution and of the proress10n in the years ahead. I think you and I owe these students an expression or gratitude. Hopefully. events such as these will reinvigor,tlc us all \'\:ith the spirit of enthusiasm, trust and dedication. John Naughton, M.D. Dean �Summer1977 Volume 11, Number 2 THE BUFFALO PHYSICIAN Published by the School of \ledJcme, Stale l ntn:rsJI} o :'\t u ) orh ul Buffalo IN THIS ISSUE EDJTORIAL BOARD l.cliror ROBERTS. MCGRA:\t\11.\:1.' Monogrng Edrlor MARIO>: Mt\RIU:\CJWSK) Dean, School of Medwnr OR jOHN NAUOITON Photo~eraphy HUGO H. UNClR Eo\1\,\RD NO\\'AR Mtdrca/11/rl•lrator MELFORD j. DIH>RitK Visual De:.rgntrs RICHARD MACAKANJA DONALD E. WAlKINS Secrtlary FLORlNCl Ml'rER CONSULTANTS Prtsrdent, Medical Alumni Asso. ratro11 DR }AMES F. PHILLIPS Prtsident, Alumni Particrpatmg fund for Medrcal Education DR MARVIN BLOOM Vice Presrdent, faculty of Health Scit•1ces DR F CARTER PANNILL Presrdtnt, Universitv formdatron }OHN.M CARTER Director of Publrc luformation jAMES DESA:-..'TI~ Director of Umvnsity Publication• PAULL. KANE Vice President for University Relatrons DR A. WESTU:Y R0\1\LAND 2 9 10 12 13 14 18 19 20 23 24 26 28 29 30 32 35 36 37 38 39 40 41 42 44 45 47 48 Dean Naughton's Message (inside front cover} Postgraduate Matching Your Alumni President Speaks 7-Cities Gut Club Health Sciences Library/ Annual Report Woman Surgeon Malpractice Crisis by Paulo f. Batt Continuing Education Programs Human Values I Planned Gift Pediatric Education Veterans Day Resources Learning Center Genocide: Psychological/Historical Approach Dr. Gidney The 1926 Class Mass Screening for Hypertension Pediatric Clinics Noise Damage Soviet Cardiac Care Dr. Wende Dr. Caccamise/Goodyear Chair Dr. Talbott Wyeth Award Dr. Bannerman SMAC at Millard Fillmore The Classes People In Memoriam Alumni Tours ,...,_ --··--· -- Tile llflilla The cover by Donald Watkins focuses on the Rt!~ourcc·~ l.!•urnmg Ct·nt1·r on JHrgr·s 24 and 25. THE BUFFALO PHYSICIAN Summer, 1977 - Volume 11, Number 2, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street. Buffalo. New York 14214 Second class postage paid at Buffalo, New York Please notify us of change of address. Copyright 1977 by The Buffalo Phyc;1cran. Sl ~1~1ER. 1977 �Informal reception. Postgraduate Matching Dr Katz lldiko Kondra} "The news is good - 83 per cent of you received your first, second, or third choices in the annual National Postgraduate Matching Program. And 56 per cent of the fourth year students were matched with their first choice." Dr. Leonard Katz, associate dean. told the graduating seniors that 126 were matched through the program while 14 made their own arrangements. Forty-eight of the students selected medicine as their specialty, 25 picked surgery, pediatrics attracted 17. family practice 15. and gyn/ob 13. Forty-nine of the 140-member class will remain in Buffalo for their postgraduate education. Another 30 will remain in New York State. California with 10 and Ohio with 9 were next in popularity with 20 other states selected by one or more of the graduates. Dr. Katz named several prominent hospital programs where the students were matched. They are: pediatrics at the Yale-1\e"" Haven Hospital: medicine at the Bronx Municipal Hospital; gyn/ob at Duke University; psychiatry at the Universit} of Minnesota Hospital: family practice at Seattle, Washington; and surger}' at three hospitals - Beth Israel. Boston: University of Texas Southwestern Medical School at Dallas; and Case Western Reserve, Cleveland. Altschul. Larry M., Nassau County Medical Center, Meadowbrook, New York, Med1cine Ambrus, PeterS .. Beth Israel Hospital. Boston, Surgery Anthone, Kenneth, Millard Fillmore Hospital, Buffalo, Gyn/Ob Bantz, Eric, Walter Reed Army Medical Center, Washington. D.C., Pediatrics Barnard, Keith L .. New Rochelle llospital, New York, Flexible Basile, Richard M .. Berkshire Medical Center, Pittsfield. Massachusetts, Sur~ery 2 THE BUFFALO PHYSIC LAN �Beneck, I'Jeil D., Rhode Island Hospital, Providence, Pediatrics Bernstein, David I.. Los Angeles County Harbor General, California, Pediatrics Billi. John E., UniversJt} of 1'vfichigon Affiliated Hospitals. :\nn Arbor, J'vtedicine Blakowski, Sandra A., E.J. Meyer Memorial Hospital, Buffalo, Medicine Blattner, Stephen R., Moine Medical Center. Portland. Pediatrics Bobrow, Philip D., Georgetown University, Washington, D.C., Surgery Botsford, Thomas I I., Georgetown University, Washington, D.C., Pediatrics Brachfeld, Jay H., University of South Florida Affiliat<)d Hospitals, Tampa, Medicine Bush, Gilbert A., 1'vfartin Luther King, Jr. Hospital. Los 1\ng('les. California. Medicine Bylebyl. Joseph K., Hartford Hospital, Connecticut, Surgr.rr Caison, Thelma J., Montefiore Hospital Center, Xe~" York City, Pediatrics Carter, Robert E., Kaiser Foundation, Sacramento. California, Gyn/Ob Chirlin, Elaine, E.J. Meyer Memorial Hospital. Buffalo. Psychiatry Chirlin, Paul, Children's Hospital, Buffalo, Pediatrics Clarke, Elsburgh 0., l'niversity of California (/nine) t\{filiotecl Hospitals, Family Practice d- Eugene Paul and \tleryl McNeal, director of office of learnmp. skills dcn,Jopmenl SUMMER,1977 3 Albert Schlisscrmon. Sheryl Hirsch. �Dr Kolz. l,en Wagner. Paul Loughlm, Cor1n Crorg. Dr. Kalz, .\lark Polis. Ira Solem, SP.rlelmon. l"'ff Clayton, William B., Charles S. Wilson Memorial Hospital, johnson City, New York, Family Practice Craig. Carin A.. Case Western Reserve University Hospitals. Cleveland, Surger}' Crear, Jobie, Millard Fillmore Hospital, Buffalo, Medicine Cudahy. Richard, E.J. Meyer Memorial Hospital, Buffalo. Medicine Deleaver. Margo P., Montefiore Hospital Center, New York City. Pediatrics Demarie, Mark P.. Children's Hospital of Akron, Ohio, Pediatrics Dobson. Richard C.. Deaconess Hospital, Buffalo, Family Medicine Doniger, Andrew S.. Univers1ty of Oregon ,\IJedica/ School Hospitals, Portland, Pediatrics Dugan. Dirk H .. North Shore Hospital, New York City. Surger} Ellis. Avery. E.J. Meyer Memorial Hospital. Buffalo, Research. Deportment of Physiology Ellis. Nitza F .. Children 's Hospital. Buffalo, Pediatrics Evins, Warren, Bowman-Gray School of Medicine, Winston So/em, North Carolina, Gyn/ Ob Fanning. Michael J., E.J. Meyer Memorial Hospital. Buffalo, Medicine Feldman, Spencer G., St. Joseph's Hospital, Syracuse, Family Practice 4 THE BUFFALO PHYSICIAN �Findlay. Helen :\1., E.]. ,\Jeyer ~lemoriul Hospital, Buffulo, ,\fedicine Finley. Clarence D.. 1\lontefiore Hospital Center. ,\1ew York Cit). Medicine Finley. Maria C .. New York University Medical Center, (,) n <Jh Franasiak. Frank E.. Eastern Virginia Graduate .\ledicCJI Sthool. Norfolk. G) n/Ob Friedman, Mindy. I ' niversity of Californw (InrnP) 1\[liliuted llospitals. Fomil} Practice Gillette, Michael T., E.]. Nleyer Memorial Hospital. Hu ftu/o. Medicine Goldstein, Harvey R., E j ,\rleyer ,\1emorio/ llospitul. Buflolo. Medicine Greenidge, Kevin C .. ,\fortin Luther King. Jr. llospitul. Los Angeles. California, Medicine Groden, Lewis R.. \fillard Fillmore Hospital. Buffalo, ,\lf:dicilll: Hafner, Richard. E.J. Meyer ,\1emorial Hospital, Buj(olo. ,\ll'dicine. !Iarrison. ~edra J.. ,\1i/lard Fillmore Hospital. BuiJalo, Surgl'r) Heatle~. Gladys \Veils. Providence Hospital. \\ oshinglon, 1J C.. Medicine Hirsch. Cary L.. ,\lontefiore Hospital Center, ,\;ew York Cit). Med1cme Hirsch. Sheryl L.. ( 'ni\ ersJ!) of ,\lichigan Affiliat~:d llospitols. Ann Arbor. Pediatrics d- ,\l urk PfJiis. D1rk !)ugon. SUMMER, 1977 5 Honnm :":t•uhcl')l,. Dr Kalz. �(frunt rowJ /onathan Smull. h1s wife Susan and bobv. (hock row} Thomas Ruub, Do1 id .\1usselmun. Rud r \\'illiums. oss1stant deun Jar (inon c10l o1d, Dr Leonard Katz 1/f'fa i'l:ohur. Horowitz, Jed H. Boston University Jlospitals, Massachusetts. Surgery Iannuzzi, Phyllis L.. Hahnemann Medical College I /ospital. Philadephia, Medicme Kapili, Bernee V., St. Vincent's Hospital. New York City. Flexible Kaufman. Brian S., Alban} Hospital, New York, M(:dicine Kondra\, Ildiko. Case Western Resen e Uni\'ersity llospitol. Clev~land, Ophthalmology Korytkowski. Paul. E.]. Meyer Memorial 11ospitol, Buffalo. Anesthesiology Kressner. Michael S .. Bronx Municipal Hospital Center. Ne \\' York, Medicine Kudrewicz, Richard W., Deaconess Jlospital. Buffalo, Family Medicine Kurilzky, Alan S., Millard Fillmore Hospttal, Buffalo. i\tecllctne Kuwik, Richard J., Dartmouth Affiliated llospitals, 1/anover, New Hampshire, Surgery Kwiecinski, Fab1a A.. Montefiore Hospttal Center, New York. Social Medicine Lanse, Steven B.. E.]. Meyer Memoria/ Hospital. Ruffalo. Medtcine Laughlin, Paul H., Deaconess Hospital, Buffalo, Family A1eclicine Levin, Dennis L., Napa State lfospital, lmola, California. Psychiatry Levy, Mitchell M., Presbyterian Medical Center. Denver, Medicine Lippes, Howard A., E.]. Meyer 1\1emorial 1/ospital, Buffalo. Medicine Lippman, Michael J., Group llealth Cooperative. Seattle. Washington, Family Practice Liu. David T., Universit} of Miami Affiliated llospitals, Florida, Afedtcine Liu, Don, E.]. Meyer Memorial Hospital, Buffalo, Surgery Losonsky, Genevieve A., Yale-New 1laven t\1t•dical Center, Connecticut, Pediatrtcs Lynch, Barlow S., The Buffalo Generalllospital, Buffalo. Surgery Masserman, Ivy S.. University of South Florida Affiliated Hospitals, Tampa. Pediatrics 6 THE BUFFALO PHYSICIAN �~1cLeod. Cliphane W.. SUNYI AB Affiliated llospitals. Buffalo. Gyn Ob f\tiegel, Robert E .. Beth lsraelllospital. Boston. Surgery Miller, Bess I., Washington Hospital Center. Washington, D.C.. ,\fedicine Mitchell. Margaret R., E.]. Meyer Memorial Hospital, Buffalo. Medicine Mix, William A., Swedish Covenant Hospital. Ch1cago, Family Practice Magerman, Jeffrey, Millard Fillmore Hospital, Buffalo. Surgery Moretuzzo, Richard W.. Akron General Hospital, Ohio. Gyn/Ob Musselman, David M .. Children's Hospital. Buffalo, Pf:cliatrics Nahar, Hera Y., Roosevelt Hospital, I\'ew York City. Pediatrics \Jelberg, Ronnie \\1., St. joseph's Hospital. S}racuse. Family Practice ewman, Richard P., Millard Fillmore Hospital. Buffalo, Neurology Norcross. James F., University of Texas Southwestern Medico/ School Affiliated Hospitals. Dallas, Surgery Norlund, John D.. Strong Memorial Hospital, Rochester, New York, Diagnostic Radiology Ogiela, Dennis M .. The Buffalo General Hospital. Surgery Parker. Rooney A .. Albanr llospita/, Alban}'. New York. \fedicine Paul, Eugene A., Harlem Hospital. New York Cit} . .\1Pdicine Peng. James, Cleveland Clinic Hospital. Ohw. Dwgnostic Radiology Peng, Jiun-Rong. Universit} of California (lr\'uw) Medical Center, Surgery Penn. Barbara, SUNYI AB. Affiliated flospitols. Pathology Perl. Alan, Albany Hospital, Albany, 1'-iew York, Mec/1cine Phillies, Gregory P., San Diego County l'nn ersity I lospitals. California, Patholog} Polis. Mark J., The Buffalo General Hospital, Surgery Prentice. Theodore, E.]. Meyer Memorial llospital. Buffalo. .\fedicine Raab, Michael F., United I lealth Center & Hosp11UI, Kmgston, Pennsylvania. Family Practice Raab, Thomas A., E.]. Meyer Memoria/ 1/ospltol, Buffalo, Medicine Ray. Joel. National Naval Medical Center, Bethesda, Maryland, Surgery Read. Elizabeth J., George Washington University. Woshington. D.C. Medicine Robson. Bruce H .. Cleveland Cl~nic Hospital. Ohio. Diagnostic Radiology Rosabal, Orestes, St. Lukes Hospital Center. New York City. Surgery Sageman, Sharon B., New York University l\1edical CentHr, 1\:'ew York City, Psychiatry Salam, Ira L.. New York Medical College, Metropolitan Jlospital, New York City, Medicine Scharf. Paul L.. University of Texas Southwestern Medical School. Dallas. Surgery d- SUMMER. 1977 7 A total of 12.760 physicians United States, 1.588 foreign) were matched this year, according to the Association of American Medical Colleges. The matching confirms a strong move toward students entering careers in primary care specialties (family medicine, internal medicine and pediatrics). This represent a four year trend. There will be 7,590 students entering residency programs in the designated primary care specialties. This represents a 42 percent increase in the four years. Altogether 2,015 students will enter surgery and the subspecialties of surgery, a 25 percent increase. (11,172 �Schenck. Linda S .. Hennepin County General Hospital. Minneapolis. Flexible Schlisserman. Albert, \1illard Fillmore Hospital, Buffalo. ,Vfedicine Schmitt, Carl) .. Millard Fillmore Hospital, Buffalo. Medicine Seitelman. Jeffrey K., University of California at Irvine Affiliated Hospitals, Psychiatry Seltzer. Jeffrey P .. University Hospitals, Boston, Medicine Shalwitz, Janet C., Children's Hospital. Buffalo, Pediatrics Singer, Richard. Deaconess Hospital. Family Medicine Small, Jonathan, Cincinnati General Hospital. Ohio. Psychiatry Smith. Cheryll N .. Harlem Hospital, New York City, Medicine Smith. Duret S., Syracuse Medical Center, New York, Surger}' Smith. Linda Lazarus. Millard Fillmore Hospital. Buffalo. Surgery Spicer, Leonard S., Public Health Baltimore. Maryland .•-vtedicine Stiles, Reginald B., Fort Wayne Medical Education Program. In- diana, Family Practice Stone, StevenS., Deaconess flospital, Buffalo, Family Medicine Strassberg, Mark H., Deaconess Hospital, Buffalo, Flexible Sussman. Bernard S.. University of Rochester AffiliatedAssociated Program, New York, Medicine Szabo, Robert M., Mount Sinai Hospital, New York City. Surgery Terry. Richard N.. Umversit} of Minnesota Hospitals. Dr. John o\. Ri cher!. O)SISionl clean oncl rt!j:!islrar. Minneapolis, Medicine Thorpe. Cherril A.. Deaconess Hospital. Buffalo. Surgery Traub, Bernard. Millard Fillmore llospital. Buffalo, Pathology Ulrich. Harry L., Millard Fillmore Hospital. Buffalo, Medicine Urban, Hedvika J., E.]. Meyer Memorial Hospital, Buffalo, Medicine Van Coevering, Russell j., SUNYI AB Affiliated llospitals, Gyn/Ob Vidal. Ronald. Millard Fillmore Hospital, Buffalo. Surgery Wagner, Leonard Y., Medical Center Hospital of Vermont. Burlington. Surgery Walter. Lonny G .. Deaconess Hospital. Buffalo, Family Medicine Warren. Harold H .. U.S. Public Health Service. Boston. Mass .. Medicine. Washington, Marciana L., University of Maryland Hospital, Baltimore, Gyn/Ob Wasserman, Gary A., Bay State Medical Center. Boston. Massachusetts, Gyn/Ob Weitman. Mark S .. Shadyside Hospital. Pittsburgh, Pennsylvania, Family Practice Wesley. Marsha A., Harlem Hospital, New York City. Medicine Williams. Janice D.. Nassau County Medical Center. Meadowbrook, New York, Gyn/Ob Woodcock, jonathan H.. Case Western ,Reserve University Hospitals. Cleveland, Medicine Wozniak. Antoinette J., E.]. Meyer Memorial Hospital, Buffalo, Medicine Young. Gregory E., Millard Fillmore Hospital, Buffalo. Medicine Zimmerly. John D., Sisters of Charity Hospital. Buffalo, Gyn/ Ob Zornek, Nicholas, Duke University Medical Center. Durham. North Carolina. Gyn/Ob 8 THE BUFFALO PHYSICIAN �This is m} last "Message from the President" for now my term of office ends. Coincidently, this year marks my 30th anniversary of graduation from the old Medical School on High Street. These two events make me look back into the past and muse over the contrasts of then and now. As a fresh faced Interne at the Buffalo General Hospital, I was paid room and board. No money, but strangely we didn't think ourselves cheated. Toda}, the pay is around $10,000 a year. and the grumbling is loud. Internes at our hospital had to be unmarried. Now. it seems. most freshman students are married. As a medical student I recall being called on the carpet because I was wearing "undignified" suspenders, "braces" they called them, instead of a belt. Contemplate our modern disheveled medical student. I recall our Chief - Or. John Talbott - telling us it was unnecessary to have medical malpractice. ''You are competent and will not be sued." I needn't comment on today's malpractice climate. And how autocratic the altendings of that day were. I recall excusing myself one day while making rounds with my attending, to answer a phone call. When J returned, he quietly told me, his eyes blazing, that if I ever left him again in that fashion, I was finished. Today, we attendings are a subdued and tamed lol. Now the students and housemen grade us. In 1947, three women comprised the Dean's office at the Medical School. Poor Mrs. Deeley listened to our personal woes. loaned us a buck or two. and occasionally had to make bail, as well as running the School. Today, I am a\\'ed by the numbers of workers and their fe\erish activitv when l visit the School. And the pr"actice of medicine. How it has changed. I recall as an Interne seeing a great, kind surgeon being brought to his knees and killed by hypertension. How easily such a problem can be managed today. The coronaries of that day received morphine and oxygen and prayer. Compare that to the sleek CCU's of today. But some things in Medicine have not changed. The practice of the art was exciting then. It is exciting now. The gratification one gets from helping someone who is ill remains unchanged. And the kindness and gratefulness of patients remains, despite what so many say. And lastly the great pleasure of associating with so many fine physicians was there then and is there now. How many I have met and known. Great men, brilliant men, kind men, wise men, clever men, humorous men. A little bil of each of them has rubbed off onto me. Yes-some things in medicine do not change. It was a noble calling in 1947. And it is in 1977. 0 Sl }.I~IER. 1977 9 Dr. Phillips A Message from James F. Phillips, M '47 President Medical Alumni AssociCition �Dr. Hornstint• of llumlltan. Ontario. Drs Lenard Kotz. Slt•phen Collins, ,\llcMastcr Uni\·ersilr Medical CentP.r. 7-Cities Gut Club Meeting More than 128 gastroenterologists from the seven cities met together for a two-day meeting at the Statler Hilton. Lively exchange of ideas characterized the meeting. Dr. Harold Fallon, Chief of Medicine at the Medical College of Richmond. Virginia, spoke on "Alcoholic Hepatitis 1976". and Dr. john Morrissey, Professor of Medicine, University of Wisconsin, Madison Wisconsin, presented his thoughts about Drs. Danae Jeffrey anrl Usha ,\fothur. both clJmcal aSSIStant instructors o( medicine Dr Emonufl/ l.ebenthal. associate professor of and Dr Nolan. pediatriC~. THE BUFFALO PHYSICIAN �"Colonoscopy - Uses and Abuses". Dr. Fallon stressed the life-threatening nature of severe alcoholic hepatitis but assured the group of the accuracy of previously reported beneficial effects of corticosteroids in the most severely ill patients. Dr. Morrissey emphasized that a number of questions remain about the appropriate uses of the extraordinary technological capability of the colonoscope. "We need studies to answer the question in specific instances, for example. should we perform polypectomies now that we possess the capability? The long range impact on health. such as reduction of cancer or increase in longevity has not yet been answered." Dean John Naughton spoke to the "Gut Club" about "Social Policy and Medical Education - 1976." His theme centered on the legislated changes which culminated in the formation of the Health Professions Assistance Act of 1976. He jokingly asked. "assistance to whom?" The presentation stressed that no longer will the federal government subsidize medical schools and medical education without attesting to a quid pro quo. For the next three years receipt of capitation support will be tied to three requirements: 1. The recruitment of a federally mandated quota of students into the National Health Service Corps; 2. The development of clinical training opportunities for American students enrolled in foreign medical schools (COTRAJ\:S Program); and 3. a redislribution of graduate training positions so that 50 per cent are assigned to the primary care specialties of internal medicine, pediatrics and family medicine by 1980. This requirement cannot be met by reducing the number of other graduate medical positions supervised by a school of medicine. Dr. Naughton further stressed the unified goal of the governmental and private sectors to contain the overall costs of health care by restricting the health industries' share of the gross national product. This is currently fixed at a level of 8,3 to 9.1 per cent of the GNP on about 120 billion dollars a year. This will be accomplished through supplementation of PSRO's, Utilization Review and a reduction of many services including the number of hospital beds. (front row/ Dr. Harold Fallon. chairman, department of mt•dJcme, .r..1edica/ College o( Virgmio. Dr Mortm Klemmun, Rochester. (bock row) Dr. f.\ Fre1, pathologist. Um·1sity of Western Ontar1o lleolrh Sc1ence Center, Dr. Roger Gunnmgham. Burlington. OntariO. A qw·stion (rom the audience. d- SUMMER. 197i 11 �In conclusion the Dean said he did not think today's health care crisis was related to the issue of specialists. A banquet at the Albright Knox Art Galler~ on Friday evening was a gala event attended by over 100 members of this organization and their spouses. In the tradition of the Seven Cities Gut Club, good stories and hot debate about the location of the meeting next year (London, Ontario) characterized the evening. The Seven Cities Gut Club meeting was presented in affiliation with the G.I. Liver Society of Western New York and the Gastrointestinal Endoscopy Society of Western "\;ew York. The cities - Hamilton, Toronto, London and Kingston, all in Ontario; and Rochester, Syracuse and Buffalo. the conference host. 0 Dean ,\'aughton, Or. James .'l!olon, professor and ossociote heod. deportment of medicme First Annual Report Friends of the Health Sciences Library The Friends of the Health Sciences Library is an organization to develop and promote interest in the resources and services of the Health Sciences Library at SUNY AB. The Friends can look to an active membership of 194 from all branches of the Health Sciences community. Forty-four gifts of scientific publications and historical publications have been received; four of these have been specially notable collections. During the Sprmg of 1976, communications were established with Or. Kenneth Eckhert with regard to establishing the Health Information Dissemination Service as an integral part of Health Systems Agency. At the Annual Meeting at the Buffalo Academy of Medicine Room on 20 October 12 1976, Dr. Robert L. Brown, former Associate Dean of the School of Medicine. presented an outstanding exhibit of the Archives and Artifacts of the University of Buffalo School of Medicine. The guest speaker for the evening was Or. Oliver P. Jones, Distinguished Professor Emeritus, who gave a paper entitled "A Medical Student's Impression of Our First Faculty, 1848-1849." The discussion was brisk and informative. Plans were made to have a bronze casting of the death mask of Roswell Park. MD. The activities of the Friends for the academic year 1976-1977 were outlined. Sincere!}. RONALD E. BATT, MD, 1958 (President, Friends. Health Scwnces L1bror.L.,_ SUNYAR 1975-76.) 0 TilE BUFFALO PHYSIC!,\;-.; �T HE SENECA NATION honored Dr. Marcelline S. Doctor as its "woman of the year" recently. She is a 1976 Medical School graduate, and is on a six-year residency at Millard Fillmot·e Hospital. "I know that I am the Seneca woman trained as a physician," said Dr. Doctor. She is a graduate of Gowanda Central School and her family still lives near Gowanda. "My interest is plastic surgery, especially related to burns and hand traumas (restoring severed fingers and otherwise treating damaged hands)," she said. "Women physicians used to be a rarity, and women surgeons still are." A woman member of the Seneca Indian Nation who is a graduate physician and surgeon is unique. Medical training was a late decision for the 29-year-old single physician. In 1970 she earned her bachelor of science degree from Long Island University. The next two years she worked in the New York-area medical laboratory doing chemical analyses. Several of her friends urged her to go to medical school. She applied to several and was accepted at U/ 8. Her training was paid for by the Seneca Nation, the Federal Bureau of Indian Affairs and the State. Dr. Doctor has been under pressure to become a familypractice physician. "It is a hard decision for me, but 1 wasn't interested in family practice and what good would I be doing something 1 didn't want?" As a medical student she shared special problems with other Indians across the nation. "They had pressures and customs to overcome. I became a member of the Native American Medical Student Association. We help each other with our social and emotional problems. Now I belong to the Association of American Indian Physicians. There are about 100 of us," Dr. Doctor said. The physician is still very much a Seneca Indian, proud of her heritage and anxious to preserve it. "1 am a traditional person and I believe in the reservation life. That is all we Senecas have and if the reservation goes, then we as a people disappear. I don' t want to see our people acquire values where the family and the home become less important and keeping up with the )oneses becomes more important." In spite of her busy schedule she manages to visit her family once a month. "I do plan to remain in this area because it is my home. And I will continue to talk to young people about medical education." 0 SUMMER, 1977 13 Woman Surgeon Is Seneca Indian Dr. Doctor �is one of the most volatile issues in the medical profession today. Physicians are concerned with the rapidly increasing number of malpractice suits, skyrocketing insurance premiums, the fact that less insurance IS available as insurance companies desert states with high claim rates and finally, the rising cost of health care in general." Physicians are becoming increasingly vocal in protesting these conditions and the legal system which allows them to flourish. Until very recently. medical malpractice has been a subject virtually ignored in medical publications. Genevieve Miller's extensive Bibliography of the History of Medicine in the United States and Canada, 1939-1960 as well as bibliographic publications of the Department of Health, Education and Welfare contain no references to malpractice. An~ discussion of malpractice in historical studies was limited to descriptions of charlatans practicing "hydropathy, chronothermalism, mesmerism," including "herb doctors, faith healers (and) indianopathists." '"The medical ignorance of a rural populace made it easy for quacks to take advantage of "a deep-lying instinct in human nature that relief from suffering is an obtainable goal."• There is no doubt. however, that malpractice has become an issue of national importance in recent years. Presently, 18,000 malpractice suits are filed annually at a cost of S300.000,000 in insurance premiums to cover them. Premiums for physicians other than surgeons increased 540.8Cit between 1960-1970. and those for surgeons increased 949.2o/c. • In New York State, the average cost of a malpractice claim awarded by a judge or jury or sellled outof court rose from $6,000 in 1965 to $23,400 in 1975. The recent increases in outside awards ($1 million or more) has increased New York State physicians' insurance premiums to $776 annually in specialties such as psychiatr~ to S14,329 in high risk specialties such as orthopedics.' These statistics are indicative of the seriousness of the malpractice situation and of the reasons why objective observers do not hesitate to call it a crisis situation. Individual physicians and organizations such as the American Medical Association have strong opinions regarding the origins of the current rise in malpractice suits. Most of these opinions are directed against lawyers and the legal system. Dr. Max H. Parrot, past president of the A.M.A., has identified the cause of the hostility between the two professions as being rooted in the fact that "medicine is a prospective profession, whereas law is a retrospective profession" 1" i.e .. the attorneyand his client view in hindsight decisions made by physicians under entirely different circumstances. Doctors resent what they consider the avarice of individual lawyers. but more importantly, the system of contingenc~ fees in malpractice cases. Under this system, the lawyer receives onethird to one-half of the court award if he wins, and nothing if he loses.n With the advent of no-fault automobile insurance, doctors feel that these two factors have combined to produce lawyers who exploit malpractice cases. "Some of the shabby and unethical tricks used for decades in soliciting auto-negligence cases are now being used for malpractice."• Physicians have also found the legal system antiquated in view of the crisis situation which now exists. Lengthy statutes of T HE MALPRACTICE CRISIS Malpractice Crisis by Paula J. Batt Miss Batt attended Calasonctius Preparatory School and was graduated from Nichols School in June, 1976. She now attends Georgetown University in Washington, D.C. and plans to become on attorney. 0 14 THE BUFFALO PHYSICIAN �limitations, non-existent damage ceilings, and a jury system in which awards are influenced by emotion are prime examples.• Doctors are also working for the elimination of the "ad damnum" clause in lawsuits, which specifies the requested dollar amount of the award, and the "res ipsa loquitur" provision, which allows injury alone to be presented as a basis for negligence. " Aside from technicalities, Professor Jeffrey O'Connell, professor of law at the Universit} of Illinois, finds that "the tort system, by which injured patients can sue physicians for negligence and collect vast sums for intangible suffering, is the true culprit." " Doctors and medical societies realize that the improved technology of recent years has brought with it greater risks. However, the correspondingly higher expectations of the public have evolved into a new social philosophy. "Society, which once limited awards to patients who could prove negligence. now is inclined to reimburse every patient for any adverse result or unavoidable accident that occurs in the course of medicaltreatment.'' 13 Dr. Ralph Argen, past president of the Erie Count)- Medical Societ}. echoes this theme in noting that ours is a "litigationconscious era" in which patients are extreme!} knowledgeable about their medical rights and some, indeed. expect guaranteed results. Or. John 0. Naples, Jr., a Buffalo gynecologistobstetrician,"•• is especially concerned that complications which may be common to a particular medical problem are now often construed as malpractice. He adds that "the doctor is being accused of not making perfect something that was not perfect to begin with, and may not be capable of being made perfect." Both Dr. Argen and Or. Naples enjoy close rapport with their patients. Or. Naples feels that, while not taking any excessive measures, he and his partner have definitely become more conscious of the increases in malpractice litigation and have taken precautionary steps to prevent any misinterpretation of their work. "All of us are trying to prepare for every eventuality, and every eventuality is skyrocketing in cost... This extensive documentation and discussion of each case is a source of major concern to Dr. Naples. He finds that the time wasted in bureaucracy has three main effects: primarily. il detracts from time available for actual patient care. He also notes that it is possible to minimize the patient's immediate, serious problem in the midst of explaining and documenting trivialities. Finally, Or. Naples fears that excessive emphasis on far-reaching consequences of relatively common procedures may frighten or confuse patients to an unnecessary degree. In contrast, Dr. Argen finds only a "slight element of defensive medicine" among the doctors he has encountered. lie feels that malpractice suits result from cases in which the doctor and patient do not have a long-standing relationship. In his own practice, Or. Argen has not appreciably increased his precautionary measures in treating familiar patients. Both Dr. Argen and Dr. Naples concur with Dr. John Q. Curlin, a Buffalo internist. that the present malpractice crisis may produce "a more careful offense against disease," as Dr. Curtin stated. Undoubtedly a few patients will benefit from the especially cautious atmosphere, but these three doctors are understandably reluctant to carry precauSU\1MER. 1977 15 d- �tion to the extent that it seriously hinders their ability to provide effective and efficient medical care. As is shown in the previous examples, individual physicians have differing responses to the malpractice crisis v~ hich often vary according to specialty. However, there are man~ factors in the malpractice crisis which affect patient care in almost every specialty. The effects of these factors can inhibit and even damage present and future medical practices. Under the threat of lawsuits, many doctors practice what is commonly called defensive medicine. Professor William Curran. professor of legal medicine at Harvard University, interprets a recent Washington State Supreme Court ruling to mean that a "physician who doesn't perform a test for a condition becomes. in legal terminology, a guarantor against that condition." In addition to extensive testing in fairly routine cases, some physicians now refuse to perform high-risk procedures. • Norman S. Blackman, M.D .. president of the Kings County, New York Medical Society. calls this "negative" defensive medicine; doctors quietly refuse to take cases which might result in a suit. "You do what's legally indicated, not what's morally indicated." Some effects of the increasing practice of defensive medicine are obvious: the loss or limitation of highly specialized medical services in some cases. Recent studies have also produced evidence that excessive and/or unnecessary testing procedures can be dangerous: X-rays, for example.• As always, the cost of extra procedures and hospitalization is astronomical: the estimated cost of defensive medicine in the United States is between $3 and $7 billion dollars annually. 5 The malpractice crisis has affected the services of the nation's younger doctors. Newly practicing physicians find themselves faced with astonishing insurance premiums as well as the usual overhead expenses involved in establishing a practice! Those in high-risk specialties, such as anesthesiology and neurosurgery, are forced to pay especially high premiums at the crucial beginning of their careers. Those still in training may find their study seriously hampered by malpractice insurance stipulations. Medical training requires on-the-job experience and questions are now being raised concerning legal liability in these situations. • Practicing physicians also find that their services may be limited by malpractice considerations. Doctors with small or parttime practices cannot pass insurance premium increases on to their patients, and often their salaries are too limited to absorb these increases.% Many doctors with teaching and/or administrative positions cannot afford to maintain small practices. Dr. Rosamond Kane, the director of the Children's Foot Clinic at Columbia Presbyterian Medical Center, maintained a small practice in Rye. New York until she was forced to abandon it. Or. Kane had to inform her patients that an increase in her insurance premium to $14,000 a year would force her to add $54 per office charge to cover her expenses.' Her case is an example of the many physicians who are seeking refuge from the constant threat of lawsuits in government research and teaching positions - a potentially serious loss of physicians actively involved in patient care.u 16 THE BUFFALO PHYSICIAN �\, The present malpractice crisis has also had a detrimental effect on the more peripheral areas of medical practice. Besides refusing to perform newer. high-risk procedures. the 1973 Federal Commission on Malpractice stated that some physicians will not publish adverse effects of diagnostic and therapeutic procedures in medical journals for fear of providing lawyers with information against them in malpractice lawsuits. especially those concerning experimental cases.• Also, the escalating insurance costs resulting from the crisis limit the ability of doctors to provide free community services and emergency service in the event of a physicians' strike or slow-down. Theoretically. physicians are able to deliver emergency care without fear of liabilit) under the Good Samaritan Act. However. in the tense atmosphere of possible challenges to this act, many doctors are apprehensive about risking liability in such situations.' AI least two good effects of the present situation should be noted here. Doctors now make sure that patients are thoroughly informed about and fully consent to any proposed procedures. 11 Also. medical societies are beginning to keep a closer check on their members$ to eliminate the 5o/c of all United States physicians estimated to be incompetent by Dr. Malcolm Todd, president of the American Medical Association. Finally, many observers note that the famous "conspiracy of silence" designed to protect the profession from the mistakes of a few. is coming to an end as physicians become increasing!~ more willing to testify against incompetent colleagues. In regard to the effect of the malpractice crisis on medical standards, the Health, Education and Welfare Secretary's Commission on Medical Malpractice "tended toward the conclusion that the tort liability system fails to deter much medical malpractice. "u This statement supports doctors and medical associations who assert that the malpractice situation most severely affects the most highly-skilled and the most compassionate physicians. with a resulting decrease in the quality of medical care available to the American public.• Finally. it is impossible to estimate not only the toll of the crisis on the unjustly-accused physician, but the cost in terms of the quality of patient care rendered by doctors harassed and worried about excessive malpractice litigation. Drs. Naples, Argen and Curtin agree that it is difficult to pinpoint the origins of the crisis, but they are unanimous in their opinion that both the doctor and the patient suffer from the malpractice situation. 0 BIBLIOGRAPHY 1. 1\rgen, Rolph J., M.D.. Past President, Medical Society of the County of Erie. personal interview, 25 February 1976. f.. M.D. "New Law //eats Debate on MafproctJCI! Insurance Con : Premiums Uncontrolled." Buffalo Couner-Express. 8/une 1975. pp. !1-10. 3. Ball, Ronald E.. M.D Notes. 18 May 1975. 20 June 1975. 4 Bloom. Murray Teigh "\ololpractice - The Mess That ,\1ust Be Ended." Reader's Digest reprint, Apri/1975. 2. 1\rgen, Ralph d- SUMMER. 1977 17 �5. Clark. Mot, et a/. "Malpractice- Doctors in Revolt.·· Newsweek. 8 June 1975, pp. 58-65 6. Crile. George Jr.. \A.D. '',\1ore On Complete ResponsJbJ!Jty Under Supervision.' Journal of Surgery. Gynecology and Obstetrics (speciFics unavailable). 7. Curtin, John Q .. M.D. personal interview, 22 February 1976. 8. Garrison, Fielding H .. A.B .. ~.D. An lntroduchon To the History of Medicine. 4th ed.. reprinted. PhilodelphJo: W B Sounders Compon}. 1929 9. Lawler, Patricia. "Leiter to the Editor "Buffalo Evening News, june. 1975. 10. News of New York. Publication of the Medical Societ} of the Slat~ of New York Vol. 30, .'Jo. 18, 15 August1975. 11 Naples, John D Jr.• M.D .. personal mten·Jew, 21 February 1976. 12. O'Connell, Jeffrey. "The Best Way to Adopt No-Fault Insurance to Malpractice." Medical Economics. 23 June 1975, pp. 106-131 13. Renshaw. Charles C.. Jr.. Ed. Malpractice in Focus Ch1cogo: American Medical AssociatiOn. 1975 14. Rhein, Reginald W .. Jr. "Malpractice '76." Medical World 1\ews. 23 June 1975, pp 71-83 15. Serobijt-8ingh, I D., M.D. "Leiter to the Editor." Buffalo Evening r\ews. fune, 1975 16. Shryock. Richard Harrison. Medicine in America-Historical Essays. Baltimore; fohns Hopkins L'mversity Press. 1966 17 Surgical Team, December. 1975. Continuing Education Programs The following Continuing Medical Education programs are scheduled for spring and summer, 1977, according lo Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: June 6-10Pediatric Refresher Seminar, Dr. Stanley Levin, professor of pediatrics June 11Clinical Application of Doppler Ultrasound, Or. Jules Constant, associate clinical professor of medicine. July 9Echocardiography. Or. Jules Constant. associate clinical professor of medicine. August 5-6, 1977Vector Cardiography, Dr. jules Constant, associate clinical professor of medicine. 0 18 THE BUFFALO PHYSICIAN �Two PHYSICI-\.'-:S from the Institute on Human Values in Medicine were on campus in january visiting \\'ith students and faculty about teaching in the humanities, human values and ethics in the Medical School. The)- \\ere: Drs. David Thomasma. coordinator, program on human values and ethics. University of Tennessee at Memphis and Larry R. Churchill. coordinator, human values in medicine, University of North Carolina. School of Medicine. The Society for Health and Human Values, Philadelphia. is committed to expanding the interface between medicine and the humanities. It has sponsored programs of various sorts at approximately 26 medical schools in the country. The visitors came to Buffalo under a program of the Institute of I Iuman Values in Medicine and there is potential for financial support for activities which develop here. Drs. Thomasma and Churchill mel with Dean John Naughton and the administrative staff. the executive committee. representa lives of the curriculum committee, the clinica I perccptors, the student affairs and academic standing committee of the faculty council. They also talked to Dr. Richard Lee. who is ()Ianning a new course (Introduction to Medicine); and the Jewish Medical Ethics Society (a group of medical students \\ho are learning about Jewish law and medical ethics). The visitors met informall) with students and re\'ie\\·ed teaching programs with representatives of the departments of Social and Preventive Medicine, Psychiatry, and Family Medicine. Dr. Leonard A. Katz, associate dean, said Drs. Thomasma and Churchill were impressed with the students and faculty who were aware of issues and eager to explore them further. The visitors will submit a formal review and make recommendations. 0 Now is the very best time ... to think about your deferred gift to the Universit) at Bufralo. A planned gift in support of research assistance. teaching or student aid is vital in creating a Margin of Excellence for the University. Additionally, gifts of an undesignated type enable the University to meet its most critical needs and frequent!) to take advantage of unforeseen opportunities for which there are no other funds. The Universit:t appreciates the consideration of donors-to-be, known only to their families and legal advisors. who will set aside gifts through wills, insurance policies, or other appropriille planned giving instruments. The University at Buffalo Foundation, as designated receiver of gifts for the Universil:t at Buffalo, suggests that the planned gift donor enjoy Lhe fellowship and benefits of membership in its prestigious President's Associates. nov•. in his or her own time. For more information on planned giving, contact: Mr. Jonathan A. Dandes, Dtrector, President's Associates. U/ H Foundation. Inc. SUMMER, 1977 19 Human Values �/from left) Carol Wargula. clinical librarian; Drs. Roman Karprnec, rotating intern from Alercy Hospital; Donald Younkin, ,\if'74, clinical assistant instructor of pedratrics: Stanley LP.vin. professor of pediatrics; Margaret MacGillivray. professor oj mt:elrcine; Jacah St•·rnhart. ,\r62, clinical associate professor of pediatrics: and A1rchael Frnt•r. r;lrnico1 os:;rstunt rnstructor o) ped10trics. Pediatric Education T here is a new look to the Pediatric Education Program at the Medical School and Children's HospitaL Architect of the new Program is Dr. Stanley Levin. who joined the Faculty last summer {1976), as Director of Pediatric Medical Education and Professor of Pediatrics. He has four Programs going simultaneously - a Junior Pediatric Clerkship, a Senior Pediatric Elective and a ResidenC) Inservice Training Program. In addition, Dr. Levin runs a Postgraduate Training Program, and has scheduled three Continuing Medical Education Programs in April, May and june for Pediatricians in the area. "My major responsibility is to plan and provide training programs for students in Pediatrics. We have developed a broad and effective Clerkship Program for the 145 Juniors. They are divided into 7 groups of about 21 students each and spend 6 weeks in Pediatrics at Children's, Buffalo Mercy or E. J. Meyer Memorial Hospitals. We have set up a planned curriculum for the first time 20 that includes lectures by faculty members as well as giving ample time for the students to work with clinical material on the wards. In addition, they will attend two workshops one on mental retardation at the Heritage School with Dr. Donald Kerr Grant, and another with Dr. Robert Warner on the rehabilitation of the physically handicapped," he said. ,\fare Daniels. junior medico/ student. ~·ll!eosrs .... ~.~ ...,lt'01£ :lt~:t>' �Dr. Levin pointed out that another innovation of the Program was sending Junior Medical Students to private physicians' offices to observe how Pediatrics is practiced outside of a Hospital setting. He also mentioned the extensive audio-visual library and the computer terminal where students can play "clinical" games. In this latter selling, the computer presents medical problems for the student to work-up and diagnose. Th1s latter program is taught by Ms. Marcia Chelminiak who is trained in audio-visual instructional programs. Dr. Gilb~rt Rose. clinical instructor of pediatrics. ond Alorcia Chelmmiok. adminisrrariw~ assistant. Robert Farkas. junior medico/ student, and Dr. Olivia Smith, rotoling intern (rom Deaconess Hospital. Dr. Stanley L~vin Another first is the introduction of written examinations at the end of each six-week period using the "m1ni-boards" of the National Board of Medical Examiners. Dr. Levin said that of the 140 Senior Students only 80 or 90 have elected in the past to do one additional month of Pediatric training as subinterns on wards or in specialty clinics. The Pediatric Department is trying SUMMER, 1977 d21 �(from left} Mary Teresa Volpone. pharmacy student; Alan Koslow. junian med1col student: Drs. Renee Gordner. clinical assistant instructor of pediatr1cs; John R. Warner. climcal osslslonl professor of pediolr1cs: Olivia Smith. rololmg mlern from Deaconess Hospllal: ond Sandra Blakowski, senior medical student. (from left) junior medical students - Lawrence Speclor. john Haumesser, Peter Minkoff; Dr. Daniel Weiner, clinical associate professor of pediatrics; and Josiah Lowry. medical student from McMaster University ({rom left) Drs. Thomas Lombardo. clinical assistant instructor of orthopedics; Luis Mosovlch. associate professor of pediatrics; Margo Deleover. senior medical student; Jeffrey Pitts. !UnJOr medical student; Drs. Martin Brecher. assistant research instructor of pediattJcs; fohn Bortle}. and Carlos Schenck, both clinical assistant instructors of pediatrics; and Stephen K1llian, JUnior medical student. �to impress on all these students the need for this extra four-week Pediatric training in the Senior Year, as the six-week Junior Clerkship is not sufficient for obtaining more than a cursory introduction to Pediatrics. The Professor of Pediatrics is also introducing Pediatrics into the Fifth Pathway Program. "We hope to have nine weeks of Pediatric training (six weeks on the wards and three weeks in ambulatory clinics) for these American medical students who have completed their education in foreign medical schools before returning to the States." Dr. Levin and the Chief Resident, Dr. Gilbert Rose, have also planned an ongoing two to three year in-service training program for Residents. This new program includes a curriculum comprising a series of planned lectures as well as an extensive course in emergency pediatrics. Dr. Levin does not get a chance to forget the clinical side of Pediatrics. as he attends as a teacher on various wards at the Children's Hospital with Residents and Students and meets almost dail} with the Senior Residents for discussions on interesting and problematical cases. Dr. Levin is on leave from the Kaplan Hospital in Rehovot. Israel, where he is Professor of Pediatrics at the Hebrew University Medical School and at the Tel Aviv University Medical School. His major interest, besides Clinical Pediatrics and teaching, is Immunology, and he is the head of a large Pediatric Research Laboratory where he and his co-workers are studying the Immune System in Newborns and Children with various diseases. 0 ETERANS DAY. It is a day on which America honors its war dead. reflected Veterans Adminisiration Hospital director Joseph Paris. During ceremonies held on the north lawn of the affiliated teaching hospital of the Medical School. a tree was planted in honor of all medal of honor recipients. Presenting a plaque to be placed at the base of the tree, Almond Fisher. a colonel during World War II and medal of honor holder. noted the opportunity afforded this Bicentennial year "to re-examine the meaning of America, to look back and see what made us what we are." "The tree," added Mr. Paris, ''is a living memorial that we live in the greatest country in the world, because Americans have been willing to make the greatest sacrifice so that we may live here in freedom today ... 0 V SUMMER, 1977 23 Veterans Day �One of 12 caromote slidetopes purchased by the Medical Alumni Association. A medical student is on lin e with Massachusetts General Hospital via the Oiglog specialized keyboard computer terminal. There are 50 computer mstructJonal programs ova1loble to students. The primary access ports for such programs ore in the Health Sciences Library. Resources Learning Center J A John Cordone, (Jrs!-}·eor med1col student. studies anatomy d1secllon films in technicolor. new teaching-learning-resource center opened last fall in the forme r stacks area of the Health Sciences Library. This 6,700 square foot area on two levels of Farber Hall is the Health Science Learning Resource Center. This facility provides faculty and students of the Health Sciences an opportunit} to identify. select or develop, and validate new approaches to teaching and learning, according to Or. Thomas E. Burford. He is associate director of the Health Sciences Learning Resources Center. ''Specific emphasis is placed on the selection and development of audio visual material for lecture support. selfinstructional or independent study programs," Or. Burford said. On the lower level there is a quiet study space area for 35 students and three media seminar rooms equipped with still visual projection, motion picture visual media. audio playback/record media, and computer assisted instruction. The upper level is for instructional materials demonstration and development, conference and office space and a multi-media independent study or self-instructional carrel area. This area serves faculty and students who want to examine and experim ent with newer forms of instructional materials. It also serves as models fo r stimulating interest in developing similar materials that are tailor made for their needs. Such demonstration materials include standard multi-media programs in cassette tape, slide or filmstrip with audio cassette (with or without auto24 THE BUFFALO PHYSICIAN �\ I ] sync) and video cassettes. There is also full color microfische programs with audio cassette and structured student response workbooks and computer assisted instruction demonstration programs. Ms. Meryl McNeal, director of the learning skills development office, assists with the daily operation of the center. She has hired eight health science students through the work-study program. They work 15 hours a week and receive $2.65 per hour. The center is open 79 hours each week. The voluntary sign-in sheet reveals that there are at least 50 student hours of self instruction daily. Dean J. Warren Perry of the School of Health Related Professions has provided funds for two students in neurophysiology. Other on-going courses that ""''ere given audiovisual self-instructional support during the fall semester were respiratory physiology, anatomy, histology and pathology. Dr. Burford said there were two computer terminals for demonstration and experimentation for computer assisted instruction. Dr. Arthur Steele, clinical instructor in medicine, has developed and is testing a computer assisted program in diseases of the thyroid. Dr. Harry Sultz and his staff has developed and is testing 10 audio visual self-instruction units in epidemiology at the center. Dr. Sultz is professor and acting chairman of the department of social and preventive medicine. Dr. Burford indicated that priority for use of the media seminar rooms will be given to Health Sciences professors who are either using one or more forms of media in their seminars or conferences or are interested in developing media for this purpose. 0 Multl-meclio instructional materials developed to support Dr. Beverly Bishop's courses in neurophysiology. l I Students use the Burges audio 'rutoriol systems to review lectures . �Drs. Solkoff. A/le n (righi J Genocide: A Psychological/ Historical Approach Dr. Solkoff. while on sabbatical lost fall, taught a course on genocide at Queens College with historian Andrew Whiteside, who is an expert on Austrian antisemitism. As a psychologist, he has always been interested in all forms of human behavior. But Dr. Norman Solkoff's particular interest is that of violence. its psychological elements, and the search for a model by which to predict and thereby prevent it. It was therefore not surprising that the professor of psychology in the department of psychiatry would one day find himself painfully exploring Nazi genocide, an event not having its equal in modern history. But that he would do so with U/ B historian William S. Allen, through one of the most unique courses offered. is. Since age 10, Or. Solkoff recalls a morbid awareness that a civilized nation like Germany could launch a genocidal war against a small ethnic minority. But eluding all psychological investigations has been identity of a mediating link. one that would explain the leap from attitude and prejudice as in antise mitism to that of genocide. No discipline in psychology, Or. Solkoff points out, has successfully explained it. "While descriptions abound, we are shor t of explanations," he added. Recalling that the more he thought about it, especially in terms of a model for understanding his own Jewishness and the way he perceived others to feel towards those of his faith, the more troubled he became. "How one learns the lessons of history determines the way an individual will respond to a similar depressing situation," he cautioned. 26 THE BUFFALO PHYSICIAN �\ J 1 Musing over the problem one day. at someone's suggestion that he talk to Dr. William S. Allen, a great teacher/expert on Nazi Germany, Dr. Solkoff did. (Both have earned University teaching awards). They talked, they questioned. "Can we mobilize and combine our two disciplines in some meaningful way to consider alternative explanatory models to understand genocide?" While Dr. Solkoff needed to learn a lot of history. Dr. Allen lacked a psychological perspective to his studies. What better way to gain this knowledge than through a course on the holocaust, one never before taught by two disciplines at a university level? Two hundred students agreed. Most who signed up were juniors. While some were history majors, more were psychology students. There was a sprinkling from Judaic studies. medicine and other disciplines as well. Meeting three times a week. they heard didactic lectures. open dialogue. films, and a bit on the law by a jurist. While Dr. Allen offered historical explanations on what happened during this unprecedented event. Or. Solkoff tried to provide psychological ones to explain a particular type of behavior. Students were restless. But they were also excited. Admits Or. Solkoff, "there are no pat formulas. We may never have them." But he points to a beginning. "a fitting of something together to explain genocide." Students now know a little about history. he said. "They have learned to respect a critical historical analysis of the enormous complexities one faces when dealing with predictions on human behavior. And they have also learned something about the educative process - the importance of considering the historical/political/social milieu of a particular period under study." It was a learning process for Drs. Solkoff and Allen as well. For it gave them an opportunity to apply the former's ps).chological model for predicting violence to "something screaming for this type of approach." Succinctly put by Dr. Allen, "when a historian studies this particular period in history. he has limits to his craft. Needed is a model for stimuli to violent behavior, one that emphasizes cues. For in Nazi Germany, visual symbolism played an enormous role in its rise as well as operation." Not only do both instructors now have a better understanding of this particular period in history, and hope to collaborate on a book, but on an article on this first university course that combines two disciplines as well. When they offer the course again, there will be changes. Not only do they seek more integration at each lecture of the historical/psychological aspects on genocide but more emphasis on its methodology. As Dr. Allen puts it, "perhaps where the historical must break away from the descriptive and come up with something prescriptive. For it is more important to prevent than to cure." 0 SUMMER, 1977 27 �t ' Dr. Gidney 0 ETERM1:-.iATION A\,0 HARD WORK has paid off for a 1976 Medical School graduate. Dr. Betty M. Gidney is in the first ~ear of her psychiatry residenq at the E.) r..teyer Memorial Hospital. The 37-year-old mother of two daughters read many books and articles about people who had achieved success through hard work and study. "I decided I had the ability and desire to improve my !if e style." After graduating from high school Dr. Gidney married and started working at various jobs that ranged from dish.,\·asher and cook to secretar} and clerk. She also volunteered Cor several nonpaying jobs to gain additional experience. During lunch breaks she would learn to operate various office machines. All this led to a job as secretary for the marketing vice president at Buffalo China. Six months later she took a clerical position at CurtissWright Corporation because the salary was better. "Whenever I changed jobs. it "';as because I \\-anted to impro\.'e myself financiall}. and provide a better life style for my family." ' Or. Gidney said. In 1963 at the age of 24, she enrolled in the evening division of Millard Fillmore College at U/B. After attending night school for three years. while working a full-time job during the da~. she dropped out of school to help support her famiJ~. She was out of school three years and worked at three jobs. "In 1968 I returned to night school for three more ~ears. while continuing to work during the day. 1 \'\"ould get up at 4 a.m. and do my homework and many times 1 didn't get back in bed until after midnight the next day," Or. Gidney said. In September of 1971 she enrolled in day school at U/ 8 to complete her requirements for her degree and complete the prerequisites for medical school. In the fall of 1972 at the age of 33 Dr. Gidney started her medical career. "During m} first year in medical school I received some educational loans and grants so I did not have to work.'' After the first year of medical school Dr. Gidne} dropped out and worked because she had divorced her husband. She also enrolled in a modeling school and graduated a professional model. During her residency Dr. Gidne~ has become imolved in community affairs. She has participated in organizational meetings of the National Association for the Advancement of Colored People and BUILD. "A well rounded person must be aware and be involved in all aspects of programs that have some effects on his life. I am working to become well anchored in programs designed to improve the life styles of all people. I want to be a part of those decisions rather than letting all decisions that affect my life be made by other persons," Or. Gidney said. 0 28 THE BUFFALO PHYSICIAN �\ \ The Class of 1926 Celebrates It was a gala affair for the 35 members of the 1926 class who celebrated their ~Oth reunion in June. ll was an opportunity to renew old acquaintances and to see the new Amherst Campus. Another 36 members of previous classes also attended. The reunion chairman, Dr. L. Edgar Hummel, a retired physician from Eden, received a special diploma for his service and teaching. He presented the U/B Foundation checks totaling $1,925 as a class gift. Dr. Hummel is a clinical associate professor of medicine, emeritus and former director of the E.J. Meyer Memorial Hospital. He received his M.D. from Harvard ~tedical School in 1931. He served on the Medical School faculty from 1938 to 1973 when he retired. Dr. Hummel remarked that as a freshman in 1922, his class welcomed the inauguration of Dr. Samuel P. Capen as Chancellor. He served in that post 28 years. Dr. Albert Somit, executive vice president. accepted the gift for use in the undergraduate library. He also inducted members of the Class of 1926 as alumni in the U/B Alumni Association. The 35 people who attended the reunion represented onethird of the surviving members of the 1926 class, which originally numbered about 400. The annual event was hosted b} the U/13 Alumni Association. 0 Drs. Caryl A Koch. M'23. Clarence J. Durshordwe, M'23, WiJiiom II. Jones. ,\1'17 SUMMER, 1977 29 Dr. lrummel �Dr. llt•rman re\'iews patient chart "1th Host•murr IIP.IImon. Clinical sppciol1st Mass Screening for Hypertension It 1s o bus} rio}' for clinical specialist llt:llmon . M ASS SCREENING AND TREATMENT for hypertension by nonphysicians is now underway in a new clinic just opened cighl months ago at the Veterans Administration Hospital in Buffalo. lL is one of 32 set up nationally by Veterans Administration to seek alternate ways to lower the high cost of health care as well us potentia] lethal complications from this major public health problem in the untreated. As revealed in a recenl national survey, high blood pressure afflicts about 20 percent in this country, with a large proportion unaware that they have it. And only half of those who do know it are being effectively managed by drugs. Of those who remain untreated. the cost in terms of potential complications - heart attacks. kidne}' failure. strokes- remains high. Because the disease is almost ah\ays symptomfree. the only way to detect it is to measure blood pressure. Through an inflated cuff placed over an arm and a stethoscope reading. both systolic: pressure and diastolic pressure are revealed. Heading hypertension program activities at VAH is Dr. Theodore S. Herman. He notes that in the new hypertension clinic that is open five days a week from 8 a.m. lo 4:30 p.m., over 2,500 veterans have alread} been seen by two nonphysicians. One is Rosemary Hellman. Highly skilled in screening and managing her patients, she holds a master's degree in nursing and has completed intensive training in history-taking and physical examination. The other Ls Patricia Reid. A health technician, she has been specially trained in taking blood pressures and hypertensiverelated histories. If. on screening a patient, they note the pressure is over 140/90, the patient is checked on at least two other occas10ns. And if the elevation remains sustained, the patient is scheduled for a complete diagnostic workup. From this information. clinical specialist Hellman will make her evaluation of the problem. And if the patient is found to ha\'c a moderate to severe form of hypertension. weekly clinic appointments are set for followup treatment. Or the patient may elect to see his own physician. Miss Hellman notes that three to four patients are added weekly to her treatment program now underway in the h~ pertension clinic. With treatment of essential hypertension now pretty well defined, she has encountered few difficulties in managing her patients. In fact, only seven percent have been referred to Dr. Herman. "The assistant professor of medicine is always available for consultation," she said. Starting her patient on diuretics, she adds other drugs as needed. And, as monitoring reveals that a patient's blood pressure is brought under control. the time between clinic visits is lengthened. As a nephrologist, Dr. Herman is keenly aware of the role that kidney function plays in regulation of blood pressure. That is why he personally examines each clinic patient at least once during his first month of treatment. And it ma} well be the ke~ to the clinic's emerging role as a center for primary care of those with 30 THE BUFFALO PHYSICIAN ' �1 ' essential hypertension. "Because we see patients on a regular basis, we are able to care for all of their medical problems," Dr. Herman said. While all veterans treated in the free clinic are seen by appointment - at minimal waiting time - others are free to stop in on a first come, first served basis, to have their blood pressures checked, he added. Miss Hellman points to the role a patient plays in controlling his own blood pressure. "Instructed on the need to restrict salt intake. to lose weight if obese, and to stop drinking/smoking, he is also informed on what to expect during initial stages of treatment, and to call - a card listing clinic phone number is given him should questions or problems arise at any time." she said. Concern for patient compliance/dropout has not only led to a medical student initiated socio-economic questionnaire that reveals interesting insight into patient response. but followup b> the clinic reminds a patient on a missed appointment, etc. And teaching, lots of it. is also underway. Under a Universit> program, medical students are gaining insight into problems of hypertension in the new clinic as well as from weekly hypertension rounds. Student nurses are also learning about ambulatory care for those with high blood pressure. "And," adds Dr. Herman, "as part of a University-wide Renal Program. we are sharing our knowledge on hypertension." Added insight into essential hypertension will also result from studies soon to begin in a new hypertension ward being set up at YAH. Is mass screening/treatment for hypertension by these nonphysicians working? Noting the program at YAH to be but eight months old, Dr. Herman is quick to point to identification of many who were unaware that they had hypertension, and routine treatment for those who may not be able to afford it. "Rosemary is seeing lots of severe hypertensives," he said, "and she is treating them as outpatients. More veterans are being screened and managed by her than would have been possible by a parttime physician," he continued. And, without the clinic, he is certain that subsequent hospitalization for complications of the disease in the untreated would have been costly indeed. 0 Leornmg abou1 the effects of hypertension . .. SUMMER, 1977 31 lleolth lechnicion Patricio Reid checks pressure of patient �THlRD Dr 1/enr~· Staub YEAR MEDICAL STUDEJ'\TS have had meaningful outpatient experiences with children and adolescents during the past four years at three pediatric clinics. staffed by physicians from the E.J. Meyer Memorial Hospital and the Erie County Health Department. Students see patients at the pediatric outpatient department of the hospital and at two community clinics - the Jesse Nash Health Center on William Street, and the Buffalo Family Care Center located in the old School 84. Dr. Henry P. Staub, associate professor of pediatrics at the Medica] School directs the hospital's pediatric program. He is assisted by five attending physicians plus house staff. "We usually have four junior students assigned to pediatrics at the Meyer at one time. Each student takes one clinic a week either at the Meyer or one of the two community I Pediatric Clinics Dr. David Arond, pediatric resident, at Jesse Nash Cl1nic with nurse and polienl. Robert Pszonak. JUnior medical student, and Dr. jean Gnffin, clinical assistant professor of social and preventive medicme. at the Buffalo F'amily Care Center. 32 THE BUFFALO PIIYSICIAN �Polti Kmg. pediatric nurse practitioner student: Dr. Roger Forden. instructor in pediatrics I }un1or med1cal student Douglas Seretan (left}, Dr. John Neale, pediatr~c resident. clinics. At each clinic session the student works with a pediatrician preceptor and with a house officer, who always checks the patient to provide continuity and to assure quality care." Dr. Staub stressed the major emphasis during the junior year is on teaching the fundamentals of pediatrics and experience with hospitalized children. "The exposure to ambulatory care is not designed to substitute for such an experience in the senior year but rather to provide greater depth to what the student learns in his junior year. Modern pediatrics is one of the specialties which can diagnose and treat major problems in children without admitting them to the hospital. Furthermore, preventive care which is now recognized as one of the important aspects of pediatric care, is best taught in an ambulatory setting rather than at the bedside." The children seen in the three clinics present a good cross section of pediatric practice from the well child to one with an acute illness. Tuberculosis has almost disappeared, but emotional problems, learning disorders, high blood lead levels, battered children, high blood pressure are the new epidemics'dSUMMER, 1977 33 �Dr. ,\forie Saroff. mstructor in pediatrics: Dr. Henrr P. Staub, associate professor of pediatrics, Dr Don George. ped1atric resident; Dr. John Neale. pediatric res1dcnt: John Scanlon, student. John Scanlon, junior medical student and assistant. 34 The clinics are open weekdays from 8:30 a.m. to 10:00 p.m. They relate closely to a 20bed inpatient service at the hospital. Pediatric specialty clinics concentrate on allergy. skin diseases, neurology. and surgery. The goal of the clinics, according to Dr. Staub. are to provide primary health care for its patients and the eventual reduction in the incidence of disease to the level experienced by the middle class population. "For third year students the three clinics offer a rare opportunity in continuous patient care. The student is often the first to see the child. He meets, listens, and talks to the parents or whoever accompanies the child. If the child needs to be admitted, the medical student will follow him through hospitalization and will be involved in all procedures including surgery, and will finally discharge him," Dr. Staub said. Dr. Staub joined the Medical School faculty in 1970. In March he was named to the Goodyear Chair. He came from the University of Minnesota where he held joint appointments in the Schools of Medicine and Public Health. Dr. Staub was born in Berlin in 1919. He came to the United States in 1941, received his A.B. degree from Augsbery College in 1943, and his citizenship the following year. He received his B.S. in Medicine in 1945 from the University of North Dakota and his M.D. from the University of Illinois in 1947. 0 THE BUFFALO PHYSICIAN �Noise Damages Ears, Nerves "N oise damages the ears and upsets your whole physiology. It wrecks nerves and causes gastro-intestinal disturbances:· says Dr. Irwin A. Ginsberg, clinical associate professor of otolaryngology and anatomical sciences. Dr. Ginsberg is a J 944 Medical School graduate, and chief of otology at the Buffalo General Hospital. "There used to be a feeling and there probably is a grain of truth to it, that some people lose hearing as a natural manifestation of age. But now we know, because of the difference in hearing acuity of people who live in quiet spots as against those in noisy ones, that exposure to noise does make a difference. "Until they were made to wear protective ear plugs, sailors on aircraft carriers had a high rate of hearing loss. Some people's ears are more brittle than others and some noises are more damagmg than others. There are differences in diet and genetics between people in the quiet spots of the world and the large cities, but there is a relationship between hearing losses and exceedingly noisy environments," Dr. Ginsberg said. Heavy industry is being asked to spend millions of dollars to lower noise levels to protect workers' hearing. But in their free time, these same workers and thousands of their fellow men and women flock into restaurants and nightclubs where the noise level is at least as high as it is in heavy industry. Dr. Ginsberg sees the overloud music as just another part of a culture of excesses. "We have to take everything in massive quantities: food, liquor and music," the physician-educator said. "Kids are really damaging their ears and the danger is even greater for the people who play in those over-amplified orchestras and for the waitresses and bartenders who work alongside of them. The hearing of a worker in a forge plant is protected by law, but there is no enforcement of the law to protect the hearing of the night club employee. Those who allow noise levels of 120 decibels in their restaurants or at their private party are breaking the law as surely as any industrial concern," Dr. Ginsberg said. "I am not concerned with the noise of the Concorde jets because of the relatively short period of time anyone will be exposed to the noise. 1 am more concerned about people who spend four or five hours every night in the presence of over-amplified sound." 0 Sl 1MMER. 1977 �Soviet Cardiac Care Dr. Klocke C oronary bypass surgery is less sophisticated in the So\iet Union than in the United States. But Emergency care available to a heart-attack victim in Moscow nvals the best available in the States. These are two observations of Dr. Francis J. Klocke. professor of medicine and head of the division of cardwlogy at the E.j. Meyer Memorial Hospital. He was on a 10-day visit with six other United States heart specialists to learn about the treatment of heart disease in the Soviet Union. "Heart disease is a major problem in the U.S.S.R. and specialized care available in hospital cardiac units is comparable in both countries," Dr. Klocke said. "The biggest difference is that our country has paid more attention to the natural history or epidemiology or ischemic disease. I think this is the major thing we have to contribute lo them, our experience in these areas. The Russians are involved in clinica l trials with patients of new drugs that in the U.S. have been limited to use with laboratory animals," the medical educator said. He noted that while "the design of their trials would not be optimum from our point of view," American cardiologists will benefit from the information about the Russian studies. Dr. Klocke saw much American equipment used in the treatment of Russian heart patients. "One of the biggest differences between the two countries is in the relationship between the medical and surgical approaches to coronary heart disease. While the two have been closely related and evolved together in the· U.S., in the Soviet Union they have developed separately. Only now is there a concerted effort by the Russians to bring the two together." Dr. Klocke noted that the Russians' experience with coronary bypass surgery is "about three years" behind that of the U.S. "The early results of their work compares to our early results. but not comparable to our current results." One Russian innovation in the treatment of heart patients impressed Dr. Klocke. "When patients are discharged from the hospital they may spend a month at 'sanitoria,' which is a resort with controlled recreation. These resort areas are supplied by the equivalent of ou r trade unions as a kind of fringe benefit." The Russian heart specialists, like their U.S. counterparts. include control or risk factors as part of the treatment plan. They focus on control of diet, liquids, hypertension and smoking. Drugs of the nitrate family are major drugs of choice in both countries. In the U.S. as well as the U.S.S.R. the rate of interest and information about ischemic heart disease has quickened. Dr. Klocke believes there is more emphasis on prevention of heart disease in the U.S. than in the U.S.S.R. Noting an encouraging decline last year in U.S. deaths from heart disease. the heart specialist says it indicates that we may be caring better for the consequences of coronary artery disease and delaying its clinical manifestations in many people. "The public education program regarding heart disease in the U.S. has been emphasized more than any in Russia. Hypertension screenings and other similar programs here have also been an important part of our education program." 36 THE BUFFALO PHYSICIAN �Exchange of information about the treatment of \'arious diseases between the U.S. and the U.S.S.R. has been a b~ product of detente of recent years. Dr Klocke participated in the recent exchange in his capacity as chairman of a policy advisory board on coronary artery surgery trials of the National Heart. Lung and Blood Institute. The Americans participated in a symposium in 1.vhich physicians from both countries presented reports and visited facilities in Mosco\'\ and Leningrad. While the~ spent considerable time at the Myasnikov Institute in MoscO\'\', which focuses on heart disease, the> were not shown the equivalent of an American general hospital. The limited itinerary on the recent trip was determined by the Russians. 0 A 1961 Medical School graduate is unique. Dr. Wende Westinghouse Logan is one of the few women radiologists in the country who specializes in breast cancer detection. Her husband. Dr. Jonathan Logan. a 1961 graduate of U/ B. is a Rochester pediatric allergist. Her father, Dr. Walter D. Westinghouse, is a 1931 Medical School graduate, and her brother, Dr. Walter D. Jr .. graduated in 1964. Her maternal great-grandfather, Dr. Ernest Wende, was commissioner of the old City of Buffalo Health Department in the early 1900s, and her paternal greatgrandfather, Dr. George Westinghouse, was one of the department's "district physicians" during the same period. "There is a crying need for more radiologists to concentrate on breast cancer detection. Most radiologists have little contact with a woman suspected of having breast cancer," Dr. Logan said. For the last 10 years she has been on the University of Rochester Medical School faculty. She has been working under a grant from the National Institutes of Health on developing a new thermography technique which would cut costs to physicians and patients. "Breast cancer is a very complex problem. £t can behave in a number of different ways, depending on the person and the tumor. Because of the differences 1 will not automatically take breast X-rays of each patient. I concentrate on taking a medical history and an examination of the breasts. I also use ultra sound which utilizes sound waves and thermography which measures heat generation and reveals regions of greater heat where breast cancer might be found. I don't do a mammogram on any woman unless her doctor feels it should be done." Recently Dr. Logan was one of two radiologists who tested a new X-ra; film developed and now sold by Eastman Kodak Company which cuts the amount of radiation required to one-tenth. ln addition she has a mammography unit which uses a "microfocal" radiation source and further cuts radiation dosage by onetenth. 0 SUMMER, 1977 Dr. Wende �Dr. Caccamise A 1920 Medical School graduate is enjoying retirement in Jamestown. N.Y. after practicing more than 50 years in this community. Or. George F. Caccamise is the oldest of a family of four girls and five boys. Two of the brothers became physicians, one a dentist, one a pharmacist and one a farmer. The family landed in Buffalo after emigrating from Italy, moved to Fredonia, where George and his brothers and sisters grew up. "I had the idea I wanted to be an eye, ear. nose and throat man, but I moved to Jamestown after interning at Lafayette General Hospital, Buffalo and St. Elizabeth's Hospital in Dayton, Ohio. I've done everything in Jamestown but pull teeth. My brother, James. who was a dentist, did that," Dr. Caccamise said. The 80-year-old physician was a student at U/8 during the 1918 influenza epidemic. "It was pneumonia after the flu that killed most of the people. We had nothing to treat them with except bed rest and a shot of whisky every couple of hours. A lot of people treated themselves with whisky, digitalis or tincture of belladona for their hearts. In a lot of cases it worked ... There was no sulfa or other wonder drugs to deal with inflammation of the lungs that caused death to pneumonia victims. "We had people all over the hospital - in the halls and storerooms. We were absolutely helpless and it was a terrible feeling. In the spring of 1919 the killer disease began to \'anish and soon disappeared," Or Caccamise said. He also did a good deal of surgery. ''I must have taken out 100 pounds of appendixes in my time and did many tonsillectomies." During the depression he did much of work on a "pay-mewhen-you-can" basis, which for the down-and-out meant never. After the depression he cancelled all outstanding bills. 0 The Goodyear Chair Dr. Henry P. Staub. associate professor of pediatrics and director of the E.J. Meyer Memorial Hospital's pediatric program. is the second physician to occupy the Goodyear Chair at U/B. Dr Staub joined the Medical School faculty in 1970. He recei\·ed his M.O. from the Universlly of Illinois in 1947. The Goodyear Chair was established in 1965 by an endov.ment. A. Conger Goodyear designated the Chair for a "professor of pediatrics in charge of a program of maternal and child health or for a professorship in a related field." George F. Goodyear and Mary Goodyear Kenefick, brother and sister of the grantor. are its trustees. Dr. John C. Dower was the first to occupy the Chair in 1968. He resigned from U/B in 1973. 0 38 THE BUFFALO PHYSICIAN �T here was excitement as Dr. John Talbott questioned the first patient. "How do you feel? When did you first note muscle weakness? The illustrious clinician/teacher/editor had come to Buffalo to deliver the first lecture of an annual lectureship established in his name by former professional colleagues in Buffalo. From 1946 to 1959 he headed Buffalo General Hospital's department of medicine, left to become editor of JAMA from which he has since retired, and is now clinical professor of medicine at the University of Miami. In his earlier talk at the Buffalo General Hospital. Dr. Talbott reviewed 40 years of internal medicine. He was participating in rheumatology rounds specifically set up for his visit to Veterans Administration Hospital. Following a review of the patient's case history and therapy. Dr. Talbott took over. And in eliciting information from the patient that is so crucial to diagnosis, he revealed the "fine art" of medicine. "Have you ever had a skin problem?" he asked. "Yes," was the patient's response. Suspecting dermatomyositis, Dr. Talbott cautioned housestaff and students on the necessity of supporting this diagnosis by finding a skin lesion. An examination of the patient's elbow area revealed nodules of rheumatoid arthritis. "Yes," he agreed with housestaffers. "'These are tough cases to diagnose. Why else would you be presenting these particular patients to me?" After noting the excellent patient response to prednisone. he urged that this therapy be continued. Diagnosis? Perhaps some form of mixed connective tissue disease. he said. About the second patient, there seemed to be no histor~ of rheumatic disease. This, he found difficult to accept. he assured those at case presentation. "Any joint problem? he asked of the patient. ''When?" Patient findings. he said, point to atypical gouty arthritis. perhaps unexplained acute arthritis with low grade distress. ln his review of the importance of diagnosis and therapy, Dr. Ta lbott presented classical evidence for arthritis and the importance of a diagnosis based on clinical evidence as well as laboratory and X-ray findings. 0 SUMMER. !977 39 Dr. Talbott Dr. To/boll �Wyeth Award To Dr. Neter Or. Netl!r Or. Erwin Neter received the 1977 \Nyeth Award in clinical microbiology May 8 at the opening session of the 77th annual meeting of the American Societ} for Microbiolog: in 1'\ew Orleans. ASM President Harlyn 0. Halvorson made the presentation. Dr. Neter is professor of microbiolog} at the Medical School and professor of clinical microbiology 1n the department of pediatrics at Children's Hospital. He is also director of bacteriology at Children's Hospital and consultant bacteriologist at Roswell Park Memorial Institute. He has been on the C/B faculty since 1936. The Wyeth Award was established to honor distingutshed microbiologists identified with clinical microbiology. The award is based on "outstanding research accomplishments. clinical or non-clinical, leading to or forming the foundation for impot tant applications in clinical microbiology." The award consists of $1,000, a plaque, and expenses to the Societ} 's Annual Meeting. Dr. Neter is an internationally known and htghl} respected microbiologist, immunologist and pediatrician. His outstanding achievements in research were recognized earl) in his career with the award of the Universit} of Heidelberg's coveted gold medal before he came to Buffalo to work with Dr. Ernest Witebsky. "His 40 years of service, teaching. and research in clinical microbiology carry the hallmark of his uniqueness in approach to problems, his tremendous vitalit} in the execution of research, and his encyclopedic knowledge in microbiology and immunology. Before the specialty of clinical microbiolog) was recognized or well defined. Or. Neter was practicing his skills in the forefront of the field with membership in the American Board of Pathology and American Board of Microbiology. He has been honored as President of many professional groups. including the New York State Association of Public llealth Laboratories, the Central New York and Western New York Branches of the ASM, the Laboratory Section of the American Public Health Association. and the Medical Division of the Society of American Bacteriologists. His opinions and advice have been extensively sought as a consultant microbiologist, in the evaluation of the scientific work of his cohorts, and as an adviser to editors and publishers of a wide spectrum of professional journals. Dr. Neter is an enthusiastic and effective teacher. who has instructed and inspired many students and colleagues. For this and his other contributions, he was recent!) recognized b> his Alma Mater, the University of Heidelberg, with the presentation of an Honorary Doctorate of Medicine," according to Program citation. Dr. Neter has made numerous outstanding and original research contributions in his three major areas of interest: the etiology and diagnosis of disease, the chemotherap} of infections. and the characterization of endotoxins. These are critically and articulately displayed in more than 200 published manuscripts and many books, chapters, and review articles. Several of these remain as classic works in the literature. One, the recognition of certain sero-groups of Escherichia coli as leading causes of infectious and epidemic diarrhea, was a pioneering effort. At that -10 THE BUFFALO PHYSICIAN �time, 25 years ago, diarrhea among ne"\vborns and children occurred with a high morbidil) and mortality rate. Also. he was among the first to recognize the existence of a common antigen among Enterobacteriaceae. In his research, he has svstematicallv developed procedures that have permitted investig~tive tools t~> be applied in the clinJcal microbiology laboratory. Among these is the passive hemagglutination test. which permits the identification of enteric pathogens and the monitoring of humoral antibody responses in infected persons. Bestowing the Wyeth Award to Dr. Neter for h1s contributions to clinical microbiology is a formal recognitior. of what has long been known by his colleagues, associates, and friends, who have already personally recognized his limitless energy. great enthusiasm, and immeasurable wisdom, the program concluded. 0 Dr. Bannerman Dr. Bannerman Dr. Robin M. Bannerman, professor of medicine and pediatrics. and head of the division of medical genetics, has returned from a short study leave at the University of the West Indies (Kingston, Jamaica). He was visiting investigator in its medical research council laboratory that is supported by the British government as part of its overseas development program. Here, most activities (headed by Graham Serjeant} are devoted to the care and investigation ol patients with sickle cell anemia and related diseases. During his stay, Dr. Bannerman worked on one of the important variants of sickle cell disease. that of hemoglobin SC disease. Although those affected by this condition are often not anemic. they may suffer from occasional serious vascular complications. Through his investigation, he was able to point to some who hove an unexpected expansion of blood volume. This, he says, may contribute to their vascular problems and lead to altered views on treatment. While at the University of the West Indies. he worked in regular sickle cell clinics at the University hospital and observed other research projects. One important one centered on a prospective study of newborn Jamaican infants to determine manifestations of sickle cell disease at the beginning of life. Formerly regarded as unimportant. these new observations in Jamaica indicate how vital the> may be to diagnosis of this condition at birth. Says Dr. Bannerman. "it is satisfying to note that methods used to carry out newborn testing for sickle cell disease were pioneered by U/B's Dr. Michael Garrick." The associate professor of biochemistry and pediatrics works in the laboratory of l)r. Robert Guthrie, professor of microbiology and pediatrics. 0 SUMMER, 1977 41 �1-· r- ) Dr fenis (left] chocks the S~AC with Dr. Jane Kremt.ier. J'.J'7-l, o n~sJdenl. ond Marie Richards. o medico/ technician. Technolo~Jst ot work in stat lob. SMAC at Millard Fillmore Hospital A 1966 Medical School graduate, Or. Edwin H. )enis, is chairman of the department of pathology and director of laboratories at the Millard Fillmore Hospital. He is in charge of Stv1AC (Sequential Multiple Analyzer with Compul~r). one of the newest and most complex pieces of equipment in the department. The cost: $224.000. "SMAC is an automated. computerized analyzer which can perform 20 different tests on one sample of blood at the same lime. We take some 1200 patient blood samples per day, and can do 20 different tests simu ltaneously from the original blood samples," Dr. Jenis said. Before SMAC was operational the hospital used two analyzers. The new unit serves both the Gates Circle Hospital and the Suburban facility in Amherst. Blood samples from patients in the 42 THE BUFFALO PHYSICIAN �• Technolog1st Silv1a I'okos:t. with Couller Counter in hemotolog) section of pothologr deportment. T"chn~cion Cor/ KronbP.rg 1n h1stologr section of pathology dt•portment Suburban hospital are transported to the Gates Circle Lab. the tests run. and the results transmitted back to the Suburban Hospital via teletype. The computer with the new SMAC system informs the operator of any functional problems relating to the testing via lights, buzzers and the specific designation of the area of the problem. Dr. Jenis pointed out that the patient whose blood sample is tested by SMAC will realize a substantial dollar savings. In addition. test results are issued faster, allowing quicker treatment by physicians. and shorter hospital stays for the patient. Dr. Jenis took his internship and residency at ~'\'alter Reec/ Army Medical Center, Washington, D.C. {1966-71) and then was named Chtef, Anatomic Pathology there. He returned to Buffalo in his present position in March. 1974. He is also a clinical associate professor of patho/ogr at the Medical School. lle is a consultant in rena/ pathology at Georgetown University School of Medicine and at Walter Reed. He is a Fellow, College of American Pathologists. Dr. jenis has co-authored two text books, "Renal Disease" and "Kidney Biopsy Interpretation." 1le has also written many articles for professional journals. 0 SUr-.1MER, 1977 ·13 M 1crohiologr section lob. • of pathology �The Classes of the 1930' s The Classes of the 1960' s Dr. James R. Cole, M'38. is a Fellow of the American Academy of Orthopedic Surgeons. The clinical instructor of orthopedics is on the staff of Millard Fillmore Hospital. 0 Dr. Harold Brody. M'61, participated in a conference in Vichy. France, sponsored by the Institute De La Vie on "Aging: A Challenge for Science and Social Policy" in April. In June he will attend a 1\:atwnal Institute of Health workshop-conference on Alzheimer Disease-Senile Dementia and Related Disorders. Dr. Brody is professor and chairman of anatomical sciences. 0 Dr. Russell Catalano. M'38, a Beaumont. Texas radiologist. has been named chief medical officer for the new Veterans Administration Hospital's out-patient clinic in Beaumont. Dr. Catalano is a certified radiologist and has been active as a clinical practitioner and consultant. The estimated cost of the outpatient clinic is $1 million. The facility will serve 18.000 veterans in southeast and east Texas and southwest Louisiana. The building \-\'ill have 10 examining rooms, a dental clinic. a pharmacy and Xray and laboratory facilities. There will be a staff of 40. 0 The Classes of the 1940' s Dr. William J. Staubitz. M'42, has been elected vice president of the American Board of Urology. He has also been selected b~ the Board of Urolog) as their representative to the American Board of Medical Specialties. Dr. Staubitz is professor and chairman of the department of urology at the Medical School.O Dr. Thomas L. Grayson, M'43, general practitioner in Larkspur, California is a Diplomate. American Board of Family Practice 0 The Classes of the 1950's Dr Allen R. Goldfarb, M'51. has been named a FeliO\\ in the American College of Cardiology. He is a clinical associate professor of medicine at the Medical School. 0 Dr. George J. Alker, Jr., M'56. participated in a Workshop on Head and 1\:eck lnjur~ in Washington, D.C. in April. He was one of 12 experts invited to be on the program, \\hich was sponsored by the 1\:ational Motor Vehicle Safety Advisory Council. Dr. Alket· is clinical p rofessor of radiology and clinical associate professor of nuclear medicine at the Medical School. 0 44 Dr. David E. Carlson, M'62, is president of the medical staff of DeGraff r-..1emorial I fospital. North Tonawanda. for 1977. The clinical instructor of medicine at the Medical School has been a member of the staff at DeGraff since 1964. 0 Dr. Alan L. Pohl, M'62, whose specialty is plastic and reconstructive surger~, is a Fellow. American College of Surgeons. He is a clinical instructor in surger) at the f\ledical College of Wisconsin. Dr. Pohl lh es at 6831 \!orth Lake Drive. Fox Point. 0 Or. Robert M. Matthews, M'62. has been selected associate examiner by the American Board of Anesthesiology. He is a clinical instructor in anesthesiology and on the staff of Millard Fillmore Hospital. 0 Dr. Donald M. Pachuta. M'66, is an associate professor of internal medicine at the University of Maryland, Baltimore. He lives at 5293 Brook Way. Columbia, Maryland. 0 Dr. Robert 1 . Schnitzleris. M'65. is associate professor of medicine and director of the coronary care unit at the Universit~ of Texas Health Science Center. San Antonio 0 Dr. Robert M. Benson. M'67. is director of pediatric endocrinology. and assistant director of pediatric medical education at The Children's Hospital of Akron. Ohio. He is President Elect of The Diabetic Association and on the Board of Trustees of Diabetic Camp llo Mita Koda. He co-authored a chapter in Hormonal Correlates of Behavior. "Physiological and Pathological Puberty and Human Behavior." (Plenum Publishing Corporation. New York.) He is a Fellow of the American Academy of Pediatrics. 0 THE BUFFALO PHYSICIAN �Dr. Ronald P. Josephson, M'67, is a Diplomate, American Board of Internal Medicine and subspecialty Board in Gastroenterology. He is on the staffs of Hartford Hospital and St. Francis Hospital in Hartford, Connecticut and is also a clinical instructor at the Universit> of Connecllcut Medical School. He lives at 258 Firetown Road, Stmsbury. 0 Dr. Michael M. Phillips, M'67, is board certified in gastroenterology. He is an assistant clinical professor of medicine at George Washington School of Medicine, Washington, o.c.o Or. Lawrence J. Schwartz. M'68, has been appointed Chief of Surger~ for 1977 at Hollywood Community Hospital. Hollywood Hills. California. He is also a clinical instructor in ophthalmology at USC Medical Schooi.O The Classes of the 1970's Or. Thomas V. Krulisky. M'70, is an assistant professor of psychialr> at the Universit> of Southern California, Los Angeles. He received the Air Force Commendation Medal (July 1976) after completing a two-year tour at the USAF Regional llospital Sheppard. Wichita Falls, Texas. He served as ward psychiatrist, Director of Drug and Alcohol Treatment Center. Inpatient Chief and Department of Psychiatry Chief. He is now Ward Chief at Los Angeles Count} / USC in Ergo Therapy Program for chronic schizophrenics.O Or. Norman S. Ellerstein, M'71. was promoted to assistant professor of pediatrics in January. He joined the Medical School faculty in 1972. 0 Or. John C. Rowlingson. M'74, writes that his plans for a Fellowship year at the University of Virginia [Charlottesville) include specialization in the Pain Clinic for six months and then six months' research in anesthetics, to be completed by June 1978. I le lives at 125 Ivy Drive, Apartment 9, Charlottesville. 0 SUMMER, 1977 People Or. Gerald P. Murphy, director of Roswell Park Memorial Institute, was re-elected to a second term as secretary general of the International Union Against Cancer. Or. Murphy's election to a second four-year term will continue his tenure to 1982. 0 Or. Edward S. Henderson, chief of medicine A at Roswell Park Memorial Institute, has been awarded a $147,347 grant by the National Cancer Institute for clinical research that will have direct application to treatment of patients. Dr. Henderson will seek further improvements in the process of platelet transfusion. 0 Four Medical School graduates are new medical staff members of Sisters Hospital. They are: Drs. John W. Cudmore, M'62, clinical associate professor of surgery; H. Robert Oehler. M'38, clinical associate in surgery; W. William Tornow, M'46, clinical instructor in pediatrics; and Michael J. Gianturco. M'55. 0 Or. Mildred Gordon, associate professor of anatomy, will take par t in a Gordon Research Conference on Mammalian Genital Tract Secretions, July 18-22, 1977. She and Dr. Robert Summers. assistant professor of anatomy, will also be discussants the following week at another Gordon Research Conference on Fertilization and Early Embryonic Development. Both conferences will be held in New Hampshire. 0 Or. Bernard Eisenberg, clinical assistant instructor of urology, is president-elect (1978) of the medical and dental staff of Children's Hospital. Other officers are vice president, Dr. Theodore Schulman, clinical assistant professor of gynecology-obstetrics; secretarytreasurer, Or. Theodore 1. Putnam, clinical assistant professor of pediatrics; and delegate-at-large. Or. Robert C. Harvey, M'49, clinical assistant professor of anesthesiology. 0 45 �Dr. Emma K. Harrod, clinical associate professor of pediatrics. is chairman of the Medical Advisory Committee of the Western New York Chapter of the National Foundation March of Dimes. The Deputy Erie County Health Commissioner has been elected president of the Young Women's Christian Association of Buffalo and Eric County. 0 People Three medical alumni are newly-elected officers of the medical staff of Emergency Hospital. Buffalo. Dr. Angelo S. Naples. M'31, is president; Dr. Joseph P. Gambacorta, M'48, is vice president; and Dr. Joseph J. Ricotta, M'43 is secretary. 0 Dr. Ian M.Thompson, professor and chairman of the Urology Section at the University of Missouri, received the Buffalo Urologic Society's annual award for outstanding contributions to urology. 0 Dr. Edward A. Carr, Jr., professor and chairman, department of pharmacology and therapeutics, was the guest speaker at the Buffalo Academy of Medicine April meeting. He discussed the development of new drugs. Dr. Carr recently was appointed to the national Joint Commission on Prescription Drug Use. 0 Dr. Anthony P. Santomauro, M'56, a Buffalo surgeon, has been elected president of the medical staff of Kenmore Mercy Hospital. Also elected were: Dr. Leo E. Manning, M'50, clinical assistant professor of medicine, secretary-treasurer; and Dr. John M. Donahue, M'43. clinical instructor of medicine, who will continue as chief of staff. 0 Dr. Frederick R. Beerel, assistant clinical professor of medicine, is the new president of the New York State Chapter of the American College of Chest Physicians. He is director of respiratory care and the Pulmonary Function Laboratory at Kenmore Mercy Hospital. He is also on the staff of the E.J. Meyer Memorial and Millard Fillmore Hospitals. 0 46 Dr. Robert H. Seller, professor and chairman of the department of family medicine, presented a paper, "Direct Effects of Diuretic Drugs on the Myocardium," at the sixth Asian-Pacific Congress of Cardiology in Honolulu recently. 0 Barbara Fretwell, second year medical student, received the Bronco Junction Medical Student Counselor Research Award of $150.00 and a certificate of achievement from the Allergy Rehabilitation Foundation, Inc. for her superior work during the 1976 summer camp in Red House, West Virginia. The camp is for children with bronchial asthma. Ms. Fretwell participated in three research projects and coordinated the final medical information on each patient-camper into a workable visual summary, according to the medical director of the Foundation. 0 Two faculty members were promoted in January with tenure. Dr. John C. Abeyounis was named professor of microbiology. He joined the Medical School faculty in 1966 after receiving his Ph.D. from U/B in 1965. He received his AB from Duke University in 1954 and his MA from U/B in 1960. Dr. Gerard P. Burns was named professor of surgery. I Ie joined the faculty in 1966 as a Buswell Fellow and assistant research instructor. He received his M.B., B.Ch. in 1956 from Queen's University, Belfast, Ireland. 0 Dr. Carel J. van Oss, professor of microbiology. received the National Aeronautics and Space Administration Group Achievement Award for the Apollo Soyuz Test Project Experiments Team. The citation: "In recognition of their outstanding accomplishments in the development, operation, and support of the scientific experiments for the Apollo-Soyuz Test Project. Their technical skill and exceptional performance contrib uted significantly to the achievement of the scientific goals of the world's first international manned space flight. .. 0 THE BUFFALO PHYSICIAN �In Memoriam Dr. Edmond B. Spaeth. M'16. died August 18, 1976 of cancer of the prostate. The 86year-old physician was Emeritus Professor of ophthalmology at the University of Pennsylvania. He did post-graduate work at the University of Vienna in 1922 and at the Army Medical School, Washington, D.C. He interned at the Arnot-Ogden Memorial I Iospital in Elmira. New York. Dr. Spaeth was a Fellow. American College of Surgeons and American Academy of Ophthalmology and Otolaryngology. He was also active in several other professional organizations. 0 Dr. Kenneth A. Smith. M'15, died January 31 in the Aurora Park Nursing Home. East Aurora. N.Y. His age was 83. He had been a general practitioner and surgeon in Lackawanna. N.Y. for 60 vears. He retired in 1975. Dr. Smith had been. on the staff of Our Lady of Victory Hospital where he was a former chief of staff. and Mere:,. Hospital. He was a plant physician for the old Seneca lron and Steel Company. which later became a division of Bethlehem Steel Corporation. He was a school physician in the Lackawanna schools for 30 years and had been a physician with the Lackawanna Police Department and an examining physician for Prudential and Metropolitan Life Insurance Companies. During World War I he served in the Army Medical Corps in France. Dr. Smith started painting when he was 70 years old. Using oils and acrylics, he produced more than 500 paintings. Although he was color blind he mixed his colors by shade and number. He was active in several professional and civic associations. 0 SUMMER, 1977 Dr. Marvin Kaplan. M'51, died May 24, 1976 of carcinoma of the stomach. The 54year-old physician lived in Canoga Park, California. He interned at the E.J. Meyer Memorial Hospital and took his residency in Gyn/Ob at California Lutheran and Orange County Hospitals. Los Angeles. His hospital affiliations included Kaiser Foundation. Oakland-San Francisco (senior obstetrician and gynecologist); Cedars of Lebanon and Temple. Los Angeles; Encino. California (chairman of gyn/ob department); and W. Hills and Parkwood Community, Canoga Park (executive board and president of staff). He was also president of All Valley Gyn/Ob Medical Group. Inc. Dr. Kaplan was a Fellow, Pan American Medical Association, American Society of Abdominal Surgeons. American College of Obstetricians and Gynecologists. 0 Dr. Anthony Bondi. M'16. died July 7, 1976 of pneumonia in Rochester. New York. His age was 84. He was affiliated with Park Avenue Hospital where he was senior physician. 0 Or. Martin J. Littlefield. M'25, died July 19, 1976 of arteriosclerotic heart disease. His age was 78.0 Dr. Horace F. Kuhn. M'37, died September 14, 1976 of generalized arteriosclerosis. The 61-year-old physician lived at Machias. New York. 0 Dr. Anthony J. Greco, M'17, died August 21. 1976 in Van Nuys. California. His age was 80.0 47 �Alumni Tours, 1977 AUGUST 10-22 EAST AFRICA (Kenya & T anzania) $839 + 15% Syracuse/ New York City departures (TIA DC-8 stretch - 254 seats - Nairobi Hilton or Nairobi Serena in Kenya, Taita Hills Game Lodge. Arusha Hotel in Tanzania- modified American breakfast daily, 3 meals daily while on Safari in Kenya) SEPTEMBER 10-20 RHINE RIVER CRUISE $769 + 15% Buffalo departure (PAM AM 707- 180 seats- 3 days in Lucerne, Switzerland- Hotel Grand National, 3 days Rhine River on Holland Emerald, 3 days in Amsterdam, Holland - Amsterdam Hilton - 2 meals daily in Lucerne, 3 meals daily on board ship, breakfast daily + 1 dinner in Amsterdam) For details write or call: Alumni Office, SUNYAB 123 jewett Parkwa} Buffalo, N.Y. 14214 (716} 831-4121 The General Alumni Board - OR. GIRARD A. GUGINO, D.D.S.,'61, President; PHYLLIS KELLY. B.A., '42, President-elect; WILLIE R. EVANS, Ed.B.'60, Vice President for Activities; JONATHAN A. OAl\:DES, Vice President for Administration; SUSAN D. CARREL, Ph.0.'76, Vice President for Alumnae; MICHAEL F. GUERCIO, A.S.C.,'52, V1ce President for Athletics; CHARLES S. TIRONE, M.0.'63, Vice President for Development & Membership; RICHARD A. RICH, B.S.'61, Vice President for Public Relations; FRANKL. GRAZIANO, O.O.S.'65, Vice President for Education Programs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents; GEORGE VOSKERCHIAN; JAMES J. O'BRIEN. L.L.D.'55; MORLEY C. TOWNSEND, L.L.0.'45; EDMOND J. GICEWICZ, M.D.'56; ROBERT E. LIPP, L.L.D.'54; M. ROBERT KOREN, L.L.0.'44; WELLS E. I<NJBLOE, }.0.'50. Medical Alumni Association Officers: DRS. JAMES F. PHILLIPS, M'47. President; MICHAEL A. SULLIVAN, M'53, Vice President; W. YERBY JONES, M'24, Treasurer; MILFORD C. MALONEY, M'53, Immediate Post President. Board Members - RICHARD BERKSON, M'72; JOSEPH CAMPO, M'54; LAWRENCE M. CARDEN, M'49; NORMAN CIIASSJN, M'45; GEORGE FUGITT, M'45; EDMOND J. GICEWICZ, M'56, Program Committee Chairman; ROBERT W. SCHULTZ. M'65; Exhibits Chairman; CHARLES TANNER, M'43; PAUL WEINMANN, Past President. Annual Participating Fund for Medical Education Executive Board for 1977-78-0RS. t\.tARVIJ\: L. BLOOM, M 43, President; HARRY G. LAFORGE, M'34, First Vice President; KENNETH H. ECKHERT, SR., M'35, Second Vice President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL. M'41. Secretary; MAX CHEPLOVE, M'26, Immediate Past President. 48 THE BUFFALO PIIYSICit\N �A Message From James F. Phillips, M'47 Prcsuient Medical Alumni AsscH:ICJiion Dear Fellow Alumni. rt is with great pleasure that J invite you to personally partic:ipale in the dffa1rs of the Medical Alumni Organizalion. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. l>r Phrllrps -------------------------------------------------------------First Class Permit No. 5670 Buffalo. N. Y. BUSINESS REPLY MAIL NO P'OSTAC£ STAMP NC:C€$$ARY ' ' MAfLC:O IH THI: UN!TCO $TATI.S POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDfUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) N a m e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received---Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - H o m e A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - --------------------HnotUB,MDrec~vedhom----------------------------------------------------­ InPriva~Practke: Yes ~ No~ In Academic Medicine: Yes 0 Speci~~----------------------------------­ No ~ Part Time ~ Full Time 0 School-------------------------Title - - - - - - - - - - - - - - - - - - - - - - - - - - - - Other: ------------------------------------------------------------------------------Medical Society Memberships:------------------------------------------------NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?----- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1977 Description An account of the resource Title is misspelled on front cover: Buffalo Physican Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1977-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1977-02-Summer Table Of Contents A list of subunits of the resource. Dean Naughton's Message Postgraduate Matching Your Alumni President Speaks 7-Cities Gut Club Health Sciences Library/ Annual Report Woman Surgeon Malpractice Crisis by Paula J. Batt Continuing Education Programs Human Values / Planned Gift Pediatric Education Veterans Day Resources Learning Center Genocide: Psychological/Historical Approach Dr. Gidney The 1926 Class Mass Screening for Hypertension Pediatric Clinics Noise Damage Soviet Cardiac Care Dr. Wende Dr. Caccamise/Goodyear Chair Dr. Talbott Wyeth Award Dr. Bannerman SMAC at Millard Fillmore The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-05 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v11n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/355e60281c764706e89398b8cb675683.pdf 68b2d4a44114ac4c98d4b403870929c2 PDF Text Text 1ha buffalo ph4siaian state universit4 af new LID,..t. at buffalo �Medical Alumni Officers Dr. Sullivan Or. Michael A. Sullivan is the new president of the Medical Alumni Association. He is a 1953 Medical School graduate and a clinical associate professor of medicine at the University. He has been on the faculty since 1960. Or. Sullivan did his undergraduate work at U/B. He was an intern and resident at the E.J. Meyer Memorial Hospital. He has served on the medical staffs of three hospitals - the Meyer, Deaconess and Kenmore Mercy. I le was chief of medicine at Deaconess Hospital for five years and has participated in the teaching programs of the Medical School. Or. Sullivan is a Diplomate, American Board of Internal Medicine and the American Board of Hematology. He was chairman of the Committee on Medical Education of the Erie County Medical Society. He has also served on boards and committees of several professional societies and associ a tions.O Or. W. Yerby Jones is the new vice president. He is a 1924 Medical School graduate and has been on the faculty for 25 years. Since 1946 Dr. Jones and the E. J. Meyer Memorial Hospital have trained about85 percent of the ophthalmologists in the Buffalo area. He retired in 1971 as clinical professor of surgery (ophthalmology). Prior to joining the University faculty he was in private practice and affiliated with the Meyer Hospital and the Buffalo Eye and Ear Hospital as pathologist/ophthalmologist. He has also sen·ed as an attending physician at the Gowanda State Hospital. Dr. Jones is a Fellow of the American College of Surgeons and the American Academy of Ophthalmology and Otolarynology. In 1949 he received the Urban League Award for occupational and professional achievement as the only black physician on the University faculty and one of 14 to be admitted to membership in the American College of Surgeons. Dr. Jones is the author of several articles relating to his specialty. He is also active in several professional organizations. He is Emeritus.o Dr. Jones Dr. Gicewicz Dr. Edmond Gicewicz is th: new treasurer. He is a 195d Medical School graduate an f a clinical assistant professor 0 surgery. He has been on the faculty since 1966. 0~· Gicewicz did his undergra · o nthe uate work at U/8. H e IS d medical staff at the Millar f Fillmore Hospital. director 0 medical services at Genera 1 Mills, and Erie CountY Medical Examiner. Dr. Gicewicz is a Fellow. Ame r ican College 0 : Surgeons and a member 0 ' the Academy of Spor ISf Medicine. He is a member 0 f the U/B Athletic Hall o Fame and has devoted much of his personal time to the University as athletic tea~ physician. He is a past president of the Williamsville Central School Board and the U/B Alumni Association.D �Fall1977 Volume 11, Number 3 THE BUFFALO PHYSICIAN Published br the Sc.hool o( \lt:dic:.ine. Stull· l ni\NsJI\ •>f .\t'\\ 'rork ut Buffalo J, THIS ISSUE EDITOI<It\1, UOAHD l·:ditor RUI!I·.KT S. Mc.GI<AI\:Mt \~ ,\JonoRmg l·:clunr M ·\KICJI\ 1\lt\IHO:-.:OWSI\) Dra11, School of Medrcme DR jOHN NAUCHTON Plrotogrnsl/ry HUGO H UNG[R ED\\ARD NO\-\AK Mr•l•callll11strator M HFORD j. DilORIO; Vm~al De~•~ners RIOMRD M,\C \Jo..:ANJ,\ Do:-.1,\lD E. WATKI:-.IS Surttary FtoRtl':CI Mr) ER CONSULTANfS Pres1dent, Mtdtclll Alrmrm -\•~· •cr•llron DR jAMl.<; F. PHILLIPS Prtside11t, Alumru f'llrtlc1pati11g Ftmd fcrr Medrcal £dumtio11 DR MAR\'IN BLOOM Viet Presrdent, Family of llt11/tlr DR Prl'srde11t, SdmC!'~ r c o\Rn.R PANNILt Ut~~vl!rstly Formd.ltiou jOI IN M CAR fER Director of f'~tblic Affmrs jAMt'> DLSANll!> Medical Alumni Officers (insid e front cover) 2 Dean Naughton's Message 3 Dr. Sullivan's Message 4 Spring Clinical Days 14 Classes Give $23,010 15 Continuing Education 16 A Physician Faces Disseminated Reticulum Cell Sarcoma in llimself (Part VI C) Cancer: Its Effects on the Famil> of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes. M.D. 27 Medical Data Center 28 Dr. Reimann 29 First Delivery 30 Yearbook Honorees 31 Dr. Markello 32 Reception for Semors 34 Commencement 35 Students Honored 38 Reflections by Ourel Smith, M.D. 40 Dean Naughton's Address 42 Acupuncture 43 Buswell Fellows 44 The 1977 Storm 45 Dr. Rowe 47 Ambulatory Care Center 50 The Classes 56 People 62 In Memoriam 64 Alumni Tours The CO\'er b)' Donald Watkins focuses on rhc .\fcdJcul School's 131sl Commt•nct·· menr on pages 34-41. THI: BUFFALO PHY<;ICIAN Fall, 1977 - Volume 11 Number 3, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffc~lo, New York 1421-1. Second clc~ss postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1977 by The Buffalo Physician. FALL. 1977 �Dean Naughton From the desk of John P. Naughton, M.D. Dean, School of Medicine Dear Alumni and Alumnae The 1977 Class Reunion Gift Program was once again a gigantic success. 'fhe combined classes representing the past 50 years contributed $25.000. The bulk of these funds were designated for and are being used to upgrade the faculty and student facilities in the Department of Anatomical Sciences. Over the past year the School of Medicine has provided a high priority on its secondar> maintenance and rehabilitation efforts to this department. These efforts have resulted in redeveloping laboratories for the study of cellular anatomy. electron microscopy. and reproductive biology and upgrading of the enrivonment in the Gross Anatomy Laboratory. The Class Reunion Gifts will make it possible for the School to complete the equipping of these facilities. and will provide that impetus required to help our faculty perform at an optimal level. On behalf of the facult} and the School of Medicine I wish to thank you for your generosity. Sincere)~. John Naughton. M.D. Dean 2 THE BUFFALO PHYSICIAN �T he past several years have brought an increasing awareness of the importance of a strong and purposeful Alumni organization by the Medical School administration and faculty and by our members. This is evidenced by the recent success of the audio-visual learning center in the old library area of the Medical School made possible by the Reunion Gift Program, and other concrete evidences of renewed alumni support; the close relationship of the Dean's office with the Alumni Governing Board and more significantly by the increasing number of alumni who contact the office with their inquiries, suggestions, and concerns, not only with regard to Alumni affairs but with concern about the Medical School itself. In the coming year the Governing Board hopes to foster the alumni participation in the Reunion Gift Program. and other means of support for the school and students: to involve the alumni more deeply in continuing Medical Education and enlarge your sphere of influence in the Medical School. I hope to persuade more of the younger alumni to actively join us. The recent trend to involvement of the students directly in the Medical School curriculum affairs is most noteworthy. ll then follows that when a student graduates he should not immediately be cut off from providing valuable input to the administration and faculty. Who is better able to advise our teachers how to prepare students to enter an ever-changing world of medical practice than those who have recently entered? It will be my privilege to represent you on the Alumni Governing Board and I solicit your interest and support.O A Message from Michael A. Sullivan, M'S3 President, Medical Alumni Association Dr. Sulln ·an FALL, 1977 3 �Or Heimann ucct~pts th~< "Disfrnguishud Alumni Award.'' Seated from the lr·ft Drs W Yt: rb~· /lln(~s. Sullrvun, l'annil/, Grcewicz. Spring Clinical Days S ports Medicine was the theme of the 40th annual Spring Clinical Days. Dr. Edmond Gicewicz, M'56, program chairman. said the program was designed for physicians. athletic coaches and trainers. The program emphasized the treatment of injuries. the psychology and physiology of sports. Measurement and Testing Df•on ,\'uughton Dean John Naughton noted the renewed interest and enthusiasm for the maintenance of physical fitness throughout life. He believes that regular physical activity benefits the rehabilitation of the uncomplicated myocardial infarction patient, and this has created a need to refine the methods for determining physical working capacity and for rendering advice on the performance of exercise. "During the past 20 years several investigators have reported techniques with which to measure physical fitness. The motor-driven treadmill has become the fastest measurement tool. but bicycle ergometers and steps are used as well. The principles employed emphasize that an exercise stress test should begin at a low threshold of energy expenditure in relation to the subject's anticipated peak working capacity. Workloads should be progressed incrementall)- and graduall)- until ~orne evidence of limitation has been achieved. End-point symptoms include abnormal phys1cal signs, abnormal ECG findmgs, attainment of a pre-determi~ed peak heart level or a subjective sensation expressed by the subJeCt that he should stop. For healthy subjects exhaustion is the comm?n end-point \\hereas for patients S)-mptoms such as chest pam, fatigue, dyspnea, and leg discomfort are the most common reasons offered for stopping tests." According to Dr. Naughton a comprehensive exercise stress test includes measurement of blood pressure, heart rate, multiple lead ECG and work capacity. "The latter is usually defined in terms of maximal or near maximal oxygen consumption. In clinical terms work capacity is often defined as METs. A single MET represents the millimeters rise per kilogram of body weight per minute in the relaxed resting stale (ml o2/kg/min). Its value ap4 THE BUFFALO PHYSICIA1 �proximates 3.5 mi. Thus, the subject who fatigues at a workloau of 21.5 ml o2/kg/min has a work capacity of 6 wlETs. and one who terminates a test at 42.0 ml o2/kg/min has a physical fitness of 12 METs. Testing protocol have been developed which make it possible to define the performance capacity of most individuals rather precisely." In the current state of development exercise stress tests arc used diagnostically, evaluatively and therapeutically. The results can be used to screen patients for further clinical investigation, counsel them about the wisdom of heavy physical work, evaluate the effects of certain pharmacologic and surgical interventions and/or to construct exercise prescriptions for the rehabilitant, Dean Naughton concluded. The head swimming coach at Indiana University pointed out that psychology comes first and physiology second Or. James Counsilman, coach of the 1976 United States Olympic swimming team, said he let the swimmers and their individual coaches determine their training routine during a five-week period. But Or. Counsilman did have daily meetings with all 27 swimmers and their coaches and was present during the workouts that included 20,000 meters of swimming a day. Or. Counsilman spoke of the East Germans' technique of isolating potential outstanding swimmers at an early age and sending them off to camps to develop. "The East Germans have done biopsies on swimmers' muscles and have determined that top performances are due to the muscular, rather than cardiopulmonar> system," he said "The United States will have to settle for a lot of bronze medals in future olympic games unless we change our training techniques. We have recommended to the Carter Admmistration that 50 olympic sports centers be built and financed h> the Federal Government to train athletes. When you have a group of athletes dPuriH'IpUOIS Ul FALL. 1977 llflf.• O( the St'SSICICJS 5 Sl•' \ P CJ Kup/un, Juhn Bode, me c/Jcul stutiPnts Training the Olympic Swimmer �together they motivate each other. train harder. and have better coaching. Training centers will help us compete with other nations of the world," Or. Counsilman said. "Performance levels in all athletic disciplines are improving every year because the athletes are bigger. stronger and healthier." Dr. Peter jokl, assistant professor of orthopedic surgery at the Yale University School of Medicine. sees this trend continuing in many sporting events. "More nutritious foods and better health standards plus the control of disease have also been contributing factors to athletic performance." Dr. jokl specializes in 'record physiology' which is analyzing athletic performance in relationship to the structure of human bod>. "Our laboratory is the athletic field." Technology has improved the conditions under which athletes train and compete, according to Dr. jokl. "Olympic swimmers now compete in indoor pools with regulated temperature and other more ideal conditions. Pole vaulters have better records because they use fiberglas poles." He noted that in the 1976 Summer Olympics new world records were set in most SWimming e\ ents. In some, record speeds were marked improvements over previous performances. Referring to the 29-foot plus broad jump of Bob Beamon in the 1968 Summer Olympics. Dr. jokl said ''there are some indications that this record may not be improved upon much if at all. That may be a terminal performance. \\'e call it a mutation event: it can't be explained other than by the fact that he did it." The panel moderator was Dr Milford C. Malone\·, M'53. clinical associate professor of medicine. · Vr. l'elcr fold In an illustrated presentation Or. joseph Godfrey, M'31, discussed knee, ankle and shoulder injuries. The Buffalo Bills team physician emphasized the importance of a complete physical exammation before participating in the first practice session. "After an athlete has been injured a careful. thorough examination of the injury is a must." The clinical professor of orthopedic surger~ at the Medical School urged his colleagues to "use their eyes and hands in examination of knee, ankle and shoulder injuries. Look at the individual from the front, the side, the back. Check the athlete's heel alignment and the size of his thighs. "Flex the knee. Observe the way the person walks and when he is sitting on the training table rotate his knee. Ask the athlete how the injury occurred. Often knee injuries are missed. They are tricky and hidden." Or. Codfrev said. The physician-educator admitted that he depended upon the trainer. ''Often players will confide more in a trainer than the coach or team physician ." Or. Godfrey noted that there was nothing secret about sports medicine. ''It is a cigar with a good wrapper. I have seen worse accidents in factories or at home than on an athletic field.' He cautioned "do not operate on a knee unless the person may be disabled from a recurrence. Man> knees have been operated on too many times. Perhaps the athlete would have recovered without surgery." 6 THE BUFFALO PHYSIC!Al\ �Or. Godfrey believes in channeling people into activities that won't aggravate old injuries or cause new ones. "Lay it on the line to your patient. I have knocked athletes out of football. basketball and baseball because they had physical defects that wouldn't hold up. [ had to send a $25,000 bonus baby home because of a physical defect." In conclusion Or. Godfrey paid a tribute to "the men who stay on the sidelines to coach and train the little leaguers. This is our mission. This is where you will change things. You aren' t going to change the pros." Or. Lawrence M. Carden stressed the external and internal injuries to the genito urinary tract. "Proper diagnosis and prompt management of the injury is very important. When a rib is fractured it may puncture the kidney and a bladder can be injured with minimum force. These are common accidents that should not be treated lightly." In his illustrated presentation, the clinical assistant professor of urology discussed conservative and aggressive approaches to therapy and the long term effects. "There are only subtle differences between sports medicine and regular medicine." Or. Edmond Gicewicz noted that a fractured ankle is treated the same regardless of where it happened. "But some sports injuries - jumpers knee, cauliflower car. torn knee ligaments, sore arms, tennis elbows - are not often encountered by practitioners." The clinical assistant professor of surgery pointed out thnt the athletic physician should tell the coach who will be ready for the next game. "It is our duty to make injured pla~ers available as soon as possible without jeopardizing their health. It is natural for athletes to want to play and get back in action quickly after an injury. As a physician you must 'read them'- watch how they run." In Or. Gicewicz's view only the biggest, fastest and meanest guys are left by late high school years. "Size is not important. The small guys should not be kept out of sports. The boys with chronic injuries are no longer around." The physician-educator stressed the need for better equipment and a complete pre-sport physical for all participants. dlJwnt• Saar. Kothr Xelson und L~'nn Eberhardt at the reg1strolion desk. ~ Or Curd t>n Drs, J\lu/mlf•), C:udf re}. �Spring Clinical Days ThH psrchoJop.} nj ~ports puneJ: Lou Suhan. Ed Abramnski, Dr ]ames Counsdman, und IJr. HrucP CJp.JII'ilt Plastic Surgery Aspects Or. John K. Quinlivan. M'45, noted that the plastic surgeon today has the occasion to treat a variety of facial injuries sustained in sports activities. "These may be soft tissue injuries or facial fractures, and frequently a combination of both. The contusions. abrasions and lacerations about the face. for the most part. do not require any complex treatment. Certainly these wounds must be carefully examined as to their extent and involvement: particularly to note any underlying facial fractures or an~ significant nerve involvement. These wounds then, should be carefull~ cleansed and debrided of all foreign material. The more extensive and deeper wounds may require suturing. This can usually be done under local anesthesia in the emergency room. The more extensive wounds, especially those with associated nerve involvement or lacerations which transect the eyelids or involve the cannuliculi as well as those requiring skin grafts (to replace lost tissue) can best be treated in the operating suite. The soft tissue wounds heal better if treated open and dry. If the wounds have been sutured, early suture removal and then support of the \<\Ound with steristrips or the like will usually result in a nicer scar. The most common complications in the treatment of soft tissue injuries are 1] hematoma formation, 2] infection. and 3] retained foreign bodies" In considering facial fractures. fractures of the nose are the most common fractures seen resulting from sports activities. according to the clinical instructor in surgery. ''Fractures of the mandible are the next most common, followed b\ fractures of the zygomatic malar complex and arch. Fractures-of the maxilla are the least common. A careful clinical examination of the facial bones before extensive swelling occurs is most important in the diagnosis and treatment of facial fractures. On palpating the facial bones, comparing one side with the other. the nature and extent of the facial fractures can usually be ascertained. Only after this is done. can meaningful X-ray studies be ordered for confirmation of the clinical findings. In ordering X-rays of the facia1 bones, usually Waters Views are asked for. Then depending upon the 8 THE BUFFALO PHYSICIAI\. �clinical findings. more specific requests can be made for details: of for instance. the temporal mandibular joints. 7-ygomatic arches or the like. "In the treatment of facial fractures, the basic principles ag,\in apply: namely an accurate diagnosis must be made followed hy reduction and stabilization of the fracture. Frequently fractures of the nose can be treated by manual manipulation. The more complicated fractures \Viii require instrumental reduction followed hy splinting and packing of the nose. Fractures of the mandible usually require inter-dental wiring of the teeth in occlusion with or without direct wiring at the fracture site. Open reductions Me more frequently done in cases showing bilateral mantliuular lrac:lures which present o significant degree of displact•ment. Fractures of the zygomatic-malar complex and fractures of the zygomatic arch may frequently be reduced thru the intraoral Hpproach. If reduction. however. cannot be maintained. an open reduction and direct wiring at the fracture site along the zygomatical frontal suture line and about the infraorbital rim may be indicated. In fractures in\'olving the floor of the orbit with comminution. an orbitotomy or exploration of the floor of the orhil may be indicated. This is particularly true in cases of entr.1pnwnt and in the so called Blow-out fracture. It is occasionally nec:ess.1ry to use a thin shim of bone or silastic material to rm:onstJucl a markedlv comminuted orbital floor. Fractures of the mid face \dth bilateraf fractures of the maxilla resulting in a flo<tting maxill.1. may require a combination of procedures: for instance. inl!:rdental \\'iring of the Ieeth in occlusion with suspension of the maxilla either from the zygomatic arches or from the z~gomatic<~l frontal suture line. The ideal treatment of the more extensive fac:ial fractures frequently requires the combined efforts of the 01·al Surgeon. the Orthodontist, and the Eye Physician. In all fra<.tlll'l:s imolving the orbit. it is wise to have the patient cx;JmiJwd preopcrfltivcly and postoperatively by an Eye Physician, as these fractures may well be associated with intrinsic eye damag~!," tlw plastic surgeon said. FALL, 1977 9 Dr. fohn (luml11 on �The wrnmng cxhibll. 1/ighlJghls of Complete Head and Xeck Exominolion. br Drs. Kaufman. Lore, Patel. 11/B aro/oryngolog} department and Eastern Grear Lakes /lead unci Seck Concer Conrro/ .\'erwork Dr. f'uinron "In determining when the athlete can again return to action, the physician must first consider the individual, the nature of his injuries, and the demands of his position. We must also remember that these injuries do not heal any faster in an athlete than they do in the average person of the same age. I feel that it is our responsibility as far as possible, to encourage the prevention of these injuries with the mandator} use of adequate protective equipment in all sports activities,'' Dr. Quinlivan concluded. He is chief or director of plastic surgery at Mercy, Kenmore Mercy, Sisters of Charity, Buffalo Columbus and St. Joseph 's Intercommunity Hospitals. Two coaches. a trainer, and a psychologist agreed listening and trying to solve a player's personal problems is a higher priority item for them. Former Buffalo Bills head coach Lou Saban noted that trust is important. "We must narrow the gap so players trust us. When we sa) something they must believe it. The philosophy of winning at any cost is very bad." The new University of Miami head football coach said he was distressed <~t what takes place on the playing field in the little leagues, colleges and pros. "If you have the right philosophy winning will come. Young people should enjoy sports. Too many people don't understand young people. Often the family - father or mother - is the biggest problem because they want their son or daughter to excel. We must do a better job of teaching the advan10 THE BUFFALO PHYSICIAN �tages of sports at all school levels. Youth must realize that when an athlete's career is over he is cast aside. Coaches who don't win get the same treatment." Ed Abramoski. Buffalo Bills trainer, pointed out that many players tend to bring their personal problems into the training room. "If we listen and try to help them they will respect us. This may make it easier for the athletes to face reality when the~ retire. Man) athletes think they can play until they are 50. This is always a real comedown because there are no more cheering crowds and often no job." Abramoski noted that a trainer must be an educator. motivator and a friend of the players. "I always teJJ a player all about his injury. Everything is above board and the emphasis is upon trust. Then when an athlete accepts this and wants to get well, he will in spite of us." Or. Bruce Ogilvie, professor of psychology, San jose State University, talked briefly about the "unstuck" young athletes that have come to him for help. I Ie also showed a film dealing with Little Leaguers and the pressures placed upon them b> coaches and parents. "I sometimes spend 24 or 48 hours with athletes who are on the 'brink' of suicide. There is no magic in my work, just honest. face to face talk with the individual. I try to get inside my subject so he will get to know himself far better and feel more secure about himself." Spring Clinical Days Third plucP. exhrbit: ,\ngiogrophr rn Gostrornteslinol Bleeding. by Dr. Shcnoy, radio/ogr unci ongiolog}' departments at The Buffalo General Hospital FALL. 1977 11 �Spring Clin ical Days Drs. GI C~I\'ICz. Crum•, Hidwrl The motivation consultant for several professional football and basketball teams believes that sports has the potential to be a great educational force "if we can overcome the '''inning at all cost philosophy. This educational process must begin in the elementar)and secondary schools with coaches. parents and young potential athletes.'' In Dr. Ogilvie's view. possibly the most anxiety-ridden situation in sports is to be a rookie in a professional football training camp. "It is a terribly lonely time for an athlete. And they have to pay a heavy price for something I'm not sure is \\'Orth it.'' Dr. Ogilvi1! is testing more women athletes in recent years. "They hc~vc the most drive. Men aren't even close. Women are the most independent thinkers, are more fiercely self-driven and have more authentic aggressive tendencies than any athletes I have ever tested." In his second appearance on the program. Or. Counsilman said ''as a coach of young men you must prepare athletes for life and realit). Coaches should be firm and a model for the young men he is coaching." '12 THE BUFFALO PI I\ SlUM\ �The Indiana University swimming coach noted that the Russians have problems with overanxious coaches and parents. He deplored the "hate psychology" used by some coaches and parents "Hitler was a good motivator but he used hate psychology and th1s is wrong." Dr. Counsilman impresses upon his swimmers that getting a good education is the reason they are in college. "I know my swimmers personally. I know their strong and weak academic points. I try to meet their girl friends. This is more important than winning championships. There must be a strong bond between the coach and the athlete like there is between physicians and alients." "Medicare and medicaid have created our health problems and the media has perpetuated our health crisis.'' Illinois Congressman Philip M. Crane, the Stockton Kimball Memorial Lecturer, suggested that "we should not create a situation worse than we have by going overboard for National Health Insurance or socialized medicine. National Health Insurance in the United States is not inevitable. Several Western European countries have had socialized medicine for several years and they aren't happy." The congressman noted that the United States has a better doctor-patient ratio than any of the industrialized nations of the world. "We have plent~ of physicians and may soon have an over supply. And our highway system makes physicians accessible." Mr. Crane cited some 1972 statistics that showed there were 132 doctorless counties in this country. "Many of these counties had only two-tenths of one per cent of the population and the people could drive to a medical center in less than 30 minutes." dSecond place exh1bil.' Clinical Cardiac Nuclear Radiology - The Ejection Fract1on, a Non-Invasive Method to Determine Left Ventricular Performance. by Drs AbdelDayem. L!!sl1e, ll/B rad1ology deportment and E.}. Meyer Memorial llospital D FALL, 1977 13 Health Crisis �Clockw1se from /ower /eft: Drs. John .\'aughton, J. frederick Pornton. E\·an Co/luns. Do\·rd \-\'cmlraub; fumes Phi//rps, \Vi//rom Bukowski: ;\ieil f'uhr. Burton Stu/her~. flurolrl Brad}; Ronald T'u/fnlo. Sol .\lessrnger; f'ronk Sch1mp(hous1!r, 011·en Bossman; Jack Rrchert, f;/mt•r Frredlond: Stonier Bodner. Dou!11os Sur~enor; /.eon Yochelson, Rrcharcl,\menl 119-12 class. 52-110.00}. 9 Classes Give $23,010 to Medical School 14 THE BUFFALO PHYSICIAN �On wages the Congressman noted that physicians salaries are not rising as rap1dly as workers, who are unionized . "Hospital costs are the biggest source of expense for people having surgery. Inflation is the major cause of these high costs and Congress is the cause of inflation. We in Congress must put the brakes on inflation." Ne\\ modern life saving equipment is very costly. "But who wants to stop this if it involves life or death. Dollars are not important when it comes to sustaining life." Mr. Crane asked. "are we willing to cut costs and sacrifice quality care?" Then he told the physicians not to be fooled by the bureaucrnts because "they want to rule you totally. You must be more bold and stand up for your profession." he pleaded. In conclusion he said "we have the world's best health care system and we must keep the bureaucrats out of it. Keep the faith and don't let reckless atlacks on you and your profession go unchallenged."O Continuing Education Programs The following Continuing Medical Education programs are scheduled for September, October, and November, 1977, according to Mr. Charles llall, director of the programs. The dates. titles and chairmen of the programs are: September 16-LB - Gynecologic Surgery. Dr. David H. Nichols, professor of gyn/ob. September 29 - Comparison of Computer Tomography. Nuclear Medicine and Ultrasound. Dr. George J. Alker. Jr.. clinical professor of radiology, clinical associate professor of nuclear medicine. October - Gynecologic Laparoscopy. Dr. Norman Courey, clinical professor of gyn/ ob. October 6-7 Spinal Cord Rehabilitation. Dr. William H. Georgi. clinical associate professor and acting chairman. department of rehabilitative medicine, clinical associate professor of pediatrics. October 14-15 - Pediatric Hematology and Oncology, Or. Stanley Levin, professor of pediatrics. November - The Familv in Health, Disease and Disorder. Dr. Frank Baker. professor -of psychology. department of psychiatry, professor of social and preventive medicine. November 19 - Head Injuries, Dr. Louis Bakay. professor and chairman, department of neurosurgery.O FALL, 1977 15 Spring Clinical Days �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VI (C) Cancer: Its Effects on the Family of the Patient Communication Between Physician and Patient's Family Samuel Sanes, M.D. INTRODUCTION My wife, who is a science writer, tells me that the first thing a student of journalism learns about communication is that it involves the answers to six questions- "the five W's and an H: why, when, where, who, what and how." If a newspaper reporter answers those six questions satisfactorily, my wife assures me that his readers will understand and empathize with what he has written. Let's see if what works for a reporter communicating with the lay public is as effective for me, a physician communicating with other physicians about their communication with cancer patients and families. rn estimated 1977 cancer statistics {excluding non-melanoma skin cancer} for U.S.A males. the Jymphomo-leukemJo-myelomo group ronks s1xth in incidence (28,300 new cases; 8% of all new cancer cases} and fourth 1n mortality (19,900 deaths, 10% of oll cancer deaths.) Primary carcinoma of the lung occupies first place in incidence {71,000 new cases; 22%) and in mortality (68,300 deaths, 33%). * * Incidentally, only one student asked about communication with a cancer patient during the half-hour question-and-answer period that concluded my April, 1976 seminar for the sophomore medical class. Not one directed a question to my wife who participated as a representative of a patient's family. Furthermore, in all my years in general teaching hospitals, there was never, so far as I can recall, a clinical conference on communication with cancer patients and families for attending physicians, house staff, junior and senior medical students. (Of course at my present age I can't rule out the deleterious effects of cerebral atherosclerosis on my recent and remote memory.) * * In this article, while referring to physician-patient-family communication, I shall focus primarily on the physician's communication with the family of a cancer patient. .... _.., ... -- * * * As for my credentials It was not my professional responsibility as a pathologist to communicate the results of my cancer diagnoses directly to patients and their families. Nevertheless I sometimes did so. Normally the pathologist communicates his findings, opinions and advice to the patient's attending physician. But not always. I can cite rare occasions involving the pathologic diagnosis of cancer in fellow professionals or members of their families in which attending physicians - often close 16 THE BUFFALO PHYSICIAN �friends- abdicated their responsibilil:) and asked me to tell the patients or relatives the diagnosis. More frequently, especially when the malignant lesions were unusual, attending physicians referred fellow professionals or relatives to me for consultation after telling them the diagnosis. Sometimes the professionals or relatives came without referral to talk things over. Basically, communication with a fellow professional or his family in regard to cancer involves the same considerations as communication with a layman and his family. * * * In addition to my experience as a physician-pathologist, I have my experience as a cancer patient. I have observed how physicians communicated with me and my wife and with other patients and their families. especially in the lymphoma-leukemia outpatient clinic where, for the past four years. I have been treated and checked regularly- on the average every two weeks. My observations have been supplemented by what I have read since the diagnosis of m} disease. This includes articles t1nd books written by other patients and families as well as ph~sicians, social \'\"Orkers, nurses, clergymen, et al. * * * Finally I can now look at the problem of communication from a third point of view - the primary one in regard to the topic of this article. I can look at it from the point of view of a member of the immediate family of a cancer patient. In September. 1976, my only brother, 67 years old- the same age I was when my disseminated reticulum cell sarcoma (histiocytic lymphoma) was diagnosed - telephoned me at 7:45 a.m. about a genito-urinary complaint. Within a half hour we were in the outpatient urology clinic of a local hospital. After a brief examination the attending u•·ologist admitted my brother to the hospital for a medical work-up. The diagnosis: leukemia. My brother was transferred to a cancer institute where his spleen was removed. He is now receiving chemotherapy similar to that which had been prescribed for me 3 112 years ago. Today we are follo\1\ed in the same lymphoma-leukemia service and outpatient clinic at the institute. Sometimes we are seen on the same morning. This can cause problems. Once, because of confusion over the same last name, the laborator) mixed up the reports on our blood counts. to the temporar} consternation of our respective physicians. * * * So, if you will accept me as qualified. I'll proceed to answer the "five W's and the H" of communication as 1 see them. Of necessity there will be some overlapping of answers. I don't mean to be all-inclusive, dogmatic or simplistic. What I have observed and experienced personally may not apply equally to every physician-patient-family situation. Situations may vary. depending upon the individual kinds of dFALL. 1977 17 .. ,\ ,\ ',\PI \STIC CA of Lung (round cell I} pcj. I llstoricolly non-llodgkin 's l)·mphomo and CA n( thr: lung con be related. Years ogo. befort! 1915. what we recognize !odor as a t}"Jlf' of onop/ostic-undrffereotioted CA of the lunH wus diagnosed round cell sarcoma or lymphosarcoma Thl! following photographs dep1ct 7 wellknown IJ.SA. men from the fields n( radio and tt'/ovrsion. motion pictures. concerts and recordrngs who were stricken by lung CA durrng thn post 21J years. �,\R'fllllR c;orJFnr:Y. Born 1903 OpcroiJon 1n 195'1 Wilh 18·\'CIIT :>Ur\'1\0/. patients and their families and the types of cancer. treatment, course and prognosis. Although my answers to the "five \\''sand the H" are personal ones, perhaps not ahsolutely relevant to every patient or family. 1 do believe that they possess general validity and applicability. WHY? The physician has not only a professional and moral responsibilil\' but also a legal obligation (at least in Xew York State) to comm-unicate the facts of cancer diagnosis. treatment and prognosis full}. comprehensibly and continuously to the patient and/or his family. The legal obligation is stated clearl} in Point 4 of the 15-point American Ilospital Patient's Bill of Rights which, incorporated in the New York State llospital Code, bears the force and effect of law. Point 4 of the Bill of Rights reads "(that the policies and procedures at the hospital shall afford a patient the right] to obtain from his physician complete current information concerning his diagnosis. treatment, and prognosis in terms the patient can be reasonabl~ expected to understand. Wht:n 11 is not medically odvisable to give such information to the patient, the information shall be made available to the appropriate person in his behulf. .. (The italics are mine.) (Under ordinary circumstances the cancer patient has the legal right to decide vvhat should be disclosed about his illness and to whom.) If a physician. through O\'ersight or deliberate lack of communication, should fail to fulfill Point 4 of the Patient's Bill of Rights in a state like '\ew York, where it is considered as lav. particularly if information is requested from him - the patient and/or family could under certain conditions have recourse to the courts. It * La~ persons today, as medical consumers. are not only aware of their legal rights. Because of the mass media and public health education in schools, and through the American Cancer Society, health departments, medical societies et al. the~ rna} know more about cancer, as a health problem. be more up-to-date in their knowledge, than some physicians. When they. or members of their families, become ill, their questions can no longer be brushed off by patronizing. god-like statements from the physician: "1\ow don't you worry about anything" or "That's my business - ~ou're paying me to handle that. I'm the doctor" or ''I'll do the worrying .. . you just leave everything to me." .. * * Communication should include not onl~ the gh·ing of the facts of the diagnosis and management of the disease. but help in understanding the treatment, course and prognosis. It embraces continuing professional allention, information and referral for certain practical problems which may arise (transportation, financial assistance. etc.) and psychologic suppor, and reassurance The patient who knows his diagnosis and understands his disease with its treatment and prognosis is belter able to cope and 18 THE BUFf'ALU PliYSlCIAI\ �adapt to it than the patient \~hose physician keeps him in the dark. And the knowledgeable. understanding family is better equipped to give him the day-to-day care and support he needs. In so doing the family is at the same time helping to preserve and maintain its own well-being, stability. unity. perhaps its ver) existence. The physician, too, benefits from free and open communication with the patient and the family. They will have more confidence in him, accept his recommendations and carry out his orders more faithfully. He may even get better diagnostic, therapeutic and prognostic results in the patient Avoidance or lack of communication, on the other hand. may lead to feelings of uncertainty, helplessness, fear, anger and even alienation toward him. The patient. through his own choice or at the family's behest, may change doctors, hospitals, even go to a medical quack. Let's take four examples of various approaches and results or physician-patient-family communication. * * * 1. A professional woman of my acquaintance, in her mid- fifties. underwent an operation for removal of a gro\\'th in her uterus. She was single, living alone. and the only survi\•ing member of her immediate family \\as a brother. Her physician. an attending surgeon in a voluntar) teaching hospital affiliated with a medical school. never told the patient ur her brother that the "growth'' was a cancer nnd had alre,uly metastasized (This was before the adoption of the Pati ent's Bill or Rights.) He led them to believe that he had removed a "tumor" and, because he didn't use the word "cancer," they assumed that the tumor was benign. The patient failed to improve postoperatirely. AI ter he•· return to her apartment she felt herself growing weaker e\ cr) day. I Ier surgeon told her that this was expected after an operation. f-)hc didn't believe him. This, she knew, was more than the usual postoperative lack of strength. Jf the surgeon couldn't recognir.c the difference, he obviously didn't know his business. Urged by her brother she made inquiries about admission to an out-of-town nationally-known medical center, hoping that physicians there would be able to determine more accurately the nature of her illness and treat it more effectively. She did not discuss her plans with her surgeon, but she did talk about them to a friend. also a professional woman, who worked in a field allied to medicine. The friend. who suspected the true diagnosis. decided to intervene. She telephoned the physician. whom she knew through her work. and told him that he was about to lose a patient. .tnd why. He clearlv resented her intrusion into the case. hut upon thinking it ov~r decided to talk frankly ..,,·ith the patient .tnd her brother. He excused the fact that he had not done so before on the grounds that "they never asked me if the tumor \'\<lS cancer." After the initial shock of his announcement. the patient accepted the prognosis. Her belief in her physician was restored. She decided to stay with him. She accepted his explanations. followed his instructions and palliative treatment faithfully. (1\t the time hormonal-chemotherapy was not available.) d- FALL, 197i 19 I:IHVAIW R \11 RRO\\' Born J!W8 l 'lli5 dwc/ �Through her brother she made arrangements for dail) care at home. She looked after personal. financial. legal and religious matters. She got in touch with relatives whom she hadn't seen for vears, or wilh whom she had even been at odds. · The disease worsened. but when her strength permitted she wrote notes of appreciation to friends who had stood by through her illness. In some instances she even wrapped little remembrances for them - possessions of hers that they had admired. When death finally came, her brother delivered the notes and the packages. "It was so much easier for both of us after we knew the truth," he told one of the recipients. * * * 2. If communication is so important when the patient is ter- JOH.' ! \V,\ Y .\:P.. Born 1907. Operation m 1964 with 13-yeor surv1val. minal. how much more so it is when the patient has some hope of living, even if only a remote one but possibly for an extended time. For example I know th.ree patients with Stage lll-IV lymphoma (a nurse, a clergyman and an educator) who have gone 10-15 years on surgery, radiation, steroid- and chemotherap). All have been able to continue working in their respective fields. The side effects of treatment have often been discouraging, but their families have sustained them. At the cancer institute one of my young fellow patients recently admitted to the lymphoma-leukemia clinic often becomes depressed because of the side effects of his experimental chemotherapy. At such times he tells his physicians that he is going to give up treatment, return to his home outside of Buffalo. and die. His wife, mother of their two children, has been full) informed from the beginning about his diagnosis and prognosis. She knows that the chemotherapy, though unpleasant. offers his only chance of su rvival. She won't let him give up . He always returns to the clinic for further treatment. If he attains a 10-year-or-more survival, he will have his wife to thank. * * * 3. Today. when my own disease has been under control for four years. my wife tells me that, if she had not been fully informed of the nature of my illness and its treatment, she might have been driven to leave me during the early da)S of my deepest depression. She savs that she would not have understood mv retreat into myself, my-lack of interest in her or in our life togeth~r. She would have felt that somehow she had failed me, was not making me happy. * * 4. The fourth example, a middle-aged registered nurse on the West Coast (one of the long-term survivors referred to earlier) has had lymphosarcoma Stage III-IV for 12 years. She has been treated with surgery, radiation, steroids and chemotherap). On Nov. 26, 1976, she was readmitted to the hospital lor study and evaluation of chronic intractable diarrhea and persistent fever. "At that time," she w rote me two months later, "I cared very little about what happened to me. It was as though my illness had a 20 TilE BUFFALO PHYSICIAN �negative effect on what norma II~ passes for rational thought." The diarrhea was attributed to intestinal changes caused by radiation. the persistent fever to chronic bacteremia. During the work-up. a carcinoma of the rectosigmoid area vvas diagnosed. "The surgeon was unwilling to do much with me until I was physically prepared," she continued. "and last but not least he wanted to make sure my attitude toward the surgery of the large bowel lesion was conducive to trying to get well, particular!~ since there was a 50% chance that an abdomino-perineal resection and colostomy would be needed. "By Dec. 9 the surgeon and 1 were both satisfied that I was ready and a 6 112-hour operation ensued. Fortunately the surgeon was able to do a sigmoid resection and end-to-end anastomosis without colostomy. "Needless to say the hours r was in the operating room were u far greater ordeal for my family than for me ... "By Dec. 31 I was finally allowed to go home and ut last I have moments when I can think clearly and even write a letter ... I do feel better in general ... Life again seems worth a try and I'm glad to be around. "I have read your last article - VI (A) - in the December Buffalo Physician. I do want to sa)- this. It relates to the way 'support' helps cancer patients. "I've indicated that by Nov. 26 I no longer cared to survive. "My husband had the most influence on changing my atlltude. but several others were more than helpful. After all. my husband. too. needed support. "Our son [the only child. in his 30s) came for a few days from the East Coast and was very important in this episode. "A major source of help came from my sisters, brothers and their spouses, all of whom remained with my husband and son during the entire 6 112-hour ordeal of surgery. "Another influence was a few good friends. Their concern and support to my husband and myself extended not necessarily to visits but to keeping track of us. seeing that cooked food was available. They were always helpful and unobtrusive. "The surgeon spent considerable time helping me to understand what he was trying to do and why. He leveled with me at all times and kept me abreast of all his plans for my care. lie also took time to talk with my husband and kept an eye on his state of psychologic progress. ''I've been more than oven:vhelmed and grateful and wonder how more cancer patients can get this support from physicians. families and friends. I would like to write an article on physicianpatient-family support and its influence on patient progress. You may use what I write in this letter in your articles." * * * Let me briefly summarize what I have been saying. at the risk of being repetitious. There are three, not two, parties involved in the diagnosis, treatment, course and prognosis of cancer. They are the physician, the patient and the family {which 1 extend to include close friends, and fellow patients, with their relatives). d- FALL. 1977 21 Wi\LT DISXEY. Born 1901 - Died 1966. �All benefit from good communication. The physician because the patient and family are more comfortable with him, more trusting and co-operative, willing and able to carrv out his recommendations and orders and to recognize the limitations of today's medical science against the disease. The family member who assumes day-to-day care of the patient can he virtually a physician's associate and save him time. worry and effort. The patient because he can look at his disease more objectivclv and more realisticallv. with less irratiOnal fear. It is easier to f~ce the known than the ·unkno\\ n. His physical as"' ell as his mental and emotional well-being rna) be fostered b~ his own knowledge and understanding and by the care and support of his family. The family because the chance of silences, suspiciousness. bitterness. estrangement between them and the patient and <lmong themselves is reduced and because they hm·e an essential part to play in the care and support of a loved one. If the outcome is not a happy one they are better prepared in all \vays- mentally, emotionally, economical!~, socially. legally. sexually. religiously and philosophically- to face the progressive course of the disease. the death of the patient, and\\ hat lies ahead of them in life. * " Here's one of the important things I've learned as a physicianpatient. On the average. cancer patients and their families complain more frequently and vehemently about lack of communication and compassion in a physician than about his scientific competence. And some of them seem never to forget that lack. WHEN? The responsihility of communicating freely, comprehensibly. fully and compassionately with the family of a cancer patient (as with the patient himself) is not a one-time thing. It begins with the patient's first visit and continues throughout his life and even beyond. The physician may, in the long run, spend as much time with the family as with the patient. Here are some of the times when communication is particularly important. 1. At the time of the original work-up. The family should understand what the physician is looking for. the necessitv and results of examinations and laborator\' tests. 2. Before biopsy. explorotor) surgery, or therapy s~rgnry. radiation hormonal-, immuno- or chemotherapy. Or Shirle~ Salmon, speech pathologist at the Veterans Hospital. Kansas Cit~. studied spouses of laryngectomized cancer patients. She found that their greatest interest was in knowing beforehand the surgical procedure ho"' the patient would he changed after surgen (anatomlcally. physiologically. psychologically and in appearance), \-\hat the problems of communicating and caring for him would be, \\hether he would he able to talk again and how, how to cope with personal and family 22 TilE BUFfALO PllY~ILlA:'\ �problems that would arise postoperatively in the hospital and at home. 3. After biopsy or surgery. The most difficult time for a spouse or other members of the family is the waiting period during and after surgery when they receive no information or emotional support. I saw one family in the waiting room, anxious and agitated, at 2 p.m. They had come in at 7:30a.m., before the patient was taken to surgery. Six-and-a-half hours later no one had told them that the patient would be taken to the recovery room after the operation, and they could not understand why he had not returned to his room. No physician had come to talk to them and the busy nurses on the floor had little time or patience for their questions, or perhaps had no information themselves. 4. As soon as possible after "cancer" is pathologically verified. It is well to remember, however, that bad news is best borne in the daytime, when it is light, when people are around and there are things going on. Night with its darkness. silence and seemingly interminable length is a fearful time, especially if one is alone. Some of the fears are real, but many are phantom, irrational ones. If the family is given bad news in the daytime, they can seek aid and comfort from others and by night will be somewhat adapted to il. If I were telling a family that a pathological report said "cancer," and I received that report at 5 p.m., I'd wait until the next morning to break the news unless there were professional or personal reasons for urgency - e.g., the patient was to be transferred from a general hospital to a cancer center by ambulance in the morning. It is important that pathologists get reports out as soon as possible. I wonder how many of them recognize what patients and families go through emotionally while waiting for a tissue report, even that on a suspected small basal cell cancer of the skin. Yet they are sometimes told casually that such a report will "take a week or so." If there must be a delay, the family should be alerted to how long it may be and why. If other opinions are being sought in the locality or out of town, this should be explained. 5. In subsequent days when the shock of the verified pathologic diagnosis has diminished somewhat. The family will want and need to know about additional types of treatment. either primary or adjunctive (e.g., radiation or chemotherapy), if these are needed, who will give them and where, what they will cost. The family should be informed, too, about how long the treatments will continue, what the side effects will be, and the possible results. 6. Throughout the course of treatment. The family should be kept in touch with the patient's response, any new developments or changes in treatment, prognosis or even in the personality of the patient. 7. Through follow-ups, even when the patient is not under treatment and the disease is "under control," "in remission," or "cured." d- FALL, 1977 23 NAT KING COLE. Born 1919- died 1965. �D U KE EI.U~GTO:>.'. Born 1899 - d1ed 1974 8. When the patient is losing ground and starts to go down hill for any reason, either the disease itself or side effects and complications of treatment. Ironical)) it is at this time, when the family most needs him, that the physician sometimes ceases to communicate entire!~ and gets out of the case. 9. During the end stage, when the patient is moribund or comatose. It is important that the physician notify the family of impending death as accurately as he can and do what he can to make things easier for them - perhaps extending special visiting privileges at the hospital so that they can be with the patient when they wish to be there. 10. AI the lime of imminent death. The family should not feel that the physician has abandoned them, although there may be nothing further he can do scientifically to change the outcome. A woman now in her 60s whose husband died 25 years ago has never forgotten that their personal ph)sician, a family friend. didn't even come to the hospital during her husband's final hours. Notified at his home of the imminent death, he told the resident to make the patient as comfortable as possible. that there was nothing further he could do. He hung up the phone. Although the wife of the patient was standing at the nurses' station while the resident was speaking. the physician didn't inquire for her. She was crestfallen and bitter. An older physician who knew the couple sociall~ but had not been involved in the care of the patient stopped by while making rounds. Sizing up the situation, he stayed with the wife for a while. giving her the support she so needed. 11. Even after death. The family may need to be reassured that everything possible was done for their loved one and that they themselves performed well, providing not only the needed care, but encouragement, support and love. This final communication may also mean a great deal to the physician Or. Morris A. Wessel says: "The physician who so often feels defeated by medicine's failure when a patient dies may find positive satisfaction in continuing his relationship with and supporting the remaining members of the family as they grieve, mourn and regain equilibrium. Bereaved family members .... appreciate knowing that their doctors care about them and wish to help them at this difficult moment." * * * Finally, a practical matter. The family that gives permission for an autops~ is entitled to receive the results. or a summary of them in terms they can understand. Often their request that they be informed of the findings is overlooked. The resident who obtained the consent may forget to mention it to the pathologist or attending physician. A young widow whom I interviewed for this article told me that when she failed to receive the report of the autopsy on her husband which she had requested she mentioned it to her family 24 THE BUFFALO PIIYSICIAN �doctor. He had not been on the team that treated her husband. but he asked for and received a summary of the autops~ findings. copies of the summary sheets in the protocol. which he gave to the widow. He didn't explain them, and she hesitated to ask what the\' meant. but simply put the summer)' with her other papers. \\'he~ she told me about it, and showed me the autopsy protocol's summaq sheets, 1 gave her the first explanation she had. Such explanations come best from the ph~sician who treated the patient, not from the pathologist. A good time is a couple of weeks after death when the autopsy protocol is usually completed with gross. microscopic and other findings. The spouse or other family member should be encouraged to ask queslions. WHERE? The "where" of physician-family communication will vary with the "when." Such communication may take place in the physician's office. general hospital. cancer center, extended care facilit~. nursing home, hospice. or family residence. It may even, \.Vhen the family cannot be physicall) present, take place over the telephone. by telegram or cablegram, or through the mail. * * * In Example I of Article 6A - the case of the 85-year-old man with cancer of the colon-the surgeon at the university hospital never met the patient's wife. physician-son or two daughters. lie communicated with the wife and son by telephone and mail and they communicated similarly with the two daughters. one of whom was out of the country. In the four years since my diagnosis, my wife and 1 have spent the months of December, January and February in Guadalajara, Mexico. During those months, our communication with my physician at the cancer institute has been solely by mail. When I leave home I take with me his office and home addresses and telephone numbers. He has mine in Guadalajara as well as those of my Mexican physician. So far we have not had to resort to the telephone, but every two weeks I send him, by air mail. a report on my physical. X-ray and laboratory findings. If he wants further information, or wishes to suggest further diagnostic procedures or treatment. he contacts me, as he did this past year. My wife is fully informed of the contents of all our communications. When a fellow patient at the institute, a college student. was found to have leukemia while in school in the Midwesl. his physician there telephoned his parents in Buffalo to discuss the diagnosis and outlook with them. The parents of another college student were on a "round the world" trip when a diagnosis of malignant melanoma was made on him. The physician's cable reached them in Italy. * * * If physician-family communication is to take place in a public facility, as it often docs, the area selected should offer privacy, quiet and comfort. d- FALL. 1977 25 According to the American Cancer Sociel\· at /east 80 ~} of CA of the lung is causei b)' cigort'lle smoking. Edward R. Murrow characteriwd a top-risk smoker when he cunfnssed, "I doubt very much if I could spend ont: ho/f.hour without a cigarette with any comfort or P.USC Present methods of diagnosis and treatment ,.,./d on/r a 5-10' • over-all "5-reor sur\'ivalcurr• rutt~" (or lung C:\. f'orla}·. health educotJon und prP-vention rather than medical manage· ment and cure appear the beller approach for control. - llarl~ro IM er l.oRI!IIaniOO'slalalla lllle. �ACKNOWLEDGMENTS J. J. Guor~JIIU Amtmcon Cancer Socierr (photoRrophs). l)u((oln f;\·en1ng Sews (photographs}. Roswell Pork 'Aemoriol lnsurure Exhibit (Murrow quotation). SLNYI\B Deportment of .' Aedicol Illustration. M. D. D1edrick. D. l\lkmson (photographs): /.. Gordon The wife of the 30-year-old patient with testicular embryonal carcinoma in Example II. Article 6A, was grateful for the promptness. frankness and sensitivity of the urologist at t~e canc.er institute in communicating with her and her husband on hts admtssion. She said later. however. when I interviewed her, that it would have been easier for them both if the discussion could have taken place somewhere besides the solarium-dining room on the urologic floor. It is difficult to listen. to ask questions and assimilate answers, to experience and express emotions about. a serious, P?te~t~ally fatal diagnosis in such a setting. Other p~l!ents and th~•: vtstto~s are chatting, having lunch, coming and gomg. The televtston selts turned on, possibly to a soap opera or jocose game show. It is even worse to get seriO\}S news, as many families do, in a hospital corridor, from a surgeon still in operating room garb making rounds -or in a hospital lobby from a physician "on the run," entering or leaving the hospital. Some hospitals and cancer centers realize this. They set aside areas where physicians can talk, privately and quietly. with patients and families. The lymphoma-leukemia clinic that I attend has such a room. tastefully and comfortably furnished, like a doctor's office, completely separate from the main waiting, examining, treatment and physicians' conference rooms. Good physician-family communication doesn't always require such a formal setting. During follow-up visits of outpatients the physician at the institute may call the family member. sometimes at the request of the patient. into the examining or treatment room to discuss how things are going and what is being done. When a patient is hospitalized, his room, if it affords privacy, may be the setting for communication. BIBLIOGRAPHY Abrams. R D, Nor Alone wirh Cancer. Chos. C. Thomas 1974: American Cancer Society. 1977 Cancer Facts & Figures (statistics, CA of lung}: Belsky, S. ond Gross. I. .. How To Choose Your Doctor. Fawcett Publications 1975. Boyd, W., The Pathology of Internal Diseases. pp. 245. 250 (SA-CA of lung} Leo & Feb1ger 1931: Dunphy. J.E. On coring for the patienr wllh cancer. Bull of the American College of Surgeons V. 61 pp. 7- Treatise on Tumors p. 396 (SA of lung} Leo & f'ebiger 1912; Holland, J. Psycholop,JC 1\specrs of Cancer. Cancer ,\fedicine. Holland. I F. and Frei Ill. E pp. 991-1021 Leo & Febiger 1973. Salmon, S.J 14 Oct. 1976: Hertzler. A .E. 1\ Psychological Considerations 1975; Personal Communication 1976; TI.'AI-; V. 103 p 83 June 3. of death); Wessel, ,\1.A., /AMA. t\ D~•oth '" tht! family - Letter Ia the F.d1tor. V. 232 p. 1008 Juno 9, 1975; Wood. f'.C. Text Book of J>orhology - Delafield and 1974 (f:llmRton- cause * * * But some patients may elect to remain in their own homes. This poses more of a problem. Today's medical students and young physicians look upon house calls as a thing of the past, of no value to the physician, patient or family. House calls, however, are still indicated for certain types of patients. One of these is the advanced, bedridden cancer patient. Dr. J. Englebert Dunphy, past president of the American College of Surgeons, believes that such visits should be made at regular intervals by the family physician and from time to time. if possible, by the surgeon or oncologist who undertook the definitive care. "The value of a visit to the home of the patient on the part of the surgeon," he says, "is unbelievable ... I can testify that the reward to family, patient, referring physician and surgeon is one that cannot be put into words." *to be continued) Prudd(.'n. 11th f:dillon . p. 122 (lymphosarcoma of lunp,) . W. C. Wood fr Co. 26 THE BUFFALO PHYSICIAN �Medical Data Center THE WESTER~ NEW YORK MEDICAL DATA CENTER. Ltd .. in the planning stage for four years. will be in operation this fall , according to Dr. Elemer R. Gabrieli. director of the Center. The clinical assistant professor of pathology at the Medical School has been chairman of the Joint Task Group on Confidentialit} of Computerized .Medical Records since its inception. ··one of our big concerns has been freedom and privacy. We have done our homework and our system, the first in the world. is technicall} and medically ready to go," Dr. Gabrieli sa1d. "The Center is the private sector's answer to the need for computerization of medical data. Our main objective is to store computerized medical history records of voluntary participants so that the synopsis of these records is promptly retrievable when needed. An equally important objective is to prove that technology toda} is able to protect confidential data by employing adequate security measures." Dr. Gabrieli pointed out that any resident of Western New York could subscribe to this program. For a registration fee of $15.00, the subscriber will receive a detailed questionnaire including demographic-social data, a comprehensive medical history. family history, review of systems. social habits and other health-related practices. The answers recorded by the patient (or his family) will be computerized to serve as the initial data base. Upon the patient's request, certain diagnoses and surgeries will be checked with the appropriate hospitals. "Participants will be urged to keep their medical records current. For a small updating fee of $5.00. summaries of recent clinical events will be added to the initial data base to form a longitudinal record. "Upon a patient's request a synopsis of his past medical history will be made available to a physician by mail or, in an emergency. by phone, though extensive vertification is required before the information is released in this manner. There will be no fee for the release of the records,'' Dr. Gabrieli said. The physician-computer expert noted that the quality of the computer medical history will depend upon the accuracy and completeness of the data update provided by physicians. hospitals, and clinics. "We have been assured that the medical community will cooperate in this new venture because gathering medical histories is time consuming and frustrating for clinicians." Or. Gabrieli said. The Medical Data Center Ltd .. is directed and regulated by a Board of Directors consisting of health care professionals and "consumers." The Board of Directors is accountable to the Western New York community. The mternational expert on computerized medical records hopes that during the first year 15 per cent of Western New Yorkers will become subscribers. By 1980 Dr. Gabrieli predicts he will have the majorit} of the region's residents as subscribers. "And from this beginning in Buffalo. we expect that the community-oriented Medical Data Center movement will be nationwide."D FALL, 1977 27 Dr. Gabrieli �Vr:; . Phillrps. Rwmann D istinguished Alumni Award Dr. Reimann was awarded an Honorary Doctor of Science degree b> the Thomas Jefferson University, Philadelphia on June 10.0 Dr. Hobart A. Reimann received a special "DistinguishedAiumni Award" at the 40th annual Medical Alumni Association's Spring Clinical Days. He is professor of medicine at Hahnemann Medical College, Philadelphia. v.:here he has been since 1960. In June. 1976 he retired as associate director of the college and hospital. Dr. Reimann, a 1921 U/B Medical School graduate. was born in Buffalo and took his internship and residency at The Buffalo General Hospital. 1921-1923.ln 1951 he received a U/8 alumni citation for "distinguished service in medical education.'' After a three-year assistantship at the Rockefeller Institute in 1926, and a National Research Council fellowship in Prague with Ghon and Breinl, his career has been in academic medicine. He served as professor of medicine at the Peking Union Medical College and the University of Minnesota, and department head at Jefferson Medical College, the American University of Beirut, University of Indonesia and Pahlavi University in Shiraz, lran. !lis early investigations dealt with pneumococcal dissociation aiding Avery's discovery of DNA as the transforming agent, and later with M. tetragenus dissociation. He observed two typhus epidemics in China. In 1945 he joined the UNRRA Cholera Team in Chungking and made one of the earliest studies demonstrating the low death rate of adequately treated patients. In 1967 he was Field Director for the American Medical Association's Project in Medical Education in Saigon. Subsequent tours for CAREMEDICO included Kabul. Honduras and Columbia; in addition he gave numerous lectures in Puerto Rico. Dr. Reimann is regarded as one of the "distinguished men of American Medicine" b> his colleagues. He has been outstanding as a physician. medical educator and early medical investigator. He is a perfectionist who demands the best of himself and his students. He is a man of the highest integrity and personal standards. Dr. Reimann published 300 papers and four books, and contributed articles to numerous textbooks including Musser's and Cecil's, Oxford Medicine. the Encyclopedia Brittanica, Gsell and Mohr's and Alexandar's Infektionskrankheiten. Forty consecutive annual reviews of infections were published. He was the first to describe viral pneumonia in 1938, a viral cause of dysentery in 1945, and periodic diseases in 1948; and he was one of the first to question the value of tonsillectomy and exodontia for focal infection. Among the honors bestowed were the Charles V. Chapin medal, the Hahnemann Corporation medal. the Shaffre)- Award from St. joseph's College, and the Order of Cedars of Lebanon. Dr Reimann's abilities are not limited to the science of medicine. He is probably one of the finest physician artists in the country. His paintings are done with remarkable skill and they have been exhibited widely in the Philadelphia area and also at national exhibitions of medical artists. Two first awards. a second and a third award were won for pastel paintings at four annual Association of American Physicians exhibits. One of these awardwinning paintings appeared on the cover of the Journal of the American Medical Association in 1972. Membership in organizations include Th& American Society of Tropical Medicine and Hygiene, the American Medical 28 THE BUFFALO PHYSICIAN �Association. the American College of Physicians. the American Society of Clinicallnvestigahon, Society for Experimental Biology and Medicine, Society for Experimental Pathology. the Association of American Physicians. the nascent Association of Former Professors of Medicine. AOA. and Sigma Xi. Dr. Reimann plans to pursue activity in medicine, gardening and art, believing that "it 1s belter to wear-out than to rust-out."O Computer Goof Thirteen 1977 \-fedical School graduates are doing postgraduate work in the department of med1c10e at the SUNY18 affiliated hospitals The} an• not at the E.J. Merer Memorial Hospital as was inadvertently stated 1n The Buffalo Physician. Vol. 11. No. 2. They are· Drs. Sandra A. Blakowskl. Hichard Cudahy. ,\fichael 1 Fannmg. l I!!len M. Pindlay. Michael T. Gillelle. HarvP.y R. Goldstein. Steven R. Lanse. lfowarcl A. Lippes, Margaret R. Mitchell, Theodore C. Prentice. jr, Thomas A. Raab, lledvika j Urban, t\ntoinelle J Wozmok. 0 First Delivery In 27 Years I t was a typical workday for Dr. John D. Bartels. Or so the obstetrician thought as he reviewed events of that day. He had delivered three babies at Kenmore Mercy Hospital. But it was during the snowstorm of 1977. And not more than an hour would pass when the 1956 U/B Medical School graduate would find himself in the emergency room at Veterans Hospital. delivering its first baby in 27 years. The mother had been on her way to another hospital. But the ambulance (from the Eggertsville Hose Company, a volunteer unit headed by U/B's admissions and records associate director James Schwender) was fortunate to make it through the blizzard to Veterans. On hand were a medical student who was stranded and two senior physicians. Neither had had any obstetrical experience in years. Dr. Bartels lived nearby. He was called. It was cold. recalls Dr. Bartels of his walk to the hospital's emergency room. At 9:30 p.m. the mother's membrane ruptured. There was no delivery room, no obstetrical instruments. "We took her to the operating room," he added. It was a natural delivery under local anesthetic. And both mother and baby were doing. fine. Vowing that "we're going to make do some way or other" was hospital director Joseph Paris. And they did. Staff constructed a bassinet. Baby bottles were brought over by the wife of a hospital employee, a former obstetrics patient of Dr. Bartels. And blood. for the Rh negative baby arrived from Children's Hospital the next day. It may have been an uneventful delivery for the associate clinical professor of gyn/ob. but not so for Veterans.D FALL, 1977 29 Dr. Bartels �T wo facultv members were honored by the 1977 yearbook, The Iris. The m~dical students dedicated their yearbook to Dr. John Wright, professor and chairman of the department of pathology. They also paid a special tribute to Dr. S. Mouchly Small, professor and chairman of the department of psychiatry. Dr Wright Yearbook Honors Two Professors Dedication to Dr. Wright More than effective and knowledgeable instructors, the great teachers bring a palpable enthusiasm with them to the place of learning. They are uncommon. Rarer still is the person who demonstrates this excellence in both the lecture hall and the much different setting of the hospital laboratory. Dr. Wright is such an individual. His reputation as a scholar and educator were well known in Buffalo- Dr. Wright did his residency in pathology here - and returned as chairman of his department in 1974. The students of this class were to learn of his abilities as a teacher; and greeted him with a standing ovation at the close of the lecture series in pathology. That these qualities extend to hospital practice can be doubted b)- none who have observed and learned from him in the clinical laboratory. Though taxed by duties as administrator and researcher, Dr. Wright has always been willing to answer our myriad questions and to extend his compassion and personal effort towards our individual needs. We, the Class of 1977, as a tribute to the man and to his ideals, on the occasion of our graduation, dedicate this edition of The Iris to Dr. John Wright, and ourselves to the ideals he lives by. Tribute to Or. Small Dr. Small The Class of 1977 would like to pay tribute here to Dr. S. Mouchly Small, who is retiring this year as chairman of the department of psychiatry after holding this position for 26 years. Dr. Small's many academic honors on the national and international level would literally take pages to list; he is certainl:r well known for his work as chairman of the Scientific Advisory Council of the Muscular Dystrophy Association and as a director of the American Board of Psychiatry and Neurology. For many years, Or. Small personally taught the sophomore course in psychiatry, and many present Medical School faculty members have pleasant reminiscences to recount of their experiences in his class. In more recent years, Dr. Small has not had as direct contact with the class as a whole. However, those students who have come to know him, either through taking an elective or just by having stopped by his office to chat with him, have always been favorably impressed. The IRIS salutes this outstanding clinician and teacher.O 30 THE BUFFALO PHYSICIAN �Dr Ross Markello has been accepted as a Sloan Fellow at the Massachusetts Institute of Technology for the 1977-78 academic year. The professor and chairman of anesthesiology at the Medical School will take a one-year sabbatical leave. Dr. Markello will enroll tn the Health Management Executive Development program in the Alfred P. Sloan School of Management. The 12-month program leads to the degree of Master of Science in Management. The program is aimed at mid-career health care practitioners, educators, researchers and administrators who desire an intensive management development experience in preparation for continued career growth and increased responsibilities in the health field. Between 45 and 50 Sloan Fellows are selected each year from men and women in the United States and abroad. Dr. Markello received his M.D. degree from the University in 1957. He also did his undergraduate work at UB. He joined the Medical School faculty on July 1, 1961 as a clinical assistant in anesthesiology. I Ie was named professor and chairman of anesthesiology on October 1, 1971. In 1957-58 Dr. Markello interned at the Millard Fillmore Hospital, Buffalo. He was an assistant resident in a;.esthesiolog} at the E.J. Meyer Memorial Hospital, Buffalo from 1958-1960. He was named chief resident in anesthesiology the following year. Dr. Markello has co-authored several scientific papers for professional journals. He has served both as chairman and member of several university and hospital committees. His research includes - studies on various effects of hyperventilation during anesthesia, including cerebral blood flow and cardiac output; studies on effects of anesthesia on ventilationperfusion distribution in the lung; and effect of cardiopulmonary bypass on cerebral blood flow. Dr. Ma rkello is a Diplomate of the National Board of Medical Examiners, and the American Board of Anesthesiology. He is also active in several other professional organizations.D FALL, 1977 31 Dr. Markello �Clockwise from lower left : Dr. and ,\frs. Leonard Katz: Dr. and Mrs. Bruno Schutkeker, .\1'38: Albr.rt Schlisserman. lie/en Findlar. Michael Lippman: Dr Joseph Ruteck1. ,\1'45, Dean John Naughton: Dr. James F. Phillips. M'47: Dr. and ,\Irs. S1dner Anrhonc.•\1'50; ,\tark Weitman. Antoinette Wozniak, Bernee Kapili J Medical Alum Hosts Fou, Reception . 32 THE BUFFALO PHYSICIAN �C/ockw1st• from lOI\'U left· Mr. and ,\Irs. Reginald Stiles Sr.. Renee Clarki': /Jr U.P Jones, .\f 5b ,\1r and \1rs. John Zimmer/}. \fr and ,\.1rs Sun·en Lanse. J\lr. and Jvlrs. feffrc} Seitelmon; Drs. Clarence Durshordwe, M'23, Hobert/. Brown, ,\1'4~. C Va\·id Fin/cr. Don Liu. Lonn} Woller one/ friends: Mr and .\Irs. Bnon kaufman, Elodney Parker. mni Association urth Annual r for Seniors FALL, 1977 It was a fun afternoon for the 200 students, faculty, alumni and their spouses who allended the fourth annual cocktail· reception for seniors a t the Frank Lloyd Wright House (alumni association headquarters) on Jewell Parkway. For the graduating seniors it was one of the last social get·togethers. 33 �131st Annual Commencement A toto/ of 5,000 degrees were conferred this year during the General Commencement and 12 additional individual commencement ceremonies. Since its founding in 18-ll;, the l mversi!y has uwurded a total of 90,000 degrees. The 1977 class was awarded 2,814 bachelor's 817 master's, 15 associate's, 239 academic doctorates. 264 J.D.'s, 141 ,'vt.D. 's and 90 D D.S ·s. University of Mwncsoto President C. Peter ,\1ograth gave the major address at the 131st General Commencement in Memorial Auditorium.O The 131st commencement was a happy affair for 141 (108 men, 33 women) Medical School seniors and their respective families. The young physicians were urged to take into practice what they had learned as well as the what is not taught- how to communicate with and to have compassion for patients and their families. Dean john 1aughton welcomed the graduates and their famihes. lie paid a special tribute to the Mothers (since it was Mother's Day). He had special praise for the editors of The Iris, Medical School yearbook. Dean Naughton told the graduates they would have to share in the health care crisis and the many changes that are taking place in the world and New York State. Class officer Duret S. Smith made a surprise, special presentation to Ms. Doreen Miller "for her numerous contributions to the Class of 1977." She is a senior stenographer in the associate dean's office who helped the class through registration four years ago. In his address Smith cited compassion and competence as two of the most important qualities in a successful physician. He also mentioned the importance of stability, maturity, self-regulation, integrity, judgment and wisdom. Class representative Thomas Raab said conventional medical education has clone little to prepare the young doctor for conveying a diagnosis of a potentially fatal disease or for offering continuing support along with medical care. In dedicating the yearbook to Dr. john Wright, professor and chairman of the pathology department, Ronald A. Vidal, co-editor. praised Dr. Wright as an excellent teacher and whose ideals we hope to live by. Dr. Wright said he accepted this honor "with a sense of humility. This was my first class at U/8. This class holds a place of special significance to me. You played a major role in my teaching. You were eager to learn, tolerant and patient. I share my success with all of you and was glad to continue my relationship with you during your clinical yea rs. It was exhilarating to observe your progress from sophomores to seasoned seniors. I wish you well in your future studies and professional development." 34 THE BUFFALO PHYSICIAN l �25 Students Honored Twenty-five medical students (19 seniors. 6 sophomores and juniors) won special honors and awards at the 131st Commencement. Leonard Wagner and Michael Fanning. both seniors, received two honors. Dr. John Richert, assistant dean and registrar. presented the awards. Dr. F. Carter Pannill, vice president of the Faculty of Health Sciences, conferred medical degrees on 141. the Ph.D. degree on 22 and the Master's degree on 12 others. Dr. John Naughton, dean of the School of Medicine, administered the Oath of Hippocrates to the new physicians and Dr. Leonard A. Katz, associate dean. led them in the Charge of Maimonides. The awards and honors: Alpha Omega Alpha (National Honorary Society) - John E. Billi, AndrewS. Doniger, Avery K. Ellis, Michael J. Fanning, Steven 8. Lanse, Genevieve A. Losonsky. Robert E. Miegel, Jeffrey A. Magerman. Ronnie W. Neuberg, James F. Norcross. John D. Norlund, Jeffrey Seltzer, Richard N. Terr)-. Bernard Traub. Leonard Y. Wagner, Antoinette J. Wozniak. Thesis Honors - Jonathan H. Woodcock Boccelli Award - (Junior or senior medkal student who has shown academic excellence or outstanding achievement in the clinical specialties) - John D. Norlund Dt,un Naughton congratulates F'rank on g':aduating in three Fruno~wk }'flUfS . Four f!enurotJOns of physicians - Drs Herbert Laugh/in. the father of Paul Laugh/in. Von f.ough/10. the grandfather, and Maxwell Lapham. a cousm. who was former cJt,an. Tu/une University Med1cul School 1 FALL, 1977 35 d- �Drs. 1/oro/cl Brad } , John ,\!oughton leoti the proct:ssw nal. Gilbert M. Beck Memorial Prize in Psychiatr} - (Academic excellence) - l\icholas F Zornek Buffalo Surg1cal Soctety Prize in Surgery (Academy excellence - junior. senior years) - Carin A. Craig Children 's Hospital Pril.e (Excellence in understanding disease in childhood) - Leonard Y. Wagner Bernhardt & Sophie B. Gottlieb Award (Combination of learning. living and service) - Lewis R. Groden Dr Heinrich Leonhardt Prize 1n Surgery (Academic excellence) - Mark J. Polis Lieberman Award (Interest, aptitude in the study of Anesthesiology) Paul Korytkowski Hans }. Lowenstein Award in Obstetrics (Academic excellence) - Warren 11. Evins. Frank E. Franasiak Maimonides Medical Society Award (Application of basic science principles to the practice of medicine) - Leonard Y. Wagner Medico/ Alumni Association Award (Outstanding achievement in the third year) - Michael J. Fanning David K. Miller Prize in Medicine (Demonstration of Dr. Miller's approach to caring for the sick - competence, humility. humanity) - Michael J. Fanning john R. Paine Award m Surgery (Research of merit in the general field of surgery) - James F. Norcross J\1ark A. Petrino Award (Demonstrated interest and aptitude for the general practice of medicine) - Paul H. Laughlin Clyde L Randall Society Award in Gynecology-Obstetrics (Academic excellence) - Richard W. Moretuzzo Emily Davis Rodenberg Memorial Award (Academic excellence in study of diabetes, its complications) - Michael S. Kressner Philip P. Song Memorial Award (Academic excellence and dedication to human values in the practice of medicine) Elizabeth J. Read Morris & Sadie Stein Neural Anatomy Award (Excellence in neural anatomy) Jeffrey A. Magerman llpjohn Award (Zeal, diligence and application in the study of medicine) - John E. Billi john Watson Award in Medicine [Enthusiasm for and commitment to scholarship in medicine) - Steven B. Lanse Dr. Charles A. Baudo Award (Third year student who has best demonstrated a superior fund of knowledge and personal sensitivity for the practice of family medicine) - Salvatore A. Delprete Edward L Curvish, M .D. Award (Highest record in Biochemistry in first year) - James P. Bracikowski james A. Gibson & Wayne]. Atwell Award, (Highest record in Anatomy in first year) - Stanley J. Mackowiak Kornell L. Terplan Award (Demonstration of the best knowledge of Pathology in the sophomore year) - Kenneth L. Glick 36 THE BUFFALO PHYSICIAN l �Ernest Witebsky ,\lfemorial Award (for proficiency in Microbiology) - Br uce D. Rodgers Farney R Wurlitzer Award (Outstanding work in Psychiatry) - Eric M. Kulick The follow ing basic science students participated in the School of Medicine Commencement: Maste r of Arts - (al1 from department of microbiolog~) John Asaro. Walter Binder, Bridget Sinko. )ames Dolan, Susan Krasny, Nancy Owens. Linda Parado...,.ski, Marta Turiello, t\anc} Yeagle. (from department of biochemistry) Mastafa Ziu. Master of Science - Richard A. Mann [biophysica l sciences). Murray Meisels (social and preventive medicine). Doctor of Philosophy - James Bates (microbiolog) ), Ka r l Beutner (microbiology), Daniel Chan (biochemistry). Thomas J. Colatsky (Physiology), Silvano P. Colombano (biophysical sciences), John Egan (biophysical sciences), Robert D. Frankel (physiology), Gerard Charles Gorniak (anatomical sciences). David C. Jinks (microbiology), Esteban Kondracki (microbiolog~ ). Laura Kwiatkowski (biochemistry). Irene Lee (biochemistry). RuShuoh Lou (biophysics). Lawrence E. Mallach (biophysics). Friedl Muller-Landau (biochemistry). Patricia Ellen l\oker (pharmacology and therapeutics). Nan Null (rnicrobiolog~ ), Fred Olson (biochemistry). Rem~ D. Sauve (biophysical sciences), Edwa rd Schroder (microbiolog}). Kenneth W. Spitzer (physiology). Leisure Yu (biochemistry(.O IJr. S .\louchl} Small The graduates. dFALL, 1977 37 �Reflections by Duret 5. Smith, M.D. Drs. Davrd Greene. Roland Anrhonc, Dou~los Surgt•nor. Eran <.:olkins. jobie Crear. Dr. Hohrrr J Mcisaac. lJr As I was reflecting on some of our experiences these past few years in medical school. there was one particular thought that kept recurring to me, and that was how far we had come. Let's think back for a moment to August of 1973. when we were all sitting in 139 Capen half listening to various speakers tell us some of what vvould lie ahead, and wondering, "how will I ever make it through medical school when I'm having such a difficult time understanding this registration procedure?" There we were a class of wideeyed, apprehensive, definitely anxious, but enthusiastic students, who had little knowledge of preclinical medicine. even less about clinical medicine and practically none at all about the administration and politics of medicine. Now, less than four short years later here 'Ae are. a class of bright. shiny, new physicians: somewhat older. hopefully wiser. probably somewhat apprehensive, maybe just a little bit anxious, but hopefully just as enthusiastic about our careers in medicine: whether they be in basic science research, academic medicine. group. or private practice. Let's review some of what transpired during these years that took us from a group of lucky and select pre-medical students to medical students. to something that is called a "doctor ... !\:ow .,,.e don't have to introduce ourselves to patients as medical students and explain what we are doing there, we have moved up just a hit in the world and now we will try to convince people that. yes, interns and restdents are real doctors too. Part of what transpired, to be sure. was the accumulation of a vast pool of facts, figures, values, syndromes, disease processes, procedures, and technical skills that can be placed under the heading of academic knowledge. However if the truth be known, there was so much to 38 THE BUFFALO PHYSICIAN �be learned that some of this academic knowledge and esoterica has been so deeply stored that it can no longer be brought forth from our memory. If this be doubted there were the national boards to remind us of this fact. Are we ill-prepared then for our careers in medicine because some of this knowledge has passed us by? I ask my classmates to think back along with our elder faculty members and remember the academics the)- learned in their medical training in what they like to remind us were the "old days" not the good old days for we were invariably reminded that the old days whenever they were, were always tougher than the "new days" regardless of when they were. Much if not most of the academics taught to them is now, to use a political phrase, "inoperative." Medicine, probably today more than ever. is a vcr)rapidly changing and expanding field that demands not static scholarship, but the ability to expand with and master its new advances. If we cannot depend solely on our present didactic education in future years. there is a combination of qualities and attributes which are ageless. and cannot be didactically taught. that 1NC should hope to have acquired. These include stability, calmness. maturity, self-respect, self-regulation, integrity. being a hard worker and the ability to reason clearly. But probably the two most important are compaSSIOn - the desire to serve with sensitivity. and competence - the ability to serve, which must include the ability to expand with the changing science scholarship. just as important , competence includes judgement and wisdom. In many cases this means saying, "I don't know," when we don't. as well as the thorough knowledge of our self-limitations. lf we are successful in acquiring these qualities during our medical school training, then we will surely have the essentials for becoming good physicians. This is and should be a happy and proud day for our friends and families, many of whom have sacrificed significantly so that we may be where we are today, as well as a happy day for ourselves. But we should not look on this graduation as the end of an education, but as the beginning of the continuation of one one that will certainly be challenging and hopefully will be rewarding and fulfilling. I wish us all "good luck." Dean Xoup.hton congrorulutes a graduate while Dr. F. Carter Ponnlll. W11liom C Ba1rd. ,\1. Robert Koren observe. !Jr. Colluns, Jonathon Small. Dr. ,\1clsuuc �Commencement Address by Dean John Naughton Durc•! Snwh pn!senls a 10 Dorcl'n .\!11/t•r. spr:croJ oword ft is a pleasure to welcome the medical students. and biomedical science graduates. their families. and our friends to this 131st Commencement Exercise of the School of Medicine. I am sure I represent the feelings of the Board of Trustees. the President's Council of the L niversit) of Buffalo. and the administration and faculty of SU\:"Y / B in wishing you congratulations and God's speed. For the third consecutive year this celebration coincides with that great national institution ami tradition - Mother's Da~ . To the mothers. grandmothers, and greatgrandmothers present. we \<\ISh you a 'ery special and happy Mother's Day. Today's festivities coincide with two other anniversaries wh ich some of us may have forgollen; the termination of the second World War in Europe (V-E Day). and the birth of former President Truman. We have not been able to extend the occasion sufficiently for it to coincide with the founding of the School of Medicine by Millard Fillmore on May 11, 1846. But we have come close! It is a particular pleasure for me to open these celebrations for vour class. because it was with you that I came into most intimate ~ontact during my frequent trips to Buffalo from 1\'ovemher. 197-1 until I planted my feet on the ground on March 1. 1975. In the serenity and salubriation that you enjoy tonight you may not remember those grand and glorious weeks and months when you \\'ere concerned about the status of SUl\:Y/ Buffalo in relation to that of other medical schools; the significance of and your abilities to deal with Part I of the National Board Examinations; student and faculty morale: the institution's commitment to your needs and expectations. and the impact of the percei\·ed deficiencies within the institution on your career choices as interns and residents. The record clearly indicates that ) ou passed through that rather uncomfortable and troublesome time with flying colors. You met the challenge of the Boards; have established a record of good clinical performance; and have received strong und excellent graduate education opportunities. That you passed through the disquieting period without significant scarring is reflected further in this year's edition of THE IRIS. As I have reviewed this second edition. your editorial staff has done an excellent job of refining and expanding on the fine contributions of your predecessors. This year's edition stresses the importance of integrity through its emphasis on the individual. the family and the institution. It highlights the importance of growth and development through its emphasis on continuity from enrollment through graduation. It evidences that you coped with frustration in that the 1977 edition displays enthusiasm. happiness and gratitude in accomplishment rather than sadness. cynicism and anger in failure. In my simplistic analysis of your situation, therefore. 1 see that you are a class who had to meet uncertainty and change head on. and you have probably learned a valuable lesson from which we can all benefit. Namely, as long as boundaries are clearly established and defined, goals enunciated and standards of performance applied consistently and objectively. it is possible to deal elastically with changing circumstances in a manner that insures tho 40 THE BUFFALO PHYSJCIAN �maintenance of integrity and the accomplishment of our tasks. Thus, you are probably better prepared for the rigors of the future than are many of your nearly 14.000 colleagues who will graduate from the nation's other 113 medical schools. Enough of the past and the present. A Dean must emphasize the future. In a traditional commencement orientation he utters phrases, clauses and sentences encouraging you to prepare for the future through continued learning, periodic rededication to mission, and gradual. consistent professional and individual growth. The theme emulates the words of that former midnight rider. Paul Revere, but instead of concentrating on the British, it emphasizes the prospect of change and is paraphrased as "change IS coming! change is coming!" Heretical it might appear, the hero of current deans' themes should probably be none less an expert than the coach of the Washington Redskins, George Allen, who proclaims "The future is now." Certainlv, for the fields of medicine. health. and education, "change is n~w." At no time in the history of the Western World, the United States and 1ew York State. in particular. have the fortunes and lives of our citizens been tied to the productivity. accessibility, availability and cost effectiveness of the health care system and of the medical educational system. No longer are we perceived simply as resources for the production of knowledge and manpower. Rather we are appreciated as integral partners with industry and government in the creation of and in the solutions of the so-called health care crisis in this countr)'. As such we are perceived both as cause and as effect. A true Catch-22 situation! As such there is no wa)' in which most of you. if not all. can escape additional conflictual situations in the future concerning your expectations and needs as health professionals as they relate to the expectations of society. It is my prediction that many of the symptoms you experienced during your second year of medical school will recur. But you are fortunate in that you have learned to cope. and you have learned that the solution to conflict can be pleasing and rewarding. But to cope successfully you will have to reinforce yourselves periodically with the awareness that )'Our values as physicians will be expanded and broadened. regardless of specialty selection to include functions probabl> not previous!)' envisioned. l cannot enumerate all of the possibilities. but I am personally con\'inced that each of you will have to share in the solutions of the health care crisis, and as such, you \\ill not only be patient advocates and professional advocates, but you will become the foundations that will balance the needs and expectations of patients. of physicians. and of society. with the resources and expertise available to us. In the last analysis. your energy and innovation will be directed toward participation to the solutions as facilitators. Having reviewed your first four-year track record. I kno\.'\.' you are up to it. My admonition to you is not to forget the lessons of the past as you go forward. Good luck and congratulations! FALL. 1977 41 Chcrr~ll fhorpt•. Dr. Rrcherl �l :--..... \. Dr Melzock Acupuncture The Harrington lecturer was selected by a student-faculty committee of the Medical School. The lectures were created in 1896 by the will of the late Dr. Devillo W. Harrington, professor of genital and urinary diseases at the School of Medicine. A cupuncture is a method of controlling pain, according to Dr. Ronald Melzack, professor of psychology at McGill University. Addressing Medical School students and faculty at a Harrington lecture, Dr. Melzack said,"acupuncture is a kind of folk medicine. There is no evidence that it cures anything (not even deafness). but it can be useful in taking pain away. Acupuncture should not be overlooked because it can be effective in the treatment of low back pain and arthritis. When acupuncture was used in surgery in the western world il did not work." American doctors who went to China with President Nixon were enthusiastic about acupuncture. According to the literature acupuncture was supposed to cure everything, but this is not true. "But saying acupuncture is a lot of 'hog wash' is wrong. But the future of acupuncture is very limited,'' Dr. Melzack said. He compared acupuncture with the newer method of stimulating sensitive spots in the body by using disc electrons on the surface of the skin to relieve pain. "No needles are used and this procedure can be administered by a physical therapist. We have found no statistical difference between these two methods of treatment. When you stimulate the nerve it relieves pain. Using electrical stimulation at acupuncture points relieves pain, but it doesn't eliminate all pain." The Montreal psychologist pointed out that pain takes away pain. "We have known for many years that pain on one side of the body may take away pain on the other side of the body. Intense pain for a brief period may take away pain that has lasted a long time." The educator-lecturer pointed out that everyone has the same level of sensation or pain. "But the point at which a person says it hurts or 'I can't take it any more' varies with different cultures. Mediterranean people respond quicker and complain more loudly than Northern Europeans." Another type of folk medicine was cupping, used by the Greeks and Romans in ancient times. It was used to relieve back pains, Dr. Melzack said. Everyone has trigger points of pain. especially around the clavicle. Trigger points may be found in the area of pain or at some distance from the pain. "In China, as well as in the West, we discovered that by applying pressure or needles at trigger points pain was relieved. We haven't looked at trigger points since 1940s, and it is time that we investigate them again," the professor said. Hypnosis and muscle relaxation feedback (not alpha feedback) also seem helpful in treating tension headaches and some types of backaches, Dr. Melzack noted. The Canadian professor said there were about100 pain clinics in the United States and Canada. "There has been a revolution in pain in recent years and as a result we understand pain mechanisms better today. Pain can be very subtle. Some people have pain from accidents that happened 10 to 15 years ago." As vice-president of the International Association for the Study of Pain in North America, Dr. Melzack hopes to establish residency programs in pain mechanism for medical students. This will probably be a cooperative venture with residency programs in neurology and anesthesiology. 42 THE BUFFALO PHYSICIAN �"Often a sympathtic physician with good bed-side manners can do more to relieve aches and pains than medication." Dr. )'..lclzack said. For relieving pain in cancer patients Or. ~1elzack suggests using a mixture of analgesic compounds that patients drink likll .1 cocktail every four hours. "ll really reduces their pain.' " he concluded.O J Seven Buswell Fellowships The School of Medicine in July awarded Buswell Fellowships to seven physician-scientists. continuing a program which Dean John Naughton has described as "analogous to the Cc~rccr Development Program of the :-..:a tiona! Institutes of l lealth." Recipients of this year's awards. their .:vied School department. and their area of scientific endeavor are: Arthur E. Orlick, Medicine. cardiology; Alan I. Leibowitz. :'1.1edicine. gastroenterology: Andras Koreyni-Both. Pt~thology. electron microscop~: Robert C. Welliver. Pediatrics. immunology; Katsumi Yoshida. Medicine. endocrinolog); 1\lario A. Pisancv. Medicine. endocrinology: and Donald Cooney. Surgery. pediatric surgery. The Hochstetler Endowment which made the Buswell Research Fellow Program a reality is a true asset to this School of Medicine. Dean Naughton said, "for it creates an opportunity for potentially gifted physician-scientists to dedicate a period of their life to concentrated effort in a field of their choice at a stipend commensurate with their academic growth and achievement. The program is closely monitored b1 a facult~ committee chaired by Dr. Barbara Rennick. The candidates must submit a r<'search proposal which receives close scrutiny as to its content and promise. An awardee can participate for a minimum of thrne months to a maximum of three vears.'' The revie\\. committee e\~aluates the qualifications .tnd promise of each candidate. the scientific merit of the propust!d research program. and the potential career goals of each applicant in arriving at their recommendations. Their reflections are made known to the dean who, in turn. makes a final decision after wnsultation with the review committee chairman. Very high standards are applied to the selection process, :-.!aughton said. "and each recipient is held in high regard ." The great majority of previous awardees ha\'1! gone on to records of academic achievement at SU0. Y/8. other institutions in the United States or at foreign universities. In the clinical departments. the Department of Medicine has sponsored 44 Buswell Fellows and in the basic science clep<Htmcnts. Microbiology has sponsored 43. A total of 42 other Fellows have been sponsored by eight other departments.D Fi\1.1 •• 19ii �The 1977 Blizzard I t is summer, but people are still talking about Buffalo's worst storm. With winds howling at 60 miles an hou r, snow drifting to 15 feet, temperalures below zero and the wind-chill at minus 50 the late january, early February storm paralyzed Western New York for four davs. The M~dical School's associated hospitals found themselves centers of unexpected activity. caring for large influxes of ambulatory patients and serving as impromptu shelters for thousands of the stranded. It took ingenuil> as well as extraordinary effort to keep them functioning. Snowmobiles. military trucks and other four-wheel drive vehicles fetched supplies and hauled marooned doctors and nurses to and from the hospitals. Physicians and administrators manned cafeterias and laundries. The medical and nursing staff at the hospitals were hard pressed to handle the patient crunch. Scores were admitted for frostbite, heart attacks, trauma. and carbon monoxide poisoning At the Buffalo General Dr. Martin Plaut, associate professor of medicine, put in his first 30-hour stint since he was an intern. "It was like wartime." he said. More than half of the staff (2,500 workers) slept over the first night. converting floors, desks, and lab tables to beds. Children's Hospital found 50 beds for parents of patients who were stranded along with many of its own staff. Free meals were provided. bu t many employees braved the storm to eat at a nearby pizza parlor. The hospital's milk supply was running short as the storm subsided. At Millard Fillmore Suburban Hospital at least one employee had her first snowmobile ride to make it to work as an emergency room nurse. The Fire Companies of Snyder, Eggertsville and Harris Hill brought in emergency supplies. At Gates Circle over 400 employees, doctors, volunteers. visitors and other unexpected guests had to be fed, bedded and rested. The Buffalo Police. Coast Guard and volunteers with four-wheel drive vehicles transported employees home and back to the hospital. At Veterans Hospital those stranded were given free food, popcor n and their choice of three feature movies. Beds and overstuffed chairs in the lounges and conference rooms were available for the staff and visitors. Dr. john Cudmore, M'62. clinical associate professor at the Medical School. served with the National Guard (Lt. Col.) during the storm. He and Rick Warner, respiratory therapist at Children's Hospital. flew by helicopter to Bradford General Hospital in Northwestern Pennsylvania to transfer a five-month-old child experiencing respiratory problems to Buffalo. They provided inflight life support to the child utilizing a portable incubator. It was the same story at Roswell Park Memorial Institute, Deaconess, Emergency, Sisters and Columbus Hospitals.D 44 THE BUFFALO PHYS!ClA:-.J , �, A 1946 Medical School graduate has contributed $40,000 tov\ard equipment and medical education for Sisters Hospital. Or. Albert G. Rowe, clinical assistant professor of anesthesiology. said the money came from doing extra work-therapy and OB anesthesia. "When you think of a donation. you usually think of something like ten dollars. That's not going to help much at all. It begins to be meaningful when you give $500 or $1,000."' Or. Rowe said. In 1965 he was a patient in very serious condition. In appreciation of his recovery and to benefit the hospital community he made this contribution. Dr. Rowe's funding has also gone either in \\hole or in part for Fetal Monitoring, Coronary Stress Testing, Advanced Neonatal Care, Audio-Visual Training Aids including Color TV Camera, Video Tape Recorder and Recording, Resusci-Annc, all within the space of his five years at Sisters. He directs further funds toward the education of medical students, one of whom recent!~ graduated magna cum laude, which \1\.as a source of great satisfaction. Or. Rowe believes that physicians should be interested and involved in the future of the voluntarv health svstem as it affects hospitals. · · "I believe third part} payers have been a di\'iSi\c influence among physicians, patients and hospitals. I would like to help change that and bring back a sense of community. I don't think I alone can effect a change," he philosophizes, referring to that sense of community. "It's going to take the raising of the consciousness level of many more people for a turnabout like that."O Dr. A lbert Rowe Hollum nm Jumes Crumhrom•. J.,on 1/offmun, Stunle} Bmlm·r, John Anderson, Thomas .r\ul(ustrnr·, Jonothan f.hr/r~;h, l.urrd Qur·mJer, John c;r!J!Js Top row; Ronald Jo~eph~on. c;eor~w Storr, Robert Bf•nson. Trf•\·or Ttobrnson. IJunu/<1 \lrllf r .. \rlhur So!> I), ,\nthon) /,oc;ulbo, Jock Krrleman , Ronald I.e\'}', James Strosbcrg Class of 1967 at Spring Clinical Days FALL. 1977 45 �(Clockwise from upper right} Ang1e Pell!en. H.~ .. nursr: pracruioner: Three R ..\. s- <.:herd Ifill. Irene Fino. Carrie Towns: Gwen Sanders. l..P.N .: Georgia Riles. clerical supen1sor. unci }ll~e Stroinese. clerk: Dr Sanford R Plrskow. ,'vl'7ol . o resident, wllh o pollent; Socwl workt>r Jt·un Kizilbash. M.S.W.. and Dorothy S1mms. 46 THE BUFFALO PHYS!Clt\N �Ambulatory Care Center A bout 360 patients a 'Aeck \'isit the ne\\ primary care section, Ambulatory Care Center at the Buffalo General Hospital. "Our goal is to provide primary health care for persons who don't have a private physician. We are the ·family doctor' to adults. Any individual 16 and over will be accepted as a patient." Dr Robert L. Dickman said. He is rlirectOI' of the Center and clinical assistant professor of medicine and social and preventive medicine at the Medical SchooL The new Center. located on the first floor and lower lc\(?1 of 0 Building. replaces and adds dimensions to the services of the old outpatient department. Or. Dickman. a 1968 Medical School graduate. was hired b~ the hospital in 1972 as head of ambulatory services. He was determined to make some impro\·ements and immediately instituted appointment schedules for patients to reduce waiting times. lie initiated the training of nurse practitioners to assist physicians in examining patients and following their routine care. He also introduced the problemoriented medical record to assist in the identification of the patient's health problems. Ann IIPt/1\, nurst• prnciJIHJnt·r. with a {lOIII'nl d- Lora SpJil•·r. Dr. D1ckrnan. the center direcror. Dr. I' V. {l!ehtu. c:linicul inslruclor 1n medicine. examines o polit~nt. 47 �Dr. Fronk Oomurat, an intern. Doni Grif(m. I,.P.N and pollen!. Dr Dickman said planning and development for the Center were steered by a Citi:wns Advisorv Committee established "to continually fore~ us to be sensitive to the people we were serving.'' Funds for the planning came from the Hospital's Leadership Council and the Lakes Area Regional Medical Program. Then the Hospital's Board of Trustees allocated funds for modernization and expansion of the Center. The renovation was also supported by a grant from the )ames H. Cummings Foundation. Or. Dickman said that the Center has a commitment to provide care for residents in the immediate area of Buffalo General. Its services are also a\'ailable to anyone who feels the Center is accessible. Each patient is assigned to one of three health care teams (a full-time physician, nurse practitioner, practical nurse and unit secretary). As long as an individual is a patient of the Center, his care will be provided by the same team. The Center is open from 8 a.m. to 5 p.m. Mondays through Fridays. Patients must have an appointment. Individuals with acute problems may be seen within 24 to 48 hours. In addition to Dr. Dickman. the full-time physicians in the general medical clinics are Dr. Michael F. 1 oe. the assistant director, and Dr. Pravinchandra V. Mehta. Dr. Noe is THE BUFFALO PHYSICIAN �, Dr Fred Stelzer, ch1e{ medical resi· dent V~rg1n10 Cory. nurse practitioner, and palienl. Marilyn Nixon. secretary for the walking and employee c/in1c. Dr Kunz and patient . also a clinical assistant professor of medicine and social and preventive medicine at the Medica l School. Or. Mehta received his medical degree from the Kings College Medical School, University of Newcastle. Tyne, England. Or. joseph L. Kunz serves part-time. He is a clinical assistant professor of medicine at the Medical School and a 1956 graduate. d- FALL, 1977 49 �, Dr. Noe. assistant director. with a patient. In addition to the primary care services the Center offers employee health. walk in service for patients. and 29 adult specialty clinics. "What a patient pays for the Center's services is based on the person's insurance coverage and ability to pay. The Center offers comprehensive personal medical care of the highest standard, with each patient having his ca re directed by one physician," Dr. Dickman said. Patients have responded very enthusiastically to the "personalized" attention and the new facilities. In addition to seeing "their" doctor or nurse practitioner on an appointment basis, they are able to call the Center and speak to the same people about any health problems. If they have a medical problem during the night or on weekends, they are instructed to call the Emergency Clinic. All patients have access to the backup services of the entire hospital. including referral to a full range of specialists in adult specialty clinics. "All of us who have worked on this project believe it can go a long way towards improving health services to our immediate community and can serve as a model hospital-based program for the entire area:· Dr. Dickman concluded. 0 The Classes of the 1920's Dr. Louis A. Siegel, M'23, of Los Angeles, has established a $15,000 endowment fund to support an annual Louis A. and Ruth Siegel Award. The stated purpose of the award is "to recognize and give evidence of the importance of superior teaching in the pre-clinical and clinical portions of the Medical curriculum and to provide encouragement and incentive for teaching achievement." The first awardee, selected by a student committee. will be honored this year at the Annual Faculty Meeting of the School of Medicine.D The Classes Dr. Joseph F. Kij, Sr .. M'27, was honored recently by the Medical Arts Society for serving the profession of medicine for 50 years. 50 THE BUFFALO PHYSICIAN �Dr. KiJ was Lackawanna, N.Y. school physician for 15 years, fire and police surgeon for 10 years and City of Lackawanna health officer for six years.D presented a plaque and a $1,500 scholarship in the field of athletic training to be established in his name. He is clinical professor of orthopedics at the Medical School.O Or. L. Maxwell Lockie, M'29, clinical professor of medicine Emeritus, was elected president of the National Society of Clinical Rheumatologists, which is a national interurban society meeting annually to discuss the latest data in Arthritis.O Or. J. Edwin Alford, M'34, received the Clifford Emerson Hardwick Award from the American Society of Colon and Rectal Surgeons in May for "sincere and grateful appreciation of his exceptional service and significant contributions to the Society and the field of proctology." Or. Alford, clinical associate professor of surgery, heads the division of colon and rectal surgery at The Buffalo General Hospital. He is the second physician to receive the award, established in 1972 in memory of the late Dr. Hardwick. Dr. Alford is a past president of the society and the medical staff at Buffalo General.O Dr. George Thorn, M'29. was honored recently by the Alpha Omega Alpha Society. A film by the Society. narrated by Dr. John Merrill, paid tribute to Dr. Thorn's distinguished career. The program was one of a series entitled, "Great Leaders in American Medicine." From 1942 to 1972 Dr. Thorn was physician-in-chief at the Peter Bent Brigham Hospital and Hersey Professor of Medicine at Harvard Medical School. Dr. Thorn retired in 1972.0 The Classes of the 1930's Dr. Samuel Sanes, M'30, professor of pathology - Emeritus, received the distinguished service award of the Stale Society of Pathologists at the annual meeting in New York City. A former president of the society and the State Association of Public Health Laboratories, Dr. Sanes was director of pathology at Meyer Memorial Hospital and the Erie County Laboratory for 19 years and a professor of pathology at the U/B Medical School for more than 30 years. Former associates, residents and students who attended the award presentation were: Drs. Robert C. Bahn, M'47, Rochester, Minn.: Theodore Bronk, Lewiston, N.Y.: Herbert Lansky, M'49. North Tonawanda: H. Paul Longstreth , M'45, and Mrs. Longstreth, Buffalo: and Sol Messinger. M'57, Huntington Station, Long lsland.O Dr. Joseph D. Godfrey, M'31, Buffalo Bills team physician, received the President's Challenge Award from the National Athletic Trainers Association in June. Or. Godfrey was FALL, 1977 Or. Kenneth H. Eckhert, M'35, has been elected to a second term as president of the Health Systems Agency of Western New York. He is a clinical instructor in family and legal medicine.D The Classes of the 1940's Dr. John D. White, M'40, is a semi-retired physician living in Florida. He is writing a column "Ask the Doctor" for September Days Club of Atlanta, Georgia. Or. White provides answers to a variety of questions on travel, diet, sleep. health and medication. Dr. White lives at 234 Mohawk St., Tavernier, Fla. 33070.0 In recent weeks Dr. Richard Ament, M'42, has been a visiting professor at New York University, University of Colorado, University of Washington, University of Texas (San Antonio}, Bellevue Hospital. and the Virginia Masonic Clinic. He a l so spoke to anesthesiologist societies in Colorado, Oregon, Texas and Washington. Dr. Ament, clinical professor of anthesiology, was also honored for his "tireless leadership and devotion" during the 26th annual meeting of the Jewish Center of Greater Buffalo.O 51 �Dr. Edmund M. Tederous, M'43, a Dunkirk, N.Y. physician, received an honorary doctor of humane letters degree from Canisius College at the May commencement. Dr. Tederous is a Fellow of the American Society of Internal Medicine.O Dr. john L. Smith, M'46, a radiologist affiliated with Hospital of Scripps Clinic, La jolla. California, has been cited for distinguished medical achievements by being named a Fellow of the American Coll ege of Radiology. The College, a p r ofessional medical society representing about 12,000 physicians who specialize in radiology, awarded Dr. Smith a certificate of Fellowship during its annual meeting and Convocation in Houston recently.O Or. Arthur ). Schaefer, M'47. whose specialty is ophthalmology and ophthalmic Plastic and Reconstructive surgery. is an associate clinical professor of ophthalmology at the Medical School. He was a guest lecturer at Wills Eye Hospital Oculoplastic Department's (Philadelphia) Fifth Annual Course on Oculoplastic Surgery. His topics included "Plastic Surgical Treatment of Involutional Entropion," "Surgical Management of Myogenic Ptosis Cases," and "Surgical Treatment of Complications of Ptosis Surgery."O Dr. William H. Bloom, M'48. is President of the Sufolk County (New York) Medical Society. The neurosurgeon lives at 158 South Penataquit Avenue, Bay Shore. New York, and is a member of the Congress of Neurological Surgeons, among other professional organizations.O Dr. Raphael S. Good, M'48, director of psychiatric consultation and liaison service at the University of Miami, Florida School of Medicine, is certified in psychiatry by the Amer1can Board of Psychiatry and Neurology. He is also a Diplomate of the American Board of Obstetrics and Gynecology.O Dr. Alfred Jay Shapiro, M'48, dermatologist, is State President of the New 52 Jersey Dermatology Society. He lives at 265 South Lincoln Avenue, Oakhurst, New Jersey. Dr. Shapiro is a member of the American Society of Dermatologic Surgeons.O Dr. Harold Bernhard, M'49, clinical associate professor of medicine, and Head of the Gastroenterology Section. Milla r d Fillmore Hospital. has been elected Governor for Northern New York of the American College of Gastroenterology.O Dr. llerbert Lansky , M'49, wrote an article on Buffalo's 1977 Winter that appeared in the April issue of the Journal, College of American Pathologists. Dr. Lansky covered the medical, hospital and laboratory angle of the blizzard. He is a clinical assistant professor of pathology and legal medicine at the Medical School.O The Classes of the 1950's Dr. Paul L. Weinmann, M'54, clinical associate professor of dermatology at the Medical School. has been appointed Chief. department of dermatology. Sisters of Charity Hospital. He is President of the MedicalDental Staff of the Columbus Hospital and is also the Director, department of dermatology of St. joseph intercommunity Hospital; Director of the dermatology clinic of Deaconess Hospital; and Chief of the department of dermatology at the Emergency Hospita l and Buffalo Columbus Hospital. Dr. Weinmann has been elected a Fellow of the Royal Numismatic Society. London, England.O Dr. Winifred G. Mernan. M'55, has been appointed director of student health services at Buffalo State College. She has been senior physician at the Weigel Health Center. Buffalo State, since 1967 and college physician from 1963-67.0 Dr. Oliver P. Jones, M'56, Distinguished Professor Emeritus, was guest lecturer at the College of Physicians of Philadelphia, recently. lie spoke about "Or. Austin Flint and Physica l Diagnosis in Ame rican Medicine."O THE BUFFALO PHYSICIAN �The Classes of the 1960's Or. Franklin Glockner. ~1'60. orthopaedic surgeon, is chairman. department of orthopaedic surgery. Berkshire Medical Centet· Hospital. Pittsfield, Massachusetts. He \\LIS recently appointed to assistant professor of orthopaedic surgcr) at the Universit) of Massachusetts t\lcdical School when his hospital became part of the school's medical program.O Dr. Ronald I. Dozoretz. M'62, is Medical Director of Portsmouth Ps\chiatric Center a 100 heel private psychiatric hospital in Por.tsmouth, Virginitt. He recently opened and enlarged a new 100 bed psychiatric hospital in Salem. Virginia. lie has also been elected ch<llrman of the Virginia Committee of the \;'ational Association of Private Ps\chiatric llospitals and an officer in the ·virginia '\europs)chiatric Society of Virginia. Dr. Dozoretz has been practicing in Portsmouth. Virginia for approximate!~ 11 years. He trained <II C<1se Western Reserve in Cleveland, Ohio und spent two \Cars at Portsmouth 1\:aval llospital follcw.:i~g his residency.D Two 1962 graduates. Drs. Eugene Flamm of Brooklyn, N.Y. and M. Peter lleilbrun of Salt Lake City, Utah have been appointed to the <•ditorial board of a new journal. ~\'f!Urosurgerr. The first issue \vas published tn july.O Or. Robert •\ Klocke. :V1'62. is the new president of the '\c\\ York Trudeau Societr (:'\ew York Chapter. American Thoraci~ Society). Or Klocke is associate professor of m e d i c i n e <1 n u .1 s s i s 1a n I p r o f e s so r o f physiology at the ~1edical School and on the stalf of E.J. ~feyer Memorial Hospital. He is chairman of the audiovisual committee of the Amt>rican Thoracic Soctel>/American Lung Association and chairman of the patient services and professional education committee of the American Lung Association of Western New York.O FALL, HJ77 Dr. Robert W. Hamilton, l\1'63, has been promoted to associate professor of medicine ,tt the Bo\\ man Gra~ School of Medicine of \Vake Forest Uni\'crsil\. t\ nephrologist, Or. Hamilton was appointed to the Bowman Gra) facult)- in 1974. In addition to his other responsibilities in Leaching, resc.trch and patient care. he heads the mQdical center's home dialysis unit for patients with renal disease. He holds the B.A. degree from the University of Delaware. He completed r<'sidcney training at the University of Maryland llospit,ll and fellowship training in nephrology at the llospital of the University of Pennsyl\'ania. · Prior lo his appointment to the Bowman Gray faculty. he was an assistant professor of medicine rll th<! Uni\'ersity of Pennsylvania School of Medicine. Or. I lamilton is married to the formet· Carol Ann jones of Jerse~ City, 1\!.j. They ha\'e one child.O Dr. Kent "\. Gershengorn. M'65. whose ts c,lrcliovascular disease. is assisl<~nt clinical professor of medicine at the L'ni\'ersity of California ~ledical School at San Francisco. He 1s also Director of the Carcliolog> Outpatient Department. Dr. Gershcngorn lives at 5 Fairway Drive, San Rafaci.O special!~ Ot·. Ronulcl F. Young, M'65, recently transferred from SUNY Upstate Medical School, Syracuse, ew York lo Chief. Division of Neurosurgery. llnrbor General Hospital. Torrance. California. He is also Associate Professor of \lcurosurger> at UCLA. Dr. Young li\·es .tt 3632 Navajo Place, Palos Verdes. California.D Or. William ~1. Burleigh. M'67, pathologist. was recently married to Deborah Tassey. .1 medical technologist at his lahorator\' ,1t the Saddleback Communitv llospital. · LtCuna !It lis. California. Dr. Gary Wilcox, :'\.1'73. is also a member of the lab. Doctors Burleigh and Wilcox did quite a bit of sailing together the last four years while Dr. \\'ilcox w,ts a pathology resident at Harbor Gener<tl I lospital. Or. Burleigh is a Diplomate of the American Board of Palhology.O 53 �Class of 1957 at Spring Clinical Days - (Rollom flow) Germonte Banco/do, Herbert \lfetsch. Myron Gorsenstt:Jn, R Honold '/'offolo. Horns Kane/. Robert Sussman, Sherman Woldmon, Ben Celn1ker Sol Messingt~r. (Top Row) Honey Klein. :\rthur Boeck. Charles Lowe, Charles O'Connor. Ross 'Aorkello. Richard Rovner. WJIIJOm Wt•ndt~. Edward \\'cisenheimer. Hichord \\'okn(leld. John Cusick, Robert Carpenter. Sam Yeoslros, F'ronk Chofel. Harold CasiJiom•. Or. David J. Fugazzotto, M'67, is in pediatric group practice (fifth year) in Birmingham, Alabama. He is secretary-treasurer of the Jefferson County Pediatric Society and secretary of the Children's Hospital staff of Birmingham. Or. and Mrs. Fugazzolto's third child, Paul, was born in September, 1976. The family live at 2708 Cherokee Road, Birmingham.O Or. John E. Shields. Jr., M'68, medical specialist with the New York Telephone Company, has been transferred from Buffalo to New York City. He is also working part time in a cardiac rehabilitation program in Hicksville, New York for the Island Cardiac Group. Dr. Shields' address is 310 West Neck Road. Hunting, New York.O Or. S. K. Bosu, M'69, writes that he has left private practice in pediatrics/neonatology to devote more time to clinical research. He is associate director. Newborn Services. Long Beach Children's Hospital, California. He is also clinical instructor in pediatrics at the University of California (Irvine) College 54 of Medicine. and secretary-treasurer of the Long Beach Pediatric Society.D The Classes of the 1970's Dr. Elliott Brender. M'70, is in private practice in General Colon and Rectal Surgery in San Francisco, after completing a chief residency in surgery at Mt. Zion Hospital in that city. He lives at 540 Midvale Way. Mill Valle}. California.O Dr. Neil Garroway, M'70, whose specialty is internal medicine and endocrinology. is a clinical instructor at the University of Rochester (New York) Medical School. He is also Medical Director of the Northeast Health Center of Rochester.O Or. Jan M. Novak, M'70, is now in private practice of gastroenterology in Augusta, Georgia after spending two years as a gastroenterologist in USAF. He is Board Certified in medicine and gastroenterology. Dr. Novak lives at 3402 Wheeler Road, Augusta.O THE BUFFALO PHYSICIAN �Dr. Terry Clark. M'71. completed a residency in radiology at the University of Virginia in Charlottesville and has entered private practice in Greenville. South Carolina. The Clarks' new address is Liberty Hill. Satula Lane, Clemson, South Carolina. Dr. Kenneth M. Piazza, M'71, recently relocated his office from Kenmore, New York to the exclusive practice of Behavioral and Psychotherapeutic Bariatrics in the Doctors Center. 7000 Fannin Street, Suite 750, Houston, Texas.O Dr. Kenneth Solomon, M'71, assistant professor of psychiatry. Albany Medical College, has written a book of selected poems. Journey to Hygeio. Dr. Solomon began writing poems in 1964 after being influenced by his freshman English professor at NYU. Byrne Reginald Spenser Fone. Vantage Press. Inc.. 516 W. 34th St.. New York City is Lhe publisher. Dr. Solomon, his wife and two children live at 5-B Picturesque Parkway, Schenectad>. \1. Y. 12303.0 Dr. Donald F. Storm, M'71, has joined the medical staff of Sisters of Charity Hospital, Buffalo. lie took his internship and residency at Children's llospital. Pediatrics is his specialty.O Or. JeffreyS. Perchick, M'72, is in private practice in Plainfield. New Jersey (as of July 1} after finishing hematology-oncology training at Strong Memorial Hospital, University of Rochester, New York. His home address is 1239 Evergreen Drive. Bridgewater. New Jerse}.D Dr. Stuart R. Toledano, M'72, is currently a second year oncology Fellow at the Children's llospital, Philadelphia, after completing two years as a pediatric hematologist in the USAF. Or. Toledano is newly certified by the American Board of Pediatrics and is an associate member of the Southwest Oncology Group. He lives at 8200 Henry Avenue, K-18, Philadelphia.O Or. Anna Ganczewski, M'74, ts a psychiatr} resident at Massachusetts General Hospital. Boston, after completing a two year medical residency at Maryland General Hospital. Baltimore. She lives at 6 Soldiers Field Road. Apt. 418, Boston.O Dr. Stephen W. Sadow. M'75, changed surgical residencies as of July 1st to St. Vincent's Hospital. New York City (from NYU Medical Center), training to continue in general surgery. lie lives at 220 East 67th Street, New York City.D Bollom row: joseph P. /\mwn1o, Hobert G Ney, Anthony]. Floccare, Gerald E Patterson, R1clwrd C. Usc10ndro. ]ames T. Bumbolo. }oSPflh R G1•rhasJ, SebostJan Fasanello. Top row. Anthon}' P. 1\larkcllo. Charles G. Adorns, 1\lichael M Madden. /ucl; C. F1sher, OIVI'n G Hossmun, CJu\'Jcl E. Carlson, Paul J. Loree. ------------------------------~------------~ Class of 1962 at Spring Clinical Days 55 �Class of 1927 at Spring Clinical Days flnllom ron \Ill !On /1 Palm,..r, 1 Fn·rlt ru;k f'Uinlon, \\ JI!Jom \\ \lt•tssnt•r, \le}t'r I I llil\·hchun, I Thcodon• \'ulonP, Joseph I I'll lop TO\\ Jost•ph R .\Julien , i\rlhur C. llussl'njruu, Somu• I I GosiJlono. \\ Jlliom J. Krhl,.r, /r. ,\'nrmon 1 \\ (l/L c;r•ruld I. \lurph\, frank ,\I GrrJr·n. llcrhr•rl Ht·m o/J, Richard I. Suunr/crs, Arthur I~ Funk. I llll"ft•nc;r I. <~url1nn, Even•ll \ \\ oorll\ urlh, fohn ,\. /.P.onc People Dr. R. M. Bannerman spoke on "Famil~ Trees and Genetic Counseling" at Toronto's Ro\ al Canadian Institute. The oldest scienlifi.c societv in Canada. it "'as founded in 1849 to fosicr advances in scienc~!s and \\as instrumental in securing adoption of si.Jndard time. Through a series of winter lectures. advances in sciences are communicateclto the public. Dr. Bannerman is professor ol medicine and pediatrics as" ell as head of the division of medical genetics at U/8. He explained that genetic counseling is one of the majm applications of medical genetics. \\'hilt: hased on applying Mendelian principlPs to family data (pedigrees). he pointed to a better under sIan ding I h rough n <' \'\ biochem ica 1/cytogenetic methods. "PI'ac:titioners need to work with a lcum to provide access to this ne\'\.' knowledge," he said . \\'hat genetic counseling is. how it should be done. who should do it and its role/ regulation in society were some of the topics he discussed at the Institute. 0 Or. Felix \tilgrom, professor and chairman of the department of microbiology. has bc<!n elected vice president of the Transplantation Society. 0 5H Dr. \Villard Elliott, professor of biochemistrv. was on an India-U.S. Scientists Exchange \ilstt to India during March, under the aegis of NSF-CSIR. He presented a research paper, an hour lecture and chaired a session at the llaffkine Institute Symposium on Venoms and Toxins held in Bombay. March 4-6. In India, he also gave lectures at the All India Institute of Medical Sciences (New Delhi). Indian Institute of Sciences (Bangalore). Indian Institute of :-..utrition (Hyderabad). S.'\ Medical College (Agra). Benares Hindu l'niversity (Varanasi) hnd the V Patel Chest Research Institut e (1\:e~' Delhi). En route to India, he presented a lecture at the Razt Institute, Tehran, lran.O Dr. Eugene R. Mindell. professor and chairman of the department of orthopaedics. was recently elected to the American Board of Orthopaedic Surger). the certif) ing organization for Orthopaedic Surgeons. Dr. Mindel! will ser\'e for a six year period beginning in the fall of 1977.0 THE BUFFALO PIIYSICIA~ �Dr. Erwin '\eter, professor of microbiology and clinical microbiology, is one of the ne\'\est members of the "40-year club" of the American Society for Microbiology. He has also been appointed to the Overseas Editorial Board of Infection. Or. t\eter is on the Advisorv Committee to Medical Laboratory Te~hnolog) of the Erie Community College and an ad hoc member of the Committee on Clinical Laboratory Improvement Act of 1976 (American Society for Microbiolog)' ). 0 Dr. Carl E. Arbesman, clinical professor of medicine and microbiolo8). was named an Honorary Fellow of the Canadian Allergy Society. 0 Dr. Djavad T. Arani, clinical assistant professor of medicine. has been named a Fellow in the American College of Cardiology. 0 Mr. Fraser M. Mooney is the new associate administrator of Emergency Hospital. His appointment was effective Aprtl 1. Since 1962 he has been an assistant administrator at the E.J. Meyer Memorial Hospital. He recei\ed his bachelor's degree from U/B and his master's in hospital administration from Yale University School of Public I lealth. A new S14 million Emergency Hospital is under construction with October, 1978 as a tentative completion date. 0 Four Medical School faculty members have been elected officers in the Erie County Chapter of the New York State Academy of Famil} Medicine. The new president is Or. Richard J. Leberer, M'50, clinical assistant professor of family medicine. Or. A. Charles Massaro, clinical associate in medicine and family medicine, is the vice president and Dr. Frederick Hirsh, clinical instructor in family medicine, is secretary. Dr. Robert B. Corretore. M'56, is treasurer. He is clinical assistant professor of family medicine and clinical instructor in medicine.O Three Medical School faculty members and alumni are officers of the Western New York Society of Internal Medicine. Vice presidents are: Drs. Nicholas C. Carosella, M'54, and William J. Mangan, M'59, clinical associate in medicine. The new secretary is Or. James P. Giambrone, M'67, cLinical instructor in medicine, and Dr. Cornelius J. O'Connell, clinical associate professor of medicine and microbiology, is the new treasurer. Dr. Joseph J. Winiecki was reelected president.O Dr. David Harker, biophysics professor emeritus, was among 60 members elected to the National Academy of Sciences in May. Election to the Academy is recognition of a person's important contributions to scientific research.O Rot1<1m rou· Pett•r Julian. /t•rornt• 1. Tokar:;. Willwm S. F.dgecomb. Rrchortl }. Kenfrne. Wrllaom \I Bukowski. \nthonr S .\lt·rlrn o. fumes f '. l'hillrps. Holwrl .\1. ]Ot~ger. Jluns F. Kipping . Top row· William C. Boker, John B. She((tor. Dunwl F.. Cur· lrn. (; Robt rt.\rthurs. ]onws F. Stags. f:dl\ln ]. I.enahon./r. Arthur f Schanfer. Fn·derick lJ Whrtrng. f /bert Hubbard IIf. Sahalorp ,\qarltnu, Rob•~rt }. Dtwn. Class of 1947 at Spring Clinical Days PALL, 1977 57 People �Class of 1942 at Spring Clinical Days Bortom row: llorucc L. Bottop,lio. Robert Blum, Richard Ament, Charles A. Baudo Top row: Vincent S. Cotron11o. !.eon Yoch~lson. joseph E. Anderson, Vincent]. Par/ante, Boris L. Mormolyo. Richard !\lilonoo. People Dr. John H. Siegel, professor of surgery,was a "visiting professor" at three universities in Italy in March and April. He lectured on various topics and taught in the surgical residency program at Sacra Cuore in Rome. More than 500 physicians attended the postgraduate courses. At Dell'Universita Di Milano in Milan Dr. Siegel's topics were "Portal Hypertension" and "Pathophysiology of Shock Lung." In Brescia at the Universitario Lombardia Orientale his topic was "The Pathophysiology of Shock Lung." This was a conference in continuing surgical education for both practicing surgeons and residents. "Surgical Treatment of Chronic Pancreatitis" and "The Management of the HighRisk Surgical Patient" were the topics at Universita Cattolica Del Sacra Cuore in Rome.D Dr. Elliot F. Ellis, professor and chairman, Department of Pediatrics, has been elected president of the American Board of Allergy and Immunology, a Conjoint Board of American Board of Internal Medicine and the American Board of Pediatrics. The Board is 58 composed of seven internists and seven pediatricians in the field of allergy and immunology, and is responsible for the establishment of training guidelines and certification of physicians specializing in allergy and immunology.O Dr. Robert J. Powalski, M'54, clinical instructor of gyn/ob was recently installed as president of the Sisters Hospital medical staff. Dr. Powalski is on the hospital's attending staff in obstetrics and gynecology. Other officers are Dr. John Curtin, clinical instructor in medicine as secretary, and Dr. Donald 0. Rachow, M'53, clinical assistant professor of medicine as treasurer.O Dr. Robert Guthrie, professor of pediatrics. was honored by People Inc. Services to the Retarded Adult, as the organization's person of the year for his work in developing a lest that screens newborn infants for phenylketonuria, a disease which often leads to mental retardation. Dr. Guthrie also received a certifica le from the President's Committee on Mental Retardation.D THE BUFFALO PHYSlCIAN �Two professors of gyn/ ob. Drs. David H. Nichols, M'47, and Clyde L. Randall (emeritus). are co-authors of a book. Vaginal Surgery. Melford D. Diedrick, dir ector of medical illustrations at the University. did the illustrations. The recognition and evaluation of indications and the performance of remedial surgery for the problems associated with genital prolapse have become a primary responsibility and major activity of the gynecologic surgeon. Drs. Nichols and Randa]] strongly believe that the successful reconstruction and relief of the discomforts of prolapse depend on an accu rate knowledge of probable etiologic factors plus an appreciation of the specific principles involved in effective repair. Thus. in this volume , reparative vaginal surgery is carefully and completely examined within the context of the question "What is reall y normal?" Vaginal Surgery expresses the definitive goal of the a rt: the restoration of anatomic relationships and related physiologic functioning. The superb illustrations. created expressly for Vaginal Surgery. are carefully positioned to emphasize points of discussion. Vaginal Surgery is a significant contribution to the literature.D The five-year plan fo r deinstitutionalization of the mentally retarded in New York State calls for large numbers of retarded persons to be released from State institutions. At the present time there is very little known about the impact deinstitutionalization will have upon the retarded. their families. and the community. Under a grant from HEW Developmental Disabilities Bureau. Dr. Barry Willer, assistant professor, division of community psychiatry, department of psychiatry, has begun an extensive study of the impact of deinstitutionalization. Preliminary indications are that numerous problems and issues related to the release process have not been adequately taken into account in the rush to reduce the population of State institutions.O Dr. E. Russell Hayes . professor of anatomical sciences, was made an honorary member of Lambda Lambda ehapter, Omicron Kappa Upsilon honorary dental fraternity, in ceremonies at Brookfield Country Club. He is only the sixth non-dental professional to be honored by the local chapter in its 41 years at U/ B. Hayes teaches histology-embryology in both the Schools of Medicine and Dentistry and has been on the faculty for some 20 years.O !lollom W I \' \\ 1llrom R Lewrs. l.l·o f; Kopuc, Benjamin F.. OIJ/etz. \ f} ri le Wrlcox Vincen t. Ro} B. Rr·od, Elmf'r f'nendlond lr,p rol\" ,\nge/o F. Leon~•. Ro) mond J ,\JcCorlhy. Ernest Homokuy•. Thomas Hobbie•. \\'ill 10m W PrPrcc•. Fr ank G. Leone. Rulu•rt H Northrup. ' Drs. 1/omoku >• and l/obbic: ore p.ruduotc•s of the class of '33. How ever . they w er e invited to a tte nd this re union due to lht•rr c/os1~ association w ith th1• class of '32. Class of 1932 at Spring Clinical Days FALL. 1977 59 People �Class of 1937 at Spring Clinical Days Bollom row: Charles R BorziJJeri, Jr.. Charles F Bonos. Rober! W. Lipselt, David H. Weinlrouo. Ellen ,\1 Nicholson. Thl'odore C. Flemmmg. Augustus f. Tronella, William L. Boll. Top row: George F. Koepf. Rose .\1. Lenahan. fumes D \toc:Cullum. Kennf'lh ,\t. Alford. Soli Goodman. Samuel 1\. D1spenzo. t\llce Chollen LoGrasso, Franc1s E Ehret. Edwin 1\rn•dt•monn People Dr. Gordon Dr john W. Boylan, professor of medicine and physiology. received a special citation for Distinguished Service to Research from the American Heart Association in June. The citation was in recognition of Dr. Boylan's completion of five years of dedicated service as a member of the National Research Committee of the Association. Dr. Boylan is also serving as chairman of the Scientific Advisory Board of the National Kidney Foundation.O Dr. Mildred Gordon, associate professor of anatomical sciences, has presented a number of seminars over the past few months on two different aspects of her research on cell biology of reproduction. At Morehouse and Clark Colleges in Atlanta, Universities of Georgia and South Florida, and the City University of New York. she spoke on membranes of mammalian sperm and the cyclic differentiation of human endometrium (its relation to fertility as well as infertility). In May she cochaired a session on female reproductive tract at the American Association of Anatomists in Detroit and in July she was a discussant at two Gordon Conferences.O 60 Dr. S. Kathryn Zalenski, clinical assistant professor of microbiology. is associate director of the Buffalo Regional Red Cross Blood Center.O Dr. Summer J. Yaffe returned to the campus in June as the William N. Creasy Visiting Professor of Clinical Pharmacology. The Burroughs Wellcome Fund sponsored Or. Yaffe's visit to the Medical School and Children's Hospital. Dr. Yaffe is professor of pediatrics and pharmacology at the University of Pennsylvania School of Medicine. From 1963 to 1975 he was professor of pediatrics at the U/B Medical School. In addition to the William N. Creasy Memorial Lecture, Dr. Yaffe made rounds with facultv. housestaff and medical students, conducted ·a research seminar and spoke at a clinical conference. Dr. Yaffe was one of ten men selected to be William N. Creasy Visiting Professors during the 1976-77 academic year. The Visiting Professorships honor the former President and Chairman of The Burroughs Wellcome Fund, the late William N. Creasy. His efforts to strengthen the discipline and to encourage those working in the field have had a profound and enduring influence on clinical pharmacology .0 THE BUFFALO PHYSICIAN �The April 25 issue of JAMA features Buffalo physicians in three articles. The lead editorial. "Skin Cancer in Immunosuppressed Patients," was written by Or. john C. Maize. assistant professor of dermatology and clinical assistant professor of pathology. The original contributions: "Prevention of Hyaline Membrane Disease with Plasminogen" (a cooperative study) features faculty from the Medical School and Roswell Park Memorial Institute: Drs. Clara M. Ambrus, resear ch associate professor of pediatrics; Tai S. Choi, clinical assistant professor of pediatrics; Evelyn Cunanan, clinical instructor in pediatrics; Bernard Eisenberg, clinical associate professor of pediatrics, clinical assistant professor of social and preventive medicine; Henry P. Staub. Goodyear Chair associate professor of pediatrics; David H. Weintraub. M'37, clinical professor of pediatrics. Norman G. Courey. clinical professor of gyn/ob; Robert J. Patterson, M'SO, clinical associate professor of gyn/ob; Hubert jockin, associate professor of pathology and pediatrics; john W. Pickren. clinical professor of pathology; and julian L. Ambrus, research professor of medicine. The lead medical news article, "Various Ways in which Individuals can help Detect Cancers Early," features among others Drs. Edmund Klein, research professor of dermatology; john M. Lore, Jr., professor and chairman. department of otolaryngology; and Donald Shedd. research associate professor of surgery.D Joseph Paris, director of the Veterans Administration Hospital of Buffalo was honored at the lOth annual Americanism Dinner Dance. April 30, at the Executive Lounge. The award dinner, sponsored by the Francis A. Lombardo American Legion Post, 1031 of Delaware Ave., honored Mr. Paris for his more than 32 years of dedicated service to veterans. Mayor Stanley M. Makowski presented the Bison Award to Mr. Paris. He is a fellow of the American College of Hospital Administrators and a member of both the Western New York Hospital and the American Hospital Associations along with many other medical and health service related agencies.O Or. Kyoichi microbiology. was Quality Control Histocompatibility States.D Kano , professor of appointed recently as Inspector of Clinical Testing in the United Buttom ro11 John \ ' ltuncho((. OlivN 1 Sluner. Burton Stu/berg. Bernie P Vav1s. PhoebP f: Soturen. Victor A Panaro . .\IIddie row. Fronc1s A Fole, So/on U . Gottlieb. fames F Zeller. Neal W Fuhr, Kurl I Wegner. Robert A Baumler. L:·onurc/ I llPrrnun, Ho) f Thurn, fohn 1 Bonos. Tmre Szabo. 'l'op row: Melvin B Oyster. Rolph M. Ob/er. Joseph E. (,r.nP~nch. CJono/d F Vnhn. S. t\aron S1mpson, Wilbur Schwartz. Roy V. ,VI iller. Donald f. Kelley. Class of 1952 at Spring Clinical Days PALL. 1977 61 �In M emoriam Dr. Francis T. Carbone, M'25, died Apri1 27 in Berkeley Heights, New Jersey. He was 78. In 1927 Dr. Carbone was an assistant in bacteriology at the Medical School. He was a surgeon on the staff of Emergency Hospital and active in several professional organizations. He received his A.B. degree from Canisius College.O Dr. WilliamS. Ruben, M'27, died May 11, 1976 of myocardial infarction in Brighton, New York. He had been in general practice in Rochester, New York. He had been active in several professional associations.O Dr. Thomas E. Hague, M'73, chief resident in ophthalmology at Deaconess Hospital, died Apri117 when he fell from a fifth floor open window at 800 W. Ferry Street. He was an associate professor at Erie Community College-North and a lieutenant in the United States Naval Reserve.D Dr. Elroy L. Fulsom, M'33, died March 25 in Millard Fillmore Hospital after a onemonth illness. He retired about one year ago, but maintained an association as surgery assistant at Mt. St. Mary's Hospital, Lewiston and the Niagara Falls Memorial Medical Center. He was forme rly an examining physician with the county Social Services Department and on the Medical School faculty. He was on the medical staff of Deaconess Hospital, where he interned. During World War II Dr. Fulsom served as an Army Air Corps medical officer in North Africa with the rank of Lieutenant Colonel. He was active in several professional associations.D Dr. Aaron Pliss, M'30, died March 17 in Florida. He practiced in Lackawanna before taking post-graduate training at the University of Pennsylvania Medical School in ophthalmology. He returned to Buffalo and was an associate in ophthalmology at the Millard Fillmore Hospital. Dr. Pliss was a member of the American Academy of Ophthalmology and Otolaryngology. He was also active in several other professional associ a tions.O 62 Dr. Julia Lockwood, associate professor of physiology when she retired in 1958, died April 23. She was 75. She spent her retirement years living as pioneers did in the Town of Eden. In 1936 she became the first woman to receive a Ph.D. degree from U/B and served successively as lab technician, instructor, assistant and associate professor. Former students recall her as "a dynamic, vivacious person." Before returning to U/B in 1932 she was an assistant in the College of Home Economics at Cornell, then an assistant in the nutrition division of Columbia University's chemistry department, and a drug researcher for a pharmaceutical company.O Dr. J. Frederick Eagle, Jr., who was on the Medical School faculty from 1951 to 1955, died March 29 in Manhattan after a long illness. He was 59 years old. He took his residency at Children's Hospital. Most of his career was devoted to medical education and research. He was dean of New York Medica l College, president of the Associated Medical Schools of Greater New York, member of the New York City Board of Health and Board of Hospitals, and scientific director of the city's Health Research Council.O Dr. Leon J. Leahy, M'20, died April 13 at the Presbyterian Home after a long illness. The 79-year-old physician was former chief of surgery at Children's Hospital and consulting surgeon at The Buffalo General Hospital. He was on the Medical School faculty from 1923 to 1961. He was a clinical professor of surgery when he retired. Dr. Leahy went into semi-retirement in 1957 but remained active at both hospitals on a consulting basis until the 1960s. He belonged to a number of professional and civic organizations including: a FelJow and life member, American College of Surgery; American Association of Thoracic Surgery; American Board of Surgery; American Board of Thoracic Surgery; American Medical Association; Buffalo Academy of Medicine; chairman of the committee to administer the Department of Surgery, University of Buffalo Medical School, and a past president of the Upstate Society, Thoracic Surgeons and the Buffalo Surgical Society.O THE BUFFALO PHYSICIAN �Leonard Spicer, 27, a fourth year medical student, was killed in an automobile accident April 10, four weeks before he was to graduate from the School of Medicine. He was a native of Baltimore, Maryland and he ~ad planned to return there for his residency 10 public health. He was graduated from the University of Maryland and attended Morgan State College one year before entering U/B in August, 1973.0 Dr. Ruth T. McCrorey, a professor of graduate nursing education at the University and a former dean of the School of Nursing, died April 7, at E.J. Meyer Memorial Hospital after a lengthy illness. She was 61. A nurse for 40 years and dean for eight of those - from 1966 to 1974 - she eagerly helped and encouraged expansion of the nursing profession's role in health care. She guided the School through a complete curriculum revision and increased the number of faculty and students both in the graduate and undergraduate programs. Under her influence, faculty and students Were encouraged to become more involved in community services. Dr. McCrorey once commented that more changes had occurred in nursing during the past five years than in the Previous 25, and she was looking forwa rd to other changes on the horizon. A native of Erie, Pa., Or. McCrorey received her nursing diploma from Buffalo City Hospital (now Meyer Memorial) in 1936. In 1942, she was one of the four nurses to graduate from the first School of Nursing Class at U/ B. She went on to Columbia University where she received both the M.A. and Ed.O. degrees. She was president-elect of District 1. New York State Nurses Association at the time of her death and was a vice president of the New York State League for Nursing. She was a past president of the New York State Council of Deans of Nursing in Senior Colleges and Universities. A scholarship fund is being established at the U/8 School of Nursing by her friends and colleagues. Contributions can be made to the Ruth T. McCrorey Nurse Scholarship Fund, School of Nursing, 115 Cary Hall.O FALL. 1977 In Memoriam Dr. Frederick S. Craig, M'28, an orthopedist who was a pioneer in diagnosing cancer of the spine without resorting to surgery, died March 29 at Tompkins County Hospital in Ithaca. N.Y., after a short illness. He was 72 years old and lived in Bartow, Fla. Using what came to be called the Craig needle for ver tebral biopsies, he popularized the nonsurgical method for removing bits of tissue from the spine for diagnostic examination of lesions or tumors and to determine the presence of cancer, the type of cancer and what treatment was appropriate. The method, which was also being developed in other countries, was devised by Dr. Craig in the mid-1950's when he was an associate professor of the New York Orthopaedic Hospital, a unit of the ColumbiaPresbyterian Medical Center in Manhattan. The surgeon was on the staff of the hospital for 26 years-first as a resident, then as a fellow and then as an associate professor of orthopedics from 1955 until 1970 when he retired at age 65. A former colleague, praising Dr. Craig's closed biopsy technique, described him as an affable and enthusiastic specialist who was dedicated to both his patients and students. An energetic man. Dr. Craig continued his practice until he became ill. He had a private practice in Columbus, Ga., from 1970 to 1975 and, for the last two years had been in charge of orthopedic educaiion at Polk General Hospital in Bartow. Fla. A native of Hamlin, N.Y. , he won bachelor's and medical degrees at the University of Buffalo. He did his internship at Jefferso~-Hillman Hospital in Birmmgham, Ala., and then served as a flight surgeon, with the rank of captain, in the Army from 1929 to 1933. He maintained a general medical practice with his father in Hilton, N.Y .. until 1944 when he became an orthopedic resident at the New York Hospital. which became part of the Columbia-Presbyterian center in 1951. Or. Craig was also on the staff of Bellevue and Comfort Hospitals. He was a Fellow of the American College of Surgeons.O 63 �Alumni Tours, 1977-78 SEPTEMBER 10-20 RHINE RIVER CRUISE S76Q + 15<1& Buffalo departure (PAN AM 707 . 180 seats. 3 days in Lucerne, Switzerland • Hotel Grand National. 3 days Rhine River on Holland Emerald, 3 days in Amsterdam, Holland • Amsterdam Hilton - 2 meals daily in Lucerne, 3 meals daily on board ship, breakfast daily + 1 dinner in Amsterdam) MARCH 12-19 1978 Medical-Dental Continuing Education Seminar MARTINIQUE $449 + 15 1t c Ntagara Falls Departure (Capitol Airlines DC-8 stretch, deluxe Meridien Hotel sports: optional dining plan available). For details write or call: free tennis and water Alumni Office. S llNYAB 123 Je~..·ctt Parkway Buffalo. N. Y. 1-1214 (716} 831-4121 The General Alumni Board- PHYLLIS M. KELLY, B.A. '42. President; ERNEST J. KiEfER. B.S. '55, President-elect: JOHN R. VONA. D.D.S. '61. Vice President for Activities; WiLLIE R. EVANS, Eci.B. '60, Vice President for Administration; MICHAEL F. GUERCIO. A.S.C. '52. Vice President for Athletics; M. DOLORES DENMAN. J.D. '65, Vice President for Constituent Alumni: SUSAN D. CARREL, Ph.D. '76, Vice President for Continuing Educot10n; CHARLES S. TIRONE, i\I.D. '63, Vicf' President for Development and. Membership; ROBERT E. LIPP. J.D. '68, Vice Pres1dent Jor l.egislotn•f' Relations; STEPHEN C. TOWNSEND, J.D. '74, Vice President for Young Alumm; JAMES J. O'BRIEN. J.D. '68, Treasurer. Post Presidents. GIRARD A. GUGINO, O.lJ S. '61; GEORGE VOSKERCHIAN, B.A. '54: MORLEY C. TO'A !\SEND. J D. '68: EDMO~D J. GICI:.\\ lCZ. M.D. '56; \1. ROBERT KOREN. L.L.D. '44; WELLS E. Kl\IBLOE. ]. D. '50. ~1edical Alumni Association Officers; DRS. \.1ICHAEL A SL'LLI\' Al\, M'53, President; W. YERBY ]0\:ES, M'24. Vice President: EDMO:--JD J. GICEWICZ. M'56. Treasurt'r, JA~lES 1-. PHILLIPS. ~1'-17. Immediate Post President. Boord ,\1(.'mbers - CARMELO S. AR~lEi\lA, t-.1'49; GEORGE 'A FUGITT, M'45: ROBERT W SCHUL1Z. M'65; EUGE!'\E SULLIVAN, t\.1'63; CHARLES TA ll\:ER, M'43; LAWRENCE M. CARDEN, M'49, Program Committee Chairman; \lORMAN CHASSIN, M'45, Exhib1ts Chairman, MILFORD C. MALONEY. M'53, Post President. Annual Participating Fund for Medical Education Exccuth·e Board for 1977-78-DRS. MARVIN L BLOOM. M'43, President; HARRY G. LAFORGE, M'34, First Vice President; KENl\ETH II. ECKHERT, SR .. M'35, Second Vice President; KEVIN M. O'CORMAN. M'43, Treasurer; DONALD HALL, M'41, Secretory; MAX CHEPLOVE, M'26, lmmediate Past President. 64 THE BUFFALO PIIYSIC!At\ �A Message From Michael Sullivan, M'53 President Medical Alumni Assocrolion Dear Fellow Alumni. . It is wrth great pleasure that 1invite you to personally participate tn the affa1rs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of yo~r organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Sulln·un ----- -- -----------------------------------------------------First Class Permit No. 2210 Buifalo, 1:\i.Y. BUSINESS REPLY MAIL HO ~OSTAGE" STAMP Nt:CESSARY tf" MA fLK-0 .H POSTAGE WILL BE PAID BY- Buffalo Physician 28 Diefendorf Annex 3435 Main Street Buffalo, New York 14214 TH~ UNlTC:O .t'ATC.S �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET. BUFFALO. NEW YORK 14214 1 2l4 ............ ....,....... ~ -------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) N a m e - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - Year MD Received---Office Address - - - - - - - - -- - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - HomeAddress - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB.MDreceivedfrom ~----------------------------------­ InPrivatePractice: Yes 0 In Academic Medicine: Yes No 0 SpecialtY----- - - - - - - - - - - -- - - - - - - - - - - - - 0 No 0 Part Time 0 Full Time 0 School ----------------------------------Title Oilier= ------------------- - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - Medical Society Memberships:--------- - - - - - - - - - - - -- - - - - - -- - - - - - - - NEWS: Have you changed positions. published, been involved in civic activities, had honors bestowed, etc.?------ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1977 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1977-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1977-03-Fall Table Of Contents A list of subunits of the resource. Medical Alumni Officers Dean Naughton's Message Dr. Sullivan's Message Spring Clinical Days Classes Give $23,010 Continuing Education A Physician Faces Disseminated Reticulum Cell Sarcoma in llimself (Part VI C) Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes. M.D. Medical Data Center Dr. Reimann First Delivery Yearbook Honorees Dr. Markello Reception for Semors Commencement Students Honored Reflections by Ourel Smith, M.D. Dean Naughton's Address Acupuncture Buswell Fellows The 1977 Storm Dr. Rowe Ambulatory Care Center The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-05 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v11n03 Extent The size or duration of the resource. 68 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/9970c064d4a30b656b0e9991416ddcfe.pdf 3730c532b606753e49dfb047e87d74d6 PDF Text Text �Dear Alumni and Alumnae: Dean Naughton From the desk of John P. Naughton, M.D. Dean, School of Medicine The Health Professions Educational Assistance Act of 1976 is now law. Although one might cynically ask who is it assisting, there is little doubt that this legislation which required several years of congressional effort to complete, tremendous controversy, and considerable agony on the part of leaders in medical education prior~~ passage is, indeed, a landmark. Its principles and directions wil affect the very nature of the medical educational process and the character of future physicians for years to come. There are too many features to list in this communique. However, there are some items which affect SUNY / Buffalo directly. These are principally three: 1. A national quota which will fix the number of students reb quired to volunteer for the newly created ational Healt Service Corps at enrollment to medical school. 2 . Creation of an educational experience for American students enrolled in foreign medical schools. 3. Provision that by 1980, fifty per cent of the graduate trainees supervised by a medical school and its faculty must be assigned to a primary care specialty. These are defined a~ family medicine, internal medicine, pediatrics an gynecology-a bs tetrics. . 11 Failure to meet these requirements by the School can and WId probably lead to forfeiture of the proposed capitation. This coulf mean a loss of about 1.2 million annually in revenue to SUNY/BU falo. I am pleased to report that SUNY/ Buffalo already has a viable COTRANS program which has made it possible to matriculate ten to twelve New York students annually. Similarly, we now have fo:ty two per cent of our supervised graduate education placements ~n primary care, and our proposed future expansions particularly 1n the Veterans Administration Hospital should make it possible for us to comply with that aspect of the legislation by 1980. The first requirement is the most difficult to predict. At the present time there will not be a per sch.ool quota, but rather, a national q~ota desig~e~ to attract twenty hve per cent of an entering Amencan mediC~ school class, or approximately 3,800 volunteers . Should thiS system fail, future legislation might assign individual school quotas. . Thus, from the School's standpoint, I believe that we will be !0 a responsive posture and we will be able to participate in the Federally mandated program. However, there are certain pressures which will be brought to bear on medical students. I will summarize these in my next communication with you. Sincerely, John Naughton, M.D. Dean, School of Medicine, SUNY/ B �Winter 1976 Volume 10, umber 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD 2 Editor ROBERT S. MCGRANAHA Managing Editor MARIO MARIONOWSKY Dean, School of Medicine DR. JOH AUGHTON Photography HUGO H. U GER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACAKA )A Do ALD E. WATKINS Secretary FLORENCE MEYER Co SULTANTS President, Medical Alumni Association 12 13 14 16 18 19 20 21 22 23 24 25 26 27 DR. JAMES F. PHILLIPS 28 President, Alumni Participating Fund for Medical Educatwn 30 32 35 DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JOHN M. CARTER Director of Public Information JAMES DESANTIS Director of University Publications PAULL. KANE 38 41 42 45 46 48 Vice President for University Relations DR. A. WESTLEY ROWLAND 50 51 52 55 56 58 59 62 63 64 Dean Naughton's Message (inside front cover) A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI A) Cancer: Its Effects on the Family of the Patient by Samuel Sones, M.D. Dr. Lee Resigns New Surgical Technique Enzyme Activity/Aging Summer Fellowships Continuing Education Dr. Sultz/Government Interference COTRANS Program Fifth Pathway Program Health Hazards County Health Chief Student Health Pharmacy Dr. Phillips' Message Dr. Cropp Dr. Lebenthal Music/ Medicine Relationship Physical Fitness The 1980 Class A Physician Speaks by Edward Rayhill, M.D. Clinical Preceptorship GYN/ OB Services Consolidated MECO Program Curricul urn Flexibility Residents, Interns Honored Notes from an Anatomy Watcher by Oliver P. Jones, Ph.D., M.D. Drs. Apicella, Nolan Honored Viruses /Interactions Deap Sea Diving Neurology Residency Medical School Deans Faculty Promotions The Classes People In Memoriam Alumni Tours The cover by Barbaro Evans focuses on the orientation of first year students (class of 1980) on pages 32-38. THE BuFFALO PHYSICIAN, Winter, 1976 - Volume 10, Number 4, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, ew York. Please notify us of change of address. Copyright 1976 by The Buffalo Physician. WINTER, 1976 1 �A Physician Faces Disseminated Re ticulum Cell Sarcoma in Himself Part VI A Can cer: It s Effects on t he Famil y of th e Patient by Samuel Sanes, M .D. INTRODUCTION In the Fall, 1975, issue of The Buffalo Physician, the Editors mentioned that my series of articles titled "A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself" had ended "for the present.·· A few months later, spending the winter in Guadalajara, Mexico, I received a letter from a pathologist, one of my former students, who is now retired in Florida. "What did that 'for the present' mean?'' she asked. "When are you going to resume the series?" Here is my answer. "I have a question to put to you. Since it is my observation that frequently a family member needs more help than a cancer patient, I wonder why you do not discuss this." The retired public health nurse who made that comment in response to one of my previous articles in The Buffalo Physician is herself a ten-year survivor with lymphosarcoma, stage III-IV. She is married and has one son. Her mother and a brother, both stillli ving, have been treated for cancer. Before and after her retirement she had worked with cancer patients and their families professionally and as a volunteer. Her question, I knew, was based on personal experience and trained observation. It hit me hard. How often, I thought, do physicians-healthy themselves and without the experience of cancer in their immediate families-pay more than superficial attention to the family of a cancer patient for whom they have accepted primary responsibility? In some instances they may not even realize that the patient has a family. This is true for medical students too. In April, at the invitation of the chairman of the UB Department of Pathology, I conducted a seminar for the entire sophomore class on "What a Cancer Patient Expects from a Physician." In how many clinical conferences to date, I asked the students, had they been actually introduced to the family of a patient, its problems, and needs? Not once, they told me, except in a course in genetics, and then for scientific purposes. I asked the same question of a graduating senior and received the same answer in regard to clinical conferences in the third and fourth years. 2 THE BUFFALO PHYSICIAN �Yet there are those who believe that the way a cancer patient, particularly one with advanced, incurable disease, adjusts to his diagnosis, how he accepts treatment, even how long he lives, depends to a certain extent on his relations to family members and their response to him. The physician who accepts a cancer patient professionally therefore has a double responsibility. Primarily he is responsible for the well-being of the affected person but also, in a measure, for that of his family. In any type and stage of cancer both may need help in coping with the initial psychologic shock and panic induced by the diagnosis. If the cancer is stage I-II, and treatment proves effective, promising long-term survival or "cure," the continuing effects on the family, as on the patient, may be minimal. But there can be problems even when the outlook seems to be a favorable one. For some patients and families the treatment and its consequences may be nearly as difficult to accept as advanced, incurable disease. It is not easy to face up to radical mastectomy, colostomy, laryngectomy, radical head and neck surgery, amputation of a limb or operations involving the sex organs. The major problems however come during the treatment and follow-up of patients who fall in the 65-70 percent estimated by the American Cancer Society to have residual, disseminated, therapyresistant, progressive, recurring, complicated, terminal disease within five years after the original diagnosis and treatment. The family, like the affected person, is totally unprepared for those problems, as it is for the initial diagnosis. They are not only physical but mental, emotional, sexual, social, economic, religious, and philosophic ones. How it meets them may affect not only the patient's condition and course, but the well-being and survival of the family itself. Cancer in a family may be so divisive and destructive a force that it produces sufficient tension and friction to lead to estrangement, separation, and divorce. On the other hand, it may be so strengthening and unifying that it leads to a closer, deeper, and more sustaining relationship than ever existed before. What happens within the family depends not only on its individual members but on the patient's physicians, hospital and other health-care personnel (special therapists, social workers family counselors, visiting nurses, homemakers, health aides: clergymen); employers, friends and neighbors; other cancer patients and families; the local unit of the American Cancer Society; community facilities and services. Varied factors cause varying situations in various families. So the families of cancer patients have problems and may need help. Let's take two almost completely contrasting examples. d-- WINTER, 1976 3 �EXAMPLE I FAMILY PROFILE An 85-year-old retired man lived in a small rural community (population 600). He and his wife, 82, had been married more than 60 years. They had a son who was a physician and two daughters who were professionals in fields allied to medicine. All lived in other parts of the United States. The man had considered himself to be in good health. Lately he had taken laxatives for constipation. He was mentally and socially alert. He and his wife were self-reliant. They went shopping, did their own housework and outside chores, and took care of a large garden. Their income was limited-Social Security and a small pension-but enough for their needs. CLINICAL CONDITION AND COURSE OF PATIENT One night, a couple of hours after dinner, the husband was seized with colicky abdominal pain. When it became obvious that there was something wrong and it wasn't going to right itself, the wife called the family doctor. He came to the home and made a presumptive diagnosis of "acute bowel obstruction." He then called the town's volunteer fire department, which dispatched its ambulance to take the patient to a university teaching center hospital 70 miles away. Dr. Roswell Park, after whom the New York State Institute for the Study of Malignant Diseases at Buffalo is named, had varied interests. He wrote an introduction to a book titled The and . Art · The book contains 25 black Doc t or 1n .. hite reproductions of European, Bfltlsh, and paintings, predominantly from .the 19th century. More than half depict a p~tlent In a family-physician relationship. Five dlustrate this article. ~merican There, an emergency colostomy was performed about 2 a.m. for an obstruction of the descending colon from what appeared to be a localized carcinoma. Two weeks later a resection of the colon with lymph nodes and mesentery was done. There was no gross intraperitoneal-hepatic spread. Pathologic examination showed a highly-differentiated adenocarcinoma, Dukes ' A. All nodes were free of cancer. (X-ray films of the chest taken preoperatively were negative for metastases.) The patient, after an uneventful post-operative course, returned home. He subsequently was readmitted to the hospital for closure of the colostomy. Again there were no postoperative complications. The hospital stay was of normal length. Regular follow-up examinations have been negative for recurrence, metastases or new primary lesions in the rectum and colon. Today, one and a half years after resection of the colonic cancer, the patient is in excellent health. In recent months he has journeyed by car and plane to visit children, cousins, brother, and sister. He walks a mile or so a day, takes an active interest in life around him. EFFECTS ON FAMILY Throughout the problems were few. husband's and father's illness, family One was the distance of the hospital from the home. The patient wanted his wife close at hand but daily visits were impossible. They compromised on daily, sometimes twice-a-day, phone calls. The physician-son, notified by his mother, got in touch with his father's surgeon immediately. The surgeon was happy to keep him 4 THE BUFFALO PHYSICIAN �informed by long-distance telephone and the son relayed the information to his mother and two sisters. All three children telephoned their parents regularly-one of the daughters from abroad where she was vacationing. When the father was finally discharged, the surgeon supplied the son with a full record, including copies of the operative, laboratory, X-ray, and pathologic reports. When the pathologic report verified the diagnosis of cancer, the question arose as to whether the surgeon should tell the patient. He consulted the wife and son. The patient had recently lost a sister and a brother-in-law to cancer. Because of his age, type of personality, and dread of the disease - and because of the clinical and pathologic stage and histologic grade of the lesion, it was decided not to be specific about the findings unless he asked. He did not. He was satisfied with the diagnosis of "tumor." This posed an additional problem for the wife since a few close friends and relatives knew that the tumor was malignant. Some of them were elderly and she could not be sure that they would not use the word "cancer" inadvertently in talking to the patient. She sat in on all conversations, monitoring them carefully. After the resection the patient was eager to go home as soon as possible despite the colostomy. He could not take care of it himself so the wife called the community health nurse who showed her how to do it. Concerned about her husband's loss of weight, she prepared tasty, nourishing meals and encouraged him to eat even when he wasn't hungry. She also devised a system of pulleys and ropes by which he could pull himself up in bed and exercise his arms and shoulders during his convalescence. A devout believer, though not a regular church-goer, the wife found strength in prayer. Friends and neighbors were attentive and helpful. The illness caused no real financial problems. Medicare, Blue Cross-Blue Shield, and a retiree's extended benefits plan met nearly all of the hospital and medical bills, which amounted to $7210. The most difficult thing for the wife was filling out the numerous complicated forms required for reimbursement and straightening out the inevitable foul ups not of her making. Finally, tears running down her cheeks, she sought the assistance of a social worker in the County's Office of the Aging. The s econd example was different from the first in nearly every way. EXAMPLE II FAMILY PROFILE The patient lived in a suburb of a metropolitan county (population 1, 100,000) with his wife of eight and a half years and their two sons, aged 3 and 5. Though only 30, he was already an executive in a firm that did business throughout the state. A promising career lay ahead of him. WINTER, 1976 5 �His wife, 29, was one of a close family of nine children. Her father, a graduate of the UB Medical School, had been a family practitioner prior to his death of coronary heart disease. Her mother was a registered nurse. One brother was a physician, one sister a nurse. An uncle also was a physician, a graduate of the UB Medical School. The couple had worked together in the same office prior to their marriage and the wife often said that when both children were in elementary school she would like to return to the business world. Meanwhile they shared the responsibilities and decisions for the home and the children. The husband was an avid golfer, often competing in area tournaments. The wife was learning the game. They had recently bought their own home and joined a country club. CLINICAL CONDITION AND COURSE OF PATIE T In early November the husband developed a persistent cough and low-grade fever. His personal physician, a family practitioner, admitted him to a teaching hospital affiliated with a local medical school. X-ray films of the chest revealed abnormalities. The right testicle was enlarged. Two days after the patient's admission, a urologist was called in consultation. He recommended an operation. This was delayed for a week because of congestion in the lungs shown on the X-ray films . THE VISIT TO THE HOSPITAL-Jean Geoffroy . . . Boy in pediatric ward VISit ed by his fath er. The final pathologic diagnosis was returned two days after orchiectomy. It was "embryonal carcinoma." The next morning the patient was transferred to a cancer institute by ambulance. There clinical, X-ray and laboratory examinations, and staging procedures showed the carcinoma to be disseminated with retroperitoneal, mediastinal, and pulmonary metastases. Experimental chemotherapy, including Bleomycin, was prescribed, to be given in courses. The side effects during the first course were severe. The patient suffered gastric hemorrhaging and had to be fed through a nasogastric tube and intravenously. For several days he was on the critical list. In subsequent courses of chemotherapy the side effects were milder. The patient was weak and tired. He didn't eat and lost weight. He lost some of the hair on his head. A week after his admission to the Institute the patient was given a pass to spend Thanksgiving Day with his family. He was discharged as an inpatient a few days before Christmas. Metastases had diminished in size with chemotherapy. He would continue with weekly visits as an outpatient. After two weeks at home he returned to his employment on a part-time basis but was soon working full time. He felt relatively well. He was readmitted to the Institute on March 2 for a surgical approach to removal of the remaining metastases in the abdomen and chest . The operation was performed the next day but the disease had spread too far to be eradicated by surgery. The patient didn't rally from pulmonary complications [fibrosis, embolism, and anoxia) 6 THE BUFFALO PHYSICIAN �and hepatic and renal necrosis, apparently of anoxic origin. After a little more than two weeks in the intensive care unit he was transferred to another hospital for support of his vital functions by machines. Most of the time he was unconscious. Death came three days later, March 22. EFFECTS 0 FAMILY From the moment of the first hospitalization, the husband and wife shared their fears and hopes. They talked freely, participated in making decisions. The most frustrating period for both was the 12 days in the first hospital. The family physician saw the patient every day but was noncommittal. He never talked with the wife. She tried desperately to get to see him and talk with him. She telephoned his office. His secretary assured her that he would call her back. He didn't. She spoke to the hospital receptionist and left a message for the doctor when he signed in, asking him to come to her husband's room to talk to her. He didn't. Thinking he might not be in the hospital afternoons and evenings when she usually visited, she made it a point to go in twice in the morning. Perhaps, she thought, she could see him when he was making rounds. The nurse told her that he had already left. As the days passed the wife's anger and bitterness grew. She had the feeling that the physician was avoiding her. She resented not knowing what was going on. What did the X-ray films show? What was the outlook? The urologist was more open and informative. The husband and wife both liked him. When the patholog'c report was in, he went to the husband's room at 6 p.m. and told him that the tissue in the resected testicle was malignant and that there were a few spots on his chest film that were not due to pneumonia but cancer. He would be transferred to the cancer institute the following morning. "They know all about it." When the wife came in at 7 p.m. the husband didn't greet her with his usual smile. He had always been able to cover up pain and fear. Now, however, he "cried like a baby" as he told her that he had cancer, that it had already spread, that he was being transferred to the cancer Institute. He was going to die, he knew. Only a year before he had watched two of his "buddies" in their thirties die of malignant disease at the Institute. The wife didn't cry-not then. She sat on his bed, her arms around him, telling him that he must hope, that he didn't have to die. She cried later, in the car driving home. She continued to cry softly, so that the children wouldn't hear her, after she went to bed. Although she was exhausted, she couldn't sleep. She cried most of the night. The next day she had the problem of telling the children, her husband's family, her own, both out of town, and his close friends and co-workers. She told the children only that their father was seriously ill and would have to be in the hospital for some time. She feared that if she used the word "cancer" some playmate to whom they repeated it dWINTER, 1976 7 THE A XIOUS MOME T - Benjamin Marc Louis Va u tier Young wife and mother being examined b y a physician while her family looks on. Ev erybody awaits th e doctor's verdict. �might tell them that" cancer was a fatal disease, that their father was going to die. As it was, they weren't really frightened. The younger boy had been hospitalized shortly before. He had come home. There was no reason to suspect that his father might not. Both her own family and her husband's reacted with love and concern and were supportive throughout the husband's illness. Neither her mother nor her brother however was optimistic about the outcome. They knew too much about the disease. The sister who was a nurse in a pediatric intensive care unit on the West Coast was more comforting. Later, during the final stage of the husband's illness, she flew East to "special" him and console her sister. The husband's mother met the news with optimism, sending word to her son that he "mustn't give up." His father said little. Friends and neighbors tried to buoy up the wife's spirits. She found hope in the fact that one of the neighbors, an elderly man, was doing well under treatment for incurable cancer, the disease apparently in remission. At the Institute there was no further problem of "not knowing" what was going on. The wife had an obsession to know everything, the bad as well as the good. She had not mentioned at the first hospital that she was from a medical family and she did not do so at the Institute until the end, after her husband's surgery. THE COMING OF SPRING-Eichstoedt Young military officer-husband furloughed home to convalesce from bottle wounds. HIS wife stands protectively beside him. Wah the coming of worm weather hiS phySICian will permit him to return to his command. But on the morning of his admission, a physician took both husband and wife to the solarium and gave them a forthright account of what to expect. He answered all questions. He told them that he could make no definite prognosis, but that the average the husband could expect to live without treatment would be three months. There was no definitive treatment. Chemotherapy and surgery were being employed experimentally. There could be serious side effects to the chemotherapy. There was no certainty that anything that could be done would change the three-month average. The couple talked it over and decided to take the gamble. When the physician left them alone, the wife asked her husband if he would have made the same decision were he a bachelor. He admitted that he probably would not have risked the side effects for such uncertain benefit if he had not had a wife and children. Throughout his hospitalization there was no attempt to conceal from him or his wife anything about his condition. The physician gave the husband permission to pull his own chart at the nurse's station. He did so, pointing out to his wife what it said about his condition. The head of service made it a point to see the wife when he made his rounds. If she was not in her husband's room, he sent someone to find her or if she had gone home called her on the phone. He gave her other numbers besides his office where he might be reached at any time-the Institute library, his home. After her husband's surgery, when she was spending up to 24 hours a day at his side, a medical social worker sought her out and asked if there was anything she could do to help. She offered her a locker to keep her things in, showed her how to get to the cafeteria, 8 THE BUFFALO PHYSICIAN �volunteered to help her find a place to stay near the Institute. Although the wife never had to call upon her for anything more, she was most grateful. After the first shock of the diagnosis of disseminated, metastatic cancer, the husband and wife kept up each other's spirits with hope, understanding, even humor. The husband looked and felt awful during the courses of chemotherapy. But if his wife, watching him, let her concern show on her face he would chide her. "Don't start moping," he admonished her once. "If you do, no matter how I feel, I'm going to get out of bed and give you a great kick in your you-know-where." It worked. Later, after he had died, the wife said that she had never been really depressed-fearful and lonely, but not depressed. When her husband was on the critical list during the first course of chemotherapy, she cried, but out of sheer fright. Until the end she kept up her spirits, her will to fight. "Others had told me how depressed they were when a loved one had cancer," she recalled. "Sometimes I'd wake up in the morning and think 'Is this the day I'm going to be depressed?' I never was. I told myself it was going to be a long battle but we'd make it. I took it day by day, thanking God as each day passed." She did sometimes feel "boxed in" sitting for long hours at her husband's bedside. Things seemed to be closing in on her. At such times, her husband would urge her to get out, to go shopping. If friends dropped in he would ask them to take her out for dinner and a drink. She was torn between her desire to be with her husband, to give him all of her time, and her duty to her children. Neighbors and friends looked after them. A younger sister came to stay for a while. When it became obvious that the end was near she sent them to her mother in another city where they would feel secure and loved. But she missed them when she returned briefly to the dark, empty house. Often when she did so she fell into bed too physically and emotionally exhausted to even take off her clothes. Although there were times when her husband didn't want her or anyone else to see him, they were few. He wanted to spend as much time as possible with her though he talked, she said, mainly of his work. On Thanksgiving day, when he had not seen his children for nearly three weeks, he asked for and received a pass to leave the Institute. His sister and brother-in-law, who lived nearby, invited the family to their apartment so that he would not have to travel to his own more distant home. But when he got there he had no appetite for food, company or activity. He was sick and tired, happy to just lie on the couch. They took him back to the Institute early. Both husband and wife had been brought up in devout Catholic homes. The husband had for a time been a seminary student. But in later years he had thought less of the rituals of religion. Sunday had become a day for playing with the children and golfing rather than going to church. In the Institute, a young priest visited him for long talks which brought him much peace of mind. He attended Mass. His parents, d-WINTER, 1976 9 WORN OUT-Thomas Faed Older couple living in poverty. The wife lies in bed sick. The husband dozes in a nearby chair, exhausted from his day 's labors and his nursing duties after arrival home. �particularly his mother, rejoiced when he told them. (Ironically the priest who had been so helpful left the priesthood shortly before the patient died.) The priest never looked up the wife, but after her husband entered the Institute she found that it gave her peace and comfort to go to a nearby church and just sit quietly there, away from the immediacy of the Institute, praying. She did not attend regular services and neither saw nor asked to see a priest. She asked questions of God, not in anger but in puzzlement. Why should her husband have cancer? Why should he be facing death? Why should the children lose a father? There was no answer. She has not yet, she says, been able to accept the dictum, "Thy will be done," but hopes to some day. The two months at home, between the husband's December discharge from the Institute and his readmission in March for surgery, were bitter-sweet, a blend of happiness and sadness. "What a miracle!" the wife wrote to friends who had left town for the winter. "Only eight weeks ago he was so very sick and now he is thoroughly enjoying every minute of every day." Not, perhaps, "every minute." The husband realized that his improvement might be only temporary. He took his insurance policies out of his safe deposit box and left them with his insurance agent where they would be readily available. The box would be inaccessible after his death. The children were taken care of financially, but the husband wished now that he had spent more time with them, less on the golf course. If his improvement continued, he said, they would take a trip with the children. With cancer and treatment he had become impotent. "It doesn't matter," the wife assured him. ''I'm so glad to have you here, alive and better. That's all I care about." Before his illness they had slept in twin beds. When he came home after the institution of chemotherapy, they shared a double one. He felt better close to her. Often they would go to bed at 9:30 and talk until midnight. THE DOCTOR-Luke Fildes . . The best-known pointing in Great Bntom and the United States of a relationship involvmg a patient, physician and family. The children delighted in having their father home again. At Christmas they helped him dress as Santa Claus for an office party, gave him a hat to cover his thinning hair. They seemed to understand that they couldn't run into the bedroom as they had once done in the morning, to waken him with kisses and roughhousing. Instead they cuddled close and played quiet games with him. Returning to work part-time, then full-time, he made few concessions to his disease. A friend gave him a wig that he wore jauntily, making no pretense that it was his own hair, taking it off for laughs. When four old friends dropped in weekly to visit, they all drank beer together, though he had to excuse himself and go to the bathroom to throw up every 20 minutes. He went back to the Institute for surgery, still optimistic that somehow by some miracle he would yet be cured. After the operation, the Institute bent its rules for visiting in the intensive care unit so that the wife could stay with him aroundthe-clock. When his sister-in-law flew in, she was given permission to "special" him so that the wife could get some rest. 10 THE BUFFALO PHYSICIA �i The physician kept her informed about what was going on. Once, while sitting at her husband's side after the operation, she broke down and cried, thinking he was asleep. He opened his eyes, pressed her hand, and summoned enough strength to wink at her. Soon after, he sank into a coma and never regained consciousness. After his death, the wife told the children that their father had gone to Heaven. Both she and he had believed in personal immortality. "I don't want my daddy to die," the little one protested, weeping stormily. The older one was calmer. He hugged his mother, told her not to cry. Later he told his little brother that he too had wanted to cry, "but if I did, that would only make mommy cry more." Because the husband was on experimental therapy, there was no charge for his treatment at the Institute. But the bill for the initial hospitalization and physicians totaled $2172, that for the final three days in the second hospital $8410. Insurance took care of almost all of the expenses. Throughout the husband's illness, his employer paid full salary and insurance premiums. In the days that followed the mother talked often with the little boys about their father, recalling the happy times. She was honest with them. She told them that their father had died of cancer, that all that could be done for him had been done, but that the disease had been discovered too late to be cured. They were curious about the Heaven where he had gone. "Do they have birthday cakes there?" the little one asked one day. Today the wife is working part-time when the children are in school. Family and friends give her love and encouragement, but it is a lonely life despite them. At night, when the children have gone to bed, there is no one to talk to, to plan with, to love. She dreams, all over again, that he has cancer. Once she awakened at 3 a.m. and couldn't go back to sleep, thinking of her husband and their life together. She got out of bed, found the movie projector and some old home movies. Alone in the darkness she watched her husband and herself in happier days playing with the children. Then, comforted, she went back to bed and to sleep. (to be continued) Author's ate: Subsequent articles on the cancer patient and the family will enlarge on certain points in Examples I and II and bring up some new ones for discussion. All patients in my articles are of high school age and over. Families with pediatric cancer patients have been excluded from discussion. d- WINTER, 1976 11 �A CK NOWLEDGM ENTS: To a daughter of the patient in Example I and to the widow of the pal!ent m Example II for checking the contents of the article before it was submitted June 11, 1976 for publication. PHOTO CREDITS: Selected Papers. Surgical and Scientific. Roswell Park, 1914 , published for subscnbers; The Doctor in Art-Introduction, Roswell Park, Douglas Publishing Co. undated; SU y AB Dept. of Medical Illustration, D. Atkinson. Dr. Lee Resigns The articles are based on information obtained from fellow patients and their families, workers in oncology (physicians, nurses, social workers, psychiatric counselor) and the literature (professional writings, personal narratives by patients and families, newspaper and magazine reports and articles.) So that readers of the Journal might identify as closely as possible with the contents of the articles, I have emphasized in examples patients associated with medicine and dentistry whom I have come to know as fellow cancer patients in the past 3Vz years. They include seven physicians, a medical student, a nurse, a dentist, a medical editor, the wife, father, son-in-law and brother-in-Jaw of physicians, the hLsband of a nurse. Eight are alive three to 12 years after the diagnosis in six of lymphoma, one of head and neck cancer, one of malignant testicular tumor. Four are alive seven months to three years after the diagnosis in three of lymphoma, one of cancer of the colon. Three died within three years of diagnosis of cancer of the stomach, cancer of the colon, and cancer of the testicle. Information has come directly through observation, interviews, conversations, and letters. The wife of a physician-patient furnished me with pertinent entries from her diary. o Dr. Joseph C. Lee has resigned to become professor and head of the department of anatomical sciences at the University of Oklahoma November 1. He had been on the Medical School faculty 14 years. Since 1968 he has been professor of anatomy and research associate professor of neurosurgery at the Medical and Dental Schools and research assistant neurosurgeon at The Buffalo General Hospital. Dr. Lee's research is on electron microscopy and autoradiography of intracranial tumors in man and experimental animals, and of chronic cerebral anoxia. He is a native of Canton, China where he received his bachelor's and master's degrees in 1947. Dr. Lee received his Ph.D. in 1961 and his M.D. in 1962 from the University of Saskatchewan, Saskatoon, Canada. Dr. Lee has authored or co-authored five books and contributed chapters to several others. He has written 28 papers and 34 abstracts for professional journals. He is a member of 18 national and international societies in Canada, England and the United States. Dr. Lee has won many honors and awards. The IRIS, 1976 Medical School yearbook, was dedicated to him for his "energy, openness and expansive human spirit." He is listed in the World Who's Who in Science, American Men in Science, and Who's Who in the East, and many others. o 12 THE BUFFALO PHYSICIAN �Mr. Diedrick, Dr. Kock New Surgical Technique General view of finished reservoir. Melford Diedrick, supervisor of the medical illustration unit of the Educational Communications Center - Health Sciences has recently been at the University of Goteborg, Sweden. Professor Nils G. Kock, Chairman of Goteborg's Department of Surgery, invited him to illustrate his new surgical technique for the formation of a continent ileostomy reservoir. The reservoir is fashioned from a terminal segment of the patient's ileum and is affixed to the inside abdominal wall. Only a small flat stoma appears in the right lower quadrant enabling the patient to wear the briefest bikini. Evacuation is done voluntarily by inserting a tube. In 1968, during the early stages of development, Professor Kock worked in the surgical laboratory at the E. J. Meyer Memorial Hospital. Here Diedrick illustrated the early experimental phase of the procedure done on animals. Since Professor Kock returned to Sweden, Diedrick has illustrated the progressive refinements periodically via overseas correspondence. To illustrate the technical details that have been applied successfully to over 200 patients in Goteborg and undetermined numbers in various parts of the world, it was necessary to have the Medical Illustrator observe the procedure directly. To obtain a perfectly functional permanent ileostomy reservoir the surgical technique must be performed with accuracy. o WINTER, 1976 13 �Enzyme Activity/Aging Graduate student David Schreiber and Dr. Lone examine growth of nematodes. Mel Armosino, research assistant , assays enzyme activity in on aging animal. He is young, just 33, and he is dynamic. So say the students of Dr. RogerS. Lane, U / B biochemistry faculty memberfor four years and recipient of a University teaching award for excellence. His enthusiasm for the role that enzyme activity plays in all living organisms spills over into his courses on General Biochemistry and Man and his Environment. For a sense of relevancy is what he is after, be it in the classroom or in the laboratory. The assistant professor of biochemistry's basic interest in proteins was the result of the first clear-cut evidence of a control site for enzyme activity, one that was separate from a catalytic one. "That was a decade ago," he recalls, "while I was attending the University of Michigan." Following his arrival in Buffalo, because he and U/B biologist Morton Rothstein shared similar interests, they collaborated. And their observation two years back on faulty enzyme accumulation in an aging organism, the nematode, has now been confirmed in a number of other species as well. His suspicion of a deficiency in the control mechanism for enzyme degradation, that is, a failure of the protein degradation system, has developed into an exciting new area of research-the biochemistry of aging. Dr. Lane is now trying to document whether this failure leads to accumulation of "cellular garbage" as he calls it. "For with the system's former high efficiency to eliminate abnormal proteins gone, it can no longer act as a .cleaning device for the cell," he says. Why nematodes were chosen as a model system for study, Dr. Lane explained, was due to its similarities to the aging process-the formation of aging pigment, its short lifespan, and its nondividing, nonregenerating cell system. To determine the rates of enzyme degradation in both aging as well as normal nematode cells, precise measurement tests were developed. Noted Dr. Lane, "we were the first to demonstrate a dramatic decrease in the rate of synthesis as well as degradation of total soluble protein in the aging ones." To show this deficiency in a cell's sanitation system to be a general phenomenon of aging, he is now following specific proteins in the nematode as well as in liver/ muscle of rodents. This will be done through immunologic techniques. Once he has determined why an aging organism is unable to maintain a stable level of abnormal protein, Dr. Lane will focus on initial cell failure. He notes it may be responsible for the formation as well as accumulation of abnormal proteins. 14 THE BUFFALO PHYSICIAN �Undergrad Jacob Utzig purifies enzymes by gel chromatography as Dr. Lane looks on. Also scheduled for further scrutiny is the role that novel cofactors play in catalytic activity. While vitamin Bs-dependent enzymes have already been documented, he can point to a new class associated with alpha-keto acids. But because it is a class for which there is as yet no direct evidence in mammals, Dr. Lane will use bacterial enzymes to define what an active site looks like. And once techniques are available for purifying these mammalian enzymes, similar approaches will be applied to their study. The development of affinity labels by Dr. Lane has provided him with a new tool. With two new compounds already synthesized by him, he hopes to design others and thereby look at residues within the active sites themselves. This knowledge, he believes, may prove as important as what is known on the role of alpha keto-acid compounds. For it is these enzymes which metabolize histidine, he says. And because one of the products of histidine metabolism is histamine, Dr. Lane cannot rule out future use of these compounds in medicinal chemistry. No wonder there is excitement in his laboratories. "By biochemically regulating the activity of these enzymes," says Dr. Lane, "we may possibly be able to alter histamine's physiological effects." o WINTER, 1976 15 Graduate student Gregory Thill shows Dr. Lane respirometer measurements of histidine decarboxylase activity. Undergrads Richard James and Joyce Sutiphong check progress on the synthesis of an affinity label. �Summer Fellowships Dr. Goldrosen and Dave Rohrdanz look at side effects of immunotherapy in mouse. While some medical students are interested in medical research, their regular academic curriculum offers them no educational opportunity in this area. But a summer fellowship program, underway in Buffalo for a number of years, does. According to its current program chairman, Dr. Perry Hogan, 16 freshmen, nine sophomores, and one junior have received from $750 to $1000 over the past summer to work for an eight to ten week period in basic science or community health problems. Emphasizing the strong funding support for this type of educational experience by the Medical School, he looks for this commitment to be an ongoing one. In explaining how the program works, the associate professor of physiology noted that interested students collaborate with facul ty sponsors (who are either chosen independently or from a list available in the Dean's Office) in preparing and submitting proposals to the Summer Fellowship Committee. After all proposals have been reviewed by each committee member, they are ranked according to a grading system, one that is based on several pertinent criteria. And they are funded according to ranking. He added that two students were eligible for $1000 stipends because of their previous work. Noting these higher grants to encourage students to pursue investigative work on a continuing basis, he also hoped they might direct them to future careers in academic medicine. One, Salvatore DelPrete, had never before done research and wanted to. The other, David Rohrdanz, had and wanted to continue. Both are based at Roswell Park Memorial Institute. Salvatore, whose sponsor is Dr. Edmund Klein, is doing a study on patient immunocompetence and efficacy of combined immuno/chemotherapy of mycosis fungo ides. A usually fatal disease, it starts with skin manifestations and moves on to become a systemic one, with lymph node involvement, he said. From substantial data available following three years of treatment on 60 patients, Salvatore will be looking for parameters responsible for the difference between the few who did not respond and the many who did. For, predicts Dr. Klein, "if we can pinpoint certain immunological factors, we can come up with a profile that will be both predictive and therapeutic." But Salvatore is finding the clinical experience to be tremendous as well. Not only in the dermatology clinic, but he is getting a closer look at other forms of cancers such as melanomas and squamous cell sarcomas as well as neurological disorders that are secondary to various cancers. David Rohrdanz, on the other hand, continues a project on the mode of action of BCG begun under Dr. E. Douglas Holyoke during his undergraduate years. Now working with Laboratory Associate, Dr. Martin Goldrosen, they are determining the survival time of animals who have been given BCG before and after tumor injection. Although they have noted an increased life span, the side effects of this immunotherapy are serious ones. 16 THE BUFFALO PHYSICIAN �They therefore have turned to the experimental effects of another agent, that of C. parbum, for residual problems that may follow surgery. While they trust that the clinical results will be the same, they are hoping that side effects will b!! less disastrous ones. With five summers of research behind him, David looks forward to his junior year when his research experience may be applied to a clinical setting. Dr. Hogan sees the summer fellowship program as an important one. ot only for students whom he believes to be a "good pool of talent from which to draw" but one that is good for the Medical School for "it serves as a model." And for those students who apply for a fellowship, it is an exercise in the scientific method, he adds. "For they are essentially preparing and writing up a grant proposal." The Committee-Drs. Perry Hogan (chairman]; Gerard Burns (surgery); John Edwards (medicine]; John Krasny (physiology); Edwin Mirand (RPMI graduate education); Rocco Venuto (medicine); Mary Voorhess (pediatrics); john Richert (assistant dean and registrar); Rudolph Williams (assistant dean). o Salvatore DelPrete and Dr. Klein examine patient 's reaction to treatment. $1000 Continuing Research Projects Recipient DelPrete, Salvatore '78 Rohrdanz, David '78 MEDICAL RESEARCH Ambis, Dorothy '78 Project Patient immunocompetence efficiency of combined immunotherapy/chemotherapy of mycosis fungoides. Mode of action of intravenous BCG on prevention of metastatic pulmonary tumor nodules. Site/Sponsor Dr. E. Klein, dermatology, RPM!. Dr. E.D. Holyoke, surgery, RPM!. Renal metabolism studies Dr. M. Acara, pharm/ therapeutics, SUNYAB. Dr. E.D. Holyoke, surgery, RPM!. Dr. R. Bannerman, medical genetics, Buffalo General Hospital. Dr. M. Reichlin, VA Hospital. Dr. R.E. Mates, cardiology, E.j. Meyer Hospital. Dr. 0 . Roholt , immunology, RPM!. Dr. V. Capraro, gyn /ob, Children's Hospital. Dr. E. Mindell, Orthopedics, E.j. Meyer Hospital. Dr. P. Scott, Buffalo General Hospital. Dr. P. Hogan, physiology, SU YAB. Or. E. Koenig, physiology, SUNYAB. Barg, Gale A. '79 Natural history/ clinical pathology correlation of malignant melanoma of eye. Satellite banding of human acrocentric chromosomes Brachfeld, jay H. '77 Canty, john M., Jr. '79 Purification /analysis of Ro antigen Transmural variations in myocardial resistance/ flow Barber, athaniel '78 Functional surface antigens of T and B-cell tumors Management of ovarian lesions in chi ldren / adolescen Is Biomechanics of bones with large defects and Doolittle, Thomas '79 remodeling Frequency potentiation in intact ischemic canine Eames, Frederick '79 myocardium. Hydrostatic pressure effects on electrical Hickey, Donald '78 activity of single heart cells Incorporate axoplasmically-transported labelled Hogrefe, Kenneth '79 proteins into plasma membrane enriched subcellular fractions of optic nerve/ trace in rabbit. Kashimawo , Tajudeen '79 Clinical correlation between level of different biological markers evolution of renal carcinoma. Mackowiak, Stanley '79 Effect of antibiotic-resistance plasmids on serum bactericidal activity against clinical E. coli isolates. Develop comprehensive infection surveillance Miller, james '79 in a cancer hospital. Introduction to infectious disease and immunology Paroski, Paul '78 Cardone, Linda A. '79 Condra, Peter M. '79 Polatnick, Lois '78 WI TER, 1976 Development of macular electroretinogram. 17 Or. C. Merrin, urology, RPM!. Dr. A. Reynard, pharm / therapeutics, SU YAB. Dr. M. Surgalla , clin. micro., RPM!. Dr. P. Ogra, pediatrics, Children's Hospital. Dr. R. Srebro, physiology, 2211 Main Street. �Regan, Michael P. '79 Program macrophages capable of causing specific tumor cell destruction. Respiratory regulation during graded exercise Shields, Peter '79 Evaluate accuracy of radioisotope brain imaging Soffer, Lynn '79 Regulate carbonic anhydrase isozymes in mouse Steinhart, Curt '78 HPLC assay of propranolol and pharmacokinetics in Parkinson's disease Hypercoagulability in cancer, regulation of clotting factor synthesis Enrichment of antigen-specific T-cells in vitro Privitera, Michael '79 Urban, Richard '79 Wolff, Michael L. '78 Young-Hyman, Paul '79 Continuing Education Programs Differentiation of cyanosis in neonatal period by contrast echocardiography Dr. E.D. Holyoke, surgery, RPM!. Drs. J. Krasney, D. Pendergast, physiology, SUNYAB. Dr. M. Blau, nuclear medicine, VA Hospital. Dr. M. Meisler, biochemistry, SUNYAB. Dr. W. jusko, Millard Fillmore Hospital. Dr. j. Ambrus, pathophysiology, RPM I. Dr. M. Reichlin, immunochemistry, VA Hospital. Dr. D. Pieroni, cardiology, Children's Hospital. The following Continuing Medical Education Programs are scheduled for Spring, 1977, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: March 26 - Adjuvant Therapy for Cancer Patients (Cancer Society, CME co-sponsor), Dr. John Mattern, clinical instructor in medicine. March - Head Injuries, Dr. Louis Bakay, professor and chairman, department of neurosurgery. Peripheral Vascular Surgery, Dr. Andrew Gage, professor of surgery. April 21 - April 22, 23 - Pediatric Gastroenterology and Nutrition, Dr. Stanley Levin, professor of pediatrics . Surgical Infections in Septic Shock, Dr. John J. Siegel, professor of surgery and research professor of biophysical sciences. April 29 - May 5, 6 - Spring Clinical Days, Sports Medicine, Dr. Edmond J. Gicewicz, clinical assistant professor of surgery. May 5-12-19 - Refresher Course for Family Physicians, Drs. Robert N. Seller, professor and chairman, department of family medicine; Henry E. Black, clinical associate in medicine; James Dunn, clinical assistant professor of family medicine and clinical associate in medicine. May 13, 14 - Pediatric Immunology, Dr. Stanley Levin, professor of pediatrics. May 22-25 - Westwood-Dermatology, Dr. Richard Dobson, professor and chairman, department of dermatology. May 26-28 - Immunopathology of the Skin, Dr. Ernst Beutner, professor of microbiology and research professor of dermatology. 18 THE BUFFALO PHYSICIAN �Dr. Harry L. Sultz has been named acting chairman of the department of social and preventive medicine. He joined the faculty in 1962 as a clinical assistant and was promoted to full professor in 1971. Dr. Sultz received his DDS from U/B in 1947 and his MPH degree from Columbia University in 1962. He has been the principal investigator for the Community Services Research and Development Program since 1965. The researcher-educator produced a series of community health information profiles for various counties in New York State in 1972. These provided a diagnosis of the communities' health problems, their strengths and weaknesses. These communities used this information to make judgments on new services, facilities, or to expand existing ones or reduce duplications. In other research Dr. Sultz found some new evidence linking juvenile diabetes mellitus with mumps virus. In his report to the 102nd annual meeting of the American Public Health Association he said the incidence of juvenile diabetes closely paralleled the cyclic infectious disease pattern which generally peaks every seven years. Dr. Sultz has authored or co-authored numerous scientific articles for professional journals. o Government Interference There will be more governmental interference in medicine in the years ahead, according to Dr. Ralph J. Argen, clinical assistant professor of medicine. In his review as the out-going president of the Erie County Medical Society he said, "every major committee on our board has been touched with governmental interference this past year and it will get worse in the future. Government has made greater strides in the last year against organized medicine than in any of the last 10 years." Dr. Argen said, "nothing became more evident to me throughout this past year than the need to strengthen our medical organizations. Political action is not only important but an actual necessity today in medicine. Steps must be taken to make organized medicine at least as politically influential as the press and the public think we are. I am sure our political influence is far less than we are given credit for." Dr. Argen said action should be taken by established physicians to "perpetuate" the medical care system by helping young physicians just beginning practice. "We frequently hear it is hard for patients to enter the medical care system. I submit it is even harder for a young physician to enter the system." o WINTER, 1976 19 Dr. Sultz / }v Dr. Sultz �The new students go on rounds with Dr. Aquilina at Vet erans Hospital. COTRANS Program Dr. Aquilina lectures. There are 12 new faces in the junior year. While one is a transfer student from the University of Nevada, 11 others have entered via the COTRANS Plan of the Association of American Medical Colleges. Under the program, American students who have completed their basic science education in foreign medical schools and have passed Part I of the National Boards, may be accepted into the clinical years in American medical schools. This program is now in its seventh year at the U/ B Medical School and five extra places in the junior class have been assured by the Faculty Council. Over 300 applications were received in Buffalo this year from students who were unable to find places in first year classes in this country on graduation from college. "So strong has been their motivation towards a medical career," comments admissions head Dr. Douglas M. Surgenor, "that they went to foreign countries and in most cases had to master a foreign language to begin their medical education." How well have COTRANS students performed? "Very well," he said. "Our last five graduates had no difficulty in obtaining good internships." The junior year for these transfer students began over the summer with a one-week "crash course" in physical diagnosis. Directed by Dr. Joseph Aquilina at the Veterans Hospital, two students were assigned per preceptor. "Their two hours of daily lecture material were promptly implemented on ward rounds," continued Dr. Aquilina. Although much work was involved in setting up the course he feels it has been well worthwhile for these students who have studied in Italy, Mexico, Belgium, and the Philippines. "All plan to practice medicine in the United States," he said. o 20 THE BUFFALO PHYSICIAN �Fifth Pathway Program Twelve American medical students, graduates of medical schools in Guadalajara, Mexico and Bologna, Italy, enrolled in the ninemonth Fifth Pathway Program in July. This is the third group of United States Foreign Medical Students to come to Buffalo. The first group of 12 came in July 1975, the second group of nine catne in January 1976. The students are rotating at four Buffalo hospitalsDeaconess, Mercy, Millard Fillmore and Sisters. They will complete their internship March 31, 1977. Dr. Harry Alvis, who heads the USFMS Program said, "upon completion of this program the students will be eligible to appointment to a post-graduate year of residency training which is approved in the teaching hospitals of New York . The students are also eligible to sit for the licensing examination (FLEX)." Dr. Alvis is director of medical education at Millard Fillmore and a clinical associate professor of social and preventive medicine at the Medical School. o The third class in the Fifth Pathway Program, front row {left to right)-George Conner, Christopher Claydon, john Gapsis, Hillarie Soul, Robert Davis, joseph Manuele, Rolland Enoch; Second row-Stanley Drury, Donald Werner, Dr. Alvis, Milton Enoch, Roger Nicosia and john Wehby. WINTER, 1976 21 �Health Hazards E VIRONME TAL HEAJ..TH HAZARDS are not all man-made, according to Dr. David P . Rail, director of the National Institute of Environmental Health Services. "Whenever there is a fire, an agent which has been shown to cause cancer in animals, is released into the environment. Pine needles release organic compounds which produce the smog which tourists see as a haze over the Smoky Mountains." In his Harrington lecture to medical students and faculty Dr. Rall said, "more efforts must be placed on determining whether environmental factors threaten human health in ways other than producing cancer. Previous studies of such factors has focused almost solely on their ability to cause cancer. This resulted in 'big holes' in understanding the hazards of those factors." Dr. Rall, who is also assistant surgeon general (USPHS). said "no one has looked at cardiovascular and kidney disease to see if the same things happen." He noted that the environment has always been hazardous and that new hazards are appearing all the time. "Especially since the end of World War I, man has increasingly released new hazards into the environment with production of synthetic, organic compounds such as plastics. Cancer discovered in 1974 in vinyl chloride workers may be only the tip of the iceberg." Dr. Rall noted that pollution in the United States began with the first industrial revolution. "During this time we were reshaping common materials and giving them a new function. As we became more affluent pollution became more of a problem. During our second industrial revolution we became involved with synthetics and new chemicals and more impurities got into our environment." Dr. Rall suggested more study on existing man-made substances and chemicals. "There is a backlog of 50,000 man-made chemicals that should be tested. We are making progress in this effort. Of 120 industrial chemicals that were tested recently only 10 percent were found to be bad for the environment. There are only a few chemicals that we can't live with. Dr. Roll "The American public and politicians are unwilling to face the facts and take risks. Once we know what the risks are we can decide what risks we are willing to take. If the risk is low the public will probably be willing to take it. We must get rid of the high risk chemicals. "Environmental medicine and toxicology must be a future concern and trust of medical schools. This program would make physicians more aware of our environmental problems," Dr. Rall said. "Fishing may eventually have to be banned in the Great Lakes and in some Canadian Lakes because of contamination from polychlorinated biphenyls (PCBs]. Fishing has already been banned from New York's Hudson River because of PCB contamination. "One of our remaining problems will be to educate persons of low income who rely on fishing for a large part of their protein about the hazards of eating these fish. The people who live in the fishing areas look at the clean, white fish and can't believe they are contaminated, but they are. Once PCBs enter the body it takes years to get rid of them," Dr. Rall said. 22 THE BUFFALO PHYSICIAN �"Chemists developed compounds for use as insulators in motors, transformers, capacitors and the like. They are highly heat resistant fluids. Initially PCBs probably were quite safe for their intended use as insulators. But in 10 to 20 years they came into wider and wider use and spread all over. At one time they were included in the paper of the 1040 tax form. We must be concerned about the increased use of this kind of substance," Dr. Rall said. In the early 1970's high levels of PCBs were found in large flocks of chicken and turkeys and in cattle. They were destroyed. "This contamination resulted from grain that picked up the compound while stored in a silo whose walls had been covered with paint containing PCBs," Dr. Rall said. At present the Environmental Protection Agency has no legal authority to restrict the production, use or disposal of PCBs. The Department of Agriculture does prohibit its use as a pesticide and in food handling and processing. In conclusion Dr. Rall made several other observations: a law covering toxic effects is needed; in all there are about 150 PCBs; toxicology is having a difficult time keeping up with technology; man-made pollution is invisible but it is here and real; we produce millions of pounds of toxic substance a year that we know nothing about-this is incredible. o Dr. John T. Gentry is the new Erie County Health Commissioner. The former medical director for the New York City Human Resources Administration assumed his new duties May 1. He replaces Dr. William E. Mosher, who retired in July, 1975. Dr. Gentry, 54, received his M.D. degree from Washington University in St. Louis in 1948. The following year he entered public service with the New York State Health Department. He has since served with the United States Public Health Service and the Agency for International Development in New Delhi, India. He has been on the faculty of the Upstate Medical Center [Syracuse), Duke University and the University of orth Carolina. Dr. Gentry is listed in Who 's Who in America and the Who 's Who in Science. He also participated in the 1965 White House Conference on International Co-operation. o WINTER, 1976 23 County Health Chief �,~~r. ... Nora Wilcox, fourth year medical student, Dr. Musselman, and pharmacist Luana Morse discuss some prescription drugs that are in the new facility. ~ ... .. • .. to; ~~ Pharmacist Luana Morse records the medication requested by Ann McMahon, a graduate student in education. Student Health Pharmacy I I !I A student health pharmacy is the newest addition to University Health Services in Michael Hall. Sub Board I furnished the seed money for the project, according to Dr. M. Luther Musselman, director of University Health Services. He is also assistant dean and a clinical associate professor of medicine. Miss Luana Morse, a 1971 U/B Pharmacy School graduate, directs the new operation. She dispenses both prescription and non-prescription drugs only to students (not faculty or staff) when prescribed by physicians. Miss Morse, a clinical instructor in the School of Pharmacy, keeps a record on each patient. "The new pharmacy facility makes it possible for us to deliver more efficient and effective health care to U/ B students. It is professionally operated by a qualified pharmacist," Dr. Musselman said. The new facility is being used to teach both medical and pharmacy students. "Several fourth year medical students and fifth year pharmacy students rotate through the facility for some of their clinical training," Dr. Musselman said. This pharmacy also serves the U ni versi ty Health Services located on the Amherst and Ridge Lea campuses of the University. 24 THE BUFFALO PHYSICIA �"What does the Medical Alumni Association do anyway?" I'm sure you have asked yourselves that question. Certainly it has been asked of me many times. As I see it, it has four functions: 1. To provide a vehicle whereby the alumnus can find out what is going on back at the old school. 2. To provide a means whereby he can, in some measure, influence the philosophy and teaching of present medical students. 3. To provide a formal means whereby an alumnus can maintain lifelong associations with his classmates and other graduates. 4. To involve itself in postgraduate teaching. Insofar as the first is concerned, the Alumni Association sponsors Spring Clinical Days each May. At that time we hope to demonstrate by way of lectures and exhibits what the Medical School is doing. This very journal, The Buffalo Physician, keeps you abreast of current Medical School developments. The second function is probably our most cherished one. Each of us wants to help the Medical School, insofar as he is able, train those who will follow in our footsteps. The Dean attends the monthly meeting of the Executive Committee of the Medical Alumni Association, and thereby a close working relationship has been established. One member of our Executive Committee serves on the Dean's Committee on Postgraduate Education. But it is through the fund raising activities of the Alumni Association that we can influence most. Last year our Alumni gave generously to the UB Foundation Annual Fund Drive. Large class reunion gifts helped to finance the new Learning Center. Lastly, direct scholarship money is appropriated by the Executive Committee from your membership dues. The third function satisfies the soul. We went through the four year trial by fire with our classmates. We embarked together on the lifelong adventure of our profession. The Alumni Association draws us together all too infrequently - only every five yearsbut it does keep us together. Lastly, although our endeavor is modest, we try to provide some postgraduate teaching at our annual Spring Clinical Days. In addition, we sponsor postgraduate teaching at an annual Alumni tour (last year St. Maartens - this year Cancun, Mexico). So it seems we do fulfill useful functions. o WINTER, 1976 25 A Message From James F. Phillips, M'47 President Medical Alumni Association Dr. Phillips �Dr. Cropp Dr. Cropp II I Dr. Gerd J. A. Cropp heads the University's first pediatric pulmonary disease division at the Children's Hospital. Here it is hoped to evaluate children via sophisticated studies and to follow them by a team of specially-trained personnel. For experience gained by the clinician/researcher in Denver, Canada, and San Francisco points to these often neglected patients doing very well when carefully followed. The professor of pediatrics comes to Buffalo from Denver where he served on the University of Colorado's pediatric faculty as associate clinical professor and as director of the National Asthma Center's clinical physiology activities. Born in Delmenhorst, Germany, his early interest in agriculture shifted to medicine, and in 1958 he earned an M.D. degree cum laude from the University of Western Ontario. Seven years later he was awarded a Ph.D. in biophysics there. In between he completed an internship and residency at its Victoria Hospital and gained two years of research training as a Public Health Service Fellow at the University of California at San Francisco's cardiovascular research institute. While in Denver, where he has worked for the past decade, Dr. Cropp opened a cardiovascular physiology laboratory for children at the University under an NIH Career Development Award, and a pulmonary diagnostic laboratory at the National Asthma Center. Here he gained wide experience while performing diagnostic pulmonary function tests on a large population of asthmatic children. Excitement over the large pool of expertise at U I B may well have been one of the reasons why he was attracted to Buffalo. But his hope to establish one of the top computerized diagnostic testing laboratories for children has been slowed somewhat. "Although there is a current shortage of funds, we are proceeding to build our own computer, develop much of our own program, and to attract funds from various sources," he said. And the training of clinician~. research fellows, and students is also receiving much of his attention. ot only is m ul tidisci plinary training in both adult as well as pediatric respiratory disease being emphasized, but a solid basic science foundation being laid to better understand disease processes as well. "We are presently collaborating with Dr. Robert Klocke in the department of medicine at E. J. Meyer Memorial Hospital as well as participating in research seminars in the department of physiology at the University," he added. His interest in research is also continuing. As holder of a number of grants, he will closely follow exercise-induced asthma and exercise tolerance of children with a variety of respiratory diseases. A Fellow of the Ontario Heart Foundation, Dr. Cropp has served as consultant to a number of professional societies, the NIH, and the Environmental Protection Agency. And he has published extensively in the fields of cardiopulmonary physiology and pediatrics. 26 THE BUFFALO PHYSICIAN �Dr. Emmanuel Lebenthal heads a new division of gastroenterology at the Children's Hospital. Here, those with inflammatory bowel disease are being studied and treated while professional staff are being trained to care for them. The associate professor of pediatrics comes to Buffalo from Boston where he served on the Children's Hospital medical staff as well as on the Harvard pediatrics faculty for the past four years. Born and educated in Israel, he received the MD degree from Hebrew University in 1964, completed postgraduate training over the next five years in pediatrics at Hadassah and Beilinson Medical Centers, and in 1970 joined Stanford's pediatric gastroenterology faculty. He recalls that he did not plan to leave Boston. But, during a visit to Buffalo as a lecturer, he found much support from the administration at Children's Hospital for the traditional triad of a medical school - teaching, research, service. As a regional center, the new division of gastroenterology serves a population of two million. And because problems in the GI tract differ for varying age groups, "gastroenterologists are now well-equipped to deal with premees, infants, children, adolescents, on up to adults," he said. For premees with protracted problems such as chronic intractable diarrhea, enzyme testing of the intestine now provides a new service for the region. "A lack of a specific intestinal enzyme can now be handled through hyperalimentation and elemental diets in these patients," he added. "And we are now able to care for those with absorption and malabsorption problems as well as those with liver disease." Not only are the whole range of tests for study and treatment of the GI tract being offered by Dr. Lebenthal and his support staff of five [a biochemist, two fellows, a technician, a nurse practitioner) but liver biopsies and pancreatic functions tests as well. He notes that enzyme testing services are also being offered to adults. But, along with service to patients there is much teaching going on through a training program for pediatric gastroenterologists and electives for students as well as research. His specific interest in the pancreas and small intestine has led to his taking a very close look at the enzyme enterokinase. "Although it comes from the intestine, it activates those enzymes that act on proteins from the pancreas. We must therefore understand the interrelationship," he said. Now purifying this enzyme in the laboratory, Dr. Lebenthal hopes to see what happens to it during the changing functions of pancreas and small intestine in digestive diseases. And there is also a joint investigation underway with Roswell Park investigators into the effects of chemotherapy on the GI tract as well as GI aspects of food allergy with Drs. Elliot Ellis and Pearay Ogra. Dr. Lebenthal is a Diplomate of the American Board of Pediatrics and a member of the North American Society of Pediatric Gastroenterology, the Pediatric Research Society, and the American Gastroenterological Association. He has published widely in his field. o WINTER, 1976 27 Dr. Lebenthal �Music-Medicine Relationship I I II I THERE is a genuine interest in the history of medicine in Buffalo. So fascinated are over 75 physician-historians to its relationship to the arts, sciences, and professions that there is faithful attendance at meetings of the Medical Historical Society of Western New York. Here, they learn from noted speakers who the "contributors to the history of medicine" are. From Dr. Michael Swallow, a consultant neurologist at Belfast Royal Victoria Hospital, they recently learned about the 400-year relationship of music to medicine. The musician-composer is president of the British Music Society in Northern Ireland and chairman of the Ulster Academy of Medicine. Starting with Thomas Campion, one of the earliest "music doctors" to form the English School of Song Writers, he referred to this medical man as one of the most charming poets of the Elizabethan age and a "most delicate writer of vocal music." Moving on to Manuel Garcia the Second, he noted that this inventor of the laryngoscope had served for nearly half a century on the staff of London's Royal Academy of Music. In 1805, he explained that this musician, almost-turned physician, studied the vocal cords of his music students by use of a series of complicated mirrors. A half century later, Garcia presented a paper on the relation of vocal cords, larynx, and singing. Dr. Swallow pointed out, "he had to be over 100 years old at his death." In tracing the use of music to treatment for the sick, the speaker referred to many musical compositions which document the progress of a patient's recovery as well as a cure. "These were celebrated with music," he said. Other compositions dealt with the dying patient and death, he continued, as he alluded to Beethoven and Strauss. Both composed for royalty. One such piece by a court musician was dedicated to the Prince of Wales on his recovery from typhoid in 1872. And he was able to point to music written as early as 1686 for European kings who recovered from illness. During the late seventeenth century there was even a surgical operation described in music by Marin Marais. This very fine player of the bass violin [some believe he may have been the finest) was born in Paris in 1656. He died there at age 72. A composition pupil of Lully, he wrote successful operas and a good deal of instrumental music, explained Dr. Swallow. In 1720 the musician of the King's chamber had a lithotomy operation. The lecturer noted that among the fraternity of lithotomists was Frere Jacques who, in his travels, dressed as a Franciscan monk. Along with slides of instruments used with operation and music, Dr. Swallow's appropriate gestures enlightened the musical lecture. He next focused on a Salzburg Institute opened by Herbert von Karajan. It was here that the noted conductor studied physiological changes occuring in musicians. What he found was that during a performance, the heart beat and breathing increased while blood pressure rose. Through other experiments, von Karajan was able to refute the commonly-held concept that numerous finger movements lead to finger shortening or erosion of terminal phalanges. Explained Dr. 28 THE BUFFALO PHYSICIAN �Swallow, "even when there are up to 1,160 finger movements per minute, he could find no finger erosion on playing the violin." In a lighter vein, the speaker explained that when Nathan Milstein was asked whether playing a violin was fatiguing, he responded, "NO. Carrying my case in a station when there is no porter is more so." In noting therapeutic effects of music that have been known over the centuries, Dr. Swallow pointed to the Hippocratic School in Greece. It was here where Apollo reigned as God of Music, Aesculapius used the trumpet to cure sciatica. Organist Johann Gottlieb, a pupil of Bach, composed music for face pain known as the Goldberg Variations. During the middle ages in Europe, the speaker noted that Ergot poisoning was common. The cure for this "dancing mania?" It was music, not doctors, he said. In Italy, this condition was thought to be caused by spider bites. And dance-the Tarantella-was used as the cure. Moving on to 1894, Dr. Swallow pointed to bands and musicians who played in lunatic asylums. In fact, continued the physician/ musician/teacher, "nineteenth century's Sir Edward Elgar was appointed organist to a Worcester County lunatic asylum. He was an English composer-musician." He pointed to Dr. F.A. Mesmer who used animal magnetism or "mesmerism" to treat patients. So large was this German physician's following, that he was inclined to transfer his healing powers to trees. "People walked under them for a cure," Dr. Swallow explained. But an investigation into this pseudo treatment by Antoine Lavoisier, Benjamin Frankl "n, and J.J. Guillotin (a French physician who fostered his own device for beheading people) resulted in 20 years of exile for Dr. Mesmer. In concluding his talk, Dr. Swallow pointed to three composers who died of neurological disease- Frederick Delius, Maurice Ravel, and George Gershwin. And there was agreement that the sensitive rendition of a Gershwin composition by Dr. Swallow was superb. o WINTER, 1976 �Physical Fitness III. "We can't stop the aging process but we can slow it down by keeping fit." This was the consensus of a U /B faculty panel who discussed "Physical Fitness and the Elderly." Speakers were: Dean John Naughton of the Medical School, Dr. Harry Fritz, former Dean of the Health Education School and Dr. John Piscopo, professor of physical education. Dr. Harold Brody, professor and chairman of the department of anatomical sciences, moderated the panel. In his illustrated presentation Dean Naughton suggested several tools that the elderly can use for reconditioning- the treadmill, bicycle, arm wheel, hand crank, steps, rowing machine and mobile balls that make participants bend and stretch. These devices strengthen both the upper and lower body muscles, he said. "Before embarking on any type of a physical fitness program people 35 years of age and older should have a complete physical examination," Dean Naughton said. He believes Americans can be reconditioned through public education, although "we resort to sedentary living habits and get out of shape early in life. Increased work capacity will decrease blood pressure and heart rate. This will make people better able to handle day to day stress and it may even increase their longevity. Heart rate is the key to efficiency of your cardiovascular system. The lower the heart rate for a given task, the more efficient the cardiovascular system." To maintain good health elderly people must have a good diet, regular rest, good behavior, control their ambitions and remain physically fit, Dean Naughton concluded. 30 THE BUFFALO PHYSICIAN �Dr. Piscopo said from a safety standpoint "elderly people should keep their muscles toned and fit - especially their chest, stomach and hip muscles. This will improve p,osture and mobility. To remain fit people must swim, jog, bicycle, walk. People can do any one of these or a combination. "Too many people (all ages) believe and practice passive recreation such as watching TV," Dr. Piscopo said. He quoted Dr. Dudley White who believes that physical fitness is based on heredity, diet and activity level. Heredity is not reversible, but each of us can do something about our diet and our activities. Dr. Piscopo noted that exercise exerts a positive effect on people. A person's capacity to learn is enhanced by being physically fit. Dr. Fritz said there is evidence that the college students are participating more in organized intramural sports. Many more are involved today than 10 years ago. "We try to teach students to concentrate on the type of activity that they can continue as they get older- golf, swimming, hiking, jogging, tennis and handball. "People of all ages must 'get off their seats and on their feet'. Motivating people is one of the most difficult problems that we have but we are making progress." In some cases income is a moti~ating factor - especially among executives and pilots, who must remain physically fit. As a member of the President's Committee on Aging, Dr. Fritz indicated that someday there might be a national physical fitness program for the elderly. "Today the elderly are a minority, but in a few short years they may become the majority. I am glad there is an inter-disciplinary effort at U /B to help the elderly remain physically fit." He pointed out the great disparity of fitness among all Americans, especially our senior citizens. "Some are fitness fanatics while others couldn't care less," Dr. Fritz said. Physical fitness centers and stress tests have become more popular in the last decade. Someday stress tests may be a part of the physical examination required before purchasing life insurance, Dr. Fritz concluded. 0 Interim Hospital Director Dr. GuyS. Alfano is the new interim director of the E.J. Meyer Memorial Hospital. He succeeds Marshall G. Ause, who was dismissed in early October. Dr. Alfano is a surgeon at the hospital and president of the medical staff. He is a past president of the Erie County Medical Society, a 1950 graduate of the medical school and a clinical professor of surgery at the University. o WINTER, 1976 31 In April Dr. Fritz left UIB position in Kansas City where he is Executive Secretary of the National Association of Intercollegiate Athletics (NAIA). He joined the UIB faculty in 1970 as Dean of the School of Heath Education and Director of Intercollegiate Athletics. for a new �The 1980 Class Dean Naughton ~I I It was a new and different wo rld for the 13f medical students who arrived on campus two and one-half days early for orientation. There were many "welcomes"-one by Dr. F. Carter Pannill, vice president for the Faculty of Health Sciences, who said "we are all here to help you and we will do our best to serve you the next four years." This theme was echoed by other administrator-educators and students who spoke briefly at the opening session. "The quality of instruction at this medical school will more than compensate for some of the physical problems that you may encounter," Dr. Pannill said. "I know the next four years will be most stimulating for you. The public is demanding changes in medicine and health care. This medical school will meet the challenges and make the changes." Dr. Pannill urged the new students to keep informed on the coming changes. He noted that U /B had the largest health sciences center in the SUNY system. 32 THE BUFFALO PHYSICIAN ��Dean John aughton told the students they could expect some educational changes on campus and in our affiliated hospitals. "We need your involvement, counsel and advice so we can make wise decisions." In welcoming his second class Dean Naughton said, "you are a strong, intelligent group. This is a very exciting time for you . You have a big task, and much is expected of you. I know you will accomplish much before you graduate in 1980." The chairman of the admissions committee told the new students something about themselves. Dr. D. Mac . Surgenor said, "your average age is 22 and you come from 66 different undergraduate colleges and universities; 42 of you are women and 93 are men; 23 are minority students. There are 127 residents of ew York State (64 from Western New York]. There are only eight outof-state residents." Dr. Surgenor pointed out that the mean MCAT science score for this class is almost exactly the same as the mean MCAT science score for all accepted students in all United States medical schools this year. Most of the students are science majors, with biology dominant, but a few majored in literature, history, economics, political science, psychology, sociology and anthropology. The Medical School received 4,499 applications (3,310 male, 1,189 female] and conducted 501 personal interviews. They accepted 273 students to fill the 135 places . "For the first time this fall four students (two sophomores and two juniors) will be voting members of the admissions committee," Dr. Surgenor said. "This will give the committee more contact with the students, something we have lacked in the past." Dr. Leonard Katz, associate dean for student and curricular affairs, said, "a lot of people have been working very hard to present the best possible program for you. There will be many changes, but better things are ahead for all of you." Mr. Rudolph Williams, assistant dean and financial aid officer, discussed scholarship and loan support with the new students. An estimated budget for a single commuter student is $4940 for nine months and $7775 for a married student who is a resident. He also outlined briefly the recently signed legislation by Governor Carey 34 THE BUFFALO PHYSICIA �that institutes a New York State guaranteed loan program for medical and dental students. "You are the elite and you will make it." Dr: Martin E. Plaut told the new students that they have been through the mill when they applied to medical school. "This is the ultimate test, because statistics show your chances of succeeding are excellent," the associate professor of medicine said. "In medicine you and the patient have the same thing in mind. You both want to know what is going on and how to turn it around. Two years from now you will be taking a clinical clerkship. You will be going into patients' rooms with a stethoscope in your pocket. "You are at the height of your intellectual careers. You have many gifts. Keep intact what you possess and learn new things as you go along," Dr. Plaut concluded. Dr. M. Luther Musselman told the students the benefits of the new University health insurance plan. The assistant dean and director of health services also outlined briefly the special clinics and other services available at the University Health Services. There was a 5 p.m. picnic at the end of the first half day. And for the first time the new students had two special luncheons, one with their advisors and another with their preceptors. There were pictures to take, tours and discussion groups led by sophomores. A Physician Speaks by Edward A. Rayhill, M.D. You sit today in a place of honor and of trust-flushed with the success of passing through the seemingly impossible barrier to any medical career-a rigorously competitive, somewhat egocentric pre-medical education. You are assuredly the cream of the cream; we skimmed you right off the top of the Guernsey bottle. It may be quite consoling to the majority of you that you will in four short years gain the degree of Doctor of Medicine from this institution. Some few of you will not, some by choice and some few by default. It is our task as your teachers and preceptors to insure that no one defaults. You will soon be receiving work assignments both expressed and implied, which you will regard as impossible to complete. You will hear yourself grumbling rather frequently, "No way man, No way!" If you have come this far expecting fame, fortune and a fortyhour work week-you're at the wrong luncheon. If you don't like people; if you are not fascinated by their unique humanness; if you can't cry with their losses and smile at their successes; admire their strengths and understand their frailties; marvel at their genius and patiently bear their stupidity; imitate their great energy but not adopt their slothfulness; display the same impassivity to their perfumed coiffures as to their malodorous bodily excreta; be at ease equally with their gentleness as well as their crudity; display the same compassion to the rich, the poor, the black, the white, the devout, the blasphemous; if you have a low tolerance for frustration and are used to the precision of the physical sciences and are irritated with the imprecise; then I would urge you to run for some other way of life through the nearest exit. WINTER, 1976 35 This is excerpts of the address given at the preceptors' luncheon by Dr. Edward A. Rayhill, clinical assistant professor of family medicine. He is a 1954 graduate of the Medical School. �Dr . Ro be r t M. Barone (ce nt er) c hat s with s tud e n ts. Dr. Leonard Katz (ri g ht) with s tud e nt s. Meryl Mc Neal I I II • We, your preceptors, are as nervous as you are. It is not easy for us in "middle age" to face the reality forced upon us by our colleagues in neuroanatomy that millions of our brain cells have already ceased to function and many others have developed dessicated dendrites and agonal axons and to face a class of incessantly questioning young, highly intelligent minds with many more functioning neurons and sharp synapses. It is embarrassing to be asked questions for which you have no answers. But ask them you must. And challenge us you shall, whenever your doubt troubles you. For it is only by such questioning that you will help us sort fact from fiction, which is euphemistic for our own inbred presumption of truth, but not the truth itself. Recognizing the truth sounds deceptively simple but the requisite serendipity is granted to only a precious few. We will insist that you cultivate an evercritical judgment based upon precise observation. It is very important for us to pass on what we know but I feel equally obliged to inform you of what we do NOT know. We are as human as our patients. We possess the same previously enumerated qualities as individuals and in the aggregate. Some of us you will come to love. Others you may grow to hate. I hope none of us will leave you indifferent. Each of us will attempt to teach you what we know and hopefully what we don't know in differing ways. I pray that we will all challenge you to come to know more than we know so that you may eventually become better physicians than we have been. Medicine is not a profession that admits of many mistakes. We have erred and our errors have been painfulwe would hope to minimize your inevitable errors . Any teacher would sincerely desire his students to surpass himself; this is our desire for each of you .. . We will intimidate and harass you, embarrass and degrade you, and give you what seems to be an unending procession of examinations. But this is what your patients will do every day of your professional lives. We are determined to humble you as we have been humbled. We are interested in making you scholars and physicians, not just technologists. A technologist is concerned with what he 36 THE BUFFALO PHYSICIAN �knows; a physician and scholar is more concerned with what he does not know and desires to remedy the defiqit. We could at this point in your student life ostentatiously display our own seemingly dazzling array of medical knowledge in a futile attempt to overwhelm you. But this would be as presumptuous as Galen's fanaticism in the middle ages. Your generation will accomplish things we have not dared to dream. Our purpose, collectively, is simple: to save lives , to help preserve health and well-being and to relieve pain. We may seldom cure but we should always comfort. We are bequeathing you a number of paradoxes: new pharmaceuticals which are more potent for cure but also more dangerous to use; our prolongation of life has also often prolonged suffering and uselessness; our large hospitals have grown more complex and impersonal while our patients roam the corridors seeking someone understanding to talk to. We are rapidly pricing ourselves "out of the market." The increasing costs of health care are bringing bureaucratic intrusions and simplistic political 'cures' that many of us feel will undermine and destroy the continued privacy of the patient-physician relationship which we feel should be kept sacrosanct. We have had enough difficulties defining health, well-being and life-now we are faced with definitions of death which are even more perplexing. Social demands have placed unprecedented burdens upon our Hippocratic consciences . . . George Bernard Shaw may have been warning us when he said, "Science is always wrong. It solves problems, only to replace them with others." It would seem that our solutions to some of our problems have created new problems which we will pass on to you thereby increasing the complexity of your own creative endeavors. And so we challenge each of you now as tyros to become not just good but great physicians and when you have achieved that greatness, as some of you assuredly may, to bear it with the humility that your human errors have so painfully taught. I do sincerely wish you the same satisfactions that I have come to know as a physician. Good luck and my best wishes for your future happiness in your chosen profession. o Dr. Ponnill �(Clockwise from upper right) Preceptorship luncheon with students-Drs. Ben Fisher, Emerson Reid, Marcos Gallego, Milford Maloney. Clinical Preceptorship Program There is a new four-year clinical preceptorship program at the Medical School. The first year class that will graduate in 1980 will have the advantage of personal guidance during the next four years. Each student is assigned to a preceptor. No faculty member will have more than eight students at any one time. Coordinating the new program is Dr. Robert J. Patterson, clinical associate professor of gynecology-obstetrics. He heads the steering committee of nine faculty members. "The 44 preceptors are physicians from all segments of the medical faculty-full-time, part-time and volunteers. The first meeting between student and preceptor was during orientation in August. At this initial meeting the preceptor introduced the students to clinical medicine," Dr. Patterson said. The preceptors met with their students at least two times during September and monthly during the academic year. These twohour student-preceptor meetings are in a clinical environment. "An effort will be made to expose the student to real problems in health care with emphasis on moral or ethical considerations, inadequacies or strengths of the health delivery system, dilemmas in medical care, psychological and sociological perspectives of medical problems and economic issues. The meetings during the first year will be the most critical," Dr. Patterson said. The six goals of the program are: -to provide students a mechanism to enter into a clinical setting from the very onset of medical school; 38 THE BUFFALO PHYSICIAN �-to underscore the relevance of basic science learning to clinical medicine; -to promote a close, personal relationship between each student and a faculty member; -to provide role models for students who will be able to discuss the students' career plans; -to provide access to faculty members for discussion of medical school problems in a non-threatening relationship; -to stimulate the students to consider some of the broad questions of health care including ethical, human, financial and general issues with a sense of reality provided by actual clinical situations. Questionnaires were sent to incoming students to learn something of their interests, talents and career goals. The students were matched with preceptors. When clinical experiences increase for the students during the second, third and fourth years there will be fewer meetings with the preceptors. Career planning will be emphasized by the preceptors during the third and fourth year meetings with the students. "The program will be flexible so that students or preceptors may request a change in preceptorship group. The success of the program is dependent upon close relationships between students and faculty. This may vary depending upon individuals," Dr. Patterson said. The 44 physician preceptors and their departments are: Anesthesiology-Robert Harvey, T. Sievenpiper; DermatologyJohn Maize, James Rasmussen; Family Medicine-James Dunn, Ian Frankfort, Harry Metcalf, James Nunn, Winford Quick, Edward Rayhill; Medicine-Norman Chassin, John Conboy, Ben Fisher, Milford Maloney, Philip Morey, Luther Musselman, Carol Segal; Dr. William Webster d(Clockwise from right) Preceptorship luncheon with students-Drs. Robert Patterson, Robert Harvey, Edward Rayhill, Ronald Foote. �Advisor's luncheon with students-Or. Judith VanLiew (center). Dr. Werner Noell (center). Neurology-Steve Barron, Ellen Dickinson; Neurosurgery-LN. Hopkins; Obstetrics-Ronald Foote, Marcos Gallego, Kenneth Kahn, Emerson Reid; Ophthalmology -Sarah Sirkin; Orthopedics -Bertram Kwasman, Richard Weiss; Otolaryngology -John Lore; Pediatrics- Robert Ehrenreich, Margaret MacGillivray, Luis Mosovich, Oscar Oberkircher, William Webster; Psychiatry-Paula Lopez, John Robinson; Radiology-David Berens, Jerald Kuhn; Rehabilitation MedicineWilliam Walsh; Surgery-James Allen, John Butsch, Donald Becker, Robert Milch, Nancy Stubbe; Urology-Joseph Dwoskin. For the third consecutive year there are 33 basic science faculty members who are advisors for first and second year students. They are: Basic Science Advisors (1975-76)-Doctors Monte Blau, Alistair Brownie, Arlene Collins, Murray Ettinger, Thomas Flanagan, Peter Gessner, Daphne Hare, E. Russell Hayes, Joseph Kite, Robert Mcisaac, Peter ickerson, Peter Regan, Barbara Rennick, Alan Reynard, Benjamin Sanders, Robert Spangler, Douglas Surgenor, Jerrold Winter. Additional Advisors -Doctors John Abeyounis, Seymour Axelrod, Perry Hogan, Diane Jacobs, Jack Klingman, Robert Miller, Werner Noell, Roberta Pentney, Gloria Roblin, Frances Sansone, Fred Snell, H. Thacore, Judith VanLiew, N. Vijayashankar, Richard Zobel. o 40 THE BUFFALO PHYSIC! A �In a move they said is designed "to provide the utmost in care for both mothers and their babies," The Buffalo General Hospital and The Children's Hospital of Buffalo announced ail agreement to consolidate their obstetric and gynecology services, with most of the obstetrics to be provided at Children's and most of the gynecology at Buffalo General. Under the plan, Buffalo General's 26-bed maternity unit closed and those beds were used to expand the hospital's gynecology programs. Conversion of the obstetric beds at Buffalo General to gynecology and development of a joint service in G YN-OB between the two hospitals is consistent with recommendations made a year ago by the Erie County Obstetric Advisory Committee of the CHPC, which also made several other recommendations to reduce the surplus number of obstetric beds in the county. However, as the first hospitals to respond affirmatively to the committee's recommendations, Buffalo General and Children's went beyond those recommendations by including provisions for back-up or "tertiary" care. Plans for the consolidated obstetric-gynecology service were drawn up by physicians of the GYN-OB departments at the two hospitals, headed by Dr. David H. Nichols, M'47, at Buffalo General and Dr. Robert J. Patterson, M'SO, at Children's. Under the plan, once the maternity unit at Buffalo General closed, Buffalo General would encourage its obstetricians to transfer their deliveries to Children's, and Children's would encourage its gynecologists to schedule their gynecology cases at Buffalo General. Children's would schedule GYN cases only to fill unoccupied OB beds. "When medical judgment indicates that the mother should be delivered at Buffalo General because of certain equipment or expertise based solely at that facility," Dr. Kinnard said, "a team of infant care specialists will be mobilized from Children's to care for the infant as soon as it is born, and to transfer it to Children's as soon as that is feasible." "In addition, adult cardiologists, internists and other specialists on the staff at Buffalo General will be on call to the Children's to provide high-risk maternity care to complement Children's high-risk infant program," the two administrators said. In order to accommodate this consolidation of services they said the hospitals intend to establish an "open staff" policy whereby all qualified physicians holding privileges at either institution would be extended the same privileges at the other hospital. Outpatient services in both obstetrics and gynecology would continue at both hospitals. The teaching programs of the Medical School in obstetrics and gynecology would follow the location of the major services, with OB teaching largely at the Children's and GY training concentrated at Buffalo General. The departments of medicine and surgery at the University will be asked to participate in this coordination of services and staff at the two hospitals. The entire program must ultimately be submitted to the State Health Department for final approval. o WINTER, 1976 41 GYN-OB Services Consolidated �MECO Program An early introduction into clinical medicine has been possible for 15 freshmen and sophomore medical students this summer, thanks to a program sponsored by a national medical student group and funding support from local medical organizations. Last spring, explained Thomas Achtyl, the American Medical Student Association charged its local chapters to work for early exposure of medical students to primary care, especially in rural areas where there is a major shortage. The sophomore medical student is local program director for the MECO program (Medical Education Community Orientation). A Buffalo committee was formed. Headed by Tom, as he prefers to be called, it included Paul Paroski (Regional AMSA trustee), Peter Shields, Paul Koenig, Barbara Klein, Elise Riley, Ian Slepian, and Robert Brandis. Among local physician groups and foundations approached for funding support was the APFME. In releasing funds put aside for student fellowships, the Annual Participating Fund for Medical Education, founded in 1954 to support innovative educational opportunities at U / B, expressed the hope that a wide range of student interests, including primary care, would be considered. "We readily agreed," noted Tom. And the list of 13 summer fellowships funded by APFME range from pediatrics to surgery. The Erie County Medical Association also pledged funds for a summer fellowship as did the Erie County Academy of Family Physicians at the urging of Dr. James Nunn. With the majority of requests for preceptorships in primary care, the committee turned to Dr. Raymond Bissonette. As liaison for the group, he approached Dr. Nunn who used his influence in lining up primary care physicians as preceptorships. Th oma s A chtyl {ce nte r) and Dr. H e rb e rt Joyce, cl inical a ss is tant professo r of family medici ne, chec k blood pres s ure. 42 THE BUFFALO PHYSICIAN �Lynette Nieman (left) Jocks at a patient's ear while Dr. James R. Nunn, clinical assistant professor of family medicine and clinical associate in medicine, looks on. Dr. Tadla Baliah, assistant professor of pediatrics (left), and Benny Day examine a patient. For Tom, the summer has provided a first-hand look into medical problems not usually seen by students in a hospital setting. But he has learned more than just clinical medicine. "I am learning about all of the problems of a patient as well as those of his family. I am learning about the 'whole patient.'" Participating in the MECO program: Student Achtyl, Thomas Brandis, Robert Corbelli, John Day, Benny Kaiser, Roger Klein, Barbara Marchetti, David Margolis, John Mitchell, Dean Nieman, Lynette O'Gorman, Kevin Pszonak, Robert Sinatra, Larry Strader, Steven Streit, Andy WINTER, 1976 Preceptor Dr. Herbert Joyce, 3435 Bailey Avenue Dr. Frederich Occhino, North Collins Dr. Joseph Campo, 2768 North Road, Cheekt. Dr. Tadla Baliah, Children's Hospital Dr. Joseph Gerbasi, E.J. Meyer Hospital Dr. Henry Staub, E.J. Meyer Hospital Dr. Sam Galeota, E.J. Meyer Hospital Dr. Robert Warner, Children's Hospital DeGraffe General Hospital, Niagara Falls Dr. James Nunn, 350 Alberta Drive Dr. Amos Minkel, Hamburg, New York Dr. Peter Vlad, Children's Hospital Dr. Charles Mache, Jr., 5775 Sheridan Dr. Dr. Robert Corretore, Millard Fillmore Hasp. Dr. John Mould, Geneseo, New York 43 Field Family Medicine Family Medicine Internal Medicine Pediatrics Surgery Pediatrics Internal Medicine Rehabil. Center Hospital Experience Family Medicine Family Medicine Cardiology Pediatrics Family Medicine Family Medicine �Michael Hoffman / Drs. Wayne Johnson and Gallego Meryl Me eol/ skills development Dr. Collins/ microbiology The picnic for first year students. I I ~I I. Dr. Mc l saac / pharmacology therapeutics and �H is tology/e mbryo logy Curricul urn Flexibility Flexibility-lots of it-is the pattern of medical education in Buffalo, according to Dr. Leonard Katz . He is associate dean for student and curricular affairs. Not only are 19 incoming medical/dental students getting a head start on their education by completing histology /embryology over the summer-it is the second year it has been offered- but there are programs in pharmacology /therapeutics under Dr. Robert J. Mcisaac as well as microbiology under Dr. Arlene Collins for those who wish to graduate in three rather than four years or for remedial or other special circumstances. And a new biochemistry program, one that emphasizes individualized self study, is available for those who have had difficulties in the past. Self study materials for this program have been developed by Drs . Alexander Brownie, Murray Ettinger, and Miriam Meissler of the department of biochemistry. But there is greater flexibility over the clinical years as well. Through an earlier third year start in gyn /ob, 16 students have completed one of seven required rotations over the summer. This educational opportunity is the result of efforts by Drs. Vincent Capraro and Marcos Gallego. And the department of psychiatry also has hosted accelerating students for a clerkship this past summer under the direction of Dr. S.K. Park. A good number of students are also gaining from a skills development course. Taught on an individual basis this summer by Meryl McNeal, it is based on the Hanau Learning Method successfully used at a good number of other medical schools. Explained assistant dean Rudy Williams, "this course is designed to improve the study habits of medical students." It is funded by a new three-year HEW grant. And while there is an individually planned fourth year , one month is earmarked for an experience in direct patient care. o WINTER, 1976 45 Dr. Browni e/ bioc hemistry �Residents , Interns Honored Certificates were awarded to 151 residents and interns who completed all or part of their specialty training at the University participating hospitals- Buffalo General, Deaconess, Children's, E.J. Meyer Memorial, Millard Fillmore, Veterans, and Roswell Park Memorial Institute. Chairing the University Residency Program Committee is Dr. William J. Staubitz, professor and chairman of urology. Anesthesiology Residents -Drs. Fusun Sayek, Kwang Ho Shin Dermatology Residents- Drs. A. Razzaque Ahmed, Burton S. Belknap, George J. Martino, Frederic W. Stearns, Kenneth J. Tomecki Family Medicine Residents -Drs. Charles L. Anderson, GeorgeS. Cook, Thomas J. Dwyer, Lynn F. Feldman, Frederic M. Hirsh, David N. Katz, Richard F. Lutinski, Daniel J. McMahon, Juan B. Perez, Winford A. Quick, Bertrand P. Roche, Gregory C. Starr, Darlene Thorington, JeffreyS. Trilling Gynecology-Obstetrics Residents - Drs. Yilmaz Aclan Celep, Rosendo I. Intengan, Riad Ahmed Kabakibi, Jacob Noghreian, Shalom Press, Sabahat Raza Medicine Residents- Drs. Charles W. Brunelle, Kenneth J. Clark, Jr., William F. Conway, Mark W. Frampton, Kenneth L. Gayles, Alan F. Goldstein, Ralph R. Hallac, Denis B. Hammond, Jean W. Helz, David L. Kelin, Richard J. Kremsdorf, Robert L. Loychik, Pravinchandra Mehta, Harvan Nahmias, Scott M. Nordlicht, Steven H. Noyes, Matthew E. Ochs, Eugene M. Ostroff, Daniel Pietro, Jr., Ira H. Pores, Gayl Scott Reader, Jon P. Rubach, Barry Sanders, Warren H. Valencia, Robert M. Weiss, Henry Wymbs, Robert S. LaMantia, Stanley B. Lewin (Medicine Consultative Residency) - Jean W. Helz Internships -Daniel J. Clemens, Richard A. Ferreras, Marvin W. Kushnet, Thomas C. Salzano, Seth R. Thaller, Orest M. Wasyllw, Lynne B. Hochberg, Robert S. Schulman, Sandra Loychik Flexible Internships- Kenneth B. Miller, Juan Carlos Pelayo Neurology Residents- Drs. Dilawer Husain Abbas, WilliamS. Bikoff, Fairuz Fawzi Matuk, Myung Ho Kim Neurosurgery Resident - Dr. Harvey Roy Silvers Nuclear Medicine Residents - Drs. Marshall S. Carlin, Jai Young Lee, Rudolf M. Satahusada, Bhadra F. Shah Orthopaedics Residents- Drs. ArthurS. Davis, John R. Hunter, James J. McCoy, Robert W. Palmer Otolary ngology Residents - Drs. Minoo Dinshawji Karanjia, Jeffrey Gregory Mellman, Jeffrey Bruce Monroe, Ramesh J. Patel 46 THE BUFFALO PHYSICIA �Pathology (Anatomical) Residents -Drs. Amarjit Kaur, Martin Reske, Kinichi Uheda (Clinical) - Seung Hwan Kim (Anatomical and Clinical) Fazlollah Loghmanee, Vichitra Hemsrichart, Gloria Hsiw-Hwa Hong, Yashodhara Satchidanand Pediatrics Residents - Drs. Marilyn A. Barker, Vincent A. Campanella, Lawrence J. Ettinger, Robin I. Goldenberg, Benjamin Alexander Hart, Martin T. Hoffman, Leslie R. Jaffe, Aditya Kaul, Donald E. Milmore, Judith J. Ochs, Daniel C. Postellon, Mangala S. Puttanniah, Robert J. Schulman, Robert Michael Schultz, Richard H. Sills, Thomas Dennis Sullivan, Paul L. Sutton Physical Medicine & Rehabilitation Residents -Dr. King-Tao Leung, Catherine G. Hawthorne Psy chiatry Residents -Drs. Benita L. Tiu-Atanacio, Tirtadharyana Haryadi, Sharda Karuturi, Lita R. Lampa, Dongll Lee, Arthur Conrad Matthews, Judith Rousso, Sandip R. Shukla, Dedenia Dy Yap, Sung Tae Zin Internships - William Ernest Berlin, Guillermo Blanco, Mary Helen Davis Surgery (General) Residents - Drs. Charles F. Yeagle, Manny E. Christakos, Ariz Ahmad, Tin Aye, Stanley Berman, Chowdhari Prakash Chandra, Gerald Chodak, Gordon Eric Katske, Tariq Khan, David W. Leffke, A. Norman Lewin, Richard B. Linderman, Nizar R. Makan, Lars Quick, S.V. Ramanarao, Iskender Sayek (Cardia-Thoracic Surgery)- Tsen-Shiong Lee, William K. Major, Jr. (Plastic & Reconstructive Surgery) Joel H. Paull (Colon & Rectal Surgery) Amarjit Singh Urology Residents -Drs. Boonsong Anantalabhochal, Timothy J. Doyle, J. Bruce Stoliar, Philip A. Swiantek o WINTER, 1976 47 �Notes from an Anatomy Watcher by Oliver P. Jones, Ph.D., M.D. Distinguished Professor Dr. Jones For many years my lectures in gross human anatomy were pretty straightforward. Wherever possible, I correlated them with histology, embryology, physiology, pathology, and other clinical subjects, especially roentgenology. But after serving as assistant dean for nine years and as chairman of the Admissions Committee for 12, it became more apparent that many students enter medical schools with personal problems and misunderstandings. I therefore added nonanatomical subjects to my lectures for 10 minute intervals. For a long time I have maintained that the most important molding influence on students is that of the teacher. Not only because of his scholarship, knowledge, dedication and approach to the subject but because of his philosophy of life, intellectual processes, and ability to serve as a model. There are some who will never be good teachers no matter what courses they take. For good teachers are those who have or can develop a certain sensitivity to get the "feel of the class" so to speak. But they cannot be expected to "make a silk purse out of a sow's ear." The anatomist, more than other basic science teachers, must not only be well-informed in his field but serve as a father confessor, advisor, counselor and at times diagnostician and practitioner. For half of his time is spent making "men out of boys and women out of girls." There is nothing to compare to a group of medical students dissecting a cadaver. It is then that intimate likes, dislikes, problems [those real or imagined), the meaning of life and death are fully explored. The experience of dealing with a cadaver is a difficult one. It is especially so for those thoughtful, sensitive individuals. For everything about us tends to have us avoid death, both as a cuncept and an actuality. The student may ask what it means to be dead? So cl,irect a confrontation with death is it that he may review his whole reason for existence. Why am I here on earth? What do I hope to accomplish, if anything, in a time-limited lifetime? On the first day, after reading from George Corner's History of Anatomy I talk about death, how it is diagnosed, that all organs and tissues do not simultaneously die. I then point out that the supply of bodies in medical schools in this country is a serious problem in certain areas. And that more and more medical schools depend on those who are willing to serve science and humanity by donating their bodies. And I conclude with the necessity for proper respect for the dead. Always of interest is why an individual pursues a career in medicine. In asking whether they remember why they entered the medical profession, I suggest they spend a few minutes retracing their steps. Was it a chance meeting? I ask. A word overhead, something seen, a story read? Yes, even a dream may have been the impetus. But you may not remember. From Dr. S . Mouchly Small, professor and chairman of psychiatry, comes some insight into the motives behind specific vocational choices which vary with the individual. "What actuates one person to follow a certain occupation does not necessarily apply to another choosing the same type of work. Often, quite different jobs may serve to sublimate the same instinctual drives. It is only 48 THE BUFFALO PHYSICIA �by analyzing the particular case and obtaining evidence for various choices that we may speak of unconsciously-determined motivation." When I find the class not to be making good dissections, I lecture on how to be a failure. To become a truly outstanding one, make sure that you do not fall in love with your work, I point out. For the real enemy of failure is the thrill of achievement. I warn them to avoid the feeling of wanting to tell someone that you had a really good time making independent observations and discoveries. The proper attitude for a professional is best exemplified in the following anecdote: "Once Michelangelo, painting frescoes in the Sistine Chapel, was lying on his back on a high scaffold, carefully outlining a figure on a corner of the ceiling. A friend asked him why he took such pains with a figure that would be many feet away from the viewer. "After all," said the friend, "who will know whether it is perfect or not?" "I will," was the artist's response. Just before examinations, many Anatomy students complain about nervous tension and anxiety. Brenner says, "This anxiety is by no means pathological in itself. On the contrary, it is a necessary part of mental health and growth. Without it, any sort of education, in the broadest sense of the word, should be impossible." I have always maintained there is a proper place for healthy degrees of tension, anxiety, even frustration. Students would otherwise not work hard enough to bring out the best, to get to the bottom of difficult, challenging situations. Optimum mental efficiency is not demonstrated nor developed in the absence of emotional tension. We may ask how much there should be and the best ways to produce it. Obviously it should not be to the point where some students would transfer to another medical school rather than face certain clinicians in their third or fourth years. On the contrary, one of the best ways to produce the required amount of tension in a student is for a teacher to be well prepared, to know his subject thoroughly and insist on orderly, accurate clear and concise observations; one who expects a student to develop and refine his powers of observations in all sensory modalities. In other words, we need good, experie'1ced teachers, a far cry from those educated by educators. Students soon learn to appreciate and respect scholarship in their teachers. They increase their own tension as a result of unconscious identification with teacher as model. A certain degree of tension helps the student organize and integrate his material, even enhances his motivation. This should be the goal of all examinations, as well as the right amount of responsibility at the right time to elicit enough anxiety or frustration to uncover hidden talents in the student. The wrong kind is engendered by prima donnas, those ill-prepared, inexperienced teachers who are trying to mask their own deficiencies. In conclusion, medical students should have acquired three things while studying anatomy. Communication, which is as important in medicine as it is in general education and is the founda tion of free enterprise. Anatomy furnishes the vocabulary of medicine. d- WINTER, 1976 49 �Dr. Donald Mainland said, "Knowledge of names is not knowledge of things, but names are means of communications, and the necessary ones must be learned accurately. Learn how to pronounce, spell, and write them. Unorthodox pronunciation makes one's hearers suspect ignorance of the subject." This goal can only be achieved by continuous reading, study, and use of the library. Even so, some students may never learn about the triangle of Jones or the ophthalmo-rectal nerve. Another function of the anatomist is to help students learn how to educate themselves. It may seem unwise to admit to students they will forget much of what they have learned. But if they learn how to educate themselves, they must recognize this tendency to forget and the need to learn how to learn. Things that appear unimportant today may be important tomorrow. Once a student has studied the fabric of the human body, there is sufficient know-how to refresh his memory on details from source material, a task not possible for one who has never dissected a cadaver. There is a need to develop and refine the powers of observation. Since 1951 we have striven to accent this by requiring students to submit a written report about an anomaly, malformation or pathologic conditions found in a cadaver. These reports, prepared for partial laboratory credit, include an accurate description, review of the literature, and statement on embryological or pathological condition likely to have contributed to its production. Because visual memory is the chief means by which practitioners accumulate clinical experience, it is worth training. o Drs. Nolan, Apicella Honored Two Medical School faculty members and one intern were honored by the 1976 graduating house staff of the Department of Medicine at the annual E. J. Meyer Memorial Hospital dinner dance in June. Both Drs. James alan and Michael Apicella were cited for being "outstanding attending physicians." Dr. Ralph Hallac, M'73, chief resident, presented the plaques. Dr. Nolan is professor of medicine and heads the department of medicine at the Buffalo General Hospital. Dr. Apicella is associate professor of medicine and a member of the infectious disease department at the Meyer. Dr. Henry Polin won the orman Chasin award as the best medical intern of the year. The presentation to Dr. Polin was made by Dr. Thomas Bumbulo, M'31, clinical professor of pediatrics and medical director at the Meyer Hospital. o 50 THE BUFFALO PHYSICIAN �Viruses /Interactions Viruses and their interactions with cells have plainly fascinated Dr. Thomas Flanagan. But, for the professor of microbiology who heads the virology laboratory in Buffalo, it is a different kind of virus infection, the persistent one, which absorbs most of his interest. Once viruses are placed into a cell culture, they force the cells to make or produce other viruses. In the case of persistent infection, however, the process continues over long periods of time. With a $13,538 National Multiple Sclerosis Society grant- it brings Society support of his research since 1975 to $32,665 - he and Dr. Arlene Collins, assistant professor of microbiology, will be taking a very close look at demyelinating diseases such as multiple sclerosis. This often crippling disease is usually first diagnosed in young adults age 20 to 40. And episodes of this motor or sensory dysfunction increase in frequency, duration or severity as the lesion spreads throughout the central nervous system. While its cause remains unknown, Dr. Flanagan points to a viral or infectious one as most commonly implicated today with perhaps an added immune complication. In trying to develop an experimental model to study chronic degenerative neurologic disease which may be due to persistent virus infections, Dr. Flanagan will be using the NIH nude mouse. Because its biology is well defined, he hopes to be able to study chronic infections and to learn how it makes antibody, its cellmediated response, and the state of its virus infection during the animal's short life span. For, points out Dr. Flanagan, "if we can determine the cause of the disease, we may be able to find a way to arrest the process or prevent it in the first place." The virology laboratory headed by Dr. Flanagan is a busy one. Under contract with the Erie County Laboratory, it supplies diagnostic services to area hospitals and physicians. During 1975, it performed over 11,000 tests, a 65 % jump over the previous year. These tests ranged from isolation and ,identification of diseases in the community such as influenza and rubella to more difficult and sophisticated services to renal dialysis units - monitoring of patients for serologic changes and the shedding of cytomegalovirus. It is a particular problem for those who are immunosuppressed, Dr. Flanagan said. o WINTER, 1976 51 Drs. Flanagan and Collins look at hemagglutination test to detect virus particles. �The experimental diver, Or. Ed ward Thalma nn, US . [left) is attached to o harness in th e we t comportm ent behind the second ba rrier of th e chamber. Research as sistan t Dean Markey (right) be tw een th e fi rs t a nd second barrier is adju s ting the di ver's breathin g tu bes. Deep Sea Diving Experiments Oil exploration may benefit from deep sea diving experiments in the pressure chamber in the physiology department at the Medical School. This chamber probably has the highest pressure capacity (equivalent to 5600 feet of depth) in the world. "We are studying the physiological and medical problems related to diving. Hopefully our experiments will make deep sea diving safer for commercial divers, who play an important role in the discovery of oil fields and in drilling operations," Dr. Claes E. Lundgren said. He is a Swedish physician-researcher on leave from the University of Lund, Sweden conducting experiments in U/B's Hyperbaric Chamber. "The lung function in diving at great depths is sometimes insufficient and endangers the diver. We hope to find out why and decrease the risks of deep sea diving. We also want to learn more about decompression sickness and how it affects divers. Today decompression is more of an art than a science. It is a hazard and a risk that is always present. Because of intense cold at great depths, malfunction of breathing gear or an accident - divers very often must surface in a hurry- and this involves a greater risk. The gas bubbles of decompression sickness constitute a major hazard when leaving the hperbaric environments," Dr. Lundgren said. The hazards involved in deep sea diving can be best illustrated by the fact that the mean survival time for divers working from North Sea oil rigs was given recently as about 30 bottom hours. 52 THE BUFFALO PHYSICIA �Close attention is paid to the rate of descent of the divers as recorded on the pressure gauges by Dr. Lundgren, Dr. Mary Anne Rokitka, research associate and research assistant professor of physiology, and chamber operator Bruce Laraway. The composition of the exhaled gas from the diver is monitored on the medical gas analyzers by research assistant WiJliam Lawrence. WINTER, 1976 53 �An overview of the pressure chamber of the hyperbaric facility of the Laboratory of Environmental Physiology at the Medical School. Drawing repnnted courtesy of Popular Science e 1970 by Popular Science Publishing Company, Incorporoted. Dr. Lundgren is professor of hyperbaric physiology and head of the laboratory of aviation and naval physiology at the University of Lund, Sweden. He received his M.D. and Ph.D. degrees from the University of Lund. He is a Commander in the Royal Swedish Navy and at the present time he is in the medical corps reserve. The Swedish scientist pointed out that commercial diving is very expensive because of the sophisticated hardware and the large crew required to decompress divers when they are brought back to the surface. A few hours of work on the bottom may require days or even weeks coming back to the surface. "The chamber facility not only allows us to subject a person to the great pressures in the ocean but he can also be submerged so that realistic experiments can be made to study the interaction of immersion and gas density while divers perform physical exercises under water," Dr. Lundgren said. Two steel vessels, welded together, make up the 50-ton chamber. A passageway connects a seven-foot spherical antechamber to a 14-foot-long diving vessel. Both compartments have an inside diameter of seven feet and a working pressure of 170 atmospheres. An innovation of the diving vessel is the special design of the wet compartment by Mr. Richard Morin, assistant to the director, and Dr. Edward Lanphier, research associate professor. It stands as a model for chambers that are now being built in other parts of the world. Water is retained in the wet half of the cylinder by semicircular barriers of plexiglas. A diver climbs over one barrier and ducks under the other to enter the wet side. The combination chamber is less costly and more convenient. It also simplifies breathing measurements made on divers. 54 THE BUFFALO PHYSICIAN �By using the sphere as a sea-lab habitat or decompression chamber, the dry compartment of the cylinder as a ve stibule, and the wet compartment as the ocean, it is possible to simu late both saturation dives and "excursion dives" (brief descents to greater depth than a diver's saturation level). The wet compartme nt realistically provides submergence, high press ure, low temperature, and darkness. Both vessels are studied through observation windows. Conical six-inch-thick "panes" of plexiglas bear the pressure forcing them against reinforced seats. TV cameras can see what happens in the diving vessel. o Neurology Residency Program A new neurology residency program at the Dent Neurologic Institute of the Millard Fillmore Hospital has been approved by the American Board of Neurology and Psychiatry and the American Medical Association, according to Dr. William R. Kinkel, Director of the Institute. Dr. Kinkel is a 1954 graduate of the Medical School and a clinical associate professor of neurology and anatomical sciences. The first year resident will receive experience in internal medicine. The next three years will include extensive clinical experience in adult and pediatric neurology as well as training in electroencephalography, electromyography, neuroophthalmology, and neuropharmacokinetics. The Dent Neurologic Institute is one of the few centers in the United States where computerized axial transverse tomography is interpreted and clinically correlated by the department of neurology and is the only center where two units are operating side by side, which greatly facilitates clinical research. Other board certified neurologists are associated with the program. They are Dr. Edwin J. Manning, 1961 Medical School graduate, who is a clinical assistant professor of neurology and anatomical sciences; Dr. Lawrence Jacobs, a clinical assistant professor of neurology; Dr. Stephen Barron, a 1968 Medical School graduate, and Dr. Michael Cohen, a pediatric neurologist. Dr. Robert Zwericki, with a special interest in genetic disorders of the central nervous system, will also play an active role in the residency training program. o WINTER, 1976 55 Dr. Kinkel is chairman of a national committee to develop training programs in interpretation of CA TT records. �Medical School Deans Oct. 3, 1846 1 -1 849 FRANK HASTINGS HAMILTON, M.D . Professor of principles and practice of surgery and clinical surgery* Mar. 29, 1849 2 - 1850 AUSTIN FLINT, SR., M.D. Professor of principles and practice clinical medicine of Feb. 25, 1850 2-1852 CHARLES BRODHEAD COVENTRY, M.D. Emeritus professor of physiology jurisprudence Jan. 26, 1852 2 -1854 JAMES PLATT WHITE, M.D. Professor of obstetrics and diseases children of medicine and and medical women and Feb. 1, 1854L1860 THOMAS F. ROCHESTER, M.D. Professor of the principles and practice of medicine and clinical medicine of Feb. 11, 1860 2-1866 SANDFORD EASTMAN, M.D. Professor of anatomy Feb. 17, 1866 2-1869 GEORGE HADLEY, M.D. Professor of chemistry and pharmacy Feb. 23, 1869L1874 JULIUS F. MINER, M.D. Professor of special surgery Feb. 20, 1874 2 -1877 MIL TON G. POTTER, M.D. Professor of anatomy Aug. 27, 1875 1 - Acting Dean ? 1877-Feb. 23, 1878 - Dean THOMAS F. ROCHESTER, M.D. Professor of the principles and practice clinical medicine of medicine and Feb. 23, 1878L1882 "The title and office of Dean . . . dispensed with." Duties performed by the President of the Faculty JAMES PLATT WHITE, M.D. Professor of obstetrics and diseases of women and children; Died Sept. 28, 1881 Twenty-six men have been at the helm of the Medical School since its founding in October of 1846. Dr. Robert L. Brown, as so cia te dean and associate professor of medicine, compiled this information. Fe b. 18, 1882 1 -1883 CHARLES CARY, M.D. Professor of anatomy Feb. 28, 1883 2 -May 24, 1887 THOMAS F. ROCHESTER, M.D. Vice chancellor of the University Professor of the principles and practice clinical medicine; Died May 24, 1887 56 of medicine and THE BUFFALO PHYSICIAN �May 25, 1887 1 - Acting Dean Sept. 27, 1887 1 -1912 -Dean MATTHEW D. MANN, A.M., M.D. Professor of obstetrics and gynecology May 20, 1912 1 -1915 HERBERT U. WILLIAMS, M.D. Professor of pathology and bacteriology and curator of museum July 19, 1915 3 -1918 THOMAS H. McKEE, M.D. Associate in surgery June 3, 1918LNov. 16, 1927 CHARLES SUMNER JONES, B.S., M.D. Associate professor of pediatrics; Died Nov. 16, 1927 ? 1927- Acting Dean Jan. 4, 1930 4 -Feb. 9, 1946 - Dean EDWARD W. KOCH, A.M., M.D. Professor of pharmacology and head of the department of therapautics; Died Feb. 9, 1946 Feb. 20, 1946 -Acting Dean Apr. 18, 1946 4 -Feb. 7, 1958 - Dean STOCKTON KIMBALL, B.S., M.D. Assistant professor of medicine and associate in pharmacology; Died Feb. 7, 1958 Feb. 25, 1958 - Acting Dean Jan. 20, 1959 4 -1960- Dean ERNEST WITEBSKY, M.D. Distinguished professor of bacteriology and immunology and head of the department of bacteriology and immunology July 1, 1960-1962 -Acting Dean ROBERT L. BROWN, M .D. Assistant professor of medicine July 1, 1962 4 -1968 DOUGLAS M. SURGENOR, B.A., M.S., Ph.D. Professor of biochemistry and chairman of the department of biochemistry July 1, 1968 5 -1971 LeROY A. PESCH, M.D. Professor of medicine Jan. 1, 1972 s_June 13, 1973 -Acting Dean June 14, 1973 5 -Feb. 28, 1975- Executive Officer CLYDE L. RANDALL, A.B., B.S., M.D. Vice president for health sciences and professor of gynecology-obstetrics June 19, 1974-Feb. 28, 1975 - Acting Dean F. CARTER PANNILL, B.S., M.D. Vice president for health sciences and professor of medicine Mar. 1, 1975 JOHN NAUGHTON, B.S., M.D. Professor of medicine WINTER, 1976 57 • Faculty titles are those in effe~t when appointments to Deanship were made. 1 Date of Meeting of Faculty (Ex. ecutive Faculty) of the Medical Department at which the appointment was approved and became effective. 2 Date of Meeting of Faculty (Ex. ecutive Faculty) of the Med!cal Department at which the appomtment was approved, to become effective at a later date, usually following the Commencement which concluded the academic year. 3 . Date of the Meeting of the Administrative Board of the Medical Department at which the appointment was approved and became effective. 4 . Effective date of appoinh_nent approved by the Committee on General Administration of the Council of the University of Buffalo. 5. Effective date of appointment approved by State University of New York. �Faculty Promotions The following 105 Medical School faculty members received promotions in August, 1976. Promotions to Professor: Doctors Thomas Flanagan (microbiology]; Margaret MacGillivray (pediatrics]; Byung H. Park (pediatrics]; Robert Reeves (physiology]; Jerrold C. Winter (pharmacology & therapeutics]. Promotions to Clinical Professor: Doctors Ivan Bunnell (medicine]; Robert M. Kohn (medicine]; John W. Pickren (pathology). Promotion to Research Professor: Doctor Edward Henderson (medicine). Promotions to Associate Profes sor: Doctors Richard Evans (microbiology]; Michael Garrick (pediatrics]; Daphne Hare (medicine]; Robert F. Miller (physiology]; Mario Ratazzi (pediatrics]. Promotions to Clinical Associate Professor: Doctors Donald R. Becker (general surgery]; Michael E. Cohen (neurology]; Michael T. Genco (neurology]; William H. Georgi (pediatrics); Allen L. Goldfarb (medicine); Kenneth Goldstein (medicine]; Hans F. Kipping (dermatology]; Kyu-Ha Lee (rehabilitation medicine]; Theodore C. Prentice (medicine]; Robert E. Reisman (pediatrics]; Howard Stoll (dermatology); Louis A. Trippe (gynecology & obstetrics). Promotion to Research Associate Professor: Doctor Patrick Carmody (gynecology & obstetrics]; Carnal Osman (radiology). Promotions to Assistant Profess or: Doctors Fawzy Abdelmessih (rehabilitation medicine]; Joginder Bhayana (general surgery); Purnendu Dutta (general surgery]; Amol S. Lele (gynecology & obstetrics]; John P. Visco (medicine]. 58 Promotions to Clinical Assistant Professor: Doctors Albert Rowe; George Sanderson; Lyle Secord (all from anesthesiology). JosephS. Calabrese; Sharifa Fazili; Francis A. Fate; Kenneth H. Kushner; Ambrose A. Marcie; Daniel A. Mariniello; Raymond W. Mitchell, Jr.; Donald J. Nenno; John H. Peterson; Richard R. Romanowski; WalterS. Walls III; Samuel Weisman; Wanda Wieckowska (all from gynecology & obstetrics]. Maqbool Ahmad; Elizabeth McCauley; Curdial Singh; Enrique A. Willmott (all from psychiatry]. Michael Barone; Joel M. Bernstein; Cyril S. Bodnar; Jerome J. Glauber; Sanford R. Hoffman; Arden M. Kane; Edwin F. Lathbury; William N. Mcintosh; Norberta Silva; Lorenzo T. Teruel; Ernesto G. Zingapan (all from otolaryngology]. orman Dare; Albert Franco; Jaya Ghoorah; Oscar Llugany; Carlos Ordonez; Elbert W. Phillips; Arthur F. Riordan; Douglas M. Sirkin; Ronald R. Toffolo; Reinhardt Wende (all from radiology]. Rubin Cartagena; John M. Hodson; Barry T. Malin; Dale Skoog; Gerald Sufrin (all from urology]. Also-Joseph R. Natiello (anatomy]; John S. Barany (medicine]; Leo . Hopkins III (neurosurgery]; Norman B. Richard (pediatrics]; Robert W. Scott (dermatology]. Promotion to Research Assistant Professor: Doctor Moti L. Tiku (pediatrics). Promotions to Clinical Instructor: Doctors George S. Cook; Thomas J. Dwyer; Lynn F. Feldman; Frederic M. Hirst; Daniel J. McMahon; Winford A. Quick; Bertrand P. Roche (all from family medicine). Robert P. Gatewood, Jr.; John C. Giacomini; Mark C. Hamilton; Dennie S. Krauss; Alan I. Leibowitz; Kathleen W. Mylotte; Sanford R. Pleskow; Arthur C. Sqalia; Frederic A. Stelzer (all from medicine). Also-Robert A. Milch (general surgery); Myung Ho Kim (neurology]; Stephen Commins (pediatrics]; Gilbert M. Rose (pedia tries). o THE BUFFALO PHYSICIAN �The Classes of the 1930's Dr. Norbert G. Rausch, M'33, retired as V.D. consultant and Director of Venereal Disease Control, Erie County New York Health Department, after 30 years of service on August 2, 1976. o Dr. Charles F. Becker, M'38, who has been chief pathologist and director of laboratories at Sisters Hospital for 30 years, is stepping down. Dr. Becker has been on the Medical School faculty since 1941. He has been a clinical associate professor of pathology since 1970, and a consulting pathologist at Buffalo Columbus Hospital since 1953. From 1942 to 1960 D.r. Becker was chief attending pathologist and director of laboratories at Emergency Hospital. o The Classes of the 1940's Dr. William Hildebrand Jr., M'40, was appointed to the otolaryngology department staff at Sisters Hospital. He interned at The Buffalo General Hospital and took his residency there and at Children's Hospital. o Dr. PaulK. Birtch, M'43, writes to assure the Buffalo Physician that he has not retired (as reported in a recent issue), but is in full-time private practice of gynecology in Boca Raton Florida. o ' D~. Richard J. Jones, M'43, an authority on c~rdwlogy and nutrition, has been appointed director of the American Medical Association Division of Scientific Activities. Dr. Jones has spent much of his career at the University of Chicago, where he served on the faculty of the school of medicine and directed research. For the past six years he has been director of the university's faculty and administrative health care facility. Dr. Jones served an internship at the University of Chicago. He completed residency training in Buffalo and at the University of Chicago. He also obtained a master's degree in physiology from U/B. o Dr. Irwin A. Ginsberg, M'44, has been appointed to the Sisters Hospital staff. He held a fellowship at Guy's Hospital, London, England. He interned at the Buffalo General WINTER, 1976 Hospital and held residencies at Mt. Sinai Hospital and Columbia Presbyterian Medical Center, both in New York City. He is clinical associate professor of otolaryngology and anatomical sciences at the Medical School. o Dr. Martin J. Downey Jr., M'45, is chairman of the Cardiopulmonary Resuscitation Committee of the New York State Heart Association. He is director of anesthesia at Children's Hospital and a clinical associate professor of anesthesiology at the Medical School. o Dr. Murray Andersen's Ship of Fools was the victor on Lake Erie's Abino Bay in the second fall series race (August 15) for Highlanders at the Buffalo Yacht Club's Point Abino station. Dr. Andersen is a 1947 Medical School graduate. o Dr. William H. Bloom, M'48, neurosurgeon in Bay Shore, New York is president of the Suffolk County Medical Society. o Dr. Thomas J. Enright, M'48, is assistant chief, general surgery section, Veterans Administration Hospital, Asheville, North Carolina, and assistant clinical professor of surgery, Duke University Medical Center, Durham. o The Classes of the 1950's Dr. Cloyd F. Wharton, M'52, is practicing surgery in Los Angeles. He lives at 2280 West Lomita Boulevard, Lomita, California. o Dr. Milton Alter, M'55, accepted the position of professor and chairman of the department of neurology at Temple University in Philadelphia in July. He had been professor of neurology and chief, neurology service, Minneapolis VA Hospital, University of Minnesota. o Dr. John H. Peterson, M'55, joined the Sisters Hospital staff in July. He took his internship and residency in Gyn/ Ob at the Buffalo General Hospital. He is clinical associate in Gyn/Ob at the Medical School. o Dr. Elroy E. Anderson, M'58, has been elected chief of staff of the Cape Cod Hospital. The hospital plans to add an oncology department with a cancer therapy unit to serve the area. He lives at 237 Station Avenue, South Yarmouth, Massachusetts. o 59 �The Classes of the 1960's Dr. Theodore Bistany, M'60, won the Class A 10-mile Shark Trophy Race from Port Colborne, Ontario to Buffalo Yacht Club's Point Abino Station in August with his Niagara, a Tartan 41. o Dr. Paul E. Bellamy, M'61, is a house staff officer at the University Hospitals in Cleveland, Ohio. o Dr. Gerald E. Patterson, M'62, joined the Sisters Hospital staff in July. He took his internship and residency in Gyn /Ob at the Buffalo General Hospital. He is clinical associate in Gyn/Ob at the Medical School. o Dr. Robert M. Tabachnikoff, M'66, has recently been appointed director of maternal health services and family planning in Sarasota, Florida. He is on the board of Pineview, school for gifted children in Sarasota. The Fellow of the American College of Ob /Gyn lives at 1666 Spring Creek Drive, Sarasota. o Dr. Murray A. Yost Jr., M'66, has been appointed to the Sisters Hospital staff. He interned at the University of California Hospitals, San Francisco. He was a resident in psychiatry at Yale University Hospital and in Gyn /Ob at University Hospitals, Cleveland. He is clinical instructor in Gyn/ Ob at the Medical School. o Dr. Stanley Bodner, M'67, whose specialty is internal medicine and tropical and infectious diseases, recently completed a postdoctoral year at the University of London School of Tropical Medicine earning a D.C.M.T. degree. He is a clinical instructor, department of medicine at Vanderbilt University School of Medicine and Nursing. Dr. Bodner is a Fellow, American Society of Tropical Medicine and a member of the Royal Society of Tropical Medicine and Hygiene. He lives at 2760 Lebanon Road, Donelson, Tennessee. o Dr. Dorothy McCarthy Murray, M'67, whose specialty is internal medicine, hematology, oncology, is now in private practice with two other hematologists in Boca Raton, Florida. She is a Diplomate of the subspecialty boards in both hematology and oncology (1975). She lives at 351 NW lOth Court, Boca Raton. o Dr. James M. Strosberg, M'67, is practicing rheumatology in Schenectady, New York. o Dr. Martial R. Knieser, M'68, has joined the department of pathology at Millard Fillmore Hospital as associate pathologist. He was chief of anatomic pathology service at the Walter Reed Army Medical Center, Washington, D.C. and associate professor of pathology at the Georgetown University Medical School. He served his internship at the Brooke General Hospital, Texas. o Dr. Laurence A. Citro, M'69, is assistant professor of radiology at the University of Pennsylvania. He lives at 998 Edgewood Drive, Springfield. o Dr. John R. Fisk, M'69, has been appointed (September) assistant professor in the department of orthopedic surgery, Emory University School of Medicine, Atlanta, Georgia. He was previously with the 121st Evacuation Hospital, Seoul, Korea, (U.S. Army) where he organized the Crippled Children's Program of Holt Children's Services and cared for 50 polio children in the past nine months. o Dr. Michael M. Goldberg, M'69, began a private practice in ophthalmology in September. He lives at 234 Penn Lane, Rochester, New York. o Dr. Richard H. Daffner, M'67, recently became Chief of Radiology Service at Durham Veterans Administration Hospital (North Carolina). affiliated with Duke University Medical Center. Prior to his departure from Louisville, Kentucky, Dr. Daffner was named "Distinguished Citizen" by Mayor Harvey Sloan for his work with the youth hockey program in the area. o 60 THE BUFFALO PHYSICIAN �The Classes of the 1970's Dr. L.S. Frankel, M'70, is an instructor of pediatric oncology at the University of Florida Medical School at Gainesville. o Dr. Robert Peter Gale, M'70, is assistant professor of medicine and postdoctoral scholar in immunology in the department of medicine, division of hematology and oncology at UCLA School of Medicine, Los Angeles. His many professional memberships include: Scholar of the Leukemia Society of America; American Federation for Clinical Research, American Federation for Cancer Research; Transplantation Society; American Association of Immunologists; Society for Cryobiology; American College of Surgeons NIH- Transplant Registry Advisory Committee; International Society for Experimental Hematology; Diplomate, American College of Physicians; and President, International Cooperative Group on Bone Marrow Transplantation (Leukemia Section). o Dr. Joel H. Krumerman, M'70, is completing military service as Chief, department of radiology at the Naval Regional Medical Center, Jacksonville, Florida. He is certified in the American Board of Radiology and the American Board of uclear Medicine. o Dr. Michael Lippman, M'70, whose specialty is pulmonary medicine, is a clinical instructor at Albert Einstem College of Medicine. He lives at 188 Hardscrabble Road, Briarcliff Manor, New York. o Dr. Peter E. Silversmith, M'70, finished a Plastic Surgery Residency on June 30, 1976 in Toronto. He will begin private practice in Plastic Surgery in Frederick, Maryland. o Dr. Kenneth Solomon, M'70, is an instructor, department of psychiatry, Albany Medical College. He and his wife, Mona Solomon, M.S., are directors of the Center for the Study of Marital Alternatives in Schenectady·, New York. The purpose of the Center is education and research of alternatives to traditional marriage. The Solomons live at 5B Picturesque Parkway, Schenectady. o WINTER, 1976 Dr. Joseph A. Manno III, M'72, began practicing in his specialty, ophthalmology, in Atlanta, Georgia in June, 1976. He lives at 2575 Peachtree Road, N.E., Atlanta. o Dr. Lawrence Zerolnick, M'72, is now in pediatric practice in Owings Mills, Maryland after completing a fellowship at the University of Maryland Hospital in behavior and learning problems of children. He is also a clinical instructor at the University of Maryland Medical School. o Dr. Jeffrey P. Herman, M'73, completed a pediatric residency at the Montefiore Hospital and Medical Center, Bronx, New York and joined the Sayreville Medical Group, Old Bridge, New Jersey in July, 1976. He lives at 12D Cherry Hill Lane, Old Bridge. 0 Dr. James S. Marks, M'73, recently finished a year as chief resident of outpatient pediatrics at the University of California Hospital at San Francisco. In July he started a two-year appointment with the Center for Disease Control, Atlanta, assigned to Ohio State Health Department at Columbus, Ohio. Dr. Marks writes that he and his wife, the former Judi Mack (BS'68) are the proud parents of a daughter, Amy Lynn, born May 28, whose grandfather is Dr. Eugene Marks, M'46. o Dr. Howard R. Goldstein, M'74, is a 2nd year surgical resident at the Northshore University Hospital, Manhasset, New York (Cornell University Medical College). In July, 1977 Dr. Goldstein will begin a urology residency at Col urn bia- Presbyterian Medical Center (College of Physicians and Surgeons of Columbia University). He lives at 214-09 14th Avenue, Bayside, New York. o Dr. George M. Kleinman, M'74, is chief resident in neuropathology at the Massachusetts General Hospital, where his wife, Dr. Jettie Hunt Kleinman, is a resident in pathology. They live at 99 Pond Avenue, Brookline. o 61 �People Dr. Bernard H. Smith has resigned as acting head of the department of neurology. He will continue as professor of neurology. Dr. Smith has been on the faculty and at the E.J. Meyer Memorial Hospital as chief attending neurologist since 1953. He is also a consultant neurologist in several area hospitals and institutions. Dr. Smith was educated in Scotland and England. Before coming to Buffalo he was a Fellow, Montreal Neurological Institute; lecturer in neurology, McGill University; assistant in Outdoor Clinics, Royal Victoria Hospital, Montreal. o Dr. Adrian 0. Vladutiu was recently elected a Fellow of the American College of Physicians. He is director of the immunopathology laboratory at The Buffalo General Hospital, clinical assistant professor of pathology, and associate member of the Center for Immunology. He has over 50 publications in the field of immunology and laboratory medicine. o Dr. Daphne Hare, associate professor of medicine and biophysical sciences, has been named to the Professional Resources Committee of the American Medical Women's Association. o Dr. Raymond P. Bissonette has been named to the State Advisory Committee on Mental Health by Governor Hugh L. Carey. Dr. Bissonette is assistant professor of sociology in the department of psychiatry, assistant professor of family medicine and clinical assistant professor of social and preventive medicine. He is also director of Transitional Services Inc., co-chairman of the United Way of Erie County Budget Review Panel for Health Services, a member of the Institutional Review Committee at Buffalo Psychiatric Center, and an advisor on health care legislation to Congressman John J. LaFalce. o Dr. Elliot F. Ellis, professor and chairman of the department of pediatrics, has been named interim director of Children's Hospital following the resignation of Frank Muddle, who had this position for nine years. Dr. Ellis is also pediatrician-in-chief at the hospital. o 62 Three alumni won or placed in the summer series for the Buffalo Yacht Club Highlanders on Abino Bay in July. Dr. Murray Anderson, M'47, won the opening race with his Ship of Fools, while Dr. John Kosteki, M'59, was second in his Flounder. Dr. Robert E. Bergner, M'50, sailed Awake to victory in the second Buzz Jokl series race for International 21s. o Two alumni were honored at the annual meeting of the Erie County Unit of the American Cancer Society. Dr. Elmer Friedland, M'32, was honored for "outstanding leadership and dedication to the cancer control effort." The clinical associate professor of medicine was chairman of the unit's Service Committee. Dr. Samuel Sanes, M'30, professor of pathology (emeritus), was elected an honorary life member of the board. He was a founder and past president of the unit. The new president is Dr. Ronald G. Vincent, chief of thoracic surgery at Roswell Park Memorial Institute. He is a research assistant professor of surgery at the Medical School. The newly elected vice president is Dr. Nancy J. Stubbe, clinical instructor in surgery. o Dr. Om P. Bahl has been appointed to a three-year term as chairman of the department of biological sciences. The Pakistan native joined the biochemistry faculty in 1966. He was named a full professor in 1971. Since 1974 he has been the director of the division of cell and molecular biology. Dr. Bahl received his bachelor's and master's degrees in India and his Ph.D. from the University of Minnesota.o Dr. F. Carter Pannill Jr., vice president for the Faculty of Health Sciences, has been named to the E.J. Meyer Memorial Hospital Advisory Board. o Dr. John H. Talbott is co-author of a new book, Gout and Uric Acid Metabolism, published by Stratton Intercontinental Medical Book Corporation of New York. From 1946 to 1959 Dr. Talbott was professor of medicine at the Medical School and chief of medicine at the Buffalo General Hospital. He presented the Stockton Kimball Lecture on March 27,1965 at Spring Clinical Days. Dr. Talbott is clinical professor of medicine at the University of Miami (Florida) School of Medicine. o THE BUFFALO PHYSICIAN �Dr. Alvin Schweitzer, M'34, died September 15 after a brief illness. His age was 66. The former Tonawanda school physician was a past president of the Erie County Board of Health. He had been active in several local, regional and national professional associations. o Dr. Alvah Phillips, M'25, died August 19 in a Lakeland, Florida hospital. His age was 80. He was a Buffalo physician 37 years and was on the staffs of the E.J. Meyer Memorial and Millard Fillmore Hospitals. He retired in 1962. Dr. Phillips served in the United States Army Medical Corps during World War I. He was active in several professional and civic organizations. o Dr. Luther C. Sampson, M'16, died December 13, 1975 at Rosemont, Pa. His age was 86. o Dr. George J. Matusak, M'41, died April 15. He was a Diplomate of the American Board of Anesthesiology and a Fellow of the American College of Anesthesiologists. Dr. Matusak was attending anesthetist at Sisters of Charity Hospital and a consultant at St. Francis Hospital. o Dr. Louis C. Mead, M'30, died August 8 in Our Lady of Victory Hospital, Lackawanna, N.Y. The retired career officer with the Veterans Administration Hospital Service was 73 years old. In retirement he had served a year as an Erie County medical examiner and was physician at St. Anthony's Home in Hamburg, N.Y. until 1974. Dr. Mead served in hospitals in North Carolina, West Virginia, Kentucky, Minnesota and Buffalo. He served with the First Allied Airborne Unit as a Major on flight status during World War II. When discharged in 1946 he received several campaign medals. o Dr. Emil Sternberg, M'26, died July 15 in St. Francis Hospital. At 75 he was one of the oldest general practitioners in the Buffalo area. He was on the staff of St. Francis and Lafayette General Hospitals and the Rosa Coplon Jewish Home and Infirmary. Dr. Sternberg was also an attending physician at Millard Fillmore Hospital. He was active in several professional organizations. o WINTER, 1976 In Memoriam Dr. Martin J. Littlefield, M'25, a surgeon and general practitioner in North Buffalo for 35 years died July 19. His age was 78. He had been an attending physician and surgeon on the staffs of Sisters, Millard Fillmore, St. Francis and Emergency Hospitals. He retired in 1963. Dr. Littlefield took his residency in surgery from the Cook County Medical School in Chicago. He was active in several professional organizations. o Dr. G. Norris Miner, M'32, died July 11. He was a general practitioner in North Tonawanda for 40 years and former public health officer there from 1952 to 1965. His age was 72. He was a star football player at U/B in the 1920's and a high school coach in A von. He was named to the National Football Hall of Fame Association in 1949 for his support of the U /B scholarship program for athletics. Dr. Miner interned at St. Luke's Hospital in Cleveland. His medical career included service in the United States Army (1933-35) and the Navy (1942-45). He was past president and treasurer of the medical staff at DeGraff Memorial Hospital and a member of the North Tonawanda Board of Education from 1950-52. He was active in several civic and professional associations. o Dr. Milton J. Schulz, M'25, died March 13. His age was 75. He was a Buffalo general practitioner and an Erie County Medical Examiner for many years. He was on the staff of the Millard Fillmore Hospital. Dr. Schulz served with the United States Army in Europe during World War II. o Dr. Lewis F. McLean, 80, who was assistant clinical professor of GYN! OB at the Medical School for many years, died July 5. From 1943 to 1962 he was chairman of the department of GYN! OB at the Millard Fillmore Hospital. He was also an attending physician at Sisters and E.J. Meyer Memorial Hospitals . Dr. McLean pioneered in the use of after birth recovery room at Millard Fillmore Hospital in 1945 and the maternity mortality rate dropped greatly. o 63 �1977 ALUMNI TOU RS February 28-March 7, 1977 Cancun, Mexico Medical and Dental Continuing Education Tour $399 + 15% Buffalo departure Cancun Caribe-full American breakfast daily+ 3 dinners. August 10-22, 1977 Africa (Kenya) $739 + 15% Syracuse and New York City departures Nairobi Hilton, Taita Hills Game Lodge-modified American breakfast daily, 3 meals daily while on Safari. September 10-20, 1977 Amsterdam/Rhine River/Lucerne (cruise) $769 + 15% Buffalo departure Amsterdam Hilton, Holland Emerald, Hotel Grand ational (Lucerne)breakfasts + 1 dinner in Amsterdam, 3 meals daily on the ship, 2 meals daily in Lucerne. For details write or call Alumni Office SUNY AB, 123 Jewett Parkway, Buffalo, New York 14214; telephone (716) 831-4121. The General Alumni Board- DR. GIRARD A. GUGI 0, D.D.S.,'61, President; PHYLLIS KELLY, B.A.,'42, President-elect; WILLIE R. EVA S, Ed.B.'60, Vice President for Activities; JO ATHA A. DA DES, Vice President for Administration; SUSA D. CARREL, Ph.D.'76, Vice President for Alumnae; MICHAEL F. GUERCIO, A.S.C.,'52, Vice President for Athletics; CHARLES S. TIRO E, M.D.'63, Vice President for Development & Membership; RICHARD A. RICH, B.S.'61, Vice President for Public Relations; FRANK L. GRAZIANO, D.D.S.'65, Vice President for Education Programs; ER EST KIEFER, B.S.'55, Treasurer; Past Presidents: GEORGE VOSKERCHIAN; JAMES J. O'BRIEN, L.L.D.'55; MORLEY C. TOW SEND, L.L.D.'45; EDMOND J. GICEWICZ, M.D.'56; ROBERT E. LIPP, LL.D.' 54; M. ROBERT KORE , L.L.D.'44; WELLS E. KNIBLOE, J.D.'50 Medical Alumni Association Officers: DRS. JAMES F. PHILLIPS, M'47, President; MICHAEL A. SULLIVAN, M'53, Vice President; W. YERBY JONES, M'24, Treasurer; MILFORD C. MALONEY, M'53, Immediate Past President. Board Members- RICHARD BERKSO , M'72; JOSEPH CAMPO, M'54; LAWRE CE M. CARDEN, M'49; NORMAN CHASSIN, M'45; GEORGE FUGITT, M'45; EDMO D J. GICEWICZ, M'56, Program Committee Chairman; ROBERT W. SCHULTZ, M'65; Exhibits Chairman; CHARLES TA NER, M'43; PAUL WEINMAN , Past President. Annual Participating Fund for Medical Education Executive Board for 1975-76-DRS. MAR VI L. BLOOM, M'43, President; HARRY G. LAFORGE, M'34, First Vice President; KEN ETH H. ECKHERT, SR., M'35, Second Vice President; KEVIN M. O'GORMA , M'43, Treasurer; DO ALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past President. �A Message From James F. Phillips, M'47 President Medical Alumni Association Dear Fellow Alumni ' . It is with great pleasure that I invite you to personally participate ln the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of Your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Phillips ---- --------------------------------------------------------First Class Permit No. 5670 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY If" MAIL.£0 IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 3435 Main Street Buffalo, New York 14214 �--- - --~ THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 DR. RO RT L; 0 N 156 RA NT 00 R J AO Uff ALO Ny I ,., 1~226 ------------------------------------------------------------------ ..... THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name ---------------------------------------------------------------------- Year MD Received ________ OfficeAddress ---------------------------------------------------------------------------------------HomeAddress ---------------------------------------------------------------------------------------IfnotUB,MDreceivedfrom-----------------------------------------------------------------------------InPrivatePractice: Yes~ In Academic Medicine: Yes No~ ~ SpecialtY -------------------------------------------------------------No ~ Part Time ~ Full Time ~ School ------------------------------------------Ti tie ------------------------------------------- Other:---------------------------------------------------------------------------------------Medical Society Memberships: -----------------------------------------------------------------------NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? ---------- Please send copies of any publications, research or other original work. -==- � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1976 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1976-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1976-04-Winter Table Of Contents A list of subunits of the resource. Dean Naughton's Message A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI A) Cancer: Its Effects on the Family of the Patient by Samuel Sones, M.D. Dr. Lee Resigns New Surgical Technique Enzyme Activity/Aging Summer Fellowships Continuing Education Dr. Sultz/Government Interference COTRANS Program Fifth Pathway Program Health Hazards County Health Chief Student Health Pharmacy Dr. Phillips' Message Dr. Cropp Dr. Lebenthal Music/Medicine Relationship Physical Fitness The 1980 Class A Physician Speaks by Edward Rayhill, M.D. Clinical Preceptorship GYN/OB Services Consolidated MECO Program Curriculum Flexibility Residents, Interns Honored Notes from an Anatomy Watcher by Oliver P. Jones, Ph.D., M.D. Drs. Apicella, Nolan Honored Viruses /Interactions Deap Sea Diving Neurology Residency Medical School Deans Faculty Promotions The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-11-07 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v10n04 Extent The size or duration of the resource. 68 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/eeab497bea9cd4cc7f5e96eb9922efae.pdf 32da24e15187d0c2467de22c7c7c9d4e PDF Text Text ........ .. .. ............ ............. .. ............ ..:···... .::····:···· . .. ..•.. .······.. :····.: ::··· :··· ..·.. :.. : : :.....:·.....::. . : .: ·.: •. .. ......······· r····=! :··........::-.:·· ~l······...:~ :/\ ~.... ~ .::....·:·····::. .... ·.:: .........·..::......·.:.: ·.:.··:. �The Changing Scene -SCAT to MCA T Dr. Moloney R ecent years h~ve witnessed. many chan~es and developments in Medical Education as well as m the prachce of Medicine. We have been informed that the time-honored MCAT. (Medical College Admission Test) will be replaced in 1977 b} a revolutionary new admission test· devised after three years of development by the Association of American Medical Colleges and designed to emphasize skills and problem solving instead of simple factual knowledge. It has been said that MCAT scores are fairly reliable predictors of future performance in the basic science courses but that they display poor correlation with clinical performance. Nonetheless. MCAT scores and pre-medical basic science grades continue to be given considerable weight over general point averages in the selection of the Freshman Medical Class and accordingly such scores have been plugged into a critical equation which has been formulated as a prognostic index in this regard. Hopefully. the new system will require less cramming of factual data to rote memory in pre-medical courses and more regard will be given to the appreciation of concepts. skills, attitude and problem solving powers. It is surprising to note that the American Medical Student Association is a prime opponent of this new, "noncogmtive'' testing, expressing fear that "personal qualities" over which they have no control and whose predictive value may be very low. will take precedence over true merit judged on factual data. Yet, as an Alumnus. who in his senior year was inveigled into writing the Class History, I find that upon review and reference to this satirical treatise I continue to feel somewhat frustrated because no one has since searched my memory bank for information on the substantia gelatinosa of Rolando, on late telophase in the onion root or on the variation in the chronaxie of the frog gastrocnemius. I would wager a bet that few of my classmates could recall that the versatile alpha d-glucose could rotate, mutarotate and ultimately become an enantiomorph. Not only that, but I could spell cyclopentanoperhydrophenanthrene backward just in case I was asked. I knew the most minute and infinitesimal detail concerning all forms of microscopic life including dimensions, habitat. menu and personality characteristics. Disillusioned, 1 continue to search for Winterbottom's nodes and a red hot diagnosis of Afr ican trypanosomiasis. Many precious hours were spent in mastery of these mnemonic gyrations when a clear appreciation of the concept would have sufficed. 1 can appreciate and empathize with the modern student's zeal for the protection of factual data as the criteria par excellence for selection to a medical career. However. it does not take a long look through the retrospectroscope to realize that attitudes along with demonstrated ability in problem solving and the mastery of concepts and skills are the preferred direction for the future. The necessity for a firm grasp on knowledge of the basic sciences is not disputed but perhaps it is indeed time to say scat to MCAT as the deity to be universally worshiped and implored for admission to Medical School. o M.C. Maloney, M.D. President, Medical Alumni Association �Summer 1976 Volume 10, Number 2 THE BUFFALO PHYSICIAN Published by the Schoo/ of Med1c1ne State Umvcrs1tr of .\e1\ York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. McGRANAHAN Mono~in)l Ed1tor MARION MARIONOWSKY 2 4 Dean. School of Mcd1cine 7 DR. jOHN NAUGHTON 8 15 Photo~raphy HUGO H. Ul"GER EDWARD NOWAK \ifcd1cal Illustrator MELFORD ). DLEDRICK \'1~ual Des1,o:ners R CHARD MACAJ-:A:"JA Do:-o;ALD E. WATKI:'\S Secrctarr fLORE:":CE MEYER CO:-JSULT ANTS 16 21 22 28 30 32 33 34 Pres1dent ..'vfcd1cal Alumm Assoc10t10n DR. MILFORD C. MALONEY Prcs1dent. Alumn1 Partic1pat1ng Fund for Mcd1col Education 39 42 DR. MARVIN BLOOM Vice Pres1dcnt. Faculty of Health Sciences DR. F. CARTER PANI\ILL Pres1dent, Umvcrsity Foundation jOHN c. CARTER Omlctor of Publ1c InformatiOn JAMES DESANTIS D~rcctor of Umversity Publications PALL L. KAI"E Vice Prcs1dcnt for Univcrsitv Relations 46 49 50 52 53 54 56 The Changing Scene (inside front cover} by M.G. Maloney, M.D. Dean Naughton's Message Faculty Council Health Systems Agency/Infant Heart Surgery Intern, Resident Matching Continuing Medical Education Athletic Injuries Immunology Convocation Nutrition Conferences Surprises, Rewards for Dean Naughton National Boards Guadalajara Graduates Henry Bartkowski Secret Student Medical Society by O.P. Jones. Ph.D., M.D. Dr. James R. Nunn Neurosurgical Aspects in Singapore by Franz E. Glasauer, M.D. Hemophilia Center Past Presidents The Classes People Urological Society In Memoriam Alumni Tours DR. A. WESTLEY RowLAND The cover by Donald E. Watkins focuses upon athletic ITIJUTJes, prevention and care, on pages 16-20. THE BUFFALO PHYSICIAN, Summer, 1976- Volume 10, Number 2, published quarterly Spring, Summer, Fall. Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo. New York 14214. Second class postage paid at Buffalo. New York. Please notify us of change of address. Copyright 1976 by The Buffalo Physician. SUMMER, 1976 1 �Or From the desk of John P . Naughton , M .D. Dean. School of Medicine Doon Naughton all the concerns that beset the Dean's office, one with an extremely high priority relates to the admission of each year's medical student class. The process is one \vith which every faculty member should be acquainted. In Doug Surgenor's and my review of the admissions procedure at SUNY /Buffalo. J am of the opinion that we do not differ significantly in our approach. from mo.st of t?e maj~r ':'edical schools of the nation. The functions assoetated w1th adnusswns are as follows: 1. Admissions Policy Committee- This Committee is selected by the Faculty Council. Through its deliberations, it recommends policies to the Faculty Council. Those policies which are accepted are implemented by the Dean's office. 2. Director of Admissions - this individual, Dr. Douglas M. Su rgenor, administers and supervises the staff which sorts through the admissions and prepares the charts and staff work for the Admissions Committee; and he chairs the Admissions Committee. 3. Admissions Committee- the Admissions Committee is appointed by the Dean in consultation with the Faculty Council through tts President and with the Director of Admissions. Membership on the Committee is for a three year term. The Committee is responsible for determining all admissions and rejections. In the admissions process, SUNY Buffalo participates with about 80 other medical schools in the centralized application service (AMCAS) which is administered by the Association of American Medical Colleges (AAMC). During the past several years, 1975-76 included, we received approximately 5,000 applications to fill the 135 places in our First-Year Class. The admissions Committee interviews be tween 500 and 600 applicants each year. In 1974-75, the School offered 250 acceptances to recruit its class. The com position of that First-Year Class reveals that 125 are residents of New York State; 23 represent minority groups; 29 are women: 59 are from Western New York. Here are some comments on questions which are commonly raised: 1. The admissions process is deliberately kept impersonal in an attempt to assure as unbiased as possible a review of every application. I have heard that alumni and faculty members are sometimes offended because communications between the Admissions Committee and applicants are usually by form letter. Given the large number of applications that must be handled, it is not possible for the Admissions Office to do otherwise. Rest assured that use of form letters is not meant to denigrate the applicant in any way. 2. The Adm1ssions office staff has one function, the screening and processing of applications for admission to the School of Medicine. It is not a counseling service, and as such, participates neither in pre-medical counseling nor in counseling the rejected applicants. Such services should be sought through other agencies such as undergraduate pre-medical advisory offices 2 THE BUFFALO PHYSICIAN �3. The Committee places great emphasis on the interview; no one is admitted without it. Interviews are accorded to only about 10 percent of those who apply, so the invitation to come to the School for an interview is an important hurdle. Those chosen for interview are the survivors of a careful screening process set up by the Committee. This process includes a screening for academic achievement and a careful review by members of the Committee of the material contained in the application, particularly the personal essay, but including also the record of extracurricular achievements, and corroborating evidence of interest and curiosity about medicine as a career. The letters of recommendation received from the undergraduate college are given considerable weight in this review. 4. The Interviews focus on personal qualities of the applicant, on evidence of commitment and concern for others, and on other attributes deemed important for a successful career as a physician. After the interviews. the applicant is discussed by the Committee and a decision is reached. 5. Men, women, and minority students are being admitted primarily in proportion to the number of applicants in each group. Applicants who are residents of Western New York are accepted in slightly larger proportions than applicants from other areas. 6. Rejected applicants are free to reapply. They receive the same consideration by the Committee each time. The reapplicant should be aware, however. that each year's applicant pool is new and usually more competitive than the year before. The chances for success on reapplication may therefore be reduced slightly. 7. Rejected applicants who undertake graduate work may not reapply to medical school until the graduate degree is awarded. Engaging in graduate study does not insure a greater likelihood of later acceptance into medical school. The Admissions Committee and the School of Medicine do not allocate class places to a predetermined number of future surgeons, internists, family physicians, etc. Rather, the School attempts to identify individuals capable of performing the required work and endowed with those attributes of being a physician exemplary of excellence. I hope these comments will help to explain the work of the Admissions office and at the same time deal with common concerns brought to us by faculty, students, parents and other interested individuals. Sincerely. John Naughton, M.D. Dean SUMMER. 1976 3 �Faculty Council There was concern about the educative process at the School of Medicine. So deep was this concern back in 1972 that a Faculty Council was formed, its Bylaws ensuring that a body of elected department members together with department chairmen would "initiate. develop, and implement education programs" in Buffalo. Not only has this collective body been hard at work on policy procedures for such things as the curriculum, student admissions and academic process, but on faculty appointments. promotions. and tenure as well as organization structure. Rare if ever has been the occasion when policy, approved by Council membership. has not been adopted by the School of Medicine. That this is so. Council President Alexander Brownie attributes to involvement by the dean and his staff in the work of standing committees and as participants in faculty council meetings. As overseer, the steering committee more or less puts Council affairs in order. Its six elected members of equal basic science/clinical representation consider committee reports and plan agendas for monthly Faculty Council meetings. Since i ls formation more than four years ago, Dr. Brownie, who is professor of biochemistry and research professor of pathology, can point to the following actions taken by the Faculty Council: In the Curriculum: -reintroduction of psychiatry clerkship for juniors: embryology as part of the curriculum in anatomical sciences. -more course lime in human behavior for freshmen. -a block-integrated course in hematology; a core course in human sexuality for sophomores; a clinical pharmacy elective for seniors; a week of clinical neurology for juniors. -an accelerated program leading to gradua lion after three years of intensive study. -expanding courses in human genetics, family medicine for sophomores and in the core course in neuroanatomy for freshmen; time for clinical conferences in systemic pathology. In Student Affairs and Academic Standing: -procedures to guide medical student promotions; correct academic deficiencies; introduce students into modified curriculum programs; respond to student grievances: evaluate students during clinical years; academic integrity of students /faculty. -develop program for faculty advisors /preceptors. -examine student performance on Part I. National Boards and especially school policy on taking board examinations. -study the problems of financial aid for student examinations. Former Faculty Council Presidents: 1974-75 Dr. Ross Markello (anesthesiology); 1973-74 Dr. Harold Brody (anatomical sciences}; 1972-73 Dr. james Nolan (medicine} On Faculty appointment, promotion, tenure. privileges: -policy for qualified/unqualified title faculty promotions and tenure. On Admissions Policy: -determine policy designed to protect graduate programs: entry of graduate students into Medical School. -recommendation on preference for New York State residents in entering medic:al class. 4 THE BUFFALO PHYSICIAN �On Elections and Bylaws: -a nominating committee for election of Faculty Council Officers. -legalization of student membership on Admission Policy Committee. -alteration of original Bylaws to allow amendments to be made more easily. Listed are officers. committees, and its membership: OFFICERS President. Dr. Alexander C. Brownie (biochemistry, pathology) (1975-76) President-Elect. Dr. Robert Kohn (medicine) Secretory, Dr. Vincent Caparo (obstetrics-gynecology (1975-77) Parliamentarian, Dr. Edward Rayhill (family medicine) (1974-76) STEERING COMMITTEE [oversees eight standing committees; plans agendas for meetings) Fac ulty Counc il Officers Drs. Alexander C. Brownie; Robert M. Kohn; Vincent Capraro Basic Sciences, Drs. Murray Ellinger (biochemistry) and john Wright (pathology) Cl1nical. Dr.). David Schnatz (medicine) ADMISSIONS POLICY (recommends policy on admissions, submits list to be considered for membership on Committee on Admissions) Chairman, Dr. Donald W. Rennie (physiology) Administration, Dean John Naughton; Dr. 0. MacN. Surgenor (chairman, Admissions Committee) Bas1c Sciences. Drs. Theodore Bronk (pathology), Miriam H. Meisler (biochemistry) CliniCal, Drs. Richard Dobson (dermatology), john Cudmore (surgery) CURRICULUM COMMITTEE (reviews. formulates, recommends curricular policy, academic programs) Co-chairmen, Drs. John Wright (pathology), David M. Klein [neurosurgery) Faculty. Drs. Murray N. Andersen (surgery); Merrill Bender (nuclear medicine); Harold Brody (anatomical sciences); Alexander C. Brownie (biochemistry) Vincent Capraro (gynecology/obstetrics); James Collord (dentistry); Roger Cunningham (microbiology); William Georgie (rehabilitation medicine); Perry Hogan (physiology); Edward Hohensee (ophthalmology); Leonard Katz (associate dean- Ex-Officio); Eugene Leslie (radiology); John Lore (otolaryngology); John Maize (dermatology); Eugene Mindel! (orthopedic surgery); Luis Mosovich (pediatrics); James Nolan (medicine); Alan Reynard (pharmacology/therapeutics): John Richert (assistant dean); Robert Schuder (anesthesiology); Robert Seller (family medicine); Bernard Smith (neurology}; Norman Solkoff (psychiatry); Robert Spangler (biophysical sciences); William Staubitz (urology); Harry Sultz (social and preventive medicine) Students. David Sokol (senior); Duret Sm1th (junior); Burt Feuerstein [junior alternate); Michael Blume (sophomore); Paul Young-Hyman (freshman); Celia Quinnonez (freshman alternate) d- SUMMER, 1976 5 �ECONOMIC STATUS COMMITTEE (considers economic status of faculty) Chairman, Or. Jack Klingman (biochemistry) Faculty Representatives. Drs. Murray Andersen (surgery}; Ivan Bunnell (medicine): John Pifer (medicine): William Staub1tz (urology); Judith van Liew: (physiology); Richard Weiss (orthopedics) ELECTION AND BYLAWS COMMITTEE (oversees conduct of all faculty electives; ongoing review of Bylaws) ChaJrman, Or. Harry Sultz (social and preventive medicine) Faculty. Drs. C. john Abeyounis (microbiology}: Roderick Charles (psychiatry): Michael Cohen (pediatrics): C. Richard Zobel (biophysical sciences) FACILITIES PLANNING AND BUDGET COMMITTEE (reviews fiscal policies; relates them to educational objectives) Co-chairmen. Drs. Ross Markello (anesthesiology): Daniel Kosman (biochemistry) Faculty. Drs. Robin Bannerman [medicine); Gustavo Cudkowicz (pathology); Mildred Gordon [anatomical sciences); Charles Paganelli (physiology); Mario Rattazzi (pediatrics); Barbara Rennick (pharmacology therapeutics); J. David Schnatz (medicine); Robert Seller (family medicine): John Siegel (surgery) FACULTY APPOINTMENT. PROMOTION. TENURE AND PRIVILEGES CO\ttMITTEE (reviews policies procedures) Cha1rman. Or. Willard Elliott (biochemistry) Faculty. Drs. Arthur Lee (surgery): Milford Maloney (medicine): Ross Markello (anesthesiology); Peter Nickerson (pathology): Norman Solkoff (psychiatry); Hugh van Liew (physiology): Peter Vlad (pediatrics) STUDENT AFFAIRS AND ACADEMIC STANDING COMMITTEE [Rev1ews academic policies affecting students) C/10ml1an, Or. Murray J. Ettinger (biochemistry) Faculty, Drs. Harold Brody (anatomical sciences); Peter Dishek (pediatrics}; Rose R. Ellison (medicine); Perry Hogan (physiology); Leonard Katz (associate dean- Ex Officio): Morton Klein (gynecology / obstetrics); William Lerner (medicine);Robert Mcisaac (pharmacology/ therapeutics); Eugene Mindell (orthopedic surgery); james Nunn (family medicine); John Richert (assistant dean- Ex Officio): Gloria Roblin (psychiatry); John Sheffer (pathology); Hugh van Liew (ph}siology); Rocco Venuto (medicine); Richard Williams (surgery): Rudolph Williams (assistant dean) Sludf•nts. Marshall Fogel [senior): Bess Miller (junior); Robert Anolik (sophomore): Michael Wolff (sophomore alternate]; Paul Summergrad (sophomore alternate); Covia L. Stanley (minority representative-sophomore): Douglas Paul (freshman]; Peter Shields (freshman alternate). o 6 THE BUFFALO PHYSICIAN �Dr. Kenneth H. Eckhert was elected president of the newly created Western New York Heallh Systems Agency (HSA) in March. The 1935 Medical School graduate is chairman of the Comprehensive Health Planning Council of Western Ne\\ York which, along with the Lakes Area Regional Medical Program. V\ ill be replaced by the new agency. Dr. Eckhert is a clinical instructor in family medicine and legal medicine at the Medical School. The Health Systems Agency will have broad functions in health care planning and funding in the eight counties of Western New York. The HSA is a private. non-profit corporation set up under a broad federal mandate. It will probably be fully operational sometime in summer. There is a 79-member board of directors and elected officers. Other elected officers are-vice-president, Murray S. Marsh of Jamestown. administrator of W.C.A. Hospital; secretary. Erie Countv Legislator Roger Blach\ell from Buffalo and treasurer. Fred j. Bruski, a Lockport resident who is treasurer of the Regional Planning Council. o An air cooling device is used at Children's Hospital to prepare infants for su rgery. It is the "method of choice" for applying deep hypothermia in pediatric heart surgery, according to Dr. S. Subramanian. chief of cardiovascular surgery at Children's and professor of surgery at the Medical School. The Subramanian- Vidne Hypothermia Chamber was developed by Dr. Subramanian and Dr. Bernardo Vidne, a cardiovascular surgeon at Beilinson Hospital in Tel Aviv. Dr. Vidne was on a fellowship at Children's last summer. The device tmproves the ability of physicians to greatly lower the body temperature of infants and put them in a s tate of"suspended animation" before heart surgery. Jt has been.used with 10 patients and is far superior to other processes, according lo Dr. Subramanian. He pointed out that the chamber could be used for adult heart surgery pat ients and for adults who have had heart attacks. Dr. Subramanian noted that with the chamber the cooling is uniform for all areas of the body and always predictable. The hypothermia chamber is four feet long. three feet wide and four feel tall. It is two units - a stainless steel unit which contains the refrigeration equipment and a plexiglass dome which sits on the other unit under which the anesthesizedinfant is placed. Oxygen is pro\·ided to the infant and cold air is circulated around him to gradually lower his body temperature. Electric monitoring equipment keeps track of his vital functions. "Patients can be kept safely in 'suspended animation' for up to an hour. This provides ample time to correct heart defects. The process makes surgery less complicated because the heart is not beating. and there is no blood loss to impair the surgeon's vision.'' Dr. Subramanian said. Studies at Children's Hospital show that infants on whom the device has been used have no detrimental physical or psychological after effects. o SUMMER. 1976 7 Health Systems Agency Infant Heart Defects Clo•orh· 1'i~ibl1• under plastic dome, bobr lies atop refrillf'ratron unit of portable h}'porhcrmia mochme. Con· trol pone/ moni!Qrs temperoture of Ill· fnnt and air-coult•d chombt•r. • �Mary Shap~ro, Sera/rn Andt:rson, Ronald ,\1arcom Intern , Resident Matching f..othlecn Cantwell There was a genuine sigh of relief when the seniors were assured by Dr. Leonard Katz that "the news was very good," that he was pleased with the results of the National Intern and Resident Matching Plan which attempts to match the preferences of medical students with those of hospitals in the United States. While a good share (108) of the 145-member class participated in the matching plan, another 36 (three limes that of last year) elected to make their own arrangements. Commented the associate dean of student and curricular affairs, "seven couples were successful in getting postgraduate opportunities in the same city." That more seniors than ever before (66 as compared to 44 last year) are remaining in Buffalo for their internship or first year of residency, he attributes to the attractiveness of programs here. Continuing, he pointed to another 16 seniors who will continue their studies in other parts of the state. He also expressed pride in "the numerous matches to very lop programs elsewhere." Those matched with hospitals outside New York State will go to 23 other states. with Ohio receiving 13, California 8, and Wisconsin 5. Others are: four each to Arizona, Massachusetts, Virginia, Washington , D.C.; two each to Connecticut, Minnesota, Michigan, Washington ; one each to Pennsylvania, Illinois, Florida, Tennessee, Missouri, Maryland, South Carolina, Puerto Rico. Two will enter the U.S. Public Health Service (one to Boston, another to New York City) while three will go into the U.S. Navy. About half (62) "matched" with their first choice hospital. while 86% were matched with a hospital among their first three choices. Almost all will continue their training at University-affiliated hospitals, he said. 8 THE BUFFALO PHYSICIAN .. \ �As in the past, the largest number (54) will continue studies in medicine, while 28 will go into surgery, 21 to pediatrics. Family practice attracts its largest number (16 compared to 9 last year). Others are: 7-flexible; 5-psychiatry; 3-obstetrics gynecology; 3 each in pathology, ophthalmology; two in anesthesiology; one each in radiology, and orthopedic surgery. Filled were University programs in medicine at Buffalo General /E.}. Meyer Memorial Veterans Hospitals (34); pediatrics at Children's Hospital (10); family practice at Deaconess (12); pathology (2). Others are: Surgery/ Buffalo General Hospital. 6 out .of 11 requested. Surgery / E.J. Meyer Memorial Hospital, 4 out of 7 requested. Obstetrics /gynecology, 2 out of 7 requested. Psychiatry, 2 out of 5 requested. Aaron, Michael L., Nassau County Medical Center. Meadowbrook, New York, Medicmc Altesman, Richard, Massachusetts General Hospital-McLean Hospital. Belmont, \i1assachusetts. Psychwtrr Anderson, Serafin, Children's Center, Seattle, Washington. Pediatncs Antoine. Gregory. Millard Fillmore Hospital, Buffalo. Surgery Barde, Susan H., Chtldrcn's Hospital. Buffalo. Pediatncs Barde, Christopher, Sll\ YAB Affiliated Hospitals. \1edicinc Barron, Martin, SU:--:Y AB Affiliated Hospitals, Med1cine Barstis. John J .. SL''\ YAB Affiliated Hospitals. Medicine Dr kal:.: Sonro Burgher cJ\'\'illiam Wood. Louise Isenberg Thomas Ritter and fomrly SUMMER, 1976 9 �Dr Katz. Towm Frank Bartkowski, Henry. University of California Hospitals. Son FranCISCo, Surgery Beaty, Robert H .. U.S. Navy. Charleston, South Carolina. Family Practice Becker. Stephen. Cook County Hospital, Chicago. Illinois. Med1cme Beiter, DeboLrah, l\1agaro Falls Memoria/ Hospital, New York, Family Proct1ce Benson, AI B., University Hospitals, Madison Wisconsin, Medicine Bessette. Russell, Buffalo General Hospital. Buffalo, Surgery Bien, Stephen, Edward W. Sparrow Hospital, Lansing, Mrchigon, Family Practice Bishop, William, University of Michigan Affiliated Hospitals, Ann Arbor, Orthopedic Surgery Blattner, Francine Friedes, E.J. Meyer Memorial Hospital, Buffalo, Psychiatry Bluestein, Marlene, University f/ospltols. Madison, Wisconsin. Internal Medrc1ne Bodkin, John J. Deaconess Hosp1tol. Buffalo. Family Practice Boepple, Hartwig, SUNYAB Affiliated Hosp1tals, Medicine Brandy, Christopher F.. Buffalo General Hospital, Surgery Broffman. Gregg, Children's Hospital. Buffalo, Pediatrics Burgher. Sonia, Children's Hospital of Akron, Ohio, Pediatncs Burke, Alan. Swedish Hospital Medical Center, Seattle, Washington. Surgery Bye. Michael R.. Children's Hospital, Buffalo. Ped10trics Camilli, Anthony, University Hospitals. Madison. Wisconsin, Internal Med1cine Cantwell, Kathleen, Oh10 State Universrty Hospitals. Columbus, Pediatrics Cuthbert, Charles. Murtm Luther King Jr. Hospital, Los Angeles, Culifornw, Pediatrics Clark, Michael, lloword Un1versity, Washington, D.C., Surgery Clemens, Peter M., Children's Hospital, Buffalo. Pediatrics Cotler, Paul B.. E.]. Meyer Memorial Hospital, Buffalo, Flexible DellaPorla. David, SUNYAB Affiliated Hospitals. Radiology Doctor, Marcellene, Millard F1llmore Hospital, Buffalo. Surgery Drazek, George, Deaconess Hospital. Buffalo, Flexible Eluard. Alain, M1llard Fillmore Hosp1tal, Buffalo, Medicine Evans, Richard, Cit}' of Memphis Hospitals. Tennessee, Medicine Firpo-Betancourt, Adolfo. University of Puerto Rico. San Juan. Pathology Fogel, Marshall. SUNY AB Affiliated Hospitals. Medicine Foreman Thomas G .. Millard Fillmore Hospital, Buffalo, Surgery Fortson. James, M1llard Fillmore Hospital, Buffalo. Surgery Frank, Ta"' ni. \.1cdical College of Virginia, Richmond. Surgery Fusco, Robert. E.]. Meyer Memorial Hospital, Buffalo, Psychiatry Gabryel. Timothy, Millard Fillmore Hospital, Buffalo. Medicrne Gage, Andrew, E.J. Meyer Memorial Hospital, Buffalo. Surgery George, Donald, Children's Hospital, Buffalo. Pediatrics Gewirtz. Alan, Mt. Sinoi llospito1, New York City, Medicine Drs. John R1r.hcrt. l<atz, Michael Smith 10 THE BUFFALO PHYSICIAN �Peter Clemons. Hermon Mosovero (left rear}. Stanley Kramer Gidney, Betty, E.J. Meyer Memorial Hospital. Buffalo, Psychiatry Gillick, Daniel, Sl'.\:YAB Affiliated Hospitals. Gynecology Obstetrics Gitterman, Ben, Montefiore Hospttal Center. ew York City, Family Practice Glasgow, Karen, Riverside Methodist Hospital. Columbus. Ohio, Medicine Golden, Grant, Cleveland Clinic, Cleveland, Ohio, Radiology Goldfield, Norbert, New York Medica/ College-Metro. Hospital Center. New York City, Medicine Gossman, Melvin, Millard Fillmore Hospital. Buffalo. Surgery Grossman, Gerald, unknown Hadley, Thomas, Medical College of Ohio at Toledo, Med1cine Hayes, Patrick, Riverside Methodist Hospital. Columbus. OhiO, Medicine Hemme. Hal. Tucson Hospitals Education Program, Arizona. Medicine Horner. Douglas. Children's Medical Center. Dallas. Texas. Pediatrics Isenberg. Louise. University Hospitals. Madison. Wisconsin. Gynecology /Obstetrics Karp. Steven. Medica/ Center Hospital. Burlington, Vermont. Surgery Kern, james. Hennepin County General Hospital. Mwneopolis, M1nnesota. \llcdteme King, Jane. Mt. Sinai Hospital. Cleveland, Ohio. Medicine Kline, Jeffrey, Children's Hosp1tal of Akron, Ohio. Pediatrics Kramer, Stanley J., Yale-New Hoven Medical Center, Connecticut, Pediatrics Krawczyk. justine, SUNYAB Affiliated Hospitals. Medicine SUMMER, 1976 11 Peter Wittlinger, Dav1d Sokol �Douglos Horner. Donll'l Glll1ck. Alan Burke Kriegler, Jennifer, Millard Fillmore Hospital. Buffalo, Medicine Krypel, Geraldine, SUNY AB Affiliated Hospitals. Buffalo, Medicine Kulick, Kevin, Deaconess Hospital, Buffalo, Family PractiCe Kunstler, Jane B., Deaconess Hospital. Buffalo, Flexible Lambert, John Y., Ctncrnnati General Hosp1tal, Ohio, Pediatrics Lazar, Robin, Mdlord Fillmore Hospital, Buffalo. Surgery Lazorilz, Stephen, Portsmouth Novo/ Hospital, Virginia, Pediatrics Leong, Darryl C .. University of Minnesota Hospitals. Mmneopolis, Pediatrics Levitt, Stephen. Son Diego Naval Hospital. California. Medrc1ne Lichtenstein. Harold, Strong Memorial Hospital. Rochester. New York. Pathology Lightsey, Joseph, Highland Hospital. Rochester. \!ew York . .''vfcd ictne Liong. Shin. Boston Univers1ty Affiliated Hospttals. Massachusetts. Surgery Macool. Jimmy. F/ondo llospital. Orlando. Family Practice Marchetta. Linda, SL \IYAB Affiliated Hospitals, Medicine Marconi. Ronald, Deaconess Hospital. Buffalo. Family Practice Mays, Arthur, Sl \JY/\8 Affiliated Hospitals, Medicine McPhee, Gerard, E.]. \lleyer Memorial Hospital. Buffalo, Anesthesiology Ro}•rnond Noel, Mor}' ShapmJ, Dr. f....otz 12 THE BUFFALO PHYSICIAN �Metildi, Leonard. San Diego Naval Hospital, California. Surgery Metildi. Carmen James, San Diego Naval Hospital, California. Medicine Metzger. Wahvin, St. Eliwbeth Hospital. Youngstown. Ohio, Medicine Miller, Gary, E.J. Meyer .\1cmorial Hospital. Buffalo. Pathology Miller. Lawrence, George Washington University Hospital, Washin~ton. D.C .. Medicine Misiti, Joseph, E.J. Meyer Memorial Hospital. Buffalo. Surgery Mogavero, Herman, SU1'\Y AB Affiliated Hospitals. Medicine MontRomery, En,·in, Barnes Hospital Group. St. Lours, Missouri, Mediciue Morse. Robert. Son Diego County University Hospital. California, Family Practice Moshman, Eliot. Montefiore Hospital Center, New York City. Medicine Myers, David, Millord Fillmore Hospital. Buffalo. Medicrne Neander. John. Albany Hospital, e1.v York. Medicine Nielsen. Nanc~. Sl!I\ YAB Affiliated Hospitals. ,\1edicine Nissan, Robert. \Jassau County Medical Center, Meadowbrook, \Jew York. Famdr Practice ::-.!ocek. Marie, ,\1illard Fillmore Hospital. Buffalo. Surgery Noel, Ravmond. Cle\ £>land Clinic Hospital, Ohw, Medicine NoheJ I. Bruce, S LI\ Y AB Affiliated Hospitals. Buffalo, Obstetrics/ G}· necology Nohejl. Cher~ 1 Raisley. Children's Hospital. Buffalo. Pediatrics Obama. Marie-Therese. State University- Kings County Medrcal Center, Brooklyn, fl.ew York. Pediatrics Patterson, Brian D .. Los Angeles County Harbor General, California, Pediatrics Pleskow. Warren W., E.]. Meyer Memorial Hospital, Buffalo, Flexi- ble Pohl, Melvin. Dtmconess Hospital, Buffqlo, Family Practice Privitera, Christine. Medical College of Virginia. Richmond. Pediatrics Pyszczynski, Dennis, Millard Fillmore Hospital, Buffalo, Medicine Ritter, Thomas. Phoenix Integrated Program. Phoenix, Arizona. Surgcr~ Robeck. Ilene, Tho Fnirfax Hospital. Falls Church. Virgww. Family Practice Rutkowski. Robert, Pittsburgh University Health Center. PennS} lvanio Sur~cry Samuel. Agnes, D. C. General Hospital. Washington, D.C.. Medicine Schenck. Carlos. Children's Hospital. Buffalo. Pediatrics Schlachter, Lavnence, Grad}• Memorial Hospital. Atlanta. Georgia. Surgery Sch ...... ach. Paul, Buffalo General Hospital. Buffalo. Surgery Seinfeld, Frederic, 1'\(m York University Medical Center. New York C1ty. Surgery Shear, Carole, MI. Sinoi Hospital. New York City, Pedintrics Sidou, Vickie, Hartford Hospital. Connecticut, Surgery SUMMER. 1976 13 Sh111 Lron~. guest. .'vfeh·in Poh/ �Silverstein. Richard. Brookdale Hospital. Brooklyn, New York. Medicine Small. Thomas. Medical College of Ohio at Toledo, OhJO. Med1c1ne Smith, Michael. Public Health Hospital. Staten Island. New York. Flex1ble • Smith, Olivia, Deaconess Hospital, Buffalo, Family Pract1ce Sakal. Da' id. Phoenix Affiliated Hospitals, Arizona. Pedwtncs Spence. Lorna, Methodist llospital,Indianapolis,Indiana. Flexible Spurling. Timothy. 'Jationol l\'aval Medical Center. Bethesda. Maryland, Medicine Tamul, Michael. E.J. Meyer Memorial Hospital. Buffalo. Anestheswlogy Tardino, John, Montcfiorc llosp1tal Center. New York City. Family Practice Thau. Warren L., Millard Fillmore Hospital. Buffalo, Medicine T omaschek, Laszlo, Millard Fillmore Hospital, Buffalo. Med1cme Toufexis, George. Millard Fillmore Hospital, Buffalo, Medicine Tracy. Donald. St. V1ncent's Hospital. Worcester. Massachusetts, MedJcJnc Valery. Harold. Martin Luther Kmg Jr. Hospital. Los Angeles. California, Surgery Verby, Jon, Deaconess Hospital, Buffalo. Family Practice Wagman. Bernard, Washington Hospital Center. Washington. D.C .. ,'vfedicine Wax, Arnold. Millard Fillmore Hospital. Buffalo. Medicine Weinstein, Irwin, SUNY AB Affiliated Hospitals. Medicine Weiss, Barry. University of Arizona Affiliated Education Program. Tucson, Family Practice Drs. Richer!. Katz. Fredenc SeJn{cld 14 T HE BU FFALO PHYS ICIAN ... �Wilcox, 1 ora, E.]. Meyer Memorial Hospital. Buffalo, Ophthalmology Wild, Daniel. Buffalo General Hospital. Surger} Wiles, John. E.]. Meyer Memorial Hospital. Buffalo. Surgery Williams. Lloyd. Buffalo General Hospital, Surge'} Wilson. Brummitte, Public Health Hosp1tal. Boston . .\Iassach usetts. Flexible Wittlinger, Peter, Case Western Reserve Affiliated Hospital. Cleveland. Oh10, \1edJcJOe Wolk. Peter, SU\iY t\B Affiliated Hospitals, Medicine Wood, William, Un11;crsity Hospitals, Madison. Wisconsin. Psychwtry Zak. Thaddeus. Buffalo General Hospital. Ophthalmology Zeschkc, Richard. Millard Fillmore Hospital, Buffalo. Medicine o Continuing Medical Education Eight Continuing Medical Education Programs are scheduled for May and June. according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the program are: May 15. 18Immunopathology of the Skin, Or. Ernst Beutner. May 20. 21Rehabilitation of the Stroke Patient, Or. William Georgi May 27Recent Trends in Diagnosis and Therapeutics, Day III, Doctors Robert Seller, Henry Black, James Nunn. May 22Low Back Pain, (sponsored by The Arthritis Foundation. Continuing Medical Education assisting) Or. Floyd Green. May 28E\'aluation of Programs in Human Services, Doctors Frank Baker, B. Willer. june 7-11 Pediatric Refresher Seminar, Or. Elliot Ellis. June 9-11 Gynecologic Laparoscopy. Dr. Norman Courey. June 12Tri-City Heart Meeting, (sponsored by Heart Association, Continuing Medical Education assisting) Dr. Jules Constant. o SUMMER. 1976 15 �Robert Reese, ,\fJC:hafll fll('lly. EdiVord Abramoski. Dean John ~~au~hlon. Charles Monn (back to camera). "E ndurance Athleti c Injuri es Prev ention, Care exercises are aerobic in nature. while strength building or isometriC exercises. which are shorter and more intense. are anaerobic." So stated Dean John Naughton before 65 graduate students (teachers and coaches) at the opening session of a special credit course. Twenty-two members of the class were women. "In a good endurance training program a minimum of 12 minutes of continuous exercise is required at least three days a week. Preferably each activity sess10n should last a total of 30 to 45 minutes. If an individual can exercise continuously for more than 12 minutes, he is probably fit from a cardiovascular s tandpoint and can perform such activi ties as running, jogging, playing tennis a nd swimming. Professional athletes must exercise for much longer periods of time each day," Dr. Naughton said. "If oxygen capacity and endura nce are to be measured using competitive exercises as the training modality, these exercises must be performed for a longer period of time at each session. For instance, instead of jogging for 12 to 15 minutes, an individual may wish to play tennis for an hour. A requirement of aerobic exercise is that it must tax a person's capacity to the point where he is breathing hard and his heart rate is in excess of 70% of its peak capacity. Wind sprints will increase anaerobic reserve but not oxygen capacity. It is better to run for long periods of time as opposed to running fast for a short time," Dean Naughton said. "Hearl rate is the key to eff1c1enc~ of your cardiovascular system. The lower the heart rate for a given task, the more efficient the cardiovascular system. An athlete at rest may have a heart rate as low as 40 per minute. A non-athlete may have a heart ra te of100 beals per minu te." Or. Naughton mentioned four exercise methods that can be used for controlled and supervised physical reconditioning treadmill, b icycles (stationary or mobile), steps and r unning track. 16 T HE BUFFALO P HYSICIAN �"Our cardiovascular system. not our respiratory system, limits us in exercise. Even when we are near exhaustion, there 1s a breath1ng reserve we can call upon. What determines our maximum oxygen intake is our ability to move blood from the heart to the brain. heart muscles and exercising muscles. This is a critical dimension in the limitation of exercise. The healthier the cardiovascular system, the greater will be the person's capacity for sports or exercise.'' Dr. Naughton listed six body changes that take place when the cardiac output attains its peak: a dramatic decrease in resting heart rate: in the amount of blood that each heart beat generates; decrease in blood pressure: and increased ability for the active organs to extract oxygen; a diminished resistance in blood vessels; and an increase in caliber of blood vessels. Dean Naughton said that in progressive exercise stress tests, an individual is started at a low effort of exercise. The workload is gradually and progressively increased over time. Eventually, the subject reaches a point of limitation beyond which he cannot exercise comfortably. i.e .. his endurance capacity. Studies show that Europeans are more physically fit than Americans. For example, a European boy at the age of 15 has a capacity of 15 to 16 times the work of rest, while his American counterpart can attain 11 times the resting requirement. Peak fitness in American youth is usually reached before age 20, stabilized from about 20 to 25 years. and then begins to decline over the next 25 years of life. "Man}' Americans never reach a physically fit state because the only exercise they perform is walking to and from their automobiles. They have a low aerobic endurance and this may account in part, for their greater incidence rate of heart attacks. "Middle aged people. who are regularly physically active, who don't smoke. don't gain weight, and remain physically fit. will statistically experience healthier and longer lives," Dean Naughton concluded. Dr. Joseph Godfrey. Buffalo Bills' team physician, told the coaches and teachers sports injuries are the same as you might get in industrial accidents, a home injury or automobile mishaps. The only difference is a sport injury gets more media coverage. Dr. Godfrey is a 1931 \fedical School graduate. "When ~ou are dealing with a head or neck injUf\' don't lake the helmet off. Block the head with bricks, wet towels. icebags to keep the head immobile Keep the patient in a neutral or fixed position on the field and when he is being transported. In pool accidents, don't drag the patient out of the water; take the stretcher to him in the water." The Bills' physician told the teachers and coaches not to worry about the tongue. "II heals fast and has lhe most lush blood supply in the body. If you must get medication into Lhe body quickly, crush the pill and place it under the tongue. r SUMMER. 1976 17 1- Dean Naughton is a post president of the American College of Sports Medicine. Dr. Martin Mcintyre. associate dean in the School of Health Education at U/B, developed the course .. Prevention and Care of Injuries ... with the assistance of Robert Lustig. vice president and general manager of the Buffalo Bills. Michael Rielly. U/ B's athletic troiner. coordinated the program. On January 1. Dr. Mcintyre moved to Texas Tech University. Lubbock. Texas where he is professor and chairman of tlw deportment of health. physical education and recreation. �J•·on \'Nel. Dr. Joseph Godfrer. Cond1ce Kane "Cold packs are very important in the early management of an injury. but cold packs will not penetrate deeply." On drugs Dr. Godfrey warned. "stay away from medication that gives people a high. Don't buy cheap substitutes for aspirin. For pain - what you buy over the counter from a reliable pharmacist is safe. But don't give it in large doses. There is no place for B-12 for an athlete. Steroids- we use them. We will use cortisone only three times and if it doesn't work, forget it. "We have never given an athlete demerol and sent him back on the field to play. We have given our athletes empirin and sent them back into action- but only when we knew it would not hurl his well being or complicate his problem. A local anesthetic is all right for a fractured toe or hip pointer. We never use injections for hip joints, shoulder, knee. elbow. wrist, or ankle joint injuries. "You don't toughen an athlete by restricting his fluid intake. Take a water break during practice. You don't need ice water, just cool water, Pepsi or Gater Aide. Watch the weight loss of your athletes especially in hot weather." Dr. Godfrey suggested to the teachers and coaches that they throw out the training table if they have any influence. "Don't force an athlete to eat just because he is going into a contest. Give them "''hat they want to eat- pancakes with honey. Give athletes carbohydrates a long time before the game. Some of the greatest endurance players in the world (South American soccer players) don't eat before participating." Dr. Godfrey suggested guidelines in sports medicine be formulated by sports groups in a joint workshop and then endorsed by the National Academy of Science. 18 THE BUFFALO PHYSICIAN �On a philosophic note Dr. Godfrey said he wants truth. morality and honesty from the people he deals with. "And for e\·eryone's sake when you raise your children. don't make them a star or a hero. No record was ever set \.'\'ithout someone running second." The team physician for U B's athletic teams, Or. Edmond J. Gicewicz, dtscussed physical examinations and drugs. "We especially look for disqualifying features in our physical examinations. In the pancreas area we check for brittle diabetes; in the abdomen for undescended testes, enlarged intro-abdominal organs; in the lung we look for limited pulmonary function, infection and severe bronchial asthma of the recurrent type. "In a cardiovascular examination we look for hypertension. organic heart disease. and the Wolff Parkinson-White syndrome. In the genito-urinary system we look for a diseased kidney. testicle absence and absence of one kidney. "In the musculoskeletal system we look for recurrent dislocations. spondylohsthesis, gross instabilit~ of both knees. Schuerman's Disease, the loss of adequate major joint function and atroph~ of weight beanng joints.'' Or. Gtcewicz, a 1956 Medical School graduate, pointed out that no drug C\ er made an athlete - only hard work. "We never use drugs to improve performance. We use them onl) to restore and maintain normal body function." The University team physician discussed four classifications of d r ugs in sports other than those of proven value: probable value- injectible steroids and mild sedatives; possible value- anti-inflamatory, muscle relaxants and enzymes; no value - ergogenic aids; not rectlgnized - narcotics and tranquilizers. F'rank l.ombordo, Susan Stamos. ,\1ichoeJ Rwlly. Dr. Edmond SUMMER, 1976 GJceWJt7. 19 �Five area at hlelic trainers discussed trainer qualifications. rehabilitation. facilities, weight liftmg. equipment and supplies. Buffalo Bills' trainer Edward Abromoski pointed out that face masking incidents often precede a fracture. "'Many head injuries are blamed on the fault of the helmet. Many of these injuries are a combination of flexion. extension and rotary motion." U tB's athletic trainer Michael Rielly said that an athletic trainer should have sport familiarity or be a physical education teacher. "Physical therapists make good athletic trainers and in the past injured players \Vho wanted to remain close to the action became athletic trainers." In the rehabilitation of knee injuries, Robert Reese, Buffalo Bills' athletic trainer said. "we don't use weights. We prefer lateral step-ups- the principle being that the athlete is moving on his own weight in a vertical plnne." Raymond Melchiorre, Buffalo Braves' athletic trainer, described the flexibility program that he recently installed. "It was hard to sell the players because it was a new idea and different equipment was used. When \\e convinced the players that the program would increase their longevity as a player they became interested. The program is designed for indi\'idual use and it allows for a wide range of activity. "The Braves do flexibility exercises on a team basis before and after practice (turning wrists and elbows. stretchmg fingers, shoulder. ankle. knee movements, rotation of the neck, 100 rope skips. incline boards. shooting and running). If you cheat on the exercises, there is no use doing them. In doing any type of exercise it is important that you 'warm up and warm down' by working at onehalf speed, then three-quarters and full speed, and then reverse and work down,"' Melchiorre concluded. In discussing weight lifting, Joseph Murray, Buffalo Bills' strength coach, said that you must use common sense and rest between workouts. "Perform all exercises in a deliberate manner. Don't do any type of exercise that hurts. If you combine weight lifting with running on the same day - run first and then rest 30 minutes. "A good work scheme is to work out two days a week and rest the other days. I would suggest using three sets and five to 10 repetitions t•..vo or three limes a week. The sport dictates the type of exercises an athlete will use," Murray concluded. William '"Pinky" Newell, head athletic trainer at Purdue University, stressed the importance of keeping a health record on every athlete in your training room. "And be sure you have a list of names of people that can help you in case of an emergency. "If an eye is lacerated. don't compress it. but place a drinking cup O\'er it and wrap it for protection. "In the case of a slight concussion be sure that vou inform the parents if the athlete is coming home." On the side lines Newell suggests that you have available splinting material. adjustable crutches, ice cups or ice bags. blankets and a spin board. o 20 THE BUFFALO PHYSICIAN �International Immunology Convocation "Human Blood Groups" will be the theme of the fifth International Convocation on Immunology June 7-10 at the Holiday Inn, Grand Island, New York. It is sponsored by The Center for Immunology. A total of 44 renowned speakers representing 15 countries will be featured on the program: -Red cell antigen-antibody in teractions -Chemistry of blood group antigens -Blood group soluble antigens -ABH subgroups and variants -Li blood group antigens -ExpansiOn of the Lutheran and Kell blood group systems -Blood group antigens affecting the erythrocytic membrane -Red cell antigens on the other cells. The Ernest Witebsky Memorial Lecture will be given by Or. Ruth Sanger. Director. Medical Research Council Blood Group Untt, London, England. Her topic: "Blood Groups in Human Genetics." A special feature of the 1976 Com·ocation is a banquet (June 9) in honor of a group of eminent pioneers internationally recognized for their major contributions to blood group immunology. The after-dinner address. "Creativity in Art and Science," by Dr. ). J. van Loghem. Research Director. Central Laboratory of The Netherlands Red Cross Blood Transfusion Service. The Convocations are dedicated to Or. Ernest Witebsky. distinguished professor of bacteriology a nd immunology, who died unexpectedly on December 7, 1969. The Center for Immunology was established under his direction in 1967 to fosler training and research in imm unology. Chairman of the program committee is Dr. James F. Mohn, professor of microbiology and director of the Center. Others on the committee: Drs. Roger K. Cunningham, assistant professor of microbiology: Reginald M. Lambert, associate professor of microbiology; Carel J. van Oss. professor of microbiology; and Richard W. Plunkett. assistant professor of miCrobiology. o SUMMER. 1976 21 �"W e Nutrition Conferences Dr. Blackburn are so carried a ..vay with the marvelous drugs, the antibiotics that we have lost track of nutrition when it comes to treating the serious!~ ill patient." This is that Dr. George L. Blackburn told Medical School students and faculty at the first nutritlon lecture sponsored by the biochemistry department. The assistant professor of surgery at Harvard Medical School said. "to ignore nutrition is a costly error." He is also a senior research assistant. nutrition department, Massachusetts Institute of Technology. Because nutritional needs of patients are not always met, many patients are unnecessarily dying, unnecessarily suffering complications. In some cases the patient is almost starving to death. We can't afford to do this anymore," Dr. Blackburn said. The Harvard physician showed his audience slides taken in hospitals of malnourished patients. He stressed that a patient who "looks good," or who is obese can be nutritionally-starved. They should be tested, he said. "Too few people recognize that there is a serious nutrition problem in this country But1t is evident in many places, even your best hospital. "The body's metabolic response to injury has incorrectly been viewed as a medical syndrome to be treated.'' He described it as "a marvelous. orchestra ted response which in large part can take care of itself. When we step in to beat Mother Nature is when we run into problems.'' Dr. Blackburn suggested that specific regimens must be developed to meet the nutritional needs of each patient. "Entirely too much time has been spent in making hospital food appealing. When you are sick food does not taste good. So get protein calories into the patient by a pill. And if the patient wants all ice cream, give it to him." Or. Blackburn pointed out that proper liver function requires amino acids. But the glucose intravenous solutions used by most hospitals in the United States contain no amino acids. "American hospitals use 16 million bottles of solution a year and this accentuates the problem and can impair the body's natural response to injury." One of the problems is getting people to change. "Most dieticians are only prepared to handle a manual diet. They are not prepared to tell a physician what the patient needs. This is a major gap. In most hospitals dieticians may be seen but not heard," Dr. Blackburn concluded. Diet affects the brain function in humans, according to Dr. john Fernstrom, assistant professor in the Department of Nutrition and Food Services at the Massachusetts Institute of Technology. "A proper nutritious diet IS important if we are to keep the body and brain functioning efficiently.'' In his illustrated lecture Dr. Fernstrom showed slides of neurons in the brain and said they function electrically and through chemical transmitters. ln experiments with rats he showed how 22 THE BUFFALO PHYSICIAN �tryptophan, an amino acid that exists in proteins, changes responses. In less than ten minutes after rats were injected with tryptophan there was substantiall~ more serotonin in the brain . This made the brain more active. The researcher found the consumption of food changes the serotonin level in less than two hours in animals. When rats were fed an artificial diet deficient in tryptophan the serotonin level in the brain decreased. Or. Fernstrom also found that animals with low serotonin are more sensitive to painful stimuli. But when tryptophan was added to the diet the pain level became normal and brain function increased. "There is a close correlation between the level of tryptophan in the blood and the amount of protein in the diet." Or. Fernstrom made several other observations: - corn meal has only six percent protein and is low in tryptophan: - if you know how a diet affects amino acid levels you will know how it affects brain tryptophan; -the synthesis rate in corn fed animals is low. When they are injected with tryptophan they begin synthesizing plenty of serotonin: -there is a correlation between sleep and serotonin activity in the brain: -our bodies can't manufacture enough serotonin. But with a proper diet tryptophan by synthesis is converted to serotonin. There is considerable evidence that nutritional factors suppress or speed up the development of certain tumors. But we still have a lot to learn, according to Or. Fred Rosen, research professor of biochemistry a l Roswell Park Memorial Institute. "We know that tumors differ in nutritional requirements. We also know that a change in diet affects cancer growth in animals. But we don't know enough. A folic acid deficiency blocks the growth of cells in some tumors, while other tumors are not affected. Rats that were fed a high-fat diet developed more tumors than those fed a low-fat diet." The researcher-educator noted some promising developments of intravenous feeding to cancer patients. Proteins, vitamins and minerals are included along \\ ith sugar. "This has been found to maintain the weight of the patients who responded better after surgery. X-rays and other therapy. Cancer patients lose weight because often they have no appetite, no smell or taste. They seem to develop an aversion to eating meat." Or. Rosen prescribed a more complete diet so the patient will be stronger and better able to undergo surgery and therapy. "There is mounting evidence that the low level of fiber in the American diet may be responsible for the high incidence of cancer of the colon in this country. There may be 50,000 new cases of this type of cancer in this country next year, second only to lung cancer. By contrast countries like Czechoslovakia have a low incidence of colon cancer but have more stomach cancer. This may mean that SUMMER. 1976 23 Or. Bcn;amin E. Sanders. professor of b ioc h e mi s try . visils w11h Or. Ferns trom. Or. Sanders coord~na tcd 1h1: nulri11on conferences. d- �high fiber diets lead to gastric problems. (Czechs' diets are low in protein and fats. high in fiber-rich vegetables and grain)." The high incidence of stomach tumors in Japan might be related to a diet of too much smoked fish and rice, according to Dr. Rosen. But Japanese women who come to the United States have a higher incidence of cancer of the colon than those who remain in Japan because of the western-type diet. Stomach cancer has been decreasing in the United States in the last decade. "It is not known why. but perhaps nutrition is playing a part," Dr. Rosen said. He also believes more attention will be given to prevenlton of cancer in the years ahead. There is a close correlation bet...veen breast cancer and obesity in the United States because of our high fat diet. Dr. Rosen does not feel comfortable with diets. I le suggests eating less- smaller but balanced meals and fewer calories. "Five or six smallet· meals daily are more beneficial than three meals." l>r. Wtnruck 1111d .'A<1rk Glassman. :;ecnnd ycur nwclic(J/ stud1•nt f/r:ftJ. Children who suffer from malnutrition may not be the "lost generation" that we once thought. according to Dr. Myron Winick. pediatrics professor and director of the Institute of Human Nutrition at Columbia College of Physicians and Surgeons. "Recovery is possible for many of these children if the proper amount of stimuli can be provided." Dr. Winick noted that just five years ago scientists were discouraged because there were 350 million children in the world who were malnourished during the first year of life. "Tests show that there is very little retardation when these children subsequently received proper nourishment and are placed in a stimulating environment. The interactiOn of environment and nutrition on the central nervous system makes recovery almost total." The pedia I rics professor discussed protein calorie malnutrition in children and the starvnt ion syndrome. His slides graphically illustrated the types of malnutrition that affect children throughout the world. Malnutrition causes retardation in cellular growth in the nervous system. The most critical period is the first 18 months after birth because this is the time that most brain cells are formed. Experiments with animals proved this conclusively." Or. Winick said. Dr. Winick mentioned a study of Korean children adopted by American families. This study involved three groups of childrenthose who were malnourished early in life. those who were moderately malnourished and those \'\'ho were well nourished. All of the children were adopted by American families by the time they were two years old. Follow-up studies of the children showed that by the lime they reached I 0. "they all had reached heights far above \'\'hat we would have expected of normal Korean children." The nutrition expert pointed out that in terms of height, weight. and IQ all children had comparable results. "But in each category there were significant differences between those who were originally malnourished .1nd those who originally were well nourished." 24 THE BUFFALO PHYSICIAN �The \'isiting lecturer made several other observations: - malnutrition causes a biochemical attack on our system: -head circumference is less in malnourished children and this reflects changes in the brain. and when this happens complete recovery is more difficult: -pre-natal malnutrition wiU affect cell dh·ision: - it is often difficult to isolate malnutrition from other problems which accompany malnutrition; - the number of cells any organ has is not fixed by genetics. but by environment: -when you super feed animals you will increase the number of cells and this may cause obesity. "Within the last few years considerable evidence has accumulated on the controls of metabolic events in the liver. adipose tissue and muscle by direct neurogenic signals from the limbic-hypothalamicautonomic nervous system circuitry. The significance of these finds in homeostasis is obvious" said Dr. Lee L. Bernardis. research professor of surgery. In his review of investigations in this area that now goes back over 100 years, he reported on the work of Japanese investigators who found profound alterations in key liver enzyme activities by stimulation of the hypothalamus and autonomic nen·es. Dr. Bernardis mentioned his work with Dr. Jack Goldman in the weanling rat. They demonstrated that hypothalamic obesity and the attendant metabolic changes do not require the presence of the pituitary gland and/or the endocrine pancreas. Work in collaboration with Dr. Lawrence Frohman pomts to a control of glucose metabolism by an integrated neuroendocrine-neurogenic system that involves the ventromedial hypothalamus but not the pituitary gland. Dr. Bernard is went on to say that the vagal influence of insulin secretion is independent of circulating' glucose levels, that "the neurogenic control of glucagon by the sympathetic moiety of the autonomic system may well play a role in the etiology of diabetes mellitus," and that "the inhibition of both insulin and glucagon by somatostatin (SRIF]. a hypothalamic principle, appears to be of great conceptual and clinical significance." Both clinical and basic studies in this area are not empty academic exercises but of profound practical importance. according to Dr. Bernardis. "The bypercatabolic state of trauma and sepsis is characterized by excessive protein catabolism hyperglycemia, insulin resistance. and increased fatty acid levels for the circulating glucose. The failure of the high glucose levels to 'turn off' the production of new glucose by glycogenolysis and gluconeogenesis points to a breakdown in homeostatic control mechanisms that may have a strong hypothalamic-neurogenic component. The hepatic failure that characterizes these conditions brings about a disruption of neurogenic information flow from the liver to the hypothalamus about the glucose status of the liver from hepatic 'glucoreceptors'." cJ- SUMMER. 1976 25 Dr. B<'rnordis �Dr. Bernardis also reviewed the 30 year-history of neurogenic control of endocrine glands. He reported findings by Hungarian workers on a neural connection between the ventromedial hypothalamus and the adrenal cortex. The significance of such a connection is obvious in the demands placed on the organism during stress and in the "General Adaptation Syndrome" of Selye. Also, both morphological and functional evidence has been presented by American investigators for an induction of thyroid hormone secretion by sympathetic nerve stimulation in the mouse. Sympathetic nerve endings in the thyroid follicles disappear after surgical or chemical sympathectomy. "Last, but not least, pathways from the hypothalamus not only reach the median eminence (neuroendocrine control) and autonomic centers (neuroautonomic-metabolic control) in the medul1a and the neuraxis but also influence other extrahypothalamic loci. Marlin in Canada has recently hypothesized that hypothalamic neurons (dopaminergic serotoninergic) and pathways may be involved in impulse transmission over a diffuse network in wide areas of the CNS," Dr. Bernardis concluded. Dr. Greenwood Dr. Greenwood mentioned two med1cal students. Barbara 1\.lcin and Mark Glassman, who worked with her in research at Columbia. Obese people have too many fat cells and these same cells are larger than in people of normal weight, according to Dr. M. R. C. Greenwood, assistant professor of physiology at Columbia University College of Physicians and Surgeons. The educator-researcher pointed out that "no amount of weight reduction will reduce these fat cells. This is a serious health problem for many people since people tend to become more overweight with age." Dr. Greenwood prescribed a more active Ufe for obese people. "This is much healthier than cutting food intake. It is much better to keep food intake normal." In her illustrated lecture she talked about several experiments that she and her colleagues had conducted on fat and lean rats. Many of the conclusions relate directly or indirectly to human obesity problems. "Successful' treatment for overweight humans is very dismal. We need to know something more about obese people- their eating habits as well as other acti" ities. Then perhaps we can develop a set of rules that will more effectively check obesity," Dr. Greenwood said. "An obese child oft wo has as many fat cells as a normal eightyear-old. And at puberty there is a great proliferation of fat cells. It is very difficult to have an effective weight reduction program for this type of person. Bemg active will help,"Lhe educator-researcher said. Dr. Greenwood reminded her audience that obesity is of personal interest to many people. In some cases it may mean social rejection. "Our customs, beliefs and taste for rich food are major problems in fighting obesity," Dr. Greenwood concluded. 26 THE BUFFALO PHYSICIAN �Why did he study the metal zinc? Long thought to be a chemically uninteresting trace metal, it stands but 28th on the list of chemical elements. Through a "personalized" history - one of 30 years- Dr. Bert Vallee. the seventh in a series of nutrition lecturers sponsored by the department of biochemistry .,,•as able to trace the unusual manner in .,, hich his studies on zinc began in the forties and to end with its importance to nutrition- the retardation in growth which occurs in all species (microorganisms, plants, vertebrates) when it is absent. The Paul C. Cabot professor of biological chemistry at Harvard University explained that following radioactive "tagging" of red cells and its breakthrough in blood preservation in the forties, he wondered whether the same method might not be used to study the life cycle of leukocytes or while blood cells. In Dr. Vallee's search for a metal to do just that he recalled his earlier studies on zinc. "Although my Harvard colleagues sought to dissuade me. I decided to take another look," he said. Because a search through the Literature on zinc turned up almost nothing, he returned to the laboratory to begin the separation and analysis of leukocytes through laborious methods. Finding that normal cells contained much more zinc than leukemic ones, he wanted to fmd more modern methods by which to purify proteins. Going to MIT, he learned about methods such as atomic absorption. spectroscopy, etc. and through them. "started to look at zinc proteins." And with the development of methods that could be applied to enzymes he noted that its study became a relatively easy matter. In 1954. he and Dr. Hans Neuratb proved that zinc was not a trace element. Rather, they were able to document its ability to act as a co-enzyme. Because early studies on culturing zinc-deficient human cells were difficult, Dr. Vallee turned to "flagella." And he was able to make one of its species, that of E. Gracilis, zinc deficient. "We now have a system by which to get at intracellular events and to nail down the biochemical role of zinc," he explained. "While we are not yet able to grow emphatic leukemic cells or to make them zinc deficient, we have a start in terms of DNA metabolism," he explained. His biochemical advances have led to the pinpointing of at least one metabolic pathway for zinc, that of reverse transcriptase, and the pulling to rest of at least one long-held beliei. While he does not yet know of zinc's ultimate importance, Dr. Vallee believes it will be a substantial one. Although its predictability at this time is small, he believes "it may work through devious routes." And he is convinced that what is known about it is relevant to all nucleic proteins acids found in normal cells. "I am surprised." he concluded. "that this material is ubiquitiously involved in so many stages of biology." And he sees zinc as a means to alter genetic material of the cell itself (transcriptase). o SUMMER. 1976 27 �Drs. Pwtro (l!~ftJ and Naughton drscuss on X-ray with house staff at tho Vctaons Admrnistrotion Hospital. Drs .'-:a ugh ton and Danwl PJCtro. chief mcdrco/ rt:srdenl at the Veterans Admrnr:.trutiOn /losprta/, exomrne a patwnt. Dean NCJul(hton and Dr. Barbara Rcnnic:k, professor of pharmacology and thuroptJutrcs, check tho ap.anda before Surprises, Rewards for Dean Naughton on rmportnnt mocting. G etting acquainted with people. programs and facilities was a major priority for Dean John Naughton when he arri\ ed in Buffalo in March. 1974. He admits to a lot of listening, talking and home work. It paid off. By early summer Dean Naughton had a "feel" for the Medical School and was able to make some decisions on curriculum. admissions. the budget and student-faculty-alumni affairs. There have been many surprises and rewards together w ith a few frustrations and disappointments. "We have made significant progress since last September in recruiting new faculty, improving hospital relationships, developing new programs and strengthening our ties with the community," the Dean said. He attempts to make rounds weekly with medical students and residents at one of the teaching hospitals. makes speeches on request and participates on panels. The "Naughton Team" is off to a good start. o 28 T HE BUFFALO PHYSICIAN �) j 1. Representatives from .'vfercy Hosp1tal meet wuh Dean ~aup,hton and other faculty members. From /eft-Sisters Sheila. Annunciata. Drs. ,\Ionia 8/au. William Stoubitz, fohn Naughton. M1lford Moloney. Elhot Ellis. John O'Bnen. 2. Lyncllc :'l.'icmon. second rear student. chats w11h Dean Soup,hton . 3. Drs. Sou11.hton and John P1scopo. professor of phys1col aducollon. d1scuss phys1col fitness and 011,1011, 4. The Affil1o110n Committee composed of hosp1tal admm1strotors and faculty representatives meets reS~.ularlr wllh Dean Naughton. From left-John Fcrgu~on . .\1Jllord Fi/Imore Suburban; Drs. Jock L1ppes, Robert Kohn. John :..:aughlon, Edwm \.hrand, Roswell Pork; Joseph Par1s. Veterans Adm1n1strotion. ,\.forsho/1 Ause. E.J . Meyer. 5. Dean Naughton speaks to the Faculty Counc1l. 6. Drs. John Wr~ght, professor and choJTman of pathology: 81•dn llzunohmoglu, research assistant professor of pathology; and Dean Naughton. SUMMER, 1976 29 �N ATIO!\Al. BoARDS should be considered educational achievement National Boards tests. according to Dr. Robert Chase. president and director of the National Board of Medical Examiners. The physician-educator who gave the Harrington Lecture told medical students and faculty that National Boards are but one route to licensure. "Exams are not an assurance of competency. but they do protect society against incompetency." Fifty states now accept the National Boards as a basis for licensure, he said. Noting that one lime licensure or certification is not a sensible approach to quality medicine anymore than it is for airline pilots. he pointed to 11 states which allow state boards the option of relicensure of physicians. "Six states have mandatory relicensure," he said, "and there are 65 areas of certification for specialty in medicine." A complex situation, he noted that one general evaluation exam will never suffice. "We must find out in detail what every physician is doing and evaluate him on that." While he feels the medical profession cannot be proud of its own self discipline, he points to progress over the last few years. After looking at National Boards in a broad perspective, Dr. Chase is convinced as to its reliability. ''It is an opportunity for the individual student to test himself against an external standard and for the school to look at all of its students in relation to the national standard." Each school is sent an elaborate confidential report. But he was quick to point to the travesty of ranking medical schools and misuse of this information. Noting that all U. S. medical schools perform at a very high level. he feels that to rank them is ridiculous. "The ran kings don't suggest excellence or lack of it,'' he said. No longer will National Boards do this. "We will provide each school with much more valuable information,"he said. "Among Dr. Chose (left} talks Jnformolly to students and faculty. 30 THE BUFFALO PHYS ICIAN �Several (ocultr nu•mbers hove lunch w1th Dr. Chase. other things we will not only provide a standard curve, but three other curves -one for reference. one for na tiona I pool, and one for a particular school. The curve of U B students last year is very reassuring to me." He endorsed the "mini test" given annually in various disciplines to determine progress of students. But he admitted to the many limitations to testing. "The public would never approve of eliminating competency tests," he said. "In four or five years there will probably be a Comprehensive Qualifying Exam to test knowledge on patient care responsibdities. It will probably be given after graduation and before completion of residency training. This exam will be a common filter for all people entering graduate medical educa lion (foreign medical graduates included). This will help to assure the public that those taking care of them are competent. And it will eliminaie dual standards," he said. Dr. Chase traced briefly the history of National Boards that were founded in 1915 lo standardize the medical profession and hold national examinations. "The first real change came in 1961 when specialty boards came to us for counsel in preparing tests. We have helped 15 specialty boards in the last 15 years. We now administer. score, and analyze 150,000 examinations." Its testmg committee is made up of 108 faculty members from 78 medical schools (three from U!B) who decide on content and thrusts of tests. The Board develops evaluation strategies for medical students from undergraduate years through all phases of graduate medical education (interns, residents, continuing education). "Our health care system is in the process of change and the federal government is the principal reason. The federal government underwrites 60 percent of a physician's education, 70 percent of biomedical research, and 25 percent of health care services. In the final analysis it is the public that is paying the bill and demands some say in physic~ans' conduct." d- SUMMER. 1976 31 The Harrington lecturer was selected by o student-faculty comm1ttee of the Medico/ School. The lectures were created in 1896 by the will of the late Dr. Devillo W. Harrington, professor of genital and urinary diseases, at the School of Medicine. �Nancy Nrl'lsr•n. Drs. Chose nncl Nou!llllon. Guadalajara Graduate s The O!'l\' l'nrol/ccs rn 1 h r• Frf I h Pol hi\ o}' Program wllh Dr. /lorr}' lfrum lr•fl), Oonu•l fwdrnon. Murc Savell, l'oul Deily. !.ours 1\lvrs Domronr. l!t•n1omrn Lrbcrolorf', Willrom fohns. Varon c;urcros, Gar}' l'rofft•ll, unci Robt"rl lJt,nnvtr. Or. Chase deplored the highly-publicized malpractice crisis. "It is time that physicians stood up and admitted that part of the malpractice crisis is malpractice." With a full-time research department. the board is now looking into ways of measuring noncognitive components of physician competency. such as interpersonal skills - motivation, responsibility and competency. "Valid strategies for evaluating such sk1lls do not exist. But we can measure the basic aspects such as knowledge. problem solving, incompetency and some motor skills." Dr. Chase made some other observations: -medical schools should not gear their curriculum toward National Board Exams. -students do better when the school insists they take and pass the National Boards. -our tests are not comprehensive, but they do measure certain components of competence. -90 percent of all basic science material was found to be relevant. Or. Chase did not know why some schools do poorly on National Boards. "Perhaps il means something good is happening in terms of social values lhal is more characteristic of the student body." o Nine American medical students, all graduates of the Autonomous University of Guadalajara, Mexico, School of Medicine, enrolled in the nine-month Fifth Pathway Program in January. This is thesecond group of United States Foreign Medical Students to come to Buffalo. The first group of 16 came to Buffalo last July. The students arf' on three-month rotations at four Buffalo hospitals -Sisters, Deaconess, Mercy and Millard Fillmore. Dr. Harry Alvis, who heads the USFMS Program said. "upon completion of this program the students will be eligible for appointment to PGY-J level (internships) which are approved postgraduate training programs in the leaching hospitals of the State of New York. The studen ts are also eligible to sit for the licensing exammation (FLEX)." Or. Alvis is director of medical education at Millard Fillmore and a climcal as soc 1a te professor of social and preventive medicine at the Medical School. o �Ttns bicentennial year will be an eventful one for Henry M. Bartkowski, senior medical student. In May he received the M.D. degree and in September he will be awarded the Ph.D. in anatomical sciences at the State University at Buffalo. "It took me two extra years -six in all- here at U B. It has been a real challenge and I enjoyed every minute of it. These additional years of research and study have better prepared me for my future goal- teaching neurosurgery to residents in a hospital setting," Bartkowski said. He will begin a six-year residency program in neurosurgery at New York University in July, 1977. He will intern in California before beginning his New York University residency. Bartkowski entered the Ut B medical school in September of 1970, after receiving his B.A. degree from Canisius College. "I started thinking about the M.D.1Ph.D. program during my sophomore year. but did not bing about it until the beginning of my junior year." After consultation with Dr. Harold Brody. professor and chairman of anatomical sciences. Bartkowski decided on the M.O. /Ph.D. program. He had completed 1\..,.o and one-half years in medical school when the decision was made. The next 12 months (1973) he spent in the graduate school. The next two years he alternated bet ween the medical school and graduate school, studying about 80 to 90 hours a week. "I took my senior year clinical rotations in four hospitals (Buffalo General, Children's, Meyer and Sisters) from January-August 1975. For my senior elective I was at Massachusetts General Hospital (neurology department) in April. Since September I have been completing my 77 hours of required graduate sc:hool credit and writing my dissertation - A Study on the Ultrastructural Substrate of the Blood-Brain Barrier: An Electron M1croscop1c and Tracer Investigation oft he: Burrier Under !\or mal and Pathologic Cond1Lions. "My interest in research is the main reason that I decided on the Ph.D. I have been using Dr. Louis Bakay's neurosurgical lab for some of m~ research acli \ ities." He is professor and chairman of neurosurgery at the ~ledical School. Dr. Brody was instrumental in gelling Bartkowski graduate fellowship awards the last three years, which waive tuition and pay a stipend. During the summer of 1971 BartkO\\ ski had a medical externs hip at Deaconess Hospital. The following summer he had a fello\.... ship \\ith Or. Werner Noell in experimental epilepsy. Or. Noell is professor of physiology and directs the neurophysiology laboratory. In 1973 he had a fellowship in experimental hydrocephalus w1th Or. Joseph C. Lee, his advisor. who is professor of anatomical sciences and research associate professor of neurosurgery. Since July 1974 Bartkowski has had a "working e'\.ternship'' at the Buffalo General and Deaconess Hospitals. It hasn't been aU work for the semor medical student. He plays classical music on the piano as a hobby. And he also finds time to golf. sk1 and play hockey with the Medical School team. He is also working on a pilot's license. He has completed 35 flying hours, 15 solo. o SUMMER, 1976 33 Henry Bartkowski Henry Bartkowskr �Secret Student Medical Society Formed in 1848 by Oliver P. jones. Ph.D., M.D. DtstingUJshed Professor It has been my privilege to read and analyze a diary (journal) written by one of our medical students, John D. Hill, who attended the University of Buffalo from 31 January 1848 to 18 April1849. In addition to the daily entries while he was a student. there are others relating his experiences as a physician. with the final entry on 22 July 1852 wrilten when he was Health Physician for the City of Buffalo during a cholera epidemic.• John Davtdson Hill was born in Manchester, New York, 29 April 1822. He was raised on a farm and at 15 years of age was the sole manager of 500 acres of land. He left the farm when he was 17 years old and entered Lima Seminary to seek an education and the wider walks of life. Afterwards, he studied medicine in the office of Dr. Dayton in Lima and in 1847 was matriculated at Geneva Medical College (October 1847 through January 1848). Apparently Hill did not keep a diary at Geneva as he did at Buffalo, and referred to his experiences there in just a couple sentences about his former professors. Drs. Coventry, Hadley, Webster, Lee and Hamilton held chairs in both medical schools. The professors taught at Geneva in the early part of the winter and at Buffalo in February. This plan was adopted for the mutual convenience of the professors at Geneva and students who might wish to attend lectures at both places. In spite of the similarity of the medical faculties. Hill was attracted to Buffalo because of the abundant sources of clinical material and the proposed establishment of the Buffalo City Hospital and Sisters of Charity Hospital. Before taking up the narrative relative to the formation of a secret student medical society at Buffalo. ilis fitting that Chauncey Leake's excellent paragraph about secret societies be quoted in lolo.z As Jon~ as monk1nd has llXIStcd. apparently it has been the custom for congenial. and usually conv1vwl spmts to form fraternal cliques. Within these orgamzot1ons, bound b} SI!Crcl vows and :;olemn oaths, brol her hood is supposed to rc1gn Although the highest tdc!o/s towc1rds the betterment of soc1ety professedly m1ght always be 1mplied to the outsulc world. yet a fundamental principle in every such bond 1s to stand by each othl!r, stand by each member, come what may. On 31 January 1848. Hill"Left Victor (N.Y.) for Buffalo for the purpose of pursuing the study of medicine under the instruction of Dr. (Horatio N.) Loomis." Hill was in the third class to be admitted to the Medical Department of the University of Buffalo. The regular lecture term commenced on 23 February 1848. but it was not until4 March 1848 that a secret med1cal society was formed. Of the 252 entries in the diary. nineteen deal with this organization. The first extract reads. 4 March 1848 The Hal/enan Lod~t: :-:o.6 met at the medico/ college th1s evemng for the first trme and adopted the1r constllutwn and 8;--Laws. The Lodge has a vcrr (orr commenccmenl and th1ngsoppPor (avorob/c foro flourrshm11./odge (see lop of Figure 1). Since the medical students formed Hallerian Lodge No.6, there must have been some kind of a national organization in existence at that time. It was apparently named in honor of Albrecht von Haller (1708-1777) the great Swiss anatomist, physiologist. and physician who bas been styled "Haller the Great." 34 THE BUFFALO PHYSICIAN �'/ .. ~- /~1 .... "f. n--I :? ~.. • - ·- -. ' ~ ..t. ·,~ ~L y- , (~ c:.. ~~~ "/.,.....,._ ..-- ~ -~•)- ?J. • .-- I ~ ~~·~ {" . 4 "J. ~ >L .1_ , .... ,.......,_ .,_I J I• ' ,.... .. _::;1..- l t -"" -1- .._ ~ , j/.. _... ' .... / Entrr altop of po~c for4 ,\Iorch 1848 mcntrons H.L.O.E. forfrrsttrmcond the one for6 .\1orch tells about rnrtrotrn)! four persons. To continue with the diary: 6 March 1848 In thucvcnrngat n special meeting of the H.L. of the O.E. four pt,rsons were rnrtiatcd into the mysteries and secrets of the O.E. Thrs was the frrsl Initiatory mectin,R of the 1-1 L.. and it was very well conducted. 11 March 1848 fhis evenw,ll attended thu Loge 0 of E. \Vas appornted on anatomy for the next weak and hope I will be able to fill my appoint mont honorably. (t- SUMMER, 1976 35 ,..., • t �This apparently means that he acted as quizmaster and tutor for the brothers. Since Hill had been matriculated at Geneva Medical College he was perhaps the best prepared for this task. The diary continues: Thas cvem ng ol hurs dad the amllallon meetin~ af H.L.O.£ . Two were IOitiOtcd. 22 March 1848 Ford lectured an the cvenan~ on the muscles of the hap and thagh. After the Dr (ford) lr.cturt:d we 10111uted mla the mysteries of thuOrder EsculapiUs five brothers (sec Fa~um 21. 13 March 1848 36 THE BUFFALO PHYSICIAN �It was only after this entry that the abbreviation H.L.O.E. became meaningful. In those days it was customary for medical school classes to be conducted in the morning, afternoon. and evenings. Whether Or. Ford was a member at that time is unclear. but at a later date he is mentioned as being present at an initiation ceremony. "Or. Ford" refers to the demonstrator of Anatomy. Or. Corydon La Ford ( 1813-1894 }. who later became one of the most noted anatomists in the country and was Professor of Anatomy and Physiology at the University of Michigan with an annual salary of $1,000 in 1860.3 The final reference for that year to the secret society was on: 25 March 1848 anatomy In tht•t•vrnrn~ ollended the H.L. of O.E. and occuprcd the choir on During the next nine months Hill was busily occupied with clinical subjects, duties performed for Dr. Loomis, a n internship at the Alms House, in addition to recovering from a bout of typhus fever. In order to understand the next entry regarding H.L.O.E. it is necessary to quote the following entry in toto: Orcl not fall rn wllh custom oft he clly of makin~t coils but spent mr lrme o1·er th1. dtrrd rn scorch of health for the living. Took drnncr ot Or. l.oomrs'. Bou~ht wrth mr chum a silver comb for Mrs. Or. Loomrs. presented 11 to her. I also made o present to .\frss Chnrlollc Loomrs of a beautiful cord case. AI cvemng went homo to the Alms llousu. Thrs was a most btttcr cold do}'· The lime from above doll' to the present has bc1•n duvoted to ollendmg med1co/ lectures wrthout nnrthrn~ peculiar hovmj.ltaktm place 1\'llh thcexceplton of one of our Profs. ho\'lng got a black ere and some student plon~d a note on the Prof.fs} table asking htm 1f"hrs block ere was rn strrr.t accordance wllh the prrnctples rnculcoted tn ~~ts tntrodudorr lcdun•' of which the Prof. took umbrage.• 20 Ja nuary 18 49 In the e\·enin~ attended the Hollerion L.O.E. Initiated one wllh the new rep.olto purchosf'd durrng the week. Dr. Ford was present and gave us a full drrll· rng on anatomy Tho subJect of the above note be10g brought before I he Lodge o com· mrllee ~..·as oppmntf!d to mvestJgote thr p,rievance complamed br the brothers 1mpllcotcd in plocinp, tho nolo on Dr. (Frank H.} Hamilton's table.• 1 Ja nuary 1849 Hill was secretive about the sacred mysteries of the H.L.O.E. and this is the first mention of regalia. The next entry does not mention the lodge specifically, but it does refer to the committee appointed during the preceding meeting. The only indication we have that Hill was the leading force io the H.L.O.E. may be gleaned from the entry of 13 March 1848. Therefore if anyone was to be suspect it would naturally be the leader. The diary continues: 26 Januar y 1849 Committcc reported rn relatron to a note whwh was left on Prof Hamilton's table. The commrllce exonerated me from all blame • . . 27 January 1849 Thts C\'entng allended the HollerJan L.O.E. ott he .V.cdrcol Collt.~e. mode sc~·erol proposllwn~ for the consideratiOn of the L .•.. 1 February 1849 In th1: Hollerton Lodgt: met committee oppomtt~d to rm·e:-tt~ote cerl01n dtffrcuiiH:s e\rstrnp, bell\ een brother Grer (E.P. GrerJ and I Prof.} Hamilton. After the report, the frrcnds I\' ere mil rated mlo the secrets: mystertes of our Order 3 February 18-19 In the t!\'entng attended the Hollenon Lodge O.E. and \"oluntpcred to toke up psysio/op,r This entry has the same significance as that of 25 March 1848, except that it does not mention that he chaired the session. The diary continues: 10 February 1849 In the r.wming ollended the Hallerian Lodge O.E. SUMMER. 1976 d37 �This ~vcn.ng coiled a meeting of the Hollenan Lodge O.E 1n toln· lliote three fnends 1nto the sacn•d mrstenes of our Order, etc. etc . . . . 1 '1 February 1849 The t!ven.ng wos devoted to the Hollerian Lodge O .E. After the usual bus1ness of the regular meeting was dispensed. Dr. Chas. Harvey was dulr 1n· 111ated 1nto th1• socrod OJ}'sleries of our Order. etc etc 13 February 1849 This entry is of interest because it refers to Dr. Charles W. Harvey, D.D.S .. M.D. \\ho was in the second class (1848) to graduate from the University of Buffalo and the first to use ether anesthesia in Buffalo. The Commercial Advertiser (22 January 1847) said: The Bah 1m ore Colln~l·of Dental Surgery has conferred the degree of Doctor of Dental Surgery on Drs. Ceo. E !la}•es and C. W Harvey of this city.- By advertisement 111 another column 1t wdl be• st!cn that Dr llorvcy has procured the proper apparatus and material. and 1:; prcporcd ro administer Dr. Morton's Letheon. To cont inue with the diary: 24 February 1849 Th1s cvenlnR attended the Hallcraan Lodge O.E. 3 March 1849 In the t!vening went to the Hollerian Lodge. 10 March 1849 In the cvcmn~ attended the Hollerian Lodge 0 E after I he customary :;erv•ct:s of the evening were over, Jnltwted .\1r. (Just1n) Ell1ot 1nto the sacred mystcriCs of our Order. 24 March 1849 Altl!ndcd Lodge. 31 March 1849 Met the Hallcnon Lodge 1n the evening. Voted to ho\·e pnnted cer· tificates of m1 mbNsh1p and a commlltee appo1nted to get these pnnted. This entry sheds a different light upon the one of 20 january 1849 about regalia. Perhaps both regalia and certificates were obtained locally. At any rate. stnce the membership voted to have certificates printed, it could mean that this Lodge decided to have them without a mandate from the National organization or that headquarters permitted an option in this matter. Perhaps someday one of these certificates will be fou nd tucked away in an old scrapbook. In addition to I he diary HiJJ also kept a scrapbook which. unfortunately for this discussion, contains only items of interest after he graduated. The final entry about the secret society was on: '1 Aptil1849 We hod our lost «'xominotion in the Hollerian Lodge for !Ius torm. These examinations were to prepare the brothers for their examinations by the medical faculty and Curators from the several county medical societies. ll is evident from t hese entries that a secret association or study club was organized for mutual improvement and that some of the brothers served as quizmasters or coaches. Hill mentions the initiation of 15 brothers but does not indicate whether this included himself and other charter members. We know nothing about the ritual, oath or total number ofHallerian Lodges. 6 The library of the Buffalo and Erie County Historical Society was not helpful in soh·ing this problem and neither were the standard reference sources. A letter to the editor of Medical World l\ews (May 29, 1970) has not aroused a single response. Hence, assistance was solicited from many persons interested in medical history and two of them supplied clues which, although helpful, did not solve the mystery. Dr. Leslie B. Arey, past Supreme Archon, Phi Beta Pi, suggested that Dr. Chauncey D. Leake, San Francisco Medical Center, might know something about H.L.O.E. because of his interest in Kappa Lambda at an earlier date.l Dr. A.H.T. Robb-Smith, Radcliffe lnfir38 T H E BUFFALO PHYSICIAN �Testimonial Dinner for Dr. Nunn Dr. Nunn is con~rotulated by Dr. Roy Sch•fferle . .'vi'SS. dmico/ associate 10 med•cinc and clwrc;o/ instructor 10 family medicine. (seated from left/. Or. Lazor and Or. Robert Seller. professor and t:hoJTmon of the department of (am1lr med1crne at the Medrcol School. He 1s a/so professor of medJcme at Deaconess Hospital. Dr. james R Nunn. M '55. was honored by his colleagues at a testimonio! dinner on his retirement as chairman of family medtcinc (1969-76} at Millard Fillmore Hospital. Dr. Nunn is a clinical associate in medicine and clinical assistant professor in family medicin('. He tS also president of Communications in Learning (formerly TLN}. ThcnewactingchairmanofthedepartmcnL is Dr. Louis Lazor, clinical mstructor in family medicine. mary, Oxford, England, thought he had read something about American secret medical societies in Harvey Cushing's Ltfe of Os- ler. Leake, in a personal communication, agreed that since the students formed Hallerian Lodge No.6 there must have been some sort of national organization involved. He suggested that perhaps the Hallerian Lodges were continuations of the old Kappa Lambda Society. According to van Antwerp; Dr. Edward Cut bush in 1825 was president of the Kappa Lambda Society of the District of Columbia. This is an important connection because ten years later (1835) Cut bush was to become the first dean of the medical faculty of Geneva College, NC\\ York. Cutbush's principal biographer. Captain F. L. Pleadwell. studied some of his papers which indicated that he was the first president of the Washington branch of the Kappa Lambda.a In addition. there was the oath of the Kappa Lambda Association as recorded by Cutbush which reads as follows: You do swear. that you wd/ ondeovour lo accomplish the objrcts of th1s SOt;lcty, b}' cmp/oym~ }'OUr abilities in rdit•vm~ the suffenngs of the Sick. and by exolllng tht•d- SUMMER, 1976 39 �medtca/ proft:sston. bv a ltfe of Vtrtue and Honour: that you will by every fatr and honourable means, advance the tntcrcsts and reputat1on of this Soc1etr and of each of 11s members. and that you w1ll kf·ep falthfullr all the Secretscommtlled to }'OU b} th1s Soctctr. or hr o~\·of lis member~. You do furthermore swear that you w11l never encourow• any one to commence or 10 prosecute the study of the profess1on. ~~ ho. from natural 1rnbenht\' of 1ntel/(lct, from depraved moral hablls. or gross defu;ic;nc)' 1n l!tt!raturc. mar seem l!kelr to degrade the med1ca/ character bur. on the contrary. that ~·ou 1"1/ cncouragt! those youths to devote themselves to :;tudr who, from strong. natura/ talents. vtrtuous and amiable qua!Jt1es. mar seem /ikdy to become ornaments to thn pruf1·ss1on and worthy members of th1s Soc1ety. There is good agreement between this oath and the original oath studied by van lngen.q The copy of the original draft of the oath which was reproduced by van lngen contains 15 shorthand signs, dashes, and groups of squares. Van Jngen did an amazingly good job with the interpretation of these symbols, because according to Cut bush's copy of the oath, the arrangement of nine squares (3 x 3) really stands for "Society." Both the small and large single squares were used to mean "you" and "member." There are some minor differences between the two oaths, viz., Cutbush said "sick" and van lngen interpreted I he sign to mean "poor." At any rate the text of the oath is certainly of a higher caliber and character than the one published by Leake as the one acknowledged for the New York Society. In the epilogue of Haney Cushing's address at the Centenary Celebration of the College of Medicine of Syracuse University, 10 he conjured up the formation of a special Valhalla Society for the peripatetic medical teachers of the past century or more. At one of their meetings the Curator of the Valhalla Library called attention to a precious document written by Dean Edward Cutbush. 11 Cushing paraphrased some of Cut bush's remarks at the opening of the Geneva Medical College, 10 February 1835. The original quotation reads: Permit me to advrsc you, gcnt/r•men. to form a medical associotton 1n Geneva for mutual tmprovenwnt, ond t•ndeovor to emulate the literary character of ht:r namesake in Swtt7.t,rlond: sparks of truth muy be kindled by the collis1on of ~emus. Such on association wt/1 promote a spmt of 1nqUJry. ln yourdiscusston. you may not on!}' cxomrnc and c:ontro1·cr1 tht• 0p1111ons of each other. but those of your tcoclwrs: whtch wt/1 remove tharmpresston thot"co/leges are the dull repositories of exploded op1nions . . It is interesting to note that Cutbush did not mention Kappa Lambda. Whether the students at Geneva Medical College ever formed such a society is not presently known but there is a strong suspicion that they did. According to Or. Robert E. Doran, Chairman of Board of Trustees. Hobart and Wtlliam Smith Colleges. John D. Hill was a student at Gene\ a Medical College from October 1847 through January 1848. Thtrty-four days after he arrived in Buffalo, he helped form Hallerian Lodge No.6. lt could not have been a continuation of Kappa Lambda because according to van Ingen, the latter did not cease to exist until1862 in New York City. Hill was a self-reliant, religious, temperate, and moral person who would not have condoned or participated in the creation of a disreputable secret medical society. The oath for the H.L.O.E. is not now knO\.\'n, but it would nol have been out of character for Hill to have addressed the initiates in the words of Dean Cutbush: 40 THE BUFFALO PHYSICIAN �The.!!!!£ diJ~nrtv of the mcd1cal profession must be maw tawed b}· supcnor lt·arnrnl! and obll111Cs, by llb··rallty of conduct. br openness and conoor. 1\'llhour condescending 10 mean ort1(1ces. wh~eh ore too often adopted to obtorn business or a false reputat•on. You must cnc~rclc yourselve~ with the cardinal VIrtues. and b1d dcf1once to all secret mochlnOIIOns of illiberal mwds: sh1elded bra hberol medicoleduc:oiJOn, and by o consc:ICnllous d1schorgo of those duties ocqu~red bra life of stud~· and corrc!.l deportment. rou mar bid defiance to the malevolent shafts of IJ~noroncc Perhaps the Hallerian Lodges were short-lived like other student organizations. For example, the Esculapian Circle was organized in 1858 or 1859 by students of lhe New York Medical College.' 2 ll was not mentioned after 1864. the year that O.AE Society was founded. 13 Three students connected with the class of 1864-65 of Bellevue Hospital Medical College organized the O.AE Society for the mutual improvement in the science of medicine, the advancement of the honor of the profession. and the cultivation of friendly intercourse among its members.'~ At the Sixth Annual Reunion of the O.AE in 1870. there were 500 members scattered throughout the United States. British Provinces, and different parts of Continental Europe.• 5 The O.AE does not appear earlier than the 1870 volume of the Medical Register and it is not in the 1875176 volume,,s o References 1. The chain of ownl'rship oft he dliln was from the student to h1s w1do\\. Mrs. Esther Lnpham 1-hll: to his dAU!!hter. Mrs. William B. Hoyt: to a ~randdaughter. Mrs. Ansley Sawyer, and finally to the late Or. Elliott Hague. ophthalmolog•~t and biblioph1le. Dr. Hague's son. Thomas. (MD'73]. knew of my tnlerest in med1cal history. 2. Chauncey D. Leake. "What was Kappa Lambda?." Bull. Hi st. Med .. 1945. 17: 327· 350. 3. This information was kindly furmshed by Agnes N. Tysse. Head of Reference Department. University Library. Unit·ersity of Michigan. 4. My interpretation of this is that he wrote it the day before resuming daily entries in the diary. 5. Professor Frank ltosllogs Hamilton, M.D .. was the first Professor of Surgery and Dean of the Medical Department of the University of Buffalo from 1846·60. 6. Th1s studt•nt orf!anization IS not to be confused with medical clubs established for the purpose of reading and d•scussion of professional papers by prachtioners in the city. For example. there was the Esculap1an Club 1n Buffalo. (James J. Walsh,llistorr of ,\JcdJclneJn \'cw York. Ne\\ York, 1919, vul.lll, 692). 7. Lee. D. van Antwerp. 'Kappa Lambda. Elf or Ogre?', Bull. H1st. ,\ted .. 1945, 17: 327-350 8. Capt. F. 1.. Pleou\\ ell. •Edward Cut bush. !\.1.0. The Nestor oft he Medical Corps of the :--:avy', t\nn. ml'd. II 1st .. 1923. 5 337-386. 9. Ph1hp von lngen, "Remarks on Kappa Lambda. Elf or Ogre?', and a !.itt le ,\1ore Conccrmng the Sociel\ ," Bu I H1st \1ed.. 1945. 18: 513-538. 10. Harvey Cushing, Th1! piOnct!r medrcal schools of central Se\1 York. (Syracuse. 1934. p.34). 11. Eu\\&rd Cut bush. t\ d1scour~edehvercdot theopemtlgof the medJcal wstrtut1on of Geneva coll1•ge. stole of Sew York. Februar} 10. 1835. (Gene\·a. 1835. p.22). 12. Med1col Rcg1stur of Sew York and VJctmty (;;-;ew York, 1862) p.65. (The C.rst \Olume of this senal pubhcallon d1d not have a number.) 13. Th1s informahon was kindlr furnished b} Gertrude L. Annan. Librarian, The New York Academv of Medicme. 14. '-'1ed•cal Rllf!lSIN u; Nuw York and \'1c:inity. (New York. 1870) val. VIII. 41. 15. Edward G. llarwood, PrtJsiclenllol and Other Addresses (New York. 1883) p.25. 16. Letter from Gt•rtrude L. Annan. Librarian to Martha E. Mannmg. Reference Department. Stall• University of New York at Buffalo, 30 June. 1970. SUMMER. 1976 41 �Neurosurgical Aspects in Singapore by Franz E. Glasauer. M.D. Professor of Neurosurgery T he Republic of Singapore encompasses a main island and several smaller ones. It is about 225.6 square miles in area. The island of Singapore is 26 miles long and 24 miles wide wilh a causway across the Straits of Johore connecting it to the Malayasian peninsula. The cily. covering an area of 37 square miles. is located in the southern part of the main island. Following an agreement in 1819 between Sir Stamford Raffles and the Sultan of Malaysia. modern Singapore was founded as a trading post for the British East India Company. Full sovereignty for the island was granted it in 1824. And 41 years later it became an independent Republic. Because Singapore is 85 miles north of the equator, its climate is tropical. Temperatures average about 85 degrees with 90 percent humidity. Because of its climate. the island is a constant profusion of flowers and colors. Of its 2.3 million population. 76 percent are Chinese. 15 percent Malaysians. 7 percent Indians and Pakistanis, and the remaining are Europeans and other nationalities. Although the national language is Malay, English. as the administrative language. is widely used. The international cuisine of the city is not only famous but as varied as its population. II ranges from the exotic at picturesque street venders to exclusive restaurants. Among points of interest: botanical and orchid gardens; Jurong Bird park (1t harbors over 7,500 species of birds); Mount Faber, located within the city, not only allows a splendid panorama of Singapore but of Malaysia and the nearby Indonesian Islands; the Zoo; Kranji War Memorial; and temples. The symbol of Singapore is the "merlion." The body of a fish and the head of a lion greets visitors at the waterfront. An excursion trip on a junk through the harbor is a unique and exciting experience. Hundreds of fishing boats of various types /sizes bustle among the myriad of foreign freighters. The harbor, the fourth busiest in the world, is an important economic resource. Our hosts and families who were gracious and extremely hospitable, made our stay in Singapore most pleasant. The hospital is about a 15-minute drive from the hotel. A personal car provided by host, Dr. C. F. Tham, solved my transportation problem. The traffic in Singapore was very erratic, to say the least. Because streets are crowded with all types of vehicles. especially motorcycles, I limited my driving between the hospital and the hotel. Travel anywhere else in the c1ty was cheaper and more relaxing by taxi. The Tan Tock Seng Hospital is part of a former tuberculosis hospitaL Although the building is old, it is clean and airy including its large wards. In addition to the medical service. the hospital hosts the specialties of neuroscience and cardiac surgery. It is part of the Unhersity complex, most of which is located in Singapore General Hospital. The neurosurgical unit. in its current setup. is but 3 112 years old. A well planned physical layout. operating theaters. neuroradiological rooms, offices, wards, conference rooms are located on one floor. The unit includes both neurosurgery and neurology. with 135 beds plus eight others in the intensive care unit. Dr. C/asauer The author spent three months of his sabbatical leave as a visiting consultant in neurosurgery at the Ton Tock Seng Hosp1talm Singapore The v1sit was sponsored and arranged by the Foundation for International Education in Neurological Surgery. 42 THE BUFFALO PHYSICIAN �Typical houses on Sumatra ln the well-equipped neuroradiological rooms that are also part of the department, routine studies of good quality are produced with tomograms and subtraction films. AJl neuroradiological procedures are performed by the neuroradiologist vvith arteriography and air studies routinely performed under general anesthesia. To assist in the diagnostic workup and care of patients is a neurology surgical resident and an intern. As a participant in the "oncall"schedule, patients admitted on that day or weekend became my responsibility. Although we were always busy, the pace in the "relaxed atmosphere" lacked tensions, pressures frequently encountered elsewhere. Because my visit coincided with vacation period at the Medical School we had no medical students. The teaching schedule included daily rounds with assigned housestaff. Twice a week ward rounds were attended by the entire neurology-neurosurgery staff, head nurses, and supervisors on wards where Xrays of particular problem cases were reviewed and their management discussed. The neuroradiologist participated in the Balinese dancers lts full-time staff of three neurosurgeons and two neurologists serve a population of 2.3 million Singaporeans and a considerable number of referrals from adjacent Malaysia and Indonesia. Dr. C. F. Tham is head of the department of neurosurgery and neurology. The two operating rooms are spacious, well-equipped and lack few instruments. As part of the neurosurgical unit, they are shared one day a week with the orthopedic service. Operative microscopes and necessary instruments are available for microneurosurgery. The surgical schedule allows four full days for neurosurgery. Operating room staff is under the direction of neurosurgery. Although anesthesiologists assigned on a daily rotation are quite competent and accommodating, they are short-staffed. Between January 1974 and June 1975, 666 operations were performed, 160 for brain tumors. SUMMER, 1976 weekly radiological conference at which all procedures of the previous week were reviev\.'ed. While my series of lectures to Tan Tock Seng Hospital staff emphasized neurosurgery and neurology, they also revived an interest in echoencephalography to evaluate trauma, tumors and for intraoperative probing. My special interest was to compare the differences in neu•·osurgical material here, in Buffalo, and during my previous experience in Rhodesia. Much of the surgery performed were craniotomies. Rare among the space-taking Singapore skrlme from harbor 43 �Laminectomies are also exclusivel} performed for either benign or metastatic tumors. Neurofibroma is the most common intraspinal tumor. probably due to a high incidence of \'On Recklinghausen's neurofibromatosis. The greater part of spinal work such as herniated intervertebral disc disease. spinal fusion, tuberculosis of the spme. as well as peripheral nerve repair are usually handled by the orthopedic department. Freely used are cerebrospinal fluidshunting procedures for decompression of the ventricular system prior to craniotomy for large tumors and in patients in general poor health. The referral of trauma cases to the neurosurgical unit appeared to be increasing. And among cranial trauma. epidural hematomas are no rarity. In addition to con- Surp.Jca/ team lesions were glioblastomas. its reason unkno"''n. Benign lesions such as meningiomas and pituitary adenomas exceeded malignant ones, although at times they reached immense dimensions Pituitary tumors are seen in much younger-a~e groups than is usually seen here. Among other prevalent tumors are acoustic neurinomas, astrocytomas. and pinealomas. Intracerebral abscesses are also common. Vascular malformations and aneurysms are frequently encountered with an increasmg proportion of vascular malformations to aneurysms. in arteriovenous malformation the presenting symptom is more often repeat hemorrhages than customary seizures or other neurological symptoms. As in other Asian countries, sincipital encephaloceles are common. especially in frontonasal and orbital areas. Al times their repair may be a real challenge both to neurosurgeon and plastic surgeon alike. Borobudur Templu 44 Ton Tock Sen~ Hosp11ol ventional neurological diseases. the following unusual entities are frequently encountered: -extenshe neurofibromatosis; -cranial nerve involvcmenl due to nasopharyngeal carcinoma (high incidence in Asians): -c.erebrovascular occlusive disease in young adults of unknown etiology. There were also six patients with torula meningitis on the ward, the result of a small. confined epidemic.. While in Singapore we also visited Indonesia. Bali, a truly loHly island, befits its description as a paradise. Although an ever larger number of tounsts are visiting. there are still many quiet. idyllic places with unTHE BUFFALO PHYSIClA~ �... Roli crowded. beautiful beaches. The genuine friendliness of its people and the variety of exquisite local dances adds to the island charms. On Java we visited Jogjakarta. An old capilal. its entirely different atmosphere is more representative of the general impression of Indonesia. From here ""'e traveled to the nearby temples of Borobudur and Prambanan. The former is the largest and most impressive temple site on the island. This trip also allowed us to view the beautiful countryside, the rice paddies. and the e,·er-present bullock carts. A visit to "Miniature Indonesia" just outside Jakarta. was informative and educational. A Javanese marketplace Before leaving this part of the world we managed an excursion into Taman Negara National Park. located in northcentral Malaysia. Tra\ eling by car across the Straits of Johore into Malaysia, we visited the ancient city of Malacca and proceeded north to Kuala Lumpur. passing many rubber plantations. On arrival at the park ..~·e were met by a guide. After a three-hour boat ride up the Tembeling River we reached the main camp. From here "'"e made several exciting boat tnps on tributaries of the river as well as hikes into the jungle. On several occasions we sighted groups of Aborigines along the river bank. While V\ e encountered an abundance of leeches. saw a herd of wild buffaloes (seladang) and several boar. we were less fortunate in sighting other game. Although never abundant. these include Sambhur deer, tapir, tiger, and a few elephants. Nevertheless. it was an exciting adventure. o An old .\1o1orsion \'illoge SUMMER. 1976 �Dr Kamal Tourbaf Having become acutely aware of the suffering of these patients and the lack of their comprehensive care in the past. Dr. Tourbaf is convinced of the need for each patient referred to the Center to be carefully evaluated by the team - physician, dentist, nurse. orthopedic consultant. coagulation technologist, physical therapist or other specialists as needed. "Good correlation exists between the level of clotting factor and the severity of the disease. It is important, therefore, that each patient be diagnosed accurately as early as possible since mild, moderate or severe forms of this disease do occur," he said. After the evaluation has been made, the patient is followed by the Center and his own physician very closely. Noting what happens when proper treatment is not received by a patient Dr. Tourbaf reviewed the typical problem of the recurrent bleeding into joints and tissues associated with swelling and intense pain. This leads to destruction of the patient's joints and he becomes crippled by his own blood. Because the Center is open "round-theclock,'' patients with bleeding problems need Hemophilia Center Even Chr1sly enjoys Cenler as her brother receives lrans(usron. The Hemophilia Center of Western New York, Inc., based at the E. J. Meyer Memorial Hospital. is wel1 equipped to provide excellent treatment and consultation to people who suffer from hemophilia or other coagulation disorders. To the over 90 Hemophiliacs who are treated at the Center on an outpatient basis, life has taken on a new meaning. Because hemophilia is a predominantly sex-linked recessive disorder of coagulation, most pat1ents are males. Long known as The Ro~al Disease, it occurs among all races. With the average annual cost of treating a pahent \\'ilh a severe form of this disease about $10,000, the hemophiliac imposes a significant financial burden for families or third parties. Dr. Kamal Tourbaf, the Center's Medical Director and clinical associate professor of medicine, initiated a multidisciplinar} treatment approach six years ago and all signs indicate that the program has enjoyed a successful progression. THE BUFFALO PHYS£CIAN �Dr. T . Papademt,lnou. orthopedic consultant. reviews Xroys on pat1ent w1th some team members. only call to alert Center staff of their arrival. "Someone will be waiting in the Center," Dr. Tourbaf explained. '"Then treatment replacement of the missing clotting factor- is but a matter of minutes." New treatment methods are helping to reduce both the number and severity of bleeds in muscles and joints, which are the cause of considerable physical disabilities suffered by hemophiliacs, according to Dr. Theodore Papademetriou, the Center's orthopaedic consultant and clinical professor of orthopaedic surgery. Musculoskeletal bleeds are treated initially with prompt intravenous administration of the missing clotting factor and immobilization of the extremity, in order to control bleeding and reduce pain. This is followed by a program of physical therapy to regain motion in the joints and strengthen the muscles. It is this restoration to normal function that protects the patient from further bleeding and the crippling deformities. The older method of treating bleeding joints, that of special bracing, is very rarely used today. Aggressive methods to build stronger muscles through exercises and recreational activities enable patients to discard any type of permanent bracing. SUMMER, 1976 "Smce the ne\'\' clotting factor concentrates became available we have entered a new era whereby safe surgery can be performed on hemophiliacs. Open treatment of fractures as well as reconstructive orthopedic procedures in muscles, bones and joints (tendon lengthening, osteotomy to realign reformed extremities, arthrotomy, arthrodesis and arthroplasties including total hip replace, ment) have been successfully performed on our pat1ents resulting in improvement of function,'' Dr. Papademetriou said. These methods of treatment have provided a fuller and more productive life for adult hemophiliacs, who can work at their jobs and be contributing members of our society. As far as children who were often confined to hospitals resulting in the loss of school, this is no longer true. The psychological uplift produced by transfusion at the Center or at home and being able to participate in recreational athletics and go to summer camp helps young hemophiliacs physically as well as psychologically, Dr. Papademetriou pointed out. Reiterating the Center goal of treating as many patients on an out-patient basis as possible, Center executive director Shirley A. Southard, R.N. pointed to some who have been trained to transfuse themselves at home. Instructed on what lo do when they do bleed, "they need only remove cryoprecipitate that is dAs Dr Tourbaf chats with patienr.laboratory technologist Dick Derr helps with transfusion 47 �those with coagulation disorders and their need to avoid trauma." She warned that for those with serious forms of this disorder. emotional types of experience can lead to spontaneous bleeding. The Hemophilia Center plays a significant role in screening patients with coagulation problems in the community. Investigations have been completed on more than 250 patients, with a variety of coagulation problems, who were referred by physicians, dentists and other health professionals. teornrn~ about coagulatiOn d1sorders from Dr. Tourbof ore senior Oilv10 Smith. juniors Jar Brach(eld. Jr. and :-.:edro J. Hamson as well as Intern Thomas Salzano. stored in their freezer or concentrates kept in their refrigerator," she said. It saves time, money and is less disruptive in social/educational pursuits. The patient is able to lead a more normal life, she continued. Others are educated as well. Trained nurses visit the families of patients, schools, hospitals, other health professions. "We want to make them aware of the problems faced by Nurse Linda Adler rnfuses potJenl. BrCJco mokor George Hall adjusts brace on patten!. Hemophilia staff members are active in teaching medical. dental and nursing students at the university and have conducted several lectures, conferences and seminars in various hospitals throughout Buffalo. The educational aspect broadens as we are made a\\-·are that many residents and physicians at the Meyer work at the Hemophilia Center during evenings, weekends and holidays. These residents are given an orientation by Dr. Tourbaf and other members of the staff. When on call, they evaluate the patient. administer transfusions, and provide other medical services as needed. 48 THE BUFFALO PHYSICIAN �Genetic counseling is offered through Dr. Robin Bannerman who heads a medical genetics team. Under the professor of medicine and professor of pedia tries' guidance. there has been a study of family histories of those with coagulation problems. Dr. Bannerman also chairs the Center's med1cal and scientific advisory committee. Amniocentesis, a viable way to detect the sex of unborn children, plays a significant role in genetic counseling. If a mother is known to be a carrier and the fetus is male, the chances are fifty percent that it will inherit the disease. But if the fetus is a female. there is a like chance of its being born a carrier. As a treatment center in Western New York. the Hemophilia Center has been ranked among the best in the country. It is here where patients are being helped with their variety of problems - education, vocation /professional training, employment. psychological adjustment, rehabilitation, finance - and where they and their families learn how to handle the medical /dental problems of a patient with a coagulation disorder. a Slur/ey A Soulhard. R.\1 Past Presidents Four physicians were among the post presidents of the U!B Alumni Association who met recently for their f~rst annual dinner in Goodyear Hall. Standing. left to right: Robert E. Lipp; Dr.]. Fredenck Painton, M'27, Dr. Edmond J. Gicewicz, 'v1'56. Morley C. Townsend, Richard C. Shepard, Dr. WolterS. Walls, M'31, Dr. James J. Ailinger and George Voskerchian, current president. Seated, left to right: James]. O'Brien, Harold II. johnson, Dr. Harry G. LaForge, M'34. Dr. Edward F. Mimmack and Dr. Frank L. Graziano. SUMMER, 1976 49 �The Class of 1929 Dr. Martin L. Gerstner, M'29. has been named clinical associate professor of otolaryngology (emeritus). He was a member of the Medical School faculty 45 years (19381973). 0 The Classes of the 1930's Or. Vincent I. Bonafede, M'30, retired as Director of Craig Development Center (March 31, 1976), a position he has held since 1960. Dr. Bonafede has served continuous ly in various capacities at the Center since November 15, 1933. The Craig Developmental Center is located in Sonyea, New York. and is part oft he State of New York Department of Mental llygiene. o Dr. Herbert E. Joyce, M'45, is chairman of the committee of resident and student affairs of the American Academy of Family PhysiCians. He is a clinical assistant professor of family medicine at the Medical School. o Dr. Lawrence M. Carden, M'49. Buffalo urologist. was elected to the Board of Governors of the American College of Surgeons at the annual meeting of Fellows, October 16, 1975, for a three-year term ending in 1978. Dr. Carden is an assistant clinical professor of surgery al the Medical School. o Dr. Charles J. Wolfe, M'49, of Daytona Beach, Florida. recently published in the Journal of the Flor1da Medical Association (December. 1975). His article is entitled "Gynecomastia Following Digitalis Administration." o Or. Paul A. Burgeson, M'36, is director of health services, State University College at Geneseo. New York. He is president-elect, New York State College Health Association. Dr. Burgeson is a Fellow. American College of Physicians and a Diplomate, American Board of Internal Medicine. o Or. James D. MacCallum, M'37, of Warsaw. New York is president of the newly formed Wyoming Foundation. The foundation hast wo special funds- a hospital fund to aid projects and buy equipment and a combined fund to be used for projects requested by donors. There are seven other people on the board of directors. o The Classes of the 1950's Dr. Melvin Oyster, M'52. chief of family practice at Memorial Medical Center, Niagara Falls, has been elected president of Memorial's medical staff. He is also medical director at St. Mary's Manor and a clinical instructor in family medicine at the Medical School. Or. William J. McMahon is the president-elect and Dr. William H. Vickers. Jr. is secretary-treasurer.o The Classes of The 1940's Dr. Paul K. Birtch, M'43, bas been named clinical associate professor of gynecology obstetrics (emeritus). He has been on the Medical School faculty since 1950. He retired in December. 1975 and is living in Florida. o Or. Edmund M. Collins, M'44, maxillofacial surgeon, is President, American Group Practice Association. and also President of the American Society of Maxillofacial Surgeons. Or. Collins is a clinical associate at the School of Basic Medical Sciences, University of Illinois. I le lives at 9 Greencroft, Champaign, Illinois. 50 Dr. Eugene L. Beltrami. M'54, is chairman, department of obstetrics and gynecology of St. joseph's Intercommunity Hospital, Buffalo. o Or. Bertrand M. Bell. M'SS. was promoted to professor of medicine, July 1975. at the Albert Einstein College of Medicine, Bronx, New York. He is director of ambulatory care at Bronx Municipal Hospital Center. o Dr. Philip A. Brunell, M'57, became professor and chairman. department of pediatrics. The University of Texas Health Sciences Center at San Antonio, in May 1975. He was previously at New York University School of Medicine. o THE BUFFALO PHYS ICIAN �T\.\0 physicians are serving the Wyoming County Community Hospital in Warsaw. N.Y. four da}s a week. Dr. Daniel J. Fahey, M'48. clinical associate professor of otolaryngology. and Dr. Federico G. Doldan, assistant project director for the Head and Neck Cancer Control Program at Roswell Park Memorial Institute, will provide special services to patients referred by their physicians from Wyoming, Livingston, Allegany, Cattaraugus, Genesee and Erie Counties. o People Dr. S. Mouchly Small, professor and chairman of the department of psychiatry. was the recipient of the E. B. Bowis Award for 1976 from the American College of Psychiatrists. The Gold Metal Award was for recognition of Dr. Small's outstanding contributions to and leadership in the College and for his significant achievements, contributions and leadership in the field of psychiatry. He was also one of two psychiatrists newly elected to the Board of Regents (the governing board) of the College. o Dr. Edward G. Niles joined the biochemistry faculty in September as an assistant professor. He received his bachelor's degree in biology in 1968 from U/ B and his Ph.D. in biochemistry from the University of Massachusetts in 1972. He has been a research associate in the department of therapeutic radivlogy at Yale University and on a postdoctoral fellowship from NIH since completing his doctorate. Dr. Niles has written several scientific articles for professional journals. o Or. Adrian 0. Vladutiu bas been elected a Fellow of the College of American Pathologists. He is a clinical assistant professor of pathology. o Dr. Ole A. Holtermann is the new head of the dermatology department at Roswell Park Memorial Institute. The senior cancer research scientist has been in the department since 1970. He is research assistant professor of dermatology at the Medical School. o 52 The second edition of Bedside Cardiology by Dr. Jules Constant has been published by Little, Brown & Company, Boston. The 440page book has new chapters, photographs, actual pulse tracings and phonocardiograms. It is designed for use by nurses and sophomore and senior medical students. Dr. Constant is a clinical associate professor of medicine. o Dr. Louis Judelsohn has been named clinical associate professor of pediatrics (emeritus). Dr. Judelsohn, born in London, England, graduated from Albany Medical College (MD '28), completed an internship at E.J. Meyer Memorial Hospital. a residency in pediatrics at Children's Hospital and postgraduate training in Miami Beach. His University pediatrics appointment- he joined in 1930- was interrupted by three years of service in the European Theater during World War 11 for which he was cited. The clinical associate professor who directed Pediatrics at Mother/ Child Care Center at 2211 Main Street, is a member of the American Academy of Pediatrics, the AMA. and the American Public Health Association. o Dr. Henry Staub. associate professor of pediatrics. is co-director of the Pediatric Nurse Associate Program. The program that started at U/ B in 1973 has graduated 62. These graduates are employed primarily by hospital outpatient clinics, health departments and visiting nurse programs. Miss Norma O'Hara, associate professor and chairman of the child health nursing department, School of Nursing, is project director for the PNA program. o THE BUFFALO PHYSICIAN �Buffalo Urological Societ y Dr. John M. Hodson, M'56 (left), president of the Buffalo Urological Society, presents a plaque to Dr. Ralph A. Straffon, chairman of the urology department at the Cleveland Clinic. Dr. Straffon was made an honorary member of the Society after speaking at the annual meeting. His topic: "Surgery of Staghorn Calculi." Dr. Hodson is a clinical associate in urology. People Or. John W. Vance has been elected presi-. dent of the medical staff at Millard Fillmore Hospital. He is chtef of the Pulmonary Disease Section. He is a graduate of the Universtty of Western Ontario Medical School. The president-elect is Or. Gerald Swartz, clinical instructor in ophthalmology. Or. Frank J. Bolgan, clinical associate professor of surgery, is the secretary and the treasurer is Dr. Norman E.Hornung,clinical instructor in urology.o Or. A. Charles Massaro is the new president of the medical staff of Sisters Hospital. He is a clinical associate in medicine and family medicine and has been on the hospital staff 18 years. A 1954 Medical School graduate, Dr. Robert J. Powalski, is president-elect. He is a clinical instructor in gynecology-obstetrics. The new treasurer is Dr. John G. Curtin, clinical instructor in medicine, and Dr. Anthony L. Manzella is the new secretary. o Dr. Alberto J. Gonzalez, clinical instructor of medicine, is the ne"" president of the medical and dental staff of Buffalo Columbus Hospital. He is a graduate of the Columbia National University of South America. He completed residencies in internal medicine at Sisters and Veterans Admi nistration Hospitals. He is a Fellow in the American College of Angiology and Cardiology. o Dr. Robert A. Klocke has been elected vice president of the New York Trudeau Society, a medical advisory group for the American Lung Association. He is director of the Pulmonary Function Laboratory and Intensive Care Unit at the E. J. Meyer Memorial Hospital and an associate professor of medicine at the School of Medicine. o SUMMER, 1976 53 �People In Memoriam Or. Douglas M. Surgenor, professor of biochemistry. has been elected to a three-year term on the Board of Trustees of Children's Hospital Medical Center in Boston. o Or. Jose DePerio is the new president of Lafayette General Hospital. A 1949 Medical School graduate. Or. Fred Shalwitz. is the new vice president. He is a clinical instructor in family medicine. Dr. Arthur Magerman, clinical instructor in medicine, is the new secretary and Dr. Ru Kan Lin, clinical assistant professor of radiology, is treasurer. o Dr. Alberto J. Gonzales, clinical instructor of medicine, is president of the Medical-Dental Staff of Buffalo Columbus Hospital. o Or. Thurman Grafton, research associate professor of microbiology, is president of the Upstate New York Branch, American Association for Laboratory Animal Science. o Three faculty members are new officers of Sisters Hospital Medical Staff. The new president is Dr. A. Charles Massaro, clinical associate in medicine and family medicine. A 1954 graduate, Or. Robert J. Powalski. is president-elect. He is a clinical instructor in gynecology-obstetrics. Dr. John 0. Curtin, clinical instructor in medicine, is the new treasurer. o Or. William P. Magenheimer, M'44, died June 9 of complications following surgery for bleeding diverticulosis. The Waterloo. New York physician was certified by the American Board of Radiology and was a FelJow of the American College of Radiology. He was attending radiologist at the Taylor Brown Memorial Hospital in Waterloo where he was also attending in nuclear medicine. Dr. Magenheimer was also a consulting radiologist at the Veterans Administration Hospital in Canandaigua and at the Willard State Hospital. o Or. Luther Courter Sampson. M'16, died December 13 in Tryon. North Carolina. He had practiced in Rochester. New York for more than 50 years. He served his internship and residency at Moses Taylor and Buffalo General Hospitals. In 1917 he began his general surgery practice. During World War J Dr. Sampson was a lieutenant in the Army Medical Corps. He was a draft board examiner during World War II and the Korean War. He was president and secretary-treasurer of Park Avenue Hospital in Rochester. He was also hospital trustee, director of the School of Nursing. chairman of the board's building fund and executive committee. Or. Sampson \\-as active in several state and national professional societies. o Or. Norman F. Graser, M'23, died March Or. Elias Cohen is a Fellow, New York State Academy of Science. He is a research associate professor of microbiology. o Or. Leonard Berman is an associate professor of surgery. He joined the faculty in 1954. Dr. Berman received a M.D. degree from Wayne University College of Medicine, Detroit, in 1946. o 54 21 in Presbyterian Homes of \'\estern New York. His age was 77. Most of his 50-year medical career was on the staff of Buffalo General Hospital where he interned and later specialized in neuropsychiatry. He was on the Medical School faculty from 1938 to 1969 as an assistant clinical professor of neurology. At the lime of his retirement in 1974, he was a consultant and staff physician at Linwood-Bryant Hospital. He was an active member of several professional associations. o THE BUFFALO PHYSICIAN �Dr. Oscar J. Oberkircher. M'15. died March 5 in his home after a brief illness. His age was 82. He served as chairman of the urology department at the Medical School from 1946-1960. He was professor emeritus. In 1917 he was appointed an assistant in anatomy at U Band assistant in urology at the Buffalo General Hospital. He was chief of urology from 1945-1960 at the hospital and was named to the consulting staff in 1960. retiring in 1965. The urology department at the Hospital is named the Oscar J. Oberkircher Urological Suite in hts honor It was dedicated in 1969. He mterned at Buffalo General and did postgraduate \'\Ork in urology at New York City University. Dr. Oberkircher also was chief of urology at Children's Hospital from 1946-1958. He was a member of the Board of Visitors of Roswell Park Memorial Institute. In 1962 he was honored by the Buffalo Urological Society as a "teacher, surgeon and friend." During his career he was also a consulting urologist at Mere}. Our Lady of Victor~. Veterans Administration Hospitals and Roswell Park Memorial Institute. Dr. Oberkircher was a member of the AMA. New York State and Erie County Medical Societies. American Academy of Urology and the Amertcan Urological Association. He was Captain with Base Hospital 66 in the United States Arm} Medical Corps in Paris from April 1917 to September 1919. Dr. Oberkirc.her is survived b} his wife and three sons. Dr. Paul E., M'59. a radiologist. Dr. David j .• M'59. a urologist and Dr. Oscar R.. M'62, a pediatrician; a brother. Alfred. and eight grandchildren. Memorial contributions may be made to the Oscar Oberkircher Mcmonal Fund of the Buffalo General Hospttal Urology Department o Dr. Robert V. Moesch, M'46, died March 26 in Millard Fillmore Hospital after suffering a heart attack. His age was 55. He was a clinical associate professor of gynecology-obstetrics at the Medical School. Since 1970 he had been chairman of the department of Ob Gyn at Millard Fillmore Hospital. o SUMMER. 1976 In Memoriam Dr. Frank H. Valone. M'19, died last summer in the Rome, New York Hospital after a brief illness. His age was 80. He had been a physician in Rome for 52 years. He retired in 1972. After graduating Dr. Valone interned in Erie County and Buffalo City Hospitals. He did postgraduate work at Cook County Hospital. Chicago; the Manhattan Eye and Ear Hospital, Plentan} School of Surgery. the Uni\lersity of Rochester and Georgetown Medical School. He also studied at the University of Pennsylvania, the University of Vienna. the Univ~rstty of Budapest and in Bordeaux. Dr. Valone was a co-founder and past president of the Rome Medical Society. In 1937 he was appointed Deputy Commissioner of Pubhc Welfare by Mayor E. H. Ethridge. He was a Fellow in the American Academy of Ophthamology and Otolaryngology. and past president of the Onetda County Medical Society. He was also active in several other national a·nd international professional associations. The physician took an active part in planning the Rome Hospital, where he served since 1920. He was medical staff president in 1953. He was also on the staff of hospitals in Fax ton, Utica and the Oneida County Home. In 1970, on the 50th anniversary of Dr. Valone"s practice. he was honored by his colleagues and city officials. o Dr. Arthur G. Elsaesser, M'27, died Februan 14 in St. Francis Hospital. The retired Erie County Medical Examiner and examining physician in the Rath County Office Buildtng was 73 years old. He retired in 1972 after 23 years of service with the County. For 48 years he also had a private practice. It was 10 years ago that Dr. Elsaesser took on the additional duties in the Rath Buildmg's first-aid office. Dr. Elsaesser interned at Buffalo City Hospital in 1928. He served as a medical officer in the United States Army during World War II. He was active in se\erallocal. regional and national professional societies. o 55 �THREE ALUMNI TOU RS - 1976 Switzerland July 12-20, 1976 Niagara Falls Departure -Option 1-$499 +- 10"' tax mcludes air fare, accommodations in Zweisimmen. 2 meals per day, all transfers. -Option II-S599 + 10% 1ncludes all features in Option I plus free use of rental car (unlimited mileage). -Ophon Ill-$699 + 10% includes air fare, accommodations. 2 meals per day, guided bus tour through Switzerland, Liechtenstein. Austria and Italy. Paris/Rome/Florence July 31-August 15, 1976 $649 + 15% Niagara Falls and Ne"' York City Departures -Includes air fare, accommodations seven nights in Paris, four nights in Rome. three nights in Florence. continental breakfast daily, transfers and gratuities. Hawaii September 28 - October 13, 1976 $659 ... 15% Niagara Falls departure -Includes transporlaion, deluxe accommodations in Honolulu (7 nights) and on Maui (4 nights). Kona (2 nights) and Hawaii (I night), tips and transfers. Optional meal plans offered. For details wrile or call Alumni Office SUNYAB, 123 Jewett Parkway. Buffalo, New York 14214; telephone (716) 831-4121. The General Alumni Board- GEORGE VOSKERCHIAN. President; DR. GIRARD A. GUGINO. D.D.S. '61. President-elect. RICHARD A. RICH. B.S. '61, V1cc President for Activl!1es, DR. A1 N L. EGAN. Ph.D. '71. Vice President for Administration. SUSAN D. CARREL. B.A. '71. VH;e Pres1denl /or Alumnae: WILLIE R. EVANS. Ed. B. '60. Vicf! President for Alllletics; DR. CHARLES S. TIRONE. M.D. '63, Vice! Prnsident (or Development and \1cmbcrship; PHYLLIS KELLY. B.A. '42, Vice Pres1dent /or Publ1c Rdulwns; DR. FRANK L. GRAZIANO. D D.S. '65, V1cc Pres1dent for Educot1onol Progmms. ERi\EST KIEFER. B.S. '55. Treasurer; Post Prt!sldents: JAMES ). O'BRIEN, MORLEY C. TOW:'\SEND. DR EDMOI\:D J. GICEWICZ. ROBERT E. LIPP, M. ROBERT KOREl . WELLS E. :\IBLOE Medical Alumnt Association Ofricers: DRS. \1ILFORO C. MALONEY, M'53, President: JA~1Eb F. PHILLIPS. M'47, Vice President. ~1ICHAEL A SULLIVAi\, M'53. Treasurer; PAULL. WEINl\tAJ\1\, M'54. lmmed~ate Post President. Board Members- JOSEPH CAMPO. M'54; NORMA!\ CHASSIJ\. M'45: CHARLES TANNER, M'43: EDMO. D ). GICEWICZ. M'56; GEORGE W. FUGITT. M'45, RICHARD t3ERKSON, M'72; ROBERT W. SCHULTZ, M'65; W. YERBY JONES. M'24 {Program Comnlltlcc ChoirmonJ; LAWRENCE M. CARDEN. M'49 {Exhibits Committee Ch01rman). Annual Parttcipating Fund for Medical EducatiOn Executive Board for 1975-76- DRS. MARVIN L. BLOOM, M'43, Prcs1dcnt; HARRY G. LAFORGE. M'34, First V1ce President: KENNETH H. ECKHERT. SR.. M'35. Second Vice Pres1dent; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL. M'41, Secretory; MAX CHEPLOVE. M'26, lmmcd10tc Post President. 56 THE BUFFALO PHYSICIAN �A Message From Milford Maloney. M'53 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that 1 invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Moloney First Class Permit No. 5670 Buffalo. N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP l"I·."CI::.'>!>ARY If" MAILED 1'-' U~ ITUl STATE." POSTAGE WILL BE PAID BY- Medical Alumni Association 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 c K HUANG )'I{) ADJUNCT FROF OF MED COM, OEPl 59 BELVOIR RD SOC & PR£V MED, 2 1"+221 BUfFALO t\Y -------------------------------- --- --------- --------------- - --- --· .. THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or tvpc all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received - - - Office Address - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Home Address - - If not UB. MD received from - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ~Privat e P~ctice· Y~ 0 Jn Academic M edicine: Yes No 0 Special~ ----------------------------­ 0 No 0 Part Time 0 Full Time 0 School ----------------- ----------------Title - - - - - - - - -- - - - - - - - - - - - - - - - - Other : Medical Society Memberships: - - - - - - - - - - - - - - - - - - - - - -- - - - - -- - - - - -- NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc. ? - - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1976 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1976-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1976-02-Summer Table Of Contents A list of subunits of the resource. The Changing Scene by M.G. Maloney, M.D. Dean Naughton's Message Faculty Council Health Systems Agency/Infant Heart Surgery Intern, Resident Matching Continuing Medical Education Athletic Injuries Immunology Convocation Nutrition Conferences Surprises, Rewards for Dean Naughton National Boards Guadalajara Graduates Henry Bartkowski Secret Student Medical Society by O.P. Jones, Ph.D., M.D. Dr. James R. Nunn Neurosurgical Aspects in Singapore by Franz E. Glasauer, M.D. Hemophilia Center Past Presidents The Classes People Urological Society In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-09 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v10n02 Extent The size or duration of the resource. 59 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2962ff1425f4255b8035365d8bcf170f.pdf 416db365632e254d0fb79c19700866e2 PDF Text Text �FROM THE DEA.~ Dear Alumnae and Alumni: Dean Naughton On behalf of the facullv of the School of Medicine, I wish to thank you for the generous ;upport provided during 1975 through the Class Reunion Gift Program and the Century Club campaigns. The total r:onlributions from the Class Reunion netted $30.430. As you will sec in this issue of tht• Buffalo Physician. these funds were used to purchase various items of audiovisual equipment which \\ill enhance our capctcities in medical student and continuing medical education. In ordt•r to complete our development in these areas. we h.l\'c asked this year's Class Reunion Chairmen to solicit support for addit ionul projects that will bring our capabilities to a par with other lc<Jding Schools of Medicine in the United States. These projects will be described elsewhere. The Century Club campaign resulted in contributions of $65.499.40 from 524 contributors. These funds will be used in a judicious manner to help support our eduoationalt•fforts. Obviously. a Dean need not dwell on the requirement for such funds to improve the quulity and magnitude of a medical school's programs. The fact 1s that in the immediate future more emphasis on fund raising from the privnte sector will be required. This situation arises because inflation, recession, withdrawal of federal support for medical stuuent education, and the fiscal crisis m ~ew York State all combine to limit the governmental support a\ aJlable for the operation of medical schools. There is little doubt that in the days of plenty. the need for contributions by the private sector was not great. Howevex. that situation no longer pertains. It will no longer be possible. at least through the next generation. for any School of Medicine. private or state. to sustain itself on a single or limited source of funding. Rather. every school will participate in some form of federal-state-private partnership. Therefore, 1 encourage each of you to become acquainted with the changing patterns of funding medical education, and urge you to join in that partnership by making annual contributions to the Century Club campaign a regular part of your life style. Sincerely, John Noughlon. M.O. Dean �Spring 1976 Volume 10, Number 1 THE BUFFALO PHYSICIAN Publ1shed b~ th School of .\1cdu 1111 State Umversll} of 1\t;\o\' York at Bufla D I 'THIS ISSUE EDITORIAL BOARD Ed1tor Roar:H1 S. McGRANAHAN ,\.tonog1ng Ed1tor 2 3 by M. C. Moloney. M.D. MARIO~ MARIONOWSKY Ut!On, School DR. )OliN M~:d1cine of N '\UGHTON Photography HUGO H. U~CER Eow ·\RD Now '\X 4 8 9 10 \fcdll'ollllustroror MELH>RO ). 0JEORIC!I: \'1!iuol Dcs1gncrs RJCiiARO MACAKA.'\)A DO:\ALO E. WATI-.1:\S Scrrclor}' FLORE~CE MEYER CO;>.;SULTA:-JTS PrtJs1dcnt, ,\lcdlcol Alumm :\ssoc10110n OR. PrtJs1dcnt, Alumm Mllt"ORO c. MALO:\EY Purllcipotin~ Fund for MtJd1col Educollon DR. MARVI!': Vice Prcs1clenl. Focull} DR. BLOOM of 1/collh Scwnccs F. CARTER PANNILL Preslcl<•nt. IJn•vorsJiy Foundation ) OHN C. CARTER D1rltCtor of Public lnformollon )AMES DESANTIS IJJrecwr of Un1vcrs1ty PublicatiOns PAll!. L. KAl'\E \'1cc Prc!Hdcnl for Umvcrsll} Rdouons OR. A. WESTLEY RO\\ LA;>.;O Dean Naughton's Message (inside front cover} Nme Class Reunions Seeking Wild Caduceus 15 16 19 20 22 25 26 27 28 30 32 34 36 42 43 44 46 49 50 53 55 56 Alumni Contributors 1935 Class Gifl Or. Edward A. Carr, Jr. Neurosurgery in Rhodesia by Franz E. Glosaucr. M.D. Or. Stell Ophthalmology Diagnostic Center Class Gift Program Ophthalmology Learning Laboratory Toxicolog~ Medical School founder Drs. Voltmann. Kulowsk1 Continuing Education Programs 39th Annual Spring Clinical Days Hormone to Regulate fertility Medical Students Help Inmates Or. George Paladc Psychocnuocl'inulogy Faculty Promotions Research Rev1ew on Psoriasis Health Media Resources Center Faculty Appointments Yearbook Editors Tennis Tournament The Classes 1955 Class Gift People Deaths Alumni Tours The cover ln• Dono/If 1::. Wntluns (ocusc~ upon mcdlcnl students help1111o: mmntcs or th-e Ruffolo r.11} Holding Centnr on pruzcs 32 ond 33. THE BufFALO PHYStCIA!'\. Spring. 1976 - Volume 10, Number 1. published quarterly Spring, Summer, Fall. Winter- by the School of Medicine. State University of New York at Buffalo. 3435 Main Street. Buffalo. New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1976 by The Buffalo Physician. SPRING, 1976 1 �Dr. Eugcnt• M Sulln·on, ,\1'26 Dr. Woller S . Walls..\1'31 Dr. E/1 A. 1.1•\'l' n , M'36 Nine Class Reunions May 7, 8 1'\tne classes will have reunions during the annual Spring Clinical Days. May 7 and 8. Approximately 600 physicians and their wives are expected to attend the reunion dinners. Mrs. Diane Saar is organizing the reunion dinners with the help of the class chairmen pictured here. Dr. Eugene M. Sullivan of Buffalo is chairman of the 50 year class reunion. Other members oft his class: (from Buffalo area) Drs. E\'elyn Alpern, Harold E. Cavanagh. Max Cheplo\·e. Walter E. Constantine. Martin Friedland. i\athan Le\iine. Joseph J Pisa, David Rivo, 'A>erner J. Rose, Sigmund B. Siherberg, Irving Yellen. John P. Bachman. West Hartford. Connecticut; Henry G. Brown. South Dayton. New York; Victor C. Dukoff, New York City; Leo T. Flood, Hempstead. New York; Edith B. Keyes and Roswell P. Keyes, Bellingham, Washington; John J. Korn, Wilkes Barre, Pennsylvania; Alfred A. Podell. Red Bank, New Jersey; Milton V. Rapp, Rochester, Ne'A York; james J. Sanford, Daytona Beach. Florida; Ernest P. Smith. Bath, Ne\\ York; Franklin ). Sternberg. Detroit. Michigan. Dr. Harold f. l,cvy, ,\1'46 �The pursuit of an M.D. degree has always been a somewhat complicated and stressful endeavor for the American student. but in today's world we now witness new developments which confront medical students. There has been expansion in both the academic routes vvhich have been made available and in the costs which must be incurred by the student. Many American students who have been unable to gain entry into an American medical school have been successful in their application to various foreign medical schools but heretofore less successful in gaining re-entry into the American Medical Delivery System. In this regard, new academic programs which have been devised have been recently sponsored by SUNY AB. New. terms, such as Fifth Pathway. Eighth Semester, and COTRANS have entered our curricular vocabulary. To some academicians these terms continue to engender strong emotional reaction but they represent a new option to the student-phystcian in pursuit of his goal. Nevertheless, "e are advised that the cost of this pathway to the U.S. foreign student is in the neighborhood of $10,000 per year. An introductory discussion of SUNYA B's effort in this program was presented in the most recent issue of The Buffalo Physician. Students in American Medical Schools have witnessed the dilemma presented by a constantly changing curriculum wherein the option for elective time has encompassed nearly 50% of the training program. They have also experienced the steadily rising inflationary costs of a medical education. but it was not until therecent announcement of the proposal by the State Board of Regents for a change in fundmg of rpedical schools that they were seriously confronted by a cost factor which threatened in some instances to approach the figure described above for the U.S. foreign medical st udenl. This proposal recommends a $10 million dollar decrease in funding for SUNY Medical Schools and a 0.5 million dollar increase for private medical schools. ll also suggests that the State and Federal Governments and the students each pay one-third the cost per student for a medical education. Needless to say. the students do not favor the Regents' proposal and describe it as reflecting, "the aims of an elite, bureaucratic agency and an indiscriminate, financially troubled State." There has been no guarantee of student loans. Nor has there been apparent compensation for decreased Federal funding and we support the students' concern and recommendation for careful sl udy of the Regents' proposal and Task Force Report by the Slate Legislature. Herein, you can discern I hat it continues to be no easy matter to seek the wild caduceus and the Medical Alumni are urged to become conversant with the foregoing issues and to support the medical students of today in pursuit of their goal. M. C. Maloney, M.D. President. SUNY AB Medical Alumni Association SPRING, 1976 3 Seeking the Wild Caduceus Dr . .\1aloncr �Alumni Contributors, 1975 In spite of our slow economic recovery the number of dues-pa~ing medical alumni increased last ~ear. A special thanks to this group as well as to lhose who give annually. And to the nine reunion classes- 1925, 1930, 1935. 1940, 1945, 1950. 1955, 1960,1965- ""ho contributed $30,430 to the Medical School. a thank you. We at the School of Medicine appreciate your support and participation. You will find an envelope in the back of the magazine for your 1976 dues. 1908 Maichle. Robert J. 1911 Scinta, Anthony C. 1915 Hayward. Wnlter G. Oberk1rcher. Os<:ar J. Wertz, Carlton E. 1916 Spaeth. Edmund B. 1917 Atkins. Leslie J. Thompson. Myron A. Tillou, Donald J. 1919 Beck, Edg<~r C. Pech, Henry L. Valone, Frank 11. 1920 Graczyk. Stephen A. Schultz. Cec:il L. 1921 Lr.w10. Thurber McGrode1, Elmer T. Morgana. Dante J. W,ud. Kenn:!lh R. 1922 Benson. Carl S. Walker. lrw10 M 1923 Bun\'lg, \\ I lerberl Gr<lser, '\orman F. Kolh, Car~ I A. S1egel. Louis A. 1924 Carr. Ruland B. Finge1, Louis Sanborn. Lee R. 1925 BernhArd. John J. Block, Marvin A. Carbone, Francis T. Clark, William T. Kahn, Millon E. Kuch. Norbert \\'. Loder. t>.targaret M. Schulz. ~tilton J. Unrath-Zick. Clara 1926 Cheplove. ~tax Flood. Leo T. Korn. John J. Pisa. Joseph J. Podell. A. Alfred Rose. Werner I Sanford, James J. Silverberg, Sigmund B. Sullivan, Eugene M. 1927 Chaikin, Nathan W. Funk. Arthur L. Criden, Frank M. Kibler, William J. Klein. Jennie D. Me1ssner. William W. Murphy. Gerald E. Painton. J. Frederick Palmer. Millon A. Ri\\ chun. Meyer H. Saunders, Richard L. 1928 Brock. Thelma Elling. George F. Gardner, Richard ~1 Gerstner. !\.1artin L. Guthicl. George\;. Hill. Joseph M. King, \\'alter F. Markovllz. Julius T. Rickloff. Raymond J. Rosenberg, Joseph Schutkeke~ Bruno Stoll, Howard L., Sr. Walker. Helen C. 4 1929 Cohen. Victor L. Evans. (a~ l. George. Clyde W. Gurnc~, Ramsdell Heilbrun. Norman Leone. Charles R. Leslt•r. C.1rra L. Loekie. 1.. :'1.-ta'well Meyers, Frank Smith. WarrenS. 1 ~ ner, I.tmcs D. Zaid. Anthony (. 1930 Custer. Uenj.umn S. Heyden. Clart•nce F. Kanski, James G. Mt•,Hl, Louis C. 1931 Barone. Mir.hael H. Bean, Rit;hard B. Boec.k, Virgil II. F. Bumbalo. Thomas S. Ciesla, Theodore F. Clark. Irving T. Connelly, Gerald T. Donovan, Donald E. Glick. Arthur W. GtHHre~. joseph D. Heier. EII"'Yn E. Kenny. Franc1s E. Kuhl. John R '\aples. Anjo'tclo S Oderkirk. Francis\'. W;JIIs, \\' ,1lter Sr ott 1932 Chimera \larion J. Goodman Carlon H. Leont~. Angelo F. Leone. Frank G. Olszewski. Bronislaus S. Smull!\', joseph M. 1933 Baubt!, John 1.. Ferguson. Wilfrid H. Fulsom, Elroy L. Hewett. Joseph W. Hobb1e. Thomas C. Homokay, Ernest C Huber. Franklvn A. Kolbrenner, Louis Masotti, George M. Milch. Elmer ~1ountain. John D. Scinta. Louis A. 1934 Alford, J. Edwin Castiglia. Christy F. Davidson. David George. Alfred L. Kinzly. John C. Kraska. Michael D. LaForge. Harry G. ~lay, ChMies E. O'Connor, john D. Ridall. Earle G. Rosenbaum, Myron G. Schweitzer, Alvin J. Slotkin, Edgar A. Walker, Duane B. Weiner, Max B. 1935 Ames. Wendell Argue. John F. Arbesman, Carl E. Bernhoft. Willard H. Brace. Russell F. Coleman. Benjamin Eckhert. Kenneth H. Ellis. John G. Gray. james H .. Jr. Hoffman. Flovd Kelly. ~1iles \\'. Lampka, Victor B. Moran. Charles E. Peschio. Daniel D. Rosokoff, Solomon Ryan. Francis W. Squires. Mary Lou Vitanza. Peter P. Weig, Clayton C. Young, George S. THE BUFFALO PHYSICIAN �1936 Hat t Richnrd C. Brundnge. Donald Burgeson. Paul A. Chern. Alfred V. Crosh~. John P. Esch ner, Ed" .trd C. Fischer, \\'allord G. Glaubet·, Jcronw Gret!nbt>rg. A\ rom ~t. Helfer!. lning Hoak. Fr.wk C .. Jr. llouston. Thom.ts Kraegler. Just·ph LeHn, Eli A Lipp. William F. Pellicanu, \'ictnr 1.. 1937 Alford. Kenneth M Ambrusko. John Ball, \'VIlhnm l.. Banns. Charles F. Cui \'er, Gortlnn J. Ehret. Fronds Flemmin~. Theodore C. Goodman. Snll Jackson. Stante~ J. Koepf. Geor~w F. Lenah.m. Rost> ~1. Lipsett. Robt!rl \\'. \tacC.tllum. James 0. \1ittlefehldt, ~1\rton G. :\Iussclman, ~I.· L.ut her Schachlt'l. ~t.IUrir.e W. Tranell.t. Augustus J. Weiner. In tng While, \\Jtlliam F. Woe ppel. Ch,trif!s I. 1938 Catalano, Russell J. Cooper, Georgt! M. Donatdlt. Charles Fml Norman J. K.1minska. Chestet· J. Kritkausk\', Anlhnny R. La\\, Harr\' C. Lieberman: Samuel t •. ~lilchl'll. Alfred A. PhilliPS. Eustace C. Rosenbi.Jtt, ~til"' ell Str.JUbinger. Cl.trence A. Terry, Rtc:harcl :--:. 1939 Alden. C.1rlos C. Ballc!glic~. Russell 1.. BissP-11. Crml\ t•nor W. Bleich. L.t~luvnc C. Burton, Ruth ·c. Caldwell, Milton\'. Cammer, l.t>onard Dugan. William Feight ner. F'ranc:is W. SPRING. 1976 Gajewski. \1att A. Goldstein. Kenneth Harris. Harold \t. Mogil, ~ian·in Olmsted. Elizabeth P. Postoloff. A.\'. Riforgialo. Frank T. Setbel. Ro} E. Squadrito. John j. \\ esp. Everett H. \\'i ner. Marvin 1940 Al;t:her, julian j Benny. john M. Clinton, ~larshall Jr. Eppers. Edward H. Juvelier, Bernard W. l\lol\'neaux. Evan ~1ontgomery. Warren R. Jr. Morgan. Lyle , . Palanker. Harold K. Reitz. Russell E. Rekate. Albert C. Schaus. James P .. Jr. Se\ erson. Charles H. Slessing. :"\orman G. Trtppe. Louis A. Umiker. William 0. \\'hite. John D. Zoll. John G. 1941 Bean. Berten C Cooper. Anthon~ I. Edmonds. Robert \\. Gentner. George A. Greco, Pasquale A. Gross. Arnold Hall. Donald W. Hana\ an. Eugene] .. Jr. Henrich. Marv I. Hull. Bradley· Kaddcr. Russell S .. Jr. Kleinman. Harold L. Lcnzer. AbrahamS. ~1cCue. Daniel J. O'Brien. John J. Pierce. Allen A. Shubert. Roman ). \\ els. Phtlip B. \\'olin. Leonard Zaepfel. Floyd \t. 1942 Addesa. Albert J. Battaglia. Horace L. Bauda. Charles A. Blum. Robert Cotroneo. Vincent S. !:.ckhert, George L. Karp. Harrison M. Kibler. Diana D. ~1armalva. Boris L. Mtlazzo: Richard T. Parlnnte. Vinct•nt ). P!•rsse. john 0 .. Jr. Sm1th. ~fartha l.. White,\\ .trd J. 1943 Bl'hling, Ralph 1 Birtc:h. P.tul K Colltns, Rubert J Crohn. Edward B. Evans, Alfred S. Galdys, B. Joseph ll.ther. '\annan llumphre~, Thomas R Jones. Ru:hard J. Kf!rnan, Willtt~m S.. Jr. Kidder. Ruth F. Mar,Jno. Anthony J. Martin. Ronald E. l\1c:Cormir.k. Robert C. l\.h•yer. Frankltn !\1inkel. Amos J.. Jr. Niesen. \\ rlliar1 C. O'Gonno~n. 1\.e\ m ~1. Pelt•rsPn \\ Jllt·r R. Ru h,mls. Charles C. Rtc·olt,t, Jnst>ph J. Segt•l, :--:athan P. Shf•rrill. Gene 0. Smith, Ralph H.. )r s,, .ut hout. Cerl rude 5 1'.tnner, Ch,Jrlt•s J. Jr Tederous. Edmund !\1. T n· ft s. f i<w•l I. Tmvato. Louis A. Unher. Murris Val\'o, JnsPph A. \\',Jgner-. La\'crne C:. Williams. John R. Wolfgt·uber, PaulJ. 1944 Aqurlina, Anlhonv l\1. Blodgett. Rnbl•t·t N. Boardman. Willard H. Bondi. R.tvmond G. Brnmcr. Clifford F.. Ir. Brown. Robert 1.. Edelbcr~. Eilt~cn L. Eclellwrg. llt!rm<tn Eg.m Rich.ml \\'. Fountatn. \:e\\ land\\'. Fr.t\\ lev. rhom,ts F. Frost, l;r,tnk T. Ginsberg, lrwrn A. Graser. Hnrnld P. Hudson. R.l\ mund A 1\.l'nnedy. Sidnc~ R.. Jr. Lc•nJ;t. Frank 11 .. I r \.liwst re, Ft•dt•nc:o J. \1,tgf!nheimer, William P. \1art:ht•lta. Fr<mr;is C. ~1ontc~ni, Albert J. Perkins. Ravmond C. Polls, Willi;im A. 5 Prentice. Theodore Ross. Joseph Schaer. Sidnev ~1. Sha\'er. Carroi J. Shull, Gordon E. Souder. Bvron M. Stafford. \\'alter F. Strong. Clinton H. Sullh an. James R. Weygandt. Paul L. Wilkinson. Robert 1945 Adler. Rtchard H. Andoloro. William S. Baisch. Bruce F. Capraro, \'incent J. Chassin. Norman Cotter. Paul B. Ellis. George t\..1 .. Jt. Fug1tt. Georgf' W., Jr. Germain. Alton Grabau. A. Arthur Greenwald, Richard M. Groff. Donald Hippert. Gordon J. Johnson, James H. joyce. Herbert E. Kuhl. 1\·an \\', Laglia. Vito P. Lazarus. Victor C. Loeser. \\'illiam D. Longstreth. H. Pc1ul ~tcGre\\. Cornelius A. ~1clntosh. William :-J. \1lller. Stuart J. Poda. George A. Quinli\'an. John K. Rogers, \\ illiam I .. Ill Rulecki, Joseph E. Shaheen. David J. Sheedy, K. Joseph Steinhart. Jacob M. Thorn[.!ate. George. IV Tybring, Gilbert B. Valentine. Edward l.. Wiles. Charles E. Wiles. fane B. 1946 Allen John G. Bauer. Charles D. Cowper. Ale:-:ander R. Crisse). John T. Dri\'er. :\1aier !\1. Golden. La\\ renee H. Howard. Chester S. Joy. Charles A. Le\: y. Harold J Lundquist. J. Richard i\larks. Eugene l\.1. 1\toesch. Robert \r. Morgan, Thomas \V. Munschauer. Richar·d I a- �'\aples. R. Jnseph PE tzin~. llarrv Piccoli. Amn john P1rson. Herbert S. Ro\\t!, Albert C. Tardif. 1-il·nry M. W<~lc:z,JI,, P.1ul ~1. Smith. Rober\ G. \ anCoevcring. R.). Waldo. Irma ~1. \\'einstein. P1erce \\'erick. james A. \\'olfe. Charles J. 1947 1950 Aquilina, t;,,h 1torc• H. Arthurs. G RolH'rt Babcor:k. Hrucc D Bukowski. William l\1. Cia~·. Thmn<~s B. Cur.tin. Dan1cl E. Den n, Ru bct·t J. Edgecomb. William S. Ehrenreich, Rohe1'l J. K1pping, Hans F. Lippes. Ja<:ob Marchand. R1churd J. Nu\\er. Dnn.lld C. Phillips. James F. Re1tz, Phillip 1... Jr. RIOT!Ictn. D.lnicl J. Schader. Arthur J. Sta~g. James F. Tokars. Jt•rumt• \\' .1rd, Robert B. Whiteford. James E. Whiting. Frcdt•ru:k D. 1948 Borman, Janws G. Fnhcy. Danit•l J. Graff. H,lrold 1.. H.1ll. Robert J. Hanson. Warren H . Hollis. Wa1 r<~n L. Martin. Ansel R. Miller, Danit•l G. Minde. Norman Momc. Dan' in D. Regan. Clt•t us J. Regtln, Thomas C. Richardson, Jusephlne A.W. Shore, Charlc~s Sulomon, In' 111 Stone. Edw,ml R \anA very. Jaspel L .. Jr. "'cinberg. P.IUI C. 1949 Abel. Fr,mc:es R. Armenia, Carmt>lu S. Aust. J. Bradlt'Y Bcrl. Alfred Bernhard. li.1rold Cardt>n. l.awrenct• :-.1. Dennen. Philip C. Fr<Jnz. Robert Mogerman. ArthUI' Parosk1. Jacqueline 1.. Pfalzl!r, Frank A. Rosner, EdwM·d W. Shalwit1.. FrPd Anthone, Roland Ant hone. Sidney Benninger. Robert A. Benken, Lawrence D. Bergner. Robert E. Berman. Herbert L. Bisgetrr. George P. Brandl, j ames ). Busch, Grace L. Cecilia. Carl A. Chambers. Frank. Jr. Dunghe. Adelmo P .. Jr. Dunn. James C. Fra\\ley. James Heller, ~larie H. Kling. Robert :..;, Lebcrer. Richard ) Lvons. Richard E. ~landers. Karl L. ~le\'er. Patric1a A. Patterson. Robert ). Pech. Henn L. Robinson. Ro~ W. Scamurra. \ incent Sikorski. Helen F. Thomas. Donald B. \Vaile. Gertrude Weinberg. Sidne~ B. Zmke. Myra R. 1951 Baratt. Theodm·e Belsky. Jay B. Goldfarb. Allen L. lleerdt. Mark E. Keicher, Kathryn M. Koukal, Ludwtg R. Leslie. Eugene \. Plesko"'· Marvin J. Reinhard. ~!elvin C .. Jr. Schultz. Gerard E. Secrist. Robert L. Smith. Adolph Tetch. Eugene M. 1952 Abo. Stanle\' Adams. Do~ald J. Altshuler. Kenneth Banas. John j. Baumler, Robert A. Bro\\ n, .r-\l\'iO J. Corley. Barbara Dads. Bernie P. Oyster, Melvin B. Cartner. Albert A .. Jr. 6 l.t'D!'\\ i1:h, Joseph E. Gottlieb. Solon H. Kellt•v, Don;tld ). Krohn. ;'\.h•lvin R. Loeser. Eugt•nr W.. Jr. Panaro. Vit:t or ,\ . R.lllr.hnff. Juhn Y Schtmll, )ames ' St'hwdrlz. Wilbur S. Sht•t•slev. B:\ ron E. Simpson. s.' A.1ron Sprt•r.krr. Donald H. Ste1ner. Oliver J. Stu llwrg. Burt on Szabo, lmrf' Thurn. Roy J. u nclerwood. s. 1err erson Wegner. Kurt J. Zt>llcr, j.11nes 1\. 1953 Bertino. Gt~orge G. Carlin. Janws \\'. Cohen. Stanll'\" L. Conwrford. Thomas E.. Jr. Da\id, )ust>ph S. Ehrenreich. Donald L. Fo).lcl. S.mdt•r H. G.llentt~. S.1muel B. Ct•ughcgan. Thom.1s G. Gold, Ja<:k Handel, John \\'. Johnson. Curtis C. Lee. H1·rbt•rt E. ~taloney. \1il£orcl C. \Ia\ nard, Rubert E. 'agel. Ric:hard ). Ot r. Janws M. f--lanner. Molly R. Purtin, Bertr.101 A. Rm.huw. Donald 0. Ruh, Just•ph F. Simpkins. Herhc>rt W. Smulvan. llaruld Soburinski. Robc>rt S. Strachan. John N., Jr. Sullivan, Mic:haf'l A. \\'ndlt•t. Marv1n 1954 Bt1t t. Ed" .trd I. Beltrami. Eu~ene L Campu. Joseph L. C.trosella. '\;i1 holas C. Clnutil'r. Louis C. Conbo~. John L. Fnlev. Rubert D. Genncr. Bvron A. Ill Gret'nC, l.,t\\ renc:e S. H.tines. Robert W Hanson, Florence l\.1. lluhrnsN•. Edw,trd W. lloshinn. Arthur Y. lluward. William J. Hyzy. Eu~l!ne C. Kinkel. William R Lemann. Jacob Lesswing, Allen L. Le\' andowski. Lutille ~1. Lizlovs. Svlv1a G. :\1arino. Charles H. ~teese. Ernest H . :\orman •. -\lien Olh er. Harn T. Plet man. Robert I. Powalski. Robert J. Raab. Spencer 0. Ravhill. Ed" art! A. Toinaka, Edwin 8. Weinmann. Paul L. Weinstein. Hart'\' Wilson. Donald ~1. 1955 Beahan. Laurence T. Celestino. Vincent L. Collins. James R. Dean. Robert T. Fagerstrom. Cho~rlcs D. Franco. A I bert A. Carvey. James M. Gazzo. Frank J. Gianturco. Mich.tel J. Handel. Cleora Hashim. Sami A. Kent, John H. La:\1ancusa. S<~m J. Ludin. John 8. :-.tye. George Lai. Jr. Palmerton. Oadd L. Peterson, john H. Schaer. Leonard Schiavi. Anthony B. SchHerle. Ray G .. Jr. Smith. Robert A. Von Schmidt, Barbara Weppner. Da\ id F. Whitney. Eugene B. Winter, John A. 1956 Alker. George J., Jr. Bartels. John D. Ben- Asher. ~1. David Denlinger. ~lark A. Frev. Donald ~~ Cicew1cz. Edmond ). Goergen. Peter F. Goldstein, Frederick P. Hodson. John :\1 Jones. Oliver P .. Sr Kunz Joseph L. McCutcheon. Sue A. l\.tclnlosh. Robert G. :--:uessle. Frederick C. O'Neill. Hugh F. Reeber. Erick Reisman, Robert Sr.hueler, Carl N. Sklar. Bernard T HE BUFFALO PHYSICIAN �1957 BPrghorn, Bronson :-..1. Boncaldo, Germani!' Bon~iov.•ni. John R. Celniker. Brnnv Friedman. Gerald Carsenslein. ~1vron Gulino. Lorie A·. Hetzer. Barb.tra J. Ihrig, Jucqudinc E. K.Jnel. Harris H. Meisch. Herbert Miller. Ric:hurd F. M vers. Robert C. Sc.haefrer. Donald E. Shapiro, Bernard S. Sussman. RobPrt B. Weisenheimer. Edv.-ard J. 1958 Alessi, Edward C. Armenia. John V. Batt. Ronald E Berkson. Paul \1 Bovle. Rich.1rd C Brothman. \1rh •n \1 Campagna. Frankl~ n '\ Cohen. Can: Dickson. Rc;bprt C. Dtschingl'r. Frt~denck \\', Eisenberg. Benson lh Fnedbt•rg, Eugene A. Genco. Michat•l T Ginsberg, Don.tld 11.1. Glazier. William 1.. Kane. Lro A. Korn. Jobn T. Kunz. Mnr1e I.. Mal:Zcl, Michael A. Murphy. John P. Perez, Rubert J. Potenza. Lucien A. Rahncr. Richard Rivo, Elliott Romanowski . Richard R. Shatkin. Samuel Spivack. Morton Stein. Alfred ~1. Tracv. Ann A Waldman In ing Wasson. RH:hard D. Weinberg. :-.lorton B. Wende. Reinhardt \\'. \\ 11liams. James S. Zeplowitz, Franklin Zimmerman. Harold B. 1959 Baeumlr.r. George R Brennen. Robt•rt J Cohen. Donald L.. Falls. Richard A. Ferbs1. Joseph A. Grauer. Seymour D. Houck. John E. SPRING, 1976 Kostecki. John \V. Kozera, Daniel C. Oberk•rcher. Da..,id J. Rock. Elton ~1. Spoto. Russell C. Yacht. Donn L. Zara. Sabah E. 1960 Abramson. William E. Antkowiak, Joseph G. Bernol. Robert Budzinski. fohn M. Chazan. Joseph A. Dayer. Roger S. Diesfeld, Gerard J. Glockner. Franklin Goldberg, Daniel A. Graber. Edward ). Guttuso. Thomas J. Hammel. Donald A. Harrington. John J. Kanski. James R Kenner. Harris M. \1alatesla. Robert L. Metcalf. Harrv L. Moreland. Ra\·mond L. Nadel. Hvma~ Rakowsk·i. Daniel A. Rt~gio. Charles J. Rivera, Eugene P. Saks. Gerald L. Shapiro. 11.1arvin Tuyn. John A. \\'ilschi. Thomas H. 1961 Bernstein. Joel M. . Brody. Harold Cimino. Eugene A Cohen, Michael E. DeSantis, Carlo E. Disraeli, Allan S. Fleisher. David R. Hewell, William j. Johnson. Alonza C. Kni~ht. Ovid D. Newburger. Alan C. Penwarden. Brent Porralh Saar A. Puhino. A. Thomas Ronald. Roger A. Schnatz. Paul T. Skarin. Arthur T. \Vilinsk)-. Howard C. 1962 Armenia. Joseph P. Cowan. ~tartin Floccare. Anthon\ Ge1·basi. Joseph R Loree. Paul J. Lubin, Arnold N. Madden. Michael 1\l. Markello, Anthony P. Ne\. Robt!rt G. Obf.rkirrher. Oscar R Polat sch. Bernard Scherer. Wilham P. Ill Steinhart, :-..tehm J. Tzetzo. Georg1• R. 1963 Bermann. M.1 x M. Blake. Jamc•s R. Burgess. CMdon 11. Dt>L.1us. Frank V. DuBois. R1chard E. Ehrlich. Frank E. Fanelli. John R Foti, Anthony M. HAmilton Robert W. licrberl. Amla J. )oycl'. Stephen T. Lessler. Paul A. l\1aggioli. Albert J. Malinov. David Narins. Ric:hnrd B. !\Iathan. Ronald G. Post. Robert M. Sobocinski, Lawrence J. Spielman. Robert B. Steiner. George 1 Stumpf, John :-. Sulli' an. Eugene \I.. Jr. Tirone, Ch.~rles S. Tutton. Joseph C. 1964 Casazza. Lav' renee J. Chert....u;kr. Paul Glowm:ki, Georg<' R. Goldstein. Gerald B. HAzeltine. JohnS. Holt , David N. Leff. Dav1d A. Lies, Bert A. Michalek. I eo t-.1.. Jr. Ney. Lillian V. Paa. David F. Paterniti. Samuel F. Pittman. David E. Rot hflrisch, Sheldon Salton. William Scomillio, John Serrage. Elizabeth G. Sterman, In ing T.tylor. James ~1. \\'einste•n. D,l\.'ld J. Williams, Ru h.trd \\'olin. Rit:hard E. 1965 Cardamum•. Joseph G. Feinberg. Michael S. Giller. Jerald Grisanti, Anthon~ V Hoffman. Sanford R. lloust on, Pat nck 7 Hurwitz. Lawrence B. Jeffre~·. Carv Jordan. Robert E. Kade. C. James Marantz. Calvin Marshall. ~h'ron H. ~lorris. Arth-ur M. Scheer. R. Scott Schnitzler. Robert ;-. Schultz. Robert\\. Steckelman. Joel Waldowski, Donald J. Wherley. Ben1amm J. Yahn. Arthur A 1966 Althaus. Sean R. Antonucci. Louis J. Barlow, jared C Bradlev. Thomas W. Fierro:Marcella F. Cross. William G. Klementowsk1, Kenneth !1.-tartinak. Joseph F. Mi chalko. Charles H . :-..toran. James J. Rappole. Bert \\'. Schroll. Helmut G. Spmtus. Eugene M. 1967 Anderson. John R. Berkowitz. "\orman Bodner. Stanle) J. Ehmann. Carl W. Epstein. Barry M. Fugazzotlo, Da\'id J. Gibbs. John W., Jr. Gottschalk. Adele t-.1. Levine. Allwyn J. Levine. Ellen A. Miller. Donald E. Sheedy. ). Brian Sosis. Arthur C. Starr. Geor~e Young. Richard). 1968 Argentine. Leonard Burkhardt. Donald \\'. Clad.. \\'illiam E. Cramer. Gary H. Cumbo. Thomas J. Dobmeier. La\\ renee J. Druger. George Friedman. Ronald I. Jewel. Kenneth L. Joseph. Brian S. Kaplan. Milton P Kramer. David Kulman, Harold L. Sayres. Barbara A . Sicvenpiper, Timoth\ S.d- �1969 Ca,.alicri. ).tmes I.. He\ i:t.\', Louis ~l atnr. \\'!Ilium ~lil azw, Richard T .. Jr. Patterson. )nmes E. Shaps, Rubert S. Sherer. O.t\ id ~1. Small wood, ~tich,ll'l F. \\'einstctn. Barn A. 1970 Citron, Peter L. Coplc)., Donald P. Forden. Rogt>r A. Frank€'1, Lr~wrtmcc S. Krauss. Dl'nnis ). LippnMn. Mtch;wl Prt•nner, Bruc;t• Sr.is.tel. Arthu1· M. Uns.tercr. Rulwrt \\'irlzt•r. Allan 1972 Berkson. Richard Bob, Harold B. Bo\\ ling. Bruce T . D'Aiessandro. John ). Frankfort. lan l.e\ ine. Stephen l e\itt. Robert H. '\atale. Dennis L. 1973 Camacho. Fernando J. Dunn. Nanc\ L. Kuritzky. Paul Kuritzk~. Sharon Launer, Dana P. Orens. Paul Rozbruch. jacob Toledano. Stuart R. Wiles, Charles E. III Young, Linda M. 1974 1971 Baron, ~lichacl B. Clark. l'Pn•nc:l' ~1 . Dail, Eric ~1. Flcigel, )err re~ DeP Grcensberg. H nn C) Guedal1a, John Handler, Mnrk S. HoHman. Oa\. id E. Kirsch. Swll D. \!arcus. Donald H. Ma:t.t•ika. Dl'nis G. 1\tcCoy, J.tmcs J. Paull. Joel II. Polls Or~vid W. Be1 kman. Daniel R. Buko\\ ski. Elaine \1 Burstein Alan G. Lo. Hing Har ~1atuszak. Diane L. ~toore. Sarah E. Rowlingson. John C. Russell. Eric J. Stomierowski. Louise :-..1. Weiss. Robert }.t. Yerko\'ich. Stephen A. 1975 Lir.c•ardi. Louis FACULTY-NON ALUMNI Ambrus. )ulinn L. Anunt,ilabhochai, Boom:huav Basal\ ga, Ronald C. Batcnian, Oli\'er J., Jr. BaUt·r. Ulrich Been~!. f'rcdcrit:k Bernstein. Charles Binette, J. Paul Collins. Rolwrt Consl,tnl. )uh•s Cronn~l'll. William R. Dan• \lorm.w OPFI'Itcc. ClemPnt Dl'wcy. Maurice Diji. Augustin!! lJnbson. Hil hard L. F.gri. Gt•orgc Elibol. Tarik Florshl'im, Ann Fren1:h. Alvin Haque, I kram Har~ ad1, Ttrtadharyana Helm. Fn•dNic:k Hresh1:h\'sh\ n. ~1. Hummel, 1.. -Etlgttr ),tffri. S) de Sh.tms U. Kal\·,mantman. Krtshnas\\amv Kamalakar. Pf'rt • Klein, Edmund Kmit•cik. 'l'.tdcusz K\\aSm<Jn. Bertram G. Lippschulz. Eugene Uovd. Catherine ~lcDaniel. james B.. Jr. Mihich. Enrico Milke\'. Gustave Moso~ich. Luis 1.. Mruczek. Arthur\'\'. ~tudaliar. :\Jrmala :-.:aples. john D. i\:orlon. fames F. Ocampos. Deolindo Oestreich. Mitchell Ordonez, Carlos O'Connor. Robert W. Potter. Paul 1-1. Rapp. Doris J. Reen, Bernard Rempel. Jacob Rovere. Raphael A. Schulman, Theodore Smith. Bernard H. Schnatz. j. Da\·id Stern, Alexander Sullhan. Judith P. Udwaclia. Rusi Warner. Robert Wirojantan. Sa\\ ,trngwonl'( \\'iltkugel. Herbert Zimdahl. Walter T. J. Ur. Thomns Burford /left) dtscusst•s rllf' \ alt·o Hovl'r wuh Dr Kt·nm,th II. Eckhcrl, ,\11'35. and Dt,on/ohn /l.oul(hton. The 19:15 doss raised $3,465.00 for the pure: host• of tlus t'lfUrpn... nt. Dr. /ohn F. t\r~ue ..\1'35. who was co·choirmon u( 1hr· rt·un1on gtlt prowom. was no I ovodoblc for thrs prclun·. Thct·qurpmcnt wdl bern the Health Sctenccs Educolwnnl Commumcolrons Center headed b} Dr. Burford A Gift from the 1935 Class �Dr. Edward A Carr. Jr.. has been named professor and chairman of the department of pharmacology and therapeutics and professor of medicine. He comes to Buffalo from the Uni,·ersity of Louis\'ille School of Medicine where he was professor and chairman of the department of pharmacology since 1974. Dr. Carr did his undergraduate work at Brown Uni\ ersi ty and received his medical degree from the Harvard Medical School in 1945. He interned at the Rhode Island Hospital and was a JUnior resident in internal medicine at the Cushing V.A. Hospital in Framingham. Massachusetts. During the 1948-49 year he was a research fellO\·\ and during 1949-51 an instructor in pharmacology at the Harvard Med1cal School. ln 1951-52 Dr. Carr was a resident in internal medicine at the Pennsylvania Hospital and the following year he was Thomas McCrae Exchange Fellow at St. Bartholomew's Hospital in London. Professor Carr was at the University of Michigan Medical School from 1953 to 1974. From 1966 to 1974 he was director of the Upjohn Center for Clinical Pharmacology at Michigan. During the summer of 1973 he was an honorary visiting professor in the department of medicine, Prince Henry and Prince of Wales Hospitals in S~ dney. Australia. Dr. Carr IS a Diplomate of the American Board of Internal Medicine and ser\'ed "1th the U.S. Army Medical Corps from 194647 as well as in the U.S Navy Medical Corps in 1954-56. He has been a consultant to several state and national commissions. associations. and institutes. Last year Dr. Carr was president of the American Society for Clinical Pharmacology and Therapeutics. He has also been an officer in other professional societies at the national. regional. and state levels. Professor Carr is the author of two books and has co-authored chapters in four others. He has also authored or co-authored 127 articles in professional journals. In addition to studies on the pharmacology of radioactive compounds used in clinical medicine, he has a keen interest in all aspects of clinical pharmacology. He sees department emphasis on both education and research. not only in response to a public that wants their prescribers of drugs-physicians and dentists-kept up-to-date on current advances in the field, but for the clinician, who usually responds well to programs that will help upgrade his knowledge of drugs. Or. Carr sees the need for some kind of education on the use and abuse of drugs for every University student. "We all live in a chemical society." he says. And he recognizes the necessity of teaching clinical pharmacology in addition to basic pharmacology to professionals \' ia the introduction of drug rounds and therapy conferences. Allhovgh manpower and time is the big problem, he is committed to "trying to make a start in this direction." Department research? The list of problems and opportunities is so great at the present time that pharmacology is faced with the question of finding enough people, time and funds to do all the resear·ch that needs to be done. Therefore the present departmental research efforts should be strongly encouraged and new personnel should be added to expand the program. o SPRING 1976 9 Dr. Edward A. Carr, Jr. Dr. Carr �Dr. Glosouer Neurosurgery in Rhodesi a by Franz E. Glasauer, M.D. Professor of Neurosurgery nhodnsiCJ. a landlocked country with an area of 150.800 square miles, is the size of California. Most of it lies on a plateau of about 4,000 feet. The north and south of the country have nat ural boundaries in the Zambezi and the Limpopo Rivers. Of the total population of about 6.1 million, 5.8 million are Africans, about 270.000 are Europeans, and the small remainder is Colored and Asians. Most of the African population live on tr1bal trust lands. Economically the country depends on agriculture, light industry, and mining. Although the country has a rainy and dry season, during our stay the climate was almost ideal with dry. sunny days and cool evenings. This VISit, during the first three months of 1975, wos port of a Sabbatical Leave. It was sponsored and arranged by the Foundation for JntcrnatJonal EducatiOn in Neurosurgical Surgery. 10 All the schools and hospitals in Rhodesia are segregated except for the Umversity. Although opportunities for Afrtcans theoretically exist in a "competitive system," they are still at a disadvantage due to hmils on achievement, educalion, and especially income. Salisbury, the capital of Rhodesia. is a comparali'vely small city with a population of 534,000. Vibrant with color from the flowering trees and shrubs, one is immediately impressed with the city's cleanliness. The Godfrey Huggins Medical School of the University of Rhodesia is located in Salisbury and centers on the Harari Central Hospital. The Medical School graduates between 35-40 students yearly. 1 received a temporary appointment at the University as senior lecturer in surgery and obtained a provisional medical license by the Medical Council of Rhodesia. The university campus is located in the north of the city and housing for visiting and temporary faculty is available on campus. The Harari Central Hospital, a 1.000 bed institution that is located in the southwest seclion of the city. is supported by the Government and serves only Africans. The majority of its nursing staff is also African. The building is for the most part clean and atry. There are no private rooms and patients are placed in large wards of about 30-36 beds each. The other hospital complex in Salisbury contains the European Hospital, the old hospital, an infectious disease building, and the Hospital for the Colored. Aside from these two major hospital complexes. only a few additional nursing homes are in the city. \'1t.lor10 ,..oils �"-anbo Dam The two neurosurgeons in Salisbury serve the entire country. Dr. Lawrence F. Levy is professor and chairman of the department of surgery and is primarily responsible for the Harari Central Hospital. Or. C. Auchterlonie works mainly at the European hospital and assists in Harari Hospital's outpatient clinic and surgery. One neurosurgeon travels at intervals to Bulawayo. the next largest city in southern Rhodesia, to review neurosurgical material\'\ hich for the greater part has already been studied and diagnosed by Dr. I. Rachman . He is the only neurologist in the country. After consultation patients are then transferred to Salisbury for surgery. The remaining neurosurgical material is referred directly from outlying small government hospitals and clinics all over the country. Since there is no neurosurgeon in the neighboring country of Malawi, once a month one of the neurosurgeons flies toils capital. Blantyre. to see pattents and to perform the necessary surgery. During my stay I was placed in charge of the neurosurgical sen·ice at Harari Central Hospital. The service consisted of 55 beds includtng 10-15 pediatric beds. I had one surgical resident ~nd l\\O housemen (interns) assigned to the service. Two students rotated through the service for a two-"eek period during which time they \vere encouraged to participate in operations and in diagnostic \\Orkup t~nd patient care on the ward. Patient care was carried out efficiently and satisfactorily by the African nursing staff. Since there was no neurologist, all neurological and neurological-infectious con- SPRING. 1976 sultations were included in the neurosurgical practice. About 25 patients were seen and evaluated in the weeki~ neurosurgtcal outpatient clinic. The Radiology Department was run by the chief technician since there was no full-lime radiologist. All neuroradiological procedures such as arteriography. pneumoencephalography. and the fluoroscopy for myelograph~ were carried out by the neurosurgical staff. Arteriography was routinely performed under general anesthesia. A transportable Carm ima~w intensifier was available and proved very useful espe<.iolly in the operating room. Isotope brain scans were reserved ror selective cases and had to be scheduled a week in advance due to a limited amount of isotopes. An echoencephalography machine. "the midliner," was kept on the neurosurgical ward and used extensh ely for diagnosis and follow up of pattents. The operating rooms were equipped ...vith basic instrumentation and the neurosurgical instruments were adequate. There were no power instruments. The limitation in operating time was due to a shortage of anesthesiologists. As in many other countries there are no nurse anesthetists. While strict sterile techniques in the operating rooms and operating areas \\ere observed. the operations were carried out with the unscreened windows open. t-.1uch to m~ amazement. the postoperattve infection rate was minimal. I participated in the rotation of night calls and weekend coverage. The service activities included daily ward rounds and neurosurgical consultations. On Saturday mornings grand rounds were conducted by the entire surgical department to benefit residents. interns. and medical students. There. interesting cases of an~ specially were presented and discussed and al the weekly X-ray Conference neuroradiological procedures and interesting cases were reviewed. A brain-cutting session was held once a month to revie\'- the pathological material which included cases from the European Hospital. In addition to my heav~ clinical and surgical responsibilities. I conducted a weekly tutorial in neurosurgery for a group of 12 students which was part of their general surgery. 1 also lectured to the sixth-year class of the Medic.al School and to the staff at Harari Hospital. Ouring my short period there. I performed 66 operations and 46 neuroradiologicald11 �Dr. Glusoucr ot Z1mbobwe Ruw~ procedures. In 1974, 752 neurosurgical operations were performed (569 at Harari Central Hospital and 183 operations at European Hospital) . The African people still belteve that ancestral spirits or spells cast by the living are responsible for illness. Therefore many patients visit their ''nganga" (herbalist or \\ilch doctor) before coming lo the hospital. l n many cases they arrive in an advanced state of their disease. The ''nganga" is more a general practitioner to the local population and, as a religious mentor, he seeks out evil spirits and interprets t heir wishes. Difficulty in arrangement and payment for transportation as well as great travel distance may also add to a patient's late arrh·al at the hospital and it is not unusual for a sick woman to bring her infant with her or for a mother to spend most of the day in the infants' ward to nurse her bab}. Consent for surgery is not always a family decision. Quite frequently tl is a matter of tribal decision that sometimes results in a patient being taken out of the hospital without surgery. For similar reasons and superstition it is difficult to obtain autopsy permission. This is especially so in adults, \Vith slightly better chances in cases of infants. A It h o u g h t h e .,..,. h o I e g a m u t o f neurosurgical diseases exists, certain dtfferences are obvious. I n the African populo- 12 lion cerebral aneurysms and arteriovenous malformations are very rare and brain tumors in general occur less than among the European population. Tuberculomas comprise 19 per cent of the space-taking lesions while epilepsy from brain scarring remains a problem. A mortality rate of 33 per cent is still associated with these lesions. Brain abscess is a frequent occurrence and is usually treated by drainage through a burr hole. Subdural abscess is also quit e common and carries a high mortality. Treatment consists of drainage through multiple burr holes. There is frequently no history of prior infection and the reason for its increasing incidence remains unknown. About one-third of the neurosurgical material is cranial and spinal trauma due to traffic accidents or crimes of violence and the incidence of subdural hematoma in patients t~dmitted with head injuries is astonishingly high. Echoencephalography is helpful in diagnosing and evaluating these patients. Epidural hematomas are also frequently encountered and more often are of venous than arterial origin Depressed skull fractures without obvious dural or cortical laceration are handled by debridement and primary closure of I he scalp. Elevation of the depressed fracture is carried out later as an elective procedure to fit into the heavy operatmg schedule. Ron• Wh1te Rhino and bohr THE BUFFALO PHYS ICIAN �Rock paintings nl Oomboshovo The incidence of spinal cord tumors is higher among Africans than in Europeans and neurofibromas greatly outnumber meningiomas. Among metastatic tumors to the spine are lymphosarcomas. carcinomas with unknown primary site. thyroid carcinoma, and myeloma. In addition to tumors, granulomas of the epidural space are encountered causing spinal cord compression. Localized arachnoiditis constricting the spinal cord or nerve roots is a not her ·frequent entity of obscure etiology. Pott's disease as a cause of paraplegia is quite common. The treatment consists of antituberculous drugs for about three weeks to sterilize the diseased area followed by surgical decompression oft he spinal cord and fusion of the spine by em anterolateral. transthoracic or anterior cervical approach. This combined active approach to tuberculosis of the spine has shown gratifying results and offers the best chance for complete recovery. An unusual fracture of the cervical spine that is occasionally seen IS Porter's neck. The injury. which involves a combination of flexion and rotation. occurs while the patient carries a heavy load on the head which is a 'vvidespread practice in Africa. Herniated intervertebral disc is extremely uncommon in Africans and only 21 discs were removed in the last nine years. However, when afflicted. these pal ients present with extremely severe symptoms. SPRING, 1976 There is no rehabilitation institute for spinal cord injuries and physiotherapists have very limited facilities. Despite de,·oted nursing care. these unfortunate patients invariably developed bed sores. These \vere usually treated by skin grafts and supportive therapy. In some. bilateral mid-thigh amputations were performed so as to facilitate some type of mobilit~ and wheelchair ambulation. Due to the lack of proper hygiene and accommodations, their future is limited when they ret urn to their villages. Much of the purely medical treatment has been in vain. And in spite of strenuous eHorts to help them in the hospital it has not produced asocial solution to their problems. Although tropical diseases and parasitic infections of the central nervous system occur. I did not encounter any while on service. And there was cysticercosis paraplegia due to bilharzia, and cerebral malaria. Although leprosy is uncommon in Rhodesia I encountered several patients \.\llh nodules of the ulnar and radial nerves that required lysis or transposition. Cerebral vascular disease is extremely rare in Afr1cans and its explanation may be found in their dietary habits. In a rural man's daily diet averaging just over 1900 calories only 15 per cent is derived from fat. This compares to a 2500 calorie European diet that is 3540 per cent fat-derived. d- A I}' PI CCII rural village 13 �-----------.. --- o\1010 Street. Solisbur}' Subarachnoid hemorrhage without a demonstrable lesion is encountered while trigeminal neuralgia and Parkmson's disease are rare. and procedures for pain in the African patient uncommon. There are also congenital defects such as hydrocephalus and myelomeningocele, and because valve regulated shunts are not easily available, even regular plastic catheters become prized commodities. Even if these children were surgically treated, their postoperative care in a home environment and close followup is difficult. Long-term results of the treatment were disappointing, with a 60 per cent mortality. My wife. a registered nurse, participated in a research project on bilharzia conducted by the Biochemistr~ Department of the Uni\'ersity. The research group went to various farms to examine African children for bilharzia and to institute drug therapy and laboratory studies, prior to and during the study evaluated success of treatment. The results appeared encouraging considering that 70 per cent of the African population is infested with this disease. In addition to interesting work, it gave her an opportunity for close contact with Africans in their own environment. One would be amiss not to mention some points of interest in this spectacularly beautiful country. Just outside of Salisbury is Lake Macllwain, a favorite resort for sailing and fishing, and the adjacent small nature park. Also near the city are several wellpreserved rock paintings. Some of the best Horori Central Hospllal ' -.""' ..(' Two zebras known are at Dombashava. And the mountainous Eastern Highlands. bordering on Mozambique. are breathtakingly beautiful. Of great interest was our visit to the Zimbabwe rums which are still a great mystery as to origin and purpose and a subject of great archeological controversy. It is estimated that the structure was built in the 15th century and Phoenicians may have been among its originators. 14 THE BUFFALO PHYS ICIAN �Close by is beautiful Lake Kyle with a natural park that harbors a great assortment of wild animals. especially \\'hile rhinos. Lhing in this part of Africa one cannot miss the site of enormous and spectacular Victoria Falls. The Zambezi Ri .. er in its entire width of 5.000 feet or 1.700 meters. plunges down 300 feet into a gorge. The site has remained unspoiled in its nat ural environment. Along the southern border of the country is its largest animal preserve. the Wanke National Park. Famous Lake Kariba, located in the northeast of the country, is a huge man-made Jake created by damming the mighty Zambezi River and covers a 2,000 square mile area. The Kariba Dam (2,000 feet long and 420 feet high) required many years to build. Its interesting history required resettlement of native African tribes and relocation of wild life before flooding the area. Kariba Dam, a great technical feat. is the second largest project of its type in the world. and is an awesome sight to behold. o Dr. Glosouur I\ 11h nt•urosurgu.:ol learn. Dr. Stell's Photo Hobby A 1936 Medtcal School graduate is a photography buff. Dr. Bernard S. Stell has written about his "do-H-yourself" hobby for two photo magazines in Canada and the United States. He described in detail how he built a tripod projector platform at minimum cost in Photographic Standards Association Journal (March 1972). The article is illustrated and lists the materials needed for the special platform. ln the same journal (:--.ovember 1973) Or. Stell has written about making duplicate slides with an enlarger. He has been using I his technique successfully since 1967. ln another PSA Journal article (May 1975) he tells how he built a multiple flash head that will support a camera with bellows attachments and two electronic flash units. Or. Stell wrote about his Photo Slide Rule in the Colour Photographic Association Journal of Canada (May 1972). He illustrates with charts how the slide rule that he built works quickly and efficiently. Or. Stell has t•etired and is now Living in Sun City, Arizona (16029 Meadov. Purk Drive). o SPRING. 1976 15 �-electrooculograms (EOG}-to detect malfunctions of the pigment epithelial layer of the eye. -visual field tests-to uncover defects in the function of the retina's peripheral parts about which the patient may be unaware. -saccadic velocity tests-to determine whether any of an eye's six muscles are either weak or paralyzed. -color\ ision tests-to help unravel optic nerve and macular problems. Soon to be added, reports Center Director, Dr. Richard Srebro, are brain wave studies. In these studies of the visual cortex, the young 40-year-old associate professor of physiology feels it may be possible to determine how well the neural pathways from eye to brain are vvorking. For Dr Srebro. establishing the Center was a natural outgrowth of his long-standing interest in retinal physiology. And the jump. from basic research to its clinical application, a timely one. For, he notes. "we are just now \\ htlll palwnt's ht.'Od 1~ held stead~ b~·chw rest. Dr Sn:bro JIOsrlwns clcclrodcs to mcnsurc EOG. :-.:rna "ours. ruchmcrun. measures EOG n·cord whrlc maJnfarnJng palrent conracl \'Ia small sp.... oho•r Ophthalmology Di agnostic Center B~;o:TrEH OJACt"OSIS of patients wilh difficult eye problems may result from a new ophthalmology diagnostic center opened in Western Ne""'' York. With uegenerati\'e diseases of I he retina accounting for 35 percent of blindness in this country and macula degeneration an increasingly serious problem in our aging population, the need to understand how the retina works and to pinpoint what goes wrong with it increases. And new and improved techniques to detect how well it is functioning are being developed. Among the battery of testing procedures now available in E.J. Meyer Memorial Hospital's department of ophthalmology: -electroretinograms (ERG)-to determine abnormal retinal function by electricul means. 16 THE BUFFALO PHYSICIAN �' J pigment epithelium involvement. with some cases exhibiting accumulation of calcium oxalate. i\otes Dr. Srebro. "this raises the possrbrlity that at least some patrents with this syndrome may have an enzymatic defect." But regardless of its etiology. he feels that the hereditary pattern provides information for genetic counseling. At limes he finds that a test other than the EOG may provide the key finding, as in Retinitis Pigmentosa where the ERG is very useful. and in macular degeneration, where color vision abnormalities may be an early sign. Presurgical evaluation of some patients may often be made through one or more tests. For those \'l.·hose dense cataracts do not permit the retina to be seen. there is evaluation of retinal integrity as \Veil as pigment epithelium through both ERG and EOG. And patients with corneal scars who are candidates for corneal transplants may .tlso be e\·aluated in this way. d- Dorolh\' 8cchlold, lcchmCJon, places contact lens for ERG conlocl inlo each C}C· fJorolhy Rechlold sludu s Poluro1d rPcord of eleclncol oc· ol bonk of clcctronrcs that control light s11mu/ored, cnnrrolled and appl1ed !lVII}' of rr.110o beginning to understand what the different waves of an electroretinogram may mean and to be able to monitor the performance of a single cell layer in the eye by means of the electrooculogram.'' Research findings made in the laboratory now serve as the basis for some of the testing procedures underway in the Center. In the first member of a family recently studied at the Center, macular degeneration and much reduced visual acuity were observed in the teenage boy. Examination suggested abnormalities of the pigment epithelial cells of the retina. This finding led Dr Srebro to suspect that other family members may have similar problems. This was found to bel he case in two other siblings. While their ERG's were normal. their EOG's were not. "This points up the need for more than one test to evaluate difficult problems.'' he said. The diagnosis of "flecked retina syndrome.'' n hereditary disense, was confirmed. And although its cause remains unclear and there is no treatment as yet, studies do point to SPRING. 1976 �Rcsulcnl Dr Roger Simon uses indirect oph1holmo10copc lo CXOmlnC the fundus. Points out Dr. Srebro, the ERG and EOG tests depend on the amount of light that reaches the retina. "These conditions do not usually seriously reduce the amount of light." he continued. "Rather. they scramble the image." Here. as well as at other research centers. such met hods are now being developed and applied to patient evaluation. At the Center that is open five full and one half days a week. about se\ en patients (all are referred) are being tested and diagnosed weekly. On hand is a n o ph I h almology resident and two lrchnicions. Following testing procedures, which may take up to half a day to perform per patient, a resident. Dr. Srebro or perhaps both will examine the patient. And a report is then returned to referring physician or clinic. With no similar diagnostic center within a large radius-the nearest is in Boston-the Center rna~ be called on to serve a substantial population. But. points out Or. Srebro. the Infra red detectors mounled on speclodcs measure. outornotrcollr record ere movements of pOIJcnl Bctwr·cn Dr. Srcbro and .'\100 J..oorl> 1s the penmetcr. A rcl>t'Orch tool. 1t 1s usP.<I to stud} ere mo\·emcnts 10 re/a11on to tOr)!t'tS p/ac:ed 1n VISUOI fie/d of p0t1cnt ond to t:XOCJllnt VISIJOI function 18 t\s polwnt stud1es ~encs of colored d1scs fthelr ol1gnmcnl ~1\'t'S senslti\'IIY 1ndex of color viSIOn functiOn/ Drs. S1mon ond Srcbro look on. THE BUFFALO PHYSICIAN �patient load must be limited because of the need for thorough evaluation in each case. With development of even better testing techniques, he looks for improved ways to measure color \'ision anomalies; the speed at which patients adjust to darkness that is an early but subtle sign of several retinal degenerative diseases; a new type of ERG to selective!~ record macular and foveal changes: and fundus reflectometry to measure changes in a patient's visual pigment. And with development of a computer bank, Dr. Srebro hopes to store data for correlative research studies and to maintain a registry of well-studied patients whose eyes might be obtai ned at time of death. "This would allow the use of modern histochemical techniques .tnd electronmicroscopy to study retinal degenerations of a basic cellular level," he said. But despite the importance of diagnostic tests. Dr. Srebro continues to stress the need for basic research on both retina and visual system. Questioning whether that part of the visual field that in some disease slates is considered blind may retain some function has led to his current interest in eye movements in patients with visual field defects. While information that gets through the retina may not give rise to a perception, he wonders whether it may perhaps be used to control extraoccular movement. With postdoctoral fellow John Martinez and research assistant Virginia Beyer, Dr. Srebro is now trying to define the role that calcium and cyclic nucleotides play in the photoreceptors of animals. For defects in fundamental aspects of photoreceptor physiology may be the root cause of many retinal degenerations. o Class Gift Program The nine Spring Clinical Days reunion classes are participating in a class gift program again this year. The specific projects were developed laking into consideration the equipment needs for the ne'A Education a! Communications Center-Health Sciences. The money will be used to purchase a variety of audio-visual equipment for classroom and self-instructional laboratory use by students. This equipment will support and stimulate new approaches to medical education. It ..,·ill be located in the Education Communications Center-Health Sciences in Farber Hall. Dr. Thomas E. Burford is associate director of the Center. Both Dean John r\aughton and Dr. !\lilford C. Maloney, president of the Medical Alumm Association, ha,·e enthusiastically endorsed the projects for this year's class gift program. Dean Naughton pointed out that with the current budget crunch stale monies are not available to purchase this type of equipment. "If we are to keep medical education at a high level and improve the quality of instruction these are the kinds of audiovisual resources that are needed," he said. ln 1975 the nine reunjon classes collected $30,430 in a special gift campaign. In 1974 the 1949 class gave the Medical School $4,000 through the U t B Foundation. o SPRlNG. 1976 19 �Or Eclword lloht•nseP New Ophthalmology Learning Laboratory 20 Concern for using the limited number of core lectures available to medical students in ophthalmology in the most efficient and compact learning setting has led to a new selflearning laboraton. Here, adjacent to the diagnostic center. Dr. Edward Hohensee, M'54, hopes that medical students will be able to pick up the "how to'' of diagnostic procedures as \\ell as gain familiarity with various types of eye diseases. There are three different models or mannequin heads for students to use. One, notes the chmcal assistant professor of ophthalmology. allows students to use the Schiotz tonometer to measure intra-ocular pressure. While one eye of the mannequin has normal pressure, the other eye has abnormally-high intraocular pressure. A second mannequin can electronicalh be given esotropia, exotropia, esophoria or exophoria by merely changing a dial. Or the dial can be set to ''unknown" thus allowing t he student lo diagnose the type of strabismus. The third mnnnequm. he continues. has interchangeable colored slides allowing the st udentto practice ophthalmoscopy, simulating the technique in a real patient But Dr. Hohensee hopes to build an even larger library. "We want to stimulate tactile and visual senses of the students. to help them to remember the \'a ri ous types of ophthalmological problems they will see in their patient population." he said. o Vr. Sons0/11' shows I lw sf•mors how lc> USI' I he Schiotz lonornclcr to mcosur•• 1ntrooc:ulor prt·s~ur•• THE BUFFALO PHYSICIA:'\J �Dr. Hoht·mwe rtt\'JCIVS interchongeoblt• color sl1dcs wh1ch ollm\ Cuthbert Charle:. to proctrcc oplholmoscop)', thus sunulotin)l the tr.c:hnrque to be used on a reo/ potrent. ,\ s Gcroldrne Slcdzu·:.kr learn~ from Dr. lfnhonseP hoi\ to drag nose drffcrenttrpc.s of :.trob1smus Just b) ~ctllng tht' dwl. Cuthbert Charles rt'\'JCWs ll1·stemrc drseost!S of the fundus w11h Dr. ,\llrc:hcll'l SansoM. SPRING. 1976 21 �This is the fifth in a series of articles on the six departments of the Erie County Laboratory that is headed by Dr. Max Chilcote. Thomas RI'Jent rc\'lcws crrticol screening of dru~·rnduccd como potu•nt wrth ossistont chemist toxicolo~rst ,\1rchat•l l':rllJCI\'Skl Toxicology T mv Cll'e the "miracle workers." Or so the toxi<:ology division of Erie County Laboratory has been called by the more than 40 Western New York hospitals it serves. Started in 1949 by the late Or. Niels C. Klenclshoj. the toxicology division is no\'\ headed by Thomas A. Rejent. He joined its staff more than 18 years ago. Rarely, notes the chief toxicologist, has an alleged illicit substance escaped identification. "For our current analytical systems and complex screening procedures are toda~ second to none. our proficiency is well documented. and we are internationally known." Admitting to their service load as a heavy one. Mr. Re1ent can point to about 6.000 tests th.1t are run round the clock each month to: -in\'estigate all chemical/drug-related causes of death for Medical Examiner's Ofrice. -monitor industrial workers exposed to hazMclous agents; biological levels of drugs in patients undergoing long-term therapy. 22 -screen hospital patients in alleged druginduced lethargy stupor coma; patients undergoing anti-addictive therapy. -identify suspected illicit drugs/ chemicals brought in from community, police agencies, rap centers, etc. -verify exposure of chil dren to leadbearing pain ts. plasters, toys, etc.; carbon monoxide exposure in compensation-based claims. Because Mr. Rejent analyzes and identifies controlled substances that are illegally used throughout Erie County. be is able to spot and predict trends in drug use. In an upcoming paper he will tell about one such heavily-used anti-depressant and the rapid analytical methods. confirmation procedures. and statistical studies used to confirm it. 8f'cause most compounds are present tn tissues in such ultra-micro amounts, techniques used to isolate purify identify them are time-consummg. "They require skilled personnel," Mr. Re1ent said. "and sophisticated. !o.cnncth Wahl, ossrslont chemrst toxicolol/,tSt. prepares postmortem llssur. spocrrnen from Medical Examiners Of (ice to rnvestigate possible cause of death. , �• - But determining exact cause of death in each case has a multiplicity of interests. "It is always of great significance to someone." he said as he pointed to law enforcement. insurance carriers and claims offices. industry. social agencies. And it is a source for peace of mind to survivors of deceased. I u Raymoncl \.1u:holt•k, r.ht,mJsl toxu;olog•st. works on lead dcrcrnll norwn. .'....,.,'.......... ········:......... ········ ' '' '.,,, f •• ' ••• f • '',' ' ' .. ' ' " • • " ; • • ' i . . .. l.ou1s F BorkO\\ sl\1, scm or chem1st toxJcologlSt, makes posit i\'e JdcntJfJcollon of J!hc11 drusz rece1ved from com- mumtr ~ourcc . highly-sensitive instrumentation." Among these: -thin-layer and gas-liquid chromatography -ultra-violet and infra-red spect rophotometry -speclrofluoromctr~ and atomic absorption spectrophotometry Forensic cases. he notes. number 700 annually. ''They routinely involve assays of blood. urine. bile, liver, brain, and gastric contents." In most cases, the liver, chief detoxification site in the body. is the organ of choice. If a particular manner of death is suspected, other tissue analyses must be performed. In inhalation deaths. he notes that lungs are the organ of choice. Where there may be heavy metal involvement kidneys are subject to very close scrutiny. bile fluid is considered the best source for narcotic drugs. and salicylales best isolated in goodly amounts from blood. Ethyl alcohol. Mr. Rejent points out. is still the most ubused drug. This is especially true in the 20-29 age group where the highest incidence in abuse of all drugs is noted. "We are now analyzing all driver fatalities in Erie County for ethyl alcohol." Mr. Rejent said. "It is mandutecl by New York Stale law." S PRl NC. 1976 Robert Doyle. roxlcologJst rra1nct~. uses thm Ioyer chromoto~rophy to scrtwn unne samples (or drugs of a buSt!. 23 �Sane\' l'ync. medrcol rechnolosust. learns aboul prcc rsc rdt•nlr(rcolwn vro vrolcl spcclrophotometrr from Thomas Rc,.nl . Evaluating drug-induced coma. he notes. can be a life-saving sen·ice in many instances. Serving the community round-the-clock, toxicology can report on the presence or absence of about 15 commonly-abused drugs/chemicals within 20 mmutes from the time a sample is receh·ed. ot only are analytic.tl findings rapid, but points out Mr. Rejlmt, they are quantitative and precise. When analyzing controlled substances. one usuall.\ thinks of hard drugs such as heroin. cocaine. codeine. Not so. says Mr. Rejent. llallucinogens and marijuana are "it." with phencyclidine, the most widely-used street drug. Not only does this animal tranquilizer cause hallucinations in humans but there have been several deaths reported nationally. Therapeutic monitoring of drugs, particularly anti-convulsives and cardiac defibrillators are fast becoming a major portion of the to'<icology '' orkload. Mr. Rejent Strangely enough, Mr. Rejent finds that the number of animal deaths under suspicious circumstances is significant. "This merits analytical investigation," he said. famt•s Mahone}'• ass•slonl chenllsl toxicolo,Atsl, rn· vestrs.totr:s brood le\·cls of alcohol in motor vchich: death v1o ~ns chromolo~rophy. Charles \fell, ossrslonl chemrst loxJcolo~isl, Jnvcslr~alcs thcropculrc levt•ls of anlr-convulsn·e druJ! used on ho!:prtol pollcnt. predicts that continuing awareness on the value for such monitoring will lead to more frequent analyses. a wider range of drugs under analytical scrutiny. and better medical treatment at lower cost. Th(' toxicology division not only serves Western New York in all phases of r.linical /forensic toxicology but is a refet·ence 24 THE BUFFALO PHYSICIAN �laboratory for the States of New York and Pennsyh•ania as well as nationallv for the Center for Disease Control. Significant is the amount of "educating" going on in tol\.icology. notes Mr. Rejent. ~tanJ specialists are learning analytical techniques. instrumental analyses. sample preparat1on. interpretation of data, etc. So are st udenls \1\ ho rotate through. They include pal holo~n clinical pal hology residents. undergraduate graduate students, postdoctoral fellows, paramedical specialists, and laboratory technologists. And communi!~ awareness of drug abuse/morbidity has also led to many requests for lectures. Among interested groups. notes Mr. Rejent. have been the PTA, Ki\\anis. BOCES classes and high school students. etc. Mr. Rejent is a FellO\\ of the American Academy of Forensic Sciences and an active member of the American Association of Clinical Chemtsts. o Medical School Founder Local and national achievements of the nation's thirteenth president were cited on January 7th at the !76th anniversary commemoration of the birth of Millard Fillmore. He was one of the leaders of the group \.\hich founded the University of Buffalo as a medical school in 1846 and served as its first chancellor, a position he held until he died in 1874. Dr. F. Carter Panni II Jr .. vice president for the Facult~ of Heallh Sciences. discussed President Fillmore's dedication and contributions to the nation, the university and the City of Buffalo. "He was a man [or all seasons whose record is a model for all of us during these modern times." Dr. Pannill also recognized Fillmore's humanitarianism, citing his "conciliatory approach" to the issue of slavery with the enactment of the 1850 Compromise. In addition. "while in the Stale Assembl~, Fillmore sponsored legislation which abolished the jail penally for persons who defaulted on their debts." Fillmore was instrumental in the drafting of the charter of the City of Buffalo and in the improvement of the lake harbor and Erie Canal terminus. The Buffalo Fine Arts Academy, the Grosvenor Library, the Society of! at ural Sciences, the Society for the Pre\ention of Cruelty to AnimaJs. the Buffalo Historical Society and the Buffalo Club are all organizations which were founded by :vtillard Fillmore or which prospered under his leadership. o SPRING 1976 25 �Dr. Voltmann's Clinic Dr. Kulowski Retires Good planning and a ""·illingness to try new approaches can help a physician better meet the health-care needs of his community. Dr. John D. Voltmann. M'53. director of the Jamestown. :-Je"' York Medical Clinic, has increased his productivity by 300 to 400 per cent since he founded the clinic in 1970. The reason for his success. according to an article authored by him in the current issue of the Journal of the AMA. is use of new record-keeping and screening methods and nurse practitioners who have become the main "persons of contact" for patients. Dr. Voltmann said the clinic uses ''six full-time equivalent, specially trained and supervised nurse practitioners" who are responsible for taking patient histories. most physical examinations. treatment and patient education. Under this system 50 to 75 per cent of physician tasks have been shifted to the nurse practitioners. "Thus the physician can see 16 lo 24 patients an hour instead of the customary four to six." Dr. Voltmann said. "Each patient is assigned to a nurse practitioner in the clinic, permitting a close relationship between patient and nurse that \\Ould formerly have been patient-physician oriented. Each patient is seen by the physician on each visit. albeit briefly." Dr. Voltmann concluded. o "There has been a major change in relations between doctors and the public in the last half century." Or. jacob Kulow ski, M'25. of St. Joseph. Missouri made this observation when he retired last June. Another change the veteran physician and surgeon noted is more paramedical people now involved in medicine. "This is fine because doctors cannot be expected to handle all of the work. The paramedics are doing a good job," he said. The orthopedic surgeon who for years has been the city's "Mr. Bone Doctor,'' was born in Odessa, Russia and came to the United States with his parents in 1905 at the age of five. After graduating from the U/B Medical School Dr. Kulowski specialized in orthopedics at the Universil~ of Iowa. He came to St. Joseph in September of 1934. His practice has . been continuous with the exception of five years in the Nav~ during and immediately following World War 11. He spent 22 months on duty as senior medical officer on ships in the Pacific and participated in the Solomon Islands campaign. He was later assigned to naval hospitals in Seattle and Bremerton. Washington. This is where he became interested in traffic safety. "1 think traffic accidents have eased in both severity and frequency because of the use of seat belts and other safety devices," Or. Kulowski said. He has authored a book and more than 100 of his articles have been published in scientific journals. o 26 THE BUFFALO PHYSICIAN �Continuing Education Programs Eighteen Continuing Medical Education Programs are scheduled for the next four months. according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs ore: March 26 Blood. Or. D. MacN. Surgenor March 27 Cervical Spondylosis, Dr. George). Alker, Jr. April 8 Clinical Applications of Radioimmunoassay Studies, Dr. Joseph A. Prezio April 8 Ophthalmologic Society Lecture. ''Dyslexia", Dr. Edward W. Hohensee April 10. 11 Anesthesiology. Dr. John I. Lauria April 23 Iatrogenic Disorders of the ;\!ervous System. Dr. Bernard H. Smith April 25-28 Dermatolo~), Dr .. Richard L. Dobson April 28 Infections in Obstetrics-Gynecology, Dr. Vincent ). Capraro April 29 For Family Physicians. Dr. Robert H. Seller Ap1·il 30, May 1 Ophthalmology. Or. Thomas J. Guttuso May 6 EN1 for Family Physicians. Doctors John M. Lor~. Sol Kaufman Mav 7. 8 \.tedical Alumni Spring Clinical Days. Dr. W. Yerby Jones ~1a} 13 For Family Physicians. Dr. Robert H. Seller ~lay 17-21 Immunopatholog~, Dr. Ernst Beutner Ma~ 20. 21 Rehabilitation of the Stroke Patient. Dr. William H. Georgi t\.la) 27 For Family Physicians, Dr. Robert H. Seller June 7-11 Pediatric Refresher Seminar, Dr. Elliot F. Ellis June, 1976 Gyne< ologic Laparoscopy, Dr. Norman Courey SPRING, 1976 27 �__________,__...._ 39th Annual State University at Buffalo May 7 and 8, 1976 Program Embassy Room STATLER HILTON HOTEL FRIDAY MORNING. MAY 7 9:15 Registration 9:45 Welcome: 10:00-12:00 MILFORD C. MALONEY. tv1.D. '53 President. UB Medical Alumn1 Associ at ion "PULMONARY PROBLEMS IN CLINICAL MEDICINE" Moderator: JOHN W. VA!'IICE. M.D. Clinical Associate Professor of ,\1cdicine "Post Traumatic Respirator:. SAMUeL R. POWERS. M.D. Distress-Recognition Professor and Chairman. Deportment of Surgcrr. and Management" Albany ;\-ledical College ''Pulmonary Preoperati\'e Evaluation" ROBERT A. KLOCKE. M.D. '62 Assocwte Professor of Medicine "Newer Pulmonary Diagnostic Techniques" ANDRAS VARI, M.D. Climcol Instructor of Medicine "Home Management of EmphysemaNewer Techniques" JEROME j. MAURIZI. M.D. '52 Clin1col Associate Professor of Medicine 12:00·12:15 Intermission 12:15-12:45 Business Meeting Election of Officers (Business Meeting is open to all alumni) 12:45- 2:00 Luncheon FRIDAY AFTERNOON. MAY 7 2:00- 4:00 "CURRENT DIAGNOSIS AND THERAPY IN HYPERTENSION" Moderator: ROBERTW. SCHULTZ. M.D. '65 Clinical Associate in Medicine "Newer Therapy for Essential Hypertension" 28 WILLIAM J. MROCZAK. M.D. Assistant Professor of Medicine. Georgetown Univers1ty School of Medicine. Director. /Iyperlenswn and Hemodynamic Laboratory. D.C. Gencrnl lfospilal. Washington. D.C. THE BUFFALO PHYSICIAN �Medical Alumni Spring Clinical Days J 1 J "Renovascular Hypertension" DONALD VIDT. M.D. Head, Section of Renal Disease, Cleveland Clinic "New Drugs in Malignant Hypertension" CHARLES M. ELWOOD, M.D. '59 Clinical Professor of Medicine FRIDAY EVENING. MAY 7 6:30P.M. Class of 1926 Reunion Reception and Dinner Plaza Sutte Lakeview Room SATURDAY MORNI0JG. MAY 8 9:15 10:00-12:00 Registration "ECHO DIAGNOSIS If\: MODERN CLINICAL PRACTICE" Moderator: ANTHONY BONNER, M.D. Cardiologist. \1crcy Hospital "Physical Principle of Ultra Sound and Jnstrumentation" ''Obstetrical Problems" "Ultra Sound Techniques in Ophthalmology" 12:00-12:15 ARTHUR E. WEYMAN, M.D. Assistant Professor of Medicine. Indiana University School of Medicine RICHARD W. MUNSCHAUER, M.D. '46 Clinical Associate Professor of Radiology LEON V. LEWIS, M.D. '65 Clinical Instructor in Ophthalmology Intermission Terrace Room SATURDAY AFTERNOON. MAY 8 12:15 UB MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE Guest Speaker: M. STANTON EVANS Cha1rman. Amencan Conservative Union: CBS News Commentator: Synd1coted Columnist. Los Angeles Times; Senior Editor (or Private Practice, Washington, D.C. "GOVERNMENT CAN BE HAZARDOUS TO YOUR HEALTH" SATURDAY EVENING, MAY 8 6:30P.M. SPRING, 1976 Class Reunions: 1931, 1936, 1941,1946, 1951. 1956, 1961. 1966 29 �,-\s techme~on Swostrko ,\lo1omdar and Drs. Pandian, Ghar work on ossa} for 11,onocforroprrrs. Dr Guplo rso/olt·s a receptor Hormone To Regulate Fertility radrorcc~:pror M ucu progress has been reported by Or. Om Bahl on his studies of a hormone to diagnose and regulate fertility. While the professor of biochemistry and director of the division of cell and molecular biology has successfully isolated and analyzed this complex hormone kno ..,·n as human chorionic gonadotropin (hCG) more than two years ago. his recent im estigations have centered on relating structure to function; isolating purifying uncovering its receptor proteins: and laying the groundwork for development of an antifertility \'accine. Working with Or. Bah) on these studies funded b~ National Institutes of Health grants that annually total a quarter million dollars has been a group of ten postdoctoral fello\,\'S (among them Drs. Sylvta Christakos. M. R. Pandian, R. Ghai. R. Bellisario, R. Carlsen, S. Gupta, and L. Marz}. two graduate students, and three technicians. Some have since left Buffalo. In their investigations on relating hormone structure to function, the researchers used several enzymes to sequentially remove the hormone's carbohydrate units. "We wanted to determine what effect these units hnve on biological activities such as immunologic 30 THE BUFFALO PHYSICIAN �properties, binding to receptor siles in testes and ovaries, and stimulation oft he enzyme adenyl cyclase and steroidogenesis," Or. Bah! said. Their findings suggest two receptor sites -one for cnch enzyme. If I heir st uclies prove out, the commonly-held theory- cyclic AMP that is produced by adenyl cyclase is the sole messengerwill ha'l:e been refuted. The pinpointing of the precise role that a carbohydrate plays in glycoprotein may \Vel! be another "first" for Dr. Bahl. In uncovering the mechanism of action for hCG. the researchers observed that the hormone does not enter the cell. Rather. that it interacts with a receptor on the cell surface. thereby sllmulating some other biochemical event to transmtt the message. Studies on isolation of the receptor were then begun by the noted investigator. This was accomplished by the use of bovine corporallutea. The receptor \Vast hen purified by labeling for the first time with radioacti' e substances and its properties ''ere studied. Pmnted out Or. Bah!. "we have been able to incorporate the receptor into non-target cells. This should help us determine how the hormone works." The purified receptor was first inserted into an artificial membrane made from lipids which then were incubated with non-target ceils such as lymphocytes. "ll showed us that a receptor could be incorporated into the lymphocyte," Dr. Bah! explained. But whether adenyl cyclase in the lymphocyte is stimulated by the hormone is yet to be determined. During a limited human trial, one of the hormone's subunits, the beta subunit, was found to produce antibody. By neutralizing the hormone hCG. Dr. Ball feels it should prevent pregnancy. To avoid Immunological cross-reactivity with LH or interference with normal physiological function such as the menstrual cycle, modified forms of beta were obtained. Preliminary experiments with rabbits - using these modified hCG beta subunits - have yielded encouraging results. These modified forms are now being tried in monkeys. to be followed by baboons. and finally in humans. The question of reversibility? It has prompted Dr. Bah! to initiate new studies. "We want to know whether this will be a problem," he replied. The use of modified forms of hCG beta subunit leads to earlier detection of pregnancy. In fact. points out Dr. Bahl. in a little under two weeks. o SPRING. 1976 31 Dr. Buhl chccb radrooctn·c iodrnc incorporated rnlo receptor of gonodol roprn. �"Rich" Elman and ",\like'' Wolf(. An cxuminntion by Mark Kromer. Medi cal St udents Help Inma tes Thirty-six sophomore medical students are helping inmates at the Buffalo City Holding Center. From 5 to 6 a.m. seven days a week, inmates receive medical examinations under a program sponsored by the Buffalo Police Department and the School of Medicine. Now in its third year, the program, initiated by Dr. Ralph Landsberg, clinical assistant Professor of Psychiatry, is now being run by sophomore medical students Richard Elman and Michael Wolff. "Rich" and "Mike" had no difficulty in finding enough volunteers. It is an opportunity for sophomores to put their limited knowledge gained through physical diagnosis to clinical use, they explained. "We want to be able to pinpoint those inmates with problems," pointed out Rich, "the diabetic who is in a coma and in need of insulin, the inmate whose slashes need cleaning up, and the one whose drug overdose is confirmed through pupillary constriction or dilatation." 32 THE BUFFALO PHYS ICIAN �Or students may offer just a few minutes of conversation. some cigarettes. "ll shows that someone is interested, that someone cares," he continued. The examination is usually done in the prisoner's cell or 10 a small room in the jail block in the presence of a guard. But there is student consensus that ··our most important job is to talk. For there is a lot of subjective judgment on our part." Because there is strong support from the chief of detectives, medical students are able to go from cell to cell, waking up inmates to ensur~> that none is in serious medical difficulty. For "Rich", it has been a fascinating experience. He has been able to pinpoint someone 1n a diabetic coma, another in trauma. "In a sense," he explained, "we are doing something that is medically oriented. And even though our knowledge appears to be minimal, we can take what we do know and apply it clinically, perhaps helping someone out." And it has been a real psycho-social experience for the sophomores "to see the jail and meet its mostly Black-Puerto Ric;m male population." he added. For Mike. the opportunity to help someone in need of attention and ensuring that it is being received is well worth waking up at "such an ungodly hour. We wake everyone up at 5 a.m. to make sure no one is comatose,'' he added While students are able to vie\\.' all varieties of humanity, like "Catch-22," there is a certain amount of helplessness in what they are able to do for inmates. "Some may refuse to go to the hospital." he explained, "for it means that they will miss their arraignment that morning and must spend an extra day in jail." But for all 36 sophomore medical students, the commitment is there. Then' is a positive response from the inmate to a cheery mood. "They feel better," was the conclusion. The 36 sophomore volunteers are: Thomas R. Achtyl, Elliot 0. Agin, Robert Anolik, Robert L. Armstrong, Gregory J. Bennett. Christine A. Bezouska, Michael H. Blume, Russell G. Brown, Iris 0. Buchanan, Ellen J. Copoulos. Pedro E. Cordero, Ronclie L. Cummings. Richard S. Elman. Robert A. Farkas. Edmond S. Freis. Franklin G. Gillig. Harvey Gutman, John Haumesser, Steven J. Kaplan, Mark J. Kramer, Susan L. Kraus. Joyce R. Leslie, Franklin Marsh. Jr.. Paul A. Paroski, Clifton L. Peay. Jeffrey C. Pills, Lots A. Polatnic k, Kenneth J. Rich. David I. Rohrdanz, Barry I. Rosenberg, Paul A. Ruteck1, Mario D. Santilli. James R. Sharrieff. Covia L. Stanle~. Charles A. Tracy. Michael L. Wolff. o SPRING. 1976 33 Murh Kromer makes the "rounds" Jn 1ht• ct•/1 block. I One o( Mark'~ most important dulles- to talk to the mmole. �Dr. Po/oclt• unci Do \'HI O'Cunnd/ (sophumun• ml'clwal studt•ntJ Harrington Lecture Ors. Pnlodt· ond \Imam \1t!JSslcr Would he accept? The committee planning for a Harrington Lecture thought not. For the schedule of one whose contributions to subcellular structure function interaction among cell membranes had earned for him a Nobel Pri?:e in 1974 is an imposing one. But accept Dr. George Palade did. For it V\ as a studentsponsored lectureship. As the chairman of cell biology at Yale unfolded what he knew of interactions among cell membranes to an overflow audience, he expressed the hope that students were now convinced of the need to learn how membranes are different. how its components <rrP fitted onto it, as well as the interactions among one another. "Perhaps without knowing it, as you try to treat your patients, you are tr} ing to influence the way in which these membranes interact inside I he cell," he said. In reiterating the differences among membranes, their specialized functions and components, he stressed the need for their remo\al in a nonrandom manner. Pointing to procedures now available to free them of contaminants, he said "we now know and have seen difficulties in obtaining them. For in their nonrandom removal. some proteins are left behind." As to why he feels that medical students should be concerned, he pointed to scientific curiOsity, and an interest in "knowing how things \'\ ork inside yourself." In relating problems in current patholog} to important diseases of our time. he went over their connection with protein modification in the cell membrane. "Sooner or later," he said, "we will need to know which proteins maintain a cell within a community and which allow it to escape." No longer recognizing to \'\hom the} belong, neoplastic cells move, they metastasize. 34 THE BUFFALO PHYSICIAN �Drs . l.t:·onord \ 1--otz fohn .\'ou~hton . PolodC' In his re,·iew of one recent finding- the removal of cholesterol in part by very low-density lipoprotein particles, he pointed to a special receptor in the cell membrane. It is here where he believes that interaction which plays an important role in regulating a cell's cholesterol metabolism occl.).rs. Another convincing proof he offered for the "pathology of tomorrow" is the number of known neural transmiltors. "In mental disease such as Schizophrenia or in Parkinsonism. there are differences in concentration as well as reaction of cell to corresponding transmiltors," he continued. During an open forum with students, he expressed the hope that they would generate enough interest and pressure from administration for good biomedical research. And while there is money available. he questions its distribution and the role of I he budget that "has become more important than that oft he scientist." The medical curriculum? "We need to introduce some kind of clinical correlation during the first year,""' as his response. He feels there are good examples to clarify visible clinical correlations. such as lysosomes to end stage disease. leukocytes and other diseases. "We must pay more attention to the scientific basis of medicine." He feels the curriculum must provide a well-organized set of courses, "one that will provide a basis in which students can build, one good enough to last for 20 to 30 years. be adjusted and improved a's things develop." Summing up. "we need to pay more attention to the scientific basis of medicine," he said. He would encourage a t'omrnilment from administration to support those young people who'" 1sh to enter and produce in the relatively new field of biomedical research. o SPR1 NG. 1976 35 Drs Polode and Guzseppe Andre~; . �Drs. :\nke 1\ . Ehrhardt nnd f-leino f . L. .\1crcr-Bahlburg Ps yc hoen docrinology 0 '\F of only two programs in psychoendocrinology in this country is located in Buffalo. II is the result of a unique clinical/ resear·ch approach over the past five years by a husband-wife team fit The Children's Hospital. The other program is located at Johns Hopkins University in Baltimore and is under Or. John Money. That Drs. Anke A. Ehrhardt and Heino F.L. Meyer-Bahlburg were able to come to Buffalo in 1970 - to collaborate with Endocrine Clinic's Drs. Margaret MacGillivray and Thomas Aceto who is now at the Uni\ersilyof South Dal..ota -they readily admit. was due to support raised here by the local chapter of the Human Growth Foundation. "[I was at I he urging and hard \1\ ork of pare n ts w h ose children had endocrine problems," they said. Support for the program is no\\' also being received from the Erie County Department of Mental Health, the United Way. the Variety Club, and the Buffalo Branch of the International Food Services Executives Associ a Lion. 36 From a staff of three- themselves and a part-time educational counselor -the clinic has grown to a team of 12. There are three Ph.D.'s, a postdoctoral fellow. three counselors. a part-time educalional / \·ocational counselor. two research assistants. and two secretaries. Together, they handle between 2100 to 2500 patient visits annually. Physical disorders of a child may well lead to a \' Ariel)' of behavior problems. Psychological treatment -in close cooperation with pediatric endocrine clinic staff- is the usual team approach for those with c1cute and chronic problems in adjusting to medical conditions. But vvhether it be on a family, group or inclhidual basis, the team continues to follow the patient beyond the acute treatment phase "to ensure there are no new maladjustments \\ h1ch the patient must face." Much of their emphasis in the heavily service-oriented clinic remains on prevention of behavior disorders. In children born with sex organ problems. one such problem is Turner's Syndrome. In this genetic anomah that leads to short stature and streak ovaries, Dr. Ehrhardt points to the psychological effects on an adolescent. "Hormone treatment at the usual age of puberty is required for normal psychological and psychosexual development of the child," she adds. Continuing, the associate professor Morrnn Goodmnn d1scusses vocational pions with adolcs· cent patie nt. T HE BUFFALO P H YSICIAN �Stoff counselors for/ Few man and Peter Leben bourn revww plan for acll\'11}" group of ~horl slot uri! \\ 11h Dr:;. Ehrhordl and \fc} cr-Hahlbur1l. of psychology in the departments of psychiatry and pediatrics (she also heads the department of child psychiatry and behavioral sciences <1l the Hospital). explained the need for the infe,·tilc child to understand there are alternate ways lo become a mother. such as adoption. Even before puberty. explains Dr. Ehrhardt. these ways are stressed during a child's sex educAI ion. "for we want to take care of a behavioral problem in time." In counseling there is always an explanation of •Nhat the medical diagnosis means to both patient and family as well as the various kinds of therapy offered. if necessary. For example. when sitting down with parents. learn members explain long-term consequences to a short-stat ured child who looks younger and is so treated. "It may lead to social retardation. rejection by peers or a child being kept back in school." they point out. BecauS(' responsibilit~· for immalurit;r in the preschool. short-statured child may de\'elop through the rearing style of the parents- they naturally play a major role in socialization of the child - the team may sometimes find it better to assign separate counselors lo patient and parents. For those with any nolicc,Jble growth disorder or dis- SPRING. 1976 figuration. Dr. ~1eyer-Bahlburg notes that role playing is a good way for a child to learn to cope \-\ilh peer leasing. Rehearsal and repetition of typical peer situations. the research associate professor of psychology in the departments of psychiatry and pediatrics points out. is the method through which the counselor "prepares the child for the next time around." Points out Dr. Ehrhardt. activity groups have been developE'd by the team for those children unable to make friends or cope with frustration from peers. "[t is an opportunity for them to learn efficient ways of peer interaction. along wil h some body skills," she says. Through group counseling children learn to deal with typical peer problems in their specific syndromes. "t\.tany make friends for the very rir·st time," she continues. "They can open up and gain insight into their problems." Because some hormones have direct effects on I he central ner\·ous system. counseling is often reqmred for parents and teachers of children \-dth thyroid disorders. For I he medical condition and its treatment may cause social /edut:atiunal problems. For many behavior problems seen in children. bchavim· modification is the therapy 37 cr �Morw Hassett rcvwws patient videotape for roln n·hcarsol With Or. \lc}•cr-Bahlbur~ of choic:e. In the case of a temper-tantrum child. both patient and parent review daily acti\·ity. A morning free of temper problems earns for the young child a "happy face dra ..,·ing" as \\ell as praise and attention. Or. 1\leyer-Bahl burg explains that behavior modification techniques often \\'ork for problems such as bedwelting. hairpulling. insufficient stud~ habits. etc. He notes that therapy sessions 10\'0lving the whole family may also be needed. When there are teenage patients, it may be necessary to "unfreeze'' blocked channels of communication. to establish more mature age-adequate interaction patterns between parents and children. And for adolescents with special medical pr·oblerns, Iest sand intervie"" eva Iuations by a trained counselor help to "gUlde them onto the r-ight educational /vocational track." Acttvc leadership from the local chapter of Human Growth Foundation has led to se\·eral scholarship offers from t\\ o and four year colleges for I hese patients. Because it is obvious to the ps~choen­ doc:rint• team that "we cannot just focus on the indi\ idual but must take into account his or her !'nlire environment, there is emphasis on the need for teachers. nurses. princtpals. others involved tn a child's educational process, to r·ecognize problems in these areas. ThAI their teaching has been successful is alleslt~d lo by Or. Meyer-Bahlburg. "We are 38 no" receiving referrals from these sources." 'ol only is there a clinical program for endocrme and growth-related problems but one for those with problems in gender identity. Under I his gender program, prepuberty boys rna~ undergo behavior modification at home. F'plains Or. Meyer-Bahlburg. "we ask fathers to become more active in dealing -.,ilh their suns through typical boyhood activities, to try to reintegrate the child back into the peer group by increasing peer contact systemalical1~ ."And if necessary. parents may also receive counseling and psychotherapy. Among other gender problems seen in adolescents and young adults is transsexualism. Alternative options are considered, points out Dr. Ehrhardt. There is no quick decision-making however. "We try to gel them to a point where they can make a sound decision as to how best adjust to their gender dilemma." she said. For the minority of transsexuals \\hose only solution seems to lie in sex reassignment. a trial period determines whether the desired gender role is the one real- ly wanted. · Following this trial period, if medical treatment still appears to be the only solution and the patient is 21. the team will work with endocrinologists and surgeons. Under a sex program - the third major service area of the psychoendocrine clinic- is management of such problems as homosexuality in adolescence, sexual "outacting" in middle childhood or excessive masturbation in preschoolers. Management techniques include counseling for parents and patients. se' education. and behavior therap~. Oe\eloped b~ the team for all aspects of I he ps~ choendocrine program have been a number of specialized evaluation /treatment pt·otocols. For I hese there is systematic patient evaluation and re\iew. ln this way the team can see for themselves whether their treatment mel hods are \\ orking. "We are then able to offer specific ad\ice to both school and parents." Dr. Ehrhardt adds. Team research has not only contributed to patient management but to basic issues of psychosexunl differentiation and the relation of hormones to behavior. One good case in point is Or. Ehrh<Jrdt's work on patients with adrcnogenital S} ndrome. For these children whose adt·enals release too much of the hormone andmgen, research points lo excellent THE BUFFALO PHYSICIAN �chances for identification with the sex of rearing despite hormonal genital abnormalities. Following up on previous rohns Hopkins studies tht~t suggested a sex hormone relationship to higher IQ. Dr. Ehrhardt was able to confirm this for a patient sample with the same di.1gnosis at Children's Hospital. But when she former collaborator Susan W. Baker enlarged the project. testtng siblings /parents as well. they could find no difference in intelligence between the group of patients, parents. and siblings. Thus they were able to disprove the notion that high IQ in these patients is simply related to their endocrine Clbnormality. The results of her studies on personality of these children led Dr. Ehrhardt to stress the importance of raising treating girls vvith sex organ and hormone abnormalities as any other normal girls. As important as proper medical therapy and attention. she finds they then feel and behave like other girls and are usually well adjusted. She added that it does not mean that hormones do not affect behavior and temperament. hut rather that these effects are mild in comparison to a child's social and environmental experiences. .mu Postdoctoral Fcllo11 Ehzobt•!h .\1cCouley discusses n·sul!s of ~rudy on gendt!r Jdcn!J!}' 1n \'OUn,ll women wllh Or Ehrhardt. dTeoc:htnR is on tmporton! port of Dr. Ehrhardt's day. SPRING. 1976 39 �D1scu:ss1ng prt•nolal study ore researc h oss1slan1s M1chdfc Snulh and Gudrun Gnsanlt wuh Drs . .\Jc} er·llohlburs.: and Ehrhard!. A hus~· of(1ce Dr. Ehrhardt rev1e1•·s paluml /lie I\ 11h Deborah Gzeka1 as \'eromca lacobs responds ro phon• call 40 Deborah YounS!-Hymon counsuls pnrenr THE BUFFALO PHYSICIAN �Other interdisciplinary studies im·olve endocrinologists. biochemists. and gt~ncticists. In one, the relationship of male sex hormones to aggressive behavior was tested in both normal men and those vdth XYY genotype. But Dr. Meycr-Bahlburg and collaborators ·were unable to support the commonly-held assumption that the more male hormone one produces, the more aggressive one becomes Se\·eral other studies deal with effects of grO\\ 1h hormone deficienc;v and other syndromes of short stature on intelligence and behavior. Currently underway is a review of pregnancy conditions and possible behavioral aftereffects through a stud~ of eight lo 12-year olds. An extension of a National Child Oe\elopment Program. it is supported by a two-year Spencer foundation grant. Vrs. Ehrhardt and MeyerBah/burg received their Ph.D degrees in Psychology in 1969 and 1970 rllspcctive/y from the University of Dusseldorf, German~·· Whdu Dr. MeyerBah/berg \'\'Orked as on ossislonl 1n ps}~chology for four years before coming to Buffalo. Dr. Ehrhurclt trained at Johns Hopkins University for o like period. While there she coauthored c1 book with Dr. john Money. ,\fan and Woman, Boy and G1rl was published in 1972. Both Vrs. Ehrhardt and Mc:y<Jr-Boh/burg ore listed in Amuriccm ,\1en and \Vomen of Science•. Dr. Ehrhardt a/so appecrrs in Who's Who of SPRING. 1976 But leaching remains an integral part of the psychoendocrine program. One postdoctoral fellow is supported by an NIMH training grant. Rotating through are some pediatric/ psychiatric interns. residents, and medical students. And there is input into the human beh,l\ior and human sexuality courses for sophomore medical students by the team as well as education of school nurses, guidance counselors. and parents on psychoendor.rine psychosexual problems. Agree Drs. Ehrhardt and Meyer-Bahlburg. "our clinical/research approach IS not only helping us to prevent emotional problems in our patients bulle rehabilitate those who have them." o American Women and Internal ion a/ Scholars Om!~ t\monf!. their numerous professional mcmber$hrps ore the American Psycho/ogico/ Association. International Sodctr of Psychoncurocnc/ocrinology. International Academy of Sex Research. and tht t\mcncon Psychosomatic Socwty. Hot h hove /eel ured and published extensively in rlwir fiCJld, ore sen·ing as medical ad\·rsors to the Western New York Chapter of the Human Growth Foundation, and have bt!llll on irs notional scientific nch·rsory review bonrd. Dr. Ehrhardt rs o member of one of ~/MH's Study S<lctions. o 41 �Faculty Promotions Se\en faeulty promotions have been announced by Dr. john 1'\aughton, Dean of the School of ~1edicine. Dr. Floyd A . Green has been promoted to professor of medicine. He has been on the U / B faculty smce 1963. He received his ~1.D. degree from the University of Toronto Medical School in 1956. In 1969-70 Dr. Green was a visiting scientist in the di\ 1sion of physiological chemistry. Uni\·ersity of Lund. S·weden. Since 1966 he has been chief of rheumatolog~ sen ice and clinic at the Buffalo VA Hospital. Before joining the Ut B faculty Dr. Green was a research assistant in medicine at I he University of Chicago Clinics (1959-60); a Fellow in rheumatology and immunology at Western Reserve University (J960-61): a Fellow in medicine at Columbia Physicians and Surgeons {1961-62). Hehaswritten24articlesfor professional journals. Dr. Claes E.G. Lundgren has been promoted to professor of physiology. I ie was a visiting associate professor at U/ B in 1975. He was born and educated in S\"\ eden. Following the award of a medical d(•gree in 1959 from the University of Lund School of Medicine. he Parned a Ph.D. in ph~ siology there in 1967. He has been a deputy associate professor nf physiology at the Unive•·sity of Lund since 1967 He has also been a research physician for the S\\edish Board of Aviation and :\ia\ al Mechc:me and the Swedish Medical Research Council. Dr. Lundgren has been a medical c:onsultant in hyperbaric medicine, altitude test chambers. the Swedish Sport Divers Association. the Oceanic Institute in Hawaii. and several others. He has authored one book, written chapters in two others and has had numerous articles published in profession<~! journals. Dr. john A. Edwards has a new appointment as associate professor of pedir1trics. His two other joint appointments ( 1974) are 42 associate professor of medicine and clinical associate professor of pharmacology and therapeutics. He received his 1\l.D. degree from Live•·pool University and has been on the U/ B faculty since 1967. Dr. Edwards interned at the David Lewis Northern llospilal, Liverpool and look his residency at the Li\erpool Ro}al Infirmary and the II\ erpool Stanley Hospital. In 1965-67 he was a '\uffield Research Assistant. Nuffield Unit of 1\fethcal Genetics. Department of Medicine. Liverpool University. He has been associated \\ ith Buffalo Gene•·al Hospital's Medical Genc•tics Unit since joining the lJ , B fdcult y. He has won several awards in England and the United Stales and vvrillen 26 abstracts and 49 sc:ienl•fic papers. Dr. John F. Gaeta has been promoted to associate professor of pathology. He was born and edu(,.Ilcd in Spain. After a medical degree in 1956 from the Medical School of the University of Cronada, he worked there for the next two years as assistant professor of pathology. In 1959 he (.arne to Canada for a •·otating internship at St. Mary's Hospital in Montreal. and a residenc~ the next four ~ears at Dalhousie Universitv in Halifax, '-:o\ a Scotia. Here he taught second year medical students while working in the aulops~· / surgical / pathology and diagnostic clinical laboratory services. In 1964 the surgical pathologist joined the residPncy program in pathology at Roswell Park Memorial Institute. Two years later he joined its staff as senior pathologist and in 1968 was made Clinician II in pathology. a position he has held until joining the U / B medical faculty last August. The 42-year-old pathologist is a Diplomate of the American Board of Pathology, a member of lhe :'-Jew York Medical Board, and the American Board of Clinical Pathology. Dr. Kr1shnaswamy Kalyanaraman has been promoted to associate professor of neurolog~. He joined the U B faculty in 1971. fn 1965-66 he was a resident in neurology at the E.J. :-.teye•· :-.temorial Hospital and was a pari-limP assistant clinical instructor. Dr. Kal\ e:maraman recei\ ed his M.D. in inlerna) med1c1ne from Delhi University, India THE BUFFALO PHYSICIAN �in 1961 and his D.t-.1. degree in neurology in 1971 from Madras \.1edical College. India. He was a Fello ..,· in neurosurgery at the Johns Hopkins :-.tedical School [1966-67) and in 1968-69 he was a postdoctoral Fellow of muscular dystrophv [Associations of America) at the UCLA i\,tedical School. Or. Kalyanaraman '"·as a resident in neurology at the E.j. Meyer Memorial Hospital and a partlime clinical instructor in 1965-66. Since 1972 he has been director of the neuromuscular and the neurology clinic at the Meyer. He has wri I ten 20 scientific articles. I wo abstracts and one chapter for a book. Dr. Basab Kumar Mookerjee has been promoted to associate professor of medicine. He has been on the U B facull} since 1973. He has also been chief of hemodialysis at the VA H ospital. and consultant nephrologist at the E.J. :"\1eyer Memorial Hospital. Dr. ~ lookeqee was born and educeted in Calcutta. India Following the award of a medical degree in 1961 from the Medical College. University of Calcutta. he came to the United States to pursue an internship at the Cambrid~e City Hospital in Cambridge. Massachusetts. and residencies in internal medicine from 1964-66 at Albert Einstein ~ledical Center's northern division in Philadelphia and the University of Pennsylvania's Graduate Hospital. He followed \\ith special training in nephrology at the McGill University Clinic. Roval Victoria Hospital in t>.tontrcal and a two-} ear research fellowship there as a ~1edical Council Fellow in , ephrology and Transplantation. The 38-year-old nephrologist is a Fellow of the Royal College of Physicians of Canada. and a member of Transplantation Society, the Canadtan Sociel y of Immunology. Association of V.A. RPnal Physicians. American Society of Nephrology. and the Reticuloendothelial Society. Dr. john 1 . LaDuca has been promoted to assistant professor of surgery. He was born and educated in Buffalo. After earning a bachelor degree in science in 1962 he "'"·as awarded an ~t.D. degree in 1966 from U/8. Follow1ng an internship in surgery at the E.J. Meyer t-.lrmorial Hospital completed in 1967 he look a residency here for the next five years and "'"as made instructor in surgery at U/B in 1973 and a year later promoted to clinical assistant professor of surgery. o Research Review on Psoriasis flcfr lo raghiJ - Drs Pclt•r Hcbborn. WcSI\\ ood Pharmor.curacal; Ernst Bcur ner, prof r~sor o/ nucrobwlo,Ry and rc~:t•orch profo·ssor of dcrmoto/ojl}': /t•ffr~· Paolo. \\'l'sl wood Phormoccul acol: Todeusz P. Chorzpfsko and ,\1orro forzobck-Chorzclsko. WorSill\. Poland SPRING. 1976 �Health Media Resources Center ' Nuncy Fobrrz1o dwrks :>orne of the mott~rrai Jn tht· f'lrculatwn CJrf~o The audio visual department of the Health Sciences Library is now a Health MedtaResources Center for students and faculty. "We concentrate on self learning. self service. and have 400 programs on file," Nancy Fabrizio said She heads the department that collects non-print material in the baste and clinical sciences. Films. filmstrips, tapes, slides. microfilms. microfiche and the appropriate equipment is available to faculty and students on the second floor of the Stockton Kimball Tower. The material can be used for individual or group instruction and learning. About 1,000 use the services of the department every month. In the study carrels are tape decks, slide projectors, videocassette playback decks, and TV monitors. "If we can't fill a request from our programs on file. we search through catalogs of governmental agencies. professional associations and other medical schools for help. We have their catalogs and when we find the appropriate material we try to borrow it a nd evaluate it before purchase. Tf it fits the person's needs we will buy it, providing money is available. We concentrate on materials related to t he medical school curriculum and work closely with the faculty," Miss Fabrizio said. The Health Sciences Librarian. C. K. Huang, said "this :Vtedia Center adds a new dimension in modernizing library services to support our health sciences education. We are especially grateful to the 1'\attOnal Library of Medtcine for supporting this project." o Cl•fton Pt·ay. :wcond year mvdJca/ st udt·nl: Donald Gumardo, pothulos.:r· phrsJOiogr ~raduoltl student: and Geor~t· Curio. I'IJHlcnuolol(r woduolc studt!nl , riNI(!W sl1dcs 111 tlw ~roup study rvvicwm~ room 44 THE BUFFALO PHYSICIAN �Dr John P ,\iaughton. dean of lllC mPdtcal school. and Or :\/bert G. Relwtc. \f'·W (n!(hl}. rcunwn c hmrmon. dr,cuss the ncl\ Sony~" U- \foliC \'rdt•oco:.scllt• Pla\'cr ond the Som• color T\' mom lor rhc 1940 \led real School class rmsl'd $1,993 5Ciond purchased lhrs cqurpmt•nl for the Jfpn/th \fedra RcsourCt!S Center. Brenda llarns. frrst rear med1col stu· dl'nl, pr<'pan;s for an 1':\0mrnoiJOn by rt'\111!1\ rn~ basic science material. Trrn Wrnsh1p. nw:rob10/og} !lrodunte studt~nt, tt•I'H•ws o /t•I'IUrt• S PRI NG. 1976 45 �Faculty Appointments Ten new Medical School faculty appointments have been announced by Dr. John t\aughton. Dean of the School of Medicine. They arc: Dr. jan R. Br·entjens, associate professor of pathology. returns to U / B from The Netherlands where he was born and educated. At the Unh ersity of N)'megen School of Medicine he earned a Doctoral degree rn 1961 and was awarded a medical degree three years later from the University of Leyden School of Medicine. In 1964 he ,,\·orked at the Central Laboratory of the Red Cross in Amsterdam as a research f€'llow and o"er the next three years complete<.! his thesis. On completing specialty training in internal medicine (1967 to L972) at University of Groningen's department of medicine. Or. Brentjen joined its faculty. Armed with a fellowship from the American National K1dney Foundation, he came to U/ B to spend two years ( 1972-74} in its departments of microbiology and pathology. The immunopathologist returned to Buffalo in early 1976 and is studying organs such as the kidney and lung and is working in the renal research laboratory headed by Or. C uiseppe Andres at The Buffalo General I los pita!. Dr. Rainer G. Galaske. research assistant professor of medicine. was born and educated in Germany. After earning an M.D. degree in 1971 from Heiclelberg University he was awarded a doctorate in physiology a year l.Iter. and for the next two years pursue<.! postgraduate studies in Heidelberg. Dr. Galaske serveJ on the physiology staff at the University of Heidelberg and the neurology division of the Medical School of Hannover before joining U Blast November. He •.vas a first lieutenant with CBR-Defense of the German Bundeswehr from 1963-65. The 31-year-old physician /investigator is interested in experimental kidney disease. particularly protein changes, and is well trained in micropuncture techniques. His doctoral disserte~tion Countercurrent Sr.stem in Renal Corl()x of Hots. 46 His appointment is part of an exchange program that has long been underway between the Buffalo group studying transport processes across biological membranes under Or. john Bo~ Ian and those in Germany [Hannover. Munich, Goetlingen. Berlin and lnnsbruck). Or. David F. Hayes. assistant professor of radiology. joined the ll B faculty in September. After earning a B.A. in biology at U B. he entered its medical school and in 1969 was awarded a medical degree. An internship in straight medicine in Buffalo was followed by a residency at the University of Pennsylvania (Philadelphia) from 1970-1975 This was interrupted by a year with the U.S. Army at Fort Lee. Virginia. At l' B he was the recipient of an Avalon S c h o I a r s h i p a n d \'\ as i n d u c t e d i n t o membership of the Gibson Anatomical Socrety. Dr. Hayes is 32 years old. Dr. Diane M. Jacobs, associate professor of microbiology. was born in Port-of-Spain, Trinidad. The cum laude undergraduate at Radcliffe College was a Teaching Fellow in Harvard's Medical School department of biology She "as a teaching assisttlnt in its department of bacteriology and immunology, and a Predoctoral Fellow with the Public Health Service before earning a Ph.D. degree in 1966 in bacteriology and immunology from Han ard. She then JOined the Hadassah Medical Center in Jerusalem. Israel. department of medical ecology as a Research Fellow for a year. working in its department or immunology lrom 1968-71. During a sabbatical lea\·e over th(• next three ~ears she was at the University of California (San Diego) department of biolo~n as a Fello\\ of the Cancer Research Institute. In 19730r facobsjoinedtheUniversilyof California-San Diego's department of biology as a lecturer for a year. was resenrch associate THE BUFFALO PHYSIClAl �at the Salk Institute for Biological Studies in LaJolla, California. ln 1969 she was named recipient of an award from the Batsheva de Rothschild Fund for advancement of science in Israel. The 35vear-old cellular and tumor immunologist IS a member of the Amencan Association for the Advancement of Science, the American Association of Immunologists. the Israel Immunological Society. the New York Academy of Sciences, the Reticuloendothelial Society. and Sigma Xi. Among her researc·h interests are the nonspecific stimulation of tumor resistance, nonspecific triggering of lymphoid cells. and Tcell heterogeneity. With a three-year grant from National Cancer Institute. Dr. Jacobs is nO\\' studying mode of action of a stimulator of tumor resistance. She joined the U B faculty in 1976. Dr. Byung H. Park. associate professor of prdialrics. comes to Buffalo from the University of California at Los Angeles Medical School where he has been working in allerg~ and immunology since 1973. The Korean-born and educated clinical immunologist received an M.D. degree from the College of Medicine. Seoul National University in Korea (1963) and four years later earned a Master of Medical Sciences degree in pathology there. An internship at Seoul National Uoiversi1~ Hospital and Kings County Hospital Center in Brooklyn was followed b~ a residency at SUr\Y Downstate Medical Center, postgraduate training tn immunolog} under Dr. Robert A. Good at the University of t-.1innesota from 1969-71 and three years with the Minnesota pediatrics and pathology staff. The Diplomate of the American Board of Pediatrics and the American Board of Allergy and Immunology has published extensively in the study and treatment of children with defecti\e immune systems. He is noted for his diagnostic. aids (Nitro Blue and Trazolum) to detect bacterial infections and. with Dr. Good in 1973 published a text. Principles of Modern lmmunobiology. In opening an immunobiolog~ laboratory at Children's, he will bring togelher_all of the expertise in the area into one center where SPRING, 1976 diagnostic procedures to detect immunologic problems will be available. His current interest, pathogenic mechanism of alveolar proteinosis, a rare disease. is backed by NIH funds as is his work on transplantation of the endocrine gland and pancreatic islets in the diabetic animal and hopefully in treatment of diabetes in man in the future. 11 is an offshoot of his long interest in transplantation immunology (bone marrow). A new endocrinologist comes to Buffalo from SUNY !Upstate Medtcal Center where she \'vas acting chairman of pediatrics over the past five years. She is Dr. Mary L. Voorhess, professor of pediatrics. A registered nurse. she pursued nursing education for a year ( 1948) at Columbia Teachers' College. then went on to earn a B.A. in zoology from University of Texas. In 1956 she earned the M.D. degree with honors from Baylor College of Medicine (Houston). Following an internship and residency at the Albany Medical Center. over the next four years. as a research fellO\'\?, she worked in pediatric endocrinology / genetics at SUI'\Y Upstate from 1959-61. when she joined 1ls facult}. Dr. Voorhess is a Diplomate of the Amencan Board of Pediatrics, a Fellow of the American Academy of Pediatrics and is listed in Who's Who of American Women. American Men and Women of Scicncl', Who's Who in the EasL and The World Who's Who of Women. In 1961 she\'\ as awarded a research career development award from the National Cancer Institute to cover studies over the next ten years on catecholamine metabolism in children and headed a research laboratory in this area in Syracuse. Most of her original work has been in the biochemistry of neuroblastoma. a common solid tumor seen in infancy and in children. She is now at work on diabetes mellitus and problems related to grO\\' th. In trying to better understand the control mechanism of carbohydrate metabolism in adolescents\\ ith diabetes. she is collaborating with Dr. Margaret MacGillivra}. While the latter studies peptide hormones, Dr. Voorhees will measure catecholamine metabolism. She has published extensively in her field. d- 47 �(faculty appointments continued) Or ~1arek B. Zaleski. associate professor of mtcrob10logy. returns to Buffalo from Michigan Stale University where he has been associate professor in the department of anatomy since 1972. In 1960 he recei\ed the l\1.0. degree from the University of Warsaw School of Medicine, and three years later earned a Doctor of Medicinae (equivalent to a Ph.D.) there. On its faculty from 1966-1969 except for a ~ear (1966-67) \>\hen he was Brilish Council Scholar at Queen Victoria Hospital in East Grinstead. England, he also spent three years as research assistant professor of microbiology at lJ B. from 1969-72. The Polish born and educated physician linvestigator has published ext~n­ si-.ely in pathogenesis of GVH reaction. effect of GVH and HVG reactions on immune response, a method for detecting antibodyproducing cells using nucleated cells as target. and genetic control of immune response to AKR antigen. He is at work on bone tissue (experimental osteogenesis induced by grafting transitional epithelium) and tissue transplantation (morphological and functional aspects of lymphatic tissue in immune response and its genetic control). Dr. Milo B. Sampson, assistant professor of gynecology-obstetrics, is 35 years old. After recei\ing a Master's in physics in 1965 from Northwestern University, he earned an M.D. degree from Indiana University in 1971. He interned in medicine and completed a residency in obstetrics and gynecology at Indiana University Medical Center before coming to Buffalo in 1975 as a Fellow in Maternal and Fetal Medicine. While a medical student. he held a Fellowship at Krannert Institute of Cardiology (1968) and he was a leaching assistant at \iort hwestern from 1964-65. His interests cover assessment of beat-tobeat variability in prenatal period via Ultrasound, correlating electronic intrapartum events with neonatal disease, and biochemical assessment of fetal disease in utero. 48 Or. Frederick Sachs, assistant professor of pharmacolog\ and therapeutics, comes to Buffalo from the :"\al10nal Institutes of Health where he was staff fellO\\ in the laboratory of biophysics. ;\lational Institute of ~eurological Diseases and Stroke since 1971. After earning a Ph.D. degree from SU Y Upstate (Syracuse) in 1969, he worked in the biochemistry biophysics departments at the Unhersity of Hawaii (Honolulu), and taught at Chaminade College in Honolulu. The 35-year-old pharmacologist is interested in membrane biophysics and is well trained in instrumentation development. Dr. Barr~ S. Willer, assistant professor of psycholog) in the department of psychiatry, comes to Buffalo from the Lakeshore Psychiatric Hospital in Toronto. Here he has worked on the development and evaluation of an experimental inpatient program for a 100-bed psychiatric unit which featured a computer-assisted record system. an interdisciplinary team approach, and coordination. followup. assessment of community adjustment. He received both M.A. and Ph.D. degrees from York University in Toronto in 1972 and 1975, and has worked with emotionally disturbed children, mildly and severely mentally retarded adults, with an inner cily school for Toronto metro school board, and as a teaching assistant in behavior modification at York University. He has also worked on a local news column on topics of interest to the general public as well as on preparmg a news column for Onlono Psychologist. a paper for the OPA, on results of psychological research underway in Ontario. o THE BUFFALO PHYSICIAN �Yearbook Editors Two fourth-year medical students. Louise Isenberg and Dennis P~ szcz~ nski, are'' orkmg 25-40 hours a week as editor and managing editor. respecthely of the 1976 1\tedical School yearbook. "We are trying some inno\'ations this year," the editors said. "We are featuring all four classes rather than just the seniors as in the past. We will be using a 1898 theme. the year the first yearbook, 'Iris.' was published." "Iris" ts the name of the 1976 \ earbook. In the past it has been combined with the School of Dentistr~ and called "Medentian." Each school is putting out its o"' n yearbook for the first time since the 1930s. Both Louise and Denms became interested in editing I he yearbook afler ''" o years of editing the Medical School student director~. Three classmates. AI Benson. Serafin Anderson. Grant Golden-plus Dennis' bride-to-be. Jane Bailey. secretary at Children's Hospttalha\·e all made major contributions to the book. tvlrs. l\lary Shaptro. secretar~ in I he student and curricular affairs office of the Medical School. is the "brain center·· for "Iris." Louise is a registered medical technologist and has \\Orked at the \1illard Fillmore Hospital on weekends the last two years. After graduating 10 May she hopes to intern at Northwestern Uni\'ersity Hospital. Chicago. in ob gyn. Dennis "ants an internal medicine internship at the Millaru Fillmore Hospital. He has\\ orked at this hospital for three and onehalf years. He has not worked there since 1974. Louise was among the lop anatomy students at ll B during her first year. She has also been elected to the Alpha Eta. health related professions honorary society. Both Louise and Dennis are members of Phi Lambda Kappa, soctal fraternity. and the Amel'ican Medical Student Association. Dennis received a fellO\\.Ship through the Ut B Foundation and worked in the pharmacogenetics department at the Millard Fillmore Hospital during the 1974 summer. o SPRING, 1976 l..outsc Isen be rg, Denru~ P} szc;r.yns kt Tennis Tournament Sixty-three medical students and faculty parhc1pated in the first annual round-robin Medical School tennis tournament in the fall. The fun da\ on the courts \\as followed bv a picnic. Ric.hard Sternberg, a second :'r ~ar medical student. organized the tourne~. The six high student scorers were- Richard Newman. Michael Mahler. :-...1ary Gage, Raymond Noel. Matthew O'Brien and Da' id ~1}ers. The top faculty scorers were - Drs. Morris Retchlin, professor of medicine and research professor of biochemistry: Donald Rennie, professor and chairman of ph) siology: Ale'Cander Brownie, professor of biochemistr) and research associate professor of pathology; Mark Frampton. clinical assistant mstructor in medicine: and Rudy Williams, assistant dean. o 49 �The Classes of the 1920's Dr. Milton A. Palmer. M'27, has been elected loa 19th term as president of the Buffalo Eye Bank and Research Society. He is the 1975-76 first 'ic.e president of the Eye Bank Association of America. The Buffalo ophthalmologist \~as appointed national surgeon of the Nat10nal Legion of Honor (A.A.O.N. M.S.). guests. Dr. Leone received citations from the Govrrnor of Pennsyh ania, Mayor of Erie, Congressmen. Stale Senate a nd ! louse of Representatives. o The Classes of the 1930's Dr. Samuel Sanes. M'30, professor of al the Medical School. received the Medical Society of County of Erie's first past presidents' association award (he was president in 1952) for his record as a teacher of medical students for 40 years and excellent leadership a tt ainments in community and voluntary health associations. o patholog~-Enwntus Dr. Charles R. Leone, M'29, Erie, Pennsylvania genci·al surgeon, was honored in October by receiving the fourth annual Community Achievement Award from the Boys Clubs of Greater Erie before 450 indted A Gift from the 1955 Class Th1s nc•w I l1~h Sp.,c·d Tope Duplrcalor ~' os purchased I\ 11h rlw $3,987.00 ra1~•·d br !he 1955 reunron doss D1~cuss1nJ.: !he new cqu1pmenl (friJm Ihe It:( I/ 1s Dr. I' homos Burford. dm·clor of Ihe fiPollh Scienc('S £due o11onol Gom· munltOIHins C:c•n!N. Mr. Fiord Moll bit', ICc hruc1on, 0Pan ]ohn '\:ou~hlcm unci Dr. John A. W1n1er. M'55. rpunwn churrman. Th1s clrrplwolor 1s ust•d hy sludcnls ICJ n·procluc;e raped lcrlrrrcs. 50 THE BUFFALO PHYSICIAN �Or. Walter ~tut·phy. ~f30. clinical professor of radiolu~n at the Mt•diral School. received the :-.=attonrll Bronze Award of the American Canter So( it•ly for long ser\'ice to the :'\ew York State Oi\ ision. Or. Murphy is the former prcs1dent of the \wew York State Division and of the Erie Count~ Unit. o Dr. Joseph 0. Godfre~. \1'31, was honored by the Buffalo Athletic; Club at its annual spol'ls night. The Buffalo Bills team physician won I he Broken Bone Award. Or. Godfrey is a clinical professor of orthopedic surgery at the Medical School. o Or. Victor B. Lampka, M'35. was honored for hts 25 \Cars of service bv the Erie County Health Department. o · . The Classes of the 1940's Or. Marshall Clinton, M'40. clinical associate professor of medicine and clinical assistant professor of pharmacology and therapeutics Htthe Medical School. is the new dean of the Srtl um Club of Buffalo. o Dr. Michael J. Menza. M'41. received a citation for his work helping veterans at Veterans Hospital. Buffalo. The National Commander's Bronze C1tat10n was presented to Dr. Menza by Greater Buffalo Chapter 1. Disabled American Veterans. and represents the first Lime a Disabled American Veter<1ns Chapter has honored a Veterans Administration physician. Or. ~lenza, assistant chief of outpatient sen·ice, has been assoc:iated with the hospital since 1946 and has spent most of his career sen ing \'eterans. o Dr. Ru hard Ament. M'42. is president-elect of the American Soc1ety of Anesthesiologists. The clinical professor of anesthesiology at L' B ~ledical School will take office of the 13.500member organization next year. Or. Ament is a former president of the New York State Anesthesiologists Society and a past chairman of the nMslhesia section of the stale medical society. o SPRING. 1976 Dr. Edmund \1. Collins, ~1'44. of Champaign. Illinois has been elected president of the American Society of Maxillofacial Surgeons during its October 19-24 convention held in Toronto, Canada. Dr. Collins, a past president of the Champaign Count\ Medical Association. is head of maxdlofaci~l surgery at Christll! Clinic in Champaign. He succeeds Or. Mel\ 1n Sptra of Houston as ASMS president. Born in Nev\' York, Or. Collins has a D.D.S. from Columbia University. He not only is active in professional societies, but was president of the Champaign Chamber of Commcrc:c, 196£>-68. and on Ihe Governor's Commission on Urban Area Planning 1970- 72. H e is president of the American Group Practice Association and has been deeply involved in an o n goin~ project for the establishment of accreditation protocol for ambulatory health care facilities. o Or. Ht•rberl E. joyce. M'45, has been named to the recently-formed Stale Board of Professional :\tedical Conduct. Or. Joyce is a clinical assistant professor of family medicine at the ~tedical Sthool. o The Class es of the 1950's Or. ~tilton Robinson. M'51. has been appointed c:onsulling psychiatrist to DeVeaux School, Niagara Fnlls. He will augment the services of I he school's medical team. Dr. Robinson did his psychiatnc residency at the Buffalo Ps~ chiatrit Center and was on the staff there through 1957. He has been in private practice of psychi<ltry in i\iiagara Falls since 1959. o Or. Jerome Maurizi, M'52. chief of the Dear.oness Hospital (Buffalo) Oi\•ision of Pulmonary ~ledicine. has been appomted to the Board of Governors of the American College of Chest Physicians and the Executive Committee of the National Board of Respiratory Therapy. o Or. Eugent• B. Whitney. M'55, internist, lives at 41 Shadow l lill Road. Lafayette. California. His professional memberships include, Alomeda-Conlril Costa County Medical Assotintion: CMA. AMA: East Bay Society of Internal Mcdic:inc. CSJM: ASIM ..o . 51 Dr. Collins �Dr. Oliver P. Jones. M'56. participated in the American Soc1ety of Hematology meeting in Dallas in December. He also \'isited wilh Dr. Joseph M. Hill. ~1'28. at the Wadley Institute of ~tolecular Medicine. o Dr. Warren Levinson. ~1'57. is an associate professor of microbiology. Uni\'ersit y of C.1lifurnia at San Francisco. Or. Levinson\\ ciS a Fulbright Scholar in India 1973-74. He lives at 215 Molino, Mill Valley, California. o Dr. Harold Brody. M'61, professor and chairman of the department of anatomical sciences, participated in Con\'ocation of Scholars discussion on biological aspects of aging at the dedication of the Leonard Oa\·is School of Gerontology at the University of Southern California, Los Angeles. o Or. Carl \\. Ehmann, ~1'62, 23 Merrit Drive. \'irgini,t, ~linnesola, has been named a Fellow of l ht> American College of Physicians. o Dr. Antonino Catanzaro, M'65. is assistant profpssor of medicine at University of California at S,tn Diego. His research inr.ludes cell medi.tted Immunity in pulmonary diseuse, also transfer fac:lor in treatment of eoc!:idinidomycosis. Community \\ ork includes TB control and public education. Or. Catanzaro. his wife. ~taggie. and their four children have been living tn San Diego for o\·er four years. Their address ts 5348 Mtddleton Road.o r>r. Sharkrn I>r. .\farshal/ Dr. Samuel Shat kin. M'58. is president-elect of the American Society of Maxillofacial Surgeons. The clinical associate professor of surgery "''as elected to this office at the combined .111nual meeting of the American Society of Plastic «Inc! Reconstructive Surgeons and the American Soc1ely of Maxillofacial Surgeons in Toronto n•cently. Dr. Shatkin is cur1·ently president of the Society of Plastic Surgeons of Upstatt! Ne\'\ York and immediate past chairman of the Ne'A York State Medical Society. Sec:tion on Plastic, Reconstructive anti t\laxillofac~ttl Surgery. o Or. Morton Heafilz, ~1'59, cardiolhoracic surgeon, has been re-elected trustee of the Har\ ard Medical Library. and Boston \ledical Library. He lives at 94 Larchmont Road. t\1Pirose. Massachusetts. o The Classes of the 1960's Dr. Ronald Kallen. M'60, pediatric: nephrologist, just moved from the University of Chicago. He is in pri\iale practice at Cleveland Clinic, Cleveland, Oh10. o 52 Dr. t\lyron H. ~1arshal1. M'65. Buffalo psyc:hi,ltrist. is one of the editors of the recently published fourth edition of :\ Psychwtric Glossary. II is published by the American Psychiatric Association in paperback and in the first five months of sale. sold in excess of 100,000 copies. It is published in hard c:over by Bosic Books. This is the fourth edition of this book"' hich has been useful to approximately 800,000 persons in the mental he::~lth field since the first edition appeared in 1957. Or. Marshall onu eight of his associates compiled the four hundred (400) ne ..'\ terms which \Hre adued to the fourth edition and re-did the remainder of this classic book from 1957. o Or. Michael l. Weintraub. ~1"66. assistant professor of neurolog~· at ~ew York ~ledical College. and Chief of pedialnc neurology ,11 Wcstc:hester County Medical Center. \'\ill appear in the 39th edition of .\1orquis Who's \\'ho 1n America. In 1971. Dr. Weintraub was named as one of the "Outstanding Young ~ten of America" in the category of medicine by thP United Stales Junior Chamber of Commerce. He is a Fellow of the American College of Physid<ms c~nd a Fellow of the Americtln College of Angiology. He has had O\ er 35 medical papers in leading journals. Or. Weintraub lives at 15 Quaker Lane, Chappaqua. New York. o THE BUFFALO PHYSICIAN �Dr. Barry S Schultz. M'68. is in the pri\·ate practice of urology tn West Reading. Pennsylvania. He lives at 2114 Buckman Avenue. Wyomissing, Penns~lvania. o Dr. Paul M. Goldfarb. M'67. has been in the surgtcal fellowship program at Memorial Hospital for Cancer and Allied Diseases, Bronx, Ne\\ York since 1975. after a residency at Albert Einstein College of ~tedicine. He presented pApers at the James Ewing Society in 1973-74. He lives at 2425 Kingsland A\'enue. Bronx. o The Classes of the 1970's Dr. Dale A. Van Slooten. M'71. wmplett!d a residency in general surgery at Monmouth Medical Center. Long Branch. New jersey. He is now in private practice in Lewisburg. Tennessee and lives at 951 Gc~llowav Street in that city. o . Or. Stuart R. Toledano. M'72. is a Captain. USAF Medical Corps. Keesler AFB. Mississippi. He IS also an assoctate eli nica1 professor of pediatric hematology-oncology at Tulane University School of Medicine. His home address is 2870 \\'est Beach, Api. 151. Biloxi. t-.1ississippi. o People PEO PLE Or. Michael D. Garrick received a $34,185 grant from the National Foundation-March of Dimes-for research in sickle cell anem1a thalassemia. Dr. Garrick is an associate professor of biochemistry and research assistant professor of pediatrics. o Dr. Richard Munschauer, M'46. is the new president of the Children's Hospital Medical <md Dental Staff. He is a clinical associ.tle professor of radiolog~. Dr. Charles L. Boyers. chairman and professor of pedodontics at the UJB Dental School. is president-elect. Elected to serve on the hospital's medical board were: vice-president Dr. Bernard Eisenberg. clinical associate professor of pediut rics and social and preventive medic me; secretary-treasurer Or. Theodore I Putman. climcal assistant professor of pedi.ltrics: Or. Marga ret II. MacGillivray. associate professor of pediatrics: D•·. Peter Vlad, M'58. professor of pediatrics: Dr. Daniel H. Weiner. clinical associate professor of pediatrtcs: and Or. Roland Anthone. M'50. immediate past president. o Or. Gerald P. Murphy. director of Roswell Park 'vlemonal Institute and research professor of urology at the Medical School. has been named executive director of the State Health Research Council which will control how a variety of health research grants a\ailable from slate and federal sources are allocated. Also appointed to the 24-member council b} Go\ernor Carey were Or. Pasquale A. Greco. t'vf4l. clinical asststant professor of urology. and Dr. Cedric M. Smtih, professor of pharmacolog~ and therapeutics. and director. Research Institute on Alcoholism. o Ot'. Clara M. Ambrus. research associate professor of medicin!'. and Or. Julian L. Ambrus. research professor of medicine. have been named Fellows of the American College of Physicians. o Or. Joseph B. Neiman has been appointed Director of Health Services for the Erte County Health Department He IS a Un!\ersil~ of Tennrssee Medical School Graduate ( 1972). o SPRING. 1976 53 Dr. MunschouPr �PEOPLE Or S. Mouchl} Small, professor and chairman of the department of psychiatry, was among 16 directors elected to the American Board of Psychtatry and Neurology. He has also been named chairman of the Scientific Advisory Committee of the Muscular Dystrophy Association. o lJr. Rlum Or. Robert Blum, M'42, clinical associate professor of medicine, is the new president of the Buffalo General Hospital Medical Staff. He succeeds Or. James Phillips, M'47. Other officers are-Or. James P. Nolan. professor of medicine. president-elect; Dr. George A. Cohn, eli nical professor of neurosurgery, vice president: Or. James R. Kanski. M'60, clinical assi Stant professor of medicine. secretarytreasurer. o Or. James H. Cosgriff, Jr.. assistant clinical professor of surgery. is the author of The Proc:l ice of Emergency .\:ursing, a 400 page book with 115 illustrations. Published by the J.B. Lippincott Compan~, the book offers authoritative guidelines for patient assessment and nursing management in emergency departments. o Or. T.M. Chu, clinical assistant professor of biochemistry, authored a paper on the "Current Status of Carcinoembryonic Anllgen Assay" I hat has been published in Semmors in Nuclear Med1cine. Or. Chu is also an associate chtef cancer research scientist at Roswell Park Memorial Instil ule. o Dr. I larry Fritz. Dean of the School of llcalth Education and Director of Interr.ullegiate Athlellcs. is the new Executive SPcretary of the '\ational A!:sociation of Intercollegiate t\thlet1cs (. AlA). He assumes his nC\\ position Aprill in Kansas Cit~. Dr. Fritz joined thE• U/B facull:\ in 1970. o D1. D. :"\1ctcN. Surgenor is the new direclo1 of admissions. The professor of biochemistry has been on the faculty since 1960. He was Dean of the Medical School from 1962 to 1968. and Provost of the Faculty of Health Sc•ences from 1967 to 1971. o 54 Or. Fred Snell, professor of biophysical SCiences, received a 860.000 grant from the National Science Foundation to support research on global energy balances. o Dr. J. Warren Perry. professor and dean of the School of Health Related Professions, was presented with an honorary membership in the American Dietetic Association at its 58th annual meeting in San Antonio, Texas. o Or. William E. Mosher. clinical professor of social and preventive medicine, was c1ted for his contributions to public health at the County Health Department's fourth annual ,1wards dinner. He received the department's Dana 8. Hellings Award named in memory of the l.m yer who served as the first president of I he County Board of Health. Dr. Mosher retired as Enc County Health Commissioner in july. The new president of the Medical School Faculty Council is Dr. Alexander C. Brownie, professor of biochemistry and research associate professor of pathology. Other officers are-Or. Robert Kohn, clinical associate professor of medicine, president-elect; Dr. Vincent Capraro. M'45. professor of gynecology/obstetrics. secretary; and Or. Edward Rayhill, M'54, clinical instructor in family medicine, parliamentaria n. The immediate past president is Dr. Ross Markello, M'57, professor and chairman of the department of anesthesiology. o Or. Henry P. Staub. associate professor of pediatrics, has been elected chairman of Chapter I, r\ew York State. the American Academy of Pediatrics. o Two biochemistry faculty members were honored by the Western ~e\v York Chapter. t\mericttn Association of Clinical Chemists. Dr. Max Chilcote received the Bausch and Lomb Award for his performance in education. Ht• is a clinical professor of biochemistry and heads the Erie County Laboratory. Or. Desider A. Pragay, clinicCJI associate professor of biochemistry. recei\.ed an award for his contributions to education and community service in I he field uf c:linical chemistry. o THE BUFFALO PHYSICIAN �In Memoriam Dr. Edgar C. Beck. an internal medicine specialist who served the School of Medicine since 1921. died '\1o\'ember 8 m Buffalo at age 80. Born in Buffalo. he graduated from U/ B Vledical School in 1919, sened as an assistant in medicine from 1921-22. and the following year became an instructor in pharmacology and medicine. In 1926 Dr Beck was named an associate in medicine, an asststant professor of medic10e and therapeutics in 1943. followed by an appointment to associate clinicaJ professor of medicine in 1949. An active supporter or the University and the medical community, he became the eighth recipient of the Samuel P. Capen Alumni Award for "notable and mentorious service to the University." He '-'as also among the leaders who established the Annual Participating Fund for Medtc.al Education and led in fund-raising efforts for Samuel P. Capen Hall (now Farber Hall), home of the Schools of Medicine and Dentistry. A practicing physician with offtces at 50 High Street. he pioneered in the establishment of diabetic detection facilities and 10 the care of diabetics. Although resigning from prh ate practice in 1971 he remained an ac.tive supporter of the University. sening as chairman of the executi\ e committee for the Annual Participating Fund for Medical Educatwn. Dr. Beck was a Diplomate of the American Board of Internal Medicine. a Fellow of the American College of Physicians and a member of county, state, and national medical societies. o Dr. Marvin S. Harris, M'28, an internist living in Los Angeles. died on April6 at age 69 of Alzheimer disease. o Dr. Carl F. Siekmann. M'28, died l\iovember 23. The retired Kenmore dermatologist was 79. He retired in 1965 after 37 years of active practice. He had been chief of dermatology at The Buffalo General Hospital and had been on the medical staff of Children's llospital. In the 1940's he conducteu clinics at Children's and Roswell Park Memorial Institute. He was acll\e in se\eral professional associations. o SPRING. 1976 Dr. Carlton E. Wertz. M'15. died December 17 in the \'aile~ Baptist Hospital in Hartington, Texas after a brief illness. The 82vear-old retired surgeon-in-chief at Deaconess Hospital and a Buffalo general practitioner and surgeon for 48 years mo\'ed to his Texas ranch after retiring in 1973. Dr. Wertz served as vice president of the AMAin 1964. He was a former president of the Ene Count\ Medical Society, the Medical Society of the State of New York and the Buffalo Academy of \1edtcine. He was one of the organizers of Blue Shield of Western New York in 1940 and was its second president from 1942 to 1955. Dr. Wertz ..,,·as a past president of the t\iational Conference of Blue Shield Medical Care Plans and in 1966 received the Blue Shield Distinguished Service A'"'ard from '\ational Blue Shield. In 1957 he was named an outstanding cihzen by The Buffalo Evening 1\ews as the ··architect of Blue Shield's servicetype contract. which his efforts have finally made a realit}." Dr. Wertz was '11\.idely respected in local, state and national medical circles. He was an adviser on physicians in medicare to HEW and had been chairman of the Executive Committee of the New York State Citizens Health Council. He had also been on the Technical Advisory Comm1ttee to the l\at10nal Commission on Financing of Hospital Care. At the time of his death Or. Wertz was serving as chief of staff ol Ra~ mond\'ille Memorial Hospital in Texas. o Joseph L. Rc~nolds, director of Communications in the Learning Incorporated, a medical information telephone network, died January 8 following a brief illness. In 1968 he r.c~me to Buffalo and started \\orking for the Regional Medical Program as direc:tor of the Tl'lephonc Lecture '\letwork. a continuing education program for medical personnel. He Hlso originated the "dial-a-tape" health program. later adopted by Roswell Park :-..temorial lnslilute ..ts its "t:an-dtal" cancer information program . o 55 �THREE ALUMNI TO URS - 1976 Monte Carlo April 11-19, 1976 $498.95 all inclusive Rochester Departure -Includes air fare. hotel (new Loew's Monte Carlo), taxes and gratuities (optional dine-around $45). Switzerland July 12-20, 1976 Niagara Falls Departure -Option 1-$499 + 10% tax includes air fare, accommodations in Zweisimmen, 2 meals per day. all transfers. -Option 11-$599 + 10% includes all features in Option 1 plus free use of rental car (unlimited mileage). -Option III-$699 + 10 b includes air fare, accommodations, 2 meals per day, guided bus lour through Switzerland. Liechtenstein, Austria and Italy. Paris/Rome/ Florence July 31-August 15, 1976 $649 + 15% Niagara FalJs and New York City Departures -Includes air fare, accommodations seven nights in Paris, four nights in Rome, three nights in Florence, continental breakfast daily, transfers and gratuities. For details write or call Alumni Office SUNY AB, 123 Jewell Parkway, Buffalo, New York 14214; telephone (716) 831-4121. The General Alumni Board -GEORGE VOSKERCH IAN, President: OR. GIRARD A. GUGINO, D.D.S. '61, President-elect; RICHARD A. RICH. B.S. '61, V1cc President for Activitws; DR. ANN L. EGAN. Ph.D. '71. Vice President for Administration: SUSAN 0. CARREL. B.A. '71, Vice Prcs1dcnt fur Alumnae: WILLIE R. EVANS, Ed. B. '60, Vice President for Athletics; OR. CHARLES S. TIRONE. M.D. '63, Vice President for Development and .'vfcmbership; PHYLLIS KELLY. B.A. '42. V1ce Pres1dcnt fur Public R<•lations: OR. FRAi'\K L. GRAZIANO, D.D.S. '65, VJCe Pres1dent (or Educarwnal Prugroms: ERNEST KIEFER. B.S. '55, Treasurer; Post Presidents JAMES J. O'BRIE£\:. MORLEY C. TOWNSEI\0, OR. EDMOND J. GICEWICZ, ROBERT E. LIPP, M ROBERT KOREN, WELLS E. 1\:IBLOE Medical Alumni Association Officers: DRS. MILfORD C. MALO!\!EY, M'53, President; JAMES r. PHILLIPS, M'47, V1ce President: MICHAEL A. SULLIVAN. M'53, Treasurer; PAULL. WEINMAi'\N, tv1'54. Immed101t Past President. Board MP.mbers- JOSEPH CAMPO, M'54; NORMA:'~: CHASSI:'Il. M'45: CHARLES TANNER, M'43; EDMOND J. GICEWICZ, M'56; GEORGE W. FUGITT. t\1'45; RICHARD BERKSON, M'72; ROBERT W. SCHULTZ, M'65: W. YERBY JONES. M'24 (Program Commltlt•c Cha1rmanj; LAWRENCE M. CAROEI\, M'49 (Exhibits Committee Chairman). Annual Participating Fund for Medical Education Executive Board for 1975-76- DRS. MARVIN L. BLOOM. M'43. President; HARRY G. LAFORGE. M'34. First Vice President: KENNETH H. ECKHERT, SR .. M'35, Second Vice President; KEVIN M. O'GORMAN. M'43, Treasurer; DONALD HALL, M'41, Secretory; MAX CHEPLOVE, M'26, ImmcdJOtc Post President. 56 THE BUFFALO PHYSICIAN �A Message From Milford Maloney, M'53 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally parti cipate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr Maloney ---------------7--------- ----------------- -------- -------------- First Class Permit :-Jo. 5670 Buffalo, N. Y. BU SINESS REPLY MAIL ~0 t•}STAl.~: STAMP NFC.ESS \RY lf MAILED l~ I..Ntn:n STATES POSTAGE WILL BE PAID BY- Medical AI umni Association 3435 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STRFET. BUFFALO, NEW YORK 14214 C K HJANG M> ADJU CT PRO - 0 MED <:0'1, DEPT SOC & PREV lCD, 259 BELVOIR RO BUFFALO NY 14221 THE HAPPY MEDIUM Fill out this card: spread some happiness: spread some news: no postage needed. (Please prmt or type all entne!>.) N a m e - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - Year MD Received---Office A d d r e s s - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - -- - - - Home A d d r e s s - - - - - - - - - - - - - - - - - -- 1£ not UB, MD received from- tnPrivatePracticc: Yes ~ No~ tn Academic Medicine: Yes ~ Speci~tY-----------------------------­ No ~ Part Time ~ Full Time 0 School---------------------Title - - - - - - - - - - - - - - - - - - - - Other:--- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - NEWS· Have you changed positions, published, been involved in civic activities, had honors bestowed, e t c . ? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1976 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1976-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1976-01-Spring Table Of Contents A list of subunits of the resource. Dean Naughton's Message Nine Class Reunions Seeking Wild Caduceus by M. C. Moloney. M.D. Alumni Contributors 1935 Class Gift Dr. Edward A. Carr, Jr. Neurosurgery in Rhodesia by Franz E. Glosaucr. M.D. Dr. Stell Ophthalmology Diagnostic Center Class Gift Program Ophthalmology Learning Laboratory Toxicology Medical School Founder Drs. Voltmann, Kulowski Continuing Education Programs 39th Annual Spring Clinical Days Hormone to Regulate Fertility Medical Students Help Inmates Dr. George Palade Psychoendocrinology Faculty Promotions Research Review on Psoriasis Health Media Resources Center Faculty Appointments Yearbook Editors/Tennis Tournament The Classes 1955 Class Gift People Deaths Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-09 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v10n01 Extent The size or duration of the resource. 60 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/15ef9c5751056aa589f43d3d34ac97e6.pdf d55cf21e278ff641496a7a509a08bcbe PDF Text Text �Medical Alumni Officers Dr. Phlll1ps Dr. James F. Phillips is the new president of the Medical Alumni Assoctation. He is a 1947 Medical School graduate. who is cltntcal associate professor of medicine at the University and associate physicicln at the Buffalo General Hospital. Dr. Phillips attended Canisius College three years before enterin~ U/B in 1944. He was an intern at Buffalo General Hospital (1947-48) and also took his residency in pathology and medicine there (1948-51). Jn 1951-52 he was chief resident in medicme at the hospital. He entered private practice the following year. Dr. Phillips is a Diplomate. American Board of Internal Medicine. He has published many articles and has served on numerous boards and committees of professional societies and associations. o Dr. Mtchael A. Sullivan is the new vice president. lie is a 1953 Medical School gradua te and a clin tcal associate professor of medicine at the University. He has been on the faculty since 1960. Dr. Sullivan did his undergraduate work at Ut B. He was an intern and resident at the E.). Mever Memorial Hospital. He has served on the medical staffs of three hospitals - the Mever Deaconess and Kenmore ~1er~ cy. He was chief of medicine at Deaconess Hospital for five years and has participated in the teaching programs of the Medical School. Dr. Sulltvan is a Diplomate, American Board of Internal Medicine. He was chairman of the Committee on Medical Education of the Erie County Medical Society. He has also served on boards and committees of several professional societies and associations . 0 Dr. Sullivan Dr. }ones Dr. W. Yerby Jones is the new treasurer. He is a 1924 Medical School graduate and has been on the facultv for 25 years Since 1946 Dr. )o.nes and the E. ). Meyer Memorial Hospital have trained about85 percent of the ophthalmologists in the Bufralo area. He retired in 1971 as clinical professor of surgery (ophthalmology). Prior to joining the University faculty he was in privale practice and affiliated with the Meyer Hospital and the Buffalo Eye and Ear H ospital as pathologisl!ophthaJmologist. He has also served as a n attending physician at the Gowanda State Hospital. Dr. Jones is a Fello\" of the American College of Surgeons and the American Academy of Ophthalmology and Qto· lar yngology. In 1949 he received the Urban League A\\ard for occupational and professional achievement as the only black physician on the University faculty and one of 14 to be admitted to membership in t be American College of Surgeons. Dr. Jones is the author of several articles relating to his specialty. He is also active in several professional organizations. He is Emeritus. o �Fall 1976 Volume 10, Number 3 THE BUFFALO PHYSICIAN Publrshed b} the School of .\1ed1cmt·, State umv~rs•t}' of f\cv.- York at Buffalo IN THIS ISSUE EDITORIAL BOARD Ed•tor Ros~:RT 2 S. McGRANAHAN 3 Managing Editor 4 MARION MARIONOWSKY 5 6 8 11 13 15 16 19 22 Ot!on. Schoo/ of Medicmc OR. jOHN NAUGHTON Photography HUGO H. UNGER EOWARO NOWA!o.: M~d•ca/ MF.I.FORO 1//ustrator J. DtEORIC!o.: \'1sua/ Ocsi~ners RICHARD MACAKAti;JA Do~,,Lo E. WAT..:,:--;s Secretory FLORE;'I;CE MEYER 25 27 Co:-;suLTAsTs Pres•denr. Medico/ Alumm t\ssoc10t10n OR. jA!\.iES F. PHILLIPS President. A/umm Port1C1polmg Fund for Mcd•ca/ EducatiOn DR. MARVIN BLOOM Vice President. Faculty of Health Sciences OR F. CARn:R PANNtLL Pres1dcnt. Umvcrs•ty Foundot1on )OliN c. CARTER Director of PubiJc Information jAMES DESA:-ITIS Director of U111vers1ty Pub/JC:at10ns PAlL L. KAt~;E Vice Pres•dent for Umverslly Re/ot10ns OR. A. WEsTLEY Rm\ LA:-:o 29 30 33 34 36 40 41 42 44 45 46 47 48 50 51 52 61 62 66 67 68 Medical Alumni Officers (inside front cover} Dr. Phillips' Message A Message from the Dean Spring Clinical Days Pulmonary Problems Hypertension Echo Diagnosis Government Intrusion Classes Contribute $31.505 A Teacher Returns Commencemenl/130th Seniors Honored Women Medicine; Looking Back by Sera(1n C. Anderson. M.D. The Future by AI Benson Ill, M D. Challenge to Graduates by Dr. Naughton Dr. Brownie Faculty Retirees Awards for Faculty Medical Alumni Association Reception Clinical Dermatolog} Conference Dr. Marra Drs. GrecotBarnard Students Relax St. Maarten Seminar Continuing Education Programs/ Koslow Honored Dr. Milgrom Dr. Wright Dr. Middleton IRIS Honorees Dr. Peterson Nutrition Dr. Capraro The Classes People In Memoriam Alumni Tours The cover by Donald 1\'atluns {CII·uscs upon thn :19th onnua/ Spnn$.! Clinical sponsored by the ,\fcdicol Alumni Assoc JOt Jon. St·c• po~!'S 4-14. DO}'S. THE BuFFALO PHYSICIA'l, Fall, 1976 - Volume 10. Number 3, published quarterly Spring. Summer, FaiJ. Winter- by thl' School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo. New York. Please nolify us of change of address. Copyright 1976 by The Buffalo Physician. FALL. 1976 1 �A Message From James F. Phillips, M '47 Pres1denl Medical Alumni Association Or. Phill1ps L egend has it that as the Persian Emperor Xerxes stood on a hillside in 481BC watching his immense army crossing the Hellespont to invade Greece, he quietly began to weep. Startled, his Generals asked why he should cry while observing such magnificence. He responded that he wept not at what he saw, but at the thought that such glory had to fade into dust. I felt a little weepy myself a few weeks ago as I sat in the Hotel Fontainbleau in Miami Beach listening to a symposium on "Manpo'""er in Med1cine- too many or too few'?" There were several participants, all gidng ominous messages, but the man who impressed me most was Dr. john Sherman, VicePresident, Association of American Medical Colleges. He reported on the state of the projected 1976 Heolth Manpower Training Act being prepared in Congress. Apparent!~, four areas vital to us all are under discussion: Capitation payments to medical schools: Foreign Medical Graduates, Needs and non-needs in various Residency programs; and Federal medical student scholarships. Capitation payments to schools since their inception a few years ago have aimed at stunulating Medical Schools lo produce more places and more physicians. At present, approximately 14,000 students a year are graduating. Many people feel we are approaching a saturation of physicians. Will the Federal Government continue to tempt the schools to generate more positions and will the schools take the hail? Probably. Probably, too. the schools will be required to promise that a certain percentage of their graduates will go into general medicine Maybe this is not a bad objective 10 itself, but again more regulation. more bureaucratic control. more loss of freedom. On the subject of Foreign Medical Gradua tcs, there seems to be great pressure to limit in some way the unimpeded influx of FMGs into American Medicine. Apparently. a return to the temporary education visa is envisioned. The recent study by the American College of Surgeons indicating that there are too man~ surgeons and too many surgical specialists has made them cast about for ways in which to regulate the number and qualit~ of Residency Training Programs. Will this area, so universally our own in the past. benefit from the hea\ Y hand of Big Brother? I doubt it. Lastly. a number of Federal Medical Scholarships are contemplated. the recipients of which will be required to serve in areas designated by Uncle Sam. The man who pays the bills \'\ill call the tune. Will we like the song? And soil went. Regulation. lntrusion, Anne"\.ation. Regimentation. The carrot. The stick. At the end, 1 rose and brushed away a tear. like Xerxes, wondering if our glory. too, has to fade. o 2 THE BUFFALO PHYSICIAN �It gives one a feeling of pleasure and gratification when he can look back over a short period of time and determine that some progress has been and is being made. This is particularly true at a time when all is not well. and the future fiscal climate for medical schools is quite uncertain. I am pleased to report to you that several small, yet significant, renovations either have been or are in the process of being completed. Some of you who will visit Buffalo this fall may wish to see the results. The Learning Center, to which last year's and this year's reunion classes have contributed substantial funds for the purchase of equipment. nears completion. It occupies the area of the old stacks of the Medical School Library. Through the combination of alumm and capitation support, and the ingenious approach of Dr. Thomas Burford, a truly unique facility which combines individual study areas and multiple size conference rooms, has been developed. Its presence will always be known despite its catacomb-like environs, because Tom has chosen to glamorize it with the spirit of the bicentennial year. Two projects have been completed at the 2211 Mam Street Campus. The first required refurbishing of Building E. and thts has permitted the School to locate many of the functions of the Department of Psychiatry in a single locus. The expanded and renovated surroundings now house Drs. S. Mouchly Small, Gloria Roblin and Norman Solkoff, together with the administrative staff. My office only hopes that I he secretaries are able to function in an open area. The other project required renovation of the north half of the third floor of the "A" Building. These freshly redecorated facilities will house the administrative and support staff of the Department of Social and Preventive Medicine. These two projects obviously have provided growth opportunities for these two programs and have freed up some space on the Main Street campus for reallocation of other programs. Other projects that are in progress relate to the School's administrative staff. The areas previously used to house the Vice President for Health Sciences and his staff and many of the functions of the Dean's staff are betng renovated and refurbished to make programmatic activity more efficient. Essentially. three projects are in progress. The first is designed to group the staff of the offices that relate to student and curricular affairs; the second, to the admissions office; and the third for the Dean and his support staff. These projects should be completed by early summer. and should enable us to present a new view to the class entering medical school this fall. I hope the above progress serves to provide a feeling that even in uncertain times, some forward progress can and is being made. John Naughton, M.D. Dean FALL, 1976 3 Dean \ou_!!hton From the desk of John P. Naughton, M.D. Dean, School of Med1c1ne �Spring Clinical Days 4 THE BUFFALO PHYSICIAN �L ungs are fertile fields for infections. In detailing their response to inJury in the adult respiratory distress syndrome- from alveoli ones to advanced fibrotic stage- Dr. John Vance advised on constant suspicion when there is rapid breathing. early signs of falling oxygen. The clinical associate professor of medicine would then advise arterial blood gases. chest X-rays to detect the beginnings of "wet" lungs. He emphasized the need for earlr recognition. treatment to avoid complications before the syndrome becomes fully developed. "That is when the mortality rate is high," he cautioned. The closer the site of surgery is to the lungs, the more problems there will be. predicts Dr. Robert Klocke. In the associate professor of medicine's physiologic review of why six percent get into trouble. he noted a 50 percent decrease in lung volume following surgery. "It takes almost a week for decreased flow rates to return to normal." he said. Problems will occur in high risk patients undergoing either abdominal or thoracic surgery. In the former. where there is no c1ssault on the lungs. he pointed to the need to identify those with less function to start ~' ith or flow rate problems, and in the latter to know how much ltssue can be removed without leaving a "resptratory cripple." "Studies point to a quarter of those with pulmonary carcinoma '' ho "'ill die if their vital capacity is less than 70 percent, the figure rising to almost half if their capacity is less than 50 percent." he added. An indispensible pulmonary diagnostic tool is the fiberoptic bronchoscope. act:ording to Dr. Andras Vari. The clinical instructor of medicine noted its \Vider application due to flexibility. smaller size. "all leading to better patient acceptance and 'isualization." He noted high diagnostic accuracy when the tool is used to biopsy: to inspect the bronchial tree to evaluate chronic, unexplained coughs; hemoptysis; localized wheezing; nasopharynx; vocal cords: as a guide-wire to ease mechanically-difficull intubation or FALL. 1976 5 Pulmonary Problems d-- �Cochlolb pren·ded the luncheon. to remove excess secret ion /mucous plugs through suction or foreign bod ies from the bronchial tree. The nec:essit \ for home care of the chronicallv ill was urged by Dr. Jerome J. M,;urizi. For over 20 million are affected, notes the clinica l assoc1ate professor of medicine, and those \Vith chronic obstructi \ e airways d isease stands second in disability awards. Patient education, he adds, is the key lo caring for these palien ts '" ho usually en t poorly and \\hose families have lit Lie understanding of their disease. "There ore too many emergency room visits," he sa HI. He pointed to the need for rehabilitation programs which lead to £ewer hospitaliza I ions. exercise programs to improve patient aclivilics, and ontibiolics at the first sign of respiratory infection. "We want to lowet' the 90 percent of acute ascerbation seen in chest disease that t1re due to infections," he noted. Hypertension That today's therapy for hypertensh·e patients is planned in a pharmacologic. additive fashion was confirmed b} Dr. Robert W. Schultz. The clinical Associate in medicine also noted more screening. more physician education that is underway. "For only half of the 23 million who have high blood pressure know it. And just 2.3 million are being adequately treated," he said. In his review of newer therapy for essential /moderate severe hypertension. Dr. William Mrozak said that while hypertensives are more apt to be obese. losing weight would not generally lower their blood pressure. "Restrictive salt intake will." The Georgetown investigator pointed to a change in life style that is requir·ed ho·wever. 6 THE BUFFALO PHYSICIAN �Spring Clinical Days Drone ~oar. olumnr coordlllalor hondlt>s regrslrolion. He added that all antihypertensi\e drugs lead to salt retention. Hence the need for a diuretic as the first stage in a multiple drug approach to patient care. After altering fluid volumes. a second stage drug acts on the sympathetic nervous system and then a vasodilator can be added. Renovascular h~ pertension. That is the largest. potentially curable form. savs Or. Donald Vidt of the Cleveland Clinic. He noted that surgery for some of these patients will lead to better survival and cautioned on suspecting this disease that results from occlusion of t·enal arteries when a well-controlled essential hypertensive suddenly becomes difficult lo manage. Noting limited clues on physical examination- pcule changes in optic fundi, continuous abdomina] bruits. absence of family history of hypertension -he urged use of both urogram/renogram to achieve a 90 percent screening accuracy of renal artery lesions. Pulmonary Problems - l>r!-.. Vann f...lodw. \'on . .\lounzr fALL. 1976 d- 7 �Currunl Dwgnosrs and Thurop)l rn Hrpurl••ns ron - Drs £/wood, Schu/11.. \'rdt Found to he more common among older males age 55, he added. is atheromatous renal artery stenosis while among females age 35 it is fibrous dysplasia. When a patient approaches a cr1sts siluation in malignant /accelerating hypertension, an abrupt reduction of blood pressure is called for. according to Dr. Charles M. Elwood. The clinical professor of medicine revie\\ ed his findings on new drugs to treat these medical emergencies as well as qualifications for this t~pe of therapy. Koting a one-year survival rate for 20 percent of these patients with malignant hypertension, he was able to point to just half that figure after two years, and the few who make it beyond that time. Among clues for the need to immediately lower mean arterial pressure- a product of cardiac output and peripheral resistanceis hemorrht~ge exudate seen on fundi examination. He urged a drug to restore hemodynamic relations in the patient. For the higher the blood pressure. the greater the renin levels which evoke rapid destruction of blood \·essels. Touching on the importance of salt-free diets. the number of drugs now available to rapidly control blood pressures \\' ith minimal side effects, he suggested a delayed onset of action "if there is no real hurry." Echo Diagnosis When combined with the clinical picture. ultra sound is an important investigative tool. For nut only is this sophisticated instrumentation referred to as Echo graphic imaging eusy to use. re.tsnnable in cost, but because of its noninvasiveness can be repeated us often as necessary with no harm to the patient. according to Dr. Anthony Bonner, a CAI'diologist at Mercy Hospital. Q- 8 THE BUFFALO PHYSICIAN �The ~\ mmng c:ochJbJI, Colonoscopy- r\ Fonlost•c Journer. by Dr. Harold Bt•rnhord. goslro~ntNolo.~tY sectiOn, rlepo r tmenl of medicmc. \1i/lord F1llmore 1/ospJiol Spring Clinical Da ys Echo Dwgnos1s - FALL, 1976 {)rs. Bonner..\1 unschouer. Lc w1s, Werman 9 �Porticipunls al om• Spring Clinical Days f>r.•'vtolmll•\' prtrs1•nts Stu• klan Krm· !.oil plaque 'to ,\f Stanton h·ons of the sessions. The basic principles of Echo cardiography as well as how it works in real time were reviewed bv Indiana University's Dr Arthur E. \Ve~ man. B~· orienting "th1ngs" in space, il has become an important technique to diagnose ventricular aneurisms, transposition of the great vessels, congenital heart disease in some patients. and can provide qualitative information on mitral stenosis in adults, he said. A quarter of Dr. Richard W. Munschauer's obstetrical patients ell Children's Hospital have been studied\ Ia fetal Echos. Because 1he sac of amniotic fluid is such a good conductor of ultra sound, the clinical associate professor of radiology noted that "you can see the natural fetus that is surrounded b} it." He added that most referrals at·e for gestational age pt·edictions, with optimal time bet~A-ccn 20 to 24 weeks. ln explaining hO\\ it "' orks, he pointed to ultra sound that is passed from transducer through the abdomen to ret urn as a series of dots or Echoes and depicts the fetus. Noting that "we can show pregnancy as early as fi\e weeks for that is when the placenta occupies half of the uterus." he finds this adjunct technique to be of great help in evaluating it. And he forsees thee\ entual hookup of fetal Echoes to a computer "to gain tremendous 1maging." In ophthalmology, what is making a difference in diagnosis is ultrasonography. Explaining that because the eye is stationary, 11 .11lows both linear/ horizontal scans to detect almost anything that goes wrong, noted Dr. Leonnrd W. Lewis. These, he added, range from retinal detachments to tumot s, cat.~racts, inflammatorv processes, etc. When both A and B modes of ultra sonography are combined. the clinical instructor in ophthalmology pointed to "a picture of the motion of the eye that is obtained. It g1ves us the most information," he said. 10 THE BUFFALO PHYSICIAN �"We have good health care in this country. Most complaints about our health care crisis are nonsense." M. Stanton Evans, the Stockton Kimball Memorial Lecturer, pointed out that the United States has the highest ratio of physicians to population of any nation. Mr. Evans is senior editor for Private Practice. a CBS news commentator. a syndicated columnist for the Los Angeles Times and chairman of the American Conservative Union. "Most complaints are pluses. Our life expectancy is up and our infant mortality rate is down. There is no physician shortage and physicians are practicing where people live. There is no serious maldistribution of physicians," Mr. Evans said. ''If there is a problem it is the rising cost of health care delivery. And the more the Federal Government becomes involved the higher the costs will be. During the 1960's medical costs doubled every five years because of government intrusion. Now we are told that we must adopt a new government medical program to solve the first program that failed. "I hope we have learned a lesson. We should not adopt new programs to cure old ailments. 1 ew programs will create more problems. Further government intrusion could result in a $300 billion annual bill," Mr. Evans said. "People believe it is their constitutional right to have good health care- free. This is as impossible as everyone demanding a free airplane ride. "As government subsidies gel more expensive there will be more controls. We will end up with assembly-line medicine. I don't like this. I want to be treated as a person and as a patient." Your patients will be the big losers because of long hoes and more demands that will result in decreasing care. "The medical profession needs a more positive posture. You must be more aggressive and stop back-peddling. You must seek the support of other professions- law. engineering, etc.- if you are to successfully stop further government control a11d regulation. Don't sit back and let the government carry the battle to you. d-- Second place c:>.hibil. Suclear flodiolol!}' · :\pplicolions m Clmrcal Corclrolol(r, b~ {)rs. fl M. t\bclcl-Va~·wn • .\'••rl l)ashkoff, Eugene Leslie, department of nuclt•or mcclicrnu and dt)portrnr.nl of carcliologr. (SUI\ YABJ. FALL, 1976 11 Government Intrusion �Or-. Thrrd placccxhrbrt. St·w fo'rontwrs of £yt•Sur,~tt'r}, . . . over 200 alumni. faculty one/ stuclt•nts ltslnned to panels on pulmonary/hypertension problems nnd 1:cho diagnosis in clinic:cd rnedic:inc at the 39th onnuul Spnng Clintcal Days in ;\lor. or Dr.J. H. Par h. Park E\·e C:lrnrc "Be more articulate. Talk to your patients and convince them of the good he.tlth care they are receiving. Tell yours tory to the media and to your associations." The Stockton Kimball speaker warned the physicians that the government was attempting to isolate the medical profession from other professions. "When this h.1ppens it prevents understanding. Our government has concluded that the medical profession must be regulated. and officials in Washington are seeking arguments to support regulation." To head off furthet· govemmental regulation Mr. Evans suggested: -a broader understnnding among the public and other professions to sho'A what the medical profession is up against; -you must get others to speak out for you and support you; -you as physicians must speak out for other professions who are under the 'regulatory gun'; -you must speak out for free enterprise and less regulation. Mr. Evans suggested that \'\'e gel rid of Medicare, Medicaid and PRSOs. "As a taxpayer and a patient I have a vested interest in our health care problem." o 12 THE BUFFALO PHYSICIAN Or: Lrr. �)rs. John Rtc:herl. Carlo E. LJcSontts Drs Leonard Kolz. Edmond GtcC~\ rcz 9 Classes Contribute $31,505 to Medical School Class gifts from tlw closses of 1926. 1931. 1936. 1941. 19-46, 1951. 1956. 1961 and 1966 were presented to representatives of the ,'v1edicol School at 1ht: reunion dinners durrng Spring Clinical Oo}'s. Drs. Luther Mussc/man, \\ tlltam F. Drs Thomas Burford. Harold Lcvr Dr. r:u)l.c:nc l.Psht!, /r .. {)pan ~oughton Lipp Drs. Donald Hall, Edward Morro Dr. Eugene Sullivan. Sr.• Dt•on John ~ou11h1on FALL. 1976 Drs. Eugene f. Lrppschutz. Wolter S . \\'ails �Cassette Order Form for Audio Proceedings of: Sponsored by: Medical Alumni Association Continuing Medical Education, SUNY AB Date: May 7 and 8, 1976 PLEASE CIRCLE THE NUMBER{$) OF THE PRESENTATION YOU WISH TO ORDER ON THE FORM BELOW NUMBER 1 2 3 4 5 6 7 8 9 10 11 12 TITLE AMOUNT Post Traumatic Respiratory Distress - Recognition & Management Pulmonary Preoperative Evaluation Newer Pulmonary Diagnostic Techniques Home Management of Emphysema- Newer Techniques Current Diagnosis and Therapy in Hypertension Newer Therapy for Essential Hypertension Renovascular Hypertension New Drugs in Malignant Hypertension Physical Principle of Ultra Sound & Instrumentation Obstetrical Problems Ultra Sound Techniques in Ophthalmology Government Can Be Hazardous to Your Health S5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 5.00 ~-----------------------------------------------------1 2 3 4 5 Number Circled - - x $5.00 6 7 8 Amount Enclosed 9 10 11 12 Payment must accompany all orders. Please make checks payable to Communications In Learning, Inc. Return this form along with payment to· Communications In Learning, Inc., 2929 Main Street, Buffalo, N.Y. 14214. NAME--------------------------------------------STREET--------------------------------------------CITY _ _ _ _ _ _ __ _______ STATE _____ ZIP_ _ __ COMMUNICATIONS IN LEARNING, Inc. 14 THE BUFFALO PHYSICIAN �I t was his first contact ~.~ilh students since his retirement as professor of pathology back in 1971. And it marked his third year in remission from disseminated reticulum cell sarcoma (histocylic lymphoma). As Dr. Samuel Sanes shared his wealth of knowledge as pathologist c1nd as cancer patient with the sophomore pathology lab section, he not only meticulously and methodically elicited collective information on general pathology terms but applied them to clinical situatlons. In his review of the diagnosis and treatment of his illness (original biopsy diagnosis was made by Dr. Sol Messinger at whose invitation he wns here and Dr. Anthony V. Postoloff), he continued to stress the importance of the relationship between patient and physician. ''It has a profound effect on the quality of life," he said. And he hoped that when these future physicians treat a patient. they would remember that they not only "will take care of a human being - a mentaltemotional familial/social economic/spiritual human being - but of the family as well." Pointing to how a patient copes with his disease. accepts treatment, and how long he willli\'e may depend to a degree on family response, he again questioned physician concern with the disease rather than the whole patient. "Results may depend on the first physician whom the patient sees," he said. In response to how he ·was feeling. he assured students that he was doing "much better than I e\'er expected to after diagno:>is in 1973. . . that I can come here and talk to you as a patient.· No. he was not bitter about his illness. "There is an optimistic side to cancer," he said. Wast he quality of his life changed'?" ·o. except in my appreciation of it," he responded. He alluded to days when he did not feel well, " I cannot do things as well as I used to." Why did he accept this first invitation to lecture to medical students since his retirement? Perhaps it was to plead for a better understanding of the patient by future physicians. perhaps it was an opportunity just to teach. o Or Dr. Sones returns to the classroom. The sllldents were Interested and impn·sscd. A Teacher Returns �Tolon11. thr. Ouths. T RADITIO:"Al.t.Y IT WAS THE Sr\\IE- the taking of Maimonides and 130th Annual Commencement Scro(1n Anderson Hippocratic Oaths. the hooding. stgning of the Book of Physicians at the 130th Commencement at the Medical School. Academically there were differences. It was the largest (145) graduating class: almost a quarter (32) were women. Emotionally there was a feeling of "family" between the heterogeneous group of graduates and the new team of administration. In sharing what he had learned listened to from three generations of physicians (at 50 year and 25 year reunions during Sprmg Clinical Days and the Class of 1976). Dean john Naughton hoped lo synthesize rather than destroy the apparent disparities between those who trained during a period of affluence and were forced to practice during the Great Depression. others whose training during the postwar years was threatened by technological breakthroughs. and the graduating class. There was recognition of "eRch \o\ ho desires to serve." He alluded to the greater task of the graduating class. "one as yet unfamiliar to you and to me," and touched on the economics /service of health care delivery. the challenging role of physicians and those who would work with them. the utilization of research results, and the greater role that government and community agencies/other components of the health delivery system would continue to assume in the process of decision-making. And he also expressed the hope that "you (each graduate) will continue to meet not only your own individual expectations but others in the society as well." In their addresses, one class president chose to look back, I he other ahead. Touching on the debt, the great deal learned from each other. Serafin C. Anderson noted the "great stream of diversity in the human spirit. . the infinite and varied ways to live life and to practice medicme . . . the substantial debt owed to faculty, especially those who have impressed on us not only the material rewards but the awesome responsibility of the 16 THE BUFFALO PHYSICIAN �profession . . . taught us to treat patients rather than diseases." She also noted that the best teaching is taught by the patient. . ."who confronts us with infinite complexities of diseases . . .disorders of the human condition . . . and is a constant reminder of the limitations of medicine." The challenge of house officers to their traditional roles ,.,.·as explored by AI Benson. He sees the ne\•.'ly-organized Physicians National Houseslaff Association as "a matter of practical productive health care delivery . . . not a revolution. rather as accelerating it," a system in which he feels house officers "must become the lobby for the sick. especially the underprivileged." In their cledica lion of The Iris (medical school yearbook) named after the first UtB yearbook published in 1898, editors Louise A. Isenberg and Dennis R. Pyszczynski noted the contributions of Dr. Mary Moody. "U / B's first woman graduate. one of the first female physicians in this country, the first in Erie County and the loving mother of five children." There was recognition of Dr. Leonard Katz for his Tlw "demonstrated leadership in clinical leaching, attention to concerns of students. commitment to the very best in medical education. a commitment amply demonstrated in his first year as dean for student and curricular affairs, and to find places for us in our medical education." Touched by this recognition of his effort which "not onh confirmed aver\' difficult career decision" but served as proof or' his ne\\ role at "~n exciting. challenging time in the life of thts \-tedical School." Dr. Katz expressed thanks to this special class. hts first. that "by honoring me you have rene\\ed my dedicaQ- Drs NcJUghlun. Culkws FALL. 1976 17 C:o nll\tllls �t\ total of 6.472 de,g rces were conferred this yt:or during the General Gomnwncemcnt and tr•n adclitwnol individual commcncenwnt ct:rcmonws . Since its founding 1n 1846. the univcrsit\' has owurded o total of 88.38B dcgrm:s. The class of 1976 includes 965 academic doctorates. 1.658 masters, 3,799 bodwlor degrees and 50 ossociot<: ch:grccs. Olr\' 10 Smllh and lhc (,o/dt>ns Dr. \1orct•lrrw DnriCJT sr~ns Uook of PhvswiCins. tion to continue the task." He hoped they would "always remember the idealism vou had .., hen vou chose medicine." To Dr. }o~eph Lee. profe;sor of anatomy, "while he \\'ill always epitomize for us the \' cry highest ideals of medical education ......vhose credentials as educator (original research, academic honors, publications) are indeed impressive," there was recognitiOn of his "ultimate respect for the human body . . . his energy, openness, expansive human spirit which overwhelmed us as first-year medical students." fn an an<~tomically quipped response, he accepted this honor "with gratitude and humility." And through a personal parable on three barbers denoting pride, indifference, and satisfaction that comes through professional efforts- he hoped that "shouldn't we (as physicians) serVP our profession with pride? Don't you love all of your patients despite their differences?" Also honored were Mary Shapiro and Dr. John Richert. In referring to all of thr help recehed o\er the past four years. "that it becomes impossible to thank~ ou (~1rs. Shapiro) enough for all that you have done," they noted her help "to make our search for places to continue our education enjoyable . . . to get out a letter anytime we needed it. .. who has given so much time and energy in an unselfish and cheerful manner." Although noting her title to be that of secretary lo office of medical educalion. the~ quickly countered with "~· ou mean much more than that to us." There was appreciation for the constant service of Dr. Richert, assistant dean and registrar "who O\ er the past four years was jack of all trades . . . master of them all. .. at times guidance 18 THE BUFFALO PHYSICIAN �counselor. . . computer expert. ..grievance committee for our numerous problems . . . who during our first three years acted as dean for student affairs . . . \-'Vhen we had no where else to turn he did not rejec t us." And to mothers, grandmothers, greatgrandmothers, on this Mother's day, special thanks. "Without them, we would not be here." 23 Seniors Honored T wenty-three seniors shared 17 honors at the 130th Commencement. Two - Serafin C. Anderson and Stanley J. Kramer- earned three honors apiece. Eight others received two honors each. Degrees - Doctor of Medicine- were conferred on 145 senior graduates, the largest class in the 130-year history of the Medical School as well as on 35 basic sciences graduate students {28 Doctoral Degrees. 4 Master of Arts Degrees, and 3 Moster of Sciences Dcgrecs}.Honors awarded: Alpha Omega Alpha (.\ollonol Honorary Socwty)- Serafin C. Anderson, Stanley J Kramer. Stephan ~1. Levitt, Arthur E. Mays, Leonard A. Metildi, Erwin B Montgomery. Jr., Nancy H Nielsen, Brian D. Patterson; Geraldine K. Sledzieski, Ttmothy J. Spurling, Barr~ D. We1ss. Linda M. Wild, PeterS. Wiltlinger. Thaddeus A. Zak. Thesis Honors - Raymond C. Noel Buffalo Surgical Society Prize (academiC excellence in surgery}- Leonard A. Metildi Dr. Heinrich Leonhardt Prize (academic excellence in surgery} -Thomas G. Foreman CT Th r. graduate:;. FALL, 1976 19 .\Jan· Shoplfo �The lloodrng of Darryl Leong by Drs :1.1clsaac deft). Calkms. I Congrotulolrons for Lmdo :1.1. Wild by SU:-:Y Council Chmrmnn Wrlllom C. Baird as Dr. Ponnill looks on. Dav1d K. l¥1iller Prize (demonstration of Dr. Miller's approach in medicrne to coring for the sick-competence, humility. human1ty) -Erwin B. Montgomery, Jr. Gilbert M Beck Memorral Prize (academic excellence in psychiatry) - Nancy H. Ntelsen, Stephen Lazoritz Philip P. Sang Memorial Award (academic excellence. dedication to human values rn practice of medicine)- Geraldine K. Sledzieski, PeterS. Wittlinger Morris & Sadie Stein A word (excellence in neural anatomy}Nora B. Wilcox Moimonides Medrcol Society Award (application of basic science principles to practice of medicine} -Arthur E. Mays Hans}. Lowenstein Award (academic excellence in obstetrrcs} - Paul B. Cotter, Brian D. Patterson, Linda M. Wild, John B. Wiles. Bernhardt & Sophre B. Gottlieb Award (combination of learning, living, servrce} -AI B. Benson Mark A. Petrino Award (demonstrated interest, aptitude for general practice of medicine} -Kevin B. Kulick Lieberman Award (interest, aptitude in study of anesthesiology]- Michael J. Tamul Clyde L. Randol/ Society Award (academic excellence in gynecology-obstetrics] - Serafin C. Anderson Medical Alumnr Association t\"ard (outstanding achievement in third year] - Stanley J. Kramer Children ·s Hospital Prize (excellence in understanding rliseose in childhood] -Stanley J. Kramer Upjohn Award (zeal, diligence, application in study of medicine] - Serafin C. Anderson. Awards were also presented for the first three years of Medical School. 20 THE BUFFALO PHYSICIAN �Kornel L. Terplon A word (demonstro lion of best know kdge of pathology in sophomore year) - Jeffrey A. Mogerman, Class of 1977. Farney R. Wurlitzer Award (outstanding work in psychiatry) -AndrewS. Ooniger, Class of 1977. James A. G1bson & Wayne J. Atwell Award (highest record in anatomy in first year} - Gary A. Merrill, Class of 1978. Ernest W1tebsky Memorial Award (proficiency in microbiology) - Salvatore A. DelPrete. Class of 1978. Edward L. Curv1sh M.D. Award (highest record in biochemistry in first year) - Ronnie W. Neuberg, Class o f 1978. The following basic science studen ts participated in the School of Medicine Commencement: Master of Arts - Waller L. Binder (microbiology), john Hon (pharmacology), Elizabeth Korniat (biochemistry), Paula Krasnoff (microbiology). Master of Science - Warren Breisblatt (biophysical sciences), Gordon L. Schiff (biophysical sciences), Richard A. Smith (anatomy). Doctor of Philosophy - Michael Adler (pharmacology), Ray W. Bergenstock (pathology), Anita Babcock (biophysical sciences), James Bricker [biochemistry). Manohar Chawla (biochemistry), Marian Cheung (biochemistry), Nadia Doroszczak (pathology), Harry W. Eckerson (pharmacology), John T. Egan (biophysical sciences). LeRoy G. Frey (pharmacology), Savitri Kasemari (patholog~). Herbert Lau (biochemistry). Su-ray Lee (biochemistry). Michael A. Morgenstern (microbiolog~). David W. dCarnu•n Ml'tlldi, Gulhbl'rl Charlt?s. Haymond \oel. FALL, 1976 21 t\ noosu for Dr. R1chcrl . �O'Connell (patholog\ ). Fred Olson (biochemistry). Samuel Otleno (biochemistry). Douglas Paul (biochemistry). John M. Sarvey (pharmacology). john A. Schmutz (pathology). Manual SorianoGarcia (biophysical st:ten(.es). Tsung-ping Su (biochemistry). Francis C. Szoka (biochemist•·y). Richard Temkin (biophysical sciences). No• rna Tritsch (biochemistry). i\eelakantan Vaidyanalh [biochemistry). Ronald E. Weiner (biophysical sciences), Alton \Voodams (biochemistry). o Women / Medicine Looking Back b}' Seraf•n C. ..-\ndt:rson .•\II.D. M edical roles for women graduates in Buffalo may be making history. With the largest percentage of women in its 130-ycar history {32 out of a 145 senior class) there is a breakdown of sex stereotypes. Five ore going into surgery (one in urology) while eight ore going into pediatrics. ten into medic111e, the usual traditional fields for women. Three ore entering family practice, two each to psychiatry. flexible programs. and one each into ophthalmology and obstetrics/g}•necology. Half ore remaining in Buffalo for their trowing. some because of marriage (there hove be(!n six within the class). others because of the high calibre of local programs The Mctildis have joined the U.S. 1\;ovy and will be stationed in Son Dwgo. (Leonard in surgery and Carmen James in medicine). Others ore the Bordes (Susan Holliday to pediatrics at Buffalo Children's and Chnstopher into medicine at SU:-\Y AB Affiliated Hospitals]: the Nohejls (Cheryl R01sley into pediotncs at Buffalo Children's and Bruce in ob gyn at SUI\ Y AB Affiliated Hospitals), the Grossmons (Jennifer Kriegler to medicine at Millard Fillmore Hospital and Gerold who is recovering from a bock problem); the Wilds (Lindo Marchetta mto MedJcJne ol SUNYIAB Affiliated Hospitals and Daniel to surgery at Buffalo General Hospital); tho Orozeks (]one• Kunstlor and George into flexible programs at Deaconess Hospital). Other couples who have met within the class are Koren Glasgow and Patrick Hayes. They will both enter medicine at Riverside Methodist llospttol in Columbus, Ohio while Marlene Bluestein and Anthony Camilli wdl be in internal medicine at University Hospital::; 111 Madison, Wisconsin. T he celebration that we observed todav is in the truest sense a commencement, a beginning together of ~ lifelong medical education, the content of which is now largely hidden from even the most farsighted among us. We have only to consider the situation of our colleagues of past decades to realize that this day in no way represents the end of our medical education. Those graduates embarked upon their medical careers at a time when much medical knowledge which seems indispensable today was wholly unrecognized. They continue to do useful service as physicians. not on the strength of their often antiquated formal medical education, but because at some point-perhaps in medical school, perhaps elsewhere-they learned to learn and to continue learning 22 THE BUFFALO PHYSICIAN �throughout life. No one who considers the accelerating pace of medical science and technology can imagine that the situation will somehow be different for this year's graduating physicians. No, our education thus far has certainly not prepared us to practice in the coming decades. but if we have learned to learn we-and our teachers-ha\'e done well. Commencement, for the student of medicine. ought to be a time of rededication and rene•.ved commitment. It is a time for both a retrospective and prospective look at medical education. In these few minutes. I have chosen to look back at the last four vears. AI Benson, in his remarks, wtlltake a forward look. Both of u"s. I hope, will in a fundamental way be addressing the future. As we survey our medical school years, it is with a sense of gratitude and great indebtedness. The financial liabilities which we have incurred, which are in some cases awesome indeed, are perhaps the debts which seem most immediate. But il is the more intangible obligations to which I refer. This commencement IS in large part a family affair, and its celebration underscores the tremendous debt of thanks which we owe our families. Some of us are but the most recent of several generations of ph}'sicians. Others are the first doctor or perhaps even the first college graduate in the family. Whatever the particular situation, we ovve our parents great thanks for the support they have given. Many of this year's graduates are married. Some have children. It is certainly this more immediate family which has borne the brunt of the frustration and preoccupation with our medical education. You have sacrificed much to insure that this day would arrive. We also owe a debt to one another. The hours have been made bearable, some even enjoyable, to the extent that we have been able to work together. We have learned a great deal from one another, chiefly perhaps that there is great strength in the diveq;ity of the human sptrit, that there are infinite valid ways to live life, and to practice medicine. We owe yet another substantial debt to the faculty of this School of Medicine. True, there are some who have taught us little except that the professional corporation is the key to limited liability and almost limitless financial gain. But there are others who have impressed upon us not the material rewards but the awesome responsibilities of the physician. There are those who have taught us to treat patients rather than diseases. And there are those who refuse to accept the easy student-teacher dichotomy and who, as the finest teachers of medicine. remain enthusiastic students as '"'ell. To these faculty members we owe great thanks. Yet our greatest debt of gratitude lies elsewhere. The late Str William Osler, speaking of medical education, once observed that there is "no teaching without a patient for a text. and the best teaching is that taught by the patient himself." At this juncture In our education we clearly owe a great deal to family. friends. and faculty; but to our patients we owe immeasurably more. In the first place, it is the patient who has served throughout these last four years as the antidote to compartmentalization in our medical thinking. Members of the faculty may argue heatedly as to the relative merits of the traditional departmental versus the so-d - FALL. 1976 23 �called organ system approach in medical education; it is the patient "'ho forces us to transcend both of these approaches and to confront the infinite complex it} of disease, which crosses both departmental and organ system boundaries. Drs \li chof!l Tornul. ~aug hlon It is the patient "'"'ho presents medical problems not in the sleek simplicity of the comprehensive text but in the disorder of the human condition. We learn a great deal from the alcoholic, the treatment of whose alcohol withdrawal may aggravate his hepatic encephalopathy. The patient with chronic renal failure and nearly absent kidney function forces a rethinking of fluid and electrolyte balance. I do not mean to suggest that the books and lectures of the preclinical years are without value; they are tools and means to an end. But without the patient as teacher we would never allain this end, which is the integration of fragmented facts into practical clinical judgment. In yet another sense we are indebted to the patient; for it is he who reminds us repeatedly of the limitations of medicine. This is done in many ways. It is the patient who reasserts the importance of the nonphysician in assuring quality health care-the elderly lady with anemia and congestive heart failure who can't find a rodent-free home. who has no transportation to return to clinic. who lacks the money for adequate nutrition. and who certainly cannot afford to spend $35 of her $117 monthly Social Security check on the medicines you've prescribed. Here our social system underscores medicine's relative lack of resources. Without the help of the nonphysician-in this case. the social worker-your diet and your drugs become empty exercises. In this and countless other ways the patient preserves and deepens that measure of humility so important to medicine. After one more kidney transplant and rejeclion, one more trial of chemotherapy. one more shunt for the hydrocephalic child, medicine someltmes seems to assume a momentum of its own. It is the patient who unfortunately must then say, "Doctor, you have done enough," reminding us that the imposing order of medical science and technology is often impotent in the face of the disorder of disease. Finally, and most important, it is the patient who endows the study and practice of medicine with its unique vitality. As a sophomore pathology student, one memorizes rather woodenly the pathophysiology of diabetes as it affects the kidney, the eye, the peripheral nerves, and the arteries and small blood vessels. Such disembodied knowledge is difficult to retain. But the first patient who presents as a compendium of diabetic complications makes an impression which is impossible to forget. We. as physicians. may feel overworked and undervalued but we must always temper such thoughts with the realization that there are millions who work daily at occupations which are pursued solely to earn a living. A career which is worthy of a lifetime's work is a luxury which few can afford-the exception rather than the rule. We sometimes forget that most doctors are 'self-employed'. If they work long hours it is because they choose to, because they find in the practice of medicine a fulfillment worthy of the work. It is one of the few professions in which one can finish a 36-hour shift with a sense of exhilaration-not always certainly. but 24 THE BUFFALO PHYSICIAN �sometimes-and that in itself is truly remarkable. And for this it is the patient we have to thank. the patient who gives the field of medicine its human dimensiOn and its tremendous vitality as the most humane of the sciences. D uring the last decade many medical students ha\ e flagellated the health establishment with an intense idealism. Such provocative protests against the rather traditional antipathies concerning the poor, the Black, the Indian, and prison inmate as well as attacks against the stalwarts of American medicine exemplified by the American Medical Association and the pharmaceutical house monopolies are gradually tempered after four years of medical school educa Lion. The medical student is transformed into an individual who is now considered more professionally-mature. Commencement marks the transition from the gadfly dissentient inspecting the medtcal machine at some distance to one who is identified as an essential component of an often turbulent health empire. This person has now assumed the role of intern resident or house officer and. as such, must devote his energies in new demanding directions which are not diverted by mere verbal protest. Or. Thomas H. Hunter. from the University of Virginia, recently described the house officer as one who must function in at least six roles: -as a postdoctoral student, -as a teacher of medical students and other health personnel, -as an administrator of a complex health team, -as an investigator involved in clinical research, -as a physician caring for sick patients, -as an employee of the hospital. Until several years ago, these men and women accepted the anxieties and frustrations of such complicated responsibility as well as resentment over being "exploited as cheap labor" with only behindthe-scenes grumbling. Currently, as the public demands better treatment for its 100 billion health dollars annually spent, as health care costs continue to rise. as hospital administrators become more powerful, and as the government tentacles begin to grasp every aspect of physician education and health care delivery. it is the house officer who is now to challenge the traditional perspective of his or her historic role. It is the intern and resident. as well as our patients, who have now been irrevocably caught between what has been recently called the "extremes of the do-nothing plans of the AMA and the do-everything plans of organized labor." Last year Congress voted to include non-profit hospitals as an extension of the National Labor Relations Act. This represents recognition of the hospital as an industrialized complex rather than as a house of charity dominated by the professional. Surely, this can be no surprise with the steady rise of influence of third-party payers. tremendous hospital costs, the organization of health service work forces. physician corporations, and subspecialty medicine. It should also surprise no one that house officers are fid- FALL. 1976 25 The Future by AI Benson Ill. M.D. AI B Benson �j ding it necessary to organize into such groups as the Physicians National llousestaff Assocralion. After the March 1975 Ne\\ York City housestaff strike. one chief resident stated: "Organized hospital medicine and organized academic medicine have created a Frankenstein by their hidebound, ossified resistance to an\> kmd of change. Had they not sat back with all those . . . rationalizations for maintaining the miserable status quo. they wouldn't have precipitated the development of orgamzed house staffs which they perceive as teamsters with stethoscopes and white pants." Certainly house staff associations are partially self-serving in their insistence upon quality educational programs, shorter working hours and more realistic salaries; however. quality patient care is an absolute and fundamental objective of these organizations. Hosp1tal administr·ations, in the growing panic generated by financial crisis. have made patient care a secondary objective. Administrators are endangering sound patient care concepts by encouraging overadmissions to the hospital simply to occupy excess beds, by eliminating general and specialty clinics, by overulllizing the emergency room, by lack of equipment and facilities, and by undermining training programs for physicians, nurses. and other personnel which represent the backbone of quality health delivery. The health team approach to patient care has been seriously damaged by the elimination of many social workers, paramedics. nurses. and occupational and physical therapists from our hospital wards. Unusually long working hours and poor working conditions have certainly resulted in mistakes of omission or commission by physicians. The management of a health industry requires training and critical voices during the earlier career stages before entrenchment into the system is final. The refusal by the NationaL Labor Relations Board to guarantee residents the right lo collective bargaining is unacceptable in that it forces the resident to remain the silent partner in the physician hierarchy. Resident and attending physicians, not hospital or government bureaucrats, are trained in the art of medical care. They must therefore unite as a political force to ensure that the limited financial resources are spent to potentiate efforts to prevent unnecessary disease. unnecessary disability. and unnecessary death. The unionization of physicians is not inauspiciously unprofessional and \\ill not erode public respect and confidence, if further inaction is the only alternative. As house officers. we must become the Lobby for the sick, especiaiJy the sick and underprivileged . . . the burden of patient care requires the utmost credibility, competence. and compassion. A strong house staff organization is not a grandiose scheme but rather a matter of practical productive health delivery. It is not a rehearsal for the health emprre apocalypse. It is not conceived necessarily to revolutionize but rather to accelerate the American health system evolution. Such is a friendly amendment to the medical constitution. Thank you and good luck. o 26 THE BUFFALO PHYSICIAN �As each of you in the class knows our paths have crossed only infrequently in a personal \\ay during the last 18 months. However, in my association with the University during a span of almost two years, there have been significant contacts with individual members in your class which have provided ample opportunity for me to assess the class character. The first of these occurred during the Search Committee process when student members of that Committee did much to familiarize me with the goals and aspirations of the medical students, the perceived mel and unmet student needs, and with their assessments of the faculty. There is little doubt in my mind that the contributions of Nancy Nielsen and AI Benson to that process and effort contributed greatly to faculty educa lion, improved interinstitutional communication and enhanced student morale. You have been well represented academically by the 14 scholars elected to Alpha Omega Alpha; by the 19 individuals who will be acknowledged with individual honors this evening; by Irwin Montgomery, the recipient of an American Academy of Neurology. National Research Award; by the tremendous talents of Serafin Anderson; and by having fared so well in your placements for graduate medical education training, both within the Buffalo area and throughout the countr~. Your concern for one another. for the integrity of your class. and for the continuity of the life of the institution is well demonstrated in the singularly impressive accomplishment of this year's edition of THE IRIS. Dennis Pyszczynski and Louise Isenberg deserve a particular vote of gratitude and appreciation. I would like to note that in my opinion this year's yearbook effort represents more than a compilation of names. photographs, and fabulation of events which will join our other artifacts and archival inventories. Its content signifies evidence that you. as a class. have a solidarity and a commitment to a strong value system that is people oriented, particularly family oriented. Such a demonstrable commitment indicates that we of the faculty and your friends and family can look forward with optimism to that day when you will be rendering medical service to our society. For all of the above accomplishments, I congrat ulate you. For allowing the faculty of the University at Buffalo to share in them with you, I thank you. d- Con(cmng of L>ocror u( Phdosophr Dt'~recs FALL. 1976 27 Challenge to Graduates by john '\'oughton. ,\LD. �{)rs. Brod}'• BrownJC j A recent AAMC survey rr.veols that more medical groducJtcs ore enlenng primary core specialties (Internal medicine. pediatrics, fomilr mcclic:inc. obl gyn} than nvcr before. This yeor there ore 66 percent compared to just 56 pcrcc:nt two years ago. Of tht? 9 percent who chose flex iblc• or rota ling first grodualc year positions, many ore r!xpe<:kd to develop careers in primory core. Seventeen percent chose surgery ond its subspecicliiJcs while potlwlogy, radiology, and med1col spc:cJalties were selected by cil{ht percent. I have already indicated to you that this has been a busy week for all of us. The events of the past several days brought to mmd an old adage "... before you marry, meet and appraise the grandparent." Its impact may not be apparent to you for several minutes. l have participated in the 50th class reunion, the 25th class reunion, and now. your graduation. The lessons that I have learned from these contacts are numerous and, of course, the number of jokes l have heard are legendary. However, in a short period of time a span of three genera lions has been represented and I am impressed with the following: Each of the groups has evidenced a drive to serve and each has encountered its frustrations and ils successes. For instance, the Class of 1926left medical school at a time of great social affluence, high expectations and happiness. Life was fast, but simple. Each was well prepared to practice the art of medicine; few worried about technology; and none envisioned that during their active practicing lives they would witness the western world's worst depression; a horrible war; a revolution in medical technology; the advent of the age of specialization and over-specialization; and the eradication or near-eradication of most of the diseases they were trained to treat. However. each has coped; each has attained accomplishments greater than they had ever dreamed of; and in their fading years each is still energetic enough to be concerned about the integrity of the medical profession and to ask whether its intrinsic values will be preserved. The Class of 1951, of course, differed vastly from that of 1926. Its graduates were born with the depression; most were veterans of that great war; and all were older than their colleagues of '26 and most of yours at the time of graduation. They entered practice during the age of technological change; with the birth, growth and success of the biomedical research era; the almost total disappearance of the generalist; and the advent of the specialist. Its members have been blessed with a prolonged era of affluence and an era during which the medical and social roles of the physician have been greatly enhanced. They have met most of their expectations and they have certainly helped society accomplish many of theirs. However, both classes have exhibited certain degrees of frustration occasioned by our inability to cover all bases at one time. Your class, of course, is just entering professional life. But even at this point in your lives you have grown and matured through periods of great turbulence and change. For you represent the generation of the age of technology. research advance, specialization, affluence, counterculture, dissatisfaction with certain social advances and inequities, and the generation that will be asked to meet many of society's unmet expectations during the fading years of this century. I am no ..v of the opinion that the challenge that lies before you can be iden Lified from many of the successes and failures of previous graduates. Your challenge will be to synthesize the dedication to individual service, to human values, and to the art of medicine that was so ingrained in physicians of the earlier generations with the vasl knowledge stores, technological knowhow, and specialized interests lhat characterize those of us who represent the so-called modern era. Let me emphasize that it is to 28 THE BUFFALO PHYSICIAN �synthesize these apparent discordant identities and value systems, not to destro~ either. I belie\'e that is a rather large challenge. It is an e\ en larger challenge because to accomplish the task, you will be asked to do so in the context of a vocabulary often times unfamiliar to you and me. and in an environment that may not always be understanding or friendly to your own interests. Your battleground will be in the context of economics; service delivery; chang ing roles for physicians and those with whom they work; utilization of research results rather than development of new research and the extension of health care more and more from a hospital base to an ambulatory and community base. Your interfaces will be less and less with hospittll directors and more and more with community and governmental agencies and other components of the health delivery system. I am encouraged that if one is willing to share in the successes and failures of those who have gone before us. that you, the members of the Class of 1976, will contribute to meeting not only your own individual expectations, but to those of society as well. On behalf of the School of Medicine. I am pleased to congratulate you and to wish you well. Now. before closing let me turn momentarily to another concerned and important group. Would those great grandmothers; grandmothers: and mothers present please stand. Please give a big hand to these important contributors to this event. o . Or. Alexander C. Brownie will be the new acting chairman of the department of biochemistry effective September 1. Dr. Brownie is professor of biochemistry and research professor of pathology. He joined the faculty in 1963. Dr. Brownie received his Ph.D. in biochemistry from Edinburgh University. Scotland in 1955. He was a research trust Fellow in clinical chemtstry at the Royal Infirmary in Edinburgh the following year. From 1956 to 1962 he was a research Fellow in pharmacology and therapeutics at Queen's College. University of St. Andrews in Scotland. The year before coming to Buffalo Dr. Brownie was at the University of Utah where he was a United States Public Health Service Research Fellow in Sterotd Biochemistr~. The 1974 Medical School graduating class presented Dr. Brownie with an award for "Insight and Dedication to Teaching." He has been an outstanding lecturer in medical biochemistry, general pathology. btochemical endocrinology and metabolism. He was also a course coordinator for physiological biochemistry and the medical-dental biochemistry course. Dr. Brownie has served on numerous departmental. medical school and University-wide committees. He has also participated as a speaker and panehsl in many conferences, workshops and symposia, and chairs the Faculty Senate. o FALL, 1976 29 Dr. Brownie �TF:'\ MEDIC,\ I. SGIIOOL faculty members. who reached age 70 on or T en Faculty Retire Dr Jones l before the last da)c of August have retired. Collectively they have served the Unl\ersity 365 years. They are Drs. Henry J. Brock, James P. Cole. Edward A. Driscoll, Wilbur J. Fisher, Norman Heilbrun. Oln er P. )ones. Charles E. Mav. Frank Meyers, Herbert j. Ulrich. and Irving Wolfson. All are emeritus. Or. Brot:k joined the faculty in 1939 as an instructor and retired 37 years latt•r <IS a rlmical assistant professor. He received his bachelor's degree from Yale University in 1927 and his M.D. from HarvMd in 1931. He was an intern and resident (assistant in medicine) at Buffalo General Hospital and took postgradua le training at Presbyterian und Bellevue Hospitals in respiratory physiology. Or. Brock was on the Buffalo General Hospilal staff since t934. He was also an attending physician (1946-68) at the Veterans Administration Hospitals (Buffalo and Batavia) and a consultant in chest diseases at the J. N. Adam Memorial Hospital. He is a Fellow, American College of Physicians, American College of Cardiology. American College of Chest Physicians. During World War II he was Ch1ef of Chest Diseases at the 23rd General Hospital in North Africa and Europe. Dr. Brock has authored or coauthored numerous articles and presented papers at many professional conferences and seminars. He was a consultant on dust diseases for the 'ew York State Workmen's Compensation Board from 1959 to 1975 and he also served as chairman of the committee on dust diseases. From 1941 to 1975 he was a diagnostician for the Erie County Chest Clinic and for 17 years he was an electrocardiogram reader at the Buffalo General Hospital. and a Senior attending physician since 1972. Dr. Cole joined the facultv in 1946 as an assistant, and retired as a clinical professor 30 ye~rs later. He received his bachelor's degree in 1927 from Colgate University and his M. D. from the College of Physic:ians and Surgeons, Columbia University. in 1930. Six years later he received a Doctor of Medical Science from Columbia University. From 1930-1932 he was an intern in the first surgical division ot Bellevue Hospital, New York City. Dr. Cole had a two-year residency at the New York Orthopedic Hospital, New York City, folio\\ ed by a Fellowship there from 1934-1937.ln 193637 he "'' tlS an instructor in orthopedic surgery at Columbia Medical School. He served with the United States Navy during World War ll (August. 1942-February 1946). He has been a consulting orthopedic surgeon at four Buffalo hospitals- E. j. ~1eyer Memorial. Millard Fillmore, Deaconess and Children's. He is a Fellow, American College of Surgeons. He has been acli'< e in several local, slate, national and international professional organizations. He has contributed many articles to professional journals. Or. Driscoll is a 1931 U B Medical School graduate. After taking his internship and resident~ at the Buffalo General Hospital he joined the faculty in 1943. He is retiring as a clinical professor. after 33 years of service. Or. Driscoll has been on the staff at the Buffalo General llospital since completing his residency. He is a Fellow, American College of Physicians. He has been an active member in several local, regional. national and international professional organizations. l ie hus presented many papers at conferences and seminars in recent years. He is in the department of medicine. 30 THE BUFFALO PHYSICIAN �Dr. Fisher came to Buffalo in 1938 as an assistant and retired a clinical assistant professor. He received his bachelor's degree in 1926 from Yale University and his M. D. from the Johns I lopkins Univers1ty in 1930. The following year he interned at Johns Hopkins Hospital. In 1931-32 he was a resident in pediatrics and assistant instructor at Universit~ Clinics. University of Chicago. He continued his residency at Buffalo Children's Hospital (193235). His hospital affiliations included Buffalo General, Children's and Kenmore Mercy. From 1942-46 he served in the United States Army Medical Corps. He is a member of the American Academy of Pediatrics. and a Phi Bela Kappa. Dr. Heilbrun has served the University 46 years. longer than any of the tO retirees. I le joined the faculty in 1930 as an assistant. He recei\ed his M.D. degree from U/B in 1929, after completing his undergraduate work in 1926. Dr. Heilbrun interned in pathology at the Buffalo General Hospital and was later director of the clinical laboratory there. He \'\BS a Fello'"' in internal medicine with Dr. A. H. Aaron from 1931-34. and during 1937-38 was a radiology resident at Strong Memorial Hospital. University of Rochester. Since 1947 he has been a consultant in radiology at the Veterans Administration Hospital. During World War II (1942-46) he was chief of radiology at the T. l\1. England General Hospital in Atlantic City. He is a FellO\\. Amencan College of Radiology. and a past president of the ~ew York State Rad10logy Society. He has been active in severtll other local. regional and national professional orgamzalions. The clinical assistant professor has authored and co-authored numerous arlicles for professional journals. Or. Jones. who was named "distinguished professor" in 1971, has been on the faculty for 39 years. During his tenure he has been a teacher. author, researcher and historian for the International Society of Hematology. His administration positions ioclude head of the anatomy department. assistant dean of the Medical School and chairman of the admissions committee. He has been a visiting professor at Baylor University and the National University of Mexico. In 1964 he was named "distinguished lecturer" at Tulane University Medical School. In 1954 the medical students dedicated the yearbook to him and the executive committee of the Medical School honored him. Dr. Jones is a member of many national and international professional organizations and has participated in many \\orld-wide conferences Ill the last 39 years. He received his Ph.D. from the Uni\·ersity of Minnesota in 1935 and his M.D. from U 8 in 1956. Or. May has been on the faculty 40 ~ears. since 1936. He retired as a climcal professor. and did all of his teaching in the anatomy department. He received his M.D. from U 8 in 1934 and interned at the Buffalo Generalllospital where he has been a senior physician for many years. In 1966 Or. May was the recipient of the Dean's Award for his distinguished service and teaching. He was in private practice 35 years. until his retirement in 1970. From 1936to 1973 he was medical director, Erie County Department of Social Service. lie has been active in several local. state and national professional organizations. cJ- FALL. 1976 31 Dr. Fisher Dr. lltulbrun Dr. \fa \· �POSITION WANTED M a r1 o n \if a r 1 o n o "'•' s k }' . mcmn~in~ editor of the "Buf(olo Phrsir:ion" since its incept ion tun ycCJrs o~o. will be looking (or cwother JOb when her contract c:xpirns on june 30, HJ77. With wido expc~rHmce in rneciJcol writing. she would like to remain in the field. President I<etter Honors Retirees j Dr. Frank Meyers received his M.D. degree in 1929 from U I B. He interned at the Buffalo General Hospital and was an assistant to the late Dr. A. H. Aaron for three years. He joined the Medical School faculty in 1939. After 37 years of service he is retiring as a clinical assoc:ate professor. He has been on the staff of the Buffalo General Hospital since 1938. Dr. Meyers is a Fellow, American College of Physicians. He is a member of several other professional orgamzallons. From 1947-52 he was on a special committee toestablish a residency prog•·am at the Veterans Administration Hospital in Batavia, New York. He is in the department of medicine. 01·. Herbert J. Ulrich is completing 42 years as a clinical associate at U1B. He joined the faculty in 1934, four years after graduating from the UIB Medical School. H e also did some leaching in the School of Nursing and at Buffalo Hospitals. He has been active in several professional organizations. He is in t he department of medicine. Dr. Irving Wolfson joined the faculty as a lecturer in medicine in 1953. He is a 1930 graduate of the U B Medical School. He practiced in Buffalo anc.l was associated with the School of Medicine for 23 years. He was a Lieutenant Colonel in the United Stales Army 1\1edical Corps from 1941-46. o Dr. Oliver P. Jones was among seven honored at a special Commencement Luncheon May 16. President Robert L. Ketler presented citations to each of the retirees for their long and devoted service to the University. Dr. jones has taught thousands of medical students since joining the University more than 39 years ago. He has had a distin ctive career as teacher. researcher of international reputation a nd dedicated administrator. He served as chairman of the department of anatomy from 1943 to 1971. "'as assistant dean of the School of Medicine for nine years and was chairman of its admissions committee for 12. Considered to be one of the world's leading experts on the morphology of abnormal reel blood cells, he was among the first to prove the existence of megoblasls or enlarged red cells. His use of advanced microscopic techniques has been responsible for major advances in the sl udy of blood diseases. Jones will be retiring in August. Other faculty honored - Charles Balkin. retired as assistant vice president and controller after 19 years of service; Dr. James F. Danielli, professor and director of the Center for Theoretical Biology, served the University for 14 years: Edward F. Ellis. who has been on the library staff since 1948: Frank J. Hodges, who has taught in the School of Social Work for the last 18 years; Dr. Theodor Ranov, professor-emeritus of engineering, who has been on the faculty since 1949; and Dr. Edith R. Schneckenburger, who has served since 1947 as a faculty member in the department of mathematics. o 32 THE BUFFALO PHYSICIAN �T he spirit and enthusiasm of the 180facully members who attended the annual Medical School faculty meeting was a tribute to the four faculty members who were honored and recipients of special awards. Dean John Naughton presented the Dean's Medal to Dr. James P. Nolan. for h1s "outstanding contributions to the School of Medicme and for his efforts as Chairman of a newly created ad hoc committee to review the appeals of students in academic difficulty." Stockton Kimball awards for each individual's contribution to teaching. research and service went to Drs. 0. P. Jones, Samuel Sanes and Kornel Terplan. Or. Nolan is a professor of medicine at the University. He is chairman of the department of medicine at the Buffalo General Hospital. He is president elect of the hospital's medical staff. A cum laude medical graduate of Yale in 1955 Dr. Nolan completed his internship and residency in medicine at the Grace-New Haven Hospital after sen ing t\'\.0 years as Lt. Commander\\ 1th the U.S. Na\ y Medical Corps. He is a Fellow of the American College of Physicians; a Diplomate of the American Board of Internal Medicine; on the editorial advisory board of Journal of Medicine: Expenmental and Clinical. and is a member of numerous professional societies. He came to Buffalo in 1963 as assistant professor of medicine from Yale University where he was instructor in medicine and associate physician at Grace-i\;ew Haven Hospital. Special Faculty Awards ThP Stockton Krmbo/1.-\ ward. an erl(llt rnch Steuben Crrstal Plaque. wllh rnsnrptron from the Hippocratic; Onth , IHis awarded to Drs. Jones, Sones and Tl•rplan at the annual focultr meclml(. Or. Sanes retired as professor of pathology in 1971 after 35 years of teaching at the Medical School. He first retired in 1961 when he gave up his everyday practice to devote full time to teaching. He has been teaching medical students since his graduation from Medical School in 1930. In 1953 Or. Sanes was named an outstanding citizen by The Buffalo Evening News. He was founder and president of the Erie County Chapter, American Cancer Society. In 1971 he was honored at the annual Medical School faculty meeting for his distinguished service as a physician-educator. Or. Terplan served on the Medical School faculty for 35 years (1930-65). He was professor of pathology when he retired in 1965. He was also on the staff of the Buffalo General Hospital. He received his medical degree from German University in Prague in 1919. and was an instructor. assistant professor and associate professor of medicine there until he came to Buffalo. He also did graduate work at the German Pathological Institute in Prague and at the Institute for Brain Research in Munich. Dr. Terplan was an active participant in several national and international professional organizations. and he published numerous articles based on his research. Dr. )ones was chairman of the department of anatomy from 1943 to 1971. was ass is tan t dean of the Medical School for nine years and chairman of the admissions committee for 12 years. He has taught thousands of medical students since joining the faculty 39 years. ago. Or. Jones has had a distinguished career as a teacher and a researcher and administrator. o FALL. 1976 33 Buffalo Chapter of Xt presented its 1976 Distinguished Research Award to Dr. 0. P. Jones. distinguished professor ementus in Apnl. The award was mode during ll1e annual meeting whtch focused on "Environmental Aspects of Energy Production." The Si~mo �B A D F Medical Alumr Hosts Third A1 Reception for ~ ) 1 34 THE BUFFALO PHYSICIAN �K It was a relaxing afternoon for the 170 students, faculty. alum- 1ni Association \nnual Seniors FALL, 1976 ni and their spouses who allencleclthe third annual cocktailreception for sen10rs al the Frank Lloyd Wright House (alumni association headquarters) on Jewett Park way. It was one of the last social get-logelhers for- the graduating seniors and their friends. A. Drs. john]. O'Brien. ,\1'41. F. Carter Pannill Jr: B. Students; C. Dean john Naughton. Dr. Harold Brody. t'vf61; D. Denms Pyszczynslo. Dr. john Richert: E. Drs S. Mouchly Small. Bruno Schutkeker, t\1'38: F. Drs. \Villiom W. Meisner. M'27, Rose Lenahan, ,\11'37: G. Dr. and \1rs. Eugene Mindell: H. Dr. Edmond Cicewicz. M'56, Dean \oughton; I. Dr. Harold Bernhard. M'49, and students;}. Dr. and Mrs. Samuel Sones, M'30 and students; K. Diane Saar. medical alumni coordinator. Dr. and Mrs Milford Maloney, M'53, L. Dr. and Mrs. Joseph Rutecki. M'45. Dr. 0. P. Jones, M'56. o 35 �First Annual Westwood Conference on Clinical Dermatology O ver 200 came. Most were from middle-sized American cities. One as far away as Hawaii, others frum across the country and Canada. But bceausc these physicians - almost all were dermatologists- were not near leaching hospitals. they wanted an update on diagnosis/ treatment of some major skin diseases. It w<~s presented at this first annual Westwood Conference on Clinical Dermatology by the department of dermatology at the Stale Universitv at BufCalo. \Jotmg the need ·for dentists, who are the first to look into a patient's mouth, as well as physicians to be aware of the many dermatologic diseases which may have oral munifcstations, Ut B's Dr. Alan Drinnan pointed to a dose working relationship underway in Buffalo bel\,v een the departments of dermatology and dentistry. "We are doing just that," he Silid. 36 In his review of a group of genetic diseases found in the head and neck areas. Minnesota's Dr. Robert Carlin pointed to ma ny which are "often misdiagnosed." He cautioned on the need to learn about genetics or to fmd an expert who kno\~s. Because contact dermatitis is a common disease, guidelines for pinpointing patients \~ ho may be directly allergic to certain materials were presented by Minnesota's Dr. William F. Sc:horr. He pointed to much progress -there is pendin~ legislation in identifying ingredients in cosmetics screening preparations th.tt may produce an allergy. On physician request. a brea"-down of new cosmetics is .1vnilable from a cosmetic clearing house (he was instrumental in its development). In a study of cosmetic allergies, Dr. Schorr implicated perfumes as the "villains." Although he could count between 50 to 100 THE BUFFALO PHYSICIAN �chemicals. the same handful kept appearing in each case of cosml'tic allergy. Problems in intPrpreting patch tests/ drugs on thl• skin that ma~ irritate. often burn. and may be the basis for a claim lo industrial disability were also reviewed by Or. Schorr :'\:ot an allergy .ts suspected but rather an irritation reaction. he Sctid. And because some reactions are not excematous as in poison i\ y. "they ma) come and go in the first z.t hours," he cautioned that the 48-hout' patch lest may be missing them. ew developments inS) stemic allergic contact dermatitis. those allergies to something on your skin ot· mouth to which you may have a significant reaction, '""ere reported by New York University's D1. Alexander Fisher. Among newer conta<.t allergens. he noted the 1 ubber antitoxins. dyes und glues "vve are now finding tn shoes. most of which are being produced in Europe." And he pointed to some forms of \' itilago which may be drug-induced (from detergents. soaps. industrial products}. In his revie\.\' of the physics and language of light. Columbia College of Physicians and Surgeons' Dr. Leonard Hurber pointed to some harmful as well as helpful reactions associated with its various ranges. and connected them with a number of drugs. The \'arious kinds of protection we have agatnst light were reviewed by Pennsylvania's Dr. Albert ~1. Kligman. To protect against sunburn cuused by the UVA range (360 manometers), he recommended PABA (para aminobenznmme acid) and others containing Gmd\' Larsson. df•portrncnt busmcss odmw•strotor. PABA esters. Because the UVB range falls between 290 and 320 manometers. be noted the greater protection that is needed. Not only was he able to implicate the former range in almost all photoallergies but pointed to its therapeutic use in the treatment of psoriasis. Dr. Kligman cautioned that ordinary sunscreens do not protect the population .;l most risk. "those of Celtic descent. tbe lightskinned. c·ed-headed, freckled individuals who never tan and are more apt to develop aging of the skin as well as skin cancer.'' d- -\n C\'Cnlll,ll ol ,\/bnghl /o..nox - Drs Dobson, \1rs Strauss, Drs. Sholl Ia and Strauss FALL, 1976 37 �Updating a new, dramatic method for psoriasis/ other skin diseases were Harvard's Drs. Thomas B. Fitzpatrick and John A. Parrish. In th1s method known as photochemotherapy (photo stands for UVA. chemo for psoralen). light is used along with a systemically-administered drug, and is probably more effective than those previously used. In his review of photodermatitis, San Francisco's Or. John H. Epstein not only cited numerous chemicals in our environment- external and internal ones - which can lead to problems, but he potnted to the removal of one of the major causes, a bactericidal agent in soap. To protect against sunburn, he cautioned against exposure to sun between 10 a.m. and 2 p.m., to use sunscreens containing PABA or PABA esters, and that any problem that is accentuated by continuous exposure to sun should lead you to suspect photosensitivity problems. Application of training in basic immunology techniques to clinical problems has led to a better understanding of dermatologic diseases. The complexity of the complement tTcell antibody system \'\·as reviewed by NU-l's Or. M1chael Frank. "We now have a better understanding of the protection we receive against infection that results from mediation by the complement system. It is the major serum mechanism for generating an inflammatory response," he said. A rare candida infection of the skin/ mucous membrane was reviewed by NIH's Or. Charles Kirkpatrick. Profound or subtle immunologic defects in lymphocytes were noted in most of his patients with mucocutaneous candidiasis. Dr. Hcodm~ron Dr forrlon Dr. Rasmu ssflO 38 He emphasized the role that T -cell plays in protection against this normally trivial infection. A number of precipitating antibody tests developed by UtB's Or. Morris Reichlin are proving to be valuable in making prognostic estimates on patients with lupus erythematosis who will develop nephritis. ln his report of a lupus band test that is used to pinpoint patients with lupus nephritts. U/B's Dr. Thomas Provost was able to point to a high correlation between the test and renal disease in patients with SLE. Heterogeneous is the population of those with bullous pemphigoid. In data presented by him, those with its localized form readily respond to therapy. And he pointed to long remissions which can result. He noted that most patients have a generalized form however. From Mayo Medical School's Or. L. Oiaz (a former U/ B dermatology resident), came some exciting data on isolating specific antigens to screen patients with pemphigus and pemphigoid. Once isolated, be believes that a simple laboratory or office test that uses antigens in a patient's serum, can be developed. Dermatitis herpetiformis and its relationship to gluten-sensitive enteropathy was reviewed by NIH's Dr. Steven Katz. He noted that immunofluorescent testing for lgA to screen these patients is of great diagnostic value. A rare bullous disease of pregnancy was reported by Mayo Medical School's Or. Robert Jordan (a former Buffalo faculty member]. In herpes gestationis he said that both mother and child develop this blistering, debilitating disease. Data seem to indicate its mediation in Dr. Do bson Dr. Provost Dr. .\fa u;e THE BUFFALO PHYSICIAN �both by complement and IgG anti-basement membrane zone antibody. In his studies of two diseases. toxic epidermal necrolysis and erythema multiforme, U!B's Dr. James Rasmussen could offer no proof that treatment influences their course. ln the former. while his studies on 100 patients suggest a self-limited disease, it is one which he feels should be treated in order to eliminate the staphylococcus that colonize mucous membranes. In the latter disease, many clinicians think systemic steroids are necessary. Not so, responds Dr. Rasmussen. His experience on children with this disease also points to a selflimited disorder. Therapy, he said, only leads to unnecessary complications. Acne. Its various concepts were reviewed by Dr. Rasmussen, its clinical varieties by Dr. Kligman, and its treatment by Boston University's Dr. John Strauss and Downstate Medical Center's Dr. Alan R. Shalita. Dr Shalrta Dr Strauss There was agreement that causes factors which aggravate acne have been well defined. A multifactorial disease, it is one in which there is too much sebum and an irritation of the follicle by free fatty acids. A tour of th e Albnght Knox Gallery. FALL, 1976 39 �Drs. Gar/in. Drmnan In his presentation of many clinical varities of acne. Or. Kligman included those pt·ecipitated b} e'\.posure to sunlight. and the use of harsh soaps or abrasives. Or. Strauss emphasized the principles of systemic steroids and guidelines for use of antibiotics and hormones while Or. Shalita outlined topical therapy. In his opinion benzoyl f)eroxide is the best while retinoic acid runs a close second. He also noted the limited value of most other topical preparations. In his review of psuedomalignancies, U/ B's Dr. John C. Maize pomted to the importance of conelating the skin biopsy with biological behavior of the disease. The characteristics and reactions to insect biles and parasitic infections were also reviewed by him. Often misdiagnosed, he pointed to suspicion of these by an experienced clinician and diagnosis by a histopathologist. New York University's Dr. Bernard Ackerman attempted to dispel the myth of chronic nonspecific dermatitis. The developer of an elaborate but practical system of histopathologic diagnosis, it has proven of great use to him. In his review of lymphomatoid papulosis. a lesion of malignant appearance but benign beha\ ior, Dr. John T. Headington, University of Michtgan, cautioned on the need for longterm follow-up of these patients. For three cases of true malignant lymphoma have been reported. That most participants were enthusiastic about the four-day dermatology program was confirmed by their desire to return to the second annual meeting that is scheduled for next May. o Dr. Marra Retires Or. Edward F. Marra, professor and chairman of the department of social and preventive medicine since 1960, resigned August 31. In 1974 Dr. Marra was honored for his service to the School of t-.tedicine at the annual faculty meeting. He received his bachelor's degree from Trinity College in 1945 where he was a W. H. Russell Fellow. Dr. Marra served in the United States Navy the next t\·v o years. In 1950 he received his medical degree from Boston University where he completed graduate training in internal medicine. While sen:ing on the Boston faculty from 1953 to 1960 he earned an MPH degree from Harvard University in 1955. Under his leadership in Buffalo over a 16-year span, several faculty received their training to head similar departments at other medical centers. Dr. Marra was also instrumental in setting up a comprehensive University undergraduate training program in family medicine an d medical sociology. o 40 T HE BUFFALO PHYS ICIAN �DR. PASQUALE A. GRECO, a 1941 Medical School graduate received the Samuel P. Capen Award in June at the 37th annual installation and awards banquet. It is the highest honor given by the U/B Alumni Association for notable University and Alumni service. Or. Greco, a clinical assistant professor of urology, established a loan fund to provide up to $2,500 per academic year to qualified U/B medical students. His $50.000 gift, through the U/B Foundation. was made in appreciation for financial help he received as an undergraduate. and to inspire donations from other physicians, and graduates of the State University at Buffalo since 1963. Dr. Greco is chairman of the Department of Urology at Millard Fillmore, Emergency and Columbus hospitals. He is a member of the Advisory Council, New York State Kidney Disease Institute; the State Health Research Council; the City Planning Council and the Board of Trustees of the U/B Foundation. He is also a director of Blue Shield of Western New York, the Erie Federal Savings and Loan Association, and a trustee of the Jewish National Hospital in Denver, Colorado. Daniel A. Roblin, Jr., industrialist, was given the Walter P. Cooke Award, for significant contributions to U B by a nonalumnus. Four other graduates received Distinguished Alumni Awards for achievements in career, community and University service. They are: Or. Virginia L. Cummings. director of the Buffalo Museum of Science; the Hon. Matthew J. Jasen. associate judge of the Court of Appeals; Or. Robert L. Montgomery, dentist; and Theodore J. Siekmann, former director of alumni relations and associate director of the University at Buffalo Foundation, Inc. o Dr. Barnard Resigns Or. Eric A. Barnard has resigned as chairman of the department of biochemistry. a position he bas held since 1969. He will continue as a research professor in the department. Or. Barnard came to Buffalo in 1964 from the University of Marburg, Germany where he was a visiting professor. He was born in London, England and received both his Bachelor of Science and Doctor of Philosophy degrees from King's College, University of London. In 1969 Or. Barnard received a Guggenheim Fellowship for study in Europe. In 1974 he was among 38 scientists in the United States to be recognized for outstanding performance in the biomedical sciences by the Josiah Macy Jr. Foundation. o FALL, 1976 41 Dr. Greco Honored �After a gruelling year first and second year medical students found various ways of relaxing. Some participated in a softball game while others enjoyed a picnic, cocktails and fellowship. 42 THE BUFFALO PHYSICIAN ��St. Maarten Seminar The St..\1oorlm bt·och. One of the best-ever U/B Alumni Association continuing education seminars. this one to St. Maarten in the Caribbean, February 21 to 28. involved 40 physicians. The romantic appeal of this pleasant island. half French and half Dutch, provided a perfect counterpoint to a five-day program of current clinical dialogues. moderated by Dr. Milford C. ~aloney, who is clinical associate professor of medicine and chairman, Department of Medicine at Mercy Hospital in Buffalo. Dr. Jules Constant, clinical associate professor of medicine, and Dr. James Nolan, chairman, Department of Medicine, Buffalo General Hospital and professor of medicine, were the panelists. Topics covered included drug induced Liver injury; the jugular venous pulse; chronic active hepatitis; current concepts in diagnosis and treatment of angina, hepatitis associated antigenusefulness and limitations; current concepts on dtgitalis therapy, and pre-operative and post-operative management of the patient with liver disease. The program was approved ~or credit b~ the Council on Medical Education of the American Medical Association and was also acceptable for 15 prescribed hours by the American Academy of Family Physicians. Several of the participating physicians were lavish in their praise of the program. Some mentioned its value, particularly to physicians practicing in smaller communities away from teaching hospitals. There were a fe·w 'drop-ins,' vacationing in St. Maarten but not part of the U B traveling party. The Mullet Bay resort is a sprawling, 172-acre complex of privately owned condominiums\'\ hich are rented to tourists and includes a fine 1 8-hole golf course, 18 lighted tennis courts, an unsurpassed hair -mile beach on the Caribbean and a wide variety of sailing and snorkling opportunities. When the U/B people ventured off the premises, they went to Philipsburg (Dutch) for shopping, or Marigol (French) for more shopping and exquisite cuisine (also available at five restaurants at Mullet Bay). An auto tour of the 31-square mile island brings out pleasing contrasts between the mountainous, competent-appearing Dutch part. and the pastoral. verdant French countryside. Hosts for the U B Alumni Association tour. in conjunction with the Med1cal Alumni Association and Continuing Dental Education were J. William Dock. Director, U /B Alumni Association, and John M. Carter, President, University at Buffalo Foundation, Inc. o 44 THE BUFFALO PHYSICIAN �Continuing Education Programs Twelve Continuing Medical Education Programs are scheduled for Fall, 1976, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are: September 10-11- l':eonatology. Dr. George P. Giacoia, assistant professor of pediatrics. October 1 -Cancer 10 Industry. Cancer Soctety (CMEassisling). October 8-9-10 -Theophylline, Dr. Elliot F. Elhs, professor and chairman of department of pediatrics. October 12 - Endocrinology of the Gut, at McMaster University Medical Center, Hamilton, Ontario, Canada [CME co-sponsor) October 23 -Cardiac Diagnosis from Pulses, Dr. jules Constant, clinical associate professor of medicine. October 29-30 - Seven Cities Gut Club, Dr. Leonard Katz, associate professor of medicine. Associate Dean of Student and Cumcular Affairs (CME assisting) October - Surgery for the Prevention of Stroke. Or. George J. Alker. Jr.. clinical professor of radiology and clinical associate professor of nuclear medicine. November 5-6 - Medical and Surgical Disease of the Retina, Dr. Thomas J. Guttuso. clinical assistant professor of ophthalmology. November 11 - Diabetes, American Diabetes Association (CME assisting), Dr. Paul J. Davis, professor of medicine. November 12-13-14 - Arrhythmias, Dr. Jules Constant, clinical associate professor of medicine. No\ ember 19 - Chest Disease. Or. John Vance, clinical associate professor of medicine. December 2 - Gynecologic Laparoscopy. Dr. Norman Courey, clinical professor of gynecology-obstetrics. o Volunteer Service Award A sophomore medical student, who has been active in volunteer work, has received the CIBA Pharmaceuticals Inc. Community Service A.,.,·ard. Alan Koslow of Queens. N.Y. was selected by a commit tee of his classmates to receive the award for volunteer service to the Red Cross. First Aid Simulation Team and the Clifford C. Furnas College. Koslow has donated some 10-15 hours weekly during the past four years. He taught first aid courses and assisted with the American Red Cross Disaster Service; developed and evaluated disaster drill programs for area hospitals and served with the C.C. Furnas College 101 Program which provides recreation for mentally retarded youngsters and the elderly. He presented the set of books given with the A"" ard to C.C. Furnas College. where he is a resident. Alan's interest in serving others through volunteer work began as a teenager when he was involved in March of Dimes Walkathons, Earth Day and Earth Week programs in the New York City area. He also worked as a hospital volunteer in Queens. o FALL, 1976 45 A lon Kuslcllv �Honorary Degree For Or. Milgrom "G audeamus igitur juvenes dum sum us'' (let us join with joy) sang the chorus in the ''senat aula" (senate Hall) of the renowned University of V1enna during the award of an Honorary Doctor of ~ledicine degree to Dr. Felix Milgram on May 5th. This hono. culminates 30 ~ears as a creative scientist and educator for the professor and chairman of the SUNY AB department of microbiology. On graduation from the University of Wroclaw in 1946, the Polish-born physician joined its department of microbiology. Il was then cha1red by the noted bacteriologist/ immunologist, Dr. Ludwig Hirszfeld. Under the European system however an M.D. degree is not automatically awarded on completion of medical school. Rather, one must go through at least two years of research and additional examinations. On the basis of his thesis on developing a mass examination for syphilis, Or. Milgrom was granted an M.D. degree. ln 1951, a second degree, that of privat dozent which is equivalent to an American Ph.D. degree, was awarded to Dr. Milgram. He then proceeded through all of the steps in an academic career. In 1954. at the age of 34, starting as professor of microbiology. he was active in research. teaching. and editorial work. With Professor Hirszfeld and some of his associates. Dr. Milgram created the Institute of Immunology and Experimental Therapy at the Polish Academy of Sc1ence in \Vroclaw in 1954. After Hirszfeld's death lhal year. Dr. Milgrom became acting microbiology chairman as well as acting director of the Institute. Over the next three years (from 1954 to 1957) be was professor and chairman of the department of microbiology at the SiJesia School of Medicme in Zabrze-Rikilnica. Poland where he was instrumental in establishing a well-known group of young immunologists. After leaving Poland in 1957 and before arriving in this country, he was visitinR scientist at the Pasteur Institute in Paris where he worked with Professor Pierre Grabar, noted for his pioneering work in immunofluorescence. In April 1958, he accepted the invitation ofU tB's bacteriology and immunology chairman, Dr. Ernest Witebsky, to join his department. Here, his achievements again duplicated all of the steps of his earlier academic career. Starting with a professorship in 1963, after Dr. Witebsky's retirement in 1967 he was named chairman of the department (then renamed department of microbiology). a position he still holds. Together with Dr. Witebsk:y and other senior members of the local immunological community. he was instrumental in organizing U1B's Center for Immunology. Dr. Wilebsky served as its first director. During a particularly crucial time. following Dr. Witebsky's death and the departure of his successor, Dr. Noel Rose, Or. Milgram assumed the acting directorship of the Center. While his research activities are mainly in the field of tissue and tumor immunology, blood group. transplantation, there have also been important studies on natural antibodies as well as on the serodiagnosis of syphilis. rheumatoid arthritis and infectious 46 THE BUFFALO PHYSICIAN �mononucleosis. He is also well known for his studies on tissue specificity. These have led to the discovery of a new category of tissue-specific antigens. And be has elucidated the nature of rheumatoid factor. and an antibody associated with rheumatoid arthritis. Together with Drs. Kyoichi Kano. David Hume, and Mel Williams, Dr. Milgrom discovered a form of renal graft rejechon which is mediated by humoral antibodies. Author of over 300 scientific publications, his scientific achievements rank him among the leading immunologists in the field. But he is also known as an outstanding teacher, having trained over 60 physicians and postdoctoral trainees who now hold key positions in academies in their own countries. University of Vienna's Professor Carl Steffan, who recommended Dr. Milgrom for this honorary degree, stated "in times of fragmentation of knowledge on immunology. only very few immunologists remain who are specialists of the forest rather than the trees. Dr. Milgrom is one of the few remaining classical immunologists without whom immunology could never penetrate so deeply and broadly into the many clinical disciplines we obsef\.e today." o A plaqw• ancl champagne for Dr. john Wright. professor and choirman of patholo[H'· "in appreciation of constant serv1ce to the Cl(JSS of 1978." Left to right: Clifton L. Peoy. Dr. Wright, Kenneth L. Gl1ck. �New Allergy Head Dr. Mrddleton Buffalo has its first full-time head of Allergy. He is Dr. Elliott Middleton. Jr. who comes here from Denver where he headed clinical services and research at Children's Asthma Research Institute and Hospital as well as served on the University of Colorado's medicine faculty for seven years. A graduate of Princeton University, he received the M.D. degree in 1950 from the College of Physicians and Surgeons at Columbia, trained in medicine at Presbyterian Hospital in New York City and later was on its staff for almost a decade. He was among the first clinical associates of the National Heart Institute and trained in allergy at Roosevelt Hospital's Robert A. Cooke Institute of Allergy in New York City. ln explaining why he was attracted to Buffalo, the professor of medicine and pediatrics cited the excellent contributions of Drs. Carl Arbesman, Robert Reisman, Willard Elliott, Elliot Ellis, and others. "It was an opportunity to be associated with them on a broad range of clinical and research interests," he said. He also noted the strong support in Buffalo for allergic diseases and the hope of developing an open working relationship with area allergists and immunologists. Admitting to the usual funding problems faced by most medical departments due to decreased Federal support, Or. Middleton nevertheless plans many approaches to ensure the continuation of ongoing as well as new research programs and new faculty. With allergy clinics now operating at teaching hospitals (Buffalo General. Children's, E.J. Meyer Memorial. and Veterans). he hopes to develop training programs with emphasis on clinical experience and research at each of these institutions as well as to maintain educational ties with associated hospitals in the area. While four trainees are no\1', enrolled in the program, he looks for an eventual enrollment of six. Continuing. he pointed to the allergy patient load in Western New York as i:l heavy one. "Of a fifth of the nation's population who suffer from some kind of «llergy (these may include hay fever. poison ivy, and other sorts of immunological diseases) up to half are in need of treatment," he said. Teaching also presents an important challenge to Dr. Middleton in his role as allergy consultant and director. As a private practitioner for a number of years in Montclair, New Jersey and New York City, he is aware of the variety of allergy problems seen by physicians. He therefore hopes to provide allergy expertise to internists and pediatricians alike. But he a !so sees the need to touch on allergic d1sease problems of common interest to both physicians and nurses, to increase elective opportunities for medical students and residents. and to develop an increased awareness by the public on the nature and management of allergic diseases. Always stressed. he insists, will be excellence in pa tienl care. Research will continue to occupy much of his energy however. Not only will he be taking a closer look at the relationship of immunological and pharmacological aspects of allergic reactions but at the biochemical mechanisms involved as well. These are areas of longstanding interest to Dr. Middleton. 48 THE BUFFALO PHYSICIAN �, Drs. Tadao Okazaki and ~clson Ro~arro d1scuss research !echmqucs w11h Dr. \f1ddlt·lon 111 tht• AIII!TJH' fksearch Laboraton• at Buffalo General Hospital. At work with him on studies of prostaglandins is Or. Tadao Okazaki. research assistant professor in medicine. Noted Or. Middleton, "we want to determine how prostaglandins control allergen-induced mediator responses as well as their role in certain lymphocyte functions." Dr. Middleton has published extensively and is editor-in-chief of a book, to be released in 1977, entitled Clinical Allergy: Principles and Practice. It is coauthored by Drs. Elliot Ellis o(U/B and Wisconsin's Charles Reed. A past president of the American Academy of Allergy, Dr. Middleton is also a Fellow of the American College of Physicians, a Diplomate of the American Board of Allergy and Immunology of which he was one of 12 original directors when it was established several years ago. He is also a member of the American Association of Immunologists. o FALL, 1976 49 �Dr Kulz Yearbook Honors F irst Woman Graduate, Two Professors Dr l.uc The first woman graduate of the ~tedical School Or. Mary Blair Moody. and t\\O professors were honored in the 1976 yearbook, The Iris. The medical students dedicated their yearbook to Drs. Leonard A. Katz ,tnd joseph C. Lee. On this c.entennial celebration of her graduation Dr. Mary Blair t-.loody was cited as being "among this country's first female ph~::;icians." Determined 10 become a physician at a lime when it was held by many thai 'no lady would wish to study medicine,' she maintained her resolve despite tremendous pressure to enter a more conventional field and r<~ceived her M.D. in 1867 with a prize in surgery. She was the fil·st female member of the Erie County Medical Society and had a long and productive career, practicing medicine in Buffalo, NPw Haven. and Berkeley, California, where she died in 1919. "In 1887. when women students at this School of Medicine formed their ftrsl alliance for 'mutual encouragement, support, and aid in matters social. educa tiona!, and professional.' il was to the memory of M.tt y Blair Moody that they dedicated their efforts. 1\0\\. a centur~ after her graduation, she serves as an inspiration to all of us. For she accomplished the unconventional. followed her heart rathet· than the social mores of the day, and excelled in her chosen profession. Let us all strive to do likewise." Or. Katz was cited "for his demonstrated leadership in clinical teachmg, his attention to the concerns of students, and his commitment to the very best in medical education, a commitment which has already been amply demonstrated in his first year as associate dean of Student and Curricular Affairs." The associate professor of medicine was also recognized for "being active ins tudcnt-faculty affairs. Within a year of his arrival in Buffalo in 1968 he became Coordinator of Third Year Medicine, and it is in this capacity that many of us came to know him. He was also active on the Student Affairs Committee throughout our medical school years, serving terms as both Vice-Chairman and Chairman. As Dean for Curricular Affairs Or. Katz is continuing to pursue a longstanding interest in innovative and more effective approaches to medical education. We are certain that the School of Medicine will profit immeasurably from his energetic and insightful leadership in this area." Dr. Lee, professor of anatomical sciences and research associate professor. was cited "for his original research, academtc honors, and publications. But it was hts less objective credentials- his energy, openness, and expansive human spirit which overwhelmed us as first year medical students. Dr. Lee believed that each student was worthy of the task before him. Although invohed in a heavy schedule of leaching and research, he was never too busy to answer our questions, and would often pose yet more probing questions to guide our further study. 50 THE BUFFALO PHYSICIA'\J �"These were the indefinable qualities which so impressed us as we began our study of medicine. Now, as we graduate from medical school to begin another phase of our education, we realize that this first impression was indeed accurate. Or. Joseph Lee will always epitomize for us the very highest ideals of medical education." The senior class also recognized and thanked Mrs. Mary Shapiro, secretary to the associate dean of student and curricular affairs, and Or. John Richert, assistant dean and registrar, for their assistance and understanding. o The 1976 School of Medicine yearbook IS called The Iris, after the first \>earbook published in 1898. -Since the 1930's the yearbook has been The Medention and was published jointly by the Schools of Medicine and Dentistry. Th1s year each school has its own publication. Chief of Clinics Dr. John H. Peterson has been appointed as chief of clinics in the department of obstetrics and gynecology at The Buffalo General Hospital, with an objective of expanding and revising the OB-GYN clinics to better augment the Hospital's primary care (outpatient) program. Or. Peterson, clinical assistant professor of OB-GYN, succeeds Or. Paul K. Birtch, who moved from Buffalo to Florida in February. Or. Peterson will serve in the clinic post on a part-time basis, while continuing his full-time private practice in OB-GYN. whereas Or. Birtch had held the clinic posiUon on a full-time basis. Dr. Peterson rece1ved his medical degree from the State University of Buffalo School of Medicine in 1955, served his internship and residency at Buffalo General (with time out in between for two years as a Navy medical officer), and joined the attending staff at BGH in 1961. Or. Peterson said he was looking forward to working with Or. Robert L. Dickman. head of Ambulatory Services at BGH, "in impro\ ing the utilization of the OB-GYN clinics." Or. Peterson said the clinics would continue to be manned by volunteers from the medical staff and by residents. but that he also hoped to make use of nurse practitioners, as has been done successfully in the general medical clinics. In addition. he said he hoped to develop some new programs, including a special clinic for teenage mothers. Dr. Peterson noted that the OB-GYN clinics will continue to offer full OB-GYN services at BGH although, following the planned closing of the hospital's maternity unit this fall. most deliveries probably would be performed at the Children's Hospital. o FALL. 1976 51 /)r. P!Jterson �Class of 1926 at Spring Clinical Days Fronl Ro w. Evelrn E. Alpt:rn, Werner /.Hose, Eugcnt• ,\I. SuiJr,·on, Sr .. Davrd Rlvo,Joscph J. Prsa. Bac:k Ro1\ : 1 Korn. Leo T . Flood. loml'~ f. Sanford, E-:rnrl Sternberg, .\lox Cheplon:. Irving 'r'Pllen. John Nutrition Conferences The nibbler- as opposed to the stuff and starve or meal-fed individual- may well be making himself more susceptible to certain diseases. That was the result of a series of experiments carried out by Upstate Medical Center's Dr. Jay Tepperman. He was the eighth in a series of nutrition lecturers sponsored by the department of biochemistry. In his review of what happens when you flood an experimental animal with nutrients in a nonsystematic manner he stressed agreement by many investigators on the stimulation of those hormones responsible for nutrient disposal. the periodic hyperinsulinemia and gastrointestinal tract adaptations that result. In simplified form, he presented the chain-reaction of events: -increased glucose absorption by intestinal epithelial cells as well as nutrient absorption; oxidation of substrates; periodic acute hyperinsulinemia; dual adaptation of body tissues (hepatic and adiposyte) through lipo / glycogenesis; circulating lipids (cholesterols, triglycerides); fat deposition; obesity; insulin res is lance. In the susceptible individual. there was decompensation of B cells. leading to diabetes mellitus. He believes that the above, when coupled with a sedentary life style, may well make one more susceptible to cardiovascular disease as well. He presented a strong case for changing the eating habits of a diabetic, that seven meals would more evenly spread their insulin deficiency over a 24-hour period. In another study he was able to point to not only what you eat but bow often that may predispose one to vascular disease. In yet another study, gallbladder weight was found to be significantly higher in the "stuff and starve" animal than in the normal one. In questioning whether periodic overeating may not lead to more 52 THE BUFFALO PHYSICIAN �cholesterol gallstone formation. he suggested a change in feeding pattern to adjust the metabolism rate and reduce gallstone production. Still to be discovered. he concluded, are the differences in the ways we utilize our food. Nutrition is the most important en\ ironmental variable affecting health. That is what Dr. Robert Olson. the ninth in a series of nutrition lecturers sponsored by the department of biochemistr~, found after a decade of studying disease in Thailand. That tht·ee billion in the world suffer from malnutl'ition or its complications is a well-known fact. he said. But that two-th1rds Hve in overdeveloped nations (coronary artery disease is the No.1 Killer in this country) as well as in underdeveloped ones. may not be. Many. the investigator from St Louis University continued. are chtldren, under five, half of whom will die each year in the third world. He appealed to the qualified "to take on the challenge of the extremely important area of nutrition." In treating the two extreme forms of protein /calory malnutrition among Thai children- marasmus (a dietary deficiency in protein and calories); kwashiorkor (malignant form of protein deficiency) - he and a team of investigators learned that determining adequate food intake requires all of the expertise available in the field of medicine. there can be no immediate feeding for there is little \'alue of protein during first week of hospitalization. Vr. Tcppcrmon dFronr How; Thomns A .\Iorch. Gerald T. Connelly. francis E. f..wnr. llamld T. Sf'hwt·•rwr. ]o~eph C. Tcdrsco, Hclr.n T. Wolfson, Thomas S . Bumbo/o, \11choel II Rorollc. Gusrovc 1\ . Dnl.u1sn. Bm:k How: Donald E. Donovan. Frnnns \' Oclt>rk•rk, Ellwyn E. Heier, 1\'alh'r V. Wt•srHtl!hous•·· ,\n~do S. NnpiPs, Wolter Scorr \\'oils. V~r~tlll . Hc11~tk. ]ames E. Long. Rtchord B. Bean. fronr-ts kl't'(P. ,\IIt·ndi'Cl ruunwn , bur nor u\'nilablt• for plcrurP, fos•·ph GocJ(rC}'· Class of 1931 a l Spring Clini cal Days FALL, 1976 53 �Class of 1936 at Spring Clin ical Days Fronl HOI\ : Frank C. Hook./ohn P Cr<>sby, /oscplr Krwglvr, \tarim A t\n~clo, Thomas F Houl'lon, Wrllwm F. Lrpp, Donald Bruntlo11e. Ell A Lt•vcn. t\nom ;\! Cn·Pnbcrf/.. Bock Row: Steven E. Prcrr, \'11 lor 1•. Pellrcono, Charles E. ,\1e/chr.r. Poul t\ . Hurgr.~un , t\lfn•d Clwrry, \Vrllord C . Frscher, )ohn G. Boll, Thomas C:. ,\fd)onou[l.h. Bernard S . Stull, Dorrs \1. Pwrr. 1-:ch, ord G . E-;schn.. r. a stabilization period to treat infection- a complication of malnutrition- with selected antibiotics is needed, they cannot sun·in• on a house diet (iron is needed for blood: protein to help in response to infection). growth begins after two weeks of feeding, they are T-cell inadequate, - determining amino acid response to carbohydrate feeding during first week permits an estimate of caloric intake. While the rnurtulity rate for these children is now down to five or six percent, Or. Olson predicts no further decrease until there is control of ent!otoxin during the first week of hospitalization. In-summary, "we think we have a worki ng hypothesis for adapting to the two extreme forms of protein/calory malnutrition in children," he said. And by sharing some of these problems, he hopes to emphasize the enormity of the public health aspects of malnutrition as well as the need for all allied health professionals "to lick it together." Although the neonate is a separate entity, we know little about il. reported Dr. Sanford Miller. tenth in a series of nutrition lectures sponsored by the department of biochemistry. Relying on its mother while in utero. the MIT investigator pointed to the little the neonate does for itself until it is "compressed. stretched. and expelled into the environment." Then, he continued over a period of time , the newborn's organs must develop a whole series of adaptations for breathing. temperHture control. Willer balance. defense. metabolism, feeding behavior and utility of nutrients. metabolism. if it is to survive. But the evidence lor Or. Miller appears to be strong on ability of dietary changes to produce profound effects. ''Most nutritional defects," he said, "arc !'eversible except for death." 54 THE BUFFALO PHYSICIAN �After noting the smaller size of siblings born during the great famine in Europe. he, like other investigators. began to work with animals suckled in small and large litters. Growth was found to occur as a result of two separate processes. One is the initial or hyperplastic period ·when DNA content in tissue increases. The other is the linear or hypertrophic period when there is an increase in RNA and protein. The effect of malnutrition on the neonate? While there is a reduction in the number and size of cells. Dr. Miller believes that rehabilitation via nutrition can return cells to normal size. But no longer is size the only functional indicator of malnutrition. Added. he said, are oral cavity" here tissues are remarkable in metabolic regulation, in accessibility. teeth. Malnutrition over several generations delays their eruption and the caries count is higher among restricted weaned animals. And he reports permanent difficulty in response of a malnourished animal to infection. "Animals deficient in lipotrope, those dietary essentials necessary for fatty acid metabolism. were found to be smaller. more sensitive to mfection," he said. 1\oting iron deficiency as the top dietary problem especially among pregnant women. he was also able to point to a reduced capacity for previously malnourished animals to produce macrophages. a defense against infection. "Infection just grew." he said. He proposed various periods for specific brain grO\'\'th. each representing development of a certain locus in the brain that parallels a time when the child acquires a specific learning skill. He I -----------------------------------cr Fronl Row: Dono lei W. I loll. Bt•flcn C. Bean. George L. Eckhcrl. Po~quolt• A . Grt!CCJ St•t·ond Row: fosPph T Aqu!/rno. Don rei f. ,\lcCw•. Fn•dcrrck E. ,\loll. Allen A . PICrcc. ,\1ory I. flenm h. L1cla G H'omlburr. Eu~cno H. RaclzJmskl. Jock W. Herrmann, Roman Shubcrl. Bock Row: james L. McGrane, John J. O'Rr~t•n , Brodlt:v Hull, fr .. S1~mund A . Torlowsk1. Russel S. f...Jddcr. Jr.. Eugene]. 1-lanuvan.Jr.. /Jorold I.. Klcwrnan, Hoburl IV. Edmonds. Lt!onord \Volm, Phll1p B. \Vr.ls. Class of 1941 at Spring Clinical Days FALL, 1976 55 �Class of 1946 at Spring Clinical Days Fronl Row: Edward t\, F10l. Willard W rurnow, Edward F. Gud~d. fohn R. LundquJSI. Harald f, Ll'\')'· Chorles D. Bauer. Eugenll M Marks, Paul \1. \\'ole zak, f:llwr G.l.osst'r. Back Row: Myron E. \\'ill~ams,/r .. Clwrlcs r\ Joy. Harry f'elzin~.l.awrcncc H Golden, Holmrl/. Polls. Roland T. Plxlt:r. Hal ph G. Sho\ u, Ross lrnburgJo. Frl'd S. Schwarz, 1\nw } 1'1n ol1 therefore feels the period of susceptibility for the central nervous system may coni inue on up to adolescence. "With animal models for malnutrition/environmental changes we are now able to shov\' its permanent effects," he said. "In most cases, animals exhibit decreased stability in response to an~ kind of challenge." While the role that vitamin K plays in the clotting process continues to baffle many investigators, a young biochemist from the University of Minnesota reports much progress. He is Dr. Gary Neselstuen, eleventh in a series of nutrition lecturers sponsored by the department of biochemis try. Although the importance of this vitamin was first no ted in The Netherlands in a blood clotting antibody disease among cows. Dr. Neselstuen turned to one of its most unique uses today. on farms where one of its antagonists. that of Dicararol, is used as a rat poison. Notmg that vitamin K lS found mainly in plants, microbial organisms. and animal products. he believes that its synthesis may take place in the digestive tract. the gut perhaps. But because the effect between this vitamin and hormones is a synergistic one, animals studies have been restricted to the male population. Believing most human diets to be sufficient in this vitamin, the investigator places its current nutritwnal importance as a therapeutic dosage. a supplement forK deficient newborns and in the very old. A labeling technique was used to study its very complex structure. "It revealed to us that very critical function which converts vitamin K into a clotting process," Dr. Neselstuen said. To learn its role in synthesizing prothrombin, a glycoprotein that is stored in the liver, he compared normal/abnormal forms of 56 THE BUFFALO PHYSICIAN �vitamin K. noting similarities and d1fferences in physiological activation. calcium binding sites. etc. What he found was that in the clotting process. fibrinogen. a protein in the blood. is converted into insoluble fibrin which forms the blood clot. This conversion, he explained, is accomplished by another protein, that of thrombin. The biochemical unraveling of the way in which vitamin K produces active thrombin was a fascinating one. Diet may bet he key to our susceptibility to cancer. That is what Dr. T. Colon Campbell, the twelfth 10 a series of nutrition lecturers sponsored by thP department of biochemistry believes. Even though lO\\ levels of colon carcinoma were found to be associated ·with high fibre content diet among African populations. the relationship was not clearly a cause feffect one. The Cornell University nutrition expert explained that "the focus is now on the relationship of fat intake to breast and colon cancer." He reviewed other factors - those of age. sex. exposure to other chemical compounds. etc.- that may also be implicated in the increase of colon carcinoma that we are seeing in this country. Turning to the fundamental mechanisms for producing environmental carcinogens. he pointed to those different bacteria. "the anerobic ones. In an anerobic environment, enzyme act1vity converts bile acids/ nutrile steroids to produce colon carcinogens." In looking for the cause of a high incidence of liver malignancy in the Philippines. imest1gators were able to implicate the environmental carcinogen "aflatoxin" that is found m peanut butter. "The consumption rate of peanut buller is high," Dr. Campbell ex- J. plained. .J F'ront How: Leonard S. f)anzJ~. Frnnk J. Bolgan. Curl R. Conrud. Au~ us! 8runo.l.udw1g R 1-..oukol. Roburtll. Burke. Alltm L. Goldfnrb Second Hoi\'; Th<·odort• Baroll. Mark E. Het·rclt , Marvin J. Plt•skow, RobPrt 1.. SP.cnst \1dton Robinsnn, Thcodort·l.. Bash, GPrord E. Schultz. Delmer E. Hntthe/ler, III, IJuno/d L Barone. Harold P Krueger, W1/son W. Shaw, Ed\\ ord , \ Pt•nn , Lester e. 1\'o/cotl. 8c1ch Row: Lee~ \I. \'t,rdecchJo, f:u .llene \' I • slie, jomc~ \\.', WeJJ!I'I. fam ..s \' Lo\'t•rdt•, Robert f:. Ploss, Edward \1. Zeh/cr, f:ugenr. i\1. Tt•Jch . Class of 1951 at Spring Clinical Days FALL. 1976 57 �Class of 1956 at Spring Clinical Days -- Front Ro•\ . Peter F. Georg•·n. Jr.. Sue A \JcCutchcon. Robert E. Rmsmon, Jean G . Hoar. Joseph J. L>arlul\, Georg•• J. ,\/kt•r, Jr. \frddlt• Row: Paul G. Ronca, Fro•dunck C. ,'\ ucsslc. Robert B Corrclorc, Dr•nnJs P. lle~mbock, Jr. John D Bartels. Pctt•r S . D'..-\ mgo. Edward J. fox Bod; Row: 1/u~h F 0 '\ct/1, Enck lkcbcr. Froncts Huber . .\tem/1 C. Johnson, Edmond J. Gtn 1\ tcz. (1\llcnd••cl ruuruon. but not ovotloblc (or photograph. Anthon} P. Sonlornnuro nnd John ,\f. llm/s()nj . Hypothesizing that a protein-deficient diet may drasttcally reduce aflatoxin carcinogenicity, rats were fed such a diet. Noted was a 75 percent drop in enzyme activity. This metabolizes the carcinogen, he added. It is this metabolic event which be believes to be critical to initiation of cancer lesions. But not onlv was protein deficiency found to increase liver toxicity lesions !Jut the to·<icity of most chemical compounds as well. Even vitamin deficiency- those of "A", "C", riboflavin, lipotrope -were found to affect carcinogen susceptibility, he said. Reinforcing the important role of nutrition in fighting disease. he was able to point to 80-90% of all cancers in humans that are caused by environmental carcinogens. "These must first be metabolized, ri process that occurs with large enzyme involvement in the liver." Or. Campbell concluded. Environmental factors are not the only cause of heart trouble. according to Dr. Donald 8. lih ersmit. professor in the division of nutritional sciences rlt Cornell Unh·ersity. "Antibiotic and genetic forces play an imporl,!nt role." The educator-~>cientis t pointed out that cigarette smoking and hypertension increase C<lnliac disease. "Diabetes and psychologic<tl problems also increase the de\ielopment of lesions in our coronary <lrtPries," he said. In his illuslrnted lecture Dr. Zilversmit showed what happens when you feed l<H~e amounts of cholesterol to experimental rabbits. "The c holesterol infiltrates the arterial wall where it is held by 58 THE BUFFALO PHYSICIAN �bonding to the mucopolysaccharide and builds atherogenic lesions which are similar to those developed in man. These animals developed arteriosclerosis very rapidly." The Cornell University professor pointed out that people utilize their foods differently. "Some people have an active, high removal apparatus that remo\·es cholesterol from the blood. while others don't." Dr. Zilversmit mentioned four avenues of cholesterol build-up: - there is clinical evidence that patients with heart disease have a high serum cholesterol level; arterial lesions are composed of cholesterol and other lipids in minor amounts; there is epidemiological evidence that there is a correlation bet ween cholesterol concentration and coronary heart disease (heart disease is a btg killer in the United States. Canada, Australia, and New Zealand as compared to South America and Africa.) experimental evidence shows that when animals (pigs, rabbits, monkeys) are fed an improper diet they develop arterial lesions caused by the high cholesterol level. "The Masai people who have a high milk and blood diet were thought not to have atherosclerosis. This was based on the fact that they do long distance runmng and strenuous exercise. However, in recent autopsy studies atherosclerotic plaques were found," Or. Zilversmit said. In conclusion Or. Zilversmit made several observations: most people have ignored chylomicrons as an athero-genetic particle; when animals are fed a cholesterol diet the plasma beta-lipoprotein band increases; - normally the lipids undergo hydrolysis and esterification incJthe liver; · Front Ro~\ · Ov1d D. kn1 ~ht. Harold Brody. Wende W. Logon. Carlo E. DeSanti~>. Thomas k C.wslo, Hoger A. Ronald. Back Row Brenton II. Pcnworclc:n, Gerald V. Schwartz. Ricllord II Bokt!r, Norman E Hornung, Henry F Coller. Eugene A . C1mmo, Paul D fo'rP.nch Class of 1961 al Spring Clinical Days FALL, 1976 59 �Class of 1966 at Spring Clinical Days 1 Front Row: Murray A. Yost,Jr.. /nrNi G. Barlow. C/l(Jrlns .\1tchollw.John E Spoor. Cory A. Presont. Second Row: Ross E. \.fcRonald, Mtchad I Wl'mtraub, Ho)lcr \\'. St•tbcl. Jt·f(rcy L Kahler, Vu;IOr \1 Zalma. llclmut G Schroll. \'ir~inia C. Rubmslt·tn. James F. Shaffer, ,\1clvln Fox Bock Row· Bert W. Rappole. Louis J. An· tonucct. H. John Rubinste.tn, Thomas\\'. Brodlq , edwtn H . Jcnis, J...enneth Klementowski, James D. Fclsen, Jornes Chnstodoulou. Rudolph Ochm, Fronk /. Borborosso . chylomicrons are not a source of atherogenesis; 'remnants' (protein) may be at fault in the atherogenesis process; chylomicrons in experimental animals seem to be directly involved in the development of lesions by producing unutilized 'remnant'- cholesterol complex. "If you are malnourished you are more susceptible to disease and infection." This is what medical students and faculty heard from Dr. Joseph Vitale in the last nutrition lecture sponsored by the biochemistry department. Dr. Vitale is professor of pathology and community medicine at the Boston University School of Medicine. "A malnourished child who has measles may die. Very often it is the combination of the disease and an improper diet that causes death." Dr. Vitale discussed the factors and interaction involved in cellular and humoral immunology. He also focused upon other aspects of the host defense system in his illustrated lecture. "More cooperation and understanding is needed between nutritionists and immunologists. Nutritionists are not immunologists and vice \ersa. These two groups must get togetherget married." Or. Vitale said. He admitted that infectious disease and nutritional deficiencies were cumbersome to discuss and understand. "We are making progress, but we still have a long way to go." 60 THE BUFFALO PHYSICIAN �The Boston University professor pointed out the importance of the environment. "Where you live and how you live is \·ita) in maintaimng good health. Often environment causes disease." Or. Vitale pointed out that there is often a fine line between a malnourished and undernourished patient. "In Kwashiorkor patients there may be several nutritional deficiencies. In the past we only saw this type of patient in Asia or Africa, but today we are seeing them in our teaching hospitals in the United States." In discussing the effects of saturated and polyunsaturated fats in our diets Or. Vitale wondered whether it was better to die from a heart disease or from cancer. In conclusion Dr. Vitale said, "iron deficiency is part of malnutrition. There are an alarming number of young and old people deficient in iron. It is a world-wide problem." o Dr. Capraro Dr. Capraro Dr. Vincent J. Capraro has been appointed chairman of the department of obstetrics and gynecology at Millard Fillmore Hospital. He is professor and assoc1ate chairman of gynecologyobstetrics at the School of Medicine where he also serves as chief of the division of adolescent and pediatric gynecology and corrective gynecologic surgery. He is coordinator of the University teaching program for residents and students in gynecology-obstetrics. Or. Capraro's immediate plans at the Millard include expansion of the training program in ob-gyn and of the ob-gyn clinics at the hospital. He will institute services at both the Suburban and Gates Circle loca lions in adolescent gynecology. Dr. Capraro has been District II chairman of the American College of Obstetrics and Gynecology and is currently vicepresident of the Federation Internationale de Gynecologie Infantile et Juvenile, from which he received the Diploma of Honor in 1972. He is a member of the medical staffs of several local hospitals. Dr. Capraro received the Senior Medical Student Award as Outstanding Teacher in 1971. o FALL. 1976 61 �. Soctely. Dr. Bumbalo has also been active in numerous professional and ctvtc organizations. He has published numerous articles on various children's diseases. o The Class es The Class of 1931 The Classes of the 1940's Or. Thomas S. Bumbalo, M'31, has been named asststant dean for professional affairs at the E.J. Meyer Memorial Hospital. Or. Bumhalo is a clinical professor of pediatrics and has been on the faculty since 1938. Dr. Bumbalo is Medical Director of the Meyer Hospital. lie is ,1 Fellow of the American Academy of Pediatrics. and a past president of the Erie County Medical Society, the medical staff of the Meyer Hospital and the Baccelli Medical Or. Pasquale A. Greco, M'41, has been elected a director of the Erie Federal Savings and Loan Association in Buffalo. Dr. Greco is clinical assistant professor of urology at the Medical School and is chairman of the departments of urology at Millard Fillmore, Emergency and Columbus Hospitals. He is a director of Blue Shield of Western New York and a trustee of the University of Buffalo Foundation. o A $6 ,075 Gift from the 1950 Class l>r. Sulnt•y ,\nlhonc. \1'50. ciu:.s ruunron chorrmon (lcfl}, drscu~scs lht• new Trrnrcon Color Camera purclwscd b~ the 1!150 class "rlh Dr Thomas Burford. a s s o c r a 1 t' d i r u c 1 o r. Ecfutollonal Com· rnun u·orrons Ct•oiN - Hcolt h Scrcnc,·s. ond Dr. John Naughton, Dean of the ,\1Nlicol School. 62 THE BUFFALO PHYSICIAN �Or. Richard Ament. M'42. chmcal professor of anesthesiology at the Medical School. served as a senior examiner at the American Board of Anesthesiology oral examinations in April. Dr. Ament is president-elect of the American Society of Anesthesiologists. He was also visiting professor in the University of Texas Medical School's Department of Anesthesiology in Dallas. He attended the VI World Congress of Anesthesiologists in Mexico City where he served as Vice-Chairman and Secretary of the United States delegation. Dr. Charles A. Bauda. M'42. clinical instructor in family medicine at the Medical School, is a Diplomate of the American Board of Family Practice. o Dr. Alfred S. Evans. M'43. has edited a new 630-page book, Viral Infections of Humans: Epidemiology. Pathogenesis. and Control, (Plenum Medical Book Company. 1976). It was written b~ 30 outstandmg authorities and offers the most complete co .. erage to dale of common human viral infections. Dr. E"ans is professor of epidemiology at the Yale Universit} School of Medicine. He is also director of the World Health Organization Serum Reference Bank and editor-in-chief of the Yale Journal of 810logyond Medicine. Dr. Evans is a past president of the American Epidemiological Society and the Beaumont Medical Club. He has also been active in several other professional organizations . Dr. joseph J. Ricotta. M'43. founder and director of the Buffalo Diocesan Family Life Clinic, was honored for his contribution to population control and "total commitment as a de\.out Christian, physician and humanitarian" b~ the Paolo Busti Cultural Institute of Western i\<ew York. A Fellow of the American College of Obstetricians and Gynecologists. Or. Ricotta also recei\ ed the Centurian Shield A\\ard for layman assisting the Consolata M1ssion Seminary in Williamsville in 1969 The Paolo Busti fnstitute is named in honor of a general agent of the Holland Land Company ..vho directed the total r:ompan~ operations in America. including ordering the planning of the Village of Buffalo at the junction of the Niagara River and Lake Erie. He died in 1824. o FALL. 1976 The first "Dr. Samuel Sones Outstanding Volunteer Scrv1ce Award" was presented by Dr. Sones to Mrs. Agnes Wolkerof the Steuben County Un11. Nclv York Stole Division. Amencan Cancer Society meeting in Syracuse in March. 1976. Tlw DivJsion established on annual award bvoring Dr. Sones· name for "outstanding voluntc:er service ... Dr. Sones. ,'vf'30. professor of pothology-emeritus. LS a post pn:sidenl (1966-67} of the Division. o Or Evans 63 �Dr. Thomas F. Frawley. Nf44. is professor of internal medicine at St. Louis University School of Medicine. He has been designated as a Regent. American College of Physicians and will sen·e on its Board of Regents. As Go\'ernor in the College of Ph~ sicians. Dr. Frawley has dealt with several aspects of the practice of medicine and the continuing education and training of internists. He was responsible for the development of learning opportunities for young physicians and has assisted hundreds of th(•m in acquiring membership in the American College of Physicians. He has been on the St. Louis University Medical School faculty since 1963. ln 1972 he received the "outstanding teacher award." o Or. Maynard II. Mires, Jr., M'46. recently ga\e a series of lectures at the Ecole Nationale de Ia Sante Publique m Rennes. France, at the request of one of the members of the faculty who had been acting 'foster father' to the daughter of Or. and Mrs. Mires while she attended the lnstitut Franco-Americain. Or. Mires is the State Health Officer of Ne\"\ Hampshire and also an associate professor of community medicine at Dartmouth Medical School. The l\1ires Family resides in Contoocook. 1\iew Hampshire. o Or. Lawrence M. Carden. M'49, clinical assistant professor of surgery (urology) at the Medical School, has been elected a Governor of the~ Americnn College of Surgeons. He is also a member of the Executive Committee, New York State Society of Urology, and a member of the Board of Trustees of Mercy Hospital. Buffalo. o Altshuler \"\' a's named Honorary Doctor of St.ience. Gallaudet College, Washington. D.C. for his research in the field of early total deafness (1973). He recently \\as awarded a $300,000 grant from i\IH for a 3 ~ear study of sleep in surgical patients. He lives at 261 Audubon Road, Englewood. New jersey. o Dr. Erick Reeber, M'56, whose specialty is Family Practice, was elected vice-speaker of the House of Delegates of the Minnesota Academy of Family Physicians. He lives at 416 North Red Lake Avenue, Bagley, Minnesota. The Classes of the 1960's Or. Jack C. Fisher. ~1'62. is associate professor of surgery and head. dh is ion of plastic surgery, at the Unh ersity of California School of Medicine San Diego. o Or. John A. Schriver. M'63, is director of emergency servtces for University Hospital at the University of Oregon Health Sciences Center in Portland. Oregon. Or. Schriver. an assistant professor of medicine at the University of Oregon Medical School, will be in charge of the emergency services and medical intensive care and assume teaching and administrative duties. o Or Ronald S. Mukamal. M'64, is practicing m White\ tile, North Carolina. He is a member of the American College of Emergency Physicians. o The Classes of the 1950's Or. Kenneth Altshuler. M'52, is professor of clinical psychiatry at Columbia University College of Physicians and Surgeons. Or. 64 Or. David E. Pittman. M'64, ass1stant clinical professor of medicine at the University of Pittsburgh School of Medicine, has coauthored four articles that have been published recently. A paper presented at the 22nd annual meeting of the American College of Angiology. "The Displacement Cardiography - A Non-invasive Technique for Recording Myocardial Wallmotion,'' was published in Circu/otwn. ''Termination of Post Open-Heart Atrial Flutter and Atrial Tachycardia with THE BUFFALO PHYSICIAN �Rapid Atrial Sllmulation," was published in Coronorr Arter} \1edic1ne and Surgery: Concepts und Controv1:rsics "!\!on-Ejection Click - Late Systolic ~1urmur S~ ndrome (Prolapse Mitral Valve)," was published in Resident and Staff Physicion and "The Displacement Cardiograph," was published in Biomedical Engmecnng. Dr. Pittman is a Fellow of the American College of Physicians. the American College of Angiology, and associate Pellow of the American College of Cardiology. Dr. Pittman lives at 551 Pcbblewood Court, Pittsburgh, Pa. 15237. 0 Or. Daniel S.P. Schubert, M'65. assistant professor of psychiatry at Case Western Reserve University School of Medicine, is consulting editor, journal of Creallve Behavior. Or. Schubert was certified in 1975 by the Americ?n Board of Neurology and Psychiatry. He has written 18 articles for professional journals. o Ophthalmology and Otolaryngology. He is also a member of the American Academy of racial Plastic and Reconstructive Surgery. Dr. Schenck hves at 1281 S. Hickory, Melbourne. florida. o Dr. Stuart C Spigel. M'68. is now in practice in oncology-hematology in Nashville. Tennessee. He has published in Archives of Internal 1\Jcdicint•. Cancer. Dr. Spigel lives at 6751 Pennywell, 1\lashville. o Dr. John D. Stobo. M'68. is on the staff of Mayo Clinic, Rochester, Minnesota. o Or. Barry Weinstein, M'69, family practitioner in Amherst, N.Y. was a spring graduate of the Law School. o Dr. David ). Fugazzotto, M'67. was elected secretary-! rea surer of Jefferson County (Alabama) Pediatric Society. 1976-78. He lives at 2708 Cherokee Road. Birmingham. o Dr. Marc Coel, M'68, is assistant professor of radiology at University of California Medical School, San Diego. He is also Chief. Vascular Radiology, Veterans Administration Hospital, San Diego. He has published extensively in professional journals. o Dr. Brian S. Joseph. M'68. a psychiatrist. is on the faculty of Harvard Medical School and is also Chief. Adult Inpat1ent Unit. Erich Linemann Mental Health Center. He lives at 58 Larchmont A' enue, Newton. Massachusetts. Dr. Nicholas L. Schenck, M'68. is associate clinical professor of otolaryngology at the University of florida (Gainesville Medical School). He recently completed two years active duty at U.S. Army William Beaumont Army Medical Center, El Paso, Texas. He has published 25 professional papers and was recently appointed chairman, subcommittee on Anesthetic Agents, American Academy of FALL, 1976 The Classes of the 1970's Or. Richard A. Manch, M'71, left Albuquerq.ue, Ne\'\ Mexico, where he was a Fellow in Gastroenterology at the University of New Mexico, to enter private practice in Phoenix. Artzona. o Or. Dale A. Van Slooten, M'71, is a Diplomate. Americtln Board of Surgery. He lives at 951 Galloway Street. Lewisburg, Tennessee. o Dr. Marc Leitner. M'72. is presently spending a \ear in neonatology in Beilin son Hospital in Tel A\ 1v, Israel. o Or. Jack Sternberg. M'72. oncologtst. is now on the staff of the M.D. Anderson Hospital and Tumor Institute. Houston. Texas. as an Assistant Internist and Instructor. o Dr. William I. Cohen, M'75. is finishing a pediatric internship at Children's Hospital of Pittsburgh. He lives at 6351 Douglas Street, Pitlsburgh. o 65 �Peopl e The Erie Count v l\fedical Society presented its ftrst Past Presidenfs Association Award to Or. S.unuel Sanes, M'30. "as a teacher of medical students for40 yearsandfore:xceJlent leadership .ttlainments in community/ voluntary health associations." o Dt•.tn William Feagans of the School of Denttstt·y is on a one-year sabbatical as dental coordinator for Project Hope's dental program in Egypl. He will return Lo the University june 30, 1977.0 Or. Carmelo S. Armenia, M'49. clinical associate professor of GYN OB. is the ne·w president of the Erie County Medical Soc:.tely. President-elect is Dr. Ant bony I. Federico. clintcal assistant professor of surgery. Two otht>r Medical School graduates. Drs. John J. Giardtno. l\1'58. and Frank A. Pfalzer. l\1'49. "(•re elected vice president and secretarytreasurer respectively. The immediate past president is Dr Ralph J. Argen, clinical assistant professor of medicine. o The new president of the Buffalo Academy of Medit:ine is Or. Julifm Ambrus. research profPssur of medicine, and head of the pathophysiology dcpal'lment at Roswell Park Mcmcll'ial Institute. Or. Robert M. Kohn. clinicHl associate professor of medicine, is the presidcnl-elN.l. Mr. Charles Hall. director of coni inuing medical education, is the secretary! rr.asurer. ThP. program committee chairman is Or. Jules Constant, clinical associate professor· of medicine. The three trustees are: Drs. James F. Upson. clinical associate professor of surgery: Carl J. Bentzel. associate professor of mt!dicint•; and David B. Harrod. clinical instructor of surgery. o Florence \.leyer. BUFFALO PHYSICIAi\: secretary. recet\ ed her B.A. Degree Cum Laude .tt this May's University Commencement. She was awarded departmental honors "With Htgh Distinction" in her major. sociology (medical]. Four alumni have been elected officers in the Ettc Count~ Chapter of the New York Stale Aradem~ of Family Physicians. Or. Peter F. Goergen. M'56. is the new president; Or. Richard J. Leberer. M'50, vice president: Dr. Joseph F. Ruh, M'53. secretary; and Dr. Robert B. Corretore, M'56. treasurer o Three fac:ulty members have been elected offil:ers of the Western New York Society of Pathologists. Dr. Thomas 0. Oal~. clinical assistant professor of patholog} and head of microbiology and assistant attending physician in patholog~ at Deaconess Hospital. is the Ol!\\ president. The new secretar~ is Or. Richard Cotler, clinical associate professor of pathology, and on the staff of the Niagara Falls \ilemorial Medical Center. Dr. Joseph Rube is the new treasurer·. He is a clinical assistant professor of pathology and on the staff of the DeGraff Memorial Hospital. o Or. Eleanor A. Jacobs, research associate pro!essot· of psychology in the department of ps~chiatry. received the Distinguished Achte\ement A\'\ard of 1976 from the Psychological Association of \:\'estern New York. Or. Jacobs \\as cited for her research in the field of hyperbaric oxygenation. and for her dcc.lictttion and commitment to professional education and community service. She is chief of the hyperbaric chamber unit all he\ eterans Administration Hospital. o Or. Michael A. Schwartz has res1gned as Dean of the School of Pharmacy, a position he has held since 1970. He will return lo his faculty position as professor of pharmaceutics, devoting his full time to leaching and reS('arch. o 66 THE BUFFALO PHYSICIAN �Dr. E. Hollis H. Deniord, M'15, died September 24, 1975 in Lynchburg, Virginia. She \<\as 84 years old. Her husband, who was also a ph~ sician. died several years ago. o Dr. Anthony W Kozlo\'\ski. M'44, died April 8 in Buffalo after a nine week illness. His age was 60. He was assistant director of surgery at Lafayette General Hospital and a member of the Board of Governors. He also served on the courtesy medical staffs of the Immaculate Heart of Mary Home and the Villa Maria Convent. Or. Kozlowski took his internship and residency at MiJiard Fillmore Hospital and was also on the medical staff there before joining the Lafayette General HospitaJ staff. He served as Army Medical Corps Captain during World War II and was active in several professional associations. o Or. Norman G. Stessing, !vf40, died May 14, after suffering an apparent heart attack. The Grand Isl,md. , . Y. phystctan was 60 years old He \\aS on the staff at Mt. St. Mary's and Kenmore Mercy Hospitals. Dr. Stessing \'\as also a former health official. He was active in several civic and professional organizations. In M emoriam Dr. Richard Loomis, M'43, dted April 15 in Fallbrook, California. His age ""as 57. He was a native of Wilson, N.Y., and had practiced in Ellicottville and Spring" ille before moving to California in 1964 Dr. Loomis served in the Army Medical Corps during World War 11. He was president and founder of the L. C. Strong Cancer Research Foundation in La Jolla, Califorma o Dr. Nelson W. Haas. ~1'28. died August 25, 1975 in San Benito. Texas. He was 74 years old. Dr. Cornelius A. McGrew, M'45, died September 15, 1975 in Wadsworth. Ohio. He was 56 years old. o FALL, 1976 Dr. W. Gifford Hayward, M'15, died June 13 ·at the WCA Hospital in jamestown, New York. His age was 84. He was a urologist for40 years. Since his retirement several years ago Dr. Hayward made his home in Florida. Or. Hayward was a Fellow of the American College of Surgeons and a past president of the Jamestown and Chautauqua County Medical Societies and the Northeastern Section of the American Urology Association. He headed the urological departments at the WCA and Jamestown General Hospitals and also was a past president of their medical staffs. He wrote extensively for the journal of Urology and the Urolo~1c and Cutaneous Review from 1938 to 1953. He was a medical officer in the Army during World War I. Dr. Hayward did his post graduate work at the Army Medical School. Ne\\ York Post Graduate Hospital and LyingIn-Hospital. New York City. He practiced in Cherry Creek and South Dayton. New York before moving to Jamestown in 1921. He was active in many professional, civic and sporting associations. o 67 �Two Alumni Tours HAWAII- September 28-0ctober 13, 1976 Buffalo Departure Hotels: 7 nights in Honolulu at the Holiday Inn 4 nights on Maui at the Maui Beach Hotel or Maui Pacific Shores 2 nights on Kona on the Island of Hawaii at the Kona Lagoon. 1 night Hilo, on the Island of Hawaii at the Hil o Lagoon. Cost: $599 + 15% lax & service per person, traditional Flower Lei greeting, A welcome "Aloha" party, Half day sightseeing of the highlights of Honolulu, Optional 2 week dine-around program which includes 10 nights of gourmet dining and 10 full American breakfasts, hotels and round trip air fare. RUSSIA- October 22-29, 1976 f\:ew York City Departure Hotel: Will not be known until arrival Cost: $589 + 15% tax and service per person. three meals per day. hotel. round trip orrforc. For details write or call: Alumm Office, SUNYAB 123 Jewell Parkway Buffalo, N.Y. 14214 (716} 831-4121 The General Alumni Board- DR. GIRARD A. GUGINO, D.D.S.,'61. President: PHYLLIS KELLY, B.A.,'42, Pn.•sJdent-clect. WILLIE R. EVA!\:S, Ed.8.'60. \'1cc· Pn•sJdcnt for Activities; JONATHA1 A. DA!\:DES. Vice President for Adn11nistrat!on. SUSAN D. CARREL. Ph.D.'76, Vtce Pres1dcnt for Alumnnt': MICHAEL F. GUERCIO. A.S.C.,'52. V1cc· President for Alhlellcs; CHARLES S. TIROl\iE. M.D. '63, \'w<' Prnsrdcnl for Development & ,\lr!m/)('rshrp. RICHARD A. RICH, B.S. '61. Vice Prcsiclc:nl for Publrc Relations: FRA~K L. GRAZIA 0. D.D.S.'65, Vice President for EducatiOn Programs, ERNEST KIEFER. B.S. '55, Tn•osun~r. Post Presidents. GEORGE VOSKERCHIA '; JAMES J. O'BRIEN. L.L.D.'55; MORLEY C. TOWNSEND. L.L.D.'45; EDMO~D J. GICEWICZ. M.D.'56: ROBERT E. LIPP. L.L.D.'54: .M. ROBERT KOREI\, L.L.0.'44: WELLS E. KNIBLOE. J.D.'50 Medical Alumni Association Ofricer·s: DRS. JAMES F. PHILLIPS. M'47. President; MICHAEL A. SULLIVAN. M'53, Vrce Presrdcnt; W. YERBY JONES. ~1'24, Trcosurcr: MILFORD C. MALONEY. M'53, lmnwdiolc: Post President. Board l\1l'mlwr!> RICHARD BERKSON, M'72: JOSEPH CAMPO. M'54; LAWRENCE M. CARDEN, M'49; NORMAN CIIASSJN , M'45; GEORGE FUGITT, M'45; EDMOND J. GICEWICZ, M'56, Program Cornmillel' Chcrirmon; ROBERT W. SCHULTZ, M'65; Ex/uhits G/wirmon. CHARLES TANNER. M'43; PAUL WEINMANN, Post President. Annuol Participating Fund for Medical Education Executive Board for 1975-76-DRS. MARV IN L. BLOOM, M'43, President; HARRY G. LAFORGE, M'34, Flfst Vice President; KENNETH H. ECKIIERT, SR., M'35, Second Vice Pres1dent; KEVIN M. O'GORMAN, M'43. Treasurer; DONALD HALL, M'41, Secretory: MAX CHEPLOVE. M'26, Immediate Post President. �A Message From James F. Phillips, M'47 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Ph1llips --- ------------------------------------------------------First Class Permit No. 5670· Buffalo, N. Y. BUSINESS REPLY MAIL NO ,.OSTAG~ STANIII' HI:CC:SSAitY II" NAif,.CO IH THI' VHITI:O 5TATI.S POSTAGE WILL BE PAID BY- Medical Alumni Association 3435 Main Street Buffalo, New York 14214 �TilE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 ~fAIN STREET, BUFFALO. NEW YORK 14214 OR . ~OBERT Le BRO.N BRANTWOOD ROAD BUFFALO Ny 1~6 1~226 -----------------------------------------------------------------· -THE HAPPY MEDIUM Fill out this card: spread some happiness; spread some news; no postage needed. 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1976 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available University at Buffalo. Health Sciences Library. History of Medicine Date A point or period of time associated with an event in the lifecycle of the resource 1976-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1976-03-Fall Table Of Contents A list of subunits of the resource. Medical Alumni Officers Dr. Phillips' Message A Message from the Dean Spring Clinical Days Pulmonary Problems Hypertension Echo Diagnosis Government Intrusion Classes Contribute $31.505 A Teacher Returns Commencement/130th Seniors Honored Women Medicine: Looking Back by Serafin C. Anderson, M.D. The Future by AI Benson Ill, M D. Challenge to Graduates by Dr. Naughton Dr. Brownie Faculty Retirees Awards for Faculty Medical Alumni Association Reception Clinical Dermatolog} Conference Dr. Marra Drs. Greco/Barnard Students Relax St. Maarten Seminar Continuing Education Programs/Koslow Honored Dr. Milgrom Dr. Wright Dr. Middleton IRIS Honorees Dr. Peterson Nutrition Dr. Capraro The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/b95acfc69d80a5b66e73a6b7742c7b94.pdf bf07f02efaf9adff8d2589c5cb649447 PDF Text Text lF-iE BUF&qLQ PHYSCAN STATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE VOLUME 9, NUMBER 4 �Dean Naughton Dear Medical Alumni and Alumnae: It has been a pleasure serving as the Dean of the School of Medicine since March 1, 1975. These past few months have been fleeting ones in which a great deal of constructive activity has transpired. Although it is impossible to recount each and every event, you should be pleased to know that three chairmanship vacancies were filled with individuals with outstanding credentials as people and academicians. Dr. Elliot Ellis has assumed the Chair in Pediatrics; Dr. Monte Blau in Nuclear Medicine; and Dr. Ted Carr in Pharmacology and Therapeutics. Three Search Committees are at work seeking new and permanent leadership for the faculties of Ophthalmology, Neurology, and Biophysical Sciences. This past spring the School of Medicine enjoyed an expansion of its faculty capacity, and department chairmen and faculty committees are at work seeking appropriate talent to fill the new positions. Already, a dozen well-qualified physicians and scientists have been recruited to the School of Medicine and the Buffalo community. The first year class is off to a good start, and the feedback from the faculty is that the class is a cohesively strong one which is already making contributions to our institution's life. These students combined with their three classes of predecessors are serving to lift our morale and to enhance the institution's image. Ali-in-all the momentum and thrust have been positive and the School of Medicine through its faculty and students is approaching the future with appropriate optimism and as a challenge. This is not to say that all is totally well and that difficult times are not ahead of us. Quite to the contrary. This School just as the other 113 medical schools in the nation are faced with many challenges in the immediate future. But the faculty and students are prepared to deal with these problems, and that, in itself, creates a spirit of creative optimism. Two problems that will be dealt with in the immediate future are those which relate to growth of the medical student body and development of programs at the undergraduate and post-graduate levels in primary care. At first glance these two issues may not appear as related. The first, of course, grows out of the need to provide more physician graduates as well as to provide educational opportunities to a larger number of gifted students and the ·latter to meet a deferred deficit in the society. However, the latter cannot be satisfied in reality until the pool on the input side is expanded. Therefore, the two are interrelated and that is why the faculty will attack them simultaneously. There are even more difficult and challenging problems lying ahead of us. These will be in the areas of financing medical education and medical faculties. I will address these in future issues of The Buffalo Physician, but suffice it to say for now that in the years ahead this School of Medicine, along with the others, will require strength and support through partnership between the public and private sectors. The Alumni are an important part of that partnership. Sincerely yours, John Naughton, M .D . Dean �Winter 1975 Volume 9 , Number 4 THE BUFFALO PHYSICIAN Published by th e School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. MCGRA AHA MARI O Managing Editor MARIO OWSKY Dean, School of Medicine DR. JOHN N AUGHTO Photography H UGO H. U GER ED\•\ARD NOY\AK Medica/Illustrator M ELFORD J. DIEDRICK Visual Designers R ICHARD M AC..AKANJA DONALD E. W ATKI S Secretary FLORENCE MEYER 2 4 7 8 11 12 17 18 21 22 28 31 32 35 36 38 CONSULT ANTS President, Medical Alumni Association DR. MILFORD C. MALONt.'r President, Alumni Participating Fund for Medical Education DR. M ARVIN BLOOM Vice President, Facu lty of Health Sciwces DR F . CARTER PA ILL President, University Foundation JOHN C. CARTER Director of Public Information JAM ES D ESA TIS Directo r of University Publications PAUL L. KA t. Vice Preside11t for University Relations DR. A . W ESTLEY ROWLA ND 40 44 47 48 50 52 54 58 60 61 62 63 64 69 lHE &HALO A-fYSICL4N 72 76 Dean Naughton's Message (inside front cover) Pediatric Dermatology Head, Neck Cancer Network Neurology Head/ Pediatrics Chairman Alcoholism Nuclear Medicine Chairman Radiology New Associate Dean Forensic Pathology County Health Center Athletic Injuries Saving Newborn Continuing Education Pressure Breathing in Man Dr. Georgi/Dr. Jacobs Endocrine Program Flexibility: Key to Curriculum Class of 1979 Diverticulitis Updating Self Study Material Reentering the Medical Care System The Future/ A Challenge Immunology Workshop Rural Externs New Brain Testing Device The Raison D 'ETRE " Rudy" Williams/Or. Britt Faculty Promotions 1945 Class Gift/ LARMP Grant The Classes People In Memoriam Alumni Tours The cover by Donald Watkins focuses upon th e Head and Neck Cancer story on pages 4, 5 and 6. THE BUFFALO PHYSICIAN, Winter, 1975 - Volume 9, Number 4, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street. Buffalo, N ew York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1975 by The Buffalo Physic ian. WINTER, 1975 1 �''I Dr. Rasmussen skin testing antigens for ringworm study. really don ' t know what I want to do, " Dr. James Rasmussen remarked as he reviewed the varied clinical research studies he has underway at Children's Hospital. When he came to Buffalo two years ago after completing a dermatology residency in Oregon, he did not know whether to become more involved in the clinical or research aspects of dermatologic problems. But in his coping with an ever-growing number of these problems in children, he continues to search for better techniques of diagnosis and treatment. A common dermatologic problem that he most often sees in the one to ten-year olds is that of atopic eczema. Questionably linked to allergy, he is working with Clinical Research Center director and chairman of pediatrics Dr. Elliot Ellis in pinpointing its many clinical parameters . " We are measuring serum IgE levels in these patients," the young assistant professor of dermatology explained, " for ' E' is linked to specific allergens in some patients. " Another study he has underway centers on the percutaneous absorption of steroids in patients with atopic eczema. Measuring uptake of drugs in the young patient with varied diseases is important, he said . There is considerable concern that topical steroids may cause the same systemic side effects as parenteral ones . And in ringworm, one of the questions he is asking is why its causative agent, that ofT. Tonsurans, causes two varieties of this disease, one more inflammatory than the other. " No one has looked into its immunological responses ," he notes as he points to human investigations that he now has underway. Another interesting disease that dermatologists are seeing a lot of is scabies. " We will skin test our patients to determine whether certain forms of this disease are caused by an allergy to the mite and not only its physical irritation," he continued. And because many drugs do not seem to work well under certain conditions, a study on their effectiveness may soon be underway. From several retrospective studies there is some evidence to support this, he said, especially in erythema multiforme, in the Stevens Johnson Syndrome where severe lesions affect eyes, mouth or genitalia. In one study, half of these patients were treated by systemic steroids, the method of choice over the past quarter century. Because they did much worse than those untreated, Dr. Rasmussen now encourages clinicians not to treat these patients with steroids. A relatively new disease that seems to occur exclusively in children is toxic epidermal necrolysis. Here, staphylococcus aureus colonize skin and membrane, and liberate a toxin. " Patients with this bacterial disease do not seem to respond to therapy. They get better with or without treatment," he said. Now testing samples of organisms from those who are recovering is Oregon's Dr. Kirk Wuepper. " He has developed and labelled antibody to the toxin as well as a radioimmunoassay to measure antibody response in the patient," Dr. Rasmussen pointed out. He feels that spontaneous resolution of TEN may be due to the progressive rise in an antibody to the toxin . 2 THE BUFFALO PHYSICIAN �Pediatricians learn about dermatological problems from Dr. Rasmussen. A special dermatology program has been developed by Dr. Rasmussen for the mentally retarded and Mongoloid population at the West Seneca School. Dermatology residents who accompany him there one day a month note that skin diseases most common there are acne, severe dermatitis, warts, Norwegian scabies, and the worst forms of atopic eczema. He has also opened an occupational contact dermatitis clinic. " It is the leading cause of occupational disability in the community," he pointed out. " Half the settlements from Workmen's Compensation are earmarked for skin disease." Patients will be patch tested with suitable concentrations of suspected sensitizers common in a heavily-industrialized community such as Western New York. "We can develop technology, tools, and good information for patients," he said. A standard tray of 20 to 30 allergens may pick up to 70-80 percent of the problems seen in the community. " Few people are interested in this area," he said. As a pediatric derma to logist, Dr. Rasmussen is able to pass on a " fair amount of inrormation to pediatricians - how to culture for fungus, diagnose forT . Tonsurans on the scalp, to identify Herpes virus for a better diagnosis. " He feels he has probably done more teaching to them than to those in his specialty. " The clinician can be trained to care for most of the common skin diseases such as warts, acne. " Concluded Dr. Rasmussen, " he need only refer the touchy ones to the dermatology consultant. " WINTER, 1975 3 Drs. Rasmussen and Ellis study adrenal function on patient with percutaneous absorption of steroids. �Drs. Lore and Shedd find that patient is doing well following surgrcal treatment for head and neck cancer. Head, Neck Cancer Network DETECTION of head and neck cancer or precancerous lesions improves treatment and survival of the patient. And a multidisciplinary approach may often help reduce impairment of function and disfigurement that is apt to occur with this disease as well as measures used in its control. To improve access to and communication of clinic.a~ findings and resources for the practicing physiCian and other health professionals, a number of head and neck cancer control networks have been formed. They are funded by the National Cancer Institute, whose commitment to narrowing the gap between research and patient care extends to other areas of cancer as well. There are similar networks for breast cancer and lymphomas. Instrumental in establishing the Buffalo-based Eastern Great Lakes Head and Neck Cancer Control Network have been two teams. One is under Dr. John M. Lore , Jr., chairman of the University department of otolaryngology. The other is headed by Dr. Donald P. Shedd, chief of Roswell Park Memorial Institute's department of head and neck surgery. Both teams, points out University project coordinator Dr. Sol Kaufman, are developing continuing education/ information programs and a data system for studying cancer patient management. The design and testing of a standard set of data forms for use by attending clinicians is now underway. " They will provide a comprehensive yet concise description of diagnostic procedures, treatment, rehabilitative measures, and patient followup," he said. Not only will clinical information be tabulated and analyzed locally but it will be pooled with that of other Networks. Head and neck cancer management guidelines have been developed cooperatively among all networks. " They are to be used by the individual clinician, at his discretion," Dr. Lore pointed out. Not strict protocols, rather they represent ongoing group consensus on the range of accepted management alternatives. Through a monthly publication, area professionals are kept informed of Network activities and data analysis. Said Dr. Kaufman, " clinicians will also have access to a comprehensive file of papers and texts as well as audiovisual materials that are now being compiled." Not only will clinicians be invited to attend special lectures, head and neck conferences, and clinics, but they will have easier access to con- EARLY 4 From library of v ideotapes, Dr. Stanley S cott, clin ical ins tructor in oral medicine, selects one on maxillofacial pros thetics at Netwo rk's new headquarters in S isters Hospital. �A head and neck conference for those who care for patients with head and neck problems. sultation if they have problem cases. In discussiRg the role that primary care practitioners play in initial detection, Dr. Lore cited the necessity of a thorough head and neck examination for each patient " to more readily spot early lesions that require specialized care." A concentrated effort will be mounted to stimulate increased emphasis and care by primary care physicians in the early recognition of these lesions. So important is early detection of asymptomatic or precancerous lesions in the mouth and throat that a public education program showing how a self examination can be conducted, with the aid of a light/mirror device has begun. Area dentists will also be able to observ~ methods of prevention and 'treatment at an oral diagnostic service established by Dr. Alan J. Drinnan. Said the chairman of the University department of oral medicine, "we hope it will serve as a model for dental care as well as a learning center for dentists. " Not only will area dentists be able to refer patients with suspicious lesions but they will be encouraged to view the variety of oral cancers seen and treated there. "Patients referred to the Service for marginally-suspicious lesions are less likely to have their fears aroused, " he said. There is a need to identify those at higher risk and to develop special programs for this group, points out Dr. Lore . The strong association of oral, laryngeal, pharyngeal, and esophageal cancers with tobacco and alcohol, especially for the 50-plus male is well documented. But, h(j-WJNtER, 1975 An oral diagnosis by Drs. Stanley ]. Scott, Stuart L. Fischman, Alan ]. Drinnan and Mrs. Eileen Kania, dental assistant. �John Grabau looks over head and neck cancer data from local hospitals. adds, "we shall continue to evalute links with other factors as well." Knowledgeable and prompt management of early signs of head and neck cancer are now yielding very encouraging results. These, he continued, are not only in control of the disease, but of great importance in minimal interference with normal function and in achievement of good cosmetic results. But when the disease is advanced he pointed to the more challenging problems of care and rehabilitation .faced by both patient and physician. "The head and neck oncologist," he said, "must weigh the devastating natural course of the disease versus radical surgery, radical radiotherapy, and intensive chemotherapy." He pointed to a variety of problems involving chewing, swallowing, speech, pain, odor, and loss of self-image that a patient may develop. Even with control of the disease, if these sequelae of the advanced stage and its treatment are not corrected to the extent possible, then he feels there may well be grave psychological, social, and vocational consequences to both patient and family. Drs. Kaufman, Lore, and Shedd review seminar schedule. Dr. Ahmed Uthman shows patient how to self examine oral cavity, face, and neck while dental hygienist Ann D'Amore instructs patient 011 self examination of the mouth. Dr. Uthman is at! associate professor of oral medicine. Of the 15,000 to 20,000 in this country who annually undergo radical surgical or radiotherapeutic procedures for head and neck cancer, significant numbers have problems like those noted above. " There may also be breathing difficulties, aspiration, sensory organ loss, cranial nerve impairment or muscular disability," Dr. Lore continued. But he noted that " rehabilitative measures that include surgical reconstruction, prosthetic appliances, and retraining (as in learning esophageal speech), can often dramatically restore function and appearances to these patients." He feels that it is through a team effort that these measures, along with wise selection of a total plan for treatment, are most effectively carried out. Included on the team may be surgeons, otolaryngologists, radiation therapists, chemotherapists, specially-trained nurses , prosthodontists, dentists, speech pathologists, psychiatrists, and social workers. Assures Dr. Lore, " we, at the Eastern Great Lakes Head and Neck Cancer Control Network, are committed to advancing cancer prevention, control, rehabilitation and improving both survival and the quality of life for the patient. " THE BUFFALO PHYSICIAN �Dr. Bernard H. Smith is the new acting chairman of the department of neurology. He has been on the faculty and at the E.J. Meyer Memorial Hospital as chief attending neurologist since 1953. Dr. Smith received his M.B., Ch.B. that is equivalent to the American M.D. with first class honors in 1940 from Aberdeen University in Scotland. A decade later he earned a diploma in physiological medicine at London University and a formal Doctorate in Medicine in 1956. Before coming to Buffalo Dr. Smith was a Fellow, Montreal Neurological Institute; . Lecturer in Neurology, McGill University; Assistant in Outdoor Clinics, Royal Victoria Hospital, Montreal (1951- Neurology Head 53). Dr. Smith is a Fellow of the Royal College of Physicians of London and of the Royal College of Physicians and Surgeons of Canada. He is also a Foundation Fellow of the Royal College of Psychiatrists. From 1940-46 Dr. Smith served in the Royal Army Medical Corps. From 1946-50 he had postgraduate training in medicine and neurology in Scotland and London. During 1950-51 he was a Fellow in the departments of internal medicine and psychiatry at Cincinnati General Hospital. At the present time Dr. Smith is also a consultant neurologist to various area hospitals and institutions. He is a professor of neurology. Dr. Elliot F. Ellis, professor of pediatrics, is the new chairman of the department of pediatrics at the Medical School. He has a three-year appointment. He joined the faculty in 1974 and has been acting chairman of the pediatrics department since June. Before coming to Buffalo he was a member of the University of Colorado's pediatrics department. Professor Ellis received his M.D. degree from Western Reserve University. He served his internship at Lenox Hill Hospital and residency at The Babies Hospital, ColumbiaPresbyterian Medical Center, New York. In addition to his faculty appointments, Dr. Ellis is also director of the Clinical Research Center and the Division of Allergy and Immunology at Children' s Hospital. He is director, American Board of Allergy and Immunology. He also is a member of the Society for Pediatric Research, as well as a Fellow of the American Academy of Pediatrics and the American Academy of Allergy. WINTER, 1975 7 Dr. Smith Pediatrics Chairman Dr. Ellis �Alcoholism Dr. Block Most alcoholics in this country today are unaware that they are suffering from this disease. And they would deny it if so diagnosed. That's what Dr. Marvin A. Block, a leader in the field of alcoholism believes. The Emeritus Associate Professor of Medicine also states that the abuse of alcohol in this country is more serious than in any other. Because accepted definitions of alcoholism only describe its advanced stages, he feels that more attention should be given to recognition of its early stages that are often missed. One is an alcoholic, he says, when drinking has any adverse effect whatever on the individual, consistent with ingestion of alcohol. In response to who is an alcoholic, " it can be practically anyone," Dr. Block said. " It is no respecter of age, sex or economic status. Even newborns have been diagnosed as alcoholics. In pregnant women who drink excessively, the so-called fetal syndrome points to the drug crossing the placenta into the fetus ' bloodstream." That certain cultural areas are more prone to alcoholism than others was pointed out by Dr. Block. " Very often the disadvantaged and frustrated who turn to this drug to make their lives more tolerable become alcoholics." So has been the case with the first generation of Irish Catholics. And with the American Indian whose confinement to the Reservation and inability to integrate into the mainstream of American society made him more susceptible to alcoholism, once introduced to the drug. But evidence points to alcoholism resulting from the genetic factor as well. Over half the alcoholics interviewed reveal a history of one or both parents who were alcoholics, while in the laboratory alcoholic strains of mice from adult to offspring have been developed. That one of every 15 adults in this country and one of every ten who drink become alcoholics, Dr. Block believes, may be a conservative estimate. " There may well be twice the number of nine million estimated alcoholics. Many remain undiagnosed and we are not yet proficient in recognizing early signs. " Aiding those alcoholics who are unrecognized are social pressures to drink as well as tolerance for drunken behavior. Unaware of their illness are the victims themselves. " Denial is one of the characteristics of this disease," Dr. Block points out. But in those who drink too much but are not necessarily alcoholics, there may also be unsteady gait, slurred speech, carelessness of appearance. While one can be an alcoholic without these outer signs, reaction time and judgment may still be impaired in the individual who has developed a tolerance to the drug. By accepting drunken behavior, Dr. Block believes that a family may well be encouraging the drinking problems of the alcoholic. And because an alcoholic husband may insist that his wife accompany him, she often drinks and becomes an alcoholic herself. Important is the need for every physician to detect this illness at its incipient stage. Dr. Block stresses a nonjudgmental attitude when taking a careful but detailed history. If personal feelings are not betrayed by the physician via the raise of an eyebrow, a smile, a shrug of the head, a suggestion of criticism, he feels that an accurate history can usually be obtained. And he cautions on the need for physician awareness of his own drinking habits. " They may affect his attitude toward his patient' s drinking habits. " If doubts are raised, a patient must be warned of his drinking pattern by the physician. 8 THE BU FFALO PHYSIC IAN �Equally important to pinpointing why a person drinks is the amount, when, and the times when drinking is inappropriate. The latter indicates early alcoholism, says Dr. Block. While drinking to achieve a drug effect is the beginning of drug dependency, loss of control is the key. " Most alcoholics," he continued, " will deny it. They will insist they can take it or leave it. But of the two alternatives, they never leave it alone. " While alcoholism is an old disease, its designation as one by the American Medical Association in 1956 gave it respectability. " That was perhaps my greatest accomplishment," notes Dr. Block. He believes that a patient may well make his own diagnosis when defining who is an alcoholic. While the usual impression is that of a skid-row bum, patients recognize that they did not start out in this manner. And by working backward from this definition, they often see themselves as one 20 years hence. " They may recognize that they are drinking more than their bodies can handle," Dr. Block pointed out. While an average healthy 150-pound individual can drink an ounce of whiskey over an hour's time without damage to his body, any excess of this toxic substance over a period of time may physiologically damage the liver, throat, heart, brain or digestive system. Over half the automobile accidents, statistic's point out, are due to excessive use of alcohol. And there are more fatalities as a result than from any war in which Americans have participated. While most of its victims are young - the most vocal group of protesters against war - there is little heard from them against driving while drunk. For Dr. Block, what remains a mystery is the sale of alcoholic beverages on college campuses. " I cannot understand why those who pursue a career or are getting an education must take a drug that is not only addictive but acts as a sedative. It reduces one's acuity and attention span." Dr. Block became interested in psychosomatic medicine after graduating from U/B Medical School. He did postgraduate work in London, Paris and Vienna. During his internship he saw so many of the socalled geographis abdomens :- bellies scarred by numerous surgical procedures they looked like maps - that he began to look into the rationale behind so much surgery. What he found was that emotional problems focused on an individual's organs. " Exploratory surgery was an attempt to find the cause of their problems," he said. This was prior to the days of tissue committees when surgery was done more cavalierly. Few organic problems, however, were uncovered. Challenged in the late forties by a former classmate, a recovered alcoholic, he began to study the problems of alcoholism. He found little or nothing done until alcoholics reached a nadir in their lives. " There was no attempt at rehabilitation," he said. With proper treatment and patient awareness on early recognition to prevent tragedy, he is convinced that rehabilitation can lead the alcoholic to a healthier, more productive life. Following a look around, he and a physician friend formed a committee on alcoholism in the local County Medical Society. This was followed by a similar one in the State Society, and an eventual AMA committee on alcoholism - its first committee - with Dr. Block as its first chairman. d- WINTER, 1975 9 �Old School Student Directories If you have a copy or knowledge of Medical School Directories that list medical students at U/ B from 1973-74 on back, this year's editor of the student publication would appreciate hearing from you . His home address is 216 Fifteenth Street (upper), Buffalo, New York 14213 or call his home (716) 885-5588 . All donated copies will be turned over to the History of Medicine librarian at the Health Sciences Library by Ira L. Salam. In their meetings with the Council on Mental Health, he recalls the difficulties in convincing its all-psychiatrist membership that alcoholism was a disease. After several years of Committee education of physicians at both county and state levels around the country on alcoholism problems, the AMA 's House of Delegates voted to designate alcoholism as a disease. " Within the purview of medical practice, it urged all physicians to treat alcoholics as other patients," Dr. Block said. Emphasized was the importance of early recognition of the alcoholic, how to treat and rehabilitate the private patient as well as those placed in jails and institutions for public inebriation. There is no general treatment for alcoholics, Dr. Block said. " It must be tailormade for the individual. Recovery rates for those in proper programs now range between 70 and 80 per cent. The public mu s t be educated on this disease that responds to proper treatment," h e said. Many progressive industrial organizations have recognized the need and are now offering such programs to their alcoholic employees. " It is endorsed by Unions as well," he noted. There is no question for Dr. Block that very young children mu st be trained to live fruitful lives without drugs . " We must not wait until the use of drugs over the years leads to illness," he said. Because alcohol is a seductive drug that will " do anything you want it to ," many inadequate people depend on it for a false sense of instant but illusory success or courage. He feels parents must set examples for their children, help them to live lives without dependency on drugs . " Children see and hear more than parents give them credit for," he said. " And they will imitate to a great extent. " For the proper raising of children, he feels exemplary parental behavior is mandatory. Too many parents rely on the schools to do so . Children learn best in a family setting. While they need to learn about the addictive powers of alcohol as well, the mass media stresses too much drinking and the glamour side of those who drink. He feels that the other side is learned much too late. Another deterrent to better legislation is tax revenue from the sale of alcoholic beverages. All too often tragedy results from drinking drivers. After accidents, some go unpunished or the punishment is so slight as to have no deterrent effect whatever. And what may well have started out as a pleasant social amenity or lubricant may eventually point up the poverty of an individual who requires alcohol. Speculating on the many who may have started out to drink as others do , to enjoy the inhibition reduction produced by alcohol, Dr. Block points to more and more of the drug being used to get the desired result, an eventual physiological dependency on the drug that leads to addiction. Care for the alcoholic, he states, begins with drug withdrawal. " It is just as with any other addiction." He cites the need for complete abstinence for one addicted to any drug, that includes alcohol. And through rehabilitation and re-education, one can learn to live without drugs in a complex, oft-times unhappy world, he says. The well-trained physician should be able to treat the alcoholic while providing insight and understanding. " He must like these patients, be sympathetic and empathize," Dr. Block said. Other adjuncts to treatment include drugs (the deterrent ones), Alcoholics Anonymous, etc. With his entire practice made up of alcoholic patients, Dr. Block 10 THE BUFFALO PHYSICIAN �believes "these people are almost without exception worthwhile, talented, capable, and sensitive. Perhaps that is what makes them so attractive to me." He believes the key to the problem lies in education and prevention. The first audio-visual material on alcoholism has been produced by the World Health Organization. Now translated into every language, it is the first attempt to reach everyone on this ubiquitous topic. Sums up Dr. Block, " not only must we teach our children to understand the kind of world we would like it to be, but to live in the real world as it is." Dr. Block, M'25, has been active in the field of alcoholism since the late forties and has served on local, state, regional, national and international boards in this field . He has lectured and published extensively. In 1953 he was honored by the American Academy of Family Practice, and two years later was named one of Buffalo's outstanding citizens by the Buffalo Evening News. He also earned the Lane Bryant Citation in 1958, the Malvern Institute Citation of Merit in 1963, the Award of Honor from Wisdom Society in 1966. Six years later he received the First Citation and Medal of the American Medical Society on Alcoholism for outstanding contributions to the field . He now teaches a 60-hour course at U/ B's Clifford Furnas College,' has lectured at many campuses around the world over the years, and still speaks extensively on the subject today~() Nuclear Medidne Chairman Dr. Monte Blau, research professor of nuclear medicine and biophysical sciences, is the new chairman of the department of nuclear medicine. The 49-year-old investigator who is also a research scientist at Roswell Park Memorial Institute, succeeds acting chairman Dr. Merrill A . Bender. After earning his Ph.D . degree from the University of Wisconsin in 1952 he did research there and at Yale over the next two years on radiocarbon dating, as well as at Montefiore Hospital for a year on isotope studies on calcium metabolism. He joined the U/B faculty in 1954 and worked in immunochemistry studies at Roswell Park Memorial Institute's department of biochemical research. In 1957 he moved into nuclear medicine to work on the development of instrumen . tation such as large organ photo scanners and radioactive pharmaceuticals that included localizing agents for brain and bone tumors as well as the pancreas. Dr. Blau, who is noted for his contributions to the field of nuclear medicine has over 60 publications. He has served as a radiation medicine consultant to India and the French Atomic Energy Commission as well as on a number of international advisory panels and committees. The former head of the National Society of Nuclear Medicine is a member of the American Association for Cancer Research, the American Association of Physicists in Medicine, and the American Chemical Society. <'> WINTER, 1975 11 Dr. Blau �The new Pho gamma IV gamma camera with movable table top, microdot and integral minicomputer was added to the nuclear radiology armamentarium at the Meyer in 1975. The Department of Radiology R adiology is a clinical department of the Medical School, based at several of the University affiliated and associated hospitals . The department embraces the spheres of radio-diagnosis , radiation oncology, and nuclear radiology . The activities include extensive clinical services in each of the hospitals , teaching of medical students , house officers , and practicing radiologists as well as modest research activities . The chairman is Dr. Eugene V. Leslie, who also serves as director of radiology at the E.J. Meyer Memorial Hospital. An outstanding new department of pediatric radiology opened at Children's Hospital in 1972. Directed by Dr. Jerald Kuhn, professor of radiology and associate professor of pediatrics, it was planned to give optimal patient care in a lively, bright environment where rooms are excellently equipped . Dr. Leslie notes that the facilities were designed for " continual teaching activities that are a hallmark of the department. " 12 D r. Eugene Les lie, clinical p rofessor and chairman of the Depa rtmen t of Radrology at the Medical School. �Dr. Gordon Culver, clinical professor of radiology and dean of Buffalo radiologists, directs radiology at the Buffalo General Hospital. This hospital has over a century of tradition as a university-teaching hospital and the radiology department has been engaged in service and teaching activities since World War I. Dr. Berten Bean may have been the first practicing neuroradiologist in the United States, according to Dr. Leslie. After special training in Sweden, he commenced practicing neuroradiology at the Buffalo General Hospital in 1951. The department of radiology at the Deaconess Hospital, directed by Dr. Roy Seibel, clinical associate professor of radiology, has been a focus of activity for the senior elective program for many years. " This department," said Dr. Leslie, "reflects his own dedication to excellence in service and teaching." Additional first-rate teaching activities are centered in the hospital departments of radiology at the Millard Fillmore Hospital where Dr. F. Richard Sheehan, clinical assistant professor df radiology, is the director; at the VA Hospital, where Dr. Kamillo Flachs, clinical associate professor of radiology, is the director; at Roswell Park Memorial Institute, where Dr. Ethlyn Jennings, clinical assistant professor of radiology, is the director; at the Sisters of Charity Hospital, where Dr. Robert O'Connor heads the program. He is a clinicar associate in radiology at the Medical School. Dr. Yehuda Laor, clinical associate professor, directs the radiation therapy and nuclear An exhibit on " bone changes in hemophilia" by Drs. Panaro and Desai is displayed at the learning center. WINTER, 1975 medicine program ·at the Buffalo General Hospital, and Dr. Richard Johnson is chief of radiation medicine at Roswell Park Memorial Institute. " Both offer senior electives which provide the students a remarkable opportunity to familiarize themselves not only with radiation therapy but more properly with radiation oncology," Dr. Leslie said. At the E.J. Meyer Memorial Hospital there are 12 faculty members actively engaged in the practice and teaching of radiology. Dr. Victor A. Panaro, associate director and clinical professor, is a bellweather of the teaching staff, according to Dr. Leslie. " His consultations are much sought after and are known to have great teaching value and not inconsiderate entertainment value as well. Dr. George J. Alker, Jr. , an indefatigable worker and clinical professor , heads the neuroradiology section while Dr. Hussein Dayem, clinical associate professor, directs the nuclear radiology and radiation therapy at the Meyer. The G.I. section is under the tutelage of Dr. Maria Andres, clinical assistant professor. She is the author of over 50 papers on gastroenterologic radiology and pharmacology. Dr. Bhupendra Mepani, clinical assistant professor, directs vascular radiology and Dr. Malati Jagabandu , clinical assistant professor, is in charge of pediatric radiology. During 1974 and 1975 the Meyer departmental operation has been automated. " The new minicomputer will markedly augment the service to patients and the physicians. We hope to introduce some computer capability into th(j- �teaching program as well," Dr. Leslie said. There are approved residency programs in radiation therapy at the Buffalo General Hospital and Roswell Park Memorial Institute. A new University-wide diagnostic radiology residency will replace existing general radiology programs using the facilties and faculty at the Meyer, General, Children's, Deaconess, Millard Fillmore, and Veterans Administration Hospitals as well as Roswell Park Memorial Institute. Candidates will be accepted either directly from senior medical school students or after a first-year house ofDr. Hussein Day em (2nd from left) sets up a patient for Cobalt Therapy as Drs. Desai (left) and Barodawala and Kathy Kraczy k, L. T., assist. Miss Ellie Battaglia sets up a patient on the ultimate in body section radiography, the Poly tome. Sections 1 mm in thickness can be recorded on this unit. Or. Maria Andres reviews G.l. cases with the seniors in the learning center. Mr. John Mazur, consultant in computer systems and hardware, reviews an update on the Meyer system with a medical transcriptionist. ficership, preferably of a flexible variety, according to Dr. Leslie. "The radiology teaching program for medical students is wholly elective, although there is abundant exposure to radiology throughout the clinical years. A large number of excellent electives are offered throughout the medical school curriculum. In the preclinical years, traditionally Dr. Edward G. Eschner' s course RGY -600M, introduction to diagnostic radiology, has been extremely popular with the sophomores. Dr. Eschner is a clinical professor of radiology at the Medical School. In the junior year radiology is integrated into the clinical rotations. The THE BUFFALO PHYSICIAN �Or. Gordon Culver (right) reviews a case with Dr. Hyung Park, a resident. Or. Victor Panaro reviews an interesting case of lupus erythematosis with house officers. Or. George ]. Alker, ]r. reassures the patient during a cerebral angiogram. WINTER, 1975 IS �The ever active sig1wut coun ter at the Meyer. Cheerful, prompt service is always the aim. Or. Ehsan Afshani is in the special procedure room at Children's Hospital. 16 pediatric radiology rotation at the Children's Hospital has always been well rated by the students. Since initiating an elective curriculum, about one-half of the senior class has taken a month of radiology. Eight or ten students arrange for an out-of-town university elective, according to Dr. Leslie. For the 1975-76 year, 89 seniors have opted for a radiology elective, 77 of them in Buffalo. " This is the largest number to date and we hope to eventually encourage all seniors to take such an elective." Dr. Leslie is proud of the Radiologic Learning Center that opened last November, after three years of effort and planning. It is funded jointly by the County of Erie and the University. It is housed in refurbished space in Old School #84 on the Meyer Hospital campus. There a physics section headed by Mr. Fred Hubbard , a teaching file section led by Dr. Yunus Barodawala, clinical assistant professor. A selfcontained X-ray unit and phantoms are part of the physics area. The teaching file, core of the program, is under the tutelage of Dr. "B" (Mepani). " It represents a superlative opportunity to learn radiology and medicine. The concept was originally developed at the University of California San Francisco Medical Center and the file is now being marketed through the American College of Radiology. We were among the first 20 universities to incorporate this largely selfinstructional facility into our teaching program. " The teaching file is now being updated nationally and the department is participating in this in the head and neck area. The time and effort involved in developing this program has been rewarding. The student response has been excellent. We look forward to increased use by students as well as by residents and practicing radiologists, " Dr. Leslie concluded. THE BUFFALO PHYSICIAN �New Associate Dean Dr. Leonard A . Katz is the new associate dean for student and academic affairs at the Medical School. He assumed his new duties April 1. For the 39-year-old associate professor of medicine who has served on the U/ B faculty since 1968, headed E.J. Meyer Memorial Hospital's clinical gastroenterology program and served on Buffalo General, Children' s, Veterans and Roswell Park Memorial Institute staffs , " there is a change." He sees the Medical School moving from a difficult period into a new era which can be very exciting. " We have a very good faculty, very good students, and the time is right for us to move ahead. " What attracted Dr. Katz to the new post was the arrival of a dean (Dr. John Naughton) , who brings an extraordinary background as well as administrative talents to Buffalo from George Washington University. " Dr. Naughton had great success in curriculum revision and in improving the whole range of student services and admissions procedures there," he said. One of Dr. Katz ' first concerns will be to develop a new Office of Medical Education. " We will be fully implementing a faculty study completed in the Jate sixties," he noted. And by building on the efforts of an effective faculty/ student curriculum committee, educational goals and priorities will be reassessed . Student related activities will also be reorganized and expanded. They range from financial aid , student advisement, registrar activities , to curriculum development and evaluation as well as gathering more data on postgraduate training opportunies. " We are now following up on our graduates and asking· that they send us evaluations of their internship and residency programs for use by students here, " Dr. Katz said. He looks forward to the challenge of an expanded administrative role. During his seven years at U/ B, he gained much experience in curriculum planning and evaluation as well as in other student/ academic activities . A Fellow of the American College of Physicians he is also a member of the American Society for Gastrointestinal Endoscopy and the American Gastroenterological Association. The Buffalo-born gastroenterologist, who now heads the GI Liver Society of Western New York , has contributed over 20 publications to the field. Dr. Katz completed undergraduate training at Yale where he also spent two years as a postgraduate Fellow in gastroenterology, following an internship and residency at Albert Einstein 's Bronx Municipal Hospital Center. A medical degree was awarded him in 1961 by Columbia College of Physicians and Surgeons, where he was a member of Alpha Omega Alpha Honorary Society. He completed two years of service with the United States Air Force before coming to Buffalo. WINTER , 1975 17 Dr. Katz �Or. Judith Lehotay studies slide of insulinoma. Trained as a physician in Budapest, her pathology residency was interrupted by the Revolution when she and her family fled the country. Four years after her arrival in Buffaloshe had first to learn the language - she completed a residency in pathology at Sisters and Children's Hospitals, and then joined the E.J. Meyer Memorial Hospital staff as assistant pathologist. " I cannot recall a time when I did not want to be a forensic pathologist," the determined young physician said. Undeterred by others' doubts of women entering the field , she requested a year's leave to train under New York's chief medical examiner Milton Halpern. On her return to Buffalo in 1970 as acting chief medical examiner for Erie County, she encountered no difficulty as a woman in the field. A year later she became department head . Working with her is Dr. Justin Uku . The associate chief medical examiner was born in Nigeria, earned an MD degree in Glasgow, and trained in forensic medicine in London, Nigeria, and New York City before coming to Buffalo in 1973. O r. Uku examin es brain . Forensic Pathology SHE was in her eighties. Well liked by neighbors and friends, the small, perhaps senile old woman always left her door ajar. On a tray near the body was a cup of tea and two small pieces of uneaten matzov. Her death appeared to result from a heart attack. Or so her medical history seemed to bear out. But a scrupulous examination by associate medical examiner Judith Lehotay revealed otherwise. It was a homicide. Marks along the victim's wrists indicated they had been bound. That was five years ago. When Dr. Lehotay, who is now chief medical examiner of Erie County and perhaps the only woman in this country to head such an office, recalls that scene of senseless violence, she still responds with anger. She hopes her response will always be so. 18 THE BUFFALO PHYSICIAN �There are also eight part-time medical examiners (Drs. Earl K. Cantwell, 1ames 1. Creighton, Ernest Fernandez, Edmond 1. Gicewicz, Kuochin Liu, C. Henry Severson, Ralph E. Smith, Harry N. Taylor) and one board-eligible pathologist (Dr. Kathleen Lloyd) working full-time to handle a workload of between 2,500 to 2,600 cases annually. Not only do they perform autopsies routinely on all automobile driver fatalities and most of their victims but on all violent and suspicious deaths. Full body X-rays are taken of all babies, points out Dr. Lehotay. "We want to note bone fractures." During autopsy, blood and biological specimens are taken to determine if there was infection or septicemia present or whether the cause was sudden infant death. Calls from police headquarters are answered by one of the medical examiners. All are MD 's. They view the body at the scene, take a complete history, and in most cases, find that the autopsy and X-rays reveal the cause of death. But because apparent cause of death may differ vastly from the real one, a sharp eye is needed. While a routine autopsy may take but 45 minutes, others take much longer. One body, with 34 bullet holes, took 16 hours. And on any given day there may be up to six autopsies performed by a medical examiner. For Dr. James ]. Creighton who has worked as a medical examiner for over 20 years and brings a wide range of experience in trauma to the field, the key to uncovering cause of death is to "let the body tell you things, and then to ask questions." Because certain types of trauma are caused by specific injuries, the surgeon carefully notes body positior,, ZPTleral condition, and its location. But Dr. Creighton is quick to point to the importance of viewing the scene at which the body is found, and the cooperation of the Buffalo Homicide Bureau. " They have even pointed out things to us," he said. Because every homicide is a legal case, a thorough au topsy includes the taking of numerous photographs, X-rays for later close study, and samples of liver and brain tissue. Body fluid is also analyzed by toxicology to determine the amount of alcohol, drug, poison or other substance present in the body. What the medical examiners have found over the past few years is that deaths from overdoses have increased while traffic fatalities have fallen, that more are dying as a result of soft drug use such as tranquilizers than from hard ones, andWINTER, 1975 Next hospital case is checked by autopsy technician Neal Hodgson, and Dr. Creighton. While senior morgue keeper George Schimmel answers phone, morgue keeper Frank Frazan, goes over report with pathologist Kathleen Lloyd. �Drs. Lehotay and Uku als o teach. Elec tromicrosco py ; tudy of thymus, a clu e to sudden in fant death sy ndrome, is rev iewed by Drs. Lehotay and Andrew K orenyi-Both . 20 that there are more homicides in the suburbs than ever before. Because violent deaths are on the increase, Dr. Lehotay believes that medical students should have a background in forensic medicine. " In the emergency room they will be seeing bullet/ stab wounds and burns resulting from violent actions, " she said. She noted the importance of identifying both entrance and exit of each bullet hole to determine the organs affected and to make the patient as comfortable as possible. Students now get but a cursory glimpse of forensic pathology as they view 100 slides during several lectures in pathology. Of great help to the forensic pathologist, she points out, are physician records of patient wounds and their incorporation into a surgical incision or repair. If a bullet is removed , she would ask that the pathologist be notified. " We may be looking endlessly for an elusive bullet," she said. A second look by physicians during autopsy would also assist the forensic pathologist. " If a physician is present during autopsy it is a learning device . Despite the lack of such interest on the part of some physicians, teaching does go on in the autopsy room. " One can see neurosurgery residents checking up on previous operations or taking a last look at the brain before their next scheduled surgical procedure, " she said . Autopsy reports on auto accident victims are even sent to Calspan Corporation. " They study them along with accident reports and vehicles involved ," Dr. Lehotay said. " Hopefully safer cars may result. " And cooperation with narcotic researchers on a national study is also pinpointing the types of deaths and is an aid to prevention. Because the number of suicides has been overwhelming, the amount of Quaalide and Valium are now limited to a month 's supply per patient. Points out Dr. Lehotay , " as the first city to report on methadone deaths , we were the impetus for a Congressional investigation. " Other cities are now doing the same. And in public health , the Medical Examiner 's office has been able to pinpoint such problems as carbon monoxide poisoning, the dangers of plastic bags for children. " Its ability to adhere to the skin may lead to suffocation," Dr. Lehotay warns . Years of collecting materials at autopsy and their study by electronmicroscopy may well THE BUFFALO PHYSICIAN �point to the cause of sudden infant death for Dr. Lehotay. She continues to work in that direction. Open seven days a week, 24 hours a day, the Office of the Medical Examiner is often exposed to a highly emotional public. " We must handle these people with skill," notes Dr. Lehotay. " We need to be something of a psychiatrist and have insight as well. " The severe trauma that automobile injuries of the head and neck can cause has been revealed by their study of 100 cases by unusual forensic X-rays. Of great assistance to the forensic pathologist has been Dr. Cornell Terplan. " He has been our Rock of Gibralter," Dr. Lehotay points out. While there have been many frustrations , there has also been many rewards . With the opening of the new hospital, it is hoped space problems will be solved. While Dr. Lehotay believes there has been lots of hard work/ good cases, she feels that a medical committee serving on the Supreme CoUPt is best able to establish cause of death in automobile accidents. " I do not think a Supreme Court judge has a right to overrule a medical case," she said. An aid to the work of a forensic pathologist is an animal laboratory . Here , models for hypersensitivity disease could be studied in detail. " Because we now have so little to go on we may well miss a diagnosis ," she said. When the new hospital opens, she hopes there will be space for one. But because the service load in the department is a heavy one, there remains little time for research. The County of Erie, notes Dr. Lehotay, is the 23rd largest in the country. And the jump in homicides among its 1.2 million population continues to climb. What remains a challenge to medical examiners is " fitting in the pieces . It is about the last area in which you can still control the picture," notes one. While at times it is frustrating , there is the challenge of " pulling it together. " All agree. " You have to pull it together- what you see on the scene, the autopsy, the questions asked, the lab findings - to form the complete picture." Erie County Health Center Work on the Erie County Comprehensive Health Care Center is on schedule. Hopefully it will open in December of 1977. Fraser M. Mooney, assistant administrator of the E. J. Meyer Memorial Hospital said, several items originally planned for the new center have been shelved to keep the project within the $120.9 million appropriation. These include 10 examining rooms for the emergency department, three operating rooms and an eight-bed section of the intensive care unit. A meditation room will be built in place of a large chapel which was in the original plans. Also space for the laundry will be left unfinished and the center will rely on the laundry facilities now at the Meyer. There is a possibility that the Erie County Laboratory, which will be housed in a three-story structure at the rear of the center, may be able to move into its new quarters in August of 1976, according to Mr. Mooney. The laboratory will have 88,000 square feet of space, compared to 12,000 feet in the present facility. WINTER , 1975 21 �Athletic Injuries " Blood Viscosity" was the Chapter's winning essay. It was written by Dr. William Barrie. The instructor in surgery is based at E.]. Meyer Memorial Hospital. THREE CLEVELAND CLINIC FOUNDATION physicians agreed that a team physician, school or family doctor can make a real contribution in recognizing physical disabilities or illnesses which should be corrected before the student participates in sports. If they are uncorrectable the person must be excluded from certain sports. Drs . H. Royer Collins, Donald F. Dohn, and Caldwell B. Esselstyn, Jr. , spoke at the annual meeting of the American College of Surgeons of Western New York. Speaking on Athletic Injuries to the Lower Extremities, Dr. Collins, chairman of the department of orthopaedic surgery said, " the knee is the most frequently injured joint in the body in athletic participation followed by the ankle joint and for that reason most attention is focused upon the knee joint. It is important, however, in treating knee injuries that the correct diagnosis be made in order to initiate the proper treatment. This requires a good history to determine the exact mechanism of the injury. This often gives the clue to the structures which may be involved . Once a thorough history has been obtained either from the athlete or from parents, trainers, coaches, etc. , then a thorough physical examination must follow. This frequently cannot be done on the side line. If there is any doubt at all the athlete should be moved into the locker room where a more thorough examination can be undertaken. If the athlete is seen in the office, he should be asked to undress and attention should be turned to the entire lower extremity, as injuries to the hip and hip problems may present with knee pain. We must not overlook the slipped capital femoral epiphysis which may occur in adolescence and present with knee pain." Dr. Collins pointed out physical examination should also include palpation of the thigh and knee to determine if there is any evidence of myositis, or hemorrhage in the thigh, as would be caused by a contusion. " The alignment of the extensor mechanism should be checked as well as any tendency for the patella to dislocate or subluxate. Examination of the ligamentous structures of the knee should be thorough, and then the examination for internal derangement of the knee should also be carried out. X-ray examination is usually required to rule out conditions such as tumor, epiphyseal injuries, osteochondritis dissecans and stress fractures. Occasionally specialized views are necessary to determine the status of the patellae. Arthrography may be helpful, and necessary to determine the presence of any internal derangements of the knee and dt times arthroscopy of the knee may be extremely useful and necessary to complete the diagnosis. Once the diagnosis is made treatment should be prompt and exact in order to avoid degenerative changes which can occur if internal derangements or instability of the knee are overlooked. " Speaking on Neurosurgical Injuries Dr. Dohn said, " football gets more publicity than any other sport in terms of serious injuries. But we must not ignore the fact that serious head injuries occur in most other sports, not all of the contact variety." The 1952 U/B Medical School graduate admitted that he was alarmed to read of the relatively high incidence of head injuries in skiing. It was also emphasized that next to boxing, baseball has the greatest incidence of severe head injuries. Even golf and handball have their fatal 22 THE BUFFALO PHYSICIAN �Drs. Dohn, Godfrey, Collins, Esselstyn, Becker head injuries. Dr. Dohn believes some head injuries can be prevented through conditioning, teaching of correct and safe sport fundamentals and the use of proper protective equipment. In some instances these principles of preventive medicine have or will require, rule changes. The chief of the department of neurosurgery at the Cleveland Clinic Foundation said, "it matters little to the neurosurgeon in which sport the injured player was participating. It is of great concern to understand the mechanism of head and neck injuries received in sports or in any other way. Knowing the mechanism of the injury may substantially narrow the differential diagnosis .... It is also important for the practice of preventive medicine. We must recognize head injuries when they occur so we can manage the situation properly on the field or subsequently. "In any case of head injury (on the playing field or elsewhere) we must automatically consider that there may be an accompanying neck injury which may be as serious or potentially more serious than the head injury. "The craniocerebral mass may be acted upon by any force to cause deformation, acceleration or deceleration. Deformation is a blow to the temple with a golf ball or a hockey puck. At the moment of impact, the skull is deformed, a sharp rise in intracranial pressure occurs, and the skull may fracture at the site of deformation or remotely. When the head receives a blow it is always accelerated, as for example, a knee to the head of a tackling football player or a punch to the head in boxing. The brain moves independently in its closed compartment and may be damaged against the skull or against the dural partition. Deceleration would be when a hockey player's head hits the ice in a fall. The same independent movement of the brain takes place. All three of these forces may act independently or together (simultaneously or in succession). "The brain itself may be injured by three forces _: compression, tension, and shear. Generally brain injuries fall into the same three categories with which you are familiar: concussion, contusion and laceration. d- WINTER, 1975 23 �"Skull fractures and post injury sequelae together represent the main group of head injuries requiring neurosurgery. " Dr. Dohn told the physicians that the definition of concussion can be a "hang up. " Even the experts can' t agree on what constitutes a concussion, and too often it is inappropriately relegated to the domain of non-serious injuries. Severe concussion may have far reaching and permanent and even fatal effects. "Laceration, which sounds ominous, may not cause any neurological deficit or unconsciousness (as in penetrating injuries or brain surgery). " Dr. Dohn asked his audience to remember three points about concussion- various degrees of severity may occur; unconsciousness does not have to occur; and the concept of no attendant structural change in the brain is untrue. Microscopic changes in vital areas often exist, particularly in the brain stem, he said. "A skull fracture in itself is not necessarily dangerous or damaging. The presence of a fracture means that a considerable force had been applied to the skull. Undoubtedly concussion has occurred - yet cerebral damage may be absent or mild and no sequelae need follow. On the other hand, head injuries without fracture may be most damaging. Certain skull fractures are of neurosurgical importance (those crossing the middle meningeal groove because of the possibility of ensuing epidural hemorrhage; depressed fractures which compress vital tissue; and those involving the paranasal sinuses or middle ear because of CSF leak and possible meningitis)." The Cleveland neurosurgeon read a case history to illustrate the challenge that " we all face" in recognition of post-traumatic sequelae (cerebral swelling and/or edema; epidural hematoma; subdural hematoma; intracerebral hematoma post concussion) so the injured player gets into the proper hands soon enough: A 16- year-old right- handed high school halfback made a tackle and struck his head on his opponent's pelvic region. Although he did not lose consciousness he was dazed and had to be helped from the field. He recognized the coach and several teammates, calling them by name. As he approached the bench, he dragged his left leg and held his left arm in the air in an abnormal manner. After he sat on the bench a few minutes, he lost consciousness, his eyes rolled up, and he developed decerebrate posture. An ambulance rushed the patient to the hospital seven miles away within 15 minutes after the injury. On admission to the hospital, he was comatose and responding only slightly to deep pain. His blood pressure was 170/90 and his pulse 56, and his respirations were labored and irregular. His right pupil was dilated and fixed, his left reacted still. He had decerebrate posturing involving left upper and both lower extremities. Within 11h hours of his injury, a right hemispheric subdural hematoma was evacuated with recovery. Unfortunately, this happy outcome is often not the case. " I recently saw in consultation in a neighboring community a patient with a football injury. This boy - a star back - was rendered unconscious in a football game near the end of the season. Prompt medical care and good surgical management ensued and a subdural hematoma was removed. At the time of my consultation two months later, the boy was still in a coma. The prognosis was and is grave," Dr. Dohn said. Dr. Richard Schneider of Ann Arbor has done a great service to all branches of athletics, but particularly to football, by advancing the knowledge in the field of head and neck injuries resulting from sports 24 THE BUFFALO PHYSICIAN �One contribution that he made was a survey of serious and fatal neurosurgical football injuries for a five-year period. He gathered a total of 225 injuries from reporting neurosurgeons. A discouraging finding was the poor results in patients with epidural or subdural hematoma. There were five cases of epidural hematoma with four deaths and 69 cases of subdural hematoma with 28 deaths. As might be expected, cases that deteriorated rapidly after injury had the poorest outcome. These poor results point out the necessity for prompt recognition of the problem. Dr. Schneider has been a strong opponent to the use of the socalled "spearing technique" in tackling and blocking. He has also incriminated the present-day football helmet as being inadequate, according to Dr. Dohn. Dr. Schneider has designed an improved football helmet with the help of engineers and based on intimate knowledge of the mechanism of head and neck injuries. He has had considerable difficulty convincing the leading manufacturers of helmets that there is merit in making these changes, noted Dr. Dohn. "The majority of the serious or fatal injuries in football eventually come under the care of neurosurgeons. This is supported by the fact that in 1970 there were 29 football fatalities, 26 of these resulting from injuries to the head or neck," Dr. Dohn said. As a team physician you must observe the injury first hand as it occurs in order to know the mechanism involved. "'An early assessment of the possible head-injured player should be made in order to establish the baseline. The player should be under constant observation for subsequent developments. If no team physician is available it is not unreasonable to train the coaching staff to make a simple neurological evaluation," Dr. Dohn said. "One of the main factors to be observed is the level of consciousness. This should be recorded in terms that all can understand and not with various vague terms such as stupor, semi-stupor, etc. Is the injured player awake and normal? Is he confused about who he is or who his teammates are, where he is or when it is, etc.? Does he recall the injury? Does he have retrograde amnesia? Can he speak clearly? If he is not fully conscious does he react to spoken words or to painful stimuli? The time of the injury should be noted. The duration of unconsciousness should be noted. The player who is rendered unconscious and does not come around must be taken to the hospital at once," Dr. Dohn said. "Although we classically describe the lucid interval in epidural hematomas we also know that it may not occur and the patient can deteriorate before your eyes. The lucid interval is the situation when an injured person is initially unconscious but recovers for a time only to pass again into unconsciousness as the blood clot grows. Evaluation of the movements of the limbs and the pupillary reaction is of considerable importance." Dr. Dohn spoke about handling and transporting an unconscious patient who might have a head, neck or spine injury. " The player must be handled so as not to cause serious sequelae from the aggravation of an unsuspected spinal injury. Preferably he should be carried from the field on a stretcher or board after being 'log rolled' onto this device. It may prove devastating to allow an unconscious patient to remain on his back because of the aspiration of vomitus. The semi-prone position should be used with the head supported level with the spine. Adequate airway and respiration must be maintained, since cerebral swelling may be produced or aggra~ated by hypoxia. Transportation of such an injured player is odWINTER, 1975 25 n{ Medical students participated in International Women's Year in October. The five-day event featured a special health day . There were clinics, displays, live demonstrations, films, tapes, discussions pertaining to the health care of women and the role of women in the delivery of health care. I Y �the utmost importance. It is very poor practice to allow a concussed player to be moved off the field sort of dangling from the shoulders of two of his teammates. Promptness of action is imperative if a patient with an intracranial hematoma is to be saved. It is better to be safe than sorry. Transportation must be readily available and communication with the hospital and/or surgeon is essential so that the medical facility is alerted to the potential of immediate surgery. Every second counts." When should a player who has suffered a head and neck injury be allowed to resume his athletic participation? Dr. Dohn said that a player who has suffered a concussion with residual effects such as retrograde amnesia, confusion, headache or unexplained behavior must not be allowed to play the remainder of that game. Dr. Richard Schneider has described three degrees of cerebral concussion. The first degree is described as mild. There is no loss of consciousness, slight mental confusion, or of very transient memory loss. " Such a player may be returned to the game after a play or two but should be watched carefully for symptoms of fatigue, signs of disorientation or peculiar behavior," Dr. Dohn said. The second degree or moderate concussion has transient loss of consciousness up to three or four minutes with momentary mental confusion and definite mild retrograde amnesia. He may have moderate unsteadiness for up to five or ten minutes. " I personally do not think this patient should be allowed to return to the game. He certainly must be watched closely and should see his doctor," Dr. Dohn said. The third degree or severe concussion has prolonged loss of consciousness longer than four minutes. He may be mentally confused for five or more minutes and have prolonged retrograde amnesia with severe tinnitus, dizziness, and marked unsteadiness for over ten minutes. This player should be sent directly to the hospital for observation for the possibility of an expanding intracranial bleed, according to the Cleveland neurosurgeon. It has been said by some that three concussions sustained by one player in one season should automatically remove the player from the sport permanently or at least for the rest of the season. " Often circumstances are such that one severe concussion should exclude a player permanently. There are no definitive tests that help one make this decision and it often is a very difficult one because of pressures from the athlete, the parents, and the coach. Certainly the presence of prolonged postconcussion syndrome mitigates against return to the sport, i.e. headache, dizziness, difficulty concentrating, irritability, etc. The EEG has been said to be helpful but I disagree because it can be normal despite brain injury and without a premorbid baseline one can' t correlate the EEG abnormalities with the clinical status. One should not be too rigid in making these decisions; each case must be individualized. I think that any player who develops a seizure secondary to head injury should be eliminated at least for the season. Any player who has required operative Rx for a head injury probably should not be allowed to participate in contact sports," Dr. Dohn concluded. " It is very difficult to give a thorough, unhurried examination to injured athletes on the sidelines under game pressures," Dr. Caldwell B. Esselstyn, Jr. said. " But physicians must determine on the spot whether 26 THE BUFFALO PHYSIC IAN �An interested audience. an athlete can continue. There must be prompt recogmt10n of the problem so the injured player gets the proper t~eatment. " In discussing injuries to the thorax , abdomen and genito-urinary system, the Cleveland Clinic Foundation surgeon told about the importance of lab tests , X-rays and a detailed history of the patient as well as the injury. " In renal trauma don' t operate without aURA-gram. The patient may have only one kidney. Often in penetrating injuries (bullet or knife wounds) you cannot postpone surgery." One of seven injuries is delayed rupture and this causes shock. Be alert to a rib fracture that is over the spleen, liver or kidney , Dr. Esselstyn warned. " Often people can fall nine stories and if they land correctly there is no injury," he concluded. " As a surgeon and a former athlete I am especially interested in sports medicine. It is a real and separate classification from regular medicine or surgery and in many countries there are professors of sports medicine. " That is what Dr. Tenley E. Albright, a Boston surgeon and 1956 Olympic figure skating champion said at the evening banquet. " I find certain similarities between my present profession and my former role as a figure skater. There is discipline in all sports that is valuable in any profession. In both figure skating and surgery there has to be careful preparation that includes long and difficult hours of training, great attention to detail, total concentration and the ability to perform under pressure. "When I was a figure skater in the Olympics nobody told us about warning signs that we were tiring too fast, or how to get the most out of a training period or even how long before competition we should eat. We had to find our own answers. Now I find it fascinating to see physiological reasons for all these things we learned through trial and error," Dr. Albright said. She shares an office with her father and brother, who are both surgeons. She is a graduate of the Harvard Medical School (there were four other women in her class). Dr. Albright is a member of the surgical staff of the New England Baptist Hospital in Boston. "> WINTER, 1975 27 �- A nurse and helicopter pilot with a newborn in the portable transporter. EouCATION AND SAVING LIVES are the main functions of the Regional Saving the Newborn Neonatal Intensive Care Unit of Western New York located at Children's Hospital. Fifty-one graduate professional nursery nurses from Western New York have completed the four-week advanced neonatal nursing program directed by Dr. George Giacoia. In the concentrated program (classroom and clinical) the nurses expand their function to include - the assessment of neonatal risk factors; the physical assessment of infants and the identification of deviations from the "norm;" and the more effective communication with the mother. The neonatal nurse practitioner also provides instruction to the mothers, especially those whose infants are not under the care of a private pediatrician. This group of mothers, because of their characteristic young age and low gravidity, are particularly in need of special attention. "Special emphasis is given to the observation of the newborn during critical periods of adaptation," the assistant professor of pediatrics at the Medical School said. "When the nurse finds something abnormal she immediately reports it to the baby' s physician." On all emergency calls a physician-nurse team from the unit with all the necessary monitoring equipment accompany the ambulance or helicopter that brings the newborn baby to the Neonatal Unit. "We can bring a baby here in less than an hour - via helicopter - from Olean, New York or Bradford, Pennsylvania," Dr. Giacoia said. 28 THE BUFFALO PHYSICIAN �The monthly luncheon (left to right) Drs. Jerome Romano, Henry Severson, George Rosenfeld, Robert Ehrenreich, and Frank Giacobbe. The intensive care area of the neonatal center at Children 's Hospital. dWINTER, 1975 29 �Two neonatal nurse practitioners examining a newborn . Drs. John Sinclair, David Weintraub, at one o f the Th e advan ced neonatal nursing class. " Often the time element is the most important factor. If we get the babies into our unit fast enough we succeed. We have saved many babies in the last two and one-half years. About four per cent of the babies born need the special care that our unit provides. When the baby cannot come to the unit we try to solve the problem through our aroundthe-clock hot line consultation service," Dr. Giacoia said. His travelling neonatal workshop visited 35 hospitals in Western New York and Pennsylvania in the last three years to explain new techniques in caring for the newborn. Dr. Giacoia also hosts a monthly meeting for pediatricians in the area. He has worked closely with the Lakes Area Regional Medical Program to develop audiovisual programs for physicians and nurses in Western New York. Some of the well-known guest speakers who have appeared are Dr. Jack Sinclair, director of neonatology at McMaster University; Dr. Frederick Battaglia, chairman of the department of pediatrics at the University of Colorado; and Dr. Alex Minkowski , director of the Center for Neonatal Research at the University of Paris. The intensive care nursery on the fourth floor of Children's Maternity Building is divided into intensive care, intermediate and convalescent sections. There are a total of 40 beds. The nursery is a teaching facility for medical students, interns, residents and postdoctoral students. A number of clinical research projects are in progress, including studies on calcium and carbohydrate metabolism in infants of very low birth weight. The nursery' s medical staff consists of one full-time neonatologist, two neonatal Fellows; and five housestaff and 87 nurses. Because Children's Hospital is a comprehensive pediatric facility , the full spectrum of pediatric subspecialties from pediatric anesthesiology to radiology are on call nearby and able to contribute to the newborn's care. Since the unit has been accredited as the Regional Center for Western New York there has been more utilization. Construction is under way to solve the space shortage.O 30 THE BUFFALO PHYSICIAN �Continuing Education Thirteen Continuing Medical Education Programs are tentatively scheduled for the first six months of 1976, according to Mr. Charles Hall, director of the programs. The tentative dates, titles and chairmen of the programs are: February 18, 19, 20 Fetal Heart Rate Monitoring, Doctors Wayne L. Johnson and Loren P. Petersen. March, 1976 Pediatric Allergy: Meyer Teaching Day, Doctors Henry Staub and Doris J. Rapp. April 10, 11 Anesthesiology, Dr. John I. Lauria. April 25-29 Dermatology, Dr. Richard L. Dobson. April 28 Infections in Obstetrics-Gynecology, Dr. Vincent J. Capraro. April 30, May 1 Ophthalmology, Dr. Thomas J. Guttuso. May 6 ENT for Family Physician, Doctors John M. Lore, Sol Kaufman. May 7, 8 Medical Alumni Spring Clinical Days, Dr. W. Yerby Jones May 17-21 Immunopathology (Laboratory Program), Dr. Ernst Beutner May 20, 21 Rehabilitation of the Stroke Patient, Doctors Albert C. Rekate and Kya-Ha Lee. May 27, 28 Neonatology, Dr. George P. Gi~coia June 7-11 Pediatric Refresher Seminar, Dr. Elliot F. Ellis. June, 1976 Gynecological Laparoscopy, Dr. Norman Courey. Other programs that may be offered in the Spring are: Family Medicine (Trends in Internal Medicine), Doctors Robert H. Seller, Henry E. Black; Arrhythmias, Dr. Jules Constant; Radiology, Dr. Jerald P. Kuhn; Nutrition, Dr. D. MacN. Surgenor; Program Evaluation in Health and Human Services, Dr. Harry Sultz; The Role of Psychiatry in Family Practice, Doctors Martin L. Gerstenzang, John G. Robinson; Blood, Dr. D. MacN. Surgenor; What's New in Community Psychiatry?, Dr. Frank Baker. •-"' WINTER, 1975 31 �Pressure Breathing inMan Or. Bisho p implants intramuscular electrodes into intercostal muscles of Andrew Robin so n as Judy Friedburg attaches g round electrode. Andrew R obinson is exposed to pressure breathing as he sits in closed box. Or. Bishop observes. When man descends to the ocean's floor or circles the globe in outer space, his physiological control systems are subjected to new and unusual environmental stresses. To survive he must carry his own supply of air and breathe through a mouth piece or face mask. Initially he is conscious of these altered breathing conditions. But in time, as he becomes accustomed to the altered pressures and imposed gear, his breathing again becomes automatic. By simulating some of these environmental conditions in her laboratory, Dr. Beverly Bishop hopes to learn how man' s neural machinery initiates and controls compensatory responses to these respiratory stresses. And because man's sensory feedback mechanisms are anatomically inaccessible, their role must be assessed indirectly. By taking advantage of the fact that output of the ventilatory system lends itself to direct assessment, the professor of physiology is studying stresses on the activity of the respiratory muscles - the effects of pressure breathing, hypercapnia, hypoxia - as well as depth and timing of events in the respiratory cycle. And from these results she will be able to deduce the contribution of different sensory feedback mechanisms to these observed responses. For example, she points to pulmonary stretch receptors that are located in man's terminal airways. So exquisitely sensitive are they to pressure and volume changes in the lung that " their continual sensory input keeps the respiratory control center informed of these changes in the periphery," she said. And while chemoreceptors in the aortic and carotid bodies report continuously to the medullary control center about the state of the arterial blood, muscle spindles in the skeletal muscles of the walls of the chest and abdomen supply the central nervous system with information on changes in length of rib interspaces. 32 THE BUFFALO PHYSICIAN �Points out Dr. Bishop, " this is how the respiratory controller continually learns about the position and shape of body cavities." But not only do the medullary neurons that make up the respiratory center receive information from these major sources of sensory information but it is believed that they probably receive some from almost every other sensory system as well. After the center receives and integrates this diverse information, its output in turn governs timing and level of activity of every major and accessory respiratory muscle. In her laboratory, volunteer subjects - students from Health Related Professions - are exposed to levels of pressure breathing between -15 and +15 em water and/ or low levels of inspired carbon dioxide or oxygen. And their effects are evaluated from changes in respiratory muscle activity and in pattern of breathing. Changes in muscle activity are determined from action potentials that are recorded by very fine wire electrodes implanted in inspiratory and expiratory muscles. Explained Dr. Bishop, " these ultra-fine wires are similar to those used to detect myoelectric signals which activate prosthetic devices in amputees." From these chronically-implanted electrodes, Dr. Bishop is able to monitor the activity of small motor units i~ a subject's muscle throughout a series of experiments that may last from a week to ten days . " Once the electrode is implanted," she added, " a subject is unaware of its presence. " During an experiment, a subject remains seated in a sealed box. His lungs are compressed or expanded by adjusting the pressure within the box to any desired level. When the pressure is elevated, the subject's chest and lungs are compressed. " Greater effort is required to inspire," Dr. Bishop said. Evacuating the box expands the lungs. " The subject responds by increasing his expiratory effort," she continued. d- O r. Michael Th u rsby records data on magnetic tape recorder for fu tu re replay for com puter analysis. WINTER, 1975 33 �I I I i Dr. Bishop has been on the Medical School faculty since 1958. In the spring of 1975 she won the Chancellor's Award for Excellence in Teaching. In June she was promoted to full professor. As a hobby Dr. Bishop pilots an airplane with her husband, who is an associate professor of medicine at the University. In comparison to ultra-fine wires used for electromyography, Judy Friedburg and Dr. Bishop find the equipment for measuring tidal volume, inspiratory flow, minute ventilation, and other respiratory parameters to be gross and space-consuming. Feeding two fine insulated wires through a 26 gauge hypodermic needle which is used to implant wires into a muscle. The needle is then withdrawn. During these respiratory responses, single motor unit action potentials are recorded onto magnetic tape for subsequent computer analysis. Said Dr. Bishop, "the tapes are replayed many times to determine the total number of impulses, regularity of discharge for each single motor unit under surveillance as well as its frequency discharge per breath." Analysis of peripheral motor events gives Dr. Bishop precise information about the activity of central motoneurons without any surgical intervention. And combining single motor unit analysis with measurements of more conventional respiratory parameters - tidal volume and minute ventilation - provides the investigator with new details about the ventilatory pump on which our lives depend. Preliminary findings indicate that low levels of pressure breathing induce deeper breathing without causing any change in the timing of events in the respiratory cycle. "And," concludes Dr. Bishop, " with this type of information derived from a host of controlled experiments, we shall be able to deduce the changing contributions of the diverse sensory feedback mechanism and suggest new refinement for current models of the respiratory control system. " 0 34 THE BUFFALO PHYSICIAN �A 1943 Medical School graduate, Dr. William Georgi, is the new acting chairman of the department of rehabilitation medicine at the School of Medicine. Since 1955 Dr. Georgi has been director of the department of physical medicine and rehabilitation at The Buffalo General Hospital. He has also been a physiatrist at the Children's Hospital Rehabilitation Center since 1957. Dr. Georgi has been an attending or consultant to four area hospitals or institutions since 1960. Dr. Georgi has been on the Medical School faculty since 1949. Last July he was promoted to clinical associate professor. He is also a clinical assistant professor of pediatrics. In 1960 he was named a Diplomate, American Board of Physical Medicine and Rehabilitation. From 1944 to 1946 he was a Captain in the United States Army Medical Corps. He was a resident in internal medicine at the Buffalo General Hospital the next two years, in private practice of internal medicine from 1948-53, and a Fellow of Physical Medicine and Rehabilitation at New York University's Bellevue Medical Center from 1953-55. Dr. William Georgi 0 R. THEODORE T. JACOBS, president of the Buffalo General Hospital for -the past four years, retired September 1. The 63-year old clinical assistant professor of surgery ended almost four qecades of hospital service. Born in Brooklyn, he played football at Erasmus Hall High School in the same backfield with Sid Luckman, one of the "all-time great" pro quarterbacks. He earned a medical degree at U/B in 1938 and completed an internship and surgery residency at Buffalo General Hospital. During World War II, the thoracic surgeon served as a Major with the Army Medical Corps. At the 23rd Buffalo General Hospital Unit in Italy he and Dr. John Burke headed the thoracic surgery section. Named chief of the surgicalservic~ at 123th evacuation hospital at war's end in Europe, his instructions to reorganize in preparation for invasion of Japan were nullified when the atom bomb was dropped on Hiroshima. He returned to Buffalo following military duty and began to practice general and thoracic surgery. In 1948-1949, well before the advent of open heart surgery, he and the late Dr. John Paine performed some of Buffalo's first heart surgery. lt .was to correct the congenital defect to great vessels of the heart in "blue babies. " A decade later, in 1959, Dr. Jacobs was named director of the outpatient department at Buffalo General Hospital as well as coordinator of its housestaff education. Three years later he became associate director of the Hospital, a position he held for nine years. In 1971 he was tapped to fill the top administrative position, that of director. A year later, when Hospital bylaws gave greater authority to administrators, he was named president. Looking back over his more than four years of hospital leadership, Dr. Jacobs is pleased with the organization, technology, and development of new programs in patient care. Not only has tne Community Mental Health Center been completed during his tenure but the city parking ramp that was asked for and sponsored by the Hospital. Dr. Jacobs has also served as president of the Western New York Hospital Association, and as a trustee of the Hospital Association of New York State and the Comprehensive Health Planning Council of Western New York. He and Mrs. Jacobs plan to make their home in Clearwater, Florida and he intends to spend a lot more time fishing and playing golf than in the past. <) . WINTER, 1975 35 Dr. Jacobs Retires Or. Jacobs �Or. Paul Davis teaches medica/students. Endocrine Program HAT prompted Dr. Paul J. Davis to accept the headship of a university-wide endocrine program in Buffalo was support that he found here to establish an "oasis" for investigative endocrinology. The 38-year old professor of medicine plainly admits to a commitment to provide a solid research background for those interested in academic endocrinology at a time when investigative funding from NIH is more competitive than ever. And the training program that he now has underway is not only doing just that but offers both conventional and unconventional opportunities in clinical endocrinology. When he and his physician wife, Dr. Faith Baker Davis, visited Buffalo and found the patient population at the E.J. Meyer Hospital to be an attractive one on which to focus a clinical training program, they did not hesitate to leave Baltimore - where he headed the endocrine division of the Hopkins Service at Baltimore City Hospitals for five years and she was the assistant head for two and directed the hospital's medical clinics since 1968 - and with sons Matthew and John and daughter Sarah move to Buffalo. Two Fellows - Drs. Arthur Steele and Richard Blanchard - are now enrolled in the training program in endocrinology. Two others are due to join them next year. Prospective Fellows must be willing to spend two years on clinical or " bench" research projects while carrying a substantial consultative caseload at the Meyer and Veterans Administration Hospitals. W Or. Arthur Steele examines a patient. 36 THE BUFFALO PHYSICIAN �Medical students may soon be solving patient management problems by computer. For, charged with popularizing a computerized teaching program originated by Dr. George Schussler (he has since left Buffalo), is Dr. Steele. The University of Maryland medical graduate (1971) trained at Johns Hopkins Hospital. Dr. Blanchard, the other Fellow in endocrinology, is a U/B graduate (1972) and is involved in studies of cellular actions of thyroid hormone and insulin. He also trained in Baltimore. One problem facing Dr. Davis is to attract junior faculty to Buffalo. No easy matter to find young investigators who are move-able, he points to the dwindling number of junior endocrinologists, the result of the drying up of endocrinology training grants over the past few years. For those patients with endocrine problems, a regional computerized data bank is planned. Being implemented within the Meyer and Veterans Hospitals, its success will depend on cooperative efforts of the area's practicing and academic endocrinologists. Uses of the data bank will include insight into the epidemiology of the thyroid and adrenal disease seen in a relatively" closed" community that Dr. Davis finds similar in some ways to Minnesota's Olmstead County. Not only will the data bank permit mo'nitoring of diseasr: incidence, but results of treatment and side effects of endocrine drug use as well. The Drs. Davis are graduates of Harvard Medical School (1963). They completed their residencies in medicine at the Bronx Municipal Hospital Center. Dr. Paul joined the Johns Hopkins medicine faculty in 1967, served for two years with the Public Health Service, was a senior staff Fellow in the endocrine section of NICHD's Gerontology Research Center, .and a clinical associate in its clinical physiology branch as well. He is a Diplomate of the American Board of Internal Medicine and a Fellow of the American College of Physicians. His research interests include the mechanisms of action of thyroid hormone, action of insulin in renal tubules, water metabolism, the evolution of extracellular hormone-binding proteins, and testing of the free hormone hypothesis of endocrine action. After Dr. Faith Davis completed a year in Albert Einstein's department of medicine in 1967, she also joined the Johns Hopkins faculty. Her background qualifies her highly for the major task she faces at the E.J. Meyer Hospital. Here she will not only analyze the process of health care delivery to its patient population but is charged with the medical teaching program in the outpatient clinics as well as the revamping of medical "process" in the accident room. The clinical associate professor of medicine not only headed Baltimore City Hospital's medical clinics for seven years, but has served as assistant chief of its endocrinology division as well as serving on the health services advisory committee for Baltimore City's Instructive Visiting Nurse Association. In an effort to provide more opportunities for useful interactions between community physicians and the University 's endoc-rine service, Dr. Davis and his staff have prepared a series of eight prepackaged talks that are available to area hospitals. Specific clinical areas covered are hyperthyroidism in the elderly; myxedema thyroid nodule; T -3 toxicosis; accident room presentations of diabetes mellitus; diabetic neuropathx; diabetic insulin resistance and insulin allergy; and management of endocrine emergencies. 2 WINTER, 1975 37 Or. Faith Davis Or. Richard Blanchard checks the gel electrophoresis apparatus. �Going over mechanisms of action for alcohol with Dr. Robert Mcisaac are Frank Franasiak, ]r. and Richard Moretuzzo . A more flexible year for medical students. That is what Dr. Leonard Katz sees the Medical School moving toward. Points out the associate dean for medical education, "not only are medical students able to begin their senior year during the summer, but some juniors are now taking clerkshops over the summer preceding their third year. And for some freshmen, completing the first summer course in histology/embryology has provided them with a head start on their first semester. While for other undergraduates, taking accelerated programs in pharmacology and microbiology over the summer has either lightened their workload for the coming semester or will lead to graduation in three years. The future? An increase in these kinds of flexibility and options available to students, forecasts Dr. Katz. "We hope to have more interdisciplinary programs, more clinical teaching earlier in the curriculum, as well as basic science participation during the clinical years. " Flexibility: Key to Curriculum Dr. Chester Glomski teaches students about histology/e mbryology. 38 THE BUFFALO PHYSICIAN �I Dr. Arlene Collins reviews microbiology material with Ronnie Newberg and Stephen Blattner. j Clarifying a poi'lt in pharmacology manual with Or. Mcisaac are Cassandra Clarke and Franklin Marsh. Paul Laughlin works on video-tape in pharmacology. J WINTER, 1975 �Welcome! ~edical Students Classcf 97 They were bright. They were eager. And they were anxious to get the process going. One of every three of these new freshmen medical students is a female. But for a handful, almost all are New York Staters. And they come from 61 college campuses that are as near as U/ B and as far as Stanford. They are an average 23 Yz years old. Most are science majors. But among the 30 different majors are some who have trained in nursing, nutrition, humanities, education, etc. Fifteen hold graduate degrees. One has a Ph.D. Vying for places in the 135-member class of 1979, explained Dr. Luther Musselman, the admissions committee chairman, were nearly 5,000 applicants, of which 630 were from Western New York. Three thousand applications (60 per cent of the pool) were received from the remainder of New York State. A total of 660 students were interviewed by the admissions committee. Sixty-nine Western New Yorkers were accepted as freshmen, more than half of the new class, and 60 come from downstate. From Dr. Albert Somit they discovered that ten percent of the class are U/ B graduates and that this campus trains at least two-thirds of the physicians who practice in the Western New York/ Niagara region. The Executive Vice President of U/ B assured them that by the time thed- D ean N aughton Dr. Plaut A coffee b reak 40 THE BUFFALO PHYS ICIAN �Freshmen Orientation Or. Brownie speaks to the students WINTER, 1975 41 �I I Dr. Katz Dean Naughton (right) visits with a new student during luncheon. Rudy Williams chats with a first-year student. Dr. Musselman graduate " the entire Main Street campus will be yours. " Not only does he envision the then new Health Sciences Center to have vastlyimproved research but education facilities as well. There was a light moment shared when Dean John Naughton pointed to statistics assuring the longevity of the new class over that of new deans. Turning to serious matters he hoped that they would " love getting information" and that they would see as a challenge " to work at a solution, not create a problem." In their learning to deal with change he hoped that they would also learn to deal with uncertainty. For Dr. Naughton, the real challenge is " preparing to be comfortable with all challenges." He hoped the new class would provide themselves with a good information base, skills, the handling of priorities and develop the other qualities so necessary for a physician. And while the University and others would help them be aware of the new field of biomedical aids, he was certain that the preparation of skills and expertise for this new technology is " certain to come from your generation. " They were at ease when they learned from Dr. Leonard Katz that " each is capable of becoming a fine physician." In wanting the class to become whatever each is capable of becoming - "contributors of medicine" - the associate dean for medical education pointed to a " new spirit ... a new dean ... a sense of willingness to change ... to improve the curriculum. We will try to assist you here. " They were informed of more hours to learn about biochemistry when Dr. Alexander Brownie pointed to two semesters over which to discuss protein synthesis, enzymes, genetics, and metabolism. And from Dr. Joseph C. Lee to whom the human body is the most beautiful, most wonderful machine, there was the promise " to aid you in knowing it." From Dr. Russell E. Hayes they learned that the integrated course in histology/embryology " makes it easier, it reinforces each other. " He sees more innovations to be implemented soon. And from 42 THE BUFFALO PHYSICIAN �Dr. Norman Solkoff the class was given an overview on human behavior and the spectrum of human development which covers in utero to death. To attend a year of medical school, assistant dean for medical education Rudy Williams, pointed to a figure of $5 ,300. In noting the unavailability of granl and scholarship money, he was certain that " many of you will have $20,000 in loans by the time you graduate. " For Dr. Martin Plaut, being a member of the medical profession is the " only soul-making, satisfying profession in which the lines are very clear cut. " From the associate professor of medicine, the new class learned that asking the right questions when eliciting information from a patient gives a medical student " a nice feeling. " He hoped that when the class takes physical diagnosis six months hence the dehumanization of a patient does not occur. " By then something has happened to you. " He pointed to sometime in the future when " all the things you now possess will become relatively less important as you start to become physicians and synthesize things." Certain that the Class of 1979 already knows the most important thing- how to think and to learn to acquire information- he pointed to the superb physicians they will become when " somehow all the science is imparted to you and when it is integrated into what you know, that ability to think in new ways stays with you. And if you somehow keep intact what you already know, every one of you will survive and prosper in this profession." '> Coffee break. WINTER, 1975 43 D rs. Lee, Hayes, So lkoff. �Diverticulitis Or. Upso11, clinical associate professor of surgery, with his secretary, Denise LoVallo. Or. Moskowitz, M '65, clinical instructor of medici11e, with his secretary, Lenore Ambrosone. Y our editor is back at his desk after a four-month bout with diverticulitis- a " little" illness requiring 39 days of hospitalization and three surgical procedures. It was certainly no medical milestone to the medical profession, but to the novice patient, who had been last hospitalized in 1928 for a tonsillectomy, it did indeed prove the efficiency of modern medicine. After playing a decent (for me) golf game on July 7, I awoke to severe abdominal pains and much discomfort on July 8. A rush visit to the internist, Dr. Robert Moskowitz, revealed it was probably diverticulitis. Consultation with the surgeon, Dr. James Upson and subsequent X-rays revealed a perforation of the large intestine. Hospitalization was immediate - within two hours medical machinery and antibiotics were working to try to solve the problem. Such treatment did not do the job within 72 hours, so surgery was scheduled for 4:30 on a Friday afternoon (July 11). What a way to begin the weekend! Further surgical procedures followed on September 29 and October 8 - with no difficulties. I was discharged October 12, to further recuperate at home, and incidentally to ponder on the good fortune of being returned to normal good health. Thanks to the three shifts of health professionals on Section 3-MC at the Buffalo General Hospital for their super efforts. A special credit must be given to Dr. Richard Terry (M '38 and clinical professor of anthesiology) who briefed me on exercising as soon as possible after surgery. Thanks also to the chef for his tasty and varied menus and to the hospital pharmacist. You were all great! The patient considered - only briefly - making this hospital business a career, but then my insurance company pointed out that benefits would not continue indefinitely. When you look at it that way the price does seem too high! The Editor 44 THE BUFFALO PHYSICIAN �Chef Sam Ettipo Annie Davis Geraldine Ford, Ginney Leone Valerie Harris Some of the 3-M-C Health Pr?fessionals Front row - Edel Vail, Maureen Culligan; Back row - Olga Licata, Anne Reid, Elizabeth Prelewicz. Mildred Dubuis, hostess, Theresa Clark Surgical residents - Drs. Louis Maline, Norman LeWin, Brian Kaufman (3rd year medical student), Brenden Brady, Louis Espaillat, richard Linderman, Tom Botsford (3rd year medical student). �Slides are scrutinized closely by Dr. David Nichols. The faculty learn how to prepare good audio-visual aids. Drs. Jose Cunanan and Marcos Gallego update a self- learning . package. For Richard Macakanja readability is important. THE BUFFALO PHYSICIAN �Updating Self Study Materials It was a "how to" workshop for some of the gynecology/obstetrics faculty who teach thirdyear clinical clerks. With the department's set of self-study materials almost complete, faculty were shown how to update and improve them by preparing good audio visual aids. The teachers were Melford Diedrick (medical illustrations) and Richard Macakanja (instructional communications center). Some students learn better by reading, cautioned department teaching program coordinator, Dr. Vincent A. Capraro. Others prefer to listen, watch or a combination of the above. He encouraged faculty to aim for a variety of methods through which a student could learn at the rate and style he or she preferred. Not only is the gyn/ob department convinced that students get a better educational experience if self instructional material is prepared by their teachers, but that improvement of instruction leads to better health care for women. For M e/fo rd D iedrick the k ey is simplicity. (left to righ t)- Drs. Jose Cunanan , Vin cent ]. Capraro, 5.5. Og ra, Loren Petersen, W anda W ieck owska, N irmala Mudaliar. WINTER, 1975 47 �Or. Alvis reviews internship possibilities with Norman Ryan and Richard Neri. How do Americans studying medicine abroad reenter the medical care system in this country? For 16 who are determined to be physicians, a program of supervised clinical experience offered at U/B takes the place of an internship sometimes required by a foreign medical school before it will grant the MD degree . Explained Dr. Harry J. Alvis who heads the U.S. Foreign Medical Graduate Program (USFMG) at U/B, "this program is comparable to that offered to our medical students. " Designed chiefly for New York Staters, the 16 who have been studying at medical schools in Guadalajara, Mexico; Bologna, Italy; and Graz, Austria are now gaining clinical experience at Millard Fillmore, South Buffalo Mercy, and Deaconess Hospitals in internal medicine, general surgery, and obstetrics/gynecology over a ninemonth period. " We needed to find physicians willing to take the time to teach these students" says Dr. Alvis who is a clinical associate professor of social and preventive medicine. Many of the students may not have had as much clinical experience as those who study in American medical schools. Reentering the Medical Care System Checking patient's sutures are Dr. Henry Carls, Jeffrey Gelber, Nurse L. Horwith, and Or. Roy Oswaks. �Dr. John ]. O'Brien, clinical assistant professor of medicine at the Medical School, in the coronary care unit at South Buffalo Mercy Hospital, with Charles Mallo. Dr. Paul B. Cotter explains placental circulation to George Conner and Peter van Dell. Dr. Cotter is co-ordinator of South Buffalo Mercy's ob/gyn program and a clinical assistant professor at the Medical School. Once their clerkship in Buffalo is completed, the 16 Americans "will be eligible for an approved program of training." Dr. Alvis points to Buffalo as one of the few cities where students are being trained in different teaching hospitals, "to broaden their clinical experience." He hopes that some of these students will practice in Western New York as a result of the program that was primarily designed to help students from this area. Will the program continue? Although the committee's initial intent was to start a new group of students in July and January, summed up Dr. Alvis, "it will depend on availability of physicianpreceptors at our affiliated hospitals." Working on the USFMG Program Committee with Dr. Alvis are Drs. Murray N. Andersen, Henry P. Staub, Kamil Tourbaf, and Vincent J. Capraro. The 16 participating American medical students are George Connor, Joseph V. Cotroneo, Richard Neri, and Arthur H. Ostrov from Bologna; Richard J. Colman, Jeffrey Gelber, John W. Hewitt, Gary Horwith, Paul Kuzma, Charles J. Mallo, Gerald L. Price, Charles D. Rice, Alexander Theodore, Mark N. Vinzant, and Peter van Dell from Guadalajara; and Norman Ryan from Graz. Dr. Donald Becker examines a patient while Arthur H. Ostrov and Richard Coleman observe. Dr. Becker is chairman of the surgery department at the Deaconess Hospital and a clinical associate professor of surgery at the Medical School. WINTER, 1975 �The Future/A Challenge An interview with Dr. John Eccles, Distinguished Professor of Physiology and Biophysical Sciences, who retired in August after seven years at U/ 8 and is now living in Switzerland with his wife, Dr. Helena Eccles. Dr. Eccles Dr. Eccles is not very enthusiastic about those who try to denigrate our existing world. For the renowned scientist/philosopher believes that man can create a better state that includes care for the sick. Adamant in his thinking that " we do not deserve anything we do not work for ," he is convinced that health care should be thought of as a " fundamental right. " He hopes that medical students will realize they are not treating just sick animals. Rather, they will be treating sick human beings who have the tremendous complications that accompany all personal existence. Pointing to the need for a philosophy whereby man can accept a future, he sees the alternative as no future at all. Because " it is rare that one finds a human being who is completely licked," he hopes the physician will place himself in the position of his patient, "as though he himself were suffering. " He sees man himself and not an energy shortage as the major problem. " With a meaningful future built on values eluding us , we cannot have confidence that mankind will go on at all, " he cautions. For Dr. Eccles, life has meaning and is significant. " It is not what we can get ovt of it monitarily," he says. And yet he is quick to point to man 's right to expect a reasonable reward for his labors. But, he continues, medicine should not be regarded as big industry, with all that goes with it. Rather, he sees it as a profession, be it an academic or professional one, with dedicated individuals whose task and mission in life must differ from " just the accumulation of more money. " How can this happen? Perhaps, he speculates, through a much more socialized system of medical care. For he believes that private industry is subject to abuse. " Senior men earn enormous salaries while young physicians must take many years to specialize. They struggle in poverty before earning a name and the affluence that goes with it," he says. Looking back on his experience with the Australian and New Zealand systems of health care - it is where he grew up - he remembers a better system than one available here. His experience in hospitals and on wards with ancillary professionals has pointed to a serious problem. " The backup service for doctors has been inefficient, sometimes bad," he says. 50 THE BUFFALO PHYSICIAN �Would a socialized system improve health care in this country? He feels the psychology of the job may be wrong. He recalls, when he was a doctor in a hospital, "the nursing profession did everything for the patient that is now being done by others." He does not see things working out too well today. " Health care is terribly expensive," he says. And he feels that hospital costs could be almost halved. Pointing to two hospitals, Lorna Linda and the City of Hope, that are beautifully-run and where everything is done for the patient by a highly-dedicated staff, he feels we are losing this sense of dedication. " We should be far more dedicated than other careerists," he emphasizes, "for we are dealing with human lives." He cautions new graduating doctors on the imperfections of the health care system today. "It is one which may possibly be getting worse all of the time." While uncertain how its enormous cost burden can be handled, he sees a crisis looming for many hospitals who today have vacant beds. " They cannot get staff." With an imperfect system at best, he challenges the medical student to "be critical, see how you can make the system a more disciplined one, improve it." For Dr. Eccles, science was the route by which he felt he could do more for humanity. He gave up the practice of medicine as he got more and more interested in Medical Science. His work on intracellular recording from nerve cells and defining the fundamentals of synapses was begun in Dunedin, New Zealand in the early fifties and earned for him the Nobel Prize in 1963 as well as a Knighthood. And it opened an exciting new field, . one in which he has been getting the story of the nerve cells as recorded by electrical amplifiers and computers. Another turning point in his philosophic life began for Dr. Eccles last year. It was at the Villa Serbelloni located on Lake Como where " under conditions of wonderful existence in collaboration with the philosopher, Sir Karl Popper, I had the thrill of developing a new outlook on brain and mind." A dualist - a philosophic term for one who looks at existence of brain and mind as separate entities - he is working out a dualism that is stronger than any yet proposed. Admitting that this is a shocking idea to most philosophers and scientists, he sees the self-conscious mind or self with an existence that is both independent of the brain and yet is one that works with and is central to it. He is now coauthoring a book, The Self and Its Brain, with Sir Karl Popper. It is a mix of science and philosophic dialogue. The mind, for Dr. Eccles, is the primary operator "in receiving from the brain. It gives us the whole of conscious perception." But more than the brain, Dr. Eccles sees the mind as taking control, as in thought. Therefore he sees " my thought controlling my brain, my action, and the retrieval of memories. " That we can go back into the past by some incredible way, he feels is because mind operates as master of the brain. It remains a formidable task even to begin understanding the way in which mind works on the brain. As one of four speakers at the Gustavus Adolphus Nobel Conference held in St. Peter, Minnesota on October 1 and 2 , he raised these questions and new ideas in his lecture, "The Mind-Brain Problem as a Frontier of Science," to the 36 Nobel Laureates and over four thousand scholars present. O WINTER, 1975 51 �Immunology Workshop Dr. ]ames F. Mohn, Center for Immunology director, v isits w ith a participant. Dr. Carel ]. v an Oss lectures. " Excellent, just excellent," was echoed by the participants in the fourth summer workshop held by the Center for Immunology on the latest methods for immunology research and diagnosis. During three weeks of intensive sessions, a staff of over 30 offered the limited group of a like number of registrants insight into underlying immunology princples during daily demonstrations and laboratory exercises. Noted Center director, Dr. James F. Mohn, " the group, who come from most parts of the globe, will be able to train others when they return home." 52 THE BU FFALO PHYSIC IAN �WINTER, 1975 53 �Frank Gillig, first-year medical student, examines a patient who has had total gastrectom y- and is now "feeling just fine." Frank spent two weeks with Dr. Burt Rappole, a general surgeon, one week with Dr. Kenje Kobayashi, qn orthopedic surgeon, another week at the Jamestown Medical Center with Dr. John Voltman and two days with a family practitioner in Westfield, Dr. Herbert Laughlin. Rural Externs " Living in a rural area has given me a broader view of health care delivery. It was a tremendous summer experience. It changed my opinion of rural practice." That was the general consensus of the 16 medical students who participated in the sixth annual (eight-week) rural externship program in Western New York. A total of 67 health sciences students from Schools of Dentistry, Pharmacy, Nursing, Health Related Professions and Medicine participated in the program sponsored by the Lakes Area Regional Medical Program. Lois Polatnick, a first year medical student who worked at the Wormer Medical Clinic, Portville said, " Some patients carne to clinic from as far as 30 or 40 miles. They liked the personalized and professional attention that they received. I've learned to talk to patients. The experience has been very worthwhile. " Jay Brachfeld, a second year medical student who worked at the Brooks Memorial Hospital, Dunkirk said, 'Tve been in surgery, the delivery room and the emergency room. My experience has been invaluable. I find it easier talking to patients now. I never had an opportunity like this before. Patients seem friendlier, the hospital seems less intense and the whole atmosphere seems more informal here." A first year medical student, Michael Blume, who worked at the VA Hospital in Batavia said, " I rotated through practically every department in the hospital. It's been a fantastic experience. I like the community so well that I have joined the Little Theatre. It has been a wonderful professional and social experience." Mark Kramer, a first year medical student who spent eight weeks at Brooks Memorial Hospital, Dunkirk said, " I have taken histories, done minor suturing and physical exams. The doctors and nurses I have worked with are great. They are dedicated individuals who know what they are doing. I feel lucky to have the chance to work with them" Other general student comments: " Being made to feel like a colleague has encouraged me to become really involved in my work as a medical technologist. It has made me feel like a part of rural medicine and makes me want to come back to it; before my summer experience I knew very little about rural medicine. There are many excellent professionals here who are just as capable and well read as those in the city; I worked with a lot of top notch nurses and physicians at the Genesee Memorial Hospital; the people of both hospital and town accepted me and I have several new friends; most people as patients seemed happy to help a future physician by reviewing their signs and symptoms." The student-preceptor relationship was excellent. The medical students stimulated the preceptors who agreed that " it was a rewarding teaching experience and a real challenge. " Two Jamestown hospital administrators agreed that their staffs received a lot of satisfaction because the students come up with new ideas and questions. Robert Hoffman, administrator of the Jamestown General Hospital said, " The program provides clinical application with academics. The student-teacher relationship enhances patient care. It keeps people from stagnating." WCA Hospital Administrator Murray Marsh said, " I see the program as an addition to the physician recruitment on the county level. It is a long range proposition of seeding the ground for years." 54 THE BUFFALO PHYSICIAN �Dr. John R.F. Ingall, LARMP director said, " The intent of the program is to encourage students to consider settling down and setting up a practice in rural areas where health manpower usually is in short supply. The program was flexible so the students could work and observe in hospitals, clinics, public health departments and private offices. " William D. Crage, program director, described the program as one approach to solving a national problem which affects Western New York. Following is a list of students and preceptors who participated in the 1975 program. Many of the students rotated within their respective counties. A recent telephone survey of health students who participated in the Rural Extern Program since it began in 1970 was conducted by the Lakes Area Regional Medical Program, Inc. It showed that of the 58 students contacted, 55 are now in practice. Of this number, 55% or 30 of them are now in rural practice. ALLEGANY COUNTY- Student: Steven H . Berliner (medicine). Preceptor: Dr. Daniel Tartaglia (Andover Medical Center). CATTARAUGUS COUNTY- Students: Michelle Forquer (nursing); Elaine Carr (pharmacy); Lisa Hausner, Janet Sprotzer, Thomas P. Smietana (medical technology); Judith Bailey (physical therapy); Mary Beth Nichols (respiratory tnerapy); M. Joanne Lang (dietetics); Steven Larmon, David Silverstein, Lois Polatnick (medicine). Preceptors: Elaine Brown (St. Francis Hospital, Olean); Theodore Gundlah (Olean General Hospital); Robert Temple (TriCounty Memorial Hospital, Gowanda); Dr. Arthur Beck (Olean Medical Group); Dr. Duncan Wormer (Portville). d- Elaine Carr, a third-year pharmacy student, works with Gary Mitte fehldt, a pharmacist at Olean 's St. Francis Hospital. WINTER, 197 5 Or. Duncan Wormer examines a possible brok en finger while Lois Polatnick, a first-year medical student, observes. This is the Wormer M edical Center in Portville. 55 �... Financial Contributors to the Rural Externship Program Or. Theodore T. Bronk Brooks Memorial Hospital, Dunkirk, New York Cattaraugus County Legislature Chautauqua County Legislature City of Dunkirk, New York Genesee County Legislature City of Jamestown, New York McKean County (Pennsylvania) Medical Society New York State Podiatry Society Niagara County Legislature Olean Medical Group Welch Foods, Inc., Westfield, New York Or. John P. Shutt, a pathologist at Brooks Memorial Hospital, Dunkirk, goes over malaria slides with Mark Kramer while Jay Bradfield looks at a slide through the microscope. Mary Kehoe, assistant dietitian, and M. Joanne Lang, a third-year dietetics student, check the menu with a patient at St. Francis Hospital, Olean. CHAUTAUQUA COU TY - Students: John Andrews (social service); Mary Jane Olivieri (dietary); Joan E. Wanecski (respiratory therapy); Russell DiPalma (dentistry); Jeffrey Jackson, Jeffrey Beal, Mary Good, Elizabeth Grawrock (public health); Stephen Cobb, Beverly Ann Larson (nursing); Elizabeth Ann Bengtson, James Pizzolanti (pharmacy); Virginia Ventura, Michael Margolies, Kathleen Schmidt, Kathleen Cunningham (physical therapy); Susan Lehr, Laura Parment (social services); Jay Brachfeld, Mark Kramer, Ardyce Carlson, Frank Gillig, Dale Vrooman, Frank Nullett, William Noyd, Kyung Im Park (medicine); Robert Zercie (medical technology). Preceptors: Skender Selman (Director of Social Services, W .C.A. Hospital, Jamestown); George McNaughton (Brooks Memorial Hospital, Dunkirk); Robert Hofmann (Administrator, James town General Hospital); John V. Ingham, D.D.S. (Fredonia); Dr. Arnold Mazur (Commissioner, Chautauqua County Health Department); Cynthia Dauch (Executive Director, Visiting Nurses Association, Jamestown); Murray Marsh (Administrator, W .C.A. Hospital, Jamestown); George W . Lawn (Director, Physical Therapy, W .C.A. Hospital); Chautauqua County Office for the Aging, Mayville. ERIE COUNTY, N.Y. - Students: Warren Krutchick (dentistry); Carin A. Craig (medicine). Preceptors: Dr. Timothy Siepel (Springville); Ronald F. Zielen, D.D.S. (West Seneca). ERIE COU TY, PA. - Student: Ann Marie Welch (physical therapy). Preceptor: Lois Symons (Hamot Medical Center, Erie). �Dr. Joseph E. Lee of Olean's St. Francis Hospital, briefs first-year medical students, David Silverstein (glasses) and Steven Larmon, on a particular case. GE ESEE COUNTY - Students: Howard Bennett, Michael Blume (medicine); Linda Lonski (pharmacy); Cheryl Facer (medical technology). Preceptors: james Murphy (Administrator, Genesee Memorial Hospital, Batavia); Dr. Robert M . Whitrock (V.A. Hospital, Batavia); Sister Mary Gerard (Administrator, St. jerome Hospital, Batavia). McKEA COU TY, PA. - Students: Gail Ann Watkins (respiratory therapy) ; Lynn Elaine Pierce (medical technology); Gail Edmunds (nursing). Preceptors: Dr. Donald R. Watkins (Bradford); Dr. Thomas ) . Burkart (Bradford Hospital); joan Mongillo, R.N. (Director of Nursing, Bradford Hospital). NIAGARA COU TY - Students: Ronald Klizek , Martin I. Bronk (medicine); Robin Mitzner, Carolyn Magee, Kathryn Carlson (nursing) ; Herbert Neiman (public health) ; Kathleen Lanighan, Linda Lawrence, Elaine Kulczyk (physical therapy) ; james P. Neff (pharmacy); Richard Carlson, Jr. , Elizabeth Patterson, Karen Feld (medical technology); Robert P. Matusz (podiatry). Preceptors: Dr. Consan Dy (Newfane); Dr. john Charles Read (Mount St. Mary's Hospital, Lewiston); Dr. Francis Clifford (Commissioner, Niagara County Health Department, Lockport); Betty Pickey, R.N . (Newfane Intercommunity Hospital); judy Rendle, R.N. (DeGraff Hospital, N. Tonawanda) ; Howard Patton (Niagara Falls); James Kuechle (Administrator, Mt. View Hospital, Lockport); Lee Vermeulin (Newfane Intercommunity Hospital); Dr. Theodore T . Bronk (director of Laboratories, Mt. St. Mary's Hospital, Lewiston); Dr. Henry Merletti (Niagara Falls); Dr. Gordon Mittleman (Lockport); Dr. Human Grauer (Hamburg). Theodore Gundlah , administrator of Olean General Hospital, explains some equipment to Judith Bailey, third-year physical therapy student, while Evelyn Schoono v er, a ' physical therapy aid observes. WINTER , 1975 �Th e new brain scann er (CA TT) Com puterized Axial Trans ve rse Tom og raphy at the Millard Fillm ore Hospital. It is one of six such dev ices in th e United States . New Brain Testing Device The C.A .T.T. (Co mputerized Axial Transverse Tomography) or EM! Scanner is an entirely original device for in vivo direct examination of the brain. It is the first one in New York State and one of the first six on the North American Continent. In August 1972, D r. W illiam R. Kinkel, the Director of the Dent Neurologic Institute, at the Millard Fillmore Hospital, went to England to investigate this tremendous breakthrough in diagnosis of diseases involving the brain . At that time there was only one such unit in the world . The $317,000 C.A.T.T. is largely the results of research by one man. Mr. Godfrey Housfield received the MacRobert Award in 1972 for this major accomplishment. (This is equ ivalent to the Nobel Prize for engineering.) By combining the speed and accuracy of the computer with highly sensitive detectors , this system enables 100 times more information to be extracted from the X-ray photons than conventional X-ray methods. The only resemblance to the known X-ray methods , however, is the source of energy used , namely, the photon. It is able to detect minute variations in the density of brain tissue providing information on the brain with a sensitivity and detail hither to unobtainable. The size and shape of the ventricles, cisterns, and subarachnoid space are readily identifiable. Gray matter and white matter can be distinguished. Strokes, tumors , cysts, for example, are recognizable. Of major importance is that all of this is achieved without making the patient uncomfortable or subjecting him to any risk . The C.A.T.T. can be performed as an out-patient service without making additional demands on scarce hospital beds and staff. The C.A .T.T. allows two adjacent tomographic slices of the brain to be scanned in five minutes. During this time, the scanning unit, containing the X-ray source and two extremely sensitive detectors , is rotated around the patient' s head in 1° steps . At each step, 160 readings of transmissions of the photons from the X-ray tube are recorded by each detector as the X-ray tube and detectors traverse the patient's head linearly. A total of 28 ,800 readings are taken for each slice in a complete 180° revolution from the narrow beam of Xrays passing through the head in a single plane. Three readings are digitized and stored on a magnetic disc store. The data contained in the store is then processed by the on-line computer, which calculates the absorption values of the material within the slices. The computer solves 28,800 simultaneous equations for each slice. The results are then available for presentation in the form of an 80 x 80 picture matrix- that is, some 6,400 matrix points. The value of the absorption coefficient of the material at each 3mm. sq . point in the slice is calculated to 0.5% accuracy. The results may be used to produce pictures on a cathode ray tube viewing unit which may be examined directly , or recorded photographically. An additional facility allows a print-out to be made of the absorption coefficients of the material at each point. This provides detailed information on the density of the tissue in each picture matrix point and represents an alternative aid to the diagnosis of certain conditions. The system may be used for investigating a wide range of conditions , in many cases revealing information which cannot be gained by other means. It is the only satisfactory method for detecting minute 58 THE BUFFALO PHYSICIAN �variations in soft tissue which would be well outside the discrimination of conventional X-ray, or radioactive techniques. The C.A.T.T. overcomes the limitations of conventional X-ray techniques. These limitations are due primarily to low sensitivity, so that a feature has to be COI1\paratively thick or dense to register on the photograph at all, and the confusion of information on the X-ray plate caused by the superimposition of three-dimensional information on a two-dimensional photograph. Studies of conventional X-ray techniques have indicated that only about one-hundredth part of the information potentially available from the radiation of X-rays is actually realized on the photographic record. These problems are compounded in brain examinations since the dense bone tissue of the skull completely surrounds the soft tissue of the brain. Variations in bone thickness completely obliterate details of brain tissue. Prior to the development of the C.A.T.T., the radiological methods most commonly used for investigating brain conditions were straightforward X-rays, angiography, ventriculography (pheumography), or radioactive isotope brain scan. These provide valuable diagnostic information but have significant attendant disadvantages . These disadvantages include the need for a specialized medical staff to be in attendance and the injection of the patient with radioactive material, or contrast media, such as air or radio-opaque substances. Apart from straightforward X-rays, these procedures normally require the patient to spend a varying period in the hospital. The indications for doing the test would be in all cases that now use skull X-rays,. Brain scans, Echoencephalograms, Penumoencephalograms or Angiograms. It is the firm belief of the Dent Neurologic lnstitu te of the Millard Fillmore Hospital, that the C.A.T.T. as an entirely new technique for clinical neurologic study of the brain will rank with other major milestones - Quicke's introduction of spinal puncture in 1891; Roentgen ' s discovery of the X-ray in 1895; Dandy ' s Pneumoencephalography in 1918; Monig's demonstration of Angiography in 1927; Bergner's monography in EEG in 1929. 0 WINTER, 1975 59 Mr. Sam Miller, bio-medical engineer, and Dr. Kinkel study the keyboard which will allow them to focus on a graphic display of brain scans. An enlarged, non-fade viewer showing test results is above. During the last year, 3,600 CA TT tests have been conducted. They test patients during the day "read" the results in the evening. Dr. Kinkel is a 1954 graduate of the Medical School. He is a clinical associate professor of neurology and anatomical sciences. �The Raison D'ETRE of the Medical Alumni Association Dr. Maloney Dr. Maloney is an associate clinical professor of medicine at the Medical School, and chairman of the department of medicine at Mercy Hospital. He is the immediate past president of the New York State Society of Internal Medicine, and a Diplomate, American Board of Internal Medicine. It is traditional f or University medical alumni to cherish fond memories for the Institution which provided them with the education, training, and qualifications required for the pursuit of their vocational goals in the fields of research, teaching or clinical practice. Thus, the Alumni Organization was formed to act as a vehicle of communication through which the Alumni could interact and relate to the Administration of the University as well as to their fellow Alumni. And it has been the custom to support and promote the continued growth and educational excellence of the Alma Mater. Such support is expressed through fund raising campaigns, Alumni loyalty funds, Century Club or through the personal commitment of time to the University as a volunteer faculty member. Another function of the Medical Alumni Association is to interact with the student body to offer professional guidance, preceptorship experience, and to contribute toward the financial support for student scholarship funds and other demonstrated needs. Last but not least is the Alumni Association's Spring Clinical Days Program which is an annual effort for the provision of Post-Graduate Education in a reunion environment. Alumni reunion functions are coordinated and organized through the office of the Medical Alumni Association and we continue to receive enthusiastic response from our Alumni for this annual pilgrimage. It is unfortunate that the major part of the foregoing activities can find no line or column in the State Budget which provides funds for academic salaries, buildings, maintenance, and basic educational needs. The limited nature of such resources can never build a great university and only through a combination of public funds and private philanthropy can our University achieve any real degree of eminence. For the past decade we have had no formal vehicle for giving to the Medical School and there had been confusion and uncertainty when solicitations were made from the General Alumni Loyalty Fund, the Century Club, etc. However, it is noteworthy that the Medical Alumni Association, working with the General Alumni Association, the U.B. Foundation, and the Administration has effected for the first time a change in the Century Club Program whereby Alumni contributions may be designated or earmarked for the Medical School or other specific areas of the University. The needs of the Medical School are apparent and have been defined by our new Dean, Dr. John Naughton. Both Dr. Naughton and Dr. F. Carter Pannill, Vice-President for Health Sciences, have expressed support for the U/ B Medical Alumni Association and we sense a coordinated effort for medical leadership along with a renewed University awareness for its students, alumni, and the community in which they function. So, let's not settle for mediocrity which may be ordained by the limitation and sanctions of a State Budget. Let's get behind our new Dean and the Medical School with our personal financial contributions to the Century Club and to the Reunion Programs when we meet. Let's put the Medical School back on top where it belongs. M . C. MALONEY, M.D. President, Medical Alumni Association SUNYAB 60 THE BUFFALO PHYSICIAN �"Rudy" Williams Rudolph M. Williams 'is the new assistant dean, Office of Medical Education. In his new assignment, the 27-year-old North Carolinian will handle student counseling, financial aid, admissions (especially minorities) as well as recruitment of faculty and students. Following graduation from Howard University in 1970 with a Bachelor degree in Business Management, Mr. Williams was commissioned as a second lieutenant in the U.S. Army Reserves. Before he came to Buffalo in September 1972 to coordinate financial aid and head a subcommittee on minority admissions and recruitment of minority students as Assistant to the Dean at the School of Medicine, he gained wide administrative experience while working at the University of Pennsylvania, Howard University, and the National Medical Association. A 1936 Medical School graduate enjoys living in rural Maine. Or. Richard W. Britt works part-time at a Blue Hill, Maine hospital and spends the rest of his time on his 20 acres of woods, yard and garden. He moved from Buffalo in 1967 " to get away from the rat race." The Britts live in an old white farmhouse that overlooks Blue Hill Bay. Or. Britt dabbles at woodworking, repairs clocks for neighbors, raises goats, and drives a little Japanese pick-up truck. Blue Hill had only two doctors when the Britts and their two children, now grown, moved here. Now it has six. During the same period (1967 -1975) the coastal town has attracted three lawyers, a banker, two or three architects and a number of teachers, nearly all from the cities. Boating drew the Britt family to Maine. They had taken several sailing vacations up and down the Maine coast before they moved eight years ago . Or. Britt and his wife have no regrets. They wonder why they did not move sooner. " We love rural living. Blue Hill is classically New England. Its streets are scrubbed, its steeples are erect and the whole town is immaculate. When you drive down the hill and enter the town you will see why people leave the city and move here." 0 WINTER, 197 5 61 / Mr. Williams Dr. Richard Britt �98 Faculty Promotions The following 98 Medical School faculty members received promotions effective July 1, 1975. Promotions to Professor: Doctors Beverly Bishop (physiology); Vincent Capraro (gynecologyobstetrics); Rose Ruth Ellison (medicine); Peter Gessner (pharmacology & therapeutics); Barbara Howell (physiology); Frank Kallen (anatomical sciences); Kyoichi Kano (microbiology); Jack Klingman (biochemistry); Edward Koenig (physiology); Jerald Kuhn (radiology); Jack Lippes (gynecology-obstetrics); Edward Massaro (biochemistry); David Nichols (gynecologyobstetrics); George Schimert (general surgery); S. Subramanian (general surgery). Promotions to Clinical Professor: Doctors Norman G. Courey (gynecology-obstetrics); Gloria Roblin (psychiatry). Promotion to Research Professor: Doctor Leon Stutzman (medicine). Promotions to Associate Professor: Doctors William Bartholomew (microbiology); J. Paul Binette (medicine}; Anke Ehrhardt (psychiatry); Russell Nisengard (microbiology); Thomas Provost (dermatology); Robert Schuder (anesthesiology). Promotions to Clinical Associate Professor: Doctors Harold Bernhard (medicine); Frank Bolgan (general surgery); John W. Cudmore (general surgery); Hussein M. Dayem (radiology); Maurice R. Dewey (gynecology-obstetrics); Samuel I. Guest (anesthesiology); William H. Georgi (rehabilitation medicine); James R. Kanski (medicine); Francis O'Donnell (general surgery); Seung-Kyoon Park (psychiatry); Harry E. Petzing (gynecology-obstetrics); Michael Ray (gynecology-obstetrics); Francis R. Sheehan (radiology); Mary T. Spinks (psychiatry); John M. Wadsworth (psychiatry); Paul M. Walczak (general surgery); William F. Walsh (rehabilitation medicine). Promotions to Research Associate Professor: Doctors Thomas L. Dao (general surgery); Tin Han (medicine); Heino Meyer-Bahlburg (psychiatry and pediatrics); Arnold Mittelman (general surgery); Katsukaro Shinaoka (medicine). 62 Promotions to Assistant Professor: Doctors Richard Plunkett (microbiology), Nancy Urbscheit (physiology). Promotions to Clinical Assistant Professor: Doctors Elmer Bertsch (psychiatry); Victoria Besseghini (psychiatry); Theodore S. Bistany (medicine); Nicholas Bona (psychiatry); Thelma Brock (medicine); Rafael Cunanan (gynecologyobstetrics); Gerald E. Daigler (pediatrics); Adelmo Dunghe (family medicine); Alfredo Favorito (radiology); Barry I. Feinblatt (pediatrics); Shepard Goldberg (psychiatry); Barry Herman (medicine); John Houck (psychiatry); Gerardo A. Juan (psychiatry); Barkat Khan (medicine); Hong K. Koh (psychiatry); Prabhu Lal (microbiology); Richard Leberer (family medicine); Jong S. Lee (psychiatry); Lucille Lewandowski (psychiatry); Albert J. Maggioli (pediatrics); John P. Menchini (pediatrics); Harry Metcalf (family medicine); Phillip Morey (medicine); Louis Privitera (gynecology-obstetrics); Doris J. Rapp (pediatrics); Edward A. Rayhill (family medicine); Fero Sadeghian (general surgery); Theodore Schulman (gynecology-obstetrics); James M. Serapiglia (psychiatry); Michael F. Smallwood (family medicine); Stanley Urban (medicine); Norman Winkelstein (psychiatry); Roger Zimmerman (psychiatry). Promotions to Research Assistant Professor: Doctors Yasuo Chiba (pediatrics); Harold 0. Douglas (general surgery); Hebe Greizerstein (pharmacology & therapeutics); Donald J. Higby (medicine); (Mr.) Wilbur Quain (nuclear medicine); Kumo Sako (general surgery). Promotions to Clinical Associate: Doctors Joseph P. Armenia (medicine); Robert E. Bergner (medicine); Francis Carr (gynecology-obstetrics); Avrom Greenberg (medicine); Harry J. Pappas (gynecology-obstetrics); Milton Potter (gynecology-obstetrics); Norberto Silva (otolaryngology); Wanda Wieckowska (gynecology-obstetrics); John A. Winter (medicine). Promotion to Research Associate: Doctor Jerome Kaufman (medicine). THE BUFFALO PHYSICIAN �A Gift from the 1945 Class Dr. Thomas Burford (left), associate director, Educational Communications Center- Health Sciences, shows the new Sony Video-Cassette recorder and TV playback unit to Dr. John Naughton, Dean of the Medical School, atld Dr. H . Paul Longstreth, M'45, class reunion chairman. The 1945 Medical School class raised $4,666.50 in 1975 for the purchase of new equipment for the Educational Communications Center - Health Sciences. This new center will open in January in Farber Hall in the former stacks area of the Health Sciences Library. This 6,700 square foot area will be a new self-study center for all health sciences students. The $30,430, which the nine reunion classes (1925, 1930, 1935, 1940, 1945, 1950, 1955, 1960, 1965), gave to the Medical School during Spring Clinical Days, will be used to purchase additional equipment for this new Center. $375,000 LARMP Grant A $375,000 Public Health Services grant to Lakes Area Regional Medical Program's emergency medical services will mean rearranging project activities. For it is less than the $1,053,594 originally requested to purchase communications equipment/systems, hospital/ambulance equipment and training programs for emergency medical technicians, firemen, police, rescuers, etc. in Western New York and northwestern Pennsylvania r;::ounties. Another $55,957 PHS grant was also received to train EMT's and other health personnel. () WINTER, 1975 63 �The Classes The Classes of 1915, 1916, 1918 Dr. Peter J. Sciarrino, M '15, writes that he now limits his practice to GP office work. Dr. Sciarrino lives at 439 Memorial Parkway, Niagara Falls. Dr. Edmund Benjamin Spaeth, M '16, is Emeritus Professor of Ophthalmology at the University of Pennsylvania School of Medicine, as well as in private practice in Philadelphia . Dr. Spaeth received the Slee-Sternberg Medal, Army Medical School (1918), Lucian Howe Ophthalmology Medal and an Honor Award from U/ B. He was Bedell Lecturer at Wills Eye Hospital in 1964, and de Schweinitz Lecturer at the Philadelphia College of Physicians in 1969. His publications include Ophthalmic Surgery, Lea & Febiger, 4 editions (1939 through 1948), Ophthalmic Plastic Surgery, Blakiston' s (1929) as well as 150 ophthalmological articles .(\ Dr. William Edward McGarvey, M '18, eye, ear, nose, and throat specialist, is now retired . He is a past president of the Jackson County Medical Society, Michigan. He lives at 319 South Higby Street, Jackson , Michigan. expended on the Catholic Charities Drive from Most Reverend Edward D . Head , Bishop of Buffalo . Dr. Willard H. Bernhoft, M '35 , received the Hardwick Award at the May 1975 meeting of the American Society of Colon and Rectal Surgeons for exceptional service and significant contributions to the specialty. Dr. Bernhoft lives at 605 LeBrun Road, Eggertsville, New York. A Dr. Kenneth H . Eckhert, M '35 , has been reelected chairman of the Regional Comprehensive Health Planning Council. O Dr. David H . Weintraub, M '37, has been appointed peadiatrics director of the Mother and Child Care Center, 2211 Main Street, which is part of the Erie County Health Department' s Maternity and Infant Care Project. Dr. Weintraub, clinical professor of pediatrics at the Medical School, established the Premature Center of Western New York , now the Western New York Regional Intensive Care Nursery, at Children's Hospital. A The Classes of the 1920's Six members of the 1925 class were honored by the Medical Society, County of Erie as 50year award recipients. They are Drs. Marvin A. Block, Grant T. Fisher, Francis J. Gustina, Milton E. Kahn, Martin J. Littlefield, and Milton J. Schultz. Dr. Warren S. Smith, M ' 29, has retired after practicing medicine 40 years in Kenmore. He and his wife, Mary Elizabeth, have settled down at Bluff Point near Lake Keuka in the Finger Lakes region where they have been spending weekends and Julys for 34 years . The Classes of the 1930's Dr. Francis R. Coyle, M '32, a Buffalo general practitioner and internist, and Erie County Health Department School physician since 1935, retired from that position in 1959. Dr. Coyle received a letter of gratitude for time and effort 64 The Classes of the 1940's Dr. John G. Robinson, M ' 45 , has been appointed chief of psychiatry service at the Veterans Administration Hospital. He is an associate professor of psychiatry at the Medical School. He has worked at the Family Practice Center in Deaconess Hospital. A Dr. Ralph S. Herman, Jr. , M ' 46, is chief administrative medical consultant, Connecticut Division of Vocational Rehabilitation. He lives at 9 Sanford Road , Manchester, Connecticut. Dr. Daniel E. Curtin, M '47 , who has served ten years as physician for Canisius High School football teams (Buffalo), was named winner of the 1975 Johnny Barnes Trophy given annually to a Canisius High School graduate who has contributed to athletics. The award is named for the former Canisius football coach. Dr. Curtin was honored at the School's alumni dinner. "' THE BUFFALO PHYSICIAN �Dr. Jack Lippes, M ' 47, has been appointed chairman of the department of gynecologyobstetrics at Deaconess Hospital, effective September 1. He is a professor of gynecologyobstetrics at the Medical School and is on the attending staff at Children's Hospital. Dr. Norman L. Paul, M ' 48, is co-author of a book, A Marital Puzzle, published by W .W . Norton and Company, Inc. , New York. The 302page book is a transgenerational analysis in marriage counseling. Dr. Paul is affiliated with the department of neurology at the Boston University School of Medicine. For the last 15 years Dr. Paul has been developing new techniques for the treatment of marital and family disorders. Dr. Herbert Lansky, M ' 49, clinical assistant professor of pathology and legal medicine at the Medical School, is the Speaker of the House of Delegates of the American College of Pathologists. Dr. Lansky is pathologist and director of laboratories at DeGraff Memorial Hospital in North Tonawanda and Bertrand Chaffee Hospital in Springville, New York. The Classes of the 1950's Dr. Warren W. Hamilton , M ' 50 , a neurosurgeon, is with the U .5. Navy. Based at the Naval Station in San Diego, California, his home address is 1830 Avenue del Mundo, #1010, San Diego. '\ Dr. Sherman L. Watson, M '50, is medical director of Kaiser Steel Corporation, Fontana, California. Dr. Watson is board certified in Occupational Medicine. Dr. Roy J. Thurn, M '52, recently accepted a full-time faculty position as assistant clinical professor in the department of family practice and community health at the University of Minnesota. Dr. Thurn had previously been in private practice in Duluth, Minnesota. Dr. Bertram A. Portin , M ' 53, clinical associate professor of surgery (colon and rectal surgery}, an.d acting head, department of colon and rectal surgery, U/B School of Medicine, was elected to the Governing Council of the WINTER, 1975 American Society of Colon and Rectal Surgeons. He is also chairman of that society's Self Examination and Self Assessment Committee, and vice chairman of its Coordinating Committee on Continuing Education. His article, " The Acute Abdomen and Colorectal Cancer," appeared in Comprehensive Therapy 1:57, 1975. " Dr. Byron A . Genner III, M '54, is associate clinical professor of orthopaedic surgery at George Washington University, Washington, D.C. The Fellow of Ameri'can College of Surgeons lives at 3701 Fields Road , Gaithersburg, Maryland. Dr. Milton Alter, M '55, is professor of neurology and chief, neurology service at the University of Minnesota. He has published more than 100 articles, three books, and contributed chapters to other textbooks. He is serving as visiting professor, department of neurology, Beilinson Hospital, Tel Aviv University, Tel Aviv, Israel, for 1975-1976. Dr. Alter lives at 1820 Major Drive, Minneapolis. Dr. James R. Nunn, M '55, clinical assistant professor of family medicine, is vice president of Communications in Learning, Inc. , a new corporation which is continuing the operation of the Telephone Lecture Network. Originally developed and operated by the Lakes Area Regional Medical Program, the telephone system provides continuing education for health professionals and others working in health related fields in Western New York. Dr. Oliver P. Jones, M '56, distinguished professor of anatomy at the University, attended the Third International Meeting of the European and African Divisions of the International Society of Hematology in London, England from August 24-28. He has served as Historian for the parent organization since 1962. " Colonel Llewellyn Legters, M ' 56, graduated from the Army War College at Carlisle Barracks, Pennsylvania. Dr. Israel Ranel, M '57, practices internal medicine in Garden Grove, California. He lives at 1778 North Warbler Place, Orange, California ~ Dr. Alfred M. Stein, M '58, a Buffalo physician, was re-elected president of the Erie County Unit, American Cancer Society. 65 �The Classes of the 1960's Dr. William E. Abramson, M ' 60, was elected to Fellowship in the American Psychiatry Association in May, 1975. He lives at 8218 Marcie Drive, Baltimore, Maryland. Dr. Brent Penwarden, M '61 , internist, is chief of staff, Bethesda Hospital, Hornell, New York. He is also president of the Hornell MedicalSurgical Society. Dr. Virginia V. Weldon, M '62, has been named assistant to the vice chancellor for medical affairs for governmental relations at Washington University School of Medicine, St. Louis. Dr. Weldon will serve as a liaison between the medical center and various governmental agencies concerned with medical affairs. An associate professor of pediatrics and codirector of the division of pediatric endocrinology and metabolism, Dr. Weldon also is associate pediatrician to the St. Louis Children's Hospital, St. Louis Maternity and McMillan Hospitals. She received her pediatric training at The Johns Hopkins Hospital and The Johns Hopkins University School of Medicine. She joined the WU me~ical faculty in 1968. Dr. Weldon has been medical advisor for the Greater St. Louis Chapter of the Human Growth Foundation and on the board of directors of the St. Louis Diabetic Children's Welfare Association since 1969. She is also on the Endocrinology and Metabolism Advisory Committee of the Food and Drug Administration and is on the public affairs committees of the Endocrine Society and the Lawson Wilkins Pediatric Endocrine Society. She is a member of the board of directors of the St. Louis Diabetes Association and the accreditation and medical audit committees_ of St. Louis Children's Hospital. She recently was elected chairman of the Executive Committee of the Faculty Council. Dr. Marshall E. Barshay, M'63, an internist/nephrologist, is also a clinical instructor at UCLA School of Medicine. His medical society memberships include the American Geriatics Society and American Society of Clinic Hypnosis. Dr. Barshay has published in his specialty and also on psychic healing. He lives at 16611 Pequeno Place, Pacific Palisades, California. ; 66 Dr. Lee N. Baumel, M '63, a Los Angeles psychiatrist, is professor, department of East-West psychology, College of Oriental Studies, Los Angeles. He is director of consultative services, Center for the Healing Arts in that city and a member of the Executive Council of the Center. Dr. Baumel has a special interest in consultative work with problems of group process in community and industry. His research includes Gerovital H3 as an antidepressant. Dr. Frank E. Ehrlich, M '63 , has left the Navy after 11 years and joined the faculty at the Medical College of Virginia, Richmond. He is assistant professor of surgery, division of pediatric surgery. Dr. Richard Narins , M '63 , and his guest, Ron Jakubowski won the Clete Fox Master Invitation golf tournament held locally in June in a playoff. Dr. Gerald B. Goldstein, M ' 64, an allergist, is a Fellow of the American College of Physicians. He lives in Tucson, Arizona. Dr. Lillian Vitansa Ney is acting health commissioner of Chautauqua. The 1964 Medical School graduate is director of medical services at WCA Hospital in Jamestown, New York. Dr. David E. Pittman, M '64, cardiologist, is assistant clinical professor of medicine at University of Pittsburgh School of Medicine. He is a Diplomate of American Board of Internal Medicine (1973). He lives at 551 Pebblewood Court, Pittsburgh. ) Dr. Frank J. Barbarossa, M '66, is a new staff pathologist at the Millard Fillmore Hospital. He has been a pathologist at Sharon General Hospital, Pennsylvania and was director of laboratories at the United States Army Hospital, Fort Campbell, Kentucky. A Dr. James D. Felsen, M '66, addressed the 197 5 joint meeting of the Professional Associations of the U.S. Public Health Service in Las Vegas . " National Health Insurance as currently envisioned offers little promise of upgrading the health status of medically underserved low-income and minority groups, " he said. THE BUFFALO PHYSICIAN �"Many preventive services, especially for adults, are not included in most of the NIH proposals, and early curative services are often subject to deductibles and co-insurance," he continued. Dr. Felsen is deputy director of the Indian Health Service's division of programs operation. Dr. Thomas P. O'Connor, M'67, whose specialty is radiation therapy, is chief of radiation oncology, Community Hospital of Indianapolis, Indiana. He is also clinical assistant professor at Indiana University School of Medicine. Dr. John B. Kaiser, M '67, was discharged from the U.S. Army in August. He is now in the private practice of urology at the Truesdale Clinic, Fall River, Massachusetts. Dr. Bruce N. Bogard, M '68, is an instructor in pediatrics at SUNY/Stony Brook. He is pediatric coordinator, ambulatory Care Unit, Long Island Jewish-Hillside Medical Center (joint appointment in pediatrics and community medicine). Dr. Bogard writes that he seems "to have lost touch with SUNYAB and would like to renew old ties." The Bogard family now includes two children - Bennett, age 5Vz and Meredith, age 2l/z - and their address is 15-50 216th Street, Bayside, New York. Dr. Robert A. Milanovich, M'68, a pediatrician, is now practicing in Lynchburg, Virginia, following a move from the Buffalo area. His new address is 4324 Montgomery Road, Lynchburg. Dr. Roger Rosenstock, M'68, recently completed his hematology fellowship and is in private practice in Lake Worth, Florida. Dr. Rosenstock, his wife, and two daughters reside at 500 N. Congress Avenue, West Palm Beach, Florida. Dr. John E. Shields, Jr., M'68, is in practice in Orchard Park, New York specializing in internal medicine and gastroenterology. He lives at 65 Deepwood Drive, East Aurora, New York. -:-Dr. Lang M. Dayton, M '69, moved in July from Morgantown, West Virginia to Spokane, Washington where he joined the Rockwood Clinic, a large rnultispecialty group. His horne address is 929 West 32nd Avenue. ~ WINTER, 1975 The Classes of the 1970's Dr. Frederick Downs, M'70, is the first resident physician to open an office in the Intercommunity Medical Building, Attica, New York. Dr. Downs has been associated with the facility since opening in July 1973 as part of the Warsaw Medical Group. Dr. Downs interned at Deaconess Hospital. Dr. Downs' wife, Susan, is a registered nurse. The couple has two children. " Dr. Roger A. Forden, M'70, was chief of pediatrics, Martin Army Hospital, Fort Benning, Georgia, from June 1974-]uly 1975. He joined the pediatric staff at E.]. Meyer Memorial Hospital, Buffalo on September 1. Dr. Forden lives at 101 Brockett Drive, Kenmore, New York. Dr. David S. Irwin, M'70, is in private practice with two other psychiatrists in El Cajon, California. He lives at 2455 Alto Cerro Circle, San Diego. " Dr. Alan Leibowitz, M'70, is a second year Fellow in gastroenterology/hepatology at Buffalo General Hospital. He completed an internal medicine residency, followed by a year of GI fellowship at Dartmouth Medical School. He is now working with Dr. James P. Nolan at Buffalo General Hospital on endotoxin and liver disease. He is also involved in the clinical gastroenterology program at the School of Medicine. Dr. Leibowitz' wife, Lucille, is a staff nurse in the Intensive Care Nursery at Children's Hospital. "' Dr. Michael Lippman, M'70, completed his residency in internal medicine at Yale University. He is now a Fellow in pulmonary disease at Albert Einstein - Bronx Municipal Hospital Center, New York City. He lives at 15-05 215th Street, Bayside, Queens, New York. O Dr. Thomas V. Krulisky, M'70, a Major, Medical Corps, based at the USAF Regional Hospital, Sheppard, Wichita Falls, Texas, was elected secretary, Wichita Falls Jaycees last April. Dr. Krulisky completed a one-month tour on Guam examining incoming South Vietnamese refugees in Operation New Life. 0 67 �Dr. Jan M . Novak, M '70, completed a fellowship in gastroenterology in July at Yale University. He will now be at Regional Hospital USAF Eglin AFB, Eglin, Florida. Dr. Julie LeVita Palmer, M '70, (formerly Williams) is on the family practice staff at Kaiser Foundation Hospital (Los Angeles) as family practitioner, psychiatric consultant, and instructor in psychiatry. The Palmers would like to announce the birth of a son, David , on June 11, 1975. The Palmer family lives at 330 Crane Boulevard, Los Angeles. Dr. Jeffrey Rothman , M '70, completed a residency in internal medicine at the University of Pennsylvania in June 1973. He was Major in USAF at its Andres base in Maryland from 1973 to July 1975, and is now back at the University of Pennsylvania as a Fellow in endocrinology. He and his family , (their second child was born in August, 1975) live at 121 Montgomery Avenue, Bala Cynwyd, Pennsylvania. Dr. Harold M. Vandersea, M '70, is a Lieutenant Commander, Medical Corps, USNR. After finishing his orthopedic surgery residency at U/ B affiliated hospitals last June, he is now assigned to Naval Regional Medical Center, Camp Lejeune, North Carolina for a two-year Berry Plan assignment. Dr. and Mrs. Vandersea have three sons. Dr. Sanford S. Davidson, M '71 , is chief resident in ophthalmology at Manhattan Eye, Ear, and Throat Hospital for 1975-1976. Dr. and Mrs. Davidson announce the birth of their second child, Joshua, on July 9. They live at 1161 York Avenue, New York City. Dr. Richard L. Munk, M '71, completed residency training in orthopaedic surgery at the University of Vermont. He is presently doing a year of fellowship training and research in pediatric orthopaedic surgery at the Alfred I. DuPont Institute, Wilmington, Delaware. Dr. Sanford Holland, M '72, completed a residency in anesthesiology at the Brookdale Hospital Center, Brooklyn. He will begin a oneyear fellowship in medical/surgical intensive care at the Kings County Hospital Center, Brooklyn, on January 1. Dr. Holland lives at 770 Ocean Parkway, Brooklyn. 68 Dr. Charles John McAllister, M '72, chief medical resident at SUNY /Stony Brook, Nassau County Medical Center, has been awarded a National Kidney Foundation Fellowship at Vanderbilt University ' s department of nephrology in Nashville, Tennessee, to begin next July. Dr. McAllister lives at 200 Carman Avenue , Apt. 20B, East Meadow, New York. Dr. Jeffrey S. Perchick , M ' 72, has a fellowship in hematology at Strong Memorial Hospital, University of Rochester. His article " Solitary Plasmocytoma of the Colon" appeared in JAMA, September, 1975 . Dr. Perchick lives at 84 Redfern Drive, Rochester, New York. Dr. Jack Sternberg, M '72, is taking a twoyear fellowship in oncology at the M .D . Anderson Hospital and Tumor Institute, Houston, Texas. Dr. Leland Jones, M '73, is practicing public health service medicine in the rural community of Maxton, N .C. After interning at the E.J. Meyer Memorial and the Buffalo General Hospitals , Dr. Jones joined three other physicians in the Maxton Clinic. The community has 1,500 residents. In two years the staff has treated 6,000 patients (one third black, one third Indian, and one third white) . Dr. Jones loves the fishing and swimming in North Carolina. As an undergraduate at U/ B Dr. Jones was a star running back. Dr. Stephen Nash, M '73, is running clinics on Pima Indian Reservations in mediate vicinity of Phoenix, Arizona Health Service). Dr. Nash lives at 7047 Drive, Scottsdale. medical the im(Indian E. Earll Dr. John C. Rowlingson, M ' 74, is a resident in anesthesiology at the University of Virginia Medical Center. He lives at 2223 Old Ivy Road, Apt. F-21 , Charlettesville, Virginia. " Dr. Jacob Rozbruch, M '73, completed a pediatric residency at New York HospitalCornell Medical Center in June. He is presently a general surgery resident at New York Hospital and will start an orthopedic surgery residency at the Hospital for Special Surgery-Cornell Medical Center in July. Dr. Rozbruch lives at 445 East 68th Street, New York City. " THE BUFFALO PHYSICIAN �Dr. Elaine Marie Bukowski, M '74, is now a resident in anesthesiology at Buffalo General Hospital, following a SUNYAB internship in internal medicine. Dr. Bukowski' s name was inadvertently omitted from our list of Residents and Interns, Vol. 9, No. 3, who were honored and awarded certificates on completing specialty training at University participating hospitals. " People Dr. Rufus R. Humphrey , former professor of histology at the Medical School, writes that " perhaps some of my Buffalo friends and former students may think I am deceased along with most of the . other 1923 faculty of the Medical School. " Writing that he misses old Buffalo friends (his home address is 1023 Southdowns Drive, Bloomington, Indiana 47401) he describes his work with Mexican Axolotts. " We supply axolott eggs or young animals (from our colony) to other institutions from Massachusetts to California, Wisconsin to Texas. A few years ago the director of the biology department at the University of Mexico sent one of his staff here (University of Indiana) for a week to learn how to handle axolotts (animals native to a lake at Mexico City). " He also notes that men from England, France, Sweden, and Poland have spent up to a year " doing research on our animals here. " WINTER, 1975 Dr. Gordorr as teacher. Dr. Mildred Gordon has joined the anatomical sciences department as an associate professor. In her work on biology of the sperm. Dr. Gordon is monitoring its changes after leaving the testes. For she hopes to determine what, in succeeding stages, converts it to a functional role. She is also involved in studies of female fertility. Awarded a PhD degree from Yale in 1966 in cell biology and cytochemistry, she served on its obstetrics/gynecology and anatomy faculties for seven years before coming to Buffalo. She has also been on the biology faculty at the University of Hartford for eight years. Dr. Gordon is a member of the American Society for Cell Biology, the American Associations of Anatomists and for the Advancement of Science, the Society for the Study of Reproduction, and the Electron Microscopy Society of America. She has also been a consultant to NICHD's contraceptive evaluation research contract review committee, and has contributed over 25 publications to the field . . 69 �People Dr. Harold 0 . Douglass, research assistant professor in surgery, received a $207,000 grant from the National Cancer Institute for expansion of an advanced pancreatic treatment program. Dr. Douglass is on the staff of the Roswell Park Memorial Institute. Dr. M. Steven Piver , associate chief , gynecology department, Roswell Park Memorial Institute, and clinical associate professor of gynecology and obstetrics at the Medical School, has been appointed chairman of the Russian Resettlement Committee of the Jewish Family Service of Erie County. The Committee, organized by the United Jewish Federation, assists in the integration of Russian immigrants. Drs. Lester Lifton and Richard Coolen received the Semmelweiss Award at E.J. Meyer Memorial Hospital's June dinner dance . Started in 1973 , the award is given annually to young interns, residents or postdoctoral fellows whose significant clinical work involves a substantial contribution from laboratory testing. In evaluating the clinical usefulness of a short lipase test, Dr. Lifton used the turbidity method. Cooperating with Drs . L. Katz, D.A. Pragay, and K. Slickers, the young intern proved that if lipase is determined parallel with Amylase, the diagnosis of pancreatitis is substantially improved - to 83%. This work was published in JAMA, 299, 47-50 (1974) . In cooperation with Dr. Pragay, Dr. R. Coolen expanded successfully the usefulness of creatine kinase isoenzyme test by improving the methodology and by considering all three isoenzymes. Part of this work was reported at the International \1eeting of Clinical Chemistry and detailed publication is being planned . The award honors Ignatius Semmelweiss. A Hungarian physician, he was one of the first pioneers in the medical field . His introduction of antiseptic procedures in patient examination and in surgery precedes that of the noted Dr. Lester. This groundbreaking work carried on in Vienna and Budapest from 1846 to 1861 , culminated in a voluminous book, The Cause, Concept and Prophylaxis of Child Fever, published in 1861 in Hungary.O 70 Dr. Erwin Neter , professor of microbiology and of clini ca l microbiology in department of pediatrics, was appointed to the Council of Biology Editors ' committee on Style Manual and Econom ics of Publication; to New York State Department of Health 's Clinical Laboratory Advisory Committee; and to the American Academy of Microbiology's Board of Governors. Dr. James E. Allen , associate professor of surgery at the Medical School, has been elected vice president and president-elect of the New York State Division of the American Cancer Society. Dr. Allen is also assistant chief of surgery at Children's Hospital. He has been serving as chairman of the division's professional education committee. Two other faculty members have been appointed committee heads. Dr. H. James Wallace, Jr. , research assistant professor of medicine, is chairman of the Service and Rehabilitation Committee. He is an associate chief of the department of Medicine A at the Roswell Park Memorial Institute. Dr. M . Steven Piver, clinical associate professor of gyn/ ob, is chairman of the Uterine and Breast Cancer Task Force. He is an associate chief of Roswell Park ' s department of gynecology. Dr. Monte Blau, chairman of the department of nuclear medicine, has been appointed to the National Academy of Sciences ad hoc committee on Basic Nuclear Data Compilation. Dr. Blau chaired a panel discussion " The Role of Nuclear Chemists in Nuclear Medicine" at the American Chemical Society National Meeting in Chicago in August. THE BUFFALO PHYSICIAN �People Dr. William Staubitz, professor and chairman of urology, has been appointed to the American Board of Urology' s board of trustees. He is the first Buffalo urologist to be so honored. ) Two alumni - Drs. Sidney Anthone, M 'SO, and Robert Schultz, M '65, - were among several who were honored by the Kidney Foundation of Western New York for helping make the organization's work for kidney disease victims a success. Dean John Naughton delivered the dedication address at dedication ceremonies for the W .C.A. Hospital building addition in Jamestown. Dr. John Siegel, professor of surgery, was a visiting professor of surgery at the University del Sacra Cuore in Rome, Italy recently. Dr. Stephen X. Giunta, clinical instructor of otolaryngology, is the new head of the department of otolaryngology at Buffalo's Columbus Hospital. He has been on the hospital staff for seven years. 0 Dr. Joseph S. C~labrese, clinical instructor of gyn/ ob, is the new chief of gynecology at Buffalo 's Columbus Hospital. He has been on the hospital staff for five years. -; Dr. Daphne Hare, assistant professor of medicine and biophysical sciences, was among 11 women honored by the Buffalo chapter of the National Organization for Women (NOW). Dr. Hare was the founder of the local chapter. O Dr. Wayne Johnson has been reappointed chairman of the department of gyn/ob at the Medical School for three years. Professor Johnson has been on the faculty and department chairman since 1972. Before coming to Buffalo he was at the University of Washington and Indiana University Medical Schools. Dr. Johnson is a Fellow of the American College of Obstetricians and Gynecologists and a Diplomate and associate examiner of the American Board of Obstetrics and Gynecology. WINTER, 1975 Dr. Teologos Logaridis, clinical instructor in anesthesiology, named a Diplomate of the American Board of Anesthesiology. O Dr. Max Chilcote, director of Erie County Laboratory and clinical professor of biochemistry and pathology, received the American Association of Clinical Chemistry's annual award for outstanding efforts in education and training at its Ninth International Congress on Clinical Chemistry.O Frank L. Muddle, director of Children' s Hospital, was elected president of the board of directors for Western New York Hospital Association. Other officers- William D. Barclay, director of DeGraff Memorial Hospital, as president-elect; Bruce J. Baust, administrator of Deaconess Hospital, as secretary; Thomas J. Boyd, vice president of Sisters Hospital, as treasurer. Dr. Gustavo Cudkowicz , professor of pathology and microbiology, was appointed to the Information Network for State of New York by American Association of Immunologists. The network will disseminate information on the important issue of science policy to local news media, Congressmen and University officers. "> Dr. Ernst H. Beutner , professor of microbiology and research professor of dermatology, was appointed a Diplomate of the American Board of Microbiology. "'> Two new radiologists- Drs. M. Riddlesberger, Jr. , and Paul E. Berger - have joined the staff of Children's Hospital. Dr. Riddles berger received his M.D. from the University of Maryland Medical School in 1968. He interned at Kaiser Foundation Hospital, Oakland, California 196869. He was a resident in radiology at the University of Michigan from 1969-1972 with three months at C.S. Mott Hospital, Ann Arbor, Michigan. Dr. Berger graduated from SUNY Downstate in 1967 and served an internship in pediatrics at the University of Colorado Medical Center with a residency following from 1967-69. He took his residency in radiology at the University Hospital, University of Michigan 1971-74, serving as a Fellow in pediatric neuroradiology and angiography at the Hospital for Sick Children in Toronto from 1974-75. Dr. Riddlesberger is a clinical assistant professor of radiology and Dr. Berger is a clinical assistant professor of pediatrics an? radiology. ) 71 Or. Riddlesberger Or. Berger �"A master teacher, his influence is active today m the teaching faculty of our Medical School." by Drs. Ivan L. Bwme ll and Jo h n W . Boy lan One of this Medical-Dental Schools' great teachers, Fred R . Griffith , died on September 7 of this year. He had been Professor and Chairman of the Department of Physiology, School of Medicine, from 1923 until his retirement in 1956. During those years thousands of medical and dental students listened to him tell the story of human physiology. He did it quietly, succinctly, with brilliant clarity and with restrained elegance. We would like to call him " Griff" now as he was always called (in his absence) by students and young faculty who never addressed him but by his proper title. A Physiology Department today has many members and each gives a few lectures a year, in his special field, to medical or dental students. For most of his teaching life Griff gave all the lectures every year and gave them superbly. Dr. Griffith obtained his B.A. degree at Washington University, St. Louis and his M .A. in Physiology at the same institution in 1915. After a few years of undergraduate teaching he went to Harvard and took his doctorate training under the great . Walter Cannon, receiving his Ph.D. in Physiology in 1921. There followed two years as an Assistant Professor of Physiology at Harvard and then the call to Buffalo. Griff had never thought of coming to Buffalo until he met Frederick Pratt, a neighbor in the laboratory next to his at Harvard. Pratt had come from Buffalo where he had shortly before their meeting published his epoch-making demonstration of the ali-or-none operation of skeletal muscle. Griff's admiration of Pratt's experimental technique and decisive analysis in solving one of Dr. G riffith the most perplexing questions in Physiology started the train of events that led him to the old Medical School at 24 High Street. Pratt was succeeded at Buffalo by Dr. Frank Hartman and it was Hartman, a former Teaching Fellow at Harvard, who recruited the young Fred Griffith as his first Associate Professor. For the next several years Hartman was totally occupied in isolating and testing the active principle of the adrenal cortex so that most of the teaching load fell upon Griff, and this arrangement suited him completely. Griff's own research, stimulated originally by his work with Cannon, centered about the metabolic and calorigenic effects of adrenalin. Some SO publications attest to his methodical and searching studies on the actions of this hormone. His " Studies in Human Physiology," a series of papers in the American Journal of Physiology, were the distillation of exhaustive data-gathering and provided investigators with values for normal human functions that remain useful even today. Griff left another legacy, more admired than read, in his Index and Annotated Bibliography of Adrenaline, a monumental compilation spanning 30 years of his life. The dedicatory lines and short " Forward" of this work are so much the essence of Griff that one can see him bending over the page. They also are samples of his meticulous and measured prose. But it is as a teacher that we remember him and his imprint remains on more than one generation of teachers in our Medical-Dental Schools-Ramsdell Gurney, George Kopf, Edgar Hummel, David Greene, George Brady, Beverly Bishop, Lawrence Golden and, among many others, the writers of this text. He brought us back to basic things and set an example of scholarship. His lectures were individual works of art. Everything fell into place, nothing was hurried or left incomplete. The events of the Cardiac Cycle, we remember, unfolded like a blueprint across the blackboard. There was no jumbled crowding in the last minutes of the hour. It was like the completion of a play, the curtain came down, you were left satisfied and fulfilled . It is pleasant to report that Griff's retirement from the University of Buffalo marked the beginning of a long and gratifying second career, as Professor of Biology at D ' Youville College. Here, with the utmost content, he continued to use his mastery of exposition and his great gift as a teacher almost to the end of his life. THE BUFFALO PHYSICIAN �In Memoriam Dr. Rudolph E. Siegel, clinical associate professor of medicine EMERITUS died September 30 after a short illness. The 75-year old internist/ heart specialist achieved an international reputation as a medical history scholar. He was elected one of the few American members of the prestigious International Academy of the History of Medicine {1970) for his books on the medical concepts of Claudius Galen, a 2nd century Greek physician whose teachings dominated medicine for 1500 years. One British medical journal called the works of Dr. Siegel " the most significant contribution to Galenic literature in a century. " Dr. Siegel's interest in medical history was sparked by his father, also a physician, and his close friendship with the late Dr. Ernest Witebsky, a renowned authority on medical history. Some 30 papers on scientific and medical subjects were published by Dr. Siegel. Many were translations of ancient Latin, Greek, French and German texts. He had just completed a fourth book, a translation of a first century Latin treatise on disease. Born and trained in Germany, Dr. Siegel anticipated the repression that would come with Hitler and left the country in 1933 to work at the Jewish Hospital in Cairo. He came to Buffalo in 1938, set up a practice in his home on West Delavan Avenue. He retired in 1972 to devote his full time to research. A gentle, soft-spoken man, he once explained his fascination for medical history by pointing out that the methods and observations of the ancients are more important than their often inexact conclusions, and that enabled modern medicine to develop to its present advanced state. Dr. Siegel was presented a plaque at a testimonial dinner " in recognition of his distinguished contributions to the history of medicine" by the Medical Historical Society of Western New York and the School of Medicine, March 16, 1975. A Diplomate of the American Board of Internal Medicine, he was a member of the American Board of Cardiology, and of local, state, and national medical societies. Dr. Anthony J. Cummings, M ' 45, died March 25 of acute coronary insufficiency in Scranton, Pennsylvania. His age was 54. Dr. Cummings was certified by the American Board of Family Practice. WINTER, 1975 73 �In Memoriam Dr. Orapanas Dr. Theodore Drapanas, M '52, was among those killed June 24 when an Eastern Airline Jet crashed near New York's Kennedy airport. The 45-year-old physician was one of the nation' s more prominent surgeons. He had been Henderson Professor and chairman of the Tulane University department of surgery the last five years. In 1964 he was professor of surgery at the University of Pittsburgh School of Medicine. In 1962 Dr. Drapanas received the 30th Gold Key Award of the Buffalo Jaycees. He served successively as an intern, assistant resident in surgery, resident in the surgery research laboratories and as chief resident in surgery in the E.}. Meyer Memorial Hospital from 1952 to 1958. In 1958-59 he was a special research fellow of the U.S. Public Health Service. In 1959 he was named a Buswell Research Fellow at the U/B Medical School. He was a clinical professor of surgery from 1958 to 1963. Dr. Drapanas was co-editor of Surgery , a professional medical journal, and a member of the American Board of Surgery. His research interests included the surgical treatment of portal hypertension, surgery of the liver, and gastrointestinal metabolism. A memorial fund set up by The Edward ]. Meyer Surgical Alumni Association will establish an annual guest. lectureship at the E.]. Meyer Memorial Hospital. Contributions which are tax deductible should be payable to: The Theodore Drapanas Memorial Fund c/ o Dr. Donald Becker Department of Surgery Deaconess Hospital 100 Humboldt Pkwy. Buffalo, New York 14208 Dr. Jane C. Harnett, M '67, died on August 26 of cancer in Dfnver, Colorado. She was 33 years old. After graduation from U/B Medical School, Dr. Harnett completed her training at the Mary Hitchcock Memorial Hospital in Hanover, New Hampshire and the National Jewish Hospital in Denver, She was a Diplomate of the American Board of Internal Medicine and the Board of Allergy and Immunology. The National Jewish Hospital of Denver has established "The Jane C. Harnett, M.D. Immunology Laboratory Fund" as a memorial to her. Her family ask that any remembrance go to this fund. J 74 Dr. Howard Bosworth, M '21 , died recently in California. He had dedicated his life to research and treatment of tuberculosis which he had as a young man. Dr. Bosworth became chairman of the National Tuberculosis Physicians of America. Dr. Joseph C. Scanio, M '30, died September 18 in Roswell Park Memorial Hospital after a long illness. His was was 69. He taught anatomy and physiology at the U/ B Schools of Nursing and Med ic ine where he was an assistant professor of otolaryngology. He served on the medical staff at Meyer, Children' s and Millard Fillmore Hospitals . Dr. Scanio retired in 1971 as chairman of the ear, nose and throat department at Millard Fillmore Hospital. He was also a consultant at the former Perrysburg Hospital , the Buffalo Psychiatric Center, the Thomas Indian School of Versailles, St. Rita' s Home and the West Seneca Development Center. Long active in the work of the John D. Hillery Memorial Scholarship Foundation, Dr. Scanio formerly headed the Foundation Committee. He was presented the Hillery Award in 1961. He was also very active in many religious , civic and professional organizations. Dr. M. Leon Andrzejewski, M '19, of Colden, N.Y. died May 1 of coronary thrombosis . His age was 79. He was a general practitioner and the only physician in Colden. Dr. Jane Breese Fowler, M '16, one of Buffalo's first women physicians died September 20 in Orchard Park Health-Related Facility. Her age was 92. She had been a physician for the Buffalo public schools before retiring several years ago . She was active in several civic and professional organizations. Dr. Louis Scinta, M '33, of Lockport died September 21 in his home. The 69-year-old physician had practiced for 42 years. He was on the staff of the Lockport Memorial Hospital. He was active in the Lockport Academy of Medicine, the Niagara County Medical Society and the State Medical Society. THE BUFFALO PHYSICIAN �Dr. Samuel Feinstein, M '31, died August 24, after a brief illness. His age was 67. He had been a career psychiatrist with the State Mental Health Department. He was known for his work with the retarded. Dr. Feinstein retired in 1971 after 36 years of state service that included development of the West Seneca Developmental Center for the mentally retarded. In 1967 he was cited for distinguished service to the mentally retarded by the Erie County Association for Retarded Children. In 1953 Dr. Feinstein was named chief psychiatrist of the UB Chronic Disease Research Institute and medical director of therapy for its Information and Rehabilitation Center for Alcoholism. He was also named assistant clinical professor of psychiatry at the Medical School. In 1957 he became assistant director of the former Buffalo State Hospital. In 1960 Dr. Feinstein was assigned to supervise the J.N. Adam Memorial Hospital in Perrysburg, which was being converted from a tuberculosis sanitarium to a facility for the retarded. He became director of the West Seneca facility, which included the J.N. Adam Hospital Division in 1961. Dr. Feinstein served his internship at Deaconess Hospital and his residency at St. Lawrence State Hospital, Ogdensburg, where he later was named clinical director. He did postgraduate work at Columbia University and Jefferson Medical College. He was a Diplomate of the American Board of Psychiatry and Neurology, a Fellow of the American Psychiatric Association. He was a past president of the Western New York District Branch of the American Psychiatric Association, the Buffalo Neuropsychiatry Society and Neuron Club. In 1969 he received a distinguished service citation from the State Department of Mental Hygiene. Dr. Thomas V. Supples, M '27, died September 10 in Lake Shore Intercommunity Hospital, Irving, where he had been a patient for two days. His age was 73. He was the former chief of the Ear, Nose and Throat Department of Mercy Hospital and had been on the hospital staff 42 years. He retired from private practice in 1972. Dr. Supples completed his residency in 1930 at the old Buffalo City Hospital. He was a Lieutenant in the Army Medical Corps during World War I. He was active in several local, state and regional professional organizations. WINTER , 1975 In Memoriam Dr. Joseph Edward Holly, an ophthalmologist, died February 18 of Hodgkin's disease. The U/B alumnus (1943) was 63. The senior in Corning, New York's Eye, Ear, Nose and Throat Hospital was a Fellow of the International College of Surgeons, and a member of the Pan American Association of Ophthalmologists and the New York Ophthalmology Society. O Dr. Harold F. Hulbert, M'26, died January 18, 1975 in St. Petersburg, Florida, at age 74 of myocardial decompensation related to mitral valve disease. A specialist in general and traumatic surgery, Dr. Hulbert was a Fellow of the American College of Surgeons and the International College of Surgeons, a member of the International Academy of Proctology and the American Association of Railway Surgeons, Rochester and Buffalo Academies of Medicine, and county, state and national medical societies. An alumnus of the E.J. Meyer Memorial Hospital he served on the staff of the Dansville Memorial Hospital while living and practicing there. He was also the local health officer and school physician in Dansville. " Dr. John V. Walsh, age 65, and a general practitioner for the last 31 years, died July 10 in his home in Buffalo after a lengthy illness. Since 1944 he had been in private practice at 2830 Main Street. Dr. Walsh had served on the staff of Sisters Hospital, was an original member of its emergency associates (physicians who operate its emergency room), was a staff physician with the U/B student health service, and a physician for E.I. DuPont de Numours & Co. in Buffalo for 20 years. The Buffalo-born and educated physician (U/B medical degree, 1937) served as an Army Air Force Captain in San Antonio during World War II. One of his three sons who survive him is Dr. Thomas L. Walsh, M'74, of Washington, D.C. O 75 �Two Alumni Tours Spring, 1976 St. Maarten- Medical & Dental Continuing Education Tour February 21 - 28, 1976 $484 + 15% tax Includes air transportation and deluxe accommodations (Marriott Mullet Bay Beach Hotel) 5 breakfasts, 5 dinners, rental car for 2 days and 2 nights- Buffalo Departure Monte Carlo - April 11-19, 1976 $439 + 15% tax Includes air transportation & deluxe accommodations (Loew's Monte Carlo), optional dinearound meal plan available. - Rochester Departure. For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14211 (716) 831-4124 The General Alumni Board - GEORGE VOSKERCHIAN, President; DR. GIRARD A. GUGINO, D .D.S.,'61, President-elect; RICHARD A. RICH, B.S. '61, Vice President for Activities; DR. ANN L. EGAN, Ph.D. '71, Vice President for Administration; SUSAN D. CARREL, B.A. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; DR. CHARLES S. TIRONE, M.D. '63, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; DR. FRANKL. GRAZIANO, D.D.S. '65, Vice President for Educational Programs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents : JAMES J. O 'BRIEN, MORLEY C. TOWNSEND, DR. EDMOND J. GICEWICZ, ROBERT E. LIPP, M. ROBERT KOREN, WELLS E. NIBLOE Medical Alumni Association Officers: DRS. MILFORD C. MALONEY, M'53, President; JAMES F. PHILLIPS, M '47, Vice President; MICHAEL A. SULLIVAN, M '53, Treasurer; PAULL. WEINMANN, M '54, Immediate Past President. Board Members- JOSEPH CAMPO, M '54; NORMAN CHASSIN, M '45 ; CHARLES TANNER, M '43; EDMOND J. GICEWICZ, M '56; GEORGE W. FUGITT, M '45; RICHARD BERKSON, M '72; ROBERT W. SCHULTZ, M '65; W . YERBY JONES, M'24 (Program Committee Chairman); LAWRENCE M. CARDEN, M ' 49 (Exhibits Committee Chairman). Annual Participating Fund for Medical Education Executive Board for 1974-75- DRS. MARVIN L. BLOOM, M '43 , President; HARRY G. LAFORGE, M '34, First Vice President; KENNETH H. ECKHERT, SR., M '35, Second Vice President; KEVIN M. O 'GORMAN :. M' 43, Treasurer; DONALD HALL, M '41, Secretary; MAX CHEPLOVE, M '26, Immediate Past President. 76 THE BUFFALO PHYSICIA �A Message From Milford Maloney, M'53 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. ----- ---- ----------------------------------------------------- First Class Permit No. 5670 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 DR ROBERT BR RM 11 KWBALL TOWER SLNY N3 BUFFALO NY 14214 -----------------------------------------------------------------· .... THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed . (Please print or type all entries.) Name - - - -- - - - - - - - -- -- - -- -- - - - - -- -- -- - -- Year MD Received - - - Office Address - - - -- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- ---Home Address--- - - - - - - - - -- - - - -- -- - - -- - - -- -- -- - - - - - - - - - - - If not UB, MD received f r o m - - - - - - - - - - - - -- - - - - - - - -- - - - - - - - - -- - - - - In Private Practice: Yes 0 No 0 In Academic Medicine: Yes 0 SpecialtY - - -- - - - - - - - - - - - - - - - - - - -- -- - - - - No 0 Part Time 0 Full Time 0 School - - - - -- - - - ---- - - -- - -- --Title - - - - - - - - - - - - - - - - - - - - - - Other: Medical Society Memberships: - - - - - - -- - -- -- - - - -- - - -- - - - - - - - -- - - - - NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - -- - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1975 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1975-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1975-04-Winter Table Of Contents A list of subunits of the resource. Dean Naughton's Message Pediatric Dermatology Head, Neck Cancer Network Neurology Head/ Pediatrics Chairman Alcoholism Nuclear Medicine Chairman Radiology New Associate Dean Forensic Pathology County Health Center Athletic Injuries Saving Newborn Continuing Education Pressure Breathing in Man Dr. Georgi/Dr. Jacobs Endocrine Program Flexibility: Key to Curriculum Class of 1979 Diverticulitis Updating Self Study Material Reentering the Medical Care System The Future/ A Challenge Immunology Workshop Rural Externs New Brain Testing Device The Raison D'ETRE " Rudy" Williams/Dr. Britt Faculty Promotions 1945 Class Gift/ LARMP Grant The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-11-07 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v09n04 Extent The size or duration of the resource. 80 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/403b5b62ac1bb3ba03930837f7cb501e.pdf 9166ebccbb2ea64a3e5e14453905ddbd PDF Text Text �Nine Class Reunions May 9, 10 Nine classes will have reunions during Spring Clinical Days, May 9 and 10. Approximately 600 physicians and their wives are expected to attend reunion dinners. Mrs. Diane Saar is organizing the reunion dinners with the help of the class chairmen pictured here. Dr. Marvin A. Block of Buffalo is chairman of the 50 year class reunion. Other living members of this class: (from Buffalo area) Drs. George D. Berry, Francis T. Carbone, Grant T. Fisher, Francis J. Gustina, Martin J. Littlefield, Lucien C. Rutecki, and Milton J. Schulz. John J. Bernhard, Allentown, Pennsylvania; William I. Clark, Woodgate, New York; Norbert W . Kuch, Wayland, New York; Jacob Kulowski, St. Joseph, Missouri; Mary D. Linton, Phoenix, Arizona; Margaret M . Loder, Rye, New York; Truman J. Mohr, Fort Myers, Florida; Alvah H. Phillips, Polk City, Florida; Brina K. Richter, Phoenix, Arizona; Howard E. Rogers, Sebring, Florida; Raymond R. Stoltz, Upper Montclair, New Jersey; Clara Unrath-Zick, Newton, New Jersey. O Dr. Joseph C. Cardamone, M '65 �Spring 1975 Volume 9, Number 1 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. MCGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine OR. JOHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association OR. PAULL. WEINMANN President, Alumni Participating Fund for Medical Education OR. MARVIN BLOOM Vice President, Faculty of Health Sciences OR. F. CARTER PANNILL Vice President, University Foundation JOHN C. CARTER Director of Public Information JAMES DESANTIS Director of University Publications PAULL. KANE Vice President for University Relations OR. A. WESTLEY ROWLAND 2 3 4 8 9 10 15 16 18 24 28 31 32 34 35 36 38 47 48 50 51 52 54 56 58 62 64 66 70 71 72 Class Reunions (inside front cover) The Virtue of Friendship 1949 Class Gift Alumni Contributors Birth Defects New Career Medicine, 50 Years Ago Nutrition Conferences A Profile of our First Faculty by Oliver P. ]ones, Ph.D., M.D. Bone Pathology Laboratory Black Students Help Neighbors Family Practice Center Continuing Education Programs Dr. Cummiskey A Harrington Lecture Patient Indifference/ Alumni Honored Spring Clinical Days A Physician Faces Disseminated Recitulum Cell Sarcoma in Himself (part IV) by Samuel Sanes, M.D. VA Hospital Dermatology Nurse Practitioner Halloween Party Japanese Honored Separating Immunologically Competent Cells Physician Artist Proficient Swimmers Clinical Biochemistry Dr. Randall Buildings Named for Physicians The Classes People In Memoriam Alumni Tours The cover design by Richard Macakanja focuses on Medicine, 50 Years Ago, page 10-15. THE BUFFALO PHYSICIAN, Spring, 1975 - Volume 9, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1975 by The Buffalo Physician. SPRING, 1975 1 �-- --~ - ~ - -- - From the desk of PaulL. Weinmann, M'54 President, Medical Alumni Association The Virture of Friendship As we complete the first quarter of 1975 in a society engaged in socio-economic turmoil with its inevitable anxieties , it is interesting to note that some virtues retain their salutary value. Such a virtue is friendship . Throughout the ages, the value of friendship has been appreciated and praised . We need only recall the admonitions of the Stoics; of Hillel and Jesus who promulgated the Golden Rule, and more recently the dictum of Kant who established the moral imperative that the only "absolutely good" thing is good-will. It is the intention of doing good that counts. Cooperation not confrontation is the key . The agape ethic of love of one' s fellow man is still valid . We physicians should never forget that the healing profession implies ~he commitment to defy blind fate thereby retrieving and salvaging good health and dignity. We must continually dedicate our resources to e.xtend the power of our minds and spirit in the interest of those who seek and need our help. This is friendship. This dedication and applied energy will ultimately benefit our patients and thereby our whole society , including ourselves. If this spirit of friendship and cooperation can obtain throughout our health service community, the much-feared abuses in patient care which darken the horizon could be eliminated . As Medical School Alumni , our example can establish ongoing improvement in every aspect of Medicine. " 2 THE BUFFALO PHYSICIAN �When the 1949 class had their 25th reunion last spring they presented a $4,150.00 check to the Medical School to purchase audiovisual tape cassette equipment. Dr. F. Carter Pannill, acting dean, accepted the check from Dr. Paul T. Buerger, reunion chairman, at the class reunion dinner at the Plaza Suite. A plaque listing all classmates who participated in the gift will be displayed in the new medical learning resource center in Sidney Farber Hall (formerly Capen Hall). This gift has added significance in that both students and alumni will be able to use this equipment for instructional purposes which could not have been budgeted or funded through any other source. The members of the 1949 class who participated in presenting this gift to the Medical School are: Doctors Frances Abel, Edward H. Abrams, Carmela S. Armenia, J. Bradley Aust, Alfred Berl, Harold Bernhard, Nelson R. Blemly, Manuel Brontman, Paul T. Buerger, Lawrence M. Carden, Julia Cullen, Philip C. Dennen, Waverly J. Ellsworth, Jr., George M. Erickson, Robert Franz, Herbert Lansky, Arthur Magerman, Jacqueline L. Paroski, Frank A. Pfalzer, Jr., William R. Ploss, Edward W. Rosner, Robert D. Sanford, Max A. Schneider, Fred Shalwitz, John T. Sharp, James D. Stuart, Henry A. Thiede, Russell J. Van Coevering, Irma M. Waldo, Judith Weinstein, Pierce Weinstein, Charles J. Wolfe. The 1975 class reunion chairmen are: Doctors Marvin A. Block, 1925; Irving Wolfson, 1930; Kenneth H. Eckert, 1935; Albert C. Rekate, 1940; H. Paul Longstreth, 1945; Sidney Anthone, 1950; Laurence T. Beahan, 1955; Roger S. Dayer, 1960; Joseph G. Cardamone, 1965. Examining the new audio-visual tape cassette is Or. Benjamin E. Sanders, professor of biochemistry, Or. Paul T. Buerger, 1949 class reunion chairman, and Or. F. Carter Panni//, vice president for health sciences. When the picture was taken Or. Panni II was also acting dean of the Medical School. A Gift from the 1949 Class �- --------- Alumni Contributors, 1974 In spite of a sagging economy the number of dues paying medical alumni increased by 26 per cent in 1974. A special thanks to this group as well as to those who give annually. We at the School of Medicine appreciate your support and participation . You will find an envelope in the back of the magazine for your 1975 dues. Again many thanks. 1908 1924 Maichle, Robert J. Carr , Roland B. Finger, Louis Daniels , Francis Fisher, Daniel C. Jacobsen , Evelyn H. Jones, W . Yerby Sanborn, Lee R. 1911 Scinta, Anthony C. 1912 Aaron, Abraham H. 1925 1915 Henry, Joseph P. Oberkircher, Oscar J. Wertz, Carlton E. 1916 Block, Marvin A. Clark, William T. Fisher, Grant T. Loder, Margaret M. Mohr, Truman J. Unrath-Zick, Clara Spaeth, Edmund B. 1926 1917 Atkins , Leslie J. Laport, Raymond G . Thompson, Myron A. Tillou , Donald J. 1919 Beck, Edgar C. Pech , Henry L. 1920 Bender, Rosarie Graczyk, Stephen A. Krzywicki, Stanley T. Walker, Irwin M . 1921 Bosworth, Howard W . Lewin, Thurber McGroder, Elmer T. Morgana , Dante J. Ward , Kenneth R. 1923 Burwig , W. Herbert Chadwick, Leon A. Durshoredwe, Clarence J. Graser, Norman F. Koch, Caryl A. Cheplove, Max Constantine, Walter E. Flood , Leo T . Hulbert, Harold Podell, A. Alfred Smith, Ernest P. Sullivan, Eugene M. 1927 Chaikin, Nathan W . Criden, Frank M . Hassenfratz , Arthur C. Meissner, William W. Murphy, Gerald E. Riwchun, Meyer H. Saunders, Richard L. Sklarow, Louis Valone, J. Theodore 1928 Bratt, Floyd C. Brock, Thelma Etling, George F. Gardner , Richard M. Guthiel , George N . Hill , Joseph M . King, Walter F. Markovitz, Julius T. Mazur, Bernard Rosenberg, Joseph 4 Schutkeker, Bruno Stoll, Howard L. , Sr. Walker, Helen G. 1929 Cohen, Victor L. Dailey, James E. Evans, Jay I. Filsinger, Raymond G. George, Clyde W . Heilbrun, Norman Leone, George E. Lester, Garra L. Lockie, L. Maxwell Meyers , Frank Schamel, John B. Smith, WarrenS. Thorn , George W. Tyner, James D. 1930 Bonafede, Vincent I. Custer, Benjamin S. Feldman, Raymond L. Heyden , Clarence F. Kanski , James G. Mead , Louis C. 1931 Barone, Michael H. Bean, Richard B. Boeck, Virgil H. F. Ciesla, Theodore F. Connelly, Gerald T . Donovan , Donald E. Glick, Arthur W. Godfrey , Joseph D . Heier, Ellwyn E. Kenny , Francis E. Naples, AngeloS. Oderkirk, Francis V. Schwartz, Jerome H. Tedesco, Joseph C. Walls , Walter Scott 1932 Leone, Angelo F. Leone, Frank G. McGee, Hugh J., Jr. Obeltz, Benjamin E. Olszewski , Bronislaus S. Smolev, Joseph M. Stio, Rocco L. 1933 Anna , Wilfrid M . Baube, John L. Ferguson, Wilfrid H. Fulsom, Elroy L. Haines, Henry H. Hellriegel, J. Curtis Hewett, Joseph W. Hobbie, Thomas C Homokay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti , George M. Mountain, John D. Scinta, Louis A. Wagner, Aaron 1934 Alford , J. Edwin Bove, Emil J. Castiglia , Christy F. Davidson, David Friedman, Emerick George, Alfred L. Kinzly , John C. Kraska, Michael D. LaForge, Harry G . May, Charles E. O 'Connor, John D . Meyers , Raymond R. Ridall, Earle G. Rocktaschel, W. G. Rosenbaum , Myron G. Saab, Joseph R. Schweitzer, Alvin J. Slotkin, Edgar A. Weiner, Max B. THE BUFFALO PHYSICIAN �1935 Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Brace, Russell F. Ellis, John G. Kelly, Miles W. Lampka, Victor B. Mecklin, Bennie Moran, Charles E. Moss, Abner J. Peschio, Daniel D. Rosokoff, Solomon Ryan, Francis W . Weig, Clayton G. 1936 Batt, Richard C. Brundage, Donald Burgeson, Paul A. Cherry, Alfred V. Crosby, John P. Eschner, Edward G. Fischer, Willard G. Glauber, Jerome Greenberg, Avrom M. Hoak, Frank C., Jr. Kriegler, Joseph Leven, Eli A. Lipp, William F. McDonough, Thomas C. Pellicano, Victor L. 1937 Alford, Kenneth M. Ball, William L. Banas, Charles F. Culver, Gordon J. Ehret, Francis Flemming, Theodore C. Goodman, Soil Klendshoj, Niels C. Koepf, George F. Lenahan, Rose M. Lipsett, Robert W . LoGrasso, Alice A. MacCallum, James D . Mittlefehldt, Myrton G. Musselman, M. Luther Weiner, Irving Weintraub, David H. Woeppel, Charles J. 1938 Catalano, Russell J. Cooper, George M . Foit, Norman J. Gilson, Benjamin I. Kaminski, Chester J. Kritkausky, Anthony R. Law, Harry C. SPRING, 1975 Lieberman, Samuel L. Mitchell, Alfred A. Phillies, Eustace G . Rosenblatt, Maxwell Straubinger, Clarence A. Terry, Richard N. 1939 Battaglia, Russell L. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Cammer, Leonard Dugan, William Feightner, Francis W. Gajewski, Matt A. Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Olmsted, Elizabeth P. Perlstein, Irving B. Postoloff, A. V. Remington, John H. Riforgiato, Frank T. Seibel, Roy E. Squadrito, John J. Storms, Robert E. Szymanski, Frederick Wesp, Everett H. Winer, Marvin 1940 Ascher, Julian J. Benny, John M. Clinton, Marshall, Jr. Collins, Stuart V. Eppers, Edward H. Hildebrand, William, Jr. Hubbard, Robert D . Montgomery, Warren R. , Jr. Morgan, Lyle N. Palanker, Harold K. Reitz, Russell E. Rekate, Albert C. Roberts, Norbert J. Severson, Charles H. Siegner, Allan W. Trippe, Louis A. Umiker, William 0. White, John D. Zoll, John G. 1941 Cooper, Anthony J. Edmonds, Robert W . Gentner, George A. Greco, Pasquale A. Gross, Arnold Hall, Donald W . Hanavan, Eugene J. , Jr. Henrich, Mary I. Hull, Bradley Kidder, RussellS., Jr. Lenzer, AbrahamS . McCue, Daniel J. McGrane, James L. O 'Brien, John J. Pierce, Allen A. Radzimski, Eugene H. Shubert, Roman J. Wels, Philip B. Wolin, Leonard Zaepfel, Floyd M. 1942 Addesa, Albert J. Battaglia, Horace L. Bauda, Charles A. Cotroneo, Vincent S. Eckhert, George L. Follette, William J. Kalinowski, Alloysius A. Karp, Harrison M . Kibler, Diana D. Marmolya, Boris L. Milazzo, RichardT. Parlante, Vincent J. Persse, John D ., Jr. Smith, Martha L. White, Ward J. 1943 Atkinson, John Behling, Ralph T. Bloom, Marvin L. Birtch, Paul K. Brucato, Salvatore J. Bunnell, Ivan Collins, Robert J. Crohn, Edward B. Donohue, John M. Donovan, John T. , Jr. Fletcher, RichardS. Galdys, B. Joseph Grayson, Thomas L. Haber, Norman Hoffman, Paul F. Holly, Joseph E. Jones, Richard J. Keenan, WilliamS., Jr. Martin, Ronald E. Meyer, Franklin Minkel, Amos J., Jr. Niesen, William C. O 'Gorman, Kevin M . Petersen, Walter R. Richards, Charles C. Ricotta, Joseph J. Selkirk, George H. Sherrill, Gene D. Smith, Ralph E., Jr. Swarthout, Gertrude S. Tanner, Charles J. , Jr. Tederous, Edmund M . Trefts, Hazel J. Trovato, Louis A. Unher, Morris Valvo, Joseph A. Wagner, Laverne G . Williams, John R. 5 1944 Aquilina, Anthony M. Barnett, Howard R . Blodgett, Robert N. Bondi, Raymond G. Brown, Robert L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frost, Frank T. Ginsberg, Irwin A. Graser, Harold P. Hudson, Raymond A. Kennedy, Sidney R. , Jr. Kozlowski, Anthony W . Long, Frank H ., Jr. Magenheimer, William P. Major, William K. Maltinsky, Maurice M . Marchetta, Francis C. Montani, Albert J. Perkins, Raymond C. Pietraszek, Casimir F. Prentice, Theodore Rosenberg, Charles H . Ross, Joseph Schaer, Sidney M. Shaver, Carrol J. Shull, Gordon E. Soyder, Byron M. Strong, Clinton H . Stafford, Walter F. Weygandt, PaulL. Wilkinson, Robert 1945 Adler, Richard H. Andaloro, WilliamS. Capraro, Vincent J. Chassin, Norman Cotter, Paul B. Cummings, Anthony J. Ellis, George M. , Jr. Fugitt, George W. , Jr. Grabau, A. Arthur Greenwald, Richard M. Hippert, Gordon J. Joyce, Herbert E. Kuhl, Ivan W. Laglia, Vito P. Lamberti, Thomas G. Lazarus, Victor C. Longstreth, H. Paul McGrew, Cornelius A. Mcintosh, William N . Miller, Stuart J. Quinlivan, John K. Regan, Fred eric D . Robinson, John G. Rogers, William J ., III Rutecki, Joseph E. Steinhart, Jacob M. Tannenhaus, Joseph Templer, Wayne C. Thorngate, George IV d-- �Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Howard, Chester S. Joy, Charles A. Levy, Harold J. Lundquist, J. Richard Marks, Eugene M. Moesch, Robert V. Morgan, Thomas W . Naples, R. Joseph O 'Dea , Arthur E. Petzing, Harry Pirson, Herbert S. Rowe, Albert G. Tardif, Henry M. Williams, Myron E., Jr. 1947 Arthurs, G. Robert Blohm, Raymond W., Jr. , Col. Curtin, Daniel E. Dean, Robert J. Edgecomb, WilliamS. Ehrenreich, Robert J. Julian, Peter J. Kipping, Hans P. Lippes, Jacob Nuwer, Donald C. Phillips, James F. Riordan, Daniel J. Sacco, Russell J. Schaefer, Arthur J. Segal, Robert L. Stagg, James F. Tokars, Jerome Whiteford , James E. Whiting, Frederick D. 1948 Armenio, Carmelo S. Borman, Col. James G. Good, Raphael S. Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Martin, Ansel R. Minde, Norman Moore, Darwin D . Regan, Cletus J. Richardson, Josephine A. W . Schiff, Lester H. Stone, Edward R. Sutton, Albert P. VanAvery, Jasper L., Jr. Weinberg, Paul C. 1949 Abel, Frances R. Aust, J. Bradley Berl, Alfred Bernhard, Harold Carden, Lawrence M. Denne, Philip C. Lansky, Herbert Mogerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Schneider, Max A. Shalwitz, Fred Sharp, John T. Stuart, James D. Weinstein, Pierce Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Benninger, Robert A. Bisgeier, George P. Brandl, James J. Brody, Charles Busch, Grace L. Cecilia, Carl A. Chambers, Frank Jr. Conte, Anthony Dunghe, Adelmo P., Jr. Dunn, James C. Falcone, Alfred E. Gelormini, Carmen D. Heller, Marie H. Kling, Robert N . Leberer, Richard J. Lyons, Richard E. Manders, Karl L. Manning, Leo E. Patterson, Robert J. Pech, Henry L. Robinson, Roy W . Scamurra, Vincent Shulman, Myer Sikorski, Helen F. Solomon, Yale Tillou, Mary Jane Waite, Gertrude Wasson, Anne A. Weeger, Donald F. Weinberg, Sidney B. 1951 Belsky, Jay B. Bolgan, Frank J. Davis, Harvey D. Goldfarb, Allen L. Kaplan, Marvin Keicher, Kathryn M. Leslie, Eugene V. Michalek, Arthur W. Pleskow, Marvin J. 6 Rodenberg, Thomas A. Schultz, Gerard E. Secrist, Robert L. Smith, Adolph Teich, Eugene M. 1952 Abo, Stanley Adams, Donald J. Banas, John J. Baumler, Robert A. Connell, Bruce F. Davis, Bernie P. Dyster, Melvin B. Fuhr, Neal W. Gartner, Albert A. , Jr. Genewich, Joseph E. Gottlieb, Solon H. Kelley, Donald J. Krohn, Melvin R. Loeser, Eugene W., Jr. Panaro, Victor A. Ranchoff, John Y. Schmitt, James N . Schwartz, Wilbur s . Sheesley, Byron E. Simpson, S. Aaron Steiner, Oliver J. Stulberg, Burton Szabo, Imre Thurn, Roy J. Underwood, S. Jefferson Wegner, Kurt J. Zeller, James F. 1953 Atkins, Thomas W . Bertino, George G. Cohen, Stanley L. Comerford, Thomas E., Jr. Ehrenreich, Donald L. Galeota, Samuel B. Geoghegan, Thomas G Gold, Jack · Handel, John W. Johnson, Curtis C. Lee, Herbert E. Lenzer, JacobS. Maloney, Milford c Maynard, Robert E.. Nagel, Richard J. Panner, Molly R. Portin, Bertram A. Rachow, Donald 0 . Ruh, Joseph F. Sobocinski, Roberts. Spagno, Anthony A. Strachan, John N ., Jr. Sullivan, Michael A. Ullrich, Reinhold A. 1954 Batt, Edward J. Beltrami, Eugene L. Bockstahler, Edward W. Campo, Joseph L. Carosella, Nicholas C. Cloutier, Louis C. Foley, Robert D . Genner, Byron A. III Haines, Robert W . Hanson, Florence M. Hohensee, Edward W . Howard, William J. Hyzy, Eugene C. King, Dudley L. Kinkel, William R. Lemann, Jacob Lewandowski, Lucille M . Lizlovs, Sylvia G . Marino, Charles H . Meese, Ernest H. Murray, Donald J. Norman, N . Allen Oliver, Harry T. Pletman, Robert J. Rayhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Weinstein, Harry Wilson, Donald M. Youker, James E. 1955 Beahan, Laurence T. Celestino, Vincent L. Collins, James R. Dean, Robert T. Fagerstrom, Charles D. Franco, Albert A. Garvey, James M. Gazzo, Frank J. Hashim, Sami A. Leonhardt, H . Albin Mye, George Lai, Jr. Nunn, James R. Palmerton, David L. Peterson, John H. Schaer, Leonard Schiavi, Anthony B. Schiferle, Ray G ., Jr. Smith, Robert A. Von Schmidt, Barbara Weppner, David F. Whitney, Eugene B. Winter, John A. 1956 Alker, George J., Jr. Ben-Asher, M . David Corretore, Robert B. Dentinger, Mark A. Gicewicz, Edmond J. Goergen, Peter F. Goldstein, Frederick P. THE BUFFALO PHYSICIAN �Jones, Oliver P., Sr. Kunz, Joseph L. McCutcheon, Sue A. Mcintosh, Robert G. Nuessle, Frederick C. O ' Neill, Hugh F. Reeber, Erick Reisman, Robert Schnake, Edward G . Sklar, Bernard H . 1957 Berghorn, Bronson M. Boncaldo, Germante Bongiovani, John R. Celniker, Benny Friedman, Gerald Garsenstein, Myron Gulino, Lorie A. Hetzer, Barbara J. Kane!, Harris H. Lowe, Charles E. Metsch, Herbert Miller, Richard F. Myers, Robert C. Parker, JohnS. Thorsell, H. Gregory 1958 Alessi, Edward C. Alfano, Gaspare A. Armenia, John V. Batt, Ronald E. Berkson, Paul M . Boyle, Richard C. Brothman, Melvin M . Byledbal, Ronald W. Cohen, Gary Dickson, Robert C. Dischinger, Frederick W. Friedberg, Eugene A. Genco, Michael T. Kane, Leo A. Korn, John T . Kunz, Marie L. Mazza, Michael A. Leve, Lloyd H . Perez, Robert J. Rahner, Richard Romanowski, Richard R. Rothman, Walter H. Stein, Alfred M. Taylor, Richard L. Tracy, Ann A. Waldman, Irving Weinberg, Morton B. Wende, Reinhardt W. Williams, James S. Zeplowitz, Franklin Zimmerman, Harold B. SPRING, 1975 1959 Baeumler, George R. Brennen, Robert J. Cohen, Donald L. Falls, Richard A. Griffin, Logan Heafitz, Morton H. Houck, John E. Kostecki, John W. Leone, Richard A. Oberkircher, Paul E. Richardson, Burt W . Rock, Elton M. Stevens, Jason H . Yacht, Donn L. Zara, Sabah E. 1960 Antkowiak, Joseph G. Abramson, William E. Bernot, Robert Brylski, James R. Chazan, Joseph A. Diesfeld, Gerard J. Doni us, Donald J. Graber, Edward J. Guttuso, Thomas J. Kanski, James R . Kenner, Harris M . Leeds, Leroy Metcalf, Harry L. Nakata, Harry H. Rakowski, Daniel A. Riggio, Charles J. Saks, Gerald L. Sauer, Robert H. Tuyn, John A. 1961 Barker, Laurel M . Brody, Harold Cimino, Eugene A. Hatch, Richard C. Hewett, William J. Johnson, Alonza C. Knight, Ovid D . Manning, Edwin J. Penwarden, Brent Porrath, Saar A. Ronald, Roger A. Schnatz, Paul T . Skarin, Arthur T. Usiak, Ronald H. 1962 Armenia, Joseph P. Fisher, Jack G. Floccare, Anthony Gerbasi, Joseph R. Gorman, Kevin J. Loree, Paul J. Lubin, Arnold N. Madden, Michael M. Markello, Anthony P. Ney, Robert G. Pohl, Alan L. Resnicoff, Seth A. Scherer, William P., III Steinhart, Melvin J. 1963 Ament, Aaron Bentley, John F. Blake, James R. Burgess, Gordon H. DeLaus, Frank V. DuBois, Richard E. Ehrlich, Frank E. Fanelli, John R. Foti, Anthony M. Hamilton, Robert W . Herbert, Anita J. Lessler, Paul A. Maggioli, Albert J. Malinov, David Narins, Richard B. Nathan, Ronald G. Post, Robert M. Spielman, Robert B. Sullivan, Eugene M ., Jr. Tutton, Joseph C. Wadsworth, John M. 1964 Cherkasky, Paul DiPoala, Joseph A. Frantz, Vincent P. Glowacki, George R. Goldstein, Gerald B. Leff, David A. Ney, Lillian V. Paa, David F. Pachuta, Donald M . Paterniti, Samuel F. Rothfleisch, Sheldon Salton, William Scheiber, Stephen C. Scomillio, John Serrage, Elizabeth G. Sterman, Irving Williams, Richard Wolin, Richard E. 1965 Bucher, William C. Feinberg, MichaelS. Giller, Jerald Hoffman, Sanford R. Hurwitz, Lawrence'S. Marantz, Calvin Schultz, Robert W . Steckelman, Joel Yerby, Harry D. Waldowski, Donald J. Wherley, Benjamin J. 7 1966 Althaus, Sean R. Antonucci, Louis J. Bradley, Thomas W . Farrow, Gerald B. Fox, Melvin Klementowski, Kenneth Lindenbaum, Jeffrey E. O 'Connor, John J. Rappole, Bert W. Schrott, Helmut G. 1967 Anderson, John R. Augustine, Thomas A. Berkowitz, Norman Daffner, Richard Gibbs, John W. , Jr. Josephson, Ronald P. Miller, Donald E. Murray, Dorothy McCarthy Sosis, Arthur C. Starr, George Strosberg, James M. 1968 Barron, Stephen A. Blase, Barbara A. Clack, William E. Cumbo, Thomas J. Dobmeier, Lawrence J. Friedman, Ronald J. Gold, John M . Jewel, Kenneth L. Kramer, David Peck, Alan H. 1969 Blanc, Alan H. Bosu , Sogba K. Cavalierei, James L. Dayton, Lang M . Horwitz, Hanley M . Milazzo, RichardT. , Jr. Sandler, Steven J. Smallwood, Michael F. 1970 Forden, Roger A. Krauss, Dennis J. Krumerman, Joel H. Lippman, Michael Ungerer, Robert Whited, Henry L. 1971 Bovino, Jerald A. Clark, Terence M . Greenberg, Harvey Handler, MarkS. Kirsch, Scott D. Mazeika, Denis G. McCoy, James J. Paull, Joel H. Potts, David W. Richardson, Douglas S. Ryckman, William d-- �__.. -------- 1972 Berkson, Richard Bob, Harold B. Frankfort, Ian D ' Alessandro, John J. Kraus, John W. Natale, Dennis L. 1973 Dunn, Nancy L. Kuritzky, Paul Kuritzky , Sharon Smiles, Stephen A. Toledano, Stuart R. -- FACULTY & NON ALUMNUS Alvis, Harry J. Ambrus, Clara M . Ambrus, Julian L. Bateman, Oliver J. , Jr. Bauer, Ulrich Collings, Robert J. Cortner, Jean A. Cruise, Mary 0 . Dare, Norman Dewey, Maurice R. Dobson, Richard L. Egri , George Fisher , F. Craig Florsheim, Anne Glasauer, Franz E. Helm, Frederick Hermosillo, Luis G. Jaffri, Syed Shams U. Klein , Edmund Kmiecik, Tadeusz Kwasman , Bertram G . Lenzer, Alfred Lippschutz, Eugene Lloyd , Catherine Llugany, Oscar J. MacAllister, Niall P. Martino, George J. McDaniel, James B. , Jr. Milicevic, Jure Milkey , Gustave P. -~ - Mindell , Eugene R. Mosovich , Luis L. Naples, John D . Norton, James F. Oestreich , Mitchell Ordonez, Carlos O 'Connor, Robert W . Pragay, Desider A. Serrage, John C. Stern, Alexander Suk , Dongsoo Taintor, Zebulon Warner, Robert Webber, Richard Yun , Sinwohn S. Zingapan, Ernest G. Birth Defects Study There are a group of fatal birth defects which are caused by enzyme deficiencies. With a $12,402 March of Dimes grant, biochemist Miriam Meisler hopes to learn how the inherited deficiency of an enzyme known as beta galactosidase is implicated in several diseases . In these diseases, the assistant professor of biochemistry points out, the absence or inactivity of this enzyme disrupts the body's normal metabolic pathways. As a result, complex glycolipid or fatty material accumulates in cells of the brain, causing permanent neurological damage. By using mice with various genetic mutations, the young investigator will try to determine whether more than one gene is involved in regulating this enzyme and whether there are genetic mutation that may affect different parts of the enzyme molecule. "This may make it function in different ways ," she said. It is also possible for insufficient quantities of a normal enzyme molecule to be produced. "We need to know which type of gene defect is involved before we can treat the inherited enzyme deficiency in man, " Dr. Meisler said. Perhaps her experimental model will reveal the answer. In her research on the human disease known as GM, gangliosidosis where there is no B-galactosidase activity, she has found an inactive galactosidase protein. "It points to a structural gene mutation, " she said. And because the protein itself is defective Dr. Meisler feels that enzyme replacement therapy is in order. Dr. Meisler is one of 57 U.S . investigators awarded a Basil O'Connor Starter Research grant. This program, named in honor for the man who led the National Foundation March of Dimes since its inception in 1938 until his death in 1972, enables young scientists to start their own research on birth defects. ') 8 THE BUFFALO PHYSICIAN �Dr. Hanson watches Margaret Weyer seal up a new knitted bedsheet in the revived factory. A New Career A 1948 Medical School graduate has a new career. For the last 18 years Dr. Warren H. Hanson, 52, has been a surgeon at Warsaw, N .Y. Early in 197 4 he plunged into the manufacturing business when he re-opened the Warsaw Knitting Mills. "We had our first payroll last February 23, " Dr. Hanson said. He has 33 people on the payroll and has given new life to an old and partly abandoned knitting mill. "I enjoy it. It's a change of pace from medicine and we may even make some money. And starting up a business is good for Warsaw too." When Dr. Hanson leaves the Wyoming Community Hospital he can concentrate on keeping up with orders, getting satisfactory raw materials and meeting the payroll. Dr. Hanson is the first to admit that he has a good partner, Mr. Robin Lamb, who runs the knitting mill efficiently. Warsaw Mills' chief product at the moment is something new in bedwear. It is a knitted cotton, fitted sheet and a knitted cotton pillowcase. "They are brand new on the market and they're not cheap. We think they are better than percale woven sheets," Dr. Hanson said. The fitted sheets were first proposed for hospital beds because they stretch, but now they are headed for the general market. They are softer, weigh less and don't need ironing. Dr. Hanson said a friend of a New York advertising man came up with a knitted cotton fabric and needed a plant to change the fabric into product. The old knitting mill in Warsaw, which once made stockings and shirts, had been idle for about four years- except for occasional use as a warehouse. When the mill re-opened Dr. Hanson and Mr. Lamb brought in about 40 sewing machines and related gadgetry. Except for automation, which would cost too much, the Warsaw Knitting Mills are modern. In addition to sheets and pillowcases the mill also makes thermal underwear. "We have orders from department stores in Chicago, Miami, New York and Buffalo. Anyone can make our product, but we are about one year ahead of anyone else," Dr. Hanson said. 0 SPRING, 1975 9 �,, J D• waro J FLIWr<o<j"''N ... .J M S.. HI L...L. H <"~EE D,.., N ~ t FRCN<LA O( H oLT Medicine- A Half Century Ago W hat was it like to attend medical school during the prosperous years and to graduate just before the Great Depression? What was it like a half century ago? A quarter of the Class of 1928- at their Class Reunion during 37th Annual Spring Clinical Days- reflected on the past, shared the present, and speculated on the future . Among them were class officers of almost 50 years ago- Drs. Thelma Brock, Walter King, and Bruno Schutkeker. "To enter medical school in those days one only had to fill out forms in the Bursar's Office," recalled Dr. King, a deceptively younglooking 71-year-old ophthalmologist. "There were no interviews. Most who applied were accepted." Dr. Brock, a Buffalo internist and early proponent of women' s rights, agrees. "There were seven women in our class. " That about matches the percentage accepted in present-day classes. Only three however graduated. Getting in seemed quite easy for good Buffalo students, she recalls. The tuition? Just about $400 a year for the then private medical school. Pre-med was only a two-year course. Fifty-nine of the original class of 72 made it to 1928, Dr. King said. " They graduated." Twenty others were left by the wayside while seven were picked up as transfer students. Many stayed in Buffalo and are now volunteer faculty members. "We were really an average class, not too studious minded but a well-balanced group of fellows," seemed to be the general consensus at the Reunior•. 10 THE BUFFALO PHYSICIAN �J. ., MA(t(oV•i'2.. 13 ,..,A.zv ~o wS k t .J ""'f=lAU'ftt1. f ~ so J l<o"€ " 6E'Ii/<;- o. Sow ~ <; "VT"'eK€( J S'- k V T "Z q 0' (D f"' f'lo R., TO i<C f"'I I£W SK t J'l (($HEENAN " wo>H.R. AB There were a number of medical fraternities. Only two owned fraternity houses where medical students could live and eat. "It was important to belong," Dr. King said, "for it was the only place where you could meet with other classes." Sometimes teachers were invited and there would be study sessions. Although Dr. King lived at home he did join one. He remembers the initiation rites- the blindfold, the stripping, and the unbelievable but real branding by hot iron of the initials O.U.P. onto cold flesh while being held firmly by an upperclassman. There were two semesters of anatomy for the freshmen as well as neurology, histology, embryology, and chemistry. "On the day of the final exams we waited to learn who would be exempted because of very good records. As soon as about 15 of us were excused, we took right off for the Burlesque Show," Or. King recalls with a smile. The old fourth floor anatomy lab was then located on High Street. Two cadavers were assigned per table of four students. While half the team spent a semester on the upper torso, the other half were involved with the lower. "It worked out well," Or. King recalls. "For half the team could always share their knowledge with the other two." The cadavers were placed on tables on both sides of the long dissecting room. There was a continual fight over cadavers. "We all wanted to dissect the leaner ones," he said. " They had been preserved in formaldehyde and the fat stank of it. It was quite an experience, our first walk between those two rows of cadavers." Interesting things happened in the anatomy class. One of the boys carved a heart out of a blood clot and presented it to one of the girls. Another student found an extra kidney and someone got it for a locket. The only way that "Tessie" could recall handling a cadaver was to think SPRING, 1975 1-J ~;. -- ~ £ MtKoVtJCZ..ItK 11 Th e " branding " . OT¢ d- �Th e 1928 class at a recent reunion. (front row): Joseph Ros enberg, Th elma Brock , Brun o S chutkek er, Euge nia Fr onczak Bukowski, Harry Spiege lman . (ba ck row): G eo rge F. Etling, Raymond ]. Rickloff, Howard L. Stoll, Richard M . Gardn er, Vin ce nt A. Hawro, A Ibert]. V oe lkle, Cly de W. G eo rge, Walter F. K ing, George N. Guthiel, Floyd C. Bratt. of it as a " stick of wood. I could not handle it otherwise," she said. " Something about mutilating a face was abhorent to me. " Most of the class were Buffalonians who worked their way through school. " We were a hardworking group," Dr. King said. " Many worked in clinics, on hospital jobs, and at the Lackawanna Steel Plant." Many of the graduates became general practitioners. At that time there were relatively few specialties. Some went on to residency, some to institutions, and some just practiced following graduation. Internships were not required at that time. Dr. Brock recalled some of the women in her class: Helen Walker who worked in TB and trained at the Meyer, Jeanne Fronczak Bukowski who has just retired from an active general practice, Ev Driscoll, the sweetheart of the class, who was later " busted" after failing anatomy but went on to become a successful teacher. Another girl, she recalled , who was busted from the class started medical school again in another city, graduated, and practiced successfully for many years. And Joe Scaccia became a lawyer and practiced law. Internship year began in 1928. It was soon followed by the stock market crash and the start of the Great Depression. Dr. King went to Prague and Vienna to work in eye clinics there. He returned in 1932 to open a practice in Buffalo. " I started with no patients and no money. The first years were hard. " Buffalo , he said, is unique in that ophthalmology and otolaryngology are separate specialties. Here they are not combined as in some sections of the United States. 12 THE BUFFALO PHYSICIAN �"Those were the happiest years of my life," Dr. Brock recalls on looking back. "Many of us in the medical class were first-generation immigrants whose parents were determined to establish independence for their children. " She became a doctor because her father, whom she admired and from whom she learned her best values, encouraged it. " Doctors, in those days, were the foundations of society. It was the fulfillment of a wonderful kind of dream to become one," she said. She recalls early advice from her father. " When a patient comes into the office and is frightened, find out why. It doesn' t make much sense to give someone a prescription if he cannot pay for it. If you make a house call and there are no groceries, bring some. And if the patient wants to pay with potatoes or cookies, accept them. My father was a poor man. He understood such things," she said. An early warning in the anatomy class was followed by much better grades in physiology, Dr. Brock recalls. There was also an opportunity to work in the offices of Dr. Abe Aaron. Here she received $12.50 a week (it included carfare) to do gallbladder research. There was also an ex ternship at the Buffalo General Hospital with Dr. James Sullivan whom she worshipped. And there was graduation as part of the upper third in the class. Her applications for a surgery experience met with no responses. An ob/gyn residency did however open for Dr. Brock at Women' s Hospital in Philadelphia. She then returned to Buffalo to open her own office. " It was over a barber shop on Jefferson and Ferry Streets," she recalls. " My father furnished the tiny waiting room and office with thE' prettiest bamboo furniture and linoleum available. After making the down payment on my car and paying my first month's rent he said ' you are now on your own'." Dr. Kin:<. Dr. Brock d-- M an y were surprised to learn f ro m C lass his to rian Dr. W alter King's anatom y chart who their " team mates" were. Anatomy Lab - 1924 5 Class 1928 8 Bob Connor Wally K 1ng Tess Brock Wtlensk.y Reg Jarvts Ben Freedman Ev Dnscoll M ark Joey Jtm Gtbney Cooperman Rosenberg 3 4 AI Voelkle Ho w•eStoll Geo. Donnelly Bruno Ray Rtckloff Don Purple Swede Olson Harry Sp1egelman George Guttuel Joe H1ll Clyde George Mazurowsk• Schutkeker Bob Wo lf Dula George Ethog Tod Cra1g John D1Noto George Dean Fred Lowe MarvHarns MarkOWitZ 11 14 15 12 13 Glen Hatch Rudy Buchheu Harry Chant Chas Eustace John Gaffney CariS•ekmann Jack Schamel Jom Bmg Bu rd1ck N 1ck L1lhs K 1pHawes Shorty Cross Ted Ed Kopan Ed Dodge 10 7 Heyman 2 Art Horton Berme 9 6 Ben Ollodart 1 John Burns 16 SmohN Sammy Ble•chfeld 17 John Leahy 18 George Helen Sheehan Walkner Edd1e MlkiOJCZak Joe Scaccta 19 20 Don Keyes Charley Dake Je• n Iran M cCarthy Ho w ard Key es CurtiSS Chase Conn1e V o lk Jay Evans Floyd Bratt V1nce H awro Art Bennett Lew F ronczak Gerstner F lanmgan Honor T h1el Okon1ewsk1 Ed Ray Woh lrab Jul1e Lay er M1ke M aJone B1n1szk•ew •cz SPRING, 1975 13 �-- ---------- ~ - An obstetrics class 0. U. PHI SONG Tune of Solomon Levi Relaxing in front of the medical school. Oh I'm; an ordinary sort of a cuss, I'm not so very neat, I seldom wash my hands and face, I never wash my feet. My collars and cuffs are never clean, I'm the kid with the smiling eyes, I'm just a member of the gang, they call the 0. U. Phi. Watching surgery CHORUS They all call us rough necks, tra-la-la-la. What in hell do we care, tra-la-la-la, So long as we've got some cigarettes and a good supply of Rye, There isn't any of us regret that he is an 0. U. Phi. And when a boy comes to U. of B. for his freshman year, He learns to play poker and he learns to drink his beer, He meets a bunch of good fellows just the same as you and I And he becomes a member of the 0. U. Phi. Then he takes up Bacty Lab in his Sophomore year, He learns to make a culture and he learns to make a smear, When the prof says you're rotten, he never winks an eye, 'Cause he is a member of the 0. U. Phi. The 1928 class Then in his junior year he is always on a mash, The girls all like him tho he hasn't any cash. The other fellows wonder what is the reason why? 'Cause he is a member of the 0. U. Phi. Then as a senior he always gets the mad, He always gets an internship tho others want it bad, He never says a word but he winks his other eye, 'Cause he is a member of the 0. U. Phi. The O.U. Phi's they like to live but when it comes to die, You never hear them moan and groan, you never hear them cry, He walks right up the golden stairs with his pockets full of Rye, 'Cause at the gate he meets St. Pete and he is an 0. U. Phi. And if you should stray from the straight and narrow path, And you should flunk your morals as you flunk your junior path. Don't get discouraged when you hear your parting knell, For we've an alumni chapter in the very depths of Hell. 14 THE BUFFALO PHYSICIAN �As senior medical students, Dr. Brock recalls that Charles Eustace and she made office calls together for an older doctor. "After we finished our hospital training we again made calls together." A fee of $35 included prenatal care for six weeks of postpartem care for mother and child. One house call was in Black Rock during the height of a snow storm. "We delivered a baby and our fee was $35," Or. Brock said. "The father offered us a fifty dollar bill and together we didn't have fifteen dollars to make change. We offered to return the next morning. We did. And we found an empty house- no furniture, no mother, no baby, no husband. It was part of practicing in those days," she continued. Dr. Brock recalls another house call to a woman who they found on an attic floor. "She was bleeding profusely. We suspected an abortion and arranged for her immediate transfer to Sisters Hospital. Sisters accepted her but reprimanded me with 'Sisters Hospital doesn't approve of abortions', " she recalled. "We didn't have antibiotics, sophisticated equipment or intensive care units to help us but we did learn to be good clinicians," Or. Brock said. That's what it was like, to practice medicine almost a half century ago.O Nutrition and man is the subject of a series of nutrition conferences sponsored by the department of biochemistry. Between January 28, and March 15 six experts in the field reviewed the latest research and clinical findings on how diet and various diseases are related, how it affects normal man, and the nutritional needs of various age groups. They also touched on public health issues/nutrition. They were - Drs. George Kerr, Robert McGandy, Guillermo Herrera, Jean Mayer, Kenneth C. Hayes and Stanley Gershoff, all from the Harvard School of Public Health. The series is part of a health sciences teaching and general education program that is open to the University community and public. It is the result of cooperation between the University department of biochemistry and the Harvard School of Public Health. A question and discussion period follows each of the talks held on Tuesdays at noon in Capen G-22. The remainder of the series follows: March 18 Stanley Gershoff, Ph.D. March 25 James Austin, D.B.A. Recommended Dietary Allowances Nutrition and National Planning. April1 Jean Mayer, Ph.D. Energy Metabolism and Obesity as a Medical and Public Health Problem. April8 Robert P. Geyer, Ph.D. April15 George Kerr, M.D. April22 Robert Glass, D .M .D. Nutrition, Blood, and Blood Substitutes. Nutrition in Pregnancy and Child Health. Nutrition and Problems of Dentistry. April29 Fredrick J. Stare, M.D. Summary of Nutrition in Medicine and Public Health. Contact Or. Douglas M . Surgenor, department of biochemistry at 831-5266 for further information. SPRING, 1975 15 Nutrition Conferences �-- ------ A Profile of Our First Faculty by Oliver P. Jones, Ph.D. , M.D. Distinguished Professor - - - - E IGHT BIOGRAPHICAL SKETCHES have been published about our first faculty since the spring issue of the Buffalo Physician was published in 1973. It was only after their completion that a profile or summary of the first faculty could be compiled. It is now possible to dispel a couple of erroneous beliefs about that faculty , namely, all of the professors did not graduate from the College of Physicians and Surgeons of Western New York at Fairfield, and only four professors came here from Geneva Medical College. The profile has been categorized as follows: 1) Date and place of birth; 2) Father's occupation; 3) Pre-professional education; 4) Medical education; 5) Where M.D. was conferred; 6) Teaching experience prior to appointment at Buffalo; 7) Age when appointed to faculty ; 8) Length of service at Buffalo; 9) Cause of death and age, and 10) Religious affiliation . The oldest members were Charles Coventry and Alfred Lee- born in 1801 and the youngest members were George Hadley and Frank Hamilton - born in 1813. James Webster was the only foreign born professor- Lancashire, England. Three came from New York State and three from New England. Three were sons of physicians, three had fathers who were farmers and soldiers and one - W ebster' s fath er was a printer and publisher. Flint alone was fourth in succession of a medical ancestry. The pre-professional training of the seven professors was as diversified as the dates and places of their birth. Hadley and Hamilton held baccalaureate degrees from Hamilton and Union Colleges respectively and Lee had a master's degree from Williams. Austin Flint received a liberal education at Amherst and Cambridge. Coventry and Webster attended public schools in their respective cities - Utica and Philadelphia. White commenced his classical studies with the Rev. John C. Lord, D.O. and later attended Middlebury Academy. Four of the professors studied medicine at Fairfield but only two - Coventry and Hadley- graduated from there. Flint attended Harvard Medical School throughout as did Lee at Berkshire Medical College. Hamilton and Webster both graduated from the University of Pennsylvania after they had attended Fairfield and the University of Maryland respectively. White started at Fairfield but was graduated from Jefferson Medical College. When the University Council appointed the seven professors in 1846, Lee was the oldest at 45 years and Hadley the youngest member of the faculty at 33 years of age. The average age for the first faculty was slightly over thirty-eight years. The difference in their age span was less than the difference in the length of time they had been teaching prior to their appointment at Buffalo. Webster was a private tutor in anatomy for two years before he taught at the Philadelphia Anatomical Room for eight years. He then spent ten years as professor of anatomy at Geneva. This gave him a total of twenty years' teaching experience. At the other end of the spectrum- White had no teaching experience, Flint one year, and Lee two years. Hamilton had eleven years and Coventry fifteen years' teaching experience. By the time of their appointment at Buffalo, Charles A. Lee had probably contributed more to the medical literature than any of the other professors- even though he had only two years' teaching experience. 16 THE BUFFALO PHYSIC IAN �The original faculty remained intact for five years which was a record in the days of pioneer peripatetic medical professors. Coventry and Webster resigned in 1851 and Coventry was nominated as our first Emeritus Professor. Flint taught at Buffalo on two occasions for a total of nine years. Lee resigned after fifteen years and the faculty elected him Emeritus Professor of Materia Medica and Hygiene. Of the five professors who tendered their resignations to the faculty, only Hamilton - according to the Minute Book- was urged by the Dean to reconsider his decision but he declined to do so and left for the Long Island College Hospital at Brooklyn in 1860. Two of the original faculty died while occupying their original chairs - Hadley for thirty-one and White for thirty-five years. George Hadley, who had worked as his father's assistant at Geneva, came to Buffalo by way of the University of Missouri and a Canadian Mining Company. Perhaps his father had been considered for the position but it was George who became our first Professor of Chemistry and Pharmacy. Webster was the first of the original faculty to die. He succumbed to chronic heart disease at age 53. Hadley was 64 years old when he died from valvular heart disease. The remaining five of the original faculty all achieved their three score and ten years or more. White died from heart failure when he was seventy and one half years old. Lee suffered from endocarditis and died at age 71. Both Hamilton and Coventry had chronic pulmonary disease when they died. Coventry was two months less than seventy-four and Hamilton was 73. Dr. Flint died in the harness, stricken, as he had always hoped might be the case when his time should come, with a swiftly fatal and almost painless disease cerebral hemorrhage. The religious persuasion of the original faculty was entirely protestant. Coventry, Lee and White were episcopalians and Hadley and Webster were presbyterians. All we know about the remaining two is that they were protestants. However, all were catholic in their views regarding the practice of medicine and patient care. This profile of our first faculty does not include the Demonstrator of Anatomy, Dr. Corydon LaFord, because in those days only the seven Professors who occupied the seven Chairs in the Medical Department were considered the faculty. When one considers that the Demonstrator was appointed annually and had to provide subjects (cadavers) not only for the dissecting room, but also for the Professors of Anatomy and Surgery, without any expense to the college, it now seems incredible that anyone would want the job. In addition, it was understood that the cadavers were "to be obtained in such a manner, as not to compromise the interests of the institution." The Demonstrator's fee was $5.00 per student and he did not charge more for the anatomical material than was sufficient to cover the actual cost of obtaining it. Dr. LaFord was the first teacher at the University of Buffalo, but it was Dr. Austin Flint who first met the students in his capacity as Registrar and Treasurer- collecting from each a three dollar matriculation fee and sixty-five dollars for the course tickets. References 1 Minute Book of The Medical Faculty 2. 3. 4. 5. 6. 7. 8. 9. SPRING, 1975 17 of the University of Buffalo (1846 to 1878). Archives, State University of New York at Buffalo. Jones , O.P. , Our First Teacher. Buffalo Physician 7: No.1 , 38-41, 1973. Jones , O.P., Our First Anatomy Professor , James Webster (18031854).Ibid 7: No.2, 8-9, 1973. Jones, O .P., Our First Professor of Medicine, Austin Flint (1812-1886). Ibid 7: No.3 , 54-61, 1973. Jones, O.P. , Our First Professor of Surgery, Frank Hastings Hamilton (1813-1886). Ibid 7: No. 4, 32-35, 1973. Jones , O.P. , Our First Professor of Obstetrics, James Platt White (18111881). Ibid 8: No.1 , 42-47, 1974. Jones , O.P. , Our First Professor of Pathology Materia Medica, Charles Alfred Lee (1801-1872). Ibid 8: No. 2, 18-21, 1974. Jones , O.P. , Our First Professor of Physiology and Medical Jurisprudence , Charles B. Coventry (1801-1875). Ibid 8: No. 3, 54-62 , 1974. Jones , O.P., Our First Professor of Chemistry and Pharmacy, George Hadley (1813-1877). Ibid 8: No. 4, 'i.<-45, 1974. �·----- ~ A healthier patient is the goal of Dr. Eugene R. Mindell. Bone Pathology Laboratory - ~ T HERE Is BETTER EVALUATION and treatment for patients with bone injury and disease because of information gained in one of a handful of bone pathology laboratories in this country that is located in Buffalo. It is part of the University department of orthopaedics . Here, correlation of pathologic, clinical, and radiographic findings has not only led to more patients being helped surgically but to sounder teaching and research programs. " Among materials that we prepare in the laboratory," Dr. Mindell, professor and chairman of the department of orthopaedics said, " are bone specimens from patients with tumors, fractures , infections, arthritis, metabolic bone disease, and congenitally-determined abnorrnali ties." These materials are received from area hospitals. The laboratory is equipped with specimen Xray facilities , dark rooms , and special saws for cutting . Here Henry Sallrnan, chief bone pathology technician , prepares the large histological sections which often require special staining techniques. Not only are these materials available for study by residents and students but copies of clinical X-rays, photographs of gross specimens, the large histological sections, and followup clinical data on each case as well. Because all pertinent information is integrated - from a patient's clinical course to careful study of X-rays, detailed examination of gross and microscopic pathology, and laboratory data synthesized through techniques used 'oy clinicians, radiologists , and pathologists, Dr. Mindell believes that the teaching program for residents and medical students is a sound one. Since about 70 percent of all physicians will see some patients with musculoskeletal cornplaints, Dr. Mindell feels that basic principles of diagnosis and treatment of these complaints should be available to all medical students. " This laboratory is of value in preparing necessary material for this instruction," he said. Many patients have been helped by information gained in the laboratory. For one, a 25-yearold woman, clinical/radiographic/ histological information pointed to a slowly-growing bone cancer. " We not only were able to save her life by removing the sarcoma," Dr. Mindell said, " but her arm as well. " d- 18 THE BUFFALO PHYSICIAN �- Drs. Mindell, Harold Vandersea (orthopaedic resident), and Daniel Wild (junior medical student) go over radiological, pathological, and clinical evidence of fracture case. Daniel Wild uses one of sound/ slide programs specifically prepared for medical students. 19 �Dr. M indell and Henry Sallman study entire humerus that was removed from patient and replaced with large cadaver bone graft. William Headley helps Henry Sallman shave off slice of fibrosarcoma with pathological fracture. Henry Sallman prepares large histological section. �The tumor, which included most of her humerus, was resected and the defect replaced with a large cadaver bone graft. "We all learned a great deal of clinical medicine, anatomy, and pathology from her case," he said. Dr. Mindell' s interest in bone pathology dates back to his training days at the University of Chicago under world-famed Drs. Dallas Phemister and Howard Hatcher. "Orthopaedics," he said, " is not a narrow branch of surgery. It has an underlying discipline which is riormal and abnormal functioning of the musculoskeletal system." Among new methods in treating arthritic patients has been total joint replacement. "It has brought relief to thousands," Dr. Mindell continued. Through study of these surgicallyremoved specimens he feels that basic abnormalities at work in both degenerative and rheumatoid arthritis can be uncovered. Much of an orthopaedist's daily work is to care for patients who are injured, he explained. " We have considerable material to help us understand and treat the nonunion of fractures." Detailed pathological studies of fracture healing specimens have led to improved treatment techniques. Correlation of clinical history, radiographic findings , and pathological abnormalities has also led to a better understanding of how the musculoskeletal system reacts to bone infections such as osteomyelitis. Among other problems studied in the laboratory are etiology of bone sarcoma, patterns of degenerative arthritis, asceptic necrosis of bone adjacent to joints, and renal osteodystrophy. From Dr. Mindell's interest in the mechanism of cartilage formation has come a better understanding of the changes seen in joint arthroplasties. While looking at fracture callus in animals he found that intermittant mechanical forces lead to cartilage formation . Collaborative studies are also underway with general surgeons on the effects of starvation and sepsis in bone repair of animals. An interest in better methods to manage pathological fractures has led to the use of internal fixation supplemented by methyl methacrylate, a bone cement. " It allows our patients to become ambulatory after a few days," Dr. Mindell said. Variety in both clinical services and training programs in the major teaching hospitals may well be the key to Buffalo having one of the soundest resident training programs in the country. " All of these orthopaedic facilities have been combined into one program," Dr. Mindell continued. And while residents rotate through each unique center where specialty clinics may range from those for fracture, cerebral palsy, amputeed-- Drs. Mind el/ and ]ames M c Coy rev i ew radi o g raphic eviden ce o f total knee replacem ent. SPRING, 1975 21 �--- -------- - Drs. Mind ell and ]ames McCoy appear as pleased with results of total knee and hip replacement as is patient. hand surgery to bone tumor, scoliosis, and growth and development problems, they meet regularly with faculty at orthopaedic conferences. Dr. Mindell is quick to point to a dedicated volunteer faculty. "Without them we could not function," he said. "For they not only participate in our many orthopaedic conferences, but are dedicated teachers on hospital wards, clinics and operating rooms." There are many multidisciplinary approaches to better patient care and teaching programs. One, a University arthritis program, has a coordinated medicine/orthopaedic approach. The orthopaedic aspects are being developed by Dr. Theodore Papademetriou and is centered at the E. J. Meyer Memorial Hospital. Each teaching hospital has unique clinical services and training programs. At the Meyer Dr. Mindell is assisted in the educational program by resident-oriented Dr. Papademetriou . Here, residents not only clinically evaluate, operate, and 22 follow up patients but are responsible for decision-making, diagnosis, and treatment. At the Buffalo General Hospital, where the large volume of clinical activity includes a variety of orthopaedic problems, and where a great deal of reconstructive surgery is done, Dr. James M. Cole heads the clinical service and training program. At Children's Hospital Drs. Joseph Godfrey and Richard Weiss see that residents are exposed to the many aspects of orthopaedic problems in children. These include congenital abnormalities, injuries, and developmental defects. At the Veterans Hospital, where many patients are treated for problems due to trauma, arthritis, metabolic diseases, and neoplasms, Drs. Russell Erickson and David Richards manage the training program. Here they are still seeing men injured during past wars and are rehabilitating them in a growing outpatient department. There are also three-month rotations at the THE BUFFALO PHYSICIAN �South Buffalo Mercy Hospital under Dr. Joseph Godfrey and at Roswell Park Memorial Institute where Dr. Mindel! is a consultant. There is additional teaching for medical students through orthopaedic electives and a new fracture conference that began this winter. Sound/ slide programs specifically prepared for medical students are also being heavily utilized . And in state crippled children' s clinics throughout Western New York, orthopaedic attendings from Children's Hospital, together with residents and students, see children with orthopaedic problems in a teaching setting. For Dr. Mindel!, orthopaedics is rewarding work. " We can achieve specific goals by our treatment and beneficially alter the natural course of disease or injury. Our work usually concludes with a happier, healthier patient," he said. 0 Dr. C ole SPRING, 1975 Dr. Richards Or. Mindell is a Fellow of the American College of Surgeons, a Diplomate of the American Board of Orthopaedic Surgeons, and has been an Examiner for the past 12 years of the Board of Orthopaedic Surgeons . After graduating from the U. of Chicago Medical School in 1945, he interned for a year at the Cincinnati General Hospital. Following a two-year stint as Lt. in the U.S.N.R. he returned to the University of Chicago to complete a residency in orthopaedic surgery and as a faculty ~ member. In 1965 he joined Buffalo's department of surgery. Ten years later he became professor and head of its division of orthopaedic surgery. It has since received full department status. Dr. Papademetriou 23 Dr. W eiss �Senior medical students Ronald David, (upper left), Tone Johnson, ]r., Gregory Morton and medical librarian Kathy Chavous review findings on patient. Black Students Help Neighbors Stay Well 24 THE BUFFALO PHYSICIAN �Black medical students in Buffalo are helping neighbors to stay well in a new clinic that is located in the inner city. Every Saturday, from 9:00 to 4 :30p.m . about 30 to 40 patients come to the fourth floor of the Office for Equal Opportunity's downtown site for a free physical examination. Here, neonates to the elderly are seen by a handful of medical, nursing , and medical technology students . All are supervised by a professional staff. " We are finally able to offer a service to the community," Gregory Keith Morton, III said. The senior medical student had spent endless hours to unravel red tape so that the clinic could open. " We now have a place where people in the community can come for free physical exams," he said, " and where we, as minority students, can add to our training in physical diagnosis in a clinic that is academically designed. " He explained that POLITY, the Medical School's student government, picks up the tab for those who cannot pay. The idea of offering free services began back in the late sixties. In the inner city's Westminster House , a breakfast program was begun by the University Black Student Union as well as a medical program directed by Dr. Haynes Robinson. Not only were patients examined by medical and dental students on table tops and in kitchen chairs, but lab tests were carried out in the kitchen . It was a poorly-equipped setting. Grego ry M orto n looks at patient's eardrum . Or. Isaiah M egge tt watches m edi cal technician Patricia A. Crow ell take blood sample f rom patient. But, reviewed Greg , during its first five months of operation- it was open only on Saturdays - more than 300 children were screened and students gained first-hand knowledge on health problems in an inner city population. In ten percent of the patients seen, students found visual defects that required correction . There were also three cases of blindness in at least one eye, others had hearing problems, and 12 cases of sickle cell traits were uncovered. The present site represents the third clinicthere was a short-stay in SUNY's Urban Center. It is the best equipped and there are games and toys for children as well as a TV and piano in a nicely-carpeted lounge. While free exams are given by medical seniors Gregory K. Morton , III, Tone Johnson, Jr. and Ronald David , " we are not asked to diagnose," Greg explained. " We only determine whether referral to a nearby hospital is necessary. " Nursing students, who are carefully instructed by a registered nurse, take histories, give visual and hearing tests, etc. A team - one junior and one senior medical student- spend about 20 minutes per patient. "We tell our patients that the physical examination is for prevention, that we do not want them to wait until they are sick," Greg d- said. SPRING, 1975 25 �Physical findings on each patient are then presented to the medical director, Dr. Harvey Butler, who is ultimately responsible for all patients. Dr. Isaiah Meggett is also available if there is a problem. After either signs the examination form, the patient has a legal document to use to fulfill school entrance or job requirements, points out Greg. In a well-equipped laboratory, medical technology students can perform a battery of tests. They may range from urinalyses to blood tests or bacterial/serologic smears. Sickle cell tests are also available on patient request. Ronald David examines patient's abdomen. Nursing student Emilda B. Bissent watches Tone Johnson, ]r. and Gregory Morton test reflexes of patient. Emilda Bissent takes patient's blood pressure. While the clinic is basically a well-health center for well people the students have found significant murmurs, urinary tract infections and suspicion of tumors in patients they have examined. There have also been chronic diseases such as bronchitis, emphesema as well as lead poisoning from paint chip ingestion. Screening tests for the latter are now underway in children. And they have seen visual problems which may prevent children from reading and learning and lead to behavior problems. 26 THE BUFFALO PHYSICIAN �Kathy Chavous instructs on filling out patient record form. "We do a lot of counseling," says Greg. "We learn to communicate and to relate to patients." Perhaps, through what they learn, they may be able to improve the health care system for those in the inner city. But there is also a desire to "share what we have learned with freshmen and sophomore medical students as well," Greg says. "Perhaps through lectures we can review the academic aspects of what we see in the clinic," he continued. He feels that the experience of setting up and working in this well-health clinic has made him a little more sympathetic and understanding. "Hopefully I will be a better professional with more humility. I now know what the word means." Will there be other students to carry on the work of "helping our neighbors to stay well" when he, Tone Johnson, Jr. and Ronald David graduate in June? Greg hopes so. O ---Gregory Morton goes over patient problem list with Kathy Chavous. Dr. Meggett (third from left) correlates patient findings at end of day with health care team. SPRING, 1975 27 �----~--------- -- - Or. Timothy Harrington, family practice physician and preceptor, Dr. Stuart Rubin, third year resident, and Mary Lynn Fekete, L.P.N., examine a patient. Or. Harrington is a graduate of the prog ram. Family Practice Center T raining physicians to provide personal, continuous, comprehensive care to patients as members of family units is the goal of the Family Practice Center of Deaconess Hospital, 840 Humboldt Parkway in Buffalo . It became a Medical School affiliated residency program last July. " This is the third oldest family practice residency program in the United States," Dr. Robert Seller said. He is professor and chairman of Family Medicine at the Medical School and director of the Deaconess Hospital Family Practice Residency Program. Dr. Seller is also coordinating the development of other family practice residencies in Western New York. On May 1 , 15, and 24, he will sponsor a special continuing education symposium for family physicians and internists of Western New York, which will be held at Deaconess Hospital. Family practice is the newest recognized specialty in this country and the first to require recertification every seven years. Dr. John G . Robinson, associate professor of psychiatry at the Medical School, pointed out that the program provides a realistic graduate educational experience in Family Practice equal to those which have hitherto been only available in the established disciplines. As acting director of the Center, Dr. Robinson was responsible for a $375 ,000 Federal training grant last summer. Deaconess Hospital also funds the program. And in addition there is a Governor's Bill (New York State) that will provide approximately $300,000 to the Family Practice Residency Programs. 28 THE BUfFALO PHYSICIAN �An eight-week preceptorship gives second year medical students their initial exposure to family practice. Dr. Seller hopes to expand the curriculum to include all four years for U/B medical students. Sometime in the future Dr. Seller hopes to assist in providing health care for families of all U/B students. The patients who come to the Family Practice Center are treated as individuals against the background of their family and of their society as family units. One-half of the patients pay a fee for medical service. Approximately 20 per cent are on Medicare while the other 30 per cent have some type of insurance or receive medical assistance. When the family first comes to the Center, it is assigned to one of the young physicians, and from that point on the Center takes 100 per cent responsibility for meeting or arranging for that family's health care needs. The physician to whom the family is assigned sees them by appointment at the Deaconess Family Practice Center. The physician-resident is responsible for SO families during his first year in the program, and 150 families in his third year. If a consultation or referral is indicated, patients are referred to appropriate specialists. The majority of patients who need hospitalization are admitted to Deaconess Hospital under the care of members of the Center staff and appropriate consultants. The resident receives training at Deaconess and Children's Hospitals and spends some elective time with family practice preceptors in Western New York. The program emphasizes the "health care team" in responding to society's need for efficient, effective, and economic care delivery according to Dr. Seller. Ambulatory care and psycho-social problems arcr- Dr. Winford Quick, a resident, and Karen Weisbeck, team secretary, discuss a case with Dr. John Robinson, associate professor of psychiatry. SPRING, 1975 29 �A staff conference. (left to right) Joyce Gais, L.P.N., Ursula Johnson, head nurse, Irene Fino, nurse practitioner, Dr. David Paul, resident, Dr. Robinson, Dr. Seller, Miriam Weller, social worker. stressed. The present staff includes a psychiatrist, social worker, dietitian, nurse practitioner, and three licensed practical nurses. The Center is geared toward teaching effective methods of ambulatory family medicine. Patient education and preventive medicine is also stressed. The program started in 1970. Currently there are 32 residents in the program, who have graduated from 16 medical schools. By July 1, 1975 there will be 38 residents. The program is committed to training physicians to practice in manpower shortage areas. Several physicians who completed their residencies are practicing where there is a shortage of physicians. Two are practicing in Warsaw, New York, a rural area, while three are currently in the Armed Forces. A sixth is in Phoenix, Arizona and a seventh is taking postgraduate work at the University of Rochester in psychiatry. Three physicians completed their residencies in 1974. One entered the Navy, another is working as an emergency physician at Mercy Hospital, South Buffalo, while a third physician went to Kaiser-Permanente in Portland, Oregon. Two residents left the program. One was drafted during his second year and another left during his third year to join a group practice in Wyoming County in New York State. All applicants are carefully screened and interviewed by three members of the Medical Education Committee. All applicants must be graduated from a fully-accredited medical school. Preference is given to residents of New York or those planning to practice in the state. O Dr. Edward Marine, chief of internal medicine at the Deaconess, leads a morning report session with residents. �Fifteen Continuing Medical Education Programs are scheduled for winter-spring, 1975, according to Mr. Charles Hall, director of the prog rams. The dates , titles and chairmen of the programs are : March 21-22 Recent Advances in Dermatology, Drs. R. L. Dobson and J.C. Maize. March 25A Day on Blood, Dr. D . MacN. Surgenor Apri/4What's New About the Adrenal Cortex?, Dr. W .R . Slaunwhite, III Apri/17 Nuclear Medicine for the Practicing Physician, Drs. M . A . Bender, J. Prezio. Apri/19-20 Anes th esiology, Dr. J. I. Lauria Apri/23-24 Sexuality and Contraception, Dr. J. Lippes May 1-15-31Three Days in May-Recent Trends in Diagnosis and Therapeutics 54th Annual Program, Drs. R. H. Sellers, J. Nunn, H . Black. May 2-3Ophthalmology, Dr. T. J. Guttuso May- Coronary Artery Disease, Dr. J.A . Zizzi MaySAmerican College of Surgeons, Western New York Chapter, Spring Program, Sports Medicine, Drs . W. Rogers, G. Reading May 9-10UB Alumni Spring Clinical Days 38th Annual Program, Dr. M.A. Sullivan May 14-15-16Children Needing Rehabilitation, Dr. R. Warner, Mr. Tom Rozek May 19-20-21 Immunopathology of the Skin, Dr. E. Beutner June 2-6Refresher Seminar in Pediatrics, Dr. E.f. Ellis June 4-5-6Gynecological Laparoscopy, Dr. N.G. CoureyO SPRING, 1975 15 Continuing Education Programs �Dr. Cummiskey Dr. Maria Andres, attend ing radiolog is t, and Or. Cummis k ey review G.l. f luo roscopy f ilms. Or. C ummiskey and Suzann e Tschopp, senio r radiolog y technician, f luoroscoping a patient. T he man who placed approximately 525 medical students in internships the last five years is a second year radiology resident at the E.J. Meyer Memorial Hospital. In his new position Dr. Thomas Cummiskey is on call at home and on duty one day a week in the emergency room. His daily duties vary. Some days are devoted to fluoroscopy, others to doing intravenous pyelograms, and other procedures as well as interpreting chest and other films . He is also a teacher-clinician for the medical students who rotate through the radiology department every month. " This is my fifth and final year of writing internship-placement letters for medical students. I enjoy writing the letters in the evening because I know the students." Dr. Cummiskey was assistant dean for student affairs from 197073 . Although being a resident physician is a full time job, he volunteered to help students in their search for internships. After completing his residency in June, 1976, Or. Cummiskey wants to continue in general radiology in a hospital setting in Western New York. Dr. Eugene V. Leslie is head of the radiology department at the Hospital. There are 11 full or part-time attending radiologists and six residents in the department. Dr. Leslie is also a clinical professor and chairman of the department of radiology and clinical professor of nuclear medicine at the Medical School. O 32 THE BUHALO PHYSICIAN �In the emergency room Or. Cummiskey reads X-rays with medica/students, Penny Asbel, Gregory Morton and Ronald David. Dr. Adel Elkousy, a radiology resident, and Or. Young Sun Oh, attending radiologist, review films taken in the emergency room with Or. Cummiskey. �Drs. Betttner, ]ablonska Harrington Lecture I I That immunology is an important tool for clinical dermatologists received added impetus from Warsaw, Poland's famed clinical dermatologist Dr. Stefania Jablonska. During her recent visit to Buffalo as a Harrington Lecturer, she pointed to the implication of autoimmunity in pemphigus and other related diseases. Autoantibodies, she said, are now accepted by all clinicians in diagnosing these diseases. Widely known for her contributions to the treatment of skin diseases, Dr. Jablonska's group was the first to clinically apply a method pioneered by a Buffalo immunodermatologist, Dr. Ernst Beutner, to diagnose pemphigus. Known as immunofluorescence testing, it is now standard procedure throughout the world for diagnosing this bullous disease which, if untreated, is almost universally fatal. While pemphigus is rare in this country, it is a common disease in Poland as well as in other parts of the world. Drs. Jablonska and Beutner continue to collaborate on the clinical application of research findings to bullous diseases. Ten years ago, she explained, Dr. Beutner discovered autoimmune components in bullous skin disease. Through this Buffalo professor of microbiology and dermatology's pioneering findings and its application for diagnosis, Dr. J ablonska is now able to successfully treat 90 percent of all of her patients who suffer from bullous diseases. She also pointed to the contributions of other Buffalo pioneers as well. From the studies of the late Dr. Ernest Witebsky and current microbiology chairman Dr. Felix Milgram have come an understanding of the autoimmune pathogenesis of pemphigus. "We now recognize its various forms through immunological phenomena and mucosa involvement," Dr. Jablonska said. For clinical dermatologists today, she feels the real problem to be that of diagnosing mixed bullous diseases. "Because they can coexist with other autoimmune diseases such as lupus erythematosis, myasthenia gravis, and pernicious anemia, only immunological evidence permits its diagnosis," Dr. Jablonska said. Underscoring the mark of a true scientist as one who finds clinical application for his findings she pointed to Dr. Beutner. " He did just that, and his IF tests have real value for humans," she continued. Many clinical dermatologists receive their training for this methodology here in Buffalo.O 34 THE BUfFALO PHYSICIAN �Individual indifference is the greatest enemy of preventive medicine, according to Dr. Daniel G. Miller, a 1948 Medical School graduate. He is director of the Preventive Medicine Institute's Strang Clinic in New York City. "Half of the 1,200,000 deaths from heart disease and stroke last year could have been avoided, and so could one-third of the 350,000 deaths from cancer," the 49-year-old cancer specialist said. Dr. Miller said when he gets a list of male patients from the computer who smoke, show signs of hypertension, obesity, and high cholesterol "I know I have a high-risk registry of people susceptible to heart disease. I immediately warn these people to get to a doctor." For patients, Dr. Miller has designed a self-administered, selfexplained health questionnaire. He has also hired a health educator to make his patients aware of their health needs and where they can get help. "Many middle-class people don't know how to use the community resources available to them. They assume they are only for the indigent." On the theory that the clinic should accept responsibility for the abnormalities it finds, Dr. Miller initiated research for colon, lung, and pancreatic cancer. He began a special program for detecting breast cancer and trained three nurses to help in detection. He hopes to train others and put them in a store-front medical information center on the street floor of the clinic. "Too many people won't accept the fact of their vulnerability," Dr. Miller said. "They cover it with indifference and this can be as great a curse as the disease itself." <) Two Alumni Honored Two Medical School alumni have been happy as "country doctors" for three decades. Drs. Carra L. Lester, M'29, and Harold H. Saxton, M'30, were honored in August by the Chautauqua-Mayville (N.Y.) Lions Club. Dr. Russell Roth, immediate past president of the AMA, addressed the dinner meeting. Both Drs. Lester and Saxton have served their communities for almost 40 years, and they hope to continue to practice because they are needed and wanted. It's been a good life, according to the two physicians, because they know not only their patients, but their patients' parents and often their grandparents. They also like the pace of living in a smaller community, away from the bustle and pollution of the city. Dr. Saxton is physician to the Chautauqua County Jail at Mayville. For 20 years he was medical director of the Chautauqua County Home and Infirmary. During that period which terminated in 1965, he obtained nearly 100 pairs of eyes for the Buffalo Eye Bank. Dr. Lester, school doctor and health officer of Chautauqua County, is a past president of the New York State Health Officers' Association, the State School Physicians' Association and the Academy of Family Practice. Both physicians admit that it is easier to visit patients in a hospital. But they prefer the more personal home visits. <) SPRING, 1975 35 Patient Indifference �38th Annual State University at Buffalo May9 and J Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, MAY 9 9:15a.m. Registration 9:45a.m. PAULL. WEINMANN, M.D . '54 Welcome: President, UB Medical Alumni Association 10 :00-noon NEW CURRENT TOPICS AND THEIR APPLICATION TO CLINICAL MEDICINE Moderator : ALEXANDER C. BROWNIE, Ph.D. Research Associate Professor of Pathology, Professor of Biochemistry Human Sexuality- GLORIA ROBLIN, Ph.D. Clinical Associate Professor of Psychology in the Department of Psychiatry Biomedical Instrumentation- ROBERT A. SPANGLER, M.D. , Ph.D. Associate Professor and Acting Chairman, Department of Biophysical Sciences Computer Aid in Medicine- HAROLD I. MODELL, Ph.D . Assistant Professor of Physiology ROBERT]. MciSAAC, Ph.D. Professor of Pharmacology and Therapeutics 12:00-12 :15 p.m. Intermission 12 :15-12:45 Business Meeting Election of Officers 12:45-2:00 p.m. Luncheon j FRIDAY AFTERNOON INFECTIONS AS SEEN BY THE CLINICIAN 2:00-4 :00 p.m. I Moderator : CORNELIUS]. O'CONNELL, M.D. Clinical Associate Professor of Medicine and Microbiology Medical Infections- CORNELIUS J. O 'CONNELL, M .D. Surgical Infections- ROBERT SPIER, M.D. Clinical Associate Professor of Surgery I 36 THE BUFFALO PHYSICIAN l �o Medical Alumni Spring Clinical Days llO, 1975 Viral Infections- THOMAS D. FLANAGAN, Ph.D . Associate Professor of Microbiology Opportunistic Infections- IRWIN NETER, M.D . Professor of Microbiology Class of 1925 Reunion Reception and Dinner Statler Hilton Hotel \ 6 :30p.m. SATURDAY MORNING, MAY 10 9:15a.m. 10:00-noon Registration RE-LICENSURE ANDRE-CERTIFICATION Moderator: MILFORD C. MALONEY, M .D. Clinical Associate Professor of Medicine R. C. DERBYSHIRE, M .D. Secretary- Treasurer, New Mexico Board of Medical Examiners, Santa Fe, New Mexico Panel: WILLIAM P. NELSON, III, M.D. Professor of Postgraduate Medicine, The Albany Medical College of Union University, Albany, N .Y . WILLIAM C. FELCH, M .D . Attending in Medicine, Grasslands Valhalla, N.Y. ! Hospital, PHILIP ALPER, M.D. Assistant Professor of Medicine, The University of California School of Medicine, San Francisco, California 12:00-12 :15 p.m. Intermission SATURDAY AFTERNOON 12;15 p.m. UB MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE Guest Speaker: l 6:00p.m. SPRING, 1975 HELEN M . RANNEY, M.D. Professor and Chairman, Department of Medicine, University of California, San Diego School of Medicine Class Reunions : Reception and Dinner 1930,1935,1940,1945,1950,1955,1960,1965 37 �In this fo urth article of his series, Dr. Sanes d raws mainly on his relationship w ith oth er adult ambulatory patients at the R oswell Park M em orial Institute, chiefly in the ly mphoma-leukemia cline. M os t of them have disseminated disease. Dr. Sanes also dis cusses, however, cancer patien ts w ho were not diag nosed and treated at the institute. A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part IV His Relationship With Other Cancer Patients And Some Of The Things He Learned From Them By Samuel Sanes, M .D . Human disease consists of any abnormality in structure and function. On M arch 1, 1975, Dr. San es' case of disseminated reticulum cell sarco ma (histiocytic ly m p homa) w as classified " a twoy ear surv iv al in remission." For the past y ear Dr. Sanes has been followed with biw eekly checkups which cover interval his to ry, p hysical examination , blo od count, other tes ts and X- ray films as sched uled. I I A surgical pathologist diagnoses structural abnormalities in gross specimens and histologic sections. He seldom, if ever, sees the patient, the living human being- man, woman or child - from whom an organ or part of an organ has been removed. For example : A 56-year-old woman with a 2 em. hard lump in her breast enters the hospital for a biopsy. From the operating room the excised lump is transported to the surgical pathologist by an OR aide or through a pneumatic tube. The pathologist examines the lump grossly and reports the microscopic diagnosis of " scirrhous carcinoma" from a cryostat-frozen section by telephone to an OR nurse or through an intercom system to the surgeon. The pa tien t- a woman with cancer of the breastA macro- and m icroscopic lesio n is to him And she is nothing more. So cancer was to me as a surgical pathologist. It had to be if I were to perform my specific diagnostic assignment in a scientific, effective way. But as a surgical pathologist-turned-lymphoma patient I came to see cancer as more than a structural abnormality in a gross specimen and a histologic section. I also saw it as involvement of the total human being in all of his relatedness to himself, to other persons, and to the world about him. I became keenly aware of the changes that cancer, particularly disseminated cancer, brings about in interpersonal relationships. The cancer patient relates quite differently from the healthy individual or the one with a benign, temporary illness to his immediate family, more distant relatives, his physician and other members of the medical team, friends and acquaintances among the laity, professional colleagues and coworkers, other cancer patients and the community (in terms of standards and services, institutions and agencies for cancer prevention and care.) 38 THE BUFFALO PHYSICIAN �Here in the fourth article of this series I will discuss some of the things I have learned, as a patient with disseminated cancer, through my relationship with other cancer patients during the past two years. My fellow outpatients at the cancer institute seem surprised to discover that I am a physician. Physicians, in the public's mind, never get sick. At least they never contract the same diseases that other patients do. For example: One morning in the corridor of the institute I met a lawyer in his late fifties with whom I had worked in community affairs over many years. There was a small dressing on the malar region of his left cheek. After greeting him, I asked what he was doing at the institute. He replied that he was being treated for basal cell carcinoma. I told him that I was receiving treatment for disseminated reticulum cell sarcoma. Noting his puzzlement, I explained that I had " cancer of the lymph nodes. " He was taken aback. " What!" he exlaimed, looking at me in astonishment and disbelief. " You've got to be kidding! You have cancer? You know - I never before really thought about a doctor getting cancer - being treated for it. " As a physician-patient in the lymphoma-leukemia clinic of the cancer institute, I have found myself a source for information, a partner for scientific discussion, a depository for confidences, and a provider of assurance and personal example to other cancer patients. Hearing me addressed as " Dr. Sanes" by the clinic secretary, nurse or nurse's aide, some patients ask if I am a medical doctor. Learning that I am, certain of them proceed to put professional questions to me questions that they say they hesitate to ask the physicians who are looking after them. (Perhaps they are just using me to check on those physicians.) " How come they didn' t do an abdominal operation on me and take my spleen out as they do with other patients?" .. . " Why have they changed my chemotherapy?" ... " What do they mean I'm in a remission? My lymph nodes are just as large as they ever were." ... "Did you attend the lecture last week at which that scientist from the National Cancer Institute spoke on the treatment of Hodgkin's Disease? Did he say anything about the drugs I'm on and whether they prolong life? If there's no good evidence that they do, I'm stopping them. The side effects are just too much." Of course I handle patients' questions gingerly. My suggestion is always " Why don' t you ask your physician? He knows everything about your condition and will be glad to answer you. " When possible, I alert the physician to his patient's concerns. d- SPRING, 1975 39 W elcomed by Pat M cMillon, secretary of th e lymphom a- leukemia c-linic, Dr. Sanes reg isters at 9 A M for his checku p. �A college English instructor, compelled by his illness to retire, has been disillusioned with me, I'm afraid, as a knowledgeable co-discusser of the scientific aspects of lymphoma-leukemia. When he found out that I was a physician and a pathologist to boot, he talked to me at length, analytically, about lymphoma-leukemia in general and even individual cell types. He had no qualms about differing with my beliefs and impressions, accumulated over 42 years in pathology. He spends much of his time reading up on his disease lymphocytic lymphosarcoma with involvement of peripheral and internal nodes and viscera. I have a hunch he knows more about the latest medical literature on lymphoma-leukemia than most physicians, even those specializing in the field. Certainly he has read more than I. He can't figure out why I don't read more, and he often refers me to the most recent articles. When he has done so, he'll ask me, the next time we meet in the clinic, whether I have read the articles (nearly always I haven't, to his disappointment) and, if so, seek my opinions on the data and conclusions to compare with his. Cheryl Krull, hematology lab technologist, takes blood for hemoglobin determination, hematocrit, white blood cell and platelet counts, and differential wbc count. As to being a depository for confidences, let me cite the middleaged woman in her fifties who sat next to me one morning in the surgical clinic where I was waiting to have the sutures removed after a third biopsy. She was reserved and noncommunicative until she heard a nurse address me as "Dr. Sanes." Then her whole manner changed. She confided to me that she had been operated upon a few years previously for cancer of the colon and had returned upon the advice of her family physician for a checkup for possible metastases. She poured out the most intimate medical and personal details. "I wouldn't tell these things to any other patient," she explained, "but I know that I can tell them to you because you're a doctor." (Incidentally, she resided in a small town about 150 miles from Buffalo. Her family physician, who had delivered all her children, had been a classmate of mine in the U/B Medical School. I haven't seen him in nearly 40 years.) The fact that I, a physician, have disseminated lymphoma has seemed to provide a special feeling of assurance, probably even of pride, for other patients with the same disease under similar treatment. In the first weeks after my diagnosis, waiting my turn for daily radiation therapy, I overheard an inpatient, a wispy, gray-haired little woman in a pink robe, whisper to another, younger, patient from the women's ward: "Do you see that man over there? (indicating me with a nod of her head). He's a Buffalo doctor. He's got the same disease we have. Getting the same treatment too." 40 THE BUFFALO PHYSICIAN �As a physician-patient, I have felt from the beginning the responsibility to provide assurance and to set an example for other cancer patients by my own reaction to my disease. Even when I was suffering the darkest fears and the worst sideeffects of treatment, once I entered the lymphoma-leukemia clinic I tried to lift my head , throw my shoulders back, and walk with an energetic step. When the clinic secretary inquired how I was feeling I'd answer in as firm and resonant a voice as I could muster, so that all of the waiting patients might hear, "Pretty good today." Learning is a two-way process. If my fellow patients have learned certain things from me as a physician-patient, I have learned much more from them, not only as a patient but also as a physician. I have learned from them lessons in some of the fundamental mechanisms for facing and coping with cancer- about the meaning and value of anger, of faith and prayer, of humor and wit, of mutuality . ANGER Following the appearance of my first article in The Buffalo Physician, one of my physicians at the cancer institute wondered why I hadn ' t included " anger" among the " thoughts and feelings " the cancer patient experiences. I told him that I had purposely omitted it so that I could write about it at greater length in this article. Anger is a far commoner emotion among cancer patients than physicians imagine. It may vary with the presumed origin and cause of the disease, the type, stage, and course. It may vary with the object against which it is directed, in its intensity and duration, its degree of external expression, and the effects and results it produces . Because of my scientific knowledge of the etiology and pathogenesis of cancer, I recognized the limits of Medicine's understanding of the origin of my disease . I realized that developing "disseminated reticulum cell sarcoma" was just my tough luck. I didn ' t rail wildly at Fate or God (how come the Devil is never the target?) as patients without my medical training and background often do . "Why me?" a patient grumbles bitterly. " What did I ever do to deserve this? I've prayed regularly to a beneficent God , whom I always trusted to look after me. Now I have cancer and will probably die of it. I'm still young . My life's goals are nowhwere near accomplished. Yet there are men walking the streets in excellent health who have seldom done a virtuous act. Talk about man 's abomination to the Lord ; what about the Lord's abomination to man?" In this mood the patient may even decline to have anything to do with a clergyman. SPRING, 1975 41 Dr. San es' hem oglobin and hemato crit have remained ab out 11 g ms. and 35 respective ly sin ce radiation therapy in March, 1973. With 50 mg m s of cytoxan daily th e w bc co unt has ran ged from 3000-4000 per cu. mm . and the platelet count 84,000-129,000. On hig her doses of th e d ru g the w bc had dropp ed to 2000 per cu . mm. and platelets to 80,000. �Gail Kw iatkows ki, diag nos tic X- ray department technician, gets Or. Sanes ready fo r periodic X-ray film of the ches t. " N o changes from previous films - no enlargement of mediastinum." Anger can also be directed against oneself because of feelings of guilt. - A woman with mammary cancer sees it as her punishment for having refused to breastfeed her children. Another woman with carcinoma of the breast, a topless dancer, attributes it to her " sin" of exposing herself nude in public. - A physician with advanced cancer of the rectosigmoid berates himself for not having gone in for an examination as soon as the first symptoms appeared. Some patients vent their anger on a physician, laboratory or hos pital. (On occasion, such anger may be patently unfair, unjustified because of the patient's ignorance of the limitations of medical science and practice in regard to cancer at a particular time.) - A 45-year-old patient who requires treatment for one basal cell cancer of the face after another because he had X-radiation for acne in his teens. - A 55-year-old woman whose physician (a close friend of hers too, and that may have been the problem) failed for months to take her severe backache seriously enough. He interpreted it as probably due to lumbar osteoarthritis and implied that it might harbor a neurotic or psychosomatic component. Eventually a diagnostic workup at a medical center to which the patient went in desperation disclosed that her p ain was due to multiple myeloma of the spine. - A physician's wife who requires repeated biopsy for recurring cancer necessitating surgery. " Why," she mutters rancorously, " should I have to wait a week for a pathology report only to be informed that the biopsy is ' inconclusive' and that another biopsy will be required?" -A lymphoma patient who absconds from care in a public hospital because the attending staff physician won' t talk to him or listen to him about his condition . (On the other hand, a patient m ay fly into a rage with his physician just for telling him that he has cancer.) - A woman with a lump in her breast who is told that the necessary biopsy is " not an emergency procedure" and that she will have to wait six weeks for a hospital bed. She had been sold, through public education, on the importance of early diagnosis and prompt treatment for survival in mammary cancer. How should she react but in anger when she reads about the wife of the President of the United States being admitted to a hospital for a biopsy and radical mastectomy the day after discovery of a similar lump? Pent-up anger can be a sterile, destructive force. Anger expressed openly, assertively, to a practical purpose, besides acting as an emotional safety valve, can be constructive to the patient's welfare and interests. The woman who was put off six weeks for a biopsy of a lump in her breast was driven to complain to the editor of the " action" column of her local newspaper. Needless to say she was soon admitted to the hospital. Anger can be most constructive as a coping mechanism when it is directed against the cancerous disease itself. It can be an antidote for parlyzing fear when it is converted into determination, doggedness, 42 THE BUFFALO PHYSICIAN �nerve, guts, defiance. "I must go on. I'll beat this son-of-a-bitch of a thing yet." This is an anger bent on life and survival. This is the anger I felt and expressed. Dr. Robert Cantor of San Francisco, an oncologist who has a degree in psychology, specializes in counseling as well as treating patients with cancer. He has studied 300 of them to find out why some are better able to handle their ailments than others. He cautions the physician about the patient who takes his disease lightly or passively. He sees the projection of a patient's anger, even on his family, physicians or nurses ("Just wait, I'll show them all yet!") as a favorable sign. That patient has a better chance of responding to treatment than one who has nobody to vent his anger on. If, on the other hand, the patient holds his hostility in himself, he is consumed by fear, guilt, depression or unexpressed anger. He will often lose the desire to live or to hang on. Yet, ironically, doctors prefer the nice cooperative patients who are eager to please... Dr. G. W. Milton of the Melanoma Clinic, Sidney Hospital, Australia, goes so far as to describe" the syndrome of self-willed death" in cancer patients who react without anger. This syndrome "nearly always affects a big man proud of his virility. The patient, when first confronted with the problem of his malignant disease, appears to disregard it and to be extraordinarily cheerful. To the young doctor this spurious bonhomie is a matter for great admiration and wonder ... Overnight the patient's whole manner changes and he is physically and mentally transformed. He literally turns his face to the wall and lies inert in bed, covering his face with the bedclothes ... He does not lament his fate nor does he look abjectly miserable. Rather he gives the impression of being completely indifferent . . . Blood pressure, pulse and respiration remain normal. He does not become either cachectic or dehydrated ... Within a month of the onset of this syndrome, the patient will almost certainly be dead. If a necropsy is carried out, although the patient may have an extensive tumor, there will often appear to be no adequate explanation for the cause of death." "Ire" is what the cancer patient puts into "desire"- the desire to cope with his disease, to survive. dSPRING, 1975 43 Marian Cormack, clinic nurse, weighs Or. Sanes. He has regained the 15 pounds lost during radiation. He fights hard not to put on additional weight but the battle is a losing one. (Or. Sanes is not on prednisone.) �----- - - - fAITH AND PRAYER An hour after visiting his semiconscious wife, who had just undergone radical surgery for breast cancer, President ford addressed 1000 men and women attending a summit conference on the nation's economic crisis. "It's been a difficult 36 hours," he told them, his jaw working and his voice faltering. "Our faith will sustain us ... " In my adult life, prior to my diagnosis of reticulum cell sarcoma, I had been hospitalized on just four occasions. In each instance I stayed a short time and made a full recovery. During my days in the hospital friends, professional colleagues, and co-workers always greeted me jovially with " best wishes." Since my diagnosis of disseminated cancer I've noticed a change in the tenor of expressions of assurance I receive. Now most persons quietly offer me their prayers. Periodic skin sensitivity tests to PPD, mumps, varidase, trichophyton, monilia, and fetal calf serum are made on both fo rearms prior to BCG vaccination. Delayed reactions are measured after 24 hours. (Dr. Sanes is a volunteer in an experimental BCG vaccination program.) "How about being a guinea pig for science?" his physician had suggested. Each one of us, when forced to face serious illness, suffering and pain, dying and death, has his own philosophic way of coping whether he has ever verbalized it or not. In our American culture this way can vary from one based on religion, especially Christianity and Judaism, to a secular one drawn from science and reason. There are all sorts of gradations in between. We derive our philosophic ways of coping from our upbringing, education, and personal thinking and experience. In facing and coping with my own disseminated reticulum cell sarcoma, I have relied on human resources - the knowledge, skill, empathy, and concern of my physicians; physical aid and emotional support from my family and friends; insight, rationality, and adaptiveness on my own part. At the other extreme, another person in whom cancer is suspected may so trust the divine tenets of his religion and the miraculous power of prayer that he will refuse the promises and ministrations of medical science. Other patients seek the best of both worlds- the natural or human and the supernatural or divine. - A middle-aged New York State woman with disseminated lymphoma who is being treated at the cancer institute in Buffalo with the latest scientific methods also makes regular trips to Philadelphia for the "laying-on of hands" by a faith healer. She doesn't tell her physicians at the institute about the " second front" attack on her disease. - A woman in her sixties scheduled for radical mastectomy the next morning has her husband telephone to a national " prayer tower" in southwestern United States and ask that it intervene with God for a successful outcome to surgery and cure of her disease. Interestingly both patients attribute any favorable results in their condition to faith-healing and prayer, not to the1r physicians and medical science. 44 THE BUFFALO PHYSICIAN �My own philosophic way of coping and that of the other patients mentioned are not typical for most Americans. More representative is that of a woman in her fifties who has had a personal encounter with disseminated lymphoma. Brought up in a liberal Protestant, non-church-affiliated family, she attended public schools, a state university, and is professionally employed in a field of medical science. By psychologic standards she is mentally and emotionally mature. When cancer strikes, she generalizes from her own background, anger and despair may initially lead a person to deny his religious beliefs, but the rejection is seldom more than temporary. The person who has turned to God at other times for lesser reasons will turn to Him again through successive stages of hope if the first one - that the clinical impression be proved wrong by biopsy - is dashed. He'll hope for cure or, if that is not possible, for control and prolongation of life; for palliation and finally for release from agony by death and some type of immortality. Certain believers feel a simple, direct, almost childlike closeness to God, such as that of Tevye in Fiddler orz the Roof. Others approach Him on a more formal, ritualistic level. faith and prayer become increasingly important as their disease worsens, recurs or becomes terminal. Unable to control their situation themselves or to obtain scientific aid and empathy from physicians, deserted emotionally by family and friends, they are led to rely more and more on the spiritual. Men and women who have prided themselves on their self-sufficiency are no longer able to go it alone in the face of fear and depression, insomnia, pain, nausea and emesis, loss of weight, debility, cachexia and dehydration, and urinary and fecal incontinence. Many physicians lack the time, background, training, personality, and understanding to give them the presence and support they need. Nor can their families and friends. But the cancer patient who believes in God as a loving father is never alone. He is able to talk to God as he cannot talk to his physicians, his dearest friends, the closest members of his family. There is comfort for him in the knowledge that he is one of a continuing procession who have called out to God in their time of trouble. He can pray with David, 'In thee, 0 Lord, do I put my trust ... forsake me not when my strength faileth.' And God is our refuge and strength, a very present help in trouble. Therefore will we not fear.' ('Courage,' quotes the Rev. Theodore M. Hesburgh of Notre Dame University, 'is fear that has said its prayers.') d- SPRING, 1975 45 In November Dr. Sanes left Buffalo for his annual winter vacation in Guadalajara, Mexico. There he was cared for by internist-hematologist Dr. Daniel Camacho, former resident at the Roswell Park Memoria/Institute and now a faculty member of the University of Guadalajara School of Medicine. �As a Jew he can look to Job, as a Christian to Jesus, for evidence that suffering and pain are not a symbol of God's rejection. And when the battle is finally lost, the believer can hope not only for surcease from suffering and pain but also for survival beyond death. (For some this means a personal, physical resurrection, for others a spiritual reunion with loved ones, for still others genetic and behavioral continuance through their children or historical continuance through remembrance of their thoughts and deeds.) He can say, with Paul, 'Death is swallowed up on a victory. 0 death, where is thy sting? 0 grave, where is thy victory?' In Guadalajara Dr. Sanes was cheered by visits from medical students whom he has befriended over the years, like Hilda Margarita Quiroz Galvan, a senior at the University of Guadalajara. In my own case, I have not so far turned for help to the supernatural. I have learned, however, that faith and prayer are important coping mechanisms for many cancer patients. Yet it is not uncommon to hear a physician brand them scornfully as "crutches" for persons too weak to stand alone. Such physicians do not hesitate to order physically-supportive crutches for the patient with a broken leg. And they would hail any new safe drug which so influenced a cancer patient's consciousness that he could tolerate his incurable or terminal disease with the same degree of serenity afforded him by faith and prayer. Furthermore, the physician who developed such a drug or proved it by testing would be quick to report it at a national meeting or in a scientific journal. He might even label it a "miracle drug." Why, then, scoff at the patient who finds, in the faith of his fathers and through prayer, emotional support, mental uplift and even physical palliation at a time when his physicians can offer him no hope or help and his family and friends are withdrawing from him? Even physicians may turn to religion when the gods of science can do nothing further. About two years ago, Dr. Gary Leinbach, a 39-year-old agnostic gastroenterologist in an academic research institution, lost his scientific objectivity and, doing what any patient might, consulted faith-healers before his death from cancer of the small intestine with metastases. Some years ago I visited a 50-year-old physician with glioma of the brain whom I had known to be non-observant in religion. I found him reading the New Testament. "I get comfort from it," he said apologetically. "I thought I had put this stuff aside with my childhood, but somehow it seems to help now." The wise physician will utilize a patient's faith and prayer as part of his therapeutic armamentarium rather than smile at the sufferer's "simplicity and naivete," his "regression to childhood myths and fantasies." He can call in a qualified clergyman to assist in the care of the patient, particularly if the patient indicates an interest in religion but has no clergyman of his own. Not all clergymen are qualified. Some, as cancer patients say," are very good to the sick," but some have the same 46 THE BUFFALO PHYSICIAN �hangups that physicians and laymen do about cancer and "look with dread upon visits to those who are fighting for their lives against the disease." (Part IV of Dr. Sanes's series will be concluded in the next issues of the Buffalo Physician) REFERENCES REFERENCES: Am. ]. Nursing 74 #4 pp. 650-1, April, 1974 (Cancer Patients Help Themselves"- quotations, etc.). The Bible (David- Psalms 46, 71. Paul,- I Corinthians, 15). Buffalo Evenings News p. 39, March 15, 1974 (Mrs. B. Bayh); p. 1, Oct. 3, 1974 (Mrs. Ford- "radicals"). Cancer, Care, Clergy Foreword, New York State Division, American Cancer Society (unqualified clergymen). Lancet pp. 1435-1436 June 23, 1973 (G.W. Milton) . Los Angeles Times Pt. [[ p. 5 March 15, 1974 (R. Cantor). Newsweek p. 30 Oct. 7, 1974 (Pres. Ford- quotation). New York Times Pt. [[ p. 17 ]an. 20, 1974 ("All in the Family" - letter); p. 46 March 26, 1974 (ibid-aide); p. 18 Oct. 12, 1974 ("National Health"). Saturday Review-World pp. 82-89 Aug. 24, 1974 (The Rev: T.M. Hesburgh). PHOTO-CREDITS: SUNYAB Department of Medical Illustration, D. Atkinson. ACKNOWLEDGMENTS: ].E. Sakal M.D., C. W. Aungst M.D., M.C. Snyderman M.D., E.M. Noles R.N., M. Cormack R.N., M. Solomon. VA Hospitals Will Expand The Veterans Administration Hospital will break ground this fall for a $5.89 million wing to house expanded outpatient facilities . This was announced during the hospital's 25th anniversary party on January 15. "In the past 25 years," said Mr. Joseph Paris, hospital director," the hospital has developed a tradition of service to the veterans and their communities in Western New York through its programs of treatment, research and medical education. It is a teaching hospital affiliated with the Medical School. Currently there are 41 research projects financed through the Veterans Administration and 13 others supported by outside funds. " The hospital expects more than 120,000 outpatient visits this year. The hospital has 888 beds and another 36 beds designated for nursing home care. There is also a lO-bed kidney dialysis unit in addition to programs for veterans suffering alcoholism or drug abuse problems . . It is the only hospital in the VA system (totaling 173) with a hyperbane chamber for patient treatment and research. Medical history was made at the hopsital in 1958 when physicians developed the first bat~ery-operated cardiac pacemaker. Two patients were the first in the Umted States to receive nuclear-powered pacemakers in July 1972. 0 SPRING, 1975 47 �.. Dr. Dobson shows Elaine Zielinski how to distinguish various fungus problems through a study of slides. First Nurse Practitioner in Dermatology A biopsy helps to determine proper patient management, points out Dr. Dobson to Elaine Zielinski. W hat may well be the first nurse practitioner trammg program in dermatology in this country is now underway in Buffalo. It is one approach that the department of dermatology is using to cope with the burden of skin diseases in the community. Here, nurses will undergo a year of training that is equivalent to the first year of a dermatology residency. " And with little or no physician supervision," predicts Dr. Richard L. Dobson, professor and chairman of dermatology, "they will then be capable of seeing patients in clinics, in physicians' offices, and in community health centers where there is significant skin disease and where health professionals are scarce." It is rare for a medical school to be aware of or meet a community's health needs notes Dr. Dobson. But that a quarter of all Western New Yorkers have a skin disease that requires treatment is substantiated by a recent National Health Survey. It was authorized by Congress in 1957 to determine just how widespread disease is in this country. "What the three-year study of a representative sample of Americans age one to 74 means in a two million population area like Erie County," points out Or. Dobson, "is that 474,000 have a significant skin disease." But only a small fraction are being served by the Medical School, the only dermatology referral center between Boston and Cleveland. And only a small number can be seen by the area's 20 practicing dermatologists. With personnel shortages and less than satisfactory methods of treatment and prevention that are found in all clinical fields today, how then to care for the area's estimated 86,000 handicapped or disabled through skin disease, the 94,000 with disfiguring acne, the 27,000 with eczema, the 92,000 with fungus infection, the 5 ,000 with skin cancer, the 20,000 with premalignant skin disease, and the 6,000 with psoriasis? A close look at the three major areas of medical school involvement - patient care, research, education- revealed only the first to be practical enough to meet immediate problems. All three, quickly points out Dr. Dobson, are inextricably linked however. More education in dermatology for the primary care physician will be necessary for" everyone will expect him to care for more and more patients with skin diseases," he said. Although Buffalo has one of the largest residency training programs for dermatologists in the country he feels that " we will only realistically be able to train about 20 in the next few years. " He notes that increasing training will not solve current manpower needs. " The same sort of demands on the primary care physician's time will likely be made by other overburdened specialties such as otolaryngology, gynecology, and psychiatry," Dr. Dobson said. And when increased consumer demand for specialized care with the imminent passage of national health insurance is added, the problem becomes even more complex. Prevention was another area that has received careful scrutiny as an alternative way to resolve the burden of skin diseases in the community. Noted however was the negative response from the public to a national campaign that warned of harmful effects from overexposure to sunlight. "This seems to have resulted only in an increase in bikini sales," he pointed out. Given the current "state of the art" he feels that it is unlikely that we will have effective preventive programs in the near future. 48 THE BUFFALO PHYSICIAN �And while finding a cure for a rare disease, however interesting, will have little effect on the overall problem, improving the treatment of a common one such as acne by 25 percent will have a significant impact. "We need to develop careful, long-term research programs in areas of strongest potential impact," Or. Dobson said. In reviewing his choice of the nurse practitioner, Dr. Dobson pointed to the large number of underutilized nurses who spend too much of their time in clerical activity. "The nurse, with a long-standing code of ethics, is a professional who has proven to be a great resource in the health care delivery system," he said. Elaine Zielinski has begun her training as the first nurse practitioner in dermatology. Notes Or. Dobson, "she is learning diagnosis and therapy as quickly as a first-year resident." When she completes her training in the spring and as funds become available she will play an important role in developing an expanded training program for other nurse practitioners in dermatology. "Valuable insight has been gained by her while attending a national conference on the role of nurse practitioner," he said. She will also play an active role in patient care programs at the Buffalo General and E.J. Meyer Memorial Hospitals. "Hopefully our program will serve as a model for the development of similar ones in other parts of the country," Or. Dobson concluded. Dr .. Dobson shows senior medical student Ronald David, Elaine Zielinski and dermatology resrdent Joseph Nieman how to distinguish patient with neurofibromatosis. SPRING, 1975 49 Assessing a patient with eczema helps Elaine Zielinski determine proper patient management. �-~-- -- - - Or. Nadler examines and visits with patients in his carrot attire. Halloween Party A 1971 Medical School graduate was the main attraction at the Halloween party at the pediatric clinic at the E.J. Meyer Memorial Hospital. Dr. Dennis Nadler, attending staff physician, surprised and thrilled the 100 children who visited the clinic October 31 . Dr. Nadler's uniform depicted a carrot. The experience wasn' t new for him. He had performed a similar act at Children's Hospital the last two years (appearing as asparagus and a thermometer). Except for a short lunch and dinner break, Dr. Nadler was "on stage" from 8 a.m. until the clinic closed at 10:30 p.m. The 28-year-old physician had almost as much fun as the kids. He had his serious moments during the long day when he examined the children and did some counseling. Dr. Henry P. Staub, associate professor of pediatrics at the Medical School, directs the hospital's pediatrics program. Children from one week to 16 years visit the clinic. Dr. Staub is assisted by five attending physicians, plus housestaff. There is one junior medical student (four rotate) at the clinic at all times. And during the summer the clinic is popular for senior medical students. f' An informal conference in the clinic with four medical students. From the left- Barry Weiss, Dr. Staub, Penny Asbell, Dennis Blasberg and Bruce Nohejl. - �There. was a special Health Sciences Day for the visitors that included tours of medical fan!Jtles. Pictured here from left to right - Dr. Toyota, a Japanese aide, Dr. Eugene L!ppschutz., associate vice president for health sciences, Dr. John Lore, Jr., professor and chairman of the department of otolaryngology, and Dr. Edwin Mirand, professor and head of biochemical pharmacology at the Roswell Park Memoria/Institute. Japanese Honored by University ~our Japanese dignitaries from Buffalo's sister city, Kanazawa,. ':e~e onored by city and university officials during their three-day v1s1t m October. d Speaking at a campus dinner honoring Dr. Bun-ichi Toyota, presient. of Kanazawa University, Dr. Albert Somit, U/B executive vicepr.esldent said, "the affiliation agreement between the two universities ;lll hopefully lead to an effective faculty-student exchange program; evelop an exchange of scholarly materials, and engage in common research projects." President Toyota received a "key to the University," and a piece of Ste~ben Glass Star Crystal from the Corning Glass Works and a University Council Citation from Mr. William Baird, Council Chair- rnan. O SPRING, 1975 51 �Drs. Gillman, van O ss and Bigazz i ready initial ce lls fo r se paration on A pollo Soyuz spacec ra ft. Separating Immunologically Competent Cells A simple way to separate large quantities of immunologically competent living cells to be used for those with immunological defects has been found by a pioneering team of Buffalo immunologists. Drs. Cetewayo Gillman, Pierluigi E. Bigazzi, Carel J. van Oss, and Mr. Paul M . Bronson who is senior research assistant, are now separating, on the basis of their electrical charge, various classes of lymphocytes that are the most important cells for immunological reactivity . This separation is done through a modification of a technique that is known as electrophoresis. While the " T " or thymus-dependent fraction is involved in cellmediated immunity and synthesizes a variety of mediators known as " lymphokines," the " B" or bone marrow-derived cells are responsible for antibody formation, one of the body' s defenses against foreign invaders. 52 THE BUFFALO PHYSICIAN �Explained Dr. van Oss, " the force of gravity on earth- it is! ginterferes with the separation of the 'T' and 'B' fractions of the lymphocytes. In electrophoresis negatively-charged cells migrate in an electric field toward the positive electrode. Because 'T' cells are more negatively charged than the ' B' ones, they migrate at a faster rate." But during the time it takes the 'T' cell to migrate ahead of the 'B' one, he explained that " all will have settled to the bottom of the electrophoresis vessel. " However, by using complicated steady state fluid flow mechanisms , small quantities of separated cells are recoverable. In outer space, where there is zero gravity there is no problem of ~,edimentation. " This separation of lymphocytes," he continued, should be easily performed with simple devices. Experiments are now underway by the Buffalo team to do just that. " . An alternate way to electrophoresis in outer space depends on findmg a way to overcome the force of gravity on earth, Dr. van Oss ex~lained. " for we want to obtain large quantities of viable 'T' cells for use 1 ~ treatment of patients with cellular immunity defects, chronic infections, and malignancies." While early tests by the Buffalo team pointed to the possibility of cell separation in columns packed with glass beads, extensive experiments proved that cells of varying sizes could not be electrophoretically separated by that method . A better approach seemed to be free liquid electrophoresis in density gradients. However the team found that density gradient columns caused severe clumping of lymphocytes . They therefore turned their attention to electrophoretic levitation in simple buffers where cells with the highest electrical or " zeta" potential not only tend to move upward but there is no clumping of lymphocytes. The largest cells tend to remain near the bottom of the tube despite their electric charge. Continuous flow or zero gravity electrophoresis, Dr. van Oss feels, may correct this lack of larger-size lymphocytes. . By reversing the direction of electrophoresis in an upward direction, the Buffalo team has been able to collect the faster " T " cell fraction from both fresh and frozen human peripheral as well as from tonsil lymphocytes in an almost pure form - from 98 to 100 percent pure. Scaling up this simple procedure, they feel sure, will lead to a supply equal to that of one donor. The viability of these electrophoretically separated " T " cells is more than 90 percent. But when these fractions are stored frozen for later use the viability after thawing drops to about 85 percent. Because of the limited cooling/ electric power capacity on board the Apollo-Soyuz spacecraft where electrophoretic lymphocyte separation ~:~ero gravity will soon be performed, low ionic strengt~ ~uf~ers were eloped . for laboratories not facing these same power hm!tatwns, Dr. van Oss recommends that higher ionic strength buffers be used. I Not only are there advantages to injections of T cell-rich and B Ymphocyte poor fractions into histocompatible recipients but Dr. van Oss underscores its use as a source of " transfer factor " to treat diseases where there is a defect in cellular immunity such as chronic infections, and malignancies. SPRING, 1975 53 �---- .. .... . .. . ... . . . . . ... . .. . 0 • 0 • • • ••• - - ~--- . .... - •••• • • ...... . .. . . . . . ... .. .. . . . . . . 0 •• •••• 0 0·····::.... ... •• • 0. ••• • 0 • • • •• 0 ••• ••• •••• 0 ...... .. .. ·::•:·::::::••:::•••••••:• o :::••::::::::::. .. 0 . ... 0 0. • • • .. ... .. . ... . . ... . • • • • • • • • •• ••• • • • 0 • 0. • • 0 • • 0 •• 0.. :::.::: ::0. .. .. .. .... . :::::: :: ...... ... . . .. .. . • • • • • 0 • 0 At the gallery at the Roswell Park Memorial Institute Dr. Ahmed explains about his batik entitled " Rubaiyat." The main them e, he says, is the couplet from Omar Khayyam " A cup of wine, a loaf of bread and thou beside m e in the wilderness." Physician Artist 0 Dr. Ahmed is planning to pursue further education in the areas of immunology and medical education. He received his M .D. from the AllIndia Institute of Medical Sciences, New Delhi in 1971 . He received the President's Gold Medal for being declared the best medical graduate of the year. He won other scholarly awards in several subjects in medical school and the coveted Nuffield Foundation Scholarship to the Leeds University, United Kingdom in his senior year. In addition he was excellent in other co-curricular activities - drama, debate, television, radio, music. He interned at the All-India Institute of Medical Sciences Hospital in New Delhi for one year before coming to the University of Pittsburgh Medical Center for a one year internship. O Dr. A. Razzaque Ahmed carefully examines the face of a patient with nod u lar cystic acne at the £.]. M ey er M em orial Hos pital D ermatology Clinic. A BDUL RAZZAQUE AHMED is unique. At 25 he is a physician and a second year resident in the dermatology training program at the Medical School where he is also a clinical assistant instructor. In his spare time he paints, plays the sitar, and sings. Dr. Ahmed has painted several batiks and miniatures in oil and water colors - rustic and traditional in style and content. Their themes depict his native India. "I always wanted to be an artist but when I was 14 my father died. I promised him I would become a doctor. Medicine has been a tradition in the family for several generations. I have several cousins who are physicians." During the year Dr. Ahmed will rotate through the dermatology department of the Roswell Park Memorial Institute, E.J. Meyer Memorial, Buffalo General, Children's, and the Veterans Hospitals. 54 THE BUFFALO PHYSICIAN �This batik entitled "Vigil" shows a young village girl who seems to cover herself with shame and has an inquisitive but shy and timid look. Regardless of where you stand in the room it seems she is looking at you. This batik depicts the Goddess Saraswati, the Goddess of Knowledge. In her hands she holds a flower, a sea shell, a galaxy and a sitar to depict the various arts and sciences. Entitled "Princess" this watercolor miniature painting shows a princess of a Rajput family walking on a lawn with a lotus flower in her hand. Note the detail in peacock feather headgear and jewelry. Watercolor miniature painting 8" x 10" in the Rajput style shows a hunter and his dog. Detail and accuracy are the main themes besides the movement in the composition. 55 �Dr. Pendergast instructs the swimmer before he begins a l'h mile per hour swim against the current. The technicians are collecting the expired gas in a meteorological bag for analysis. Proficient Swimmers The meteorological bag is filled with the swimmer's expired gas. The gas is being pushed through a dry gas meter by Susan Kopera (right) to determine the volume of expired gas. Three syringe samples are taken by Sheryl Trakus (left). 56 Women are more proficient swimmers than men. That is what 30 men and 30 women (ages 8-58) helped to prove during experiments last summer. The tests were conducted in the Environmental Physiology Lab's 60-meter circular swimming tank, the only one of its kind in the world. "It costs men twice as much energy as women to swim the same distance," Dr. David R. Pendergast, assistant professor of physiology in physical education, said. "Men's feet have a greater tendency to sink. Women have more fat tissue in their lower extremities. As a result they float higher and more horizontally in the water and encounter less resistance in the water, making them proficient swimmers." Dr. Pendergast and Dr. Donald W. Rennie, professor and chairman of the physiology department, and other members of the department have been studying human swimming proficiency in and under the water surface for several years. These pictures depict some of the more recent swimming experiments. " THE BUFFALO PHYSICIAN �u .._. . ) Research assistant Donald Wilson weighs the swimmer in Water to determir1e the "tendency for his feet to sink." The swimmer is treated as a balance beam with the fulcrum directly u11der his hmgs to measure the force with which the feet "tend to sink." .. Tech11icians are determining the residual volume (RV) of a swimmer immersed in water. The R V measurement is necessarv to correct underwater weight to determine body density. ' SPRING, 1975 [twas hypothesized that there was a density difference in the lower and upper body of men and women. Technician Susan Kopera is determining the dividing line between the upper and lower body which is called the center of gravity . Swimmer is being weighted in water to determine body density (Archimedes Principle). When the swimmer is completely submerged (above and below the center of gravity) partial density of these areas can be determined. �One of medicine's major advances Dr. Desider A. Pragay Clinical Biochemistry This is the second in a series of articles on the Erie County Laboratory that is headed by Dr. Max E. Chilcote. Assistant director is Dr. Thomas C. Robinson. today is in better diagnostic services. In the clinical biochemistry division of the Erie County Laboratory, chemical analysis of a variety of fluids and gases via sophisticated instrumentation not only helps the physician diagnose a patient's problems but to monitor the course of treatment. While the clinical biochemistry laboratory that is headed by Dr. Desider A. Pragay follows many different kinds of patients in the E. J. Meyer Memorial Hospital- biochemical analyses for the Erie County Health Department's outpatient clinics are done as well- it is particularly oriented toward the trauma and geriatric ones. For multiple problems in these patients as well as in many seen on an outpatient basis can only be pinpointed by sophisticated testing procedures available in the laboratory. Because many of these patients have severe respiratory problems, the blood gas laboratory, which does the monitoring, remains open 24 hours a day, seven days a week. In an average month, the Hungarian-born Dr. Pragay can point to over 2,000 blood gas determinations. One reason for such a heavy workload, he feels, may be that a teaching hospital relies heavily on laboratory analysis. Test results really aid the physician in selecting the proper course of therapy for the patient, says the clinical associate professor who holds a PhD in biochemistry from the Medical University of Budapest (1956) as well as NIH and AHA fellowships in the past. The exact nature of blood gas determinations indicate the metabolic course of a patient who must be looked at in terms of acid-base balance, he explained. Close cooperation between clinician and clinical biochemist has led to many developments in laboratory tests. For the geriatric patient Dr. Pragay points to the importance of vital liver function tests as well as those for blood gases and electrolyte control for the acute and postsurgical ones. And for the diabetic, glucose analyses are done in a very unique outpatient clinic set up for the diabetic. Because of its high level of performance, the clinical biochemistry laboratory serves as a reference laboratory for the States of New York Dr. Pragay (center) reviews laboratory safety procedures with Drs. Robinson and Chilcote. 58 THE BUFFALO PHYSICIAN �know whether calcium levels have reached dangerous levels in the patient' s bloodstream," he said. But many other hospitals send their blood samples to the Meyer Hospital for analysis, pointed out the former Hungarian Freedom fighter who left that country in 1956 and came to Buffalo after two years at the Massachusetts General Hospital and the Retina Foundation in Chief technologist Chris Falkowski monitors triglyceride levels that are so important in managing diabetes, heart disease, and lipid disorders. and Pennsylvania, the Communicable Disease Center, and the American College of Pathologists. Its newer and more sophisticated testing procedures are also available to other health institutions on a fee-for-service basis. But the laboratory has also served as a testing ground for instrumentation not yet marketed. Tested and now used routinely is a fast centrifugal analyzer. This revolutionary new type of analytic approach, Dr. Pragay points out, processes 30 samples faster and more accurately than most available today. Following a year of testing, a new multichannel analyzer that processes 300 samples an hour, as well as a new chemical analyzer that measures enzyme activity of body fluids for diagnostic/therapeutic purposes, are now in use. A new pneumatic tube system featuring an air break has also been tested. Points out Dr. Pragay, "We feel that this system will allow us to send blood samples from different wards to the laboratory without damaging red blood cells." Method modification has also led to better tests. Because children have been found to ingest paint chips, a microlead determination now tests levels of microlead in their bloodstream, points out Dr. Pragay. And there is a microcalcium determination by him, Drs. Chilcote and Regent. Its very high precision is important for the hyperparathyroid patient for " it lets the physician SPRING, 1975 Boston. Laboratory supervisors at local hospitals are also informed on advances in instrumentation, techniques, methodology, safety precautions, and other problems at regular monthly meetings initiated and organized by Dr. Pragay. The E. J. Meyer, Dr. Pragay points out, is the first local hospital to introduce lithium testing for psychotic patients. He cautioned on the importance of a systematic check of its levels in the patient. "Too high levels of lithium in the patient's bloodsteam may be dangerous," he said. Concern by Dr. Pragay over harmful wlistes and discharge material from a clinical laboratory finding its way into the environment has led to lower mercury discharges. "We are the first hospital in the area to dispose of all of its wastes," he said. Other hospitals are now exploring this d- possibility. Dr. Leila Edwards looks orr as laboratory technologist Dorothy Miller determin es pregnancy estriol levels for fetal well being. 59 �-- - ~-------- r Senior technologist Millicent Toppins reviews readout pattern orr a particular enzyme implicated in myocardial infarction with Or. Richard B. Coo/en. "We used to pour organic solvents and harmful chemicals down the drain" Dr. Pragay pointed out. He serves on the Buffalo Sewer Authority's temporary committee on pollution and is hospital safety officer. "We are treating some, sending others to a concern that renders them less harmful to the envionment. " A report on his work has recently been published in American Laboratory. A guideline which he has prepared for the Erie County Chemistry Laboratory must be read by all employees. "We want them to be aware of the dangers in handling toxic materials," Dr. Pragay said. Teaching remains an important function of the clinical biochemistry laboratory. " In 1968 we started one of the first training programs for clinical biochemists in this country," he said . Today, after seven years, most of its ten graduates work effectively in clinical or research laboratories at university-affiliated hospitals. Clinical pathology residents also receive six months of training in the chemistry laboratory. And there is medical technology bench training and projects for medical technology graduate students , courses for medical and graduate students as well as information on new instrumentation and methodology for housestaff and students. There are new directions ahead, says Dr. Pragay. To determine which drugs interfere with 60 ---- ~ - what tests, a new NIH computer-linked system is being tested here with the help of postdoctoral fellow Dr. Donald Lo. And with Dr. David Wenke , new tests to learn more about neurological disorders are being introduced . Such diseases may be connected with chemical compounds, Dr. Pragay pointed out, and can be determined in this way. Dr. Wenke, who is assistance director of the clinical biochemistry laboratory, is also involved in computerization of the entire chemistry laboratory for better patient care by faster data processing. In a small ob/ gyn pediatric area that is part of the Meyer , amniocentesis analysis is now underway by Dr. Leila Edwards , an assistant laboratory director. And there is a plan underway for more extensive monitoring of therapeutic drug s under a collaborative Johns Hopkins/ George Washington Universities ' effort. " Little is known for how long and on what level a drug remains in a patient's bloodstream," Dr. Pragay said . Hoping to learn whether too much or too little drugs are being used and to improve their monitoring , a joint study with pharmacokinetic specialists Drs . Milo Gibaldi and Gerhardt Levy is hoped for. " Through such cooperative effort, we hope to help the physician decide what's wrong with the patient and how to improve clinical treatment," Dr. Pragay concluded. Mary Bellinge r, chief laboratory technolog ist, determines blood gas levels fo r intensive care patients. THE BUFFALO PHYSICIAN �Executive assistant Benjamin Lipford checks in reference laboratory sample with Sandra Marszalek, senior laboratory technologist. ' On multichannel analyzer, eight different tests on each of 300 blood samples are processed per hour by senior laboratory technologist Sandra Marszalek and laboratory technologists Annette Barnack and Linda Alexander. Drs. David Wenke and David Slaunwhite use new assay for diagnosing surgically curable tumors as they measure catacholamine levels in urine via high pressure liquid chromatography. Laboratory technologist Diana Rauch and night supervisor Chester Walczak check blood samples received. SPRING, 1975 61 �A New Challenge for Dr. Randall Dr. Randall Thirty-eight years of service at the University ended for Dr. Clyde L. Randall on March 1 when he left to coordinate, at Johns Hopkins University, a new international program of education in gynecologyI obstetrics. " Helping to set up training centers in developing countries that will focus on modern concepts and techniques in ob/gyn is proving to be an exciting challenge," the 69-year-old clinician said. Dr. Randall who is known for his contributions in the field of uterine cancer, has served as professor of obstetrics/ gynecology at U/B since 1942, as chairman of the department for over a decade, and as vice president for health sciences, as acting dean, and as executive officer for the School of Medicine over the past five years. Because Johns Hopkins was able to convince USAID of a larger opportunity for existing university-funded programs now training foreign faculty members in modern approaches to population control, JHPIEGO was formed . " It merges all of these activities into a single program," Dr. Randall explained. The chief thing that he will do for this nonprofit corporation affiliated with Johns Hopkins will be to assess teaching methods used at the various training centers. " The most effective," he said, " will be used in the new centers. Experienced faculty will learn to assess and aid the health of women in their countries, instruct them in regard to proper child spacing, while emphasizing to both the profession and the patient the seriousness of the burdens of overpopulation." To date 60 foreign faculty members have completed their training at Johns Hopkins, the University of Washington at St. Louis, Western Penn Hospital of the University of Pittsburgh, and the American University of Beirut, Lebanon. Supplied with instruments for doing laparoscopic diagnoses and sterilizations, the trainees return to their home countries to practice. After six months back home, Dr. Randall explained, the effectiveness of the trainees is assessed by a practicing physician in that country. And, when necessary, their techniques are improved. Trainees, working in well-equipped centers, are being helped to set up similar training programs in their own countries. One such large training center is opening this spring in Korea with a central organization that is set up to operate educational and training centers in five Seoul hospitals. "Each program will be headed by a former trainee in one of the U.S. training units," Dr. Randall explained. Among other areas into which this kind of educational program is moving is the Arab world and Latin America. " We also hope to develop similar programs in African countries where the problems are great," Dr. Randall pointed out. He admitted that " for many years I thought I was too busy to get deeply involved in population control." One of the things he now hopes will develop from this new program is an awareness on the part of ob/ gyn departments in many countries of the importance for making certain that all medical students learn about health and the economic consequences of overpopulation. " As the emphasis in medical education swings back to patient care," the former busy obstetrician predicted that " it is to be expected that we will become more involved with human reproduction." 62 THE BUFFALO PHYSIC IAN �Dr. Randall has headed the department of obstetrics/gynecology at three Buffalo Hospitals- Buffalo General since 1942, the E. J. Meyer Memorial and Children's since 1960. He has also served as a consultant in ob/gyn at Douglas Memorial, DeGraff, and Gowanda State Hospitals. In 1948, when cytological testing for uterine cancer was in its infancy, Dr. Randall supported the development of the first local laboratory to do such testing for obstetric and gynecologic patients. He received an MD degree from the University of Kansas in 1931. Following an internship and residencies in general surgery and pathology in Kansas City, he came to the Buffalo General Hospital and completed a residency in gynecology here. In 1937 he joined the U/B faculty. Dr. Randall has contributed repeatedly to the knowledge of uterine and ovarian neoplasms through publications, discussions and as a member of the editorial board of OBSTETRICS AND GYNECOLOGY. He is a Fellow of the American Association and the American College of Obstetricians and Gynecologists, the American College of Surgeons, American Gynecological Society, Royal College of Obstetricians and Gynaecologists (England}, New York Gynecological Society, Dallas SW Clinical Society, and Kansas City Academy of Medicine. Among his honorary memberships are the Societies of Obstetricians and Gynecologists of Canada, the Phillipines, and South Korea; Central Association of Obstetricians and Gynecologists; and gynecological societies in a number of U.S. cities and alumni groups. Dr. Randall has also served as president (the 22nd) of the American College of Obstetricians-Gynecologists, the American Association of Obstetricians and Gynecologists, American Gynecological Club, Obstetrical and Gynecological Travel Club, the International Society of Pelvic Surgeons, the Buffalo Obstetrical-Gynecological Society, and the Buffalo Academy of Medicine. He has served as medical director and advisory board chairman for the Planned Parenthood Center of Buffalo, on the board of medical examiners for the State of New York, as chairman of the National Board of Medical Examiners' committee for obstetrics and gynecology as well as its test committee for ob/gyn, in various offices of the American Board of Obstetrics and Gynecology, on the American Board of Medical Specialties' committee on certification and recertification, on the executive committee of the Council of Medical Specialty Societies, and as secretary-treasurer of the National Council of Obstetricians and Gynecologists. In 1971 he was cited by the School of Medicine "for 34 years of devoted service to medicine and this school." On February 14 Dr. and Mrs. Randall were honored at a joint School of Medicine/Department of Obstetrics-Gynecology/Buffalo Gynecological-Obstetrics Society reception in the Faculty Club and at an Open House at the new Clyde L. Randall Gyn-Ob Learning Center at Children's Hospital. 0 SPRING, 1975 63 Professor C. ]. Dewhurst of University of London's Institute of Obstetrics and Gynecology and Queen Charolotte's Hospital visited Buffalo for a week. As visiting guest lecturer he shared his expertise with medica/students, housestaff, faculty and area clinicians on rounds in several University-affiliated hospitals, as the annual Dr. Edward G. Winkler Memorial Lecturer, as guest speaker at the gynecologic endocrinology and practical genetics continuing medical education program, as well as at a local gyn/ ob society meeting. () �-- Samuel P. Capen Hall on the U! B Main Street campus has been re-named Sidney Farber Hall in honor of the U/ B graduate who gained international recognition for children's cancer research. Buildings Named for Physicians Two buildings on the Main Street Campus have been renamed after prominent physicians. Samuel P. Capen Hall and the Health Sciences Building, will be named Sidney Farber Hall and Dr. Charles Cary Hall, respectively. The Main Street Capen structure undergoes a name change as a result of the new Capen Hall designation at Amherst. Dr. Sidney Farber was a world authority on cancer in children. Born in Buffalo in 1904, Farber graduated from U/B in 1923 and studied medicine in Germany and at Harvard. He also served on the Harvard faculty for 41 years and his discoveries in chemotherapy (drug therapy) of cancer and his definition of the total care of children with cancer are regarded as two of the great milestones in cancer research and care. He died in 1973. Dr. Charles Cary was a graduate of the University of Buffalo Medical School and subsequently a faculty member and dean of the school from 1882 to 1883. He was also a professor emeritus and served on the U/B Council in 1911. He died in 1931. The State University of New York Board of Trustees also named three facilities on the Amherst Campus. Two libraries in the just opened Joseph P. Ellicott College Complex will be named for Nathan Kelsey Hall and Solomon G. Haven. A drama workshop, also in the Ellicott Complex, will be named the Katharine Cornell Drama Theater. 64 THE BUFFALO PHYSICIAN �Nathan Kelsey Hall was a law partner of Millard Fillmore. Elected to the New York Assembly in 1845, Hall played an important part in chartering the University of Buffalo. He was a member of the House of Representatives and was appointed by President Fillmore as Postmaster General. In 1852 he was appointed United States Judge for the Northern District of New York and served in this capacity until his death in 1874. Solomon G. Haven was also a law partner of Fillmore. He served as district attorney of Erie County and was later elected Mayor of Buffalo. He served for three terms in the House of Representatives from 1851 to 1857 and died in 1861. The Hall and Haven libraries are located in the Millard Fillmore Academic Collegiate Center which connects the 38 Ellicott buildings. Katharine Cornell was an internationally acclaimed stage actress. Famous for her performances in " The Barretts of Wimpole Street" and " Candida," she was born in Buffalo and maintained a steadfast loyalty to the city. She was awarded the Chancellor' s Medal in 1935. She died June 9, 1974. 0 Th e fo rmer U! B Main Street cam pus Health Science Building has been named fo r Dr. Charles Cary, a fo rmer dean of the U/ B School of M edicine. SPRING, 1975 65 �- The Classes - - The class of 1916 Dr. Vincent S. Mancuso, M 'l6, has recently retired to 4042 N .W . 19th St. , Apartment 104, Lauderhill, Florida. He is a life member of the medical societies of Wayne County, Michigan State and AMA. O Dr. Frank A. Trippe, M ' l6, was honored for his humanitarian efforts and achievements by the Guiseppe Mazzini Civic Association of Erie, Pa. In 1917 Dr. Trippe began his practice of medicine as the first licensed doctor of Italian heritage to serve Erie. He retired in 1962. After graduating from the Medical School he continued his study at the Polyclinic Hospital in Rome, Italy, and at the University of Vienna in Austria.O The class of 1921 Dr. Hobart A. Reimann, M '21, is professor of medicine and associate medical director at Hahnemann Medical College and Hospital, Philadelphia, Pennsylvania. He publishes extensively and his most recent article include: " 39th Annual Review Infectious Disease ," Post Graduate Medicine Journal, May , 1974 ; " Respiratory Infections," Modern Medicine, Sept. 1974; " Periodic Fever," ]ama, June 24, 1974; " Periodic Peritonitis," ]ama, Jan . 6, 1975; " Viral Dysentery," Conn's Current Therapy, 1974; " Periodic Synovitis, Post Grad Medicine, Jan ., 1974; " Periodic Disease," Modern Medicine, 1975; " Respiratory Tract Infections," (Editor) Medcom, 1975. Dr. Reimann received the Shaffry Medal, St. Joseph 's College in March, 1974. He lives at 125 Old Gulph Road, Wynnewood, Pennsylvania .O The class of 1932 Dr. Carl T. Javert, M ' 32, is director of obstetrics and gynecology at the Hubbard Regional Hospital, Webster, Massachusetts. He is also a consultant at Worcester State and Westborough State Hospitals . Dr. Javert is a member of the Webster District Medical Society and a charter member of the Central Massachusetts Health Care Foundation. He still retains various emeritus medical staff appointments in New York City. Dr. Javert is a founding Fellow of the American College of Obstetricians and Gynecologists, a founding Fellow and past president of the New York Gynecological Society. He 66 .. --- - - - is also a past president of the New York Obstetrical Society and a Fellow of the American College of Surgeons. He is a Diplomate of the National Board of Obstetrics and Gynecology. Dr. Javert has numerous honorary fellowships in several state societies in California, New Jersey, Florida and West Virginia. He is also a Fellow of the Pan-American Cytology Society.O The classes of the 1940's Dr . John D . White , M ' 40, anesthesiologist, who lives at 234 Mohawk Street, Tavernier, Florida was elected Secretary-Treasurer of Monroe County Medical Society ; and also Secretary-Treasurer of Staff of Keys Community Hospital, Tavernier, both positions for 1975.0 Dr. Richard Ament, M ' 42, was elected First Vice President of the American Society of Anesthesiologists at the annual meeting. A clinical professor in anesthesiology , he is attending anesthesiologist at Buffalo General Hospital and associate attending anesthesiologist at Buffalo Children' s Hospital. A former President of the New York State Society of Anesthesiologists, Dr. Ament has held numerous ASA posts and is Chairman of its Committee on Manpower. He is a Diplomate of the American Board of Anesthesiology and a member of the Erie County Medical Society and Medical Society of the State of New York. 0 Dr. Edmund M. Collins, M ' 44 (also D.D.S .), whose specialty is maxillofacial surgery, is president-elect of the American Group Practice Association, and the American Society of Maxillofacial Surgeons. Dr. Collins co-authored an article " Chronic Disseminated Histiocytosis X Treated With Vinblastine Sulfate and Prednisone , appearing in Oral Surgery, Oral Medicine, Oral Pathology, Vol. 38, No. 3, pp 388393, September, 1974. He is a clinical associate at the Basic Medical Sciences, University of Illinois and lives at 9 Greencroft, Champaign, Illinois. O Dr. Daniel G . Miller, M ' 48, oncologist, is President and Medical Director of Preventive Medicine Institute-Strang Clinic, New York City. He is also a clinical associate professor of medicine at Cornell University. Dr. Miller lives at 6 Fox Meadow Road , Scarsdale, New York. O THE BUFFALO PHYSICIAN - �Dr. Josephine A.W. Richardson , M '48 , was one of three women named " Woman of Distinction - 1974 " by the Council of Women Presidents of the Greater Louisville, Kentucky area. Dr. Richardson is associate medical director of Physical Medicine of the Institute of Louisville. She is also professor of medicine at the University of Louisville School of Medicine, and president of the Zonta Club. O The classes of the 1950's Dr. Anthony A. Conte, M 'SO, has opened a weight control clinic on route 170 and Sprucevale Road , Calcutta, Ohio. After graduating from the Medical School, he interned at the E.J. Meyer Memorial Hospital. O Dr. Benson L. Eisenberg, M '58, radiologist, is Director of Radiology at Androscoggin Valley Hospital , Berlin, New Hampshire (March 1975).0 Dr. Samuel Shatkin, M '58, was re-elected secretary of the American Society of Maxillofacial Surgeons at the annual meeting. The clinical associate professor of surgery at the Medical School is also chairman of the Plastic, Reconstructive and Maxillofacial Section of the New York State Medical Society, which will sponsor a symposium on Maxillofacial Trauma at the New York State Medical Society meeting in March. O Dr. John E. Houck, M '59, psychiatrist, is director of the Niagara Falls Community Health Center. He was elected to Region II of the National Council of Mental Health Centers (New York, New Jersey, Puerto Rico, Virgin Islands).O The classes of the 1960's Dr. Harold Brody, M '61, is the new president of the American Gerontology Society. He is Professor and chairman of anatomical sciences at the Medical School. The 3000-member national society is composed of sections of biological sciences, clinical, medical, psychological, social sciences and social research planning and practice. SPRING, 1975 It is devoted to research and teaching of the process of aging. A part of the International Gerontological Association, it is the largest society in the world dealing with the process of aging. Dr. Brody, who has published extensively in the field of aging in the nervous system, became editor-inchief of the Journal of Gerontology on January 1, for a three-year period. 0 Dr. Eugene A. Cimino, M'61 , is practicing ophthalmology in Rochester and Brockport, New York. He is on the staffs of three hospitals- the Lakeside Memorial in Brockport and the Rochester General and St. Mary's in Rochester. O Dr. Seth A. Resnicoff, M '62, has assumed a full time position doing cardiac surgery at Cedars of Lebanon Hospital, Los Angeles, California, where he is also coordinator of a thoracic, cardiac and vascular residency training program. He resides with his wife and three children at 747 Ocompo Drive, Pacific Palisades, California.O Dr. Anita ]. Herbert, M'63 , of Bradford, Pa., has been named a Diplomate of the American Board of Internal Medicine. She is also president of the McKean County Medical Society and past president of the Allegheny Mountain Heart Chapter. Dr. Herbert has also been named to the executive committee of the American Heart Association, Pennsylvania affiliate. 0 Dr. Gerald B. Goldstein, M '64, was board certified in Internal Medicine and also in Allergy and Clinical Immunology in March, 1974. He lives at 3401 North Camino Esplanade, Tucson, Arizona. O Dr. Ronald S. Mukamal, M'64, is practicing general surgery in Whiteville, North Carolina. O Dr. Barnett S. Salzman, M'65, of Provo, Utah has been appointed to the Royal Society of Health of Great Britain. The society, a branch of the Royal Society founded in Elizabethan England, is sponsored by the reigning British Monarch and is composed of individuals who have made significant contributions to the promotion of health. Dr. Salzman, clinical director of the Utah Valley Mental Health Clinic, Provo, received the recognition because of his work in mental health. Dr. Salzman was personal physician to the Pathet Lama, Sakya 67 �Trizi, at Dehra Dun, India in 1973. He has been a staff psychiatrist for several hospitals in California as well as a psychiatric consultant for the California State Department of Rehabilitation and the Health Care Services Department in Los Angeles. Dr. Salzman interned at the Los Angeles Good Samaritan Hospital. O Dr. Ira M. Feldman, M ' 66, cardiologist, is clinical assistant professor of medicine at Jackson Memorial Hospital, University of Miami Medical School, Florida. Dr. Feldman was certified by the American Board of Internal Medicine as a Diplomate in the subspeciality of cardiovascular disease in November. He lives at 2071 NE 210 Street, North Miami Beach.O Dr. Carl Wayne Fisgus , M ' 66 , obstetrician/ gynecologist in Spartanburg, South Carolina, is assistant clinical professor of Ob/ Gyn, University of South Carolina Medical School. He was board certified in Ob/ Gyn in 1972.0 Dr. Ross McRonald, M '66, is assistant medical director of the John L. Montgomery Medical Home in Freehold, N.J. Dr. McRonald is a Fellow of the American Academy of Family Practice and on the teaching staff of the New Jersey College of Medicine. He had a rotating internship at the Philadelphia Naval Hospital. Later he was assigned to the U.S.S. George Bancroft, a Polaris Submarine, where he became a qualified submarine officer. Dr. McRonald took his residency training at St. Albans Naval Hospital. 0 December, 1973. He is a Charter Fellow of the American Academy of Family Physicians, October, 1974 . Dr. Anderson is chief of anesthesiology at Lakeside Memorial Hospital, Brockport, New York. He was precepter (197 4) to several students during the year for the University of Rochester Medical School. Dr. Anderson lives at 73 Valleyview Drive, Brockport. O Dr. J. Brian Sheedy, M ' 67, is a member of Internal Medicine Associates, 1433 Miccosukee Road, Tallahassee, Florida. 0 Dr. Robert Baltimore, M '68, is a Fellow in Medicine (Infectious Diseases) at Harvard Medical School. He left Walter Reed Army Institute of Research in July to continue his work in bacterial diseases at the Channing Laboratory of Harvard Medical School and Boston City Hospital. O Or. Milton P. Kaplan, M '68, recently started private practice in dermatology in Tarzana, California. He was Board Certified, American Board of Dermatology in 1973. Dr. Kaplan was in the U.S. Army from 1972 to June, 1974 at the Walter Reed Army Medical Center. He lives at 4253 Mooncrest Place, Encino, California.O Dr. Alan H . Peck, M '68, completed his psychiatry residency in 1972 and is now working as a staff psychiatrist as well as in private practice at the Sheppard Enoch Pratt Hospital, Towsan, Maryland. Dr. Peck lives at 1901 Greenberry Road, Baltimore. O Dr. Michael I. Weintraub, M '66, a Board Certified neurologist, has been elected to Fellowship in the American College of Physicians (F.A.C.P.) in November, 1974. In 1971 he received the " Outstanding Young Men of America" award in Medicine by the U.S. Junior Chamber of Commerce and later the Physician's Recognition Award of the AMA. He is presently a clinical assistant professor of neurology at New York Medical College. He has published over 25 articles in the fields of neurology, neuropharmacology and neuro-ophthalmology. Dr. Weintraub lives at 18 Quaker Lane, Chappaqua, New York.O Dr. Henry M . Purow, M '68, pediatrician in Brooklyn and Staten Island, N ew York, is also clinical instructor in pediatrics at the Downstate Medical Center, SUNY. He was co-author of an article on the management of infants born to women on a methadone maintenance program at Downstate appearing in Pediatrics, September, 1974. He was also participant in a panel discussion on the same topics at the 5th National Methadone Conference, Washington, D .C. , May, 1973. Dr. Purow lives at 182 Sheraden Avenue, Staten Island.O Dr. John Randall Anderson, M '67, whose specialty is Family Practice, was Board Certified by the American Board of Family Practice in Dr. Robert D . Rodner, M '68, is Chief, Urology Section, USAF Medical Center, Wright Patterson Air Force Base, Dayton, Ohio. 0 68 THE BUFFALO PHYSICIAN �The classes of the 1970's Dr. Peter L. Citron, M '70 completed a residency at Jackson Memorial Hospital, University of Miami, in internal medicine in June, 1973. He became a Diplomate of the American Board of Internal Medicine, June 1974. He will complete two years in the U.S. Navy at Memphis Naval Hospital in June, 1975 and begin a Fellowship in Hematology at the University of Miami at that time. His address is 4091 Beaver Creek Road, Memphis, Tenn. O Dr. Howard R. Goldstein, M'74, is a medical intern at Montefiore Hospital and Medical Center, Bronx, New York. Dr. and Mrs. Goldstein announce the birth of a 6 lb. 12 oz. boy on August 23, whose name is Lee Joshua. The Goldstein's home address is 214-09 14th Avenue, Bayside, New York.<> Dr. Neil Garroway, M '70, is an instructor at Vanderbilt University Medical Center, Nashville, Tennessee. He recently presented a paper entitled " Steroid Receptor Binding to Nuclei of Target and non-Target Cells," at the Sou them section of the American Federation of Clinical Research at New Orleans.<> Dr. Robert Peter Gale, M '70, is assistant professor of medicine at UCLA School of Medicine. He is a Diplomate of the American College of Physicians and American Board of ~nternal Medicine. Dr. Gale published 13 articles m 1973-74. He is Bogert Fellow of the Leukemia Society of America. <> Dr. Joseph Gentile, M'70. is in private practice of Internal Medicine in Buffalo after completing his residency at Millard Fillmore Hospital. He was certified by the American Board of Internal Medicine in June, 1974. Dr. Gentile is also assistant clinical instructor at the Medical School. 0 Dr. Martin Mango, M'71, recently finished his clinical fellowship in Medicine at Buffalo Children's Hospital. He is in private practice in Internal Medicine in Buffalo and is also at Children's Hospital as coordinator of patient care ~nd teaching for the Department of Medicine. He 15 a clinical assistant instructor in medicine at the Medical School. <> Dr. Robert DiBianco, M'72, is Chief Medical Resident (74-74) at the E.J. Meyer Memorial Hospital and clinical instructor in medicine at the Medical School. He has accepted a two year fellowship in cardiology for 1975-77 at Georgetown University with W. Proctor Harvey, M.D.<> SPRING, 1975 People A member of the biochemistry faculty received two promotions recently. In July Dr. Demetrios G. Papahadjopoulos was named research professor of biochemistry. In December he received a second appointment as research associate professor of biophysical sciences. He has been on the Medical School faculty since 1967. 0 Dr. Michael J. Melzer was promoted to clinical assistant professor of radiology July 1, 1974. Dr. Melzer has been on the Medical School faculty since 1967. He received his M.D. in 1939 from the University of Basel, Switzerland. In Vol. 8, No. 4 it was erroneously stated that Dr. David J. Melzer was promoted. 0 Dr. Krishnaswamy Kalyanaraman, assistant professor of neurology, has been elected a Fellow of the American College of Physicians. He received his M.D. in 1958 from Madras Medical College, Madras, India. He has publish~d ~1 papers pertaining to adult and p_edtatnc neurology, muscle disorders and mternal medicine. 0 69 �People Use of the computer to monitor the clinical, physiological, and biochemical problems of the critically ill patient and to help the physician manage these problems was illustrated in a scientific exhibit by Dr. John H. Siegel, professor of surgery and head of the Buffalo General Hospital's surgery department, at the 60th Annual Clinical Congress of the American College of Surgeons. O Dr. Sumner J. Yaffe, professor and acting chairman of pediatrics at Children's Hospital, gave the lOth annual Louisville Pediatric Lecture in November at the University of Louisville (Kentucky) School of Medicine. O Dr. Robert Warner, associate professor of pediatrics and medical director of the Children's Hospital Re~abilitation Center was honored as "Man of the Year" by the Greater Buffalo Advertising Club. Dr. Warner accepted the award for all members of his team who have contributed to the success of the Center. Dr. Warner has served as director for 19 years. 0 Three alumni have been elected officers of the Buffalo General Hospital medical staff. Dr. James F. Phillips, M' 47, is the new president, and Dr. Robert Blum, M ' 42, is the president-elect. Dr. Bernard M. Norcross, M'38, is the new secretarytreasurer. Dr. James P. Nolan, professor of medicine and head of the department here, is vice president. 0 Dr. Om P. Bah! is the new director of the Division of Cell and Molecular Biology. He joined the Medical School faculty in 1966 as assistant professor of biochemistry and was promoted to professor in 1971. 0 Dr. Norman Solkoff, professor of psychology in the department of psychiatry, has been appointed associate chairman. He joined the faculty in 1963 as an assistant professor and was promoted to professor in 1972. He is author or coauthor of more than 30 publications, primarily having to do with infant stimulation and child development. 0 70 Dr. Gerald P. Murphy, director of Roswell Park Memorial Institute, was appointed to serve as secretary general of the International Union Against Cancer at the 11th International Cancer Congress in Florence, Italy. It is the first time an American has been appointed to this post. Dr. Murphy is also a research professor of urology at the Medical School. 0 Dr. Edward M. Cordasco, clinical assistant professor of Medicine at the Medical School since 1961, accepted a position at the Cleveland Clinic, in January. In his new position Dr. Cordasco will be director of the respiratory therapy department and professor of medicine. Dr. Cordasco received his M.D. degree from the Georgetown University Medical School in 1949. He did post-graduate work at the Cleveland Clinic and at the Millard Fillmore Hospital. Dr. Cordasco will continue to be a director of the Niagara Frontier Environmental Health Research Foundation. Recently Dr. Cordasco was elected to the executive section of the National Environmental Committee of the American College of Chest Physicians. He is the author of 25 papers on environmental medicine. 0 Dr. John Cotter, assistant professor of anatomy, completed his Ph.D. in anatomy at the University of Michigan where he was involved in neuroanatomy and neurophysiology of retinal projections to the brain stem. 0 Dr. Tarik Elibor, clinical associate in medicine, is the first president of the newly formed Western New York Society for Gastrointestinal Endoscopy. Other officers are: Dr. Martin Kleinman, vice president; Dr. Harold Bernhard, M'49, secretary and Dr. Vilayat Ali, clinical assistant professor of medicine, treasurer. ) Two alumni are new officers of the Children's Hospital Medical and Dental Staff. Dr. Roland Anthone, M'SO, is the new president. Dr. Richard Munschauer, M' 46, is president elect. Dr. Charles Boyers, professor and chairman of pedodontics in the Dental School, is vice president, and Dr. Theodore Putnam, clinical assistant professor of pediatrics, is secretary treasurer. Dr. Lawrence J. Nemeth, M'66, is a member at large. O THE BUFFALO PHYSICIAN �In Memoriam Dr. Leo J. Rozan, M'l2, died January 1 in Niagara Falls Medical Center. His age was 86. He began his practice in Niagara Falls, after interning at Sisters of Charity Hospital. In 1929 he was appointed chief of staff at Mount St. Mary Hospital and was chief of surgery there for eight years beginning in 1946. He retired from active practice in 1972. Dr. Rozan was an original member of the Niagara Falls Chamber of Commerce and the East Side Professional and Businessmen's Association. He was a former president and chairman of the former Niagara Falls National Bank and a member of the advisory board of the Niagara Falls branch of M&T Bank from 1956 to 1970. He was also a member of the Safety Committee of the Niagara Falls Chapter of the Boy Scouts of America and several medical societies. Dr. Rozan was also an honorary member of the Mount St. Mary Hospital and Niagara Falls Memorial Medical Center. (> In 1915 Dr. Anthony ]. Hey was the youngest (21) Medical School graduate. He died December 30 in Niagara Falls Memorial Medical Center. The 8 l-year-old physician retired in 1957. For almost 20 years he had been on the staff at the Roswell Park Memorial Institute as an roentgenologist. He had been active in civic ' professional and religious organizations. 0 Dr. Richard H . Watt, Sr., M'33, age 68, family physician, died November 25, at his Los Angeles home of pneumonia following cerebral thrombosis. He served in the Navy in the South Pacific in World War II as Lieutenant Commander. He was a staff member of Queen of Angels Hospital for 36 years, Chief of Staff in 1962, and a Doctor of the Year in 1968. He was chairman of the Intensive Care Unit Committee in 1965, and Was instrumental in the establishment of the new Unit. He was a member of the AMA Physicians Advisory Committee on Television, Radio, and Motion Pictures from 1960 to 1964, and served as chairman of this committee from 1966 through 1968. Prior to that date, he was a member of the LACMA Radio, Television and Newspaper Committee and also served as chairman. He practiced in Los Angeles from 1938 until his retirement in 1970.0 SPRING, 1975 Dr. Joseph G . Hoffman, who was research professor in biophysics died December 8. He was also professor in physics and astronomy. His age was 65. He joined the Medical School faculty in 1947 and remained in biophysics until 1963. In 1957 he became professor of physics, reitiring in June 1974. Or. Hoffman was author of two books, Size and Growth of Tissue Cells published in 1953 and Life and Death of Cells published in 1957.0 Or. Nathaniel L. Barone Sr., M'l7, died December 11 in Buffalo General Hospital. The 81-year-old physician had practiced for 52 years in Jamestown, N.Y. Dr. Barone was a founder of the Italian-American Society of James town. He was also founder and president of Cosima Realty Inc. He was active in several professional and civic organizations. 0 Or. Francis A. Smith, M '32, died in October at his home. His age was 67. The gynecologist/obstetrician went to Asuncion, Paraguay, in the Sixties to help the National University improve its medical school. When he returned to Buffalo he rounded up hospital supplies and sent them to the hospital in Asuncion. Or. Smith was an assistant clinical professor of Ob/Gyn at the Medical School from 1938 until his death. He was on the staffs of Buffalo General and Children's Hospitals. Or. Smith was a keen student of history, especially Greek mythology. As a member of the Appalachian Trail Club, he had walked southern sections of the Appalachian Trail to study Civil War battle sites. O Dr. Milton E. Bork, M'lS, died November 6 in Buffalo General Hospital after a short illness. His age was 81. The eye surgeon retired in 1971 and was honored by the Medical School. Dr. Bork was cofounder of the Wettlaufer Clinic and a member of the Deaconess Hospital medical staff. He was a gifted pianist, composer, and poet and spoke fluent French, Spanish, and German. He claimed friendship among several royal houses, principally Hungarian. Dr. Bork was a direct descendan.t of Franklin Pierce, the 14th President of the Umted States. Dr. Bork served as a lieutenant in the U.S. Medical Corps during World War I. He was a member of the Pan American Medical Association. 0 71 �Alumni Tours Rome- April12-20, 1975 New York City and Syracuse Departures Hotel: Ritz or Grand Beverly Hills Cost: $429.00 per person (round trip) plus 15% tax and service. This includes continental breakfast daily and dinner each evening, hotel and round trip air fare. Ireland -July 25-August 2, 1975 Niagara Falls and New York City Departures Five nights in Dublin & two nights in Limerick (Shannon) Cost: $419.00 per person, plus 15% tax; Continental breakfast daily and four dinners, hotel and round trip air fare . Munich - September 26-0ctober 4,1975- Buffalo Departure "Octoberfest" with accommodations at the Munich Sheraton Hotel Cost: $469.00 per person, plus 15% tax. Optional tours at extra cost to lnnsbruck, Salzburg, East & West Berlin For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N . Y. 14214 (716) 831-4121 The General Alumni Board- DR. JAMES J. O'BRIEN, LL.D. '55, President; GEORGE VOSKERCHIAN, Presidentelect; DR. GIRARD A. GUGINO, D.D.S. '61, Vice President for Activities; WILLIAM MCGARVA, B.A. '58, Vice President for Administration; DR. ANN L. EGAN, Ph.D. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; RICHARD A. RICH, B.S. '61, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; ROBERT E. LIPP, LL.D. '54, Vice President for Public Affairs; ERNEST KIEFER, B.S. 'ss, Treasurer; Past Presidents: DR. FRANKL. GRAZIANO, D.D.S. '65; MORLEY C. TOWNSEND, LL.D. '45; DR. EDMOND J. GICEWICZ, M.D. '56; M. ROBERT KOREN, LL.D. '44; WELLS E. KNIBLOE, J.D. 'so. Medical Alumni Association Officers: DRS. PAULL. WEINMANN, M'54, President; MILFRED C. MALONEY, M's3, Vice President; JAMES F. PHILLIPS, M'47, Treasurer; LAWRENCE H. GOLDEN, M'46, Immediate Past President. Annual Participating Fund for Medical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM, M' 43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident; KEVIN M. O 'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26; Immediate Past-President. 72 THE BUFFALO PHYSICIAN �A Message From PaulL. Weinmann, M'54 President Medical Alumni Association Dear Fellow Alumni, It is with great pleasure that I invite you to personally participate in the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of your organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. ----- --- --- --------------------------------------------------First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 -----------------------------------------------------------------~·- THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) · Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Y e a r MD Received _ _ __ OfficeAddress-------------------------------------------------------------------------------HomeAddress------------------------------------------IfnotUB,MDreceived&om-------------------------------------InPrivatePractice: Yes ~ No ~ SpecialtY-----------------------------~ In Academic Medicine: Yes ~ ~ No Part Time ~ Full Time ~ School---------------------Title - - - - - - - - - - - - - - - - - - - - - Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1975 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1975-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1975-01-Spring Table Of Contents A list of subunits of the resource. Class Reunions The Virtue of Friendship 1949 Class Gift Alumni Contributors Birth Defects New Career Medicine, 50 Years Ago Nutrition Conferences A Profile of our First Faculty by Oliver P. Jones, Ph.D., M.D. Bone Pathology Laboratory Black Students Help Neighbors Family Practice Center Continuing Education Programs Dr. Cummiskey A Harrington Lecture Patient Indifference/ Alumni Honored Spring Clinical Days A Physician Faces Disseminated Recitulum Cell Sarcoma in Himself (part IV) by Samuel Sanes, M.D. VA Hospital Dermatology Nurse Practitioner Halloween Party Japanese Honored Separating Immunologically Competent Cells Physician Artist Proficient Swimmers Clinical Biochemistry Dr. Randall Buildings Named for Physicians The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-06 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v09n01 Extent The size or duration of the resource. 76 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/32bdf13fb9fb02e00ca87399b11d32de.pdf adac08c1d7def05ff7487e4ed14ef316 PDF Text Text School of Medicine Volume 9, Number 3 State University of New York at Buffalo �Medical Alumni Officers A 1953 Medical School graduate 1s the president of the Medical Alumni Association. He is Dr. Milford C. Maloney, who is clinical assistant professor of medicine at the University and chief of medicine at South Buffalo Mercy Hospital Dr. Maloney is a graduate of Canisius College. He ' had a rotating internship w1th Georgetown University and Mercy Hospital. He took his residency at Buffalo General and Veterans Hospitals. From 1957-59 he served in the United States Army Medical Corps as a Captain and ch1ef of medicine at Fort Eustis Army Hospital, Virginia. From 1959-63 he was a part-time senior cancer research physician at the Roswell Park Memorial Institute. Dr. Maloney is a Fellow in the American College of Physicians, a past president of the Western New York Society of Internal Medicine (1968), and the Heart Association of Western New York (1969). He has also been an active participant in postgraduate courses, the l:B Medical Round Table TV Series and has presented several courses and lectures at clinics, symposia, and other professional meetings. Dr. James F. Phillips is the new vice president. He is a 1947 Medical School graduate, wh o 1s . 1. . I c Im~~ associate profesc;or of medi~me at the University and associate physician at the Buffalo General Hospital. Dr. Phillips attended Canisius College three years before entermg U/B in 1944. He was an intern at Buffalo General Hospital (1947-48) and also took h' 'd IS resi . ency in pathology an d d . me ICme there (1948-51). In 1951. ~2 he was chief resident in mediCine at the hospital. He entered private practice the following year. Dr. Phillips is a Diplomate Amencan Board of Int erna I' . . MediCine. He has published many articles and has served on n~merous boards and committees of professional societies and associations. Dr. Michael A. Sullivan is the new treasurer. He is a 195 3 Medical School graduate and a clinical associate professor of medicine at the University. He has been on the faculty since 1960. Dr. Sullivan did his undergraduate work at U/B. He was an intern and resident at the E.J. Meyer Memorial Hospital. He has served on the medical staffs of three hospitals - the Meyer, Deaconess and Kenmore ~ercy. He was chief of medicine at Deaconess Hos.p1tal for five years and has participated in the teaching programs of the Medical School. Dr. Sullivan is a Diplomate. American Board of Internal Medicine He was chairman of the Committee on Medical Education of the Ene County Medical Society. He has also served on boards and committees of several professional societies and associations. �Fall1975 Volume 9, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. MCGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator 2 4 6 8 12 15 16 17 20 MELFORD ]. DIEDRICK 23 Visual Designers 24 RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER 26 29 30 32 34 CONSULT ANTS President, Medical Alumni Association DR. PAULL. WEINMANN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTER PANNILL President, University Foundation JOHN C. CARTER Director of Public Information 36 38 41 42 50 51 55 56 58 }AMES DESANTIS Director of University Publications PAULL. KANE 64 Vice President for University Relations 65 DR. A. WESTLEY ROWLAND 68 70 72 Medical Alumni Officers (inside front cover) Spring Clinical Days New Curriculum Topics Classes Contribute $30,430 Infectious Diseases Re-Licensure Specialization Nuclear Pacemaker Commencement Seniors Honored The Class President Speaks Medentian Honorees Survive If You Can/Summer Fellowships Malnutrition in Africa Immunologic Research-Diagnosis/Or. Patti A Tribute to Dr. Lambert Seminar in Rio Drs. Farzan, Tourbaf Reception for Seniors Internship/Residency at the Deaconess Pemphigus/Psoriasis Link Nutrition Lectures/Class Photos Nutrition Courses 12 Faculty Retire Witebsky Memorial Lecture 133 Residents, Interns Honored Responses to Dr. Sanes' Articles (A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself). Buffalo General Hospital' s New President The Classes People In Memoriam Continuing Education/ Alumni Tour The cover by Donald Watkins focuses upon Spring Clinical Days, an annual event of the Medical Alumni Association. See pages 2-14. THE BUFFALO PHYSICIAN, Fall, 1975- Volume 9, Number 3, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1975 by The Buffalo Physician. FALL, 1975 1 �Part of the panel on "New Curriculum Topics and their Application to Clinical M edicine" -Drs. Mcisaac, Spangler, Brownie. New Curriculum Topics The unusual happened. Spring Clinical Days, the 38th in fact, were cloudless and warm. This, combined with programs on newer aspects of medical school curriculum and their clinical application, recent progress in infectious disease, trends in medical education and economics, 14 exhibits, and nine class reunions where $30,430 was raised for special equipment for the School of Medicine made it one of the most successful programs. From Dr. Alexa·nder C. Brownie, the 200 attendees learned that the medical curriculum today is in the hands of many as compared to a few in the past. Or. Roblin, panelist Explained the curriculum committee' s co-chairman, " the curriculum is now a Faculty Council matter. Its membership consists of elected department faculty, administration, and student representation. An advisory council to the dean, one of its many committees focuses on curriculum. " We consider every suggestion in detail, " Dr. Brownie said. He noted that students attend more regularly than others . With feedback from their classes on proposed changes, he stated that " without their approval, the chances of curriculum change would be slim." With an organized curriculum committee, a mechanism for change, Dr. Brownie feels " we are trying to do something a bit more sensible than curriculum reform begun four or five years ago. While a 40 percent cut in core hours then freed up time for student electives, the committee failed to follow through on department cuts, some mere paper ones." With more real hours a certainty now _ electives such as embryology are being returned to the core curriculum- three afternoons a week are still available for electives " for those students who really enjoy them," he continued. A course on human sexuality, one quite different than in the early days of sex education, was described by Dr. Gloria Roblin . Because the 2 THE BUFFALO PHYSICIAN �clinical associate professor in psychology in the department of psychiatry believes that " every practicing physician may be called upon to deal with or seek information on a patient's sexual life," the required sophomore course has a clinical orientation. There are both large and small group sessions. Explained Dr. Roblin, " the first half of each session is a formal one." Here, coordinator, two lecturers, and three physicians discuss clinical experience in sex-related problems to stimulate discussion. At small group discussions which follow, students explore their attitudes and learn about their management. And through films, erotic ones and others, students are taught skills as well as a heightening awareness of their attitudes, she explained. Because she believes that every physician can help to counsel their patients - a surgeon on radical mastectomies, a cardiologist on renewal of sex - she believes that as a guardian of a patient' s biologic rights, they must know how to take a sexual medical history. " We therefore teach our students how to do so," she said. When questioned on the right of a physician to take a sexual history, she countered with the necessity of a physician to do so if he is to adequately treat his patient. " But if the patient insists on not doing so, it is within his inviolable rights. " While there may not be any literature available today on the female, Dr. Roblin does hold a program on female sexuality. She also noted that in the final lecture, all techniques of therapeutic interviews are reviewed. To understand human sexuality, she cautioned on the need to balance emphasis on function with the meaning of sex. " It is and should be a legitimate focus and concern of those who work in medicine." In Dr. Edgar Beck, Mrs. Stockton Kimball Spring Clinical Days dDrs. Maloney, Phillips and Sharon Nelsen, Diane Saar Drs. Jo hn O 'Brien, C harles Banas FALL, 1975 3 �1. Drs. John F. Argue, Kenneth H. Eckhert, Sr., Morris Reichlin; 2. Drs. Norbert J. Roberts, Milford N. Childs, Albert Rekate, and C.K. Huang . 3 . Drs. Paul Longstreth, George Fugitt (accepted check for Eldred R . Smith); 4. Drs. F. Carter Pannill, Sidney Anthone, William Webster. 5. Drs. John Winter, Benjamin Sanders; 6. Drs. Leonard Katz, Roger Dayer. 9 Classes Contribute $30,430 to Medical School 7. Drs. Joseph Cardamone, John Richert· 8. Drs. Luther Musselman, Irving Wolf~ son; 9. Drs. Marvin Block, F. Carter Pan- nill. 9 �her desire to involve the student as a community leader in sex education, she looks forward to the year 2000 when she believes there will no longer be any sexual therapists . " Every physician will be able to handle all of their patient's problems." Admitting that sex was a hard act to follow, Dr. Robert A. Spangler nevertheless proceeded with steps the biophysics department has taken to make its subject matter more interesting to students. Through an elective on instrumental instruction, a small number of students are learning the basic concepts and units of electricity, about patient safety, and the system's analytical approach. " It is a direct outcome of our concern on the expansion of biomedical knowledge," he pointed out. Promising to be an exciting development in biomedical instruction is a new graduate program on human critical illness. Organized by Drs. John Siegel, John Border, Charles McMenamy, Lee Bernardis, and Peter Scott (an electrical engineer), the acting chairman of biophysics pointed to this overt educational opportunity that will be open to senior medica( and graduate students as well as residents. Problem solving, through a computerized assist, is helping freshman medical students better understand interactions that take place in respiratory physiology. But, explained Dr. Harold I. Modell, the 15 programs he, Drs. Leon Farhi, and Albert J. Olszowka have prepared on various aspects of pulmonary function will also be available this summer as a refresher course for residents. They are also being used to teach medical students and residents in Houston's department of medicine, to anesthesiology residents in Florida, and to medical students in Oregon as well as on a national/international basis through the American Thoracic Society . Computer experience, the assistant professor of physiology explained, is not necessary. In fact over the three years their program has been in use, fear of the computer seems to have lessened among freshman students who appear to be sharper. Direction is provided them via a set of instructions. " They are similar to laboratory protocols, " Dr. Modell said. The computer lets the students do many things. While there are no pre- or post tests, there is review and reinforcement. Question and answer tests are also available and the student can use the progra"ll to answer his own questions , he pointed out. In response to a query on which students are taking the program, he pointed to all levels of expertise that are represented. " They are not just the best students," he said. A learning process, he feels the program allows students to pinpoint problems in value judgments. "As we get more clinically oriented, we learn more things we can do with one particular model, " he said. While the program does not require previous study by the student, it is generally agreed that it is a time saver. " The student can look at many more situations in a shorter period of time. We feel we have satisfied a need students seem to have. They get their own judgments from computer feedback, " he said. An independent study program in pharmacology was reviewed by Dr. Robert J. Mcisaac. In this program where the individual is responsible for his own education, all material and equipment is available to students in a seminar room that is open at all times. "A student need-- FALL, 1975 5 Or. Mod ell, pan elist Spring Clinical Days �The winning exhibit, Diagnosis and Management of Urinary Tract Infections in Children, by Dr. O.R. Oberkircher, ]r. only appear at exam time," the professor of pharmacology and therapeutics explained. Started in 1973, students were provided materials in an atmosphere in which they could study on their own over the summer with some evaluative tests. While originally allowing only the best students to participate, it is now by student decision. "We want to accommodate students who wish to go through an accelerated program," Dr. Mcisaac said. But he pointed to other students who are using the program as well as educationally disadvantaged and a small number who are reviewing for National Boards. Each student enrolled in the accelerated program receives a manual. Objectives for each unit are stated as well as a detailed outline for unit material and references for further reading. A student may even hand in work problems for evaluation if he so desires. So popular is this manual - there are only a limited number- that Dr. Mcisaac has learned that it is now being reproduced on the black market. He pointed to similar independent study programs available to students in clinical departments and in microbiology and pathology. "They are allowing students to accelerate, to graduate in a shorter period of time." The first four students going through these accelerated programs graduated last May. Another group of six, enrolled in the programs, will graduate next year, while yet an additional group of seven will start on the accelerated track this fall. Infections While some infectious diseases seen by clinicians have all but been eliminated due to advances in immunization and antibiotics, the message left by a panel dealing with infections is that others are still with us. From Drs. Thomas D. Flanagan, Erwin Neter, Cornelius J. O'Connell, and Robert Spier came evidence that Shigellosis, influenza, and B. meningitis represent a challenge to both physician and researcher. 6 THE BUFFALO PHYSICIAN �In the healthy, Dr. O'Connell noted that infectious organisms which make up the normal flora are both beneficial and inocuous. But in those with reduced resistance, he pointed to infections that may result. Opportunistic infections, some so new they are not yet documented, were reviewed by Dr. Neter. Their increase, he feels, is due to more patients surviving serious or fatal diseases, more prematures and those with genetic diseases such as cystic fibrosis who are more susceptible to infectious staphylococcus and Pseudomonas, and those with leukemia or cancer where immunosuppressive therapy leads to reduced resistance. But what he also feels may prove a major determinant in the patient is age. Even foreign bodies such as catheters, sutures can be sites where micropathogenic organisms settle to cause fatal disease. And while antibiotic agents are available for treatment of infections, some of the latter have shown unusual resistance to commonly available ones. From Dr. Spier came proof that no organism has yet developed resistance to proper surgical technique. But one serious pathogen that~ Dr. Neter predicts is a large volume of Group B hemolytic Streptococcus. "Newborns acquire it on their passage through the birth canal," he said. And while bacterial infections in patients can be controlled, there was agreement on the challenge of changing patterns of infections and etiological agents as well as the hazard to those patients with other basic disorders. Though not yet as common as the common cold, without appropriate drugs and management, the panel pointed to serious or fatal outcome from these infections. Stressed was the need for immunization against tetanus, for it is highly effective for all except the immune deficient. An immunization record should also be kept. While a booster lasts longer than previously thought, it is ineffective without prior immunization. To pinpoint those susceptible to the side effects of drugs, research is needed. "There is no easy clinical way, " Dr. O'Connell said, "to predict the effectiveness of drugs now available for anaerobic infections. " And while the first indication for chemotherapy comes via microscopic examination of a specimen, the importance of its proper collection was emphasized. " It must be placed immediately into an oxygen-free tube, " Dr. Flanagan noted. "For just a brief period of exposure to oxygen will kill a labile organism." Drs. Oscar Oberkircher Sr., Eugene Lippschutz The panel on "Infections as Seen by the Clinician" - Drs. Neter, O'Connell, Spier (Dr. Flangan , not in photo, was also a panei member). FALL, 1975 7 �J Re-Licensure Drs. ]ames Dunn, Myra Zinke New technology, the panel predicts, will lead to better antibody specificity tests. While enterotoxins produced by E. coli can now be identified, in the case of Hemophilus influenza type B, the panel notes immune age is later than previously supposed, fewer babies are born to immune mothers , and immunity may peter out in infants earlier than suspected. Even though ampicillin-resistant strains have been noted in Buffalo, the panel agreed they are not usually fatal , but the patterns of resistance are changing in the common Shigellas . These were some of the topics covered by the panel. Dr. Robert C. Derbyshire said the sub-title of his presentation could well be " Down with Lifelong Licensure. " The secretary of the New Mexico Board of Medical Examiners went on to say that relicensure is a major topic today because of the demand for public accountability, fear of examination and Federal regulations , and the desire of the profession to police itself. " In the last five years re-licensure has been discussed more openly in New Mexico and other states, " Dr. Derbyshire said. In tracing the history of re-licensure Dr. Derbyshire pointed out that in 1947 the American Academy of General Practice had a rule that to keep your membership in the Academy physicians had to take continuing medical education courses. This organization, known as the Academy of Family Practice today, was years ahead of its time. In 1969 Oregon became the first state to require participation in continuing education for membership in the state medical association. Today 12 state medicql societies require continuing education for members to remain in good standing. Kentucky has a law that requires physicians' participation in continuing education programs for membership in the state medical society. In New Mexico and Maryland laws have been implemented that require 120 hours of continuing education over a threeyear period for re-licensure. Similar bills are pending in four statesArkansas, Florida, Iowa and Kansas. " Of the 1700 physicians in New Mexico, 1562 have met the requirements of re-licensure. There are only 18 physicians (living in the state) who are in serious trouble with this procedure. Others have moved, retired, or been granted extensions. So what is all the fuss about? That many very often fail to pay their annual dues ," Dr. Derbyshire said. " The reaction to the law by New Mexico physicians ranges from low key to a high crescendo." In 1967 the President's Commission on Medical Manpower recommended periodic re-licensure based upon continuing education or challenge examinations in the physician's specialty. Re-licensure has also been recommended by the Commission on Medical Malpractice. The president of the AMA favors continuing education as a requirement for re-licensure. He does not favor examinations for re-licensure, according to Dr. Derbyshire. In 1971 a Medical Opinion Survey showed 37 per cent of the doctors in the United States favored continuing education for re-licensure, 8 THE BUFFALO PHYSICIAN �The panel on "Re-Licensure and Re-Certification" - Drs. Derbyshire, Maloney, Felch, Alper. and two years later it was SO per cent in favor of a continuing education re-licensure plan. "There is no universal agreement on this issue of continuing education being a basis for re-licensure. Many physicians say there is no proof that continuing education improves patient care. "Since the law was passed in New Mexico there have been many more programs in continuing education all over the state and there has been an increase in attendance. The state medical society has been certified by the AMAas an accrediting body," Dr. Derbyshire concluded. Bioscientific knowledge is increasing so rapidly that it is no longer possible to assure the public that the quality of its medical care can be guaranteed by original training, original licensure or original certification of the physician, according to Dr. William C. Felch, attending in medicine, Grasslands Hospital, Valhalla, New York. "Today, the public needs some form of regular reaffirmation about its care, and the profession is motivated to accommodate this need for two reasons - one altruistic (to demonstrate its accountability to the public) and one selfish (to ward off the incursions of government in this arena)." Conceptually, there are three ways for the profession to make this affirmation, according to Dr. Felch: "The first is to document evidence of efforts to keep up with bioscientific knowledge by allotting credit for attendance at continuing medical education exercises. This system is well established and widely endorsed, but is criticized for not having proven beneficial impact on actual patient care. FALL, 1975 9 Spring Clinical Days �Drs. Carmela Armenia, G eo rge Th orn gate lV " The second way is to test for the possession of bioscientific information through periodic examination. This system is familiar , is the basis for original certification, and is currently proposed or already used for specialty board recertification. It is criticized because it tests only information (and not its application), and because of difficulties connected with its pass-fail implications. " The third way is to assess actual performance in everyday patient care through peer review. This approach is endorsed conceptually because it measures not only information but also interpersonal and problem-solving skills, by assessing behavior directly at the physicianpatient interface. It is criticized because it has not yet been shown to work in the real world ." Dr. Felch pointed out that these three systems differ , not only conceptually, but in such other factors as ease of accomplishment, expense, potential for use by private or public sector, agency likely to control, breadth of applicability, etc. " The argument can be advanced that we do not have to select only one of these systems, that each can be applied in a particular setting, depending on particular needs at the time. " Dr. Felch asked several questions : -should recertification apply only to doctors or to all health professions? -should the results be made public? Should the public participate? -should the person who can' t qualify be allowed to re-educate himself? -how do you measure the outcome- pass or fail? Where do you draw the line? -what should the content of the examination be? Should it be the same for all physicians? -what are we trying to measure-information, data , skills, knowledge, etc.? Dr. Felch stressed that we should look at the physicians' performance in dealing with patients. " This is the best way to determine how competent a man is. " Dr. Felch pointed out that priests, attorneys and politicians are not The sessions were informative, interesting 10 THE BUFFALO PHYSICIAN �licensed. " If we keep our cool perhaps we can keep the government from intervening. And maybe we can prove to the public that we are doing a good job and that we are honest. " The past president of the American Society of Internal M edicine doesn' t believe original certification is a guarantee of lifelong competence. " Individual physicians must keep abreast of new knowledge and skills. " Physicians can attend lectures and daydream. Or they can attend sessions that have no practical bearing upon their particular areas of interest, " Dr. Felch concluded . Dr. Philip Alper talked about his three years ' experience as a member of the Union of American Physicians in California. " My union experience has been positive. My patients are neither impressed nor offended. I continue as their doctor and relate to them on a one-to-one basis . And my union membership did not change my relations with my colleagues. In fact, many showed considerable interest and I found that far more of them were considering union membership than I had expected . Confrontation and adversary relationships are not sought by my union. " The assistant clinical professor of medicine at the University of California School of Medicine in San Francisco noted that medical unions started in the 1930s. The interns and residents were the moving forces . They wanted workmen's compensation to cover injuries they received while riding ambulances. They also wanted group practice and national health insurance that was advocated by the Hoover Commission. The depression and World War II killed this union movement. But it was revived in 1957 when the Council of Interns and Residents (known for the New York City strike) was formed . Today their membership is 5,300. In 1961 the Doctors Association of New York City was formed. This organization represents 1,600 doctors working for municipal hospitals. In 1971 the Physicians National House Staff Association was formed. Today it has 25 ,000 members. " There have been many new medical unions formed in the last three years. There is no academic literature on unions . About our only source of information is the New York Times, Modern Medicine, Medical World News and Medical Economics . Today there are about 18 states with medical union activity. They claim 55,000 members. The movement is spreading to several other states and the University of Southern California is studying physici ·m unions . " The Las Vegas Union had 150 physicians who were paid for utilization and review work. This union later joined the Service Employees International Union. This is an example of a doctors' union affiliating with a labor union. In 1973 the American Federation of Physicians and Dentists was formed . This was an umbrella organization to unite all doctors' unions in the United States . " There has been a common theme of union policy. An identity of interest between doctor and patient (they are allies and the government and other third parties are the adversaries) , and no strike against patients, " Or. Alper said. In discussing the role of medical unions, Dr. Alper said, " Unions should not be fighting a war in which the mission of medicine gets lost. In California unions take adversary stands, provide service, give testimony to congressional committees, help patients, arbitrate, do collective bargaining, find lost claims, represent salaried physicians, and aid in collections. FALL, 1975 11 S eco nd place exhibit, A Role of Prolactin in Pros tatic Physiolog y , by Drs. W.E. Farn swo rth, W. Roy S la unw hite ]r., and M. Gonder. Spring Clinical Days Third pla c e exhibit , Pra c ti c al Appli cations of Automation in Radiology, by Dr. C.S. Tirone . �Drs. Paul Weinmann, Marvin Block "The union also helps physicians get reimbursed for spending innumerable hours in review and administrative functions. There is a virtual orgy of criteria setting and rule making aimed at spelling out what constitutes ideal medical care. Doctors cannot indefinitely take on paid third-party bureaucrats who work on the job from nine to five. " Dr. Alper agrees with Dr. Harry Schwartz (Stockton Kimball speaker last year) on several points: -American medicine is under siege -Union movement among physicians is moving very rapidly -Government is the leading buyer of health care services and will want accountability -American physicians and researchers are among the world's leaders -Collective bargaining will have to come for physicians because of the 'politics on envy' -Concept of health care is a human right without responsibility of what this right is by the man in the street -The Federal government is aiming for complete control of medicine -Trend is toward more hospital based physicians. " The Union of American Physicians has accomplished some significant things that have benefited both physicians and patients," Dr. Alper concluded. Specialization, Distribution, Education " Where a physician practices depends upon the attractiveness of the community, financial rewards, and whether a doctor is needed. " Dr. Helen Ranney went on to say specialization is blamed on the medical schools and this should not be their responsibility. The chairman of the department of medicine at the University of California Medical School in San Diego was the Stockton Kimball speaker. "It will be hard to turn back specialization because of the way our health system is set up. Money is the big factor, and sub-specialties is a national problem. We cannot hope to improve health care by changing medical schools and their educational system. This would be unrewarding, awkward, and slow." The physician-educator continued, " Medical schools should not be asked to solve the physician distribution problem. But it is forced upon us by legislatures because they find medical schools can be pushed around more than any other groups in our health system. Medical schools are always short of money and this forces them into some very inappropriate roles. " Although medical schools are blamed for " not producing enough generalists" Dr. Ranney said the blame for that lies more with the abolition of the military draft. "With no draft medical students are going into specialty training. (Usually they spent two years in the service.) Money is another factor. " Dr. Ranney said the problem of regulating numbers of specialists and generalists could be approached in several ways. " Personally I feel the better alternative would be to have regions developed so we could 12 THE BUFFALO PHYSICIAN �Drs . F. Carter Pannill, Helen Ranney, Michael Sullivan have some planning on a broader geographic scale to estimate need, population trends, and economic realities. Based on these estimates some method would be devised to provide the right numbers of various types of doctors for each region . We are facing much more regimentation than we have ever been used to- if we are to solve this problem. We can expect a great upheaval on our current training programs. We can expect hard words and injured feelings among institutions if we are to have new training programs in the sub-specialties. " The professor of medicine mentioned the Imperial Valley (80 miles east of San Diego) where a lot of people live. " But market and economic pressures won' t solve the problem of where physicians practice alone. In this case the summers are too hot. How do you get a physician to move to the Imperial Valley? This is a challenge for medicine. If we don ' t come up with some answers soon, the government will. " In reviewing the educational trends in medical education Dr. Ranney said, " Some medical schools have abandoned the 'lock step four-year curriculum' in favor of more electives. Basic science courses have been streamlined. And the material students receive in pre-clinical years is more clinically oriented than it was when I was a medical student. It is very difficult to select material for a core program because what you think is important today rna; not be so important five or 15 years from now. " Several years ago a famous medical educator said " One half of what we have taught you is wrong. We don' t know which half. " The California physician-educator believes the fourth year elective in a sub-specialty or advanced clerkship is a reasonable kind of educational experience. " I am not so sure about a fourth year rotation in cardiology or a surgical sub-specialty. Putting a fourth year student in that role of sub-specialty is wrong because the student has not had internship or residency training." Another aspect of medical education is the increasing number or physicians we have placed in training in medical schools in recent years, some by increased class sizes and new medical schools. There are many more physicians in the pipeline today. " The number of programs for training paramedical people has increased to the extent that we are going to have to reach a definition of the role of the paramedical person versus the physician. d-- FALL, 1975 13 Spring Clinical Days �Spring Clinical Days The Stockton Kimball luncheon. "In the last few years the number of medical students has increased by 30 or 40 per cent, but the number of internships around the country have not increased that much. Some internships have been abandoned by hospitals not strongly affiliated with medical schools. However , the competition for house staff positions will increase because these positions are supported by patient care monies, " Dr. Ranney concluded . 14 THE BUFFALO PHYSICIAN �Boy Given Nuclear Pacemaker Mrs. Hubert G. Klein, Or. Subramanian, Glenn Klein with his stuffed animal. A six-year-old boy was the first patient at Children's Hospital to receive a nuclear-powered heart pacemaker and the youngest person in the United States to receive such a unit. Dr. S. Subramanian, chief of cardiovascular surgery at Children's Hospital, implanted the device in Glenn Klein of Tonawanda during a one- half hour operation Saturday, April 26. The associate professor of surgery at the Medical School implanted the unit in the deep muscles of Glenn 's abdomen. A wire passing beh;nd his breast bone connects the pacemaker to Glenn's heart muscle. "The electric current to stimulate Glenn's heart is provided by plutonium in the pacemaker. It will stimulate Glenn 's heart 'on demand ' whenever the number of times it beats per minute drops below 72. Prior to his receiving the pacemaker Glenn's heart sometimes beat only 40 times per minute," Dr. Subramanian said. The hospital is the only children's hospital in the United States licensed by the AEC to do nuclear-powered pacemaker implants. In July 1972 two patients at Buffalo's Veterans Hospital were the first two persons in the United States to receive nuclear- powered units . Dr. Subramanian said, " the pacemaker implanted in Glenn Klein has an expected life span of more than 40 years. It's possible that surgery might be required before that time to replace its electrodes." While Glenn will be limited in terms of participation in contact and competitive sports, Dr. Subramanian said " Glenn will be able to participate in normal physical activity for a child his age. " FALL, 1975 15 �Hippocratic Oath- Taking 129th Annual Commencement Dr. John 8. Sheffer responds to MEDENTIAN dedication. It was solemn. It was traditional. And yet the 129th commencement of the School of Medicine was different. For, as Dean John Naughton noted, " your class represents a greater proportion of women and minority student graduates than at any other time in our history. " He expressed the need for vigilance as forces in the profession as well as society " challenge some of the judgments you will make." From class president William H. Hall, an appeal to classmates to " do their utmost to eliminate intolerable inequities of health care to all as well as the need to increase the woefully inadequate number of culturally and educationally disadvantaged students in medicine." In dedicating the yearbook to Dr. John Sheffer class vice president Ronald David noted "the individual who was an example of the superb quality of teaching available ... his personal approach to student evluation ... and willingness to serve as acting chairman of pathology for three long years. " It was the third time students have honored Dr. Sheffer. " With the award of this highest honor that any faculty member could ask, " he pledged to " try to maintain a worthiness to the trust you have placed in me." In a tribute to Mother's Day, Dr. Naughton asked that mothers, wives and grandmothers present be so honored. 16 THE BUFFALO PHYSICIAN �24 Seniors Honored T wenty-four senior medical students shared 18 awards at the 129th commencement exercises May 11 in Kleinhans Music Hall. Three earned three honors apiece. They were: Joseph V. Henderson, Jr. , Leonard M . Klein, and Michael E. Rinow. Dean John Naughton, participating in his first U/ B commencement, awarded 130 diplomas to the graduates. Four of the graduates were on an accelerated program. Among the 37 minorities who graduated, 20 were women. Degrees conferred on 13 basic science graduate students by Dr. F. Carter Pannill, Jr., vice president for Health Sciences, included 3 Ph.D . degrees, 9 Master of Arts Degrees, and one Master of Science Degree. The following honors were presented by Assistant Dean John A. Richert: Alpha Omega Alpha (National Honorary Society) - Penny A. Asbell; Paul E. Bellamy; Alan J. Calhoun, Vincent A. Campanella; William I. Cohen; Ronald David; Leonard M. Klein; Robert J. Lapidus; Lawrence G. Millhofer; Christine D. Nicoll; Michael E. Rinow; Hugh A. Sampson, Jr. ; Stanley J. Szefler; Steven L. Zinn. Thesis Honors- Joseph V. Henderson, Jr. and Richard A. Levine Buffalo Surgical Society Prize (academic excellence in surgery during junior/ senior years) - Richard A. Levine d- Th e hooding by Drs. S. Mouchly Small, John Robinso n, R obert M cisaac, T homas Cummiskey . FALL, 1975 17 Richard Levin e, DDS, MD �The processional. As Dr. Edward Marra leads with Mace, Dr. John Richert and D ean John Naughton follow . Dr. Heinrich Leonhardt Prize (academic excellence in surgery)- In 1847, in the original Medical School graduating class there were only 17 graduates. They completed a total medical program in 16 weeks. Michael P. Rade David K. Miller Prize (demonstration of Dr. Miller's approach to caring for sick- competence/ humility/ humanity)- Hal A. Franklin, II Gilbert M. Beck Memorial Prize (academic excellence in psychiatry) - Miles S. Quaytman Philip P. Sang Memorial Award (academic excellence and dedication to human values in practice of medicine) - Paul E. Bellamy and Leonard M . Klein Morris and Sadie Stein Neural Anatomy Award - (excellence in neural anatomy) - Stephen W . Olcott Maimonides Medical Society Award (application of basic science principles to practice of medicine) - Michael E. Rinow Hans ]. Lowenstein Award (academic excellence in obstetrics) Michael E. Rinow Bernhardt & Sophie B. Gottlieb Award (combination of learning/ living/ service)- William H . Hall Mark A. Petrino Award (demonstrated interest/ aptitude for general practice of medicine) - Thomas C. Rosenthal Lieberman Award (interest/ aptitude in study of anesthesiology)Joseph V. Henderson, Jr . Clyde L. Randall Society Award (academic excellence in gynecology-obstetrics) - John L. Lovecchio 18 THE BUFFALO PHYSICIAN �Alumni Association Award (outstanding achievement in third year) - Leonard M. Klein Children's Hospital Prize (excellence in understanding disease in childhood) - Sr. Marguerite Dynski Baccelli Research Award (continued excellence in research) Joseph V. Henderson, Jr. Upjohn Award (zeal/diligence/ application in study of medicine)Michael S. Taxier Three of the six awards for first three years of medical school went to junior medical student Serafin V. Anderson. The awards were : Kornel L. Terplan Award (demonstration of best knowledge of pathology in sophomore year) - Serafin C. Anderson Farny R. Wurlitzer Award (outstanding work in psychiatry) Serafin C. Anderson ]ames A. Gibson & Wayne ]. Atwell Award (highest record in anatomy in first year) - Robert E. Miegel Bacteriology Award (highest record in microbiology) - Geraldine A. Krypel Edward L. Curvish, M.D. Award (highest record in biochemistry in first year) - John E. Billi Roche Laboratories Award (highest ranking student for work in first/ second years) - Serafin C. Anderson The following basic science students participated in the School of Medicine Commencement: Master of Arts - Philip Dembure (biochemistry) , Bruno Eberspacer (biochemistry), Marie Gallagher (microbiology), Elizabeth Korniat (biochemistry), Steven Lobel (microbiology), Majambu Mbikay (biochemistry), Martin Praino (microbiology) , Russell Sawyer (biochemistry), Yee Pang Ung (microbiology). Master of Science - Cris Corredor (biophysical sciences). Doctor of Philosophy - Frank Giblin (biochemistry), Frank J. Lebeda (pharmacology and therapeutics), Edward James Shapiro (biophysical sciences). The University graduated 5,714 in 12 commencement ceremonies. In addition to the general commencement held Sunday, May 18 in Buffalo Memorial Auditorium, 11 other individual exercises were held. This was the third year that U/ B has had optional separate unit commencements in an effort to personalize the ceremony. Of the 5, 714 degrees, there were 45 associate, 3,599 baccalaureate, 1,266 master's, 413 doctorate, and 391 professional (medical, dental and law) degrees. University President Robert L. Ketter was the main speaker at the general commencement. The University awarded its highest honor, the Chancellor Norton Medal, to Dr. Ralph W. Loew, retiring pastor of Holy Trinity Lutheran Church. �Address by William H. Hall, President- Class of 1975 Medical Education Dean Naughton congratulates Dr. John Lovecchio. __ Dr. Marguerite Dynski signs Book of Physicians as Dr. Marra watches. _, __, Because of substandard academic preparation and below-average financial means combined with the crippling effects of racism, medical education continues to be costly and difficult for the Black student to achieve. Efforts to recruit, accommodate, and retain educationally and culturally-disadvantaged students must be not only continued but accelerated. We must bridge the gap between the percentage of Black doctors and the percentage of the Black population as a whole. The nonBlack doctor/patient ratio is approximately 1/650; the Black doctor/patient ratio is 1/4300. At present six percent of all medical students are Black. We comprise eight percent of the freshman classes nationally (partly due to the disproportionate number of Blacks repeating the first year). We are 12 to 14 percent of the population. Recognizing that progress has been made, I urge you to join in whatever way you can to strengthen our commitment and aid in this struggle. Maldistribution of Physicians The distribution of physicians in this country leaves many areas with disgracefully-poor access to health care services. The most logical approach to this problem is in my view to provide students of all racial and economic backgrounds, in all parts of the country, equal opportunity to acquire the training so that they may serve their own people as only they can do. Our nation's most significant effort to achieve a more equitable distributior.~ of health care services has been the National Health Service Corps. It has however had its problems. Since 1974 NHSC has had to increase incentives and recruitment efforts to meet their quotas, whereas before the American draft ended there was a waiting list. Another significant finding is that in an organization whose prime goal is to provide health care to poor and disadvantaged people there was only one (1) Black physician working at a NHSC site as of January 1 of this year. We must have longer-term, more basic approaches aimed at the causes of our problem. Health Maintenance Organizations HMO's as they are called, are the latest solution to the problem of providing low-cost health care to large numbers of people, while attempting to maintain the personal quality associated with traditional private practice. HMO is good news and bad news. While it is a lowcost, pre-paid health service program which provides health education programs and is conveniently located, there is the real possibility that the concept of a prepaid insurance-type health plan will be unattractive to the most needy of our population. How many underpaid heads of households do you suppose are likely to place preventive and maintenance health care at the top of their priority list ? The Malpractice Insurance Crisis Today's malpractice insurance crisis is merely one more indication of the deteriorating personal relationship between doctor and patient and the narrowing gap between the doctors' and the patients' levels of 20 THE BUFFALO PHYSICIAN �Drs. Evan Calkins and F. Carter Pannill. A fellow classmate is congratulated by Class President William H. Hall and Vice President Ronald David. understanding of body functions . It is also symbolic of the cut-throat attitude that exists, encouraging that every opportunity for financial gain or revenge be exploited fully by any means available and necessary. I further note a shifting of lawyers' attention from the once-lucrative automobile accident lawsuit to the up-and-coming medical malpractice arena. No-fault insurance has severely stifled the auto accident lawsuit market. As expected it is the patient who is the victim and who will continue to suffer. Only now it is with a new kind of injustice. There is no practical value in creating an adversary relationship between doctor and patient. Examinations in General; Admissions and Licensing in Particular Formal academic examinations remain a major hindrance to the average Black medical student. Once again the substandard quality education collaborates with cultural and racial disadvantage to remind us that we shall have to compete if we are to survive in a system designed for the culturally-different majority. A double-edged sword is needed to cut through this particular obstacle. First, the education system must provide a mechanism for eliminating the disparities that result from the dual-education system. Secondly, the examination process must be scrutinized to remove all elements of cultural bias and strengthen itself as a valid tool for the measuring of professional potential or competence. "Reverse Discrimination" At issue in many professions is the claim of reverse discrimination against non-Black persons. Most recently the conflict between the affirmative action programs and layoffs, according to established seniority systems in police departments and in industry, has received much attention. Some of us don' t seem to understand that the most essential element of any catch- up program is favoritism toward the underdog! It is about as reasonable to expect the caboose to catch up with the engine of a train as it is to expect Blacks to recover our loss with no accommodation for the injustice done us. Within the very system that created this dFALL, 1975 21 �Beginning with the Medical School's first special Class Day in 1961, and continuing when the ceremony was transformed into the formal commencement program in 1973, the Marshal has carried a baton symbolizing his authority as director of the proceedings. The original baton, "temporary" in nature was made by Dr. Joseph Benforado, associate dean, from a turned wooden chair rung. Over the years it acquired an aura of tradition, and had in fact become a permanent part of the School's ceremony. Following the commencement of 1974 the baton was stolen. The new baton replacement was designed and made by Dr. Robert L. Brown over the past year. The design is the traditional staff of Aesculapius. The single snake was cast on bronze by the lost wax technique by the Ashford Hollow Foundatio'!, and has been given a dark brown and green patina. The snake is coiled around the classical forked rough staff, which merges at its lower end into an ornamentally carved handle. The wood is cherry, with a dark brown stain. The baton was carried in this year's commencement by Dr. Harold Brody. Dr. Ross Markello marches with Dr. Harold Brody who holds new Baton . condition, recovery is absolutely impossible without the so-called '' reverse discrimination.' ' Admittedly, I have addressed myself mainly to issues adversely affecting Black people. This, I feel, is fitting and proper since Blacks comprise a large proportion of the disadvantaged of this country- the single group to which our strongest efforts should be directed. I appeal to each of you in the Class of 1975 to commit yourselves to doing all you can to eliminate the intolerable inequities that exist in the quality of health care available to the peoples of this nation and the world . We, the Class of 1975, shall do our utmost to direct the course of our lives in a manner which will reflect well upon this university. We trust that the State University of New York at Buffalo School of Medicine will continue in a positive direction to provide quality medical education while implementing a socially-responsible philosophy. We hope that Drs. Cummiskey, Lee, Musselman, Nolan, Sheffer, and others of similar commitment and skill will persist in their worthy efforts despite resistance and disapproval from their lessdedicated comrades. We appreciate having had this opportunity to realize our ambitions. Sincere thanks to all of you who have made this day possible! Thank you . o 22 THE BUFFALO PHYSICIAN �Medentian Honors Three Professors Dr. Sheffer For the second consecutive year Drs. Thomas G. Cummiskey and John B. Sheffer were honored in the MEDENTIAN, Schools of Dentistry/Medicine yearbook, for their dedication to teaching and concern for students. The medical students dedicated the MEDENTIAN to Dr. Sheffer. Dr. Cummiskey, a second year radiology resident at the E.J. Meyer Memorial Hospital, volunteered for the second time to write recommendation letters for students seeking internships. He was assistant dean for student affairs from 1970 to 1973. In citing Dr. Cummiskey, " ... with special appreciation for agreeing to undertake the task of writing our letters. Many of us have seen examples of Dr. Cummiskey's recommendation letters. He has always done his best to be fair to all students, finding positive qualities to stress without ever engaging in misrepresentation which would impair his widespread credibility with many hospital department chiefs across the country. Virtually all of us wanted a 'Cummiskey letter ' for this reason and also because he knew us best." Dr. Sheffer, a clinical professor of pathology, has been on the faculty for 25 years. Dr. Sheffer was cited ... "for all he has taught us, to dedicate ourselves to reach for thoLe human ideals to which he constantly aspires and so often magically attains; his personal approach to student evaluation and willingness to serve as acting chairman of pathology for three years. Dr. Sheffer has shown us the ideal of a person who has dedicated himself to teaching those who wish to learn. The best way we can honor Dr. Sheffer is too dedicate ourselves to that task of always trying to help our fellow man. Dr. Sheffer, more than any other person during our medical career, has exemplified the spirit of selfless giving." The dental students honored Dr. Davis A. Garlapo, associate professor of restorative dentistry. He was cited .... "for bridging the span between the academic-clinical years and the practicing dentist. His well prepared and presented lectures, clinical demonstrations, and personal contact have been beneficial and rewarding. Within his own specialty of fixed prosthodontics he has provided an exemplary model of clinical technique and precision." FALL, 1975 23 Dr. Cummiskey �Survive If You Can by PaulL. Weinmann, M '54 Immediate Past President Medica/Alumni Association There is an imperative inherent in the existence of all living creatures. And it is to this survival dictum that medicine is dedicated, insofar as it pertains to human beings. As the old year draws to a close and as we consider the events of 1975, we realize that survival underlies most undertakings. We are concerned with individual survival, generic survival of humanity, social survival of our community and political survival of our way-of-life; to say nothing of the more recent clamor for survival of the environment and ecologic harmony. As physicians we are dedicated to even more than survival. We are concerned with lifting man from a slave-like dependence on his physical structure by providing the modern support of life sciences and medical arts. It is not only life but the quality of life that concerns us . As is well-known, Jacques Monod was awarded the Nobel Prize for Medicine and Physiology in 1965. His recent essay on the natural philosophy of modern biology entitled, " Chance and Necessity" refers to an observation made by the so-called Father of Science, Democritus, that "everything existing in the universe is the fruit of chance and necessity." It seems that an additional ingredient is also operative. This is the Will. It may be that Democritus ignored the Will since there was no word to express this concept, nor indeed, did this concept exist in the time of the pre-Socratics. We, however, do recognize that there appears to be more to existence than mere chance and necessity. As we consider the continuum of time with its orderly progression of events, let us dedicate our wills to the preservations of good health for all those with whom we come in contact, remembering the guiding dictum of our profession - "Primum non nocere" - Above all, do no harm. t Summer Fellowships F or medical students, the summer fellowship program provides research and educational opportunities not offered as part of their regular medical curriculum. This summer, 10 freshmen and 11 sophomores received stipends from $750 to $1000 to work for an eight to ten-week period on either basic or clinical projects that include investigations in health care or community problems. Here is how the program works. Interested students, working in collaboration with a faculty sponsor, prepare and submit·a proposal for review by the Fellowship Committee. Sponsors may be chosen independently or from a list available in the Dean's office. Each committee member reviews all proposals which are then ranked according to a grading system based on several pertinent criteria. And funding, says committee chairman, Dr. Perry Hogan, is based on their ranked order. "Most funds received this year," he continued, " were earmarked for research-oriented projects, as has been the case for the past few years. " Four students received $1000 grants to continue worthy research on a year-round basis. Dr. Hogan feels that these higher stipends " encourage students to pursue investigative work which may direct them to future careers in academic medicine." 24 THE BUFFALO PHYSICIAN �While most of the students worked in Buffalo, one went to Haiti to gain a first-hand view of medical problems in a developing country, another worked in pathology at Nassau County Medical Center, while a third searched for new antigens in human sarcoma at the SloanKettering Institute. Three chose family practice, 16 research, and two selected clinical fields. Committee members this year were Drs. Perry Hogan (physiology); Seymour Axelrod (psychiatry); Carl Bentzel (medicine); Gerard Burns (surgery); David Dean (medicine); John Edwards (medicine); Murray Ettinger (biochemistry); Frank Kallen (anatomy); John Richert (asistant dean and registrar); Rudolph Williams (assistant dean, office of medical education). $1000 Continuing Research Projects Recipient Project Bernstein, David '77 Induction characterization of secretory antibody response to colostrum Kuwik, Richard '77 Deposition of mercury in human brain, other tissue, particularly the alcoholic Zornek, Nicholas '77 Site/ Sponsor Dr. P. Ogra, virology: Children's Hospital Drs. C. Glomski, anatomy, SUNYAB W. Olszewski, Buffalo General Hospital; C. Thomas, Jr., Nuclear Foundation Dr. E. Murray, psychology, SUNYAB. Apply signal detection theory to study of cognitive disturbance in schizophrenia EDUCATIONAL EXPERIENCE Armstrong, Robert '78 Preceptorship in medical problems in developing country Craig, Carin '77 GENERAL RESEARCH Altschul, Larry '77 Burn, Christopher '78 DelPrete, Salvatore '78 Isada, Nelson '78 Leslie, Joyce '78 Marchetta, David '78 Minkoff, Peter '78 Newman, Richard '78 Rohrdanz, David '78 Rosenberg, Barry '78 Urban, Hedvika '77 Comprehensive health care in Buffalo Family Care Center Search for new antigens in human sarcoma Bioavailability of intramuscular chlordiazepoxide HCl in alcoholics undergoing detoxification Studies on activities of lymphokine preparations Instability in coronary flow regulation as factor in myocardial infarction Investigate influence of /e mutation in mice: expression of enzyme B-Galactosidase Serial objective e"aluation in managing patients with hematologic disorders Pathology externship Determine incidence of adult onset metachromatic leukodystrophy Mechanism of action of intravenous BCG on metastatic pulmonary tumor nodules Overall involvement in anatomical pathology: study pap smear correlations Study of natural history of cancer Woodcock, Jonathan '78 Radioautographic studies of drug binding in induction of bilirubin permeation of brain Physiological genetics of herditary anemias FAMILY PRACTICE Ianuzzi, Phyllis '77 Kreasner, Michael '77 Ray, Joel W . '77 Dr. John Gabby, French Road, Cheektowaga Dr. Robert Corretore, 350 Alberta Drive, Amherst Dr. Robert H. Miller, Stony Pt. and Love Roads, Grand Island Wolff, Michael '78 FALL, 1975 25 Dr. M. Hunter, Wesleyan Hosp. , Haiti, West Indies Dr. F. Paolini, Buffalo Family Center Dr. Y. Hirshaut, SloanKettering Institute, NYC Dr. W. Learner, Medicine, Meyer Hospital Dr. E. Klein, dermatology, Roswell Park Mem. Institute Dr. R. Mates, cardiology, Meyer Hospital Dr. M . Meisler, biochemistry, Farber Hall, SUNYAB Dr. B. Fisher, hematology, VA Hospital Dr. V. Palladino, Nassau Co. Medical Center, NYC Dr. M. Rattazzi, human genetics, Children's Hospital Dr. D. Holyoke, surgical oncology, Roswell Park Mem. Institute Dr. A. Lukas, pathology, Meyer Hospital Dr. R. Ellison, medical oncology, Meyer Hospital Drs. J. Krasner, S. Yaffe, Children's Hospital Dr. R. Bannerman, med. genetics, Children's Hospital �.. Malnutrition in Africa Dr. Catz has just returned from a second tour of Africa. This time she journeyed to Morocco, Mauritania, Senegal, Camaroon, Kenya and Tunisia where she lectured on both medical and nutritional topics and shared her experiences as a professional woman in the States to groups of women in Africa. On August 1, Dr. Catz started a new assignment. At the National Institute of Health and Human Development she is supervising the funding of basic research on pregnancy, fetal development, and congenital anomalities. Mrs. Pruit is completing her third visit to Africa. While on sabbatical as a Fulbright Scholar at the Centre de Recherches Biologique Neonatales in Paris, pediatrician Charlotte Catz was asked by USIA to share her expertise on nutrition with several African nations. She did. As she journeyed to Chad, the Ivory Coast, and Ethiopia to talk to both professionals and laity, she discovered she was the beneficiary. It was an education for her in attitudes, history, and culture. Chad, she recalls, is one of the world's poorest and most inaccessible countries. Largely desertlike, few of its three-million inhabitants are either skilled or educated. On a visit to one. of its hunger-stricken villages, she found "communication can be a problem." While its inhabitants eagerly accepted the Japanese soya cookies and dried milk packages offered them, they were unable to reap their full nutritional value. Instructions on their preparation, the associate professor of pediatrics pointed out, were written in German. Many of the medical programs under the minister of health, a pediatrician, as well as a pediatric service run by a Belgian nurse she found to be very good. "More and more women being trained in midwifery are helping in outlying regions, " Dr. Catz said. The real problems there however remain those of infection and malnutrition. While a UNESCO-funded maternal/child protection.center offered cooking and nutrition classes, immunization and teaching programs were reaching into isolated areas via midwives/nutritionists who traveled there via two half-ton trucks, even though petrol remains a serious problem. Thank God for American astronauts, Dr. Catz recalls. Prior to a state visit to Chad by Libya's Khadafi, all hotel guests were asked to find other quarters. But as she was an American - one or two rooms were always reserved for visiting astronauts - she found herself occupying one of these rooms. "I had the hotel entirely to myself," she recalled. That Saturday evening, the town's sole movie focused on the Khadafi state visit. The parades, the forced villager attendance provided Dr. Catz with a first-hand view into the political life of Chad. 26 THE BUFFALO PHYSICIAN �.. Africa - A Continent of Contrasts FALL, 1975 27 �Different problems were found to be at hand on her visit to the Ivory Coast. A more affluent society, its many natural resources and industry resulted in a better-informed public and very good maternal/child protection programs. What may well have been a status symbol for progress- the arrival of TV - was having an adverse effect on a national campaign for the breastfeeding of infants. " Ivory Coast mothers ," she revealed, " want to identify with the TV image of the white/blonde mother who is bottlefeeding her baby." The contradictions for Dr. Catz continued. Although she found a sophisticated Cobalt machine dominating a modern medical school's radiology department, it was inoperable. " A small part was missing," she said. And while there are few dental schools in Africa, there are medical schools, in fact four or five. More meaningful for Africans , believes Dr. Catz, may be mobile universities. " Here local talent can travel around . The need is to deal with the big problems first. " Her visit to Ethiopia exposed her to everything from the primitive to the most sophisticated. In the old capital of Gondar, she found excellent programs in its School of Public Health. Here, not physicians but school graduates were directing community health care activities. Surgeons, all Indian volunteers , she observed to be overworked. And while one of the continent's outstanding research centers on nutrition is located in Addis Ababa , she pointed to TB. " It remains a problem in the Ethiopian hinterlands, " she said. Foreign student advisor France Pruit agrees with most of Dr. Catz' African observations. While in Paris where her husband was spending a sabbatical, the U/ B staff member completed research on African adaptation to foreign education. " It pointed out the value of orientation before students leave home, " she said . As a UNESCO advisor, she advised adminstrative educators in Kenya, Ethiopia, and Tunisia on the value of orientation in terms of student expectations, educational success, the necessity to check for school accreditation and degrees. On a second visit to Senegal, Sierra Leone, Ghana, Madagasgar, Kenya - she continued to advise on the importance of orientation. To get an idea of what life can be like in these countries , she would encourage the young to join the Peace Corps, " to help at the grass roots level. " In her research on malnourished rats, Dr. Catz found that the use of drugs appears to be changing and should be evaluated. While she cautioned on extrapolating these findings to humans , she did point to the need to pursue this situation in humans as well. o 28 THE BUFFALO PHYSICIAN �.. What may well be one of the few courses on latest methods in immunologic research and diagnosis offered to physicians and researchers around the world was hosted by the Center for Immunology (June 16July 3}. Thirty participants, selected from over 100 applications, ranged from department heads to postdoctoral fellows . Noted Center director Dr. James F. Mohn, " They came from Schools of Medicine and Dentistry, from University biology departments, pharmaceutical houses, research institutions and hospitals as well as the U.S. Public Health Service. Some came from as far away as Taiwan, Iran, Sweden, Germany, Finland, Belgium, Austria, Venezuela, Argentina, and Italy. Others represented at least 12 states in this country. One, notes Dr. Mohn, even comes from as near as U/ B. Housed at the University's Clement Hall, he was certain their threeweek work schedule was a hectic one. For not only did daily demonstrations and laboratory exercises touch on all methodology available today but a faculty of over 30 from SUNYAB, Roswell Park ~ Memorial Institute, affiliated hospitals and institutions as well as a small number of distinguished guest lecturers provided some insight into underlying immunologic principles as well. Declared Dr. Mohn who is professor of microbiology and also heads a blood research group, " lectures we had planned for the evenings ran until ten or eleven. " But there were also opportunities to meet one another at an opening reception, at a banquet, at rap sessions held until the wee hours following lectures, and on weekends when there was time to explore the Niagara Frontier and its activities. The course was the fourth to be sponsored biannually by The Center for Immunology in conjunction with the Erie County Laboratory and the WHO Regional Reference Laboratory for the Serology of Autoimmune Disease. The first was offered in 1969. Said Dr. Mohn, " The response to the course was overwhelming. While some will be able to improve their diagnostic methods, others their teaching, and still others their research.<> Dr. John J. Patti Honored It was " Dr. John]. Patti Day" on June 7 in Sherman, New York. The Chautauqua County community honored the 65-year-old general practitioner for his 35 years of service. Dr. Patti, 1938 Medical School graduate, interned at Our Lady of Victory Hospital, Lackawanna. " I am not going to retire because I am healthy and making a good living," he said. Dr. Patti practiced medicine for eight months in North Java before coming to Sherman in 1940. He was a Captain in the United States Medical Corps during WW II, returning to Sherman in 1944. He has attended five generations and delivered over 2,000 babies. Dr. Patti has been Town of Sherman Health Officer for 16 years and school physician since 1942. He headed immunization clinics in Sherman for 35 years. Dr. Patti is on the staff of Jamestown General and W.C.A. Hospitals.<> FALL, 1975 29 Immunologic Research/Diagnosis �• A Tribute to Dr. Lambert Or. Lambert's portrait was unveiled by his son, Gordon, and Mr. Prochownik " Ed Lambert' s world was wide and deep . His professional accomplishments inspired his students, colleagues and patients ." With these remarks, Dr. Peter Vlad , professor of pediatrics and chief, division of cardiology at Children's Hospital, set the tone at the special dedication ceremonies for Dr. Edward C. Lambert, who died in March 1974. Dr. Lambert was an internationally known pioneer in children's heart surgery. In 1950 he established the Children's Hospital cardiology department and later was its chairman and director. It has been named the Edward C. Lambe.rt Department of Cardiology. In paying tribute to Dr. Lambert, Dean John Naughton of the Medical School said, " Dr. Lambert was an individual dedicated to the good principles of a physician. He was thorough and had compassion. He was a competent teacher, investigator, physician and administrator. He was humble, honest, and dedicated to doing an excellent job." Dr. Roland Anthone, president of the medical board of Children's Hospital and clinical associate professor of surgery, said, " Dr. Lambert endowed Children's Hospital with pediatric cardiac care that was as good as any in the nation. Part of his legacy is the many physicians he trained. He will also be remembered for his personal warmth and friendship. " Mrs. Nathaniel A. Barrell, president, board of managers , Children's Hospital, said, " Dr. Lambert will be remembered for his ' people to people' contact and for his service and dedication to his patients and to the hospital. " Dr. Klaas Bossina, president of the European Pedi atric Cardiologists Association, spoke for all of Dr. Lambert's man y European friends . " He was a devoted and inspiring man with a deep interest in our small European groups. " Dr. Helen B. Taussig, professor emeritus of pediatrics at The Johns Hopkins School of Medicine, was Dr. Lambert's mentor. " His interest in cardiology started in Boston. After serving two years in World War II Dr. Lambert joined me in 1948. He was very considerate and sensitive of 30 THE BUFFALO PHYSICIAN �• patients and people he worked with. He was a 'citizen of the world' who loved history and art. He was also an avid reader, a great teacher and a very warm person. He never lost the 'human side of things' ." Dr. Donal L. Dunphy, professor of pediatrics, University of North Carloina, presided at the dedication ceremonies. Other people who paid tribute to Dr. Lambert were - Dr. James A. Manning, professor of pediatrics, University of Rochester School of Medicine and Dentistry, and chairman, Council on Cardiovascular Disease in the Young, American Heart Association; Mr. Ronald C. Kohn, chairman, mathematics department, Canisius High School; Mr. Kingman Bassett, Commissioner, Erie County Water Authority; Mr. Edward Regan, Erie County Executive (who also represented Mayor Stanley M. Makowski of Buffalo); Dr. Elliot F. Ellis, acting chairman pediatrics department, Children's Hospital. A portrait of Dr. Lambert by Mr. Walter Prochownik, Buffalo artist, was unveiled at the conclusion of the ceremony at the AlbrightKnox Art Gallery. A scientific symposium featuring prominent physicians and scien- ~ tists from around the world followed the dedication ceremonies. Dr. John W. Kirklin , professor and chairman of the department of surgery, University of Alabama, was the first annual Edward C. Lambert Memorial Lecturer at the two-day conference. (: Mr. Regan Mrs. Barrell Dr. Bossina Dr. Taussig Dr. Vlad Dr. Naughton Dr. Dunphy Dr. Rubin Dr. R. Anthone FALL, 1975 �At Hospitality Hour (left to right): Mrs. Anthony Todaro, Drs. Triolo '51, Charles Smith '64, Richard F. Sheehan '62, Throm DeCharles, and Mrs. Joan Schaus '51. Or. Paul L. Weinmann M '54, leader of the medical seminar and a dermatologist, takes no chances with the boiling Rio sun. Seminar ih Rio Deplaning at Rio's Cavae Airport 32 Despite some 100-degree days, the Continuing Education Medical-Dental Seminar in Rio de Janeiro was, on the whole, a most happy event. Doctors and dentists attended five days of comprehensive lectures covering hypnosis and general practice; the perils of cholesterol, tobacco, and hypertension; psychosomatic aspects of Dr. Ketter opened both dental (shown here) and medical seminars with brief remarks and handled questions about professional education and seminars. Dentists (left to right), are Gerard Wieczkowski '69, assistant professor in the School of Dentistry and faculty speaker; Rosario Triolo, Anthony Todor, and Throm DeCharles. THE BUFFALO PHYSICIAN �Some of the medical physicians in class: left to right, Drs. Frank G. Evans, Lydia T. Wright, David Weinstein '64 of Wakefield, Virginia, PaulL. Weinmann '54, Harry Metcalf '60 and Mrs. Kaaren Metcalf '71. family practice; and exercise. The program faculty consisted of Drs. Robert M. Kohn, clinical associate professor of medicine, and Harry L. Metcalf, instructor in social and preventive medicine and family practice, and Dr. Paul L. Weinmann, president of the School of Medicine Alumni Association. Fun to watch the 'locals' time their high dives with the incoming surf, but no U/ B alumni climbed the rock. FALL, 1975 Dentists covered preventive concepts and practice, including conservative cavity preparations and restorative materials. Also, the acid-teeth technic, direct-bonding agents, and operative dentistry in the 70' s. Dr. Gerard Wieczkowski, assistant professor of operative dentistry, led the seminar. The wives or husbands thoroughly enjoyed the hospitality and amenities of the very new Rio Sheraton, located on its own beach and a short walk from Lebloa and lpanema beaches, or a quicker shuttle bus ride to neighboring Copacabana. Fresh Atlantic breezes always make life tolerable in the tropics. A plethora of smells, sights, and sounds earns Rio the apt description of " fascinating, " and the U/B snow birds took them all in, from breathtaking Sugar Loaf sitting astride the Atlantic and picturesque Guanabara Bay, to the 2,330 foot aweinspiring Corcovado (Hunchback) mountain and its magnificent 115-foot-high statue of Christ the Redeemer which can be seen with its outstretched hands and arms night and day from many vantage points in Rio. Dining out included spicy native dishes which featured mixtures of beef, very good pork and black beans or gourmet in the continental manner. When classes were over, and between visits to landmarks, alumni couples enticed themselves by shopping for one of Brazil' s most famous products, gemstones and jewelry; specifically gold, diamonds, aquamarines, tourmalines, topaz, amethysts, and emeralds. There were 138 people in the U/B Alumni Association traveling party that was escorted by John Carter, president of the U/B Foundation and Mr. and Mrs. Bill Dock (he is publications director of the General Alumni Association). <) 33 �Drs. Farzan, Tourbaf Honored Or. Farzan examin es a patient. T wo associate professors of clinical medicine, Drs. Sattar Farzan and Kamal Tourbaf, were honored as " outstanding teachers " by the 1975 graduating residents in internal medicine. The two Medical School faculty members were surprised when they were presented plagues and monogrammed white coats at the E.J. Meyer Memorial Hospital dinner dance June 14 at the Sheraton-East. The inscription on the plagues: "award for distinguished teaching to (Sattar Farzan, Kamal Tourbaf)- in deepest gratitude of your sincere efforts toward helping each of us become capable physicians and in recognition of your clearly superior ability to teach medicine. Thank you. Graduating residents in internal medicine, SUNY I AB School of Medicine Affiliated Hospitals, 1975." Dr. Robert DiBianco, M'72 , (a graduating internal medicine resident) said, " these two men are unsung heroes. They worked ' around the clock' for three years, lecturing, teaching, and consulting with us , presenting cases and attending ward meetings. Their judgment and wisdom was excellent. Teaching, to us , is highly important, second only to patient care. " Dr. DiBianco went on to say that the 30 graduating residents in internal medicine " wanted to bestow honors this year rather than receive them. These two men have contributed most to our knowledge of medicine and have consistently given much of their time, effort, and themselves to the housestaff, students, and patients. " Dr. Tourbaf joined the Medical School faculty in July 1965 . He had his training in Iran at both Tabriz Medical School and Teheran Medical School where he received his M.D. degree in 1958, after completing an internship in parasitology. From 1959 to 1963, Dr. Tourbaf was Medical Director of outpatient clinics in Teheran. He did postgraduate work in internal medicine (cardiology, 1963-64) at the Hospital Broussais, Paris. He came to Buffalo in 1964 and had a rotating internship at Sisters of Charity Hospital. He moved to the Meyer Hospital for his residency in internal medicine in 1965 . After completing his residency in 1968, he was a Hematology Fellow. Currently Dr. Tourbaf is associate director for the department of medicine at the Meyer Hospital; an associate attending for Children's Hospital; an attending for the Meyer and Veterans Hospitals; coordinator for the University Housestaff Teaching Program and the fourth year medicine program and director of the Hemophilia Center at the Meyer. Dr. Farzan was graduated Summa Cum Laude from the Tabriz Medical School in 1956 and served in the Iranian Army . He came to the Medical School in 1968. He was an intern and resident at the Washington (D.C.) Hospital Center (1960-62) . From 1962- 64 he was a second year resident in medicine at the University of Louisville Hospital. The following year he was chief resident physician at the B.S . Pollack Hospital for Chest Diseases, in Jersey City. From July 1965 to December 1966 he was senior staff physician and assistant medical director of the Kentucky State Tuberculosis Hospital. Currently Dr. Farzan is an attending and consultant for the Meyer, Children's, Veterans and Newfane Intercommunity Hospitals. He has been assistant medical director of Mount View Hospital in Lockport since 1966. 34 THE BUFFALO PHYSICIAN �The 30 graduating residents in internal medicine, who honored Drs. Farzan and Tourbaf, are at the following locations: Thomas R. Beam, Infectious Disease Fellowship, E.]. Meyer Memorial Hospital, Buffalo Leonard Berkowitz, Pulmonary Fellowship, Massachusetts General Hospital, Boston Richard Berkson, M'72, Diabetes Fellowship, Joslin Clinic, Boston William Bommer, M'72, Cardiology Fellowship, Veterans Administration Hospital, Martinez, California John Breen, Infectious Disease Fellowship, E.]. Meyer Memorial Hospital, Buffalo Donald Copley, M'70, Cardiology Fellowship, University of Alabama, Birmingham Robert DiBianco, M'72, Cardiology Fellowship, Georgetown University Medical ,j Center, Washington, D.C. Mark B. Epstein, New Milford, Pennsylvania Peter Ewing, Attending Staff, Barnes-Kasson Hospital, Susquehanna, Pennsylvania Robert Folman, M'72, Senior Assistant Resident, Intramural Oncology Program, Memorial Hospital, Sloan Kettering Institute, New York City Alan Gasner, M'72, Private Practice, Internal Medicine, Florida Ellie J. Goldstein, Infectious Disease Fellowship, California Robert M. Hoffman, Cardiology Fellowship, University of Vermont Medical Center, Burlington Ismil Ismael, M'72, Chest Medicine Fellowship, £.]. Meyer Memorial Hospital, Buffalo Mark Kelley, Attending, Internal Medicine, Monadroch Community Hospital, Petersborough, New Hampshire George Kotlewski, M'72, Cardiology Fellowship, E.]. Meyer Memorial Hospital, Buffalo George Kovach, Hematology Fellowship, Strong Memorial Hospital, University of Rochester, Rochester, New York Ronald Liteplo, Immunology Fellowship with Dr. M. Reichlin, Veterans Administration Hospital, Buffalo John Q.A. Mattern, II, D.O., Oncology Fellowship, Brown University, Providence, Rhode Island Arthur E. Orlick, Cardiology Fellowship, Stanford University Hospital, Stanford, California Richard Rivers, M'72, Internist, Department of Medicine, Veterans Administration Hospital, Spokane, Washington Paul Schaefer, Oncology Fellowship, Brown University, Providence, Rhode Island Paul Seligman, M'72, Hematology Fellowship, Washington University Hospitals, St. Louis, Missouri James A. Singer, M'72, G./. Fellowship, New England Medical Center, Boston Morris Tobin, Renal Fellowship, E.]. Meyer Memorial Hospital, Buffalo John Visco, M '73, Cardiology Fellowship, E.]. Meyer Memorial Hospital, Buffalo William T. Wallens, M'72, Oncology Fellowship, E.]. Meyer Memorial Hospital, Buffalo Robert Whitney, On Staff, Alcoholism Rehabilitation, E.]. Meyer Memorial Hospital, Buffalo Drew Winston, Infectious Disease Fellowship, U.C. L.A . Center for the Health Sciences, Los Angeles John Zamarra, M'72, Research on Transcendental Meditation, Maharishi International Ur.iversity, Sellisburg, Switzerland FALL, 1975 35 Dr. Tourbaf examines a patient. �Medical Alum: Hosts Seco: Reception J 36 THE BUFFALO PHYSICIAN �It was a fun afternoon for the 150 students, faculty, alumni and their spouses who attended the second annual cocktail-reception for seniors at the Frank Lloyd Wright House (alumni association headquarters) on Jewett Parkway. It was one of the last social gettogethers for the graduating seniors and their friends . nni Association ond Annual for Seniors FALL, 1975 1. William Novak, Mrs. Michael Steinfeld; 2 . Dr. and Mrs. Richard Berkson, M'72, Dr. and Mrs. Paul Weinmann, M '54; 3. Dr. and Mrs. Michael Sullivan, M '53, Diane Saar, secretary, Sharon Nelsen, receptionist; 4. Mr. and Mrs. Stephen Olcott and friend; 5. Drs. Luther Musselman, M'37, John Richert, O.P. ]ones, M'56, Mrs . Richert; 6. the U/ B student string quartet entertained under the supervision of Mrs. Pamela Gearhart, associate professor of music; 7. Dr. and Mrs. Milf ord Maloney, M '53, president, Medical Alumni Association; 8. Drs. Arthur]. Schaefer, M '4 7, Dante Morgana, M'21, W . Yerby ]ones, M '24; 9. Dr. and Mrs. John O'Brien, M'41, Dr. F. Carter Pannill; 10. Dr. imd Mrs. Louis Bakay; 11. Drs. Paul Weinmann, M '54, Bruno G. Schutkeker, M'28; 12. Mrs. Echols, Mrs. David, Mrs. Johnson, Mrs. Bryant (student wives). O 37 �Or. Edward Marine visits with a first year family practice resident, Or. Donald Robinson, M '74 (left). In terns hip, Residency at the Deaconess Or. Edward Langford, M'74, is a first year family practice resident. " I nterest and concern for people- patients and employees. " This is what makes the D eaconess Hospital's internship-residency program so unique, according to Dr. Edward Marine, chairman of the hospital's medical education program. The ' individuality' of the department heads , who rotate with Dr. Marine as medical education program chairman, is also unique. The hospital has the reputation of being a " friendly place" with quality programs. It is no accident that "friendly care" is the hospital's motto. " The patients see it that way and so do all the people who work here - pre-medical, nurses, houses taff, administrators, secretaries, " the clinical associate professor of medicine said. " Inter-department cooperation is the key to successful operation of our programs for our 77 interns and residents, 30 of whom are U/ B Medical School graduates. We have quality programs because each department head has a nucleus of types who know what is going on in their area. A small number of full-time faculty are always available for consultation. " Our Family Practice residency program is a good example of the camaraderie at Deaconess . All departments contribute to this program. It is a joint venture between departments and practitioners. This program alone attracted more than $700,000 in state and federal grant support this year. There was additional financial support from the hospital," said Dr. Marine. Drs. Robert Fugitt, M'73, and Keith Russell, M'74, discuss their residency programs with Or. Donald Becker, chairman of the surgery department. THE BUFFALO PHYSICIAN �Dr. Russell Elwell, M '72, visits with Dr. Donald Becker who is also clinical associate professor of surgery at the Medical School. Dr. Elwell is chief resident at Deaconess and in 1976 he hopes to go into private practice in Chautauqua County. Dr. Nicholas Capuana, M'71, examines a patient. He is going into the United States Navy as a Lt. Commander in July, 1975. The 29-year-old physician will return to Deaconess to complete his residency in 1977. Dr. Michael Armani, M'71, in the Wettlaufer Clinic with a patient. Dr. Armani was a Captain in the United States Army in Germany from 1972 to 1974. He returned to Deaconess where he had interned to enter the residency program. He will continue in the program through 1977. The family practice resident takes one month at Children's Hospital during his first year and another month later. For his other specialties he may select Deaconess or rotate among several hospitals (Meyer Memorial, Buffalo General, Millard Fillmore, South Buffalo Mercy, Roswell Park, Veterans). Dr. Marine believes good patient care evolves around an educational setting in a hospital. " We have been able to demonstrate the' team effort' to third and fourth-year medical students. They see a real commitment to medical education here. They like what they see and many want to continue their education here as interns and residents. " The hospital has had a teaching program for many years. When Dr. Donald Becker came here in 1967 from the Medical School where he was associate dean for student affairs for four years, things really began to happen. He was one of the first full-time department heads at Deaconess. d- FALL, 1975 �The Ob/Gyn department has been going strong for ten years and in July will be a part of the Medical School's residency program. Dr. Eugene J. Zygaj is acting chairman. Other departmental chairmen are Drs. Elizabeth P. Olmsted {ophthalmology); Roy E. Seibel {radiology); and Robert H. Seller (family medicine). They are all on the Medical School faculty. As chairman of the department of medicine at Deaconess, Dr. Marine hopes to find new and better ways that internists can work with family practitioners. He is developing a full-time faculty to provide teaching in major specialties of inter- Radiology residents- Drs. David Wiechec (left front), Ronald Osgood, M'73, and David Rowland, M'71. Dr. Barry Herman, attending physician, visits with two family practice residents, Dr. Daniel S. McMahon, M'73, and Dr. Daniel Morelli, M'74. Mrs. Carol Hoffman, R .N., head nurse of three south, checks a chart with Dr. ]ames Freeman, M'74, who is in the Ob/Gyn residency program. He is the first black Ph .D.-M.D . in the program . Dr. Freeman will be working at six hospitals Deaconess, E.]. Meyer, Children's, Millard Fillmore, South Buffalo Mercy, Buffalo General- during the next three years of his residency. He is an assistant professor of biochemistry at the Medical School. nal medicine. He hopes these people will interact with family physicians as consultants. "Another strength, " according to Dr. Marine, "is we don't follow the leader and duplicate everything other hospitals do. We don't want an open heart unit, but we do want a strong coronary care unit. And our Wettlaufer Eye Clinic is unique in serving the medicallyindigent population." 0 THE BUFFALO PHYSICIAN �Pemphigus/Psoriasis Link An understanding of the way in which psoriasis develops has been revealed by researcher/ clinician teams in Buffalo and Poland. And it confirms and extends findings of a Buffalo-trained team in Bergen, Norway. By refinement of a labeling technique known as complement immunofluorescence, Drs. Ernst Beutner and Suyu Shu of U/ B's Schools of Medicine and Dentistry, together with Warsaw, Poland 's Professor Stefania Jablonska and Dr. T . P. Chorzelski have shown an unusual group of autoantibodies- the universal stratum corneum ones- to be implicated in this chronic disease. These SCAb, as they are appropriate termed , fix complement in psoriatic lesions . Dr. Beutner who is professor of microbiology and dermatology points to their first encounter accidently back in 1968 by Buffalo's Dr. Felix Milgrom while studying cytophilic antibodies in a cancer research program. They were then studied in detail by this and other red cell-tagging methods for a number of years by Norwegian physicians Hans Krogh, Olive Tonder, and associates , and more recently by three different immunofluorescent staining procedures. Adds Dr. Beutner, who together with Dr. Robert Jordan discovered the pehmphigus antibody a decade ago , " we have also been able to pinpoint a specific relationship between the development of psoriasis and pemphigus. " In more conventional types of autoimmune response , as in pemphigus antibodies , the development of an autoimmune response is an unusual event. " By reacting with naturally-occurring pemphigus , it may cause acantholytic lesions to develop, " he said . When this happens, universal SCAb may leak through to fix in vivo. " It may even contribute to the onset of lesion formation ," he added. But in psoriasis, even minor trauma such as abrasion may lead to psoriatic lesions. In this Kobner Phenomenon, SCAb leak from capillaries through the epithelial layer into the stratum corneum. It is here where Dr. Beutner has shown that SCAb fix specific components of complement, the C, and C. ones. That all normal human adults hzve SCAb , he feels, may be due to antigens of the cornified layer (carbohydrate with alpha-linked glucose determinants by Krogh) . He believes it is " their complete separation from the circulation that allows cross-reacting antigens of bacteria in our normal flora to prompt antibody formation. " But no matter how they get there, various labeling techniques prove " we all have SCAb." Dr. Beutner feels this breakdown in permeability barriers and leakage through the epidermis which may be due to some hereditary predisposition in the primary lesion of psoriasis, trauma or in other skin diseases whre in vivo fixation of complement occurs may have similar effects . With this understanding of the underlying mechanisms of psoriasis, Dr. Beutner points to the possibility of overcoming the difficulty some patients are having with resistant forms of this disease . " We can now look for chemical agents that will prevent penetration of SCAb through the surface of the skin or topical agents that change surface antigens so the reaction cannot take place." FALL, 1975 41 Mr. William Hale, Drs . Suyu Shu, Ernst Beutn er (seated ). �Class of 1925 at Spring Clinical Days Front row: Milton]. Schultz, Clara Unrath Zick, Marvin A. Block, Margaret M. Loder, Milton E. Kahn, Francis]. Gustina. Back row: Norbert W. Kuch, Martin]. Littlefield, John T. Bernhard, Claire H. Culver, Lucien C. Rutecki, Grant T. Fisher Nutrition Lectures and its prevention is the biggest problem for nutritionists in the developing world today, according to Dr. Stanley Gershoff, nutrition professor at the Harvard School of Public Health. The professor-educator also listed vitamin A deficiency and nutritional anemia as enormous world problems. " But these are easier to attack and hopefully· can be overcome sooner than protein calorie malnutrition." One of our problems is recognizing malnutrition, according to Dr. Gershoff. "Even physicians don't recognize it, and political leaders don' t want to admit that it exists in their country." For example, six years ago in Thailand the leaders wouldn' t admit to the malnutrition problems. Two years later the Prime Minister for Health admitted the problem when he addressed a nutrition conference. Dr. Gershoff told the 200 people attending the lecture that people of the developing nations don't get enough protein. " Growing children can' t get enough calories from their carbohydrate diet to meet their demands. As a result about 50,000 to 60,000 children die each year from malnutrition. " The Harvard nutritionist pointed out, "Infant mortality rates look better. This may be because we have more hospitals around the world that are keeping kids from dying. " The many cultural taboos about food in some countries plus the poor infant-feeding practices make the work of nutritionists very difficult. Many ideas on feE'ding people are traditional and difficult to change. "Often preschool children don' t receive their fair share. Many mothers are only concerned about rice for her child. She ignores meat and vegetables which are important to the child's diet, " Dr. Gershoff said. P RoTEIN CALORIE MALNUTRITION 42 THE BUFFALO PHYSICIAN �The man of the family- who does manual labor - gets the major portion of the food . He needs it to survive on the job. Milk is a wonderful food but very often is not used properly. Often powdered milk goes unused because people have never seen it before. Dr. Gershoff believes the green revolution has been fairly successful in India in maintaining calorie levels. " We must encourage the consumption of legumes. " He stressed that money alone is not the answer to nutritional problems in the developing nations because people will buy consumer goods instead of food. "Educating people on nutrition is very difficult. We have enough trouble educating our people, not to mention those in developing countries. " It is difficult to see visible changes when you introduce nutrition changes in developing countries. It is a very slow process, but we are making some progress," Dr. Gershoff concluded. For some, obesity means not getting into the college of their choice. For others, it is social rejection. But because thinness in this country is equated to attractiveness, the consequences of obesity in the young are always conspicuous ones, reported Dr. Jean Mayer. He presented the eighth in a series of nutrition conferences sponsored by the department of biochemistry. Its single most important cause? A decrease of physical exercise, noted the professor of nutrition from Harvard School of Public Health. Front row: Raymond]. Germain, Samuel Sanes, Irving Wolf son, Richard G. Taylor, Harold H. Saxton . Back row: Carleton A. Heist, Frank B. Smarzo, Arthur]. Horton, Anthony R . Cherry, Ralph£. D elbridge, ]ames W. Jordan , Fred H. Volk. Class of 1930 at Spring Clinical Days �Class of 1935 at Spring Clinical Days (Left to Right) Front Row: John G. Ellis, Floyd W. Hoffman, Hyman W. Abrahamer, John F. Argue, K enneth H. Eckhert, Richard M. McNerney, Robert]. Krug, Maurice B. Furlong. Back Row: Robert A. Wohlfeil, Wendell R. Ames, Russell F. Brace, Miles W. Kelly, Carl A. Stettenbenz, Clayton G. Weig, ]ames H. Gray, Peter P. Vitanza, GeorgeS. Young, ]ames Mark. " Only now are we beginning to understand a bit more of the complex causes of obesity," he said. But almost any major metabolic disturbance will influence food intake in man whose system is also vulnerable to the neurologic/ psychologic ones as well. Little doubt remains among investigators that obesity is heavily conditioned by heredity. " If a child has one obese parent, the chances of his becoming so are 40 percent. And if both parents are, it jumps to 80 percent," he said. Alarming for him was that seven percent of all children who attend high school are obese. " TV watching has not helped them. They remain inactive." Studies revealed that environmental factors play a role in obesity as well. Although no link was found between money and obesity in a study of adults living in New York City, one was found to religion. " Among Lutherans the ratio of obesity was found to be three times greater than among Episcopalians, whatever that means," he said. In elaborate studies on hunger feelings/sensations he could point to many cases of psychogenic obesity. " Some who were under stress actually were hungry and then ate," he said. So enormous has been the neglect of obesity's effects on man that he sees a need to better define somatic intermediates. Even in experimental animals environment is linked to obesity. " While some strains of animals get fat on high fat diets, others, fed in exactly the same way, do not. " He found the same proportion of protein and fat in all types, however. So was the case found to be in man. But those who were overweight tended to nibble all of the time while more overweight women overate during evening hours and so inactive were most men that a little overeating leads to overweight. " One pound of fat adds up to 3,500 extra calories. And just 40 to 100 more calories a day than is burned up will add up to ten pounds of extra fat over a year's time," he cautioned. The message was loud and clear. " Increase activity or you will get fat. " 44 THE BUFFALO PHYSICIAN �Studies on those with thin, elongated figures revealed a wellregulated food intake. "They stay thin, tend to eat less," he said. But he found that mesomorphs on the other hand must depend on extra physical activity to keep their weights down. Large food intakes were not found to be the cause of obesity among girls studied on Cape Cod. Inactivity was. "It was more difficult to get them to exercise. And if they did, they exercised less," he reported. Even fatter babies did not eat more than thin ones. They were just more placid. Those who ate the most were the thin, elongated ones who cried a lot. "They increased their oxygen consumption enormously during their tantrums," he said. Chances of obese girls getting into the college of their choice were found to be a third less on interview while motivation among those who accepted discrimination accompanying their obese state led to their eating less and exercising. To medical students who would one day care for some of these "bruised persons," a plea to "treat them gently, lovingly, and not to make a bad situation worse." 0 In his unraveling of the metabolic pathways and physiology of adipose tissue Dr. Guillermo Herrera pointed to one of man's main problems, that of storing enough carbohydrates and protein for his energy use. Front row: John D . White, Bernard W. ]uvelier, Marshall Clinton, ]r., Lyle N. Morgan, John M . Benny, Julian]. Ascher, William Hildebrand, ]r., Edward M . Eppers, Harold Palanker. Back row: Louis A. Trippe, Milford N. Childs, Norbert]. Roberts, John G. Zo/1, Stal"ley T. Urban, Matthew ]. O'Brien, Thomas F. Preste/, Evan W. Molyneaux, ]ames P. Schaus, ]r., Albert C. Rekate. Class of 1940 at Spring Clinical Days �Class of 1945 at Spring Clinical Days Front row: H. Paul Longstreth, Ivan W. Kuhl, Thomas G. Lamberti, Norman W. Mcintosh, Jacob M. Steinhart, Come/ius A. McGrew. Second row: Alton W. Germain, Peter Terzian, Joseph E. Rutecki, Herbert E. Joyce, Jane B. Wiles, Milton ]. MacKay, Gilbert B. Tybring, Robert C. Schopp, John G. Robinson. Third row: Vito P. Laglia, Richard H. Adler, Edward G. Forgrave, Vincent ]. Capraro, George M. Ellis, ]r., Stuart ]. Miller, John K. Quinlivan, Craig L. Benjamin, Paul B. Cotter, Joseph K. Sheedy, Theodore C. Jewett, ]r. Back row: Wayne C. Templer, A. Arthur Grabau, John F. Hartman, George Thomgate IV, ]ames H. Johnson, Victor C. Lazarus, Charles E. Wiles, Edward L. Valentine, Norman Chassin, George W. Fugitt, ]r. Helping him to adapt from an environment of plenty such as the sea to one of intermittancy as on land, has been a two-way pathway that allows the adipose tissue in mammals and man to both store and release needed energy. · "When there is no food intake," Dr. Herrera explained, "the level of glucose in the blood falls. This eventually signals adipose tissue, through levels of circulating insulin among other factors, to release fatty acids." Because birds can live off their adipose tissue, they are able to make their long flights, he explained. In citing a classic case of man during starvation, he pointed to his ability to become an efficient glucosesparing device. Over a 31-day period, his weight loss reached 17 kg. Although loss was fast at the beginning when he weighed 60 kg, it had slowed down by the time he reached 43 kg. But throughout his period of fasting, it was noted that he looked well although adipose tissue loss from abdomen and legs was obvious, and that his nitrogen levels checked out all right. In another study, glucose tolerance in the subject, after seven days of fasting, approached that of a diabetic patient. Studies to better understand the physiology of this glucose tolerance in a condition long known as starvation diabetes revealed the liver, during fasting, to consume but a fifth of the regular calories used during normal resting stage. "The liver," he said, "is unable to perform any net synthesis of glucose from fatty acids. However, amino-acids released from smaller molecules such as the muscle and peripheral tissues are converted by the liver into ketone bodies for energy use," the Harvard School of Public Health nutritionist concluded. 46 THE BUFFALO PHYSICIAN �Nutrition is first and foremost if dental caries are to be prevented, according to Dr. Robert Glass, a nutrition expert from the Harvard School of Public Health. "We would be remiss if fluoridation was not properly stressed. It is essential to use fluoride as a nutrient during the formative stages of teeth." Speaking at the Nutrition Conference, the Harvard educator pointed out that you can get fluoride not only from water but also from eating fish, taking a pill, or a vitamin supplement. "If dental caries were as simple as many people would have us believe we would have solved the problem years ago without spending millions of dollars on research. "In spite of what you hear, dental caries are not on the increase. But it is a very complex disease, and may be several diseases. Nutrition is not the only factor involved, but nutrition plays an important part," the Harvard dental educator said. "Tooth decay is one of our most prevalent diseases, but it doesn't kill anyone. It has been going on for centuries and is largely preventable. But we haven't concentrated on prevention." Last year the United States public spent $5 billion on dental treatment even though only one-half of our population visited a dentist once a year. Based on current statistics, dentistry could become a $10 or $20 billion business. "Plaque can be controlled by good oral hygiene. Getting people to brush their teeth and refrain from eating sweets between meals is most difficult. This is a popular habit and changing dietary habits is as dif- d-- Front row: ]ames C. Dunn, Robert E. Bergner, Hyman Tetewsky, Sidney B. Weinberg. Second row: Myra R. Zinke, Charles Brody, Helen F. Sikorski, Yale Solomon, Albert Davne, Grace B. Busch . Third row: ]ames M. Frawley, ]ames ]. Brandl, Richard ]. Leberer, Herbert L. Berman, Richard E. Lyons, Carl A. Cecilia, Roy W. Robinson, Guy S. Alfano, Leo E. Manning, Sidney Anthone, Robert A. Benninger, Roland Anthone. Back row: George E. Taylor, Joseph M. Mattimore, William C. Stein, ]r., Robert]. Patterson, WilliamS. Webster, Adelmo P. Dungge, ]r., Vincent Scammura, Henry L. Pech, ]r. Class of 1950 at Spring Clinical Days �ficult as changing one's religion. More research and development in the creation of non-cariogenic foods may be the answer. We must consider sugar substitutes, combined with artifical sweeteners or the use of additives that reduce highly refined carbohydrates and sugars present in foods." Dr. Glass told his audience, "eating large amounts of sugar can increase the dental caries incidence. But there is also a great deal of epidemiological evidence to indicate that this is not necessarily so. It depends on the physical form in which it is eaten, the other ingredients of the food with which it is compounded, the amount eaten, the frequency with which it is eaten and other circumstances." Dr. Glass mentioned four clinical studies: institutional studies where the diets were specifically modified; pre-school and school populations where subjects were compared to sugar consumption and caries prevalence; population comparison during periods when normal diet was disturbed during war time; comparison of primitive people prior to and after adoption of highly refined civilized diets. It is the frequency that sugar is eaten more than the amount. Refined cooked cereals tend to show an increase in caries. There was a decrease in caries when fish was eaten rather than meat. "Sweets consumed between meals are generally eaten slowly, devoid of other foods and allowed to dissolve before being swallowed. This permits longer contact with the teeth. "The relationship between reduced caries and wartime reduction in refined carbohydrates has been documented by studies done in England, Japan, Norway and many other countries." Dr. Glass made several other observations: -not everyone who eats large amounts of carbohydrates gets caries. -we have seen people with no caries who never owned a toothbrush. -plaque is a storehouse for bacteria, carbohydrates and recentlyeaten food. -the association between sugar and caries has been known and written about for years. -restrict sugar and sugar-containing products from between meal eating. -avoid all sticky and slow-dissolving sweets. -liquid sweets are less damaging to teeth than solids. -sugar in moderation at mealtimes should not be prohibited as long as all nutritional requirements are satisfied. Dr. Glass concluded, " Except for emotional, personal and social issues one wonders why we don' t have universal fluoridation because there are so many benefits. Universal fluoridation over a lifetime would make a tremendous impact on the practice of dentistry." 'Oddball' diets are popular because people like to believe in magic, according to Dr. Frederick J. Stare, professor and head of the department of nutrition at Harvard School of Public Health. He presented the 12th and final nutrition conference lecture sponsored by the biochemistry department. 48 THE BUFFALO PHYSICIAN �"Food fadism is filled with high profits. For example there is a lot of profit in such health foods as sea water and sea salt, " he said. Dr. Stare also took a verbal punch at the con-artists - the quacks and the charlatans who promote questionable diets. " These people must be named so innocent people won't follow their silly diets. " The Harvard educator stressed education of all ages starting with kindergartners as the most effective means of combating quackery and food fadism. Dr. Stare believes people fall for 'oddball' diets because of the fear of ill health, emotional insecurity, and food fadism is easy and doesn ' t cost much. (You don't have to wait in line to see a doctor.) "One of the worst of 'oddball' diets was responsible for at least 10 deaths. It was an oriental hocus-pocus - Zen Macrobiotic Dietbased on a 7-stage brown rice diet. You start with a balanced diet of chicken, vegetables, fruit, yoghurt and brown rice. In the second stage you drop the chicken, the third the fruit, the fourth the vegetables until you were down to brown rice and one pint of water a day ." Dr. Stare mentioned several other popular diets. All are based on ~ two or three foods. "The Mayo diet- bacon, grapefruit and eggs. These are good foods but by themselves they don ' t provide good nutrition. After eating this for two or three days you tire of it and won ' t eat- so you lose five or 10 pounds. But you crave other foods and the minute you go off the diet you eat so much of other foods that you soon regain the weight. " The all-meat diets (also known as Red Book, Holiday, Rockefeller) had similar results. After eating nothing but meat for three days you tire of it and your calorie intake is down to about 500 a day. You drop 10 pounds. "Then there is the 'minus calorie' diet that some faraway physician in Europe or South America recommends . This diet is based on a few foods that take more calories to consume. For example an egg is 50-75 calories, but it burns up 100 calories to consume it- so you are ahead 25 or 50 calories." Dr. Stare pointed out that nutrition is young in the history of science. During its development (1835) scientists changed the singular noun ' nutrient' to a plural noun 'nutrients.' Five years later an English chemist separated foods into three general entities - albumin, fat, and sugar. About the same time an Italian scientist tried to make food by n.ixing olive oil, honey and curd of milk. They fed it to small dogs, but the animals did not do too well. A few years later ashes were added to this mixture and the dogs did better. This proved there should be mineral matter in food. Around 1900 ' accessory growth factors ' (milk, yeast, liver, rice polishings) were added and the animals did even better. A Polish chemist (1912) coined the word ' vitamins.' He isolated accessory growth factors. He thought they had characteristics of compounds and called them 'amens.' Because they were so vital to growth, he called them ' vitamens.' Several years later (1916) scientists changed the 'e' to ' i' and vitamin was a new word to our language. "Today there are 50 known nutrients, all chemical, and when mixed together make a good synthetic diet. It is good for dogs. The purified diets are good for human infants and they thrive on it. No single food contains all of these 50 nutrients. There is no such thing as a perfect food - even human milk is not the perfect food ," Dr. Stare said. d- FALL, 1975 49 Or. Stare, who helped to plan the nutrition series sponsored by the biochemistry department, gave the 11th and final lecture. �"Health foods are those that promote health or are conducive to it. All edible foods are health foods and promote physiologic or psychologic health, regardless of whether they are purchased in a neighborhood grocery store, a supermarket, or a so-called health food store. "There is no difference in nutritive value between organically grown food and food grown with the aid of chemical fertilizers and chemical pesticides. This has been known by nutritional and soil scientists for many years and has been thoroughly researched. " Fertilization, regardless of the type, does not influence the nutrient or mineral composition of the plant in regard to its content of protein, fat, carbohydrate or various vitamins . These nutrients are influenced primarily by genetic composition of the seed and the maturity of the plant at the time of harvest." In conclusion, Dr. Stare pointed out that eating is emotional and one of the pleasures of life. "What would a manhattan be without a cherry, a martini without an olive, or a gibson without an onion?" 0 Nutrition Courses Dr. D.M. Surgenor believes the University should offer courses to provide students with a basic understanding of the principles of nutrition . The Nutrition Conference director and professor of biochemistry listed four basic areas of concern: personal nutrition, clinical nutrition, scientific nutrition, and population nutrition. Personal nutrition - "Students want to know the basis of the relationship between diet and health. They are interested in how food choices and eating patterns affect them as individuals. They want to deal intelligently with obesity, vitamin supplementation, and the so-called natural foods, with vegetarianism and the constant sequence of fads in foods. " Clinical nutrition - "Health sciences students need to be provided with a basis for dealing professionally with patients. Patients may present problems in which nutrition is an important or even a dominant component. Health sciences students must make the transition back and forth repeatedly throughout their careers between the body of science they have mastered and the food habits of their patients. " Scientific nutrition - "This area relates to digestion , absorption and the metabolism of foods . This is where nutrition achieves its greatest respectability within the academic community. This is where nutrition made its great discoveries in the past (vitamins, essential amino acids, role of minerals in metabolism, and of the antimetabolite drugs which are so useful in therapy .) This is the area where the great nutritionists won their Nobel Prizes. " Population nutrition - " As its name implies, this area deals with the nutritional needs of whole populations. It becomes involved with relationships between nutritional and related factors such as food supply, economics, and environmental sciences. Population nutrition is interdisciplinary and requires diverse expertise that only a large university community can bring to bear. " 50 THE BUFFALO PHYSICIAN �Twelve medical faculty- all will have reached age 70 if not more when they retire on the last day of August- have collectively served U/ B a total of 327 years. They are Drs. Thelma Brock, Victor L. Cohen, Richard A. Downey, John C. Eccles, Louis M. Judelsohn, Michael Laskowski, Jr. , Heinz Lichtenstein, George M. Marcy, Joseph Rosenberg, James B. Vaughan, Henry E. Vogel, and Walter S. Walls. Three- Drs. Cohen, Downey and Judelsohn- are among the first pediatrics faculty . Dr. Victor Cohen joined the faculty in 1946 as an instructor. He earned both BS and MD degrees at U/ B (1929). Following a rotating internship at the Hamot Hospital in Erie, and a residency in pediatrics at Buffalo Children's Hospital, he pursued allergy training at N.Y. PostGraduate Hospital under Dr. Will C. Spain. The clinical associate professor is a Fellow of the American Academy of Allergy, American College of Allergists, and Royal Society of Medicine (England), a Diplomate of American Board of Allergy/ Immunology, and a member of county, state, and national medical societies, a charter member/ past president of local and county chapters of Allergy Society, and a life member of Association of Military Surgeons of U.S. His University service was interrupted by three years of Army Medical Corps duty with the 23rd General Hospital in Europe during Second World War when he entered as a Major and returned as a Lt. Colonel. He organized Children's Hospital allergy clinic in 1933 and directed it until1968. Dr. Richard Downey joined the pediatrics faculty in 1933 after earning an MD degree from U/ B in 1929, and completing an internship and residency at the Children' s Hospital in Buffalo and pursuing postgraduate training at the New York Post Graduate Hospital. The clinical assistant professor is a member of the Catholic Physicians Guild, county and state medical societies, the Buffalo Pediatric Society, Omega Upsilon Phi, and received the Family Life Catholic Diocese Award. Dr. Louis Judelsohn, born in London, England, graduated from Albany Medical College (MD '28), completed an internship at the E.J. Meyer Memorial Hospital, a residency in pediatrics at Children's Hospital and postgraduate training in Miami Beach. His University pediatrics appointment- he joined in 1930 - was interrupted by three years of service in the European Theater during World War II for which he was cited. The clinical associate prdessor who directed Pediatrics of Mother/ Child Care Center at 2211 Main Street, is a member of the American Academy of Pediatrics, the AMA, and the American Public Health Association. Australian-born and educated Dr. Eccles joined the physiology and biophysics faculty in 1968 as a distinguished professor and head of the Center for Study of Neurobiology. He received an MD and BS degree with honors (1925) from Melbourne University, a Doctor of Science degree from Cambridge in 1960 and while a Rhodes Scholar at Oxford under Sir Charles Sherrington was introduced to the scientific examination of the nervous system. He later derived a philosophic approach to problems relating to it from the famed Nobel Laureate as well as a better understanding of the way in which the brain is related to mind. From analytical studies to individual nerve cells, Dr. Eccles developed theories on how they function, the means by which impulses are passed from one cell to another, and the manner of the interconnection . d- FALL, 1975 51 12 Faculty Retire Three Medical School faculty members were among seven honored at a special Commencement Luncheon May 18. President Robert L. Ketter presented citations to each of the retirees for their long and devoted service to the University. Dr. Helena T . Eccles was honored for her contributions as an assistant research professor of physiology since 1968; Sir John Eccles, on the faculty since 1968, winner of the Nobel Prize in Medicine and Physiology in 1963; and Dr. Clyde L. Randall for his 38 years of service as professor of ob/ gyn, vice president for health sciences, acting dean of the Medical School, head of Buffalo General Hospital's ob/ gyn department and president of the Hospital's Medical Board. Other faculty honored - Dr. Milton C. Albrecht, a member of the faculty for 29 years and dean of the College of Arts and Sciences from 1958 to 1965; Dr. ]ames A. English, professor of oral biology, who was dean of the Dental School from 1960 to 1970; Hazel Harvey, associate professor of nursing, who has been on the U/ B faculty since 1949; and Bonnie K. Pomerantz, associate professor of speech communication, who has been in the faculty since 1953. �Class of 1955 at Spring Clinical Days Front row: ]ames M. Garvey, David F. Weppner, John H. Peterson, Milton Alter, Anthony B. Schiavi. Middle row: Louis R. Conti, ]ames R. Collins, Donald A. Wormer, Robert T. Dean, ]r., John A. Winer, Albert A. Franco, Charles D. Fagerstrom, David L. Palmerton. Back row: Sam]. LaMancusa, Michael]. Gianturco, Frank]. Gazzo, Edward H. Kopf, Cleora K. Widlija Handel, Laurence T. Beahan, Ray G. Schiferle, ]r., John H. Kent, Kay Keicher, ]ames R. Nunn, Vincent S. Celestino. Dr. Randall Knighted in 1958, corecipient of a Nobel prize in medicine in 1963 for investigations begun after World War II, new insights into both reflex actions and formation of the brain by the scientist-philosopher provide a firm base for future progress. Mandatory retirement for Dr. Eccles was waived for two years by SUNY Board of Trustees. Among accolades too numerous to mention is appointment of Dr. Eccles as a foreign faculty member to the famed Max Planck Institute. He will work there part time after he leaves Buffalo in August and settles in Switzerland. Dr. Thelma Brock, Buffalo born and educated, earned a medical degree at U/B in 1928. After starting an ob/gyn residency in Philadelphia, she returned to Buffalo to open a private practice. In 1955 she joined the Medicine faculty as an instructor, served as consultant to the State's vocational rehabilitation department and taught many postgraduate courses on allergy. The clinical associate professor is a Fellow of the Academy of Allergy and the American College of Allergy, twice served as president of the Buffalo Allergy Society, and has been a member of local, state, and national societies of internists. Dr. Michael Laskowski, Sr., born in Russia, received a Ph.D. degree {1939) and a " Docent" (1935) from the University of Warsaw. He continued postgraduate training as a Fellow of the Polish National Culture Foundation and the Rockefeller Foundation where he worked in Basel's physiology department and in the Lister Institute for Preventive Medicine's biochemistry department. Among faculties on which he has served are the Universities of Warsaw, Minnesota, Arkansas, Marquette, Paris, and the New School for Social Research. The research professor of biochemistry joined the Buffalo faculty in 1966 as well as Roswell Park Memorial Institute where, as principal cancer research scientist, he heads a laboratory of enzymology. Dr. Laskowski is a Fellow of the American Association of Cancer Research, a foreign Member of the Polish Academy of Sciences from 52 THE BUFFALO PHYSICIAN �which he has just been awarded a diploma of election, and he is one of the founder members of the Polish Physiological Society where he is now an honorary member. Among his memberships are the British Biochemical Society, Sigma Xi, and biochemical editor of the Society for Experimental Biology and Medicine. A corecipient of the E.K. Frey Award for his work on trypsin inhibitors, he was awarded the Schoelkopf Medal in 1975 for his work on enzymes and nucleic acids and was named research professor emeritus . He has published over 175 articles in his field . Dr. Heinz Lichtenstein, born in Germany, received a medical degree from the University of Heidelberg in 1930, pursued an internship in medicine and neurology there, a residency in neuropsychiatry in Berlin's Hufeland Hospital, and opened a neuropsychiatric practice in that city. The clinical professor of psychiatry has also served on the staffs of a state hospital and a sanitarium for nervous/ mental disease in Switzerland as well as at the Rochester Guidance Center before joining the psychiatry faculty in Buffalo in 1948. He is a Diplomate of the ~ American Board of Psychiatry and Neurology, a Fellow of the American Psychaitric Association, local, state, and national psychoanalytic and professional societies and serves on the American Psychoanalytic Association's committee on indexing. Dr. George H . Marcy, after earning a medical degree in 1932 from Harvard University, interned at Millard Fillmore Hospital. He continued postgraduate training at the Arbeiter Unfall Krankenhaus in Vienna before joining the Buffalo orthopedic surgery faculty in 1937, interrupting his service by service with the 24th and 160th General Hospitals in the European Theater from 1942-45, where he earned three Battle Stars. The clinical associate professor was appointed Governor of the American College of Surgeons. Among his medical society memberships are local, county and national affiliations, the American College of Surgeons and the American Academy of Orthopedics. He is past president of the Millard Fillmore and Children's Hospital staffs and has served on the staffs of Veterans, St. Francis, Buffalo General and DeGrafd-- Front R ow: D onald A. Hamm el, Franklin Glockn er, Charles J. Rigg io, R oger 5 . Dayer, Euge ne P. Riv era, A lg irdas Gamziukas, Th eodore 5 . Bistany. Back Rows : Joseph G. Antkowiak, Daniel A. G oldberg, Fran cis J. Klock e, R obert L. Malatesta, John A. Tuyn, Harry L. Metcalf, A ndre D . Lascari, Eugen e T. Partridge, Th omas H. Witschi. Class of 1960 at Spring Clinical Days �Dr. ]. Eccles Dr. H. Eccles Hospitals as well. Dr. Marcy is a member of local chapters of the Yale and Harvard Clubs. Dr. Joseph Rosenberg earned a medical degree in 1928 from U/B, interned and completed a residency in otolaryngology at Meyer Hospital and joined the faculty in Buffalo in 1944. The assistant clinical professor of otolaryngology is a Diplomate of the American Board of Otolaryngologists, a Fellow of the American Academy of Surgeons and has served on the staffs of Millard Fillmore, Meyer, Children's and Buffalo General Hospitals. He has been a member of local, county, state, and national medical societies. Dr. James Vaughan earned a medical degree from the University of Colorado in 1933. After interning at the Buffalo General Hospital he spent several years in general practice before completing an ophthalmology residency at Wills Eye Hospital in Philadelphia. He joined the ophthalmology faculty at U/B in 1948. The clinical associate is a Fellow of the American Academy of Ophthalmology and Otolaryngology and has served on the staffs at Buffalo General, Deaconess, Children's and Kenmore Mercy Hospitals. He is a member of county, state, and national medical societies as well as local and national ophthalmology societies. Dr. Henry Vogel, after earning his medical degree in 1930 from the University of Illinois, completed an internship and surgery residency at the E.J. Meyer Memorial Hospital. He continued his training at the University of Illinois, completed an internship and surgery residency at the E.J. Meyer Memorial Hospital. He continued his training at the University of Vienna for six months and served for three years with the U.S. Naval Reserve as Lt. Commander. He was cited for service during World War II. The clinical associate joined the surgery faculty at U/ B in 1959, served on the staff at Millard Fillmore and several other local hospitals. He is a Fellow of the American College of Surgeons and the American Society of Abdominal Surgeons, a Diplomate of the American Board of Abdominal Surgeons as well as a member of local, state and national medical societies. Dr. Walter Walls was born and educated in Buffalo. After receiving an MD degree in 1931 from U/ B he completed internship and surgery residency at Buffalo General Hospital before joining the U/ B surgery faculty in 1933. His service at Buffalo General, E.J. Meyer Memorial, and Children's Hospitals was interrupted by military duty during World War II. He retired as a Colonel. The clinical associate professor is a Diplomate of the American Board of Surgeons, a member of Alpha Omega Alpha, and local, county, and national medical' societies. He served as trustee of U/ B Foundation, on the University Council, and as director of Medical Mutual Liability Corporation. 54 THE BUFFALO PHYSICIAN �After paying homage to the breadth and scope of the late Dr. Ernest Witebsky's research interests, Dr. Rupert Billingham set out to prove that many are still being pursued today. In the fifth annual Ernest Witebsky Memorial Lecturer's overview on the biology of natural transplantation and allografts, he centered on one of nature's most successful, that of the fetus. But because the fetus needs no immunosuppressants nor is it rejected in an immunological way, he quickly dispelled any belief that this was the whole story. "Some kind of protection by a cell-mediated reaction, some kind of blocking antigen from the mother protects the fetus, " he said. But the mother is confronted with foreign tissue transplantation antigens, he explained. In tracing several levels of antibody immunologic reactivity where the mother can get into trouble, the professor and chairman of cell biology at the University of Texas Southwestern Medical School at Dallas pointed to the chorio-decidual junction where the possibility of leakage across the placenta can reach the fetus. From a wide-range of experiments with animals as well as man, he pointed to evidence for: an expression of transplantation antigens in embryos at a very early stage; antibody association with fetus and not with maternal tissue sites; that a layer of fetal trophoblastic tissue in some species of animals and in man can produce several hormones which may interfere with cellular immunity; an association of immunological response by the female against the tissue antigen of the fetus with some kind of blocking antibody or mechanism such as fetal protein that helps protect the fetus; that the uterus is efficiently used for transplantation immunology of the allograft. But he quickly dispelled the notion that transplantation immunology can be used to check the population explosion. "The best you can get," Dr. Billingham warned, "is what you don' t want, that of heightened fertility." He found the uterus to be as efficient a route in helping transplantation immunity with experimental grafts as any other known site. But when it was confronted with allografts, not only did he find the immunogenetic alien fetal placental un't to be completely undaunted by transplantation immunity but that it benefited from it. "We get larger fetuses with prior immunization," he said. In studies on many children with graft versus host disease (GHD) of natural origin, it was learned that immunocompetence to transplantation antigen is acquired long before birth as though "immunologic fingers can reach out and damage us before we see the light of day, " he quoted from a sonnet. In Dr. Billingham's mind, there is no question that immunoregulation is important in mammalian gestation or that specifically-immune effector lymphocytes cross the placenta more easily than unactivated ones. The Achilles Heel, he found in his experiments, may not be at the level of the placenta but at birth, when GHD can start in the fetus. Still another example he presented of natural transplantation in mammals was that of mother's milk. In experiments with mice, he found immunocompetent lymphocytes in milk which are transferred naturally to the newborn infant. "This can be a basis for an immune reaction, " he said. FALL, 1975 55 Ernest Witebsky Memorial Lecture Dr. Billingham Or. Mohn �133 Residents, Interns Honored Certificates were awarded to 133 residents and interns who completed all or part of their specialty training at the University participating hospitals - Buffalo General, Deaconess, Children's, E.J. Meyer Memorial, Millard Fillmore, Veterans, and Roswell Park Memorial Institute. Chairing the University Residency Program Committee is Dr. William J. Staubitz, who is professor of surgery and chairman of urology. Anesthesiology Residents - Drs. Chung Heuyn Cho, Sudarshan Kumar Gulati Dermatology Residents - Drs. Barry Jay Heckelman, Thomas Joseph Lawley General Surgery Residents - Drs. Juan Diaz Asuncion, Jr. , Francisco Y. Belizario, Ascanio Castillo, Frank B. Cerra, Bashir A. Chowhdry, Aristides Basil Codoyannis, Rajendrakumar S. Dalal, Harold Aaron Hedaya, F. Mora Jra, Maurice Levy, Claudio Albert Barbosa Lima, Bernardo D. Martinez, Sayeed Nabi, Cole Stanley Northup, Joseph L. Nxumalo, Joel H . Paull, John Popovic, George J. Saad, Amarjit Singh, Robert E. Trotter Cardia- Thoracic Surgery Residency - Drs. Ross L. Buarino, Gaddum J. Reddy Gynecology-Obstetrics Residents - Drs. Mohammad Aref, Candan Ulucevik Medicine Interns - Drs. Paul H . Barnett, Daniel Botsford, James D. Durham, Donald R. Greene, Eugene Kavanagh, Daniel Lasser, Edmund E. Miller, Ian T . Nathanson, t\1arvin Rachelefsky, Bruce H . Thiers, Robert Vanderlinde Residents - Drs. Thomas R. Beam, Jr. , Leonard Berkowitz, Richard Berkson, Jerome Bierman, William Bommer, John F. Breen, James A. Brennan, Donald Copley, Robert DiBianco, Mark B. Epstein, Peter Ewing, Robert Folman, Alan Gasner, Robert M. Hoffman, Ismil Ismael, Peter Johnson, Mark Kelley, George Kotlewski, George Kovach, Ronald R. Liteplo, Martin N. Mango, John Q.A. Mattern II, Victoria P. Musey, Arthur E. Orlick, John Pifer, Richard Rivers, Paul Schaefer, Paul Seligman, James A. Singer, Morris Tobin, John Visco, William T. Wallens, Robert Whitney, Drew Winston, John Zamarra, Ronald W . Zymslinski Neurosurgery Resident - Dr. Leo Nelson Hopkins Nuclear Medicine Residents- Drs. Glenda Donoghue, Shantilal Lunia, Alberto Fernandez Pol Ophthalmology R esidents - Drs. Peter W. Forgach, Denis G. Mazeika, Sindhu S. Shah, Richard Srebro Orthopedics Residents - Drs. Timothy J. Collard, John J. DeMarchi, John C. Newman, Robert M . Ungerer, Harold M. Vandersea, James J. White Otolaryngology Residents - Drs. Hansung Kim, Rajnikant Manibhai Patel, Coda Shri Shailam, Hwa-Nien Tsui 56 THE BUFFALO PHYSICIAN �Pathology Residents in Anatomic Pathology - Drs. Ashok Koul, Jayaraj Sampath Kumar, Maithridevi Muttuthamby, Michele Paule Thatcher, Asuncion Zamora Residents in Clinical Pathology - Drs. Vichitra Hemsrichart, Ashok Koul, Jayaraj Sampath Kumar Pediatrics Residents - Drs. Robert D . Baker, Jr., Susan Sestini Baker, Robert A. Boxer, Martin Brecher, GeorgeS. Cook, Patricia K. Duffner, NormanS. Ellerstein, Linda A. Kam, Areta 0. Kowal-Vern, James A. Menke, Merrill L. Miller, James A. Nickelsen, Andre Raszynski, Elliot Rubinstein, Pamela B. Sckolnick, Harriet A. Siegel, W. Roy Slaunwhite III, Steven P. Wyner, Lawrence Zemel Psychiatry Interns - Drs. Jun Young Chon, Sharda Karuturl, Indira Khubchandani, Soojang Kim Residents - Drs. Jean B. Jackson, Yoon Hoon Kim, Envangelina Mendoza-Bellzarlo, Murray A. Morphy, Jin Soo Rhee Rehabilitation Medicine Residents - Drs. Fuangfa R. Khunadorn, Emilio B. Ruelos Urology Residents - Drs. Refugio Roda Andaya, Sunmolu Akinolu Beckley, John Christodoulides, Seido Jitsukawa 0 Front row: Charles W. Rogers, H. Elliott Larson, Benjamin J. Wherley, Joseph G. Cardamone, Arthur Morris, Ira Hinden. Back row: Robert W. Schultz, Arthur E. Yahn Ill, Gary H. Jeffrey, Carleton J. Kavle, RobertS. Scheer, Patrick J. Houston. Class of 1965 at Spring Clinical Days �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part V Response of Readers by Letter to Dr. Samuel Sanes' Series The Editors of The Buffalo Physician *Denotes excerpts from letters by individual writers. The series of four articles by Dr. Samuel Sanes in The Buffalo Physician, which ended for the present with the Summer 1975 issue, has evoked widespread response among our readers. To date Dr. Sanes has received more than 100 letters from 17 states and two foreign countries. The majority of the writers were physicians, colleagues, and former students representing 24 branches of practice. They ranged from interns to retirees. But non-physicians, some of whom have never met Dr. Sanes, responded too. Some receive The Buffalo Physician as members of the faculty or staff of the School of Medicine. Others - professional workers and lay volunteers - received copies of the first article duplicated by the New York State Division of the American Cancer Society and distributed to its central office and 54 upstate county units. Still others saw one or more copies of The Buffalo Physician in the office or home of a U/B medical alumnus, in a health care facility or other site to which the journal is distributed. Among them were physicians' wives, registered nurses, members of the religious community and lay persons, including cancer patients and their families. One physician made each article "required reading for my wife, good friends and office helpers." Several physicians prescribed Dr. Sanes' first article to cancer patients who needed mental and emotional help. At least two are considering use of the articles as a teaching source at medical schools outside Buffalo. The letters have been supportive and encouraging to Dr. Sanes as a cancer patient. But even more than that they have gratified him as a writer and a teacher of 40 years. In writing the series, Dr. Sanes has addressed himself primarily to what cancer of a particular type and stage (disseminated reticulum cell sarcoma) can mean to a particular patient (himself) mentally and emotionally as well as physically. It has not been his intention to speak for all cancer patients. He has told his own story, wondering whether other physicians and medical students who have not experienced cancer or any other chronic "incurable" disease personally might draw some insights from it in regard to themselves as potential cancer victims and in their relationships to patients, relatives, professional colleagues, co-workers, and friends afflicted with cancer, especially active, disseminated disease. The response to the series indicates that Dr. Sanes' experiences, observations, and reactions struck a common note beyond anything that he had anticipated. As editors of The Buffalo Physician we feel that the response fortifies the series and that our readers will be interested in looking over Dr. Sanes' shoulder as he reads his letters. We have therefore asked him to let us publish excerpts from some of them. Those which have been selected are used with permission of the writers. Obviously space limitations prevent publishing excerpts from all. Some, that have been omitted, were of an especially personal. intimate nature. One way of looking at major diseases in the lymphoma-leukemia group historically is through the origins of the names most frequently used for them today in the United States of America (photos). 58 Excerpts from Letters from Physicians Comments on general approach and style of articles *Sam, I read your [first) article. It is an honest, clear, human article, full of character ... guide for the perplexed. *You ... demonstrate a deep insight into human nature and response to disease. *I much admire the tone of your [second] article and the vigor with which you present it. *You do approach your affliction with a natural emotionalism tempered by intellectual insight. *I just read your third installment. I was very, very, very moved by it- by the content, of course, but also by the dramatic and understated way in which you wrote it. *I am writing to tell you how much I enjoyed reading your [first] article, how much I sympathize with you in your illness and how greatly I admire the honesty with which you face your problem. The concept of a pathologist describing the course of his own disease is less disturbing than it is original. Your expression of deeply personal emotion is compelling, devastating. Comments on validity and relevance of content for medical teaching and practice *I feel that the article [first) should be required reading for every medical student about to enter practice. *What you write about is so important to understand, especially for physicians. *I read your case history [first article] and was most impressed with it ... It is too bad many physicians don't have a chance to have a little insight sometimes about the thinking of their patients ... In a very thoughtfu·l and generous fashion you have provided an opportunity for them through this mechanism. *I am glad that you chose to communicate your experience to us in order to help us treat our patients with more understanding. *I can only agree with you ... the need for more empathy and sharing of concern that makes up the practice of medicine as it was taught to me ... (35 years ago.] I am constantly amazed at what little human rapport surgeons seem to have that reassures or strengthens the patient. THE BUFFALO PHYSICIAN �*The other day I [not a UB medical alumnus] received a copy of The Buffalo Physician with the (second] article you had written about reactions of yourself (and notably others as well) to your illness. Few can confront it so squarely and so perceptively. I found [the article] both interesting and helpful to me in my area of work in psychological reactions and problems in adjustment to cancer. Could you arrange for the other articles to be sent to me? *I entered the private practice of medicine here about three months agohematology-oncology. An old Buffalo colleague contacted me and we had a nice chat. He informed me of your illness and kindly showed me his copy of The Buffalo Physician. I have had a chance to read your Part II and hope that I can obtain all of your writings about your disease and how you faced it. I have been dealing with similar problems every day for the past two and a half years and certainly appreciate your observations. *Thank you for writing in The Buffalo Physician . I work with lymphomas much of my waking hours and you still have much to teach me . . . Again thanks. *There was added reason to think of you within the past week. I stumbled into a diagnosis of multiple myeloma. There were so many telephone calls about a 66-year-old man 's backache that I admitted him to the hospital. The routine lab work showed a hemoglobin 9 gms. , total protein 12.1 gms., of which globulin was 9.8 gms . . . . " sternal marrow" confirmed the diagnosis and he's now having a nice response to [chemo- and steroid] therapy. *Well, seven months down in the internship program . . . This year has ?een very rewarding, too, in my trainmg to deal with patients who are dying and in relating and empathizing with both them and their families .. . I fully realize how woefully inadequate medical school is in preparing one to face these situations - not only in the sense that my own feeling of inadequacy must be dealt with but also in the sense that I have to in some way engender confidence in a patient who knows there is no hope and is in the hospital to die ... The experience was made devastatingly clear to me when during December [1974] I had as a patient my chief resident who died in less than three weeks of acute myeloblastic leukemia. He was only 30 Comments from physicians after the third article on response of physicians to professional colleagues and coworkers with disseminated cancer *I must have been lost for one and a half years. The first time I heard about your sarcoma was your article. After reading all the "woulds" and " would nots " I still don ' t know what to say. *. .. As I reread your third article, I grew nervous about the " woulds" and " would nots " of responding to patients with disseminated cancer. Of how many responses had I been guilty? You really are rather hard on your friends and acquaintances. How can they possibly know (before they read your articles) what approach you would most appreciate? I doubt whether many patients care to be or could be as candid and receptive as you. I know that I could not. And those who have reacted to you in various ways you describe are probably putting themselves in your place and reacting as they would want others to react to them. *I have been interested in all of your articles. It seems to me that the first two were particularly valuable to me as a physician and the [third] to me as a human being . It is my feeling that I have given too high a place to avoiding invading the ill person 's privacy but I am still thinking about it which I suppose is one thing you want. In any event the articles have made me make some MYCOSIS FUNGO/DES - Alibert's disease (skir1 ulcers): In 1806, Jean Louis A Iibert (1768 - 1837 Paris) first described the disease. Originally he called it "pian fungoide" because he related it to yaws . In 1832 A Iibert cha11ged th e name to " Mycosis fungoide " because of the presence of mushroom-like "umors . Today classic MF is considered a primary malignant lymphoma of the skin, rarely with systemic involvement of lymph nodes and internal organs, sometimes with transitions to other types of lymphoma, especially reticulum cell sarcoma and Hodgkin's Disease. changes in my approaches .. . to people who have life-threatening illness. It is, however, very difficult to convey one's concern to relative strangers. *I think your articles ... will have a profound effect on some of your readers (if they have the capacity to be open to your concepts.) It involves being at ease with our humanity, I think, and it seems a lot of doctors deny their humanity more so than other classes of people I encounter. *Sam, I read all your thoughts and felt much of the anguish as you related your feelings . Would that we understood without such a gentle reminder. Comments from a physician after the fourth article on "Faith and Prayer" *Last night the stra-a-angest thing happened to me! I awoke at 4 AM, sat on the side of the bed and said a prayer for you. It didn't even seem ridiculous. What would be more incongruous would be my failure to let you know that this happened, Sam . .. Naturally this note is prompted by my just having read your #4 in The Buffalo Physician ... As a relatively non-religious man who usually sleeps pretty well I cannot promise how often I shall awaken at 4 AM to pray for you in the future, but if I miss one or two nights, please accept my apologies. Comments from a physician who had to cope with tuberculosis as a medical student and young doctor before the era of antibiotic and chemotherapy *I wanted to read all three articles before writing. And I am glad that I did. The initial shock of your diagnosis has been replaced by ... increased respect for your understanding, empathy and insight. I had tuberculosis in the late thirties and early forties . I learned from this experience many of the insights you make reference to in your articles. From that difficult time for me I would recall two names, perhaps familiar to you , who were teachers by example- Dr. Nelson G. Russell Sr. for his understanding, patience and willingness to explain (particularly to my bewildered parents) and Dr. Horace LoGrasso of Perrysburg for his practical optimism at the right time. Comments from a physician whose wife has been treated for cancer *I have just read your [first] article. It really gives you plenty to think about. I had a coronary in 1970 and [my wife] dFALL, 1975 �RUDOLF VIRCHOW: In 1845 Virchow (1821-1902 Berlin) introduced the term LEUKEMIA (Weisses Blut) for the postmortem findings of white-colored blood clots, splenomegaly and increased number of leukocytes which were not pus cells. Subsequently he classified two types of leukemia : (1) lymphatic in which enlargement of lymph nodes predominated and (2) splenic with predominant splenomegaly. just had a small carinoma ... removed. She has to fight depression but is doing very well. When you realize your end is a little nearer than you had thought about you do a bit more thinking. From your article it sounds as though . you have made a good adjustment. It is so important to have the proper attitude. Otherwise life is not worth living ... Comments from physicians who are cancer patients under treatment and/ or follow-up observation *I have read with great interest and benefit your recent articles. Recently a diagnosis of metastatic carcinoma was made in me and your articles have helped me to cope with the problem. I am still adjusting. But I wanted to say " Thank you" for the help you have extended me in the past several months. Once again " Thank you. " [In a subsequent letter] If all goes well I hope to be discharged from the hospital this week. The past three and a half months have been arduous. I can only hope that the lengthy confinement has contributed to my growth and development as a person. Patience and trying to learn to live each day for itself is a difficult lesson. Some of your philosophy - not as well expressed as you have done - was expressed in a recently published book, " Not Alone With Cancer. " [In a third letter] It seems as though my energy is channeled into getting up each day and going into the office. After four or five hours I return home ex- hausted. But I'm grateful that I can work .. . I know that the constant discomfort and the intermittent pain contribute to this energy drain .. . [Also chemotherapy] ... I'm not complaining, " just bitching, " as my oncologist says. *I have read your [first] article many times already. The similarities between us are striking and I can sincerely empathize. I too have nervously palpated my body in search of lymph nodes. I too have been nauseated and hairless from radiation. I knew the fears, frustrations and anxieties that you describe. But I share your optimism and attitude. With the assurance of our families and friends and the help of our doctors we must continue to live each day as fully as we can, trying not to let our disease alter our plans and operations. I am approaching my fourth diseasefree " birthday, " an important milestone in the course of Hodgkin's Disease. My experience is three years greater than yours so I can advise you with confidence that time does in fact continue to neutralize fears. I think of you very often and pray for your continued health. Comments from physicians who think of themselves as possibly developing cancer some day. *I often wonder if the same objectivity would be visited upon me in similar · circumstance. *Although it is a subject I have considered seriously I know that one cannot anticipate the actuality. But I do know when it arrives one can be helped by the recollection of your experiences. Your writing of your experiences makes me readier to face them if I must. Thank you for the candor and courage it took to put them down in black and white. Excerpts from Letters from Non-Physicians From executive director of county unit - American Cancer Society *I read your [first] article with a great deal of interest and concern and I feel that through your insight families and friends of cancer patients will be given first-hand information as to the depth of feeling a particular person may encounter in different stages in endeavoring to accept and live with the diagnosis. Also it will help people to better understand, respect and give of themselves to support the person they love and want so much to share the good times and sorrows with. I sincerely 60 hope you are getting along well and I feel your clear portrayal of your feelings in your individual circumstances will benefit many people. From a man, unable to follow his occupation because of a chronic noncancerous disabling illness, and his wife *Dr. - - - - loaned us copies of The Buffalo Physician . Believe us when we say that [your] articles proved most enlightening . . . for they confirmed many of our thoughts on how to keep in touch with many of our friends in serious illness . Particularly in my - - - - Lodge capacity of associate chaplain through which I help the lodge keep in touch with our aged, ill and distressed brothers. Your articles have been an inspiration not only to me but I have shared some of the thoughts with friends of mine who have a long-term illness and their morale has been boosted for they learn that patience and faith are powerful forces . The article . . . expressive of one's faith in God and in himself or herself . . . gives the message clearly that one can by making the best of a situation be able to still retain interests and friends From a volunteer member of the board of directors, New York State Division, American Cancer Society (a doctor of veterinary medicine), whose wife has chronic myelogenous leukemia *I just want to express my wife's and my appreciation for the [first] article. MYELOGENOUS LEUKEMIA (bone marrow): In 1870 Ernst Neumann (18341918 Konigsberg) reporting on leukemia with involvement of the bone marrow, proposed the term MYELOGENOUS . Following the application of differential staining for leukocytes, various cellular types of leukemia were identified morphologically. In the future leukemic cells .may also be differentiated on a biochemical basis. �The article was of special interest to us . My wife has leukemia and has been ... a patient . . . these past four years . Only someone with cancer would know the many things you conveyed in your article . . . thoughts and description of [your] battle are so true and deep. Only a cancer patient can feel and really know what it's all about. Your outlook, compassion and your understanding were a big help to my wife and me .. . we have a real good understanding of all you wrote . . . I am sure your article can be a great help to many. From a retired editor of a m etropolitan daily newspaper whose wife has been receiving treatment for a disseminated lymphoma during the past three years. *[Your first article Jis a classic gem, at least to us, and we hope it can have a wider circulation among people . .. There must be countless numbers who could read it with the understanding and appreciation that my wife and I experienced . As my wife said, " I could have written that myself if I could write with [that] facility and knowledge." [After the second article] : We just ca~ ' t tell you what great help ... [your] artiCles have been. They are classic writings which we consider therapeutic to anyone who has the privilege of reading them. We feel very fortunate . Even containing professional terminology, as they must ... that doesn' t detract from their therapeutic value. Would that every sufferer could read them. We want to tell you how thrilled and pl,ease we were ... [your] fourth piece. Its one of [your] best, especially demonstrating . . . great insight and feeling for the human and personal element in [your] , our and many others ' problem .. . great expertise and understanding. From a patient with cancer-in-situ of t~e cervix (post-hysterectomy) and car- cznoma of the breast (post-radical mastectomy), member of a " cancer family " ~I related to every word [in your first article], not only in my own case but my mother's and others of the family . From a medical science writer who was . diagnosed to have a type of dissemznated lymphoma shortly after Dr. Sanes' first article appeared *I read [your] piece [first article] with great interest and hope to see the others that follow. I've thought of keeping a FALL, 1975 THOMAS HODGKIN: In 1865 Samuel Wilks employed the eponym HODGKIN'S DISEASE for certain cases which Hodgkin (1798 -1866 London) had included in his 1832 articles " On Some Morbid Appearances of the Absorbent Glands and Spleen. " Hodgkin's pathologic description was restricted to g ross findings . " diary" and may yet ... So far my feelings are too negative about too much but they'll probably temper as time goes on . It's my own self image that's bad right now plus a feeling of futility all the while I'm working as though anything matters. ... I' m a long time worrier by nature and it's hard to break the habit. I need to establish more of a day-at-a-time philosophy and come to terms with myself. I' m not fully in tune with all things yet, I know, and as a " loner" I undoubtedly think too much unproductively. I read [your second] article right away. You have certainly said a lot of things that many, many doctors andespecially those going into the profession now need to hear and especially from another physician . Even many doctors who have been practicing a long time . . . could stand the lessons if they 1vould but listen. A principal reason for keeping my care at - - - - Medical Center aside from Dr. - - - -'s capabilities in dealing with [my type of lymphoma] is his " empathic" approach to me as a patient. Otherwise there are at least ten very competent oncologists [in my home city]. Going to - - - - Medical Center is costly, time-consuming and wearing, but I have confidence in Dr.---- and I like him as a person. He was not on service when I received the diagnosis . . . but he came to see me that evening. And during the worst pain period he called or came to see me every day. He is a real gentleman and conveys just the right degree of per- 61 sonal attention with yet the right degree of detachment. To give you an example of how not to inform a patient, no matter how sophisticated or apparently " strong, " of a malignant disease. The night before the biopsy the two principal residents, one a female, . . . came in and said I'd be seen by a hematologist the next day since I had [a type of disseminated lymphoma] . I knew I was scheduled for the biopsy. I said " Are you that sure before the biopsy?" " Yes, the clinical laboratory tests all pointed to it." And I said " Just like that, huh?" and they said " Yes" and went out. I was, of course, alone ... but I was stunned for a while at all this and on reflection that it had been done by two residents and not even a staff doctor. After a bit I went down the hall to the area where the residents write up their charts and asked the male resident to come out and I asked him if he really thought this was the way to tell the patient a diagnosis of cancer. He was very apologetic, said he realized immediately it had been wrong. Lucky for him I didn' t get hysterical or even cry at this point. .. [Are we] ... helpless ... to rectify these attitudes in this brave new world of scientific medicine? I've written this at length to you, as if this can happen to a patient like me, supposedly knowledgeable, what happens to patients who wouldn ' t know what [type of disseminated lymphoma] means? Or perhaps those bright young residents thought because I'd know and knew what they were testing they could approach me as an entity without emotions or reactions. I don' t know. d-- STERNBERG-REED CELL takes its name from two authors of early descriptions of the histologic changes in Hodgkin's Disease (1) Karl Sternberg (1872-1935 Vienna) in 1898 and (2) Dorothy Reed (1874-1964 Baltimore) in 1902. �From a public health nurse who has disseminated lymphosarcoma From faculty members (nonphysicians), UB School of Medicine "! have just completed the third of your articles on your experiences in living with your lymphosarcoma. (Yes, I read Articles I and II also). My interest in your articles is both personal and professional. . .. As a public health nurse [my) emphasis is to assist patients and families to increase their abilities to handle their own problems .. . It has been very hard for me to understand why patients and their families are helped so little when cancer is the diagnosis. I find myself frequently in waiting rooms and on hospital wards talking with patients hungry for information, for a chance to ask questions, fearful of what they need to face and fearful of rejection. In your third article I was very happy to note some common sense approaches for dealing with patients. I have two questions to put to you . (1) Since it is my observation that frequently a family member needs more help than a patient, I wonder why you do not discuss this? (2) The [local] branch of the American Cancer Society is currently on a small project ... Funds were initially left by a cancer patient who learned the value of patients talking with patients ... <jreas that must be considered in helping patients learn to help other patients . My question is : Would you permit reprint for use with doctors and other health personnel to help them understand some of the areas you describe so well? I am still attempting to work in my position . .. I hope to retire soon to spend whatever time I have left in working toward improved service to patients who have a diagnosis of cancer. [In a second letter]: I am glad to be off chemotherapy for a while. It made me feel like a " professional patient" besides which I felt lousy most of the time. However, looking back on that phase of treatment, I realize it was a helpful experience in dealing with others undergoing treatment. I can better now help them see that there is a " light at the end of the tunnel. " After the drug is out of the system there is also some physical and mental renewal. I am looking forward to your article on " mutuality" ... the local unit of the Cancer Society is making generous use of all the practical things in the previous articles . One thought I have . . . perhaps because I am basically an optimist. Is it possible that in our society where all health services are becoming increasingly fragmented and because cancer is so much in the limelight it may be possible "Your first article hit me hard. So far I hadn' t needed to face up to these matters and was not anxious to do so ... You were most fortunate to have a few friends in those first few days and weeks who could appreciate what you were going through. If you have taught us anything it is to sense such a problem in a friend and offer understanding and help . . . The series has been an eye opener pointing quite clearly to the unappreciative eye of the non-sufferer to the sufferer. Intellectual understanding is nothing to the gut feeling . "I am writing to let you know that your articles have had an impact on me. It seems that our society has isolated illness and death so much that we are in danger of missing the point of life. An admired classmate of mine died in the fall and my father, who was living with us, died this December. I was depressed and upset more than I would have anticipated , but I hope these experiences have left me with a more realistic point of view. In particular I hope I'll have the strength of character in the future to be able to approach a person who has been bereaved or one with a serious illness and to focus long enough to give a little of my real self. I suspect the problem with some who make inappropriate communication is that they can' t bear to open their protective shell enough to pay real attention to M U L T1 PLE MYELOMA (bone-plasma cell type) : In 1873 ].v. Rustizky (Strasbourg, Kiev) published a case report titled MUL TlPLES MYELOM in which he described the gross and microscopic findings of the lymphoma now designated multiple myeloma and myelomatosis. through this disease once again to show the importance of meeting basic human needs of patients with modern medical knowledge? From physicians' wives whose husbands were kept from practice because of a serious illness "Just finished reading your articles .. . My prayers are with you and your wife. I am a great "prayer" and never give up. I know that you have many friends who feel the same way and are with you .. . Never give up! " Prayer and Research! " "We read with interest your articles. This is a tremendous contrib~tion to an understanding of the psychology of the cancer patient. [My husband] had a mild heart attack in March, 1974. Made an uneventful recovery. Thank the Lord, Sam, I found faith in Jesus sufficient in that hour that I faced the possibility of death which all of us will know some day. From a friend of a physician who died of cancer 2 Y2 years after original diagnosis and treatment "This morning I attended the funeral services for Dr. - - - -. About 100 of his professional colleagues and coworkers, lay friends and acquaintances were present. I wondered how many of those who took thought and time to pay tribute to Dr. - - - - in death took the same time and thought to make a telephone call, mail a note or pay a visit to him in the last five months of his life when he was confined at home and in the hospital. Or got in touch with his wife, who had to learn to give him morphine shots for pain day and night . .. toward the end, every two hours. 62 LYMPHOSARCOMA - Kundrat's sarcoma/ disease (lymphocytic type): In 1893 Hans Kundrat (1845-1893 Vienna) published " Ueber Lymphosarkomatosis " from which LYMPHOSARCOMA was derived. Through the years various morphologic cellular types including reticulum cell sarcoma (histiocytic lymphoma) have been differentiated. �the person who is in serious difficulty. I didn' t mean this letter to be gloomy. Your articles made me feel relieved. I earnestly hope you feel relief, satisfaction and pride from facing crucial issues in a constructive manner that helps others like myself. Eponyms stand out in the nomenclature of the major diseases in the lymphomaleukemia group. It is interesting to note four other examples classed in the group or as related lymphoreticular cell proliferations during the past 45 years which bear eponymic designations: Letterer-Siwe disease, Sezary's syndrome, Waldenstrom 's macroglobulinemia and Burkitt lymphoma. FOLLICULAR-GIANT FOLLICULAR LYMPHOMA - Brill-Symmers disease: In 1925 Nathan E. Brill (1860-1925 New York) with G. Baehr and N. Rosenthal reported on "Giant Lymph Follicle Hyperplasia of Lymph Nodes and Spleen." In 1927 and 1938 Douglas Symmers (1879-1952 New York) described similar findings. BrillSymmers disease or giant follicular~ hyperplasia was eventually recognized as a form of malignant lymphoma with transformations to lymphosarcoma, reticulum cell sarcoma, Hodgkin's Disease and leukemia. NOTES (1) The 17 states from which Dr. Sanes received letters were Maine, Massachusetts, Connecticut, New York, New Jersey, Pennsylvania, Virginia, Maryland, Florida, Arkansas, Kentucky, Indiana, Minnesota, New Mexico, Arizona, Texas and Californza . New York, California and Florida led in number of letters. (2) Letters were received from physicians in 24 branches of practice: anesthesiology, community medicine- public health, ~ermatology, family practice, general surgery, hematology-oncology, Indian health service, industrial medicine, internal medicine, mternal medicine-cardiology, internship (pediatrics, rotating, surgery), medical education, neurology, obstetrics and gynecology, oncology, oncology-hospital administration, ophthalmology, otorhinolaryngology, pathology, pediatrics, physical medicine and rehabilitation, psychiatry, radiology, retirement (anesthesia, family practice, general surgery, internal medicine, oncology-hospital administration, pathology, psychiatry). Internal medicine with subspecialties including oncology, pathology and family practice led in number of letter writers. (3) The first and third articles (Pts. I and Ill) brought out the most letters. REFERENCES (1) History of Medicine, F. H. Garrison 1924, Encyclopedia of Medical Sources. E. C. Kelly 1948, A History of Pathology, E.R. Long 1965, Butterworth 's Medical Dictionary, A.S. MacNalty 1965 (A Iibert, Virchow, Wilks, Hodgkin, Sternberg, Reed, Kundrat, Brill et al, Symmers); (2) Dermatopathology, Vol. 2 1203 1967 H. Montgomery (Alibert, mycosis fungoides); (3) Deutsche Ztsch f. chir. 3 162 1873 (J.v. Rustizky, multiple myeloma); (4) Arch Path 54 114 1952 (Symmers- obituary); (5) Verhandl. d. deutsch. path. Gesellsch. 24 65 1929 K. Terplan, Trans. Assoc. Am. Physicians 47 3301932 G. Baehr, S.G.O. 64 4651937 H. Jackson, Jr., Ann. Int. Med. 14 2073 1941 E.A. Gallet al. (Systemic- malignant nature of giant follicular hyperplasia- follicular lymphoma) PHOTOCREDITS Brit. J. Derm 1918 F. Parkes Weber (mycosis fungoides-skin ulcers), A History of Medicine 1946 A. Castiglioni-E.B. Krumbhaar (Vnchow, Hodgkin), SUNYAB Dept. of Medica/Illustration- D. Atkinson. ACKNOWLEDGMENTS A.A. Knopf-Random House, Arnoldo Mondadori Editore, Milan, Italy - (photos - Virchow, Hodgkin), J.R. Wright M .D., L. Bohacek (microscopic slides), the Johns Hopkins University (Reed). FALL, 1975 63 �Dr. Kinnard Named BGH President Dr. Kinnard Dr. William V. Kinnard, associate director for professional affairs and medical director at the Albany Medical Center Hospital, will become president of The Buffalo General Hospital "no later than September 1st," it was announced today by RobertS. Scheu, chairman of the Board of Trustees at Buffalo General. Dr. Kinnard, 44, will succeed Dr. Theodore T. Jacobs, who has been the chief executive officer at Buffalo's largest voluntary, nonprofit hospital since January 1, 1971. Mr. Scheu said Dr. Jacobs, 63, had requested last summer that the Board of Trustees begin a search for his successor in order to accomplish a timely and orderly changeover in the directorship of the hospital which, including its Community Mental Health Center, has a total of 749 beds. Dr. Jacobs said it was important that his successor be here well before the start of the construction phase of the hospital's planned modernization program, expected to begin sometime in 1976, and in time to become involved in the continuing negotiations with the State University of Buffalo over a formal affiliation agreement between the hospital and the university's medical school. Mr. Scheu said Dr. Jacobs " will continue at the hospital for a period of time following Dr. Kinnard's arrival to provide a smooth transition in the hospital's administration." Dr. Kinnard, who has held the number two administrative position at the 800-bed Albany hospital since 1968, is staying on there long enough to allow a similarly smooth changeover at that institution. Dr. Kinnard graduated from Middlebury College in Vermont in 1952, received his medical degree from Albany Medical College in 1956, and studied management at lhe Rensselaer Polytechnic Institute- Graduate School of Management (Troy, N.Y.) in 1968. Dr. Kinnard served his medical internship at the Albany Medical Center Hospital from 1956 to 1957, spent the next two years as a general medical officer in the United States Navy, and then returned to the Albany Medical Center for three years of residency in internal medicine and cardiology. Upon completing his residency he entered private practice in Great Barrington, Mass. In 1964, he accepted an offer to return to the Albany Medical Center Hospital in an administrative position, as director of house staff education for more than 150 interns and residents. He became an assistant director of the hospital in 1966 and was promoted to the second ranking administrative position, as associate director, in 1968. As such, he carried administrative responsibility for all operating divisions of the hospital except the fiscal division. In 1973 he assumed the title of associate director for professional affairs and medical director, and since that time has concentrated his efforts in providing administrative liaison with the hospital's large medical staff, its clinical departments and the Albany Medical College. Mr. Scheu said " Dr. Kinnard has experience which makes him especially well qualified to assume the administrator's position at The Buffalo General Hospital at this time." He pointed out that Dr. Kinnard had coordinated the planning for an eight-story addition to the Albany hospital which was opened last year. He said this experience would be of 64 THE BUFFALO PHYSICIAN �great benefit to Buffalo General in carrying out its own modernization program. He said Dr. Kinnard 's background in handling hospitaluniversity relations would be helpful to Buffalo General in its ongoing negotiations of an affiliation agreement formalizing the U/ B's longstanding medical teaching programs at the High Street hospital. Dr. Kinnard is presently a clinical assistant in the department of medicine at the Albany Medical College, chairman of the professional affairs committee of the Hospital Association of New York State, and is a member of the board of directors of Blue Cross of Northeastern New York, as well as a member of many other professional and civic organizations. He is married to the former Margaret Williamson and the couple has three teenage children. Dr. Jacobs joined the administration of Buffalo General as associate director in 1962 after serving as director of its outpatient department and house staff education for three years. He was promoted to the position of director upon the retirement of the late Rudolf G. Hils in January of 1971. His title was changed to president in February of 1972 when the hospital's by-laws were amended to recognize the changed role and increased authority of the hospital's administrators . The Classes The Class of 1915 Dr. Peter J. Sciarrino, M '15, is actively engaged in his specialty of urology. He lives at 439 Memorial Parkway, Niagara Falls. O Dr. Victor Pellicano, M '36, spoke at the ann ual Niagara County Clinic Day. His topic: " Nutrition, Personally Applied." 0 The Classes of the 1940's The Class of 1929 Dr. Clyde W . George, M '29, internist, was appointed clinical assistant professor of medicine emeritus at the Medical School. Dr. George is a Fellow, American College of Chest Physicians. He lives at 124 North Drive, Buffalo.O The Class of the 1930's Dr. Harry Bergman, M'34, has been promoted to clinical professor of urology at New York Medical College. He also reports that the radiological sign for carcinoma of the ureter, now known as "Bergman Sign," has been accepted and will appear in the new edition of both Dorland and Stedman's Medical Dictionaries. ~ FALL, 1975 Dr. C. Henry Severson, M ' 40, has been elected to the Board of Directors of Blue Shield of Western New York, Inc. for a five-year term. He is a clinical assistant professor of pediatrics at the Medical School and on the M illard Fillmore Hospital Medical Staff. Dr. Severson is . a pa~t president of the Medical Board ?f Chiid~en s Hospital and is an Erie County Med1cal Exammer. He is a Fellow of the American Academy of Pediatrics. ) Dr. AbrahamS. Lenzner, M' 41, of Great Neck, New York has been appointed examiner for the American Board of Psychiatry and Neurology and also to the New York State D epartment of M ental Hygiene Task Force on Aging.O 65 �The Classes of the 1950's The Classes Dr. Donald B. Thomas, M '50, was named acting commissioner of health for Erie County on July 1. He replaces Dr. William E. Mosher, who retired. Dr. Thomas is a clinical assistant professor of social and preventive medicine at the Medical School. 0 Dr. Edgar A. Haunz, M ' 43, first annual Pfizer award for outstanding clinician in the field of diabetes in this country. A medal and $1,000 was given Dr. Haunz " in recognition of a lifetime devoted to the care of diabetic patients." Dr. Haunz served as chairman of department of medicine at University of North Dakota from 1955 to 1973. He is a Fellow of the American College of Physicians, served on the Board of Directors of Am. Diabetes Assn. for past 12 years and as chairman of its board of governors. He has been associated with Grand Forks, North Dakota Clinic since 1947.0 Dr. Helmut A . Mueller, M ' 44, practiced radiology in Dallas, Texas from 1949-1974 before moving to Aspen, Colorado. Dr. Mueller was recently elected Speaker of the Council of the American College of Radiology. Dr. Mueller is now affiliated with Aspen Valley Hospital. O Dr. E.E. Pautler, M ' 46, pathologist, has recently moved from Orangeburg, South Carolina to Floral City, Florida where he is Director, Blue Lakes Citrus, Inc. and Sun Land Citrus, Inc. , Route #2, Box 424. 0 Dr. Lester H. Schiff, M ' 48, received the 1975 Brotherhood Citation of the Niagara Falls Chapter of the National Conference of Christians and Jews. Dr. Schiff is chief of the department of pediatrics at Mt. St. Mary's Hospital and a clinical associate in pediatrics at the Medical School. He also received the distinguished award of the Niagara Falls Junior Chamber of Commerce, the first humanitarian award of the United Cerebral Palsy Association of Niagara County, a special award from the State of Israel for leadership in Israel Bond promotion and citations from the Niagara Association for Retarded Children and the American Academy of Pediatrics.O Dr. Philip C. Dennen, M '49, is vice chairman of the Connecticut Section, American College of Obstetricians and Gynecologists. Dr. Dennen is a clinical instructor ob/gyn at Yale University School of Medicine. He lives at 3 Birchwood Terrace, Middlebury, Connecticut. 0 66 Dr. Eugene V. Leslie, M '51, has been named a Fellow of the American College of Radiology at the annual meeting in Portland, Oregon in April. Dr. Leslie is clinical professor and chairman of the department of radiology at the Medical School. He is also clinical professor of nuclear medicine. 0 Dr. Joseph Iacovelli, M '52, is attending anesthesiologist at St. Luke's Hospital Center in New York City and clinical professor of anesthesia at Columbia Presbyterian Hospital. ( Dr. Victor A. Panaro, M '52, has been named a Fellow of the American College of Radiology. He is affiliated with Edward J. Meyer Memorial Hospital, Buffalo State Hospital, and Linwood Bryant Hospital, and Westfield Memorial Hospital, Westfield. He is clin. prof. of radiology and clin. assoc. prof. of nuclear medicine. Dr. Curtis C. Johnson, M '53, was recently elected chairman, Board of Trustees, Bethesda Memorial Hospital, Boynton Beach, Florida. Dr. J~hnson' s specialty is general and vascular surgery. He lives at 1510 N . Swinton Avenue, Delray Beach, Florida. ) Dr. Erick Reeber, M '56, was elected Presidentelect of the Lake of the Woods Chapter, Minnesota Academy of Family Physicians (to take office April 1976 as President), at the Chapter meeting in April. Dr. Reeber, who lives at 416 North Red Lake Avenue, Bagley, Minnesota, was elected chairman of the Clearwater County Republican Party for a third two-year term. (previously chairman in 1969-71 and 1971-75). Dr. Hilliard Jason, M '58, joined the Association of American Medical Colleges in September, 1974, as the first director of the new Division of Faculty Development. Dr. Jason writes that " this will be the first national effort to devise strategies and methods to help faculty members in this country 's medical schools improve their effectiveness as teachers." Dr. Jason, whose specialties are psychiatry and medical education, can be reached at AAMC, 1 Dupont Circle, N .W . Suite 200, Washington, D.C. 20036. 0 THE BUFFALO PHYSICIAN �Dr. Ronald M . Holloway, M '59 , is the author of an article " Emergency Services" that appeared in the April1 , 1975 issue of Hospital ] .A.H.A. He is director of the Emergency Medical Service at the New York City Health and Hospital Corporation.O The Classes of the 1960's Dr. Harris C. Faigel, M '60, is the author of an article " Learning Disabilities in Adolescence" that appeared in The Practitioner. Dr. Faigel is director of adolescent medicine, Joseph P. Kennedy Jr. Memorial Hospital for Children, Brighton , Massachusetts . He is also assistant clinical professor of pediatrics, Boston University School of Medicine. 0 Dr. Joel M . Bernstein, M '61 , spoke at the First International Symposium on Chronic Middle Ear Effusion at Ohio State University in May. His topic: " Biological Mediation of Inflammation in Middle Ear Fluids." In the spring Dr. Bernstein received his Master of Arts Degree in Microbiology . He is a clinical associate in otolaryngology at the Medical School. O Dr. Howard Hockberg, M '61, is director of clinical programs and research for the Roche Medical Electronics Division in Craniology Society . He is also editor and chief of the Journal of Dr. Virginia Weldon, M '62, is co-director of the division of pediatric endocrinology and metabolism at St. Louis Children' s Hospital. She is also an associate professor of pediatrics at Washington University.O Dr. Marshall E. Barshay, M '63, internist, is a clinical instructor at UCLA School of Medicine. Dr. Barshay's articles have appeared in Clinical Nephrology and other publications. He lives at 16611 Pegueno Place, Paco Palisades, California.O Dr. Seamus Carmody, M ' 64, is president-elect of the Genesee County Medical Society. He is also president of the Genesee Chapter of the American Cancer Society, and vice-president of the medical staff of Genesee Memorial Hospital. O Dr. Kenneth Kim, M '65, has opened an office in Utica, New York. He is also a clinical instructor in orthopedic surgery at the Upstate Medical Center, Syracuse. Dr. Kim interned at Bassett Hospital in Cooperstown, New York and spent one year in pediatric service at Strong Memorial Hospital, Rochester. He was a surgical resident at the University of Connecticut, where he also trained in hand surgery. He also took post graduate training at the Newington Hospital in Connecticut and the University of Louisville. 0 Gerontology. Dr. Jerome Litvinoff, M '65, is now practicing neurological surgery in San Diego, California. He lives at 6536 Crystalaire Drive. O Dr. Alan C. Newburger, M '61, left full time pediatric practice to begin a clinical fello·"Vship in gastroenterology at Johns Hopkins Hospital, Baltimore, Maryland. He hopes to enter academic pediatrics, and use the GI training as a part time specialty . Dr. Newburger lives at 12607 Taylor Court, Silver Spring, Maryland. O · Dr. William M. Burleigh , M '67, has just completed a pathology residency at the Harbor General Hospital and is entering the private practice of pathology at Saddleback Community Hospital, Laguna Hills, California .O Dr. Rae R. Jacobs , M '62, was recently appointed associate professor of surgery at the University of Kansas School of Medicine. Dr. Jacobs is Director of Kansas University Orthopedic Service, V.A. Hospital and received a grant from the Upjohn Company for the study of steroids in fat embolism and a grant from Alcoa Laboratories for Evaluation of Hemostatic Agents on post Laminectomy Membrane Formation. Dr. Jacobs was elected to the American Association for Surgery of Trauma.O FALL, 1975 Dr. John W . Gibbs , Jr. , M '67, recently became Board Certified in anesthesiology. He lives at Apt. N-5, 415 W . Padre Street, Santa Barbara, California.O Dr. Murray C. Kaplan, M '67, opened an office recently in East Brunswick, New Jersey. He is a clinical instructor of medicine at Rutgers Medica.! School. He did his residency training at Montefiore Hospital, New York, and Northwestern University Medical Center in Chicago.O 67 �Dr. Louis Hevizy, M '69, is a Captain in the New York Army Guard. During the Hungarian uprising of 1956, he was a " freedom fighter. " The then 15-year-old boy was hanged by authorities for his participation in the resistance movement. Left for dead, he was quickly rescued by friends and escaped to Austria. He immigrated to New York State in 1957. Upon becoming a U.S. citizen in 1962, Dr. Hevizy said, " it was the greatest moment in my life because I felt now that I really belonged." 0 People Dr. Richard L. Weiss, is the new head of the department of orthopedics at Children's Hospital. Dr. Weiss, a graduate of the University of Colorado School of Medicine (1962), took his internships at Buffalo General, E.J. Meyer Memorial, and Children's Hospitals. He is also clinical professor in the School of Medicine, and has been on the faculty since 1967.0 The Classes of the 1970's Dr. Kenneth Burling , M ' 71 , completed pediatric training at UC Medical Center, San Francisco. He recently returned from the Naval Regional Medical Center, Japan, working as a pediatrician. Dr. Burling is a candidate member of the American Academy of Pediatrics and lives at 1760 Pacific A venue, _S an Francisco. 0 Or. W eiss Or. Ellis Dr. Denis G. Mazeika, M '71, completed his ophthalmology residency at E.J. Meyer Memorial Hospital, where he was chief resident, on June 30. He is with the U.S. Army and left for Germany on July 31 from Fort Sam Houston. Dr. Mazeika presented a paper, " Photocoagulation for the Treatment of Complications Following Branch Vein Occlusion - A Comparative Study" at the Ophthalmology Symposium on May 2, U/ B Continuing Medical Education.O Dr. Elliot F. Ellis has been named acting chairman of the department of pediatrics at the Medical School for one year, pending the appointment of a permanent chairman. Dr. Ellis joined the faculty in August, 1974, as professor of pediatrics and director of the Clinical Research Center (a federally funded unit at Children' s Hospital). He also heads the Division of Allergy at Children's. o Dr. Kenneth Solomon, M '71, is staff psychiatrist at the Capital District Psychiatric Center, Schenectady, New York, and Instructor, Department of Psychiatry at Albany Medical College. Dr. Solomon recently co-authored a paper which appeared in JAMA : 231:280 (1975). He writes " I have found the series by Dr. Sanes on his illness to be one of the most personal and human expositions of the feelings of a cancer patient. " He requested permission from Dr. Sanes to use the series for his course in Human Behavior given to freshman medical students.O Dr. William Carnahan, an assistant clinical professor of community psychiatry in the department of psychiatry and clinical assistant professor of social and preventive medicine, was named to the State Health Advisory Council by Governor Carey. o Dr. Eric Russell, M '74, started his residency in diagnostic radiology at Montefiore Medical Center, Bronx, in July. He lives at 51 Rockledge Road, Bronxville, New York. O 68 Dr. Richard L. Dobson, professor and chairman of the department of dermatology at the Medical School, is president-elect of the Society for Investigative Dermatology. During the early summer, Dr. Dobson delivered a series of lectures in Katowice, Krakow, and Warsaw, Poland, at the invitation of the Polish Academy of Sciences. He also was a guest lecturer at the annual meeting of the European Society for Dermatologic Research in Amsterdam. o THE BUFFALO PHYSICIAN �People Dr. Ramon K. Tan is the new president of the medical staff of Linwood-Bryant Hospital. Elected with him were: vice president, Dr. Michael J. Lynch and secretary-treasurer, Dr. Armand L. DiFrancesco. Dr. Tan is a clinical associate professor of psychiatry at the Medical School and chief of the psychiatry section at Sisters Hospital. Dr. Tan is a Fellow of the American Psychiatric Association and president-elect of the Western New York District of the American Psychiatric Association. 0 The Medical Alumni Association gave three $500 scholarships to Serafin Anderson, Penny Asbell and John Edger. All are medical students. Dr. Henry P. Staub, associate professor of pediatrics, is the new co-director of the Pediatric Nurse Associate Program. He replaces Dr. James Markello, M '61, associate professor of pediatrics, who has accepted a position in Virginia.() Dr. Robert H . Seller, professor and chairman, department of family medicine, will present a paper, " Direct Effects of Diuretic Drugs on the Myocardium," at an International Symposium at the University of Zurich (Switzerland) the last week in September. In June Dr. Seller presented a paper, " Heart Failure in the Elderly," at the lOth International Congress of Gerontology in Jerusalem (Israel).() Dr. Jack Zusman has been appointed medical director of Gateways Hospital and Community Mental Health Center in Los Angeles. He had been on the Medical School faculty for seven years as professor of psychiatry and adjunct professor of law and psychiatry.() Four Medical School faculty members (two are alumni) are the newly elected officers of the Erie County Medical Society. Dr. Ralph J. Argen, clinical assistant professor of medicine, is the new president, and Dr. Carmela Armenia, M ' 49, is the president-elect. He is a clinical associate professor of Gyn/ Ob. Dr. John J. Giardino, M '58, is secretary-treasurer. He is a clinical instructor in orthopedics. Dr. Anthony G. Federico, clinical assistant professor of surgery, has been elected vice-president. FALL, 1975 Three physicians- Drs. Joseph Campo, t;-1 '54, Norman Chassin, M ' 45, Charles Tanner, M 43are new Medical Alumni Association Boa~d Members. Dr. Campo is a clinical instructo~ m medicine and Dr. Chassin is a clinical assooate professor of medicine. v Dr. Mitchell I. Rubin, professor emeritus of pediatrics, received an honorary degree ~Doc~or of Humane Letters) from the Medical Umversit.y of South Carolina, " In recognition of embodiment of the highest ideals of outstanding South Carolinians, of your devotion to your chosen profession, and your dedication to the advancement of medical education." ,A Dr. Harry A. Sultz, professor of social and preventive medicine, chaired a program on techniques for evaluating patient care at a national meeting of the Association for Health Records. The meeting summarized the " state of the art" in quality assurance in preparation for implementation of new PSRO (professional standards review organization) legislation. 0 Dr. Theodore T. Bronk, clinical associate professor of medicine and director of ~aboratories at Mount St. Mary's Hospital, Lewiston, New York is the new president of the Regional Advisor~ Group of the Lakes Area Regional ~edical Program. Other elected officers: vice-pr.es.IdentMurray Marsh, W.C.A. Hospital Admmistrator, Jamestown, New York; secretary- Dr. Virginia Barker, Dean, Alfred University School of Nursing; treasurer- Dr. Larry J. Green, professor of orthodontics, U/ B School of Dentistry. () Dr. Erwin Neter, professor of microbiology, has been re-elected president of the Buffalo Chamber Music Society. He was also elected to the Board of Governors of the American Academy of Microbiology, and was named an honorary member in the Western New York Branch of the American Society for Microbiology. () Three alumni have been elected new officers of the Western New York Society of Internal Medicine. Dr. Edward Graber, M '60, is the new president and Dr. Nicholas Carosella, M '54, is the second vice president. Dr. William Mangan, M '59, is the new treasurer and Dr. Joseph Winiecki is first vice president. The new secretary is Dr. Nelson Torre, clinical assistant professor of medicine. 0 69 �Dr. Chi Ming Chen, clinical instructor in gynecology-obstetrics, was honored for his work in maternal and infant care at the West Side Health Center. Dr. Chen is on the staff of Children's Hospital. 0 Two alumni and one faculty member are the new officers of the medical staff of Sisters of Charity Hospital. Dr. Raymond Hudson, M ' 44, is the new president and Dr. Robert J. Powalski, M '54, is the newly elected secretary. The president-elect is Dr. A. Charles Massaro, clinical associate in medicine and family practice at the University. Dr. Anthony L. Manzella is the new treasurer. 0 Four alumni have been elected officers of the Erie County Chapter of the New York State Academy of Family Physicians. Dr. Peter F. Goergen M '56, is the new president (2-year term). Dr. Richard J. Leberer M'50, is the newly elected vice president; Dr. Timothy F. Harrington, M'69, secretary, and Dr. Robert B. Corretorre, M'56, treasurer. O Dr. Beverly P. Bishop, associate professor of physiology, was one of 12 U/B faculty members to receive University Chancellor Ernest L. Boyer Excellence in Teaching Awards. 0 Dr. Harry G. Fritz, professor and dean of the school of health education, is the new president of the National Association for Sport and Physical Education. He is also athletic director at the University. The NASPE (33,000 members) is an association of the recently organized American Alliance for Health, Physical Education and Recreation. 0 Dr. Edward H. Lanphier, associate professor of physiology, was ordained to the Deaconate of the Episcopal Church _May 10. He has been on leave studying at Nashotah House, Episcopal seminary near Milwaukee, Wisconsin. Ordination to the Deaconate is the first step toward ordination as an Episcopal Priest. 0 In Memoriam Dr. Simon Rod bard, a 64-year-old cardiovascular researcher, who was professor of medicine at U/B from 1955 to 1963, died recently. He was also director of the Medical School's Public Health Research Institute for Chronic Disease. At the time of his death, Dr. Rodbard was director of cardiology at the City of Hope Medical Center in Los Angeles. Before coming to Buffalo he served for 13 years on the staff of the Michael Reese Hospital in Chicago where he was assistant director of the Cardiovascular Department of its Medical Research Institute. In 1970 Dr. Rodbard received the first international award in lymphology at the International Congress of Lymphology in Brussels, Belgium. He was a Fellow of the American College of Physicians, editor of the Proceedings of the Council for High Blood Pressure Research and a member of the executive committee of the American Society for Study of Arteriosclerosis. He was also a past president of the Erie County Heart Association. O Dr. David M . Richards, M '62, died May 28 in Buffalo General Hospital. His age was 39. Dr. Richards was in private practice and associated with Buffalo General, Millard Fillmore and Children's Hospitals. He took his internship and orthopedic residency at Buffalo General Hospital. Dr. Richards was a Fellow of the American Academy of Orthopedic Surgeons. He was also active in several other professional organizations. At Veterans Hospital Dr. Richards managed a training program for students and residents in orthopedic surgery. Dr. Richards 70 �Dr. Niels C. Klendshoj, died May 12 at his home. The 73-year-old physician-scientistbusinessman had been in poor health for several months. For four years he did his job at Arner, bicycled between the plant and the U/ B Medical School, studied at night and got along on two or three hours of sleep. He was graduated in June 1937 and was licensed as a physician later the same year. In 1941 he was named an assistant in medicine at the Medical School. He became an associate in pathology in 1942, an assistant professor of pathology in 1948 and a clinical professor of toxicology in 1954. He retired in 1972. For 25 years (1942-1967) he was director of the biochemistry department at the Buffalo General Hospital. A reticent , unassuming man , he seldom referred to his own accomplishments which included : - Nomination for the Nobel Prize as coisolator, with the late Dr. Ernest Witebsky, of the B-blood complex . The discovery, announced in 1941, was a major step toward making blood tranfusions safe and practicable. - Building Buffalo's Arner Co., a small pharmaceutical concern, into one of the nation's largest manufacturers of medications . He was medical-technician director, executive vice president and president. When Arner merged with Strong Cobb of Cleveland in 1958 Dr. Klendshoj was named chairman of the board of Strong Cobb Arner Inc. In 1963 he became president and chief executive officer. - Organization of the first comprehensive, scientific, well-equipped toxiology laboratory in Western New York. - Organization of the department of legal medicine at the University, in 1954 with the help of Dr. Samuel Sanes. - Served as consultant in industrial medicine to firms throughout the United States. - Author of the authoritative " Fun- Dr. Klendshoj was a world traveler, an accomplished linguist, a trained musician, an artist, a jet pilot and an avocational architect who planned his own house. He participated in the activities of many professional societies, and associations.O Dr. Louis Sklarow, M '29, died April 27 at the Roswell Park Memorial Institute after a long illness. His age was 73. He was the assistant medical superintendent at the E.J . Meyer Memorial Hospital before becoming director of the Thomas Indian School Hospital in Iroquois (1934-1960). Later he served the Veterans and General Hospitals in Albany and taught at Union College there. Dr. Sklarow was a Fellow of the American College of Physicians and Surgeons . He was also active in several professional organizations. <> Dr. Arthur E. O 'Dea, M ' 46, died in November at his home in Milton, Massachusetts. He had been chief pathologist at the Newton-Wellesley Hospital since 1966. His age was 50. Dr. O 'Dea was chief medical examiner for the State of Rhode Island from 1953 to 1958. He was assistant clinical professor of pathology at Tufts University School of Medicine; a Diplomate of the National Board of Medical Examiners; a Fellow of the College of American Pathologists. Dr. O 'Dea was also active in several other professional and civic organizations. 0 damentals of Biochemistry in Clinical Medicine," Dr. George J. Matusak Sr., M '41 , died April15 at Sister ' s Hospital. The 60-year-old anesthesiologist had been chief of anesthesiology at Sister's Hospital. He retired three years ago .O published in 1953, and a number of scientific papers in his specialized field . - Supervision of medical diagnostic laboratories . - Established the toxicology laboratory at the Medical School in 1948. The laboratory offered its service to industry, the medical profession and medical examiners charged with determining the cause of sudden and unexpected deaths . Dr. Lawrence M . Pack, M 'SO, died April 20 during open heart surgery at Georgetown University Hospital. The 47-year-old physician lived in Falls Church, Virginia. Dr. Pack had interned a.t Deaconess Hospital before moving to Virginia in 1953. He was executive physician at the Northern Virginia Doctors Hospital and chief of the tissue committee at Arlington Virginia Hospital. 0 FALL, 1975 71 �Continuing Education Seven Continuing Medical Education Programs are scheduled for September, October, November and December, according to Mr. Charles Hall, director of the programs. The dates, titles and chairmen of the programs are : Sept. 12-14 - Clinical Computing (with office of credit free programs), Dr. Elemer R. Gabrieli Sept. 18 - Diabetes in a Nutshell (with Buffalo Diabetes Association), Dr. Joseph P. Armenia Sept. 26- Pulmonary Disease, Dr. John W . Vance Oct. 18- The Mechanism of Pain (with American Cancer Society), Dr. Ross Markello Nov. 8, 9- Physical Examination of the Cardiac Patient, Dr. Jules Constant Dec. 2, 3 - Gynecological Surgery, Drs. Vincent J. Capraro, David H . Nichols Dec. 10- Gynecological Lapraoscopy, Dr. Norman R. Courey. Alumni Tours Munich- September 26-0ctober 4, 1975- Buffalo D eparture " Octoberfest" with accommodations at the Munich Sheraton Hotel Cost: $469.00 per person, plus 15% tax. Optional tours at extra cost to Innsbruck, Salzburg, East & West Berlin For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 The General Alumni Board - GEORGE VOSKERCHIAN, President; DR. GIRARD A. GUGINO, D.D.S.,'61, President-elect; RICHARD A. RICH, B.S. '61, Vice President for Activities; DR. ANN L. EGAN, Ph.D. '71, Vice President for Administration; SUSAN D. CARREL, B.A. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; DR. CHARLES S. TIRONE, M.D. '63, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; DR. FRANKL. GRAZIANO, D.D.S. '65, Vice President for Educational Programs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents: JAMES J. O'BRIEN, MORLEY C. TOWNSEND, DR. EDMOND J. GICEWICZ, ROBERT E. LIPP, M. ROBERT KOREN, WELLS E. NIBLOE . Medical Alumni Association Officers: DRS. MILFORD C. MALONEY, M '53, President; JAMES F. PHILLIPS, M '47, Vice President; MICHAEL A. SULLIVAN, M '53, Treasurer; PAULL. WEINMANN, M '54, Immediate Past President. Board Members- JOSEPH CAMPO, M '54; NORMAN CHASSIN, M '45 ; CHARLES TANNER, M '43; EDMOND J. GICEWICZ, M '56; GEORGE W. FUGITT, M '45; RICHARD BERKSON, M'72; ROBERT W. SCHULTZ, M '65; W. YERBY JONES, M '24 (Program Committee Chairman); LAWRENCE M . CARDEN, M '49 (Exhibits Committee Chairman). Annual Participating Fund for Medical Education Executive Board for 1974-75 - DRS. MARVIN L. BLOOM, M ' 43, President; HARRY G. LAFORGE, M '34, First Vice President; KENNETH H . ECKHERT, SR., M '35, Second Vi ce President; KEVIN M . O 'GORMAN :. M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M '26, Immediate Past President. 72 THE BUFFALO PHYSICIAN �A Message From Milford Maloney, M'53 President Medical Alumni Association Dear Fellow Alumm, It is with great pleasure that I invite you tn nPr<: nally participate in the affairs of the Medical Alumm Organizatio Your individual efforts spec1f1cally cor to the succ.ess of your organization and I urge you to send m your dues as tangible evidence of your much needed and appreciated support. ------ -----------------------------------------------------First Class Permit No 5670 Buffalo, N.Y. BUSII~ESS REPLY MAIL NO POSTAGE STAMP NE:CESSARY IF' MAILE:D IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - -- - - - - - -- -- - - -- - - -- - - - - - - -- -- ---Year MD Received _ _ _ _ OfficeAddress - - - - - - - -- --------------------------------------------------------HomeAddress - - - - -- - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - - If not UB, MD received f r o m - - - - - - - - - - - - -- - -- - - - - - - - - - - -- - - - - - - - InPriva~Practice: Yes 0 No In Academic Medicine: Yes 0 0 Special~-----------------------------­ No 0 Part Time 0 Full Time 0 School --------------------------------------Title Other: Medical Society Memberships:-----------------------------------~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1975 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available University at Buffalo. Health Sciences Library. History of Medicine Date A point or period of time associated with an event in the lifecycle of the resource 1975-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1975-03-Fall Table Of Contents A list of subunits of the resource. Medical Alumni Officers Spring Clinical Days New Curriculum Topics Classes Contribute $30,430 Infectious Diseases Re-Licensure Specialization Nuclear Pacemaker Commencement Seniors Honored The Class President Speaks Medentian Honorees Survive If You Can/Summer Fellowships Malnutrition in Africa Immunologic Research-Diagnosis/Dr. Patti A Tribute to Dr. Lambert Seminar in Rio Drs. Farzan, Tourbaf Reception for Seniors Internship/Residency at the Deaconess Pemphigus/Psoriasis Link Nutrition Lectures/Class Photos Nutrition Courses 12 Faculty Retire Witebsky Memorial Lecture 133 Residents, Interns Honored Responses to Dr. Sanes' Articles (A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself). Buffalo General Hospital's New President The Classes People In Memoriam Continuing Education/ Alumni Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-11-07 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v09n03 Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Extent The size or duration of the resource. 76 p. Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/c169af8fc300490b4781fad76d3a485b.pdf cf44f598794213f3592e818749e16488 PDF Text Text �From th e des k of - Lawrence H. Golden, M.D. '46 Preside nt , Medi cal Alumni Association Ways to Support There are many ways that alumni can support their alma mater. Traditionally, financial contributions have been and still are most desirable. I leave it to the professional fund raiser how to stimulate more alumni giving. The tax deduction argument is no longer as convincing as it was particularly since a host of rivals that don't start out with a state base can be shown to be equally worthwhile recipients. As University of Buffalo Medical Alumni, we long have exercis~d an exceptional means of support to our school by participation in ItS educational processes. Some physicians make the contribution ~ 0 training students in the pre-clinical years; for most doctors teaching IS done duri~ the clinical years in the university's affiliated hospitals. It would be very interesting to know how many man hours are spent each year by medical alumni teaching medical students. The scope from freshman courses in physical skills through senior electives in the varying subspecialty areas is wide. The particular manner of teaching by clinicians as they practice their skills is a unique way of contributing their special talents to students' education. It would be as difficult to estimate the costs of these programs as it would be to attempt to gauge the reciprocal benefits to those so involved in the teaching. Nonetheless, it is a contribution that must be acknowledged by all since it represents one of the major strengths of this Medical School. It is a significant reminder to the administration that the alumni of the University of Buffalo have always supported their school in a meaningful manner by participating heavily in the teaching of its medical students, particularly during the clinical years. 0 �Winter 1973 Volume 7, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State Unit·ersity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD RoBERT EditO?' 2 Managing Editor 9 10 12 13 14 15 16 17 18 20 21 22 23 24 26 27 28 31 32 36 39 40 41 42 45 46 48 49 50 53 54 55 56 57 58 61 62 64 67 70 72 s. McGRANAHAN MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J . DIEDRICK Visual Designers RICHARD MACKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. LAWRENCE H . GOLDEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F . CARTER PANNILL Executit•e Officer, School of Medicine DR. CLYDE L. RANDALL Vice President, University Foundation JOHN C. CARTER Directo.- of Public Information JAMES DESANTIS Di1·cctor of" Medical Alumni Affairs DAVID K. MICHAEL Di.-ector of University Publications PAULL. KANE Vice President fo1· UniveTSity Relations DR. A. WESTLEY ROWLAND Ways to Support (inside front cover) Replantation, A Visit to China by Sherman G. Souther, M'67 Dr. Milch ' Family Picnic Continuing Education Dr. Strom Automated Hospital Two Appointments Narcotic Addicted Dr. Eccles Indian Health Multiple Sclerosis Grant Cancer Research Health Education School Better Health Care Alcoholism Institute Adolescents Treating Alcoholism Rural Externship Breast Cancer/Dr. Albuquerque Our First Professor of Surgery by 0. P. Jones, M.D. The 1977 Class Dutch Consul General Coconut Crabs HMD Pediatrics Clinic Faculty Promotions Community Health Service New Hospital Dr. Kazmierczak Mental Health Center President Ketter Indian Reservation Eaton Laboratories Oxford Sabbatical Hunterian Lecturer Children, Infections Community-University Day Amherst Campus The Classes People In Memoriam Alumni Tours Richard Macakanja's cover design symbolizes the holiday season. THE BUFFALO PHYSICIAN, Winter 1973- Volume?, Number4, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1973 by The Buffalo Physician. WINTER, 1973 �Replantation A Visit to China Sherman G. Souther, M.D. Dr. Souther is a 1967 graduate of the SU YAB Medical School. He completed a Halsted surgery internship at Johns Hopkins (1967-69), was clinical associate at the NIH Heart and Lung Institute from 1969 to 1971, and is now enrolled in the residency program in plastic and reconstructive surgery at the Stanford University Medical Center. He is spending six months of this program at Roswell Park Memorial Institute. 0 The restoration of a traumatically amputated arm, hand, finger, leg or foot has been a goal of surgeons for more than a century but only within the past two decades has this goal, now known as replantation, been achieved. The initial successes both in experimental animals and in man were scored in the United States but shortly thereafter trickles of information from the People's Republic of China suggested that a considerable body of experience and degree of success were being achieved in that country. Prior to ceasing publication during the Great Proletarian Cultural Revolution in 1966 the Chinese Medical Journal published articles by Chinese surgeons reporting far greater success in replantation than had been achieved by surgeons in the rest of the world. These reports were substantiated by Mr. J. S. Horn, an English surgeon who practiced in China for many years following the Liberation and rise of Mao Tsetung in 1949. In a book, Away With All Pests, published in 1969 Mr. Horn lauded the interest, dedication, and success of Chinese surgeons in replantation. Many surgeons interested in replantation and microsurgery were curious about the Chinese experience. Shortly after I entered the residency program in Plastic and Reconstructive Surgery at the Stanford University Medical Center in July 1971, Dr. Donald Laub, chief of the division of plastic and reconstructive surgery, and Dr. Harry Bunke, a pioneer in the development of microsurgery, began to discuss the possibility of visiting the People's Republic of China to see the techniques and results of the Chinese replantation surgeons. My own interest in microsurgery had developed while I was a Clinical Associate at the National Institutes of Health in Bethesda, Maryland and I was invited to become a member of a group of surgeons interested in visiting the People's Republic of China. The idea for this visit, born in a telephone conversation and developed in two years of work and correspondence, came to fruition on October 10, 1972 when the following letter was received from the Chinese Medical Association. We learn from your letter to Brigadier General Tkach that nine North American Surgeons would like to visit China. In order to promote friendship and exchange experiences between physicians of our two countries, we heartily welcome a friendly visit to China by the nine North American Replantation Surgeons sponsored by you in the first half of 1973. The date of the visit and other details will be settled later. Thus on May 15, 1973 ten surgeons (Table 1) from the United States and Canada, known as the North American Replantation Mission, entered the People's Republic of China as guests of the Chinese Medical Association. Our group spent 19 days in the People's Republic of China, stopping in Canton, Hangchow, Shanghai, and Peking. The greatest emphasis and bulk of our time was given to replantation and reconstructive surgery but we also saw techniques in burn care, acupuncture, and traditional Chinese medicine. In addition, we toured factories and communes, attended cultural performances, and saw many beautiful sights such as West Lake, the Forbidden City, the Sum·mer Palace, the Ming Tombs, and the Great Wall. We visited many hospitals and medical schools and talked with 2 THE BUFFALO PHYSICIAN �surgeons from several others (Table · 2). Our hosts and colleagues were courteous, friendly, and warm. Usually mornings were devoted to presentations by the Chinese. They described and demonstrated their techniques, results, patients, and frank discussions followed. Afternoons were usually devoted to presentations by our group. We demonstrated microsurgical equipment and techniques and lectured on some of our experiences. At times, additional discussions were held in the evening. Excluding political considerations, my overwhelming impression was one of the great similarity between ourselves and our Chinese colleagues. I hesitate to generalize further for a trip such as ours hardly provides a firm basis for speaking in an authoritative manner. First, our trip would be analagous to that of a group visiting the United States for the first time, spending 19 days in Boston, New York, Washington, and Cleveland, and then attempting to generalize about our country, way of life, and system of medicine. Second, each one in our group was a physician and none had particular political, educational, or social expertise in China and its people. Third, language was a tremendous barrier for, although many of the Chinese physicians we met spoke excellent English, we otherwise relied on a single interpreter who traveled with us at all times. He performed faultlessly but the logistics of channeling the questions of ten eager minds through a single outlet were at times difficult. Therefore I would like to confine this discussion to the subject of replantation, the primary purpose of our visit. The longest and largest experience in replantation has been at the No.6 People's Hospital of Shanghai. There, Dr. Chen Chung-weiand his colleagues have performed replantation in 94 patients with severed limbs and 151 patients with severed digits. The survival rate for severed limbs was 84% and for severed digits 56%. The results were evaluat~d according to the ability of the patient to return to work. A good result indicated that the patient returned to his original job. A fair result indicated partial restoration and a change of job was necessary. A poor result indicated insufficient recovery of function to return to work. In the 62 patients with limb replantation who have been followed for more than one year, 66% had a good result, 24% had a fair result, and 10% had a poor result. Similar data for the finger replantations were not available. From laboratory experience and experience with 245 clinical cases, certain fundamental principles have evolved. The general condition of the patient must first be stabilized; shock and injuries to vital structures must have priority before replantation is attempted. Injuries resulting from explosion, extensive and severe compression, and severe burn are relative contraindications to replantation. Lacerations even involving more than one level are more favorable to successful replantation. The duration of ischemia is important but does not represent an absolute contraindication to replantation. Since 1966, the duration of ischemia in 23 cases was six to ten hours and in 14 cases was greater than ten hours. Among the latter group, four patients were successfully operated upon 24, 30, 31, and 36 hours following amputation. In 25 of the 37 cases with prolonged ischemia the limb survived. Cooling of the amputated limb is recommended. In the laboratory the severed legs of dogs have been successfully replanted up to 108 hour& WINTER, 1973 3 Dr. Souther �following amputation by perfusing the amputated leg with heparinized saline and storing it at 4° C. Progressive swelling of the replanted limb is one of the greatest threats to its survival. Methods to diminish this complication include the anastamosis of more veins than arteries, usually in a ratio oftwo to one if possible; thorough debridement and elimination of infection; fasciotomy; and proper dressing and positioning of the limb. In the management of the severed limb, the following approach is used. The patient is thoroughly evaluated and life-threatening problems are treated. Following stabilization of the patient anesthesia is induced. Epidural block is favored and was used in 69 of 94 cases but brachial plexus block and general anesthesia are also used. Under tourniquet control thorough and meticulous debridement is carried FOURTH INTERNATIONAL out. The circulation of the amputated part is evaluated by flushing the CONVOCATION ON vascular tree with heparinized saline. The bones are shortened as IMMUNOLOGY much as is necessary to achieve the anastamosis of nerves without tension. The amount of shortening averaged 6.8 em.; the most was 18 School of Medicine em. Internal fixation is used. As many vessels as possible are sutured and but more veins than arteries ar~;J anastamosed if possible in order to maintain adequate drainage. Veins are joined before arteries unless Center for Immunology the duration of ischemia has been prolonged. Vein grafts are frequently used. Primary repair of muscles, tendons, and nerves is June 3-6, 1974 carried out as much as possible. Skin coverage by split thickness grafts or flaps is carried out. Postoperative care includes the restoraon tion of blood volume, special nursing care with close observation and isolation, and monitoring of skin temperature. Spasm of vessels is The Immune System treated by sympathetic block, conventional drugs, traditional Chinese and Infectious Diseases herbs, acupuncture, and occasionally hyperbaric oxygen. Fasciotomy is used when swelling is severe and rapid control of local infection is - maturation of the accomplished by debridement and local care. The contraindications to replantation of severed fingers are immune system relatively more specific. Included are severe systemic disease, multi- microbiologic agents as ple fractures or severe soft tissue injury, improper management of the immunosuppressants severed part prior to arrival at the hospital, an ischemic interval of and adjuvants more than ten hours without refrigeration, and excessive shortening of the finger. The management does not differ significantly from that -host-parasite relations, of severed limbs. Only rarely is general anesthesia required. Decross-reacting antigens bridement and shortening, about 0.5 em., are carried out, and the bone - local immune response is fixed with an intramedullary wire. The extensor tendon is repaired including the lateral bands but the flexor is left unrepaired and is -role of RNA of usually grafted later. Heparinization is performed and one artery and microorganisms in two veins are anastamosed, suturing the vein first. Sutures of 8-0 and immunity to infection 9-0 monofilament nylon are used, but we were amazed to learn that no - humoral immune magnification or at most 4x loupes were used. Spasm is treated with response and aspecific topical2% procaine or by acupuncture. If fewer than two veins can be factors anastamosed a stab wound is made in the pulp of the digit to improve venous drainage. Nerves are repaired primarily. Heparin, low Final program with registramolecular weight dextran, and chlorpromazine are given for ten days tion form available end of postoperatively and dicumarol is given for one month. These techniFebruary. Organizing ques for limbs and fingers do not differ significantly from the techniques used in the other hospitals which we visited. committee: Drs. Almen L. At the First Teaching Hospital of Chung Shan Medical College in Barron, Felix Milgram, Canton 42 cases of severed limbs and fingers have been treated by James F. Mohn and Erwin replantation. Ten replantations of the upper limb and seven of the Neter (chairman). 4 THE BUFFALO PHYSICIA �lower limb have been performed; seyen upper limbs (70%) and five lower limbs (70%) survived. Four of the five cases of lower limb replantation were functionally satisfactory, and weight bearing and walking were practically normal. One of these four patients had successful replantation at the ankle 33 hours after injury. In 25 patients with severed fingers, 29 of 46 fingers were successfully replanted in 15 patients. The duration of ischemia was 22 hours in one case and five of six cases with ischemia greater than 12 hours were successful. Vascular anastamoses were done using a small dilator and attached magnifying glass. A ratio of two veins to one artery is preferred, but in seven cases with that ratio and in 12 cases with a ratio of 1:1, the success rate was identical (50%). Prolonged ischemia was not a contraindication to replantation in this group of patients. At the Chishueit'an Hospital in Peking 40 cases of severed limbs have been treated by replantation. Success was achieved in 24 of 35 cases of upper limb replantation (70%) and in three of five lower limb replantations (60%). In nine cases impairment of circulation occurred several hours to one week following replantation. This impairment was evidenced by cyanosis or pallor and a drop in skin temperature. All were reoperated. Five limbs had venous thrombosis, one had arterial thrombosis, two had thrombosis of both veins and arteries and in one the cause was not mentioned. Six ofthe nine limbs survived the second operation. Twenty three of the 27 successful cases were evaluated later and 21 had a satisfactory or nearly satisfactory functional recovery. Wound infection, impairment of circulation, and a high level of nerve injury were correlated with poor functional recovery. Experience in replantation has led to its use in other situations. In 1971 surgeons at the Second Teaching Hospital of Chekiang Medical College in Hangchow were presented with a 31 year old man who had been struck by a train. The right foot and left leg, from calf to thigh, were severely crushed. The left foot was replanted on the right leg by anastamosing the posterior tibial artery of the leg to the anterior tibial artery of the foot and vice versa. The greater saphenous vein of the leg was anastamosed to the lesser saphenous vein of the foot and vice versa. The posterior tibial nerve of the leg was rerouted and sutured to the posterior tibial nerve of the foot. The postoperative course was smooth and the patient now has excellent circulation and protective sensation in the foot. He can walk up to two hours with a left leg prosthesis and a crutch. In 1972 , a 29-year old girl sustained a similar injury involving the right leg and left foot. At the Peking Hospital of Workers, Peasants, and Soldiers, in cooperation with surgeons from Chishueit'an Hospital, the right foot was replanted on the left leg. Both posterior tibial and sural nerves were rerouted, repaired, and only the dorsalis pedis artery and two veins were anastamosed. This patient now walks with a right leg prosthesis and the abnormality of her gait is nearly imperceptible. At the No. 6 People's Hospital of Shanghai tumors of the upper extremity such as chondrosarcoma, recurrent giant cell tumor, and early synovioma have been treated by segmental resection of the tumor and replantation of the healthy distal limb in eight cases. A 5 to 6 em. margin of resection is considered satisfactory. The margin and the vascular and neural sheaths are checked by pathology and if thcj-J WI TER, 1973 5 The annual cost for educating a medical student in 1972 ranged from $16,000 to $26,000 , according to an American Association of Medical College report. This report from the Committee on the Financing of Medical Education is based on an intensive review of programs of 12 of ·the nation's medical schools. The cost variation was due to the program objectives /educational approach toward the diversity required to educate students with differing interest, career aspirations, edu c ation /social backgrounds. But the report was quick to point out that this variation in annual cost per medical student may not be typical at the other 100 medical schools. D �vessels and nerves are not involved they are preserved. One patient with chondrosarcoma has been followed for four years, free of recurrence, and has good function of the preserved limb. Attempts in cases of osteosarcoma have been disappointing even though resection has included the entire bone in which the tumor arose. How have the Chinese surgeons made these great accomplishments in the field of replantation? First, they are able and dedicated men. All of the members of our group were impressed with the caliber of the physicians which we met. Second, trauma of the extremities occurs with considerable frequency and provides a population of patients who are suitable candidates for replantation. Third, the current political climate in China has stimulated work in replantation. This last opinion is a private one but the impressions upon which it is based have been lasting. Politics and medical care appear to be inextricably bound in China today. This observation has also been made by E. Grey Diamond, M.D., who in 1971 became one of the first four American physicians to visit China since the Liberation. This union was consummated by the Great Proletarian Cultural Revolution, a threeyear attack mediated chiefly by student activists against all selfserving tendencies in the society, particularly among professional people. Examples of the jargon and attitudes are found in the book, Official Documents of the Great Proletarian Cultural Revolution in China. In every kind of school we must apply thoroughly the policy advanced by Comrade Mao Tsetung of education serving proletarian politics and proletarian politics and education being combined with productive labor, so as to enable those receiving an education to develop morally, intellectually, and physically and to become laborers with socialistic consciousness and culture ... As regards scientists, technicians, and ordinary members of working staffs, as long as they are patriotic, work energetically, are not against the Party and socialism, and maintain no illicit relations with any foreign country, we should in the present movement continue to apply the policy of "unity, criticism, unity." Special care should be taken of those scientists and scientific and technical personnel who have made contributions. Efforts should be made to help them gradually transform their world outlook and their style of work. In a colorful and glossy pamphlet entitled "Recent Advances in Rejoining the Severed Limbs, The No. 6 People's Hospital in Shanghai," the development of replantation and the achievements of that hospital are chronicled and heavily correlated with the teachings of Chairman Mao Tsetung. Dr. Chen Chung-wei, then a visiting surgeon in the hospital, and other doctors, while tempering themselves in the factor through physical labor and receiving re-education by the workers, witnessed several working men who, in the days of the old society had lost their fingers ... Now being armed with the ever victorious Mao Tsetung Thought, not only can these revolutionary medical personnel of the hospital revive the cleancut limbs, but also the badly lacerated ones ... 6 THE BUFFALO PHYSICIAN �Under education by the Party, they realize that the medical personnel should always and everywhere think of the welfare of the working people. The endeavor to rejoin the severed finger for the working man was the very test for one's intent to serve the people heart and soul ... In informal conversations, Chinese surgeons made few references to ptolemics. The present system of medical practice, including the assignments in rural areas and the incorporation of traditional medicine, was never criticized. In official presentations, however, greater emphasis was placed on the direction given by the teachings of Chairman Mao Tsetung. Dr. Chen Chung-wei presented the experience of the o. 6 People's Hospital of Shanghai to our group on May 22, 1973. His talk, and my comments in parentheses, are reconstructed from the notes which I made that morning. (Son of a physician and a nurse, Dr. Chen Chung-wei graduated from medical school in 1954. A tall, handsome, barely graying man who spoke excellent English, he is a charismatic figure and is recognized in public places such as the Shanghai Industrial Exhibition when we toured that impressive display of Chinese productivity. Our group and the replantation surgeons from the No. 6 People's Hospital, in addition to Party officials representing the Chinese Medical Association, met in a large, comfortable room in the o. 6 People's Hospital. We sat in a circle of blue sofas and armchairs as Dr. Chen began in Chinese.) "Our first case was in 1963. The hand of a worker was severed just above the wrist in a punching machine." (His right eyebrow raised, and he showed black and white photographs of the injured arm.) "We had no experience but we remembered Chairman Mao's teachings. From our work in the factories, we knew well the need of the hands to the workers. We had no course in hand surgery but we presented the case to the Party leadership and won their support. The case was approached •as a team, collectively, and four hours later came success." "Later the hand became cool and swollen. We consulted other surgeons from Shanghai. One hospital had experience in the reattachment of dog legs. They suggested fasciotomy. It-worked and after one year of physical therapy the worker returned to his post. We thought that this was the first successful case of replantation but then came across the article of Dr. Malt." (Dr. Ronald A. Malt was the first surgeon to successfully replant the severed limb of a man when on May 22, 1962 he rejoined the amputated arm of a 12-year old boy.) "The masses of peasants and workers were happy to learn of this success. They saw that only under Chairman Mao and the Communist Party could this occur. Before the Liberation they would have lost their job." (He leans forward, legs crossed, smoking a cigarette. Occasionally he translates for himself into English.) "In 1963, we were able to see Chairman Mao in Peking as an indication of his concern over the health of the workers. After this first case we tried everything possible." (The presentation continued.) Whatever the ultimate reasons Chinese surgeons have made dramatic strides in the field of replantation. They presented their patients to us including the patients who had undergone fotlt-switch operations and excision of tumors with replantation. In every case the results were as described and were superior to those with eveej--. WINTER, 1973 7 �excellent prostheses. They candidly discussed the problems of poor tendon function and failure to attain reinervation. They were eager and interested listeners when we described our experiences and avidly observed our demonstrations of microvascular instruments and techniques. Our microvascular instrumentation and technique appeared to be more sophisticated than that of the Chinese but their dedication and experience has contributed greatly to the solution of some of the technical problems of replantation. There was no doubt in the minds of our group that the expressed goals of our trip were achieved- the promotion of friendship and the mutually beneficial exchange of information. References Horn, J. S. Away With All Pests. New York. Monthly Review Press, 1969. Diamond, E. G. "Medical Education and Care in the People's Republic of China." J.A.M.A. 218: 1552, 1971. Official Documents of the Great Proletarian Cultural Revolution. Peking. Peking Foreign Language Press, 1970. TABLE 1. MEMBERS OF THE ORTH AMERICA REPLA T ATION MISSION Harry J. Buncke, M.D., assistant clinical professor of surgery, Stanford Medical School. Kenneth B. Castleton, M.D., dean (Emeritus), University of Utah, School of Medicine. Rollin K. Daniel, M.D., resident, plastic surgery, McGill University. Martin A. Entin, M.D., associate professor of surgery, McGill University. Harold Kleinert, M.D., professor of surgery, University of Louisville, School of Medicine. William A. Lang, M.D., clinical professor of surgery, Wayne State University, School of Medicine. Frank McDowell, M.D., clinical professor of surgery, University of Hawaii, School of Medicine. Sherman G. Souther, M.D., resident, plastic and reconstructive surgery, Stanford Medical School. Clifford Snyder, M.D., professor of surgery, University of California, San Francisco. Jack Tupper, M.D. , assistant professor of surgery, University of California, San Francisco. TABLE 2. I STITUTIONS REPRESENTED BY THE CHI ESE SURGEO S Canton: Chung Shen Medical College First Teaching Hospital of Chung Shen Medical College Provincial Hospital of Kwantung Province Hangchow : Hangchow University Medical College Second Teaching Hospital of Hangchow University Medical College Shanghai: No. 6 People's Hospital First Medical College of Shanghai Rui Jin Hospital Wasan Hospital Peking: Chishueit'an Hospital Peking Medical College Peking Medical College People's Hospital Third Teaching Hospital of Peking Medical College Fu-wai Hospital Capitol Hospital Peking Tuberculosis Institure 8 THE BUFFALO PHYSICIAN �Dr. Elmer Milch, M'33, holds photograph of himself presented by the graduating general surgery residents at Buffalo General Hospital. With Dr. Milch are four of the graduating residents. Left to right: Dr. Mario Caniza, Dr. Hanley Horwitz, Dr. Robert Milch (his son), Dr. Elmer Milch and Dr. Victorino Cumagun. The residents also presented to the hospital a plaque which reads: "Pr(:lsented to Elmer Milch by the Surgical House Staff Association in appreciation for his years of teaching, leadership and friendship." Dr. Hanley Horwitz, spokesmen for the general surgery residents completing four years of residency at BGH, said Dr. Milch had "maintained a warm and close relationship with the surgery house staff, taken many steps to improve the surgery residency programs at the hospital and given greatly of his own time to house staff education." Dr. Milch has been on the faculty of the School of Medicine at the University of Buffalo since 193 7 , presently serving as a clinical professor of surgery. He was president of the medical staff at the hospital from 1962 to 1965 and is now consulting surgeon at the hospital. He was acting head of the surgery department for two years. Dr. Milch has published over 35 scientific papers and planned exhibits, some of which won state and national awards. In 1969 he was honored by Albert Einstein College of Medicine in New York City and awarded a plaque "in recognition of his service to medicine and medical education and his abiding interest in health care and dedicated services to humanity." D WINTER, 1973 9 Dr. Milch Honored �Family Picnic It was a rainy day, but it didn't dampen the spirits of the medical alumni, housestaff and students who drove to O'Brien's Sleepy Hollow Grove in Elm a for an afternoon of fun, fellowship and good food. The kids enjoyed the swings, slides and sand while the adults . pitched horseshoes played volleyball, softball or football. The outing was sponsored by the Medical Alumni Association. 0 10 THE BUFFALO PHYSICIAN �WINTER, 1973 11 �17 Continuing Education Programs Seventeen Continuing Medical Education Programs are scheduled for the first six months of 1974, according to Mr. Charles Hall, director of the programs. Dates, titles and chairmen of the programs are: January 3 through May 16 (18 Thursday evenings) Clinics in Physical Examination of the Cardiac Patient and Arrhythmia Workshops, Dr. Jules Constant, clinical associate professor of medicine. February 8, 9 Modern Management of Common Dermatologic Disorders, Dr. John C. Maize, assistant professor of dermatology. . February 27, 28Pediatric Radiology, Dr. Jerald P. Kuhn, associate professor of radiology and pediatrics. *March 9Vascular Malformation of the Central Nervous System and their Treatment, Dr. Louis Bakay, professor and chairman, department of neurosurgery. *March 15, 16Modern Concepts in Coronary Care, Dr. Joseph A. Zizzi, clinical associate professor of Medicine. March 23, 24Anesthesiology and Intensive Care, Dr. John I. Lauria, associate professor of anesthesiology . Apri119, 20Nuclear Medicine, Dr. Merrill A. Bender, clinical professor of nuclear medicine & clinical assistant professor of radiology. *April 26, 27Control of Behavior, Dr. Martin L. Gerstenzang, assistant professor of psychiatry. May 3, 4Ophthalmology, Dr. Thomas J. Guttuso, clinical assistant professor of surgery. May 9Shock & Trauma, Dr. John H. Siegel, professor of surgery. May 10, 1137th Annual Alumni Spring Clinical Days, Dr. James F. Phillips, clinical associate professor of medicine. May 14, 15Management of High Risk Pregnancy and Fetal Monitoring, Dr. Wayne L. Johnson, professor and chairman of gyn/ob . May 16The Problem-Oriented Medical Record in Office Practice, Dr. Robert M. Kahn, clinical associate professor of medicine. May 17, 18 - . Current Trends in Primary Health Care, (53rd annual program), Dr. Henry E. Black, clinical associate in medicine. 12 THE BUFFALO PHYSICIAN �May 23,24Office Surgery for the Pediatrician and Family Physician, Dr. Theodore C. Jewett, Jr., professor of surgery and Dr. James E. Allen, associate professor of surgery. June 3, 7Refresher Seminar in Pediatrics, Dr. Thomas Aceto, Jr., associate professor of pediatrics. June 10, 11Pediatric Pharmacology & Therapeutics, Dr. Sumner J. Yaffe, professor of pediatrics. D *Tentative. Dr. Strom Honored Dr. Arthur W. Strom, M'32, was among five physicians to receive the "Certificate of Commendation," the highest award of the Michigan State Medical Society. He has been a Hillsdale, Michigan internal mepicine specialist for the past 38 years. The award, established in 1961, recognizes physicians who "distinguish themselves in the medical profession." Dr. Strom received the award "in recognition of his distinguished career in Hillsdale as a respected internist and medical educator; and especially for his leadership in the establishment of the coronary care unit and as longtime chief of medicine at the Hillsdale Community Health Center." Not only was the coronary care unit established under his direction, but in 1950, Dr. Strom, with the late Dr. Frank Rector, developed the Hillsdale Tumor Detection Plan which won the Hillsdale County Medical Society special recognition of the Michigan State Medical Society. Dr. Strom served as president of the Michigan Society of Internal Medicine and twice as president of the Hillsdale County Medical Society. He has been a trustee and second vice president of the Michigan Tuberculosis and Respiratory Disease Association. He has also served as president of the Hillsdale Community Schools' District Board of Education on two occasions. A long-time delegate to the Michigan State Medical Society House of Delegates, Dr. Strom presently is chief of medicine at the Hillsdale Community Health Center. Dr. Strom did his undergraduate work at Cornell University. After receiving his MD from UB he served his internship and residency at Henry Ford Hospital in Detroit. D WINTER, 1973 13 �Automated Hospital Automation designed to reduce staff time and improve patient care will be one of the features of the Erie County Comprehensive Health Care Center.The new 12-story facility, adjacent to the present E. J. Meyer Memorial Hospital, will be completed in 1976. The new 754-bed hospital will be a model of automation with electronically controlled supply carts, pneumatic tube system, and a sophisticated communication system. The· ambulatory patient will be the focal point of the new hospital. But the acutely ill patient will be treated too. "The staff will be moving into a completely new concept and not just a new hospital," Mr. Frazer M. Mooney, assistant hospital administrator said. In addition to the 754-beds in the new building, 100-beds will be renovated in the present F building. The distribution is: medicine, 150-beds; surgery, 160; obstetrics, 17; pediatrics, 43; neurosurgery and neurology, 50; psychiatry, 81; intensive care, 33; prisoner, 20; long-term, 200; alcoholic, 50 and tuberculosis, 50. An ambulatory care facility will provide 80 general clinic rooms in addition to special clinic areas. The emergency department will provide four surgery rooms, 20 emergency rooms, 10 holding observation rooms, and an emergency psychiatric unit. Patient accommodations will consist of 172 double patient rooms and 246 singl~ patient rooms. A closed circuit system will allow production and distribution of educational television in all conference and patient rooms. 0 14 THE BUFFALO PHYSICIAN �Two Administrative Appointments Two new administrative appointments have been made to the Medical School's department of medicine. Dr. James P. Nolan has been named vice chairman and Dr. Earl W. able, administrative associate chairman. Dr. Nolan, professor of medicine at the University, will also continue as chairman of the department of medicine at the Buffalo General Hospital. In announcing the appointments, Dr. Evan Calkins who heads the University's department of medicine, pointed to the "many years during which Dr. Nolan has achieved a distinguished reputation as teacher, outspoken representative of the faculty in meeting different situations, and as academic leader of the finest sort, taking increasing responsibility at a broad level for the University's department of medicine." Continuing he stated that " this appointment is intended to express the role he has gradually been assuming over the last year and a half." A cum laude medical graduate of Yale in 1955 Dr. Nolan completed his internship and residency in medicine at the GraceNew Haven Hospital after serving two years as Lt. Commander with the U.S. Navy Medical Corps. He is a Fellow of the American College of Physicians; a Diplomate of the American Board of Internal Medicine; on the editorial advisory board of journal of Medi cine: Experimental and Clinical , and is a memb~r of numerous professional societies. He came to Buffalo in 1963 as assistant professor of medicine from Yale University where he was instructor in medicine and associate physician at Grace-New Haven Hospital. The 44-year old internist is the principal investigator of a National Institutes of Health research program on endotoxin in the pathogenesis of liver disease. In commenting on the appointment of Dr. Noble who is clinical professor of medicine, Dr. Calkins pointed to his broad background in clinical practice, ambulatory care, close familiarity with community agencies and with structure/operational pattern of county government. "To this he has added a very effective ability as administrator. I am very pleased with the outstanding job he has done as alcoholism program director at the Meyer Hospital." A 1952 graduate of the UB Medical School, he completed his internship and residency in medicine at the E.J. Meyer Memorial Hospital in 1957 when he joined the UB medical faculty as clinical assistant in pharmacology. The 48-year old physician has serve d as assistant director of the Meyer's outpatient department and as associate director of the department of medicine there. He holds memberships in local, state and national professional societies. 0 WINTER, 1973 15 Dr. Nola n Dr. Noble �oRE EFfECTIVE TREATMENT for the over 90,000 patients on methadone in this country may result from studies underway by a team of psychiatry I medicine researchers. Not only are these investigators evaluating two new chemical agents whose effects are longer lasting than those of methadone but they are attempting to predict which patients will have greater success on various narcotic treatment programs. "We will be looking closely at Naltrexone," said Dr. Zebulon Taintor who is principal investigator of the drug studies. "It is a heroin antagonist developed by Endo Laboratories. Its effects," explained the associate chairman of psychiatry, "are similar to immunization. A single oral dose of this inexpensive, nonaddictive, noneuphoric agent can prevent any effects from intravenous heroin for up to 72 hours. It is a possible replacement for methadone for it eliminates the problems of resale, overdose, and narcotic effect." Over a nine month period about 60 male addicts over 18, who have been detoxified, as well as narcotic experimenters concerned about addiction, will be given medical/psychiatric exams as well as medication at the E. J. Meyer Memorial Hospital. Buffalo is one of six centers to study this drug through a $206,000 National Institute for Mental Health grant. It is the first controlled study to determine Naltrexone's long-term effects, Dr. Taintor said. A narcotic, L-alpha-acetyl-methadol or LAAM as it is called is the second agent that Dr. Taintor and his team will cooperatively study at the Sisters of Charity Hospital (its methadone maintenance program). A long acting form of methadone developed by I. G. Farbenindustrie, a single oral dose will last 72 hours. Twice weekly 50, who have been methadone maintained for at least three months, will participate in the double blind placebo test while monthly lab function tests will determine any cell damage. Working with Dr. Taintor under the year long $104,000 Special Action Office for Drug Abuse Prevention grant are Dr. Benjamin F. Murphy of the Sisters Hospital, Dr. Christopher D' Amanda, clinical assistant professor of medicine and psychiatry, and Dr. Marjorie Plumb, clinical assistant professor of psychology. Predicting which patients will do well on various narcotic treatment programs are Drs. D' Amanda and Plumb, assisted by Drs. Taintor and Robert Nichols, professor of educational psychology. They will continue earlier research on defining scales for specific types of drug users. Several hundred current drug treatment participants as well as dropouts of both sexes at Sisters Hospital; the addict treatment rehab program at Lackawanna Health Center; Community Action Organization's drug abuse research/treatment program at the North Side Hospital in Rochester; Direct Education about Narcotics Program in Syracuse will be extensively interviewed and followed up at a later date. Each will take a series of seven "attitudinal" tests, M Dr. Taintor counsels a patient. Better Treatment for the Narcotic Addicted Dr. Plumb makes a point. 16 THE BUFFALO PHYSICIAN �Dr. D' Amanda said. "For we are trying to evaluate the methadone dependent patient and socioeconomic factors are important variables to consider." A $129,000 National Institute of Mental Health contract covers this study. One of the most useful agents that Dr. D' Amanda has found for use in the emergency room is Naloxone (NARCAN). A short-acting antagonist, it works intramuscularly. Used in small doses it takes but a quarter of an hour to show minimal signs of abstinence. "Many of our patients are now using it," he said . He and his team are now at work on implants of this agent. While methadone breaks the heroin effect, the accollJ.panying dependency in turn becomes a significant problem. "After a while one takes a drug out of habit ." He feels that the more alternative maintenance programs there are, the greater is the chance for release from narcotic dependency. 0 Dr. Eccles Honored Dr. John C. Eccles, distinguished professor of physiology and biophysics and head of the Center for the Study of Neurobiology at the University, has been invited to join the faculty of the renowned Max-Planck Institute as a foreign member. The 70-year neurophysiologist, who through special University Board of Trustee action, will remain at the University for two more years, plans to work at the Goettingen, Germany center for the study of physics and chemistry fo~ extended periods after he retires in August 19 75 (he will make his home in Switzerland). Investigations on the brain that were begun after World War II by the Australian born and educated (MD, Melbourne University, 1925) scientist led to his knighthood in 1958 and a Nobel prize in 1963. As a Rhodes Scholar from Australia, he went to Oxford to work under Sir Charles Sherrington. Here he was introduced to the scientific examination of the nervous system. He later derived a philosophic approach to problems relating to it from the distinguished physiologist and Nobel Laureate as well as a better understanding of the way in which the brain is related to mind. From analytical studies to individual nerve cells, Dr. Eccles developed theories of how they function, the means by which impulses are passed from one cell to another, and the manner of their interconnection. New insights into both reflex actions and the formation of thought within the brain by Dr. Eccles who is a philosopher as well provide a firm base for future progress. Dr. Eccles came to Buffalo in July 1968 from the Australian National University in Canberra where he had been professor of physiology for 17 years. Among the numerous honors bestowed upon Dr. Eccles are the Royal and Cothenius Medals, Knight Bachelor, honorary memberships in many prestigious international scientific academies. The prolific contributor to the literature has also published seven books. 0 WINTER, 1973 17 Dr. Eccl es �Indian Health Summer Elective �Two second year medical students had an " out of this world" experience during the summer working on health projects on the Cattaraugus Indian Reservation in Salamanca. Both Steve Bien and George Drazek agreed that there were many pleasant surprises during their eightweek stint. "It was a great opportunity to gain some clinical experience in a rural setting. We got to know many of the patients that came to the clinic. And they liked and trusted us. We spent most of our time listening, watching, and learning from our physician preceptors." At Cattaraugus the students were assigned to Drs. Virginia Calkins and Fred Occhino; at Salamanca, to Drs. David Widger, John Voltmann, and Angel Gutierrez where they worked mostly with adults in an outpatient clinic in a hospital setting. By contrast they saw both children and adults at Cattaraugus in an outpatient setting on the reservation. The idea for the summer fellowship started in the fall of 1972 with Dr. Henry P. Staub, associate professor of pediatrics and director of pediatrics at the E. J. Meyer Memorial Hospital. Before coming to Buffalo three years ago, Dr. Staub worked with Indians in Minnesota. He is on the Committee for Indian Health of the American Academy of Pediatrics. The district chapter of the American Academy of Pediatrics which received an award in 1972 for its activities decided to make the money available for a student project that would look at health care for Indian children. Dr. Robert Hoekelman, chapter chairman, director of pediatric ambulatory services, University of Rochester School of Medicine, worked with Dr. Staub and the students to provide a simple health inventory for children (one to four years old) to cover the research part of the program. Dr. Staub hopes to have a similar program for two students at the reservation next summer. 0 WINTER, 1973 L Dr. Fred Occhino, clinic physician, v isits with a patient w hile second year medical students, George Drazek (left) and Steve Bien [right) observe. Medical students George Drazek and Steve Bien with Dr. Stau b and Gerald Webster, health career counselor for th e Un ited Southea3tern Tribes. 19 �Mr. George D. O'Connell (bow tie), chairman of the board of directors, Western New York Chapter, Multiple Sclerosis Society, presents $66,980 check to Dr. Milgram. Two associate professors of microbiology, Dr. John Abeyounis (left) and Dr. Kyoich Kana (right) ore members of the research team. I Dr. Milgram Receives $66,980 Grant A $66,980 National Multiple Sclerosis Society grant has been awarded to Dr. Felix Milgram, professor and chairman of the department of microbiology to continue studies over the next year and a half on multiple sclerosis- a chronic, crippling disease of the brain and spinal cord in half a million Americans between 20 to 40 as well as other brain disorders. Dr. Milgram was the first to identify a brain specific antigen, called the BE antigen for its resistance to boiling and ethanol-insolubility. "With these funds," he said, "we will now try to determine whether the BE antigen plays a role in multiple sclerosis and other central nervous system diseases." Rabbit antisera that he and his team of researchers have developed to the BE antigen in animals will now be used to detect whether this antigen is present in the blood and urine of animals with experimentally-induced brain damage. If successful, the team will proceed with studies on humans, starting with those who have suffered from strokes. BE fractions of these patients' blood, urine, and spinal fluid specimens will be prepared and examined for the presence of the brain BE antigen. Further studies will focus on those suffering from MS, amyotrophic lateral sclerosis, and brain tumors. Explained Dr. Milgram, "because brain-specific BE antigen acts as an autoantigen (self) we will look at the sera and CSF (central spinal fluid) of patients with these brain diseases to determine whether BE antibodies to human brain BE antigen are present (he will use a sensitive procedure known as the tanned cell hemagglutination test). "If there is a higher rate of antibodies to BE antigen in MS (Multiple Sclerosis) this should be helpful in making a diagnosis and in following the course of the disease," he said. In extensive tests Dr. Milgram will try to detect antibodies to normal brain cell-surface antigens, antibodies to hypothetical novel antigens in MS as well as to those induced by a virus recently isolated by other investigators in several MS patients. Several procedures that he and his team have found valuable for detecting reactions of cell-surface antigens with their antibodies will be used- mixed agglutination with cell cultures, mixed agglutination with tissue sections, and cytolysis in agar gel of cell suspensions. The National Multiple Sclerosis Society, founded in 1946, is the only nationwide voluntary health agency seeking more effective methods of treatment and eventual prevention of multiple sclerosis. Since its inception, the Society has granted more than 22 million dollars to support promising MS-related research and advanced biomedical training all over the world. D 20 THE BUFFALO PHYSICIAN �Cancer Research Studies N EW THERAPIES as well as better ways of using existing ones for treating patients in advanced stages of cancer may result from statistical cancer research studies being carried out by Dr. Marvin Zelen. The director of the University's statistical lab since its inception in 1971 has just been awarded a $200,000 National Institutes of Health grant to continue applying statistical, computational and mathematical sciences to planning and analyzing clinical trials in cancer. "The lab," Dr. Zelen explained, "is an outgrowth of collaborative efforts begun in the fifties by clinical investigators from leading cancer research/treatment centers who organized into cooperative clinical trial groups. His lab collaborates with four of these groupstotalling 120 institutions conducting 40 different clinical trials that involve 5,000 new patients a year." Not only does the lab help to plan these trials, collect data, and evaluate effects of treatment, but it provides continual analysis of ongoing studies to determine unusual occurrences and to recognize patterns of unforseen events, he explained. "To find therapies that will raise both the quality of life and prolong survival of patients as well as eventual cure of all cancer patients," Dr. Zelen said, "are goals of the clinical experimentation." Patient admittance to the program is strictly voluntary, he continued. Before a new clinical trail is initiated, it must be reviewed and approved by a hierarchy of committees within each cooperative group and ultimately by the National Cancer Institute. "Every step of the process is carefully monitored," Dr. Zelen continued, "and as a result, the quality of care provided at any of the participating institutions can be considered among the best in the world." Other cooperative groups associated with the University's Statistical Lab include the Radiation Therapy Oncology Group, Working Party on Lung Cancer, and the Veterans Administration Lung Cancer Study Group. "Members of my staff are in active liaison with cancer research centers and clinical trial groups throughout the world. Collecting, processing and analyzing clinical data require a completely integrated team effort involving the special knowledge of data processors, computer scientists and statisticians. Our group is one of the best of its kind in the world," Dr. Zelen declared. The Statistical Lab also serves as a training ground for graduate students in the University's Biometry Program. Biometry is the application of mathematics and statistics to the life sciences, and the program at U/B is considered to be a leading one in the field. "Because we are playing for real on these research projects, the students participating have a strong feeling that they are not merely earning an advanced degree, but are helping to solve some of our important health problems," he concluded. 0 WINTER, 1973 21 �Dr. Harry Fritz Named Dean of Health Education Dr. Fritz THERE IS A NEW SCHOOL OF HEALTH EDUCATION at the University. It will be the sixth school in the Faculty of Health Sciences, joining the Schools of Medicine, Dentistry, Pharmacy, Nursing and Health Related Professions. Dr. Harry G. Fritz, director of the division of physical education, recreation, and athletics, is the first dean. Dr. Fritz came to Buffalo in 1970 from Western Illinois University at Macomb where he was Dean of the School of Health, Physical Education and Recreation. President Robert L. Ketter first proposed the new school in 19 71. The new school combines the graduate and undergraduate . degree programs in health, physical education and recreation, formerly in the Faculty of Educational Studies, with the former Division of Physical Education, Recreation and Athletics. The new school will continue to offer baccalaureate, master's and doctoral degrees as well as required and elective physical education courses for non-majors. In addition, it will administer intramural, club and intercollegiate athletic programs. According to President Ketter, the formation of the new school and its shift to Health Sciences 'r epresent a "new philosophy toward health education." He said, "there is a growing realization that health maintenance, in the form taken in health education programs, is an important component in total health care. The more we know about maintaining the total fitness of the individual and the more professionals we can train to transmit this knowledge to the general public through education, voluntary, and governmental programs, the greater the chances of extending effective preventive medicine programs to all. "It becomes more obvious every year that many of the killing and crippling diseases of our nation spring from a failure to maintain adequate levels of fitn'ess. This is why we consider health education to be a complement to existing training and research programs in the health sciences. "The University at Buffalo has a long tradition of service in supplying health care professionals for the Western New York region. Our School of Health Education will be responsible for the training of a new kind of health professional, who will be in greater and greater demand in the future. "This University becomes the first in the State University of New York to offer such training through the doctoral level and the first in Western New York to establish such a program with close ties to other schools for professional health care training." Dean Fritz noted a national trend towards such schools -Penn State, University of Massachusetts, and Ohio State. The importance of locating the school in the Faculty of Health Sciences can be seen by the types of activities in which the school will engage, according to Fritz. It will be concerned with preparing school health educators and physical education teachers, including teachers for the handicapped, based to a large extent on the scientific areas of the Health Sciences such as anatomy and physiology. In addition, Dr. Fritz said that there will be a need for trained personnel for Health Education Centers and agencies which have been proposed: These will be designed to educate the public to "the importance and practical aspects of consumer health maintenance and fitness." 22 THE BUFFALO PHYSICIAN �Dr. Fritz pointed out that graduate research efforts in physical education are more frequently centered in the scientific areas of the Health Sciences such as the physiology of exercise. He expects such research to grow because of the more frequent interaction with the other health science schools. He anticipates that the school will also eventually be concerned with the preparation of athletic trainers and emergency care personnel. The organization of continuing education programs in such areas as sports medicine, emergency care, rehabilitation and exercise therapy is also a goal of the new unit. Serving as acting director of the graduate programs of the new school is Dr. Martin H. Mcintyre. Others prominent in the graduate program of the new school are Dr. Carlton R. Meyers, a nationally known authority and author in measurement and evaluation; Dr. John Piscopo, in kinesiology and biomechanics; Dr. Diane L. De Bacy , in physical education; Dr. Jerrold S. Greenberg and Dr. Lawrence A. Cappiello in school and community health education. 0 BETTER HEALTH CARE for Americans is the aim of a new program in Health Care Systems Management at the University that started in September. Dr. Edward L. Wallace, chairman of the Management Systems Department, explained that the program will examine ways of improving the efficiency of health care systems through the application of better planning and management techniques . It allows graduate students in the MBA program to specialize in health care systems. Besides regular MBA courses such as statistics, economics and management science , students who elect the health care systems option will take five specialized courses . The first will consider the social/political structure of health care systems in the U.S. Not only will institutions and agencies that are deliverers of health care be studied but organizations such as pharmaceutical and insurance companies, which are also involved in the area of he.a lth care. Under health economics, the students will consider the health area as a sector of the national economy- its effectiveness economically as state/federal health care programs . In a systems analysis course students will consider decision processes in health systems while under information systems they will cover the design and implementation of computerized information systems. A research project, in which the student is expected to apply skills acquired in solving a problem in the health care field, will wrap up the program. These research projects will be conducted either at local health care agencies or as part of federal research projects already in progress at the School of Management. Dr. Wallace believes the shortage of physicians is not the most important problem. "The important problems are in the area of organization of health care services, financing of health care, and sub-dividing activities so that individuals with varying degrees of training can handle various health care needs at varying levels of complexity." 0 WINTER, 1973 23 Better Health Care �Mr. Richard Gritzke, assistant research scientist, adjusts the oscilloscope. Examining the effects of alcohol on a fish are Dr. George Offutt, senior research scientist, Dr. Hebe Greizerstein , associate research scientist, and Hector Velasco, senior lab technician. Alcoholism Institute Patricia Trumbull, assistant research scientist and Dr. David C. Linn , senior research scientist, are studying the mechanism of the inhibitory activity of ethanol on membrane and enzyme functions. There are new quarters (1021 Main Street) and more research staff for the Research Institute on Alcoholism. It is directed by Dr. Cedric M. Smith, former chairman of the pharmacology department, who will continue as professor of pharmacology at the Medical School. The Institute is supported by the New York State Department of Mental Hygiene and is affiliated with the University. First proposed in 1965, the Institute officially opened five years later with a small research staff. It now has a scientific/ technical/support staff of 50. Says Dr. Smith, " we are now b etter able to achieve goals envisioned back in 1966 in our report to the Governor's advisory committee on alcoholism. That called for a broadly-based, multidisciplinary investigation of all aspects of alcohol and related drugs that would lead to new programs and techniques of alcoholism treatment and prevention.'' Dr. Ernest Abel, senior research scientist, with his still. �The sociology and epidemiology team of Dr. Marcia Russell. senior research scientist, and two assistant research scientists Grace Barnes and Lucinda Mowry, with James Wood, research scientist. Research now underway at the Institute covers alcohol tolerance and withdrawal; its impact as well as similar drugs on pregnant women/newborn babies; its effect on nerve end discharges. Soon to be added are studies on biochemical aspects 9f alcohol and drug intoxication; Dr. Allen Barnett, chief of psychiatric research , with the oscilloscope. effects of exposure to alcohol on infant rats and on behavior/physiology of fish. Other investigators will look into the effect of chronic alcohol administration on structure/function of muscles as well as a caseload survey of alcoholism care facilities in Western New York. D The institute headquarters in the old Federal Building at 1021 Main Street. WINTER, 1973 25 �Program for Adolescents There is a new demonstration program for adolescents at Children's Hospital. Dr. Thomas F. Anders, associate professor of psychiatry and pediatrics and head of child psychiatry at the hospital, is directing the new program, "Adolescents in a Developmental Experience and Service Program." The Western New York Foundation has given $10,000 to the program. "We are selecting about 20 of the most medically troublesome adolescents - those individuals whose medical and behavioral barometers indicate serious psychopathology- for our study," the head of the division of child psychiatry in the department of psychiatry in the Medical School said. This is the first comprehensive treatment program in Western New York that uses school age adolescents, with chronic illness, in an after school vocational educational program. Each adolescent will spend 12 hours a week (six hours on weekends and six hours during the week) in this program. "By on-the-job work relationships and a group psychotherapeutic experience with peers, who also have chronic illnesses, the participants may come to a better understanding of their limitations. We also hope this will increase their self-esteem and reduce their depression and self-destructiveness. When an individual accepts his handicaps, he should be able to live a more fulfilling life," Dr. Anders said. To be eligible a teenager must be a patient at either Children's Hospital or Children's Rehabilitation Center. He must be at least 14 years of age. After a teenager completes 15 weeks he may apply for another 15 weeks, but acceptance will be based on his evaluation scores. Dr. Anders explained tbat teenagers are extremely resistant to both medical and psychological intervention. Many dedicated people at Children's Hospital are cooperating in this new program. This includes the newly formed behavioral sciences division of psychologists, social workers, educational and vocational specialists, nurse clinicians, the chaplain, volunteers and recreational therapists. Dr. Anders said that adolescents participate in projects that are meaningful rather than menial. The projects are remunerative ($1.00-$1.50 per hour) rather than volunteer. This remuneration will insure the participant that his work is considered valuable. The job might be in the photo or dietary lab, in housekeeping or maintenance or recreation. Often jobs are "tailored" for the adolescent. Dr. Anders also believes that an adolescent will act responsibly when given responsibility appropriate to his capabilities. This was proven during the summer. Mr. Dan Alessi, chief of vocational services, had 30 adolescents working together in a "pilot program." Some washed cars and trucks at a service station while others assembled ball point pens, packaged hinges, and sorted screws. "This summer program was operated by 10 teenagers, who were patients at the hospital. They were responsible and took charge of planning, administration, inventory and production as well as informal counseling," Mr. Alessi said. "Three of these were runaways and on drugs; two were deaf, two had cerebral palsy, one had seizures, and one had minimal brain dysfunction. 26 THE BUFFALO PHYSICIAN �"Of my four workers who were labeled runaways and school dropouts all were back in school in September, two are attending college for the first time, while the other two returned to high school. "We have about 550 adolescents at the hospital with a variety of disabilities ranging from handicaps secondary to chronic physical illness to psychosocial handicaps seen in the psychiatry clinic and the limitations resulting from both physical deformities and mental retardation seen at the Children's Rehabilitation Center. We believe this program will help some ofthese people," Dr. Anders concluded. 0 Treating Alcoholism There are some new trends in the treatment of alcoholism, according to Dr. Lucille Lewandowski, M'54, director of the Veterans Administration Hospital's new Alcoholism Clinic. She is also chief of psychiatry at Veterans and a clinical instructor in psychiatry at the Medical School. ''In previous years we wanted the patient to meet the needs of the program. Now the program will fit the need of the individual patient," Dr. Lewandowski said. "Too often we identify the alcoholic as being only the visible type - the unshaven, dirty, alcoholic. But the alcoholic can be functioning in a career. He can be a doctor, lawyer, or pharmacist whose main obsession is drinking, how to get a drink without being noticed or how to get money for alcohol. This is the only thing he cares for, the only thing he thinks of in his free time. "The Chippewa Street type constitutes only about two per cent of all alcoholics ..But this image interferes with recognizing the problem. People think all alcoholics are like that. The problem is far more prevalent than people think. Almost everyone has a friend or a family member who is an alcoholic." Dr. Lewandowski suggests a few ways one can help an alcoholic: -stop covering up for him. If he gets himself in a crisis situation in his job for instance grab that crisis and use it to show him what he is doing to himself; - some alcoholics can be scared out of drinking if they know what they are doing to themselves physically; if he is told that excessive drinking causes severe brain damage, he may be frightened enough to quit. "Many youngsters are taking up drinking because of the stricter drug laws, the resulting s·carcity of drugs and the accessibility of alcohol. "The increasing problem of alcoholism has been ignored for all groups. For the Vietnam veteran, the problem of alcoholism has been overshadowed by the drug problem. The rate of alcoholism in the service is extremely high. I believe the problem of alcoholism is more crucial than the drug problem," Dr. Lewandowski concluded. 0 WINTER, 1973 27 �Rural Externship Jon Terry, fourth year pharmacy student, filling a prescription at the Newfane Intercommunity Hospital with Mr. Lee Vermeulen, director of pharmacy services. "I Melodee Walker, third year physical therapy student, walks a patient at the WCA Hospital. TWAS THE KIND OF MEDICAL EDUCATIO that you don't get in the classroom." That is what the 17 medical students said about their eight-week experience in the fourth annual rural externship program in Western New York. A total of 56 health science students from the Schools of Dentistry, Pharmacy, Nursing, Health Related Professions and Medicine participated in the program sponsored by the Lakes Area Regional Medical Program. The students were lavish in praising the cooperation and friendliness of their preceptors and the hospitals' personnel. "Everyone went out of their way to help us get involved in health care and community life. The patients were most appreciative of the health care they received." The medical students observed surgery, hospital rounds, office patients, X-ray, physical therapy, and even a rare house call (where they still make them). In addition they enjoyed, along with their preceptors or new friends, the social activities in the communities they were in. Schedules were flexible and students often made appointments to visit health agencies, other hospitals, or anything that interested them both professionally and socially. The students agreed that they and not the patients, were the guinea pigs. "We weren't allowed carte blanche or anything like that. We made preliminary examinations and sometimes recommended treatment. But in all cases it was verified by our preceptor." Another student said "the program influenced me toward working in this type of atmosphere. It has introduced us to a true picture of rural health services." Dr. Robert Wright, a Jamestown physician who serves as a preceptor, said "as a doctor it rekindles our interest in medicine and the learning and teaching involved acts as a stimulus to keep it up. I think it is an exciting experience." Dr. Consan Dy of the Newfane Inter-community Hospital agrees. "You always learn when you teach," he said. "Students keep you on your toes with their questions. We try to show them there is much more to rural practice than they imagined." Students were assigned to preceptors in Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, and Wyoming counties in Western New York and Erie and McKean in Northwestern Pennsylvania. 28 THE BUFFALO PHYSICIAN �"By providing students an opportunity to live and work in a rural setting, we hope some of them will decide to settle in these communities after they graduate," Dr. John R. F. Ingall, director of LARMP, said. Mr. William D. Crage, who headed the rural extern program, listed these students and perceptors. Many of the students rotated within their respective counties. JAMESTOWN, N.Y. - Preceptors: William Burger, W.C.A. Hospital (radiology); Gerold C. Daniels, Lutheran Social Services (Nursing Home Administration); Eleanor Edman (nursing); Maurice B. Furlong, M.D.'35; Mrs. Marilyn Hale, R.N., W.C.A. Hospital (nursing); Pauline Joslyn, Lutheran Social Services (nursing); George W. Lawn, D.M., W.C.A. Hospital (physical therapy); F. Palmer Lindblom, D.D.S.; Galine Magerovsky, M.D.; Murray Marsh, W.C.A. Hospital (hospital administration); Lillian Ney, M.D.'64; Robert G. Ney, M.D.'62; Robert O'Neill, Jamestown General Hospital (physical therapy); Charles E. Sinatra, D.D.S., W.C.A. Hospital; H. Gregory Thorsell, M.D.'57; William A. Tota, W.C.A. Hospital (pharmacy); Bert S. Klein, D.P.M., W.C.A. Hospital; Robert L. Wright, M.D.; Dr. Cynthia Dauch, Director, Jamestown Visiting Nurse Association; Clifford McDonnell, Administrator, Fenton Park Nursing Home; Rev. Gerald Daniels, Administrator, Lutheran Social Services and Infirmary; Jamestown Radiologists; Skender Selman, W.C.A. Hospital (social services); Mrs. Mary Jane Bradley, R. ., W.C.A. Hospital Emergency Room; Marjorie Larson, R.N., W.C.A. Hospital, surgery; Donald Dunlop, W.C.A. Hospital, dietary; Carl F. Hammerstrom, M.D. Students: Joseph Cama, medicine; Cynthia J. Ervin, nursing; Janice M. Nelson, medicine; Rebecca Lee Piazza, pharmacy; Lloyd S. Smith, podiatric medicine; Michael Botty, dentistry; Salvator J. Vicario, medicine; Martha J. Slye, hospital administration. Stephen Stockton, second year dental student, with Dr. John Kugler in his Lockport office. OLEAN, N.Y.- Preceptors: Arthur L. Beck, M.D.' 57; John Godfrey, M.D., Donald E. Kamholtz, M.D. (physical therapy); Donald Jones, St. Francis Hospital; Sister Mary Josephine, St Francis Hospital (physical therapy); Anthony L. Torre, St. Francis Hospital (physical therapy). Students: Jean C. Albert, pharmacy; Steven J. Lari, medicine; Mary Leong, medical technology; Kathryn Hill, physical therapy; Marilyn Raub, physical therapy. WELLSVILLE, N.Y. -Preceptors: Betty H. Barnes, Wellsville Nursing Home; Richard L. Green, Jones Memorial Hospital (pharmacy); Mrs. Marie Kogel, Wellsville Nursing Home. Students: Janet Krentz, nursing; JoAnne Krentz, nursing; Ami Lui, pharmacy. LOCKPORT, N.Y. -Preceptors: Mrs. Hane Juul, Mt. View Hospital (physical therapy); John F. Kugler, D.D.S. Students: Meryl Roth, physical therapy; Stephen C. Stockton, dentistry. · A second year medical student, Anthony Camilli, and Dr. John Kutrybala check a patient's record at Newfane Intercommunity Hospital. , NEWFANE, N.Y. -Preceptors: Cousan Day, M.D., Newfane Intercommunity Hospital; Betty Pichey, nursing; Lee Vermeulin, pharmacy. Students: Anthony E. Camilli, medicine; Marguerite Eustace, nursing; Susan S. Holliday, medicine; Jan Terry, pharmacy. ANDOVER, N.Y.- Preceptors: F. C. Miller, M.D.; Daniel Tartaglia, M.D. Richard Purcell Cudahy, medicine. Students: DANSVILLE, N.Y. - Preceptor: David Hunter, Nicholas oyes Hospital (hospital administrator). Students: Ann Bozewicz, pharmacy; Eileen Lynette, nursing; Kathleen Cantwell, medicine. DUNKIRK, N.Y. -Preceptors: William Coons, Brooks Memorial Hospital (hospital administrator); Carol Weich, nursing; George McNaughton; Mr. & Mrs. Anthony Tevorella, Margaret-Anthony Nursing Home; Sister Aloysius, St. Vincent's Home for the Well-Aged; Dr. Robinson, P.O:D. Student: Michael Nevesky, medical technology. CHAUTAUQUA, N.Y.- Preceptors: G. L. Lester, M.D.'29, Chautauqua Institution; Mrs. Dorothy Reardon, Chautauqua County Dept. of Health, director of nursing services, Mayville, N.Y.- Students: George W. Conner, medicine; Grace E. Denton, medicine; Michael Dujanovich, medical technology; Paul J. Dumaine, hospital pharmacy; Richard G. Giaccio, medicine; Janet MacLauchlin, physical therapy; Gary McFadden, medicine; Melodee Walker, physical therapy; Joan Wilkosz, nursing. CORFU, N:Y. -Preceptor: S. L. McClouth, M.D. practice or pediatrics. WINTER, 1973 Student: Kenneth Bromberg, family 29 ~&------------~ �Richard Ciaccio, third year medical student, and Verna Jackson, blood bank technician, at the Coulters Machine at the WCA Hospital. A third year nursing student, Joan Wilkosz, and Miss Mildred Withington, director of nursing services, WCA Hospital, inspect the defibrillator and monitor in the emergency room . WARSAW, N.Y. (WyomingCounty)-Preceptors: Patricia Stopen, R.N.,Dr. Veznedarglou, Wyoming County Community Hospital (medicine); R. Williams, M.D. Students: Stephen Lazoritz, medicine; Cynthis J. McCloskey, nursing; Irene Sienczak, medical technology; Jon Verby, medicine. WESTFIELD, N.Y. - Preceptors: Amy Rohman, Stockton Township, nursing; Mr. David Savell, Westfield Memorial Hospital (hospital administrator); Janice Shattuck, nursing; Mr. William McMahon, Kingan's Pharmacy; Dr. Robert Horsch. UPCOMING ALUMNI RECEPTIONS Medical Society of State of New York February 13-17 Americana Hotel New York City American College of Physicians April16-21 Atlantic City American Medical Association June 23-27 Chicago WILSON, N.Y. - Preceptor: John Argue, M.D.'35. FREDONIA, N.Y. - Preceptors: John V. Ingham, D.D.S.; Joseph L. Muscarella, D.O. Student: Stephen Stratton, dentistry. SPRINGVILLE, N.Y. - Preceptor: Charles W. Rogers, M.D.'65, Concord Medical Group. Student: Thomas L. Ritter, medicine. GOWANDA, N.Y. - Preceptor: Robert E. Watson, D.D.S. dentistry. Student: Gary H. Peters, IRVING, N.Y. - Preceptor: Mr. Robert Palmer, Administrator, Lake Shore Intercommunity Hospital. ERIE, PA. - Preceptors: Robert J. Brim, pharmacy; William N. Kelly, Pharm.D.; Frank Mozdy, St. Vincent's Hospital; Marla Payne, pharmacy. Students: Elaine M. Ball, pharmacy; Deborah Heeter, pharmacy; Kathryn Lavengood, pharmacy; J~mes E. Mack, pharmacy; Charlene Stoerkel, pharmacy; Shauna Szkotnicki, pharmacy. BRADFORD, P A. - Preceptors: Lloyd Cannedy, Ph.D., Bradford Hospital, hospital administrator. Students: Barbara Ann Bent, dietetics; Rosemary Persons, physical therapy, Aron Schlam , hospital administration; Bonnie Williamson, nursing. EDINBORO, PA. - Preceptors: Louis G. Fermelli, pharmacy; John J. Hromyak, pharmacy. Student: Lawrence H . Wilson, pharmacy. FAIRVIEW, PA. - ·Preceptor: J. A. Caruso, Jr., pharmacy. CAMBRIDGE SPRINGS, PA. - Preceptor: H. K. Cathcart, pharmacy. GIRARD, PA. - Preceptor: William C. Miller, pharmacy. ALBION, PA. - Preceptor: James W. Wagner, pharmacy. 30 THE BUFFALO PHYSICIAN - �While breast cancer is far more common among women, it does strike men. And with equal severity. A recent study by Dr. Thomas L. Dao, chief of the department of breast surgery at Roswell Park Memorial Institute, the New York State Department of Health cancer research and treatment center in Buffalo, concentrated on estrogen's relation to male breast cancer. Dr. Dao is also a research assistant professor of surgery at the Medical School. Estrogens, estrone, estradiol, and estriol, are female hormones found in normal healthy men as well as those with breast cancer. Seven men with breast cancer excreted significantly higher levels of the female hormones through the urine than did seven healthy men of similar ages. The Dao study reports pronounced increase in estrogen excretion, particularly estriol. Data further indicated that the elevated level is testicular in origin since they decreased markedly after testicular surgery. Of seven patients with breast cancer, excretion levels of all three fractions of estrogen in five patients were significantly higher than those in normal control subjects. Although the appearance of breast cancer after estrogen therapy for prostatic cancer has been reported, such an occurrence is rare considering the number of patients treated. The Dao studies definitely demonstrate existence of abnormality in estrogen metabolism in male breast cancer. Dr. Dao said, "an important question raised by our study is whether observed increase in excretion of endogenous estrogens in the seven patients is the result of the presence of the cancer. It may indicate a pre-existing characteristic of men prone to developing breast cancer." 0 Breast Cancer in Men Dr. Albuquerque Named Acting Chairman Dr. Edson X. Albuquerque has been named acting chairman of the department of pharmacology at the School of Medicine. He joined the U/B faculty November 1, 1967 as an assistant research professor of pharmacology and Buswell Fellow. He was promoted to assistant professor in 1968; associate professor with tenure in 1969; and professor in 1972. Dr. Albuquerque was born and educated in Brazil. He received his bachelor's degree in 1953 from Salesian College; his M.D. in 1959 and Ph.D. in 1962, both from the University of Recife. He was a postdoctoral fellow at Tulane University School of Medicine (1962-63); the University of Illinois College of Medicine (1963-65); and the University of Lund, Sweden (1965-67). Dr. Albuquerque replaces Dr. Cedric Smith who resigned as chairman to concentrate on directing the new Research Institute on Alcoholism, 1021 Main Street. Dr. Smith will continue to teach at the Medical School as a professor of pharmacology. 0 WINTER, 1973 31 Dr. Albuqu erqu e �Our First Professor of Surgery Franklin Hastings Hamilton (1813-1886) by Oliver P. Jones, Ph.D., M.D. Frank Hastings Hamilton, the second son of Calvin and Lucinda Hamilton, was born in the now obliterated hamlet of Wilmington, Vermont, 10 September 1813. In 1816 his parents moved to Schenectady, New York, where young Frank subsequently studied at the Lancasterian School and the "Academy." His preparation was so thorough that at the age of fourteen he entered the sophomore class at Union College. He preferred solitude and meditative pursuits rather than the physical exertion of youth . He improved himself by collecting botanical and mineralogical specimens . Later in life, while visiting Cologne he wrote , " After all, a man whose business is in information rather than pleasure, does best to travel alone." He graduated in 1830 and immediately entered the office of Dr. John G. Morgan as a medical apprentice when his preceptor was surgeon for the Auburn State Prison and also lectured on Surgery at the short-lived Medical School at Auburn. Hamilton was his Demonstrator of Anatomy until 1834 when Morgan was called to the professor's chair at Geneva (N.Y.) Medical College. Hamilton devoted a full year to the study of anatomy before attending a full course of lectures in the Western College of Physicians and Surgeons at Fairfield, New York. After three years of diligent study of the principles and practice of medicine he was licensed in 1833 by the Cayuga County Medical Censors. He subsequently received the M.D. degree from the University of Pennsylvania in 1835 . After Morgan left, Hamilton continued to carry on a full course of lectures on Anatomy and Surgery for the next four years. He made all of the dissections for the students who were chiefly from the Theological Seminary at Auburn. (He said , " The divine who possesses an extensive knowledge of anatomy , has ever at his command an extent of simile and beautiful illustration which no other natural science can afford."). The Catalogue of Students in 1836 lists forty-three in the class. It was here that he began to develop one of the greatest of all gifts, the faculty of imparting to others what we know ourselves. On 23 January 1839, the Regents of the University of the State of New York unanimously appointed Hamilton Professor of Surgery at the Western College of Physicians and Surgeons at Fairfield. It was during this era that he also gave lectures on surgery at Castleton and Woodstock Medical Colleges, Vermont , and at Pittsfield Medical College, Massachusetts. On 10 August 1840 Hamilton was called to fill the Chair of Surgery vacated by Morgan at Geneva (N.Y.) Medical College , a position which he retained for eight years even though before the expiration of that period he had taken up residence in Buffalo. It is interesting to note that Hamilton, at one of his Geneva surgical clinics in 1846, proposed an operation to a 15 year old boy in which he would have transplanted a healthy skin flap from one calf to the other in order to cover an indolent ulcer of eight year's duration. However, both the patient and his father refused permission. Hamilton told the class that the idea of treating old and indolent ulcers by a plastic operation was his own but "will postpone getting it patented until he learns how his Boston friends get along with their ether patent.'' Eight years elapsed before Hamilton was able to execute such an operation. He had a suitable patient at the Sisters of Charity Hospital in Buffalo and he transplanted a skin flap or pedicle 7 x 4 inches from the left leg to the ulcer on the patient's right leg. The success of this operation 32 THE BUFFALO PHYSICIAN �confirmed the practicality of his earlier suggestion. Although some biographers have credited Hamilton with the first skin graft, it is a matter of record that Dr. Jonathan Mason Warren of Boston performed the first successful free transplant (graft) of skin in the United States in 1840. On the other hand, English and French surgeons ascribed to him the honor of being the first to close old ulcers by transplanting new skin. The inaugural issue of the Buffalo Medical Journal Uune, 1845) had as its lead article the first of eighteen letters written by Hamilton about his experiences and observations during an extensive European tour in 1843-44. The second one mentions his "hobbie" - ophthalmology and others clearly indicate his incisive interest in fractures. Hamilton was a graceful and brilliant writer. In 1844 Hamilton established a residence in Buffalo because of the clinical material there but retained his professorship at Geneva until 1848. He was admitted to the Erie County Medical Society in 1845 and in 1846 he, together with James P. White and Austin Flint, helped establish the Medical Department of the University of Buffalo. The Council of the University of Buffalo appointed him Professor of Principles and Practice of Surgery and Clinical Surgery, and Dean. Medical deanships were then far from the highly organized forms of business they have since grown to be; nevertheless, Hamilton resigned this position in 1849. He was also appointed Attending Surgeon to the proposed but ill-fated Buffalo City Hospital. In 1848 he was appointed Attending Surgeon for the Buffalo Hospital of the Sisters of Charity. After occupying the Chair of Surgery at Buffalo forfourteen years, Hamilton was called to be the first professor of Principles and Practical Surgery at the Long Island College Hospital in Brooklyn. (Harvey Cushing claimed Hamilton was the first dean there but the archives at Brooklyn do not substantiate this. He may have fulfilled these duties without portfolio.) Both Hamilton and Flint commenced teaching there 3 March 1860. When the college and hospital were organized (1859-60), the founders did so for the purpose of promoting clinical instruction- bedside teaching. The extensive experiences of Hamilton and Flint in private and hospital practice, as well as in didactic teaching enabled them to carry out a reformation in medical teaching which was later more or less dominant in this country. This is precisely what Hamilton wanted to do in 1841 at the Geneva Hospital which unfortunately remained unoccupied for a lack of state assistance. Both Hamilton and Flint had visions of a similar nature in 1846 for the proposed Buffalo City Hospital which never got beyond the incorporation stage because of local anti-University sentiment. Both professors were, however, able to commence the reformation of medical teaching without clinical lectures at the bedside, at the Sisters of Charity Hospital from 1848 until they both left Buffalo. However, there was another feature besides bedside teaching that made Long Island College Hospital unique in medical education and that was students were able to pass from the lecture room into the hospital wards. At that time Hamilton supplemented preliminary clinical instruction with lectures on military surgery. He maintained his connection with Long Island College until his resignation in 1870. On 2 April 1861 Hamilton became Professor of Military Surgery and of Fractures and Dislocations at the Bellevue Hospital Medical College which was constructed on the plan of the Long Island Colleg(j-+ WINTER, 1973 33 The 8uffaJo Physician Mr. Richard Macakanja's cover design for the BUFFALO PHYSICIAN, Spring 1972 , won an award at the 14th Annual Art Director's (Buffalo Club) show last fall. 0 �II Dr. Jules Constant, clinical associate professor of medicine, is displaying his two books - Bedside Cardiology published in 1969, and his newest book published this year, Learning Electrocardiography, a Complete Course. This text is a course in the 12-lead electrocardiogram, as well as a complete course on vector loops and on arrhythmias. Both books have been published by Little, Brown and Co., Boston and are cardiology teaching books. The style is Socratic, i.e., it uses a question and answer type of modified programmed learning. An asterisk is placed in front of those questions designed only for fellows in cardiology. This technique allows the book to be useful for students from the sophomore level up, and for cardiology Fellows. D Hospital. [Later that month Austin Flint was appointed Profes~or of Principles and Practice of Medicine.] In May 1861 he was appomted surgeon to the thirty-first Regiment of New York Volunteers and shortly afterwards was made Medical Director of a c~rps in th~ Arn~y of the Potomac in which he remained through all of Its campaigns m Virginia. In a letter to Mrs. Hamilton dated 30 July 1862 he said, "It is no uncommon thing for a surgeon in the field to be compelled to change his position once or twice during an operation, on account of a change in the direction or range of the shots." On 9 February 1863 he was appointed, by the president and senate, Medical Inspector of the United States Army, with the rank of Lieutenant-Colonel. After two years and four months of activ~ servi~e ~e resigned his com~~~s~on 10 September 1863 to fulfill his obhgahons and responsihi~Ihes_ as professor of surgery in New York. In May 1868, upon the resignation of Dr. James R. Wood, he was made professor of principles and practice of surgery and surgical pathology an~ c~ntinued in this capacity until he resigned on 15 March 1875. His nse to fame there as turbulent and at times disheartening because of the many :bstacles created by some surgeons of renown who were envious of his fame and standing in the profession. Eventually all of these were surmounted as he pursued the career he had marked out for himself. Hamilton was a skillful surgeon even before he invented instruments which augmented his skillfulness. He was the first surgeon to excise the metatarsophalangeal joint for simple hallux valgus; to excise the central portion of the thyroid gland; to suggest and practice a safe method of cutting the sternal portion of the sternocleidomastoid muscle, and use gutta-percha for making interdental splints in the treatment of fractures of the jaw. In rhinoplasty he introduced two methods of operating. Hamilton reconstructed by skin grafting the mouth, nose and eyelid of a 25 year old patient who had been severely burned during childhood. Altogether there were seven operations, two of which were performed in March 1847 and 1848 in the presence of medical students and several physicians at the dispensary of the University of Buffalo. He was a natural born mechanic and invented an artery forceps, a serrated hone-cutter, several bone drills, a bullet probe and director, light and strong bullet forceps, a harelip scissors, an osteophore, a screw bone-elevator, a sequestrum forceps, and he improved retention appliances for treatment of many bones. In order to make joint amputations more precise and successful, he described what he called "guides and keys" to the articulations. Hamilton was not only a graceful and brilliant writer but he was also a prolific one. While in Buffalo he contributed frequently to the Buffalo Medical Journal and in December 1859 wrote at Buffalo the preface for the first edition of A Practical Treatise on Fractures. This famous book went through eight editions (1860-91), and was translated into French and German. He was particularly proud of The Principles and Practice of Surgery which had three editions (1872-86). Among his other widely known books were A Practical Treatise on Military Surgery (1861), A Treatise on Military Surgery and Hygiene (1865), Mal-Practice in Surgery (1875) and a Fracture of the Patella (1880). Hamilton Was a good teacher and lecturer, so much so that Harvey Cushing assigned him a prominent place in that special Valhalla reserved for the peripatetic teachers and frontier physicians. He also protected the medical profession from attacks by malicious 34 THE BUFFALO PHYSICIAN - �litigants: first as an expert in his profession and second as a medical jurist. He was unalterably opposed to the system of suing for malpractice in "cases where it was the fault of the patient and not the physician." While Hamilton was ever ready on proper occasions to express his views, he did listen to and not infrequently accepted the verified statements of other physicians. He disliked being noticed in the public press, either favorably or otherwise. He was greatly annoyed at the constant mention of his name with the Garfield case. Almost immediately after President Garfield was shot in 1881, Mrs. Garfield insisted upon sending for Hamilton to be a consultant and a special train was provided to take him to the wounded President. There were columns of unjustified censure and adverse criticism in the press, not only by laymen, but also by some professional colleagues of the surgical management of the case. However, the autopsy findings disclosed that the surgeons had acted correctly as set-forth in Hamilton's 1865 Military Surgeon. His colleagues bestowed many honors upon him, including the presidency of the following organizations: N.y. State Medical Society (1855), Erie County Medical Society (1857), N.Y. Pathological Society (1866), New York Medico-Legal Society (1875 and '76), American Academy of Medicine (1878), and N.Y. Society of Medical Jurisprudence (1880-84). Union College gave him her doctor of Laws degree in 1869. Dr. Hamilton was twice married - to Mary Virginia McMurran of Virginia in 1834 and to Mary Hart of Oswego in 1840. His first wife died after a short illness and his second wife died a year before he did. Hamilton was survived by two children - Col. T.B. Hamilton and Mrs. Daniel Davis. Frank Hastings Hamilton died 11 August 1886 as a result of chronic pulmonary disease with hemorrhage. His mental faculties remained remarkably clear until the end. It is interesting to note that the References 1. Dictionary of American Biography, ew York, Scribner's, 1932, VIII, 185-186. 2. Howard A. Kelley and Walter L. Burrage, American Medical Biographies, Baltimore, The orman Remington Co., p.483-484, 1920. 3. New York Times, 12 August 1886. 4. ]. Am. Med. Ass. 7:210-11,1886. 5. Francis, S.W., Biographical sketches of distinguished living New York surgeons. No. 7, Frank Hastings Hamilton. Me d. and Surg. Reporter, 12: 285-288, 1864-65. 6. Charles A. Leale, In Memorian: Frank Hastings Hamilton , Society of Medical jurisprudence and State Medicine, Concord, New Hampshire, 1887, p.45. 7. Hamilton, F.H. The army surgeon. Buffalo Med. ]. n.s.26: 297-304, 1886. 8. Frank H. Hamilton. Introductory Address and Catalogue of Students attending the Annual Course of Lectures on Anatomy and Surgery, Auburn, Oliphant and Skinner, 1837, 16 pp. 9. Hamilton, F.H.: Introductory Address Delivered in the Theatre of Geneva Medical College, Geneva, N.Y., Merrell, 1841, 18 pp. 10. James J. Walsh: History of Medicine in New York, New York, National Americana Soc., 1919, 5 Vols. 11. Hague, E.B.: Frank Hastings Hamilton, surgeon extraordinary of the Union Army, N.Y. State]. Med., 61: 2330-2336, 1961. 0 WINTER, 1973 35 editor of the Boston Medical and Surgical Journal (47: 198, 1853} wrote as follows: University of Buffalo - With the increasing facilities of the School of Medicine, an increased population, the growing wealth of the west, and enlarged experience in teaching by the present able faculty, very promising results are anticipated the ensuing term. Dr. Hamilton, the distinguished and accomplished surgeon, carries a strong influence with him. The other members of the faculty are also able and efficient. 0 �The 1977 Class During freshman orientation they learned that their medical class of 135 represents the population at large. Not only are 29 minority students- 24 Black Americans, 2 Puerto Ricans, 1 Mexican American- that is nine more than last year but 39 are women as compared to 35 of a year ago (setting a new record). From Dr. Luther Musselman, chairman of admissions, they found out "a little about themselves," that they were selected from over 5,200 applications and 680 applicant interviews. Sixty are from Western New York, 122 from New York State, and six from foreign countries (one apiece from Africa, British Indies, France, the Philippines, and two from China). And they discovered that their selection was the result of a painstaking process lasting many months by a 12-member admissions committee. While most of the Class of 1977 are science majors they also learned that there was a respectable number of graduates in Philosophy, Music, Religion, Economics, English Literature, Sociology, Psychology, History, Art Education and Physical Education. Collectively they represent 86 campuses, eight hold Master's and four Ph.D. degrees. All are under 31; 17 are married. ~ 36 THE BUFFALO PHYSICIA • �I ~ �Dr. Plaut From President Robert L. Ketter they discovered that "medical students are traditionally thought of as intelligent, hard working, hard driving, almost always on the border of exhaustion." In what he saw as the start of a most intensive period of profound change, he hoped that most in the class would see such a change in both medicine and in the delivery of health care. He assured them that he had no qualms whatsoever as to "where we are going under the leadership of the new vice president for health sciences, Dr. F. Carter Pannill, based on his past performance." He also sees the faculty here as playing a significant role in changing the whole concept of health care delivery in this country." From Dr. Pannill came the hope that "we will feel a sense of achievement in attaining some of the goals outlined by the president." While he saw many problems in the days ahead "as students and as practitioners of the art" he cautioned the new class that "if you are not willing to learn and unlearn all your life through, take up another art. You are members of this profession from this morning and will continue to be as long as you live." From the faculty they learned about teaching innovations and advanced placement exams. From sophomore, junior and senior medical students they were urged "as the chosen few to take advantage of all the opportunities that will avail themselves to you ... to respond to pressure ... the importance of being aware of mistreatment, disregard of patient individuality and to do something.'' From Dr. Martin Plaut came the assurance that their dissimilar backgrounds- in terms of what they have learned, their training and experience that they bring to the Medical School, will "make each individual and you as a class function and operate more effectively." From the associate professor of medicine's recollection of medical school they learned that something is going to happen in the next couple of years. "Mixed up with all of the fascinating diseases you are going to learn is a dehumanizing process so subtle you have got to watch out for ... 'that a patient is not just 'an ulcer.' "And there was a guarantee that "each of you will make it through Medical School if you keep what you now possess and add to it the scientific knowledge you have got to learn." 0 38 THE BUFFALO PHYSICIAN �Dutch Consul General THE CO SUL GENERAL OF THE NETHERLANDS is a professor of microbiology at the Medical School. He is Dr. Carel J. van Oss. His consulate office is at his home and in his brief case. "I got the job, that by law rates no salary, because I was judged willing, capable and available. And, although I highly prize my own status as a naturalized United States citizen, I'm proud to serve my homeland's illustrious Queen Juliana, who has served the Dutch people for 2 5 years." Much of Dr. van Oss' work involves passports and visas, but he also supplies trade information to American businessmen or to Dutch businessmen seeking trade contacts in the United States. Sometimes Dr. van Oss is involved in deportation proceedings, especially people of Dutch nationality from the Netherlands Antilles islands of Curacao, Aruba and Bonaire. The professor gets many inquiries from young Americans who desire to get i,nto a Dutch medical school. "This is impossible because medical schools in Holland are filled to capacity. Students with the highest grades in Dutch high schools automatically are accepted by medical schools. Others with lesser grades are annually drawn by lots. If one loses the lottery one year he can try. again the next. American students have better luck getting into Belgian medical schools, but they have to be fluent in either French or Flemish. "The University of Louvaine, for instance, is so completely separated language-wise, that it's a twin university. The Flemishspeaking section is totally separated from the French-speaking part. The difficulty in all foreign schools for Americans is that courses are taught in the language of the country," Dr. van Oss said. Most perplexing problems arise when Dutch visitors, used to socialized medicine (which covers Americans who become ill while visiting Holland) have the misfortune to require medical treatment or hospitalization in the United States. "They are very surprised when they get a hospital and doctor's bill. They just can't believe it. "We get a lot of questions from Dutch people whose children are born here. The Dutch have· a habit of returning to the Netherlands at frequent intervals, even though most of them have or are in the process of acquiring U.S. citizenship. The first thing Dutch parents think of when they have a baby in the U.S. is 'Let's take our newborn to see grandma and grandpa in Holland next year.' Their second thought is: 'Let's get the little darling a passport exactly like our own.' We always refuse this because under U.S. law, if American citizens travel under foreign passports, their U.S. citizenship can be invalidated. It's difficult to explain this to stubborn Dutch parents." 0 WINTER, 1973 39 �Coconut Crab Study AvE YOU EVER EATEN A COCONUT CRAB? A Medical School biochemist and immunologist haven't either, but they have studied them. " We are especially interested in the tissue enzymes and serum agglutinins of the coconut crab." These were the objectives of Drs. Edward Massaro and Elias Cohen's stint in the Marshall Islands in the central Pacific in February. Dr. Edward Massaro is associate professor of biochemistry and Dr. Elias Cohen, is research associate professor of microbiology in the Medical School. Dr. Massaro described this land-dwelling coconut crab as huge _up to six pounds. It has well developed lungs and is perhaps the best adapted of all the crustaceans for terrestrial existence. It lives in burrows in the ground, but climbs coconut trees. It is very powerful. For it can shred a coconut (which it does routinely) , punch out the eyes and scrape out the meat with its powerful pinchers. It is easy to catch as long as you stay away from the giant pinchers. Dr. Massaro and about 12 other American scientists made their headquarters on Eniwetok Island, part of a 20 by 25 mile atoll in the Marshall Islands, some six jet hours west of Honolulu. Some of the other scientists were studying the rat population of the atoll, fishes , and mollusk. "The coral sea is beautiful, but deadly - just impossible to describe," Dr. Massaro said. "Sharks make it deadly, but the water is crystal clear and you have the opportunity of viewing a variety of fishes and other marine life ." Except for the coconut trees, the crabs, and an abundance of marine life , Dr. Massaro described the atoll as tropical and unproductive. He doubts that you could grow enough there to exist. There was no physician or dentist at Eniwetok. The nearest was on Kwajalein six hours by plane . The tropical islands are very windy in the winter season with temperatures in the 90's and frequent showers. "The people who did a lot of skin diving really got burned," he said. Dr. Massaro described the laboratory facilities as very good for such a remote biological station. The base was modern with adequate air-conditioned dormitories. The food was very good (apparently most of it is flown in from Hawaii). There were 15 or 20 permanent base employees- service type- who were from Hawaii or the mainland . The whole operation is very well managed by Dr. Philip Helfrich of the University of Hawaii. The trip was sponsored by the Atomic Energy Commission and the Department of Defense. The biochemist had two frightening experiences. The DC-8 blew an engine enroute to Eniwetok and had to return to Honolulu. And twice while exploring the coral atolls in a motorboat, Dr. Massaro was engulfed by 15-foot waves, whipped up by a sudden, strong wind and rain squalls. Dr. Massaro gave four lectures at the University of Hawaii (in Honolulu and Hilo) during his four-day stop enroute to the Marshall Islands. There has been some talk of closing the laboratory. Drs. Cohen and Massaro hope this will not happen because it presents a unique opportunity where scientists can study a wide variety of living forms in their natural surroundings. D H Rhett McNair with his (own design) shark gun . Dr. Cohen holds his crab. 40 THE BUFFALO PHYSICIAN �A of pediatrics at the Medical School hopes to find the answer to hyaline membrane disease (HMD). Dr. Clara M. Ambrus is the project coordinator that involves five hospitals and 14 researchers. She is also a principal cancer research scientist at the Roswell Park Memorial Institute. About 25,000 new-born infants in this country die each year with this disease. Infants in danger are those born prematurely to diabetic women or to women who had bleeding complications during pregnancy. "The disease develops in the first hour of life, and gets worse in the next 24 to 48 hours," Dr. Ambrus said. While normal adults have a system for dissolving blood clots, studies have shown that infants who have died from HMD were deficient in one or more factors of this system. "It was felt that if new-born infants were injected with plasminogen derived from human blood then maybe if the baby got sick it could develop its own clot-dissolving enzyme and this would prevent the formation of the clot in the lungs," Dr. Ambrus said. She described the preliminary results involving 100 infants as encouraging, but cautioned that "the results still are not significant because the number of babies is very small. Of 49 infants treated with plasminogen 13 developed mild respiratory distress and three developed severe respiratory distress (the other half received a saline solution). While two infants died from other causes, there were no deaths attributed to HMD." Seven of the 51 infants who received the saline solution developed mild respiratory distress, while 10 developed a severe form. Five of the latter died with HMD, while two other infants died from causes other than HMD." Dr. Ambrus said the goal of the study is to include 1,000 infants. Research groups from Boston, Los Angeles and Rochester, Minn., are planning to repeat the study after a report was presented at a scientific meeting in New Orleans recently. According to Dr. Ambrus, the plasminogen injection is safe. "One of the beauties of this preventive approach is that it consists of only a single injection. It could be applied anywhere- at a small hospital or even at home when a premature baby is born." In addition to Dr. Ambrus and her husband, Dr. Julian L. Ambrus, a research professor of medicine at the Medical School, other participants in the study are: Drs. Irwin D.J. Bross, Tai S. Choi, clinical assistant professor of pediatrics, Norman G. Courey, clinical associate professor of Ob/gyn, Bernard Eisenberg, clinical associate professor of pediatrics, Ronald J. Foote, clinical assistant professor of Ob/gyn, Dean Goplerud, Mrs. Okhee S. Jung, Irving B. Mink, Robert V. Moesch, clinical associate professor of Ob/gyn, Michael Ray, assistant professor of Ob/gyn, Henry P. Staub, associate professor of pediatrics, and David H. Weintraub, clinical professor of pediatrics. 0 RESEARCH ASSOCIATE PROFESSOR WI TER, 1973 41 HMDAnswers �( l Mark Bernstein, a fourth year student, examines a patient's ear as Dr. Marie Saroff, instructor in pediatrics, observes. Pediatrics Clinic jeffrey Williams, neighborhood youth corps worker, weighs a patient. There is a model pediatrics clinic underway at E. J. Meyer Memorial Hospital. It not only handles episodic needs of its mostly black population from 8:30 in the morning to 11 at night, but also stresses preventive care. Its teaching program has no difficulty attracting medical students and house staff. "Watching the number of outpatient visits grow is rewarding," says Dr. Henry P. Staub, an associate professor of pediatrics at the Medical School, who directs the hospital's pediatrics program. Dr. Staub feels that community pediatrics is essential to the total prognosis of the patient. A teaching-learning situation. 42 �The majority of children seen in the clinic suffer from infectious diseases ranging from colds, asthma and diarrhea to tuberculosis and meningitis. But there are also those with emotional and learning problems, lead poisoning, as well as the battered children. Among clinic services offered are full screening and recording of growth patterns. There are several specialty clinics as well as an active 28-bed inpatient unit. Two pediatricians are usually on duty during the day and one in the evening to provide continuous patient care as well as teaching for house staff. Working with the staff on days are two senior medical students taking a pediatrics elective. Students in their junior pediatrics clerkship, on call every fourth night, see patients in the Outpatient Department in the evenings. "With better outpatient services," says Dr. Staub, "there are fewer hospital admissions and shorter stays." The goals of the clinic are to provide a basic level of health care for its patients and the eventual reduction of the incidence of disease experienced by the middle class population in the past. J. The clinic team - Mrs. Emma Jones, nurse supervisor (F-1), Miss Natalie Evans, social service, Dr. Cynthia Clayton, assistant professor of pediatrics, medical students Charles Bauer, Robert Lapidus, Robert Schulman, and Dr. Staub. WINTER, 1973 43 �Dr. jon Flom, assistant professor of pediatrics, visits with a youngste~a~d third year medical student Brendan Brady at the William Street Clmic. Dr. Richard W. Williams, assistant professor of surgery, removes sutures. Mrs. Starry! Adams, R.N. and Paula Walker, neighborhood youth corps worker, at the reception desk with a young mother. For the student, the clinic offers a rare opportunity in continuous patient care, according to Dr. Staub. Not only is the student often the first to see the child, but he also talks to the parent or whoever accompanies the child. If the child needs to be admitted, the medical student will follow him through hospitalization and will be involved in all procedures, including surgery, and will finally discharge him. The ties between outpatient pediatric services and teaching are expected to be strengthened even more. 0 ' f 44 THE BUFFALO PHYSICIAN �93 Faculty Promotions The following 93 Medical School faculty members received promotions effective July 1, 1973. Promotions to Clinical Professor: Doctors Kenneth M. Alford (pediatrics); Sebastian Ciancio (pharmacology & therapeutics); George A. Cohn (neurosurgery); Earl W. Noble (medicine). Promotion to Research Professor: Doctor Lucius Sinks (pediatrics). Promotions to Associate Professor (with tenure): Doctors Rose Ellison (medicine); Jack Goldman (medicine); Eugene Gorzynski (microbiology); James R. Markello (pediatrics); Albert Olszowka (neurosurgery); George Reading (general surgery). Promotions t'o Clinical Associate Professor: Doctors William Bartholomew (microbiology); Robert Blum (medicine); Michael E. Cohen (pediatrics); James M. Cole (orthopedics); Robert Cotsen (medicine); orman Courey (ob/gyn); Robert Dean (anesthesiology); Clement DeFelice (ge~eral surgery); Anke Ehrhardt (psychiatry); Bernard Eisenberg (pediatrics); Anthony Foti (psychiatry); Charlotte Fritzke (psychiatry); Samuel Galeota (medicine); Kenneth Kelly (anesthesiology); Judith Lehotay (pathology); Milford Maloney (medicine); Edward Marine (medicine); Hubbard Meyers (anesthesiology); Richard Miner (medicine); Richard agel (anesthesiology); Daniel Rakowski (psychiatry); Samuel Shatkin (general surgery); Kamal Tourbaf (medicine); Morris Unher (ob/gyn); Peter Vasilion (pathology). Promotions to Research Associate Professor: Doctors C. William Aungst (medicine); John Edwards (medicine); Eleanor A. Jacobs (psychiatry); Joseph Krasner (pediatrics). Promotions to Assistant Professor: Doctors Cynthia Clayton (pediatrics); Martin Gerstenzang (psychiatry); William Miethaner (microbiology). WINTER, 1973 Promotions to Clinical Assistant Professor: Doctors Donald Barone (general surgery); Charles S. Brown (medicine); Justin Chuang (ob/gyn); Mario Collura (general surgery); John Cudmore (general surgery); Roger Dayer (general surgery); Duane Dougherty (general surgery); Joseph Fracasso (medicine); Juan Garcia (psychiatry); Edmond Gicewicz (general surgery); Edward Hohensee (ophthalmology); John Kent (medicine); William Kraft (ophthalmology); Samuel Lieberman (anesthesiology); Lilia Maceda (anesthesiology); Lawrence Nemeth (pediatrics); Robert Patterson (ob/gyn); Oscar Piedad (general surgery); Theodore Putnam (pediatrics); Joong Rhee (psychiatry); Joseph Rutecki (general surgery); Ralph Smith (general surgery); Paul Stoesser (general surgery); John Warner (pediatrics); Sherman W oldman (pediatrics). Promotions to Research Assistant Professor: ·Doctors H. Douglas Holyoke (general surgery); John Wypych (microbiology); Jerome Yates (medicine). Promotions to Clinical Associate: Doctors Tarik Elibol (medicine); Frank Evans (medicine); Barry Feinblatt (pediatrics); Jerald Giller (medicine); Joseph Giunta (general surgery); Angel Gutierrez (medicine); John Handel (medicine); Norbert Kuberka (medicine]; Bert Lies (orthopedics); Charles O'Connor (medicine); Roger Ronald (medicine); Paul Ronca (medicine); Iqbal Samad (medicine); Raymond Schiferle (medicine); Lionel Sifontes (medicine); Irving Sterman (orthopedics); Bernard Wakefield (medicine); C. David Widger (pediatrics). Promotions to Clinical Instructor: Doctors Philip Compeau (medicine); Stephen Jordan (medicine); Ronald Josephson (medicine); Charles Stuart (medicine). 0 45 �• I Mr. Donald McGreevy (right), computer programmer, and Dr. Sultz discuss statistical information. A Diagnosing Community Health Service Deficiencies NATIONAL MODEL that may help to identify the unmet health care needs of an entire community has been developed by a University researcher. He is Dr. Harry A. Sultz who has produced a series of community health information profiles for various counties in New York State. "These profiles," explained the professor in social and preventive medicine, "provide a diagnosis of the communities' health problems, their strengths and weaknesses. Just as good medical care for an individual begins with a good diagnosis," he continued, "so does good health care planning for a community. "But," he said, "once the diagnosis is made it is up to the decisionmakers - be they legislators, community leaders, health providers, consumers- to use this information to make judgments on new services, facilities, or to expand existing ones or reduce duplications." Dr. Sultz points to past, rather momentous health care decisions based on opinion that were unsupported by reliable information. "Such common sense judgments," he said, "can be very accurate but it is difficult to view health care in terms of a total system rather than in uncoordinated services." Why have community health information profiles received national attention? Says Dr. Sultz, "because they provide a scientific basis to plan for comprehensive health care." He combines some of the techniques of marketing research with computer technology to "permit the scientific documentation for planning for health." Long needed, it has only been a practical possibility recently, said the pioneer in health planning research. Now being prepared by Health, Education and Welfare Department's community profile data center is a book describing Dr. Sultz' theoretical concepts and techniques. 46 THE BUFFALO PHYSICIAN �Not only is profile data useful in planning decisions but to serve as a benchmark against which to measure the effect of prior decisions. Said Dr. Sultz, "we can use this planning capability as an evaluation tool as well. We have the start of a regional data base which can be used to monitor significant changes in needs, resources and population change. And we are now expanding the Western New York area to include most of New York State." Armed with a $100,000 National Institutes of Health contract, Dr. Sultz and his multidisciplinary core staff of sociologists, epidemiologists, geographers, programmers and systems analysts will also measure the impact of nurses in newly developed and extended roles on the health care of sample communities across the United States. Explained Dr. Sultz, "our uniqueness lies in the use of computergraphics which allows us to combine and analyze large amounts of complex data from a variety of sources - the census, hospitals, community agencies. If presented in traditional ways it would simply boggle the mind." Computer-drawn figures, maps, and charges are used to present findings. Those with no special training in statistics can interpret computergraphics with but little explanation, he continued. And at their fingertips is information needed to make sound planning decisions. For example, Dr. Sultz pointed to those with responsibility for making decisions who are now able to plan for future needs with reasonable accuracy. "They know where people from a given area go for services, what influences their decision- size of facility, its capabilities or range of services, nearness to transportation. And they also know what segments of society are not getting care and why." Of particular concern in an era of rising costs, cautioned Dr. Sultz, is the unnecessary duplication of services leading to underutilization of expensive facilities and its inefficient operation. He pointed to two hospitals in close geographic proximity who, after receiving profile information, are now sharing services to eliminate unnecessary overlapping and improve the effectiveness of existing resources. A major contribution of community profiles along economic lines has been analyzing how appropriately facilities are used, identifying those maintained in hospital beds - a very expensive level of care -who could be cared for in extended care facilities. The impact of community profiles, not only in Western New York but in communities across the country can be defined in -economic terms. "For the health care system in a community," Dr. Sultz said, "must compete for dollars with roads and other improvements. Presenting reliable data to legislators via easily understood community health profiles becomes essential." The Community Services Research and Development Program, headed by Dr. Sultz, has been supported for the past eight years by the National Center for Health Services Research and Development. Community Health Profiles, which evolved from this program, has been supported primarily by the Lakes Area Regional Medical Program with additional funds from the Comprehensive Health Planning Council of Western New York. 0 WINTER, 1973 47 �New Hospital Programs Mr. Ause IT IS A NEW DAY tor the E.]. Meyer Memorial Hospital. Mr. Marshall G. Ause, with 27 years of hospital administration, is the new director. And sometime in 1976 the new building will be occupied. One of Mr. Ause's first goals is the creation of an administrative structure within the hospital which will permit th13 implementation of new programs and ideas rapidly. "I have been amazed and pleased at the many good suggestions for improving the hospital from the · staff. Part of the problem of hospital administration is the product (medical care) and the consumer- the patient. "We are dealing with people at the time of trauma- people who well might resent the dependency created when someone is a hospital patient. Any organization has to be managed, but in a hospital the most effective type of service is not necessarily the most economical or the most efficient." Mr. Ause went on to say . that "we are operating a 24-hour, seven-day a week program and we must be prepared for all types of emergencies at all times. Often this is not economical or efficient, but necessary for effectiveness." The new director sees the problem of training staff to operate the ultra-modern mechanized systems in the new hospital as a "very complex one which is not insurmountable." A mock patient unit is being set up at the hospital to enable the nurses to become familiar with the new type of nursing unit. The .consultant and manufacturers will be available to help in the training and use of other unfamiliar systems such as mechanized serving carts. "I haven't planned any major changes. I'm still in the process of learning the hospital and the community. The medical staff is the most important aspect of the hospital and any administrator must have their support to do an effective job. I have been most impressed by the high quality of care presently being delivered to patients at this hospital and by the national reputation of many of the staff members," Mr. Ause said. "There is top level research going on here. Unfortunately the local community is not really aware of Buffalo's status as a medical center." Mr. A use is concerned about the health care delivery system as a whole and believes that hospitals have been remiss about not extending beyond the hospital's four walls into the community particularly the indigent community. "We have told people that if they want care they must travel to the hospital despite economic and transportation problems instead of taking the medical services to the people. We have a very fragmented health system and I'm concerned that it is becoming even more so. The patient should be the focus of any good system," Mr. A use said. The new director predicts that the day will come when the medical community and the county will examine whether the county hospital should continue to be such an intimate part of county government. Mr. Ause admits that this thinking may be premature. "Actually a county or city hospital is as anachronistic today as the old poor farm was 30 years ago. Today just about 100 per cent of all hospital costs are paid by third parties such as Blue Cross-Blue Shield and Medicare and Medicaid." 48 THE BUFFALO PHYSICIAN �He said he could foresee the day when the county hospital would be transferred to a community group with the county perhaps purchasing services such as hospital care for prisoners. "Such a transition would allow more flexibility for the hospital, remove the stigma of a municipal hospital and benefit the county in. terms of budget and responsibility. Such a changeover will only be accomplished by carefully watching the climate of opinion in the community and timing." D Dr. Kazmierczak Honored Dr. Mary J. Kazmierczak, M'18, was one of eight women honored in October at the annual Community-University Day for distinguished careers. She is credited with having started the first successful mass immunization program during the 1920 diphtheria epidemic in Buffalo. This subsequently led to immunizations against scarlet fever, tetanus and pertussis. In 1930 she helped establish St. Rita's Home for Children. Dr. Kazmierczak was named Medical Woman ofthe Year in 1957. She served as chairman of a national scholarship award committee and as a trustee of Blue Cross of Western New York. She was the first woman delegate to a state medical convention and the first woman of her ethnic group (Polish) to be graduated from a medical school in New York State. She is still remembered as "Dr. Mary" of Buffalo's East Side. In 1929-31 she was district chairman of the League of Women Voters. She also served as president of the Buffalo Board of Education and as secretary to the City Planning Association. "I have seen tremendous improvement in the care of children in comparison with 50 years ago, not only in medicine but at home where nutrition and hygiene has improved immensely," Dr. Kazmierczak said. ''I'm glad so many women are coming into medicine and are entering the field of care of children. This is the basis of civilization. In my class there were only four women, as compared to 39 in the first year Medical School class this fall ." Dr. Kazmierczak represented the professions. The seven other women honored were: Mrs. Helen Yasgur, the arts, Miss Allalie A. Babbidge, business and industry; Dr. Anna Porter Burrell, higher education; Mrs. Joan K. Bozer, social services; Mrs. Marilyn G. Stahlka, communications and media; Miss Dorothy M. Haas, education and community; and Mrs. Lucille Kinne, government and public service. D WINTER, 1973 49 Dr. Kazmierczak �Occupational, Recreational Therapy Stations at the Mental Health Center 50 THE BUFFALO PHYSICIAN �. WI TER, 1973 51 �The BGH Community Mental Health Center P ERSON TO PERSON SERVICE . That is one of the main thrusts of the more than 50 dedicated professionals and paraprofessionals of the Buffalo General Hospital Community Mental Health Center at 80 Goodrich Street. One 20-bed incare unit and a 24-hour emergency service opened in May. There are also satellite clinicsneighborhood counseling services at 1505 Genesee Street in Buffalo and at 5426 Main Street in Williamsville. A day/evening program has been functioning at the Center for a year. The staff take their services to the clients in outreach calls. They don't wait for clients to come to them even though the facilities are never closed. The objectives of the team workers are to prevent mental illness, to treat the mentally ill by giving immediate assistance to people in crisis , and by returning each client to his community as rapidly as possible. This is done through a coordinated program that offers many services- emergency care, consultation and education, inpatient and outpatient care, and partial hospitalization. Other services include rehabilitation and training along with diagnostic services, evaluation, and research. Continuity of care for clients is emphasized. The family is continually involved. In most cases other agencies or schools are also contacted to help with the planning for care after the crisis. "When someone has been hospitalized his re-socialization is goal oriented. He 52 moves back to his community with planned supportive therapy . He becomes rehabilitated as rapidly as possible," said Dr. Stanley Platman, director of the new Center. The Day/Evening Center has been one of the most effective programs for facilitating this movement. This program was initiated at Buffalo State Hospital (BSH) and subsequently moved to the new center. This demonstrates the unifying of catchment area services. Staff from BSH run the Day/Evening Center program. Thus, a client who was hospitalized at BSH and who is emotionally strong enough to return to his community to live can receive his therapeutic program at the Center. The BSH and the CMHC have many such staff sharing situations. Clients can move smoothly through the system. There are two buildings in the new complex. The Union Building features activity rooms for ping pong, card playing, reading, pool, ceramics and a beauty shop for client use. The meeting rooms, auditorium and gymnasium are used n,ot only by the clients but by many citizens, community organizations and self-help groups. The medical building has three 20-bed units, each having private and semi-private rooms with baths and a living room-kitchenette area. "We are sort of like a supermarket. We offer a variety of services for a variety of age groups. We are truly concerned about people- their treatment and rehabilitation," Dr. Platman said. The coordinated services enable clients to move easily from one type of treatment to another as his needs dictate. The new facility is in the inner city (East Side). Catchment Area III also includes parts of Cheektowaga and Amherst and all of Clarence and Newstead. The services are specifically for the 200,000 people living in this catchment area. This represents about one-sixth of the people living in Erie County. However, emergency cases from outside this area will not be turned away. There is considerable community involvement in the new Center. A Community Board, elected by the citizens of Catchment Area III, participates in the planning and operation of the Center. The Board is vitally concerned about the development of special services for children, the elderly, the retarded, alcoholics and drug abusers. THE BUFFALO PHYSICIAN �Both the emergency and incare service has physician coverage and a clinical pharmacist to meet the needs of clients. These services are located adjacent to the Buffalo General Hospital's emergency clinic and the two facilities are working to meet the needs of the people they serve. No one is admitted to the incare service without being interviewed by the emergency service staff. This staff sees up to 20 clients a day and also provides telephone counseling service for about 40 more. The staff first determines the client's immediate needs. After an interview and evaluation the Center's resources are used to help the person's problems. Incare is used only when some alternative plan can not meet the client's needs. Emergency and cns1s counseling, individual, family and group counseling and educational services are available at the two neighborhood counseling offices. There are several "out-reach teams" that have about 300-400 clients, who are visited in the clients' homes or at offices. All fees at the Center and at its satellites are on a sliding scale, according to the person's ability to pay. The Center is working closely with the E. J. Meyer Memorial Hospital, which handles emergency and short-term inpatient care for the rest of Erie County, Buffalo State Hospital and community agencies to see that residents in Catchment Area III make full use of the Center's facilities. In September the Federal Government announced that it was releasing $950,855 for staffing the Center. 0 Dr. Ketter Receives Honorary Degree President Robert L. Ketter received an honorary degree and delivered two major address at Kyungpook National University in Taegu, Korea in October. Dr. Ketter visited the University President Young Hee Kim for five days to formalize a sisterhood relationship between U/B and Kyungpook. This included the possibility of exchange of faculty and students for teaching and research programs. Dr. Ketter said that the new exchange program will probably initially involve the health sciences, natural sciences, e~gineering and mathematics. Dr. Ketter noted that Kyungpook is the largest and the best provincial university in Korea. He said it has a distinguished faculty. Mrs. Ketter accompanied her husband on the trip. Before visiting Korea they spent three days in Tokyo, where Dr. Ketter met with the President of the University of Tokyo. After leaving Korea they stopped at the University of Hawaii at Honolulu to discuss with its President the problems encountered during the period when the University of Hawaii was under construction. 0 WINTER, 1973 53 �EALTH CARE IS IMPROVING on the Cattaraugus Indian Reservation because of several dedicated people at the Medical School and the Buffalo General Hospital. It all started with the Medical Genetics Unit at the Hospital in 1965 when two physicians, Doctors Robin Bannerman and Thomas Doeblin, undertook the responsibility for New York State of providing physician care at the weekly adult clinics held on the reservation. Population studies were undertaken during this period in collaboration with other School of Medicine faculty members. In 1970 another faculty member, Mrs. Gillian Ingall, research associate in the department of medicine, planned and carried out a survey geared to better health care. She had four objectives: (1) to establish the pattern of medical care; (2) to describe the available services and resources; (3) to identify the gaps in medical services with special references to diabetes, vision, dental, and ante-natal care; (4) to determine the obstacles hindering the use of existing services. Mrs. Ingall found that diabetes was the major single cause of ill health. Nearly one-third of the population had a first generation relative who was diabetic. Hospital admission rate for diabetics was twice that of the rest of the population. From the survey Mrs. Ingall also found that 44 per cent of the dwellings had no running water and 50 per cent had no indoor flush toilet. Only about one-half of the people used the reservation clinics, while others visited local physicians or the hospital. Mrs. Ingall recommended several improvements based on this survey of 150 randomly selected households. _improve transportation on the reservation in order to make the existing medical facilities more accessible. -take a critical look at the services provided by New York State Health Department in the light of their usage by the residents . Since the survey , and perhaps in some degree because of it, other health needs were pinpointed and: _a health aid program has been initiated by New York State; _ a health aid has been appointed for the reservation to act as liaison with medical clinics and social and welfare organizations; _a weekly dental clinic for children; - a nutritionist assigned to the reservation; - diabetes workshops were organized. The new health aid program is a positive step toward improving the health of the residents of the reservation, according to Mrs. Ingall. In Mrs. Roseine Mohawk the residents have a person who they can talk to about health care. She is a state employee and acts as a liaison between the residents and health professionals on all health problems. Mrs. Mohawk works closely with the newly formed Health Action Group (lay and professional residents on the reservation) in promoting better health care. There is now a general awareness of health needs. The Health Action Group is a sounding board for health problems and possible solutions, and has taken the lead in providing health education to the residents. " Since 1970 great strides have been made in improving health care on the rese~vation. During the next few years we hope there will be more improvements especially in treating diabetes and alcoholism. The Buffalo General Hospital, the Medical School and the new Research Institute on Alcoholism have pledged their support," Mrs. Ingall said . 0 H Mrs. In gall interviewing an th e rese rvati on . Health Care on the Reservation Washing fa c ilities 54 THE BUFFALO PHYSICIA �Mr. Kamill Rohny , Eaton 's Wes tern N ew York representative, and three medical stude nts dis c uss th e new eq uipm ent in th e Urology Department tea ching area. Th e th ird year medi cal s tud ents are: Mi chael Rinow, Davi d Ko ug (standing) and Steven Lari . A Gift from Eaton Laboratories Eaton Laboratories gave the urology department a SONY color videocassette system (TV receiver, videocassette player) in October. Dr. William J. Staubitz, professor and chairman of urology, pointed out that 70 medical students and 24 housestaff will be using the new equipment during the next year to view and study medical science teaching films . Eaton also loaned the department seven videocassettes which covers 22 different medical and surgical subjects. The videocassettes are available daily, around the clock in the department's teaching area at the E.J. Meyer Memorial Hospital. In the future Eaton will provide additional videocassettes on other subjects. Eaton has one of the largest single collections of urological films available to the medical profession. Mr. Kamill Rohny, Eaton representative said the UB urology department has a national and international reputation for its excellent program. D WINTER, 1973 55 �Sabbatical at Oxford Dr. Rose was on Sabbatical during 1972-73. one of the oldest seats of learning, where Dr. Noel Rose's perspective and sense of purpose of a university was restored. It was the reality, what he dreamed a university would be like when he started in the academic profession. Not only was there an opportunity for the professor of microbiology to do significant research but some lecturing (he was asked to present three) and to meet many scholars from around the world. "The soul of Oxford," said Dr. Rose, "is its college tutorial system. Here most of the teaching and learning go on. While our educational process is based in a formal classroom setting, in Oxford lectures definitely take a secondary place to the informal tutorials." Students need only attend the lectures that interest them, a selection they make from a large catalog covering all of the semester's offerings. No exams or attendance are taken at lectures. If the first one proves interesting a student may decide to attend a second lecture. "One needs to be a good lecturer to survive as a teacher in Oxford," he said. Dr. Rose found the tutorial system to be "two-way learning between teacher and student." A topic is assigned to a student. He analyzes it and then returns a week later to discuss his ideas with the tutor after writing a thoughtful essay on the subject. Dr. Rose feels that the 9,000 Oxford students are a remarkable lot, probably the world's best. "They look like any other (long hair, dungarees) but during university wide exams they appear in black suits, stiff white collars and academic robes," he said. The Rose family lived in a large apartment within walking and bicycling distance of everything in Oxford. "We eagerly immersed ourselves in first-rate theater, music and cultural events provided by the Oxford community." Dr. Rose worked at the Sir William Dunn School of Pathology as guest investigator of the cellular immunology unit that is supported by the British Medical Research Council. "Doing everything myself was extremely satisfying," he said. Working at the bench almost every day, he did his own tests, bled and did surgery on his own animals. "I just saturated myself in research," he said. It was on antireceptor sera that he worked, a historically interesting topic. "The notion that cells have specific receptors for antigen is something that my scientific great grandfather, Paul Ehrlich, proposed 70 years ago. If cells do have specific receptors that allow them to recognize antigen, it may be possible to develop antisera that will recognize receptors," he said. Dr. Rose pointed out that "one of the fundamental things immunology would most like to know is how cells recognize foreign antigens. Our work has very practical applications as well. For if we can develop a specific reagent, block a particular receptor, and stop a single immunological reaction (as in transplantation rejection or in immunologic disease) and not the entire immune response in a patient, it will be very useful." While the Oxford group is not the only one working in this area, Dr. Rose feels they have made very substantial progress. But even if nothing had come from his year of research at Oxford, the immunologist researcher feels that it would have been an excellent year. "We met so many people from different countries as well as excellent faculty." There were collaborative efforts with the Medical Research Council's biochemistry group. And while he was IT WAS AT OXFORD, 56 THE BUFFALO PHYSICIAN �there one member of the unit, Professor R. R. Porter, won a Nobel prize. For other members of the Rose family it was an exciting year. His eldest daughter, Alison, attended Oxford and in just 12 months managed to cover in depth the major English authors of the first half of the eighteenth century. One of her favorite lecturers was the great grandnephew of famed poet William Wordsworth. David, an Amherst high schooler, attended an independent school noted for its strong athletic, music, and science programs. Another daughter, Bethany, attended a private school that stressed a classical education where uniforms and a more rigid classroom discipline replaced "our free and easy American environment. She will miss it," he said. The youngest, Jonathan, attended a very progressive district school. As part of his flexible curriculum there were excursions to France, Spain, Algiers and a nature camp near Oxford. For Mrs. Rose there were lectures, several courses, and architectural excursions, all part of an active adult education program at Oxford. There were even several surprise meetings with former students of Dr. Rose- one on the family's first outing to Stonehenge, one in a London hospital, and two others with UB alumni who were doing research at the National Institute for Medical Research near London. While the Roses visted London, toured Scotland, Wales, Switzerland, and Spain, their favorite touring remained in and around Oxford. Dr. Rose, who has headed the Center for Immunology since the death of Dr. Ernest Witebsky in 1969, will leave Buffalo to chair the department of irpmunology and microbiology at Wayne State University. One of the things he discovered at Oxford was that "I enjoy being an investigator. I can still do quite interesting experiments." He pointed out that one tends to forget this when involved in administrative responsibilities. He hopes there will be ~ore time for meaningful research on his new position in Detroit. 0 Dr. Sambamurthy Subramanian, associate professor of surgery at the State University at Buffalo, has been named one of 12 Hunterian Lecturers by the Royal College of Surgeons of England. He believes that he is the only Buffalonian to receive this greatest honor that the College can bestow each year on 12 of its graduates for original contributions to the field. It also carries with it an honorary professorship. On November 7 the 40-year-old cardiovascular surgeon traveled to England to lecture on early correction of congenital heart defects using surface induced deep hypothermia. This paper is based on his personal experiences over the past four years in Children's Hospital's department of cardiovascular surgery. 0 WINTER, 1973 57 Hunterian Lecturer Dr. Subramanian �Dr. Pearay Ogra Children and Infections A teac hing sess ion as Dr. Ogra exa min es a ba by w ith immun ologic d efi ciency di sea se. There are those whose obsession for long hours of hard work in research is combined with the enjoyment of bedside patient care and teaching. For one such physician, Dr. Pearay Ogra, not only interest but a need to satisfy intellectual appetite and ego may be the impetus. The associate professor of pediatrics and microbiology who also directs the division of virology at Children's Hospital is a serious student of infectious disease, especially in children. And he is currently working toward understanding the mechanism of hostvirus relationship in man- those infections with polio, measles , and mumps virus , hepatitis B antigen, infectious mononucleosis and cytomegalovirus. Underway in the India-born physician-virologist's laboratory is an intensive investigation of the ontogenesis of fetal infections, immune response , and antiviral function of antibody/cellular immunity in external secretions. While pursuing postdoctoral training in pediatrics and immunology at the Chicago and New York Universities , he became fascinated by a publication of Dr. Thomas Tomasi on secretory antibody. In 1966 when he joined Dr. David Karzon at the Children's Hospital in Buffalo (he is now the head of the department of pediatrics at Vanderbilt) he began to look at the possible role that this antibody plays in the mechanism of antiviral immunity, particularly in external mucosal surfaces. From his studies using infection/immunization with polio and rubella viruses have come the first clear understanding of this secretory antibody's role in respiratory/gastrointestinal tract- how it protects against viral infections where clinical disease is largely confined to mucosal sites. Use of identical infection modes in other investigations by him and his team of investigators have led to many major contributions in defining how local mucosal production of antibodies in external secretions develop . One spinoff was the observation that removal of tonsils and adenoids in the very young results in frequent reduction of antipoliomyelitis antibodies in both nose and throat. "This may explain the high incidence of paralytic poliomyelitis after tonsillectomy," Dr. Ogra noted. This spinoff also led to reevaluating the role of tonsils in the human immune system . "Maybe tonsils are not all that useless, " he said, and he cautioned that their removal should not be a routine indiscriminate procedure. The team has recently demonstrated the need for more effective rubella vaccines than those now licensed in this country. " We found that reinfection rates with wild rubella virus in nose and throat in such rubella vaccinated subjects is very high," Dr. Ogra said. Both ]AMA and New England Journal of Me dicin e have noted their findings on the Plotkin strain of rubella va ccine (RA27/3) and its effectiveness in inducing rubella antibody in both nose and throat. They also showed that the appearance of such secretory antibody after immunization reduces susceptibility to reinfection with wild rubella by more than 50 to 70 percent. 58 THE BUFFALO PHYSICIAN �One of Dr. Ogra's major concerns is the care of retarded children in institutions where type B hepatitis may be endemic. Although progress has been made in understanding the disease, Dr. Ogra feels that many important questions remain unanswered and an effective vaccine is yet to be developed. One such important question is the route by which type B hepatitis enters an institutionalized population and the mechanism by which it spreads. "We now have evidence to suggest that type B hepatitis may be acquired by other nonparenteral routes," the Diplomate of the American Board of Pediatrics said, in addition to its classical transmission by needle contact or transfusion. In a recently published study on a family with this disease, Dr. Ogra pointed to this antigen's recovery from feces, urine, nose, throat, and blood. In situations of close institutionalized or familial contact Dr. Ogra believes that transmission of hepatitis B infection may be affected by these antigen positive secretions. Since the amount of antigen excreted in external secretions is not large, the Fellow of the Royal Society of Medicine suspects that prolonged exposure may lead to hepatitis infection by such routes. Under an extended multiphase contract with NIAID-NIH he and his team of investigators hope to examine the epidemiology/ prevalence of hepatitis B infection and prevent its development at the West Seneca State School. And they want to determine its mechanism of transmission and how it relates to its excretion in secretions. "We hope to develop preventive means to limit such spread in closed institutionalized populations," Dr. Ogra said. Evaluating results of rubella antibody testing. cf Evaluating tissue culture. WINTER, 1973 59 �Part of th e team go over reports in th e diagnos tic la bora tory . Initial NIH funding (about $100,000) will be used to collect an epidemiologic data base for future use. "There will be no experimentation, no injection of human subjects with hepatitis B virus at the West Seneca State School," he said. Dr. Ogra foresees the conquering of type B hepatitis over the next five to ten years. Studies underway in his laboratory are aimed at learning more about the interaction of the immune system and the hepatitis Bagent -the asymptomatic carriers of this infection. The team investigators are involved in a diversity of research. While Dr. V. Likhite is studying the effect of transfer factor RNA extracts of hepatitis-sensitized lymphocytes on infection in nonimmune animals, Dr. B. L. Kaul is involved in epidemiologic evaluation of data from the West Seneca State School. Dr. Morag, who with his wife is visiting from Hadassah University, is working on characterizing cellular immunity and the role of lymphocyte and secretory antibody in external mucosal surface. He is also involved with the immunologic function of human tonsils . Even graduate students are involved. David Bernstein is looking into the role of intrauterine viral infection in the development of the immune system while Karl Beutner is examining components of the secretary immune system in mumps and cytomegalovirus. But there is also a service laboratory that he and his team of investigators run for the Western New York community. Here diagnostic facilities are provided for selected viral infection and immunologic diseases. And there is also Dr. Ogra's deep commitment to teaching pediatrics and immunology to graduate students, housestaff, and medical students. Dr. Ogra has contributed over 50 publications to the field , has served on the editorial board of Infection and Immunity, and is a member of the study section on enteric diseases for the U.S. Army Medical Research and Development Command and of several distinguished medicaVscientific societies. 0 60 THE BUFFALO PHYSICIAN �Governor's Residence Hall. On the treadmill in the physiology lab. The kitchen in the Governor's Residence Hall. Community-University Day An estimated 20,000 milled around both the old and new campuses at the third annual Community-University Day open house. President Robert L. Ketter greeted 425 people in his office. The Medical School, along with the four other Health Sciences schools, were popular spots. The chartered buses running to the new North Campus were overflowing. There were interesting demonstrations, movies, a concert, and other activities for all age groups. The bright, warm sun made for a most enjoyable afternoon. 0 WINTER, 1973 61 �The Joseph Ellicott College Complex (38 buildings) and LaSalle Lake from the air. The Education and Philosophy building showing the connection with the John Lord O'Brian Hall (law and jurisprudence). Amherst Campus 62 THE BUFFALO PHYSJCIA �The Francis E. Fronczak Hall in memory of the 1897 Medical School Alumnus who gained fame for his medical work in Poland during World War I. On the left is the Walter Platt Cooke and Ralph Hochstetler building (pharmacy and biology). An aerial view looking southwest. WINTER, 1973 63 �The Classes of the 20's Dr. Kenneth Ward, M'Zl, Geneva, N.Y., was honored recently by his colleagues and friends for his more than 51 years of "house calls and humanistic medicine." Dr. Ward still sees patients, makes house calls, whips up gourmet meals, gardens, and sings with the First Presbyterian Church choir. 0 Dr. Joseph A. E. Syracuse, M'23, Buffalo, has been cited for "50 years devoted to the service of the public in the practice of medicine" by the Medical Society of the State of New York. He now heads the physical medicine and rehabilitation department at Columbus Hospital. Dr. Syracuse is a Diplomate of the American Board of Physical Medicine and Rehabilitation, a member of the AMA, the American Congress of Physical Medicine, and several other medical organizations. He is a consulting member of the New York State Department of Health and the Veterans Administration. He was a member of the Medical School faculty for six years. 0 Dr. James E. Dailey, M'29, is associate professor of clinical surgery at both the Bay lor University School of Medicine, Houston, and the University of Texas Medical School, Galveston. 0 The Classes of the 30 's Dr. Francis R. Coyle, M'32, a school physician for the Erie County Health Department, recently received a commendation from Bishop Edward D. Head (Bishop of Buffalo) for efforts expended on the "Golden Anniversary Catholic Charities Appeal,'' 0 Dr. William G. Taylor, M'36, retired, has started an "Operation Identification" in Erie County, marking family valuables with an electric vibrating marker using social security . number. This information is given to the Erie County Police services computer. Decals are supplied for an individual's residence doors stating all items of value have been marked for identification by law enforcement agencies. 0 64 Dr. Theodore T. Jacobs, M'38, president of the Buffalo General Hospital, is the new president of the Western New York Hospital Association. Other new officers are: president-elect, Frank L. Muddle; treasurer, Murray S. Marsh, and secretary, William D. Barclay. 0 Dr. Leonard Cammer, M'39, was recently elected chairman, Section on Psychiatry of the Medical Society of the State of New York for 1973-1974. His book, Up From Depression, (Pocket Books, 1971) has recently gone into its fifth printing (August, 1973). 0 The Classes of the 40 's Dr. Vincent J. Capraro, M'45, is co-author with Dr. J. W. Huffman of a textbook, The Gynecology of Childhood and Adolescence, 2nd edition, W. B. Saunders Company, Philadelphia. He is a clinical professor at the Medical School. 0 Dr. David H. Nichols, M'47, has written a book, Vaginal Surgery, Williams & Wilkins Company. He is a clinical professor at the Medical School. 0 Dr. Raphael S. Good, M'49, is the newlyelected President of the Miami Obstetrical and Gynecological Society. The associate clinical professor of ob/gyn at the University of Miami School of Medicine writes that he has given up his private practice of ob/gyn and is currently a 3rd year resident in psychiatry at Jackson Memorial Hospital, Miami. 0 The Classes of the 50 's Dr. Richard Leberer, M'50, was appointed by Governor Rockefeller to the Board of Visitors, Roswell Park Memorial Institute. He is Secretary, Erie County Chapter of American Academy of Family Practice Physicians. 0 Dr. Donald P. Pinkel, M'51, is medical director of St. Jude Children's Research Hospital in Memphis, Tennessee. In 1972 Dr. Pinkel won the Lasker Award for advancing the THE BUFFALO PHYSICIAN �chemotheraphy of acute lymphocytic leukemia in children. As a result of his work a five-year remissions rate have been attained in 50 per cent of St. Jude's leukemia patients. This hospital is now tackling aggressively the hazard of lifethreatening infection in these children, according to an article in Hospital Tribune of April 2, 1973. D Dr. Donald Dohn, M'52 of the Cleveland Clinic reports surgery has been developed to cure serious cases of hyperidrosis. The operation, (reported in Time Magazine, April 16/73) called an upper thoracic sympathectomy, is performed by making an incision in the side of the neck and removing those thoracic ganglia that relay impulses from the brain to the sympathetic nerves that influence sweat glands in the hands. So far, all 25 patients who have had the operation have retained warm, dry hands. D Dr. Thomas J. Luparello, M'56, is co-author with Dr. Aaron Paley of "Understanding the Psychologic Factors in Asthma" that appeared in the August issue of Geriatrics. Dr. Luparello is a Denver psychiatrist affiliated with the National Jewish Hospital and Research Center. Until recently he was on the faculty of the State University of New York Downstate Medical Center, Brooklyn. D Captain Donald R. Hauler, MCUSN, M'57, has been detached from duty as staff medical officer for Commander Naval Air Reserve and will report to Headquarters, U.S. Marine Corps as The Medical Officer in Washington, D.C. Captain Hauler is a member of the Aerospace Medical Association, and the Association of Military Surgeons of the U.S. D The Classes of the 60 's Dr. Harris C. Faigel, M'60, is the author of an article, "You have to Listen," that appeared in Clinical Pediatrics, March 1, 1973. Dr. Faigel talks candidly about the lack of communication between parents and their children. "If there is any solution parents and their offspring need to talk with each other as adults, one to another." Dr. Faigel is director of adolescent medicine, Kennedy Memorial Hospital and clinical instructor in pediatrics at the Boston University School of Medicine. D Dr. Andre D. Lascari, M'60, is professor of pediatrics at Southern Illinois University School of Medicine, Springfield. His book Leukemia in Childhood, was recently published by Charles C. Thomas, Springfield. Dr. Lascari was guest editor of the November, 1972 issue on pediatric hematology of the Pediatric Clinics of North America. D Dr. Alan L. Pol, M'62, recently entered the private practice of plastic and reconstructive surgery in Milwaukee. He presented a paper at the Southwestern Surgical Congress in May on "Thumb Reconstruction in the Severely Burned Hand." His new home address is 6831 North Lake Drive, Fox Hunt, Wisconsin. D Dr. Stephen C. Scheiber, M'64, is director of the Psychiatric Residency Training Program, Arizona Medical Center, Tucson. He is also assistant professor and -director of the undergraduate psychiatric teaching program at the University of Arizona Medical School. D _ Dr. Donald]. Waldowski, M'65, is assistant professor of pediatrics at New York Medical College. He became board certified in pediatrics in March, 1973. D Dr. David J. Fugazzotto, M'67, is in group practice with three other pediatricians in Burmingham, Alabama. He served as Headstart Consultant for the program in nearby Tuscaloosa this year. His address is 2708 Cherokee Road, Birmingham. D WI TER, 1973 65 �Dr. Harold Grotsky, M'67, who recently completed a fellowship in pediatric gastroenterology and cystic fibrosis at Boston Children's Hospital, is now assistant professor of pediatrics at New Jersey School of Medicine. He is also director of pediatric gastroenterology and assistant director of pediatrics at Newark Beth Israel Medical Center. Dr. Grotsky lives at 115 Old Short Hills Road , Apt. 359, West Orange. 0 Major Douglas M. Sirkin, M'67, received the Air Force Commendation Medal. A citation accompanied the award. "Major Douglas M. Sirkin distinguished himself by meritorious service as Radiologist, Department of Radiology, United States Air Force Medical Center, Wright-Patterson Air Force Base, Ohio, from 26 July 1971 to 6 July 1973. During this period, Major Sirkin's outstanding professional skill, knowledge, and initiative were instrumental in providing outstanding patient care. His untiring devotion to duty and willingness to expend effort over and above that normally expected contributed immeasurably to the successful accomplishments of the unit mission. The distinctive accomplishments of Major Sirkin reflect credit upon himself and the United States Air Force." 0 Dr. Margaret Brown White, M'67, recently became a Diplomate of the American Board of Pathology with certification in both anatomic and clinical pathology. Her address is 5003 Fillmore Avenue , Apt. 100, Alexandria, Virginia. 0 Dr. Kenneth L. Jewel, M'68, recently changed from a full-time academic position as Instructor of Radiology at Columbia Presbyterion Medical Center to private practice in Montclair, New Jersey (Mountainside Hospital). He is maintaining clinical affiliation with Columbia as clinical assistant professor of radiology. Dr. Jewel became Board certified in diagnostic radiology in June. 0 Dr. Michael Smallwood, M'69, whose specialty is Family Practice, is a clinical instructor in Social and Preventive Medicine at the University. 0 66 The Classes of the 70's Dr. Michael Lippmann, M'70, is resuming his medical residency at Yale/New Haven Medical Center after two years with USPHS, Morgantown, W.Va. at the Appalachian Laboratory for Occupational Respiratory Diseases. He presented a paper at the ACP Annual Convention in April. His address is 133 Kayevue Drive, Hamden, Conn. 0 Dr. Jeffrey G. Rothman, M'70, recently began two years of active military duty at Andrews AFB, Washington, after completing residency in internal medicine at the Hospital of the University of Pennsylvania. 0 Dr. Sanford S. Davidson, M'71, is presently an ophthalmology resident at Manhattan Eye, Ear and Throat Hospital, New York City. 0 Dr. Richard Manch, M'71, has been a resident in Internal Medicine at Maricopa County General Hospital, Phoenix, Arizona since July, 1972. He is also President of the Hospital's House Staff Association. 0 Dr. Ilja J. Weinrieb, M'71, currently a senior resident in medicine at Beth Israel Hospital, Boston, has been accepted for a two-year fellowship at Yale/New Haven Hospital in gastroenterology to begin June 1974. Dr. and Mrs. Weinrieb announce the birth of a son, Pieter Gershon, on May 29, 1972. 0 Dr. Stephen J. Levine, M' 72, is a first-year medical resident at Boston City Hospital, after completing his internship in medicine at E.J. Meyer-Buffalo General Hospitals. His interest in neighborhood health center medicine continues and he encourages his fellow physicians to "make a generous contribution to the West Side Health Center, 273 Maryland Street, Buffalo, 14201," which is currently engaged in a fundraising drive. His new Massachusetts address is 15 Webster Place, West Newton. 0 THE BUFFALO PHYSICIAN �People Four alumni have been elected officers of the Buffalo General Hospital's medical staff. Dr. Marshall Clinton, M'40, is the new president and Dr. James F. Phillips, M'47 , is presidentelect. Dr. Robert Blum , M'42, is the new vice president, and Dr. Bernard M. Norcross, M'38, is secretary-treasurer. 0 Dr. Bernard H. Smith, professor of neurology, was recently elected a Fellow of the Royal College of Physicians of Canada and to a Foundation Fellowship of the Royal College of Psychiatrists of Great Britain. 0 Dr. James B. Lee, clinical professor of medicine, is author of a new book, Whither the Antihypertensive Prostaglandins, by Jonathon Publishing Corporation, New York. 0 Two surgeons, who are on the Medical School faculty, are new Fellows of the American College of Surgeons. Dr. Paul J. Loree, a 1962 graduate, is a clinical instructor in ophthalmology, and Dr. Donald J. Yung is a clinical assistant professor of ophthalmology. 0 Dr. Eleanor A. Jacobs was chosen "Woman of the Year" by the Business and Professional Women's Club of Buffalo in October. She is a research associate professor of psychology in the department of psychiatry at the Medical School. Dr. Jacobs is also a clinical psychologist at the Veterans Administration Hospital and a clinical professor of mental health and psychology at the School of Nursing. Dr. Jacobs received her bachelor (1949), master's (1952), and Ph.D. (1955) degrees from UB. 0 Dr. Luis L. Mosovich, associate professor of pediatrics, was named "man of the year" by the Cystic Fibrosis Research Foundation, Western New York Chapter. 0 WINTER, 1973 Dr. Ambrose A. Macie, attending physician in the department of obstetrics and gynecology at Sisters Hospital, is president of its medical staff. He is also on the Medical School faculty. Dr. Charles E. Wiles, M'45, is the new vice president and Dr. Raymond A. Hudson, M'44, is the new-secretary . Dr. Charles A. Massaro is the new treasurer. He is a clinical associate in medicine and family practice at the Medical School. 0 Dr. Felix Milgram is the new acting director of the Center of Immunology. He has been professor and chairman of the department of microbiology at U/B since September, 196 7 and has been on the Medical School faculty since April1958. Dr. Milgram succeeds Dr. Noel Rose, who is joining the Wayne State University (Detroit) Medical School faculty as chairman and professor of immunology and microbiology. 0 Dr. Norman Solkoff, professor of psychiatry, was among eight UB faculty members to receive the Chancellor's Award for Excellence in Teaching. 0 Dr. James R. Markello, associate professor of pediatrics, has been named chairman of the School Health Committee of the New York Chapter of the American Academy of Pediatrics. 0 Dr. Barbara R. Rennick, professor of pharmacology, has written a new book, Choline and the Organic Cation Transport System : Recent Advances in Renal Physiology and Pharmacology, published by University Park Press. 0 Dr. Martin Plaut, associate professor of medicine, has been elected a Fellow in the American College of Physicians. 0 An Atlas of Head and Neck Surgery by Dr. John M. Lore, Jr., professor and chairman of otolaryngology, is now in its second edition by W. B. Saunders Company. 0 67 �Miss Nancy Urbscheit, who received her M.A. and Ph.D. degrees in physiology at UB, was the recipient of the Dorothy Briggs Memorial Scientific Inquiry Award from the American Physical Therapy Association in July. She won the award for a paper: "Potentials Evoked from the Abjuctor Digiti Minimi Muscle in the Normal and Neurologically Involved Hand." Coauthor was Dr. Beverly Bishop, associate professor of physiology. 0 Mr. Thomas J. Colatsky, a graduate student in physiology, received a $4,000 stipend from the Henry M. Woodburn Graduate Fellowship Program. Mr. Colatsky did his undergraduate work at Georgetown University and was among 15 to receive the one-year grant from the UB Graduate School. 0 Dr. James P. Nolan, professor and vice chairman of medicine who also heads department of medicine at Buffalo General Hospital, received a $72,000 three-year grant from NIH to study the effects of bacterial endotoxins in the perpetuation of chronic liver injury. Dr. M. V. Ali, clinical assistant professor of medicine, is co-investigator. 0 Mr. John D. Randall, architectural associate in the Office of Facilities Planning at the University, will be responsible for planning and redesigning the South Campus into a center for the Faculty of Health Sciences. He is the former manager of facilities planning for the Illinois Department of General Services. From 1961-69 Mr. Randall served as associate university architect for the Edwardsville Campus of Southern Illinois University where he coordinated planning and design for a 33 million dollar campus development. 0 Dr. Pearay L. Ogra, associate professor of pediatrics and microbiology, was named a Fellow of the Royal Society of Medicine and member of the study section, Enteric Diseases, U.S.A. Medical R & D Command. Dr. Ogra recently received a $91,600 NIH grant to establish a Hepatitis Study Center at Children's Hospital. 0 Dean J. Warren Perry of the School of Health Related Professions has been elected to the 68 Institute of Medicine, National Academy of Sciences. He is on leave until June 1, 1974 as director of a national study of allied health education for the American Association of Community and Junior Colleges. Dr. Joseph E. Nechasek, who has been on the faculty since 196 7, is acting dean. 0 Dr. S. Mouchly Small, professor and chairman of the department of psychiatry is the new president of the Western New York Psychoanalytic Society. 0 Dr. Almen L. Barron, professor of microbiology, has been re-appointed to the editorial board of Infection and Immunity. 0 Dr. Guiseppe A. Andres, professor of microbiology and pathology, was appointed to the Committee on Clinical Immunology, National Research Council. 0 Dr. Carel J. van Oss, professor of microbiology, has been elected to the American Association of Immunologists. 0 Dr. Edwin Neter, professor of microbiology, was appointed to the Committee on Postdoctoral Educational Programs, American Academy of Microbiology. 0 Dr. Jane Pascale, clinical assistant professor of pathology, is listed in Who's Who of American Women, 1973. She is also a member of the Infection Control Committee at the E. J. Meyer Memorial Hospital. 0 The Jesse E. Nash Community Health Center at 215 Broadway opened in April. It is servicing 16,000 East Side residents and is operated by the Erie County Health Department, according to Dr. Arthur R. Goshin, deputy health commissioner, a 1969 Medical School graduate. 0 Dr. Harry Sultz, professor of social and preventive medicine, is co-author of a new book, Long Term Child Illness published by The University of Pittsburgh Press. Co-authors are Dr. William E. Mosher, clinical professor of social and preventive medicine; and Joseph G. Feldman and E. P. Schlessinger. 0 THE BUFFALO PHYSICIAN �People Two alumni have been elected officers of the Western New York State Society of Internal Medicine. Dr. Joseph Zizzi, M'58, is the new president and Dr. James R. Kanski, M'60, is the new vice president. Dr. Louis B. Kramer, a clinical associate in medicine, was also named a vice president. Dr. Nelson P. Torre, a clinical assistant professor of medicine, is the new treasurer, and Dr. Edward Graber was elected secretary. 0 Dr. Paul B. Giordano, clinical assistant professor of psychiatry, is the new president of the medical staff of the Linwood-Bryant Hospital. Dr. Ramon K. Tan, clinical associate professor of psychiatry, is the new vice president, and Dr. Willard Gold is secretary-treasurer. 0 Dr. Mitchell I. Rubin was named professor emeritus of pediatrics by the State University of New York Board of Trustees in June. Dr. Rubin, who retired in May of this year as professor of pediatrics, served as chairman of the department of pediatrics and pediatrician-in-chief of Buffalo Children's Hospital from 1945 to 1967. He also directed the kidney disease center in Buffalo. He was· involved in pediatric teaching and patient care for more than 45 years. A native of Charleston, South Carolina, Dr. Rubin, 71, received the M.D. degree from the Medical College of South Carolina. Prior to joining the U/B faculty in 1945, Dr. Rubin held positions at Johns Hopkins University, the University of Pennsylvania, and Children's Hospital of Philadelphia. An extensive researcher and publisher in the field of pediatrics, he is a former editor of the American journal of Diseases of Children and Pediatrics. In 1966 he received the Stockton Kimball A ward from the U/B School of Medicine. Dr. Rubin is a member and former officer of the Society of Pediatric Research and a member of the American Pediatric Society, American Academy of Pediatrics, American Medical Association, Erie County Medical Association, the Society of Experimental Biology and Medicine, Sigma Xi, and Alpha Omega Alpha. 0 WINTER, 1973 Dr. Edward H. Lanphier, associate professor of physiology and internationally recognized authority on diving medicine, is taking a two-year leave of absence. He is studying to become an Episcopal Priest at Nashotah House near Milwaukee, Wisconsin. Dr. Lanphier has been on the faculty since 1959. He received his M.D. from the University of Illinois in 1949. Before that he had studied at Carleton College, the University of Wisconsin, Dartmouth and Loyola University School of Medicine, Chicago - mostly via the Navy V-12 college training program. "My hope is eventual ordination. Some kind of meaningful ministry. I feel as though I am now preparing myself to be useful in a broader way. I hope diving and physiology can be a part of this." 0 Dr. Zebulon Taintor, associate professor of psychiatry, has been named associate chairman of the department of psychiatry. Dr. Taintor did his undergraduate work at Oberlin College and received his M.D. from Cornell University Medical College in 1962. 0 Dr. W. K. Podleski is a research assistant p~ofessor in the Center for Immunology at the Medical School. He is working on the problems of lymphocyte mediated cytotoxicity in autoimmune diseases, parasitic infections and certain neoplasms. He has written 25 articles on different aspects of clinical immunopathology. He is assisted by his wife, who is a pharmacist. Dr. Podleski was born in Chorzow, Poland in 1941. He received his M.D. from the Medical School at Wroclaw, Poland in 1965. He was a full staff member at the Medical School Clinic from 1967 to 1970. In 1970-71 Dr. Podleski worked in the World Health Organization, Immunology Research and Training Center in Lausanne and participated in the summer school in Immunology, Edinburgh. In 1970-72 Dr. Podleski worked in the medical clinic, University of Lausanne where he developed his direct lymphocytotoxic test system in silicosis, tuberculosis, systemic lupus erythematosus, Hashimoto's thyroiditis and Graves' disease as a method related to cell-mediated immunity in man. In 1972 he received his Ph.D. in medicineimmunology at the University of Lausanne. 0 69 �People In Memoriam Two books by Dr. John H. Warfel, associate professor of anatomy, (The Extremities; Head, Neck and Trunk) are now in its fourth printing by Lea & Febiger, Philadelphia. 0 Dr. Herbert A. Hauptman, research professor of biophysical sciences, has authored a book published by Plenum Press, Crystal Structure Determination: The Role of the Cosine Semivariants. 0 Three physiology professors, Drs. Leon E. Farhi, Albert J. Olszowka, and Hermann Rahn, are co-authors of a book, Blood Gases: Hemoglobin, Base Excess and Maldistribution, by Lea & Febiger, Philadelphia. 0 Dr. Tadla Baliah, research assistant professor of pediatrics, has been elected a Fellow in the Royal College of Physicians and Surgeons in Canada.O Nervous System Theory is a new book written by Dr. Nicholas K. Leibovic, associate professor of biophysical sciences. Academic Press is the publisher. 0 Dr. J. Rothery Haight, clinical assistant professor of psychiatry, has been elected a Fellow in the American Psychiatric Association. He is also director of the Gowanda State Hospital. 0 Progress in Theoretical Biology (Vol. 2) is a new book written by Dr. Fred Snell, professor of biophysics. 0 70 Dr. Warren E. Hartman, M'31, of Bradford, Pa. died Sept. 19. He was an eye, ear, nose and throat specialist who was associated with Dr. Floyd Hayes. Dr. Hartman was a native of Kansas and served in the Air Force during World War II. He was active in several civic and professional organizations. 0 Dr. Martin E. Tyrrell, M'20, died Sept. 22 in his sleep at his Depew home. The 77-year-old general practitioner had delivered more than 5000 babies in his 53-year career. He was an intern and resident at the E. J. Meyer Memorial Hospital and did graduate work in obstetrics at New York University. Dr. Tyrrell was chief of obstetrics at Mercy Hospital from 1948 to 1953, and remained on the staff until two years ago. He was honored as the Lancaster-Depew area citizen of the year in 1959. In 1969, he was honored by the Depew Village Diamond Jubilee Committee as its outstanding citizen. In 1970, he received the Student Body of Depew High School Award for outstanding service to athletes and students. In 1971, he was honored when the Depew High School football field was co-named for him and Edmund Pawlidozinski. In 1972 the Depew VFW Post No. 463 honored Dr. Tyrrell for his dedication to health and welfare of the people of Depew. He served eight years on the Depew School Board and one term as its president. He was school physician for Depew Public Schools from 1959 to 1972. He was active in several civic and professional organizations, and during World War I he served with the avy. 0 Dr. Nestor Procyk, a clinical assistant professor of psychiatry at the Medical School, died June 30 in Millard Fillmore Hospital after a long illness. He was 60 years old. In 1945 Dr. Procyk began a second life in Munich where he organized the Ukrainian Red Cross and started it on the job of medical and psychological re- THE BUFFALO PHYSICIAN �habilitation of Ukrainian expatriates. This organization is still active in Germany. He was studying medicine at the University of Berlin in 1941 when Hitler's armies invaded the Soviet Union. Dr. Procyk was imprisoned until 1945. In 1949 he earned his medical degree from the Sorbonne. He came to this country in 1950 and to Western ew York two years later as senior psychiatrist at Gowanda State Hospital. In 1954 he went to Buffalo State Hospital as supervising psychiatrist. When the West Seneca State School opened in 1962 he became the first assistant director and since 1970 has directed its education and training programs. Dr. Procyk became an American citizen in 1955. He received many awards including the Captive Nation Proclamation Medal from President Eisenhower in 1959 and the medal for Freedom of Bulgaria in 1968 from exiled King Simeon. Both locally and nationally he was in the forefront to rally support for a new political deal for nations of Eastern Europe and within the Soviet Union . .0 Dr. Madan M. Singh, 49, professor of medicine and attending physician at the E. J. Meyer Memorial Hospital died August 24 after a long illness. He was a specialist in cardiology and general medicine. In 1970 Dr. Singh was a~arded the Padam Vibhoshan Award (best c1hzen of India), that nation's highest civil honor. In 1969 Dr. Singh came to UB as a visiting professor of medicine. After one year he returned to India, and in 1971 returned to Buffalo. Dr. Singh planned to return to India in about 1976 to teach. Born in Belgaon, India, Dr. Singh was a graduate of the Patna Scientific College in India and of the Harvard University Medical School in 1949. After an internship and residency at Ma~sachusetts General Hospital, he was the registrar at Queen's Square Hospital in London for one year. The next year he was on a fellowship at the Boston Hospital and the Harvard Medical School. In 1954 Dr Singh was appointed professor of medicine at the Luknow (India) University Medical School. After seven years he moved to Delhi University, India, as professor of medicine. At that time he served as personal physician to the late Prime Minister Nehru. 0 WINTER, 1973 Dr. John Maisel, who was on the Medical School faculty for 31 years (1938-1969), died Sept. 24. He was 69 years old. After retirement he moved to Phoenix, Ariz., but was visiting relatives in Buffalo when he died. He was an internist on the staff of the Buffalo General Hospital. He was a graduate of Harvard University and the Rush Medical College of Chicago University. 0 Dr. Theodore J. Holmlund, M'29, died July 4 in his Jamestown, N.Y. office. The 68-year-old surgeon was on the staffs of WCA and Jamestown General Hospitals. He was a member of the American Society of Abdominal Surgeons and active in several local, state, and national professional organizations. 0 Dr. James F. Valone, M'13, died July 8. He was 87 years old. Dr. Valone retired in 1969 after practicing for 55 years. He was a pediatrician from 1914 to 1945 and then concentrated on internal medicine until his retirement. Born in Italy, he came to the United States when he was _ seven years old. Dr. Valone's hobby was collecting art treasures and books. He also traveled extensively in Europe, North Africa, Canada, ~nd the United States. In 1963 he was honored for 50 years of service by the New York State Medical Society. He was also active in several other professional organizations. 0 Dr. John Lorenzo, M'31, died August 6 in Millard Fillmore Hospital. The 68-year-old internist had practiced in Ellicottville for 42 years. He was associated with the E. J. Meyer Memorial, Sisters, and Emergency Has pi tals during his professional career. He was active in several professional and civic organizations. 0 Dr. Robert Williams Sr., M'32, died July 14 in the WCA Hospital in Jamestown, N.Y. The 65-year-old physician and surgeon had practiced in Jamestown for 40 years. He had been a school physician since 1933 and on the medical staff of the Corry Hospital in Pennsylvania as well as the WCA and Jamestown General Hospitals. He had been active in civic affairs and in several state and national professional organizations. Dr. Williams served in the Army Medical Corps during World War II. 0 71 �ACAPULCO VACATION February 23 - March 2. 1974 AIRLINE: Air Canada - charter HOTEL: Marriott- twin beds, air conditioned rooms with balcony and bath. COST: $389.00 per person includes full breakfast and lunch or dinner daily, scientific meetings and more, plus $50.00 continuing Education Registration Fee. SCIENTIFIC MEETINGS: Continuing education sessions are being planned which will qualify this trip as TAX DEDUCTIBLE. RESERVATIONS: $100.00 will hold your reservation; the 150 passenger aircraft will be filled on a first-come - first-served basis. Make checks payable to U/B Alumni Association. For further information please contact: MEDICAL ALUMNI AFFAIRS 2211 Main Street- Bldg. E Buffalo, New York 14215 (716) 831-5267 The General Alumni Board- DR. FRANKL. GRAZIANO, D.D.S., '65, President; JAMES J. O'BRIEN, '55, PresidenteJect; GEORGE VOSKERCHIAN, Vice President for Activities; WILLIAM McGARVA, '58, Vice President for Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; DR. GIRARD A. GUGINO, D.D.S., '61, Vice President for Athletics; RICHARD A. RICH, '61, Vice President for Development and Membership; DR. DANIEL T. SZYMONIAK, D.D.S., '47, Vice President for Public Relations; ROBERT E. LIPP, '54, Vice President for Governmental Relations; ERNEST KIEFER, '55, Treasurer; Post Presidents: MORLEY C. TOWNSEND, '45; DR. EDMOND J. GICEWICZ, M'56; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. LAWRENC.E H. GOLDEN, M'46, President; PAULL. WEINMANN, M'54, Vice President; MILFORD C. MALONEY, M'53, Treasurer; JOHN J. O'BRIEN, M'41, Immediate Past-President; MR. DAVID K. MICHAEL, M.S.'68, Secretory. Annual Participating Fund for Medical Education Executive Board for 1973-74 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretory; MAX CHEPLOVE, M'26, Immediate Past-President. 72 THE BUFFALO PHYSICIAN �ALUMNI TOURS Hawaii-February 9-16, 1974 (Saturday-Saturday) $389 plus 13% tax & service, per person double occupancy (single supplement, $80.00) -Departure from New York City & Syracuse -DC-10 Jet to Honolulu & Return -Traditional Hawaiian flower lei greeting -Deluxe accommodations at the Uikai Hotel -American breakfast daily -Dinner each evening (Dine-Around-Plan) at Honolulu's finest restaurants -Sightseeing tour of Honolulu & Mt. Tantalus -Optional tours OTHER TOURS: April19-27 -Rio from Niagara Falls, $549.00 May 10-18 -Majorca from Syracuse & New York City -Copenhagen from New York City July 4-12 For details Write or Call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 First Class Permit No. 5670 Buffalo, N. Y. 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1973 Subject The topic of the resource State University of New York at Buffalo. 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Ways to Support Replantation, A Visit to China by Sherman G. Souther, M'67 Dr. Milch Family Picnic Continuing Education Dr. Strom Automated Hospital Two Appointments Narcotic Addicted Dr. Eccles Indian Health Multiple Sclerosis Grant Cancer Research Health Education School Better Health Care Alcoholism Institute Adolescents Treating Alcoholism Rural Externship Breast Cancer/Dr. Albuquerque Our First Professor of Surgery by O.P. Jones, M.D. The 1977 Class Dutch Consul General Coconut Crabs HMD Pediatrics Clinic Faculty Promotions Community Health Service New Hospital Dr. Kazmierczak Mental Health Center President Ketter Indian Reservation Eaton Laboratories Oxford Sabbatical Hunterian Lecturer Children, Infections Community-University Day Amherst Campus The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-25 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v07n04 Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Extent The size or duration of the resource. 76 p. Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/dca6f99152ed50624357de41604ef8e9.pdf d49fdc5246422fd834dbab0aab8e271e PDF Text Text " �Dr. Edward J. Zimmermann, M'23 Ten Class Reunions April 6,7 Editor's note: Dr. Varco died suddenly in January. Drs. Joseph A. Syracuse and Edward J. Zimmermann ore co-ordinating reunion plans for the 1923 class. Pictures were not available for Dr. Samuel L. Liberman, class of 1938, William H. Georgi, class of 1943 (A) and Dr. Lucien A. Potenza, class of 1958. Dr. J. Curtis Hellriegel, M'33 Dr. Thelma Brock, M'28 Dr. Wolter King, M'2B Ten classes will have reunions during Spring Clinical Days, April 6 and 7. Approximately 600 physicians and their wives are expected to attend the reunion dinners. Mr. David K. Michael, director of medical alumni affairs, is organizing the reunion dinners with the help of the class chairmen pictured here. Dr. Samuel Varco of Buffalo is chairman of the 50 year class reunion. Other living members of this class: (from Buffalo area) Doctors W. Herbert Burwig; Louis H. Chely; Clarence J. Durshordwe; Norman F. Graser; Caryl A. Koch; Joseph A. Syracuse; Edward J. Zimmermann, (from New York State) Carleton W. Bullard, Auburn; William G. Burke, Hicksville; Leon A. Chadwick, Syracuse; Donald W. Cohen, Albany; Charles S. Dale, Elmira; Harry A. LaBurt, Queens Village. (from out-of-state) Harold A. Butman, Vera Beach, Florida; Henry Galantowicz, Detroit, Michigan; Jessie Marmorston, Beverly Hills, California; Chester A. Nordstrom, Franklin, Pennsylvania; Mark C. Ryan, Lake Helen, Florida; Louis A. Siegel, Los Angeles, California; Newton D. Smith, Fort Worth, Texas. 0 Dr. William C. Niesen, M'43 (D) Dr. Daniel J. Fahey, M'48 Dr. Milford C. Moloney, M'53 Dr. Charles S. Tirone. M' 63 �Spring 1973 Volume 7, Number 1 THE BUFFALO PHYSICIAN Published by the School of Medicine, State Uni1·ersity of New York at Buffalo EDITORIAL BOARD IN THIS ISSUE Editor RoBERTS. McGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H . UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. JOHN J. O'BRIEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. CLYDE L. RANDALL Vice President, Univers;ity Foundation JOHN C. CARTER Director of Public Information JAMES DESANTIS Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications PAULL. KANE Vice President for -University Relations DR. A. WESTLEY ROWLAND 9~ IU ~~ · II.): ~it SPRING, 1973 2 4 6 7 8 12 14 15 16 17 18 20 26 27 28 30 31 32 34 35 36 38 41 42 46 47 48 50 51 52 54 55 59 63 64 Class Reunion (inside front cover) Secretory Immunoglobulins Alumni Contributors Acupuncture Dr. Elsaesser/Essay Biochemistry Professor Self Study Health Sciences Library Medical School Mixer Physiology Scholarships Poverty/Growth Alcoholism Institute Health Care Alumni Reception Medical School Blood-Brain Barrier Pediatric Nursing Dr. Tronolone/Dr. Keeney Spring Clinical Days Trophoblastic Neoplasia Center Dr. Rahn/ Alumni Receptions Physicians' Medal Our First Teacher by 0 . P. Jones, M.D. Continuing Education Diabetic Patient Dr. Varco Dies/Pelvic Traction Belt Sound Waves Neonatal Unit Dr. Frawley Mr. Richardson Obesity Clinic Physiology Chairman/New Campus People The Classes In Memoriam Alumni Tours The cover design by Donald Watkins is taken from an old Chinese acupuncture chart. THE BUFFALO PHYSICIAN, Spring 1973- Volume 7, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1973 by The Buffalo Physician. 1 �Dr. Thomas B. Tomasi, Jr. Students at weekly conference with Drs. Raymond Partridge, Toma si (extreme left) and Drs. Thomas Provost, Auer (right). Secretory Immunoglobulins Note: An overview of Secretory Immunoglobulins by Dr. Tomasi was published in The New England Journal of Medi£!r!D Physiology in Medicine section. There is a distinct secretory immune system in man. It may protect man from viral infections by neutralizing or inhibiting virus growth. So says Dr. Thomas B. Tomasi, Jr., whose investigations have shown immunoglobulin levels and types of antibodies in external secretions such as tears, saliva, etc., to be quite different from that of serum. He pointed to immunoglobulin A (IgA) which represents a small fraction of the serum antibodies but is a major species in most external secretions that bathe mucous membranes. Independent regulation of serum and secretory antibody occurs primarily by local synthesis of IgA type antibodies. Therefore, says the professor of medicine, "under conditions of natural infection and immunization, these phenomena may lead to separation of systemic and local mucous membrane immunity." In working out the chemical characteristics as well as transport and biological properties, Dr. Tomasi found synthesis of secretory IgA in plasma cells and secretory component in epithelial cells. "While we now know that it exerts protection or beneficial effect against infections against virus, how secretory immunoglobulins act against bacteria is still fuzzy. For to lyse a bacterium, it is believed that an antibody must have the ability to fix complement, something the IgA, whether in serum or secretory, cannot do." However, IgA may work by cooperating with other nonimmunoglobulin agents produced at the mucosal surface. Or by a new alternate pathway in which complement is implicated in IgAmediated antibacterial reactions. Or perhaps IgA antibodies exert a protective effect by promoting phagocytosis by leukocytes and macrophages. 2 THE BUFFALO PHYSICIAN �Another potentially important function of secretory antibodies may be to limit access of antigens found in external secretions those most commonly ingested in food, milk, and the GI tract. And, as postulated, "if IgA can block allergic reactions, it may be better to desensitize man at the mucosal rather than the systemic level," he said. Secretory antibody probably establishes immunity by preventing colonization of the mucous membrane and therefore prevents both infection and the carrier state. In viral diseases, says Dr. Tomasi, the next logical step is to work out techniques of immunization -to elicit larger amounts of this antibody, perhaps by local applications of the vaccine to the mucous membrane. But, he cautions, in establishing the preferred route of administration of a vaccine -whether parental or local- the level of secretory antibody must be considered. As a group, Dr. Tomasi and other investigators found more recurrent infections among patients with IgA deficiency. But why some individuals with IgA deficiency are normal and others not remains unknown. "What we do know," he said, "is that in the normal ones, IgA is replaced by either immunoglobins M or G. In others, IgA deficiency and recurrent infections are often associated with defects in cellular immunity." Their study of disorders associated with IgA deficiency revealed different clinical syndromes. The mechanisms by which IgA deficiency can lead to multiple clinical syndromes is unknown. However, increased susceptibility to infections with viruses could cause the various diseases. Also imbalances between the secretory and systemic immune system could be involved in some disorders while others could result from a lack of SigA's protective role in preventing absorption of large amounts of nonviable material such as food antigens. Dr. Andrew G. Plaut gets ready to measure chemicals in disulfide reduction of proteins. SPRING, 1973 Dr. Tomasi reviews the data on one of research assistant Dolores Czerwinski 's proiects. Working on assays of SLE patients at the hospital are Drs. Ignatz Auer and Charles Singleton. �Alumni Contributors, 1972 It was not the best of times in which to ask for contributions. Immensely complicated and disturbing issues faced our School of Medicine in 1972. Indeed, a slight downward trend in alumni support nationally would suggest that one did not have to look far if he were searching for reasons not to give. Therefore, we are particularly proud of the following physicians who gave in 1972. Thank you. 1912 1928 Aaron, Abraham H. Markovitz, Julius T. Rickloff, Raymond J. 1915 Hayward, Walter G. Oberkircher, Oscar J. Wells, Herbert E. 1917 Atkins, Leslie J. 1929 Evans, Jay I. Heilbrun, Norman Lockie, L. Maxwell Schamel, John B. Tyner, James D. LaPaglia, Joseph R. Pech, Henry L. 1920 Graczyk, Stephen A. 1921 LeWin, Thurber Ward, Kenneth R. 1923 Koch, Caryl A. Custer, Benjamin S. Heyden, Clarence F. Kanski, James G. Michalek, Leo M. Sanes, Samuel 1931 Bean, Richard B. Boeck, Virgil H. Glick, Arthur W. Godfrey, Joseph D. Heier, Ellwyn E. Naples, Angelo S. Walls, Walter S. 1932 1924 Carr, Roland B. Sanborn, Lee R. Vaughan, Stuart L. * 1925 Kahn, Milton E. Loder, Margaret M. Zick-Unrath, Clara 1926 Cheplove, Max Sanford, James J. Sullivan, Eugene M., Sr. 1927 Berwald, Herbert Funk, Arthur L. Meissner, William W. Murphy, Gerald E. Riwchun, Meyer H. Sklarow, Louis 1939 Arbesman, Carl E. Argue, John F. Kelly, Miles W. Lampka, Victor B. Madsen, Niels G. Magnus, Albert J. Mecklin, Bennie Weig, Clayton G. Cammer, Leonard Fernbach, Paul A.* Fleszar, Frederick J. Gajewski, Matt A. Goldstein, Kenneth Harris, Harold M. Healy, Edward G.* Mogil, Marvin Morelewicz, Henry V. Olmstead, Elizabeth P. Seibel, Roy E. Storms, Robert E. Wesp, Everett H. Winer, Marvin N. 1936 1930 1919 1935 Friedland, Elmer Javert, Carl T. Obletz, Benjamin E. Olszewski, Bronislaus S. Stone, Frederick J. 1933 Ford, William G. Hewitt, Joseph W. Hobbie, Thomas C. Huber, Franklyn A. Milch, Elmer Brundage, Donald Burgeson, Paul A. Cherry, Alfred Crosby, John P. Eschner, Edward G. Fischer, Willard G. Glauber, Jerome J. Greenberg, A vrom M. Hoak, Frank C., Jr. Kriegler, Joseph Lipp, William F. Pellicano, Victor L. 1937 Ambrusko, John Ball, William L. Banas, Charles F. Culver, Gordon J. Koepf, George F. Lipsett, Robert W. MacCallum James D. Mele, Joseph M. Mittlefehldt, Myrton G. Musselman, M. Luther Tranella, Augustus J. Weintraub, David H. White, William F. 1934 Alford, J. Edwin Bove, Emil J. Castiglia, Christy Davidson, David Haight, J. Rothery Kraska, Michael D. LaForge, Harry G. Ridall, Earle G. Weiner, Max B. 4 1938 Catalano, Russell J. Cooper, George M. Kaminski, Chester J. Law, Harry C. Lieberman, Samuel L. Mitchell, Alfred A. Norcross, Bernard M. Straubinger, Clarence A. 1940 Ascher, Julian J. Clinton, Marshall, Jr. Eppers, Edward H. Hubbard, Robert D. Ireland, C. Boyd Montgomery, WarrenR.,Jr. Palanker, Harold Rekate, Albert C. Schauss, James P., Jr. Severson, C. Henry Siegner, Allan W. Stessing, orman G. White, John D. 1941 Cooper, Anthony J. Cryst, John E. Ferrari, Alfred J. Hall, Donald W. Hanavan, Eugene J., Jr. Henrich, Mary I. Kleinman, Harold L. O'Brien, John J. Pierce, Allan A. Radzimski, Eugene H. 1942 Battaglia, Horace L. Bauda, Charles A. Hall, Frank M. Marmolyna, Boris L. "'Deceased THE BUFFALO PHYSICIA �Milazzo, Richard Persse, John D., Jr. Rose, Wilbur S. 1943 Birtch, Paul K. Bloom, Marvin L. Holly, Joseph E. Humphrey, Thomas R. Meyer, Franklin Minkel, Amos J., Jr. O'Gorman, Kevin M. Richards, Charles C. Swarthout, Gertrude S. Tanner, Charles J., Jr. Tederous, Edmund M. Trovata, Louis A. Unher, Morris Wolfgruber, Paul J. 1947 Curtin, Daniel E. Dean, Robert J. Edgecomb, William S. Julian, Peter J. Lippes, Jacob Marchand, Richard J. Nuwer, Donald C. Phillips, James F. Riordan, Daniel J. Sacco, Russell J. Schaefer, Arthur J. Sheffer, John B. 1948 Aquilina, Anthony M. Blodgett, Robert N. Brown, Robert L. Borman, James G. Gallivan, William F., Jr. Good, Raphael S. Gordon, Myron Graff, Harold L. Martin, Ansel R. Paul, Norman L. Richardson, Josephine W. Schiff, Lester H. Sutton, Albert P. 1944 1949 Egan, Richard W. Fountain, Newland W. Frost, Frank T. Graser, Harold P. Hudson, Raymond A. Long, Frank H., Jr. Pietraszek, Casimir F. Potts, William A. Schaer, Sidney M. Strong, Clinton H. Bernhard, Harold Carden, Lawrence M. Cullen, Julia Magerman, Arthur Paroski, Jacqueline L. Shalwitz, Fred Wolfe, Charles J. 1944 Genewich, Joseph· E. Panaro, Victor A. Schwartz, Wilbur S. Simpson, S. Aaron Steiner, Oliver J. Stulberg, Burton Thurn, Roy J. 1953 Atkins, Thomas W. Comerford, Thomas, Jr. David, Joseph S. Handel, John W. Lee, Herbert E. Maloney, Milford C. agel, Richard J. Orr, James M. Rachow, Donald 0. Ruh, Joseph F. Simpkins, Herbert W. Spagna, Anthony A. Ullrich, Reinhold A. 1954 1945 Adler, Richard H. Andaloro, William S. Capraro, Vincent J. Chassin, Norman Cotter, Paul B. Joyce, Herbert E. Laglia, Vito P. Lazarus, Victor C. Longstreth, H. Paul Mcintosh, W. orman Quinlivan, John K. Rogers, William J. III Steinhart, Jacob M. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Allen, John G. Baer, Richard A. Golden, Lawrence H. Howard, Chester S. Levy, Harold J. Marks, Eugene M. Mires, Maynard H., Jr. Tardif, Henry M. Williams, Myron E., Jr. ' SPRING, 1973 1950 Anthone, Roland Anthone, Sidney Bisgeier, George P. Brandl, James J. Cecilia, Carl A. Chambers, Frank, Jr. Dunghe, Adf'llmo P., Jr. Dunn, James C. Heller, Marie H. Leberer, Richard J. Manders, Karl L. Pech, Henry L., Jr. Sikorski, Helen F. Taylor, George E. Tillou, Mary J. 1951 Conrad, Carl R. Glassman, William S. Goldfarb, Allan L. Koukal, Ludwig R. Leslie, Eugene V. Teich, Eugene M. Campo, Joseph L. Cloutier, Louis C. Foley, Robert D. Genner, Byron A. III Haines, Robert W. Hanson, Florence G. Lesswing, Allen L. Lewandowski, Lucille M. Marino, Charles H. Meese, Ernest H. Rayhill, Edward A. Weinmann, Paul L. Wilson, Donald M. 1958 Armenia, John V. Brothman, Melvin M. Campagna, Franklyn Dickson, Robert C. Genco, Michael T. Kane, Leo A. Kunz, Marie L. Mazza, Michael A. Stein, Alfred M. Williams, James S. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baemler, George R. Cole, James M. Houck, John E. oto, Anthony C. Rock, Elton M. Yacht, Donn L. 1960 Abramson, William E. Bernat, Robert Dayer, Roger S. Diesfeld, Gerard J. Graber, Edward J. Harrington, John H. Kanski, James R. Metcalf, Harry L. Rakowski, Daniel A. Tuyn, John A. 1961 Brody, Harold Disraeli, Allen S. Hatch, Richard C. Hewitt, William J. Wilinsky, Howard C. 1962 1955 Franco, Albert A. Gazzo, Frank J. Peterson, John H. Schiavi, Anthony B. Schiferle, Ray G., Jr. Smith, Gerard F. Winter, John A. 1956 Ben-Asher, M. David Dentinger, Mark A. Frey, Donald M. Kunz, Joseph L. Reeber, Erick Reisman, Robert E. Schueler, Carl N. Sklar, Bernard H. Bumbalo, James T. Floccare, Anthony J. Gerbasi, Joseph R. Heilbrun, M. Peter Loree, Paul J. Morey, Philip D. 1963 Bentley, John F. Blake, James R. Burgess, Gordon H. Ehrlich, Frank E. Fanelli, John R. Maggioli, Albert J. Malinov, David N. Narins, Richard B. Spielman, Robert B. 1964 1952 Banas, John J. Baumler, Robert A. Dohn, Donald F. Dyster, Melvin B. Fuhr, Neal W. Gartner, Albert A., Jr. 1957 Beck, Arthur L., Jr. Kij, Joseph F., Jr. Lowe, Charles E. Myers, Robert C. Thorsell, H. Gregory 5 Cherkasky, Paul Hoffman, Walter D. Paterniti, Samuel F. 1965 Verby, Harry D. Waldowski, Donald J. �Alumni Contributors, 1972 1969 Bosu, Sogba K. Cavalieri, James L. II Major, William K., Jr. 1966 Bradley, Thomas W. Klementowski, Kenneth McRonald, Ross E. 1967 Cohen, Arthur Gibbs, John W., Jr. Sheehan, Thomas P. Sosis, Arthur C. 1968 Blase, Barbara A. Cumbo, Thomas J. Dobmeier, Lawrence J. Friedman, Ronald J. Jewel, Kenneth L. Kaplan, Milton P. Kramer, David Shields, John E., Jr. Acupuncture Demonstration 1970 Forden, Roger A. Krauss, Dennis J. Lippmann, Michael L. 1971 Baron, Michael B. Fleigel, Jeffrey D. Handler, Mark S. NON-ALUMNI Alvis, Harry J. Anuntalabhochai, Boonchuay Besseghini, Italo Duszynski, Diana Ferencz, Charlotte Kmiecik, Tadeusz Lippschutz, Eugene Milicevic, Jure Mindell, Eugene R. Udwadia, Rusi Dr. Ting Ching Yuen, a Chinese acupuncturist, demonstrated his art before two interested audiences recently. He gave an afternoon demonstration in Butler Auditorium and an evening demonstration in Diefendorf Hall. Dr. Ting inserted the tiny needles into student volunteers professing a variety of minor ailments. None of the volunteers showed any emotion as he pressed the needles deeper into one of the several hundred points and set them quivering with deft movements of his thumb and index finger. He than capped the needle with a pinch of a moss-like matter which he lit with a cigarette lighter. The matter smouldered, passing a small amount of heat down the needle and deeper into the acupuncture point. Some of the students reported a sensation in a distant part of their body as, Dr. Ting explained, the oscillation of the needle was passed up and down the "meridian" that connects related points. After a few minutes, Dr. Ting withdrew the needles, leaving neither a mark nor a drop of blood to show where they had been inserted. He explained that an actual treatment would require a more involved diagnosis to determine which of the body's five major organs was causing the symptoms. "It's not a miracle or magic. We don't know how or why it works, only that it works." Acupuncture is ineffective in treating bone damage he said. Those and some other cases are referred to conventional physicians. Acupuncture was first practiced about 5,000 years ago with slivers of bone. Research on its use as anaesthesia to accompany surgery was only begun in 1957 and was not generally practiced until1969, according to Dr. Ting. Since graduating from Shanghai Medical College in 1948 and coming to ew York City from Hong Kong two years ago, Dr. Ting said he has successfully treated ailments ranging from colds to paralysis. While he has been caring only for those patients referred to him by a conventional physician, he has had to close his office in the wake of a decision by the State Board of Medicine banning acupuncture in the state except in research institutions by a licensed physician or under his supervision. Dr. Ting is awaiting a reply from the Board on his application for licensure. 0 6 THE BUFFALO PHYSICIA �It is only semi-retirement for a 1927 Medical School graduate. Dr. Arthur G. Elsaesser is continuing his private practice, but retiring from two governmental positions in September. He retired as Erie County Medical Examiner and as examining physician in the Rath County Office Building's first aid office. Dr. Elsaesser had served as medical examiner for 23 years. The 69-year-old physician sees patients during afternoon office hours and two evenings a week. "I want to see enough patients to keep me busy." · As medical examiner Dr. Elsaesser was on call 24 hours a day investigating all accidental deaths, homicides, and unattended natural deaths. He estimates he has investigated about 6,000 cases since 1949. Dr. Elsaesser came across very few 'unsolvable' cases. Occasionally his work led to the court where he was called as a witness. "More homicides and more violent deaths have increased a medical examiner's work in recent years", he said. In 1949 Dr. Elsaesser began work with the County office as a diagnostician, investigating all natural deaths unattended by physicians. His title became medical examiner in 1955 when a staff of three diagnosticians and five examiners were merged. Six years ago he took on duties in the Rath Building's first aid office treating county employees. D Family Medicine Essay An essay, "The Practice of Family Medicine", won $200 for Bruce F. Middendorf, a third year medical student. The Erie County Chapter of the American Academy of Family Physicians created the award. Twelve second year students were recommended by their preceptors as nominees for this recognition. Mr. Middendorf believes "a physician must be a whole man to be happy in his profession and to fully appreciate all of life's gifts he must cultivate an attitude that prepares him to encounter the patient as a whole person. I believe the practice of Family Medicine can provide such an enlightened environment to realize these goals." In his essay Mr. Middendorf went on to say "the practice of family medicine offers much latitude and freedom. I am happiest living in the country. I find it so fundamentally rewarding to learn the individual uniqueness of people, to share in their joys, to be happy in their health, and to help them through their problems. Also the health care needs of such a rural population would best be served by a physician specializing in the practice of family medicine." "Such a setting, fairly close to a university atmosphere, would enable me to easily meet the responsibilities of continuing medical education. Even in the mainstream of family practice not all of these desires may be met, but if a few were, it would be a good life." D SPRI G, 1973 7 Dr. Elsaesser �Dr. Elliott indicates the precipitin line due to the reaction of isolated bee venom phospholipase A. with a bee venom antisera prepared in rabbits. Alternating outer wells show the precipitin lines due to isolated melittin. Biochemistry Professor Has Many Interests 8 TEACHER, SCIE TIST, RESEARCHER, AUTHOR. That sums up the activities of Dr. Willard B. Elliott, professor of biochemistry. About one-half of his time is spent in the classroom lecturing and teaching. The rest of his time is in his spacious lab at the Bell Facility on Elmwood A venue. The Missouri born (Osborn) professor admits he has been interested in science for a long time. All of his education has been slanted in that direction. While working on his master's degree at the State University of Iowa in 1947 he became a half-time research assistant. He joined the UB faculty in 1950 after receiving his Ph.D. from Iowa. Dr. Elliott has personally trained 14 scientists - 10 with Ph.D. degrees and four with master's since 1950 .. In the early 1960's Aaron Taub, a Biology graduate student of Dr. Carl Gans kept trying to interest Dr. Willard Elliott in examining the action of snake venoms on biochemical systems. As a result of his persistence, as well as the cooperation in and support of the snake venom studies by Dr. Gans (currently Professor and Chairman of the Zoology Department, University of Michigan) who provided training in handling and milking of venomous snakes as well as serpentarium facilities, Professor Elliott's research group has studies underway on a number of snake and insect venoms in addition to projects on hemochromogens, oxidative phosphorylation, electron transport reactions, and low temperature spectroscopy techniques. The isolation of bee venom phospholipase A2 by Dr. D. Munjal (now a member of the Boston City Hospital Gastro-Intestinal Research Unit) resulted in identification of a number of bee venom antigens. Dr. Chitra air is continuing the phospholipase A2 research by studying the activity of the enzyme at elevated temperatures. Mr. Shepherd is producing pure components from bee venom which are being used in allergy studies as part of the NIH supported Allergic Disease Research Center Study in collaboration with Drs. Arbesman, Reisman, Wicher, Yurchak, Wypych, Cham and Okazaki. Mrs. Holly Hsiang, graduate student, is starting the fractionation of bumble bee venom. A byproduct of the stinging insect venom research is the collection of hornet and wasp colonies and the trapping of yellow jackets by Scott Denne, an undergraduate summer participant in research. THE BUFFALO PHYSICIAN �Dr. Wayne Gallagher, professor of chemistry, Niagara University, spends his summers as a senior post-doctoral fellow studying the ligand-binding of heme and hematin. Drs. Gallagher and Elliott participated in the April1972 . Y. Academy of Science Conferences on the chemistry of porphyrins. Other studies with heme pigments include Work of Dr. Anant N. Malviya, professor and head, Department of Biochemistry, S. N. Agra College of Medicine, Agra U. P. India, on cyanide reactions with cytochrome c, cooperative projects with Dr. Gordon White, Canada Agriculture Research Unit, London, Ontario on gladiolic acid, an inhibitor of electron transport; Dr. E. Margoliash, Northwestern University on low temperature spectra of cytochrome c, and with Dr. R. Penniall, University of orth Carolina on the synthesis and immunology of cytochrome oxidase. Mr. TsungPing Su, graduate student, is currently studying the changes in cytochrome c caused by gladiolic acid . The diversity of research in the laboratory results from a belief that each graduate student or post-doctoral fellow deserves to have a discrete problem. However, the techniques required are common to a number of the projects and technicians, student and fellows are encouraged to share their expertise with others in the group. A long range goal of the research group is to promote the maximal use of the materials obtained by fractionation of venoms Mr. G. William Shepherd , research technician, and Dr. Elliott examining the record of gel permeation chromatography separation of bee venom components. The components are being used for both allergy research (Buffalo Physician Vol. 6 , No. 4, 1972) as well as biochemical studies. SPRI G, 1973 9 �Dr. Wayne Gallagher examines the absorption spectra of a number of preparations of cytochrome oxidase, the enzyme responsible for utilization of most of the inhaled oxygen. Dr. Elliott teaches regularly. Mrs. Sangita Mehta, research technician, prepares a "disc" gel for enzymoelectrophoresis of tiger snake venom acetylcholinesterase. 10 in order that this natural resource be utilized efficiently. In collaboration with Drs. R. McLean and Dr. E. J. Massaro (Associate Professor of Biochemistry) studies on the isolation and homology of snake venom enzymes were undertaken. Now, Mr. Kumar, a candidate for the Ph.D. degree, has submitted a paper on the isolation of the acetylcholinesterase of banded Krait venom to the European Journal of Biochemistry. Evidence of the immunological identity of the acetylcholinesterases of a number of elapids, resulting from experiments carried out by Mrs. Mehta, was reported by Dr. Elliott at the International Symposium on Plant, Animal and Bacterial Toxins at Darmstadt in September 1972. Other research in the venom area includes studies on a factor in cobra venom that inactivates acetylcholinesterase (with Su-Ray Lee, a graduate student), a factor in tiger snake venom that protects acetylcholinesterase (with Dr. Amrit Rampal) and studies on the cardiatoxin of cobra venoms. Dr. Elliott's professional activities go far beyond the classroom. He is an associate editor of a bi-monthly journal, Preparatory Biochemistry, now in its third year. He has been a biochemical consultant for the Erie County Laboratory and the clinical laboratories at Sisters of Charity Hospital. For several years he has been a regular participant in national and international meetings, and he has authored or co-authored more than 63 articles for professional journals. Writing review articles and a treatise top his 1973 agenda. But Dr. Elliott admits that he will have to restrict his research activities to accomplish this additional writing. Dr. Elliott is interested in young people too. Since 1955 he has been either a scout master or an assistant. Several times a year he takes 15 or 20 boys (including his own five children) on canoe trips in the Adirondacks or in Canada. Stamp collecting and photography are his other hobbies. D THE BUFFALO PHYSICIAN �Mr. Vi jay Kumar is assaying the activity of a true acetylcholinesterase that he has isolated from banded Krait (Bungarus fasciatus) venom. Removal of the venom gland from a bumble bee (Bombus) for use in the separation of venom components. SPRING, 1973 Mrs. Carole Nelson and Dr. Elliott looking at the Distinguished Service Award of the Niagara Frontier Section, Society of Applied Spectroscopy awarded to Dr. Elliott in May of 1972 for his work in low temperature spectroscopy of cytochromes. The walls are lined with immunodiffusion patterns of snake venoms. �Dr. Bishop, Bruce E. Golder, first year dental student, and Richard Giaccio, second year medical student. Self Study Technique "A powerful instructional media." That is the way Dr. Beverly Bishop describes the self-study technique she is using in her neurophysiology classes. The associate professor of physiology is using a variety of audio-visual techniques to make learning easier and more enjoyable for undergraduate and graduate students. Dr. Russell Bessette, instructor in oral medicine in the Dental School, has helped develop these teaching aids. Currently Dr. Bishop is using the selfstudy approach in teaching neurophysiology to dental students. Last fall she used these materials in teaching a university-wide course in neurophysiology. "We are using video tapes, slides, and audio-films, cassettes, with accompanying illustrations to improve our teaching and make it easier for the students to assimilate the large volume of information they are expected to learn," Dr. Bishop said. "We use all of the traditional materials- textbooks, journal articles, a detailed course outline, and a self-assessment book with typical examination questions and answers," Dr. Bishop said. 12 THE BUFFALO PHYSICIAN �For example, her "live lectures" are taped and duplicated onto cassettes which the students may check out at their convenience for instant replay. Students say they use these tapes to resolve disagreements over "what she said." Upon listening to a lecture a second time some students find they glean far more detail, even though they had considered their notetaking adequate. The didactic Monday, Wednesday, and Friday "live lectures" are supplemented with taped lectures and accompanying illustrations. The illustrations are either in a format of 2 x 2 slides or black and white figures in booklet form. These taped lectures are each 15 minutes or less in length with about 20 illustrations per lecture. Cassette recorders with earphones and table-top projectors are provided for the students' use in special conference-study rooms. This is an extremely powerful instructional media because the earphones eliminate all distractions, guaranteeing the student's full attention. In addition the student is receiving information simultaneously over visual and auditory pathways. It is superior to studying from conventional textbooks because the illustrations are in view throughout the time they are being discussed- an impossible situation when one must flip pages back and forth in a book to find and study the figures. "We find these supplemental illustrated lectures extremely helpful since classes have become larger and the students come with more heterogeneous academic backgrounds. This form of selfinstruction media is flexible, effective and most important- helps the student." Dr. Bishop says that much of the material she is using in the neurodentistry class has taken her many years to compile. "I am fully aware that all students are not interested in utilizing all of these materials, but they can pick and choose, selecting those which best fit their individual needs. For those who wish to review a particular aspect of neurophysiology in depth the material is here for them in some visual form." This is the fourth year that Doctors Bishop and Bessette have been working together to prepare teaching materials which demonstrate the importance of neurophysiology to clinical dentistry. By culling the world 's literature they have slowly assembled a comprehensive reprint collection of experimental studies fundamental to neurodentistry. The Health Sciences Librarians have been most cooperative and helpful in this project. Dr. Edward Perl, professor of physiology at the University of North Carolina, Chapel Hill, is using Dr. Bishop's materials to supplement his teaching. He has 110 medical students in his physiology classes. The use of electronic equipment is not new to Dr. Bishop. In the 1960's she introduced closed circuit television into the classroom to display oscilloscope traces to large physiology classes. Dr. Bishop found that when an entire class could simultaneously view identical responses displayed on the oscilloscope it was a great teaching advantage. "If you want to keep your teaching exciting you must innovate. You must find better ways of presenting your material. You must continually analyze yourself and your subject matter. Constructive advice from students helps me to be a better teacher." D SPRI G, 1973 13 �The Tower Residence Hall is the new home for the Health Sciences Library. Health Sciences Library President Robert L. Ketter said that Tower Residence Hall would be assigned as offices for the Schools of Nursing, Health Related Professions, and the Division of Student Affairs. The accreditation team which visited the Medical School in October was critical of the Health Sciences Library space shortage. The Library could not expand in its present location because that area of Capen Hall is not built directly on ground level, but rather on structural pillars that could not support additional weight. The Health Sciences Library will have a new home in 1974. The Tower Residence Hall, a 10-story structure will be converted to library space and offices when the students vacate the building June 1. The Library will have approximately 30,000 square feet of floor space on the grade and first floors, with additional expansion possible on the second floor. The Health Sciences Library currently occupies less than 15,000 square feet in Capen. Since 1952, when the present Capen site was assigned the Library, its resources, staff, users, and programs have tripled. Library director C.K. Huang was pleased with the doubling of space. But he warned, "at the current rate of our growth and the service demands of students and faculty, we will be needing 50,000 square feet of space by 1976, and 70,000 square feet by 1980. Our collection alone grows at a rate of 10,000 volumes a year. "We have 2,100 people using our library every day. This is double what it was two years ago. In addition we have 3,600 interlibrary loan requests per month, twice as many as two years ago. The library not only serves the students and faculty of the five schools -dentistry, medicine, nursing, pharmacy and health related professions- but also the 15,000 health professionals in the 60 hospitals and research institutions in Western New York via the telephone communication system of the Lakes Area Regional Medical Program. Our library has one of the largest and finest current biomedical journal collections in the nation, and serves one of the largest health communities. One-third of the total University faculty is in the Health Sciences," Mr. Huang said. 14 THE BUFFALO PHYSIC! A �The new facility means a considerably pleasanter Library where individual functions can be assigned their own space. That means a much larger main reading room, separate reference room, indexes and abstracts room, current periodical reading area, audio-visual room, history of medicine room, group reading rooms, typing rooms, browsing room, seminar room, conference room, and shipping and storage room. More working space will also be provided for the departments of Circulation, Reserve, Inter-library Loan, SUNY Biomedical Network, MEDLINE, Information Dissemination Service, Serials and Bindery, Cataloging, Acquisitions, and Library Administration. Space is the Library's major problem, Mr. Huang emphasizes, management is not. The Library is providing a good and expanding range of services, Mr. Huang says, thanks largely to a hard-working, service-oriented staff. Mr. Huang gives a long list of examples: the Library performs the highest number of computerized bibliographical searches- over 21,000 last year- of the 22 members of the SUNY Biomedical Communication Network. Computerized Services will expand dramatically in the near future since the Library has been designated a major station of the national biomedical network MEDLINE (MEDLARS ON-LINE), recently established by the National Library of Medicine. The Health Sciences Library is linked with 15 other participating libraries in the SUNY Biomedical Communications Network. In-house services are also good, Mr. Huang says. For example, Library users can have materials from the collection duplicated free of charge. This free copy service costs some $30,000 a year, but makes possible minimal duplication of the collection and probably prevents a good deal of vandalism and pilferage. The move to Tower will mean that the current level of service, which Mr. Huang characterizes as close to excellent, can be maintained. How adequate Tower will be three or four years from now is another question. As one of the librarians said, in the information storage and dissemination business, "You have to keep running just to stay where you are." 0 School of Medicine Mixer The first Annual School of Medicine Mixer (the students have more aptly called it a Bash in their publicity) has been tentatively planned for the Hearthstone Manor, April 13. The "Bash" is a long-overdue attempt to bring together the common elements of the Buffalo medical community. Triggered by the students and planned with the cooperation of the Medical Alumni Association, invitations for cocktails and a buffet supper will be sent to the faculty, administration, students and alumni. Mark your calendars! 0 SPRING, 1973 15 The Library's single space acquisition has been 6,000 square feet in the Bell plant, where one-third of the Library's collection - some 40,000 volumes are stored. These will remain at the Bell plant. The South Campus on Main Street will eventually be devoted to the Health Sciences, under a plan announced in 1970. President Ketter said that because the University is accepting federal funding to expand enrollment in the health sciences, the need for space for these programs is particularly critical. Another possible conversion of facilities would expand the University Health Service from the small portion of Michael Residence Hall (which it now occupies) to all or most of that building. �Mr. Pendergast, Dr. Lanphier New Physiology Scholarships The Wallace 0. Fenn Fund for Environmental Studies received $16,000 from the Council for National Cooperation in Aquatics for four research scholarships, according to Dr. Edward H. Lanphier, associate professor of physiology at the Medical School. Mr. David Pendergast, an instructor and post-doctoral fellow, received the first $4,000 CNCA scholarship in November at the International Aquatic Conference in Quebec City. Mr. Pendergast's research for his dissertation concerns the "energetics of swimming," conducted in the new ring-pool in the Environmental Physiology Laboratory. The Fenn Fund was established in 1971 to commemorate the life work and example of Wallace 0. Fenn, distinguished university professor of physiology, The University of Rochester School of Medicine and Dentistry, and visiting professor of physiology at U.B., 1959-60. Dr. Fenn died on September 20, 1971, after a long and active career that included contributions to many aspects of physiological science. The fund is intended to foster the growth of knowledge concerning the physiological effects of the physical environment, including its influence upon man's capacity for muscular exertion. The fund was instituted with an initial contribution by a member of the department of physiology, with the expectation that additional sources of income would materialize from various non-government contributors for the support of research in this field. The fund is administered by the University of Buffalo Foundation, Inc. Contributions should be made payable to the foundation and may be sent to the physiology department. D 16 THE BUFFALO PHYSICIAN �Poverty I Growth The worse the social conditions or poverty of the mother, the smaller or more stunted the child. Dr. Herbert G. Birch went on to prove this at a symposium on Community Health- What is it? sponsored by the departments of pediatrics and social/preventive medicine. He reviewed investigations on the more isolated ethnic groups of Italians and Jews as well as Guatamalan and Mexican villages at nutritional risk. And he found that poverty creates subcircumstances that lead to a high percentage of intrauterine low birth weights, malnutrition in certain segments of the population, and the later risk of school failure, lower intellectual level, neurological muscular disorder, as well as neonatal problems. Warned the research professor of pediatrics at Albert Einstein College of Medicine, "a child at social risk is placed at health risk as a consequence of developmental opportunities before birth. In humans, malnutrition is most concerned with intrauterine life (up to age seven months) when all of the neurons (cell division that produces cells) have been produced, and postnatal life up to P/2 years when all of the glia (nerve cement, basic metabolic function of nervous system) has rapidly developed, and ages 4 and 5 when the nervous system is elaborating processes of each nerve growing, establishing connections and interrelation's in its dense network to permit complex information processing. In the animal, even if stunted offspring subsequently grow up under good conditions, it takes a minimum of two generations to overcome the·intergenerational effects of malnutrition, a feature contributing to poverty which begets poverty. Therefore, warned the investigator, nutrition, as a girl, affects productive capacity as a woman. And growth of the stunted child's potential, so desirable in health, is hindered. Attesting to the importance of diet was a study of working women during the second world war days in Great Britain when rationing resulted in higher protein diets. Despite a shortage of medical staff, babies were born bigger, infant mortality was lower, and maternity deaths were reduced. Pointed out Dr. Birch, author of the book, "Disadvantaged Children", nutrition and general health are not democratically distributed in the community. "Even though recipients have certain of these phenomena that take a long time to be fully effectuate, there is no reason to delay improvement of such a program. You are the being of what you eat." 0 SPRI G, 19 73 17 Dr. M. Luther Musselman has been appointed assistant dean for admissions at the School of Medicine. Dr. Musselman, a 1937 Medical School graduate, has been on the faculty since 1947. He is also a clinical associate professor of medicine and assistant director of the University Health Service. During World War II Dr. Musselman was a Major in the United States Army. From 1942 to 1946 he served in North Africa, Europe, Japan and the Philippines. 0 �Alcoholism Institute Mr. Richardson , Dr. Smith THE RESEARCH INSTITUTE ON ALCOHOUSM, headed by Dr. Cedric M. Smith, professor and chairman of the pharmacology department of the Medical School, has a new home. The former Federal Office Building and garage on Main and North Street is now owned by the New York State Department of Mental Hygiene. In a special ceremony on November 2 at the Albright Knox Art Gallery, HEW Secretary Elliot L. Richardson turned the deed to the building over to Dr. Smith. The HEW Secretary made two other property transfers- the U.S. Army Reserve Center in Amherst, now owned by the Town of Amherst; and the Nike missile battery in the Town of Lancaster, now owned by the Board of Cooperative Educational Services. The Cabinet officer described the program as "swords into plowshares," and said the transfers result from an executive order from President Nixon to all federal agencies to divest themselves of all property no longer needed by returning them to the public. In the last three years New York State has received $3.5 million in federal property under the plan. The state's Department of Mental Hygiene intends to use the old five-story federal building for its programs on prevention and treatment of alcoholism. Some drug abuse research will also be done. The building was constructed 25 years ago for $340,000 and is now valued at $700,000. The Research Institute on Alcoholism was announced in 1970. At one time it was reported to be in line for an initial budget of $6 million and a staff of 400. Then came the "freeze" on State funds and the development of the University's Health Sciences construction program. Dr. Smith, with deed in hand, said "this marks the beginning of the dreams of many dedicated people in the State, in Buffalo, and at the University. We are prepared to start in a small way and we now have a nucleus of a staff working. But we must have continued community and governmental support." In his acceptance Dr. Smith mentioned that "the Citizens' Committee on the Problems of Alcohol of the State of New York and the Advisory Council on Alcoholism of the New York State Department of Mental Hygiene have been engaged for more than 10 years in seeking solutions to the problems posed by alcohol abuse and alcoholism. These groups early realized, as the result of their diligent study and consultation with numerous experts, that further research was required to gain new knowledge to identify the causes of alcoholism, to prevent its occurrence and to treat those afflicted effectively. They developed concise plans for a research effort closely allied on the one hand to individuals with the greatest research competence and, on the other hand, to those providing prevention and treatment. Buffalo and the University was selected as the site of the State's establishment of a Research Institute whose mandate spanned from basic research directed to long-term goals to the solution of currently pressing problems." The Buffalo area, Dr. Smith's text pointed out, "has great strengths in terms of expertise." He cited Dr. Marvin Block, an internationally-renown expert on alcoholism; Mrs. John R. Campbell, chairman, Citizens' Committee on the Problems of Alcohol; the Buffalo Area Council on Alcoholism; and the Alcoholism Service of the Department of Mental Health of Erie County. 18 THE BUFFALO PHYSICIAN �The former Federal Office building is the new home for the Research Institute on Alcoholism. Dr. Smith went on to say "the University has a truly remarkable group of faculty with specialized expertise applicable to studies of alcohol and related drug abuse problems - the questions of the molecular-chemical actions of alcohol, the origins of dependency, the social impact and interaction with the behavioral problems of alcoholism, and it has the potential ability to resolve the questions of the optimal delivery of prevention, detection, and care services." The State, through the Department of Mental Hygiene, has expressed its support of the Institute in principle and in fact, Dr. Smith said, so has the Federal government. "These various levels of our society are meshed together in an effective partnership that, if continued, will foresee the development of new knowledge and skills useful, not only directly to our community, but the State and nation." The Alcoholism Research Institute will share its new building with programs of the Public Health Laboratory of Erie County and with the vocational training and rehabilitation efforts of Opportunities Industrial Corporation. The latter, Dr. Smith said, is an outreach program which "will add significantly to aftercare for patients in the alcohol and drug clinics at the Buffalo General Hospital, at the Meyer Hospital, and those under the Buffalo Area Council on Alcoholism's purview." In addition, he indicated, the Research Institute hopes to develop a follow-up clinic and sheltered workshop in the building in cooperation with the Erie County Alcoholism Service. 0 SPRING, 1973 19 �Health Care Improvement "The next Congress will probably pass some form of National Health Insurance." AcADEMIC MEDICAL SCIENTISTS, educators and students were challenged by their own colleagues, politicians and others to co-operate in improving health care in America during the 83rd annual meeting of the Association of American Medical Colleges in Miami Beach in November. More than 3,200 registered for the five-day event that had 150 separate meetings. It was the largest attendance in the history of the AAMC. "Discoveries that scientists make in their laboratories must be converted more quickly into treatment for the suffering," according to Congressman Paul Rodgers, Florida Democrat. The Chairman of the House Subcommittee on Public Health and Environment went on to say that "the new research" is the principal link in the new health picture that is developing in this country. "Overall public support for research will increase and the Federal research effort will remain within the framework of the National Institutes of Health." Congressman Rodgers declared, "new education is the second link in the new health picture. The public needs new kinds of physicians willing to attack the health needs of a total population. Physicians must be committed to prevention of disease as well as cure. Physicians must be concerned with socio-medical problems such as malnutrition, alcoholism and drug abuse. Academic health sciences centers must provide settings in which multiple roles are being learned and understood as part of a total health effort designed to meet the needs of patients and society." The Congressman spoke of the development of HMO's as a new health service. "Access to adequate health care must be made certain and simple. The impact of new health services will be felt in every one of the nation's academic health centers. The teaching hospitals will be expected to perform a dual role." Senator Edward M. Kennedy told the educators "we are on the verge of national health insurance, the fourth profound reform in health care since 1900. In the past, reforms have been forced on medical education and the medical profession from without. I am asking you not to let this happen again. I am asking you to participate in that reform, to help lead it, to help perfect it. If you and your colleagues in private practice do not participate the choice that has to be made will be made by others and they may approach the problem with less insight and different motivation." The Massachusetts Senator predicted that the next Congress would pass a comprehensive program of national health insurance. "Chairman Wilbur Mills and I plan to jointly introduce such legislation early in 1973, and Chairman Mills has given it a high priority, second only to tax reform. "National health insurance will force many changes in the health care industry. The changes will affect the way your graduates practice medicine and the way academic health centers educate health professionals of the future. "National health insurance is more than just a financing mechanism. It is a lever with which to reform all aspects of the health care industry, including medical education. And it is a lever which will be used. I am asking you to prepare to use that lever, to participate 20 THE BUFFALO PHYSICIAN �vigorously in the restructuring and reform which is now inevitable. The financing lever will be used to focus the health delivery system on health maintenance. We need you to help us define what that term means and to develop positive status indicators. If we are to succeed, and if we are to pass programs rather than ideas, then we will need your active participation." Senator Kennedy went on to say that he still believes this nation must have a basic biomedical research program second to none and that the shape and content of this program should come from the research community. "The Federal government must free the academic centers from their concern about short term fiscal crises and must provide continued support for school construction and modernization. "There is still a serious health manpower shortage in this country reflected in our annual import of thousands of foreign medical graduates to fill hospital vacancies and yet still consistently leave one-fourth of those positions unfilled. In 1970, 3,000 foreign medical graduates came to this country for internships, depriving their home lands of a vital resource. And yet, that same year, 13,500 applicants were turned away from medical schools in this country; and our schools graduated only 8,000 physicians to fill the 15,000 internships." The Alan Gregg Memorial Lecturer told the audience that "the health sciences are now the most important single part of all of higher education in the United States." Clark Kerr, chairman of the Carnegie Commission on Higher Education pointed out that "our greatest center of growth is the health sciences. No longer is the medical school a place set apart, tied more to its profession than to its university." Mr. Kerr referred to Adam Smith, who almost two centuries ago in the Wealth of Nations said that the real wealth of a nation was not its physical resources or its accumulated capital but the "skill, dexterity, and judgment" of its labor. A study of development around the world has concluded that the two factors most closely related to growth in human productivity are more education and better health, according to Mr. Kerr. "We now invest more in human capital formation than we do in physical capital. Man himself is increasingly recognized as the greatest wealth of the nation. Our capitalistic society is thus becoming more a humanistic society in terms of where the greater investments are made. "Advancement on human capability is heavily related to expenditures on health, on education, on research and development. In 1955 we were spending a total of 11 per cent of our GNP on these three areas combined. Today the figure is 17 per cent and if the trends continue by 1980 we will be spending 27 per cent of our GNP in these three areas. "Only one major area in the United States - health care is experiencing a deficit of skilled personnel. This current deficit may be the last major deficit of skilled personnel ever to occur in the history of the United States. It will be largely eliminated by 1980. SPRING, 1973 21 "Is the department the only and most appropriate basic organizational unit to accomplish undergraduate professional education, graduate medical and academic education, basic clinical and health services research, patient care and continuing education?" "Manpower needs in the health area are great; and so is student interest because of job opportunities and the attractive service aspects to health care." �"The health sciences are now more at the center of the further spread of science within higher education than is any other major field of endeavor. They are one of the major coalescing centers for intellectual activity in modern America. They draw together more strands of scientific endeavor than does any other single segment of higher education. They are a particularly dynamic focal point for the discovery of new knowledge. Only the study of ecology now seems likely to compete for this central role. "You have gone a very long way indeed since Alan Gregg said 'so much more might be done than is being done,' but you have a long way to go in further enlarging individual human capability, which is the end goal of our nation and of all democratic societies,'' Mr. Kerr concluded. "This country does not now have, and never has had a comprehensive national health policy." "If there are to be positive changes in our health delivery system, there must be concurrent change in our system of educating health professionals." "Medical centers should try out some of the quality assurance mechanisms being proposed by various groups." The President of the Institute of Medicine pointed out that we are witnessing a gradual transition from a society oriented toward the treatment of specific diseases and episodic illnesses to a society oriented toward the maintenance of good health. Dr. John R. Hogness said "much greater emphasis is being placed on comprehensive health care, on the prevention of disease and the treatment of chronic illness, on nutritional and environmental factors as they affect health." "One of the major incongruities in the health field today is that our educational system remains fragmented and disjointed. We have spent time and energy keeping students of medicine, nursing, dentistry, pharmacy, the allied health professions and others, apart from each other. We have tended to isolate them, and to train them separately. The curriculum for the students in each of these professions is generally designed by the members of that profession and usually without much regard for, or knowledge of, the curriculum provided students in other professions. "The call is not for a merging of professions, but rather, for greater interplay among those preparing for health-related occupations so that when faced with responsibility for providing a service, they will function effectively together. What is required is an enlargement of professional outlook, an awareness of the contributions to be made by other professionals, and an ability to work in partnership with them. "Leadership in establishing a national health manpower policy should come from the academic sciences centers. This policy should provide a sense of direction, now lacking, for those engaged in preparing the practitioners of the future,'' Dr. Hogness concluded. "The Federal government has become the dominant influence on governance in academic health centers,'' according to Dr. Philip R. Lee, professor of social medicine at the University of California Medical School, San Francisco. "Today probably over 100 different Federal programs have an impact on academic health sciences centers." Dr. Lee reviewed the growth of the health sciences centers over the last 25 years. "Governance used to be determined by the faculty, 22 THE BUFFALO PHYSICIAN �but today there are many external influences including alumni, donors, accrediting bodies, professional associations, neighbors and government. Internal influences include students and staff. "There are 55 institutions in the United States that I would describe as academic health sciences centers. All include medical schools. All but one include teaching hospitals under the control of the medical school, 44 include dental schools, 19 include nursing schools, 12 include pharmacy schools and a few include veterinary medical schools and schools of allied health professions. The academic health sciences center has become a multifaceted enterprise with a great many constituents. Students must be given greater opportunities to participate in governance. "Small wonder that governance is complex, perplexing and at times impossible under such circumstances. Who could possibly have planned such an institution, much less administer it? "The department is the unique feature of American higher education. It has proved to be one of the keys to the successful adaptation of professional schools and academic health science centers to the enormous demands of the past 25 years. The job of the department chairman has become increasingly complex and challenging." In conclusion Dr. Lee said "money or the lack of it will play an increasingly important role in decisions, and the challenges of the next decade will equal any of the past 25 years. ' "Health care is not the only domestic priority in this nation, and pumping more money into the health care delivery system and its educational process may not be the only way to improve the level of health in America." That is what Dr. Merlin K. DuVal, assistant secretary for health and scientific affairs at HEW told the AAMC delegates. (Several weeks ago Dr. DuVal returned to the University of Arizona as vice president for the health sciences). "Medical schools have received $1,083,740,000 since direct Federal aid to medical education began in 1964. You must find some way to justify the return the pubiic is getting from this large health investment. The public is asking why it should put taxpayer dollars into a training program that will train specialists who can move from research into practice any time they wish and earn $100,000 a year? "The government accounting office, the watchdog agency of the Congress, has just asked HEW to start obtaining more detailed reporting from you on the way in which you spend public funds. The time has come when you will be held more accountable for these funds. Consumers want to be partners in the decision making. "Public policy makers are asking questions such as: which is more beneficial to our nation- $100,000 spent to operate a coronary care unit in a hospital, or to purchase health insurance for 166 families? Or to teach young mothers in the ghetto about nutrition? Or to develop a high protein vegetable product? ''You are now by your own petition a national resource. National resources must be responsive -not universally responsive -but appropriately responsive. If your reaction is to mobilize your defenses, you won't win the game. What we ask, from within government is that you display your leadership -not just superb adminisSPRING, 1973 23 "Health issues have achieved political status that will increasingly affect academic health sciences centers and the Federal government will be increasingly involved." "Is confrontation to replace consensus as a major factor in decision making in academic health science centers?" "Medical centers must help develop an effective role for the consumer of health care. Consumers want to be partners in the decision making." �During the 92nd Congress 24,023 measures were introduced, of which over 2,600 were of interest to the health field. "We are seeking a new style for the education of the physician." "Physicians do not fulfill their duty unless they discover the peculiarities of each patient. Their success depends not only on their knowledge, but also on their ability to grasp the characteristics which make each human an individual." "To design a regional health sciences consortium without a university hospital is to design a regional power grid without the generator." tration. We ask for reasonable consistency between the goals you select for yourselves, and those that are being selected by the society that pays your bills. And if change is upon us, we ask that you accommodate- appropriately- but without sacrificing the institutional integrity and stability that are the hall marks of a free and productive society," Dr. DuVal concluded. The dean and director of the New York University Medical Center pointed out that we should not let consequences take the place of purposes in medical education. Dr. Ivan L. Bennett, Jr. listed six broad objectives that he believes represent what medical education is all about: integrity, intellectual ability, capacity for work, commonsense and judgment, a faculty for ascertaining the truth and the acquisition of knowledge. The dean went on to say that there are many other sub-objectives and narrower, specific goals that should be encompassed in planning the education of physicians. "I have labored over these major objectives at some length only because I have the inescapable feeling that many current trends in medical education, externally and internally generated, have come into being in virtual disregard of a set of overall objectives. If we continue to approach the future only in terms of present trends rather than in terms of objectives, the consequence will be a future that is a mere extension of the present rather than a solution for the present. "What we are seeking, I believe, is a style for the education of the physician, a style that will relink humanistic studies, the basic sciences, and the clinical specialties and subspecialties of our profession and others; that will meld premedical, undergraduate, and post-graduate experience into a continuum of learning so that medical education is not just an aggregation of puddles dotting the academic landscape, but a system in which current flow, merge, and again diverge, replenishing and enriching one another and the social soil with which they come in contact," Dr. Bennett concluded. "The final test of a system of education is the degree to which its graduates can meet the needs of the people they serve. For the health professions, this test is met when the numbers, kinds and attitudes of health workers are sufficient to make the fullest measure of health available to every citizen. We are far from meeting this test today," according to Dr. Edmund D. Pellegrino, vice president for health sciences and director of the center at the State University of New York at Stony Brook. "The primary locus of responsibility for remedying this disjunction rests clearly with the nation's academic health sciences centers. Their enormous potential has yet to be harnessed to the urgent needs for better planning and delivery of health care and quicker application of new knowledge. The University hospital must be a partner in this venture. It is essential to the formation of a really effective health sciences regional consortium. It provides the specialized technological back-up and the specialized health workers who complete the 24 THE BUFFALO PHYSICIAN �total spectrum of care that should be available to every community. The university hospital will continue to be the place to train subspecialists and academic clinicians, who will always be needed in meeting the total health needs of a region. "We would be naive if we interpreted the current public mood of disaffection to mean it will forego the accrued benefits of scientific medicine. What it seeks is a better balance between the effort dedicated to research and the training of specialists and that devoted to training manpower for the larger volume of ordinary human illness." Dr. Pellegrino concluded. Academic medical scientists and educators were challenged by a colleague to recognize their own inability to solve some of the most crucial health problems in America today without the help of the best scholars in such non-medical fields as law, economics, business administration and engineering. Dr. Howard H. Hiatt, dean of the faculty of public health at Harvard, declared that academic health centers' neglect of social and environmental factors is partly responsible for the unsatisfactory state of the nation's health. Dr. Hiatt called for "multiple bridges" between the health sciences and a variety of other groups in universities. He pointed out that "some of the brightest young people" are eager to face the health challenge confronting society. He said they should be offered training, not only as physicians and biological scientists, but also as "new kinds of professionals" with broad expertise in more than one of the disciplines required to cope with the complexities of health problems. Dr. Hiatt called for input from a wide variety of disciplines, "including economics, public policy, sociology, business management, statistics, decision theory, education, engineering, law and ethics." To insure participation of these disciplines in a comprehensive approach to health problems, he point~d out, "new kinds of people must be trained, and new .institutional arrangements will be required." The latter, Dr. Hiatt noted, would include "joint appointments and joint degree programs to build strong, constantly used bridges between the health center and other parts of the university ... our challenge," he declared, "is to meet the needs for coordination rather than duplication and for sufficient flexibility to permit quality rather than convenience to determine where a given research activity will be carried out." The AAMC chairman declared, "the ferment of health has its roots among the people of America. The vocalization of their discontent is growing and their discontent is basic. They want excellent health care. They want it when they need it, where they need it. They want it comprehensive and reasonable." Dr. Russell A. Nelson, president emeritus, The Johns Hopkins Hospital, went on to say, "this concern is reflected in Congress. Our national legislators know the mood of their constituents. And they are responding- slowly, but responding- in a way that ' SPRING, 1973 25 "There must be a public education program designed to assure an ongoing dialogue between medical faculties and society so society can set intelligent priorities based on reasonable expectations rather than on hope." �"National health insurance is close. The AAMC will have a significant voice in what happens on the Washington scene and in shaping future health legislation." "A Cabinet level department of health is needed to administer federal health programs and evaluate the nation's health." ultimately will satisfy the basic demands of the people. And for the academic medical centers, the implications of these changes are enormous." Dr. Nelson assured the educators "that we are ready. Developments in Washington are expected to become extremely important in 1973. We are organized to have a voice in what happens. Clearly, we can expect to shape not only our own future, but to influence the shape of the national health system which will emerge." The outgoing chairman explained AAMC's new policy on graduate medical education "as a continuum and that the academic planning must not be artificially separated from undergraduate education. Since graduate medical education is one of the most important elements in the making of a physician, we have agreed that universities must take responsibility for house staff education." Dr. Nelson went on to say that there are several unsolved problems: -the trend to lengthen graduate medical education; -the financing of graduate medical education; -increasing specialization at the expense of clinical training for primary care; -the maldistribution of specialists; Dr. Nelson concluded by making another plea for a cabinet level department of health. 0 Alumni Reception A total of 23 alumni, wives and Medical School faculty attended the Association of American Medical Colleges alumni reception at the Doral Hotel, Miami Beach, Florida on November 3rd. Doctors Thomas G. Cummiskey, assistant dean of the School of Medicine, and Eugene J. Lippschutz, associate vice president, Health Sciences Faculty, co-hosted the reception. Those attending were: Doctors Harry J. and Mrs. Alvis, Buffalo (faculty); Donald Becker, Buffalo (faculty); Rosarie R. Bender, M'20, Fort Lauderdale, Florida; Thomas G. Cummiskey, M'58, Buffalo; Hilliard and Mrs. Jason, M'58, East Lansing, Michigan; Wallace A. Knight, M'57, Boco Raton, Florida; Harvey Liebeskind, M'63, North Miami Beach; Eugene J. Lippschutz, Buffalo (faculty); Charles and Mrs. Lowe, M'57, Hollywood, Florida; Luther Musselman, M'37, Buffalo; Albert C. and Mrs. Rekate, M'40, Buffalo; John Richert, Buffalo (faculty); John G. and Mrs. Robinson, M'45, Buffalo; S. Mouchley and Mrs. Small, Buffalo (faculty); (Mr.) James and Mrs. Thayer, Buffalo (faculty); James T. Webber, M'72, Miami. 0 26 THE BUFFALO PHYSICIA �"We expect the Medical School to be ranked among the top ten in the nation.'' In addressing the 8th District Medical Society recently, President Robert L. Ketter listed other short-term goals as appointments of a new Dean of the Medical School, a new Vice President for the Health Sciences, and improved health care delivery systems. "These decisions will have a medical impact in Western New York. But these new directions in· no way abrogate the traditional impact we have had in the past." Dr. Ketter believes that a state such as New York should have at least one of its public medical schools ranked among the top ten in the nation. "The University is prepared to make that its goal. Our hope is that the State is equally prepared. In any event, we will do our best to aid in their preparation. Enrollment figures provide a strong argument in our favor. The total credit course (headcount) enrollment in the State's four health sciences centers in the fall of 1971 was 4,537. Of these students, 2,065 were enrolled at Buffalo. In other words, our enrollment nearly equaled that of the three other centers combined, and it was 825 higher than the second largest center. "Health manpower - physicians, dentists, nurses, and many different allied health personnel - will continue to be needed; and we will continue the teaching and training which has produced these persons in past years. In research, we cannot pretend that we will be able to dispense with bio-medical investigations. We will have to give increased attention to prevention and to the influence of environmental and social factors in the health of the individual. As for public service, the health sciences have always been the most prominent part of the University community, and this tradition will be continued." President Ketter mentioned the year-long self-evaluation study and the accreditation visit by the Middle States Association of Colleges and Secondary Schools. The medical and health sciences accreditation team was highly critical of th~ small space available for the Health Sciences Library. The team was also critical of the wide dispersal of facilities used by the School of Health Related Professions, the School of Nursing and the basic science departments. "The University is moving as forcefully as possible to alleviate these space needs." The University President mentioned the recent lease-back arrangement with Children's Hospital for space to be used for teaching purposes. "This type of arrangement may be expected with two or three of the other affiliated hospitals. It represents another aspect of the University's determination to provide adequate facilities in the health sciences." In conclusion President Ketter said, "the University regards itself as a public trust. As such, we must be responsive to the needs of those who have created and who support us. One of the most widely agreed upon of those needs at this moment in our history is to create a system of health care which is readily available to all citizens; one which is not just effective in treating illnesses~ but in preventing it as well; and one which is sensitive to the value of human dignity. The University intends to respond to this need. And that will be our impact upon medicine in Western New York in the years immediately ahead." 0 . SPRING, 1973 27 Top Ranking For Medical School �Blood-Brain Barrier, Cerebral Air Embolism Dr. Lee Why can a blood-brain barrier be broken down by cerebral air embolism? In a paper presented by Dr. Joseph C. Lee (professor of anatomy and research associate professor of neurosurgery) at the International Symposium on Cerebral Air Embolism, he reported on its unique effects on the blood-brain barrier as demonstrated in experiments that he, Drs. T. Broman (Sweden) and Louis Bakay (professor of surgery and head, division of neurosurgery) have carried on over the past quarter century on simple or complicated ischemia and various types of hypoxia. When the noted anatomist and Dr. J. Olszewski (Toronto) more than a decade ago injected air into the common carotid artery of cats and rabbits and used I- 131 albumin or trypan blue as tracers, they found that these normally-excluded substances were able to cross the blood-brain barrier in cats while only trypan blue could enter the rabbit's brain after air embolism. Breaking down the barrier mainly in the gray matter- especially the cerebral cortex, thalamus, corpus striatum - its effect peaked during the first hour, to decline rapidly following air embolism over the next four. After peaking, the tracer spread from gray to white matter, indicating a cerebral edema. But there were no necrotic changes in the brain parenchyma, a usual sequela of ischemia. How to explain why air embolism breaks down the blood-brain barrier? If a result of mechanical damage to tunica intima, then Dr. Lee felt the same result could be reproduced by injecting other gases or agents. He found carbon dioxide to be less effective than oxygen and nitrogen more so than air embolism in breaking down the barrier. By injecting ethyl alcohol in the arterial system of identical animal species, he was able to induce increased permeability in the cerebral vessels for the longer-lasting effects of the tracers- more intense radioactivity, a more pronounced blue in the thalamus, hypothalamus and amygdaloid nuclei than in the cerebral cortex, and with the albumin solution entering the brain of both cat and rabbit. Because air embolism involves transient ischemia, seizures, and hypertension, Drs. Lee and Olszewski then tested the effects of each. To produce cerebral ischemia, a common carotid artery was ligated in their animal model for one to 24 hours prior to intravenous injection of albumin solution. Autoradiographs revealed a faint radioactivity in the gray matter of cerebral hemisphere of the ligature side. When this condition was combined by Dr. S. Levine (New York City) with that of respiratory anoxia, its pattern of barrier breakdown was similar to that of air embolism, but with a longer-lasting effect, a more intensive radioactivity and with necrotic changes always found by Dr. Lee in the brain parenchyma. Seizures were then induced in the animal models by electroshock to break down the barrier for albumin. Its pattern was found by Drs. Lee and Olszewski to differ from that of air embolism. Drs. P. Kung (Los Angeles), Lee, and Bakay then produced cerebral hypertension through intermittant compressions of descending air. Its effects were comparable to simple ischemia but differed from air embolism. But would either respiratory anoxia or hypoxia exert the same effect on the blood brain barrier as carotid air embolism? Drs. Bakay and Lee then used an artificial respiratory to reduce respiratory rates. By simultaneous reduction of air pressure they induced cerebral 28 THE BUFFALO PHYSICIAN �Students, faculty a nd community neighbors co-operated in the recycling of Christmas trees on campus Janu a ry 6 a nd 7. Th e volunteer project was sponsored by the UB Community Advisory Council. Approxima tely 10,000 trees were brought to the campus, run through ch ippers a nd turned into mulch fo r gard ens. hypoxia in cats. The acute hypoventilation that ensued showed dramatic changes in levels of blood gases, to such that hypoxia was accompanied by hypercapnia. While such hypercapnic hypoxia did increase the permeability of the blood-brain barrier in the gray matter for radioactive sodium and potassium, Drs. Bakay and Bendixen (Boston) did not find it to be the case for the protein tracers. But in later investigations Drs. Bakay and Lee found that hypoxia with acidosis produced intracellular edema in the gray matter, and intra- and extracellular edema in the white matter. But is pure hypoxia or hypercapnia the villain in the effect of hypercapnic hypoxia on blood-brain barriers? Drs. Lee, Olszewski and later Drs. Bakay and Lee then induced pure hypercapnia in their animal models by inhalation of a special gas mixture at normal respiratory rate and pressure for one to six hours. Dramatic changes in blood gas levels followed. The effect of this condition on the barrier's permeability for radioactive sodium and potassium was much milder than revealed by Drs. Bakay and Bendixen in hypercapnic hypoxia or by Drs. Lee and Olszewski for albumin solution. Using the same procedure, pure hypoxia in cats were induced by Drs. Bakay and Lee. Its effect on the blood-brain barrier was imperceptible. Even water content of the white matter remained unchanged. While only minimal swelling of perivascular astrocytic processes was revealed in the electron micrographs, distension of mitochondria with dissolution of cristae in the oligondendrocytes and some neurons was pinpointed by Drs. Bakay and Lee as the common abnormality. Findings were reinforced through electron microscopic investigations by Drs. M. Yu (New Jersey}, Bakay and Lee this year - changes mainly in the neuron and neuroglia, no detectable cerebral edema. 0 SPRING, 1973 29 �Dr. james Morkello, codirectorofthe Pediatric Nurse Practitioner training program shows judy Adornetto, RN, a student (center), how to examine a youngster's chest. Looking on ore project director Mary Norma O'Hara (right) and the child's parents (left). Other faculty members in the program ore Dr. Harry Beirne, assistant professor of pediatrics, and Mrs. Adele Pillitteri, assistant clinical professor of pediatrics. Pediatric Nursing Eight students are enrolled in the new Pediatric urse Associates Program. It is a cooperative venture between the School of Nursing, Children's Hospital and the Medical School. Dean Ruth McGrorey of the Nursing School pointed out that this program was endorsed by local, regional and state agencies as well as the pediatricians of Western New York. "This 16-week course will give the nurse practitioner an extended role. For example, she will be able to secure more extensive health histories, provide primary care based on special relationships with the pediatrician, plan and provide health guidance to children and their families, recognize and utilize other health and social services, provide consultation for families by home visits, office visits, or telephone. This extended role for the nurse will permit a broader use of professional personnel in appropriate health services where they have heretofore been absent." Miss O'Hara, an associate professor and chairman of the department of child health nursing, received a $308,430 grant from the Bureau of Health Manpower Education, NIH, for the three-year program. Dr. Markello is an assistant professor of pediatrics at the Medical School. Two other members of the Children's Hospital staff, Miss Pauline Keefe, director of nursing, and Dr. John Dower, professor of community pediatrics, are assisting in the new program. 0 30 THE BUFFALO PHYSICIAN �Dr. Tronolone Honored Dr. Daniel R. Tronolone, a 1922 medical school graduate, was honored by 200 members of the St. Francis of Assisi Parish in East Buffalo recently. "This has been my love, my interest and my life. I have no plans for retirement. With God's help, I will continue to serve those who need m·e." That is what the 77-year-old general practitioner told his friends who came to honor him. Dr. Tronolone has been serving the same community from the office that he opened in 1925. He is a charter member and former president of Mercy Hospital. "I believe the day of the general practitioner is slowly returning. We are going through the phase of the specialist, but I believe it is on the wane. Within the next five years we are going to see some marked changes in the profession," Dr. Tronolone said. Although he admits that he is semi-retired, he still manages to care for an average of 30 patients a day. And he still makes house calls. In November, 1972 Dr. Tronolone was honored for his 50 years of work by the Paccilli Club of Buffalo, a society composed exclusively of Italian-American physicians. 0 Dr. Keeney Will Receive Lucien Howe Gold Medal Dr. Arthur H. Keeney, ophthalmologist-in-chief at Wills Eye Hospital in Philadelphia, will receive DB's Lucien Howe Gold Medal on April 12 at the Charter House Hotel. He will be the 11th person since 1930 to receive the award, named for a former UB ophthalmology professor. The medal, one of the most prestigious ophthalmology awards in the country, last was awarded in 1970, according to Dr. Thurber LeWin, chairman of the award selection committee. Dr. Algernon R. Reese of New York City is the committee's other member. Dr. Keeney will receive the medal for his work making the Philadelphia Hospital the top eye hospital in the country in the teaching and training of residents in ophthalmology. Dr. Keeney holds a medical degree from the University of Louisville School of Medicine. He also received a master's and doctor of science degree in ophthalmology from the University of Pennsylvania Graduate School of Medicine in Philadelphia. From 1966 to 1972, Dr. Keeney was professor and chairman of the ophthalmology department at Temple University's School of Medicine. Dr. Keeney is the author of numerous articles and chapters in medical books. He is also an associate editor of the American Journal of Ophthalmology. He is on the advisory board of several national organizations concerned with vision and eye problems including the National Council to combat Blindness and the Medical Advisory Board, National Aid to the Visually Handicapped of which he is chairman. 0 SPRING, 1973 31 �36th Annual State University at Buffalo Theme: TIMELY TOPICS IN CLINICAL MEDICINE April 6 and 7, 1973 ( STATLER HILTON HOTEL Embassy Room FRIDAY, APRIL 6 9:15 a.m. Registration 9:45 a.m. Welcome: JOHN J. O'BRIEN , M.D. '41 President, UB Medical Alumni Association ROBERT L. DICKMAN, M.D. '68 Director of Ambulatory Services Buffalo General Hospital 10:00-noon "The Problem Oriented Medical Record" 10:00- 11:00 a.m. Basic Presentation of the Principles of Problem Oriented Record Keeping 11:00- noon Workshop Session This is a unique opportunity for first hand involvement in problem orientation. The physicians will be given a traditional medical record and asked to problem orient it, followed by an audit and discussion. Time will be made for an exchange of ideas regarding specific problems in individual practice. noon-12:15 p.m. Intermission 12:15-12:45 p.m. Business Meeting Election of Officers 12:45- 2:00 p.m. Luncheon 2:00- 4:00 p.m. "NUCLEAR MEDICINE AND ITS CURRENT APPLICATION IN PRACTICE" Sponsored by the Department of Nuclear Medicine at the University Moderator: EUGE E V. LESLIE, M.D. '51 Clinical Professor of Nuclear Medicine Clinical Professor and Chairman, Department of Radiology " The Overview of Nuclear Medicine" MERRILL A. BENDER, M.D. Clinical Professor of Nuclear Medicine MONTE BLAU, Ph.D. Research Professor of Nuclear Medicine "The Thyroid Scan and Its Clinical Value" MARGUERITE T. HAYS, M.D. Clinical Associate Professor of Nuclear Medicine "In Vitro Studies and The Radioimmunoassay" JEHUDA J. STEINBACH, M.D. Clinical Assistant Professor of Nuclear Medicine "Brain Scanning and Cerebral Flow Study" GEORGE J. ALKER, Jr., M.D. '56 Clinical Associate Professor of Nuclear Medicine "Pulmonary Emboli and The Lung Scan" JOSEPH A. PREZIO, M.D. Clinical Associate Professor of Nuclear Medicine 32 THE BUFFALO PHYSICIA 1 �~ ' l Medical Alumni Spring Clinical Days 6:30 p.m. "Placental Scanning" R. RONALD TOFFOLO, M.D. '57 Clinical Instructor in Nuclear Medicine "The Liver, Spleen and Pancreas" YEHUDA G. LAOR, M.D. Clinical Assistant Professor of Nuclear Medicine Class of 1923 Reunion Reception and Dinner Plaza Suite Restaurant 1 M&T Plaza SATURDAY, APRIL 7 Mr. Woodcock 9:15 a.m. Dr. Hurwitz Dr. Jan Koch-Weser Registration 10:00-noon "DRUG REACTIONS, INTERACTIONS AND TOXICITY" Moderator: MILFORD C. MALO EY, M.D. '53 Clinical Assistant Professor of Medicine Chairman, Department of Medicine, Buffalo Mercy Hospital "The Classic Drug Reaction --Hypersensitivity" ROBERT E. REISMA , M.D. '64 Clinical Associate Professor of Medicine "Serum Drug Concentrations JA KOCH-WESER, M.D. as Therapeutic Guides" Associate Professor of Pharmacology Chief, Clinical Pharmacology Unit Massachusetts General Hospital "Drug Reactions in Pregnancy'' SUMNER J. YAFFE, M.D. Professor of Pediatrics, Children's Hospital "Drug Interactions" ARYEH HURWITZ, M.D. Assistant Professor of Medicine and Pharmacology University of Kansas Medical Center noon-12:15 p.m. Intermission 12:15 p.m. UB MEDICAL ALUMNI AN UAL LUNCHEO and STOCKTO KIMBALL MEMORIAL LECTURE 6:00 p.m. SPRI G, 1973 , Guest: DR. ROBERT L. KETTER, President of the University Guest Speaker: MR. LEO ARD WOODCOCK, President, United Auto Workers speaking on Universal Health Insurance Class Reunions: 1928, 1933, 1938, 1943 (April & December), 1948, 1953, 1958, 1963 33 �A Trophoblastic Neoplasia Center Buffalo is one of eight trophoblastic neoplasia centers in this country. It is also the headquarters of a national gynecologic oncology group. Dr. Hreshchyshyn and technician Tatjana Kry ny tzky look at HCG levels on a patient with choriocarcinoma followin g radioimmunoassay of gonadotropins. Both are headed by Dr. Myroslaw M. Hreshchyshyn, professor of gynecology and obstetrics at the University and consultant gynecologist at Roswell Park Memorial Institute. The major function of the trophoblastic neoplasia center and its laboratories, says the soft-spoken gynecologist/obstetrician, "is to help physicians in Western New York and adjacent areas in the diagnosis, treatment and followup of patients with hydatidiform mole and choriocarcinoma. " It was established at the Buffalo General Hospital in cooperation with the University and Roswell Park. Many of the diagnostic analyses which include quantitative radioimmunoassays for chorionic gonadotropin, radioimmunoassays and gas chromatographic determinations of estrogens, were developed by this researcher and his staff. "We are one of the first such centers in this country to perform these assays," he said. One of the most recent assays developed in this laboratory measures estetrol, an estrogen with a 95 percent fetal contribution during normal pregnancy and much lower if any levels during molar pregnancy. This assay, which helps to differentiate hydatidiform mole from that of a normal pregnancy, is now a "must" for early diagnosis of this disease. And, says the noted investigator, "it is performed on a service basis at no cost to the patient." Dr. Hreshchyshyn is also protocol chairman of an international study for trophoblastic malignancy. As such, he provides the services of his laboratory to clinical investigators in faraway lands. Specimens are sent to Buffalo via a specific method developed by the gynecologist for assaying the hormone levels from Japan, Taiwan, Indonesia and others. Choriocarcinoma, in its disseminated form was incurable until 1957. If diagnosed early and treated properly, says Dr. Hreshchyshyn, "it can now be cured with drugs." As chairman of the multimillion dollar National Cancer Institutefunded Gynecologic Oncology Group, he works with 26 leading cancer institutions in this country and several abroad. Not only does he have responsibility for this group's operations office, but the statistical center, repository for histologic materials, and radiation therapy calculations as well. All are in Buffalo. In its strictly-controlled studies, the Group uses a multidisciplinary approach through surgery, radiation, chemotherapy, immunology and pathology. Hopefully, says Dr. Hreshchyshyn, "it will improve the treatment results in patients with all types of gynecologic cancer. "We developed many of our own tools. We are always trying to improve on techniques now being used." And with more sophisticated procedures and equipment and learning from the cooperative effort of many investigators, the renown researcher says, "we are finding out more things which should benefit patients suffering from gynecologic cancer." 0 34 THE BUFFALO PHYSICIA �Dr. Hermann Rahn, professor of physiology and former departmental chairman, has been named Distinguished Professor by the State University of New York Board of Trustees. The eighth U/B professor to be so honored, Dr. Rahn has been described as one of the pioneers in the study of the physiology of man and animals in relation to different environments. The distinguished professor title is awarded to outstanding State University of .New York scholars who have received international recognition for their research. Dr. Rahn was elected to the ational Academy of Sciences in 1968 and was honored with the Louis Mark Memorial Lecture Award by the American College of Chest Physicians in 1971. He is a consultant for the ational Aeronautic and Space Administration and the Air Force School of Aviation Medicine. A graduate of Cornell University in 1933, Dr. Rahn received his Ph.D. degree from the University of Rochester in 1938. He served as a National Research Council Fellow in Biological Sciences at Harvard University and has taught at the Universities of Wyoming and Rochester. In 1964 Dr. Rahn was awarded an honorary doctorate by the University of Paris; in 1965 he received an academic L.L.D. degree from Yonsei University, Seoul, Korea. Dr. Rahn has been a member of the Physiology Study Section, National Institutes of Health; the board of scientific counselors, National Heart Institute, the Office of Naval Research Advisory Panel, Physiological Sciences; and the Space Science Board, National Academy of Science-Related Research Council. 0 Distinguished Professor Dr. Hahn 1973 Medical Alumni Association Receptions Since its inception in July, 1969 as a part of our alumni program, 523 alumni have attended cocktail receptions hosted by the Medical Alumni Association. These receptions are open to all alumni, faculty and friends of the Medical School. The following receptions are planned for 1973: American College of Physicians April 9-13, 1973- Chicago, Illinois American Medical Association June 24-28, 1973- ew York City American Association of Obstetricians & Gynecologists September 6-8, 1973- Hot Springs, Virginia American College of Surgeons October 15-19, 1973- Chicago, Illinois We invite your attendance. SPRING, 1973 35 �Dr. Max Cheplove, M'26, Dr. Harry L. Metcalf, M'60, Mildred Spencer Mildred Spencer Wins Physicians' Medal M rLDRED SPENCER was awarded the Dr. Max Cheplove Medal of the Erie County Chapter, New York State Academy of Family Physicians for "particular and outstanding contributions to the practice of family medicine." Miss Spencer, medical reporter for the Buffalo Evening News, is the fourth person, and the first woman to receive the award. In making the presentation, Dr. Metcalf read a citation which stated in part: "We believe your writings to be informed as well as informative, constructive when possible, critical w h en necessary and representative of a high level of medical journalism. Your understanding of the future role of family physicians has created an environment in Western New York supportive of new trends in medical education and health-care delivery." On January 1 Miss Spencer retired as a full-time staff member of the Buffalo Evening News. However she will continue to write her monthly series on health problems for The News Week-End Magazine. She will also continue to do special assignment articles for various national publications. She was married to Dr. Samuel Sanes, retired professor of pathology, in 1971. She and her husband enjoy traveling. They were in Mexico during January and February. 36 THE BUFFALO PHYSICIA �Miss Spencer has been a reporter for 32 years. It all began in September 1940 as a part-time worker on the society staff of the Rochester (N.Y.) Democrat & Chronicle. In January 1941 she joined The Buffalo Evening News. As men carne and went during the war she covered every beat on the paper for varying periods of time, except police. As a woman she was a pioneer in general news reporting. She also covered politics, and wrote drama and music reviews. She began covering medicine because nobody else in the office wanted the job. Immediately following World War II, the medical field became big news. There were break throughs in heart surgery and Roswell Park Memorial Institute was a focal point for cancer research. Miss Spencer reported it all, achieving an expertise that enabled her to make highly technical stories understandable to the average reader. Thus she became a pioneer woman in specialized reporting. In later years her work as a medical writer won her national acclaim. Miss Spencer was involved in a third pioneering activity specialized news programming for television. From 1953 to 1970, she co-ordinated and produced public service programs for WBENTV and WBEN Radio, including the University of Buffalo Medical Round Table and the regular UB Round Table Programs. She also worked on two air series known as Modern Medicine and High School Forum and produced special programs on Roswell Park Memorial Institute and specialized medical activities. Miss Spencer received these national awards- Blakeslee Award of the American Heart Association, 1961; Bell Award, National Association for Mental Health, 1963; Medical Journalism Award, American Medical Association, 1965; Journalism Award, American Academy of General Practice, 1969; Award of Merit, American Dental Association, 1972. Regional and state awards include: Council of District Branches, American Psychiatric Association, 1969; Empire State Award for Excellence in Medical Reporting, 1962, 1966, 1969, by State Medical Society and State Health Department. The State Division of the American Cancer Society presented writing awards to her in 1965, 1967, 1970 and 1972 and another award in 1969 for television programming. Area awards include: Cornell Aeronautical Laboratory Competition for Excellence in Science Writing, 1964, 1965, 1967 and 1970; Buffalo Newspaper Guild Page One Awards in 1962, 1967, 1968, 1969 and 1970; Erie County Heart Association, 1957. Buffalo Chapter, American Red Cross plaque, 1970; Veterans Administration Hospital plaque, 1970, and Dr. Hyman Levin Award, Mental Health Association of Erie County, 1969. She was an incorporator, charter member and is a former vice president of the Board of Research for Health in Erie County. She has been a member of the Advisory Council of the State Kidney Disease Institute; a member of the National Association of Science Writers which she served as president, 1956-66; a Fellow of the American Association for Advancement of Science; and a member of Theta Sigma Phi and Sigma Delta Chi, newspaper fraternities. Miss Spencer is listed in Who's Who in America, as well as Who's Who in American Women. She was graduated from the University of Illinois with a bachelor of science degree with honors in 1940. 0 SPRI G, 1973 37 Previous winners of the Dr. Cheplove Medal are: 1969, State Senator William T. Conklin, co-author of the ConklinCook bill which requires taxsupported medical schools to establish departments of family practice; 1970, Dr. Donald I. Rice, of Toronto, first chairman of the newly-formed World Organization of National Colleges, Academies and Academic Associations of General Practitioners and Family Physicians, and 1971, Dr. John Schoff Millis, president and director of the National Fund for Medical Education and chairman of the American Medical Association's Commission on Graduate Medical Education. 0 �The University of Buffalo received its charter on 11 May 1846, but it was not until Wednesday, 27 January 1847 that sixty medical students met their first teacher. Much has been written about Drs. Austin Flint, Frank H. Hamilton and James Platt White, but little, if anything at all, has been written in Buffalo about the first person to meet the students and teach them practical anatomy. As a matter of fact, this person, Dr. Corydon La Ford, Demonstrator of Anatomy and Librarian, was not even considered a member of the faculty. In those days, the faculty of the University of Buffalo consisted of the seven Professors who occupied the seven Chairs of the Medical Department of the University of Buffalo. Our First Teacher by Oliver P. Jones, M.D. Distinguished Professor of Anatomy The Buffalo Medical Journal for 1847 tells about the lecture session commencing on 24 February 1847. Some interested party made a marginal note in pencil about the sixty students being present! The Annual Announcement for 1846 reads: The Dissecting Rooms will be opened on Wednesday, four weeks preceding the commencement of Medical Lectures, under the care of the Demonstrator and will continue open during the whole term. This places the opening session of the University of Buffalo on Wednesday, 27 January 1847. The Annual Announcement also says : Demonstrator's ticket $5.00. No extra charge will be made for fuel, light, servants' hire, or any of the usual contingencies of the dissecting rooms. Our first teacher, Corydon La Ford, was born near Lexington, Greene County, ew York, 29 August 1813. He was the seventh lineal descendant of William Ford who emigrated from England on the ship Fortune, which was the second vessel that brought passengers to New England, landing at Plymouth, Massachusetts, November 1621. He was raised on a farm but early in life he was stricken with infantile paralysis in the lower limbs. This , of course, rendered him unfit for manual labor but gave him more time for study. When he was eight years old his father was stricken with acute rheumatism. Eventually the two invalids went about with horse and wagon selling supplies to farmers in order to support the family and maintain a mortgage on the farm. Young Ford began his life-work in teaching at the early age of seventeen and for eight years taught in common schools, the intervals of teaching being spent in studying medicine in the office of Dr. A. B. Brown, Somerset, Niagara County and then for four years in the office of Dr. Caleb Hill, Medina, Orleans County. In May 1838 he entered Canandaigua Academy where he completed his general education. One day Ford had an aching tooth and sought relief from Dr. Edson Carr, leading practitioner and dentist of Canandaigua. This was a most fortunate meeting because Dr. Carr not only befriended him while at school but introduced him to Geneva Medical College where Ford supported himself by serving as librarian and curator of the museum. Ford attracted the attention of Dr. James Webster, then Professor of Anatomy at Geneva, and on the day of his graduation in 1842 he was appointed Demonstrator of Anatomy, a position which he held until 1848. Eight days after his graduation, he performed his first surgical operation, which was for strabismus. 38 THE BUFFALO PHYSICIAN �In 1846 when the Medical Department of the University of Buffalo was organized, Dr. James Webster was appointed Professor of General and Special Anatomy, and Dr. Corydon La Ford was appointed Demonstrator of Anatomy and Librarian. (Apparently Ford shortened his name after leaving Buffalo.) He taught anatomy at both Geneva and Buffalo until 1848. The first class at the University of Buffalo was so impressed by their teacher that they drafted resolutions which were published in the Buffalo Medical Journal (3: 55-56, 1847) and are copied here in their entirety. Resolutions complimentary to Corydon La Ford, M.D., Demonstrator of Anatomy in the Medical Department of the University of Buffalo. We (Austin Flint, editor) take pleasure in complying with the request to insert the following resolutions of the class now in attendance at the Medical College of this city. At a meeting of the class, Medical Department University of Buffalo, held April 21, 1847, John M. Hardy was called to the chair, and S. A. Foss elected Secretary. On motion, Messrs. Cory, Ely, White, Foss and Hardy, were appointed a Committee to draft Resolutions expressing the sentiments of the Class, in regard to the Anatomical Demonstrations, and Recapitulatory Lectures just completed by Corydon La Ford, M.D. The Committee reported the following Resolutions, which were unanimously adopted. Resolved, That the able, interesting, and highly instructive course of Anatomical Lectures and Demonstrations, recently concluded by Dr. Corydon La Ford, meets the entire approbation of the Class; and, that the signal ability with which he imparted to us his scientific, and minute researches, excite our highest admiration. Resolved, That as a Demonstrator of Anatomy, Dr. La Ford, is, in our opinion, unsurpassed by any of his age and experience; and in wishing him a more extended field of usefulness and influence we could not ask any which he does not merit. Resolved, That the members of the Class entertain for Dr. La Ford the most profound esteem, for his scientific attainments; that they not only admire his zeal and industry in the prosecution of his favorite science, but, also, for those moral qualities of the heart, which shine forth so conspicuously in his character. Resolved, That Dr. La Ford for his courteous and gentlemanly deportment, to us individually and collectively, merits our warmest thanks, and best wishes; and that he shall ever receive from us the tribute due from grateful hearts. On motion of Mr. Blake- Resolved, that a copy of the proceedings of this meeting be forwarded to Dr. La Ford, and that they be published in "The Buffalo Medical Journal and Monthly Review of Medical and Surgical Science",- and in "The New York Journal of Medicine and Collateral Sciences." J. M. HARDY, President Sidney A. Foss, Secretary SPRI G, 1973 39 �Dr. Dan iel C. Fish er, M '24 , Mr. Charles K . Infantino, Dr. A. Arthur Graba u, M'45 Two alumni received Erie County Health Department Health Department awards recently from Commissioner William E. Mosher. The Dana B. Hellings Award, named for the attorney who was first president of the County Board of Health, was presented to Dr. Fisher, who served in that capacity from 1959 to 1971 and is the only original member still active. The Outstanding Program Award was won by the Division of Tuberculosis Control , headed by Dr. Grabau. The Individual Service Award was presented to Charles K. Infantino, senior sanitarian, who is responsible for home-inspection programs in Buffalo and Lackawanna and acts as supervising sanitarian for two district health offices. He remained in Buffalo until 1851, but in 1849 was also appointed Professor of Anatomy at Castleton Medical College, Vermont, a position which he retained until 1861. From 1852-54 he was Professor of Anatomy at Syracuse Dental College. On 2 7 May 1854, while visiting his friend, Dr. Carr in Canandaigua, he received notice of his appointment as Professor of Anatomy at the University of Michigan, a position which he held for forty years. During vacations he gave courses of lectures at other schools: in the Berkshire Medical College, Pittsfield, Mass. from 1860 to 1867; in Bowdoin College, Maine, from 1864 to 1870; and in Long Island College Hospital, Brooklyn, from 1868 to 1886. If we examine this record and realize that Anatomy (gross) was taught chiefly by lectures, Ford, because he was a peripatetic teacher devoted to his subject and needed the money (5 to 10 dollars per student) taught two or three courses a year at different schools, alone had completed 109 courses in anatomy the day before he died. Probably no other professor in a medical school in the United States during that period has given instruction to so many students. 40 THE BUFFALO PHYSICIA �Ford was five feet ten inches tall, had dark hair, a large head and prominent features. He walked with canes. He used the Socratic method of teaching by raising questions and answering them - a method he developed to the highest degree. He excited interest in students and kept them interested. He caused the dead to teach the living how to heal the sick. In 1860 the Regents of the University of Michigan decided to combine the teaching of physiology with the chair of anatomy and Ford was appointed Professor of Anatomy and Physiology, with a salary of $1000. The Regents later recognized the importance of teaching histology by lectures and in the laboratory they appointed Ford in 1869 Curator of the Museum and Instructor in Microscopy, which indeed broadened the teaching function of the Department of Anatomy. In 1859 Middlebury College, Vermont, gave him his M.A. and in recognition of the great service rendered in building up the Medical Department, the University of Michigan honored him with the degree of LL.D. in 1881. In April1863 he married Mrs. Messer of Pittsfield, Massachusetts and they adopted a daughter. Mrs. Ford died less than a year before Dr. Ford died from apoplexy on 14 April 1894 at Ann Arbor, Michigan. D References 1. Howard A. Kelley and Walter L. Burrage, American Medical Biographies, Baltimore. The Norman Remington Co., p. 400-401, 1920. 2. Victor C. Vaughan and Martin L. D'Oage, Memorial Discourses on the Life and Services of Corydon L. Ford, M.D., LL.D., Ann Arbor, Courier Printing House, p. 1-31, 1894. 3. Miss Agnes . Tysse, Head of Reference Department, University Library, University of Michigan, kindly excerpted portions about the history of the department of anatomy written by Dr. Rollo E. McCotter. Continuing Medical Education Ten Continuing Medical Education Conferences are scheduled during the spring and summer. For further information contact Mr. Charles Hall, director of continuing medical education, at 2211 Main Street or call (716) 831-5526. March 9-10, Modern Concepts in Coronary Care; April 4-6, Pediatric Endocrinology; April6-7, 36th Annual U.B. Alumni Spring Clinical Days; April 14-15, Anesthesiology; May 3, Thromboembolism (with American College of Surgeons, WNY Chapter); May 4, Ophthalmology; May 16-17, Fetal Monitoring: Evaluation of the Baby During Labor, Delivery and the Immediate Neonatal Period; May 25-26, Mental Health Treatment in Prisons and other Correctional Programs; June 4-8, Refresher Seminar in Pediatrics; August 6-9, School Health. D SPRI G, 1973 41 Footnote. Many years later, Mortui vivos docent was placed over the entrance to the dissecting room at the University of Buffalo by Dr. Wayne J. Atwell (1889-1941) first full-time professor of anatomy at the University of Buffalo. Dr. Atwell received his Ph.D. from the University of Michigan in 1917 and had seen this motto at a similar location there. It is too bad the University of Buffalo did not preserve this when it moved the School of Medicine in 1953. �Dr. Schnatz A Model Ambulatory Service for the Diabetic Patient Coordination. That is the key to an excellent program in ambulatory care for the diabetic patient at the E. J. Meyer Memorial Hospital. Says its head, Dr. J. David Schnatz, "by coordinating the many services available to the diabetic, we are better able to help him accept and manage his disorder." But that, pointed out the young and dedicated associate professor of medicine, focuses on education. Not only for the patient and his family, he continued, but education for the professionals- physician, public health nurse, housestaff, and medical student -with whom the patient will come into contact. And, reminds Dr. Schnatz, to teach effectively, you must have a quality care facility. In remodeling the clinic, the clinician/ researcher/teacher sought a pattern that would not only stress continuity of care and allow sufficient time for the patient and his problems, but in its teaching program to also leave adequate time in which to discuss the mechanisms of the disease. How successful has he been? Dr. Schnatz feels that patients have benefited. An evaluation (in collaboration with Dr. Harry Sultz and Mrs. Alene Van Son, R.N.) has been set up to correlate knowledge gained by the patient and his attitude/behavior/well being. A weekly conferen ce ta caardina te acti vities i n th e d iabetes teaching service helps make the program effective. 42 THE BUFFALO PHYSICIAN �The number of patients referred to the clinic - a problem oriented one - must be limited due to the demands in time for good quality patient care and teaching. Patients do receive continuity of .care. Drs. Schnatz and Constantine Chlouverakis (who assists him) each has his own group of patients. Even though a patient may have been seen by one of the housestaff, "we also try to see our own patients when they are in the clinic," Dr. Schnatz says. "For we want to develop a good patient/doctor relationship. Even after the patient is no longer seen in the diabetes clinic - he is doing well and is referred back to his primary physician - he will be followed up by our nursing service." Leaving plenty of time in which to review patient problems and discussing them with the patient as well as housestaff is now possible through improved scheduling and patient review by both physician and nurse. This also helps to identify chronic failures in the clinic. In its followup, the team attempts to pinpoint the causes for these failures. Patients arrive early in the clinic to have fasting blood sugars drawn by finger prick test. In just minutes, the analysis is completed in the clinic's laboratory (set up by the hospital's chemistry department under the aegis of Drs. Max Chilcote and Desider A. Pragay). Test results are then at the physician's fingertips when he reviews medication with the patient. The patient then eats his 'breakfast - in the clinic if he has brought it with him - or in the hospital coffee shop. He takes his insulin and gets a digestion blood sugar drawn. If an afternoon sample is needed he stays and has it done in the clinic as well. And if there is a problem, he can see his physician. Routinely the patient will be seen by the diabetes teaching service nurse and dietician, a podiatrist assigned to the clinic (there is a great deal of pathology in the feet and both patient/physician must be alerted to it). For the patient who is pregnant there are the services of an obstetrician who comes to the clinic as needed. And an ophthalmologist and psychiatrist routinely attend. Thus, there is not only continuity of care but a great saving in time for the patient who must try to live as normal a life as possible and for the physician who wants to help him to do so. SPRI G, 1973 A patient receives foot core from Dr. Edward Fishman , a podiatrist. Dr. Schnatz recognized a need to provide specialized nursing service to the diabetic patient. From this developed a joint department of medicine/nursing approach to patient education. The best type of program for each patient (individual or class) is planned by both nurse and dietician assigned to the service under Dr. Schnatz' guidance. Drs. Schnatz and Andrew Scoma , research assistant instructor in medicine, discuss a patient. �Dr. Schnatz chats with two fourth year medical students, Jon Rubach and Michael Savona. The students are on elective rotation. Miss Patricia Tracy, a dietician with the diabetes teaching service, conducts group discussions. A patient signs in at the clinic with Mrs. Mary Ross and Dr. James Scovil, a medical resident on elective rotation. 44 The diabetes teaching service becomes a "second home" for the patient. Here he is taught the rules, tools, and skills to help him control his disorder. He learns about diet, insulin administration, urine testing and about diabetes itself. A manual, "Diabetes in a utshell," prepared and illustrated by urse Alene Van Son under Dr. Schnatz' direction, tells the patient what to do when he is sick, aspects of general hygiene, foot care, and the telephone numbers that will be important to him - 911 and the teaching service extension. With a few rules, the patient learns how he can live a normal life by applying what he learns. If there are still problems, the patient is encouraged to call, to talk them over. "The lines of communication are always open," Dr. Schnatz says. There are also conferences for public health nurses who will visit patients in their homes. Here, also, communication has improved and they now know who to call, says Dr. Schnatz. Through an elective program with the endocrine unit, medical students, housestaff, and fellows rotate through the diabetes unit where they are THE BUFFALO PHYSICIAN �exposed to diabetes teaching service and the practical aspects of diabetes. On consultations, Dr. Schnatz stresses to physicians and nurses the care and teaching of the diabetic patient. Research also plays an important role in the team approach to the care of the diabetic. Drs. Schnatz and Jean Cortner utilize a biochemical approach to human adipose tissue in order to better understand the aspects of its regulation in relation to obesity and diabetes. Some studies planned by Drs. Schnatz and Chlouverakis on patients in the obesity clinic may develop additional insight into diabetes as well. The two investigators are also at work on hyperlipoidemia of experimental diabetes. Studies have been published by Dr. Schnatz in collaboration with Drs. Lee Bernardis, Lawrence Frohman, and Jack Goldman on metabolic abnormalities associated with hypothalamic obesity. This model ambulatory service for the diabetic, Dr. Schnatz believes, has had a positive effect on the patient. "Our diabetes teaching service has been instrumental in initiating other teaching services. There is a need for the development of more units like this," Dr. Schnatz said. 0 Q /1 Mrs. Allene Von Son , RN, gives bedside instruction to a patient from her own booklet, " Diabetes in a Nut Sh ell. " She is coordinator of th e diabetes tea chin g servi ce. Miss Barbara Geuting, RN, illustrates a point. Mrs. Evelyn Thorn, RN, takes a blood sample from a pati ent while Mrs. Martha Molner, lab technician, analyzes the blood immediately. SPRING, 1973 45 �Dr. Varco Dies Suddenly Dr. Samuel Varca, M'23 The chairman of the 50-year class reunion died suddenly January 17 in his home in Pompano Beach, Florida. He was Dr. Samuel Varco, 72, a retired Buffalo physician and surgeon. He was known for his developments of techniques for treatment of lower back ailments. Dr. Varco practiced nearly 50 years, before his retirement in 1960. He moved to Florida five years ago. Dr. Varco received his bachelor's and medical [1 923) degrees from VB. He also studied at the Royal University of Hungary. He served in the United States Army in World War I, and was named to the State Legislative Cancer Survey Commission in 1936. He was active in several professional and civic organizations. D Pelvic Traction Belt A 1923 Medical School graduate is pleased with the acceptance of his special pelvic traction belt. Dr. Samuel Varco, a semi-retired Buffalo physician has been interested in lower back pain and how to relieve it for 20 years. In 1969 Dr. Varco made the first modification of his traction device. He has traveled world-wide and visited hospitals in Europe, Canada, and the United States demonstrating his pelvic traction technique for the treatment of low back syndrome. The device is easily applied and tolerated by the patient. It accomplishes everything that is hoped for in leg traction and brings about maximal results in a much higher percentage of cases. With pelvic traction the patient is comfortable and cooperative, and there is free movement of the lower extremities, according to Dr. Varco. Several hundred patients have been treated in hospitals and at home for various types of low back injuries - slipped disks, fractures of the pelvis, and fractures of the lumbar vertebrae. Approximately 90 per cent claimed improvement. Freedom from pain within a matter of hours was recorded in many instances, and in a very high percentage of cases, patients were able to return to work in three to four weeks. "All that is claimed for the method is that it does everything expected of leg traction but does it more efficiently and with more certain results," Dr. Varco said. D 46 THE BUFFALO PHYSICIAN �Sound Waves Solve Pregnancy Ills A 1943 Medical School graduate is using sound waves as a diagnostic tool for problems during pregnancy. Dr. Joseph J. Ricotta, assistant clinical instructor in medicine, has been using a machine called Sonograf in his office during the last year. It is a compound scanning device that measures normal and abnormal structures in the body through ultrasonic waves that have no adverse effects on the tissue being studied. Dr. Ricotta and his associate, Dr. Rolando T. Velasquez, spoke about their use of the machine recently at a conference at Sisters Hospital. "The ultrasonic technique, as used in medical diagnosis, is still in relative infancy. But it is extremely accurate and because it is a non-invasive technique, can be done any number of times, with no hazard to either the woman or the unborn child," Dr. Ricotta said. "Fetal growth can be monitored as early as five weeks from the time of conception," Dr. Ricotta said, noting that the most routine use of the machine is in making the diagnosis of a normal pregnancy. "But it is when complications arise that it renders the most valuable assistance. We have been able to measure and monitor the growth and development of the unborn baby when there is an unfavorable environment in the uterus such as toxemia or a mother's diabetic condition. In some cases we may decide to deliver the baby ahead of the full-term pregnancy." Now he said, we are able to determine "with great accuracy" the weight and size of the baby to decrease the risk of before-term delivery. Also the machine is helping in problems of bleeding associated with pregnancy, and multiple pregnancies -twins and triplets - have been determined. "The machine has been a great help in localizing the placenta and in deciding on when to do Caesarean sections," Dr. Ricotta said. In gynecology it is of value in detecting pelvic tumors. The difference between cysts and solid tumors can be very accurately demonstrated. The scanning is also a means of measuring the effectiveness of radium and chemotherapy used to control malignancies, he concluded. 0 SPRI G, 1973 47 �Around the clock observation by the staff of 40 nurses and four house physicians in the intensive core nursery. Pictured [left to right) ore Anthony Zukic, Mrs. Anne Case, Ann Keppel and Mrs. Pamela Vrana. Paula Fick, head transport nurse, checks one of the transport incubators. �Patricia Hibbard checks the cardio-respiratory ond blood pressure monitors. Ann Keppel makes sure there is "constant positive airway pressure" in the treatment of Hyaline Membrane Disease. Neonatal Intensive Care Unit "We are interested in saving lives. If we get the babies soon enough we succeed." That is what Dr. George Giacoia said about the new Neonatal Intensive Care Unit at Children's Hospital. This new health service includes a traveling workshop on neonatal care and a "hat-line" consultation service for the treatment of new barns. About 4 per cent of the babies born need this special care. A team consisting of the neonatologist and nurse will visit each participating hospital throughout the year, conducting education workshops for physicians and nurses caring for the newborn. The 24-hour .phone consul- tation service will enable doctors at participating hospitals to talk with a neonatologist at Children's when a newborn has a problem. "During 1972 we had 348 babies in our unit at Children's. We can accommodate 30 at one time and the average stay is seven to 15 days," Dr. Giacoia said. He is director of the unit and on the Medical School faculty. This new health service is available on request for pediatricians, general practitioners and nurses in Western ew York and Northwestern Pennsylvania. The unit is funded by the Lakes Area Regional Medical Program. D Dr. Tai-soon Choi demonstrates the blood oxygen monitoring system for the new barns. He is the assistant clinical professor of pediatrics and assistant director of the unit. �Students Honor Dr. Frawley Dr. Thomas F. Frawley, M'44, received the "outstanding teacher award" from the 1972 graduating class of the St. Louis University Medical School for his "excellent teaching." Dr. Frawley, who has been professor and chairman of the department of medicine at St. Louis University for 10 years, has requested a leave on September 1 to devote full time to teachjng, research, patients and writing. He will continue to serve as professor of internal medicine and head of the section of endocrinology. He is also physician-in-chief at the St. Louis University Hospitals and a member of the attending staff at St. Mary's Health Center. Dr. Frawley organized the internal medicine department into several sections - arthritis, cardiology and pulmonary diseases, endocrinology, hematology, infectious diseases, experimental medicine, nutrition and renal diseases. As Governor for Missouri in the College of Physicians, Dr. Frawley has dealt with several aspects of the practice of medicine and the continuing education and training of internists. He was responsible for the development of learning opportunities for young physicians and has assisted hundreds of them in acquiring membership in the American College of Physicians. Dr. Frawley will play a key role in the planning and development of a special diagnostic treatment center of the St. Louis Veterans Administration Hospital. This center will be especially supportive of studies on endocrine and metabolic problems relating to alcoholism, drug abuse and aging. The hospital is affiliated with the Medical School. Dr. Frawley The noted endocrinologist has made major contributions in the treatment of diseases of the adrenal gland, thyroid disorders and diabetes mellitus. He has published extensively on diseases of the pituitary and adrenal cortex and their clinical management. He is the co-author of a book, The Adrenal Cortex, which is a compilation of contributions by outstanding people in the fields of adrenal cortex, physiology and biochemistry. Dr. Frawley has been consultant for the Research Program Committee, Veterans Administration Central Office, Washington, from 1965 to present and consultant for the VA Endocrine Cooperative Study Committee from 1961 to present. He also served on the Drug Efficacy Study Panel of the National Academy of Sciences from 1966 to 1967 and was chairman, Metabolism and Endocrine System Research Evaluation Committee, Veterans Administration Research Service, VACO, Washington, D.C., from 1969 to 1971. Born in Rochester, ew York, Dr. Frawley earned the A.B. degree at the University of Rochester in 1941 and the M.D. degree at U.B. Following his internship at St. Mary's Hospital in Rochester, he took his residency in medicine at Buffalo General Hospital. He was a research fellow in medicine at Harvard Medical School and an assistant in medicine at Peter Bent Brigham Hospital in Boston from 1949-1951. He began his teaching career at Albany Medical College in 1951 and was named professor of medicine and head of the subdepartment of endocrinology and metabolism there in 1959. He was a staff member at NIH from 1955-1957. He joined the St. Louis University School of Medicine faculty in 1963. 50 THE BUFFALO PHYSICIAN �Dr. Frawley is a member of numerous research societies including the Association of American Physicians, the American Diabetes Association, the American Clinical and Climatological Association, Sigma Xi, and the American Thyroid Association. He also holds membership in various professional societies including the American College of Physicians (Fellow), and the American Board of Internal Medicine. Dr. Frawley has served as a visiting professor at a number of institutions including the State University of ew York Downstate Medical Center College of Medicine, Henry Ford Hospital, Oklahoma School of Medicine, the University of California in San Francisco, the Albany Medical College and the University of Buffalo School of Medicine. Dr. Frawley received an honor award from his classmates at the University of Buffalo at the time of his visiting professorship. He is a member of Alpha Omega Alpha honor medical society. Dr. Frawley is married and has three children. 0 Local Agencies Can Improve Health Care The quality of health care delivery cannot be effectively improved by a Washington decree, according to HEW Secretary Elliot L. Richardson. Since speaking to the Lakes Area Regional Medical Program workshop, Mr. Richardson has become Secretary of Defense. "There is no way in which federal bureaucrats can know enough about the capabilities of existing components of the health delivery system in any community to know how to fit them together. The initiative for this and the exercise of carrying it out must be in the local community and regional hands." The secretary urged local health agencies and organizations to participate in joint efforts and to communicate with one another. "If we are to achieve an adequate network of services we must improve our planning capacity at the community level. We must build from the community level up rather than imposing solutions from the top down." The Secretary warned that time was running out and the public is insisting on better health care services. We must prove that private and voluntary efforts, with an assist from Washington, can improve the delivery of health care. 0 SPRING, 1973 51 �., Dr. Chlouverakis (center) joins in discussion of patient's eating habits with Dr. Schnatz (left) and dietician Patricia Tracey (right). First Obesity Clinic B ETTER WAYS TO TREAT as well as prevent obesity may result from studies underway in Western ew York's first obesity clinic. Here, a limited number of extremely obese patients are being investigated by a team headed by Dr. C. Chlouverakis, in their program of care for the overtly obese patient, the team hopes to determine factors that make certain ones lose weight. And in what they believe to be largely a genetic disease, the investigators want to determine the number and size of fatty or adipose cells that each patient's body contains. In the obesity clinic, opened about eight months ago, referral patients are given a basic screening test. "We want to rule out any endocrine or metabolic abnormalities as the culprit for obesity," Dr. Chlouverakis said. The patient is then measured anthropometrically. Future plans call for somatotyping for all patients seen. A detailed dietary history is recorded by clinic dietician. And the patient is asked to scrupulously record all food and beverage intake for a week. A program of care is then planned for the patient by the team. "We are now ready to study whole families," the associate professor of medicine said. "But we will work only with patients whose siblings and parents are available for study and consultation. Psychological as well as social studies are planned for children and adolescents. 52 THE BUFFALO PHYSICIA �There are two kinds of obesity. The first is genetically determined. It begins early in life and is characterized by an increased number of fat cells. Four out of five obese children fall into this category. Once an excessive number of fat cells is formed, dietary manipulation will not help. The other kind of obesity is "regulatory," where psychological factors are responsible, and it appears later in life. This kind of obesity, Dr. Chlouverakis feels, can be treated by manipulating external or behavioral conditions of the obese patient. In his investigations Dr. Chlouverakis has concentrated on an animal model of obesity- the obese hyperglycemic mouse. "Some people are born to have a higher level of fat in their body," he said. These will eat compulsively until they reach the level of fatness dictated by their genes. Although the Greek-born and England-educated (Guy's Hospital; Medical Research Council of Great Britain where he worked with Nobel Laureate Ernst Chain; he also studied under Dr. Ancel Keys, an authority on fat mt:tabolism) physician believes that this predetermined tendency is brain-based (a signal in the hypothalamus) and it can be modified by modifying behavior or by manipulating metabolic parameters. During the dynamic phase of growth of an animal (positive energy balance) fat is laid down in the body. During the next phase, known as static and when most adults are obese, the energy balance is zero. In this phase the patient need not overeat. Explained Dr. Chlouverakis, caloric restriction "energizes" eating behavior and when an animal resumes normal feeding it quickly puts on the weight it lost through dieting. On caloric restriction, the genetically-obese mice lose neither less nor more body mass than the lean ones. However, they can develop their fatness without overeating so that other factors contribute to their obesity says Dr. Chlouverakis. There may be an increase in useful energy of food captured, a decrease in energy expenditures or both. "We can estimate the amount of adipose or fatty tissue by skinfold thickness measurements and in conjunction with normograms we can estimate the amount of fat in the body. We can also estimate the number and size of fat cells in the body," he said. But important is the need to reevaluate scientifically body weight desirable or ideal for our population in lieu of the outmoded, unscientific, and very conservative estimates now being used, the investigator feels. Surgical aspects of obesity will also be looked into with surgeons Gerard Burns and Richard Williams. One such treatment has been the removal of part of the lower intestine. Although Dr. Chlouverakis believes that this operation is moderately successful he considers it too "destructive" to be applied "routinely" in the treatment of obesity. "We need more constructive behavior modification for the obese patient, more intensive therapy with psychotherapists and psychologists over a period of years. We are hoping to do this and we improve as we go along. We try to keep our research going as well," Dr. Chlouverakis said. The study of obesity is a part of the department of medicine's diabetes program that is headed by Dr. J. David Schnatz, associate professor of medicine. 0 SPRING, 1973 53 Dr. Chlouverakis measures the thickness of a patient's adipose tissue in the obesity clinic. �Physiology Chairman Dr. Rennie Dr. Donald W. Rennie is the new chairman of the department of physiology at the Medical School. He replaces Dr. Hermann Rahn who will continue as a professor of physiology. Dr. Rahn was recently named Distinguished Professor by the State University of New York Board of Trustees. Dr. Rennie joined the Medical School faculty in 1958. In 1966 he was promoted to professor and two years later was associate chairman. After receiving his bachelor's degree in 1947 from the University of Washington (Seattle), he attended the University of Oregon where he received both his master's in physiology and his M.D. degrees in 1952. He was an instructor at the University of Wisconsin before joining the United States Air Force in 1953. While in the service he was an intern at the William Beaumont Army Hospital in El Paso, Texas. From 1954 to 1956 he was chief, department of physiology, Arctic Aeromedical Laboratory, Fairbanks, Alaska. Dr. Rennie was a visiting professor at the University of Milano, Italy in 1966-67 and has lectured in Hawaii, Finland and Australia. His lectures were based on his research interests -human temperature regulation (acclimatization to cold air and water immersion); and energetics of swimming. He has also served on several Medical School and University-wide committees. Currently he is a member of the test committee for physiology, ational Board of Medical Examiners. D There is $115 million worth of construction underway on the new orth Campus in Amherst. Construction on four more projects totaling $34.3 million is expected to start this spring, and another $65 million anticipated for next fall. This is the John Lord O'Brien Hall for Law and Jurisprudence. New Campus �A unique collection of 3,000 teaching slides methodically documented and most of them photographed by Dr. Louis Bakay, professor of surgery and head of the division of neurosurgery. The slides are an invaluable tool for presenting all types of patient problems to residents. India Prime Minister Indira Gandhi has invited Dr. Om Bahl, born in India, to New Delhi this spring to receive a special award for "his contributions to the public good of the country." Dr. Bah! is a professor of biochemistry at the Medical School, and joined the faculty in 1966. Dr. Bah! has successfully isolated and analyzed the human chorionic gonadotropin (HCG). It becomes the first hormone of such complexity whose complete structure we now know. His research may not only help toward developing a better means of fertility control but improve those that are now available. He is one of a handful to be so honored. D Dr. John Eccles, distinguished professor of physiology and biophysics at the Medical School, is among 10 outstanding educators selected as Phi Beta Kappa visiting scholars for 1973-74. Winner of the abel Prize in physiology and medicine in 1963, Dr. Eccles will go to several colleges and universities for twoday visits during the next academic year. He will give at least one public lecture during each visit. D SPRING, 1973 People Governor Nelson A. Rockefeller has appointed President Robert L. Ketter to the seven-man Committee on Electric Power Research. The committee is charged with finding answers to power-generating problems as they relate to the environment. The Governor, in selecting Dr. Ketter, pointed out that the UB chief administrator has published more than 40 articles and reports on technical subjects as well as a textbook, "Modern Methods of Engineering Computations." D Dr. Stanley R. Platman is the new director of the Buffalo State Hospital. He will continue as executive director of the Buffalo General Hospital Community Mental Health Center. He joined the State Mental Hygiene Department in 1965 and came to Buffalo in 1969. A native of England, Dr. Platman is a graduate of Queens University, Belfast. He also studied and worked in Swaziland, East Africa, and was a resident in psychiatry at the University of Weiwatersrand, Johannesburg, South Africa. D 55 �People Dr. Mario C. Rattazzi, research assistant professor in the department of pediatrics, School of Medicine, received a $125,000 fiveyear Career Development A ward from the ational Institutes of Health to continue his biochemical genetic studies of inborn errors of metabolism. Dr. Rattazzi has been a University Buswell Fellow in the division of human genetics, Children's Hospital, since May 1969. Earlier, he was a research assistant professor in the department of human genetics, State University of Leiden, Holland. He received his M.D. degree from the University of Naples, Italy. Children's Hospital division of human genetics was awarded a three-year, $1 million NIH grant to study the genetic aspect of fetal development last year. Dr. Rattazzi's work is concerned with lysosomal enzyme deficiencies in lipid storage disease such as Tay-Sachs and is an integral part of the $1 million grant. 0 French physiologist Andre J. Malan has joined the physiology department to conduct research on the respiration of hibernating mammals. He comes to the University as recipient of the French-United States Exchange Award which is offered jointly by the National Science Foundation and the National Center for Scientific Research in Strasbourg, France. 0 Dr. Edward M. Cordasco, clinical assistant professor of medicine, presented a paper- "Experimental Fat Emboli, A Comparative Therapeutic Study" - at the 38th annual meeting of the American College of Chest Physicians in Denver in October. His associates were three health science faculty members - Dr. Oscar Piedad, clinical associate professor of surgery, Dr. Anthony V. Postoloff, M'39, clinical professor of pathology, and Dr. Peter K. Gessner, associate professor of pharmacology. Drs. Piedad and Postoloff are on the staff of Millard Fillmore Hospital. 0 Dr. S. Subramanian was a visiting professor at the University of Cardova, Argentina last October and was named honorary professor. He is chief of the division of cardiovascular surgery at Children's Hospital and an associate professor of surgery at the Medical School. 0 56 Nineteen alumni are among the 27 Buffalo area doctors who have been named to the American Academy of Family Physicians in Kansas City recently. The alumni are: Doctors Charles A. Bauda, M'42; Max Cheplove, M'26; John E. Cryst, M'41; George L. Eckhert, M'42; Willard G. Fischer, M'36; Robert W. Haines, M'54; Herbert E. Joyce, M'45; Leo Kopec, M'32; Robert Walter Lipsett, M'37; Harry L. Metcalf, M'60; Raymond R. Meyers, M'34; James R. Nunn, M'55; Gerald E. Schultz, M'51; K. Joseph Sheedy, M'45; Helen F. Sikorski, M'50; Sigmund B. Silverberg, M'26; Harry Spiegelman, M'28; Gertrude S. Swarthout, M'43; Max B. Weiner, M'34. Also named were: Doctors A. Charles Massaro, clinical instructor in medicine and in Family Practice (Department of Social and Preventive Medicine); Herbert W. Wittkugel, clinical instructor in Family Practice (Department of Social and Preventive Medicine); George A. Birchette; Semen Doroszezak; Paula Frank; Robert J. Mehr; Maurice A. Pleskow; Anthony S. Sloand. 0 Three alumni have been appointed to twoyear terms, State Board of Directors, American Cancer Society. They are Drs. Milford Childs, M'40, Alfred F. Luhr, M'43, and Walter T. Murphy, M'30. Dr. Gerald P. Murphy was also appointed. He is director of the Roswell Park Memorial Institute and a research professor of surgery at the Medical School. 0 Mr. Thomas G. Robertson, Jr., has been named Assistant Director of the Children's Hospital. Robertson joined the staff in July as Administrative Assistant upon receiving his Master's in Hospital Administration from the University of Chicago last June. 0 Mr. Robertson THE BUFFALO PHYSICIA �A prominent Polish scholar is currently a visiting professor in the biochemistry department. He is Dr. Wlodzimierz Ostrowski, who is director of the Institute of Medical Biochemistry and professor of biochemistry at the Medical Academy at Krakow, in southern Poland. He is here for six months on a Buswell Fellowship of the School of Medicine. This is Dr. Ostrowski's second visit to the campus as a researcher. In 1966 he worked with Dr. Eric Barnard, professor and chairman of the biochemistry department. 0 Two alumni have been elected to the Board of Governors, American College of Surgeons, for three-year terms. They are Dr. William Staubitz, M'42, professor of urology, and Dr. Donald J. Kelly, M'52, a surgeon. Dr. Staubitz is chairman, department of urology. 0 People A first year medical student, Mrs . Thomas Anders, with her new baby, Michael, born six weeks after classes started last August. The mother missed only five days of classes. Fellow students and faculty co-operated in her make-up work. Mrs. Anders, 24, is among 36 women in the first year medical class. She is a native of Poughkeepsie and a graduate of Fordham University. Her husband is chief of the Children's Hospital department of psychiatry and head of the child guidance clinic. He is also an associate professor of psychiatry and pediatrics and director of the division of child psychiatry at the Medical School. 0 Buffalo E\'ening News Two alumni have been elected to the Board of Trustees at Medaille College. They are Dr. Michael T. Genco, M' 58, assistant clinical professor of neurology, and Dr. Francis J. Klocke, M'60, professor of medicine and chief of cardiology at the E.J. Meyer Memorial Hospital. He is also an assistant professor of physiology. 0 Four alumni have been elected medical staff officers at Kenmore Mercy Hospital. Dr. Eugene C. Hyzy, M'59, is the new president, and Dr. Frank A. Pfalzer, M'49 is presidentelect. The new secretary is Dr. George W. Fugitt Jr. , M'45, and Dr. Leo E. Manning, M'50, is a delegate at large. All four physicians are on the Medical School faculty. 0 A clinical assistant professor of pathology has been appointed Erie County chief medical examiner. Dr. Judith M. Lehotay, a graduate of the University of Budapest Medical School, came to Buffalo in 1958. She served as a research associate in pathology at the Medical School. She has been a resident in pathology at Children's, E.J. Meyer Memorial, and Sisters Hospitals. 0 Dr. Cedric Smith has been named chairman of the committee on research of the New York State Task Force on Alcoholism. He is professor and chairman of the pharmacology department at the Medical School and director of the Research Institute on Alcoholism, New York State. 0 SPRI G, 1973 57 �People Two faculty members and one alumnus were re-elected officers in the Tuberculosis and Respiratory Disease Association of Western ew York. Dr. John W. Vance was elected to a third full term as president. He is a clinical associate professor of medicine and director of the Chronic Respiratory Disease Program at Millard Fillmore Hospital. Dr. Jerome J. Maurizi, M'52, was re-elected first vice president, and Dr. Edward M. Cordasco clinical assistant professor of medicine, was named one of six vice presidents. 0 This isolated granule of bicarbonate soda shows minute crystals which are attached to it to allow the stomach to absorb the medication faster. At least two professors in the Health Sciences are using the scanning electron microscope capable of 120,000 magnifications. Dr. Eli Shefter, associate professor of pharmaceutics, is studying medications which are used to combat various stomach disorders. The microscope provides a close, detailed look at the outer coating of pills and tablets. Dr. Carel J. van Oss, professor of microbiology, said this microscope is among a few used in the Buffalo area. Dr. Subbiah Ramalingam, associate professor of mechanical engineering at the University, said this microscope is unique because of its scanning ability. "Routine examination of specimens up to one cubic inch, with little or no special preparations, at high magnification, makes this microscope a powerful scientific instrument for physical and natural science research," he said. Classes from many of the University's disciplines have viewed some of the video-taped demonstrations of the microscope's operations. 0 58 Three Medical School faculty members are on the editorial board of a new journal, Clinical Immunology and Immunopathology. They are Drs. Giuseppe A. Andres, professor of pathology and microbiology, Stanley Cohen, professor of pathology, and Thomas B. Tomasi, Jr., professor of medicine. A former faculty member (professor and chairman of pathology) Dr. Robert T. McCluskey is co-editor. He is at the Harvard Medical School and Children's Hospital Medical Center in Boston. 0 Dr. Kunwar P. Bnatnagar who received his Ph.D. in 1972 in Anatomy from SUNYAB is now an assistant professor of anatomy, Schools of Medicine and Dentistry, Louisville. 0 Dr. Saxon L. Graham, clinical professor of medical sociology in the department of social and preventive medicine, heads a team of scientists who believe that people who regularly eat raw vegetables get less gastric cancer. His beliefs are based on interviews in which 168 matched pairs of patients and controls were asked to recall their eating habits over a 10-year period. Assisting Dr. Graham in the study were Dr. William E. Schatz, assistant professor of statistics, and Paul A. Martino, senior research analyst. 0 Four alumni have been elected officers to the medical staff of the Buffalo General Hospital. Dr. J. Edwin Alford, M'34, has been re-elected president. Other officers are president-elect, Dr. Marshall Clinton, M'40; vice president, Dr. James F. Phillips, M'47; and secretary-treasurer, Dr. Robert Blum, M'42. 0 THE BUFFALO PHYSICIA �The 1915-1918 Classes The Classes of the 1940's Dr. Peter J. Sciarrino, M'15, a urologist, conducts a VD clinic for iagara County. He is past president of the Niagara County Medical Society and past chief of staff of Mt. St. Mary's Hospital, Niagara Falls. Dr. Sciarrino's address is 439 Memorial Parkway, iagara Falls. D Dr. John D. White, M'40, is chief of the department of anesthesiology and inhalation therapy at Keys Community Hospital, Tavernier, Florida. D Dr. William E. McGarvey, M'18, an ophthalmologist-otolaryngologist, retired in July . The past president of Jackson County (Michigan) Medical Society passed the National Board of Medical Examiners in 1919. He was a member of Nu Sigma Nu fraternity in Buffalo. His address is 319 S. High by Street, Jackson. D The Classes of the 1920's John P. Bachman, Colonel (MC) USA Ret. (1956), M'26, retired in September as administrator, Cedarcrest Hospital in Newington, Connecticut. He is a Fellow, American College of Hospital Administration. His retirement address is 26 Waterside Lane, West Hartford. D Dr. Richard Ament, M'42, is the author of "Delivery of Anesthesia Care - Present and Future", that appeared in the September issue of the New York State Journal of Medicine. It was based on the paper he presented at the 166th annual meeting of the Medical Society of the State of New York in February. Dr. Ament is a clinical professor of anesthesiology at the Medical School. D Dr. Eugene M. Farber, M'43, received the Order of Jose Maria Vargas award from the Central University of Venezuela, the University's highest honor. Dr. Farber is the first North American to receive the award. He is professor and chairman of the department of dermatology at Stanford University Medical School. With other Stanford faculty members, Dr. Farber helped plan a new curriculum at Central University. D Dr. Milton A. Palmer, M'27, has been reelected president of the Buffalo Eye Bank and Research Society. D Dr. Richard M. Greenwald, M'45, a peditrician, is president of the North Shore Hospital Medical Staff and secretary of the hospital's Medical Board. North Shore Hospital is an affiliate teaching hospital of Cornell Medical School. Dr. Greenwald lives at 2 Midwood Cross, Roslyn, New York. D The Classes of the 1930's Colonel James G. Borman (USAF) M'48, was recently reassigned from Goose Airbase, Labrador to Chanute AFB, Illinois as Commander of the USAF Regional Hospital, Chanute. His specialty is aerospace medicine. D Dr. Benjamin E. Obletz, M'32, is now consultant orthopedic surgeon at the Buffalo General Hospital. He has been chief of orthopedic surgery at the hospital for 18 years. He is also a clinical professor of surgery at the Medical School. D SPRI G, 1973 Dr. George Leonard Collins, Jr., M'48, has been appointed to the clinical staff at Roswell Park Memorial Institute, the ew York State Department of Health cancer research and treatment center in Buffalo. Dr. Collins will be Director of the Electrocardiograph Laboratory and consultant in Cardiology. The physician has authored or co-authored scientific articles in the field of cardiology, including studies on enzymes, hormones and their relationship to 59 �District II American College of Obstetricians and Gynecologists (following Dr. Vincent J. Capraro, M'45 of Buffalo). He recently co-authored a book "The Collaborative Perinatal Study - The Women and Their Pregnancies" with Dr. Kenneth R. iswander, M'48. Dr. Gordon was married in December 1971 to the former Miss Karol B. Tucker, and lives at 530 East 90th Street, New York City. 0 Dr. Nathaniel J. Pulver, M'48, a pediatrician, formerly of White Plains, New York, writes that he is immigrating to Tiberias, Israel to work for the Kupat Cholim Sick Fund. 0 The Classes of the 1950's Dr. CoJ/ins Dr. Patricia Meyer Jones (formerly Quinney), M'50, retired in May, 1972 after eighteen years of ob-gyn practice in Fort Lauderdale, Florida and moved to central Florida on a 70acre ranch in Haines City. She writes that retirement made her restless, however, and she is now with Keith Initial Care Group, providing 24 hour emergency room services at Winterhaven Hospital, Winterhaven, Florida - near Cypress Gardens and Disneyworld. Her address is Route 2, Box 791, Haines City. 0 human blood clotting and diseases of the liver. Concurrent with his work at Roswell, Dr. Collins will continue as Assistant Clinical Professor of Medicine at the State University of New York at Buffalo. The cardiologist is currently on the Board of Directors of Blue Shield of Western ew York, and the United Fund of Buffalo. He has been chairman of the Physicians Division and the Professional Division of the United Fund. An active member of the Erie County Medical Society, Dr. Collins was its president from 1966 to 1967. He is a member of the Professional Medical Liability Insurance and Defense Board for the Medical Society of the State of New York and holds the position of Councilor in that organization. Dr. Collins was a member of the Erie County Citizen's Committee on Intermuniciple Affairs during the committee's existence from 1967 to 1970. 0 Dr. Roy J. Thurn, M'52, received a charter fellowship in the American Academy of Family Physicians (9/72) in New York City. Dr. Thurn , who lives at 2401 E. Fifth Street, Duluth, Minnesota, is chief, department of Family Practice, St. Mary's Hospital, Duluth. He is also a member of the Advisory Committee for the University of Minnesota, Duluth Campus Medical School and on the Duluth Family Practice Residency Planning Committee. 0 Dr. Myron Gordon, M'48, obstetriciangynecologist, is an associate professor at New York Medical College. He is also chief of service, department of ob/gyn at Metropolitan Hospital Center, New York City, and chairman-elect of Dr. David Weppner, M' 55, is the new school physician for St. Mary's School of the Deaf. He is a pediatrician on the staff of Sister's Hospital and a clinical instructor in pediatrics at the Medical School. 0 60 Dr. Louis C. Cloutier, M'54, finished second in the third annual AMA Curling Bonspeil in Wilmette, Ill. Dr. Cloutier was the defending champion. 0 THE BUFFALO PHYSICIA �Dr. Erick ·Reeber, M'56, a family practitioner, was elected president of Headwaters Medical Society for 1972-73. He lives at 416 North Red Lake Avenue, Bagley, Minnesota. D Dr. James M. Cole, M'59, has been appointed chief of orthopedic surgery at the Buffalo General Hospital. He is also a clinical associate professor of orthopedic surgery at the Medical School. He served his internship and residency at Buffalo General and Children's Hospitals. D The Classes of the 1960's Dr. James R. Kanski, M'60, was appointed chief of the Endocrine Clinic at Buffalo General Hospital. He is a clinical assistant professor of medicine at the UB Medical School. D Dr. Joseph Leopold Fermaglich, M'61, is an assistant professor of neurology, Georgetown University Medical School, Washington, D.C. His home address is 1193 3 Ledgerock Court, Potomac, Maryland. D Dr. William J. Hewett, M'61 is now in private practice of obstetrics-gynecology at 85 Jefferson Street, Hartford, Connecticut. D Dr. Saar Porrath, M'61, is a staff radiologist at Santa Monica Hospital Medical Center, Santa Monica, California. D Dr. Jack C. Fisher, M'62, has recently been appointed assistant professor of plastic surgery at the University of Virginia Medical School, Charlottesville. He is also associate director of the State Crippled Children's Facial Deformity Clinic as well as Director of the newly organized Burn Unit. D SPRING, 1973 Dr. Seth A. Resnicoff, M'62, recently opened his office in Concord, New Hampshire for the practice of Peripheral Vascular, General and Thoracic Surgery. He completed his training in general surgery, followed by a year of thoracic surgery at the University of Rochester, Strong Memorial Hospital. He and his family "welcome all letters" at his new address, 36 Ridge Road, Concord. D Dr. John J. LaMar, Jr., M'63, a pediatrician in Salem, New Jersey, is also a clinical instructor in pediatrics at the University of Pennsylvania School of Medicine. He is a staff member of Children's Hospital of. Philadelphia, and medical advisor to the Southwest New Jersey Chapter March of Dimes. His address is Chestnut Lane, R.D. #3, Salem. D Dr. Gerald B. Goldstein, M'64, an allergist, is in private practice in Tucson, Arizona after completing three years in the U.S. Army's Tripier General Hospital, Honolulu, Hawaii. His home address is 3401 N. Camino Esplanade, Tucson. D Dr. Ralph D. D' Amore, M'65, appointed a Diplomate of the American Board of Family Practice, the newest specialty recognized by AMA. His office is 150 Broad Street, Hamilton, New York. D Dr. Daniel S. Schubert, M'65, is assistant professor of psychiatry at Case Western Reserve University since July. He completed his psychiatric residency at Yale in June and earned a Ph.D. in psychology from the University of Chicago in 1969. Since 1964 Dr. Schubert has contributed to several articles for professional journals. D Dr. Sean R. Althaus, M'66, is a clinical instructor in otology-neurotology at the University of California San Francisco Medical Center, a consultant in otology for the San Francisco Veterans Administration Hospital and Oak Knoll Naval Hospital in Oakland, and is also in private practice in Oakland. He has contributed to several publications and motion pictures in his specialty. He is a Diplomate, American Board of Otolaryngology (1971). He and his wife (Sandy) have two children: Scott, 6, and Lisa, 4, and live at 23029 Hatteras Street, Woodland Hills, California. D 61 �Dr. Douglas C. Fiero, M'66, has completed his medical residency at the University of Colorado Medical Center. He served as chief resident in Medicine January-June 1972. Board certified in Internal Medicine (A.B.I.M.) in June. He is now with the Cape Ann Medical Center (group practice) as general internist in Gloucester, Massachusetts. D Dr. Melvin Fox, M'66, is practicing in Internal Medicine-Nephrology at 1900 N. Oregon, El Paso, Texas. He served for two years (67-69) in the Public Health Service and was director of Tuberculosis Control Region 1B Texas. He is a Diplomate, Internal Medicine. D Dr. Norman Berkowitz, M'67, a Diplomate, American Board of Pediatrics, is a Fellow in Behavioral Pediatrics at St. Christopher's Hospital for Children, Philadelphia. He completed two years in the U.S. Air Force. D Dr. Liberato A. Iannone, M'67, is director of the Coronary Care Unit and Cardiovascular Laboratory, U.S. Army, William Beaumont General Hospital, Fort Bliss, El Paso. He is a Diplomate, American Board of Internal Medicine, and a member of Army Association of Cardiologists. D Dr. Richard G. Judelsohn, M'67, a pediatrician, has contributed to JAMA, Journal of Infectious Diseases, American Journal of Ob/Gyn, and Journal of the American Public Health Association. Following service over the past two years with Epidemic Intelligence Service, The Center for Disease Control, U.S. Public Health Service, Atlanta, he is now in private practice at 1525 Millersport Highway in Williamsville. D Dr. Brian S. Joseph, M'68, has returned from two years in the Army as Flight Surgeon, and has started his second year in psychiatric residency at Johns Hopkins (first year at E.J. Meyer Memorial Hospital. He was awarded the Bronze Star and Army Commendation medals in Vietnam for work with addicts. He also earned the Air Medal and was awarded a Civil Actions Medal, First Class, by the Vietnam government for work with civilians. He lives at 3943 Nemo Road, Randallstown, Maryland. D 62 Dr. David Kramer, M'68, has returned to his radiology residency at Rochester General Hospital following two years in the Air Force (Sacremento). He lives at 2 2 Greenleaf Meadows, Rochester. D Dr. Charles P. Yablonsky, M'68, is chief of ophthalmology, Kirkland AFB Hospital, Albuquerque. D The Classes of the 1970's Dr. Elliott Brender, M'70, has been assigned to the U.S. Army's Letterman General Hospital, Presidio of San Francisco. D Dr. Neil Garroway, M'70, a resident in medicine at Vanderbilt University Hospital, will remain there next year as a fellow in endocrinology. D Dr. Alan I. Leibowitz, M'70, in U.S. Public Health Service, avajo Area Indian Health Service, is an instructor for the Medic Training Program (Physician Assistants) Navajo Area. The program trains Indians for independent duty on the reservation. He is also staff medical officer and his wife, Lucille (1970, Buffalo General Hospital School of Nursing) is a pediatrics nurse at the Gallup Indian Medical Center. In July Dr. Leibowitz will start his residency in Internal Medicine at Dartmouth Medical School. His home address is 111 Valley View Drive, Gallup, New Mexico. D Dr. and Mrs. Leonard Kram, M'71, are the parents of a son, Brent William, born October 10. The Krams live at 2120 Maon Dr, Apt. 126, Lexington, Kentucky. D Dr. Denis G. Mazeika, M'71, an assistant clinical instructor, is a resident in ophthalmology at E.J. Meyer Memorial Hospital. D Dr. Marc Leitner, M'72, a pediatrics intern at Harbor General Hospital in Torrance, California, lives at 604 South Broadway, Redondo Beach. He is interested in hearing from his fellow classmates (he was on a clinical fellowship in Israel and unable to attend graduation). D THE BUFFALO PHYSICIAN �In Memoriam Dr. Robert J. Irwin, M'30, died January 23 in Buffalo General Hospital after a long illness. The 69-year-old general practitioner and obstetrician was one of the five original members of the sponsoring medical board of the Planned Parenthood Association of Buffalo. During his 40 years of practice he served on the staffs of three hospitals- Buffalo General, Millard Fillmore, and Children's. During World War II Dr. Irwin served as a Captain in the Army Air Force Medical Corps in Richmond, Virginia. He was also medical director of the J. H. Williams Company and physician for the Courier Express af\d chief obstetrician for the Ingleside Home. He was also a member of several professional organizations. 0 Dr. Paul J. Kreuz, M'32, died December 8 at Sisters Hospital after a long illness. The 56year-old general practitioner was on the staff of Sisters Hospital until he retired in 1968. He was an Army Captain in the Pacific during World War II. Dr. Kreuz was active in several professional organizations. 0 Dr. Leone Dr. Russell S. Leone, M'29, died December 31 in his home in Arlington, Virginia at the age of 67. He retired in 1960 ?-fter 31 years of service in the Air Force as a flight surgeon and Colonel. He served his internship at Walter Reed Hospital and became a flight surgeon in 1942. He served as hospital commander of several Air Force installations. Dr. Leone attended the School of Aviation Medicine and the Command and General Staff School during WW II. In 1950 he became a member of the Air Force Physical Disability Appeal Board. From 1955 to 1960 he was chief of Physical Standards Division in the office of the Air Force Surgeon General. After retiring from the Air Force Dr. Leone was associated with the Fairfax, Virginia Hospital as director of emergency service. He retired last year. He was a member of the ew York, Virginia, Maryland and District of Columbia Medical Societies, and Aerospace Medical Association, the AMA, the American College Health Association and the Society of Air Force Flight Surgeons. 0 SPRI G, 1973 Dr. Russell J. Alessi, M'31, died December 21. He was 67 years old and had been a general practitioner in Niagara Falls for more than 30 years. 0 Dr. Boris A. Golden, M'40, died December 20 at the iagara Falls Memorial Medical Center. He was 62 years old. He was a teacher in the secondary schools before entering medical school. Dr. Golden founded the medical service at Niagara Falls and was past president of the Academy of Medicine, Temple Beth Israel and Jewish Federation. He was also former head of the staff of Mt. St. Mary's Hospital. 0 Dr. Hugo C. Hoffman, M'15, died December 24 at the Beachwood Niagara Frontier Methodist Home. He was 89 years old and had practiced for 55 years. Dr. Hoffman was a professional violinist and teacher of that instrument in Lockport before studying medicine. He was a violinist with the Ball-Gould String Quartet which played chamber music in the city's most elegant homes. The ensemble also played in the White House for President Theodore Roosevelt. The director of the University Health Services is Dr. Paul Hoffman, his son. 0 63 �TWO ALUMNI TOURS London, April 21 - 28 - Easter Vacation $299 per person double occupancy, plus 13% tax & service -Jet, Departure from New York City -Half Day Trip to Windsor Castle -London Orientation Tour -Continenta!'Breakfast & Dinner each Evening in one of London's Best Restaurants - Optional T ours Available - Deluxe Accommodations at the London International Hotel -All Gratuities Included Portugal, May 19 - 27 (8-days, 7-nights) $2 99 per person double occupancy, plus 13% tax & service - Round Trip Jet to Estoril, Portugal; Departures from Syracuse and New York City - Deluxe Accommodations in the New Estoril Sol Hotel (on the beach) -American Breakfast and Gourmet Dinners Daily - Sightseeing Trips to Lisbon & Sintra, Plus Other Optional Tours -Membership Card to Gaming Rooms Plus All Gratuities For Details Write or Call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 The General Alumni Board - MORLEY C. TOWNSEND, '45, President; DR. FRA K L. GRAZIANO, D.D.S., '65, Pre sident-ele ct ; GEORGE VOSKERCHIAN, Vi ce President for A c tivities; FRANK NOTARO, '57, Vice President for Administration ; MRS. PHYLLIS MATHEIS KELLY, '42, Vi ce Presid ent for Alumnae; JAMES J. O 'BRIEN, '55, Vice President for Athleti cs ; ROBERT C. SCHAUS, '53, Vice Pres ident for Constitu ent Alumni Groups ; DR. GIRARD A. GUGI 0, D.D.S., '61 , Vi ce President for Development and Membership ; G. HENRY OWEN, '59, Vice President for Public Relations; ERNEST KIEFER, '55 , Treasurer; CHARLES M. FOGEL, '38 and ESTHER K. EVERETT, '52, Members of the Executive Committee ; Past Presidents: DR. EDMOND J. GICEWICZ, M'56 ; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. JOHN J. O'BRIEN, M'41, President; LAWRENCE H. GOLDEN, M'46, Vice President; PAUL L. WEINMANN, M'54, Treasurer; LOUIS C. CLOUTIER, M'54, Immediate Past-President; MR. DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident ; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. 64 THE BUFFALO PHYSICIAN �JOHN J. O'BRIEN, M.D. '41 PRESIDENT SCHOOL OF MEDICI E ALUM I ASSOCIATION RE: MEDICAL ALUM I CONTRIBUTIONS Your gifts to our dues program and scholarship and loan fund mean much to both the success of our activities and to medical education. Where does your gift go? D DUES: Supports such things as the SPRING CLINICAL DAYS, REU 10 S, MEDICAL ALUMNI OFFICE, RECEPTIO S (1973 calendar inside this issue) D SCHOLARSHIPS & LOANS: The Medical Alumni Association has given $1500 in scholarships annually. We'd like to make this a more meaningful, expanded program. Will you help? We invite you to join those listed in this issue who have helped in 1972 and to whom we are grateful. First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested HARRY HOFFMAN & SONS PRINTING ~·• -------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received---Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Home A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - If not UB, MD received f r o m - - - - - - - - - - - - - - ' - - - - - - - - - - - - - - - - - - - - - - - - fuPrivatePractice: Yes D NoD In Academic Medicine: Yes D SpeciaHY------------------------------ No D Part Time D Full Time D School---------------------Title Other: Medical Society Memberships:------------------------------------~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, e t c . ? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1973 Subject The topic of the resource State University of New York at Buffalo. 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Class Reunion Secretory Immunoglobulins Alumni Contributors Acupuncture Dr. Elsaesser/Essay Biochemistry Professor Self Study Health Sciences Library Medical School Mixer Physiology Scholarships Poverty/Growth Alcoholism Institute Health Care Alumni Reception Medical School Blood-Brain Barrier Pediatric Nursing Dr. Tronolone/Dr. Keeney Spring Clinical Days Trophoblastic Neoplasia Center Dr. Rahn/ Alumni Receptions Physicians' Medal Our First Teacher by O.P. Jones, M.D. Continuing Education Diabetic Patient Dr. Varco Dies/Pelvic Traction Belt Sound Waves Neonatal Unit Dr. Frawley Mr. Richardson Obesity Clinic Physiology Chairman/New Campus People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/815f8010fada9bc24dea4c6e533e60f4.pdf 178b183408f721213e2fc3b489a67e28 PDF Text Text �An illleresti116 case hiswry What's next on the program? The Class of 1975 The food was good A welcome from Dean Pesch All of the first year medical students are from New York State except 13. Five of the 13 come from foreign countriesChina, India, Indonesia and Israel. The other eight represent seven states and the Virgin Islands. Thirty-two of the students are from the Buffalo metropolitan area, 23 are from the remaining upstate area and 52 are from downstate. Most of the new students are science majors, but a few majored in Russian Literature, history, economics and psychology. They did their undergraduate work at 52 different colleges and universities. (Continued on page two) �Winter 1971 Volume 5, Number 4 THE BUFFALO PHYSICIAN Publbhed by the School of Medicine, Stat. Unlvel'lity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor Ro1111.T S. McGRANAHAN M.neglng Editor MARION MARIONOWSKY Deen, School of Medicine Oa. LERoY A. PncH Photography Huoo H. UNGER EDwARD NOWAK Medica/ /l/u1trator MILFORD J. DieDRicK Graphic Artilfs RicHARD MAcAKANJA DoNALD E. WATKINS Secretary fLORINCI MIYER CONSULTANTS Praldent, Medical Alumni Association OR. loUII C. CLOUTIER President, Alumni Participating Fund for Medica/ Education OR. MARVIN BLOOM Vke Pre1ldent, Faculty of He1lth Sciences OR. CL YDI L RAHOAU. Vke Pre1ident, Unlvenity Foundation JOHN c. CARTeR Director of Public Information JAMu Oe5ANTII Pre1ident, Univertity Foundation OR. ROIERT 0. LOKEN Director of Medical Alumni Affair~ DAVID K. MICHAiiL Director of Unlver.ity Public11tlons THEODORE V. PALERMO Vice Pre1ldent for Unlvertity Relation• OR, A. WliSTLIY ROWLAND 4 10 11 12 13 14 16 18 19 20 24 26 27 30 33 34 37 38 40 41 42 48 50 51 54 55 56 57 58 65 67 68 The Class of 197 5 inside front cover Housestaff Graduation New Anatomy Chairman Dr. Heyd Bequest Project Pathway Michael Reese President Drug Abusers Ward Attica Immunology Summer Session Curriculum Fetal Care Head Plastic, Reconstructive Surgery Alumni Pay Dues Psychoendocrinology Pediatric Pharmacology Rural Health Care Complete Patient Records Environmental Physiology Faculty Promotions Family Practice Alumni Receptions Medical School Won't Move Health Sciences Library Health Care In Buffalo, 1846 by Dr. O.P. Jones Health Manpower Shortages Televised Operations Data Management Opportunity, Decision New Faces Continuing Medical Education Drug Abuse Center Community Health Service Blood Samples The Classes People In Memoriam Alumni Tour The cover design by Richard Macakanja focuses upon the new laboratory for Environmental Physiology. For picture story see pages 34-36. Tm: BUFFALO PHYSICIAN, Winter, 1971 - Volume 5, Number 4_. _published quarterly Spring, Summer, Fall, Winter-by the School of Me(hcme, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1971 by The Buffalo Physician. �"You are here because of your superior qualifications to study medicine. If you should fail it will be as much the fault of the faculty as anything else. We have a strong commitment to seeing that all of you have a meaningful education.'' That is what Dean LeRoy A. Pesch told the 126th medical class at orientation. "The Medical School offers you many opportunities and a tremendous challenge. This is a very exciting time for health care. The Medical School has a responsibility to society, and each of you share this responsibility. "This Medical School has changed from a rigid to a more flexible program. We have student participation in our Medical School, but we need more. We hope each of you find an appropriate career as it relates to health care. We have the 16th largest medical center in the nation. We have many city and regional commitments, and work through five affiliated hospitals and 60 community health care agencies," Dean Pesch said. Speaking for the President's office, Dr. Lawrence A. Cappiello challenged the 1975 class to " solve the riddles of health care in this nation.'' He also urged the students to become involved in all aspects of University life. The Assistant to the Executive Vice President of the University told the students that the Medical School had skillfully integrated the basic science and clinicaldepartments. " Some 800 practicing physicians in this community will be working with you during the next four years.'' Dr. Cappiello quoted figures from a recent AMA survey that showed the average physician makes $35,510 annually; that of the 334,028 physicians in the country, 278,350 are involved primarily in direct patient care, 12 ,000 in administration, 12,000 in research, and 5,500 in teaching. �Selecting the 120 members of the 1975 class was a long, time consuming process that involved many people and hundreds of man-woman hours. The accompanying chart tells the story. Number of Applications Received Number of Interviews Number of Students Accepted Number of Students who Registered .......................... women ...................... minorities .................. 1,990 406 141 85 357 106 43 20 94 58 35 15 TOTAL ................. 2,441 570 219 120 men Dr. Aquilina The 1975 Medical Class put its diagnostic expertise on the line during orientation. The MC for the two-hour program at the Veterans Administration Hospital was Dr. Joseph Aquilina, clinical professor of medicine. The 120 new students asked questions and made excellent diagnoses based on personal history taking_ from two patients. "Our purpose today is to prove that interviewing a patient can lead to an accurate diagnosis without laboratory tests and X-rays," Dr. Aquilina said. The students learned fast and asked many excellent and penetrating questions. They learned the importance of name, age, and occupation as well as the patient's personal habits-eating, drinking, sleeping, recreation. Patient X had chronic diarrhea for 20 or 25 years. He had two jobs - substitute teachWINTER, 1971 al the VA hospilal er and salesman, was single, served in the South Pacific during World War II, and appeared healthy. The students established that his financial situation was good, that he worked irregular hours and really didn't like teaching. He was a moderate smoker, and didn't drink. Coffee bothered him, so he drank Sanka. The diagnosis: chronic colitis. Patient Y was 48 years old, unemployed and an excessive drinker by his own admission. He came to the hospital because of no appetite and a loss of weight. "I wanted to live," he said. He had been a construction worker, was divorced and had two hernias. He also had swelling - abdominal and the legs from the knees down. Hepatitis was a possible diagnosis, so was heart or kidney disease. But in the final analysis it was cirrhosis of the liver .0 3 �House Staff Graduation One hundred thirty physicians and five dentists received their "certificates" at the fourth annual University housestaff program graduation at Kleinhans Music Hall. The 43 interns and 92 residents completed some phase of their training at one of four University affiliated hospitals-Buffalo General, E. J. Meyer Memorial, Veterans or Children's Hospitals. Following a "welcome" by the dean of the medical school who urged the graduates to seek change through methods that will not "convulse" the society, the main address was presented by one of the leaders in A~erican medicine, Dr. Russell B. Roth. Deans LeRoy A. Pesch and William F. Feagans, together with the chairman of the University Housestaff Program Committee Dr. · William J. Staubitz, presented the certificates of internship and'residency to the following graduates: ANESTHESIOLOGY: Residents- Drs. Maria J. DosSantos, Kevin Gorman, Tan Tsuan Ho, Lilia Lim Maceda, Yaadbhiroon Vongtama. DENTISTRY: Interns-Drs. Jean S. Emerling, Robert S. Kull, John F. Kugler, Jr., Evelyn M. Martin. Resident in Oral Surgery- Dr. Gordon W. Cruickshank. GYNECOLOGY AND OBSTETRICS: Residents-Drs. Fereidoon Jamshidi, Sixto R. Maceda. MEDICINE: Residents- Drs. Jerome Bierman, Syam C. Bikas, Henry E. Black, William Warren Burke, Dennis R. Carroll, Condon A. Dalton, Lang M. Dayton, Richard Evans, John Flanagan, Michael Gagliardi, Paul N. Gandel, Angel A. Gutierrez, G. Anthony Holt, Jr., P.M. Ignatius, David A. lngis, Peter C. Kelly, David M. Krayanek, Michael R. Kiebling, Richard T. Milazzo, Jr., Donald E. Miller, Houshang Moayeri, Somphote Nimakorn, Kenneth W. Nobel, Dean E. Orman, A. Ramamohana Rao, Kailash Chandra Sabharwal, Urmil Sabharwal, Rajinder Singh Sachar, Mohammad Arshad Saeed, Carol Segel, Shirish Nagindas Shah, Concepcion Reyes Singson, Andrzej Zurek, Hussein M. Abdel-Dayem. Interns-Drs. Brian A. Boehlecke, Peter L. Citron, Mary E. Clemons, Donald P. Copley, Thomas M. Cosgriff, Vincent G. Cotroneo, Joann L. Data, Dennis P. DuBois, Stephen S. Dudley, Alan J. Fink, Emil Garnil, Joseph D. Gentile, George D. Goldberg, Kenneth B. Graulich, Stephen Jordan, Mark D. Kelley, Thomas V. Krulisky, Anthony Kulczycki, Jr., Laurence M. Lesser, Jacqueline R. Levitt, Russell P. Massaro, Jeffrey L. Miller, Thomas A. O'Connor, Richard N. Olans, Jeffrey R. Pine, Joseph J. Ryan, Sheldon E. Schwartz, Arthur M. Seigel, Agnes V. Szekeres, Michael A. Weiss, Ronald W. Zmyslinski. NEUROLOGY: Residents-Drs. EllenS. Dickinson, Bernadette A. Herbst, Leo N. Hopkins, III, Sarjit Singh, Patrick J. Sweeney. PATHOLOGY: Residents-Drs. Michael Bennett, Richard Cotter, Ranjeet K. Singh. THE BUFFALO PHYSICIAN �PEDIATRICS: Residents-Drs. Richard C. Adams, Charles S. ·Bellanger, Jr., Cynthia C. Clayton, Elena R. Grimes, Gerald D. Hartman, Betty M. Kolotkin, Marvin Kolotkin, Wilbur L. Smith, Jr., Ronald Ziezuila. Interns-Michael J. MacDonald, Frank Marcone. PSYCHIATRY: Residents-Anthony Philip Markello, Jae Mu Park, Virginia Garland Rubinstein, Robert E. Yanowitch. RADIOLOGY: Residents-Drs. David Morales, Carlos Ordonez, Seung Kyoon Park, Himath Singh, Vitune Vongtama, Changi · Yang. SURGERY: Neurosurgery Resident-Or. Herbert Lionel Cares. Ophthalmology Residents-Drs. Harvey Bigelsen, Quintiliano Anibal Melgarejo, Roger Walentiny. Orthopaedic Residents-Drs. Bruce D. Abrams, David Richard Appert, Wayne Paul Fricke, Mary T. Godesky, Norman H. Higgins, Robert L. Reid. Otolaryngology Residents-Drs. Anthony V. Grisanti, Duck Jin Kim Pediatric Surgery Resident-Benjamin Albano Proctology Resident-Motilal Kbubchandani Surgery Residents-Drs. Garry Cornel, Joannis Christodoulides, Alberto C. Gutierrez, G. Barry Moore, John C. Newman, Jin Soo Park, Stuart G. Schwartzberg, E. Michael Sullivan, John Wheeler. Interns-Drs. William Brown, Tetsuro Konno, Ralph Landsberg, Bernardo Martinez, Narendra Parson, Masaaki Toyama.O Dr. Roth Medical Leader Addresses Residents "I presume that this is a time for congratulations in respect to past successes, and for exhortations to future accomplishments. In that context I have been struggling to remember-as a veteran of a number of commencements-what surviving inspirations were provided for me on comparable occasions. Unhappily, I cannot for the life of me remember who made the addresses, nor what they said. Perhaps I was preoccupied. Perhaps they did not communicate. In any event, times have changed and those were addresses delivered in the dear dead days-happily beyond recall. Of course it is enchanting to reflect that for those of you who will be doing some comparable chore thirty years hence the good old days are now. Nonetheless, there should be some distillations from the experience of over thirty years in medical practice which could, if well presented, be of value. In any event, it is my obligation to try. I shall not try to test my mettle with you on the score of scientific medicine. It is said, in one of those unassailable and unprovable statistics, that the body of scientific knowledge doubles every 10 years. This merely means that for you the next thirty years of struggling to stay abreast are destined to be tougher than mine which, as Aesculapius is my judge, have been tough enough. WINTER, 1971 5 This is the address given by Dr. Roth at the fourth annual Housestaff Graduation. Dr. Roth is attending urologist and chief of the department of urology at Erie, Pennsylvania's St. Vincent Hospital. He is past president of the Erie County Medical Society, past chairman of the Board of Trustees of Pennsylvania Medical Society, and past speaker of the AMA House of Delegates. He is also a member of the National Advisory Council of the Regional Medical Program, HEW. �I shall really not even dwell on the noble heritage of the medical profession which is so commonly the theme of commencement addresses. I hope that most of you have been interested to some degree in the history of medicine. If a knowledge of history does nothing more it can make you feel a bit superior in recognizing that from the days of Hippocrates under his plane tree, to the days of Benjamin Rush, bleeding his patients of precious blood, and purging them to the verge of extinction, physicians had extraordinarily little to give to their patients that would pass today as good medicine. And to this I would only add that if you feel that you have learned valued skills, and know of great and good things to do for the patients who will be besieging you, you may look to the physicians, the researchers, the faculty, to many of those who share this occasion with you as being the ones who broke the shackles of the centuries and developed the skills, the drugs, the diagnostics which have been passed on to you for further refinement and application. This is not spoken so much in defense of the "establishment" as it is to point out to you that the reason you are as helpless as Hippocrates was to cure the common cold or to prevent the birth of a Mongolian idiot is not your shortcoming, but simply due to the fact that your immediate predecessers haven't been as successful there as they have been in the control of plague and pestilence, the excision of diseased organs, and the development of physiologically active drugs. For the purposes of this address I leave the accomplishments of your forbearers to you, secure in the knowledge that you will use them well, and expedite their obsolescence. What I do want to explore with you is the matter of the individual and collective responsibilities of members of the medical profession, not so much in the field of diagnosis and therapy as in respect to overall societal obligations. Time was when a young physician graduated from medical school, gave testimony to his competence in passing assorted examinations for licensure or recognition as a specialist, and then devoted himself rather exclusively to taking care of patients. So long as he did this in good conscience he was a physician beyond reproach. Today this would not seem to be so. Professional isolationism is under attack. Even beyond this, professional self-determinism is under attack. If a preponderance of you are going into general surgery, because you want to be surgeons, I can only remind you that the executive president of the American Hospital Association has said that in this country if we had half as many surgeons we would have half as many problems. If a substantial number of you intend to remain in teaching or research, or administration I can only point out that Congress has been forcefully told that although we are producing doctors in this country at a rate exceeding the growth of the general population we are actually falling still further behind in the production of physicians who are performing the primary job of taking care of people. And for those of you who are indeed going out into the clinical practice of medicine the questions may be even more numerous and more pointed. You 6 THE BUFFALO PHYSICIAN �are so ordering your lives that you shall see a fascinating mix of persons - the well, the worried well, the early sick and the sick. You will elicit histories, do physical examinations, prescribe medicines, order hospitalizations, exercise an assortment of diagnostic and therapeutic skills. You will do good - great and abiding good, and of course you will have your frustrations, failures, and perhaps you will even make a mistake here and there. You will do that which you want to do, and that which you are trained to do, and very possibly through an exercise of intelligence and initiative you will improve on both. But is this enough? I think you will find that the verdict of contemporary society is that this is not nearly enough. As a physician you are a member of what is still recognized to be a great and reasonably honored profession. Medicine has not yet been demeaned to the status of a technical trade as it is in Russia where societal responsibilities have all been transferred to the State. Your profession, collectively, has obligations to society - many major obligations. And unfortunately these obligations come nowhere close to being met by the discharge of the sum of individual obligations as perceived by individual physicians. For the purposes of the argument let me assume that each responsible physician espouses the idea that in his hospital there is a genuine necessity for surveillance as to the quality of the professional work done, the character of the records, the appropriateness of the surgery, and the efficiency of the utilization of the facilities. Perhaps some of your work is not done in the hospital, but in the privacy of your office or clinic. Yet you admit that the public which pays for your service, the government which increasingly contributes to that payment, and the insurance company which assumes some of the obligation, all of these are entitled to some assurance of the integrity and competence of the work done, and the equity of the charges made. Let me go even further away from your personal practice. Let me assume that you recognize that there are those in the vast public who are ignorant of the benefits of scientific medicine, or who put their trust in Chiropractic, or faith healers, or grandma's home remedies. You know they need to be taught the truth. You recognize that accidents - preventable occurrencesaccount for the largest number of deaths in the population under the age of 37. You freely admit that it would be vastly superior to bring into this world healthy babies, and in general to keep well people well, than it is to try to patch up the ravages of disabilities, deficiencies, and disease. You develop convictions that you, and those like you, function most productively in an atmosphere of self determinism, free to do those things you know to be, or feel to be the best for those who are in your charge - as opposed to authoritarian mandates as to what types of cook-book procedures you may employ. You know that medical services must be available to our people during nights, weekends, holidays and without reference to ability to pay. You know deep in your heart that someone must be responsive to all those societal demands. But what is your personal capacity to be WINTER, 1971 7 �The Burn Treatment Center exhibit placed second at Spring Clinical Days. Sponsors were Drs. Joseph M. Anain, Louis C. Cloutier, Anthony L. Manzella, Samuel Militello, William F. Riley and Sidney M. Schaer of Emergency Hospital. The Lymphography exhibit sponsored by Drs. Victor A. Panaro, Eugene V. Leslie, Edward G. Eschner and George J. Alker, Jr., of the E. J. Meyer Memorial Hospital placed third. Genetics and Community Health in American Indians by Mrs. Gillian B. lngall of the Medical Genetics Unit, Department of Medicine, won honorable mention. The winning exhibit, Angiograms in Renal Diseases was pictured in the Fall issue of this magazine. 0 responsive? I submit that it is very small. My major question, then, is •'What does the responsible individual physician do to meet the collective societal demands which are heaped upon his profession?" There are those who say "To Hell with them. I'm doing all I can.'' There are those who say ''Okay, but someone else has got to come up with the answers.'' Occasionally there is someone who says "Sure, just listen to me. I have all the answers." But I think you will realize that these are generally unhelpful attitudes. The cliche' in this respect is that no man is an island. In fact, cliche's abound in this area-United we stand, divided we fall-All for one and one for all-and perhaps most appropriately "Illegitimi non carborundun," because if you are ground down you haven't contributed much. I once started to construct a fable about the witch doctor, well versed in all the incantations, ceremonial dances, and very good on brewing potions. He put down all the competition and took on all the problems single-handed for a long time, but finally the tribal council and a few consumer groups began to prevail. He was called on for 24-hour service, classes in health education, and a reduction in expenditures for his elaborate masks. They demanded that he immediately start training several assistants and a couple of successors. Then they began holding legislative hearings on how to remodel his practice. Finally, being driven to decisive action, the old witch doctor, conjured up some especially powerful spirits, rubbed all his amulets, and turned himself into a County Medical Society. It really wasn't a bad solution. Originally, of course, County Medical Societies weren't for this purpose at all. They had little reference to community or societal obligations. In the day of slow and dubious communication, before the era of seminars, symposia, taped lectures, refresher courses, and the deluge of printed journals, reviews, and throw-away literature, the County Medical Society served as a quasi-social organization holding meetings at which physicians could gather to discuss mutual problems, compare cases, and hear an occasional lecture from someone in authority. They were thus in 1903 when Sir William Osler spoke in their behalf. Only gradually did they become receptors for the profession, end-organs sensitive to demands which could not be met by individual physicians, but which might be met by collective organization. Gradually they banded into State Medical Societies, for the assumption of even broader responsibilities, and finally into The American Medical Association. The occasional human being is a recluse. By and large, however, man is a gregarious animal. He likes to form clubs, societies and organizations. When confronted with a problem he responds by forming a committee. Our present predicament in respect to health care services has brought this human response to a high degree of complicated development. Great organizations have designated their committees to cope with the situation. The American Hospital Association, American Medical Association, Health Insurance Association of America, and others have had their caucuses and have formulated their plans. The U.S. Chamber of Commerce has had its committee, Governor Rockefeller 8 THE BUFFALO PHYSICIAN �has had a blue ribbon committee of industrialists tangling with our social problems, and there have been politically inspired labor backed committees such as the Committee of One Hundred for National Health Insurance. There have been new groups, such as the Citizens Board of Inquiry Into Health Services for Americans. Ralph Nader has unleashed a special study committee in behalf of consumers, and there are radical groups such as Health-PAC (Policy Advisory Committee], and less radical groups such as The Medical Committee for Human Rights and Physicians Forum. There are conservative groups such as the Association of American Physicians and Surgeons, The Congress of County Medical Societies, and The Council of Hospital Staff Physicians, or something of the sort. In short there is a slot for everyone. And the basic reason that such organizations exist is because as individuals recognize obligations beyond their individual capacities to assume they seek collective action. Most committees, however, meet, report, and feel that something has been accomplished. A Clarion call has been sounded-and if nothing happens-well-at least they tried. I am not here to sell the virtues of any specific organization. But I do suggest that, as individuals who have elected a career in medicine, you will need to share the responsibilities and obligations of that profession. You will, almost inevitably, feel some compulsion to do your part. You will serve your terms upon committees. You will do your bit as members and chairmen, as secretaries, treasurers, and presidents. I would hope that you will choose your organizations carefully, with an assessment of the capacities of those organizations to respond to the demands of society in a meaningful fashion, with accomplishments rather than rhetoric. If your organization is successful it will become "the establishment." If you develop something worth while conserving, you will become conservatives. If not, you will have joined in oblivion with that infinity of little groups of dissidents, the names of which have largely been forgotten. Perhaps the greatest contribution which you may make, in meeting the collective responsibilities of your profession, is to get within an organization which has the potential for progress, to help to keep it on the proper course, to provide it with the necessary energies, and to ensure that it addresses itself to the jobs that need to be done. Where you find it wrong in your estimation you will work to set it right. Where you find it right you will work to accomplish its goal.O WINTER, 1971 9 The Stockton Kimball Lecturer for the upcoming 35th annual Spring Clinical Days will be Dr. Robert Glaser, Vice President of the Commonwealth Foundation, New York City. Thememoriallecture will be Saturday noon April 8, 1972. �Dr. Brody New Anatomy Chairman $498,000 Bequest By Dr. Heyd Dr. Harold Brody, professor of anatomy at the University, has been named chairman of the department. Dr. Brody, who has been on the faculty since 1954, succeeds Dr. O.P. Jones, who retired August 31. Dr. Jones will continue as professor of anatomy. The new department chairman received his bachelor's degree in 1947 from Western Reserve University; his Ph.D. in 1953 from the University of Minnesota; and his M.D. from the University of Buffalo in 1961. From 1943 to 1946 Dr. Brody served with the Army Medical Corps in England. Before coming to Buffalo Dr. Brody was an assistant professor at the University of North Dakota from 1950 to 1954. Dr. Brody was acting assistant dean for student affairs in the School of Medicine from 1967 to 1969, and associate dean during 1969 and 1970. Currently Dr. Brody is a member of the White House Conference on Aging's technical committee. He is also chairman of the American Biology Research Committee for the International Association of Gerontology, which will meet in Kiev, Russia in July of 1972. Dr. Brody was formerly chairman of the Biological Science Section and vice president of the Gerontological Society. He is a member of the Biology Council of Canisius College and visiting professor of Neuro-ophthalmology, St. Mary's Hospital, Rochester, New York. The new anatomy chairman has published primarily in the field of "aging in the nervous system" and also is a reviewer for three professional publications - Journal of Gerontology, Science, and journal of Morphology. Dr. Brody has been the recipient of three special awards - a National Science Foundation Travel Award to the 4th International Gerontological Congress in Merano, Italy in 1957; a Fulbright Senior Research Scholar, 1963, to Kommune Hospitalet, Copenhagen, Denmark; and the 1961 Medentian Award (dedication of the UB medical-dental school yearbook).O Dr. Charles Gordon Heyd, who died February 4, 1970, left a generous bequest of $498,000 to the University of Buffalo Foundation, Inc. The will provides for monies to "be expended for the general purposes of its Medical Department, such as maintenance, salaries, equipment, buildings but not scholarship." The 1909 Medical School graduate had given $74,325 to the University during his lifetime. He was 85 years old at the time of his death. Dr. Heyd's intent, as expressed during his lifetime was "to provide funds, through the Foundation for those projects of extreme merit in the School of Medicine and health related sciences which are not available in state budgets.'' Such a record of generous benefactions has few parallels in the 125-year history of alumni giving at the University. Dr. Heyd will not only be remembered for his gifts, but rather for his long and distinguished career as a teacher, surgeon and practitioner of medicine. His University and his professional colleagues hold him in high esteem.O 10 THE BUFFALO PHYSICIAN �Three Medical School faculty members, all in the department of psychiatry, are involved in a pioneering project designed to set a pattern for out-of-hospital care of the emotionally disturbed. This day-care program, "Project Pathway," was launched in September in Building D at 2211 Main Street. Dr. Richard E. Wolin, clinical assistant professor of psychiatry and chief psychiatrist of the unit at the E.J. Meyer Memorial Hospital and Dr. Yousyf A. Haveliwala, clinical instructor in psychiatry, who heads Unit VI at Buffalo State Hospital, are supervising the project. The executive director is Dr. Martin T. Packard, a psychologist. Dr. S. Mouchly Small, professor and chairman of the department of psychiatry, initiated the project and signed the agreement between the University, the County of Erie and the Meyer Hospital. According to Dr. Small there are three types of programs in operation. Day care for patients who need a day-long program of group psychotherapy; education that will help them function better at home, in their communities or on the job; recreation and socialization. The Junior Chamber of Commerce has adopted the day care center as one of its special projects. Outpatient care for patients who require only group individual psychotherapy, on an appointment basis, and drug prescriptions. After-care clubs for patients who no longer need active treatment but need the support and friendship of others and have difficulty in making and sustaining relationships without help. Buffalo State and Meyer Hospitals are providing the staff of mental health professionals. Patients are referred to the Admissions Committee for the project after evaluation or treatment at either of the hospitals. This is a partnership of state, county, private agencies and individuals. New concepts of treatment, including the use of tranquilizers and other drugs, are being used to treat many of the patients. Project Pathway is attempting to solve the problem for many persons who were unable to get psychiatric care. Out-patient facilities in Erie County are few and have long waiting lists, and private psychiatric care is beyond the means of many who need it. If this project succeeds, many persons who are hospitalized will be able to return to their own communities, and others who become ill for the first time will be able to stay at home and still receive the treatment they need, according to Dr. Small. In the past, the average person who became mentally or emotionally ill was hospitalized - usually at Meyer Memorial. If the problem was more acute and required longer term treatment, patients were sent to Buffalo State Hospital. Often they stayed for years. Dr. Alan D. Miller, commissioner, State of New York Department of Mental Hygiene, and Dr. James Warde, commissioner, Erie County Department of Mental Health, hope that "Project Pathway" will become the prototype for similar endeavors in other parts of the State.D WINTER, 1971 11 Project Pathway �Dean Pesch Will Head Michael Reese Hospital Dean Pesch has been named the first fulltime president of Michael Reese Hospital and Medical Center in Chicago. Dr. LeRoy A. Pesch will take over his new duties January 1, 1972. He has been in Buffalo since July 1, 1968. He. will retain an appointment here as professor of medicine in the School of Medicine. "To be able to attract amanofDr. Pesch's calibre to Michael Reese speaks well for the reputation and future of the institution. He brings to this post a distinguished career in medicine and planning for health care. We could not have found a more appropriate person to lead the hospital and medical center in the future," Mr. B.E. Bensinger, current president of Michael Reese Hospital and Medical Center Board of Trustees said. Mr. Bensinger will become chairman of the board in January. Commenting on Dr. Pesch's appointment, Dr. Leon 0. Jacobson, Dean of the Division of Biological Sciences and the Pritzker School of Medicine of the University of Chicago which is affiliated with Michael Reese for medical education, said ''the coming of Dr. Pesch to Michael Reese Hospital and Medical Center sustains the tradition of excellence in health care leadership at that institution and in the city of Chicago. His outstanding record as a medical researcher, educator and administrator will strengthen Chicago's position in the vanguard of medical research and medical education. All concerned with medical education, training and health care delivery in the Chicago area welcome him to the city and we in the Division of Biological Sciences and Pritzker School of Medicine take special pride in welcoming Dr. Pesch to Michael Reese. His appointment evidences the continuing excellence within our affiliation.'' Mr. Bensinger said that the full-time President at Michael Reese has been an objective of the Board for the past year. ''The 44-man Board of Trustees has realized that a full-time president to deal with the policy for our future, to develop programs of health delivery that are meaningful, and to firmup our role in medical education is a necessity. Our search for the most appropriate person to do this job has taken us to every part of the country, and we are sure in Dr. Pesch we have found the single most appropriate person to accomplish these tasks." In accepting the new post, Dr. Pesch said: "The world-wide reputation of Michael Reese as a sound institution was the single factor which stimulated my interest in the challenges ahead. To be part of the forward movement of a medical center so committed to the future of patient care, medical research, and medical education is an exciting prospect. We shall do our best to have patterns of care emerge from Michael Reese that will be models for large urban, University-affiliated hospitals everywhere." Both Dr. Clyde L. Randall, vice president for health sciences, and President Robert L. Ketter, in accepting the resignation, wished Dr. Pesch success. Dr. Randall called the dean's new position "an excellent opportunity to develop new and innovative programs for health care." He said Dr. Pesch "will be missed at this University and THE DEAN OF THE MEDICAL SCHOOL 12 THE BUFFALO PHYSICIAN �in the Buffalo and Erie County medical community. During Dr. Pesch's three and one-half years as dean of the School of Medicine and director of hospitals, Dr. Randall said, "he has been at the forefront of change in medical education at the University of Buffalo. "There are at least five important programs in which Dr. Pesch has been involved. First, he has developed an innovative program of admissions for members of minority groups and women to the Medical School. Second, sensing the need for a more diversified and relevant medical curriculum, he played a leadership role in developing such changes. Third, Dr. Pesch was instrumental in developing the plan presented to the Board of Trustees of the State University of New York at its last meeting which will make it possible to budget State funds for support of space and operating costs in the affiliated Buffalo Area hospitals utilized by the University for the clinical program of the Medical School. Fourth, he has continuously worked to develop broader and more diversified ways for the Medical School to cooperate with the affiliated Buffalo area hospitals in the clinical training of medical students. And, fifth, Dr. Pesch negotiated a program for more comprehensive health care for the inmates of the Attica Correctional Facility which has been accepted by the authorities at Attica and is now in process of being implemented. ''All of these activities were carried on by Dr. Pesch with the goal of more comprehensive health care through an integrated University Health Sciences Center. Dr. Pesch's record speaks for itself. It is my conviction that Dr. Pesch's accomplishments here in Buffalo will be multiplied many times in his new work at Michael Reese. I wish him the greatest success.'' Elsewhere, Dr. Randall called the new assignment ''an impressive tribute to Dr. Pesch's capabilities and his leadership in medical education'' and noted that he had accepted the decision "with genuine regret. 0 11 11 A 17-bed ward for drug abusers has been opened on the loth floor of the Veterans Hospital. This ward will function as part of the hospital's psychiatric service under Dr. Solomon L. Frumson, clinical instructor in psychiatry at the Medical School. Dr. Peter D. Russell, a clinical psychologist, will be co-ordinator of both this ward and one for alcoholics that will be open in 1972. All veterans who are addicted to drugs, whether heroin, LSD, barbituates, amphetamines or others, are eligible for treatment if they did not have a dishonorable discharge. Even if they did, and that discharge was solely for drug addiction, they can apply and be admitted, according to Dr. Andrew A. Gage, acting chief of staff and chief of surgery at the Hospital. Dr. Gage, M'44, is also an associate professor of surgery at the Medical School. Although methadone will be used for detoxification of heroin addicts, it will not be used for maintenance. "We are out to break the drug habit, not substitute one habit for another," Dr. Frumson said. ''Methadone is, in itself, an addictive drug, and we hope that we can help our veterans learn to live without any drugs. "0 WINTER, 1971 13 Ward For Drug Abusers �THE Medical Care at Attica TRAGEDY OF ATTICA PRISON sent shock waves through the School of Medicine, as well as around the world. The shock waves touched off debates, sit-ins in front of the Dean's office in Capen Hall (25 to 100 students at various times), and affirmative action by the medical community. In response to the five student demands [listed in margin, p. 15) Dean LeRoy A. Pesch said "the Medical School proposed to offer immediately an expansion of its present surgical program at Attica Correctional Facility to include general medical care. Additional professional staffing will be provided on a volunteer basis starting immediately. "In implementing this expanded health care program the faculty of the Medical School also offers to provide full medical consultative services to the inmates of Attica. We recognize that the legal responsibility for medical care to the inmates must remain with the State Department of Correction. ''The University and its School of Medicine further offer to participate in the development of plans which will assure the provision of comprehensive care at Attica on a long term basis,'' Dean Pesch said. At a news conference in Hayes Hall September 17th students asked Dean Pesch about the extended medical program and admitting black and community physicians into the prison. He gave his word that he would ''urge admittance of any and all doctors.'' Dr. Pesch also indicated that there was a shortage of black health care personnel, adding that ''we will work as hard as we can to increase the number of black professionals." ''The new system will be one of high quality medical care with the inmates' health care being of prime importance," Dean Pesch said. He also told the students that details of the comprehensive health care program would be worked out as soon as possible. The extended program will add medical, psychiatric and other services to the surgery treatment already supplied. The new program is "essentially more of the same," the Dean said. In response to other questions these facts came out: -At no time since Monday, September 13, has the State Corrections Department prohibited the Medical School from bringing in any personnel, equipment, or supplies. -The Medical School will insist on admission to the prison of any physicians it chooses. -The Medical School and the E.J. Meyer Memorial Hospital staff has always had the decision on whether prisoners should be transferred to Meyer Hospital. -The University is "not prepared to operate a hospital in the prison itself'' as part of its giving general medical care-as opposed to only surgery-to prisoners. -University physicians have examined every inmate twice [inside the prisoners' cells in most cases). The third examinations were made by Department of Corrections physicians. -There was "no direct evidence" of prisoners having been beaten by guards revealed in the examinations performed by University physicians. -Eighty-three prisoners in all required some surgery. They were ,.. THE BUFFALO PHYSICIAN �suffering from "scratch wounds to wounds that required major surgical attention.'' -Eighteen prisoners had been transferred from Attica to Meyer. Four died and one was returned to Attica. This record, Dr. Pesch said, is "indicative of the very high quality of the medical care provided.'' In addition to the Medical School and the Meyer Hospital teams, the Dental School also sent in residents and interns September 16th to provide dental care. This was provided on an emergency basis to supplement the care the Dental School has been supplying for the last four years. And during the last five years the Medical School and Meyer Hospital have done all the surgery at Attica. The text of the history of the Medical School's involvement at Attica, dated September 16, 1971 and signed by Dean Pesch and Dr. Albert C. Rekate, director of Meyer Hospital follows: The tragedy this week at Attica State Correctional Facility has shocked and saddened all of us. To physicians, who are dedicated to the preservation of life through medical care, this unfortunate event had particular meaning. It has also mandated from us an immediate and compassionate response. The Medical School of the State University of New York at Buffalo and Erie County's Edward J. Meyer Memorial Hospital have been deeply involved in meeting the medical needs of the Attica facility not only during the recent emergency, but also in a continuing program which has been in existence for the past five years. This past Monday, an emergency call for medical assistance was made to Dr. W.G. Schenk, Chairman of the Department of Surgery at the University at Buffalo Medical School and Chief of Surgery at Meyer Hospital. Dr. Schenk and his fellow surgical physicians, along with operating room nurses, residents, anesthetists and emergency room crews, moved immediately to Attica. Surgical teams from Meyer, which included 14 surgeons as well as operating room nurses and emergency crews, were dispatched to Attica a short time later. There were, additionally, three surgeons who had been at the scene with the National Guard units. Medical personnel from Buffalo carried with them all of the equipment necessary to deal with the emergency situation. Five complete operating suites were transported from Meyer Hospital to the Attica facility. Blood was transferred from Rochester and Buffalo blood banks and blood-matching personnel from Meyer were brought to Attica. Life-saving surgical procedures were started immediately. Certain surgical procedures were performed at the Attica facility, while those in more serious condition were sent to Meyer for surgery. The entire hospital was mobilized on an emergency basis. Dr. Schenk said that when University personnel left Attica on Monday night there were no recognized major injuries that had not been cared for. On Tuesday, September 14th, twelve surgeons from Meyer Hospital toured the entire Attica facility, providing post-operative care to those who had had surgery. Those who had any WINTER, 1971 15 The students presented Dean Pesch with a list offive demands: ''We demand that the University of Buffalo Medical School accept full responsibility for the health care of all inmates at Attica State Prison. ''We demand a public statement of all medical treatment and examinations performed since the beginning of the Attica Rebellion. This should include a listing, by name, of all inmates, the treatment undertaken, their physical conditions and their present location. "We demand the formation of an objective Medical Review Board, including physicians chosen by prisoners and their families, to insure adequate health care and examinations for all inmates of Attica-immediately. "We demand that families of dying and injured prisoners be immediately given full visitation rights. "We demand a full public statement detailing the relationship between U/BMedicalSchool and the Attica State Prison. " At this meeting, Pesch said he made it clear to the students that he wouldn't "negotiate in response to their demands but in response to the professional demands that we provide the best medical care possible. "0 In the uprising 32 inmates and 10 hostages died (as of September29, 1971). �Forty-two medical, clinical and molecular researchers from around the world attended The Center for Immunology's second summer session on the latest methods for immunologic research and diagnosis. The three-week course, held in July, represents the only such concentrated session offered in the world, according to Dr. Noel Rose, the Center's director. As leader in the field, the Buffalo Center remains the only one to encompass all aspects of immunology. The participants came from Africa, Australia, Europe, North and South America to attend the course, supported in part by a World Health grant, and sponsored by the Center in conjunction with the Erie County Laboratory and the WHO Regional Reference Laboratory for the Serology of Autoimmune Disease. "Great, just great," was the unanimous response by the registrants upon completion of the course.D Immunology Summer Session medical problems were listed for follow-up treatment. The names of those who were in satisfactory condition as of that time were also recorded. Two of the injured who developed surgical complications on Tuesday were transferred to Meyer for surgery in a Meyer Hospital ambulance. On Wednesday, September 15th, Dr. Lionel Sifontes was at Attica to review medical problems with residents from the University accompanying him. A team of ten surgeons was also at the correctional facility the same day. The purposes of the doctors' visit were to continue treatment of minor injuries, to assess the seriousness of injuries, and to transfer patients to Meyer Hospital, as necessary. As of Wednesday afternoon, two more of the injured were being· transferred to the hospital for surgery. On Thursday, September 16th, Dr. Sifontes and 18 residents were at Attica ministering to the injured. Of the 50 to 60 physicians, medical students and hospital personnel involved, up to 40 were there at a particular time. Although the University Medical School and Meyer Hospital moved quickly to meet the emergency medical and surgical needs during this recent disaster, we should not overlook our medical relationship to Attica during the past five years. 16 THE BUFFALO PHYSICIAN �Since 1966, Dr. Schenk, working in cooperation with Dr. Selden Williams, who heads the medical program at Attica State Correctional Facility, has been responsible for a wide range of surgical services. Elective surgery has been done on a scheduled basis while the Buffalo physicians at Meyer were available in emergency situations, as were the facilities of the hospital itself. Dr. Schenk points out that the 30-bed medical facility, the operating room, the X-ray equipment, and facilities for blood matching and performing laboratory tests are adequate for the usual needs of the Attica facility. Certainly, there are few communities of 2,500 population that have such a facility. During this emergency, County regulations have been modified and security provided so that at this time the Meyer Hospital is able to accommodate any patients who need to be transferred to the Meyer. These patients can be visited by their relatives. We would like to point out that all of this has been made possible by the volunteer physicians and hospital personnel. The Medical School of the University at Buffalo does not operate a hospital or health care service. We are totally dependent for the delivery of health care on resources which are only available in cooperation with private as well as county and Federal hospitals. We would like to stress that as a Medical School and as a County Hospital, as well as physicians, we will not consent to any procedures or restrictions which mitigate against the best care of patients. We would urge that all of those in authority be cognizant of this and recognize its absolute necessity. We feel that at the present time the situation demands that we extend present efforts of the School of Medicine to provide an expanded health care program for the inmates of the Attica Correctional Facility which will lead as quickly as possible to a program providing full-health services. To achieve these objectives we recommend, with the support of the School of Medicine, the following: 1. The School of Medicine of State University of New York at Buffalo proposes to offer immediately an expansion of its present surgical program at Attica Correctional Facility to include general medical care. Additional professional staffing will be provided on a volunteer basis starting immediately. 2. In implementing this expanded health care program, the faculty of the School of Medicine also offers to assume the full professional responsibility for initiating, carrying out, and evaluating medical care delivered to the inmates of the Attica correction facility, both at the facility and in the University's affiliated hospitals. We recognize that the legal responsibility for medical care to the inmates must remain with the State Department of Correction. 3. The University and its School of Medicine further offer to participate in the development of plans which will assure the provision of comprehensive care at the Attica correction facility on a long-term basis.O WINTER, 1971 17 �The Medical Curriculum While it may still be too early to predict, experience with the . new core/ elective curriculum in the Medical School suggests an improved National Board performance. Now into its second year, the program that was recommended by the Ad Hoc Committee on Medical Education in May 1969 and approved by the Executive Committee at its annual May faculty meeting, boils down to an earlier introduction of diagnostic skills as well as opportunities to expand scientific backgrounds at a later date. With a 30 to 40 percent reduction in basic required course time during the first two years (freshman and sophomore) there is the opportunity to take new courses developed by faculty, new electives, and a number of alternatives supplementing or replacing core courses based on student background and interest. While many more courses that have added clinical correlations became fully accredited within the student's program, the option of clinical opportunities unsuited as accredited courses remains open. Adoption of the University semester calendar in place of the trimester provides graduate course opportunities and a more regular teaching pattern for faculty. The possibility of individually tailored combined degree programs has been agreed on in principle by the Division of Undergraduate Studies. For the freshman in 1971, there are preceptorial activities where he may see and discuss some aspect of clinical medicine in his first days. There is also the opportunity during his first semester to take pediatric basic science application, clinical biology or applied anatomy. The psychiatry course has been divided into seminar groups based in part on student background. Interviewing skills, in the second semester, precede and then parallel a course in diagnostic skills and applied physiology. For the sophomore there is a wide range of clinical activities. Diagnostic skills continue during his first semester along with an introduction to laboratory diagnosis. The traditional M and M course (now referred to as clinical applications of basic science II and III) is coordinated with pathology. There are other applied courses available on an interdepartment or department basis. Among advanced courses developed are diagnostic skills (Cardiac physical diagnosis, EKG, clinical pathology), etc. In this more flexible schedule, students may pursue research projects for background in clinical training or as their career interest. These projects may sometimes earn academic credit that may be pursued throughout the year while MD/PhD candidates may complete their work in a shorter time. And if justified, the individually-planned fourth year permits students to extend their summer projects over a longer term. With the third year structurally unchanged (the exception is psychiatry replaced by gynecology-obstetrics) for the first time all students will have completed some training in all major fields prior to internship selection and National Board exams. Reevaluation of clerkship structure and content is being carried on by clinical departments. One result is the twelve-week surgical clerkship, now presented as a core program in general surgery, with a well-planned series of didactive presentations and other new features. 18 THE BUFFALO PHYSICIAN �No change has been so well received by medical students as the individually planned fourth year. Schedule proposals are submitted by students, in consultation with advisors, based on a broad range of opportunities. These are reviewed as well as past performance and career interests, prior to approval. If a student's record reveals identifiable weaknesses, remedial work is assigned. While many will pursue part of their training at other centers (with local departmental approval) it will be encouraged when an area of study lacks local strength. Students in good standing, a reasonable proposal, and proper sponsorship for out-of-town study, are permitted to use up to four of nine required monthly rotations. One year's experience with Part II of National Boards indicates no adverse effect on student performance. Although seniors may return to basic science study during the fourth year, current credit hour and scheduling arrangements hinder this possibility. Individually-planned activities with clinicians involved in basic research are however well-received, with lecturetype course work on a series of monthly, largely clinical rotations, attempted with some success.D A 1968 Medical School graduate has been named to head the new fetal care unit at Children's Hospital. Dr. Michael Ray has been a research fellow in perinatal medicine for the last year in Los Angeles County (University of Southern California Medical Center). The addition of the fetal unit (to diagnose, study and treat disorders) will make Children's a true maternal and child medical center, according to Dr. Jean A. Cortner, physician and chief and professor of pediatrics. Children's Hospital was founded in 1892. Eighteen years later it began admitting maternity patients and in 1928 opened a separate maternity building. It is still the only children's hospital to have a maternity division. In 1948 the hospital opened a center for premature infants which became the official premature center for Western New Yark. Ten years later, in recognition of its stature, the National Institute of Neurological Diseases and Blindness, chose Children's as one of several hospitals to participate in a nationwide child development program. The program followed mothers through their pregnancies and deliveries and then did repeated checkups of their offspring to determine what effects prenatal conditions had on the youngsters. In recent months the hospital has added a special unit for adolescent patients . ''This unit enables internists and pediatricians to work together and present a united front to the patient. Under these conditions, the adolescent is properly introduced to the internist, who will ultimately take over his complete care, and receives continuous care in the process," Dr. Cortner said. Children's is also establishing outreach clinics in high risk areas of the city. One is operating in Emergency Hospital and others are planned for the Allentown area and the Lackawanna Health Center.D WINTER, 1971 19 Dr. Ray Heads Fetal Care Unit Dr. Ray �Plastic, l(eccnlsttllctive Surgery Cleft palate clinic is one of the program's highlights. The "team" discusses subjective findings of the patient's speech therapy program. Dr. Shatkin is second from left. Joel (left) and Dr. Shatkin examine the nice contours on a patient with a four-day postoperative rhinoplasty. Patient shows how he can now pinch and squeeze with thumb that was completely amputated. It was reattached by Dr. Shatkin (right). Joel looks on. �Joel Paull, a junior medical student with a dental background, completed a month on surgery service. He found that what he really wanted was exposure to the subspecialty of clinical plastic surgery. At that time it was unavailable under his academic program. His only option was to pursue a summer fellowship in this field. This would not be the case today, for under the new core/elective curriculum, a junior medical student may now select the content of his 12-weeks on surgery service. If he prefers to take six weeks in general surgery and the remainder in one of the subspecialties, the choice is his. In his senior (all elective) year he is free to pursue in depth any subspecialty of his choice. The summer in plastic and reconstructive surgery under Dr. Samuel Shatkin was exciting for Joel and determined the direction of his medical career. Not only did he have the opportunity to observe procedures in the operating room but to follow patients from preoperative, to hospital rounds, and onto post-operative office visits with Dr. Shatkin as well. Joel found that the variety of cases the 40year old assistant professor of surgery saw ranged from elective to emergency problems that were cosmetic, congenital, functional, neoplastic (tumor) or of traumatic origin. Among the elective types were scar revtstons, cyst removals, dermabrasions, rhinoplastys, blepharoplastys, rhytidectomies, otoplastys, prognathism osteotomies, excisions of skin tumors, repairs of cleft lip and palate, hand anomalies and head and neck tumors. Emergency procedures covered facial trauma, lacerations of the face, fractures of the mandible, maxillae, zygoma, nasal bones, and orbital floor as well as tracheostomy and hand injuries. WINTER, 1971 • l We worry about nerve injury warns Dr. Shatkin (right) as second-year surgical resident Norio Yamamoto looks for any twitching on an 11-year old patient with small vascular rumor on left cheek. Dennis Natale studies slides in office with Dr. Shatkin. 21 I �Dental residents in oral surgery study model of patient with a protruding mandible held by Dr. Shatkin. Joel's diagnostic acumen regarding head and neck examinations was sharpened. He learned how to perform a thorough examination including laryngoscopy. There were weekly conferences at the Meyer and Buffalo General Hospitals' head and neck service to attend with Dr. Shatkin as well as weekly plastic surgery and outpatient plastic and head and neck clinics at the Veterans Hospital. If an emergency of interest arose during the night or over an unscheduled weekend, Dr. Shatkin would alert Joel. Teaching continues to remain an important part of Dr. Shatkin's day. Through a short course in animal surgery and electives, he hopes to attract medical students to enter the field of plastic surgery. And to general surgical residents he stresses the basic plastic surgery principles that they may in turn apply to patients undergoing general surgery. A dentist as well as physician, Dr. Shatkin has instructed dental students and oral surgery residents in oral and maxillofacial surgery. He also lectures to nursing students on plastic and head and neck surgery. Medical students, in their first experience in surgery, elevate a skin flap in dog laboratory that has been outlined''-' Dr. Shatkin. �~ Perfect sterility is needed for the foreign implant in the purely cosmetic procedure of augmentation of the breast, Dr. Shatkin explains. The cleft palate Clinic at Buffalo General Hospital. But most important, it is hoped that within the next year the reality of a residency program in this subspecialty at Buffalo General Hospital will culminate many years of hard work by all of the hospital's plastic surgeons. For Joel, who is now interning in general surgery at the Buffalo General, and for Dennis Natale, the first senior medical student to spend three months of his all-elective year in plastic surgery, it will provide the opportunity to pursue all of their training in Buffalo. The three major divisions of the plastic surgery program are plastic and reconstructive, maxillofacial, and headandnecksurgery. Encompassed in these divisions are burns, hand surgery, and esthetic surgery such as face lifts, rhinoplasty, mammoplasty, blephoroplasty. There is also reconstructive surgery of congenital defects that include cleft lip and plate, maxillofacial trauma, and head and neck tumors. Its rewards? As best summed up by Dennis who has just completed three months in the plastic surgery program, "I thought I wanted it but now I am convinced that this is what I want to spend the rest of my life doing. "0 WINTER, 1971 Six-month old Tracy, born with cavernous hemangiomas on left arm, abdomen will require excision, rotation of skin flaps, Dr. Shatkin (center) explains to Joel. 23 �522 Pay Medical Alumni Dues A total of 522 physicians contributed $10,220 in dues to the Medical Alumni Association during 1971. Mr. David Michael, Director of Medical Alumni Affairs, compared these figures with the 601 who contributed $12,068 in 1970. He looks for increased support this year. The list of 1971 dues contributors: 1908 1927 Maichle, Robert J. Chaikin, Nathan W. Funk, Arthur L. Meissner, William W. Riwchun, Meyer H. Sklarow, Louis 1912 Aaron, Abraham H. 1917 Atkins, Leslie J. 1919 Beck, Edgar Pech, Henry L. Valone, Frank H. 1920 *Graczyk, Stephen A. Lord, Alvah L. 1921 Bosworth, Howard W. Farugia, Joseph V. Gottlieb, Bernhardt S. *LeWin, Thurber McGroder, Elmer T. Ward, Kenneth R. 1923 Graser, Norman F. 1924 Baratta, Raphael M. Carr, Roland B. Sanborn, LeeR. Vaughan, Stuart L. 1925 *Block, Marvin A. Kahn, Milton E. Kuch, Norbert W. Loder, Margaret M. 1926 ,, Cavanagh, Harold E. Cheplove, Max Constantine, Walter E. Flood, Leo T. Hulbert, Harold Podell, Alfred Rapp, Milton V. Silverberg, Sigmund B. Smith, Ernest P. *Sullivan, Eugene Pellicano, Victor L. Pieri, Doris Pieri, Steven Stell, Bernard S. Taylor, William G. Wherley, Harold F. 1933 1915 Hayward, Walter G. Oberkircher, Oscar J. Wells, Herbert E. Wertz, Carlton Northrup, Robert R. Olszewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. Stone, Frederick J. Bleichfeld, Samuel Craig, Frederick S. Etling, George F. Gardner, Richard M. Holmlund, Theodore J. Markovitz, Julius T. Rosenberg, Joseph Walker, Helen G. Wilinsky, Isadore J. Anna, Wilfred M. Baube, John L. Cook, Edward D. Hellriegel. J. Curtis Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Masotti, George M. Milch, Elmer Mountain, John D. 1929 1934 1928 Cohen, Victor L. Feldman, Raymond L. George, Clyde W. Heilbrun, Norman Leone, Charles R. Lester, Garra L. Schamel. John B. Smith, Warren S. Stoesser, Frederick G. Tyner, James D. Alford, J. Edwin Bove, EmU J. Castiglia, Christy F. Gurnsey, Maynard W. LaForge, Harry G. O'Connor, John D. Ridall, Earle G. Schweitzer, Alvin J. Slatkin, Edgar A. 1935 1930 Custer, Benjamin S. Heyden, Clarence F. Kanski, James Sr. King, William L. Sanes, Samuel 1931 Balser, Benjamin Bean, Richard B. Boeck, Virgil H. F. Bumbalo, Thomas S. Ciesla, Theodore F. Connelly, Gerald T. *Driscoll, Edward F. Godfrey, Joseph Heier, Ellwyn E. Kenney, Francis E. Kuhl, John R. March, Thomas A. Naples, Angelo S. Oderkirk, Francis V. Wails, Walter Scott White, George R. 1932 Leone, Angelo F. McGee, Hugh J. 24 Arbesman, Carl E. Brace, Russell F. *Eckhert, Kenneth H. Ellis, John G. Lamka, Victor B. Mecklin, Bennie Rosokoff, Soloman Ryan, Francis W. W eig, Clayton G. Young, George S. 1936 Amdur, Marvin L. Ball, John G. Batt, Richard C. Brundage, Donald W. Burgeson, Paul A. Campbell, Paul C. Cherry, Alfred V. Crosby, John P. Eschner, Edward G. Greenberg, Avrom M. Hoak, Frank C. Houston, Thomas Kriegler, Joseph *Leven, Eli A. Lipp, William F. Meyers, Hubbard K. 1937 Ambrusko, John Alford, Kenneth M. Ball, William L. Banas, Charles F. Culver, Gordon Dispenza, Sam G. Flemming, Theodore Goodman, Soli Klendshoj, Niels C. Koepf, George F. Lipsett, Robert W. Mittlefehldt, Myrton G. Rappole, Albert us W. Tranella, Augustus J. Weintraub, David White, William F. 1938 Catalano, Russell J. Cooper, George M. Fait, Norman J. Kaminski, Chester J. Law, Harry C. Phillies, Eustace G. 1939 Dugan, William P. Feightner, Francis W. Fernbach, Paul A. Gajewski, Matt A. Goldstein, Kenneth Harris, Harold M. Milowsky, Jack Magi!, Marvin Morelewicz, Henry Olmsted, Elizabeth P. Riforgiato, Frank T. Seibel. Roy E. Sq uadrito, John J. Storms, Robert E. Wesp, Everett H. 1940 Ascher, Julian J. Clinton, Marshall Hildebrand, William Ireland, Corydon B. Jones, Courtland S. Montgomery, Warren Palanker, Harold K. THE BUFFALO PHYSICIAN �Severson, Charles Henry Siegner, Allan W. Stessing, Norman G. Trippe, Louis A. Urban, Stanley T. Zoll, John G. 1941 Cooper, Anthony J. Cryst, John E. Edmonds, Robert W. Gentner, George A. Greco, Pasquale A. *Hall, Donald W. Hanavan, Eugene J. Kleinmann, Harold L. McGrave, James Leo O'Brien, John J. Pierce, Allen A. Radzimski, Eugene H. Shubert, Roman Wels, Philip B. Wolin, Leonard Zaepfel, Floyd M. 1942 Battaglia, Horace L. Eckhert, George L. Johengen, JosephA. Marmolya, Boris L. Milazzo, Richard T. Persse, John D. Staubitz, William J. 1943 Birch, Paul K. Bloom, Marvin L. Bone, Kenneth W. Buckley, Richard J. Bunnell, Ivan Collins, Robert J. Holly, Joseph E. Keenan, William S. Lent, Melbourne H. Martin, Ronald E. Meyer, Franklyn Minkel, Amos J. O'Gorman, Kevin M. Petersen, Walter R. Smith, Ralph E. Snyder, Arden H. Unher, Morris Wagner, Laverne Williams, John R. Wood, Melvin N. 1944 Aquilina, Anthony M. Blodgett, Robert N. Brown, Robert L. Edelberg, Eileen Edelberg, Herman Egan, Richard W. Frawley, Thomas F. Hudson, Raymond A. Maestre, Federico J. Magenheimer, William P. Marchetta, Francis C. Pietraszek, Casimer Prentice, Thodore C. Potts, William A. WINTER, 1971 Ross, Joseph Schauer, Sidney M. Shaver, Carrol J. Shaver, Dorothy N. Stafford, Walter F. Strong, Clinton Valvo, Joseph A. Weygandt, Paul L. 1945 Adler, Richard H. Andaloro, William S. Chassin, Norman Cotter, Paul B. Cummings, Anthony J. Greenwald, Richard M. Johnson, James H. Joyce, Herbert E. Laglia, Vito P. Lazarus, Victor C. *Longstreth, H. Paul Quinlivan, John K. Rogers, William J. Shaheen, David J. Steinhart, Jacob M. Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Baer, Richard A. Carbone, Donato J. Golden, Lawrence H. Gudgel, Edward F. Howard, Chester S. Joy, Charles A. *Levy, Harold J. Mires, Maynard H. O'Dea, Arthur E. Petzing, Harry E. Pirson, Herbert S. Potts, Robert J. Reckhow, Alan H. Trovato, Louis A. Walczak, Paul Williams, Myron E. 1947 Burkowski, William M. Dean, Robert J. Edgecomb, William S. Ehrenreich, Donald L. Hodes, Marion E. Julian, Peter J. Marchand, Richard J. Mont, Hallie Buchanan Newer, Donald C. Phillips, James Reitz, Phillip L. Riordan, Daniel J. Schaefer, Arthur J. Stagg, James F. Whiting, Frederick D. 1948 Borman, James G. Fahey, Daniel J. Good, Raphael S. Gordon, Myron Graft, Harold L. Hanson, Warren H. Hollis, Warren L. Marinaccio, John J. Minde, Norman Paul, Norman L. Regan, Cletus J. Richardson, Josephine A.W. Stone, Edward R. Zola, Seymour Paul Johnson, Curtis C. Lee, Herbert E. Maloney, Milford Nagel, Richard J. Oliver, Francis T. Rachow, Donald Ruh, Joseph F. Simpkins, Herbert w. Strachan, John N. Sullivan, Michael A. 1949 Armenia, Carmela S. Bernhard, Harold Carden, Lawrence M. Franz, Robert Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Schneider, Max A. Shalwitz, Fred 1954 Beltrami, Eugene L. Cloutier, Louis C. Genner, Byron A. III Glucksman, Michael A. Haines, Robert W. Hanson, Florence G. Lemann, Jacob Lesswing, Allen Lizlovs, Sylvia Marino, Charles H. Meese, Ernest H. Rayhill, Edward A. Weinmann, Paul L. Weiss, Alfred L. Wilson, Donald M. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Bisgeier, George P. Busch, Grace L. Cecilia, Carl A. Dunghe, Adelmo P. Dunn, James C. Leberer, Richard Pech, Henry L. *Tillou, Mary Jane Wasson, Anne A. Weinberg, Sidney B. 1951 Bash, Theodore L. Belsky, Jay B. Conrad, Carl R. Danzig, Leonard S. Heerdt, Mark E. *Leslie, Eugene V. Pleskow, Marvin J. Secrist, Robert L. Smith, Adolph Teich, Eugene M. Volkman, Alvin 1952 Abo, Stanley Adams, Donald J. Altshuler, Kenneth Banas, John J. Baumler, Robert A. Brown, Alvin J. Clark, Daniel H. Davis, Bernie P. Fuhr, Neal W. Gartner, Albert A. Genewich, Joseph E. Kelley, Donald J. 1953 Bertino, George G. Carlin, James W. Cohen, Stanley Comerford, Thomas E. Ehrenreich, Donald L. Fogel, Sander H. Gold, Jack 25 1955 Celestino, Vincent L. Collins, James R. Fagerstrom, Charles D. Gazzo, Frank Gianturco, Michael J. Hashim, Sami A. Horwald, Sylvan H. Lai Mye, George Jr. Martin, Robert E. Nunn, James R. Peterson, John H. Schiavi, Anthony B. Schiferle, Ray Smith, Robert A. Von Schmidt, Barbara Winter, John A. 1956 Alker, George J. Ben-Asher, M. David Corretore, Robert B. Darlak, Joseph J. Denlinger, Mark A. *Gicewicz, Edmund J. Haber, Francis B. Heimback, Dennis P. Jones, Oliver P. Klass, Arthur Kunz, Joseph L. McCutcheon, Sue A. Nuessle, Frederick C. O'Neill, Hugh F. Reisman, Robert Sklar, Bernard H. Stenchever, Morton A. 1957 Beck, Arthur L. Friedman, Gerald Hetzer, Barbara J. Lasry, James E. Lowe, Charles E. Miller, Richard F. �1958 Berkson, Paul M. Brothman, Melvin M. Campagna, Franklyn N. Cummiskey, Thomas G. Dickson, Robert C. Falsetti, Domonic F. Float, John W. Kunz, Marie L. Leve, Lloyde H. Potenza, Lucien A. Sikorski, Helen F . Stein, Alfred M. Waldman, Irving Zeplowitz , Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Doyle, James R. Mangan, William J. Oberkircher, David J. 1960 Abramson, William E. Bernot, Robert T . *Dayer, Roger Diesfeld, Gerard Dozoretz, Ronald I. Graber, Edward J. Guttuso, T. J. Kanski, James R. Metcalf, Harry L. Nakata, Harry H. Rakowski, Daniel A. Rivera, Eugene P . Saks , Gerald L. Tuyn, John A. 1961 Brody , Harold Ciesla, Thomas K. Cohen, Michael E. Cimino, Eugene A. *DeSantis, Carlo French, Paul D. Knight, Ovid D. Loeb, Richard 0 . Nagle, Willard F. Porrath, Saar Pulvino, A. Thomas Schnatz, Paul T. Usiak, Ronald H. Wilinsky, Howard C. 1963 1967 Bentley, John F . Fanelli, John R. Hamilton, Robert W . Herbert, Anita J. Lessler, Paul A . Narins, Richard B. Post, Robert M. Spielman, Robert B. Tirone, Charles S. Burleigh, William M. Gibbs, John W . Miller, Donald E. Phillips, Michael M. Sheehan , Thomas P . 1964 Carr, JeffreyS. DiPoala, Joseph A. Holt, David N. Lockwood, Marilyn Salton, William Wolin, Richard Blase, Barbara Coel, Marc Dalgin, Paul Jewel, Kenneth L. Kaine, Richard Kaplan, Milton P. Martin, Raymond A. Milanovich, Robert 1969 Bosu, S. K. 1965 Hurwitz, Lawrence B. Jeffery, Gary Schubert, Daniel Waldowski, Donald J. 1962 Dozoretz, Ronald I. Gerbasi, Joseph R. Morey, Philip D. Ney, Robert G. Pohl, Alan L. 1968 1966 Bradley , Thomas Fiero, Douglas C. Gross, William G. Spoor, John E. 1970 Forden, Roger A. Non-Alumni (Nun-Alumnae) Alrich, Herbert Ferencz, Charlotte Lippschutz, Eugene Sanders, Benjamin Valente, Michael *Class Chairman PsychoEndocrinology II Two Medical School faculty members- a husband and wife team of psychologists-are helping patients at Children's Hospital cope with the mental and emotional problems that sometimes accompany over and under-production of vital hormones. They are Dr. Heino F .L. Meyer-Bahlburg, research assistant professor of pediatrics, and his wife Dr. Anke A. Ehrhardt, research assistant professor of psychology in the department of psychiatry and pediatrics. They are working with physicians specializing in endocrine diseases in a new program that they call "psychoendocrinology.'' There is only one other program like it in the country-at Johns Hopkins University- where Dr. Ehrhardt was an instructor in medical psychology before coming to Buffalo. The Pediatric Endocrine Clinic at Children's Hospital, ofwhich the program in Psychoendocrinology is an integral part, serves 1200 patients. In the last ten months more than 150 children and parents who were in need of counseling, psychologic evaluation and treatment were referred there by the clinic. The husbandwife team evaluates patients in such areas as social and family adjustment, school achievement and mental abilities. They also counsel teachers and school counselors if a child seems to be having problems in school. And they help physicians in making decisions on medical treatment of patients where psychological factors are important . Dr. Thomas Aceto Jr., ass ociate professor of pediatrics, is chief of the P ediatric Endocrine Clinic.O 26 THE BUFFALO PHYSICIAN �Dr. Sumner Yaffe Pediatric Pharmacology While the gap between basic pharmacological knowledge and its use at the bedside for adults may be narrowing, its therapeutical application for infants and children remains unchanged. But a coordinated attack by a diverse group of investigators operating out of the division of pediatric pharmacology at the Children's Hospital may hopefully change this. Why the lag in research for these "therapeutic orphans" as they are medically termed? Perhaps it is because of the sparsity of clinical investigators. Or the relatively small population available for study. Or the problems associated with consent. With a difference in drug/host interaction at all stages of growth and development in the fetus, the newborn, the older infant, toddler, preschooler, and adolescent, what is needed, division head Dr. Sumner Yaffe explained, "is a thorough knowledge of drug action and its disposition in the human organism at specific stages of development.'' WINTER, 1971 He cautioned that with a serious lack of data on which to base dosage recommendations it is not uncommon to read the warning on labels of most drugs found on shelves in the corner pharmacy "NOT FOR USE IN INFANTS OR CHIWREN." Buffalo remains one of the few nationallyrecognized centers in pediatric pharmacology. Investigations here range from the very basic to the clinical and the applied. Not only has the group been trying to define drug metabolism in fetal and infant life during development, but it has been looking at enzymes derived from tissues of various organs in animals and in humans when possible. It is also concerned with the way that these enzymes metabolize drugs and how to apply the findings to the patient. This group of investigators were the first to attack enzyme deficiency in man through the use of drugs. Their approach followed many years of investigations in which drugs, such as phenobarbital, were effectively used as an enzyme-inducing agent for bilirubin metabolism. For the newborn, whose physiological immaturity of bilirubin metabolism leads to jaundice, this finding holds particular importance. In its studies (on a chronically jaundiced patient who inherited a permanent inability to metabolize bilirubin) the group demonstrated that phenobarbital administration was effective. Turning its attention to the newborn Dr. Lome Garrettson �J Checking phototherapy and its products for five-day old jaundiced baby are left to right: senior medical student Alan Mandelberg, Dr. Charlotte Catz, pedwtric resident Edward/. Orecchio, and Dr. Sumner Yaffe. infant, it again demonstrated that this approach may also decrease jaundice in this age group. Now being universally applied to clinical situations is the concept of enzyme induction. The division is now looking into drug dosage for the malnourished infant and child. For, since its establishment locally and nationally in 1963, it has been concerned with all facets of pediatric pharmacology, all of its ramifications, and how they relate to children. Individually there is Dr. Yaffe's ten-year record in drug metabolism and regulatory mechanisms during both pre-and postnatal life that has been followed by application of this knowledge. Add Dr. Joseph Krasner's role in physical chemistry to study drug protein binding. His research into bilirubin binding in the newborn may more effectively determine serious consequences when it is in high concentrations. It may also permit a more rational approach to treatment. Involved in the environmental factors as they affect drug metabolism during development is Dr. Charlotte Catz. In her work on malnutrition such factors as weaning and nutritional status have proven important as determinants of drug action. For they modi- fy activity of drug metabolizing environments in the liver. This work has wide-reaching clinical implications. Drug dosage for infants and children are now available. From the School of Pharmacy there is Dr. Gerhard Levy who adds his expertise in the kinetics of salicylate and riboflavin in both infant and child. In its collaboration with Dr. Levy, the group has made major advances in understanding absorption of riboflavin and the metabolism of salicylate in both infant and child. Pharmacologist Mont Juchau, who is now in Seattle, was the first in the group to study the capability of drug metabolizing enzymes in the human placenta. Possible relationships of placental drug metabolism processes to subsequent effects of drugs on pregnant females, fetuses, and the newborn led the group, in 1966, to initiate a systematic investigation of such processes in human placentas and in experimental analysis. The capability of placental homogenates to catalysis reactions has thus been tested on every major type involved in the metabolism of drugs using oxidation/ reduction conjugation and hydrolysis. With the addition of Dr. Lorne Garrettson several years ago was added his knowledge of the pharmacology of anticonvulsants in children. For this clinical pharmacologist [who is studying what drugs do to the human body and the affect of the body on drugs) it is the processes during disease as well as in health that interest him. Dr. Garrettson also heads the University's only clinical research center supported through NIH funds. Not only is the center a site for patient care where the psychological needs of the family are also con- Dr. Joseph Krasner and senior medical student Lewis Stern at work on bilirubin studies. �sidered but where the investigator may most efficiently spend his time in clinical research and is assured that his orders are meticulously performed. Dr. Luis Mosovich, who brings to the service years of exposure gained from World Health Organization and public health service in Guatemala, has come the pathophysiology of nutrition deficiency and its effects on drug metabolic processes. The School of Dentistry's Sebastian C. Ciancio and neurologist David Weinstein (he is now in New York) have assessed the pharmacology of interaction between phenobarbital and diphenlhydantoin in children with convulsive disorders. Former research fellow Rafael Gorodischer's interest has led to a new approach to the treatment of jaundice, that of phototherapy. Through a broad-based but integrated approach, the division's investigators will obtain pharmacokinetic data for a number of frequently prescribed drugs in the two most common states of malnutrition-protein-calorie and iron deficiencies. It will provide muchneeded data for a rational drug therapy for infants and children whether they be malnourished or not. Clinical pharmacology studies will be correlated with hematologic investigations of Dr. Lorna MacDougal into the decreased life span of iron deficient red blood cells and metabolic investigations of carbohydrate homeostasis in the hypoglycemic malnourished child. Complementary animal experiments will add to an understanding of clinical events by clarifying basic mechanisms at cellular and subcellular levels. "We are not solely research-oriented," explained Dr. Yaffe, "but are service-oriented as well. Our poison control center has not only received over five thousand calls during the year but has supplied information to parents and physicians.'' In collaboration with the department of social and preventive medicine, the division is also conducting a survey to pinpoint demographic characteristics of children served by the Center as well as groups that are not, environmental factors contributing to poisoning in children, and a followup to determine parental response to instructions and survey results. WINTER, 1971 Local service demands on members of the group also include daily consultations on dosage and drug selections for infants and children, as resource for the hospital pharmacy in its handling of physician prescriptions, and as members of local hospital committees. There is also involvement in hospital-based programs in adolescent medicine, birth defects, the newborn nursery, clinical research center, and outreach programs such as the drug abuse clinic in Allentown. National recognition for the division has come through the appointment of Dr. Yaffe to head the American Academy of Pediatrics' Committee on Drugs - it sets standards for national drug therapy for infants and children -and the investigators' involvement in national committees and meetings. But one of the division's most important functions remains that of teaching. Not only is there participation in the undergraduate programs in the Schools of Pharmacy and Medicine, but on a postgraduate level through formalized drug therapy rounds, participation in weekly grand rounds, and at many national meetings. There is also participation with the School of Pharmacy in a new academic program to train clinical pharmacists as practitioners with expertise in drug therapy to practice in hospitals, become involved in large group practices in ambulatory care facilities, or teach in Schools of Pharmacy. "If the gap between research and data on which to base drug dosage is closed," summed up Dr. Yaffe, "a more rational therapy program will follow."O 29 �Mr. Lee Vermeulen, pharmacist and Mark Kester, fourth year student at the Newfane Inter-Community Hospital. r Dr. Sidney Currank with medical students Barry Kilbourne and Paul Gustafson at the W. C.A. Hospital, Jamestown. At the Salamanca District Hospital medical students Elaine Will and Mark Bernstein visit with Mrs. Francis Zaprowski. �Rural Health Care "We just loved the rural areas of Western New York and this is where we want to practice after graduation." That was the consensus of the 22 Health Sciences students who participated in a special eight-week summer "externship" program. In June some of the students weren't sure they would like the small towns, but it took only a few short weeks to convince them of the good life in rural America. The students labeled their experiences "fantastic." They were well accepted by the health professioaals and the patients in the communities where they worked and lived for two short months. Many of the students got involved in the community, just like their preceptors, who are permanent residents. The patients too were most appreciative of the health care that they received. One preceptor admitted, ''the patients welcomed the students, and were flattered by all the extra attention.'' In many instances the students took health care to the people. This was especially true of the migrant labor camps-where nursing students not only urged the families to come to the clinic but urged the children to attend special summer school classes. There were other general student comments ranging from - "I saw only half the picture living in Buffalo; the team approach to learning was good-it proved we can work together; it was good to see how a small city sets policy on health care; we saw first hand how good family life can be in the rural areas; our exposure to different types of programs and points of view.'' William Tufa, a dental student said, "My preceptors took time from office routine to help me get involved in the community. I learned about many social and economic aspects of Westfield. It was a pleasant, profitable summer. I hope to practice dentistry in a smilar setting after graduation.'' Mark Kestor, a pharmacy student said, "It was a great working-learning experience. I had the freedom to do things on my own with proper supervision at the Newfane Inter-Community Hospital.'' Mary Lou Frey, a student nurse with the migrant health project in Silver Creek and Lockport said, "We were accepted by everyone and had no difficulty talking to community leaders. The nurses in the area were scarce and the people welcomed us.'' Another nursing student, Wilma Lavelle, said, "We made some progress in improving health care for the migrant workers." A physical therapy student, Allan Turnbull, working in Jamestown said, "My preceptor directed me to various professional experiences, community organizations, etc. I learned inter-professional collaboration by working with other therapists and others on the health team. This gave me a new perspective." WINTER, 1971 31 William Tu/o, a dental student, wilh Drs. Jerome School and Louis Habig in their W est/ield office. Mrs. Hanna Juul, chief therapist, at Mount View Hospital, Lockport, and two physical therapy students, James Kennett and Robin Eisen, teaching a young patient to use her legs again. �Two nursing students - Mary Louise Frey, and Wilma Lavelle - visit with migrant workers in the Newfane-Lockport area. Allan Turnbull, a physical therapy student, assists a patient at the W.C.A . Hospital, Jamestown. r"'j"'fr'N~iilll•~ Dr. David Widger, a pediatrician practicing in Salamanca, spoke enthusiastically about his experience in the program as a coordinator of two University medical students, Elaine Wilt and Mark Bernstein. "This is how doctors used to be trained," he pointed out. "It was called 'reading with the doctor' and the student after completing high school, was trained by working with the doctor on all his cases. The rural externship program got back to this type of thing. "The program," Dr. Widger continued, "will benefit not only the people of the small community who may well be participating in the training of their future physicians, but the student as well, by giving him the experience of actual practice to broaden his text book knowledge. The program gave the students a chance for personal patient contact which they don't always get in the large city.'' "You get more opportunities to do a variety of things through a program like this," Mark Bernstein, a second year medical student said. "You really learn how to relate to patients." Another preceptor in Portville, Dr. Duncan Wormer, M'20, sees the program as an opportunity to ''expose the student to community medicine before he gets prejudiced against it. The difference between rural and city practice is a personal one. It is a matter of whether you prefer living in the country or the city. It is not the medical facilities." Dale McCloskey, a University physical therapy student, loved the Wellsville area. "After one year in Buffalo I was happy to get back to the country. We become more involved with the patients. We know their medical records and speak to them when we see them on the street. The people are wonderful. They have accepted the fact that I am a student and everything else I've come up with-even my motorcycle.'' David Johnson, a medical student, says-"Since family practice is my area of interest this program gave me a special opportunity to participate in medical care in a rural area. Specifically I wanted to compare my own attitudes and interests and opinions with the practicing men in the area. Although consulting specialists were not too available in Westfield, I was surprised to learn that almost all of the laboratory work and special studies found in a large city hospital were also available in Westfield or nearby hospitals. In a town of a few thousand the physician has a thorough knowledge of a patient's history as well as living situation. Many patients are friends or neighbors to their doctor. I had an understanding of the total health system in this community-thanks to Dr. Robert F. Horsch." The students were unanimous in their praise for their preceptors and how they went out of their way to help them get involved in community activities and affairs. The students liked the direct patient contact that they experienced, and they loved the country-living and friendly atmosphere. All of the preceptors obviously communicated their enthusiasm of working and living in the rural area to their students.D 32 THE BUFFALO PHYSICIAN �Complete Patient Records ''Better and more complete patient records is the road to better health care." This is what Dr. Lawrence L. Weed, physician and professor of medicine at the University of Vermont Medical School told physicians and administrators attending the Regional Medical Program of Western New York's annual meeting. He recommended that everyone read "The Problem Oriented Private Practice of Medicine" by Drs. Harold Cross and John Bjorn (Modern Hospital Press). "This is one of the best books I've read by two of the most advanced practitioners of our times. If you read and practice what the book preaches you will have the best Regional Medical Program in the entire nation. You will skyrocket ahead of every other region in the USA.'' Dr. Weed emphasized that these practitioners (Drs. Cross & Bjorn) have a system. ''They know where they are going, where they have been and what they are doing. I might not agree with everything they are doing, but they can correct what they are doing because they keep records. "It is important that you have a complete record on every patient's problems-medical, dental, psychiatric, and social. How can you hope to solve a patient's problem without a complete record? Medical records of people in this nation are in total shambles. This must be and can be corrected if we all take the responsibility. Being too busy is a poor excuse for not keeping detailed patient records. "It is important that we have communication-feedback from the patient. The patient will help you solve many of his own problems if only you will talk to him.'' Dr. Weed made several other pertinent points: -be precise and honest with your patients; -we all need to be more disciplined; -maintain both source and problem patient records, and then move to a plan of action; -every patient is unique; -don't obscure data; -don't look at problems out of context; -disorganization kills people; the biggest constraint we function under is constraint of disorder; -don't get hung up on details; ''There is more to the art of medicine than charts, records, data, and computers. It is a manner of doing things that evolves around style, discipline and structure. Good patient records is a 'tool' by which you practice your art-the art of medicine," Dr. Weed concluded. 0 WINTER, 1971 33 Drs. Irwin Felsen, Lawrence Weed. Dr. Felsen is president of the Health Organization of Western New York, Inc. �Environmental Physiology The Medical School's new Laboratory for Environmental Physiology will be in operation sometime this year, according to Dr. Leon E. Farhi, professor of physiology. This lab will explore problems of abnormal pressures, temperatures, gas compositions and gravity. It will range from the effects of exposure to high attitudes to the survival and performance of man in the sea. Hugo Unger's camera recorded this series of pictures beginning in April, 1969.0 The first shovel of dirt, Apri/25, 1969 Alnwst enclosed in October, 1969 �The central computer room, December 1970 Dr. Farhi - l WINTER, 1971 a 35 I ... �-_;.---= Dr. Hermann Rahn discusses centrifuge with Richard Morin, administrative assistant. Front view between Sherman and Capen I 36 THE BUFFALO PHYSICIAN �Faculty Promotions Dean LeRoy A. Pesch announced the promotion of 104 Medical School faculty members effective August 1. Promotions to Professor: Doctors James C. Allen (medicine); John R. Border (surgery); Theodore C. Jewett(surgery); Francis}. Klocke (medicine- also assistant professor of physiology); lmre V. Magoss (urology); Charles V. Paganelli (physiology); Morris Reichlin (medincine - also research associate professor of biochemistry); Robert Rosen [biophysical sciences); Harry A. Sultz (social and preventive medicine); Jack Zusman (psychiatry). Promotions to Associate Professor: Doctors Gerard P. Burns (surgery); Charlotte S. Catz (pediatrics); Jerald Kuhn (pediatrics & radiology); Edward J. Massaro (biochemistry); Henry R. Wagner (pediatrics); Jerrold Winter (pharmacology). Promotions to Clinical Professor: Doctors Richard Ament (anesthesiology); Vincent J. Capraro (gynecology-obstetrics); Heinz Lichtenstein (psychiatry); David H. Nichols (gynecology-obstetrics); David H. Weintraub (pediatrics). Promotions to Clinical Associate Professor: Doctors Kenneth M. Alford (pediatrics); George J. Alker, Jr. (radiology); James E. Allen (surgery); John M. Bozer (medicine); Richard G. Cooper(medicine); Martin}. Downey (anesthesiology); Joseph L. Dziob(surgery); Francis E. Ehret (medicine); Charles M. Elwood (medicine); Raymond A. Hudson (medicine); Louis Judelsohn (pediatrics); H. Paul Longstreth (medicine); Joseph M. Mattimore (pediatrics); Victor A. Panaro (radiology); Stephen J. Paolini (medicine); James F. Phillips (medicine); George H. Selkirk (pediatrics); Robert J. Smith(radiology); AlfredM. Stein(medicine); Ramon E. Tan(psychiatry); Daniel Weiner (pediatrics). Promotions to Clinical Assistant Professor: Doctors Harold Bernhard (medicine); Virgil Boeck (medicine); James M. Cole (:;urgeryorthopedic); Peter S. D' Arrigo (medicine); Andrew C. Drakonakis (medicine); Samuel B. Galeota (medicine); Allen L. Goldfarb (mediWINTER, 1971 cine); William Hale (microbiology); R. C. Harvey (anesthesiology); Yoosuf A. Haveliwala (psychiatry); Ernest G. Kane(medicine); James R. Kanski (medicine); Russell B. Kidder (medicine); Albert M. Kraus (surgery-ophthalmology); Joseph L. Kunz (medicine); Charles L. Mache, Jr. (pediatrics); Norman D. Mohl(anatomy); James F. Mumma(surgery-proctology); Francis W. O'Donnell (surgery); Francis T. Oliver (anesthesiology); Seung-Kyoon Park (psychiatry); Joseph A. Prezio (medicine); Lourdes S. Ramierz (pediatrics); Martin G. Staiman (psychology in department of psychiatry); Carl A. Stettenbenz (pediatrics); Nelson P. Torre (medicine); Ann A. Tracy (psychiatry-child psychology, also clinical assistant professor of pediatrics); Frederick B. Wilkes (pediatrics); Lydia T. Wright (pediatrics); Robert E. Yanowitch (psychiatry). Promotions to Research Professor: Doctor Julian Arnbrus (medicine). Promotions to Research Associate Professor: Doctors D. G. Papahadjopoulos (biochemistry); Marvin Tunis (medicine). Promotions to Research Assistant Professor: Doctors Nickolas J. Calvanico (medicine); Ralph F. Sibley (pediatrics) . Promotions to Clinical Associate: Doctors Robert M. Barone (surgery); Theodore S. Bistany (surgery); Frank J. Bolgan (surgery); Owen G. Bossman (medicine); Henry P. Cares (surgery); Marion L. Collura (surgery); Duane H. Dougherty (surgery); William A. Flemming (medicine); Edmond J. Gicewicz (surgery); Hans W. Grunwald (medicine); Edward W. Hohensee (surgery -ophthalmology); John H. Kent (medicine); John M. Kenwell (surgery) (died 7-21-71); Yehuda G. Laor (radiology); Robert M. Moran (surgery); Philip D. Morey (medicine); Paul A. Nowakowski (surgery); J. Frederick Painton, Jr. (surgery); Oscar H. Piedad (surgery); Joseph E. Rutecki (surgery - also clinical assistant professor of anatomy); Clarence E. Sanford (surgery); Ralph E. Smith (surgery); Paul N. Stoesser(surgery); Carl E. Villarini (pediatrics); Henry E. Vogel (surgery). Promotions to Clinical Instructor: Doctors Carl A. Perlino (medicine); Richard V. Worrell (surgery- orthopedic).O 37 �Walter Ferguson, second year medical student, with Dr. Harry Metcalf and patient at Deaconess Hospital. Family Practice for Sophomores One hundred and twenty-five sophomore medical students are now experiencing an early introduction to the "whole patient" in the new Preceptorship Program in Family Practice. This is a required experience for sophomores and is new to the curriculum at the School of Medicine. Each student is assigned to a Preceptor and spends at least one afternoon a week for eight weeks with his physician. Approximately 32 students and 32 Preceptors participate in four sessions each lasting eight weeks. The first two sessions have been completed. The third session begins on January 18th and the final session on March 14th. The students and Preceptors are on a oneto-one basis. "We want the students to be as meaningfully involved as possible with patient care,'' says Dr. Edward F. Marra, professor and chairman of the Department of Social and Preventive Medicine. The program is ''patient oriented'' rather than ''disease oriented." The students participate initially as observers. The degree of subsequent involvement in physician-patient relationships and in examinations and treatment is determined by each preceptor. These students are learning first hand about patterns of office medical practice and health care delivery. They often accompany their Preceptor on hospital rounds. Students also make house calls and thus have an opportunity to observe patients in their homes and against the background of their families. First-year students were introduced to Family Practice with a two-hour lecture this Fall. There is an additional elective "in depth" experience offered to seniors interested in Family Practice. _ A serious conference between Dr. John R. Fanelli and sophomore Daniel Botsford. .... �A student-preceptor discussion: Dr. Peter F. Goergen (back to camera), Dr. Robert Haines, students Melvin Brown and John Clark, Drs. Elbert Hubbard, Ill and Ernest R. Haynes. A second year medical student, Tom Chmielewski, amines a patient in Dr. Herbert }oyce'11 office. ~­ The program director is Dr. Ernest R. Haynes, clinical professor of Family Practice. Dr. James R. Nunn, assistant clinical professor of Family Practice is the assistant program director. "Attempting to teach family practice only in the hospital is like trying to teach forestry in the lumber yard," Dr. Haynes said. The preceptors are: Doctors Charles Bauda, Thomas W. Bradley, Vincent S. Celestino, Max Cheplove, Robert B. Corretore, Malcolm L. Crump, John E. Cryst, Gerard J. Diesfeld, Adelmo Dunghe, George Eckhert, Frank G. Evans, John R. Fanelli, Irwin Felsen, John T. Gabbey, Algirdas Gamziukas, Peter F. Goergen, Philip Goldstein, Robert W. Haines, Eugene C. Hyzy, Elbert Hubbard III, Herbert E. Joyce, Herbert A. Laughlin, Louis Lazar, Richard Leberer, Robert W. Lipsett, A. Charles Massaro, Harry L. Metcalf, Richard F. Miller, Eugene Norman, James F. Norton, Frederick Nuessle, Charles F. O'Connor, Edward A. Rayhill, Roy G. Schiferle, Carl N. Schueler, Fred Shalwitz, Helen Sikorski, Clinton H. Strong, Andrew V. Tramont, John A. Tuyn, Herbert W. Wittkugel.D WINTER, 1971 39 �I A total of 48 alumni, faculty, wives and guests participated in two alumni receptions during the American Academy of General Practice and the American Academy of General Practice and the American College of Surgeons conventions in October. Mr. David K. Michael, Director of Medical Alumni Affairs, hosted the receptions for the Medical Alumni Association. Attending the American Academy of General Practice reception at the Fontainebleau Hotel in Miami Beach on October 6 were Doctors Maryland Burns Byrne, M'38, Cornell, New York; John J. Calabro, Washington, D.C., (guest); Max and Mrs. Cheplove, M'26, Buffalo; Thomas Cummiskey, M'58, Buffalo; Thomas Flood, M'66, Dover, Massachusetts; Walter and Mrs. Gawron, (guests), Maurice Heck, M'll, Miami; Garra L. Lester, M'39, Chautauqua, New York; Vincent and Mrs. Mancuso, M'16, Ft. Lauderdale; Harry and Mrs. Oliver, M'54 Buffalo; Lillian F. Pegler, (guest); T. F. and Mrs. Reszel, M'54, North Tonawanda, New York; Stan Rosenberg, New York City, (guest); John Rowbotham, Boston (guest); Irv Waldman, M'58, Miami; and Robert Willner, Miami, (guest). The 26 who participated in the American College of Surgeons convention and reception at the Dennis Hotel in Atlantic City, October 20 were: Doctors Donald R. Becker, Buffalo, [faculty); Donald Bradley, Hartford, Connecticut, (guest); R. J. and Mrs. Buckley, Buffalo, (faculty); Theodore Drapanas, M'48, New Orleans; Ronald F. and Mrs. Garvey, M'53, Dallas, Texas; Joseph Giunta, Buffalo, (faculty); J. Hill, Buffalo, (faculty); D. N. Kluge, Rochester, New York, (guest); Wilhelm Kreuzer, Buffalo, (faculty); Marvin Kurian, M'64, Allentown, Pennsylvania; Fred Lane, Boston, Massachusetts, (guest); Edwin R. Lamm, M'60, Bowie, Maryland; John P. Luhr, Tonawanda, New York, (guest); Erich and Mrs. Moritz, Buffalo, (faculty); J. Fred Painton, Jr., M'64, Buffalo; William Stein, M'50, Buffalo; Dave and Mrs. Stewart, Boston, Massachusetts, (guest); Ralph Swank, St. Petersburg, Florida, (guest); Dick Williams, M'64, Buffalo, and John and Mrs. Zoll, Buffalo, (faculty).D Alumni Receptions The School of Medicine will remain on the present campus, along with three other schools in the health sciences-Dentistry, Nursing and Health Related Professions. The School of Pharmacy, along with most of the other units of the University, will move to the new Amherst North Campus. The Board of Trustees of the State University of New York, in reaching its decision, accepted the recommendation of a special task force appointed earlier this year. The nuclear reactor and several other units will remain at the Main-Bailey South Campus. The twin towers, under construction on the Amherst Campus, and originally designated for the Health Sciences, will be occupied by the School of Pharmacy and Department of BiologyO Medical School Will Not Move To Amherst THE BUFFALO PHYSICIAN �Health Sciences Library in Capen Hall has one major problem-inadequate space. It has only 107 reading spaces for 2,658 potential users, according to Mr. C. K. Huang, Health Sciences Librarian. Approximately 1,000 people visit the library daily. ''Our library is a giant when it comes to the responsibilities and services that it undertakes. It has one of the largest and finest current biomedical journal collections in the nation and serves one of the largest health communities. One-third of the total UB faculty is in the Health Sciences. "It not only serves the students and faculty of the five schools-dentistry, medicine, nursing, pharmacy and health related professions- but also the health professionals in the sixty hospitals and research institutions in Western New York under the Regional Medical Program," Mr. Huang said. "We need at least another 10,000 square feet of space immediately-either adjacent to the present library or a total new library facility at another location on the Main Street Campus. "Dr. Abraham Flexner mentioned the University of Buffalo Medical School in his famous report of 1910. He said, "This is a good library of 8,000 volumes ... with a librarian in charge." When the library moved to its present location in 1953, it had 35,000 volumes. Today there are 118,000 volumes, 46,000 books and 72,000 bound journals. No additional space has been added in 18 years. Another important service is the SUNY Biomedical Communications Network that links the Health Sciences Library with fifteen other participating libraries-the SUNY Upstate Medical Center, Syracuse; New York State Medical Library, Albany; University of Rochester Medical Center, Rochester; Albany Medical College, Albany; SUNY Downstate Medical Center, Brooklyn; SUNY at Stony Brook; Francis A. Countway Library of Medicine, Harvard University; the National Library of Medicine, Bethesda; William H. Welch Library of Medicine, Johns Hopkins University, Baltimore; and Cornell University Medical College, New York. The library makes about 200 searches per month for the students and faculty through this information retrieval system, the highest among participating libraries. The Health Sciences Library also makes a significant contribution to the health institutions in greater Buffalo and Western New York because it is the major medical resources library in the region that has materials in biology, dentistry, nursing, pharmacy, and health related professions. Interlibrary lending has increased 80 per cent in the last year to 1,800 items per month through the Information Dissemination Service of WNY-RMP, the Regional Medical Library Program, and the New York State Interlibrary Loan Network.D T HE HEALTH SCIENCES LIBRARY WINTER, 1971 41 • �The Ketters cut the 125th birthday cake Health Care in Buffalo in 1846 by I I Oliver P. Jones, MD, Ph.D. Professor of Anatomy It is indeed an honor for me to represent the medical profession, but ever since accepting this assignment I have been wondering-why me? After all it took me 18 years to finish medical school and all of my patients are dead. Before talking about the health care facilities at Buffalo in 1846 I want to present some background material and something of unique historical interest. The May 11, 1846 issue of the Buffalo Commercial Advertiser did not have anything about the University of Buffalo and neither did the Morning Express. Instead much copy was from the seat of the war because there was grave concern about the dangerous situation of the army of the Rio Grande under General Taylor. If Vietnam were to be inserted for Mexico the following would be applicable today-125 years later-"The administration at Washington maintains an obstinate silence as to the ultimate designs in the prosecution of the war against Mexico.'' By the same token THE BUFFALO PHYSICIAN �if pollution were to be inserted for "abuse" in the following advertisement it would almost be up to date. Dr. Hunter's AntiMercurial Syrup and Health Restorer. To persons suffering from the abuse of Mercury, and the effects of a certain disorder, imperfectly cured. However the May 12 edition of the Buffalo Commercial Advertiser did have this: The Legislative doings Saturday (May 9) afternoon and evening, were of much general and local interest. - Among other bills passed (in the Senate) were a large number for the relief of various insurance companies, the bill to incorporate the University of Buffalo, and the bill to incorporate the Aurora and Buffalo Plank Road Company. The establishment of a Medical Department rather than one for Law or Theology elicited criticism from certain quarters. It was seriously intimated that the young physicians and their confederates were not altogether unselfish in their desire; that they contemplated some financial gain or the improper increase of their professional practice. So much for the background material and now for the item of unique historical interest. This was not discovered until I had plugged in my serendipity booster circuit. Why should the City Directory list Hospital Street, thirteen years before the Sisters of Charity Hospital opened its doors in August, 1848? Hospital Street ran from West Mohawk to the Erie Canal and it was between Genesee and Georgia Streets. It is listed in the directories from 1836 to 1863 and in 1864 it was renamed Wilkeson Street. In 1832 Buffalo experienced its first cholera epidemic. There were 184 cases and 80 deaths. According to Lewis F. Allen, one of the founders of the Historical Society, "a hospital was improvised for the first time, the first one being 'The McHose House.' It stood in a hollow about midway between Niagara and Ninth Street, now Prospect Avenue - The house was unoccupied at the time.'' The Board of Health took possession of the brick house and set about equipping it as a refuge and hospital with a few bedsteads, beds, tables, chairs and cooking utensils. Other houses were used as temporary hospitals during the cholera epidemic of 1834. Now let us consider the health care facilities at Buffalo in 1846. There was a Hospital Street but no hospital. However there was the Seaman's Home in the old first ward. This served as a shelter and hospital of sorts, but nearly two-thirds of those who applied for relief had to be turned away on account of exhaustion of the fund to which they had contributed and to which they had a claim. There was also the Buffalo Orphan Asylum founded in 1835. It was established by a few charitable and benevolent WINTER, 1971 Dr. O.P. Jones, professor and chairman of the anatomy department, was among the speakers at the I 25th Founders' Day dinner at the Hearthstone Manor May 11. Morethanl,OOO friends shared the eight-foot birthday cake decorated with a replica of Hayes Hall. President Robert L. Ketter greeted the/acuity, students, staff, alumni, community leaders and friends in attendance. Dr. Ketter noted that the University's founding 125 years ago was a community response to a community need. ''The particular need was for better health care. More generally, the need was for an institution of higher learning which would impart an added dimension to a community with expanding aspirations. " Once founded, he said, "the University became a joint venture between community and educators'' and that partnership continues today. The President said this Anniversary should be a time of "rededication" to the "real interests" of students- "those enduring interests of intellect and spirit which remain unaltered by momentary passions and /ashions. It is our dedication to those interests, our devotion to the mind and spirit of man, and to setting mind and spirit free through truth, which constitutes the 'permanent character' of this institution. This dedication and character are the hope we hold for the future. And we must hold it dearly. " �Mr. Linowilz The Honorable Sol M. Linowitz warned that if the American university is to survive, "we must somehow re-establish mutual respect among the constituencies of the university as an institution including especially those in our highest of/ices." Mr. Linowitz is chairman of the National Committee on Campus Tensions ofthe American Council on Education. ladies and supported by voluntary contributions to provide an asylum for destitute and orphan children. It was located in rented houses for varying periods on Franklin, Seneca, and Niagara Streets and on November 12, 1846 it was removed to near the corner of Main and Virginia Streets in the building formerly occupied by the Buffalo Literary and Scientific Academy. This was a fortuitous circumstance because two years later, Bishop Timon acquired this property from the trustees of the orphan asylum and founded the Sisters of Charity Hospital. While not the first hospital in Buffalo, the Sisters of Charity Hospital was the first organized on a permanent basis and the first teaching hospital for the University of Buffalo. Buffala in 1846 also had a City Dispensary, "established in March 1841 for the purpose of relieving such sick, poor and indigent persons as are unable to procure medical aid.'' For some reason, its usefulness during 1846 had declined which will be considered later. It was located over 261 Main Street at Erie. The largest single health care facility in Buffalo in 1846 was the Erie County Alms House established in 1829, in a small stone building on Porter Avenue near the site of the present Holy Angel's Church. The main building consisted of two wards for male and four for female inmates. There was a small building for orphan children, a small one story building for lunatics and a temporary shanty for cases of typhus. The census ranged from 90 to 230 inmates. We do not know how many were admitted for disease alone, because the reports of the superintendent only listed vagrants, lunatics, idiots, children, and those who were merely destitute. The mortality rate was exceedingly high. One out of six admitted died within the year, and the corpses sometimes remained in the general wards because there was no vacant room for reception of the dead. Those were very vigorous days in Buffalo after the University received its charter on May 11,1846. For example five months after this an association was formed by Dr. Josiah Trowbridge and 35 directors for the establishment of the ''Buffalo City Hospital." The building known as the "Seaman's Home" had been obtained temporarily until other and more extensive accommo- Drs. Pesch, Brown host a table �dations could be procured. It was contemplated that this institution, which was incorporated in November 1847, would furnish gratuitous medical and surgical aid to indigent patients and that it would also receive paying patients under certain regulations. It was further contemplated that this public hospital would also embrace a Marine Hospital Department. It was a commendable idea but the project failed in 1848 because, as has since occasionally happened in Buffalo, there was more or less opposition to this new departure, and an attempt to obtain a State appropriation was unsuccessful. With respect to the denial of funds by Albany one public official said, "It is time the West (meaning Buffalo) began to look out for its own interests." The retarded and dying Buffalo City Dispensary was resuscitated by ten to twelve young physicians who proposed to devote gratuitously a portion of their time and services to that class of the impoverished and suffering of Buffalo. Dr. Trowbridge was also associated with this movement. Shortly after the state legislature struck out the appropriation of $5,000 for the Buffalo City Hospital, which was to include a Marine Department, separate petitions were circulated for signatures, asking Congress to make an appropriation for the erection of a Marine Hospital in Buffalo. Apparently this effort was of no avail. So much for the health care facilities at Buffalo in 1846. Now. what did the University of Buffalo contribute to these facilities during the first year of its existence? The University leased for three years the old First Baptist Church on the northeast corner of Washington and Seneca Streets which was built in 1829. (An editor ofthe Commercial Advertiser erroneously placed it at the corner of two parallel streets-Seneca and Swan!) This wooden structure was sold to private parties in 1836 and was used by the government for customs, a post office and finally as a police court before the University leased it. The upper part was admirably adapted for a medical college because there was an amphitheater so arranged to accommodate a class of two hundred students, together with rooms for a museum, library, etc. The amphitheater also served as the dispensary. The upper story was used for practical anatomy and a lecture room. On the first floor there was a spacious chemical lecture room and a laboratory. Of course, all of this was after there had been considerable remodeling. The dispensary was open at noon each day during the 16-week term for surgical counsel and operations and at four o'clock for medical counsel and the dispensing of medicines. These services were gratuitous for indigent patients and those who did not object to appearing before the class. I am not going to burden you with a list of medical terms and remarks about these first cases but I do want to say that the dispensary must have been pretty good for that period. For example we know that the Professor of Surgery, Dr. Frank Hamil- WINTER, 1971 Eleven 125th Anniversary Awards were also presented to individuals who have made special contributions to the University, to public service, and/or to the advancement of a particular professional or academic field. Mrs. Sparkle Moore Furnas and Professor John T. Horton of the Department of History received the Alumni Association awards -Mrs. Furnas, the Walter P. Cooke Award /or service to the University by a non-alumnus; and Dr. Horton, the Samuel P. Capen Award /or contributions by an alumnus. Other recipients were G. Lester Anderson, director, University Center for the Study of Higher Education, Pennsylvania State University; George K. Arthur, councilman of Buffalo's Ellicou District; William C. Baird, chairman of the Council of the University; the Very Reverend ]ames M. Demske, S.]., president, Canis ius College; Walter M. Drzewieniecki, State University College at Buffalo; Wilson Greatbatch, inventor of the first implantable cardiac pacemaker; guest speaker Linowilz; Joseph Manch, superintendent of schools, City of Buffalo; Myron S. McGuire, Ellicott District dentist; and Alice S. Rossi, Goucher College. �The University kicked-off its daylong 125th anniversary celebration (May 11) with the laying of the cornerstone at the new 17.4 miUion Faculty of Law and Jurisprudence building on the Amherst Campus at 9 a.m. Mr. Manly Fleischmann, law school alumnus and trustee of the State UniversityofNew York, delivered the principal address. More than 100 dignitaries from the city, county, state and faculty attended. Laying the cornerstone ton, reconstructed by skin grafting the mouth, nose, and eyelid of a 25-year old patient who had been severely burned during childhood. There were seven operations altogether for this plastic surgery on a single individual. These are duly recorded in the Buffalo Medical Journal for 1849. In addition to this it has been my privilege to read an eye witness account of one of these operations. Another important contribution to the health care of the community was the fact that each of the 68 medical students had to serve a three-year apprenticeship with a competent physician licensed by one of the several county medical societies. Some physicians even had two medical students in their homes serving as apprentices. This meant that many more patients could be treated even though the number of physicians remained about the same. These medical students were truly physicians' assistants. I painted a grim word picture of the Alms House, but even here things gradually improved before new buildings were erected because the University of Buffalo was able to supply medical students to serve as interns so to speak. Some of the students even referred to it as their hospital. Before closing I want to emphasize how great our aspirations were and how high the expectations of the students must have been by quoting from the Annual Announcement for 1846: The "Buffalo City Hospital" is a general charity for the reception of sick seamen, citizens, etc.-The students will be admitted to the wards of the Hospital at such hour of each day as the several medical officers are in attendance, and free of charge. THE BUFFALO PHYSICIAN �Although these promises were never kept there is nothing in the newspapers of that period about student protests and demands. This does not mean that they were incapable of such things, but rather than they were just too busy attending medical classes all day and serving as apprentices during the evening in a physician's office. Finally just think how important it was for Buffalo to have Drs. Austin Flint and Frank P. White persuade five professors at Geneva Medical College, established in 1834, to come here and deliver their lectures a second time in a given year. These gentlemen were some of the most famous peripatetic teachers of that period. They were good physicians, excellent teachers, authors of medical articles, and some had experiences in famous European clinics. The health care of patients in general must have improved immeasurably by the presence of all seven of our original professors because the apprentices would invariably carry back to their preceptors accounts of the most recent medical advances and recommended methods of treatment. Although Austin Flint felt that medical education never suffered from free and honorable competition, the move of five professors from Geneva Medical College later proved to be a serious blow for that institution. It would be foolhardy for me to extol the greatness of our first faculty , but I am certain you would not mind hearing the unbiased opinion of a world-famous neurosurgeon and medical historian. Dr. Harvey Cushing, on the occasion of the centenary celebration of the College of Medicine of Syracuse University in 1934 said: They (meaning our professors) made for the next five years as notable a faculty of energetic men as one could hope to find anywhere. 0 Drs. Beck, Rubin host a table WINTER, 1971 �Health Manpower Shortages Dr. Margaret Gordon speaks on health care How to overcome the serious shortages of professional health manpower was the main topic of discussion at the annual meeting of the Annual Participating Fund /or Medical Education April 18. Dr. Margaret S. Gordon of the Carnegie Commission on Higher Education used the October 1970 report of the Commission, "Higher Education and the Nation's Health - Policies for Medical and Dental Education, '' as the basis of her remarks. The training of more physicians and physician assistants and establishing Area Health Education Centers to overcome health manpower shortages was the theme of Dr. Margaret S. Gordon's talk at the APFME annual meeting. She outlined briefly the 10 Carnegie Commission goals to be achieved by 1980: • Expansion of the functions of university health science centers so that they can play a central role in coordinating and guiding health manpower education and cooperating with other agencies in the development of improved health care delivery systems in their regions • Development and expansion of programs for physicians' and dentists' associates and assistants • Acceleration of medical and dental education, thereby achieving greater efficiency • Integration of the curriculum, including such changes as consolidation of instruction in the basic sciences on main university campuses, integration of preprofessional and professional education, and more carefully integrated and coordinated programs of post-graduate training • Changes in medical and dental education so that they are more responsive to the expressed needs of students and more concerned with problems of delivery of health care • A 50 percent increase in medical school entrant places • Initiation of nine new university health science centers • Positive policies to encourage the admission of women and members of minority groups to professional training in medicine and dentistry THE BUFFALO PHYSICIAN �• A 20 percent increase in dental school entrant places • Development of approximately 126 area health education centers, affiliated with university health science centers (President Nixon has allocated $40 million for fiscal1972). Dr. Gordon said, "the crisis in the delivery of health care in the United States reflects the combined influences of five interrelated and overlapping factors: the unmet needs for health care; rising expectations of the population for universal access to care; critical shortages in, and inefficient utilization of, health manpower; ineffective financing; and rapidly rising cost.'' According to the Carnegie Commission report the most serious shortages of professional personnel in any major occupation groups in the United States are in the health services. Dr. Gordon pointed out that although the geographic distribution of health manpower is highly uneven, there is no clear agreement on what ratio of physicians to population is adequate. "Much more attention must be paid to the development of training programs for new types of health personnel. The need to train more minority-group physicians is also crucial," Dr. Gordon said. The Carnegie Commission believes that medical and dental education is critically underfunded and that increased financial support is essential. Dr. Gordon mentioned several commission recommendations: -a federal program of grants up to $4,000 a year for medical and dental students from low-income families and for students from low-income families enrolled in associate and assistant programs in medical and dental schools; -a national health service corps should be developed to bring improved health care service to low-income and rural areas of the nation; -a relatively low unifonn national tuition ($1,000 per year, per student) policy for institutions providing medical and dental education; -cost of education supplement ($4,000 per year, per student) to university health science centers for each medical and dental student enrolled in four-year programs or the accelerated threeyear programs; -cost of instruction supplements $2,250 for interns and residents in hospitals affiliated with medical schools; - bonuses for enrollment expansion and curriculum refonn; -construction grants for university health science centers and area health education centers in amounts up to 75 percent of total construction costs, with remaining 25 percent available in the forms of loans. Also start-up grants for new university health science centers in amounts not exceeding $10 million per center; -regional, state, and local planning for health services should be strengthened and expanded to encompass all health manpower education and health care facilities. The university health science centers, along with their affiliated area health education centers, should have central responsibility for the planning of health manpower education; WINTER, 1971 �Two interested physicians Televised Operations -the appointment of a National Health Manpower Commission to make a thorough study of changing patterns of education and utilization of health manpower, with particular reference to new types of allied health workers, of changing patterns of health care delivery, and of the feasibility of national licensing requirements for all health manpower. Dr. Gordon emphasized that state and private support for medical education should not be eliminated, "but built on the floor of federal financing.'' University health science centers must take the initiative in the integration of the total medical experience if the Carnegie Commission goals are to become a reality, Dr. Gordon concluded. Dr. George Himler, president of the New York State Medical Society, also spoke briefly. He said the "crisis of numbers was in error and would not correct the distribution of physicians." He voiced opposition to cutting the medical school curriculum from four to three years and admitted that there were too many surgeons in New York City. He pointed out the difficulty of controlling the specialty a student selects. Dr. Himler went on to say that there is no guarantee that a medical student from an ethnic group would return to practice where he was born and raised. He admitted that he was in agreement with many of the Carnegie Commission recommendations. 0 Mr. Sheldon Dukoff, senior medical photographer at the E.J. Meyer Memorial Hospital, has devised a unique system that makes it possible to televise operations on the delicate structures inside the ear. The photographer admits that he got considerable help and cooperation from several surgeons. This is a great teaching devise for students of the Medical School as well as young surgeons. Dozens or even hundreds (students, interns, resident physicians) can follow each step of the surgery on a giant television screen. The surgeon himself cannot directly view what he is doing. He guides his fingers by peering at the operating field through a binocular microscope. In the average microscopic operation, it has been impossible for more than one person at a time to see what the surgeon is doing. A television tube is attached to the microscope, along with a TV adapter and a "beam splitter" that distributes to the TV tube some of the light by which the surgeon guides his fingers. The surgeon, as he operates, can twist dials to make the picture that is appearing on the screen larger or smaller, darker or lighter, to emphasize points for the onlookers. The special equipment was purchased through a grant from Mr. Joseph Davis, a Buffalo heating contractor, and funds donated by the surgeons themselves. D 50 THE BUFFALO PHYSICIAN �A "method for managing the urunanageable" is perhaps the best interpretation of the three-day lneeting on automation of health data given by one of its 62 faculty. Those attending the continuing medical education symposium that was sponsored by the Department of Social and Preventive Medicine, the Western New York Health Data Network, Inc., and the Medical Society, County of Erie, sought the answers to inherent fundamental problems of a large health data system-the human responsibilities as well as technical requirements. All were in agreement-from the three foreign experts whose health care models are considered leaders in the field-to the physicians, hospital administrators, health planners from governmental, public and private agencies-that a more efficient and economical health care system can be accomplished through computerization. ROLE OF THE UNIVERSITY For SUNYAB President Robert L. Ketter, to aid in the creation of an adequate health care system falls within the purview of the University's three major roles of teaching, research, and service. But he envisions an increase of input into a health delivery network yet undreamed of by the University. For Vice President for Health Sciences Clyde L. Randall, there must be new objectives in the curriculum for comprehensive health care. The curriculum, he said, must take into account that individuals in allied health professions will want to progress, to develop high levels of competence and utilization in new paramedical areas, for only a limited number of allied health profesionals can today enter the higher levels. "We must be training a new breed of health professional capable of utilizing comprehensive medicine . . . a system recognizing that we have different types of people that can participate in the care of a patient's health and total community." He also questioned the ability of a physician trained in a school of classical demonstrations to perform in a computerized system. The curriculum should be revised. The role of a medical school, said Dean LeRoy A. Pesch, is to train physicians. What he sees as crucial is an educational envirorunent that will make physicians interact with others. ''Educational procedures should be placed within the community which the Medical School is trying to service, to use the institutions that are part of community resources, and attempt to build about changes in the system as it evolves." For, as he summed up, ''all depends on the environment in which educational procedures will occur.'' A Federal Plan to encourage computerized health data systems on a national basis was described by H.E. W. Administrator for Health Services and Mental Health Vernon E. Wilson. This large task should be completed and fully operational by 1981. The data, to be delivered and stored at the local level is for evaluation and planning health care programs at local, state, and federal levels. WINTER, 1971 51 Data Management Dr. Gabrieli �When asked to review a federal health plan, Surgeon General Jesse Steinfeld found no underlying philosophy for its implementation. What the symposium keynote speaker did find however is that Americans are not a health conscious population and that they need to be educated, that while our biomedical research and education systems are perhaps the best in the world, some of our health care services are also the best but not uniformly available, and that the delivery system could be more efficient, better distributed, and more emphasis placed on prevention. This is the area where modern information technology can make a contribution. Possibilities for improved financing mechanisms for a more productive and efficient system? They are goals for the 70's, he said. He hopes that the 100 or more bills on health pending in Congress represent an improvement in health delivery and adequate care for all at reasonable cost. "The role of the federal government is to improve the health care system in line with congressional and professional mandates. Changes must be based on carefully designed experiments whose outcomes are carefully evaluated.'' Drs. John Perry, Gabrieli DRAFTING BLUEPRINT FOR LARGE HEALTH DATA SYSTEM An overview of health plan fundamentals-its technical aspects, and specific uses-was discussed by the prominent geneticist Howard B. Newcombe who heads the Biology division of Atomic Energy of Canada. He predicts that within ten years, laser techniques will provide unlimited storage possibilities of records. There were also outlines for full computerization of clinical data for a health care system in the newly-planned English city of Milton Keynes (to house 300,000, an open campus, and a health center with 1,000 bed hospital). In Sweden, computerization of the health field was decided on an economic basis for it was calculated that by the year 2007 the budget for health care will exceed the entire projected national budget. An impossible situation, said Sweden's Lars Bottiger, that is becoming "more and more critical everywhere. It is especially difficult because we have no way of really measuring what we are doing, what we are producing as you always do in any kind of industrial product." To deliver the best care, costs must be reduced. Sweden's Danderyd project is a pilot study to prove the cost-saving potential of modern information technology. WESTERN NEW YORK PLAN FOR AUTOMATED HEALTH DATA SYSTEM Under consideration is the establishment of a Western New York system-a coordinated network of two million people, two thousand physicians, and 54 hospitals-to comprise the largest such system in the world. In his discussion of its goals and logistics, conference program chairman Elemer Gabrieli reminded the participants that this system-formulated by a45-memberteam of legal, social, paramedical, and medical experts that are known as Western New York Health Data Network, Inc. is a blueprint only that is in the planning stage. 52 THE BUFFALO PHYSICIAN �As there are no other models on data information in the United States today, conferees were encouraged to comment on the proposed data system that is to have carefully controlled input and output, to have data stored locally, as well as formulation of its output policy. While the patient remains the owner of his record, the physician must be the owner of his contribution-diagnostic decisions and therapeutic measures. What the team found, after a year and a half-long study, was an absence of certain specialists for functions necessary in a data network. They envision the need to retrain medical record librarians to work in an electronic environment and to assure confidential storage of patient files. Identifiable data must be heavily protected with a series of security measures by a data security administrator, and a committee must be formed to advise the network on data feasibility. The medical community, Dr. Gabrieli said, has to play a major role in the design and running of the data network. Educating the health professional will also be an important task. While the full operation, after testing of a pilot study, is still two years away, the task today is that of convincing local practitioners of the rewards of such a data network. Other topics discussed at great length were the importance of genetics, a new information resource or community profile that utilizes geography, the potential of management sciences, and the ethical and legal considerations of an automated health data system. The Buffalo Plan received much praise and full endorsement by leaders in the Federal government, received full support from American Medical Association, and the plans developed for the Province of Ontario were shaped on its philosopy. The Medical Society of the State of New York also announced the recently finalized charter covering an Institute for Research and Development of Health Services Delivery that will develop capability to assist the various groups and areas to implement clinical data systems throughout the State. The importance of the Buffalo Plan- its feasibility of exploiting information technology for better health care-was stressed by conference participants. With the design of a large health system now completed, the challenge remains for the University to train the new breed of professional that must work within the system.O WINTER, 1971 53 Dr. Steinfeld �Opporhmity and Decision Dr. Randall Are we going to accept responsibility for development of health personnel that will help us provide more obstetric and gynecologic care, asked Dr. Clyde Randall as he opened his inauguration address to the 19th American College of Obstetricians and Gynecologists, or will we disclaim responsibility for care of more patients than we can personally and adequately care for on a private patient basis? With only a small percentage of the total number of ob/gyn practitioners in need of advanced certifications in an intraspeciality, he raised the question of what the other 95 percent will do? Provide gynecologic health care and direct the provision of health care as needed, he said. If the ob/gyn practitioner assumes this responsibility then he forsaw the need to recruit enough promising students not only willing to perform a busy ob/gyn practitioner's variety of duties but willing to refer cases to the intraspecialist. The vice president for health science at the University also pointed out that "if we acknowledge our responsibility to the community in which we live then our general practice will change." Some practitioners, who are too busy, will accept neither Medicaid or Medicare patients. And they have no time to spend in a facility that offers community-provided health services. Although the country can and will be producing more doctors, he pointed to insufficient numbers to provide either today's increased health service needs or future demands. "We know that gyneologic health care is actually being provided by nonphysician assistants in a variety of practice settings,'' he told the assembly. And he went on to describe the health care teams developed by many in private practice settings, particularly in organized group practice that are located in all sections of the country. He also pointed to the paramedical personnel who provide gyneologic health care in public-supported clinics. "Thus these projects no longer are educational programs for demonstration. They provide patient services and health care in a significant way." He felt that many may not be aware that university recognition of anticipated needs will soon make available thousands of capable health workers. But he pondered whether the ob/gyn practitioner will be ready and willing to use them effectively, to share his income with these added numbers of health personnel, and to assume liability as they become part of his practice and add to his responsibilities. If he is willing then he foresaw the responsibility for the care of increased numbers of patients in private practice that must follow. This would also leave the practitioner time to participate in a group practice type of clinical operation that either helps to provide or supervises health care for many in communityprovided facilities. The time is NOW, Dr. Randall said, for a change in patterns of practice. This change will demand an expanded type of operation and provide more health care in both private and community types of practice. Only then will the ob/gyn practitioner exert a major influence in programs that prepare both professional and nonprofessional personnel for health services, he said. THE BUFFALO PHYSICIAN �The specialty of ob/ gyn must develop the ability to provide gyneologic health care to all women who will seek services when they are made available. Private practice is a luxury which many cannot afford. Today's doctor, Dr. Randall said, must be aware that he has been and is continuing to be educated at considerable cost to the public and must feel a broader responsibility to society. For he may be receiving grant support or is dependent on tax-supported facilities and programs. While the older generation may have felt justified in restricting personnel responsibility to demands of private practice, today's students in health sciences and practitioners can hardly avoid recognition of responsibility for the many who do not have ready access to needed health care. Community supported health care clinics-serviced by a predominantly nonphysician staff-have demonstrated their ability to provide acceptable care. "Although we cannot provide all of the services we must profess our willingness to assume responsibility for all care provided by a nonphysician staff," Dr. Randall implored. "As the supervising, responsible member of the health care unit, the physician can assure adequate and acceptable health care for an ever-growing patient load.'' The cost of health care to the patient will not materially rise under a team system. The specialist, compensated on a patient load for whom he assumes primary responsibility, may still approximate the personal income he may have expected had he continued personal care for a relatively few private patients. "If, as physicians we now deny our responsibility for the care others can give patients, there will be an added reason for governmental agencies or legislators to promote the licensure of a variety of personnel. Legislation can establish nonphysician types as independent practitioners, registered, licensed, and approved for provision of varying types or degrees of health services." Maturity, Dr. Randall summed up, usually has a way of bringing us face to face with reality. ''The time is NOW and the responsibility should be ours. For the health care of women IS the specialty of obstetrics and gynecology." 0 There are nine new faces in the third year medical class at the University. They are American students who have studied the last two years (except for two) in three foreign medical schools. In the fall of 1970 the Medical School accepted 14 students in this same category. All of the transfer students were carefully screened. All completed the equivalent of the first two years of medical school at a foreign university and have passed Part I of the National Medical Board examination. They were unable to get into an American Medical School as first year students. All plan to practice medicine in the United States. The 1971 "medical transfer students'' attended universities in Guadalajara, Lausanne and Geneva.O WINTER, 1971 In the article on G/ Diseases: Self Education that appeared in the Fall issue (pp. 24-26) the head of its medical research program was inadvertently identified as Dr. Martin Plaut. He is Dr. Andrew Plaut, a brother, who joined the Medical School as research assistant professor of medicine after military service in Thailand (six years after Dr. Martin Plaut). Nine New Faces �Continuing Medical Education During the first six months of 1972 several continuing medical education programs have been planned. January 6-June 29 Cardiac Clinics and Physical Examination of the Cardiac Patient (weekly session in the evening) April 7 and 8 Thirty-fifth Annual Spring Clinical Days April 13 and 14 Anesthesiology May 15-17 Pediatric Cardiology June 5-9 Refresher Seminar in Pediatrics Conferences in the planning stage with no final dates: Community Mental Health; Neurology Seminar Day; Gynecology and Obstetrics; Medical and Surgical Aspects of Urology; Endocrine Diseases; Surgical Aspects of Gastroenterology; Child DevelopmenLO Drug Ahuse Center A drug abuse center for teen-age drug dependents opened in October under the joint auspices of Children's Hospital, the department of pediatrics and the Allentown Community Center. The medical director is Dr. Larry Nemeth, a 1966 Medical School graduate, who is also a clinical instructor of pediatrics. Serving as advisors are Drs. John C. Dower, professor of community pediatrics and Sumner J. Yaffe, professor of pediatrics. It is a detoxification center for drug dependent adolescents throughout the county. Treatment is given at the center itself on an out-patient basis, or in Children's Hospital. The center will accept only persons under 18, and does not plan to offer methadone treatment. It will offer counseling and referral to cooperating social agencies for rehabilitation. It is one of 12 being set up throughout the county as part of a plan co-ordinated by the Department of Mental Health. Support for the center is coming from the hospital, the county, and the state.O 56 THE BUFFALO PHYSICIAN �There is a new one-year program in the Medical School leading to a certificate in community health service administration. The program director is Dr. Jack Zusman, associate professor of psychiatry. This is the only program of its kind in the state outside of New York City. This program is funded by a threeyear, $350,000 grant from the National Institute of Mental Health. "The idea of the program is to take mental health professionals and give them managerial training to run mental health agencies. The program is directed at professionals -psychiatrists, psychologists, social workers, psychiatric nurses and rehabilitation counselors - who have expertise in their professional field but lack the background to handle the day-to-day operations of an agency," Dr. Zusman said. The program will cover such practical problems as drawing up a budget, working with a board of directors or gaining political approval of a tentative budget. The actual program for the certificate consists of a 15-graduate-credit requirement, a year's half-time field placement as an apprentice administrator and a thesis or project report. A liaison has been established with the Department of Social and Preventive Medicine at the Medical School, according to Dr. Zusman. Although the program is aimed basically at mental health professionals, applicants with a bachelor's degree who have shown aptitude and an interest in mental health work will be considered. For those without a specific background in mental health, the program also will be related to two master's degree programs. Most of the courses are offered in the late afternoon. Under the National Institute of Mental Health grant tuition can be paid for up to the full 30 hours needed for a master's degree rather than the 15 credit hours needed for the certificate. Tuition will also be paid for part time students. The program is in the Division of Community Psychiatry in the Department of Psychiatry at the School of Medicine.D A 1951 Medical School graduate has found that blood samples taken at 0-2-4-6-8-10-12 minutes showed deviations greater than 10 grams per deciliter. On the same individuals, at the same time intervals, using the continuous sample analysis system developed by Dr. Joseph C. Sieracki and his associates, no deviations greater than ten grams per deciliter were found. The results obtained using continuous sample analysis would indicate that the fluctuations observed are not true metabolic or physiologic variations in glucose concentration. Dr. Sieracki is an assistant professor of pathology at the University of Pittsburgh School of Medicine and a clinical pathologist at the Veterans Administration Hospital in Pittsburgh.D WINTER, 1971 S1 Community Health Service Blood Samples �The Class of 1919 Dr. Everett T. Mercer, M'19, is a general practitioner in Hamburg, New York. He lives at 47 Charlotte Avenue.D The Class of 1920 Two prominent alumni were honored at the second annual tribute luncheon commemorating Christopher Columbus and General Casimir Pulaski October 11. Awards for outstanding service to the community by a Polish-American and an Italian-American were presented to Dr. Stephen A. Graczyk, M'20, and Dr. Antonio F. Bellanca, M'21. Dr. Graczyk, the first president and chief of staff of St. Joseph's Intercommunity Hospital, Cheektowaga, is a past president of the Erie County Medical Society, the Medical Alumni Association, the Western New York Geriatrics Society and the Erie County Chapter of the American Cancer Society. He is a Knight of St. Gregory. He was on the Medical School faculty from 1923 to 1960 as a clinical assistant professor of medicine. He is a veteran of both World War I and II. Dr. Bellanca has been chief of medicine at Columbus Hospital since 1948 and associated with the hospital since 1918. He was president of the medical and dental staff from 1947 to 1965. Dr. Bellanca interned at the Old City Hospital from 1921 to 1923. He served in the Student's Army Training Corps during World War I and was an army physician (lieutenant colonel) in North Africa during World War II. He is a past president of the Erie County Medical Society. Dr. Bellanca was an assistant in medicine on the faculty from 1923 to 1926.0 A group of former students of Dr. William Spencer MacComb, a 1927 graduate of the Medical School and one of Houston's senior surgeons, have formed a special society in his honor. The new W. S. MacComb Society meets annually in conjunction with other scientific organizations to help promote surgical and other hospital programs. Membership in the honorary group is limited to those men and 58 women who once studied under Dr. MacComb. Although the 70-year-old surgeon is semiretired, he continues to perform surgery at the University of Texas M.D. Anderson Hospital and Tumor Institute and the Regional Maxillofacial Restorative Center where he is director of surgical procedures. Long recognized as an outstanding surgeon for head and neck cancers, his real contribution to the field was his help in developing a treatment which combines surgery and radiotherapy, the latter being his original specialty. He trained under Dr. Hayes Martin in New York during the early 1930s when this approach was just beginning to be explored. Prior to that time radiation therapy was the primary treatment. Dr. Mac Comb has written two books on the subject which are universally regarded as authorities (one he co-authored with Dr. Gilbert Fletcher of the Anderson Hospital). As might be expected, he is a prolific author of scientific papers; belongs to several medical and scientific societies; has been awarded three special citations, two of which came from the American College of Surgeons, and has been president of The James Ewing Society twice and The American Radium Society. Dr. MacComb served his internship and residency in Rochester and New York City before moving to Texas in 1952.0 Dr. Charles R. Leone, M'29, a general surgeon, lives at 4601 Glenwood Park Avenue, Erie, Pennsylvania. He is director of the Boys Club of Erie, and a medical trustee on the Board of Trustees of St. Vincent Hospital of Erie.D The Class of 1930 Dr. Roy E. Reed, M'32, who specializes in VA Psychiatry, lives in Pfafftown, North Carolina.O Dr. SoU Goodman, M'37, a psychiatristpsychoanalysist, is an assistant professor at Columbia University College of Physicians and Surgeons. He is certified in child psychiatry and is a member of numerous national and international societies, including the International Association for Child Psychiatry THE BUFFALO PHYSICIAN �and Allied Professions, Royal Society of Health (England), American Psychosomatic Society, American Academy Child Psychiatry, American Orthopsychiatric Society and the American Psychiatric Society. Dr. Goodman lives at 26 Sherman Avenue, White Plains, NewYork.O Dr. Alfred Adam Mitchell, M'38, is an internist who lives at 810 Euclid Avenue, Elmira, New York. He is a Fellow, American Board of Physicians and a Diplomate, Amer· ican Board of Internal Medicine.D Dr. John H. Geckler, M'39, an anesthe· siologist, has moved to Atlanta, Georgia. His present address is 5347 North Chester Court.D Dr. Harold M. Harris, M'39, an internist, lives at 1130 Colvin Avenue, Kenmore, New York.O The Class of 1940 Dr. Walter Joseph Alexander, M'42, heads Obstetrics-Gynecology at Binghamton State Hospital (New York). He is a Diplomate of National Board AMA, Fellow, American College of Ob-Gyn, and lives at 333 Main S!reet, Binghamton. 0 Dr. Francis Clifford, M'42, was honored by the Western New York Podiatry Society in September for his outstanding work in the field of continuing education. Dr. Clifford is a clinical assistant professor of anatomy.O Dr. Joseph A. Johengen, M'42, a radiologist lives at 1315 S. Mission Street, Okmulgee, Oklahoma.O Dr. Ralph T. Behling, M'43, lives at 91 Baywood Avenue, San Mateo, California. He is a dermatologist and an assistant professor at the University of California. Dr. Behling is on the Board of the Chamber of Commerce.O Dr. Andrew A. Gage, M'44, has been appointed chief of staff of Veterans Administration Hospital. He has been chief of the surgical service since July 1968 and will continue in that position. Dr. Gage has been on WINTER, 1971 the VA staff for 18 years after completing residencies in surgery and pathology at E.J. Meyer Memorial and Batavia and Buffalo VA Hospitals.O Dr. John B. Sheffer, M'47, a pathologist, lives at 186 Cayuga Road, Williamsville, New York. He is a clinical associate professor at the University and was re-elected president of the Deaconess Hospital Medical Staff.O Dr. Frances R. Abel, M'49, who specializes in internal medicine, is an assistant clin· ical professor at the New Jersey College of Medicine. She is also assistant medical director of the Hoffman-LaRoche dispensary and the only woman M.D. in that capacity at LaRoche. Dr. Abel is a Diplomate, American Board of Internal Medicine, a life member American College of Physicians, and a member of the Industrial Medical Association. Her address is 171 Christopher Street, Montclair, New Jersey.O The Classes of the 1950s Dr. Myra R. Zinke, M'50, an internist, is also an assistant clinical professor of medicine at the New Jersey College of Medicine. She is president-elect of the Monmouth County Medical Society and president of the New Jersey Branch of the American Medical Women's Association. Dr. Zinke lives at 895 Holmdel Road, Holmdel, New Jersey.O Dr. Frank J. Bolgan, M'51, who lives at 164 Starin Avenue, Buffalo, New York, specializes in Thoracic and Cardiovascular Surgery. He was appointed chief of cardiac surgery at Millard Fillmore Hospital in April, 1971. Dr. Bolgan is a Fellow of the American College of Surgeons and also the American College of Chest Physicians.O Dr. Earl W. Noble, M'52, associate direc· tor of the department of medicine at the E.J. Meyer Memorial Hospital, has been appointed director of the department of alcoholism at the hospital. The department uses the services of medical, counseling, rehabilitation and social work personnel in the treatment of alcoholics. Dr. Noble is also a clinical associate professor of medicine at the Medical School.O 59 �Dr. Stanley Pogul, M'52, is a psychiatrist at the Brunswick Hospital Center on Long Island. He is president of the Society of Clinical Psychiatrists of Northern New Jersey and clinical director of the Psychiatric Hospital in the Brunswick Hospital Center. Dr. Pogul's new address is 27 Westminster Street, Massapequa, Long Island.O Dr. Arthur Y. Hoshino, M'54, is apsychiatrist who is Director of Education (Psychiatry) at Warren State Hospital in Pennsylvania. Since 1968, he has been counselor of the Pennsylvania Psychiatric Society and an Executive Committee Member of the American Association of Directors of Psychiatric Residency Training. Dr. Hoshino is a Fellow, American Psychiatric Association; and Fellow, Pennsylvania Psychiatric Society. He lives at 198 N. State Street, N. Warren, Pennsylvania.O Dr. Robert M. Oshrin, M'54, an ob-gyn practitioner, is also chairman of the Department of Ob-Gyn at Dover General Hospital in New Jersey. He lives at 100 S. Hillside Avenue, Succasunna, New Jersey.O Dr. Barbara Ruben Migeon, M'56, received the 1971 annual award from the National Board of the Medical College of Pennsylvania in May. The associate professor of pediatrics at The Johns Hopkins University is a noted researcher in endocrinology and genetics, as well as a distinguished pediatrician. Dr. Migeon received the National Board citation in recognition of her excellence as a pediatrician, her enthusiasm for the teaching of medicine and for her distinguished contribution to medical research. As an original and unusually able investigator, her findings have been acclaimed not only by pediatricians but in a wider range by geneticists, biologists and biochemists . . . an inspiring example of a woman physician, teacher, scientist.'' Dr. Mig eon has been a pediatrician in the out-patient department at their hospital since 1962. She is a Diplomate of the American Board of Pediatrics and belongs to the American Society of Human Genetics, The Tissue Culture Association and the Society for Pediatric Research. She is the author of some 25 articles on her research. Dr. Migeon was a 11 60 Fellow in medicine (endocrinology) at Harvard University Medical School, 1959-60 and a Fellow in pediatrics (genetics) at The Johns Hopkins University, 1960-62.0 Dr. Erick Reeber, M'56, has just been reelected to a second term as Chairman of the Clearwater County (Minnesota) Republican Party. Dr. Reeber is certified by theAmerican Board of Family Practice and lives at 416 North Red Lake Avenue, Bagley, Minnesota.O Dr. Bernard H. Sklar, M'56, who lives at 17-14 Radburn Road, Fair Law, New Jersey, is a family practitioner. Dr. Sklar became a Diplomate of the American Board of Family Practice in May.O Dr. Sherman Waldman, M'57, clinical associate in pediatrics, is on the staff of Millard Fillmore and Children's Hospitals. He lives at 103 Dan-Troy Drive, Williamsville.O Dr. William F. Deverell, M'58, is at the United States Air Force Academy. The Lieutenant Colonel is chief of orthopaedic surgery at the base hospital. Previously he was at Travis AFB, California. Colonel Deverell received his A.B. degree in 1954 from the University of Rochester. He also holds a degree in orthopaedic surgery from Duke University.O Dr. Domonic F. Falsetti, M'58, teamed with his brother-in-law dentist, to win the 42nd annual Niagara Falls Country Club invitational golf tourney in a sudden death playoff.O Dr. Irving Waldman, M'58, a radiologist, is an associate professor at the University of Miami. Dr. Waldman's address is 1234 N.E. 96th Street, Miami Shores, Florida.O Dr. Richard A. Falls, M'59, an ophthalmologist, is also a clinical assistant professor of surgery (ophthalmology) at Georgetown University. He lives at 7815 BirnamWood Drive, McLean, Virginia.O Dr. Logan A. Griffin, M'59, is with the Lincoln General Hospital, Lincoln, Nebraska. He formerly lived in Niagara Falls, New York.O THE IUFFALO PHYSICIAN �The Classes of the 1960s Dr. Julian T. Archie, M'60, has been appointed director of the new section of community obstetrics and family planning at RushPresbyterian - St. Luke's Medical Center, Chicago. Dr. Archie is assistant attending obstetrician and gynecologist and an assistant professor of obstetrics and gynecology at Rush Medical College. He has his master's degree in public health in population planning from the University of Michigan. He took his internship and residence at Millard Fillmore Hospital, Buffalo.D Dr. Robert Bernot, M'60, an internist, is an assistant in medicine at Columbia University. Dr. Bernot is a Diplomate, American Board of Internal Medicine, and lives at 58 West 58th Street, New York City.D Dr. Theodore S. Bistany, M'60, was victorious in the 14th annual Erie Inter-Club Cruise in July. His new Tartan-3D won the race from Port Maitland to Port Abino, as well as the Class B championship.D Dr. Rae R. Jacobs, M'62, of 3208 Sylvan Ct., Augusta, Georgia, is chief resident in orthopedic surgery at the Medical College of Georgia and a graduate of the E.J. Meyer Memorial Hospital General Surgery Program (1967). He was awarded a Research and Education Associateship for Investigation of Fat Embolism in June. He also read a paper at the American College of Surgeons meeting in October.D Dr. Roberta G. Jacobs, M'62, is a psychiatrist who completed her residency at E. J. Meyer Memorial Hospital and then became director of the After-Care Clinic of Regional Hospital in Augusta, Georgia. She lives at 3208 Sylvan Court, Augusta.D Dr. Arnold N. Lubin, M'62, specializes in pediatrics and aerospace medicine. He is with the United States Air Force. He was certified by the American Board of Pediatrics in 1969, received his masters in public health from Johns Hopkins University School of Hygiene and Public Health in 1970, elected to fellowship in American Academy of Pediatrics in 1970, promoted to Lieut. Col. in June. He is currently assigned to Strategic Air Command Headquarters, Offutt Air Force Base, Nebraska, and is now a resident in aerospace medicine. Dr. Lubin's present address is 1312 Sunbary Drive, Bellevue, Nebraska.D Dr. Arthur T. Skarin, M'61, is an assistant professor of medicine at the Harvard Medical School. He specializes in hematology/oncology, is a senior oncologist at the Children's Cancer Research Foundation, and an associate in medicine (hematology) at the Peter Bent Brigham Hospital. Dr. Skarin was inducted as Fellow in the American College of Physicians at the Denver meeting in March, and has several articles: Lymphosarcoma of the Spleen; and Lysozyme (Muramidase) in Leukemia and Related Disorders. His address is 59 Gilbert Road, Needham, Massachusetts.D Dr. Marshall E. Barshay, M'63, who specializes in internal medicine-nephrology, is a resident (fellow) in nephrology at Wadsworth V.A. Hospital at U.C.L.A. His address is 3630 Sepulveda Boulevard, Apt. 135, Los Angeles, California.D Dr. Arthur S. Davis, M'62, a general practitioner, lives at 3530 Ransomville Road, Ransomville, New York.D Dr. David T. Carboy, M'63, an ophthalmologist, lives at 118 Leedsville Drive, Lincroft, New Jersey.D WINTER, 1971 Dr. Melvin J. Steinhart, M'62, a psychiatrist, lives at 17 Linda Court, Delmar, New York. He is an assistant professor in psychiatry and in medicine at the Albany Medical College.D 61 �Paul A. Lessler, M'63, is an anesthesiologist who lives at 8541 Chari Lane, Los Angeles, California. He is also a junior visiting instructor at UCLA.O Dr. Ronald G. Nathan, M'63, is an assistant professor of psychiatry at Albany Medical College. He is Unit Chief, Capital District Psychiatric Center. Dr. Nathan lives at 83 Dumbarton Drive, Delmar, New York.O Dr. Jeffrey S. Carr, M'64, an internist, is a visiting physician for the Morrisania Montefiore Hospital Affiliation and on the Narcotics Guidance Council in Carmel, New York. His new address is 25 Glen Ridge Road, RD 5, Mahopac, New York.O Dr. Joseph A. DiPoala, M'64, an internist, lives at 95 Belmanor Drive in Rochester. He is a clinical instructor at the University of Rochester.O Dr. Michael Feinstein, M'64, who specializes in hematology-oncology, is a Fellow in medicine at the Cornell Medical College. He held a hematology fellowship at the Long Island Jewish Medical Center [1970-71), a fellowship in oncology at Memorial Hospital in New York City and a chemical research fellowship at Sloan-Kettering Institute [began July 1, 1971). His article, "Early Experience in the Treatment of Malaria from Southeast Asia" appeared in the July 15, 1968 edition of JAMA. The same article appeared in the 1969 edition of Yearbook Drive Therapy. Dr. Feinstein resides at 59 Arcadia Drive, Dix Hills, New York.O Dr. Gerald B. Goldstein, M'64, allergist, is in the U.S. Army Medical Corps and assistant chief of the Department of Allergy at the Tripler General Hospital in Honolulu. His address is 385-B Reasoner Road, APO San Francisco 96438.0 Dr. Leonard Jacobson, M'64, completed his ophthalmology residency at Mt. Sinai Hospital, Cleveland, Ohio in July and began private practice in Cincinnati. His address is 7752 Montgomery Road, Apartment 4, Cincinnati.O 62 Dr. Ronald S. Mukamal, M'64, is a surgeon at 479 T AC Hospital, George Air Force Base, California.O Dr. Barton L. Kraff, M'65, a psychiatrist, lives at One Old Coach Court, Potomac, Maryland.O Dr. Joseph I. Krall, M'65, a cardiologist, is a senior instructor in medicine at Case Western Reserve University and an assistant in medicine [cardiology) at Mt. Sinai Hospital of Cleveland. His most recent article is "Bretylium Tosylate in Treatment of Ventricular Arrhythmias" in the American Heart journal, 1971 edition. Dr. Krall who lives at 16821 Fernway Road, Shaker Heights, Ohio, is also a Diplomate of the American Board of Internal Medicine. 0 Dr. Stephan J. Levitan, M'65 , is an instructor of psychiatry at Columbia University College of Physicians and Surgeons. He lives at 185 East 85th Street, New York City.O Dr. Robert H. Johnson, M'65, is an assistant professor at the Johns Hopkins University School of Hygiene and Public Health. He received his MPH degree from the Johns Hopkins University in May; and is a Diplomate of the American Board of Pediatrics. Dr. Johnson's address is 6 Othoridge Road, Latherville, Maryland.O Dr. Dean Orman, M'65, is a gastrointestinal Fellow at the E.J. Meyer Memorial Hospital. He finished his chief residence in medicine at the Buffalo General Hospital in May. He lives at 143 Meadowlawn Road, Cheektowaga, New York.O Dr. R. Scott Scheer, M'65, began private practice upon completing a radiology residency at Philadelphia General Hospital. He spent two years in the U.S. Army as chief medical officer in Dallas, Texas, following one year of rotating internship at Santa Barbara Cottage/ Cou!ltY General Hospitals, Santa Barbara, California. His address is 19 Latches Lane, Cherry Hill, New Jersey.O THE BUFFALO PHYSICIAN �Dr. Donald J. Waldowski, M'65, began practicing pediatrics in Culpeper, Virginia on July 1, 1971. He lives at 219 West Asher Street, Culpeper, Virginia.D Dr. Ross E. McRonald, M'66, who lives on Salem Drive, Colts Neck, New Jersey is a family practitioner. He is on theBoardofTrustees of the Monmouth County Heart Association and a physician for Colts Neck Schools.D Dr. David Wallack, M'66, is on the house staff at the University of Colorado Medical Center and began his third year medical residency in July. His address is 4801 East 9th Avenue, Denver, Colorado.D Dr. Michael I. Weintraub, M'66, a neurologist, appears in the 1971 edition of OUTSTANDING YOUNG MEN OF AMERICA. This prestigious annual publication, sponsored by the leading men's civic and service organizations, honors a select group of men between the ages of 21 and 35 who have distinguished themselves by their civic and professional achievements. Dr. Weintraub, completed his neurology training at Yale/New Haven Medical Center and was appointed chief resident at Yale from 1969-1970. His present position is that of Chief of Neurology at the Boston Naval Hospital. He is a neurological consultant on the staff of Boston University and also several local hospitals in the Boston area. He has written over 20 articles in the fields of neurology, neuropharmacology and neuro-ophthalmology. He resides at 31 Risley Road, Chestnut Hill, Mass.D is 1821 A Avenue, Lockbourne Air Force Base, Ohio.D Dr. Roger J. LaGratta, M'67, of 455 East 14th Street in New York City, is an orthopedic resident at the Bellevue Hospital.D Dr. Thomas P. O'Connor, M'67, is a resident in Radiation Therapy at Buffalo General Hospital. His address is 31 S. Prince Drive, Depew, New York. He wrote an abstract on Diabetes in July, 1967 and one on Metabolism in September, 1968.0 Dr. Robert Baltimore, M'68, is at the Walter Reed Army Institute of Research, Washington, D.C. He lives at 3030 Hewett, Apt. 226, Silver Springs, Maryland.D Dr. Anthony J. Bonner, M'68, was honored at the annual Millard Fillmore Hospital residency graduation. The clinical assistant instructor in medicine received a medical book in recognition for his teaching ability .0 Dr. Donald W. Burkhardt, M'68, who is in the United States Navy, specializes in Submarine Medicine. He recently received a letter of commendation from Admiral S.D. Cramer, Jr., Commander of Submarine Flotilla Six, for his work on board the atomic polaris submarine, USS Lewis and Clark SSBN 644. He is presently preparing for another two month assignment on board the polaris/posiden, USS Daniel Boone SSBN 629. Dr. Burkhardt's current address is 1551 Highway 7, Apartment 389, Charleston, South Carolina.D Dr. Samuel C. Armstrong, M'67, has just entered the Navy and is stationed at the U.S. Naval Hospital in San Diego, California. He was formerly a clinical hematology fellow at the University of Washington in Seattle. Dr. Armstrong's new home address is 13697 Mango Drive, Del Mar, California.D Dr. Lawrence J. Dobmeier, M'68, is a Fellow in dermatology (third year) at the Mayo Graduate School of Medicine. He presented a paper entitled ''Autoimmunity in Vitiligo'' to the Society for Investigating Dermatology in June. Dr. Dobmeier resides at 3963 18th Avenue N.W., Rochester, Minnesota.D Dr. Norman Berkowitz, M'67, is a pediatrician who is presently serving in the US Air Force as a Major and chief of the Department of Pediatrics at the USAF Hospital at Lockbourne Air Force Base in Ohio. His address Dr. David Kramer, M'68, who lives at 2803 La Quinta Drive, #K, Sacramento, California, is chief of radiology services at the United States Air Force Dispensary, McClellan Air Force Base.D WINTER, 1971 63 �Dr. Richard Kaine, M'68, who specializes in pediatrics and internal medicine, is a resident at the Mayo Clinic. His home address is 207 5th Avenue S.W., Rochester, Minnesota.O Dr. Robert J. Loewinger, M'69, finished his 1st year of general surgery at Hartford Hospital and is now a urology resident at the University of Connecticut. He lives at 226 Williamstown Court, Newington, Connecticut.D Dr. Kenneth W. Matasar, M'68, is in his third year of residency in radiology at the University of Pennsylvania School of Medicine. He is an assistant instructor. Dr. Matasar is co-author of "Vascular Impressions on the Ureters'' in the April issue, American Journal of Roentgenology, Radium Therapy and Nuclear Medicine. His wife Judith, a 1967 SUNYAB graduate, is a Ph.D. candidate in sociology at the University of Pennsylvania. She has been appointed an instructor in the department of preventive medicine at its Medical College.O Dr. Ian M. Schorr, M'69, who lives at 590 Flatbush Avenue in Brooklyn, is a second year resident in ophthalmology at the Downstate Medical Center.O Dr. Lang M. Dayton, M'69, who specializes in internal medicine, just finished his residence at U.B. In June, he became a Fellow in pulmonary disease at the University of Colorado Medical Center. His new address is 625 Race Street, Denver, Colorado.O The Classes of the 1970s Dr. Ronald H. Blum, M'70, is staff associate of the National Cancer Institute, Institute of Health in Bethesda, Maryland. He finished his internship in straight medicine at Baltimore City Hospitals in June, 1971 and is now beginning this two year appointment at the National Cancer Institute. Dr. Blum lives at 4301 Chestnut Street, Bethesda.D Dr. Arthur L. DeAngelis, M'69, is general medical officer-U.S. Public Health Service Outpatient Clinic, Washington, D.C. He lives at 8014 Lakecrest Drive, Greenbelt, Maryland.O Dr. Robert Peter Gale, M'70, is a resident in internal medicine at UCLA. He has articles in the American Journal of Human Genetics (22:182, Nov. 1970) and Excerpta Medica (223:61, 1970). He lives at 10480 National Boulevard, Los Angeles, California.O Dr. John R. Fisk, M'69, lives at 1596 Conway Street, St. Paul, Minnesota. He is a fellow in orthopedics at the University of Minnesota.O Dr. Dennis J. Krauss, M'70, of 915 James Street, Syracuse, New York, is an assistant instructor of surgery (resident) at SUNY at Upstate.D Dr. James L. Cavalieri II, M'69, is an assistant clinical instructor in pediatrics at the University. His address is 67 Lorelee Drive, Tonawanda, New York.O Dr. Michael Lippmann, M'70, of 494 Oakland Street, Apt. #3, Morgantown, West Virginia, will be serving in USPHS at the Appalachian Laboratory for Occupational Respiratory Disease for the next two years.O Dr. Timothy F. Harrington, M'69, chief resident physician in the family practice program of Deaconess Hospital, received a$1,200 graduate award from the Erie County Chapter of the American Academy of Family Practice. Dr. Harrington, who is in his final year of the three-year program, was one of the nation's 20 recipients. The family practice program at Deaconess emphasizes the treatment of ambulatory patients through an out-patient clinic.O Dr. Bruce M. Prenner, M'70, is living at 6836 Hyde Park Dr., San Diego where he is pediatrician in charge of the United States Public Health Service out patient clinic. In June he completed his internship at the Babies Hospital of the Columbia Presbyterian Medical Center, New York City. Dr. Prenner will resume his pediatric residency after two years in the Public Health Service.O THE BUFFALO PHYSICIAN �People Dr. Stanley Cohen has been named associate director of the Center for Immunology. He is an associate professor of pathology in the Medical School. Three men are on the resident staff - Drs. Richard H. Zeschke Bruce S. Rabin and Pierluigi Bigazzi. In S~ptember, the Center cooperated with seven local hospitals and the Buffalo Chapter of the American Red Cross in a program of quality control and mutual help in the testing for the Australia [Au) or hepatitis-associated Antigen [HAA).O Dr. Fereidoon Jamshidi, ob-gyn practitioner, is a clinical instructor at the University. He lives at 3015 Delaware Avenue in Kenmore. Dr. Jamshidi received his medical degree from the University of Tehran in 1964.0 Dr. Yoosuf Haveliwala, psychiatrist, is a clinical instructor for the Department of Psychiatry at the University. He was also promoted to psychiatrist III, unit chief, at the Buffalo State Hospital and initiated a day care center for mentally disabled at 2211 Main Street. Dr. Haveliwala received his medical degree from the University of Bombay in 1957. He lives at 345 "B" Evans Street, Williamsville, New York.O The Center for Immunology will sponsor eight post-doctoral Fellows and visiting investigators during the 1972-73 year. They are: Johan Maeland, M.D., Bergen, Norway, Assistant Research Professor, Department of Microbiology; Devidayal Munjal, Ph.D., New Delhi, India, Research Associate, Department of Biochemistry; Michelline Pelletier, M.D., Montreal, Quebec, Research Instructor, Department of Medicine; Serge Montplaisir, M.A., M.D., Montreal, Quebec, Research Instructor, Department of Microbiology; Pankaj Mehta, Ph.D., Surat, India, Lecturer, Department of Biochemistry; W. K. Podleski, M.D., Chorzow, Poland, Research Assistant Professor, Department of Microbiology; Byung-Kil Choe, Ph.D., Taegu, Korea, Research Assistant Professor, Department of Microbiology; and Larry D. Bacon, Ph.D., New York, N.Y., Research Assistant Professor [Genetics), Department of Medicine.O Dr. Raymond P. Bissonette, 32, formerly director of community planning for the Greater Buffalo Area Research and Planning Council, has been named an assistant clinical professor of community psychiatry. In his new position, Dr. Bissonette will have a guiding hand in the direction of the U/B Psychiatry Department's new Community Mental Health Service training program. He will oversee the program's academic affairs and will advise students and supervise field placements. The program, which is being funded through a $350,000 National Institute of Mental Health grant, will train specialists to administer small community mental health agencies through a combination of classroom and on-the-job training. 0 Four Medical Schoolfaculty members have authored textbooks recently. Dr. John C. Eccles, distinguished professor of physiology and biophysics, ''Facing Reality: Philosophical Adventures by a Brain Scientist"; Dr. Beverly Bishop, associate professor of physiology, ''Neurophysiology Study Guide;'' Dr. Rudolph Siegel, clinical assistant professor emeritus of medicine, ''Galen on Sense Perception." Dr. Ernest H. Beutner, professor of microbiology, ''Autosensitization in Pemphigus and Bullous Pemphigoid. "0 Dr. Wilfred W. Fuge, clinical associate professor of surgery and director of ambulatory services at the Buffalo General Hospital, retired in August. He came to the hospital as an intern in 1934. He left twice - once for a three-year fellowship in surgery at the Columbia-Presbyterian Hospital in New York City and again during World War II when he served as a Colonel in the Medical Corps in Europe. Dr. Fuge and his wife will move to Florida in January. WINTER, 1971 65 �People Dr. DouglasS. Riggs, professorofpharmacology, has authored two books - "Control Theory and Physiological Feedback Mechanisms" and "The Mathematical Approach to Physiological Problems: A Critical Primer."O A husband and wife team are both assistant research instructors at Springville Laboratories, Roswell Park Memorial Institute. Yumiko and Akikazu Takada came to UB Medical School in 1969 from Japan. They received their Ph.D and M.D. degrees from Keio University, Tokyo in 1962. They are both internists and live on Mill Street, Springville, NewYork.O Dr. Tadeusz Kmiecik, a clinical instructor of psychiatry at the University, received his M.D. from the University of Bologna, Italy in 1951. He lives at 58 Ivyhurst Road, Buffalo.O Dr. Salvatore Ricotta, clinical assistant instructor in medicine, was recently certified as a Diplomate by the American Board of Internal Medicine. Dr. Ricotta is a 1964 St. Louis School of Medicine graduate. He lives at 4821 Penn Street, Niagara Falls.O President Robert L. Ketter was honored as "Citizen of the Year" by the Equality Club, one of Buffalo's oldest luncheon clubs. The citation for the award praised Dr. Ketter for restoring ''the scholarly dignity to a great university and peace to the community. "0 A clinical associate professor of pathology at the Medical School is the new president of the Niagara County Unit, American Cancer Society. He is Dr. Theodore T. Bronk, who is also director of laboratories and pathologist at Mt. St. Mary's Hospital, Lewiston.D Dr. Thurman S. Grafton, research associate professor of microbiology and director of animal facilities is the new president of the American Society of Laboratory Animal Practitioners. He has also been elected to the vicepresidency of the New York State Society for Medical Research, Inc. Dr. Grafton also serves as a consultant to various hospitals and universities. 0 66 Dr. ErwinNeter, professor of microbiology, has been elected the first president of the Western New York branch of the American Society for Microbiology.O Dr. Edward J. Massaro, assistant professor of biochemistry, is one of the principal investigators for the Western New York Nuclear Research Center investigations of air and water pollution. Dr. Massaro will team with Dr. K.K.S. Pillay to investigate heavy metals and biologically active elements present in the fish of the Great Lakes.O Four alumni have been elected officers to the Western New York Society for Internal Medicine. They are: Drs. James F. Phillips, M'47, president; William J. Breen, M'55, first vice president; Joseph A. Zizzi, M' 58, secretary; and James R. Kanski, M'30, treasurer. Dr. Carl F. Hammerstrom of Jam est own was elected second vice president. Two other alumni-Drs. Leo E. Manning, M'50, and John J. McMahon, M'59-were elected to the executive committee.O Dr. Douglas M. Surgenor, professor of biochemistry, will head a new Greater Buffalo Red Cross Chapter scientific committee to study the potential future uses of blood.O Dr. Hermann Rahn, professor and chairman of the physiology department, received two honors recently. He has been elected to membership in the National Academy of Sciences' new Institute of Medicine. According to its charter, the institute "shall be concerned with the protection and advancement of the health of the public." In October Dr. Rahn was one of four distinguished medical teachers and researchers honored by the American College of Chest Physicians for contributions to the advancement of knowledge of the cardiovascular and respiratory systems and diseases affecting them. Dr. Rahn received the Louis Mark Memorial Lecture award as an authority in respiration physiology. He is a consultant for the NASA Man-in-Space programs.O THE BUFFALO PHYSICIAN �kMemoriam Dr. George F. O'Grady, M'35 , died August 21 after a long illness. The 63-year-old physician was an anesthesiologist at Sisters Hospital and a former chief of staff there. He retired in 1970. Dr. O'Grady was a Fellow of the American College of Anesthesiology and a member of several local, regional and national professional organizations. 0 Dr. S. Paul Geraci, M'23, died August 20. The 73-year-old physician was a native of Syracuse, Italy. Dr. Geraci interned at the former Buffalo City Hospital. He served in the Army during World War I and worked with the Public Health Service during the second World War. He was active in several professional organizations. 0 Dr. George A. Becker, M'05, died August 21. The 89-year-old physician had practiced in Buffalo and West Falls for47 years. Dr. Becker interned at Sisters Hospital before joining the Medical Corps in France during World War I. He retired in 1966.0 The first woman internist at the Buffalo General Hospital and a member of its medical staff for 32 years died July 22. Dr. Ellen Rudinger, M'39, was a specialist in internal medicine and on the staff of the E.J. Meyer Memorial Hospital. She was also a clinical assistant professor of medicine at the Medical School, and a consultant to the Rosa Coplon Jewish Home and Infirmary. Dr. Rudinger was active in several professional organizations.O WINTER, 1971 Dr. Arthur Lewis Piper, M'07, a retired medical missionary to Africa, died June 4 Tampa, Florida. He was 88 years old. Dr. Piper and his wife served under the Methodist Board of Missions 40 years in the Belgian Congo. As pioneer missionaries they were sent into the remote southern interior of the Congo in 1914, where they opened a medical mission among the Luandas. Dr. Piper also set up a hospital, operated several clinics and organized a leper colony which received more than 900 patients. He was a leader in the control of African sleeping sickness. Piper Memorial Hospital was dedicated in his honor. He was also decorated by the Belgian government and when he retired he was crowned an African king by King Mwant Yavu and his Luanda people.O Dr. Abe I. Rock, M'31, died August 19 after a long illness. He had been a surgeon for the Buffalo Police Department since 1956, and a member of the Medical School faculty since 1948. He was 70 years old. Dr. Rock was affiliated with Buffalo General and Millard Fillmore Hospitals. His son, Elton, is a 1959 Medical School graduate who lives in Brookline, Massachusetts. Dr. Rock was active in several professioanal organizations.O Dr. John M. Kenwell, M'58, a clinical instructor in surgery, died July 20. The 38year-old general surgeon was on the staff of Millard Fillmore and Kenmore Mercy Hospitals. He also worked in industrial medicine at the Westinghouse Electric Corporation. After his internship and residency at Presbyterian St. Luke's Hospital, Chicago, he served two years in the United States Army Medical Corps. He was a member of several professional organizations. 0 Dr. James P. Palmer, former associate clinical professor of gynecology at the Medical School, died July 18. In 1959 he retired as head of Roswell Park Memorial Institute's department of gynecology. Dr. Palmer was also on the staff of Buffalo General Hospital and Cleveland Hill Clinic. 0 67 Dr. Piper �c41utnni 'l'our ALOHA CARNIVAL 8 days, 7 nights, $399 complete per person (double occupancy) plus 10% tax and services Departing December 25th, 1971 from Niagara Falls, New York; via American Airlines • Deluxe accommodations on Hawaii's newest and most luxurious ocean-front resort • Food fit for a "KING" • including champagne breakfast every morning; get-together cocktail party; full course dinner each evening • Half-day sightseeing tour of Honolulu; other optional tours and traditional events. ALUMN I OFFICE, S.U.N.Y.A.B. For details write or call: 123 Jewett Parkway Bu.ffalo, New York 14214 (71 6) 831 -4121 In Memoriam Dr. Salvatore A. Dispenza, M'41, an Albion physician since 194 7, died August 23 after an illness of several months. He was 57 years old. Dr. Disp enza interned at Our Lady of Victory Hospital, Lackawanna, before he entered the United States Air Force in 1942 as a flight surgeon. After his discharge in 1946 he served as physician at the Batavia Veterans Hospital. He was a former county coroner, a public health officer and was staff physician at the Albion State Training School. Dr. Dispenza was a member of the Orleans County Mental Health Association , Public Health Board , and past president of the Orleans County Medical Society. He was also active in many civic organizations.D Dr. Herbert Bauckus, M'14, died October 7 in Buffalo General Hospital after a long illness. The 79-year-old physician was a past president of both the Erie County and New York State Medical Societies. He was one of the first physicians in Erie County to specialize in dermatology. At one time Dr. Bauckus was a member of the medical staffs of all the area's major hospitals. He was chairman of the Buffalo Board of Health before the Health Department was taken over by the county and was consultant on syphilis for the State Health Department. Dr. Bauckus taught dermatology at the Medical School from 1919 to 1946. He was an assistant professor. After finishing first in his medical class at UB, Dr. Bauckus studied at Vanderhuitt Clinic, Columbia University.D The General Alumni Board Executive Committee-DR. EDMOND J. GICEWICZ, M'56, President; MORLEY C. TOWNSEND, '45, President-elect; JOHN G. ROMBOUGH, '41, Vice-President for Activities; FRANK NOTARO, '57, VicePresident for Administration; MRS. CONSTANCE MARX GICEWICZ, Vice-President for Alumnae; JAMES J. O'BRIEN, '55, Vice-President for Athletics; DR. FRANK GRAZIANO, D.D.S., '65, Vice-President for Constituent Alumni Groups; JEROME A. CONNOLLY, '63, Vice-President for Development and Membership; G. HENRY OWEN, '59, VIce-President for Public Relations; DR. HAROLD J. LEVY, M'46, Treasurer; Past Presidents: ROBERT E. LIPP, '51, M. ROBERT KOREN, '44; WELLS E. KNffiLOE, '47; DR. STUART L. VAUGHAN, M'24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLE;R, '22; DR. JAMES J. AlLINGER, '25. Medical Alumni Association Officers: DRS. LOUIS C. CLOUTIER, M'54, President; JOHN J. O'BRIEN, M'41, VicePresident; LAWRENCE H. GOLDEN, M'46, Treasurer; ROLAND ANTHONE, M'50, Immediate Past-President; MR; DAVID K. MICHAEL, M.A. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1970-71 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR. , M'35, Second Vice-President; KEVEN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. 68 THE IIUFFALO PHYSICIAN �A MESSAGE FROM LOUIS C. CLOUTIER, MD'54 PRESIDENT MEDICAL ALUMNI ASSOCIATION The University of Buffalo Medical Alumni Association needs your dues contribution more than ever before. It helps provide much needed School of Medicine- community interplay, such as: 1. SCHOLARSHIPS for medical students. 2. CONTINUING EDUCATION. The Spring Clinical Days (April 7 and 8, 1972). 3. REUNIONS of your graduating class. 4. RECEPTIONS at selected medical conventions. 5. CLUBS on a national basis. 6. TOURS. Vacations highlighted by scientific sessions. 7. MISCELLANEOUS. Office expenses and other services focused at making ours a complete alumni program. We invite you to join the 522 physicians who gave last year; they are listed on the inside of this magazine. Please use the envelope below and make your check payable to the "Medical Alumni Association." Your gift will add new meaning and flexibility to our program. First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGR STAMP NII:CIESSARY 1,. MAILED IN THI: UNITED STAT•s POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALQ, NEW YORK 14214 Address Correction Requested • THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) N a m e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received _ _ Office Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____ HomeAddress--------------------------------------------------------lfnotUB,MDreceivedhom _________________________________________ ~ InPrivatePractice: Yes 0 No In Academic Medicine: Yes 0 0 Specialty _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ __ No 0 Part Time 0 Full Time 0 School _______________________ Title ---------------------------~ Other: ______________________________________________________________________ ~ Medical Society Memberships: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ __ Please send copies of any publications, research or other original work., � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1971 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1971-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1971-04-Winter Table Of Contents A list of subunits of the resource. The Class of 1975 Housestaff Graduation New Anatomy Chairman Dr. Heyd Bequest Project Pathway Michael Reese President Drug Abusers Ward Attica Immunology Summer Session Curriculum Fetal Care Head Plastic, Reconstructive Surgery Alumni Pay Dues Psychoendocrinology Pediatric Pharmacology Rural Health Care Complete Patient Records Environmental Physiology Faculty Promotions Family Practice Alumni Receptions Medical School Won't Move Health Sciences Library Health Care In Buffalo, 1846 by Dr. O.P. Jones Health Manpower Shortages Televised Operations Data Management Opportunity, Decision New Faces Continuing Medical Education Drug Abuse Center Community Health Service Blood Samples The Classes People In Memoriam Alumni Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-06 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v05n04 Extent The size or duration of the resource. 72 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/ce5db66266b664a8ac280fe799eb4cf6.pdf f473fbf9ed0bbe9ebf03432745e21517 PDF Text Text he uffalo hysician SCHOOL OF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO FALL 1971 VOLUME 5, NUMBER 3 �Medical Alumni Officers Dr. Louis C. Cloutier, a general surgeon, is the new president of the Medical Alumni Association. He is a 1954 Medical School graduate and on the staffs of Emergency and Sisters of Charity Hospital. Dr. Cloutier received his bachelor's degree from Canisius College in 1950. After receiving his medical degree he took his internship and residency in general surgery at Sisters of Charity and Emergency Hospitals. Currently he is co-ordinator of the surgeryresidency program at Sisters Hospital. He is a member of the Buffalo Surgical Association, a Fellow of the American College of Surgeons, and a Diplomate of the American Board of Surgeons. 0 Dr. John J. O'Brien is the new vice president. The 1941 Medical School graduate is a clinical assistant professor of medicine at the University and on the staff of the Buffalo General and South Buffalo Mercy Hospitals. He has been on the faculty since 1951. He did his undergraduate work at Canisius College, his internship at the United States Naval Hospital, Philadelphia; and his residency at the Veteran's Administration Hospitals in Buffalo and Batavia. He was in military service from 1941-47. Dr. O'Brien is a past president of the Annual Participating Fund for Medical Education; and the Western New York Society of Internal Medicine; and a Fellow of the American College of Physicians. He is also active in several other professional organizations .. D A 1946 Medical School graduate is the new treasurer. He is Dr. Lawrence H. Golden, who has been on the facultY since 1951. He is a clinical associate professor of medicine. Dr. Golden is chief of cardiology, attending physician, and chairman of the department of medicine at the Millard Fillmore Hospital. He is also attending physician at the E.J. Meyer Memorial Hospital. He did his undergraduate work at UB, his internship at the Jersey City Medical Center • and his residency at Millard Fillmore Hospital. He was a Cardiovascular Teaching Fellow at the University (1950-54) and had a Fellowship in Cardiology at Tulane University (1956-58). From 1954-56 he was a Captain in the United States Air Force (medical corps). Dr. Golden is a Fellow in the American College of Physicians, American College of Chest Physicians, and American College of Cardiology. He is also a Diplomate, American Board of Internal Medicine.D �- ' - - - - -- -- --- --- - - - - --- - - Volume 5, Number 3 FALL, 1971 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Editor 2 MARION MARIONOWSKY Dean, School of Medicine DR. leROY A. PESCH Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DiEDRICK Graphic Artists RICHARD MACAKANJA DoNALD E. WATKINS Secretary FLORENCE MEYER 5 8 12 17 19 20 21 22 24 CONSULTANTS 27 President, Medical Alumni Association c. CLOUTIER 28 President, Alumni Participating Fund for Medical Education 29 DR. LOUIS DR. MARVIN BLOOM 34 Vice President, Faculty of Health Sciences DR. CLYDE l. RANDALL 35 Vice President, University Foundation 36 JOHN C. CARTER Director of Public Information JAMES DeSANTIS President, University Foundation DR. ROBERT D. LOKEN Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications THEODORE V. PALERMO Vice President for University Relations OR. A. WESTLEY RowLAND 38 40 42 43 44 45 46 47 53 60 Medical Alumni Officers inside front cover Abe Aaron Day SPRING CLINICAL DAYS The Scientific Program Medical Changes Medical School/University Relationship Four University Centers RMP Grant Senior Day Students Honored Dr. Megahed's Response G I Diseases, Self Education Medentian Honors Two Continuing Medical Education Open House Immunology Center Rural Health Care Health Professionals Cooperate A Devotion to Medicine Plaque Unveiled Dr. O.P. Jones Retires A 60th Birthday Alumni Receptions Dr. Milgrom Honored Ernest Witebsky Lectureship Ophthalmology, A Hobby Dr. Capraro Honored The Classes People In Memoriam The cover design by Richard Macakanja focuses upon the annual Spring Clinical Days on pages 8-19. The photos were taken by Hugo Unger. THE BUFFALO PHYSICIAN, Fall, 1971 - Volume 5, Number 3, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1971 by the Buffalo Physician. �Dr. Aaron h as coffee with f riends. Dr. Abe Aaron Day DR. ABE AARON DAY . . What could be more fitting than to arrange a scientific program, to invite his colleagues, Dr. William F. Lipp informed the 300 registrants at the continuing medical education conference on A Day in Clinical Gastroenterology. And to attest to the esteem with which Dr. Aaron, an octagenarian who has established the specialty of gastroenterology on a firm clinical basis, is held, he pointed to acceptances from all of the legendary figures invited to participate. All are still active . In. his experiences with Whipple 's Disease , Dr. Julian Ruffin (Duke University) who has had much to do with its outcome, pointed to the probable bacterial infection that lasts anywhere from six to 48 months, makes its way into the body through the route of the GI tract, and involves the main bowel and its mesentery. World-wide in distribution, he knows of no epidemiological factors for this chronic, febrile systemic disease that is rare i.n both women and in nonwhites and does not affect children. It IS mainly a disease of the middle-aged male who exhibits a history of arthritis and marked weight loss. But with appropriate treatment there should be prompt recovery . 2 THE BUFFALO PHYSICIAN �-- -- ~I'"CJtJ, -- - - - - ,,,, --·- A legendary panel-Drs. Dragstedt, Ivy, Ruffin , Palmer. By taking the problem of gastric stasis-a cause of gastric ulcer-to the laboratory, Dr. Lester R. Drags ted (University of Florida) showed that gastric retention and a higher secretion of gastrin may cause gastric ulcer. Resection of the antrum to correct high lying gastric ulcers may reduce gastric retention and secretion leading to ulcer healing. But he feels that these ulcers can be prevented by pyloroplasty. Hypersection of gastric juice by vagal influence suggests a sufficient cause for duodenal ulcer far-no acid, no ulcer. It is secretion he said that spells the difference between the gastric and duodenal ulcer. For Dr. A. C. Ivy (University of Chicago) who has authored over 1500 medical papers and started his study of GI hormones in 1919 it is hormonal relationships or its overlapping effects that confuses the subject. Secretin, gastrin, and cholscystine all expert an influence on various phases of GI function. To better understand and to explore some of the mechanisms of action on these hormones, over the years Dr. Ivy used himself as a guinea pig. An overview of an uncommon form of therapy to irradiate acid secretion areas of the stomach by injury to parietal cells FAll, 1971 3 Dr. Aaron, a1912MedicalSchool graduate, is a two-time president of the Amefican Gastroenterological Association, editor-emeritus of its journal Gastroenterology and recipient of its highest award, The Friedenwald M edal. H e is now clinical professor emeritus of medicine at the University. Coffee break. �A tribute by Dr. William F. Lipp to Dr. Aaron (seated on his left). Th e excitem ent was contagio us at some of the scientific sessio ns. S enior m edical student j erald A. Bov ino makes a point with Dr. Ruffin. ~z=~~~======~ was presented by University of Chicago's Dr. W.L. Palmer. His small group of patients exhibited a 96 percent recovery rate with this peptic ulcer irradiation treatment that inhibited acid secretion, allowing the ulcer to heal. While he feels that it is not a definitive treatment for peptic ulcer, it is helpful in the control and recurrence of acid gastric juice. Cholestasis? asked Dr. H. Popper from Mount Sinai Hospital. Its symptoms-fever of unknown origin, intestinal diarrhea, arthritis, joint involvement, fistulas, and uric acid stones. Treatment, that depends on the specific cause, may be either corticoidsteroids or resection of the colon if it is colitis. In managing the seriously ill patient with ulcerative colitis Dr. J. A. Bargen, formerly of the Mayo Clinic and now residing in Riverside, California, pointed to a history of bloody mucous rectal discharges. The best drug for the disease? Azulfadine, one gram to be given every three hours round-the-clock . Within three to four days the bleeding in the stool recedes. But he cautioned that steroids are counterindicated and to "use sparingly" because of the many complications that he has seen. Most importantpatient but relentless treatment. The colon, reminded Dr. Henry L. Bockus of the University of Pennsylvania, is a shock organ for emotional aberrations. Functional colonpathies or an irritable colon is a common problem of gastroenterology. The important message is to treat the person and not the symptoms which occur early in life for the male or female who is very nervous, frequently constipated, ana has emotional diarrhea and some mucous discharge. The pain, never at night, can be quite severe and is frequently related to defecation. Case histories on habits-laxatives, enemasare important as are X-rays by a knowledgable person in functional disorders. "Try to get the patient out of his trouble. Use old-fashioned homespun psychotherapy," he said. Remind the patient that fatigue is bad as is excessive cigarette smoking and alcohol, and to stop abusing the bowel by persistent enemas and laxatives that should be taken only during an attack. But he also cautioned advising the patient to stay on a bland diet free from roughage and milk until you are certain that the patient is not milk sensitive. "And for goodness sakes, tell him that during an attack to stay off solid food, and to take hot baths in a tub.'' For those who came to honor the man "skilled in arts as well as in the science of medicine, who has devoted many years to continuing education,'' it was a day worthy of celebrating the fiftieth year of postgraduate instruction at the Buffalo Medical School. "How do I remember Dr. Aaron?" volunteered a participant. ''Between 6 and 8 every evening you will see him trudging the halls of the Buffalo General Hospit~l with a little black bag. To me he is a doctor's doctor.'' A proclamation by Buffalo's mayor proclaiming April 18 as Dr. Abe Aaron Day, a tribute from Dr. Russell S. Boles, and a reminder from the honoree that "it is the small things that turn us into what we are" added to the program that was planned by the coordinating committee of Drs. Harry Alvis, James F. Phillips, and Leonard Katz. 0 THE BUFFALO PHYSICIAN �There were all the trappings of a successful 34th annual spring clinical days. The exciting scientific program planned by Dr. Lawrence Golden as part of the 125th anniversary of the University and Medical School, the progress reports on four new centers of specialized investigation and treatment, the 15 exhibits carefully planned and assembled, the business meeting and election of officers were marred only by a skimpy attendance (50-70) of alum- Spring Clinical Days ni. When the new University President spoke on the relationship of the medical school to the university, and the Stockton Kimball Lecturer reviewed the critical point at which academic medical centers find themselves today, the burgeoning attendance (250) in the Statler ballroom belied what is hoped is an ongoing interest of medical alumni for town and gown. Not only were basic physiological and pathological mechanisms pointed out by moderators at the four scientific sessions, but their practical applications by the panelists as well. While Dr. Lorna G. MacDougall, in the session on hemorrhagic and thromboembolic diseases, cautioned that the most important step is to first get the process stopped, Dr. Hans Grunwald, in his review of a different disease process, thrombocythemia where there is a low count of blood platelets, pointed to the importance of differentiating between defective production and excessive destruction, for the treatment differs in each. Dealing with the growing importance of von Willowbrandt's disease, one of the most common causes of hemorrhagic diseases, was Dr. Julian Ambrus. While the effectiveness of platelets obtained was reviewed by Dr. Rose Ellison, she also pointed to the ability to place children in remission more readily than adults. In Dr. Marvin Bloom's summation he reiterated the need for early clinical recognition and more therapy to quickly control the clotting process and to reduce the mortality of this disease. An interesting approach to renal insufficiency was presented. The case history of a 24-year old white female in chronic renal failure since 11 years of age was traced by physiologist, nephrologist, pathologist, and surgeon. While Dr. John Boylan presented the physiological progression of this disease, he pointed to the importance of planning for future treatment. Thus the case history, examination, and biopsy become crucial in assessing the kind and degree of renal involvement. It was quickly established that the pathologist evolves into a central role in both diagnosis and treatment of chronic renal disease. For there is a tremendous assist from the renal biopsy, said Dr. James Brennan, and patient consequences due to renal failure. When the patient reached the terminal stage of renal insufficiency she was referred to surgeon Sidney Anthone. He reviewed the evidence for hemodialysis and outlined two methods of gaining access to a patient's vascular system-the external shunt and the internal fistula. When his patient was returned to almost normal clinical conditions, she was considered for a transplant program. Her kidney was removed by radial nephrectomy, the pathology report confirming their prognoses over the 13-year period. FAll, 1971 5 The Scientific Program Nine classes h eld reunions during the annual Spring Clinical Days. Group pictures of these classes are on pages 51-59. �Th e main registration desk Spring Clinical Days Histocompatibility, immunological problems, and the drug therapy program on this patient were also reviewed. He assured the audience that hopefully the patient will live for many years with the new kidney donated by her brother. Antecedent events , psychometrics , management, and clinical assessment of therapy were traced by Tufts neurologist Edward F. Rabe in his review of a three-year followup on 27 minimal brain dysfunctioning children. In this session on the hyperactive child it appeared to be only when there was a learning problem in school that the child was brought to the attention of the doctor. The role of the psychologist and some of her tools was traced by Dr. Dorothy Rosenbaum while pediatrician Robert Warner reviewed rehabilitation for this type of child in which the key is an integrated/ multifaceted diagnosis. He cautioned the The panel on Hyperactive Child, Drs. R ubin, Wa rner, R osenbaum, R abe. �... - - -- audience to look for variability, emotional immaturity, hyperactivity, filtering ability, perception, and sequencing in pinpointing the child with minimal brain dysfunction. There was an impassioned plea from moderator Dr. Mitchell Rubin to obtain adequate help for overcoming difficulties for the many who are highly intelligent and very capable. What causes this defect? Perhaps it is due to development occurring very early in pregnancy, offered a panelist. Or perhaps the synapsis never formed, or is disconnected. Why is this defect more prevalent in the inner city? It may be the nutritional status of mothers during pregnancy, was irresponse. For the session on shock/myocardial infarction there were programs in both surgical and medical management. Asked moderator Dr. John R. Border, "what are we missing that is highly lethal in myocardial infarction shock?" He followed this up with a series of possibilities regarding ventricular failure that remain to be answered. For the various types of shock, each exhibiting a unique feature, internist Joseph Zizzi traced the drug approach. What he feels is important is to be able to predict the patient who will go into shock, its extent, and whether he or she will be a good or poor risk. While prevention is still the best measure, surgeon George Schimert feels that coronary grafts are helpful. He reviewed the outcome of 75 patients who received coronary grafts without significant ventricular or valvular pathology. Again the need to diagnose myocardial infarctions at a much earlier date was reiterated by program chairman Dr. Lawrence Golden, "since uncontrolled aspects act as a vicious cycle and worsen the state of the myocardium."D -- - Mrs. Stockton Kimball, Drs. Pesch, Cooper The winning exhibit: "Angiograms in Renal Diseases" by Drs. Sung H. Choi, Robert W. Spiegler, Humberto A. Revollo, john W. Wu, and Robert W. O'Connor (X-ray department, Sisters of Charity Hospital). �Spring Clinical Days Time out for coffee and a visit. Medical Changes To THE CAPACITY BALLROOM ASSEMBLY Stockton Kimball Lecturer Dr. John A.D. Cooper traced changes in the set of forces operating on medical centers since the Flexner Report of 1910, rise of Federal support for biomedical research after World War II and growing expectations of society for a better life including good·health. Prior to 1910 the practicing profession that comprised the medical school faculty essentially controlled its policies, insuring an immediate feedback from practice to programs and curriculum, and an influence in organization an·d delivery of medical care. But with the introduction of biomedical sciences, the medical school either became a part of a university or closed its doors, thus, a shift in influences on medical schools away from the community toward academia, with less time for academic responsibilities for the practicing physician and a replacement by fulltime clinical faculty of volunteer group. 8 THE BUFFALO PHYSICIAN �Growing both in size and complexity, academic medicine became self sufficient while its research advances fostered specialization. Thus, said the President of the Association of American Medical Colleges, there was a gradual replacement of empirical, palliative medicine with a more definitive, effective means for prevention, diagnosis, therapy that required a different kind of education for physicians. "But either the academic medical center did not perceive or chose to ignore this process of change in conditions of practice, in its implications for their role." Neither team approach, fragmented care, distribution of resources, accountability for quality of care or a containment of increased cost can be attained in the old approach to medical care. "Today the doctor needs a team of experts to work with him in applying fruits of biomedical research as well as 'tender loving care'." And for a system of health care defined with academic medical center involvement the specifications for either kinds or numbers of physicians may not fit their concepts. The set of circumstances that brought about intellectual separation between practicing and academic community must be changed, he said. ''For the practicing physician must understand implications of development in medicine on delivery of health care and academic institution must understand implications of medical practice on their curriculum and programs. A second problem was the support of research in academic medical centers by Federal government as the only channel for their expression of concern for health. Thus Centers developed the largest and most productive biomedical research enterprise the world has ever known. While research funds strengthened the fabric of medical centers, creating necessary milieu in which education programs appropriate to new medicine could be mounted, they also produced a distortion in financing of medical education. For there was no comparable support available for education and service, the other functions of the medical center. While Congress identified biomedical research as an important activity in national interest, the medical schools responded effectively in fulfilling public purpose. Other unfilled public purposes have also been identified by Congress. The Federal Government recognized some responsibility for support of medical education and delivery of health services. The Health Professions Education Act in 1963, Medicare in 1965, meant more health care required, more physicians needed to provide this care, enormous pressure on academic medical centers, financial stability for support unmatched by type and level of response demanded. It is the critical point in the history of academic medical centers. With over half the medical schools receiving funds under special project grant program of HPEA Act as institutions in financial distress, the level of support keeps most schools on the brink of bankruptcy. ''They have little energy left after fighting for their survival to plan new and innovative programs," Dr. Cooper said. With increase in delivery of health care undertaken by medical schools, and availability of either Federal funds or private insurance carriers to purchase this service, there arises a third probFALL, 1971 9 �The Stockton K imball lecture and luncheo n Spring Clinical Days The 1921 class party lem that he feels '' urgently requires an assessment of real costs for the complex and interrelated education, research and service programs of academic medical center, adequate and direct support of costs for each program by public and private sectors at levels which will permit them to meet pressing needs for their contribution.'' But he warned that there were at present no accurate data on these costs that were difficult to establish due to the great complexity of academic medical centers and the interrelations and interdependence of their programs. While an association cost allocation study of 38 medical centers over the past few years had identified costs of various functions in medical centers, instruction, research, health care and public service, he does not feel that it confronts the problem of assigning costs to programs. For there must be appropriate parts of research, costs of patient care required for teaching apportioned to costs for medical education, etc. Not yet determined are these apportionments that depend on subjective evaluation of the nature of education, the way in which a faculty member should spend his time. For he does not feel that they can be decided by a completely objective method. Broader, worldwide social changes, an increasing expectation of society for better health care was the last force outlined by Dr. Cooper. "Access to health care has been accepted as a right of every citizen without regard to his socio-economic status. Population growth, demographic changes, higher disposable income, increased coverage by third party payers, including the Federal Government, have escalated demands for health care and brought problems in providing access. In the absence of widely accepted ways to increase the efficiency and effectiveness of health care delivery, the solution proposed is simply to increase the number of physicians and' other health professionals to extend and expand the present system. With no way to estimate the magnitude of the expansion of health professionals needed to provide adequate accessibility of quality and quantity of care for all citizens, an arbitrary number say 50,000, is the only feasible approach because there are too many variables in the problem.'' 10 THE BUFFALO PHYSICIAN �For example, there is no real way to exert controls over the geographic distribution of physicians or their area of specialization. Under the present set of marked forces neither the geographic nor the specialty distribution of physician manpower is responsive to the actual pattern of health needs. As a matter of fact, increasing the number of physicians would quite likely increase the gap in level of care between the " haves " and ''have nots. '' The effective demand for physician services is so great in areas attractive to physicians that any reasonable increase in numbers would not lead them into unattractive locations such as the ghetto or the isolated rural community. As a Congressman who is a lawyer said recently, " We train a lot of lawyers and many of them have a hard time making a living in the city but they won't practice in small towns.'' Dr. Cooper feels that medical schools are responding to the need to increase their class size even though support for this expansion-mostly from Federal sources-is inadequate and their financial distress deepens. He also pointed to the real possibility that in years ahead , Congress will ask " why are there no physicians serving the rural and urban poor when money was provided to the medical schools to educate physicians to meet these needs?'' They may also ask '' why do we not have larger classes graduating from medical schools? '' Unfortunately they don 't add ''for biomedical research.' ' But , the academic institution is a hardy species . The very characteristics that help it survive in adversity are those which prevent it from changing as rapidly as many would wish, to assume new responsibilities. But there is ample evidence that it is moving to meet new challenges-a revolution in curriculum. Perhaps flexibility in course requirements and the blurring of boundaries between the premedical, basic science, clinical and graduate phases of the e~ucational programs is occurring too rapidly and may derogate the quality of medical education. But community concern and activity will accelerate if overall funding problems of the institution can be solved. Legislation sponsored by the AAMC and now introduced in the Hou.se and Senate will go far in correcting the present imbalance in Federal support and make it possible for the academic medical centers to bring about a more rational distribution of their efforts in relation to the community health scene and national objectives. " This is a first step to get us out of our unhappy state, ' ' he concluded. O The M edical Alumni A ssociation and the School of M edicine will co-host a reception during the A m erican College of S urgeons m eeting in A tlantic City, October 18-22. Mr. Dav id K. Michael, director of m edical alumni affair s, will announce the time and place at a later dat e. Drs. O'Brien, A lv is at the lunch eon with m edical students. FALL, 1971 11 �Two distinguished medical educators were honored by the Medical Alumni Association at the Stockton Kimball lecture. They were Dr. Abraham H. Aaron, who launched the continuing medical education program at the University in 1920, and Dr. 0. P. Jones, Professor and Head of the Anatomy Department since 1943. Dr. Jones joined the faculty in 1937. The 81-year-old Dr. Aaron is still practicing medicine. He is a two-time President of the American Gastroenterological Association editor-emeritus of the Association's journal, GASTROENTEROLOGY, and recipient of its highest award, the Friedenwald Medal. He is now clinical professor-emeritus of medicine at the University. Dr. Jones, who received his Ph.D. from the University of Minnesota in 1935 and his M.D. from the University of Buffalo in 1956, will retire as department chairman in August. 0 The Relation of the Medical School to the University by President Robert L. Ketter An address presented at Spring Clinical Days. Much of the criticism of American universities in recent years has been directed toward an imbalance of emphasis among the traditional teaching, research, and service roles assumed by our institutions of higher education. Coincidentally, criticism of the health care system has centered upon aspects of health care which are intimately related to these three roles as they are applicable to the medical schools within the nation's universities. Therefore, the response of the nation's medical schools to criticism of the health care system will undoubtedly color the response that their parent institutions will be considered to have made to those criticisms which have been aimed more broadly at higher education. As a result, the relationship of the Medical School to the University is one of particular importance. This is not to say, however, that the relationship at this University has not always been one which has had some special significance attached to it. It has! In fact, for 40 years the Medical School was the University; the historically inclined among you might argue that the University qS we know it today would never have come into existence if it had not been for the health care needs of the community prior to 1846. As a result of this long relationship-and because of the nature of the School itselfthe Medical School is probably the most visible element of the University within the community. One can hardly utilize the local health care system without being reminded of the School and the University through the presence of faculty and students in 12 THE BUFFALO PHYSICIAN �- ---- -- ~ the community's hospitals and clinics. Also, this visibility is heightened by the fact that the Medical Schoolhas drawn heavily upon the local area for its students, and that many of these students, once graduated, have chosen to remain here in the metropolitan community. One figure indicates that 65 per cent of the physicians in Erie County are alumni of this School and University. Additionally, the entire University is enhanced by the reflection from the tremendous strides the faculty of this School has made in medical research. One of the many examples of this is the development of the PKU tests by Dr. Robert Guthrie. Advances of this sort have effects far beyond the use which can be made of them in specific disciplines. Nevertheless, the temper of the times, as I have indicated, imparts an added importance to this continuing relationship. The University response to the contemporary social malaise which confronts this society's institutions and systems will be judged on the basis of the response of its constituent parts. This is especially the case in regard to the Medical School. Both the University and the School-together with all other universities and medical schools-have been accused, although for different reasons, of not having fulfilled their teaching obligations. Insofar as this criticism is directed at the University, I believe it is aimed particularly at what is done on the undergraduate level. And I believe that we have indeed been remiss in this area. We must act to insure that all our students-undergraduate, graduate, and professional-have access to the best minds of our faculty in both formal and informal learning situations. Also, we must be prepared to recognize and reward the faculty member who is an exceptional teacher. In other words, we can no longer afford to pay only lip-service to the importance of teaching in this or any other university. Simultaneously, we must rememberand our critics also must remember-that a university is composed Spring Clinical Days �of many elements. An effective method of teaching in one area may not be effective in another. Also, the University's research and service roles are valuable adjuncts to the teaching process, and they will be used to support this process with varying degrees of emphasis in different disciplines. In our medical schools, where research and service are extraordinarily integral to the teaching process, we have been accused of both teaching too few students and of pushing those we have taught in the wrong direction. The National Commission on Health Manpower has claimed that there is a shortage of 50,000 practicing physicians . Dr. John Knowles pointed out in 1969 that "of the 315,000 physicians in the United States today, only 60 per cent are in active practice, whereas in 1950, 72 per cent of the total were. The numbers of medical graduates who enter research, teaching, industrial, administrative, and institutional careers continue to increase," he said. The social awareness of today's young people may prove in itself to be an important factor in reversing this trend. Dr. Bertram Lowy, of the Albert Einstein Medical College, was quoted recently in the New Yark Times as having said that "if the students who come in now for interviews stick to what they claim they will do ten years from now, then (many of) our problems about the delivery of health services may be solved because the majority are interested in community health." Dean Pesch, in the same article, also noted an increased social concern among medical students. Our schools, however, must create channels for the effective educational direction of this concern. Therefore, I view the continuing development of our Division of Family Practice as a particularly important aspect of our total medical effort. Actually, the Medical School acknowledged some time ago the need for additional practitioners . A gradual increase in enrollment culminated this year in a freshman class of 125 students-up twenty-one over the previous year-and a total school enrollment of 464, which includes an expansion of twenty-one places at the second and third-year levels. In one year, then, the School increased its enrollment by forty-two students. Recent projections call for the eventual doubling of the graduating class. One cannot mention this increased enrollment without noting that the Medical School has been a leader within the University in recruiting minority group students. The School had only nine minority group members in its entire enrollment in 1969. Now, there · are 29 minority group students in the first-year class and 37 in the total School enrollment. These figures reflect a continuing University-wide commitment to the thought that education must be available for those other than the affluent or the extremely gifted few. In regard to .increased admissions, however, I must point out that if the Federal and State governments are indeed committed to producing more practitioners, then they will have to demonstrate that commitment to a much greater extent than they presently are doing in the area of student financial assistance. Provision of this assistance is crucial if the need for additional manpower is to be met. We can also help in regard to the total health manpower situation by aiding the creation 14 THE BUFFALO PHYSICIAN �of sound educational programs for teaching auxiliary health personnel and developing new and more effective uses for such personnel. Additionally, we must continue to develop a system which insures that all practitioners are kept up-to-date in their fields. Fortunately, our Department of Continuing Medical Education already provides the firm foundation which is required in this area. In general, I think the Medical School-as well as the University-must maintain a critical attitude toward the curriculum and toward the teaching process itself. We must be willing to experiment with new methods and new patterns; we must be willing to take advantage of the technology available to us; we must question whether or not the time now required to earn a degree is actually needed. Moreover, this critical attitude should always be accompanied by a strong sense of educational purpose rather than showmanship. Although a shortage of practitioners has been recognized by many persons in the medical profession as a deterrent to adequate health care, other persons-including those who point to the shortage-believe that numbers alone will not produce the comprehensive health care which the American citizen quite rightly feels he is entitled to receive. Instead, these persons say that the health care system itself must be transformed to overcome the geographic and socio-economic inequities in the present distribution and availability of faqilities, services and personnel. Additionally, it appears to be increasingly fashionable to argue that more doctors functioning in more facilities and a more efficient system are not the primary needs in providing comprehensive health care. Earl Ubell, writing in the New York Times, points out that some parties to the health care controversy believe that ''in the modern world, housing, nutrition, accident prevention, sanitation-clean water, food, streets and homeshave produced more health than all the doctors and hospitals combined. ' ' He also cites the article by Dr. Nathan Glazer, which appeared in the winter issue of The Public Interest. Dr. Glazer, according to Mr. Ubell, "argues . . . that our personal, psychological and cultural milieu-that is , the way we have learned to take care of ourselves-may be as important as better environmental conditions and certainly more important than doctors and doctoring.'' In my own view, there is a validity to each of these identified solutions to providing better health care-and consequently better health. However, I feel very strongly that we should not lose sight of the ultimate goal by protracted bickering about whose theory should be accorded primacy and whose discipline, in the end, will get the largest share of the monetary pie. However, I believe that the political realities of the situation will prevent this from happening. We can and are producing more doctors who will be needed to meet the increased demand for medical care that has grown and will continue to grow as this care becomes financially feasible for a greater part of the population. And the public demand is for that care to be within the financial means of all our FALL, 1971 15 Spring Clinical Days �Four 1946 graduates, w ho shared the sam e anatomy table in 1943 . are Drs. Paul M. Walczak, Fred S . Schwarz , Harry Petzing and R obert ]. Potts. Spring Clinical Days citizens. Additionally, from among the welter of legislation now introduced on the federal and state level, it is clear that we will be dealing with some form of a re-directed health care system for providing comprehensive care . The development and improvement of this system should be of primary concern to our Medical School in its research and service roles. We should understand from the outset, however, that our medical schools can neither run nor automatically transform the health care system. First, they do not have the resources. Second, they do not control the certification processes for individuals and systems. And third, the real political power lies elsewhere. To pretend or imply that the medical schools can make a greater impact on the health care system than they actually can is not desirable for either the school or the University. The universities in this country have already been overly extravagant in their claims to service, and the public reaction to this extravaganceand the resultant unfulfilled expectations-is no small factor in the present antagonism toward higher education. However, this Medical School can contribute within the limits of its resources and power to the development of a more comprehensive health care system. I have pointed previously to some of the actions we can and are taking in teaching. In terms of service, we can emphasize and participate in the cooperative planning that will be required to create model enterprises within a comprehensive health care system. Such models, tested on a small scale in an educational setting, can, if successful, be adopted elsewhere in the nation . Also, we already operate services within many of the existing health care agencies in this community. Through scholarly examinations of these services and agencies, we can aid them in the process of becoming more effective for more persons. But basically, our service role, beyond the actual care our people deliver in local facilities as part of the educational process-will be limited to the planning and model testing I have already mentioned. Here, we must use the best of our imagination, our critical abilities, and our concern for the individual person, for it is in this area-the delivery of care-that the medical profession will be judged most immediately as to whether it can or cannot meet the needs of the people who depend upon it. The teaching and service roles of the medical school-and of tpe University-cannot be properly fulfilled without a strong commitment to research. Our medical schools are now being criticized for having overemphasized this aspect of their existence. More specifically, some persons criticize the forty-year emphasis on biomedical science tp the neglect of other areas containing opportunities for broad interdisciplinary studies, such as in the social sciences, engineering, and education. The danger of this type of criticism, I believe, is that it can lead to an over-reaction. For instance, in the University as a whole-which also has been criticized for over-emphasizing research-the temptation for some persons is to deny research the importance it has in the educational process. This cannot be allowed to happen. And it would be equally absurd to pretend 16 THE BUFFALO PHYSICIAN �that we can dispense with bio-medical research. Nevertheless, the degrees of emphasis within our research activity must be calculated according to educational and public need. In the area of medicine, I believe this means we will have to give increased attention to the influence of environmental and social factors in health, and to viable methods for altering these environmental and social factors to the benefit of the individual. In summary, we have considered briefly some of the ways in which the University and the Medical School can meet their separate and mutual obligations in their teaching , research, and service roles. Simply stated , I think we must always act within our resources and capabilities; and we must recognize that fulfillment of the educational process requires us to act in each of the three roles, but never to view a single role as an end in itself.O Dr. Paul French, M'61, Wes t Palm Beac h Four University Centers As part of Spring Clinical Days a progress report on four centers established at the University-The Center for Immunology, the Laboratory for Environmental Physiology, the Center for Alcoholism , and the Center for Mental Hygiene-was presented. Creation of The Center for Immunology, its director Noel R. Rose said, has enabled expansion of a broad scope of immunological research in Buffalo, the nationally recognized leader in this field. Its origin, he explained, is an outgrowth of a program initiated by Dr . Ernest Witebsky when he first came to Buffalo in 1936. While this distinguished professor witnessed "virtually all of the growth of immunology during his lifetime, when he cherished most was the love and affection of his students. No graduate of this Medical School, since 1936 , has remained untouched by Dr . Witebsky ' s enthusiasm for truth or his compassion for human suffering, " Dr. Rose said. " A dedicated physician and a truly great teacher, we hope that The Center for Immunology will honor him. ' ' Th e 1936 Class R eun ion Party �Spring Clinical Days Dr. Rose proudly announced the University's commitment to The Center (in its establishment and in providing support) as well as Annual Participating Fund for MedicalEducation(APFME) support until a source for a permanent Ernest Witebsky endowment to cover teaching and research of immunology is established. He expressed the hope that all former students of Dr. Witebsky will recognize the contributions that this great man has made and will want to contribute to the Ernest Witebsky Endowment through the UB Foundation, Inc. "Only through support of alumni of this school,'' he concluded, ''will it be possible to continue and expand this work.'' In his report on the Laboratory for Environmental Physiology (PROJECT THEMIS), director Leon Farhi explained that all physiology department members interested in exposure to altitude, abnormal temperature environments of very hot or very cold temperatures, and high pressure work together and share their interests. In envisioning a working laboratory, it was decided that a centrifuge generating from one to seven G, a capsule weighing one ton that will hurl a subject around the room at 32 revolutions per minute, and a protective wall of solid concrete eight by te'n feet were necessary. But why not use the wall as a water wall, a swimming pool, asked the group who are also interested in submergence studies? Explained Dr. Farhi, the remainder of the project's development appeared so logical that "one needed only to sit back and watch it fall into' place.'' Its concentric arrangement permits unlimited swimming and running, thus offering an alternate use for the expensive equipment-the centrifuge which can be adjusted for either fast or slow speeds, and the monitoring system. From the observation window, itself a powerful tool, one can observe both swimming pool and about half of the entire area. Signals, originating from any of the experiments, are fed into the centrifuge and computer that feeds back signals to control the centrifuge. 18 THE BUFFALO PHYSICIAN �A high pressure chamber, capable of simulating pressures down to one mile (the bottom of the ocean) will have both wet and dry chambers. And as a safety device, escape will only be possible by using air at its top. With the building completed (with endowment funds from the Medical School) and all of the equipment on order, it is hoped that the laboratory will be fully operational by the fall, he explained. The Center for Alcoholism, a year old, is a coordinated effort between the New York State Department of Mental Hygiene and the University, director Cedric M. Smith explained. Its planning document called for an initial budget of six million plus a staff of 400. Envisioned as a research facility with perhaps some clinical facility assocated with it, major goals are improvement in care programs for the alcoholic, an understanding of alcohol action in the molecular sense, and development of more rational therapies. However, what has been accomplished to date, the chairman of pharmacology pointed out, is the hiring of one senior research scientist, one technician, and one secretary. While three other positions were approved and subsequently frozen, space has been approved for seven at the Meyer Hospital. Researchwise, Dr. Smith pointed to the findings that alcohol in low concentrations causes excitation of muscle spindles. ''This,'' he continued ''may supply some clue to the alcohol mechanism.'' He also pointed to animal models that they now have for alcohol problems and its syndrome. The Center for Mental Hygiene is now ready for occupancy, its director William Edgecomb informed the group. It will be headed by a psychiatrist, have an administrative backup staff, and clinical teams to service cachment areas that will be headed by advisory committees. How will it be funded? By federal, state, local and private monies to the tune of 21/z to 3 million dollars a year, Dr. Edgecomb reported. "We are now in the process of negotiating for a full range of services to children through the Psychiatric Clinic, Inc., and space has been set aside. As the Center (located adjacent to the Buffalo General Hospital) will only be able to supply inpatient care up to 90 days, a contract is being negotiated for long-term services that may be necessary with the Buffalo State Hospital. "A career development program?" someone asked. Yes, responded Dr. Edgecomb. The beginnings have been developed by the Erie County Mental Health Department for workers and technicians for without such a program there will be no community support for The Center.O The Regional Medical Program of Western New York received a $1,363,440 grant in April from the Health Services Mental Health Administration, Department of Health, Education and Welfare. Dr. John R. F. lngall, program director, said that of this grant $197,108 has been re-appropriated for the development of the Model Respiratory Unit at the Millard Fillmore Hospital. Overhead and indirect cost amount to $260,408, which leaves $905,924 available to operate all of the other aspects of the Western New York program for the next year.O FALL, 1971 19 Dr. Smith $1,363,440 Grant �The setting, for the 125th class day exercises for the School of Medicine, was impressive. There was the solemnity and awe of the main auditorium at Kleinhans Music Hall. There were the black-robed graduates filling the front rows, and the faculty, some of whom wore the newly-designed green and blue robes to commemorate the one and a quarter century anniversary of the University, seating themselves on the stage. There was the elan of the families who came to honor the Class of 1971. And there was also the informality that was "right" for the occasion. While many of the graduates' progeny contented themselves with suckling on their bottles of formula, others systematically traded seats across aisleways or set up a singsong of chatter to their peers in another section of the auditorium. To his 109 classmates - who are now physicians and therefore leaders in the community, there was ·a charge by class president Charles A. Stuart to ''be an active leader'' for ''it is our responsibility to become involved in those things that affect the quality of life." To two very special men, there was special mention by David A. Bloom, class of 1971 (Dr. Oliver P. Jones and Dr. Samuel Sanes are retiring this year after distinguished careers in medicine.) And in his introduction of the MEDENTIAN dedicatee, Dr. Mohamed Megahed, the " gentlemen and scholar who, to us (the graduating class) exemplifies the best in medicine. There were fond remembrances for this man ''we have known since our freshman year when he first helped us with the mysteries of the neuralanatomy exams.' '0 20 Senior Day Rich ard Manch , Dr. R obert Brow n THE BUFFALO PHYSICIAN �20 Medical Students Honored Twenty senior medical students shared 17 awards at the senior class day convocation May 27 at Kleinhans Music Hall. Three received three honors each. They are Neil N. Senzer-Alpha Omega Alpha, Thesis Honors, Bernhardt and Sophie B. Gottlieb Award for combination of learning, living and service; Francis J. TwarogAlpha Omega Alpha, Baccelli Research Award, and Gilbert M. Beck Memorial Prize in Psychiatry; and Ilja J. Weinrieb-Alpha Omega Alpha, Philip P. Sang Memorial Award for efficiency in practice of medicine, dedication to human values, Maimonides Medical Society Award for application of basic science principles to the practice of medicine. Dean Pesch , Michael Arcuri Other award winners: UPJOHN AWARD for advancement in medical studies-David A. Bloom; BUFFALO SURGICAL SOCIETY PRIZE IN SURGERY for academic excellence in junior, senior years-Charles F. Yeagle, III; E. J. MEYER MEMORIAL HOSPITAL PRIZE IN OPHTHALMOLOGY for academic excellence-Barry G. Brotman; DR. HEINRICH LEONHARDT PRIZE IN SURGERY for academic excellence-Terence M. Clark; DAVID K. MILLER PRIZE IN MEDICINE for demonstration of Dr. Miller's approach to caring for the sick-competence, humility, humanity-Michael A. Arcuri; HANS J. LOWENSTEIN AWARD IN OBSTETRICS for academic excellence-John M. Antkowiak; LANGE AWARD for excellence in work-Merrill L. Miller and Askold D. Mosijczuk; MARK A. PETRINO AWARD for sincere interest, best characteristics for general practice of medicine-John J. Zygmunt; LIEBERMAN AWARD for interest, aptitude in the study of anesthesiology-Joel H. Paull; EMILIE DAVIS RODENBERG MEMORIAL FUND for academic excellence in study of diabetes, its complications-Richard L. Munk; ALPHA OMEGA ALPHA NATIONAL HONORARY SOCIETY: Michael A. Arcuri, Jerald A. Bovino, Terence M. Clark, Robert B. Kaufman, Thomas K. Mayeda, and Richard S. Rowley. FALL, 1971 21 Dean Pesch congratulates Merrill Miller �Dr. Megaheds Response to the Seniors Who Honored Him On May 27 at the 125th Class Day Ceremonies of the School of M edicine, the M edentian dedicatee, Dr. M.S. M egahed, spoke to the graduating class of 1971. Dr. M egahed is a clinical assistant professor of anatomy and neurology at the university. "Mr. Chairman, My Friends, Ladies and Gentlemen . . . Permit me to congratulate you from the depth of my heart. Permit me to return my gratitude for the honor done me which I scarcely deserve the credit for. By you, the graduating class of 1971 in your generous and gracious citation. Employing the same words my sincere respect to you for you have been openly thoughtful and most of all consistently helpful. I sincerely wish I could say a few words and then take each by the hand. If I could do so I would first thank you individually for your confidence and trust. Today you deserve to experience this glorious feeling of satisfaction that comes from reaching an important milestone. You have worked very hard. You and your families have made sacrifices; to cover the vast field of medicine in four years is an impossible task. The education of most people ends upon graduation; but yours means a lifetime of continuous education. That education which should follow your degree is, after all, the most important part of your career. Provided you do that, I am afraid your famous diagnosis just a week ago when you were only students of "God Only Knows" will always be at the top of your list. Our job as your teachers was not to supply information. It was to raise in you a certain sense of thirst and we hope we have succeeded. I am proud to admit that I learned and will learn a lot from you. Was it not Charles W. Eliot, the famous president of Harvard, who was asked by one of his students: "Mr. President, since you became president, ·Harvard has become a storehouse of knowledge? 'That is true my son', laughed Eliot. 'But I scarcely deserve the credit for that. It is simply that you as a freshman bring so much and as a senior will take away so little. ' '' My friends, you have great responsibilities upon your young shoulders. To you has been intrusted the almost divine art of healing. Please be constantly alert that those who are depending upon you may not be betrayed. My friends, some of you expressed fear to me. To those I would say do not be afraid of tomorrow for you have seen yesterday and you love today. Speaking of fear, as a teacher, I may fear the chairman, who may fear the dean, who may fear the president, who is afraid of the tax-paying parents, who are afraid of their children, the students-who of course fear no one! On a great occasion as today, I am supposed to give some advice and it will be few! . . . Remember that the specialty of medicine is like rowing upstream, not to advance is to drop back . . . . Remember to be responsible in your work but forget not, some people grow under responsibility, others only swell. . . . Remember to remain sincere to your profession, your school, to your patients and above all to yours elves. You will always reach greater h eight if you have more depth . . . . And please remember all of us. Incidentally now that you are graduating, I have a confession. Half of all that I have taught you is wrong. But the trouble is that I don't know which half!! 22 THE BUFFALO PHYSICIAN �John Wendell, Drs. Brow n, Pesch , hood a student. Medicine is a challenge to you because it changes every hour of every day. So do not, do not accept what we have taught you as final and conclusive. Please keep an open eye, open mind, and above all an open heart. Now, let us all share together a great prayer by a great physician . . . Moses Ben Maimon(Maimonides) (1135-1204). Thou has endowed man with wisdom to relieve the suffering of his brother, to recognize his disorders, to extract the healing substances, to discover their powers and prepare and to apply them to suit every ill. Imbue my soul with gentleness and calmness when older colleagues, proud of their age, wish to displace me or to scorn me or disdainfully to teach me, for they know many things of which I am ignorant. Grant me an opportunity to improve and extend my training, since there is no limit to knowledge. Help me to correct and supplement my educational defects as the scope of science and its horizon widen day by day . Give me the courage to realize my daily mistakes so that tomorrow I shall be able to see and understand in a better light what I could not comprehend in the dim light of yesterday. Bless me with a spirit of devotion and self sacrifice so that I can treat and heal thy suffering servants and prevent disease and preserve health to the best of my ability and knowledge. Let me see in the sufferer the man alone. Grant that my patients have confidence in me and my art and follow my directions and counsel. Grant me neither greed for gain nor thirst for fame nor ambition in vain. For these are enemies of truth and love of men. Give me the energy to sustain and help the rich and poor, the good and bad, the enemy and friend. Thank you. " 0 FALL, 1971 23 �GI Diseases Self Education There is a new approach to the study of gastrointestinal diseases at the E.J. Meyer Memorial Hospital. It is through self education, a process that must continue throughout the life-span of a physician. And simplicity is what the GI unit's clinical head, Dr. Leonard Katz, hopes each student and house staffer will find as he uses audio/ visual technology to study GI problems. They will have access to a library of films, X-rays , photomicrographs, and taped lectures (in the new suite of conference room and offices), to a teaching collection of pathology slides painstakingly assembled by Dr. Michael Gagliardi, a clinical fellow, and to individual folders of medical articles on each disease state. If a student misses a lecture he need only plug a tape into a cassette at his convenience or replay portions that remain unclear while he scans the synchronized audio/ visual material that accompanies the tape. Teaching remains a full-time job for Dr. Katz who stresses the clinical aspects of GI diseases to medical students, interns, and residents who rotate through the service. For the hospital serves the community and the training of future physicians is imperative. There are weekly outpatient clinics that remain the referral and consultation center for the hospital and where the number of 20 to 25 patients per session reflects the steady increase. At the weekly conferences the medical! surgical relationship in the GI unit is obvious as medical and surgical staff present their views at each case presentation. There are also the inpatient facilities in the second new GI suite where diagnostic procedures are performed. As hospital physicians become more familiar with gastroscopy and esophascopy motility procedures, they are more frequently utilized in the hospital. But diagnostic studies for both GI and liver disease in the interdisciplinary diagnostic laboratory continue to be the prime function of the GI unit. It was Dr. Katz's principal task when he arrived in Buffalo two years ago to firmly establish a hospitalbased patient center which represented a shift away from the former orientation of private practitioner's office. Technological advances in diagnostic procedures have changed the role of surgery for a patient with GI problems. The fibre gastroscope and camera permits a wider view of the patient's stomach and photos that provide a permanent patient record. Through a gastric analysis (one of the major functions in diagnostic studies of GI problems) and a direct look into the stomach with the gastroscope, the physician can more accurately determine whether there is a simple peptic ulcer or malignancy involved. But there are also pancreatic function studies as well as instruments that make their way up into the colon, thus reducing the need for diagnostic surgery. Research, both clinical and basic, continues in the GI unit. While Dr. Gerard Burns, assistant professor of surgery, looks at the various aspects of surgical GI physiology, his three research fellows explore different subjects in their animal experiments. For Dr. D. Alan Aubrey it is the effects of various agents on the gastric mucosa of the dog, measuring these effects 24 THE BUFFALO PHYSICIAN �Dr. Katz goes over biopsy slides with medical student. Self edu cation is n ew approach to GI diseases. - Dr . Donald Miller , clinical fellow, checks progress of gastroanalysis procedure on a patient in the inpatient diagnostic suite with Dr. Katz. Drs. Katz and Gagliardi check readout from multichannel record er us eful for disorders of swallowing as Donald Watson, form er m edical corpsman, GI patient and licensed nurse, ch eck equipment. At weekly co nference where both m edical and surgical p ersonnel exchange information. �, Dr. Burns explains to Drs. Arthur Siegel and Shirish N. Shah that almost every disease problem has a surgical relationship. and examining ways in which they may be altered. He has shown that antihistamines can be used to minimize injurious effects of certain agents on the stomach. For Dr. Y. Tokura it is the surgical side that is of interest. In circulation of the GI tract he has shown that bilateral sympathectomy has a transitory effect in reducing GI blood flow. He is also studying effects of arterial obstruction in splanchnic circulation to determine how it can produce changes in parts of the GI tract due to either ischemia or to hyperemia that occurs through collateral circulation. Carrying out studies on experimental cirrhosis of the liver is Dr. Wilhelm Kreuzer. What changes it produces in hepatic circulation is what this surgeon, who has done considerable work on the use of the splanchnic artery as a method of implanting a new arterial blood supply to the liver, wants to find out. Adding his unique combination of clinical and research expertise to the GI unit is Dr. Martin Plaut. He is responsible for the overall medical research program and will continue his work on the major structure of lgM immunoglobulin that was initiated under Dr. Thomas Tomasi. He also looks forward to more studies on the biological function of the GI tract's immune system. For while there is treatment for many GI ailments their mechanisms are yet unknown. In the intestinal tract, a hostile environment, everything is breaking down, he said. "The intestinal fluid breaks down the intestinal globulin at such a rapid rate that it is difficult to pinpoint exactly what is happening.'' While serving in Thailand for two years, Dr. Plaut found a number of forms of GI function. If you biopsy the intestine in a patient with diarrhia or tropical sprue, you will find these abnormalities duplicated in the entire population. He also started to work on the structure of the lgM macroglobulin and to study proteins applicable to the GI tract. ''From the clinical problems in the community to the special diagnostic problems of the patient in the hospital, from the training of skills in this area as well as investigations to explain the scope from clinical to very basic research, it is in the coordination of efforts in GI disease that we are concentrating,'' summed up Dr. Katz. D 26 THE BUFFALO PHYSICIAN �Medentian Honors Two Professors Two friends as well as teachers have been cited in the MEDENTIAN student yearbook for the Schools of Medicine and Dentistry. To Dr. Mohamed S. Megahed, assistant clinical professor of neurology and anatomy, whom the class of 1971 first met in their freshman year during neuroanatomy, additional contact for several in his neurology elective during the sophomore year, and a re-aquaintance for the entire class during their various rotations in the junior and senior years at the Meyer Hospital, "best wishes for health, happiness and continued knowledge.'' For Dr. Megahed, who more than anyone else they have met, "has been openly thoughtful, consistently helpful, and has always treated us with sincere respect." Born and educated in Egypt, Dr. Megahed graduated from the Cairo Medical School and served six years as physician to the Royal Palace of Saudi Arabia. Before coming to the United States in 1964 he continued his neurology training in London, England. Some of his recent work includes research on cerebral schistosomiasis, vertigo, and vertebral basilar insufficiency. To Dr. William D. Ziter, associate professor of oral surgery, "the dedication of our yearbook . . . is a genuine expression of gratitude. . .for being our teacher, preceptor, counselor, colleague, and friend. Paramount in his teaching are fairness, encouragement to the less gifted, challenge to the more accomplished, dedication . . . respect for fellow men be they colleagues or patients, and a marvelous zeal with which he performs his labor of love-educating." Dr. Ziter is a Tufts University graduate. There were also special appreciations for two faculty members who will retire this year-Dr. Oliver P. Jones who is retiring as chairman of the department of anatomy but willretain his professorship, and Dr. Samuel Sanes, professor of pathology. For Dr. Jones there were thanks "from your first 34 years of medical and dental students." For Dr. Sanes there was praise for his years of dedicated service as both professor and friend to the medical and dental community from the students who enjoyed his "superb teaching, his wisdom, and his wit."D Six continuing medical education conferences have been scheduled during September, October and November at the Medical School. The 6th annual Buffalo Environmental Pulmonary Disease Conference will be Sept. 22-24 . There will be three conferences in October- Obstetrics and Gynecology for the Family Physician, Oct. 5 and 6, and the 51st annual Program on Trends in Internal Medicine, Oct . 6-8. On Nov. 4 and 5, there will be a conference on Comprehensive Health Care for the Aging. Two other conferences have been scheduled before the Christmas holidays, but dates have not been set. They are: Modern Concepts in Coronary Care, and Contemporary Psychopharmacology for Psychiatrists .0 FALL, 1971 27 Dr. Ziter Dr. Megahed Continuing Medical Education �Dr. Harold Brody, professor of anatomy, talks to a future student. Dr. Leo n E . Farhi, professor of physiology, shows off his new Laboratory for Environmental Physiology. Open House The Medical School, along with other schools and departments of the University, hosted an estimated 19,000 people at the first open house ever held by the 125-year-old institution. :All types were in attendance (May 2) - grandmothers, entire families with children, high school students, long-hairs, professional men and women, alumni and people who had never set foot on the campus before. They viewed approximately 100 educational exhibits, met the president, and visited with faculty and students. Others ate hot dogs, attended lectures and musical performances. The open house idea was conceived and outlined by Mr. Theodore V. Palermo, director of University Publications, a member of the 125th Anniversary Policy Committee.D 28 THE BUFFALO PHYSICIAN �The Center for Immunology History The Center for Immunology was established at the State University of New York at Buffalo three years ago as an integral part of the School of Medicine and the Health Sciences Center. It is an expression of the University's commitment to a science that continued to expand until it grew beyond the boundaries of a single department. As an interdisciplinary science, immunology attracts research specialists in chemistry, biology, medicine, pathology, surgery, forensic medicine, biochemistry and other disciciplines. But this very interdependence proves to be its strength as well as a handicap to future growth. While fields such as biochemistry and surgery are recognized as departments within a university, immunologists are scattered among several departments. The creation of The Center assured the coordination and extension of a wide scope of immunological research and teaching in Buffalo. To head the newly created Center in December, 1967, Dr. Ernest Witebsky, Distinguished Professor and past chairman of the Department of Bacteriology and Immunology, was selected. The Center was inaugurated as part of an international conference on immunology held in Buffalo in June, 1968. At the ceremonies in the Statler Hilton, Dr. Witebsky was honored for nearly 50 years of commitment to the development of immunology in all its facets. This internationally renowned investigator who had made so many contributions to medical education in Buffalo had also participated in most of the important immunological advances of the past hatf century. His contributions have greatly expanded basic knowledge in the areas of blood groupings, transfusion and transplantation, and immunological disease. �Research It seemed a natural evolution that Buffalo was selected as the site for such a center. It represented one of the few institutions in the world to include the five most important fields of immunology as it applies to human health and disease: Microbial immunology, the investigation of resistance against infections such as pneumonia, whooping cough, influenza, pol iomyel it is Immunogenetics, the study of inheritance of factors responsible for differentiating man by blood and tissue groups that are so important to the success of transfusion and transplantation Immunopathology, disorders of the immune system such as allergy (asthma, hay fever, and severe drug reactions) and autoimmune disease (disorders caused by immunological responses to the body's own tissue) Immunological analysis of tissues to pinpoint the biological components that are responsible for the amazing cell differences found in both normal tissues and cancer lmmunodiagnosis, the application of immunological procedures to the detection of disease states At the Children's Hospital there were investigations in bacterial and viral immunity. Studies on allergy and immunological disorders were underway within the University's department of medicine and at the Buffalo Genera I and E. J. Meyer Memorial Hospitals. At Roswell Park Memorial Institute there were programs in the immunochemistry and immunogenetics of cancer. Over the past two decades severa·l major immunological laboratories developed in Buffalo. Dr. Witebsky's own studies were carried out at the Buffalo General Hospital Today not only. does The Center foster and the State University at Buffalo's deimmunological research within other Uni- . partment of bacteriology and immunology. versity departments, but its permanent staff of investigators, visiting scientists, and postdoctoral fellows pursue research into the fundamental character of the immunological response. Extensive collaboration within the Health Sciences ·Center, affiliated hospitals, and many national and international institutions is also underway. �\ I Immunology �Immunology The present director of The Center is Dr. Noel R. Rose, professor of microbiology. The resident staff consists of Drs. Pierluigi E. Bigazzi, Bruce S. Rabin and Richard H. Zeschke. Guiding The Center is an advisory committee, appointed annually by the vice president for Health Sciences and a scientific board selected by The Center director and his advisory committee. The advisory committee regularly reviews The Center's scientific programs and plans long-range activities. Advisory Committee E. Calkins, M.D. ]. T. Danielli, Ph.D. R. T. McCluskey, M.D., chairman F. Milgram, M.D. L. Pesch, M.D., ex officio C. L. Randall, M.D., ex officio �Training Graduate and Professional Summer School The Center serves as a focus for both teaching and training. Outstanding immunologists in the community staff The Center and assure a greatly strengthened teaching program in immunology to students in the health professions. Graduate students are assigned to The Center for experimentation leading to their theses. Several formal courses in immunology provided by Center members and sponsored by the Department of Microbiology are Principles of Immunology, Immunogenetics, Immunochemistry, and a seminar series in Clinical Immunology. A three-week Summer School exposes a limited registration of national and foreign medical and science graduates to the current methods of immunological research and diagnosis. While research workers from other fields acquire skill in conducting immunologic experiments, practicing physicians gain a basic understanding of immunologic problems to apply to specific medical problems. Postdoctoral Postdoctoral training is another main objective of The Center that is in a unique position of providing broad experience because of its many-faceted approach to immunology. In addition to American and Canadian physicians and scientists, visitors from Austria, Italy, Denmark, Sweden, Israel and Rumania have recently participated in our training program that may cover one to three years. While they perform their research there is ample opportunity to learn general and applied immunology. Meetings There are monthly meetings sponsored by The Center where senior immunologists in the community discuss current research topics and become better acquainted. International meetings on the various aspects of immunology are also the responsibility of The Center. Two have been held (June 1968, 1970). At each meeting, over 450 scientists from across the United States and many foreign countries came to learn and to exchange views on the immune response . The published proceedings are widely used as reference books. In connection with The Center, the World Health Organization has established in Buffalo a regional reference center for the Americas. It aids in the research , teaching, and clinical service of the expanding field of the study of autoimmune disorders. Scientific Board State University of New York at Buffalo G. Andres, M.D. Pathology C. Arbesman, M.D. A . L. Barron, Ph.D. E. H. Beutner, Ph .D . G. Cudkowicz, M .D. S. A. Elliso n, D.D.S., Ph .D. J. H. Kite, Jr., Ph.D. , Secretary R. T. McCluskey, M .D. F. Milgram, M .D. J. F. Mohn, M .D. E. Neter, M.D. N. R. Rose, M.D., Ph.D., Di rector T. B. To masi, Jr., M .D., Ph .D. Medicine Microbiology Microbi ology Pathology Oral Bi o logy Microbio logy Pathology Microbi o logy Microbi ology Pediatrics Microbi o logy M edicine Roswell Park Memorial Institute H. Cox, Sc.D. T. S. Hauschka, Ph.D. D. Pressman, Ph.D. Viral Oncology Biology Biochemical Research �Dean Perry, Mark K ester, pharmacy student, Gen e Bunn ell , Mr . Lee Verrn eulin, a pharmacist at Newfa ne Intercommunity Hospital. Rural Health Care Twenty-two health sciences students, representing the Schools of Dentistry, Health Related Professions, Medicine, Nursing, and Pharmacy, are participating in a rural health care ''Externship" program sponsored by the Regional Medical Program for Western New York. Nineteen of the participating students are from the University. The special eight-week preceptorship started June 21 in Allegany, Cattaraugus , Chautauqua, and Niagara Counties. A.s sisting in sponsoring the 1971 Rural Externship Program are the Health Organization of Western New York, Inc . [advisory body to the Regional Medical Program) and the five Health Sciences Schools. ''The 1971 Rural Externship Program is exploring new ways of solving the health care manpower shortage in the rural areas of Western New York. We want the students to experience firsthand the need for health care in these rural areas and encourage health sciences students to pursue careers in these rural communities," Dr. J. Warren Perry commented. Dr. Perry, Dean of the School of Health Related Professions at th_e University , has acted during the year as Chairman of the RMP Rural Health Manpower Committee, which worked to plan and organize the Rural Externship Program. Dr. Perry is also co-director for the program, along with Gene A. Bunnell, Associate for Planning, Regional Medical Program for Western New York. A student coordinator is working with students and professionals in the field. All participating students receive a $100 per week stipend. The program is being funded by the Regional Medical Program for Western New York, and by local contributions from hospitals, physicians, and counties throughout the region. In the summer of 1970 the Student American Medical Association, under contract with the Appalachian Regional Commission, developed a nine-week program for medical, dental and nursing students. The Regional Medical Program for Western New York assisted in placing the students with preceptors in Allegany, Cattaraugus and Chautauqua counties. Five University of Buffalo health sciences students who have been involved in the year-long planning of the 1971 summer program are: David Breen, medicine; Carol Herzlinger, dentistry; Michael Kellick, pharmacy; Patricia Abbott, nursing; and Allan Trumball, health related professions. These students helped to organize and recruit externs for the summer project within their respective schools and professions. The students are assigned to a preceptor-either a physician, nurse, dentist, pharmacist, or allied health professional-in the rural area who will be responsible for the general professional supervision of the student. Mr. David Breen, President of the Student American Medical Association at the SUNYAB School of Medicine, is Student Coordinator for the project. The students are expected to keep a recorded diary of their experiences, and to develop a profile of health care in their respective communities based on their interactions with patients, local health professionals, and other externs. 34 THE BUFFALO PHYSICIAN �The 22 health sciences students and their host preceptors are: Newfane, N.Y.-Dr. C. Dy; Dr. John Argue, M'35; Mr. Lee Vermeulin, pharmacist; (Newfane Inter-Community Hospital) preceptors. Students-Robert Woolhandler, medicine; Steve Morris, medicine; Mark Kestor, pharmacy. Lockport, N.Y.-Dr. Leonard Evander (Mount-View Hospital), preceptor. Students-James Kennett, physical therapy; Robin Eisen, physical therapy. Warsaw, N.Y.-Dr. James MacCallum, M'37 (Wyoming County Hospital, preceptor. Student-Lawrence Bone, medicine. Jamestown, N.Y.-Dr. H. Gregory Thorsell, M'57; Mr. George Lawn, D.M., physical therapist; (W.C.A. Hospital) preceptors. Students-Barry Kilbourne, medicine; Paul Gustafson, medicine; Bruce Middendorf, medicine; Allan Trumbull, physical therapy. Westfield, N.Y.; Dunkirk, N.Y.; Fredonia, N.Y.-Dr. Robert F. Horsch; Dr. William Kunz, M'53; preceptors. Students-David Johnson, medicine; Elizabeth Adams (George Washington University Medical School); Ronald Goldstein (SUNY-Downstate Medical School). Westfield, N.Y.; Fredonia, N.Y.; Ellicottville, N.Y.-Louis Habig, D.D.S.; John Ingaham, D.D.S.; William Northrup, D.D.S.; preceptors. Student-William Tufa, dental. Portville, N.Y.-Dr. Duncan Wormer, M'20, preceptor. StudentTed Miller (Temple University School of Medicine). Wellsville, N.Y.-Mr. Thomas Wick, Physical Therapist (Jones Memorial Hospital), preceptor. Students-Dale McCloskey, physical therapy; Helene Raichilson, occupational therapy. Salamanca, N.Y.-Dr. Ruth Knoblock (Salamanca District Hospital), preceptor. Students-Elaine Wilt, medicine; Mark Bernstein, medicine. Silver Creek, N.Y.; Lockport, N.Y.-Migrant Health Project. Externs-Pat Abbott, R.N.; Wilma Lavelle, R.N.; Mary Louise Frey, R.N.O Cooperation Among Health Professionals Although space and manpower shortages are problems, the key question facing health professionals "is how to get them to appreciate each other better and work together." Testifying before a House Veterans Affairs Subcommittee in May, Dean J. Warren Perry of the School of Health Related Professions said: "Health care in this country will never be a workable system until all the health professionals are recognized for what each can contribute.'' Asked how to end the ''fighting which has continually been taking place'' and overcome problems of vested interests among segments of the medical community, Dean Perry replied: "It starts with education and respect for each other. "0 FALL, 1971 35 David Breen �T wo gen eration s of teach ers exchange ideas with sophom ore m edical stud ent Na n cy V. Lieberman . Dr. S amuel Sanes (middle) w h ose interest in path ology was spurred by Dr. K ornel Terplan (right). I A Devotion to the Art of Medicine IT WAS HIS LAST TASK AS a medical teacher and the end of his 40-year career with medical students. He wondered whether he was not presumptuous to bring in the ' 'art of medicine'' to this, his last basic pathology class . But for Dr. Samuel Sanes, who has served as pathologist in many area hospitals and laboratories, has held important offices in local, state, and national professional societies of which he has been a member, who has been cited. for enumerable community activities, what would prove more fitting? To the sophomore medical class he related his experiences that "one never gets from textbooks or, for that matter, lectures." From the critical examination to the diagnosis, he reiterated the need for a blending of the scientific along with the personal, the human in the physician/ patient relationship. Dr. Sanes was born in Rochester and received most of his medical training in Buffalo, from the medical degree cum laude in 1930 from this University through the internship and pathology residency at the Buffalo General Hospital. A course in pathology technic at Mt. Sinai Hospital preceded his appointment to the UB staff as associate in pathology in 1936, a promotion two years later to assistant professor, to associate professor in 36 THE BUFFALO PHYSICIAN �1940, and to full professor in 1963. In between he headed the department of legal medicine for a dozen years (1954-66) and was acting head of pathology for a year in 1960. Along with his hospital staff appointments to the Buffalo General, Children's, Buffalo Emergency, E.J. Meyer Memorial, and Niagara Falls Memorial Hospitals, there were appointments as pathologist to the Erie County Laboratory and from 1946 to 1961 to the Erie County Medical Examiners Office as well as consultantships from 1946 on at the DeGraff Memorial, Millard Fillmore, Dunkirk's Brooks Memorial, Meyer, and the VA Hospitals in Batavia and Buffalo. The advisor to Student American Medical Association UB chapter (1962) has been active in medical school administration, serving on its executive, curriculum, hospital liaison, admissions and postgraduate education committees. The Medentian, medical-dental yearbook, was dedicated to Dr. Sanes in 1963. He was awarded a plaque by the 1967 graduating class, and in 1963 the first Dean's Award for contributions to teaching. The list of memberships in which he has held office or in which he has been a member only are too numerous to cite. But among the presidencies that the 65-year old pathologist has held are the New York State Association of Public Health Laboratories (1954), the New York State Society of Pathologists (1958-60), Medico-Legal Forum of Erie County (1948-56), WNY Society of Pathologists (1965), Medical Union (1954), New York State Section, National Jewish Welfare Board, Jewish Center of Buffalo, Past Presidents Assn. of Erie County Medical Society (1964), Erie County Unit of American Cancer Society (1948-50, again in 1960-62 and of which he was a founder) as well as its New York State Division (1966-67). They awarded top TV honors to "Progress Against Cancer", a program coordinated and written by Dr. Sanes in 1968. He also earned the ACS national division award for outstanding service in 1969. His concern for the art of medicine led to his duties as coordinator of over 52 programs in UB's Modern Medicine TV series (1953-57), as moderator of the Medical Round Table Series (the 50's to 1970), as organizer of a cancer detection center at the Meyer Hospital as well as a central cytologic laboratory in Buffalo. To his accolades he has added the 1953 Buffalo Evening News Citizen of the Year Award, the 1963 Chairmanship of the Council of Social Agencies' Better Health Week. The national award for the best TV program in anesthesiology by the American Society of Anesthesiologists was awarded to ''Anesthesia for Major Surgery", coordinated and written by Dr. Sanes in 1970. His activity in the New York Medical Society has encompassed service on its House of Delegates, Cancer Control and joint committee with the NYS Bar Association. He has also chaired its sections on pathology and legal medicine. His last lecture ended in the manner in which his 40 years of teaching had begun . There was a tribute to medical students who "kept me young in spirit and up-to-date in knowledge and outlook.' '0 FALL, 1971 37 �Mr. Tutuska, Mr. Wettlaufer, President K etter, Mr. Dunn Plaque Unveiled at 125th Anniversary A HISTORICAL PLAQUE was unveiled at the site where the first Medical School building was erected in 1849. The marker is hanging on the wall of the Catholic Union Store on the southwest corner of the intersection of Main and Virginia Streets. The ceremony was one of the highlights of the 125th anniversary celebration on Founders Day, May 11. Mr. Walter S. Dunn, Jr., director, Buffalo and Erie County Historical Society, presided at the ceremony. There were brief remarks by Mr. Crawford Wettlaufer, president, Buffalo and Erie County Historical Society; University President Robert L. Ketter; and Mr. B. John Tutuska, Erie County Executive. Following the ceremony Dean LeRoy A. Pesch hosted a luncheon at the Buffalo Club for participants, faculty and civic leaders. Mr. Wettlaufer said, · "On behalf of the Buffalo and Erie County Historical Society I am pleased to participate in this morning's ceremony. This historic marker commemorates the 125th anniversary of the founding of the Medical department of the University of Buffalo. The University, which we now know as the State University of New York at Buffalo, has made immeasurable contributions to the life of this community. It is also happy timing on the part of its founders that the University's 125th anniversary takes place during the 150th anniversary year of Erie County. The ties between the Historical Society and the University are strong. We have common beginnings-in that period of cultural awakening that arrived for the citizens of Buffalo in the late 19th century. Millard Fillmore, one of the founders and first Chancellor of the University in 1846, was one of the founders and first President of the Historical Society in 1862. He believed that both of our institutions should be 'eminently useful' to the community. Over the years we have worked together on many projects and for many groups within the community. We look forward to continuing this cooperation.'' 38 THE BUFFALO PHYSICIAN �.. President Ketter said, "In 1849, at the dedication of the building which this plaque commemorates, Millard Fillmore, first Chancellor of the University, recalled that the charter had called for the creation of divisions of law, theology, and liberal arts, as well as medicine. He could point to the $15,000 structure which stood here-a 'very fine' building according to a local newspaper-and he was able to refer to the 'noble and persevering effort' of the medical faculty. But where was the faculty 'for the department of law?' he asked . Where were the professors of divinity? Where were the academic branches? All else is vacant, he said. The success of the moment did not satisfy him; he continued to dream. 'Today, that dream shared by Fillmore and the community has evolved into a creation greater than the expectations of even the most far-sighted of those persons who gathered here one hundred and twenty-two years ago. Now we are building a new $650 million 'second campus'; and many of the disciplines which are a part of the University were unknown in Fillmore's time. But I believe we must realize-just as Fillmore realized-that an enterprise as great as this University is the continuing dream of many persons. The present is a dream from the past, the future a dream from the present. 'No man ever accomplished much that did not aim at a great deal,' said Fillmore. 'Decision and activity work wonders. They rule the world, while hesitation and doubt deter from every noble enterprise.' ''Therefore, we must dare to dream greatly in the tradition of those persons who could see a University beyond this single structure. We must dedicate ourselves to acting upon those dreams. And we must never be satisfied .'' Mr. Tutuska said, "I am pleased to participate in the formal unveiling of this historical marker-commemorating the 125th Anniversary of the Founding of the Medical Department-of the State University of New York-at Buffalo. As County Executive-and as one who has long admired its excellent quality of education provided in all fields of learning-and in the medical profession particularly-! am especially gratified this morning because this significant event coincides with Erie County's sesquicentennial observance-giving the county and the medical schoola mutual birthday. Observance of anniversaries by institutions -corporations-and communities are important happenings. These traditional customs are invaluable because they afford us an opportunity to look back on our accomplishments-and appraise what the future may have in store for us. Judging from what the medical department at the University of Buffalo has done for the community-and the medical profession-in the past 125 years-there is every indication that it will continue-and undoubtedly-even enhance its enviable position as one of the greatest teaching facilities in the nation-as it goes on to additional anniversaries in the future . I congratulate the faculty-and staff at the medical school-and like the rest of the community-! look forward to seeing it play an increasingly-and important role in Erie County's continued growth-and in educating our future doctors and physicians.'' 0 FALL, 1971 39 Dean Pesch , Mrs. K etter �A new h obby for Dr. ]ones and his grandson. Dr. 0. P. Jones Retires as Cha:irman of Anatomy A LEGENDARY FIGURE at the Medical School has retired as chairman of the department of anatomy. Dr. Oliver P. Jones, M'56, who has held this position for 28 years will remain as professor of anatomy and devote his time to research, historical duties for the International Society of Hematology, and prepare a booklength article on a medical student's experiences in 1848. The 55-year old alum, whowasborninWest Chester, Pennsylvania, received a Ph.D. degree from the University of Minnesota in 19,35 and remained there as instructor in anatomy for two years. He came to Buffalo in 1937 as assistant professor of anatomy, was promoted to full professor and head of the department in 1943 and also served as chairman of the admissions committee for 12 years. Three years later, in ].946, he was named assistant dean of the Medical School, a position he held for eight years. In 1954 he resigned the latter to return to school and work toward a medical degree, which he earned in 1956. An international authority in the field of hematology, Dr. Jones was appointed a Buswell Research Fellow in 1957. Among his numerous memberships are the National Society for Medical Research (director 1956-61), American Society of Hematology (Advisory Council 1952-67), International Society of Hematology (he has held numerous offices and served as historian since 1962), president of the Western New York Section, Society of Experi- THE BUFFALO PHYSICIAN �mental Biology and Medicine (1951-52), and corresponding member of Swiss, Italian, and European Societies of Hematology. A worldwide traveler, there remain few countries where he has not lectured or visited. A key Capen Hall planner, Dr. Jones at one time served on 13 University committees. He has authored over 88 publications, served on editorial boards of major journals, and as the 1964 recipient of the Dean's Award was cited for "outstanding service and distinguished accomplishments in medical teaching,'' and named honorary medical staff member of Sisters of Charity Hospital in 1964 ''in recognition of his service to medicine in our community.'' He has also served as visiting professor at Baylor University and the National University (Mexico), was named distinguished lecturer in 1964 of Tulane School of Medicine and an lionorary member of the honorary dental society Omicron Kappa Upsilon. In 1954 the medical/dental student yearbook Medentian was dedicated to Dr. Jones. "truly a distinctive individual who does not conform to any stereotype of an anatomy professor. An internationally known hematologist, his offhand midwestern humor counterpoints his direct and factual lecturing. Fairminded, perspicacious, and conscientious, Dr. Jones earned our respect and admiration. We shall always remember our vivid first encounter with him, as he personally summoned us to the admissions interview. Later, indelibly impressed in our memories were his revealing recitation sessions and his instructive but exhausting practical exams, sometimes leaving us chagrined at his perfecting our dissections. His individual conferences with us at the end of our anatomy course revealed his native warmth as man and teacher. It is with sincere affection and regard that we of the Medical Class of 1954 dedicate our yearbook to him.'' The executive committee of the Medical School, in 1954, passed a resolution honoring Dr. Jones which read: ''Resolved that the Executive Committee on behalf of the Faculty of the School of Medicine go on record as expressing its sincere appreciation to Dr. O.P. Jones for the outstanding work he has done as Chairman of the Admissions Committee for the past 12 years and as Assistant Dean up to the time that the School was established in Capen Hall. He has given extensively of his time, effort and personal devotion to the headship of this Committee. Under his leadership the Committee has established an enviable record for objectivity and fairness in dealing with the complicated questions inherent in its activity. As Assistant Dean he bore the major responsibility for planning and construction of Capen Hall. The Executive Committee hereby expresses its thanks and directs that this resolution be spread on the minutes and a copy be sent to Dr. Jones. "0 FALL, 1971 41 Dr. ]ones was named "distinguished professor'' by the Board of Trustees, State University of New York in]uly. The honor conveys special recognition to faculty members who have established outstanding reputations in their chosen fields. �Dr. Carl Arbesman A 60th Birthday How does one honor a man who has founded and continues to direct one of the nation's outstanding allergy clinical-research training programs that is completely funded through Nlli grants? As a testament to Dr. Carl Arbesman's 34 years of professional integrity as a clinician, his contributions of over 270 publications to research, and his dedicated teaching of medical students and physicians, it was a 60th birthday party at the Montefiore Club by his colleagues, friends and students. A second volume covering his second quarter century of research publications was presented to him. Dr. Arbesman decided to devote his life to the study of allergy when, as a child he suffered from severe eczema and bronchial asthma. In 1935 he earned his medical degree from the University of Buffalo. Following an internship and residency at the Buffalo General and Children's Hospitals in Buffalo, there was a two-year stint as a research fellow in allergy at Johns Hopkins University. It was there that he did pioneering work on antigenicity of ragweed pollen and corresponding antibodies. This interest continues today along with studies on immunological aspects of disease and its therapy. Dr. Arbesman returned to Buffalo in 1939 to open a private practice but there remained his persistent need to devote a major portion of his time to research and to teaching. He and Dr. Erwin Neter became the first associates of the late Dr. Ernest Witebsky. And in his department Dr. Arbesman continued his research on immunology and allergy, receiving early recognition for his work on the antihistaminic drugs, ACTH and Cortisone. In collaboration with Drs. Witebsky, Noel Rose, and Robert Reisman there were long-term immunologic studies on serum sickness and subsequent studies of drug allergy, particularly penicillin and aspirin as well as investigations of stinging insects. His studies on reaginic antibodies, some in collaboration with IgE discoverors Drs. Kimishige and Teruka Ishizaka as well as his in depth studies on properties of the newly described IgE immunoglobulin places him among the allergy pioneers and heavy contributors to allergic disease studies. Over a 15-year period the clinical professor of medicine and microbiology has trained 34 physicians from 16 countries. Some are now professors or chairmen of academic departments while others are noted clinicians and researchers. As an outstanding clinician and teacher, Dr. Arbesman received invitations from academic institutions and hospitals throughout the world to participate in conferences and clinical consultations. Dr. Arbesman remained among the few to publicly preach that "medical research must have practical aspects, must serve the sick" while others carried on research for research's sake. His satisfactions are now well deserved. Added to his membership in numerous professional societies, editorial boards of several journals, consultantship for the National Institutes of Health and the National Institute of Allergy and Infectious Disease, there is the accolade of secretary general for a forthcoming international meeting of allergology in Tokyo. 42 THE BUFFALO PHYSICIAN �How does one measure a man's professional contributions? By the number of lives that he has saved or the help to thousands of needy people or his eagerness to give more? For those gathered at the 60th anniversary birthday dinner, it was enough to offer "best wishes, happy returns, and continued success" to teacher, clinician and researcher Dr. Carl Arbesman.D A total of 49 alumni, faculty, wives and guests participated in two alumni receptions during the American College of Physicians and the American Medical Association meetings in March and June. Mr. David M. Michael, director of medical alumni affairs, hosted the receptions. Attending the American College of Physicians reception on March 30 were: Doctors Joseph T. Aquilina, M'41, Buffalo; George R. Baeumler, M'59, Buffalo; Paul Dalgin, M'68, Edgewood, Maryland; Doug Fiero, M'66, Denver, Colorado; Francis and Mrs. Kenny, M'31, Buffalo; Alan King, 1965-67 Intern-Resident, Las Vegas, Nevada; Robert M. and Mrs. Kohn, clinical associate professor of medicine, Buffalo; Dan Labane, M'66, Houston, Texas; Irving Leff, assistant clinical professor of medicine, Buffalo; George and Mrs. Powell, M'46, Alexandria, Virginia; Spencer Raab, M'54, Jamaica, New York; Paul Schulman, M'68, San Antonio, Texas; Gene and Mrs. Spiritus, M'66, Orange, California; Stuart and Mrs. Vaughan, M'24, Buffalo; C.H. "Rick" Wilson, Jr., HS and Fellow ('61-'66), Atlanta, Georgia. Attending the American Medical Association cocktail party, June 21, in New York City were: Doctors John and Mrs. Ball, M'36, Bethesda, Maryland; William and Mrs. Ball, M'37, Warren, Pennsylvania; A.J. and Mrs. Bellanca, M'36, LaJolla, California; Willard Bernhoft, M'35, Buffalo; Alberta Borgese, M'69, Niagara Falls ; Nicholas C. Carosella, M'54, Buffalo; Norman and Mrs. Chassin, M'45, Buffalo; Thomas Cummiskey, M'58, Buffalo; Thomas and Mrs. Frawley, M'44, St. Louis, Missouri; I.J. and Mrs. Kenig, M'39; Eugene Lippschutz, associate v-p for health sciences and professor of medicine, Buffalo; Fenton M. Mitchell, '62-64, Pittsburgh; Harold Ross and family, M'38, Utica; Robert Schultz, M'65, Pittsburgh; Stuart Shapiro, M'68, Philadelphia; Joseph Sakal, research professor of medicine, Buffalo; Arthur and Mrs. Strom, M'32, Hillsdale, Michigan; Raymond Trudnowski, M'46, Buffalo; David Wallack, M'66, Buffalo; Lee and Mrs. Weinstein, M'29, Harrisburg, Pennsylvania; Carlton Wertz, M'15, Buffalo.D FALL, 1971 Alumni Receptions in Denver, New York City �Dr.Milgrom Honored Dr. Milgrom One of the world's prominent scholars in the field of immunology was honored for a quarter century of research contributions at a silver anniversary dinner in June. He is Dr. Felix Milgram, professor and chairman of the University's department of microbiology, who was presented a lithograph, the work of an Israeli artist. Friends and colleagues honored the imaginative and dedicated scientist whose over 250 publications represent invaluable contributions to the serology of syphilis, rheumatoid arthritis, transplantation, and autoimmunity. This distinguished scientist, who was born and educated in Poland (Wroclaw School of Medicine, 1946), joined the University faculty in 1958 as a research associate professor of bacteriology and immunology. Before coming to Buffalo, he taught at the University of Wroclaw from 1946 to 1954, was director in charge of the Institute of Immunology and Experimental Therapy, Polish Academy of Science and from 1954 to 1957 professor and head of the department of microbiology, Selesian School of Medicine, in Zabrze, Poland. In 1957 he conducted research at the Pasteur Institute in Paris and the following year in Caracas, Venezuela. Dr. Milgram has served in editorial capacities on several important immunology journals. They are International Archives of Allergy and Applied Immunology, Vox Sanguinis, Transfusion, and Cellular Immunology. This dedicated teacher also holds memberships in local, regional, national and international professional organizations. Devoted to teaching, Dr. Milgram, over the past quarter century has taught medical, dental and health related professionals in Poland and Buffalo. There remains hardly a country in the world where he has not been invited to lecture and to stimulate research programs. Under his tutorship eight received masters and seven doctorate degrees. Over 20 postdoctoral fellows from this country, Argentina, Austria, Canada, England, France, Germany, Japan, Norway, Poland, Sweden, Turkey and Venezuela have come to Buffalo to study under Dr. Milgram. While four Fellows are now chairmen of academic departments, others staff academic, clinical, and service laboratories. Ji:is earliest research on serology of rheumatoid arthritis has influenced today's direction in this area. Dr. Milgram has demonstrated that the rheumatoid factor is an anti-antibody since its formation is stimulated by the individual's own antibodies. A collaborative effort between a research group under Dr. Milgram and a clinical group from the Medical College of Virginia has resulted in the understanding of the process of hyperacute rejection of a renal graft that may take anywhere from a matter of minutes to several hours. Study of the recipient's serum, to see that it does not contain antibodies against the tissue of a renal donor, will determine whether the graft will be hyperacutely rejected. Dr . Milgram was one of the first to develop such a diagnostic service for the Buffalo community. THE BUFFALO PHYSICIAN �In another study with the Wistar Institute, hybrids that are part mouse / part human were produced by fusion of mouse fibroblast with human leukocytes. Here, Dr. Milgram's group is close to identifying the chromosome that carries genetic information for the production of human transplantation antigen. Dr. Milgram? "A humanitarian first, a dedicated teacher, outstanding researcher and one who is sensitive to the needs of all that he serves," says his oldest friend and colleague, Dr . Konrad Wicher.O First Emest Witebsky Memorial Lectureship There was ''standing room only'' on the third day of the conference on immunological concepts of hypersensitivity on man. For those who crowded into the rather inadequate Statler Hilton conference room, it was their way of paying respect to one of the world's great immunologists and to listen to the second Ernest Witebsky Memorial Lectureship by a professor of medicine at the Rockefeller University. Dr. Henry G. Kunkel is president elect of the Association of American Immunologists, a member of the Harvey Society and the National Academy of Sciences, on the editorial board of seven major journals, and whose scientific contributions to liver disease have been enormous. In his address on myeloma proteins and immune deficiency disease, Dr. Kunkel, professor of medicine at The Rockefeller University Hospital, said he was "fortunate enough to know, in his later years , Dr. Witebsky . . . certainly one of the great immunologists'' . He predicted that the seventies will be the decade of exploring the cellular basis of immunology, the lymphocytes. He pointed to the elucidation of the structure of the immunoglobulin, specifically its N-terminal portion where the variability of one antibody to another is expressed, as one of its most interesting recent developments . How can two or more genes come together and interact in order to produce one polypeptide chain? Most investigators, he said, feel that this occurs at the DNA level. He also pointed to methods to determine immune deficiency ' syndromes where gene deletions are found in homozygous or heterozygous forms .D FALL, 1971 Dr. Th omas Tom asi chats with Dr. Kunk el in whose laboratory h e train ed som e years ago. �Ophthalmology, A Hobby for Dr. W. Yerby Jones Dr. ]on es One of the best ophthalmology departments in the nation will continue to be the goal of a 70-year-old Buffalo ophthalmologist, Dr. W. Yerby Jones. Although he is stepping down as acting head of the department he has as much enthusiasm for the future of ophthalmology as he had when he received his medical degree from UB in 1924. "My profession is my hobby," Dr. Jones said. "Although ophthalmology is not as lucrative and glamourous as other specialties, with the proper facilities and sound long range planning we will be able to attract the nation's top ophthalmologists to Buffalo to teach and do research. The current trend is toward eye institutes, which Buffalo could support easily." Dr. Jones has been on the faculty since 1946, teaching one course to junior medical students. During the last 25 years about 85 per cent of the ophthalmologists in the Buffalo area have been trained by Dr. Jones at the E.J. Meyer Memorial Hospital. His staff has grown from one man to six residents, plus a technician, a nurse, a secretary and one orthoptist. Many of his former students return to Buffalo every spring for "eye teaching day." In 1950 this first meeting attracted six people. Last May, 120 people including 60 ophthalmologists from around the nation attended. Dr. Jones was the third black graduate of the Medical School in 1924. Today he estimates that there are 70 black physicians, dentists and pharmacists in the Buffalo area. Dr. Jones is a Fellow of the American College of Surgeons and the American Academy of Ophthalmology and Otolaryngology. Among his local, state and national society memberships is that of legislative representative, section of ophthalmology, Erie County Medical Society. He is also a member of the medical advisory board for the Association of the Blind for New York State. Prior to joining the University faculty in 1946 as instructor in ophthalmology, he was in private practice. He was also affiliated with the Meyer Hospital and the Buffalo Eye and Ear Hospital as pathologist/ ophthalmologist. He has also served as an Attending Physician at the Gowanda State Hospital. The well-loved ophthalmologist was promoted to associate in ophthalmology in 1951 and six years later became associate clinical professor. In 1961 he became a clinical professor of surgery (ophthalmology). Appointment to head the division of ophthalmology (surgery) at the University followed in 1968. The Urban League Award recipient in 1949, Dr. Jones was cited for occupational and professional achievement as the only black physician on the University faculty and one of 14 to be admitted to membership in the American College of Surgeons. Dr. Jones is the author of several articles relating to his specialty. The dedicated, conscientious teacher-physician will continue his private practice that he has had since 1924. And as an Attending at Meyer Hospital, Dr. Jones will continue to concentrate his efforts toward the medical specialty that has been his life work and hobby.D THE BUFFALO PHYSICIAN �Dr. Capraro Honored Seven members of the 1971 Medical School graduating class paid a special tribute to Dr. Vincent J. Capraro, clinical associate professor of gynecology-obstetrics for ''his unusual concern and enthusiasm in teaching .' ' The seven students wrote a special letter to Dean Pesch praising Dr. Capraro for his dedication to students and to his profession. The letter was signed by John M. Antkowiak, Paul D. Barry, Jerald A. Bovino, Eric M. Dail, Harvey Greenberg, James S. McCoy, and Warren M. Ross.O Drs. Capraro, Greenberg The Classes The Class of 1911 Dr. Anthony C. Scinta, M'11, in general practice at 97 Westminister Road in Rochester, is also on the courtesy staff at Rochester General and St. Mary's Hospitals. A Rochester councilman-at-large (1934-37), Dr. Scinta received the Citizen of the Year award (1963), the Man of the Year award (1965), served on the Board of Visitors, State Hospital for seven years, and was police physician (1963-70).0 The Classes of the 1920's Dr. Newton Dean Smith, M'23, a retired proctologist, lives at 4928 Bryce, Fort Worth, Texas (formerly a Buffalo resident). Dr. Smith, who is past president, American Proctologic Society, has published extensively. 0 FALL, 1971 The Classes of the 1930's Dr. Ronald W. Steube, M'31, a pathologist, retired in March 1971 from the department of pathology, St. Agnes Hospital, (Wisconsin) where he served since 1946. He now lives at 540 Port Side Drive, Naples, Florida.D Dr. Louis Avenditti, M '33, a general practitioner, is chief, Air Pollution Board of the town of Cheektowaga, New York, as well as its Police Surgeon. He is a member of the society of New York State Health Officers and lives at 225 George Urban Boulevard, Cheektowaga. 0 Dr. Jason E. Farber, M'33, an internist, left private practice in 1969 to assume the presidency of Stayner Pharmaceutical Corporation in Berkeley, California. He lives at 631 Haddon Road in Oakland.D 47 �Dr. Norbert G. Rausch, M'33, an associate in medicine (dermatology), SUNY AB, is a consultant at Veterans Hospital and for the Erie County Health Department. He discontinued his private practice in October, 1970. Dr. Rausch lives at 109 Greenaway Road in Buffalo.O Mrs. John Campbell (left), chairman of the advisory board at Meyer Memorial Hospital, accepts portrait of Dr. Thomas S. Bumbalo at testimonial dinner. Dr. Bumbalo stands at right with the artist, Mrs. Thomas]. Syracuse. Dr. Thomas S. Bumbalo, M'31, was honored at a testimonial dinner in May by 470 of his friends and colleagues for his 40 years of service. He is assistant medical director of the E.J. Meyer Memorial Hospital and clinical professor of pediatrics at the Medical School. He is also a consulting pediatrician at four area hospitals. County Executive B. John Tutuska hailed Dr. Bumbalo as "an example for the youth of the community who has brought a broadened dimension of his duties." The head of Meyer Pediatrics Department for 15 Y.ears was presented a tie clasp and cuff links by Mr. Tutuska, a Bison statuette by Mayor Sedita and a plaque inscribed with the Hippocratic Oath by the Association. A portrait of Dr. Bumbalo, painted by Mrs. Thomas Syracuse, was accepted for the hospital by Mrs. John R. Campbell, president of the advisory board. Dr. Bumbalo is past president of the United Health Foundation and a member of its national board of directors. He has served as a member of the Board of Trustees ofthe United Fund since 1960 and is a former member of Governor Rockefeller's and the White House Commissions on children and youth.O Dr. Kenneth H. Eckhert, M'35, was reelected president of the Greater Buffalo Regional Chapter, American Red Cross. The chief consultant of surgery at Deaconess Hospital is also chairman of the Comprehensive Health Planning Council of Western New York, Erie County Social Services Advisory Board and County Co-ordinating Council for Health, Hospital and Social Services. Dr. Eckhert is a clinical instructor in legal medicine.O Dr. Francis R. Coyle, M'36, an internist, who is in general practice at 238 Getzville Road, Buffalo, has served as school physician, Division of Child Hygiene, Erie County Health Department since 1937. A physician in the U.S. Army during World War II, he retired a full Colonel. Dr. Coyle has published on hospital function in general hospitals.O Dr. Russell L. Battaglia, M'39, a general practitioner, lives at 45 Huntley Road in Buffalo.O Dr. lrvmg B. Perlstein, M'39, an instructor in internal medicine at the University of Louisville (Kentucky), has been director of the Louisville Metabolic Research Foundation, and is Emeritus Chairman, Department of Medicine, Louisville Jewish Hospital. He has published a book, Diet is Not Enough (McMillan-1965) and numerous papers. He lives at 5611 Apache Road, Louisville.O Dr. John H : Remington, M'39, a clinical associate professor of surgery at the Rochester School of Medicine, is Treasurer of the American Proctologic Society; and President of its Research Foundation, Secretary and Program Director, Section of Colon and Rectal Surgery, American Medical Association. He was the founder of the Rochester Surgical Society. He has published on colon surgery extensively. Dr. Remington lives on Old Mill Road in Rochester. O THE BUFFALO PHYSICIAN �Dr. Charles P. Voltz, M'39, has been named director of the out-of-hospital services at Sisters Hospital. He will be in charge of the outpatient department, emergency service and employee health services. He will continue as director of medical education and as attending physician in internal medicine and electrocardiography. Dr. Voltz is a clinical associate professor at the Medical School. 0 The Classes of the 1940's Dr. Boris A. Golden, M'40, has published an original article which appears inMEDICAL ASPECTS OF HUMAN SEXUALITY in the May 1971 issue entitled ''Honeymoon Sexual Problems." Dr. Golden lives at 720 Park Place, Niagara Falls, New York.O Dr. Mary I. Henrich, M'41, an ophthalmologist, has moved her office to 191 North Street, Buffalo. Her husband, Dr. Daniel R. Botsford, died in December, 1970. Dr. Heinrich, who lives at 160 Lexington Avenue, is a member of the American Academy of Ophthalmologists. 0 Dr. Harold L. Kleinman, M'41, a pediatrician, has been appointed Public Health Medical Consultant (pediatrics), office of Mental Retardation, Connecticut State Department of Health. He lives at 450 Hollydale Road, Fairfield, Connecticut.O Dr. Richard Ament, M'42, clinical associate professor of anesthesiology, has been elected president of Temple Beth Zion at the congregation's annual meeting. He will serve a two-year term.O Dr. Charles A. Bauda, M'42, has been made a Knight of St. Gregory in recognition (nationally and internationally) for his work as a Catholic physician. He is vice president of the National Federation of Catholic Physicians' Guilds; a past president of the Buffalo Catholic Physicians' Guild; and past director of the New York State Region of the national federation. Dr. Bauda has been active in PreCana and sex education work in the Diocesan Family Life Department. He has been president of the Emergency Hospital staff and is also a member of the Sister's and Columbus FALL, 1971 Hospital staffs. Recently he was chairman of the scientific sessions of the XII International Congress of International Federation of Catholic Medical Associations in Washington, D.C. He was a delegate to the executive committee of the International Federation of Catholic Medical Associations in London in June.O Dr. Charles C.B. Richards, M'43, is Chief of Staff (5th year) at the Auburn, New York Mercy Hospital. He lives at 211 South Street: Auburn.O A 1945 Medical School graduate was a "visiting professor" at the Millard Fillmore Hospital in May. For two days Dr. John F. Fairbairn II gave lectures and talked informally with interns, residents and house staff members. He is an associate professor of medicine at the Mayo Foundation Graduate School, University of Minnesota and head of the Section on Peripheral Vascular Diseases at the Mayo Clinic.O Dr. John G. Allen, M'46, an ob / gynecologist, who lives at 31 Forest Hill Drive, Corning, is past president of the Lions Club, and the Steuben County Cancer Society. He is a Diplomate, American Boards Ob / Gyn.O Dr. David H. Nichols, M'47, is the new chief of the obstetrics-gynecology department at Sisters Hospital, Buffalo. From 1951-1953 he was chief of obstetrics and gynecology at the Air Force Hospital, Scott Air Force Base, Illinois. When he returned to Buffalo he was appointed associate cancer research gynecologist at Roswell Park Memorial Institute. He is on the medical staffs at Meyer Memorial, St. Francis, Children's, Buffalo General, and Sisters Hospitals. Since 1957 he has been a clinical associate professor of gynecology and obstetrics at the Medical School. He is a Fellow of the American College of Obstetricians and Gynecologists and the American College of Surgeons. Dr. Nichols interned at Meyer Hospital and did his residency at Millard Fillmore Hospital.O Dr. Ralph A. Kilby, M'48, an internist at the Mayo Clinic lives at 1606 Wilshire Road N.E., Rochester, Minnesota.O 49 �The Classes of the 1950's Dr. Thomas J. Murphy, M'51, an internist, who is a police surgeon for the City of Buffalo, lives at 326 Starin Avenue, Buffalo.D Dr. Hubert Rubenstein, M'51, ofVanNuys, California was the obstetrician in charge of a delivery team of 26 doctors and nurses that delivered quintuplets. One boy was stillborn. The 25-year-old mother, Mrs. Pearl Kaplan, had been taking the fertility drug Humagon. Dr. Rubenstein said he had previously delivered several twins and one set of triplets himself, "but never anything like this." Dr. Rubenstein credited the large team of attending physicians and nurses with delivering four of the babies safely. He said there was one obstetrician, one pediatrician and one anesthesiologist present for each of the quints. Ten nurses and a cardiopulmonary specialist were also in attendance.O Dr. Alfred Lazarus, M'52, a gastroenterologist, is an associate professor at the University of Pennsylvania. A Fellow of the American College of Physicians, he lives at 3303 Coachman Road, Wilmington, Delaware.O Dr. Dav id Dr. Joseph S. David, M'53, a pediatric surgeon, is an associate professor of surgery at the University of California (Irvine). He is Chief of Surgery at Children's Hospital of Orange County; appointed to the advisory board of Crippled Children's Service of the State of California; and selected as "Headliner of the Year" in medicine for his work in Gastroschsis by the Orange County Press Club. Dr. David lives at 2141 Liane Lane, Santa Ana.O Dr. George J. Alker, Jr., M'56, a radiologist, is an assistant clinical professor at UB Medical School. A member of the American College of Radiology, American Society of N euroradiology, Radiologic Society of North America, Dr. Alker has published and prepared exhibits for international symposias. He lives at 54 The Village Green, Williamsville.O Dr. M. David Ben-Asher, M'56, an internist, is a clinical associate at the University of Arizona School of Medicine. He is president 50 of the medical staff at St. Mary's Hospital (Tucson), and chairman of its department of medicine. He is very active in community affairs-on the board of directors of the Tucson Symphony Society and on the Advisory Board of the Arizona Kidney Foundation. Dr. BenAsher lives at 122 G Camino de los Padres in Tucson.O Commander Donald R. Hauler, MC, USN, M'57, is a senior medical officer of the U.S. Navy's only nuclear-powered aircraft carrier, USS ENTERPRISE. He has been certified by the American Board of Preventive Medicine in the subspecialty of Aerospace Medicine and is a member of Aerospace Medical Association, American Public Health Association and the Association of Military Surgeons of the United States. His mailing address is Medical Department, USS ENTERPRISE CVAN 65, FPO San Francisco, California 96601.0 Dr. Ann A. Tracy, M'58, has been named to the full-time staff of the Child Guidance Department, Department of Psychiatry, Children's Hospital. She was formerly with the Children's Psychiatric Center at West Seneca, N.Y. Dr. Tracy completed her residence at Children's Hospital in 1961 and her psychiatric residency at Buffalo State Hospital in 1967.0 Dr. Morton Heafitz, M'59, an instructor in thoracic surgery at Boston University School of Medicine is a Fellow, International College of Surgeons. He lives at 94 Larchmont Road, Melrose, Massachusetts.O The Classes of the 1960's Dr. Allan S. Disraeli, M'61, an ob / gyn practitioner, is also an assistant clinical professor at the University of Texas Southwestern. A member of the American College of Ob / Gyn, American Fertility Society, he is also chief of staff at Mesquite Memorial Hospital (Dallas suburb). His address is 6119 Preston Creek Drive, Dallas.O Dr. Willard F. Nagle, M'61, an internist, practices in Elmira, New York. He organized and is an advisor to the Medical Explorer Scout Post at Armot-Ogden Hospital. His address is 819 Underwood Avenue, Elmira. O THE BUFFALO PHYSICIAN �Class of 1921 at Spring Clinical Days Front Row, left to right: Antonio Bellanca, Gaetano Runfola, Julian Johnston, Howard Bosworth. Back Row: Arthur Reissig, Joseph Loder, Bernhardt Gottlieb, Thurber LeWin, Kenneth Ward, Joseph Farugia, Elmer McGroder, Hobart Reimann, Dante Morgana. Dr. Alan C. Newburger, M'61, is clinical instructor in pediatrics at Georgetown University. As a Lt. Commander with the U.S. Navy, 1962-67, he completed his internship at Philadelphia General Hospital, his residency in San Diego (1963-65), and at Newport, Rhode Island (1965-67). He has been in private practice in Silver Springs, Maryland since 1967. Dr. Newburger lives at 12007 Taylor Court, Maryland with his wife (Beth] and 4 children, ages 6, 5, 2, 1.0 Dr. James R. Blake, M'63, an internist, is a clinical instructor in medicine at UCLA Medical School, and an attending physician in Wadsworth V.A. Hospital's Hypertension Clinic. He lives at 11783 Sunset Boulevard in Los Angeles.D Dr. John J. LaMar, Jr., M'63, a clinical instructor of pediatrics at the University of Pennsylvania is a Fellow, American Academy of Pediatrics (1969). He is a medical advisor to Southwest New Jersey Chapter, National Foundation March of Dimes and a member of its executive board. He lives at Supawna Road, R.D. #3, Salem, New Jersey.D Dr. Richard Bruce Narins, M'63, a dermatologist, is a Diplomate, American Board of Dermatology (1970) and is a Fellow, American Academy of Dermatology. Dr. Narins lives at 17 Fox Chapel Court in Williamsville, New York.D Dr. Robert B. Spielman, M'63, anallergist, lives at 1218 Avenue L, Brooklyn, New York.D FALL, 1971 Dr. RichardS. Merrick, M'64, aninternist, began practice with Southern California Kaiser Permante Medical Group (1970) after completing residency a.t Wadsworth V.A. Center in Los Angeles. He lives at 1970 Galerita Drive in San Pedro.D Dr. Kent N. Gershengorn, M'65, a Fellow in Cardiology, lives at 220 Corte Madera Avenue, Mill Valley, California. He has just completed a three year residency in Internal Medicine and Cardiology at Mount SinaiMedical Center, New York Cify. Dr. Gershengorn will be at the University of California, San Francisco Medical Center.D Dr. Stephan J. Levitan, M'65, an instructor in psychiatry at Columbia University, lives at 185 East 85th Street, New York City.D Dr. Vincent P. Birbiglia, M'66, a neurologist, has served in the U.S. Air Force. He lives at 10 Billie Circle, Wichita Falls, Texas.D Dr. Louis Antonucci, M'66, a clinical associate in surgery (ophthalmology) at SUNYAB, is based at the E.J. Meyer MemorialHospital, is in private practice in Snyder. Dr. Antonucci lives at 440 Voorhees Avenue, Buffalo.D Dr. Richard H. Daffner, M'67, a radiology resident at Duke University Medical Center, returned from active duty with the United States Air Force in July, 1970. An American College of Radiology member, he lives at 4011 Deep Wood Circle, Durham.D 51 �Dr. John W . Gibbs, Jr., M'67, an anesthesiologist , lives at 255-B Elise Place, Santa Barbara, California.D Dr. John P. Menchini, M'67, a pediatrics resident (assistant chief] at Buffalo's Childrens Hospital, completed two years of active duty as medical officer in Navy Sea Bee Battalion. He lives at 261 Richmond Avenue in Buffalo.D Dr. Robert T. Rosen, M'68, is serving at the Brooke Army Medical Center, San Antonio, Texas. He lives at 302 lsom Road #5G. D Dr . Frederick S. Wilkinson , M '69, is on the emergency room staff of the Kaiser Hospital in Oakland, California. His article , " Reducing Neonatal Mortality Rate With Nurse-Midwives ", appears in the Journal of OB and Gyn, Vol. 109 #1, January 1, 1971 Edition. Dr . Wilkinson lives at 2800 21st Avenue 15. 0 The Classes of the 1970's Dr. Richard A . Justman, M ' 70, an intern in straight pediatrics at the University of Chicago, lives at 1401 East Hyde Park Boulevard.D Dr . Kenneth M. Piazza, M '71, is a medical intern at Buffalo General/Meyer Memorial Hospitals. He lives at 11 Robert Drive, Suite 104, Lancaster.D New officers were elected to the Health Organization of Western New York, Inc. in April, 1971. The HOWNY is the advisory body to the Regional Medical Program for Western New York. Re-elected president was Irwin Felsen, M.D . , a general practitioner from Wells ville, N.Y. Other officers: vice president - Father Cosmas Girard, OFM (Ph.D.]. professor of sociology, St. Bonaventure University, Olean, N.Y.; secretary- H. Gregory Thorsell, M'57, asurgeonfromJamestown , N.Y. and treasurer - John Patterson, M.D., Ob-Gyn.-Roswell Park Memorial Institute, Buffalo, N.Y.D Front R ow, left to right: Geo rge White, Jam es McG ar vey, T h omas Bumba lo, Fra nc is Kenn y, Fr ancis Keefe. Sec~nd R ow: Wa lter Westinghouse, Edward Dr iscoll , Helen Toskov Wolfso n , Joseph Tedesco, M ichae l Baro ne, Ger a ld Co nn ell y. Tht rd R ow: John Loren zo, Angelo apl es, Gustave Daluiso, Robert Ullm an , War ren Hartm an, Wa lter Jetter , John Kuh l, T heodore C1es la, Ell wy n Heier. B ack R ow: James Long, Samuel Fe in stein, Virg il Boeck, Joseph God frey, Norm a n John so n , Wa lter Wa lls. Class of 1931 at Spring Clinical Days 52 THE BUFFALO PHYSICIAN �Class of 1926 at Spring Clinical Days Front Row, left to right: Werner Rose, Harold Cavanaugh, Max Cheplove, Eugene Sullivan, Joseph Pisa, Sigmund Silverberg. Back Row: John Korn, Walter Constantine, Leo Flood, Harold Hulbert, Emil Sternberg, Irving Yellen. People Dr. Richard V. Worrell, a clinical assistant instructor in orthopedic surgery, SUNY AB, is a '58 alumnus of Meharry Medical College, Nashville, Tennessee. He is a Diplomate, American Board of Orthopedic Surgery; a Fellow, American Academy of Orthopedic Surgeons; Fellow, American College of Surgeons and is listed in "Who's Who in the East." In 1969, Dr. Worrell received a "Certificate of Merit" from the Dictionary of Black American Biography for "distinguished service to the Community and the betterment of Black Americans.'' Dr. Worrell and his wife, Dr. Audrey Worrell, a psychiatrist, live at 1008 Humboldt Parkway in Buffalo.O Dr. Robert A. Klocke, research assistant professor of medicine, has been awarded a $14,942 research grant from the National Tuberculosis and Respiratory Disease Association. Dr. Klocke's research will be in "Kinetics and Mechanism of Carbon Dioxide Transport in Human Blood.' '0 FALL, 1971 A new book on Computerization of Clinical Records: Guidelines for Medical Record Librarians by Dr. Elemer R. Gabrieli, M.D., F.A.C.P., who is assistant clinical professor of medicine and director of E. J. Meyer Memorial Hospital's clinical information center has been published by Grune and Stratton, Inc., New York. The 290-page illustrated book, written for an educational course held in October in Buffalo, compiles the scientific foundation needed by the medical record librarian of tomorrow that will serve as a reliable guide and introduction to the vast field of information sciences. Writes Dr. Gabrieli: ''The medical record librarian should become competent in medical communication sciences. The evolving concepts, thinking, and language will be invaluable for interacting with information technology. While the objectives of the health industry are to be defined by the health professionals, the information technologists are to implement these demands by properly investigating the appropriateness of the hardware and by providing the software. Thus the med~ ical record librarian is the fully-authorized ambassador of all health professionals, to exploit this new territory to the benefit of both providers and users of health services. "0 53 �People Dr. Robert M. Kahn, clinical associate professor of medicine, has been elected vice president of the New York State Heart Assembly. Dr. Eugene Lippschutz, associate health sciences vice president, is a director at large.D An Award of Merit was awarded to Dr. David G. Greene for ''distinguished service in developing the American Heart Association's national programs.'' Dr. Greene is professor of clinical research in cardiovascular diseases. He is a past president and director of the Western New York Heart Association; past president of the State Heart Assembly and former head of its planning unit. He is also vice-president elect of the association's Upper Atlantic Region and has served as chairman of the AHA's Policy Committee and a member of the Executive Committee, the Committee on Affiliate Relations and Services and the Budget and Legislative Advisory Committees.D Six Buffalo physicians, (all faculty members) who have met the high standards of the American College of Physicians, have been granted Fellowship in the 56-year old international medical specialty society that is devoted to upgrading medical care, teaching and research through stringent standards of membership and programs of continuing education. The new fellows are: Dr. Leonard A. Katz, assistant professor of medicine. He directs the Gastroenterology Unit at the E. J. Meyer Memorial Hospital. Dr. Robert E. Reisman, clinical assistant professor of medicine and pediatrics. He is headquartered at the Buffalo General Hospital's Allergy Unit. Dr. Madan M. Singh, clinical assistant instructor in neurology. Dr. Edward Mr. Cordasco, assistant clinical professor of medicine; Dr. Madan G. Chugh, clinical instructor in medicine, and Dr. Samuel B. Galeota, clinical associate in medicine.D Front Row, (left to right): Marvin Amdur, Alfred Cherry, Harold Wherley, Thomas McDonough, Eli Leven, Charles Melcher. Second Row: Richard Britt, Richard Batt, Thomas Houston, Donald Brundage, Pincus Sherman, Joseph Kriegler. Back Row: Paul Downey, Edward Eschner, John Crosby,> Paul Burgeson, Frank Hoak, Hubbard Meyers, Jerome Romano, Victor Pellicano, Paul Campbell, John Ball, Doris Pieri, Bernard Stell, Avrom Greenberg, Steven Pieri, Charles Stewart, Martin Angelo, Jerome Glauber. Class of 1936 at Spring Clinical Days THE BUFFALO PHYSICIAN �Class of 1941 at Spring Clinical Days Front R ow, Left to right: George Matusak, Edward Rozek. Second Row: Joseph Aqu lin a, Roman Shubert, Donald Hall, All en Pierce, Jack Herrmann, Mary Henrich Botsford. Third Row: George Eckhert, George Gen tn er, John O'Brien, Leonard Wolin, Berten Bean , Bradley Hull , Jam es McGrane, John Crys t, Harold Kleinman, Eugene Hanavan, Anthon y Cooper, Daniel McCue, Earl Gilbert. People Dr. Abel Levitt, who served on the Medical School faculty for 44 years, retired in 1969 as a clinical professor of medicine. He still has a private practice. The 73-year-old physician, a 1921 McGill University (Montreal) Medical School graduate, lives in Eggertsville. Dr. Levitt interned at the Portland Maine General Hospital and Buffalo General. He was a chief resident at the Buffalo City Hospital. He is a Fellow in the American College of Physicians and a member of several other professional organizations.O Dr. Carel van Oss, associate professor of microbiology, has been elected a Fellow of the American Institute of Chemists.O Dr. Joseph J. Daly, is a clinical instructor in Obstetrics-Gynecology at the university. He received his medical degree from Georgetown University. Dr. Daly lives at 12 Sargent Drive in Lockport.D FALL, 1971 Three alumni have been elected to the top positions in the Erie County Medical Society. They are: Drs. Anthony P. Santomauro, M'56, president; Leonard Berman, M'52, presidentelect; Frank J. Bolgan, M'51, secretary-treasurer. An assistant clinical professor of surgery, Dr. James H. Cosgriff Jr., is the new vice president. The immediate past president is Dr. Charles D. Bauer, M'46.0 Dr. Maimon M. Cohen, associate professor of genetics in the department of pediatrics, received a $30,055 grant from the National Institute of Child Health and Human Development. Dr. Cohen is also a research associate professor of microbiology.D Dr. Clyde L. Randall, vice president of the Faculty of Health Sciences, was honored in May by the Planned Parenthood Center for his 25 years of service. He was chairman of the Medical Advisory Committee for 21 years. Dr. Randall is currently president of the American College of Obstetricians and Gynecologists. 0 55 �People Dr . LeWin Dr. Vaughan Two Medical School graduates and a pharmacist received Distinguished Alumni Citations at the annual General Alumni Board banquet June 4. Recipients were Dr. Stuart L. Vaughan, M'22, and Dr. Thurber LeWin, M'21, and Mr. Howard H. Kohler, a 1922 graduate of the School of Pharmacy. These are the first alumni to be given Distinguished Alumni Awards by the Association for notable and meritorious contributions to the University. Dr. Vaughan's service in behalf of the Alumni Association, the University at Buffalo Foundation, Inc. and the School of Medicine was cited. He is a past alumni president, former trustee of the Foundation and clinical professor of medicine. Dr. Vaughan has been identified with every School of Medicine fundraising activity. He received his Ph.D. from Northwestern University in 1931. Thurber LeWin, associate clinical professor of ophthalmology, has been chairman of the Participating Fund for Medical Education and a generous benefactor himself. He also holds a degree from the University of Pennsylvania. Howard Kohler has been a pharmacist locally since his 1922 graduation. He is also a former president of the alumni organization as well as chairman of the pharmacy division of the Alumni Loyalty Fund. Mrs. Kohler, the former Lillian Cooper, is also a graduate of the School of Pharmacy and chairman of student scholarships and loans for pharmacy alumni. Dr. Edmond J. Gicewicz, M'56, is the new president of the GAB. 0 Dr. James H. Cosgriff Jr., assistant clinical professor of surgery, has been named chairman of the new Emergency Medical Care Committee. It has been formed to assist in planning of emergency health services in Erie County . The unit will be responsible for coordination of all lay and professional activities related to first aid, transportation, emergency medical care and definitive treatment of emergency medical cases and victims of accidental injury.O Front R ow, left to right: Har ry P etz in g, Curzo n Ferris, Paul Walczak , T h omas Morgan , W illiam Wa ls h . Seated: Alber t Rowe, Ma ier Driver , C ha rl es Bauer, Fred Sch warz, Louis Viei ll ard J r., W illard Tornow, H arold Levy. Second R ow (Standi ng): Ray mon d Osgood , Ed wa rd Fia l, My ron Wi lliams, Eugene Mar ks, Amo Picco li, Sta nl ey Cy ran, Robert Potts, Law rence Go lde n , Charl es Joy. Back R ow (Sta nding): Rich a rd Mun sc h auer , R icha rd Baer , Herbert P irso n , Edwa rd Gud ge l, Arthur O'Dea, May nard Mires, Chester Howa rd , Bern ard Groh . Class of 1946 at Spring Clinical Days 56 THE BUFFALO PHYSICIAN �Class of 1951 at Spring Clinical D ays Front R ow, left to rig ht: John Musser, Robert Secrist , Milton Robinson , Leonard Da nzig, T heodore Bas h . Back R ow: T heodor e Baratt , Fran k Bolgan , Gerard Sch ultz, E ugene Les lie, E ugene Teic h , Carl Co nrad, Ludwig Kouka l, James LoVerd e, A llen Goldfarb , Dona ld Barone. People A ritual of recognition-the presentation of specially designed silver medals to three distinguished retiring faculty members-was inaugurated at the annual spring Medical School faculty meeting. To Dr. Oliver P. Jones, chairman of the department of anatomy, the citation reads ''in grateful recognition of distinguished service as a member of the faculty ofthe School of Medicine from 1937, as chairman of the department of anatomy from 1943-71.'' The new School of Medicine academic gown (royal blue and hunter green velvet with an embroidered caduceus, and an eight-sided cap) was also presented to him. For Dr. Samuel Sanes, professor of pathology, cited for "dedicated teacher and respected mentor of medical students and staunch colleague and fellow physician, in recognition of the contributions of his 35 years as a member of the faculty, " there was a two-volume ''History of Medicine in the United States " by Francis R. Packard also. FALL, 1971 Dr. Clyde L. Randall, vice president of health sciences and former chairman of the department of obstetrics and gynecology, in his plaque was cited for " 34 years of devoted service to medicine and this school.'' The presentations were made by Dean LeRoy A. Pesch. 0 Dr. Abe I. Rock retired last spring as clinical instructor of medicine. The 1931 Medical School graduate had been on the faculty since 1948. He has been affiliated with Buffalo General and Millard Fillmore Hospitals. O Mr. John R. Rowan is the new director of the Buffalo Veterans Hospital. He succeeds Mr. Eugene E. Speer Jr., who became director of the Augusta Georgia VA medical facility in July. Mr. Rowan comes to Buffalo from Manchester, N.H., where he has been director of the VA hospital for 18 months . Prior to this he served in VA hospitals in Illinois, Indiana and Michigan. 0 57 �People An assistant clinical professor of medicine is the new president of the Buffalo Academy of Medicine. He is Dr. Michael Sullivan, M'53. He succeeds Dr. Ivan L. Bunnell, M'43, associate professor of medicine. Dr. James Wilson is president elect, and Dr. Martin Plaut, assistant professor of medicine, is program chairman. D Dr. James F. Mohn, professor of microbiology, lectured in five European countries in the spring. While in England he completed a series of lectures begun in 1970 on "The ABO Blood Group System.'' On the continent (Sweden, Finland, Norway, Belgium) Dr. Mohn discussed his research in experimental autoimmune hemolytic anemia and blood group A, including a new variant of Group A apparently peculiar to Finns. Dr. Mohn is the new chairman of the committee of examiners for the Immunohematology and Blood Banking Test of the college level examination program, Educational Testing Service, Princeton, New Jersey.D Four alumni are officers in the Western New York Chapter of the American College of Surgeons. They are: Drs. Lawrence M. Carden, M'49, president; Donald J. Kelly, M'52, vice president; William J. Rogers III, M'45, secretary; Andrew Gage, M'44, treasurer.D Dr. Eugene R. Mindell, professor of surgery and head of orthopedic surgery at the Meyer Memorial Hospital, is president-elect of the Orthopedic Research Society (197172).0 President Robert L. Ketter has been appointed to the Board of Visitors of Roswell Park Memorial Institute by Governor Rockefeller.D Dr. Eric A. Barnard, professor and chairman of biochemistry, received a $39,000 grant from the Cummings Foundation to buy equipment for studies on protein structure. D Front Row, left to right: Oliver Jones, John Bartels, Edmond G icewicz, Richard Gacek, Joseph Darlak, Robert Corretore. Back Row: Fred uessle, George Alker, Robert Reisman, Hugh O'Neal, Dennis Heimback, Carl Schuler, Francis Haber, Paul Ronca, Arthur Klass, Jean Haar. Class of 1956 at Spring Clinical Days 58 THE BUFFALO PHYSICIAN �Class of 1961 at Spring Clinical Days Front Row, left to right: Alfred Messore, Willard Nagle, Carlo DeSantis, Wende Logan, Michael Cohen, Harold Brody . Second Row: Thomas Ciesla, James Markello, Eugene Cimino, Seymour Liberman, Brent Penwarden, Gerald Schwartz, Edwin Mannmg, Ovid (Dean) Knight, Roger Ronald. Back Row: Robert Moran, 1\orman Hornung, Alan ewburger, Paul French, Joel Bernstein. People Dr. Paul Danahy, clinical assistant instructor in surgery, won a $300 award for the best over-all paper in the essay contest sponsored by the Western New York Chapter of the American College of Surgeons. He wrote on "Lateral Ligament Injury: Diagnosis and Treatment." Dr. Tan T. Ho won $100 for the best clinical paper, ''Treatment of Post-Traumatic Pulmonary Insufficiency Using Cont~nuous Positive Pressure Breathing: A Positive Approach.'' He is a Fellow in the trauma unit, E.J. Meyer Memorial Hospital. Two residents had the best research papers. Dr. Alan Aubrey, research fellow in surgery. Meyer Hospital, ''The Promotion and Prevention of Enhanced Exchange Diffusion''; and Dr. B.C. Shah, urology resident at Roswell Park Memorial Institute. "Urinary Fibrogen Degradation Products." 0 FALL, 1971 Dr. Erwin Neter, professor of microbiology, has been appointed chairman of the Board of Scientific Counselors, National Institute of Dental Research, National Institute of Health. He has also been appointed a member of the Biomedical Communications Study Section, NIH.O A Buffalo neurosurgeon's book on THE TREATMENT OF HEAD INJURIES IN THE THIRTY YEARS' WAR (1618-1648) is in print. He is Dr. Louis Bakay, professor of surgery (neurosurgery) who heads the division of neurosurgery at the Buffalo General, Children's and Meyer Hospitals. Published by Charles C. Thomas this year, the 107-page volume focuses on ''the first half of the seventeenth century that represents the dawn of the modern age as we know it, with its nationalism, religious freedom, individual commerce, trade patterns and military organization. It also heralded the emergence of the common man as a politically important force. "0 59 �In Memoriam Dr. George F. Marquis, M'27, died April 14 in Millard Fillmore Hospital after a short illness. The 68-year-old general practitioner was on the staffs of Kenmore Mercy Hospital and St. Joseph Intercommunity Hospital, Cheektowaga, and the emeritus staff of Millard Fillmore Hospital. Dr. Marquis was active in several professional and civic organizations.O Dr. Herman S. Mogavero, M'35, died June 23. The 62-year-old general practitioner was on the staff of Columbus, Millard Fillmore, Emergency and Sister's Hospitals. Before returning in 1967 he maintained an office with his brother, Dr. Michael F. Mogavero, M'38. Dr . Mogavero served as a Major in the United States Army in Panama during World War II. He was formerly physician for the Buffalo public schools and Sweet Home Central School District. He was active in several professional organizations.O Dr . H. Kendall Hardy, M '16, died May 23. At the time of his death he was Allegany County coroner and health officer of Rushford Township (New York). After receiving his medical degree he interned at the Buffalo General Hospital. He then returned to his home town , Town of Rushford, to become a general practitioner. Dr. Hardy served as a First Lieutenant with Base Hospital 23 in France during World War I. He was a member of the Cuba Memorial Hospital staff for over .40 years serving as an anesthetist. O Dr. William F. Beswick, apracticingneurosurgeon for 32 years and an associate clinical professor of neurosurgery at the Medical School, died May 12 . He was 67 years old. He had been associated with Buffalo General, Deaconess, Millard Fillmore, Children's and Sisters Hospitals. Dr. Beswick was a 1934 graduate of the University of Chicago Medical School. He completed his internship and assistant residency at the Albert Billings Memorial Hospital in Chicago before coming to Buffalo in 1939. During World War II he served as a Major in the Army Medical Corps with the 23rd General Hospital in Italy and France. He was discharged a Lieutenant Colonel.O Dr. Benjamin Smallen, M'27, died May 9 in Sisters Hospital. The 69-year-old ophthalmologist had practiced in Buffalo for 35 years. He had been in semi-retirement since 1965. Dr. Smallen was on the consulting staff of Deaconess Hospital and was associated with Children's and Sisters Hospitals. He was born in Romania and came to America with his parents. He did graduate work in Europe and at the University of Pennsylvania. He was active in several local, state, and national professional organizations. O The General Alumni Board Executive Committee-OR . EDMOND J. GICEWICZ , M '56, President; MORLEY C. TOWNSEND , '45, President-eJect; JOHN G . ROMBOUGH , '41 , Vice-President for Activities; FRANK NOT ARO , '57, VicePresident for Administra tion; MRS. CONSTANCE MARX GICEWICZ, Vice-President for Alumnae; JAMES J. O' BRIEN , '55 Vice-President for A thletics; DR . FRANK GRAZIANO, D .D.S., '65, Vice-Presiden t for Constit uent Alu mni Gro ups; JEROME A. CONNOLLY , '63, Vice-President for Development and Memb ership; G. HENRY OWEN , '59, Vice-President for Public Relations; DR . HAROLD J. LEVY , M '46 , Treasurer; Past Presidents: ROBERT E. LIPP , '51, M. ROBERT KOREN, '44; WELLS E. KNIBLOE , ' 47; DR. STUART L. VAUGHAN, M ' 24 ; RICHARD C. SHEPARD , '48; HOWARD H . KOHLER, ' 22 ; DR. JAMES J. AlLINGER , '25 . M edical Alumni Association Offic ers: DRS. LOUIS C. CLOUTIER, M '54, President; JOHN J. O ' BRIEN, M '41, VicePresident; LAWRENCE H . GOLDEN, M '46, Treasurer; ROLAND ANTHONE, M '50, Immed iate Past-President; MR. DAVID K. MICHAEL, M. A. '68, Secretary. A nnual Participating Fund for Medical Education Exec utive Board for 1970-71 - DRS. MARV IN L. BLOOM, M'43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H . ECKHERT, SR., M'35, Second Vice-President; KEVEN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. 60 THE BUFFALO PHYSICIAN �ANNOUNCINGU/ B Alumni Association travel experiences (open to members and their immediate families) FREEPORT, GRAND BAHAMAS December 26, 1971 through January 2, 1972 $232.00 plus $7.50 tax and services The above quoted price includes: • Round-trip jet from Niagara Falls • Deluxe air-conditioned room at the LUCAYAN BEACH HARBOR INN, double occupancy, seven nights, eight days • All transfers in Freeport • Welcome Rum Swizzle party • Two-hour gala cocktail party with hot and cold hors d'oeuvres • Access to two championship golf courses with complimentary transportation to and from the • All baggage handling and tips to bellmen course Freeport is famous for its international shopping bazaar, fine golf facilities, quality night clubs with top name entertainment, gambling, deep sea fishing and complete water facilities. BARBADOS February 12 through 19, 1972 $241.00 plus $8.50 Tax and Services • • • • • • Meal options are being negotiated. This price includes: Round-trip jet from Toronto (bus optional, at nominal charge) Deluxe air-conditioned rooms, double occupancy, eight days and seven nights All transfers in Barbados Welcome cocktail party All baggage handling and tips to bellmen Lounge chairs and beach towels For details write or call: Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716) 831-4121 First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested OR. CLARENCE J. 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N a m e - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received _ _ Office Address _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ fiomeAddress--------------------------------------IfnotUB,MDreceivedfrom _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ In Private Practice· Yes 0 No In Academic Medicine: Yes 0 0 Specialty _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ No G Part Time 0 Full Time r School _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ____ 1 Title - - - - - - - - - - - - - - - - - - - - Other: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ Medic~ Society Memberships: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ ___ NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1971 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1971-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1971-03-Fall Table Of Contents A list of subunits of the resource. Medical Alumni Officers Abe Aaron Day SPRING CLINICAL DAYS, The Scientific Program, Medical Changes, Medical School/University Relationship, Four University Centers RMP Grant Senior Day Students Honored Dr. Megahed's Response GI Diseases, Self Education Medentian Honors Two Continuing Medical Education Open House Immunology Center Rural Health Care Health Professionals Cooperate A Devotion to Medicine Plaque Unveiled Dr. O.P. Jones Retires A 60th Birthday Alumni Receptions Dr. Milgrom Honored Ernest Witebsky Lectureship Ophthalmology, A Hobby Dr. Capraro Honored The Classes People In Memoriam Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-25 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v05n03 Extent The size or duration of the resource. 64 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/880a73dab3b06e18446cbd3d16993403.pdf 6aa9bf297f4fb7a84ba68ea470ec1c63 PDF Text Text The Buffalo Physician Fall1970 D Volume 4, No. 3 D School of Medicine D State University of New York at Buffalo �From the Desk of Dean LeRoy A. Pesch Dean Pesch A total of 21 American students who have been studying medicine abroad will be admitted as "transfer students " to the junior class in September at the School of Medicine. This will be a trial program for students who were unable to get into an American Medical School as freshmen. All plan to practice medicine in the United States. The transfer students must have completed the equivalent of our first two years in an American Medical School and passed Part I of the National Medical Board examination. These students are transferring to Buffalo for clinical training that is so important to their careers. The fact that they were willing to start their medical education abroad proves their strong motivation towards a medical career. Hopefully in June of 1972 we will have 121 in our graduating class. This is a small step, but we will be able to see the results in a few months, ra:ther than years. Several weeks ago the Dean announced that the freshman class this fall would be increased from 104 to 125. Approximately 16 other American Medical Schools are accepting 130 American junior transfer students from foreign universities. Most of the schools are accepting from two to five students. The University of Texas Medical School and the New York Medical College are each accepting 15. Most of the transfer students are from medical schools in Mexico, Italy, Switzerland, Belgium, Germany and Spain. D �FALL, 1970 Volume 4, Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State Unive1·sity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERTS. McGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine DR. LEROY A. PESCH Photography HUGO H. UNGER EDWARD NOWAK Medical Illus trato1· MELFORD J. DIEDRICK Graphic A1·tists RICHARD MACAKAN J A DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS P1·esident, Medical Alumni Association DR. ROLAND ANTHONE President, Alumni Participating Fund fo1· Medical Education DR. MARVIN BLOOM Provost, Faculty of H ealth Sciences DR. DOUGLAS M. SURGENOR Vice Presiden t, University Foundation JOHN C. CARTER Director of Public Information JAMES DESANTIS Foundation DR. ROBERT D. LOKEN Directo1· of Medical Alumni Affairs DAVID K . MICHAEL Di1·ecto1· of University Publications THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY ROWLAND President, Unive~·sity 2 3 5 6 13 14 15 16 17 18 19 20 22 23 24 26 28 29 37 38 39 40 42 43 44 45 46 50 51 52 54 56 57 From the Desk of Dean Pesch inside front cover Unique Freshman Class Shortage of Doctors by John H. Knowles, M.D. Husband, Wife Medical Team Health Care by Stanley W. Olson, M.D. Alumni Reception, Chicago MEDENTIAN, Drs. Collord and Lee Chancellor Gould Resigns Assistant Dean Named I Neurosurgical Residents New Director of Buffalo General I RMP Receives Two Grants Dr. Ketter Appointed President Methadone Unit Senior Class Day Hydration During, After Surgery by R. J. Trudnowski, M.D. 1969-70 APFME Scholarship Winners Cerebrovascular Disease 54 Hospitals Tune in on Health Advances Dentistry, Pharmacy Name New Deans Dr. James F. Mohn by Oliver P. Jones, Ph.D., M.D. Muscular Dystrophy Research/ Pediatric Fellowships A Political Force Dr. Alvis Resigns The Future of APFME Uncommon Paralysis Studied I New Campus Auto Hobby Chronic Hoarseness Studied Drug Liaison Committee I Anniversary Committee Walking a "Tight Rope" by Peter Regan, M.D. Alcoholism Institute Acting Chairman House Staff Graduation People In Memoriam Alumni Tours The cover features the Telephone Lecture Network that is our center spread, pages 26 and 27. The pictures were taken by Hugo Unger and the cover was designed by Donald E. Watkins. THE BUFFALO PHYSICIAN, Fall, 1970- Volume 4, Number 3, published quarterly SpriJ!g, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1970 by the Buffalo Physician. �A Unique Freshman Class Undergraduate Schools Attended by Freshmen SUNY at Buffalo Canisius College Brooklyn College Harpur College University of Rochester Allegheny College Howard University Morgan State College Boston University City College of New York Cornell University New York University St. Bonaventure University University of Puerto Rico University of Virginia University of Wisconsin Wabash College Williams College A & T College of North Carolina Adelphi University Amherst College Barnard College Boston College Brown University Bucknell University Case Western Reserve University Colgate University Colorado College Columbia University Dartmouth College Duke University Fordham University Georgetown University Grambling College Hamilton College Hofstra University Houghton College Ithaca College Lafayette College LaSalle College Lehigh University LeMoyne College Manhattanville College Morehouse College Pace College Queens College Radcliffe College Rensselaer Polytechnic Institute Rutgers University (Douglass College) Lane College Richmond College S•. Joseph's College St. John Fisher College St. Lawrence University Seton Hall University SUNY at Stony Brook Swarthmore College Union College University of Pennsylvania University of Pittsburgh University of California at Davis Virginia Union University Wesleyan University University of Michigan University of Toronto Xavier University of Louisiana SUNY at Geneseo The September 1970 freshman class at the School of Medicine will be a unique one. Not only is it 25 percent larger than in previous years, but one quarter (31) of its 125 members are either minority, deprived, or underprivileged students. "Our intensive recruiting efforts have really paid off," Dr. James C. Dunn, who heads a subcommittee on minority admissions, said. "The spiraling number of applications received from this minority group is the result of a three-year effort by our members to locate and encourage qualified minority students to apply for admission to our medical school." So intense have these efforts been, that during one recruiting visit that lasted three weeks, Dr. Dunn personally covered 17 predominantly negro colleges and universities in the south. Who are these 31 students? There are 18 black Americans, two Africans, six. Puerto Ricans, and one each are European/ Negro, Chinese American, Chinese, Polish, and White American. "We did not lower our admissions standards," Dr. Dunn continued. "All 31 have completed the necessary academic requirements and have passed the qualifying exams." This class of 125 is a heterogeneous one, that represents professional, blue and white collar, labor and agricultural backgrounds. Graduates from 67 schools, the majority have had some exposure to the health care field either as a technician, orderly, etc. over a summer or during the school year. But this class also has the largest female contingent (17) in the history of the Medical School and a set of identical male twins (the first since the Anthone brothers- Sidney and Roland- graduated in 1950). Several are Army veterans, a handful hold master's degrees, and two have PhD degrees, one in microbiology and the other in zoology. These graduates, from .as near as SUNYAB and as far away as the University of Puerto Rico, also cut across the academic board. While science majors still account for the greatest number, there are liberal arts, psychology, mathematics and engineering graduates, as well as political science majors. But New York State continues to account for the largest share of the class, at 87 students. These 87 are followed by 18 from Connecticut, Florida, Georgia, Kentucky, Maryland, Massachusetts, Mississippi, New Jersey, North Carolina, Ohio, Rhode Island,. Virginia, West Virginia, Puerto Rico, one from the British West Indies, and two from Africa.D 2 THE BUFFALO PHYSICIAN �THE UNITED STATES is suffering from a severe doctor shortage that promises to grow worse. At present, certain specialists are especially scarce- internists, general practitioners (less than 2 per cent of today's graduates enter general practice), radiologists, pathologists, anesthesiologists, pediatricians, and psychiatrists. And certain parts of the country lack adequate medical coverage more than other regions. But even assuming that the number of doctors graduated from medical schools increases at the same rate as the projected increase in our population, the fact is that the number of doctors available to treat us will be even smaller unless the present trend among physicians reverses itself- the trend away from active practice. Of the 315,000 physicians in the United States today, only 60 per cent are in active practice, whereas in 1950, 72 per cent were. The numbers of medical graduates who enter research, teaching, industrial, administrative, and institutional careers continue to increase. At the same time, there are twice as many applicants to medical schools each year as can be accepted. Of those who do enter medical school, about 10 per cent do not finish, and many positions for interns and residents in hospitals go unfilled. Obviously some way must be found to increase the output of our medical schools, and to raise the productivity of the doctors themselves. In the past, both the medical colleges and the American Medical Association have resisted plans to increase either of these- presumably because the building of new medical schools may require some federal subsidy. But recently the AMA has got over much of its old bugaboo about government money and has agreed to push for expansion of medical schools. Helping the practicing physician to be able to take care of more people, then, is the other very real goal that must be achieved to meet even the minimum demands of our people for medical care. Group practice in the form of neighborhood health centers offers one of the best solutions. The advantages of prepaid, salaried group practice both to the patient and to the doctor should attract increasing numbers of young physicians. For the patient, it can mean quality, comprehensive, and continual care at lowered cost. For the doctor, it offers economic security, increased efficiency, and convenience -plus the satisfaction of greater productivity. Yet the numbers entering group practice (as contrasted with single specialty partnership) have decreased or remained stationary despite repeated attempts to foster such developments. Only a very small number of private practicing physicians participate in group practice of any kind (roughly 28,000), and even fewer physicians in private practice are full-time members of comprehensive grouppractice clinics. For obvious economic reasons, the figure will remain low so long as physician shortages exist. In addition to increasing the output of medical schools and enhancing the productivity of physicians through group practice, the administration of American medicine must be revised. I believe the key lies in the development of neighborhood health centers for all social and economic classes, whether these centers be lo- FALL, 1970 A Shortage of Doctors by John H. Knowles, M.D. Dr. Knowles is general director of the Massachusetts General Hospital in Boston. He was the center of a controversy recently when the American Medical Association successfully opposed his nomination to the top medical job in the government. Reprinted from THIS WEEK Magazine October 5, 1969 3 �Dr. Knowles cated in urban ghettoes or suburban sprawls. Stressing ambulatory care, prevention of disease, and health education, the centers would combine the merits of group practice with those of accessibility and reduction in the use of high-cost hospital facilities. Such health centers can also pioneer in the development of physician assistants and in the better use of all health professionals. These crucial innovations will be slow as long as organized physicians fear the possibility of economic sanctions and also the loss of their jealously guarded freedom from any restraints. Whether it will be possible for the AMA to insist on free enterprise in the face of severe shortages and rising prices remains a serious question. Although a free enterprise system is one of the bases of the American way of life, many economists question whether free market forces can balance supply and demand in the health field . The consumer has no way of judging quality and almost no direct influence on the supply of physicians. Although conventionally the consumer has little direct influence in the free market, his influence in other areas can be exerted through political channels and can result in state and federal legislation. Physicians, singly or collectively, plead for free enterprise (and small medical school classes). They control supply, the effectiveness of "demand," and the standards used to determine and meet medical "need." The public's only recourse at the moment is governmental intervention. If the situation remains unchanged, people in the future may even resort to the type of violent intervention seen in the school system of New York City- a medical Brownsville. When medicine is fully recognized as a social instrument and not just a technical one, the demand for improved services could become staggering and potentially destructive. Those 30 million impoverished and indigent Americans who lack basic health services and can barely satisfy their minimal needs will demand change. The most important problems besetting the American physician in a time of turbulent demand and change are how best to utilize his hard-won knowledge for the benefit of the most people and at the least cost. If the profession fails to heed the public cry for personal care of high quality which is comprehensive, continuous, easily accessible, and at reasonable cost- then surely more of the profession's precious freedom will be surrendered to central government as the people turn to political forces to satisfy their needs through legislation. But must this be the solution? In our haste to satisfy the appetite of a service-oriented society, we must not forget that the physician and his needs must be considered and met at the same time and in equal measure. The medical profession must work to change medicine through revision of premedical and medical curricula, and it must work more assiduously in the public interest to improve quality, contain cost, prevent disease, and provide services which are accessible and comprehensive. Priorities must be reset and resources 4 THE BUFFALO PHYSICIAN �reallocated so that existing knowledge is used first and foremost for the care of the sick and the prevention of disease. This is the highest calling of the medical school graduate- not such stunts as heart transplants, the medical equivalent of the moon shot. Comprehensive health insurance is not a luxury, but a right. Yet, many Americans are deprived of this right by the high cost of all such current programs. Physicians themselves must band together and work to keep the cost of medical care from endlessly rising to provide truly comprehensive services. If doctors take the initiative, they will be able to institute programs that will also take their own best interests into account. The traditional AMA platform of negative vigilance must change to become more responsible to the obvious problems of cost, quality, and equality of health services for all Americans. I believe that pluralism is the essence of democracy- and that truth is plural and contingent, not singular and absolute. A delicate balance between public and private interests exists in this country today, and as the pendulum swings back and forth from liberalism to conservatism, just solutions lie somewhere in the moderate, practical middle. Both physician and patient interests must be served. Constructive change on the part of the profession would maintain its freedom- and restore the balance which has leaned toward the central government in recent times -largely because the medical profession has been slow to respond. Unless this inertia is overcome, public demand will necessitate government intervention. The balance of power in the United States has in many areas already swung wildly to central government.D A husband and wife team is making a significant contribution to medical education. Both are on the Medical School facultyDr. Imre V. Magoss is an associate professor of urology, and his wife, Dr. Margita, is a clinical assistant professor of neuroanatomy. Both are natives of Hungary and came to the United States 19 years ago. Before coming to Buffalo the Magosses lived in Cleveland where Dr. Imre took a residency in surgery. Dr. Margita organized an employees health clinic at the hospital where she was on the staff. In Buffalo she has had a fellowship in neurology from the National Institute of Health, a research fellowship in neurophysiology at Roswell Park Memorial Institute, a year in clinical electroencephalography at the E. J. Meyer Memorial Hospital. Then came an affiliation with the neurology division of the Millard Fillmore Hospital. The Magosses have two children, Cathy, 14, and Adam, 10. In spite of a busy schedule the family does many things togethergolf, tennis, and hiking. And on long weekends or vacations they take off to explore Fort Niagara, Chestnut Ridge Park, or Williamsburg, Cape Cod or the Adirondacks.D FALL, 1970 5 Husband, Wife Medical Team �Health Care by Stanley W. Olson, M.D. What do you see as the most crucial and immediate health problem facing us today? Dr. Stanley W. Olson was director, Regional Medical Programs Service, Health Services and Mental Health Administration, United States Department of Health, Education, and Welfare, 1968-70. Dr. Olson was graduated magna cum laude in 1938 from the University of Illinois College of Medicine. He interned at the Cook County Hospital and took his residency at the Municipal Contagious Disease Hospital. Chicago. He was a Fellow in Medicine [1940-43) at the Mayo Foundation and had a special Mayo Foundation Fellowship in 1946-47. Dr. Olson was professor of medicine and dean at the University of Illinois College of Medicine [1950-52), and held the same positions at Baylor University College of Medicine from 1953 to 1966. On April 25 Dr. Olson addressed the meeting of the Regional Advisory Group of Western New York, Regional Medical Program in Buffalo. His remarks are based on questions submitted to Dr. Olson from Western New York. Dr. Olson is the new President of the Southwest Foundation for Research and Education in San Antonio, Texas.D On April 27, 1970, I shall be giving a paper at the First International Congress on Group Medicine in Winnipeg, Canada. In that paper I have listed the elements I believe are required for the establishment of an effective voluntary health care system which can rectify many of the deficiencies of our existing arrangement. They include the following: -Health insurance coverage of adequate scope for every person based on a combined system of public and private contributions. -Determination of costs of health care, in advance of performance, based on negotiated rates. -Availability of capital to support facilities and operating costs for institutions that will serve persons without adequate health care service at present, such capital to be repaid through income generated from services rendered. -Regulation of health care institutions to insure that services are equitably distributed. Areawide and statewide planning will be essential to the performance of this function. Providers will require assistance, of the kind Regional Medical Programs can offer, in introducing improved diagnostic and treatment methods and in training health personnel to use these new methods. -Sustained support of health manpower training institutions to produce the extra health personnel required to man new facilities. -Finally, research and development in health services for the proper understanding of the value of the services rendered. Understandably, there is reluctance to proceed with new forms of health insurance that will throw an added burden on an already overstrained Federal budget. Nevertheless, it seems unlikely that real progress can be made in establishing an efficient and competitive health care system unless we move on a broad front to implement all of the items mentioned above, since they are all inter-related. The kingpin in the assemblage is, I believe, the rationalization of health insurance. Given the stability of financing that such a step would provide, the financing agen cies could demand and get a determination of costs before the services were performed. Further, health providers could introduce and benefit from economies of operation. The need for planning and regulation would become readily apparent, and communities would move to establish appropriate methods to accomplish that function. 6 THE BUFFALO PHYSICIAN �Recently Dr. Breslow, President of the American Public Health Association, was reported as being shocked at the several incidents he saw throughout the country of "health brutality." Do you feel that severe malpractice or Jack of medical care for certain populations in the United States exists? If so, what can be done to correct it immediately? Dr. Breslow and Dr. Paul Cornelly who accompanied him on that trip are both careful observers. I am sure they saw individuals requiring health care who were unable to obtain it. The term which Dr. Breslow and Dr. Cornelly have used, "health brutality," seems to connote a brutal attitude on the part of individuals who should be rendering sympathetic and effective health care. I doubt that it was their intention to impute such an attitude toward individuals but rather to a system of care which permits "brutal" neglect. The evidence is clear that many persons in the lowest income groups have inadequate care. The tax supported institutions which in the past have been given the responsibility for providing their care have simply not had the funds to develop the services needed. This comes about in large part because the cities have been strapped financially. The question then arises, where should the blame for the deficiencies be placed? It is my opinion that the responsibility is one which we all bear because we have not been able to devise a system which will train the personnel, provide the facilities, finance the care and organize it in sur.h a way that everyone has an equal opportunity to obtain the care he needs. I doubt there is anything that car. be done to correct the problem immediately. That it needs correction is clear. This is the work to which we must address ourselves in the decade of the 1970's. What do you see as the role of the medical schools throughout the country in improving the quality of medico] care? Are more physicians really the answer? There is no doubt that we do, indeed, need to expand the enrollment of our medical schools. Responsible trustees, administrators, and faculties throughout the country are endeavoring to do just that. The accompanying fiscal problems are severe and are imposing enormous stresses on every medical school. But beyond the mere increase in the output of physicians, we certainly require a re-structuring of the medical curriculum which will place significant emphasis on the ambulatory care of patients. We must define the role of the physician as the leader of a health team which includes nurses, aides, physician assistants, technologists, and others. To serve effectively in this capacity, the physician must understand the socio-economic aspects of medical care and know how to deal with the problems of organizing medical services efficiently. He must increase his own efficiency and output and to do so he will rely heavily on the other members of the health team. FALL, 1970 7 Dr. Olson �cians already trained should learn how to work more effectively with allied health personnel? Yes, I agree that Regional Medical Programs should give practicing physicians every opportunity to work more closely with the members of the health team. One of the interesting experiments in this area is now being conducted in the State of Washington under the auspices of the National Center for Health Services Research and Development. In this program, known as MEDEX, a group of medical corpsmen, previously trained in the Armed Forces, are expanding their basic science knowledge and working with several physicians engaged in the general practice of medicine. Each of these practicing physicians has agreed to take on one of these men as his assistant when he has completed the training program. The opportunity to work in several doctors' offices gives the corpsman not only a better understanding of the work he is to do, but of the personal approaches to medical care of the several physicians with whom he has worked. Clearly if patients are to be served well, there must be a good team spirit and, whether the team is a close knit one such as formed by the general practitioner and his physician assistant, or a larger team operating within a clinic or a hospital, the patients will be well served only if there exists understanding and agreement on the part of the members of the health team as to the function each shall serve. The specific manner in which Regional Medical Programs can facilitate this type of cooperation will have to be worked out by the individual regions. In your view what has been the most and the least beneficial effects of the American Medical Association's policy on the delivery of health care today? I am not qualified to give a comprehensive answer to a question as broad as this, but having been a member of the American Medical Association for more than 25 years, I shall give a general answer. There is no doubt that the quality of medical education in the United States today is due in no small measure to the vigorous efforts made by the AMA early in this century to eliminate sub standard medical schools, to develop internship training programs, and later residency training programs, and finally, to promote the development of postgraduate medical education for practicing physicians. Licensure is often regarded as an attempt on the part of the medical profession to restrict practice but in reality it has been an essential element in raising the standards of those who practice medicine. The AMA sponsored pure food and drug legislation, was in the forefront of the legislative fight to eliminate child la- 8 THE BUFFALO PHYSICIAN �bor and to regulate the hours that women may work. Through its extensive scientific publications and its scientific meetings, it has promoted the diffusion of medical knowledge widely and has contributed substantially to improving the capability of practicing physicians. Much of the criticism leveled at the AMA concerns its position with respect to the socio-economic aspects of medical care. In this respect I am not sure the AMA is grossly different from medical associations in other countries such as Canada , Great Britain, Australia, New Zealand, etc. It is true that the Association was slow to support hospital insurance, group practice, health insurance for the elderly, and prepayment group insurance. The fact is that the AMA does support all of these items at the present time. One rna:/ question whether socio-economic reforms such as these are primarily the responsibility of the medical profession or whether society generally should promote these developments, with the medical profession making sure that the professional and technical aspects of the legislative and fiscal proposals have been thoroughly considered. What effects do you think the initiation and development of a national health insurance program will have on Regional Medical Programs specifically, and the delivery of medical care in particular in the United States? I take the view that the growth of medical knowledge and technology is so rapid that organized methods must be developed to ensure that health professionals who are engaged in the care of patients shall have ready access to the new knowledge, and assistance in acquiring the skills necessary to implement widely the new knowledge and technology. This is the role that I see Regional Medical Programs playing. No matter what schemes may be adopted for organizing or paying for that care, it will be necessary constantly to improve the knowledge and skills of the health professionals rendering the care. What are the chances of Regional Medical Programs being decategorized? If this happens, what do you see as a re-ordered set of priorities and what do you see as a reasonable way to go about expanding our disease interest without an epic attempt to solve all health problems at once? Several legislative proposals hav{ng to do with the extension of Regional Medical Programs are before the Congress at the present time. Senator Yarborough's Committee has held hearings on the legislation introduced by Senator Yarborough himself. That bill would provide for the addition of kidney disease as a categorical interest of Regional Medical Programs and it would substitute the broader term "and other major diseases" for the present modifier FALL, 1970 9 �"and related diseases." The Administration has introduced thP. Health Services Improvement Act of 1970. That legislative proposal eliminates the use of the term "heart disease, cancer, stroke and related diseases" and substitutes the terminology "impairments and conditions of mankind." The legislative language provides for expansion of the categories depending upon regulations which the Secretary may propose. It gives to the individual regions the opportunity to add additional categories from among those which have been identified in the regulations. It is safe to say, therefore, that the scope of Regional Medical Programs will almost surely be broadened. I do not see this expansion of categories as a step which will require a drastic reordering of priorities since the basic structure of the program will continue. The Regional Advisory Group continues to exert a strong role in recommending the proposals to be implemented in establishing a Regional Medical Program. The chief difficulty, I believe, will lie in the area of financing. If we are to make an effective attack on areas other than heart disease, cancer, stroke, and related diseases, we shall require additional funds. As you all know, the country's financial situation is such that it will be difficult to make substantially larger sums of money available. If the program is decategorized, do you foresee much, RMP involvement in mental health? if any, One of the chief objectives of the Health Services Improvement Act of 1970 is to promote a closer coordination of Regional Medical Programs, Comprehensive Health Planning, and Health Services Research and Development. Secretary Finch has urged that, where possible, facilities for child health activities, mental health activities, and other ambulatory care be concentrated in single institutions in order to achieve the greatest level of efficiency. The community mental health centers will almost surely continue to operate under the aegis of the National Institute of Mental Health. But despite that circumstance, which I believe to be desirable, Regional Medical Programs can and should cooperate with all these activities in every feasible fashion . Do you see a trend of Regional Medical Programs forming separate corporations apart from medical schools? If so, do you think this trend is a good thing? How will it affect the future growth and development of Regional Medical Programs? Thirty-five of the existing 55 Regional Medical Programs have been sponsored by medical schools or universities. The legislation passed by the Congress did not intend that these programs should be dominated by the medical schools nor by medical societies nor by any component of the health care system. Instead, it was intended that all groups and organizations engaged in rendering 10 THE BUFFALO PHYSICIAN �health care cooperate in order to form better arrangements than have existed in the past. It is the Regional Advisory Group which has been given substantial authority to determine the policies of the Regional Medical Program and to pass on the projects for which funds may be requested. If the sponsoring medical school, as grantee, understands this fundamental aspect of Regional Medical Programs, it can stimulate the growth and development of the Regional Advisory Group as an effective body to assume that responsibility and the school in turn can take on the administrative responsibilities that go with the handling of substantial sums of money and with the hiring of a substantial staff of individuals to work in the Regional Medical Program. The formation of a nonprofit organization has been undertaken by 15 of the regions. In such instances, the nonprofit organization becomes the grantee and it performs the administrative functions that in the majority of the regions are performed by a university. A new nonprofit organization has a good deal to learn about performing these administrative supervisory functions and often it does not do them well at the outset. Moreover, the fact that the organization is not associated with either a medical school or a medical society, does not relieve it of the responsibility for establishing a Regional Advisory Group. Every grantee must have a Regional Advisory Group. This device for separating the administrative functions and the policy functions of Regional Medical Programs is an essential component of successful Programs. What is your feeling about the alleged future merger of CHP and RMP? Assistant Secretary Egeberg, in his testimony before Senator Yarborough's Committee on the Health Services Improvement Act of 1970, made clear the position of the · Administration that the relationship between these two programs requires greater understanding and greater clarification than exists at present. The Administration recommends that additional funds be made available in order to provide for experimentation as a way of acquiring that added understanding. There is, to the best of my knowledge, no assumption on the part of the Administration that the two programs will be merged. Each of these programs deals with an area essential to the development of an efficient and effective health care system; each must take full cognizance of the area of responsibility of the other; each must work toward a common goal but it will be extremely difficult for either one to take over the function of the other. In Memphis and in Arizona the Regional Medical Program Advisory Group is identical with the Advisory Council for the corresponding Comprehensive Health Planning Agency. This certainly provides for a high level of coordination between the two programs, but I see no evidence that these Advisory Groups find it desirable to merge the function of the two programs for which they are equally responsible. FALL, 1970 11 �It is conceded generally that the improvement of primary medical care is our most urgent need and although it would appear clear that Regional Medical Programs cannot become involved in medical education, it could hopefully become involved in a larger contribution to the establishment of ambulatory facilities, expecially in medically deprived areas which would serve as a lure to attract primary care physicians to such areas. What are your views? I thoroughly agree that the improvement in primary care is one of the urgent needs of our health care system at the present time. We have seen some imaginative experiments undertaken by the Office of Economic Opportunity, and by the Community Health Services in sponsoring Comprehensive Health Centers. In each instance the actual operating institution is a local organization; in some cases a local health department, in others a medical school, and still others, a local medical society or a nonprofit organization. A number of Regional Medical Programs have provided planning assistance to organizations capable of establishing and operating ambulatory care facilities. I believe this kind of assistance by Regional Medical Programs is entirely appropriate and is very effective. The enabling legislation for Regional Medical Programs is quite specific, however, that the funds awarded are not intended to provide for health care services except as such services are incidental to the demonstration of improved methods for the care of patients. We are attempting in this country to overcome a health care dichotomy that has existed for a long time. That dichotomy consists of charity medical services for the indigent on the one hand and private health care services for those who can pay for their care on the other. Unless we can arrange for the newly established comprehensive health centers to evolve into health care programs that serve all socio-economic levels, we may be perpetuating charity medical service under Federal sponsorship. The development of ambulatory care services, particularly for low income groups, is a complex arrangement which includes sponsorship by qualified health care providers, an adequate financing mechanism, adequate facilities, and a coordinated arrangement with a larger health care system so that the physicians and other health personnel can be assured that patients with complex medical problems can obtain whatever level of care is required. There are many aspects of the development of such a complex arrangement in which Regional Medical Programs can render effective assistance. It clearly is not a task which Regional Medical Programs can undertake alone. Do you think the Nixon Administration has provided adequate funds for Regional Medical Programs and other health programs? The provision of funds for Regional Medical Programs and other health programs is, as you know, a joint responsibility; the Administration recommends and the Congress appropriates funds. The overall stricture on funds is such that every health program feels 12 THE BUFFALO PHYSICIAN �that it has insufficient funds to meet inflationary costs and to respond to new challenges. Regional Medical Programs is no exception to this generalization. We have received, as you probably know, an additional $5 million over and above the $73.5 million which we had planned to spend in this fiscal year. The likelihood is that additional sums over and above the $79.5 million requested in new obligational authority will be made available out of those same carryover funds. These additional funds can, I think, be used very effectively. On the other hand, the problem facing every Regional Medical Program is how best to use the funds that it does have available. Unless the staff and the Regional Advisory Group know how to make the best use of limited funds, it is not likely that they will make good use of larger amounts of money. Let me say in conclusion that Regional Medical Programs have been given a unique charter under the legislation enacted by the 89th Congress. They have been given the opportunity to initiate a vital process by bringing representatives of the entire health care structure, and public representatives as well, to study and act on specific health care problems. The programs have functioned best where sound leadership and sound administration has focused attention on local problems. The Regional Advisory Group plays an essential role in identifying and selectively supporting those processes and those regional linkages that have the greatest potential for improving care. The test of the program is not whether one can structure a mechanism for spending money-any organization can do that. The real test is whether what you spend funds for is worth doing and whether care is being effectively improved as a result. The continuity of Regional Medical Programs depends on demonstrating that you can bring about improved care. If you can, you will have shown your ability to structure an essential part of a complex health care system. I wish you well in your efforts. You have made a strong start and I have confidence that you will extend your program and that you will make a major contribution to health care in Western New York. D A total of 18 alumni and their spouses participated in the special alumni reception during the AMA convention at the Palmer House in Chicago June 22. Mr. David M. Krajewski, Director of Medical Alumni Affairs, hosted the informal reception. In attendance were: Doctors Theodore L. Bash, M'51, Bark River, Michigan; Charles A. Bauda, M'42, Buffalo; Alexander J. Bellanca, M'36, La Jolla California; Richard Berkson (medical student), Buffalo; Willard H. and Mrs. Bernhoft, M'35, Buffalo; George and Mrs. Ellis, M'45, Connersville, Indiana; Myron Garsenstein, M'57, Chicago; James H. Johnson, M'45, Chicago; Harold L. Kulman, M'68, Chicago; Robert J. Maichle, M'08, Dansville, New York; Roger B. Perry, M'68, Armed Forces, South Carolina; Robert E. Reisman, M'56, Buffalo; Brina K. Richter, M'25 and husband, Dr. Richter (graduate of Columbia University Medical School), Phoenix; Raymond J. Trudnowski, M'46, Buffalo; Carlton E. Wertz, M'15, Buffalo. D FALL, 1970 13 Alumni Reception in Chicago �Dr. Lee The 1970 MEDENTIAN, student yearbook of the Schools of Dentistry and Medicine has been dedicated to Dr. James Collard, associate professor of clinical dentistry, and to Dr. Joseph C-Y Lee, associate professor of anatomy and associate research professor of surgery. Dr. Collard joined the Dental School faculty in 1959. He received his bachelor's degree from Ohio Wesleyan University in 1950, and his D.D.S. in 1958 from the University of Buffalo. He served in the United States Air Force from July 1943 to November 1946. Dr. Collard is married and the father of two children. Dr. Lee joined the University faculty in December of 1963. Before coming to Buffalo he was on the faculty of the University of Saskatchewan in Canada, where he received three degrees M.S., Ph.D. and M.D. in 1958, 1961 and 1962. From Lingnan University, Canton, China he received his bachelor of science de gree (1947} and his bachelor of medicine degree in 1952. Dr. Lee and his wife have one son. In dedicating the book to Drs. Collard and Lee, the Editors said: There are probably innumerable ways of writing a dedication, none of which would be adequate to describe the appreciation, admiration, and affection felt by the Medical Class of 1970 for Dr. Joseph Lee. Born in Malaya, he soon moved to South China where he grew up and went to school. He received his master's degree in neuropathology and M.D. in 1947, graduating first in his class; during that time, in order to earn money for school, he dissected over 100 cadavers for demonstration to the other students. In 1954 Dr. Lee fled the Communist mainland for Hong Kong, where he taught anatomy for three years, until moving to the University of Saskatchewan, where he taught anatomy and neuropathology. Moving once again, Dr. Lee came to Buffalo, where he is Professor of Anatomy and Neuropathology. Among his many accomplishments are a Textbook of Anatomy, in Chinese; a volume on cerebral edema; a chapter on the blood-brain barrier, to appear in a soon to be published text; Listing in Who's Who in Science; member of England's Royal Society of Medicine; membership in the American Association of Neuroanatomists and Neuropathologists; and membership in the Cajal Society. To our class, Dr. Lee, father of a teen-age son, Paul, and husband of Dr. Katherine So, pediatrician, has been the epitome of what a great teacher should be; after his own family, his students are his prime concern. In addition to this academic role, however, he is also a wonderful person, always stopping to chat and always remembering each of his students by his first name. Therefore, we, the Medical Class of 1970, hope that by this small gesture we can adequately express our Dr. Collord Medentian Dedicated to Drs. Collard and Lee 14 THE BUFFALO PHYSICIAN �grateful appreciation to our teacher and colleague for his kindness and deep concern throughout our four years. Dr. Collard is a man who neither accepts nor rejects an idea because it is new. Rather, he weighs each idea separately according to its merits, not allowing prejudice to overcome good judgment, substituting the wisdom which comes from experience for rashness. The ability to do this has enabled him to act as a mediator between the faculty and students, commanding respect and admiration from both groups, while working behind the scenes to implement major changes in the teaching of dentistry. Because of his untiring work both in and out of clinic to promote excellence in dentistry, we, the Senior Class, dedicate our yearbook, Medentian 1970, to him.O Chancellor Samuel B. Gould has announced his intention to resign as Chief Executive Officer of State University, effective October 1, 1970. Chancellor Gould has headed three major campuses in the past 16 years, of which the last six have been at the State University of New York. Since 1964 he has helped forge a varied collection of teachers' colleges and specialized schools into one of the nation's leading university systems. Dr. Gould told the university's trustees that "when I accepted my post six years ago, it was with the pledge to seek a standard of education for the State University of New York which would place it within the foremost public institutions of higher learning in the country .... This goal is now in sight." At a press conference in Albany, Chancellor Gould explained that, following his retirement, he plans to find the opportunity to "think about, write about, and do something about some of the major educational problems that we face in America today." The Chancellor emphasizes that he is leaving at a time when he feels State University is in the strongest position it has ever been academically, in terms of relationships with the Legislature and with Governor Rockefeller, and also at a time when the University enjoys more national recognition and acceptance than at any point in its history. Under his direction, the total student body has grown from 150,000 to 286,000, and State University faculty from 9,887 to 14,907. Degrees awarded, library holdings, and academic programs have all more than doubled. 147,354 students have been awarded degrees during the Gould administration. The University's $4 billion plus construction program far exceeds any similar project elsewhere, resulting in new or virtually new campuses on which an estimated 350,000 students will be receiving their education by 1976.0 FALL, 1970 15 Chancellor Gould Resigns �Assistant Dean Named Dr. Thomas G. Cummiskey has been appointed assistant dean at the School of Medicine. His main responsibilities will be in the areas of student and academic affairs. The 39-year-old physician was born in Bradford, Pennsylvania and attended St. Bonaventure University and the College of the Holy Cross where he received a BS degree in biology in 1953. Dr. Cummiskey was awarded a medical degree in 1958 from the University of Buffalo and interned the succeeding year at the Buffalo General Hospital. A year of residency in surgery at the Cincinnati General Hospital was interrupted by a two-year stint (1960-62) with the United States Army Reserve Medical Corps in Shreveport, Louisiana. He remained in that city for a year of internal medicine at the Confederate Memorial Center before he returned to Buffalo in 1963 to complete his residency in internal medicine at the Buffalo General Hospital in 1965. Dr. Cummiskey held both university and hospital appointments at the Buffalo General Hospital (1965-66) and the Veteran's Hospital (1966-67) before he joined the American United Life Insurance Company in Indianapolis as assistant medical director. Two years later (1969) he was appointed to associate medical director. Dr. Cummiskey, who will also have teaching responsibilities in the department of medicine, replaces Dr. Robert H. Wilbee, M'59, who became acting associate director at the Meyer Hospital.D Neurosurgical Residents Four University neurosurgical training program residents are among the top 10 percent in the country. In a nationwide in training examination required for all neurosurgical residents who have completed their second year of training by the American Board of Neurological Surgeons, they scored above the ninetieth percentile. The three residents and one who has completed his residency are: Dr. Walter Grand, a second year resident and a graduate of Albert Einstein Medical School who has completed a residency in neurology at Case-Western Reserve University. Dr. Herbert L. Cares, a third year resident who has served as a medical officer aboard a nuclear submarine and earned his medical degree from University of Michigan. Dr. Stephen C. Padar, a fourth year resident, and medical graduate from Cornell who has served as medical officer in the 82nd Airborn Division. Dr. Luciano Modesti, completed his residency four years ago but is preparing for his Board exam. Dr. Cummiskey Additional honors earned by Dr. Cares include first prize for a paper on The Significance of the Optic Strut in the annual essay contest of the Western New York Chapter, American College of Surgeons as well as second prize in the Student American Medical Association's photomicrography contest. Program Chairman for the University neurosurgical training program that rotates between the Buffalo General, Children's and Meyer Hospitals is Dr. Louis Bakay, professor of surgery as well as neurosurgery head at these local hospitals.D 16 THE BUFFALO PHYSICIAN �New Director for Buffalo General Dr. Theodore T. Jacobs will be the new director of the Buffalo General Hospital on January 1, 1971. The 1938 Medical School graduate has been associate director since 1962. Dr. Jacobs succeeds Rudolf G. Hils, director since 1962 and a member of the administrative staff for 33 years. Mr. Hils will retire December 31 . Dr. Jacobs joined the hospital staff as director of the out-patient department and coordinator of house staff education in 1959. He served his internship and residency at Buffalo General. Dr. Jacobs is an assistant clinical professor of surgery at the School of Medicine. He is also a director of the Western New York Hospital Association; a trustee of the Health Planning Council of Western New York; a Fellow of the American College of Surgeons; a member of the American Hospital Association and the American College of Hospital Administrators. During World War II, Dr. Jacobs was a major in the Army's 23rd General Hospital in the African and European Theaters. Under Mr. Hils' directorship the hospital launched its three-phase expansion and redevelopment program completing the $7.3 million Ellicott-High wing (phase I) in November 1969. In the next two phases the wing will rise from four to 16 stories. Construction of a $4.5 million community mental health center is now underway along with remodeling of new larger clinical laboratories.D The Regional Medical Program of Western New York received two grants totaling $1,796,623 recently according to Dr. John R. F. Ingall, program coordinator. The award was made by the Division of Regional Medical Programs Service, Health Services and Mental Health Administration, U.S. Department of Health, Education and Wefare. The largest grant of $1,428,915 will be used to continue the Telephone Lecture Network, a program of lectures to professional health personnel in hospitals in Western New York and Northwestern Pennsylvania; the coronary care training program for nurses and physicians; chronic respiratory disease program, which includes a training program for inhalation therapists, a post-graduate program in pulmonary diseases for physicians and nurses, use of the acute respiratory unit at the Millard Fillmore Hospital as a model for the educational program, and the addition of a screening program for respiratory diseases; a program of diagnostic procedures in immunofluorescence; a regional tumor registry, which will provide physicians with cumulative regional clinical and survival data on patients with neoplastic disease. The second grant of $367,708 provides support for: topical chemotherapy treatment for precancerous lesions and cancer of the skin; medical information dissemination service; devolopment of a respiratory model unit at the Millard Fillmore Hospital; and planning for continuing education programs. D FALL, 1970 17 Mr. Hils Dr. Jacobs Regional Medical Program Receives Two Grants �President Ketter Dr. Ketter Appointed President D R. ROBERT L. KETTER assumed the presidency of the University July 1. The 41-year-old civil engineer has been a member of the faculty the last 12 years. He is the former dean of the graduate school, and former vice president for facilities and planning and chairman of the department of civil engineering. The appointment was made by the Board of Trustees of the State University of New York. Dr. Ketter becomes the institution's 11th chief administrative officer and its third president since it merged with the State University of New York in 1962. The professor of engineering succeeds Martin Meyerson who becomes president of the University of Pennsylvania September 1. Dr. Peter F. Regan has been acting president since September 1969. The new president was born in Welch, West Virginia. He earned his bachelor of science in civil engineering from the University of Missouri in 1950, and his master's and Ph.D. degrees from Lehigh University in 1955. Dr . Ketter has authored over 40 technical articles and reports and has published a basic engineering textbook, Modern Methods of Engineering Computation. He is in the process of completing two other books. In 1968 he was the recipient of the Adams Memorial Award for excellence in teaching and research of the American Welding Society. From 1967 to 1969 as vice president for facilities planning Dr. Ketter was in charge of planning the new Amherst campus. He has been active in the University Faculty Senate, serving as its secretary from 1963 through 1967, and a member of several committees. He is past chairman or member of 16 national and international technical committees, and has represented the United States as an expert on Commission X of the International Institution of Welding. For several years, he was an accreditation examiner for the Engineers Council for Professional Development and as an educational consultant for the Council of Graduate Schools of America. He has also served as a consultant on higher education planning to several countries. He was recently elected chairman of the Board of Trustees of the Comprehensive Health Planning Council of Western New York and is a member of the Board of Trustees of the Western New York Nuclear Research Center. Dr. Ketter is hopeful that his engineering background will be an intellectual asset in dealing with the University's diverse problems. "It makes you listen to all sides of the question. I don't know of any engineering problem where you have all the answers." Council chairman William C. Baird commenting on the new president said: "Dr. Ketter is a vigorous, imaginative and hardworking young man who has been closely linked with our University during the past 12 years. As a scholar, administrator, faculty member and citizen of Western New York he has distinguished himself in a wide range of activities both on and off the campus. We can look forward to many years of positive direction and achievement for the University under his capable leadership." Dr. Regan said: "Dr. Ketter comes to the presidency with an unusual combination of assets. He is a distinguished scholar, a proven and experienced administrator and a man of the greatest integrity and dedication. This is a combination from which the 18 THE BUFFALO PHYSICIAN �University can profit enormously. All the strengths work in his favor. All of us will work with him and for him." The new president pledged to help "create a feeling of community on the campus while we re-examine our various academic programs and try to eliminate some confusion as to what our priorities are." On weekends Dr. Ketter, his wife and four children try as often as possible to get away to their 140-acre farm in Allegany County. The oldest child, Katharyn, 19, has just completed her freshman year at Ohio Wesleyan University. She is spending the summer working at a camp for the retarded in Canada. Susannah, 17, and Mary, 14, are students at Bennett High School and Michael, 9, is at School 63. Dr. Ketter is an accomplished pianist. He has performed twice in Carnegie Hall as a member of the Bach Choir of Bethlehem, Pennsylvania, and served as the Choir's President. D A 1967 graduate has been active in setting up the first methadone treatment unit for heroin addicts at Sisters Hospital. He is Dr. Ronald M. Levy, who is expected to serve as director of the unit. He formerly served as assistant medical director of the Man Alive Program, a rehabilitation center for narcotics addicts in Baltimore. Funds for the program will be provided by the State Narcotics Addiction Control Commission through the Erie County Mental Health Department. This is the first of a possible four methadone treatment units. Mental Health Commissioner James J. Warde estimated that the average cost per year for treating an addict with methadone will be $700 when all four units are operating. The Sisters Hospital unit is prepared to serve a maximum of 250 patients. When its capacity is reached a second unit will be opened in another location, then a third and a fourth , if necessary. Heroin addicts, their families or friends who call the drug hot line of the Suicide Prevention and Crisis Center, will be referred to the Sisters Hospital unit for methadone treatment. Heroin addicts may also go to the hospital on their own or be referred by a physician, a social agency, a clergyman, or friends .D FALL , 1970 19 Methadone Unit �Senior Class Day The 94 graduates, garbed in traditional mortarboard and black robe, solemnly filed past the assemblage in the main auditorium of Kleinhans Music Hall. The honor guard located their places on the stage. And the 124th Class Day Exercises of the School of Medicine, founded in 1846, began. "Not only do we honor the graduates," said Dean LeRoy A. Pesch, "but you, who have supported and brought them to this point." Class president Donald P. Copley- who has held this office all four years- reminded his classmates that "responsibility is your role in life at every turn" and that concern of doctor for patient "is the highest of human relationships." But he also said that each graduate will have to make his own decision regarding the degree of his involvement with the community and its general problems. "Social change," he pointed out, "implies political action and the question arises to what degree can or should a physician direct his energies into politics?" In his response to the dedication of the MEDENTIAN (the medical/dental yearbook), Dr. Joseph C-Y Lee said that it has "made me feel that I am no longer a guest professor at this university or an alien in this country." The professor of anatomy and research associate professor of surgery, expressed the hope that the dedication was a symbol of appreciation "to all of your teachers from the kindergarten to the medical school for they deserve no less honor than I." He told the class of 1970 that in China, on the eve of either a wedding or a graduation, advice is offered. "Unfortunately I do not have any untold advice for you as you are too intelligent and well-informed to require any confidential instructions. Nevertheless no matter how many academic degrees we have received, we are still hu.man and forgetfulness is human nature. We tend to forget not only gross anatomy but also some common things." He explained that just as married couples forget the effort extended before marriage, students forget the hardships they may have gone through. "Do you remember in the last four years how many sleepless nights you had, how many social events you missed, and how often you had to force yourself to resume studies after fatigue and frustration? It is through these continual efforts that you have obtained the knowledge for qualifying yourself to be physicians." There must be some time and effort devoted to "keep ourselves up-to-date," he told the graduates. "We are members of a cultured society and therefore cannot live a Robinson Crusoe's life. We must learn something about music, literature, history, and other disciplines. If we suffer from the cultural malnutrition we shall lack the modern jargon, the 'communication' between us and people from other walks of life ... The yearbook mentioned that Dr. Lee knew every senior by his first name. "Truly I remember each and everyone of you not only by your first names but also some of your interests and personalities. I do not have electronic eyes nor am I an instant camera. The way I remember is twofold. One, I took the time and effort to do so, and two, I look upon you as respectable individuals. Will you, my dear friends, look upon your future students, patients, and fellow citizens as respectable individuals and remember them?" 20 THE BUFFALO PHYSICIAN �Now therefore on behalf of the great company of physicians who have gone before you I call upon you to take, as they have taken before you, the oath that bears the name of Hippocrates. Twenty senior medical students shared 17 awards at senior class day presented by Dean LeRoy A. Pesch. Two, who received three honors each, are: JeffreyS. Ross- elected into the national honorary society in medicine Alpha Omega Alpha, received Thesis Honors, and was awarded the Bacceli Award for continued excellence of research; and James K. Smolev - Alpha Omega Alpha, Thesis Honors, Buffalo Surgical Society Prize for highest grade in surgery during junior and senior years. Other award winners: Morris Stein Neural Anatomy Award (highest grade in neural anatomy): John G. Secrist; Upjohn Award (for outstanding improvement): Thomas V. Krulisky; Arthur G. Bennett Memorial Prize (ophthalmology): Steven J. Faigenbaum; Heinrich Leonhardt Prize (surgery): William P. Dillon; David K. Miller Prize (medicine) competence, humility and hu- manity which characterizes Dr. Miller's approach to caring for the sick: Donald P. Copley; Gilbert M. Beck Memorial Prize (psychiatry): Ronald H. Blum, who also received thesis honors; Philip P. Sang Memorial Award (outstanding efficiency in the practice of medicine and dedication to human values): Susan H. Moshman; Maimonides Medical Society Award (aptitude in application of basic science principles to the practice of medicine: Russell P. Massaro; Hans J. Lowenstein Award (obstetrics): Jan M. Novak; Bernhardt and Sophie B. Gottlieb Award (combination of learning, living, and service): Michael L. Lippman; Lange Award (excellence of two seniors): William F. Balistreri, and Bruce H. Littman; Mark A. Petrino Award (sincere interest and best characteristics for general practice of medicine): Henry L. Whited; Lieberman Award (anesthesiology): William P. Dillon; Alpha Omega Alpha National Honorary Society: Brian A. Boeh- lecke, Donald P. Copley, Dennis P. DuBois, Marvin W. Harrison, Michael L. Lippman, Russell P. Massaro, Susan M. Mashman, Jan M. Novak, JeffreyS. Ross, Jeffrey G. Rothman, John G. Secrist, and James K. Smolev.D FALL, 1970 21 �Hydration During, After Surgery by Raymond ]. Trudnowski, M. D. Class of 1946 The rationale behind hydration with balanced salt solutions is to provide a readily available supplement to fluid in the interstitial phase of the extracellular compartment. Interstitial fluid normally replenishes blood volume deficits following hemorrhage. Many preoperative conditions and presurgical manipulations tend to deplete this compartment. Also, intestinal obstruction or severe surgical trauma, especially around the gastrointestinal tract, often immobilizes more fluid. As a result, hypotension and anuria can occur with minimal or moderate hemorrhage. Blood, plasma, or dextrans have been used to maintain stable circulation under these conditions. However, they should be administered with care, since they may cause complications such as sensitization or hepatitis. Dr. Roth and associates apparently prefer blood, plasma, or dextrans while limiting other fluids. They base their conclusions on experiments using an interesting modification of the 35 8sodium sulfate space measurement. This measurement has been difficult to make and interpret. I could not undertake an appraisal of their modification from the article and references available (MM, July 14, 1969). The following minimum information would be useful: after the functional relation was determined by the proposed mathematical curve-fitting method, could experiments associated with its differentials and integrals be satisfied? What was the nature, location, and success of these experiments? Dr. Raymond J. Trudnowski is a 1946 Medical School graduate. He is associate chief of the department of anesthesia, Roswell Park Memorial Institute. He is one of five U.S. physicians whose comments on use of water and sodium in surgical procedures were included in the April 20 issue of MODERN MEDICINE. His comments appeared as a "Forum" feature and are reprinted here.D From our studies we have concluded that patients benefit from hydration. Treatment, however, should be adapted to each patient according to kidney function, preoperative hydration, hematocrit, cardiac status, and amount of trauma and hemorrhage anticipated. The usual patient receives Ringer's lactate solution at an initial rate of 15 ml. per kilogram of body weight per hour intraoperatively. This is constantly adjusted to current needs. Blood is given to treat potentially harmful red cell deficits. My guides to treatment are blood pressure, pulse, and blood loss measurements supplemented by urinary output and central venous pressure when indicated. Our studies since 1961 have shown that unmodified Ringer's lactate solution, with its relatively low sodium and chloride concentration, is as useful as any solution proposed for this purpose. We have not encountered pulmonary edema following its administration. Hypoxia or lymphatic obstruction usually associated with atelectasis seems to be a more important factor in precipitating this condition.D 22 THE BUFFALO PHYSICIAN �1969-70 APFME Scholarship Winners John Antkowiak, '71 Yung-Cheung Chan, '73 Thomas Lawley, '72 Cheektowaga, N. Y. Canisius College Kowloon, Hong Kong, B.C.C. Hobart College Buffalo, N. Y. Canisius College Sarah Moore, ' 73 William Murray, ' 72 Timothy Nostrant, '73 Geneva, N. Y. Douglas College Eggertsville, N. Y. SUNYAB W est Seneca, N. Y. University of Roch ester Nine Students Receive $7,740 from Annual Participating Fund for Medical Education FALL, 1970 Jeffrey Pine, ' 70 James Smolev, '70 Donald Storm, '71 Belle Harbor, N. Y. Brooklyn College Buffalo, N. Y. Columbia University Cheektowaga, N.Y. SUNYAB 23 �Cerebrovascular Disease Dr. Ibrahim In the United States, deaths from cerebrovascular disease now run about 200,000 per year and are exceeded only by deaths attributed to arteriosclerotic heart disease and cancer. Estimates on stroke indicate that at least two million Americans show clinical evidence of this illness and that over one-half of this number survive the acute, initial phase of the disease to live for some years, usually in a seriously disabled condition. The existence of these hundreds of thousands of seriously disabled stroke patients is even more distressing when much of the problem could be avoided by the timely application of preventive or rehabilitative treatment. How has Western New York fared? A recent study on the epidemiology and medical care available to stroke patients in this region reveals that there is about a 17.6 percent death rate (rate has been corrected for an undercount) from this disease that is higher among females than males, and among nonwhites than whites except for the 75 + age group. It also points to the 8,000 stroke patients in the region with an additional 4,000 new patients each year. Said the study's principal investigator Dr. Michel Ibrahim, who is an associate professor of social and preventive medicine and deputy health commissioner of Erie County, "this study will hopefully lead to a more efficient and effective use of our region's resources, pinpoint needs in the area, and provide data for the planning of future stroke programs." "Our study," he continued, "is based on the two million people living in the counties of Allegany, Cattaraugus, Chautauqua, Niagara, Genesee, Wyoming, and Erie of New York and Pennsylvania. This is the eight-county region of the Regional Medical Program, a university-sponsored regional body responsible for carrying out the national program to conquer heart disease, cancer and stroke by bringing to patients more rapidly the benefits of research." The study was based on data obtained from medical records from 42 hospitals, death certificates from health departments and information from a stratified sample of physicians in the region who routinely treat stroke patients. Data was compiled and evaluated under his direction by investigators William Van Wie, Harvey H. Borden, Irene Andruczyk, and Elsa Kellberg. Assisting in the study was the 18-member Regional Medical Program's Stroke Committee chaired by Dr. Samuel Sanes, professor of pathology. The investigators noted that of the three types of stroke, thrombosis (clotting of a blood vessel) and embolism (a fragment of a clot that has dislodged from the heart or neck vessel and plugged a blood vessel) accounted for a greater percentage of deaths than did the hemorrhagic type of stroke. When the population studied was ranked by age, the under 45 group accounted for 70 percent, the 45-64 group for 20 percent, and the 65+ group for the remaining 10 percent. The over 80 percent of all deaths in the 65+ group was explained by the risk of stroke increasing with age. 24 THE BUFFALO PHYSICIAN �"More than 90 percent of all stroke patients," Dr. Ibrahim noted, "utilized the hospital in their particular county. During a hospital stay ranging from two to four weeks, a majority received several diagnostic tests. " The electrocardiogram appeared to be the most utilized followed by lumbar punctures , skull x-rays , electroencephalograms and brain scans the least used. This may be because one third of the general practitioners reported that electroencephalograms were unavailable to them and one third of all physicians reported that lack of a facility denied them from requesting a specific diagnostic test for their patients. While the number of unavailable tests was lowest for Erie County, it was highest for Cattaraugus. Sixty-seven percent of stroke patients hospitalized for a month or more received physical therapy and twenty percent received occupational therapy. Physicians also felt that at least one half of their stroke patients should receive these two serv;ces. The least used special service at only 9 percent was speech therapy which over three quarters of the reporting physicians indicated should or is being received by less than half of their patients. While speech and occupational therapy is reported available in only 40 percent of the hospitals, physical therapy and social work consultations are, on the other hand, relatively available. A bit more than half of the patients, the study revealed, received consultation services covering neurology, neurosurgery , medicine, and psychiatry. The majority of physicians found these services to be readily available. Most physicians, Dr. Ibrahim noted, do not treat their patients at home. For at least half of their hemorrhagic patients, the most difficult problems for most physicians were the diagnostic, therapeutic or long term care stages, while one third indicated long term care presented the most difficulty for the nonhemorrhagic patient. What is needed? While most physicians felt that home care nursing was readily available, neurology, neurosurgery, vascular surgery, and psychiatry services for some physicians in certain counties was needed as well as additional nursing homes, rehabilitation centers, centralized consultation services, and intensive care units for stroke. Many of the study findings which relate to educational programs for physicians will be used to implement such programs. Dr. Ibrahim pointed out that a stroke registry for the region as well as a standardized recordkeeping system by all hospitals would prove invaluable in obtaining precise estimates of stroke frequency and the impact of future stroke programs. · The study, published in May, was supported by the Regional Medical Program of Western New York, the University's department of social and preventive medicine, and the Erie County Department of Health. D FALL, 1970 25 �T HE Dr. Jerome J. Maurizi discusses chronic lung disease over the network Dr. Harry J. Alvis moderates the program. 54 Hospitals Tune in on Health Advances TELEPHONE LECTURE NETWORK reaches about 2,500 health professionals in 54 Western New York hospitals in eight counties every month. This special network is a part of the Regional Medical Program, directed by Dr. John R. F. Ingall, assistant professor of surgery. Groups of physicians, dentists, pharmacists, nurses, dietitians, medical record librarians, hospital administrators and supervisory personnel, physical therapists and environmental health workers tune in regularly. Last year over 25,000 participated in the network programs. The lecture occupies about 30 minutes. It is followed by an open network discussion period in which any member of the farflung audiences may ask the speaker questions concerning his talk or specialty. All network listeners benefit from the lecture as well as the question and answer period. Usually each lecture is supplemented by 35mm slides. Last year 12 visiting medical educators lectured on the network from the local studio or directly from their offices in another city, via a special conference facility built into the network system. In February Dr. John Knowles' Joseph L. Reynolds, telephone lecture network co-ordinator, checks an experimental EKG transmission from a rural hospital in the region. Nurses listen to a lecture at Children's Hospital. 26 �Three cardiologists participate in telephone lecture at the E. J. Meyer Memorial Hospital. They are- Drs. Gregory Farry, Joseph Zizzi, and Andrew G. Finlay Jr. Dr. Ingoll, co-ordinator of the program. A group of physicians listen to telephone lecture at the Wyoming County Community Hospital, Warsaw, N.Y. lecture to students and faculty was beamed from Butler Auditorium over the network. Dr. Knowles is general director of the Massachusetts General Hospital in Boston and Chairman of the Board of Visitors of the Faculty of Health Sciences at the University. "The possibilities for its use are absolutely tremendous," says Joseph L. Reynolds, network co-ordinator. "We have just scratched the surface. There are a variety of specialized programs that we can use that no one has thought of." Taped lectures are repeated over the network upon request when time permits to assist in in-service training programs at hospitals. However, hospitals are encouraged to tape the lectures for their own library. About 200 lectures have gone out over the network in two years of operations. In the pilot project two years ago (April 2, 1968) 15 hospitals participated. In January the AMA accepted attendance by physicians at the lectures as credits toward its Recognition Award for keeping abreast of medical advances. D FALL, 1970 27 �Dentistry, Pharmacy Name New Deans Two Health Sciences Schools- Dentistry and Pharmacyhave new deans. Dr. William M. Feagans is the new dean of the Dental School and Dr. Michael A. Schwartz is the new dean of the Pharmacy School. Dr. Feagans comes from Tufts University where he has been associate dean for academic affairs in the School of Dental Medicine and associate professor of anatomy since 1966. From 1958 to 1966 he was on the faculty of the Medical College of Virginia. The 43-year-old dean received his D.D.S. from the University of Missouri School of Dentistry and his Ph.D. from the Medical College of Virginia. Dr. Feagans will also be professor of anatomy. He is married and the father of three boys. Dr. James A. English, who has been Dental School dean since 1960, announced his retirement in October 1968. He will continue as professor of oral biology. Dr. Schwartz joined the University faculty in 1963 as an assistant professor of pharmaceutics. He was promoted to associate professor in July 1965, named assistant dean in July 1966, and professor of pharmaceutics April 1970. Dr. Schwartz succeeds Dr. Howard J. Schaeffer, who has been "acting dean" since November 20, 1969. Dr. Daniel H. Murray had been Dean of the Pharmacy School from 1954-1969 until he was named Dean of the Graduate School and Associate Vice President for Academic Development on March 27, 1969. Dr. Schwartz received his bachelor of science degree from the Brooklyn College of Pharmacy; his master's degree from Columbia University College of Pharmacy; and his Ph.D. from the University of Wisconsin. He is married and has two daughters. Dr. Douglas M. Surgenor, provost for the Faculty of Health Sciences said, "We are fortunate to have two bright young men who are recognized leaders in their respective fields, as our new Deans. They have proven themselves as teachers, researchers, and administrators. They have the respect of their colleagues- students and faculty."D Dr. Schwartz Continuing Education Five Continuing Medical Education programs have been scheduled during September, October, and November. They are: Sept. 23-25 -Trends in Internal Medicine (50th annual program); Sept. 27-29- Hand Seminar; Oct. 6-7- Health Care for Women; Oct. 14-16 - 5th Annual Pulmonary Disease Program; Nov. 7 (tentative) - Contemporary Therapy for Psychiatrists; Nov. 12-13 (tentative) - Modern Concepts in Coronary Care.D 28 THE BUFFALO PHYSICIAN �Front row left to right: Fran cis J. Gustina, Margaret L. Hogben, Marvin A. Block-Chairman, Norbert W. Kuch. Back row left to right: Milton J. S chulz, William M. Howard-Chairman, Haro ld E. Zittel-Chairman, Willia m T . Clark, Lucian C. Rutecki, Emerso n J. Dillon, Ethan L. Welc h. Class of 1925 at Spring Clinical Days Dr. James F. Mohn: Student, Colleague, Friend by Oliver P. Jones, Ph.D., M.D. Professor and Chairman, Department of Anatomy I have known our honored guest ever since he started the study of medicine in the fall of 1941. That was the first time I had the full responsibility for the teaching of gross anatomy, because my predecessor, Dr. Wayne J. Atwell, had died of multiple myeloma in March of that year. What the introductory lecture was about escapes me now, but what I did not say was something like this: " Gentlemen, look at the men to your right and left, the one in front of you and the one behind you and realize that one of the five will not be here next year." These words were used by Dean Ross V. Patterson at Jefferson Medical College but were never used at the University of Buffalo. However, had I used them James Mohn, in seat 49 would have · looked at Marchetta on his right and Montani on his left. In back of him, depending on how he turned around, he may have seen either Steiner or Stafford and in front he should have seen Soodyear who did not survive this educational experience. Jim's class was not unlike the others I have had in anatomy, but something happened to make this class in later years appear quite unique because out of it were spawned three deans of the assistant or associate variety namely, Longstreth, Brown, and Stafford. Jim, Bob, and Bud were among those elected to the James A. Gibson Anatomical Society in their sophomore year. FALL , 1970 29 Dr. Mohn, professor of microbiology, was honored at a Silver Anniversary dinner May 19 at Goodyear Hall. �Class of 1930 at Spring Clinical Days Front row left to right: Benjamin S. Custer, Raymond L. Feldman, Richard G. Taylor, ]ames G. Kanski, Irving WolfsonChairman, Walter T. Murphy, Vincent I. Bonafede. Back raw, left to right: R. Edward Delbridge, Anthony R. Cherry, Samuel Sanes, Harold H. Saxton, Herbert ]. Ulrich, Frank B. Smarzo, Carleton A. Heist, Raymond ]. Germain. I lost track of Jim for several years but after he returned to the second floor of the old Medical School our paths crossed many times because there was only one stairwell to the third floor. In 1948 we really got to know and understand each other well because of our roles in staging the first formal Congress of the International Society of Hematology. Jim was Secretary General for the Buffalo meeting, co-chairman for the Committee on Equipment, and a member of my committee for Scientific and Commercial Exhibits. In all of these assignments he demonstrated excellent qualities of leadership and cooperation that have stood him in good stead ever since. Jim and I made many friends from the 21 nations represented at the Buffalo Congress and consequently this intensified our expectancy about attending the 1950 congress in Cambridge, England. Although our University was poor as the proverbial church mouse, Chancellor Capen persuaded the Council to allocate $900 for three tourist class passages on the Queen Elizabeth for Dr. Witebsky, Jim, and myself. For awhile it seemed as though we would have to forego this trip because of the Korean War and the lack of tourist class accommodations. The Oxford group was apprised of the situation and I received the following cablegram from Robb-Smith: WILL MAKE EVERY EFFORT INDICATE NUMBER AND CLASS OF BERTH ACCEPT ABLE LATEST DATE YOU WOULD FLY OTHERWISE I WILL ASK WHITBY CANCEL CONGRESS. 30 THE BUFFALO PHYSICIAN �Whitby referred of course to Sir Lionel Whitby, Master of Downing College, Regius Professor of Physics at the University of Cambridge, and President of the 3rd International Congress of the International Society of Hematology. To make a long story short Dr. Witebsky tapped some special funds which enabled us to travel cabin class. Jim and I arrived in New York City after an all night train ride in a coach not knowing for certain whether Dr. Witebsky would go along because of the war scare. When we arrived (August 8, 1950) at Pier 90 for embarkation lo and behold Ernest was already halfway up the gangplank. Two of our admiring and appreciative students from the 1950 class, Drs. Flossie Cohen and Sydney Weinberg, came aboard to wish us bon voyage. Sydney presented me with a bottle of Ballantine scotch. I told Ernest it was mouth wash and he believed it for awhile. We were assigned to C-208 which had two bunks against the wall and one bed beneath a porthole. Ernest was assigned the upper berth but Jim was informed he could sleep there on the way over and that they would switch on the return voyage. Guess what! Jim had to sleep up there both ways. We had a great time at the daily movies, in the swimming pool, on the sun deck, playing bingo (Keno), and the horse races. I lost 10 shillings at bingo but Jim once won a pound ten and six. Front row left to right: Herman S. Mogavero, John G. Ellis, Hyman W. Abrahamer, John F. Argue, Paul N. Stoesser, Kenneth H. Eckhert-Chairman, Domenic S. Messina, Robert J. Krug, George S. Young, Stanley A. Weglikowski. Back row left to right: James H. Gray, Willard H. Bernhoft, Carl J. Streicher, Clayton G. Weig, Harry N. Taylor, Wendell R. Ames, George F. O'Grady, James Mark, Richard M. McNerney, Russell F. Brace. Class of 1935 at Spring Clinical Days FALL, 1970 31 �Class of 1940 at Spring Clinical Days Front row left to right: Louis A. Trippe, Albert C. Rekote-Choirman, Chorles H. Severson, Bernard W. Juvelier, Lyle N. Morgan, Harold K. Palanker-Toastmaster, John M. Benny, ]omes P. Schaus. Bacl~ row left to right: Warren R. Montgomery, William 0. Umiker, John G. Zoll, Russell E. Reitz, Victor M. Breen, George A. Harer, Milford N. Childs, William Hildebrand, Corydon B. Ireland, John D. White, Stuort V. Collins, Morshall Clinton, Robert D. Hubbard, Julian ]. Ascher, Allan W. Siegner, Stanley T. Urban. On the return trip we made friends with Arthur Fagin, the bartender, whose son was attending medical school. Fagin introduced us to a South African after-dinner drink, Van der Hum. It was a sort of Drambuie, Benedictine brandy which we enjoyed. While at the bar with our backs to the door, Witebsky came in and ordered one of the same without inquiring about the nature of the drink. He took one sip and almost choked. Obviously he was not a pro in such matters. Before dismissing our experiences on the Queen Elizabeth, let me say that in spite of Jim's discomfiture in the upper berth, on September 3rd he ordered a birthday cake from the chef for E. W. which was indeed a surprise. Dr. and Mrs. Joseph Hill and their son Norman joined in the celebration. For the benefit of those who do not know this family Dr. Hill graduated from our medical school in 1928 and he was the first president of the International Society of Hematology which was formed in Dallas and Mexico City in 1946. We arrived in London on August 14 and then spent the next six days touring England and Scotland (under the supervision of Dean and Dawson) with Dr. and Mrs. Ted Evans from New Haven. It is a good thing we were along because Mrs. Evans was continually borrowing pennies from us for the W.C. 32 THE BUFFALO PHYSICIAN �We finally arrived at Cambridge and made our way to Christ College that was to be our home during the congress. I stayed in a building dating back to 1550 in which Charles Darwin lived during his students days. Jim was given quarters in a newer building- not far from John Milton's mulberry tree. He was also closer to bath facilities- I was 350 yards away from them. That evening Jim and I went to the University Arms Hotel where many of the affluent hematologists were staying. Robin Coombs treated us to several drinks and we left for Christ's College at 10:30 P.M. only to find ourselves locked out. We returned to the hotel for Coombs who eventually showed us where the bell was located for the night watchman. After that experience the college remained open at night. Jim gave his first paper before an international congress. It dealt with "The Spectrum of Rh Antibodies" and was very well received. Hematologists attending the congress were amazed that such a young man could deliver an authoritative paper before having acquired an extensive list of publications to his credit. After the congress Jim and I went to visit Paris. He preceded me while I visited Gwyn Macfarlane and his family on their farm in Oxfordshire. I spent two and a half days in Paris before we took the boat train to Cherbourg. Marcel Bessis entertained me in the laboratory and at his home one day while Jim went on a tour to Versailles. As I recall Jim and I were at a table in front of Front row left to right: William N. Mcintosh, William S. Andalora, Erie K. Cantwell, James A. DeJute, Alton A. Germain, Cornelius A. McGrew, H. Paul Longstreth-Chairman, Theodore C. Jewett, Raymond S. Barry. Second row left to right: George M. Ellis, Wayne C. Templer, Charlotte Murphy, K. Joseph Sheedy, Martin J. Downey, Jr., Peter Terzian, Stuart J. Miller, Richard H. Adler, Jacob M. Steinhart, William D. Loeser. Third row left to right: Victor C. Lazarus, Herbert E. Joyce, John G. Robinson, Milton ]. MacKay, George W. Fugitt, Jr.-Toastmaster, Lillian E. Rowan, Donald N. Groff, William R. Taylor, A. Arthur Grabau, John F. Hartman, Eugene J. Morhous, Norman Chassin, Joseph E. Rutecki, John K. Quinlivan, Edward L. Valentine, Charles E. Wiles, Jane B. Wiles, Vito P. Laglia, Robert C. Schopp. Last row left to right: Craig L. Benjamin, Paul Barry Cotter. Class of 1945 at Spring Clinical Days FALL, 1970 33 �Class of 1950 at Spring Clinical Days Front row left to right: William S. Webster-Toastmaster, Charles A. Howe, Charles Brody, George E. Taylor. Second row left to right: Helen F. Sikorski, Anthony Conte, Mary Jane Tillou-Chairman, Myra R. Zinke, Anne A. Wasson, Joseph F. Dingman, Hyman Tetewsky. Back row left to right: Vincent Ciampa, Sidney Anthone, Leo E. Manning, Roland Anthone, Carl A. Cecilia, Herbert L. Berman, GuyS. Alfano, ]ames C. Dunn, Oliver P. ]ones-Guest, Roy W. Robinson, George M. Sanderson, Jr., Richard ]. Leberer, Henry L. Pech, Adelmo P. Dunghe, Joseph M. Mattimore. the Cafe de la Paix drinking Miinchenerbrau when we overheard an American lady tell her friend "I know where to get excellent hot dogs in Paris." This was not our kettle of fish because we both had champagne that night, Jim had crepe suzettes, and I a Saute of Raie. The next period of cooperation for us lasted from 1946 to 1953. During that period I served as coordinator for the Medical School between Karr Parker, chairman of the Building and Grounds Committee; Claude Puffer, treasurer of the University; and architects, James and Meadows. Jim and I worked very closely with Lou Howard on the planning of Capen Hall. The total floor space is approximately 200,000 square feet or 5 acres. Jim did more than a yeoman's service in designing the plans for the Department of Bacteriology and Immunology. For example, the University was not prepared to have a medical and dental school on its campus because the powerhouse was shut down during the summer. In other words the Department of Bacteriology and Immunology would have to close shop because steam was not available for autoclaves, sterilizers, and distilled water. Jim finally made it quite clear that an auxiliary source of hot water and steam had to be provided in the building. The distilled water problem caused Jim's hair to gray prematurely, to say nothing about the intricacies of planning for the animal quarters and the Virology Department with its germicidal lamps in the ducts before air was emitted to the outside. 34 THE BUFFALO PHYSICIAN �Both Jim and I heaved a great sigh of relief when Capen Hall was inaugurated but little did we realize that five years hence we would have to go through the same thing for Sherman Hall. Jim was the master mind behind all of the planning for the anticipated Erie County Public Health Laboratories. As a respite from this arduous task Jim was granted a National Science Foundation Senior Postdoctoral Fellowship to work with Robin Coombs in Cambridge. Ten years earlier he was awarded a Fulbright Scholarship which he unfortunately could not accept because of certain military obligations. Part of my letter of recommendation was as follows: He has always been a good teacher regardless of the teaching level. His lectures are clear, concise and to the point. He is always professional in his attitude. I have watched Dr. Mohn develop from a medical student into a fine investigator. Somewhat later when I was chairman of the Committee on Promotions and Tenure it was my privilege to evaluate the many letters submitted to the committee and recommend his promotion to full Professorship in the Department of Bacteriology and Immunology as it was called in those days. Front row left to right: Vincent S . Celestino, John A. Winter, Winifred G. Mernan, Michael] . Gianturco, John H. Kent. Ba ck row left to ri ght: ]am e s R. Nunn-Toastmaste r, ]am es M. Garvey, Frank]. Gazzo, David F. Weppner, Anthony B. S chiav i, Ray G. Schife rle, Jr., William ]. Breen, John F. Fol e y , fam es R. Collins, Laurence T. Beahan-Chairman, Albert A. Fran ca. Class of 1955 at Spring Clinical Days FALL , 1970 35 �Class of 1960 at Spring Clinical Days Front row left to right: John I. Lauria, Erwin R. Lamm, Marshol/ A. Lichtmon, Harry L. Metcalf, Daniel A. Rakowski, Algirdas Gamziukas, Charles ]. Riggio. Bock row left to right: Francis J. Klocke, Thomos J. Guttuso, Jomes R. Kanski, Gerard ]. Diesfeld, Roger S. DayerChairmon, John A. Tuyn, Eugene T. Partridge, Robert L. Mo!otesto, Edward J. Grober, Theodore S. Bistany, Donald A. Hommel, William J. Stein. Now that I have wearied you with all of this professional verbiage let us turn to something more interesting- martinis. It is there that Jim and I share a common ground because we both recognize that a well made martini is the most sophisticated of all mixed drinks. Let's face it, Jim is a perfectionist, but not to the extent that he uses a 3.7 to 1 proportion with ice cubes made from distilled water and stirs precisely four and one half turns. At any rate many years ago when I was cleansing my palate with one of Jim's frosty, limpid, and luminous brews I told him that I would gladly wallpaper his living room for him- which indicates that I must have had several. Since then most of my paperhanging equipment has been borrowed and not returned by well-meaning neighbors. The last two times Jim and Marge invited Katie and me to their house I have been tormented with the thought that perhaps this was it- I would have to make good my promise. As it now stands it looks as though I will retire before Jim completes the remodeling and furthermore I am no longer 0. "Paperhanger" Jones. Twenty-five years is a long time to be associated with one department in a single institution. All of us in academic medicine are supposed to mature and grow in stature scientifically and to improve the literature but few of us have the opportunity and privilege to perpetuate our ideas in the physical development of a department, to say nothing of an entire medical school. There should be more occasions like this to show our collective appreciation for the faithful and dedicated service rendered by one of our friends and distinguished colleagues like we have just done.D 36 THE BUFFALO PHYSICIAN �Although they are almost 3,000 miles apart, two scientists are cooperating on a special muscular dystrophy research project. They are Dr. Eric A. Barnard, professor and chairman of the Medical School's department of biochemistry, and Dr. Barry Wilson at the University of California. Dr. Barnard is studying enzymes technically known as cholinesterases found in the muscles of a strain of dystrophied chickens. Changed enzyme patterns are characteristic of muscular dystrophy in both chickens and humans and the detection of high levels of certain enzymes in the blood is considered an early sign of the disease. His work centers on trying to determine the exact location of these enzymes- whether they are at the site where the nerve joins the muscle or inside the muscle cell itself. By special techniques already developed at the Medical School Dr. Barnard has been able to tag cholinesterase molecules in single muscle cells and his studies of these enzymes indicate that they change in chickens afflicted with muscular dystrophy. While he pursues these changed enzyme patterns Dr. Edson X. Albuquerque, associate professor of pharmacology at the University, collaborates by measuring functional alterations in dystrophic muscles from recordings made by inserting electrodes at the nerve-muscle junctions of both normal and dystrophic chickens. Dr. Albuquerque's studies, together with electron microscope findings, indicate that before muscular dystrophy develops to its full extent there is an early alteration in the transmissions between nerves and muscles. "The aim of our work in these laboratories is to trace the earliest effects of the destructive work done by the defective genes," Dr. Barnard said. "If the fundamental changes in the muscle cells can be analyzed the task of treating this disease should come into the realm of the possible." This research project distinguishes the University as one of only seven centers in the world where progress is being made against the disease. The other centers are New York City, Los Angeles, London, Tokyo, Paris, and Padua, Italy. Dr. Barnard has a $10,000 grant from the Muscular Dystrophy Association of America for his research. D Dr. Thomas Aceto Jr., associate professor of pediatrics, is starting a special fellowship program designed to acquaint physicians with new knowledge in the new speciality fields of pediatrics. Dr. Aceto, who is on the staff at Children's Hospital, said there will be one month fellowships in cardiology, endocrinology, hematology, metabolic diseases, nephrology, and radiology offered to pediatricians and general practitioners.D FALL, 1970 37 Muscular Dystrophy Research Pediatric Fellowships �Dr. Gale Medicine: A Political Force Dr. Gale was graduated in May and is interning at the University of California Medical Center (straight medicine) in Los Angeles. WHEN SAVING LIVES in developing nations, good nutrition and sanitation are vastly more important than sophisticated medicine as practiced in this country. That is what senior medical student Robert Gale found after two summers in Ethiopia and Thailand to evaluate different approaches to medical care. "There is no other way to see the results of deemphasizing preventive medicine than to send people out to learn the futility of treating disease." In countries ruled by emperors, medical care may become a political force. People who do not receive it are going to rebel, he said. The Ethiopian approach is a successful one. "Ethopia is essentially an agrarian country," he said. "An average family of six lives in a small 'tuckel' or circular grass hut no larger than 15 feet in diameter." Subsisting mainly on "enjera," a corn grain pancake into which "wat", a stew made from whatever is available (rarely meat) is poured, the family literally eats their plates as they tear off chunks from the huge pancake around which they squat. The chunks then become the utensil with which to scoop up bits of the stew. This is the three meal per day menu. Improper nutrition, coupled with substandard sanitation leads to the high occurrence of infectious disease and amoeba that is so prevalent throughout the countryside. Well adapted to the health needs of the people is the health care team that treks by horseback into the country to educate rather than to futilely treat the populace. There are no physician members on the team of health officers trained in a health college that is manned by American, French and Belgian faculty, sanitary engineers, and public health nurses. "My time," Bob said, "was split between the health college in Gonder, a city of 15,000 and the fourth largest in the country, and the weeklong team visits into the countryside." One Swiss project now underway to grow hybrid grains may vastly improve the nutrition in the country, he pointed out. Last summer's experience in Thailand, a nation of 33 million, presented another approach to medical care. "Thailand," Bob said, "represents a very old culture, a blending of Mongul and Chinese civilizations. It is similar to Ethiopia in that its economy is based primarily on agriculture but differs in that 70 percent of its populace is literate. There is a radio in every village where 80 percent of the population live." Western medicine, said the senior who will intern in medicine in California, was introduced to Thailand early in the 20th century. Royal patronage, the founding of a medical school by American missionaries, Rockefeller Foundation support, and subsequent American aid has led to medical care and teaching in Bangkok today that is comparable with that in any western urban teaching hospital. Five university medical centers in Bangkok, all staffed by Thais trained in the States, assure the 2% million who reside there of good medical care. But the picture changes outside when one leaves the city. Prowestern medicine becomes ineffectual to the needs of the villagers. One of the most desired commodities of a literate urban and rural population is health services. And in a country where the urban patient/ physician ratio of one to 1,100 jumps to the astronom- 38 THE BUFFALO PHYSICIAN �ically high one to 187,000 rural ratio, medicine becomes a viable political issue for a government faced with possible insurgency from a population exposed to border terrorists. But how does the Thai government convince extremely welleducated physicians to leave a first-class hospital and practice in a rural community devoid of the simple luxury of electricity? The Ethiopian approach, Bob feels, is the more successful one where health professionals are undereducated and strong family ties encourage them to remain in their rural environment. Headquartered at the sophisticated equipped and staffed Siriraj hospital in Bangkok, Bob joined their mobile health team as they traveled around the country. Diseases that he saw included both infectious and parasitic, Shistasomiasis, Bangkok hemorrhagic fever, an acute child's viral infection, and leprosy. There were also side trips to Nepal and to hospitals located in India and Zanzibar. When asked whether international medicine is in his future plans, he responded "too many people in medical school are unaware of what is going on in the world. If one has a premonition of what he is doing and what it represents, it becomes important to his intellectual development to travel and to see things. It will make a difference in the manner in which he will spend the rest of his life."D The associate dean for Continuing Medical Education resigned June 1 to become director of Medical Education at the Millard Fillmore Hospital. He is Dr. Harry J. Alvis, who has been an associate professor of Social and Preventive Medicine since May, 1964. He will continue as a volunteer member of the Medical School faculty. He is director of the school's hyperbaric medicine program and teaches emergency medical care. Dr. Alvis will be the first full-time director of medical education at the Millard Fillmore Hospital. He will plan the educational program and service assignments for medical students and interns in consultation with the chairmen of the various departments. He will also interview students, who wish to work at the hospital as "student externs," interns and residents, counsel them about their careers, assist in evaluating their performance and serve as liaison between them and the hospital administration. In 1933 Dr. Alvis received his medical degree from the University of Iowa, and in 1949 his master of public health degree from Harvard. From 1941 to 1964, he was an officer in the Navy Medical Corps, where he specialized in submarine and diving medicine. It was this specialty that brought him to Buffalo to work on the newly developed program in hyperbaric medicine. Millard Fillmore is the only non-government hospital in Western New York which has a hyperbaric unit used for research and treatment.D FALL, 1970 39 Dr. Alvis Resigns Dr. Alvis �The annual meeting The Future of APFME In discussing the APFME's future role the new president indicated he would seek an increasingly effective voice as a critical spokesman for physicians in educational affairs and University developments as they would affect regional hospitals, medical practice and physicians. Beyond that, the APFME would facilitate improving medical education so as to reflect the scientific, communications, technological and other needs of a rapidly changing profession and health care system. Dr. Marvin L. Bloom said the organization had retained a nationally respected accountant to review its management and financial status. Members will be provided a past and current record of its affairs. Dr. Bloom was one of the original APFME group which preceded the existence of any APFME constituency. Of the present Executive Committee, Dr. Harry LaForge and Dr. Edgar Beck were with Dr. Bloom at the beginning in 1953. Dr. Grant Fisher and Talman VanArsdale were members: along with the late Dr. Stockton Kimball, Dr. William Orr and Dr. Henry Kenwall. So far, the APFME has recognized three distinct phases of activity. From 1953 to 1962, the Fund supplemented university budgets of our medical school's preclinical departments; so as to make them nationally more competitive in recruitment for faculty. After SUNY took over in 1962, the medical school requested APFME backing for scholarships, summer clinical fellowships, national medical student recruitment, publication of the Buffalo Medical Review and continuing medical education. Following a consistent tradition of initiating projects with seed money, the APFME has insisted that continuing support would not be provided. At this point in 1970, Dr. Bloom indicated that the APFME has entered a third phase; withdrawing from previous activities. 40 THE BUFFALO PHYSICIAN �A native of Buffalo, Dr. Bloom received Bachelor of Arts and Doctor of Medicine degrees from the University of Buffalo. He served in the Army Medical Corps in this country and in Germany. An accredited specialist in clinical hematology, Dr. Bloom practices medicine at the Buffalo General Hospital where he is one of the senior attending physicians. He is also consultant in hematology at the Buffalo Veteran's Hospital, Niagara Falls Memorial Hospital and Mt. St. Mary's Hospital in Lewiston. Dr. Bloom's continuing research in hematology has included publications in blood cell histochemistry, hemolytic anemia and cryopreservation of blood. He has been active in medical communications, producer of broadcast videotapes for SUNY and he is current national president of the Association of Medical Television Broadcasters (AMTvB), whose national office is in Los Angeles. The AMTvB is an organization of medical school educators dedicated to improving the aspect of medical teaching relevant to recorded media and innovative communications systems. He is a member of several scientific societies, including the American Society of Hematology and the International Society of Hematology. When Clifford Furnas was UB President and Dr. Stockton Kimball was medical dean, Dr. Bloom served as director of research and development for the Medical School. Since then he has been associate dean of the School of Medicine, director of SUNYAB continuing medical education, statewide SUNY-coordinator of continuing medical education and director of SUNYAB Health Sciences continuing medical education. For several years, he has been chairman of the statewide medical society of the State of New York committee on continuing (postgraduate) education. In the Medical School, Dr. Bloom is associate clinical professor of medicine. Dr. Bloom's distinguished predecessors as President of the APFME include Drs. Edgar Beck, Victor Pellicano, and Max Cheplove. D Drs. Cheplove, Regan, Anthane �Uncommon Paralysis Studied New Campus The cause of an uncommon but by no means rare type of paralysis may have been isolated by a group of Buffalo investigators. For the patient suffering from the neural disorder known as the guillian-barre syndrome, a self-limiting paralysis that starts in the feet and works its way upward, the discovery may drastically reduce the usual two month duration for this disease. While its cause is unknown, it often occurs after infection from a virus. Their studies, which suggest that antibody Gamma G is the culprit, began with a 43-year old woman who became paralyzed three weeks after her first small pox vaccination. She was referred to the Allergy research laboratory at the Buffalo General Hospital where her blood sample was subjected to various immunological studies. However, through one of these studies, immunofluorescence which is a fluorescent staining technique, the research found that her serum contained a specific antibody that had not previously been demonstrated by this technique by anyone. It was the antibody Gamma G that acts against the myelin sheath nerve tissue. The researchers continued their studies utilizing the same staining technique on 30 normal patients. However, in only one was there a slight reaction. They also studied many other neurological conditions of the peripheral nerves -multiple sclerosis, diabetes, cirrhosis of the liver, but in only two patients with severe cirrhosis of the liver was there a positive nerve reaction but of a low antibody presence. Coauthors of a paper presenting the above findings at the 54th annual meeting of the Federation of American Societies for Experimental Biology in Atlantic City are Medical School faculty: Drs. Kam S. Tse, assistant research instructor in medicine; Donald Tourville, research assistant instructor in medicine; Thomas Tomasi, Jr., professor of medicine; Carl Arbesman, clinical professor of medicine and clinical associate professor of microbiology; and Konrad J. Wicher, research assistant professor of medicine and associate professor of microbiology.D The John W. Cowper Company of Buffalo was awarded an $11 million contract for the initial phase for construction on the new Amherst Campus. This contract covers the construction of four three-story dormitories and a dining hall. The facilities will accomodate 828 students and will serve Colleges A and B. Bids for a second dormitory complex will be received before Sept. 1.0 42 THE BUFFALO PHYSICIAN �Buffalo Evening News Renovating a 1929 Model A Ford is a fascinating hobby for Dr. Timothy Siepel, a 1969 Medical School graduate. He has been interning the last two years at the Buffalo General Hospital. He left Buffalo in July to practice mediCine for the Public Health Service on an Indian reservation near Glacier National Park in Montana. Dr. Siepel used the car for his transportation while a medical student. Two years ago one of the teeth broke off the timing gear, and since that time there have been many other mechanical problems. Gradually Dr. Siepel rebuilt the engine. He admits he had lots of help from a friend, Tony Stellracht, who used to be a Model A mechanic. He also found a machine shop in Erie, Pa. to do work on some of the parts he needed. Some others were ordered from Detroit.D FALL, 1970 43 Auto Hobby �Buffalo Evening News Mary Lynne Simoncelli, a pupil in the Truman School in Lackawanna, is being examined by Dr. Hertzel Rotenberg. Grouped around are Mrs. J. Clemenston, a hospital nurse; Dr. D. Kenneth Wilson, head of the University Speech and Hearing Clinic; and Mrs. Ruth L. Jaeger, school speech clinician, who started the study. Chronic Hoarseness Studied The Medical School faculty is working with University speech clinicians to learn what causes chronic hoarseness in many of the children in the four Lackawanna schools. Drs. John M. Lore, head of the division of otolaryngology, and Hertzel Rotenberg, assistant professor of otolaryngology, together with two resident physicians Drs. Michael Del Monica and Stephen X. Giunta volunteered to examine 50 children at Children's Hospital. The children were selected at random for the pilot project. The team hopes to learn, through future studies, whether air pollution, or other factors in the lives of the children, may be contributing to the hoarseness.D 44 THE BUFFALO PHYSICIAN �Three Medical School faculty members have been named to a University Liaison Committee to work in conjunction with the Community Welfare Council Committee on Drugs. They are Drs. Edward F. Marra, chairman of social and preventive medicine; Saxon Graham, clinical professor of medical sociology; and M. Luther Musselman, clinical associate professor and associate director of student health. Dr. Ira S. Cohen, provost of the Faculty of Social Sciences and Administration, will chair the Committee. Other members are Steven L. Larson, associate professor of law and chairman of the University's Committee on Drugs; Dr. Nathan Altucher, director of the Student Counseling Center; and James Gruber, acting director of Norton Union. Dr. Peter F. Regan, acting president, outlined three purposes for the Committee he named: "to coordinate our internal educational and preventive programs with similar programs in the Western New York community; to help make available to community groups the scientific and professional expertise of the University applicable to the problem; and to enable the University to draw upon the advice, assistance, and proposals of the community." Dr. Regan pointed out that the "establishment of the Committee springs from a genuine desire on the part of the University to meet its obligation in helping to remedy a serious situation. The drug problem is not that of this University alone. It is with every college and university and with an alarming number of high schools in the nation. It is in all parts and levels of society and appears to be growing." The acting president went on to say that to those who consider this pattern simply a response to illogical laws, I would point out that the use of alcohol by the older generation is rising, as are the incidence and ravages of alcoholism. The University has responded to this national problem with "its own internal programs of action"-vigorous treatment programs, preventive measures, and enforcement proceedings against students and visitors engaged in "unlawful drug activity." "All of these internal measures leave me with a sense of dissatisfaction. Answers to drug problems are not known. The laws, educational programs, and other measures are simply not working. We need to probe far more deeply into the causes of the problem. We need to do this in a real partnership .with others-viewing the problem of drug abuse in the setting of modern society, plagued by a host of other problems such as pollution, overpopulation, and war."D Drug Liaison Committee Plans for the Quasquicentennial, the 125th anniversary of the University will be made by a special committee headed by Dr. A. Westley Rowland, vice president for university relations. On May 11, 1971 the University will be 125 years old. It will be the goal of the committee to plan a comprehensive commemoration which will allow for wide participation by both the campus and community.D Anniversary Committee FALL, 1970 45 �Walking a ttTightrope" by Peter Regan, M.D. Acting President Regan presented this view of universities today- and, by implication, his philosophy of university administration - at the annual Medical Alumni Spring Clinical Days, April 11. Dr. Regan resigned as Acting President, June 30. He is now professor of psychiatry in the School of Medicine. The best way that I have found to discuss what's going on in universities is to start out by deciding not to become preoccupied with the symptoms of the moment, but to address the basic issues and basic problems which exist. All across this nation and the world, universities are having problems. You find confrontations going on at the University of Illinois in Urbana, at Michigan, at Michigan State, at Princeton, at private institutions like Stanford, at public institutions like Hunter College, in France - everywhere. In every one of these situations, the people involved are like patients who are desperately ill. They are preoccupied with the particular symptoms that this illness manifests. I'm sick and tired of going around Buffalo and having everybody ask me, "Well, isn't all this the result of the fact that we have more people from New York City?" "Isn't all this the result of the fact that we have Professor X or Student Yon campus?" The fact of the matter is that the difficulties we have at Buffalo have different trigger mechanisms than difficulties which exist at other universities but the root of those difficulties is virtually identical. All universities these days are walking a tightrope. And it's that tightrope- the character of it, the alternatives, the problems- that I'd like to discuss first. Here's what the tightrope is about: On the one side, universities are vital structures in society. They operate at the most advanced levels of knowledge. Society cannot continue to function without them. They have to remain relatively stable in order to educate the thousands of people who need education. They need to remain relatively stable in order that the classic needs of society can be met. If you look at our University at Buffalo, this means stability for 22,000 students, 1,500 faculty, and 4,000 staff. The University, as an essential part of the higher educational network in this State, has to be maintained in a stable situation. That's one side of the tightrope. The other side is that status quo and inflexibility cannot be tolerated. Change is necessary and improvement is necessary. We are racked today within universities, and within society, by many, many problems. All of us in the medical profession recognize that we have to determine new and better ways, for example, of delivering health care. We have to determine new solutions for the problems of illness. The engineers have to find new ways of transportation, new ways of moving around masses of people. The social scientists have to determine ways in which the whole society we live in can avoid being toppled by one group or another which chooses arbitrarily to go on strike. We have all seen in these last weeks how one group or another can virtually bring society to its knees. In one fashion or another, we have to find answers to these problems. And yet, the stable university that we need does not have mechanisms right now to address itself to these problems of society. 46 THE BUFFALO PHYSICIAN �If you want to understand, for example, urban poverty, you can't do it by studying economics alone. Urban poverty is related to knowledge and skills from more than a half-dozen professions. To deal with it, requires the contributions of economists, of lawyers, of sociologists, of humanists, of architects, engineers and others. All those groups have to be drawn together to find, through research, answers to the problems that face society. Thus, we can describe the tightrope as the need for stability on the one hand and for innovation and change on the other. How can we achieve this? Theoretically, there are a number of ways in which we can do it. We can extend the frontiers of knowledge by the classical means of research. This, of course, in our Medical School, is a way in which we've made enormous contributions- hyperbaric medicine and a whole series of surgical-medical treatments in these last 124 years. We also have to establish new bonds between the professions, and between the disciplines within the University, bringing together lawyers and sociologists, architects and engineers. We need to undertake experimentation. We need to bring new groups together within disciplines. We need to undertake things like the colleges as means of experimentation. But when we experiment, whether it be with the Themis Project, with international education, with health related professions, or with the colleges, we have to recognize that an experiment is an experiment. It is not an eternal commitment. When you start out in a laboratory on an experiment, you set up a certain number of conditions, you examine these conditions, you work through your experiment and you evaluate the results. If your results are good, you carry on your experiment further. If the results are bad, or require change, you have to be prepared to bring about those changes or modifications. We need change, therefore, and we also need, to go back to that other side of the tightrope, to preserve the stability of the classic unit. Now, here we are on the tightrope- stability and change. What is the threat? Well, there are a number. The one that we read about most in the newspapers is the threat of revolutionary activity. All around this country, there are, at every major university, a handful of people who, as nearly as anybody can judge, are fanatically determined that the present system of society is bad. These people are willing to engage in revolutionary tactics aimed at bringing down the present system. At university after university, it seems apparent that the determination and fanaticism of these people can be dealt with only by the forces of law and by whatever necessary help is called for -from police agencies, from courts and from the other resources that society has with which to preserve itself. These are a very small number of people, however, within any university. Their tactics are sensational tactics. And I would wager that three-quarters of the people in this room have been taken-in by these sensational tactics. That is, you read about the hubbub FALL, 1970 47 �and difficulties that we have at our University. At its worst, a couple of buildings were closed down for a couple of days. For a couple of days, classes went down to about 60 per cent attendance. But for almost every day for the last couple of months, there has been over 90-95 per cent attendance in the University. However, this publicity about the revolutionary activity leaves an awful lot of people - my neighbors and your neighbors thinking, "My God, the whole University's been closed down for the past month." The sensational tactics can create that impression of total chaos and disruption because of the attention they receive. The real things we want to watch, however, the real threats to walking along this tightrope between stability and change, come much more from shallow thinking and from temporary thinking within the University. One of the major threats is change that is not an added, improving element, but which destroys what is good within the University- change that may be imaginative and exciting to some but change that can destroy the integrity or the stability of other people or units within the University. We have seen initiated at one university after another changes which destroy. If this is not viewed properly, analyzed and corrected, if the protective mechanisms are not built in, the University system can be ground to a halt by this kind of change. The second internal threat that we face goes back to the notion of experiment that I talked about before. Experimentation without evaluation produces a shambles. If I do something- malicious, irresponsible, capricious or destructive- and claim that my excuse for doing it is that I'm experimenting ... if you allow me to experiment without asking me how I'm going to evaluate this experiment, what are the controls that I have posed on this experiment, you have given me license to do almost anything under the flag of experimentation. Experimentation without evaluation is a real danger. The third danger we face within the University is a uniformity that does not recognize the inherent diversity of a university structure. Our University is a city of over 27,000 people. The needs of the Medical School have one set of characteristics; the needs of the English Department have another set of characteristics. Each of the professional schools has different needs, different characteristics. Yet, there is a tendency to bring all problems to a central body which then makes uniform rules on admissions, on curricula, on faculty appointments and promotions. Such centrally agreed-upon rules, while they may be very good in general principle, can do great harm to the constituent units within the University. 48 THE BUFFALO PHYSICIAN �I think these are the three basic challenges that threaten to push the University off the tightrope on which it walks. If we want to maintain stability and also to change in a rational fashion, we must keep change from destroying. We must make sure we do evaluate experiments and we must make sure that we guarantee the right of faculty members and students of schools and units to be free from arbitrary, uninformed or overly-general legislation. How do we do this? The program that I believe in, the program that we are attempting to follow at our University, says that we take four steps: First of all, we must establish and maintain a rational, secure and peaceful forum within which ideas can be debated, analyzed and agreed upon. Second, we must revise drastically the governance system within the University so that there can be at the central level a stable, representative form of faculty senate, but we must also establish jurisdictional limits on that central senate. The third point is that we must provide autonomy to the major units of the University- an autonomy which guarantees that the schools, such as the Medical School, or faculties, such as the health sciences, cannot have their educational purposes watered down or destroyed by uninofmed or arbitrary central decision. Finally, we have to set up a system which does not mandate changes but encourages positive change- a system which will reward, for example, the Medical School as it goes into better explorations of health care distribution, as it goes into other aspects of research; that will reward it for using its own initiative and pursuing its own objectives in an imaginative and informed way, rather than telling the Medical School or any other unit how it needs to go about it. This University's Medical School, for example, can be considered a keystone of the whole University- not only because of its 124 years of existence but because of its size and excellence as an educational unit. Such a unit not only has an academic integrity of its own but contributes to the academic integrity of the University. What has to be done within the University is that the Medical School must be encouraged to exercise its autonomy and its internal decision-making to explore new and positive patterns. It is this kind of program- the exercise of the four points that I've indicated- that I believe looks toward a positive forward thrust as we keep on going down the tightrope. We are never going to get off the tightrope of maintaining stability and making change. But we must move down it more rapidly so that the university- the greatest assemblage of knowledge at the most advanced level that exists- can make better and better contributions to society and to all of us .... Status quo is not the right thing- we will topple off the tightrope that way. Change without thinking is not the right thing -we will topple off the tightrope.D FALL , 1970 49 �Alcoholism Institute Dr. Smith Dr. Cedric M. Smith is the first director of the new Research Institute on Alcoholism to be located at the University. He has been chairman of the department of pharmacology at the Medical School since 1966. He will continue as professor of pharmacology while serving as director of the Research Institute. Dr. Smith's appointment was announced by Commissioner Alan D. Miller of the New York State Department of Mental Hygiene and Dr. Douglas M. Surgenor, provost of the Faculty of Health Sciences. "Under Dr. Smith's direction, the Institute will conduct research on the causes, effects, and prevention of chronic alcohol abuse, and will investigate methods of treatment and rehabilitation of the alcoholic," Dr. Miller said. The affiliation with the University will permit the Research Institute to draw upon the resources of the various disciplines concerned with the problems of alcoholism. The institute will be a center for the collection, analysis and dissemination of data and for interrelated studies by specialists in such fields as medicine, psychiatry, pharmacology, biochemistry, sociology, and law. "This research facility will become a national center for the study of alcoholism and its related problems," Dr. Miller said. "We must know more about alcoholism and its victim, not only his medical condition but how his life and livelihood are affected. We must find some way to halt the rising human and economic costs of this disease." Provost Surgenor noted that Dr. Smith's distinguished career as scholar, professor and administrator in pharmacology makes him an "ideal choice for director of the new Institute." "By continuing as a professor in the Health Sciences Faculty he will have an excellent opportunity to act as a bridging point between the Institute and the Department of Mental Hygiene on the one hand and the University on the other hand," Dr. Surgenor said. The newly appointed director came to Buffalo in 1966 from the University of Illinois College of Medicine, with which he had been associated since 1954, first as an instructor and finally as professor and acting head of the department of pharmacology. He has served as a consultant to scientific study sections in pharmacology and neurology of the National Institutes of Health since 1964. At the University, Dr. Smith started an undergraduate course, "Drugs and the Mind", which has been well received by students. Dr. Smith's primary research interests have centered on neuropharmacology, the mode and site of the action of drugs which alter skeletal muscle and sensory functions, and general and comparative pharmacology. The wide variety of research projects he has carried out have been supported largely by grants from the National Institutes of Health. He has written over 50 papers on his research findings. In commenting on his appointment, Dr. Smith said: "The alcohol problem is really a number of different problems ranging from alcoholism itself to the number of diseases associated with heavy alcohol use, from acute intoxication and arrests for public intoxication to industrial absenteeism because of workers with on-the-job problems stemming from alcohol abuse. 50 THE BUFFALO PHYSICIAN �All of this is further complicated by the paucity of treatment services. In our society the social pressure to use alcohol is great and many people are vulnerable to such usage and experience various health and social problems associated with it. "In view of the unique talents and opportunities in this university setting, the Institute will focus initial attention on defining positive and negative aspects of medical and social care provided for those with alcohol problems, determining what factors initiate and continue the heavy use of alcohol, and determining the chemical bases of how alcohol acts on brain cells." Eventually, the Research Institute will be located for interplay with facilities of the Health Sciences complex at the State University. Interim facilities are being developed at the E. J. Meyer Hospital in Buffalo. Dr. Smith, who assumed full-time direction of the Institute on July 1, 1970, is already developing proposed programs in collaboration with the Department of Mental Hygiene and the State University.D Dr. Robert J. Mcisaac has been named acting chairman of the department of pharmacology in the Schools of Dentistry and Medicine at the University. Dr. Mcisaac, who has been on the faculty since 1953, replaces Dr. Cedric Smith, who was named director of the Research Institute on Alcoholism Monday (June 22). Dr. Smith will continue on the faculty as professor of pharmacology. Dr. Mcisaac received both his bachelor of science in pharmacy and Ph.D. in pharmacology degrees from the University of Buffalo in 1949 and 1954. He was a post doctoral fellow, in the Graduate school of medicine, University of Pennsylvania from 1956-58. Dr. Mcisaac was promoted to professor of pharmacology on July 1, 1968. He was on a year's sabbatical leave from the university starting Sept. 1, 1965. He studied at the University of Lund in Sweden learning the technique of iontophoretic application of drugs to nerve cells while simultaneously recording the effect of the drugs upon the cell membrane and its response to electrical stimulation. Dr. Mcisaac has received two National Institute of Health grants and has written 17 articles for professional journals.D Acting Chairman Dr. Mcisaac FALL, 1970 51 �Ninety-seven intern and resident physicians received their certificates at the third annual "University Housestaff Program Graduation" given by the School of Medicine. The physicians represent the four University-affiliated hospitals -Buffalo General, Children's, Meyer, and Veterans Hospitals. Dr. William J. Staubitz, who is chairman of the University Housestaff Program Committee, and Dean LeRoy A. Pesch passed out the certificates. A reception followed. The graduates are: Anesthesiology: Resident: Francis R. Weis, Jr., M.D. Gynecology and Obstetrics: Residents: Michael Ray, Walter Scott Walls, III, William G. Gross, Oscar R. Valerio, Adebayo S. Ademowore, Krishnarao S. Potnis [all M.D.'s). House Staff Graduation Medicine: Residents- Arthur P. Birnkrant, John J. Byrnes, Mer- rick S. Fisher, Gary H. Jeffery, Peter A. Kirkpatrick, Deolindo Ocampos, Michael R. Sanders, Curtis M. Sauer, Robert E. White, David R. Dantzker, Robert W. Healy, Peter C. Kelly, Anthony P. Markello, Donald E. Miller, Edward J. Miller, Daniel E. Minton, J. Brian Sheedy, Maximillian E. Stachura, Rocco C. Venuto, Ronald E. Basalyga, Donald L. Davidson, Gregory L. Farry, Michael Gagliardi, John S. Vaicaitis, Salvatore Ricotta, Lionel Sifontes, Patrick J. Sweeney, Carol Segal, Ronald B. Boersma, John H. McConville, James B. Morris, Andrew G. Finlay, Jr., Michael Russell [all M.D.'s). 52 THE BUFFALO PHYSICIAN �Interns: Joel B. Bowers, John F. Breen, Arthur L. DeAngelis, Homayoun Faghihi-Shirazi, Frederick B. Fitts, Jr., Carl Fougerousse, Jr., Rudolph M. Franklin, David F. Hayes, Arthur E. Kane, Stephen E. Moshman, James A. Patterson, Earl S. Perrigo, Timothy V. Siepel, Robert White (all M.D.'s) Interns (mixed medical): Eugene M. Chlosta, Laurence A. Citro, Peter S. Herwitt, Louis Hevizy, John J. McDevitt, IV., Mark C. Olson, Michael M. Pugliese, Frank G. Zavisca (all M.D.'s). Psychiatry: Residents: Drs. David L. Buchin, Brian S. Joseph, Seung-Kyoon Park, Marian Hughes, M.B. Surgery: Otolaryngology Residents: Michael L. DelMonico, Ernesto G. Zingapan, Robert A. Gutstein, Saddrudin B. Hemani, Duck Jin Kim, Emmanuel Dimatulac Noche (all M.D.'s) Urology Residents: Muralidhar R. Kamat, Chairat Butsunturn, Andrew W. Michalchuk (all M.D.'s) Neurosurgery Resident: Stephen C. Padar, M.D. Program I Residents: S. Loganathan, Reynaldo B. Lejano, Mitsuru Nakatsuka, Benjamin I. Albano, Se Kyung Kim, Bijay Prakashdut Ghoorah, Natacha Wilbur, Virender Anand, Massoud Massoumi, Said Hemmati, Woodrow W. Janese, Narhari M. Panchal (all M.D.'s) Program II Residents: John N. Stumpf, Bruce L. Miller, Richard W. Williams, Ronald A. Fischer, Robert R. Rich (all M.D.'s). Interns: Gerald D. Stinziano, William J. Cunningham, William K. Major, Israel Kogan (all M.D.'s).D FALL, 1970 53 �People Four alumni are new officers of the Western New York Chapter of the American College of Surgeons. They are: president, Dr. Paul M. Walczak, M'46, attending surgeon at Millard Fillmore Hospital; vice president, Dr. Lawrence M. Carden, M'49, chief of urology at Mercy Hospital; secretary, Dr. Donald J. Kelley, M'52, attending surgeon, Kenmore Mercy Hospital; treasurer, Dr. Andrew A. Gage, M'44, chief of surgical services, Veterans Hospital. Dr. Walczak is also president of the New York State Society of Surgeons.O Five physicians were winners in an essay contest sponsored by the Western New York Chapter of the American College of Surgeons. They were: Dr. Herbert I. Cares, resident in neurosurgery; Dr. M. R. Kamat, resident in urology (both at affiliated hospitals); Dr. Brian J. Sykes, surgery department, Meyer Memorial Hospital; Dr. Peter Hong, Emergency and Sisters Hospitals; and Dr. James K. Smolev, M'70.0 Dr. David Fugazzotto, M'67, will begin a pediatric residency at The Children's Mercy Hospital in Kansas City, Missouri on September 1. During the last several months the physician and his family (wife and two-yearold son) have been stationed at Holton, Kansas with the USPHS Indian Health Service. It was here that Dr. Fugazzotto operated an outpatient clinic. He was responsible for the health care of approximately 2,500 Indians.O Dr. John W. Vance, clinical assistant professor of medicine, is the new president of the Tuberculosis and Respiratory Disease Association of Western New York. Dr. Jerome Maurizi, M'52, and Dr. Edward M. Cordasco, clinical associate in medicine, were elected vice presidents.O Dr. Clyde L. Randall is the president-elect of the American College of Obstetricians and Gynecologists. He is professor and chairman of the department of gynecology-obstetrics at the Medical School.O 54 Dr. John F. Argue, M'35, is the new president of the Niagara County Medical Society for 1971. He succeeds Dr. Edward C. Weppner.O Three alumni are officers of the Deaconess Hospital medical staff. They are Drs. John B. Sheffer, M'47, president; George L. Eckhert, M'42, vice president; and Allen L. Lesswing, M'54, treasurer. Members of the executive committee are Drs. Willard G. Fischer, M'36, Eugene J. Zygaj, M'50, and Charles D. Bull.O Four alumni are the new officers of the medical staff at Children's Hospital. Dr. Martin J. Downey, M'45, is the new president. Dr. Frederick B. Wilkes, M'43, president-elect; Dr. Joseph M. Mattimore, M'50, vice president; and Dr. Leo A. Kane, M'58, secretary-treasurer.O Dr. Hermann Rahn, professor and chairman of the physiology department, was presented the annual research achievement award by the Buffalo Chapter of Sigma Xi, the national honorary scientific fraternity, May 5.0 The new president of the Medical Historical Society of Western New York is Dr. John R. F. Ingall. He is assistant professor of surgery and co-ordinator of the Regional Medical Program for Western New York. Dr. Robin Bannerman, associate professor of medicine, is the new vice president; Dr. James W. Brennan, M'38, secretary; and Dr. David Dean, assistant professor of medicine, treasurer.O Dr. John Ambrusko, M'37, is a new trustee of Rosary Hill College. He has been chairman and chief of surgery at Kenmore Mercy Bospital since 1951.0 Dr. Edwin Neter, professor of microbiology, was re-elected president of the Buffalo Chamber Music Society. Mrs. Stockton Kimball was re-elected first vice president. Dr. Neter is also professor of clinical microbiology in the department of pediatrics at Children's Hospital.O THE BUFFALO PHYSICIAN �People Dr. Harold Levy, M'32, has been elected treasurer of the General Alumni Board. He is a past president of the Medical Alumni Association.D Dr. Sumner J. Yaffee, professor of pediatrics, has been elected to serve on the Committee of Revision of the United States Pharmacopeia! Convention Incorporated.D Four alumni and one faculty member are newly elected officers of the Erie County Medical Society. They are: Dr. Charles D. Bauer, M'46, president; Dr. Anthony P. Santomauro, M'56, president elect; Dr. Leonard Berman, M'52, vice president; Dr. James B. McDaniel Jr., assistant to the Dean of the Medical School, secretary; and Dr. Frank J. Bolgan, M'51, treasurer. Dr. James B. Nunn, M'55, is the retiring president.D Four alumni from the 1920 class received citations from the Medical Society of the State of New York for 50 or more years of medical practice. Honored were Drs. Stephen A. Graczyk, Alvah L. Lord, Bartholomew A. Nigro, and Martin E. Tyrrell.D Dr. Carlton E. Wertz, M'15, received a certificate for his contributions to medicine from the Erie County Medical Society. He is a past president of both county and state medical societies and a past vice president and present delegate to the AMA.D Dr. Max Cheplove, M'26, received the 21st annual Samuel P. Capen Alumni Award for "services rendered to the university over the years."D Five alumni are officers in the Western New York Society of Internal Medicine. They are: Dr. Norman Chassin, M'45, president; Dr. James E. Phillips, M'47, first vice president; Dr. William J. Breen, M'55, second vice president; Dr. Joseph A. Zizzi, M'58, secretary; and Dr. James R. Kanski, M'60, treasurer.D FALL, 1970 Dr. Thomas F. Frawley, M'44, was honored by his former classmates as an "outstanding endocrinologist, teacher, and investigator." He is chairman of the department of internal medicine at St. Louis University School of Medicine. He was in Buffalo as a visiting professor at Millard Fillmore Hospital.D Dr. Niall P. MacAllister has been appointed clinical professor in the anesthesia department at the Medical School. He will also be chief of anesthesia at Deaconess Hospital. He was formerly professor of anesthesia at the Medical College of Virginia in Richmond.D Dr. George L. Collins Jr., M'48, will serve as general chairman of the Buffalo Sabres Hockey season ticket sales committee.D Dr. Kenneth H. Eckhert, M'35 is the new chairman of the Greater Buffalo Regional Chapter of the Red Cross.D Dr. Thomas S. Bumbalo, M'31, has been re-appointed to the Erie County Health Board. He replaces Dr. Antonio Bellanca, M'21, who resigned.D Dr. Theodore C. Krauss, assistant clinical professor of medicine, was honored recently for his two decades of service to the Rosa Coplon Jewish Home and Infirmary. He is medical director of the Home. Dr. Melbourne H. Lent, M'43, was named treasurer. Drs. Maurice Pleskow, Robert M. Kohn, and Bertram G. Kwasman were named president, vice president, and secretary.D The first annual Dr. Glenn H. Leak Teaching Day was held June 12 at the Buffalo General Hospital. Dr. Leak, a cancer specialist, who lost his life to the disease in December, 1969 was on the staff of the hospital and the Medical School faculty.D 55 �In Memoriam Dr. Michael R. Privitera, M'34, died April 14. He had been a Buffalo general practitioner and surgeon for more than 30 years. He was on the medical and surgical staffs at Columbus Hospital and on the courtesy staffs of Emergency, Deaconess, and Sisters Hospitals. He did his internship and residency at Sisters and Emergency Hospitals. He also did post graduate work in surgery at the Peter Bent Brigham Hospital, Harvard University Medical School and the Cook County Graduate School of Medicine, Chicago. The 63-year-old physician served on the Ethics Committee of the Erie County Medical Society and was a member of both the Fellowship of the International College of Surgeons and the Fellowship of the International Board of Proctology. He was also a member of the New York State Medical Society and the AMA, and the Baccelli Medical Society of Buffalo.D A pathologist and councilman-at-large at James town, N. Y. died suddenly of a heart attack April 18. He was 49-year-old Dr. William J. Tracy Jr., a 1945 Medical School graduate who had been director of laboratories at WCA Hospital since 1955. He was first appointed to the City Council in 1967, and was elected councilman-at-large in November 1969. He had been active in Democratic politics and was chairman of the Air Pollution Commission. Dr. Tracy received his bachelor's degree from Princeton University in 1942; served his residency at the University of Michigan; and was a Captain in the United States Army Medical Corps. Before going to Jamestown, Dr. Tracy practiced at Kenmore Mercy and Millard Fillmore Hospitals. He was a member of 29 professional societies and active on several civic committees.D Dr. David 0. Clement, M'49, died April 7 at Tupper Lake, N. Y. where he had been practicing since 1959. He interned at Meyer Memorial Hospital. He also practiced in Colton, N. Y. and Tumwater, Wash. and served two years as a Naval Medical Officer. He was active in several professional organizations.D A 36-year-old assistant professor of anesthesiology died April 9 after a long illness. He was Dr. John M. Baker. He was associated with Children's and Meyer Memorial Hospitals. He did his internship and residency at the Meyer. He was a graduate of the New York University College of Medicine. Dr. Baker was a diplomate of the American Board of Anesthesiology and active in several other professional organizations.D The General Alumni Board Executive Committee - ROBERT E. LIPP, '51, President; DR. EDMOND GICEWICZ, M'56, President-elect; JOHN J. STARR, JR., '50, Vice-President for Administration; JEROME A. CONNOLLY, '63, Vice-President for Development; G. WILLIAM ROSE, '57, Vice-President for Associations; JOHN G. ROMBOUGH, '41, Vice-President for Activities; MORLEY TOWNSEND, '45, Vice-President for Athletics; G. HENRY OWEN, '59, Vice-President for Public Relations ; MRS. ESTHER KRATZER EVERETT, '52, Vice-President for Alumnae; DR. HAROLD J. LEVY, M'46, Treasurer; M. ROBERT KOREN, '44, Immediate Past-President. Past Presidents: WELLS E. KNIBLOE, '47; DR. STUART L. VAUGHAN, M'24; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22; DR. JAMES J. AlLINGER, '25; DR. WALTERS. WALLS, M'31. Annual Participating Fund for Medical Education Executive Board for 1970-71 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. Medical Alumni Association Officers: DRS. ROLAND ANTHONE, M'50, President; LOUIS C. CLOUTIER, M'54, VicePresident; JOHN J. O'BRIEN, M'41, Secretary-Treasurer; SIDNEY ANTHONE, M'50, Immediate Past President. 56 THE BUFFALO PHYSICIAN �Alumni Association Tour Puerto Rico- November 15-21, 1970 (7-days, 6-nights) $312.00 per person, plus $18.00 tax and service Non-stop jet (Boeing 727) flight from Niagara Airport to San Juan Rooms at the Condado Beach Hotel Two gourmet meals per day All gratuities Experienced tour escorts Special shows and dinner treats For details write or call: Alumni Office, 250 Winspear A venue State University of New York at Buffalo Buffalo, New York 14214 (716) 831-4121 First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 3225 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correction Requested HARRY HOFFMAN & SONS PRINTING ------------------------------------------------------------------~ YOU'VE GOT WHAT IT TAKES! ... we know you like to keep your records current. So do we. Please complete this card, detach it and mail. No postage is required. Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Y e a r MD Received---Office AddresS - -- -- -- - -- - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - - - HomeAddresS-----------------------------------------1£ not UB, MD received f r o m - - - - - - - - - - - - -- - - - - - - -- - - - - - - - - - - - - - InPrivatePractice: Yes 0 No 0 In Academic Medicine: Yes 0 SpecialtY-- - - - - - - - - - - - - -- -- - - - - -- -- -- - No 0 Part Time 0 Full Time 0 School - - - - - - - - -- - - - - - - - - - Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? - - - - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1970 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1970-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1970-03-Fall Table Of Contents A list of subunits of the resource. From the Desk of Dean Pesch Unique Freshman Class Shortage of Doctors by John H. Knowles, M.D. Husband, Wife Medical Team Health Care by Stanley W. Olson, M.D. Alumni Reception, Chicago MEDENTIAN, Drs. Collord and Lee Chancellor Gould Resigns Assistant Dean Named / Neurosurgical Residents New Director of Buffalo General / RMP Receives Two Grants Dr. Ketter Appointed President Methadone Unit Senior Class Day Hydration During, After Surgery by R. J. Trudnowski, M.D. 1969-70 APFME Scholarship Winners Cerebrovascular Disease 54 Hospitals Tune in on Health Advances Dentistry, Pharmacy Name New Deans Dr. James F. Mohn by Oliver P. Jones, Ph.D., M.D. Muscular Dystrophy Research/ Pediatric Fellowships A Political Force Dr. Alvis Resigns The Future of APFME Uncommon Paralysis Studied / New Campus Auto Hobby Chronic Hoarseness Studied Drug Liaison Committee / Anniversary Committee Walking a "Tight Rope" by Peter Regan, M.D. Alcoholism Institute Acting Chairman House Staff Graduation People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-10-25 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v04n03 Extent The size or duration of the resource. 60 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/0311552da82b79e1a8242992b41cf5f9.pdf 65f8e0a50a4818fef5a76efb8951f114 PDF Text Text e~uffalo 'Physiciafl ,....... ___ /.~---- ~--- ~~-~f~~:_~ C ~--~;~~-£fl~c,.n.,~rrr-~~.............-:. C:Wiflter 1970 %lume 4, GfVo. 4, ~cfLool of8vfedicifle ~tate CUiliversity of 8Vew %rk at C!Juffalo �At Sister's Hospital the students are with a resident and Dr. Charles Voltz, clinical assistant professor of medicine. The students are at Deaconess Hospital with Dr. Bernard Eisenberg, clinical assistant professor in pediatrics, and a resident. Medical Transfer Students Dr. Aquilina (standing} and Dr. Farzan (left} talk to the students at the Meyer Memorial Hospital. There are 14 new faces in the junior medical class at the University. They are American students, who have studied the last two years (except for two) in six foreign medical schools. Prior to joining the junior class August 24, the "medical transfer students" took an intensive two-week orientation program. Dr. Joseph T. Aquilina, clinical professor in medicine, and Dr. Sattar Farzan, clinical assistant professor of medicine, conducted the program. The first week the new students attended lecture-demonstrations on the cardiovascular system, and central nervous system at the E. J. Meyer Memorial Hospital. During the second week the students got practical experience at Deaconess and Sister's Hospitals. The students worked up patient histories, performed laboratory tests and did physical diagnosis. Then on August 24 they were integrated into the junior class. These transfer students were carefully screened. All completed the equivalent of the first two years of medical school at a foreign university and have passed Part I of the National Medical Board examination. They were unable to get into an American Medical School as freshman. All plan to practice medicine in the United States. Buffalo accepted more "junior transfer students" than any of the other 16 American medical schools. "This is an innovative program for Buffalo," Dr. Acquilina said, "and one we hope to repeat every year." These students attended universities in Guadalajara, Bologna, Brussels, Beirut, Louvain, and Lausanne. They represent the states of Maryland, New Jersey, Rhode Island, and New York.D , �----- WINTER, 1970 --- Volume 4, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Medical Transfer Students inside front cover Editor ROBERTS. McGRANAHAN Managing Editor 2 Immunology Convocation 6 Medical Rehabilitation 8 Immunology Director HUGO H . UNGER EDWARD NOWAK 9 Coronary Care/ Medical Education M edicallllustrato•· 10 The 1974 Class MARION MARIONOWSKY Dean, School of Medicine DR. LEROY A . PESCH Photography MELFORD J. DIEDRICK 12 Medical Alumni Contributors RICHARD MACAKANJA DONALD E. WATKINS 14 Upcoming Alumni Receptions Secretary 15 Alumni Receptions in San Francisco, Chicago 16 Faculty Promotions CONSULTANTS 17 Provost Resigns/ Dr. Ranney President, Medical Alumni Association 18 Student Summer Fellowships 19 Dr. Merrick Returns Dr. Andres/ New Chancellor Vice President, University Foundation 20 21 23 JOHN C. CARTER 24 Dr. Egeberg Speaks JAMES DESANTIS 25 Continuing Medical Education President, University Foundation 26 Blood Group Research 30 Allergy Program 32 33 Pathology / Research Team 35 Summer Studies 38 Dr. Frederick Peterson by O.P. Jones, Ph.D., M.D. Graphic Artists FLORENCE MEYER DR. ROLAND ANTHONE President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Provost, Faculty of H ealth Sciences DR. DOUGLAS M. SURGENOR Director of Public Information DR. ROBERT D. LOKEN Director of Medical Alumni Affairs DAVID K. MICHAEL Director of University Publications THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY ROWLAND From the desk of Dean Pesch Academic Affairs Office at Millard Fillmore Faculty Council 54-59 The Classes/ People 60 In Memoriam 61 Alumni Tour The cover design by Donald E. Watkins founding of the University of Buffalo in 1846. Department comprised all there was of the School of Medicine and the University will 125 years of leadership and achievement. is in recognition of the For 40 years, the Medical University. In 1971, the look back with pride on THE BUFFALO PHYSICIAN, Winter, 1970- Volume 4, Number 4, published quarterly Spring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1970 by the Buffalo Physician. �Dr. James Mohn checks on registration. Second International Immunology Convocation Dr. Buruj Benacerraf "Anyone who understands what is going on has not yet seen all of the data." This about summed up the second international convocation on immunology attended by over 400 physicians and research scientists at Buffalo's Statler Hilton Hotel. Most agreed that the area of immunogenetics should now receive a large share of attention as the exact nature of a series of individual and distinct steps in the genetic control of the immune system is yet to be understood. In three and one half days of informative programs on both current and future trends in the areas of immunologic studies by a host of renowned participants, it was agreed that although the greatest advances in the past have been made in the area of immunochemistry immunoglobulin structure and biosynthesisthe charge has now been passed to the cellular immunologists. �This second in a series of biennial convocations, sponsored by the Center for Immunology established in 1967 under the direction of Dr. Ernest Witebsky, was dedicated to the distinguished professor of bacteriology and immunology who died unexpectedly on December 7, 1969. The program committee (Drs. Stanley Cohen, Gustavo Cudkowicz, James Mohn) was chaired by Dr. Robert T. McCluskey. There was an evening of chamber music and a buffet at the Albright Knox Gallery. And there was a plea for greater commitment by scientists to end the war in Vietnam by San Diego biologist Richard Dutton, who opened the technical session on properties of immunocompetent cells in transfer systems. Its main theme was that the immune response depends on the interaction of multiple cell types. Macrophages play a role in "processing" antigens and in rendering them more immunogenic to lymphocytes. There are two types of lymphocytes. One, under thymic influence at some stage in its development, is "thymus-dependent" or "thymus-derived." The second, which does not have this requirement, is "thymusindependent" or "bone marrow-derived." While thymus-dependent cells play a role in delayed hypersensitivity, transplantation immunity as well as in other aspects of cellular immunity, marrow-derived cells act independently or in cooperation with thymus-derived cells to produce humoral antibodies. WINTER, 1970 Dr. Gustavo Cudkowicz Drs. Robert T. McCluskey, Felix Milgram. 3 �• _.........,,._._ _ _ _ " Dr. Thomas Tomasi and Dr. John Bienenstock between sessions. NII-I's William Paul described experiments in which actions of different cell populations could be separated by their responses to antigen molecules that were chemically bound to inert, insoluble materials. But Swiss Walter Pierpaoli pointed out that these various events may be under hormonal control. The pituitary gland and hypothalamus, he said, may play a major role. Some of the different types of immunoglobulins produced in both animal and man were described by Buffalo professor of medicine Thomas Tomasi. He specifically pointed to the behavior of IgA that is synthesized in plasma cells located near epithelial mucosal cells. This specific immunoglobulin may react with a substance called secretory piece that is synthesized by the epithelial cells which aids its transport to sites of invading microorganisms. The session on genetic regulation of immune response opened with NIH's Ira Greene presenting evidence that the immune response in guinea pigs to certain synthetic polypeptides behaves as though it were under the control of a dominant autosomal gene. Similar observations, he pointed out, have been made in other species. What Stanford's Hugh McDevitt found highly significant was that genes which control specific immune responses are either closely linked to or identical with genes which code for histocompatibility antigens. This suggests that in mechanisms of immunity, histocompatibility antigens may be involved in an 4 I as yet undetermined manner. "This is reassuring," said one of the participants who pointed out the only well documented function of histocompatibility antigens is that of frustrating the surgeon's attempt at organ replacement in both man and animal. When attention is turned to transplantation, the situation becomes more complex than previously suspected, said Buffalo's professor of microbiology and pathology Gustavo Cudkowicz. He presented evidence that the rejection of both bone marrow and skin grafts involves different mechanisms. How are all of these complex events initiated? This was yet another conference theme that pointed to the interaction of antigen in some way with receptors on immunocompetent cells. Cornell internist Gregory Siskind described experiments which detailed the biochemical aspects of this interaction, while Buffalo associate professor of pathology Stanley Cohen presented a mathematical model that related these findings to problems of antibody formation and tolerance. Mechanisms do exist, pointed out Roswell Park's David Pressman, to suppress certain responses. Animals and man often respond to an antigen in very limited ways. Conference attention then shifted to delayed hypersensitivity, the importance of a dual role for macrophages, effector cells in delayed reaction, and processing cells for antigens. Albert Einstein's Barry Bloom described his work on the chemical mediators of delayed responses THE BUFFALO PHYSICIAN �Dr. Noel Rose greets a colleague, Dr. Paul Maurer. Dr. Stanley Cohen makes a point with Dr. Barry Bloom. such as MIF, a substance which prevents migration of macrophages in vitro. Peter Ward of the Armed Forces Institute of Pathology then showed that sensitized lymphocytes can make a variety of soluble factors which are important in delayed hypersensitity. He described a chemotactic factor which can attract inflammatory cells . These in vitro experiments were related to the situation in the intact animal by Buffalo pathology chairman Robert McCluskey who discussed mechanisms which enable lymphocytes to "home in" on specific sites in the body. In these mechanisms, cell surface constituents are important. Ted Brunner from Lausanne showed that lymphocytes could destroy target cells in vitro. This probably plays a role, he emphasized, in both transplantation and in resistance to disease. The killing of microorganisms by macrophages, pointed out George Mackaness of the Trudeau Institute, depends on the immunological activity of lymphocytes. And it is related to delayed hypersensitivity, he said. The final session centered on autoimmunity and transplantation. The current status of work in these fields was summarized by London immunopathologist Leslie Brent. In experiments on spontaneously occurring thyroiditis in chickens carried on with the late Dr. Witebsky, Buffalo professor of microbiology Noel Rose pointed out that this disease may be under genetic control and associated with circulating antibodies. Relative roles of humoral antibody and delayed hypersensitivity in the rejection of grafts in animals were described by Buffalo chairman of microbiology Felix Milgram. In what he categorized as his underview of cellular organization of the immune system, Dr. Paul, pinch-hitting for Dr. Baruj Benacerraf, summed up the conference. Multiple cellular interactions which occur in the immune response and the genetic mechanisms which control and regulate them are important. Activities of immunocompetent cells by antigens lead to a variety of events including cell proliferation, antibody formation, delayed hypersensitivity, and in some cases intolerance. Various chemical mediators, the NIH scientist pointed out, are produced which then modify the behavior of other cells. These complex interrelationships, he concluded, form the basis of immunity in both man and animals, and are now being slowly unraveled. D 5 �.. - - · - - - ~ -- ~ . t A NEW RESEARCH AND DEVELOPMENT LABORATORY at the Univer- Medical Rehabilitation Laboratory sity will not only develop new diagnostic, therapeutic, and orthotic devices to amplify the weak muscles of the handicapped, but it will also provide employment for the handicapped to manufacture perfected devices in their sheltered workshops. The laboratory is located at the Bell Plant, a campus annex located at 2050 Elmwood Avenue. The rehabilitation medicine/ engineering laboratory, under the aegis of the University of Buffalo Foundation, Inc., is headed by Mr. J. Sam Miller. The young assistant clinical research professor in rehabilitation medicine, who holds a master's degree in electrical engineering from Polytechnic Institute of Brooklyn, will continue work which began at Cornell Laboratory about ten years ago, when an exoskeleton - it amplifies man's strength in military space situations - was studied there under a Navy contract. Worn over the body, this device would be capable of duplicating the full range of body movements in an unrestricted manner. While the problem of powering it remained to be solved, the team wondered whether its principle could be applied to the medical field. The result by them and scientists from the University and the Veterans Hospital was an exoelbow or myotron, as it is called, which duplicates the movement of the arm (flexion and extension at elbow and rotation at shoulder joint). When the patient's arm is placed inside an open sleeve structure and dials on a control board are turned the patient can do any number of things. After resigning from CAL when its sale by Cornell University threatened its future as a nonprofit laboratory, Mr. Miller joined the Sanders Associates at a new research and development electronics facility. Here, he and fellow engineers worked with the University, E. J. Meyer Hospital, and the University of New Brunswick (Canada), to instrument a powered arm brace with a control system which responds to weak muscular efforts of a patient. An experimental model of this device is to be evaluated at the new laboratory as a functional brace that enables certain paralyzed patients to make voluntary coordinated arm motions. ~~~~---·· 6 Engineer Ed Zurbuch instructs Anna Paradisi in driver training. THE BUFFALO PHYSICIAN -- �Early this year when Sanders closed its Buffalo office, Mr. Miller approached the University of Buffalo Foundation. Why not continue applying engineering techniques to rehabilitation medicine in close affiliation with the University and its teaching hospitals? Meyer Hospital, after all, is one of the state's chief rehabilitation centers. A $10,000 seed grant opened Mr. Miller's laboratory. He serves as its director; Dr. William P. Walsh, staff physician at the Meyer and instructor in medicine, serves as its part time medical director; Edward J. Zurbuch as its staff engineer; and John P. Curran is staff technician. Said Mr. Miller, "The challenge in our laboratory is great." He pointed to the 3,370,000 orthotic patients in this country whose weakened, deformed or paralyzed muscles require bracing. "With just a bit of residual muscular effort, many patients suffering paralysis from either stroke, some type of muscular dystrophy or spinal cord injuries, as well as post polio victims, would theoretically be able to produce desired motions through use of such a powered brace." In the new laboratory, which will also serve as an educational facility for the Health Sciences Center, work will proceed on such things as instruments to measure more precisely the condition of joints and muscle functions, and the use of driver/trainer simulators by physically handicapped. But to reach the year-end goal of a staff of 11, $70,000 remains to be raised from private and government sources. "If our envisioned instrument programs are successful, in three years our nonprofit laboratory should gross over six million dollars, a portion of which would be plowed back into research, scholarships, etc. But with additional fund support, the development of other types of powered orthotic devices, a research instrument for neuromuscular disorder studies, improvement in operations of standard braces, a powered arm assist, and therapy devices for stroke rehabilitation are also possible," Mr. Miller said.D Pediatric Nephrology Dr. Mitchell I. Rubin will direct a postgraduate course in Pediatric Nephrology April 5-7. Diagnosis, management, pathophysiology and etiology of common renal disorders will be reviewed by clinicians, radiologists, immunologists and pathologists. The participants will be encouraged to participate in seminars concerning patients with glomerulonephritis, nephrotic syndrome, urinary tract infection, renal tubular disease, obstructive uropathy, hematuria, orthostatic proteinuria and acute and chronic renal failure. Faculty will consist of both members of the faculty of the State University of New York at Buffalo and visiting faculty. D WINTER, 1970 7 John P. Curran, staff technician, models the power arm brace while Mr. Miller (left] and Dr. William P. Walsh, clinical instructor in medicine, evalute the procedure. �The new class hear from President Ketter and Dean Pesch. The 1974 Class Orientation. From Dean LeRoy A. Pesch they learned that they were the first class in the history of the medical school to register into an elective curriculum and that their biggest challenge would not be to get through medical school- "you are all well qualified" but to become part of the inevitable process of change of which all institutions, including this one, are a part. There is no one right way to solve problems, he said to the 125 freshmen, but "I hope you will find that you are, will have, will become part of the process of change." From the new president Robert L. Ketter, who found it difficult to think of incoming medical students as freshmen, they learned that 125 years ago the University started out as a medical school. "There is a heritage," he said. And there was registration, photographs, tours, and decisions to be made regarding electives to round out class schedules, a hotdog roast, and a faculty I student reception. But when the incoming class, on its second day at medical case presentation, moderated by Dr. Joseph Acquilina, learned that collectively they knew a substantial amount of knowledge, they were ebullient. "Ask questions, make a diagnosis based on a personal history taking," said the clinical professor in medicine as he introduced the first patient, Mr. X, to the class. 10 President Robert L. Ketter. THE BUFFALO PHYSICIAN �Yes, Mr. X responded to a student, he had family problems. Divorced, the father of two children, he planned to remarry next year. Yes, to a second student, he drank heavily as did his father who died recently of a coronary occlusion. His job? Professor. Yes, this did subject him to abnormal stresses and strains. But the 40-year-old, jaundiced patient had no galbladder problems or pain in his body, but there had been a pronounced weight loss. "What is the problem?" asked Dr. Acquilina of the class. Cirrhosis of liver was their response. "You are learning one of the fundamental skills of medicine- how to communicate with the patient." And he pointed to the tremendous amount of information they had accumulated from the patient. But what are the factors that led this patient to drink? Pressures from family, health, occupation, was the class reply. And Mr. X was the product of these factors. A picnic of hot dogs and beer. From the second patient, 52-year-old Mr. Addington who had served in three wars, the class learned that he suffered from intensive pain in the abdominal region. An air force pilot for over 20-odd years, and an engineer on a merchant marine ship, he was now a widower and the father of a married daughter and a staff sergeant son. No, he did not think that he had severe emotional problems. No, he was not a heavy drinker but he did like a good beer and he did smoke heavily, three packs a day. Yes, he did have pain after eating, about 30 minutes after, and especially if the food was spicy. What did a GI series show? It confirmed a chronic, intractable ulcer in the small bowel. Pointed out one student to the class, smoking increases gastric secretion and affects blood vessels. "Here again," summed up Dr. Acquilina, "while we have not examined the patient, we have been able to make a diagnosis by learning how to communicate with the patient."D Mr. Addington, Dr. Acquilina. ----.,...-----.,...-- �I -------·· 601 Pay Medical Alumni Dues A total of 601 physicians contribu ted $12,068.00 in dues to the Medical Alumni Association during 1970. Mr. David Mich ael, director of medical alumni affairs, said that 284 of the contributors lived in either Erie or Niagara counties, while 175 others were from New York State and 142 outside of the state. By comparison in 1969, 666 members gave $9,855.00; in 1968, 840 members contributed $8,610.00; in 1967, 787 gave $7,867.00; and in 1966, 835 contributed $8,345.00. The list of 1970 dues contributors: 1911 Scinta, Anthony C. 1912 Aaron, Abraham H. 1915 Hayward, Walter G. Oberkircher, Oscar J. Selleck, S.Zeno Wells, Herbert E. Wertz, Carlton E. 1930 1925 *Clark, William T. Dillon, Emerson J. *Howard, William M. Kahn, Milton E. Kuch, Norbert W. Lapi, Louis L. Schulz, Milton J. Zick, Clara U. *Zittel, Harold E. 1926 Reist, Harold J. Sampson, Luther C. Steele, Porter A. Cheplove, Max Podell, A. Alfred Sanford, James J. Silverberg, Sigmund B. Smith, Ernest P. Sullivan, Eugene M. 1917 1927 Thompson, Myron A. Chaikin, Nathan W . Criden, Frank M. Funk, Arthur L. Knapp, Lester S. Meissner, William W. Valone, J. Theodore 1916 1919 Goldstein, Henry N. Pech, Henry L. 1920 *Graczyk, Stephen A. Sorgi, Salvatore F. Tyrrell, Martin E. 1921 Gottlieb, Bernhardt S. Morgana, Dante J. Ward, Kenneth R. 1922 Tronolone, Daniel R. Walker, Irwin M. 1923 Chadwick, Leon A. Galantowicz, Henry C. Graser, Norman F. Hunt, J. Harold Siegel, Louis A. 1924 Finger, Louis Fisher, Daniel C. Marmorston, Jessie Sanborn, Lee R. Vaughan, Stuart L. Bonafede, Vincent I. Cherry, Anthony R. Custer, Benjamin S. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. Lynn, Myer W. Michalek, Leo M. Sanes, Samuel Taylor, Richard G. *Wolfson, Irving 1931 Balser, Benjamin H. Bean, Richard B. Boeck, Virgil H. F. Bumbalo, Thomas S. Connelly, Gerald T . *Driscoll, Edward F. Glick, Arthur W. Heier, Ellwyn E. Kenny, Francis E. Naples, Angelo S. Walls, Walter Scott 1928 1932 Bleichfeld, Samuel Brock, Thelma Etling, George F. Hawro, Vincent J. King, Walter F. Rickloff, Raymond J. Rosenberg, Joseph Walker, Helen G. Wilinsky, Isadore J. Chimera, Marion J. Leone, Angelo F. Leone, Frank G. McGee, Hugh J., Jr. Obletz, Benjamin E. Olszewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. Stone, Frederick J. 1929 Cohen, Victor L. Evans, Jay I. George, Clyde W . Heilbrun, Norman Leone, Charles R. Leone, Russell S. Lester, Garra L. Lockie, L. Maxwell Maggiore, Michael J. Meyers, Frank Schamel, John B. Smith, Warren S. Stoesser, Frederick G. Tyner, James D. Zaia, Anthony J. 12 1933 Anna, Wilfrid M. Cook, Edward D. Ferguson, Wilfrid H. Ford, William G. Hellriegel, J. Curtis Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Masotti, George M. Milch, Elmer Mountain, John D. Wagner, Aaron 1934 Alford, J. Edwin Bove, Emil J. Castiglia, Christy F. Gurnsey, Maynard W. LaForge, Harry G. O'Connor, John D. Schweitzer, Alvin J. Slatkin, Edgar A. Weiner, Max B. 1935 Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Brace, Russell F. *Eckhert, Kenneth H. Gray, James H., Jr. Kelly, Miles W. Lampka, Victor B. Mark, James Mecklin, Bennie Messina, Domenic S. Mogavero, Herman S. O'Grady, George F. Rosokoff, Solomon Ryan, Francis W. Stoesser, Paul N. Streicher, Carl J. Weig, Clayton G. Young, George S. 1936 Batt, Richard C. Brundage, Donald Burgeson, Paul A. Crosby, John P. Eschner, Edward G. Fischer, Willard G. Greenberg, Avrom M. Hoak, Frank C., Jr. Kriegler, Joseph Lipp, William F. Pellicano, Victor L. Wherley, Harold F. 1937 Ambrusko, John Ball, William L. Banas, Charles F. Borzilleri, Charles R., Jr. Culver, Gordon J. Dooley, Paul Flemming, Theodore C. THE BUFFALO PHYSICIAN �Goodman, Soli Jackson, Stanley J. Klendshoj, Niels C. Lenahan, Rose M. Lipsett, Robert W. MacCallum, James D. Musselman, M. Luther Shapiro, Norton Stewart, Charles F. Weintraub, David H. Woeppel, Charles J. Kleinman, Harold L. Lenzner, Abraham S. Matusak, George J., Jr. McCue, Daniel J. McGrane, James L. O'Brien, John J. Pierce, Allen A. Pitkin, John T. Shubert, Roman J. Wels, Philip B. Zaepfel, Floyd M. 1938 Catalano, Russell J. Cooper, George M. Gilson, Benjamin I. Kaminski, Chester J. Law, Harry C. Lieberman, Samuel L. Norcross, Bernard M. Oehler, H. Robert Phillies, Eustace G. 1942 Addesa, Albert J. Battaglia, Horace L. Bauda, Charles A. Eckhert, George L. Kibler, Diana D. Marmolya, Boris L. Milazzo, Richard T. Persse, John D., Jr. Rose, Wilber S. Staubitz, William J. 1939 Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Cotton, Thomas S. Dugan, William Fernbach, Paul A. Geckler, John H. Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Morelewicz, Henry V. Riforgiato, Frank T. Rudinger, Ellen E. Seibel, Roy E. Squadrito, John J. Storms, Robert E. Voltz, Charles P. Wesp, Everett H. 1940 Ascher, Julian J. Benny, John M. Childs, Milford N. Clinton, Marshall, Jr. Eppers, Edward H. Harer, George A. Hildebrand, William, Jr. Ireland, Corydon B. Juvelier, Bernard W. Mincks, Charles B., Jr. Montgomery, Warren R., Jr. Morgan, Lyle N. O'Brien, Matthew J. Palanker, Harold K. Reitz, Russell E. *Rekate, Albert C. Schaus, James P., Jr. Siegner, Allan W. Stressing, Norman G. Umiker, William 0. Urban, Stanley T. White, John D. Zoll, John G. 1941 Botsford, Daniel R. Botsford, Mary H. Cooper, Anthony J. Cryst, John E. Gentner, George A. Greco, Pasquale A. *Hall, Donald W. Hanavan, Eugene J., Jr. W INTER, 1970 1943 Birtch, Paul K. Bloom, Marvin L. Buckley, Richard J. Collins, Robert J. Crohn, Edward B. Donohue, John M. Fletcher, Richard S. Haber, Norman Hoffman, Paul F. Holly, Joseph E. Humphrey, Thomas R. Keenan, William S., Jr. Marano, Anthony J. Meyer, Franklin O'Gorman, Kevin M. Petersen, Walter R. Pleskow, Adrian J. Richards, Charles C. Slepian, Alexander Smith, Ralph E., Jr. Snyder, Arden H. Tanner, Charles J., Jr. Tederous, Edmund M. Trovato, Louis A. Valvo, Joseph A. Williams, John R. Wood, Lt. Melvin N. 1944 Aquilina, Anthony M. Bondi, Raymond G. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frawley, Thomas F. Frost, Frank T. Gerbasi, Francis S. Hudson, Raymond A. Long, Frank H., Jr. Maestre, Federico J. Magenheimer, William P. Pietraszek, Casimir F. Potts, William A. Rosenberg, Charles H. Schauffler, Harry W. Shaver, Carrol J. Shaver, Dorothy N. Shull, Gordon E. Souder, Byron M. Strong, Clinton H. 1945 Adler, Richard H. Andaloro, William S. Chassin, Norman Cotter, Paul B. Ellis, George M., Jr. Fugitt, George W . Greenwald, Richard M. Groff, Donald N. Johnson, James H. Laglia, Vito P. Lazarus, Victor C. *Longstreth, H. Paul MacKay, Milton J. McGrew, Cornelius A. Mcintosh, William N. Quinlivan, John K. Rogers, William J. III Rowan, Lillian E. Rutecki, Joseph E. Shaheen, David J. Steinhart, Jacob M. Taylor, William R. Templer, Wayne C. Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Carbone, Donato J. Foley, Jack C. Golden, Lawrence H. Joy, Charles A. Levy, Harold J. Marks, Eugene M. Morgan, Thomas W. Naples, R. Joseph Petzing, Harry Rowe, Albert G. Walczak, Paul M. Williams, Myron E., Jr. 1947 Aquilina, Salvatore H. Bukowski, William M. Dean, Robert J. Edgecomb, William S. Hubbard, Elbert III Julian, Peter J. Lippes, Jacob Nuwer, Donald C. Phillips, James F. Reitz, Phillip L., Jr. Riordan, Daniel J. Schaefer, Arthur J. Soanes, Ward A. Stagg, James F. Ward, Robert B. Whiting, Frederick D. 1948 Borman, Col. James G. Good, Raphael S. Graff, Harold L. Hanson, Warren H. Hollis, Warren L. Liss, Judith L. Marinaccio, John J. Martin, Ansel R. Regan, Cletus J. Regan, Thomas C. Schiff, Lester H. Stone, Edward R. Zola, Seymour P. 13 1949 Bernhard, Harold Dennen, Philip C. Franz, Robert Griffin, Joseph E. Magerman, Arthur Paroski, Jacqueline L. Schneider, Max A. Shalwitz, Fred Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Benninger, Robert A. Bergner, Robert E. Berman, Herbert L. Bisgeier, George P. Brandl, James J. Brody, Charles Cecilia, Carl A. Chambers, Frank, Jr. Dingman, Joseph F. Dunghe, Adelmo P., Jr. Leberer, Richard J. Manders, Karl L. Patterson, Robert J. Robinson, Roy W. Sikorski, Helen F. Taylor, George E. Thomas, Donald B. *Tillou, Mary Jane Wasson, Anne A. Zinke, Myra R. 1951 Belsky, Jay B. Conrad, Carl R. Goldfarb, Allen L. Heerdt, Mark E. Kaplan, Marvin Leslie, Eugene V. Murphy, Thomas J. Secrist, Robert L. Teich, Eugene M. 1952 Abo, Stanley Banas, John J. Baumler, Robert A. Brown, Alvin J. Dyster, Melvin B. Fuhr, Neal W. Gartner, Albert A., Jr. Genewich, Joseph E. Kelley, Donald J. Mitchell, Frederick D. Panaro, Victor A. Simpson, S. Aaron Steiner, Oliver J. Thurn, Roy J. Wegner, Kurt J. 1953 Bertino, George G. Cohen, Stanley L. Comerford, Thomas E., Jr. David, JosephS. Ehrenreich, Donald L. Fogel, Sander H. Geoghegan, Thomas G. Gold, Jack Handel, John W. Johnson, Curtis C. �--·----- .. Maloney, Milford C. Meyers, Sanford H. Nagel, Richard J. Fortin, Bertram A. Rachow, Donald 0. Seidenberg, Molly R. Sobocinski, Robert S. Strachan, John N., Jr. Sullivan, Michael A. Voltmann, John D. Wadler, Marvin 1954 Batt, Edward J. Beltrami, Eugene L. Campo, Joseph L. Carosella, Nicholas C. Carrel, Robert E. Cloutier, Louis C. Falsetti, Domonic F. Foley, Robert D. Haines, Robert W. Hanson, Florence G. Hohensee, Edward W. Howard, William J. Hyzy, Eugene C. Lesswing, Allen L. Lewandowski, Lucille M. Lizlovs, Sylvia G. Meese, Ernest H. Shatkin, Samuel Weinmann, Paul L. Weiss, Alfred L. Wilson, Donald M. 1955 *Beahan, Laurence T. Collins, James R. Dean, Robert T. Fagerstrom, C. Daniel Garvey, James M. Gazzo, Frank J. Hashim, Sami A. Horwald, Sylvan H. Keicher, Kathryn M. Mye, George L., Jr. Palmerton, David L. Peterson, John H. Schiavi, Anthony B. Schiferle, Ray G., Jr. Smith, Gerard F. Tannenberg, Alf M. Von Schmidt, Barbara Weppner, David F. Whitney, Eugene B. 1956 Alker, George J., Jr. Ben-Asher, M. David Cumino, Eugene A. Dentinger, Mark A. Goldstein, Frederick P. Heimback, Dennis P., Jr. Jones, Oliver P., Sr. Kunz, Joseph L. McCutcheon, Sue A. Nuessle, Frederick C. O'Neil, Hugh F. Reeber, Erick Sklar, Bernard H. 1957 Gulino, Lorie A. Hauler, Donald R. Knight, Wallace A. Lasry, James E. Myers, Robert C. Parker, JohnS. Thorsell, H. Gregory Stein, Alfred M. Williams, James S. Zeplowitz, Franklin 1959 Baeumler, George R. Cohen, Donald L. Doeblin, Thomas D. Herbert, Anita J. Isaacs, Eli M. Kozera, Daniel C. Leone, Richard A. Oberkircher, David J. Zara, SabahE. 1960 Abramson, William E. Bernot, Robert Budzinski, John M. *Dayer, Roger S. Diesfeld, Gerard J. Graber, Edward J. Kanski, James R. Lamm, Edwin R. Malatesta, Robert L. Nakata, Harry H. Partridge, Eugene T. Rakowski, Daniel A. Rivera, Eugene P. Saks, Gerald L. Tuyn, John A. Vasilion, Peter Wolin, Richard E. 1958 1961 Armenia, John V. Berkson, Paul M. Brothman, Melvin M. Campagna, Franklyn N. Dischinger, Frederick W. Genco, Michael T. Glazier, William L. Guerinot, Gerard T. Kane, Leo A. Kunz, Marie L. Leve, Lloyd H. Murphy, John P. Romanowski, Richard R. Barker, Laurel M. DeSantis, Carlo E. Disraeli, Allan S. Hurwitz, Lawrence B. Porrath, Saar A. Usiak, Ronald H. Upcoming Alumni Receptions 1962 Bradley, Thomas W. Fisher, Jack C. Hanss, Joseph W., Jr. Morey, Philip D. Ney, Robert G. 1963 Bentley, John F . DuBois, Richard E. Ehrlich, Frank E. Herbstritt, Joseph G. Joyce, Stephen T. Lessler, Paul A. Maggioli, Albert J. Narins, Richard B. Spielman, Robert B. 1964 Cherkasky, Paul DiPoala, Joseph A. Kaine, Richard F. Rothfleisch, Sheldon Salton, William Ziegler, David C. 1965 *D'Amore, Ralph D. Verby, Harry D. Wagner, Edward H. Waldowski, Donald J. 1967 Gibbs, John W., Jr. 1968 Friedman, Ronald J. Non-Alumni (Non-Alumnae] Angelo, Martin M. Cordasco, M. Florsheim, Ann E. F. Harvey, William Hogben, Margaret L. Hubert, Harold Kelly, J. Edward, Jr. Malta, Frank J. Ney, Richard Toskov, Helen Trokars, Jerome Valente, Michael *Class Chairman The School of Medicine and the Medical Alumni Association will co-host two receptions in the spring. On Monday Feb. 15 (6-7:30 p.m.) during the Medical Society of the State of New York conference there will be a reception with complimentary cocktails in the Provence Suite of the Americana Hotel in New York City. There will be a similiar reception during the American College of Physicians meeting at the Denver Hilton March 31. Mr. David K. Michael, director of medical alumni affairs, is in charge of the receptions.D 14 THE BUFFALO PHYSICIAN �Alumni Receptions 1n San Francisco, Chicago A total of 65 alumni, faculty, wives and guests participated in two alumni receptions during the American Academy of General Practice and the American College of Surgeons conventions in September and October. Mr. David M. Michael, Director of Medical Alumni Affairs, hosted the receptions. Attending the American Academy of General Practice reception at the Fairmont Hotel in San Francisco September 29 were: Doctors Eugene V. and Mrs. Barnett, M'56, Encino, California; Stuart K. and Mrs. Bean, M'61, Birmingham, Alabama; Floyd C. Bratt, M'28, Rochester, New York; Richard C. and Mrs. Hatch, M'61, Modesto, California, and two guests, Gaby Curtice and Lucie Goodyear; L. Maxwell and Mrs. Lockie, M'29, Buffalo; Richard A. Loomis, M'43, Fallbrook, California; Frederick F. Rawls, M'43, Oregon; James W. and Mrs. Taft, M'43, Little Valley, New York. The 51 who participated in the American College of Surgeons convention and reception at the Conrad Hilton in Chicago October 13 were: Doctors Richard H. Adler, M'45, Buffalo; Arthur A. Anderson, Newington, Connecticut (guest); Roland and Mrs. Anthone, M'50, Buffalo; Robert Eargle, M'66, Chicago; Donald R. Becker, clinical assistant professor of surgery, Buffalo; Willard H. Bernhoft, M'35, Buffalo; William P. Blaisdell, M'59, Jamestown, New York; John R. Border, associate professor of surgery, Buffalo; James W. Brennen, M'38, Buffalo; Gerard P. Burns, assistant professor of surgery, Buffalo; Robert C. Burchell, Hartford, Connecticut (guest); Frank A. Camp, Washington, D. C. (guest); Theodore Drapanas, M'52, New Orleans; Rodney H. Dusinberre, clinical instructor of surgery, Buffalo; Roger J. Ferguson, M'69, Silver Springs, Virginia; Jack C. Fisher, M'62, Charlottesville, Virginia; Joseph R. Gerbasi, M'62, Buffalo; Michael J. and Mrs. Gianturco, M'55, Buffalo; William L. Glazier, M'58, Gowanda, New York; Adele M. Gottschalk, M'67, Chicago; Walter G. Hayward, M'15, Cocoa Beach, Florida; John R. F. Ingall, assistant professor of surgery, Buffalo; Patrick J. Kelly, Rochester, Minnesota (guest); D. M. Kluge, Buffalo (guest); Harold L. Kulman, M'68, Chicago; Marvin Z. Kurlan, M'64, Allentown, Pennsylvania; Thomas Z. Lajos, assistant professor of surgery, Buffalo; David G. LaPointe, M'65, New York City; J. C. McDonald, New Orleans (guest); Robert and Mrs. Moran, M'61, Buffalo; Walter T. Murphy, M'30, Buffalo; Guy Owens, Hartford, Connecticut (guest); Harold Palanker, M'40, Buffalo; Alfred Past, Buffalo (guest); Bertram A. Partin, M'53, Buffalo; Albertus W. Rappole, M'37, Chautauqua, New York; Bert W. Rappole, M'66, New York City; Seth A. Resnicoff, M'62, Rochester, New York; Vea J. Riegler, Temple, Texas (guest); Henry Riegler, Temple, Texas (guest); Fero Sadeyhian, clinical instructor of surgery, Buffalo; Raymond M. Smith, M'53, Allentown, Pennsylvania; William J. Staubitz, M'42, Buffalo; Chang-Tsung Tsai, clinical assistant instructor of surgery, Buffalo; Philip H. Wheeler, Buffalo (guest); James J. White, Jr., M'69, Pittsburgh; Charles E. Wiles, M'45, Buffalo; Jane B. Wiles, M'45, Buffalo; Richard W. Williams, M'64, Buffalo.D WINTER, 1970 15 �Faculty Promotions Dean LeRoy A. Pesch announced the promotion of 114 Medical School faculty members, effective August 1. Promotions to Professor: Doctors Murray N. Anderson (Surgery); Robin Bannerman (Medicine- Medical Genetics); John W. Boylan (Medicine); Ronald G. Davidson (Pediatrics); Rapier N. McMenamy (Biochemistry); Richard Webber (Anatomy). Promotions to Associate Professor: Doctors Robert L. Brown (Medicine); Moises Derechin (Biochemistry); Floyd A. Green (Medicine); Marguerite T. Hays (Medicine); Jimmie Holland (Psychiatry); John F. Moran (Biochemistry); John H. Warfel (Anatomy). Promotions to Assistant Professor: Doctors William R. Bartholomew (Microbiology); George F. Connell (Anesthesiology); Rolf Flygare (Anatomy); Peter A. Nickerson (Pathology). Promotions to Clinical Professor: Doctors Joseph Aquilina (Medicine); Carl Arbesman (Microbiology); Winfield L. Butsch (Surgery); Max E. Chilcote (Biochemistry); Charles E. May (Anatomy); Philip B. Wels (Surgery). Promotions !o Clinical Associate Professor: Doctors Guy Alfano (Surgery); J. Edwin Alford (Surgery-Proctology), also acting Head of Department of Surgery, Division of Proctology; Roland Anthone (Surgery); Sidney Anthane (Surgery); Charles F. Becker (Pathology); Donald R. Becker (Surgery); Leonard N. Berman (Surgery); Philip Brogadir (Psychology in Department of Psychiatry); Theodore T . Bronk (Pathology); Sebastian G. Ciancio (Pharmacology); Liselotte K. Fischer (Psychology in Departments of Pediatrics and Psychiatry); Lawrence H. Golden (Medicine); John W. Kostecki (Surgery); Ruth F. Krauss (Pe- 16 diatrics); Jerome J. Maurizi (Medicine); Cornelius J. O'Connell (Microbiology); Anthony Postoloff (Pathology); Desider A. Pragay (Biochemistry); Anthony P. Prezyna (Pathology); Bohdana Salaban (Psychiatry); John B. Sheffer (Pathology); Jacob M. Steinhart (Pediatrics); Sambamurthy Subramanian (Surgery); Burton Stulberg (Psychiatry); John W. Vance (Medicine); William S. Webster (Pediatrics); Everett H. Wesp (Surgery). Promotions to Clinical Assistant Professor: Doctors Ronald E. Batt (Gynecology-Obstetrics); Bruce Block (Psychiatry); Henry J. Brock (Medicine); Rupert Ramsay Brook (Psychology in Department of Psychiatry); Donato J. Carbone (Anesthesiology); Edward M. Cordasco (Medicine); Robert J. Dean (Anesthesiology); Martin J. Downey, Jr. (Anesthesiology) Robert J. Ehrenreich (Pediatrics); Bernard Eisenberg (Pediatrics); George Fazekas (Pathology); David Hallowitz (Social Work in Department of Psychiatry); Claire M. Hossenlopp (Psychiatry); Eleanor A. Jacobs (Psychology in Department of Psychiatry); Kenneth A. Kelly (Anesthesiology); Bertram G. Kwasman (Surgery - Orthopedic); Harold J. Levy (Psychiatry); Thomas A. Lombardo (Pediatrics); Paula M. Lopez (Psychiatry); Milford C. Maloney (Medicine); Albert D. Menno (Surgery); Richard J. Nagel (Anesthesiology); Hugh F. O'Neill (Medicine); Thomas Pamukcoglu (Pathology); Rodolfo T. Quebral (Pathology); Alan A. Reckhow (Pediatrics); Robert E. Reisman (Medicine); George B. Rosenfeld (Pediatrics); Charles H. Severson (Pediatrics); Samuel Shatkin (Surgery); Rudolph E. Siegel (Medicine); Kamal Tourbaf (Medicine); Ann A. Tracy (Psychiatry); Paul M. Walczak (Surgery); Murray Yost (Psychiatry). Promotions to Research Professor: Doctors Allan L. Grossberg (Microbiology); James F. Holland (Medicine); Joseph E. Sakal (Medicine); Charles E. Wenner (Biochemistry); Robert Guthrie (Microbiology). Promotions to Research Associate Professor: Doctors John W. Pickren (Pathology); Elias Cohen (Microbiology); Charalambos Coutsogeorgopoulos (Biochemistry). THE BUFFALO PHYSICIAN �Doctors Ediz Z. Ezdinli (Medicine); Salman D. Gail ani (Medicine); Tin Han (Medicine) ; Carlos A. Mattioli (Medicine); Judith B. VanLiew (Medicine); Andrew Plaut (Medicine) and Buswell; Thomas P. Provost (Medicine) and Buswell; Anthony Yurchak (Medicine) and Buswell. ogy); Oscar R. Oberkircher (Pediatrics) ; H. Robert Oehler (Surgery); Lourdes S. Ramirez (Pediatrics); Doris J. Rapp (Pediatrics) ; Albert G. Rowe (Anesthesiology); George M. Sanderson Jr. (Anesthesiology); Aaron Searle (Pediatrics); Mary Jane Till au (Pediatrics); John R. D. Warner (Pediatrics); Sherman Waldman (Pediatrics) Promotions to Clinical Associate: Doctors Max Promotion Cheplove (Medicine); Leo Kane (Anesthesia!- Seung-Kyoon Park (Psychiatry). D Promotions to Research Assistant Professor: to Dr. Douglas M. Surgenor, who has been Provost of the Faculty of Health Sciences since September 14, 1967, has submitted his resignation effective February 1, 1971 or as soon as a successor has been selected. Dr. Surgenor came to the University in 1960 as professor and head of biochemistry. In 1962 he was named Dean of the School of Medicine, a position he held until July 1, 1968. He has returned to teaching and research as a professor of biochemistry in the Medical School. Among the reasons for his resignation cited by Dr. Surgenor were the considerable workloads attached to his chairmanship of two nationally prominent committees in the health sciences - the National Blood Resources Advisory Committee and the International Committee on Thrombosis and Hematosis. These chairmanships are for terms of three and two years respectively. President Robert L. Ketter expressed his deep appreciation to Dr. Surgenor for his outstanding contributions to the University over the last decade. During his tenure as Dean of the Medical School and Provost of the Faculty, the growth in the quality and range of the University's research and instructional programs in the health scienr.es has repeatedly attracted national attention. D Dr. Ranney Joins Faculty Dr. Helen Ranney is the new professor of medicine. She is a 1941 cum laude graduate of Barnard College, and received her M.D. from the College of Physicians and Surgeons, Columbia University in 1947. Dr. Ranney comes to Buffalo from Albert Einstein College of Medicine where she has been a professor of medicine since 1965. She has been on the Columbia and Yeshiva University faculties and served in several hospitals in the New York metropolitan area. Dr. Ranney has authored or co-authored 43 papers and articles on hemoglobin. She is based at the Meyer Memorial Hospital, with teaching assignments in her specialty at two other affiliated hospitals, Buffalo General and Veterans. D WINTER, 1970 17 Clinical Instructor: Doctor Provost Resigns Dr. Surgenor �------ -. Student Summer Fellowships Medicine occupied at least fifty-three freshman, sophomore and junior medical students this summer. While forty-five remained in the Buffalo area to work in the fields of clinical, research or family practice, six selected other American cities in which to obtain a different type of medical experience, while two journeyed to the University of Cambridge for a foreign flavor in clinical hematology. They were recipients of $500 summer fellowships. Together with faculty sponsors of their choice, they proposed a summer program to a six-member fellowship committee headed by Dr. Frank C. Kallen. The three basic sciences and an equal number of clinical members then allocated available committee support funds to the applicants on a competitive basis. "These students obtained a learning experience they may not otherwise have had." pointed out Dr. Kallen. "While six worked in family practice, an area not yet covered in the curriculum, others were exposed to research or clinical areas that were unfamiliar to them." FAMILY PRACTICE Johnson, David L. '72 Ness, Paul M. '71 Purow, Elias '71 Savage, Richard A. '72 Weinrieb, Ilja J. '71 Zlotlow, Mark '72 Dr. Harry L. Metcalf, 3435 Bailey Avenue Dr. Robert Corretore, 350 Alberta Drive Dr. Robert Corretore, 350 Alberta Drive Dr. Robert Haines, 3435 Bailey Avenue Dr. James Phillips, 50 High Street Dr. A. Charles Massaro, 509 Cleveland Drive SUMMER STUDIES PROGRAM- Dr. C. D'Amanda Kibler, Douglas L. '73 Palma, Paul A. '73 Rousso, Judith R. '72 Thorington, Darlene '73 Toner, Eugene P. '72 Warren, James W. '73 Anderson, Charles L. '73 Buscher, David '72 Daimont, Anita G. '73 Dwyer, Thomas J. '73 Hirsh, Frederic M. '73 Hoffman, Martin T. '72 Jones, Leeland A. '73 RESEARCH Poretta, Jerome C. '72 Schreiber, Lawrence H. '72 Wise, Jonathan F. '73 Project Investigation of atropine anomaly. Non-invasive technics for qualitative quantitative evaluation of cardiac dysfunction . Role of secretory antibodies in rubella. In Vitro study of proliferative capacity of human normal, leukemic hematopoietic cells. Hematologic studies in hypersplenic rat. Study of a specific neuromuscular disorder. Point Measurement of flow velocity in blood vessels. National Camacho, Fernando J. '72 Psychiatric studies. Vilardi, Paul '72 Alcohol, proprioception, and driving. Webber, James T. '72 Measurement of physiological variables in spawning salmon. Local Buchwald, Frederick R. '73 DiBianco, Robert '72 Gillette, Thomas E. '73 Kam, Linda A.'72 18 Site , Faculty Biochemistry, SUNYAB- Dr. J. Moran Buffalo General- Dr. J. Constant 2211 Main Street- Dr. P. Isacson Roswell Park- Drs. R. Ellison, J. Holland Anatomy, SUNYAB- Dr. C. Glomski Children's Rehab Center- Dr. J. Dower Buffalo General- Dr. D. Greene Psychiatric Walk-in Clinic, New York City (arranged by Dr. J. Robinson] Jackson Memorial Hospital, Miami (arranged by Dr. P. Gessner) LaJolla , Calif. and Bella Coola, B.C. [arranged by Dr. H. Rahn] THE BUFFALO PHYSICIAN �CLINICAL Local Baron, Michael B. '71 Berkson, Richard A. '72 Bommer, William J. '72 Bowling, Bruce T. '72 Capuana, Nicholas J. '71 DiSessa, Thomas '71 Fialkow, Robert Z. '72 Goldman, Richard S. '72 Greenberg, Harvey '71 Haight, Barry W. '72 Handler, MarkS. '71 Iannone, Louis G. '71 Kane, Andrew J. '72 Lieberman, Nancy L. '73 Miller, Merrill, L. '71 Pelton, Stephen I. '72 Rivers, Richard J. '72 Stein, Marvin L. '71 Buffalo General- Dr. J. Constant Clinical cardiology. 585 Delaware Ave.- Dr. N. Haber Clinical applications of basic science. Children's- Dr. E. Lambert Pediatric cardiology. 350 Linwood- Dr. F. Hoak Clinical dermatology. Deaconess- Dr. E. Olmstead Ophthalmology. Children's -Dr. E. Lambert Pediatric cardiology. Deaconess- Dr. M. Sullivan Cardiovascular diseases. Veterans- Dr. D. Dean Clinical cardiology. Gynecologic endocrinology and pediatric gynecology. 277 Linwood- Dr. V. Capraro 73 High- Dr. C. Addington Ophthalmology. 755 Wehrle- Dr. M. Dewey Obstetrics/gynecology. Buffalo General- Dr. J. Constant Clinical cardiology. Veterans- Dr. D. Dean Cardiopulmonary medicine . Children's- Dr. L. Sinks Pediatric Oncology. Children's Rehab Center- Dr. D. Kerr-Grant Developmental disorders. Meyer- Dr. D. Schnatz Diabetes Mellitus. Veterans- Dr. D. Dean Cardiopulmonary medicine. Roswell Park- Dr. J. Holland Cancer. National Fleigel, Jeffrey D. '71 Otolaryngology. Harolds, Jay A. '71 Psychiatry. Morris, Steven J. '73 College of Phys. and Surgeons, NYC (arranged by Dr. J. Lore) Hillside Hospital, Jamaica, N.Y. (arranged by Dr. J. Robinson] St. Barnabas Hospital, NYC (arranged by Dr. R. Reeves] Coronary revasculorization. Foreign Levine, Stephen J. '72 Clinical hematology. Mintzer, Ira '72 Clinical hematology. U. of Cambridge, England (arranged by Dr. J. Mohn] U. of Cambridge, England (arranged by Dr. J. Mohn] Dr. Merrick Returns Dr. Joseph M. Merrick has returned to the University as a professor of microbiology in the School of Medicine. He comes from Syracuse University's department of bacteriology and botany where he has been an associate professor. The 40-year old biochemist, who was born in Welland, Ontario, holds a master's degree in bacteriology (1953) from Michigan State University where he was an Arthritis and Rheumatism Foundation Fellow, and a PhD degree in biochemistry (1958) from the University of Michigan. After completing postdoctoral studies at the University of California at Berkeley, he joined the State University at Buffalo's department of biochemistry in 1962 where he remained until his transfer to Syracuse. Dr. Merrick has published extensively in the area of bacterial biochemistry and will be teaching both graduate and elective courses in this field. His research will also continue in this field. A member of the American Society of Biological Chemists, he also is a member of the American Chemical Society, Biochemical Society, the American Society for Microbiology, and the American Association for the Advancement of Science.D WINTER, 1970 19 �Dr. Andres Jains Faculty One of the world's leading immunopathologists who is active in the field of electronmicroscopy has joined the University departments of microbiology and pathology. He is Dr. Guiseppe A. Andres, who comes from the University of Rome where he headed its laboratory of immunopathology for the past seven years. The 46-year old physician, who was born in Torino, Italy, received a medical degree in 1949 from the University of Pisa. He has served on the faculty and has been a Fellow in the departments of medicine and/ or pathology at the Universities of Pis a, Rome, Columbia College of Physicians and Surgeons, and Stockholm's Karolinska Institute. The professor of microbiology and pathology has authored over 40 scientific articles in which he has made highly significant contributions by the technique of electronmicroscopic and immunoferritin studies (there are in the world few who are technically qualified) of renal diseases and renal homografts which are tissue grafts from outside the body. He is a member of the American Association of Pathologists and Bacteriologists; serves on the National Research Council's Committees for Electronmicroscopy, Immunology, and Institute for Organ Transplantation; belongs to the European Society for Clinical Investigation, the Societa Italiana di Microscopia Elettronica, and Societa di Italiana di Allergia e Immunologia. Dr. Andres, who will teach both graduate and postgraduate courses in electronmicroscopy at the University, will also collaborate on research projects with the departments of microbiology and pathology in the study of autoimmune disease, the pathogenesis of the various forms of glomerulonephritis, and homograft rejections. He will work with the department of physiology in the area of high pressure-induced damage to tissue. D New Chancellor Dr. Boyer Dr. Ernest L. Boyer assumed the SUNY Chancellorship September 1. He succeeded Samuel B. Gould, who resigned several months ago. The 42-year-old Dr. Boyer was vice president for universitywide activities before becoming vice chancellor, the number two administrative position in the State University system, in October 1968. Dr. Boyer was born in Dayton, Ohio, received MA degrees from Ohio State University and the University of Southern California. He also has his doctorate from USC in speech pathology and audiology.D 20 THE BUFFALO PHYSICIAN �0 UR PURPOSE in meeting here today is to accord honor to those of you who have achieved excellence in the study of medicine. On previous occasions when I have been given the opportunity, I have attempted to concentrate on the problems facing this nation with regard to the delivery of health services to all people. Today, however, I would like to speak of another matterone which is of extraordinary importance today in the life of universities and to the future of medicine and health care. This is the absolute essentiality of our continuing commitments to intellect, to science, and to excellence. I would like to begin with the description of a physician. He is the doctor as he appeared at the time of the beginnings of American medicine. Medicine at that time was rather medieval in character. It had been authoritarian since the time of Hippocrates. It had finally run into scholasticism and intellectual stagnation. In addition, it had probably declined somewhat in quality in the process of exportation from Europe into the new world. The doctors who came to this country crossed a dangerous ocean and invaded a hostile continent. They accompanied other pioneers and settled where they pleased. The doctors probably were distributed fairly adequately with respect to need, in contrast to the picture today. In New England, at least, some of these men were members of the Puritan Clergy. They resolved to migrate to America, and took the precaution of also obtaining a medical education before embarking. They were equipped to care for the bodies as well as the souls of their flocks in the wilderness. All of these doctors had their heritage of old world medicine to guide them. But what had they to offer their patients in their new circumstances? Some had elementary knowledge of anatomy, physiology, and materia medica, a bag of drugs and a few technical gadgets of one sort or another. This was their only equipment. Their method of practice was highly empirical. They purged, they puked, they sweat, and they bled, especially the last- all on the basis of tradition rather than on experience or of a scientifically proven fact. Their drugs were chiefly medicinal herbs, generically called "simples" which they also used in accordance with accepted custom. They could do very little for their patients beyond relieving certain symptoms and bestowing comfort and moral support. In those days, the health care crisis was characterized by one deadly epidemic after another. The system, as it existed then, was totally incapable of dealing with smallpox, measles (very deadly in those days), scarlet fever, plague, typhus, diphtheria, and many others. Fortunately, the epidemics at least left behind a considerable number of immune survivors whose presence in the community tended to slow up the rate of spread in subsequent epidemics. Because of the ineffectiveness with which medicine could deal with these problems, attempts were made to block their importation by the establishment of quarantines in the ports. These were restrictions which were perforce imposed by government, and thus we may see that, even at that early time, the principle of governmental responsibility for the safeguarding of health was established. WINTER, 1970 21 From the desk of Dean LeRoy A. Pesch Commitments to intellect, to science, and to excellence was the theme of Dean Pesch's talk at the Medical School Convocation October 14, 1970. �Dean Pesch Such briefly, is the background and heritage of American medicine and it remained so almost until the turn of the present century. Of all of the momentous events which stirred American medicine around the turn of the present century, one is perhaps the most significant of all. That one is really an outgrowth of three others, the first of which was the opening of the Johns Hopkins Medical School and Hospital in 1889. The second was the great events which surrounded the establishment in 1903 of the Rockefeller Institute for Medical Research, and the third was the publication in 1910 of the Flexner Report on medical education. The blend of these three events was much better than the sum of the ingredients and it combined to constitute an uplifting force in American medicine which has been felt ever since. It was really the birth of scientific medicine in this country. I interpret scientific medicine to signify the making available in the care of the patient all that basic medical science has to offer, which may benefit him. In other words, putting the great corpus of medical knowledge at the patient's service. I will not describe the practitioner as he exists today. Because of the tremendous growth, proliferation in the institutions, and specialties which constitute the broad picture of the practitioner today, it would be impossible to describe him. However, suffice to say that the present-day physicians' professional forebearers of the 19th century and earlier, practiced medicine in a serenely individualistic and leisurely manner, not permitted by our present society. Now the doctor is inevitably part of a great social structure which we may call American medicine or in the popular phraseology, the health forces of the nation. He is surrounded by, and dependent upon a host of other professional peoplenurses, social workers, therapists of many kinds, administrators, and technicians of endless variety. In short, the problems which face us as a profession in this country and the world today are an outgrowth of our own development. The solution to these problems, however, in my estimation, will be dependent upon the wisdom with which we continue to dissect out and understand the true differences- as was done 70 years ago- between what health care professionals do and what is their purpose. The primary thread in this regard in the evolution of medicine, as well as other professions has been to execute the function of taking the abstractions of science and applying them to the concrete and practical affairs of men. This is not the only thing which physicians and other health professionals do. However, it is their primary purpose. The professions must bridge the spectrum of truth to application. Science on the one hand, can insist on ignoring questions of purpose in order to be objective and precise- the professions cannot. Thus, the ultimate application of truth to the practical world must be a mix which accepts its purpose as a mix of accepted traditional values, and the science which is the profession's intellectual base. 22 THE BUFFALO PHYSICIAN �The purpose of these brief remarks is to bring into focus the necessity of our continued, strong, unabating commitments to intellect, to science, and to excellence; in all we do in accepting and applying scientific objectivity and precision, together with accepted traditional values about the quality of the human condition, to the quality of the health care we provide. For although the problems seem enormous as we look at society today, the problems can only be solved if we use the effective tools which have been used in the past successfully to come to grips with equally momentous problems. The tools are simple- the basic tools of medicine are its science as a source of truth, its institutions which proclaim its truths, and the human resources which act to apply them to public affairs and to the problems of mankind.D Dr. Philip B. Wels, Buffalo surgeon, has been named director of the new Office of Academic Affairs at Millard Fillmore Hospital. The office is under the sponsorship of the School of Medicine and the hospital. Approximately 60 sophomore, junior and senior medical students will receive on the spot instruction in obstetrics, surgery, and medicine and they will be able to pursue electives in other hospital departments, such as x-ray, pathology and anesthesiology. The school will give academic credits for work done at the hospital. Dean LeRoy Pesch said that Dr. Wels will be responsible for developing programs of interest to Medical School undergraduates, and that he will also coordinate all of the student educational activities with the school. Millard Fillmore Hospital has had a long affiliation with the Medical School. "The establishment of this office and the appointment of Dr. Wels marks an important step in the development of closer relationships between the University and the community it serves and will provide a broadened base of educational experience for our students," Dean Pesch said. Dr. Wels has been on the University faculty since 1950, and is now clinical professor of surgery and former assistant dean of the school. He also joined the hospital's medical staff in 1950 and is now chairman of the department of surgery. Dr. Wels is a 1941 UB Medical School graduate. Commenting on the new office, Mr. Leon Carson, hospital administrator, said, "Millard Fillmore Hospital is happy to offer its facilities for training of undergraduates, and feels that under Dr. Wels this will be a rewarding and interesting experience for the students."D WINTER, 1970 23 Dr. Wels Heads Millard Fillmore Academic Program �Dr. Roger Egeberg Speaks on Health Care The editors attended an American Medical Writers Association meeting September 21, 1970 where Dr. Roger Egeberg spoke on health care. Some of his thoughts follow. "The majority of Americans have no ideas as to what the health care crisis means," said assistant secretary for health and scientific affairs, U. S. Department of Health, Education, and Welfare Roger Egeberg. "They buy health insurance, see a doctor, go to a hospital, get better, and that is that. "But there are grave flaws in our system for delivery of health care, and we have no ideas as to how these flaws can be dealt with." The demand for health services, he cautioned, cannot be met with rising expectations or affluence. He questioned whether the product has been oversold in relation to our ability to deliver. "There is poor distribution of health care and an inbalance in supply and demand. And for the 30 million poor, 170 million middle class which includes doctors, and 500,000 rich, the distribution of health care remains a middle class affair." For the 270,000 (most of whom are blacks), transportation remains a problem. Before the riots in Watts, there was no bus service for the 50,000 blacks living there. If they needed to go to the nearest hospital for medical care, it meant one hour and three quarters by the nearest bus at a cost of $1.75. And for the 30 million poor who may suffer from gas gangrene and pesticides, there is little or no health care in this country. Contradictions in health care were implied when he pointed to those with health insurance who are sent to the hospital even though they don't need to be there. When Dr. Egeberg came to HEW, he thought health was one of the most important problems in the country. But he found that this was not so. Welfare problems were so bad that this was perhaps why health did not get the attention that it should. But there is a change. As he now travels around the country, he sees that people are beginning to get interested in health. "What we are trying to do," he said, "is to bring together the fragmentation in delivery of health care. Our infant mortality rate is 17th in the world and in some other areas we are ranked 12th," he said. While our life expectancy for millions has dropped compared with other countries, this does not hold true for the middle class. What he feels should be done is to focus rather than tear down a system that is working and needs support. "Woefully short of 50,000 physicians and 200,000 nurses, we are working toward and are organized to take medical care where it is most needed. We need to educate people. While government will not determine how we deal with health care or health professionals, it will be resolved as the public allows." Maldistribution and health care are two important issues of health plans with a changing emphasis from the purchase of health care to ability to deliver. A profession that is conservative, as is the medical profession, cannot handle these problems, according to Dr. Egeberg. 24 THE BUFFALO PHYSICIAN �The average doctor, he pointed out, works at least 65 hours per week. As an efficient coordinator, the present task is to focus what is needed to accomplish our needs- getting more health professionals, setting up places in which they can practice, creating clinics, an image for a slum, and to get people there who are willing to create that image. One possible mechanism to get doctors to go to such clinics, he said, may be legislation. Recent graduates should go to villages where there is no medical care. In this village there would be an organization with a hospital backup. "We need to get people who can do the job," he said. "While visiting nurses will increase the number of hands available for health care, our aim is to create physicians who want to take care of people, people who have esprit de corps." The average cost per year per medical student is $17,000 and this sum antes up to $24,000 for the married medical student. "But what do we do about research funds?" asked a former medical school dean. "Yes, we do need research to get a scientific base to medicine," answered Dr. Egeberg. "One has to be exposed to research, with perhaps seven to eight percent of the medical class ultimately ending up in this field. But there is a stringent federal budget with a major problem to kill inflation. And the government has voted health care to the people- Medicare/Medicaid -and is therefore committed to educate physicians. "We must curb health care inflation," Dr. Egeberg said. He suggested graduated hospital fees starting at perhaps $150.00 per day for the acute patient to $15.00 per day for the patient who can eat in the hospital dining room and make his own bed. We also must place more emphasis on ambulatory care and perhaps limit the fees of doctors and others on the health team. But histories will be taken by other than a physician as well as tests before the doctor sees the patient. As tests become cheaper, hundreds can be done more profitably, and the physician can see a patient with no symptoms, thus practicing preventive medicine.D Continuing Medical Education Eleven Continuing Medical Education programs have been scheduled during March, April, May and June. They are: March 4, 5 - Child Psychiatry; March 18- Gastroenterology; April 1, 2, 3 - Anesthesiology; April 5, 6, 7 - Pediatric Nephrology; April 20, 21 (tentative) - Rehabilitation of Strokes and Spinal Cord Injuries; April 30, May 1 - Thirty-Fourth Annual UB Alumni Spring Clinical Days; May 9, 10, 11, 12- Computers-Laboratory Medicine; May 13, 14- Half-Way Houses; May 19, 20, 21- Immunologic Concepts of Hypersensitivity in Man; May 26, 27- Locomotion and Aging; June 3, 4, 5 - Computers-Health Data.D WINTER, 1970 25 �As Dr. Mohn checks report, graduate students Richard W. Plunkett and Sister Kathryn Zelenski ready red cell lysis in gel. Blood Group Research of a worldwide collaborative effort and an international reputation in blood group research. Were its beginnings, as in many discoveries, by accident or by design? For Dr. James F. Mohn, it began a year before he received his medical degree from the University of Buffalo and it "just seemed to happen." In 1943 Dr. Ernest Witebsky introduced his student, who had proven his competence, to blood group research. Appointed official host to all department of bacteriology and immunology visitors, the young immunologist met many of the "giants" in the field. It proved to be the beginning of an ongoing exchange of information and ideas. But what brought international attention and fame to Buffalo five years later (1948) was the first formal Congress of the International Society of Hematology which met at the Hotel Statler. Attended by blood group immunologists from all over the world, it was the genesis of a close comaradie between many of the participants and Dr. Mohn, who served as its general secretary. T WENTY-FIVE YEARS 26 At a Congress meeting in Cambridge (1950), Dr. Mohn presented findings on a study completed two years earlier in which he proved that the investigator was measuring a spectrum of Rh antibody activities and not just peaks or points as it was believed. Plans were laid for a sabbatical with Cambridge's renowned Dr. R. R. A. Coombs, who also consented to participate in the dedication of Capen Hall, a building which Dr. Mohn was active in planning. He met Harri Nevanlinna, director of the Finnish Red Cross Blood Transfusion Service at a Congress meeting in 1956. A chance meeting in London ten years later culminated in arranging for Dr. Nevanlinna to come to Buffalo to initiate a collaborative investigation of a new blood group variant in the Finnish population, and to expand earlier research efforts to include all blood group A variants. This has led to Buffalo as the center for the finest collection in the world. The proposed sabbatical at Cambridge had to wait until a call to serve with the U. S. Armed Forces for the second time was completed by Dr. Mohn. The next two years at the then Army Medical Service Graduate School of Walter Reed Army Medical Center proved to be fruitful for the young immunohematologist. It was here where he crystallized certain ideas and initiated pilot studies, where he developed a better method to prepare serum and to preserve it by drying. The first to freeze red cells with liquid nitrogen, he and a collaborator used only needles and syringes. THE BUFFALO PHYSICIAN �~. Because red blood cell agglutination is both sensitive and visual, Dr. Mohn felt that blood groups would be useful in learning some of the fundamental principles of human antigen/ antibody reactions, and of how a red cell agglutination system works. By studying those specifically directed against erythrocyte antigens, he was certain that a great deal could be learned about human antibodies. "It is a model system, a way to study human isoantigens and antibodies, and it is the groundwork on which all work in transplantation rests." When he returned to Buffalo in 1955, he was charged by Dr. Witebsky to establish a blood group research unit. This left his mentor free to turn his attention toward some earlier interests. A small grant from the Buffalo Research Associates enabled Dr. Mohn and postdoctoral fellow Reginald M. Lambert to equip their new laboratory. They set out to characterize blood group antibodies both physically and chemically, something that had not been done successfully. Why couldn't globulins that differ both physically and chemically be responsible for the various serologically detectable activities, they asked? Their application for NIH funds to support this research was countered with "why haven't you published recently?" Explained Dr. Witebsky to the " powers that be," if you are busy creating a graduate program and founding an animal unit, there is little time left for research. NIH funds were eventually received together with a small Mercke, Sharpe, and Dohm grant to cover a study on A and B substances. Dr. Mohn watches as technicians Hilde Miller left and Jo Ann C. Osmola identify antibodies in the reference service. !I Helping Dr. Lambert ready cold hemagglutination from a low temperature water bath is technician Kathryn B. Cunningham. Dr. Mohn envisioned the development of standardized techniques that would allow a comparison of laboratory results throughout the world. In terms of research productivity , it meant a halt to search for a method or instrumentation to make this possible. "If we wanted to preserve cells, it meant some years to develop the technique to do so." In 1968 a freezing technique was developed and the ultimate preservation of blood group variants is now possible. Early research on hemolytic disease of the newborn brought the human blood groups into its renaissance. There was collaboration with the department of gynecology and obstetrics, discussions, and meetings. When a rare antibody was identified , the obstetrician was informed. There is ::1lso the Unit's commitment to teaching and to service. When the cost to the Unit for all County blood group reference work became prohibitive, Dr. Mohn asked for County financial support. Erie County Commissioner of Health William Mosher's response was a pioneering contractual arrangement between the Erie County Laboratories, and the University thus allowing the Blood Group Unit to charge only nominal fees for reference cases from outside of Erie County. The gap between research and patient care narrowed appreciably with Dr. Mohn's clinical appointment to area hospitals- he is currently director of Buffalo General Hospital's blood bank, consultant in immunohematology for Erie County Laboratories and to the Veteran's Hospital. With the establishment of the 27 �- • . Research conference on ABO Blood Group with Dr. Robert K. Cunningham, Dr. Mohn, and Dr. John K. Rose (right) . Clinical Laboratory Act as State law in 1965, came the appointment of Dr. Mohn as one of two consultants on blood banking and blood groups to the New York State Commissioner of Health. Anthropologic and genetic studies (blood groups can serve as a marker for genetic linkage) also interest the Blood Research Unit that has grown from a staff of three to its present level of 14. In the early days there were no geneticists in Buffalo. The establishment of this field here awaited only the arrival of Drs. Robin Bannerman and Ronald Davidson to make it the "right time and the right place." Blood group studies on patients selected by the geneticists are performed in Unit Laboratories as well as collaboration on Dental School Larry Greene's twin studies to determine possible correlation between hereditary defects and a specific blood group. 28 Dr. Mohn reviews day's schedule with secretary Carol Ward. THE BUFFALO PHYSICIAN �The Man. Joint publications on Downe's Syndrome where there is a defect on chromosome 21 indicated a marked increase of the Kell blood group antigen, thus pointing to an inheritance on this particular chromosome. In a collaborative study with England's Drs. Race and Ruth Sanger of the Medical Research Council, Blood Research Unit, they indicated a different M antigen in Negroes, and in a study with Dr. Nevanlinna, a new group A Finnish variant. Anthropologically one of the most important human blood groups is Diego. A case referral by Sisters of Charity Hospital to Dr. Mohn led to his being one of two in the world to have some valuable antiserum of this specificity. As a result, he has completed the first studies on blood group determinations of the Tuscaroras and Senecas, two members of the matriarchal Greater Iroquois Confederation. Collaboration with Toronto professor of zoology and anthropology T. E. Reed has led to a completed study on the Ojibwas, a group from Northwestern Ontario, and with Dr. Bannerman, a study on the Chulupis of Paraguay. He continues a study that dates back to 1956 on the incidence of the Diego blood group with Japan's S. Iseki. WINTER, 1970 The sabbatical with Dr. Coombs became a reality in 1963 and a permanent relationship with Cambridge University ensued. A continuing exchange of research culminated in th e appointment of Dr. Mohn six years later as Cambridge University Lecturer through the department of pathology. A book on his series of lectures covering the ABO blood group system will soon be published. Collaboration continues with Professor Lars Edebo, the Swedish authority on the disintegration of bacterial cells , and former student William Miethaner who is now associate director of Buffalo General Hospital's blood bank, there is a study to prove whether red cell isoantigens exist on other tissues as well. With Harrisburg Hospital hematologist Herbert S. Bowman, there is pioneering work on autoimmune hemolytic anemia. They were the first to experimentally prove that there is autoantibody formation in this disease. With the arrival of Dr. Carel J. van Oss, the first complete series of morphologic studies on red cell agglutination by antibodies of the ABO and Rh blood group systems by scanning electronmicroscopy have been made. An attempt to confirm theories on this morphology to transmission electromicroscopy by use of ferritin labeled antibodies will be made by Dr. Guiseppe A. Andres. And large scale investigation of antigens and antibodies of ABO blood group system with Drs. J. K. Rose, and E. M. Tucker of the agricultural research council, Institute of Animal Physiology at Cambridge, and former students Roger K. Cunningham and Richard Plunkett is also underway. The collaboration goes on and on . . . D Technicians Annarnarie F. Claxton and Teri B. Lawrence perform antibody titrations . �\ J ��A Summer of Pathology, Tennis Hard work and fun proved to be a good summer tonic for a fourth year medical student. Askold Mosijczuk split his time between a pathology course that he took as an elective at Millard Fillmore Hospital and the tennis courts. He is an accomplished tennis player and participated in several local tournaments. He spent many hours on the 6th floor of the hospital. He also poured over pathology textbooks. He spent one night a week doing lab work for his father, Dr. John Mosijczuk, a physican at Columbus Hospital. The elder Mosijczuk brought his wife and only child to Buffalo in 1954 after working as a physician for a French construction company in Tunisia. Before Tunisia, there was a five-year sojourn in Innsbruck, Austria, where Askold was born. The family had moved there from the Ukraine near the end of World War II. Askold met his wife, Ala, at a Ukranian-American debutante ball in Buffalo. She is working towards a Ph.D. in speech communication at the university. They have an eight month old son. 0 Medical Research Team A husband and wife medical research team has developed a plasmin which may make the difference between life and death to countless prematurely born infants. Dr. Clara M. Ambrus and her husband Dr. Julian are research associate professors on the Medical School faculty. The plasmin was developed at the Roswell Park Memorial Institute where Dr. Clara is principal cancer research scientists. It has taken 10 years to develop the plasmin, plus cooperation from many people. It has been used on about 100 local prematurely born infants. The survival rate, after treatment, was twice the average survival rate, and among infants weighing less than two pounds, three times the average rate. Arrangements have been made to use the plasmin in six local hospitals: Children's, Deaconess, Buffalo General, Meyer Memorial, Milliard Fillmore, and Sisters'. Doctors Clara and Julian Ambrus were born of Hungarian parents and married in Europe. Sixteen of their 22 years in the United States have been spent in research at Roswell Park. The couple's three oldest sons and daughters have a good start on careers in science. Madeline is a biology major at Wellesley College. She hopes to study medicine. Peter, in his second year at Yale, was a summer research assistant at Roswell Park. Julian, a student at Nichols School, received the top award for his study of aggression in animals at the State Science Fair in Rome, N. Y. Three of the younger children-Linda, Stephen, and Katherine- are pupils at Elmwood-Franklin School, while three-year-old Charles goes to nursery school. 0 32 THE BUFFALO PHYSICIAN �There is a new "faculty voice" in the School of Medicine. It is the new Faculty Council of 54 elected people representing all 16 basic science and clinical departments, plus 16 alternates. Both President Robert L. Ketter and Dean LeRoy A. Pesch agree that this new Faculty Council is the first truly democratic group to represent the entire medical faculty. This new concept has the unanimous support of the Executive Committee of the Medical School. Dean Pesch said, "The development of this body represents a democratically elected, legally constructed and organized deliberative council of the faculty of the School of Medicine. This is an important milestone in the development of the School and its governance. It is my intention to bring before the council a wide spectrum of issues for advice and action. It is my hope that working together, we can move the School forward toward common goals and purposes, which reflect the urgent needs of the School and the community it serves. We want this organization to be the 'voice of the faculty'." The major function of the Faculty Council is to participate in the deliberative and policy-making processes of the Medical School and University and to promote more efficient communications between faculty, students, and administrative officers. The Dean of the Medical School is an ex officio member of the Council. He and each representative have one vote. The pro-tem officers are: Dr. William Chardack, president; Dr. James Nolan, vice president; and Dr. S. Mouchly Small, secretary. President Ketter told the members of the Faculty Council's Committee on Administrative Structure that he favored a Vice President in the Health Sciences who would be selected in the near future. He also expressed interest in increasing the medical student enrollment to around 200 per class while maintaining the quality of our graduates. The Faculty Council passed resolutions favoring Dr. Ketter's proposals when the required space, equipment and financial support for such an expansion will have been provided. A By-Laws Committee of the Council has been constituted to develop suggestions for a governing body for the Medical School. The Faculty Council was organized June 4 and had its initial meeting ten days later. The Council and its committees, with the active participation of its officers, met repeatedly during the summer developing a firm foundation for its further work and established communication with the entire electorate of the Medical School. The 70 representatives and alternates of the Faculty Council are: Anatomy - Doctors Oliver P. Jones, Joseph C. Lee, E. Russell Hayes*; Anesthesiology- Doctors Kenneth A. Kelly, Robert J. Schuder, John I. Lauria*; Biochemistry- Doctors Om P. Bahl, Willard B. Elliott, John F. Moran, Jack Klingman*; Biophysics Doctors C. Richard Zobel, Darold Wobschall*; Medicine- Doctors Ivan L. Bunnell, Norman Chassin, David G. Greene, Murray S. Howland, James P. Nolan, James F. Phillips, Martin E. Plaut, Albert C. Rekate, J. David Schnatz*; Microbiology - Doctors Carel Jan van Oss, Reginald Lambert, Felix Milgram, Thomas Flanagan*; WINTER, 1970 33 Faculty Council �• ----~ -- . Amherst Campus Construction Reinforced concrete walls are going up on the new Amherst Campus. These dormitory buildings are located off Rensch Road on the western side of the new campus site. These pictures were taken in mid-October by the University photographers.D Neurology- Doctors Donald L. Ehrenreich, Bernard H. Smith, William R. Kinkel*; Obstetrics & Gynecology- Doctors Carmela S. Armenia, Vincent J. Capraro, David H. Nichols, Morris Unher, Robert J. Patterson*; Pathology- Doctors Paul Leber, Samuel Sanes, John Sheffer*; Pediatrics- Doctors Jean Cortner, John Dower, Bernard Eisenberg, Margaret MacGillivray, James Markello, David Weintraub, Maimon Cohen*; Pharmacology - Doctors Douglas S. Riggs, Peter K. Gessner*; Physiology - Doctors Leon Farhi, Charles Paganelli, Werner K. Noell*; Psychiatry- Doctors Jimmie Holland, John Robinson, S. Mouchly Small, Norman Solkoff, Jack Zusman, Zebulon Taintor*; Radiology- Doctors Jerald P. Kuhn, Walter T. Murphy, Victor A. Panaro, Mitchell Oestreich*; Social & Preventive Medicine- Doctors Edward F. Marra, Harry A. Sultz, Michel A. Ibrahim*; Surgery - Doctors Guy S. Alfano, William M. Chardack, George Cohn, Thomas Kaiser, Eugene R. Mindell, Worthington G. Schenk, Jr., William J. Staubitz, Philip Wels, Murray N. Anderson*. D * Alternate 34 THE BUFFALO PHYSICIAN �Summer Studies Program Fifty-five students participated in a special eight-week (June 29August 21) summer studies program at the School of Medicine. There were 20 high school students, 15 undergraduates (entering medical freshmen and advanced premeds), and 20 medical and dental students. Cooperating on the project was the Erie County Health Department. The purpose of the program was to encourage minority students to enter health careers, and to provide medical, dental, and advanced premedical students with an educational opportunity that may spur their interest in community health problems. The participating students received no college credit. They lived in Clement Hall and received a $600 stipend. There were classroom lectures and textbook assignments mostly in the basic sciences. Then there were visits to various hospitals, clinics, laboratories, community agencies, and Erie County Health Department projects to see medical problems of neighborhood residents. There were also visits with health guides to core area households to listen and learn first hand about the problems. Dr. Robert L. Simmons, director of thoracic and cardiovascular surgery at Howard University, was among several guest speakers. Dr. Christopher D'Amanda, assistant research professor in medicine and acting director of the Health Sciences Career Development Program, coordinated the program with the faculty-student committee. The project was directed by James Freeman, Ph.D., who entered the medical school as a freshman in September. "It has been an invaluable experience for me," he said as he summed up the benefits of such a program. "We will be interested in following these high school students once they return to their studies." D The students lived in the campus dorms. �• ·--~----· Students visit a home. Dr. D'Amanda Dr. Freeman Guest lecturers, Mr. Vernon Smith, junior medical student at Howard University and his wife, Dr. Mary Smith, chief resident in otolaryngologyat Georgetown University. �Dr. Charles V. Paganelli, Jr., associate professor of physiology, during one of several lectures. Dr. am Mitchell, chief chemist at air laboratory of the Erie County Health Department, about "clear air". Dr. Donald Becker, clinical assistant professor of surgery, and the students watch the "team" in action at the Deaconess Hospital emergency room. �Dr. Frederick Peterson Alumnus, Poet, Pathologist, Ps ychiatrist, Humanitarian by Oliver P. Jones, Ph.D., M.D. '56 Dr. Jones gave this talk at the Roswell Park Memorial Institute Medical Club February 17, 1970. Dr. Jones is professor and chairman of the department of anatomy at the University. In a very roundabout and unusual way I became interested in the life of Dr. Frederick Peterson who graduated from the Medical Department of The University of Buffalo in 1879. But before the life of Peterson is considered, it is necessary to detail the experiences, observations, and circumstances which aroused that extremely complex phenomena of curiosity within me. For more than 40 years it has been natural for me to be curious about the fine structure of cells in general but to become interested in the first professor of pathology at Buffalo, even though he was a morbid anatomist, seems incongruous. On the other hand anatomists, because of their tradition, have been more historically oriented than some of their colleagues in other disciplines. My interest in Peterson spans 25 years. Call it serendipity if you wish, but realize that as such it is a bonus to the prepared scientist and not a substitute for hard work. In 1945, I was chairman of the Medical Library Committee which had as other members Dr. E. A. Sharp, M'98, and Dr. Julius Richter, M'04. At that time it was customary for the librarian to channel the acquisition of new books through the chairman before placing them in circulation. Even though our budget was inadequate I ordered a book by Mary Lou McDonough entitled, Poet Physicians published by Charles G. Thomas. It was customary for me to scan the new books, and in this instance I caught a glimpse of "Frederick Peterson born at Fairbault, Minn.-". This was enough to warrant a pause, because in 1932 I visited this town to play golf on a small 9-hole course with a friend who taught me English history at Temple University. I read on and learned that Peterson "received his degree of Doctor of Medicine from the University of Buffalo in 1879 and his Doctor of Philosophy from the University of Niagara in 1888. Between these dates he studied at the Universities of Vienna, Strassburg, Leipzig, and Gi:ittingen. Years later he studied at Munich and Zurich." I then became interested in him as an alumnus. I was elated to find this material about our alumnus and showed some poems to the late Dean Koch. He chuckled and said "I hope you don't start a new trend around here." His remark did not deter me but the lack of proper interest did so that the Peterson story was not resumed until10 years later. Sometime in 1953 Time Magazine published an excellent review of "The Life and Work of Sigmund Freud" (volume I) by Ernest Jones. The review was so impressive that I decided to purchase a copy. After it arrived, I showed it to Dr. S. Mouchly Small and he likewise ordered one. We decided upon a plan for reading our books which was for him to stay about 50 pages ahead of me. This we did for all of the first volume and most of the second volume which appeared in 1955. We discussed these works whenever we had time in the corridors, at social gatherings, dull executive meetings, and in the parking lot, just to mention a few places. It was not until I read volume II, p. 38 that I really became inspired about the life of Frederick Peterson. Ernest Jones wrote: At the end of November 1907 I had spent a week in Zurich with Jung, where I met, among others working there, Brill and Peterson of New York. 38 THE BUFFALO PHYSICIAN �Dr. Small advised me to write to Dr. Laurence C. Kolb, Professor of Psychiatry at the College of Physicians and Surgeons. Not only did Dr. Kolb reply to my letter but he also included some information from Dean Rappleye's file about Peterson and mentioned that I should write to Dr. Louis Casamajor, a personal friend of Peterson's in New York City. This was just the beginning of interesting and informative correspondence with Dr. Thomas Morton at Niagara University, Dr. Carl Jung in Switzerland, Dr. Ernest Jones in England, Dr. Nolan D. C. Lewis, former director of the New York Psychiatric Institute, Dr. Samuel Reback, lifelong friend of the family, and finally with Dr. Peterson's widow, Antoinette Rotan Peterson of New York City. Much to my surprise I recently received three of Mrs. Peterson's books from her granddaughter, Mrs. Christine Fremantle. In addition to correspondence I visited Mrs. Peterson on two occasions and the Craig State School in Sonyea twice through the courtesy of Dr. Vincent Bonafede. Source material for Dr. Peterson's medical writings was obtained from the Buffalo Medical and Surgical Journal 1879-1883 and ·eight reprints from the files of Dr. Charles G. Stockton, grandfather of our late dean, Dr. Stockton Kimball. Frederick Peterson was born in Fairbault, Minnesota March 1, 1859, the son of John Frederick and Hilma (Lindholm) Peterson. He owed that town none of his education for as he was fond of saying he "never liked Fairbault so left it at the age of one year and never went back." His parents lived briefly in several Wisconsin towns and then separated from each other. His father went to Sioux City, Iowa, remarried and took Frederick to live with him. Many years later, Dr. Peterson recalled that his stepmother was always very kind to him. His elementary education was acquired at private schools and under special tutors. Two persons in Sioux City were responsible for giving young Peterson a life-long inspiration, and later in life he acknowledged his incalculable debt to them for their encouragement and faith in him. One was a Dr. Knott who seems to have been a rare person. Before young Peterson was fifteen he went to see Dr. Knott and talk with him about medicine, the ministry or the military as a profession. Dr. Knott evidently recognized him as a talented boy and offered to teach him medicine. For two years, over and above his regular school work, he did the medical work Dr. Knott assigned him. In other words he actually began the study of medicine at the age of fifteen. The second person was Mrs. Rosa Oberholtzer, his school teacher, who recognized his literary ability and constantly encouraged him. She was the only person in Sioux City who knew that the verses appearing in the local daily newspaper under the pseudonym of Pier of Redstone were Frederick Peterson's poems. (The name presumably refers to Pieria, one of the earliest of worship seats of the Muses in Macedonia) . He was apparently born with music in him and the spontaneity of his lyric poems reflected this quality. He never forgot Mrs. Oberholtzer and for 50 years or more he always wrote her a Christmas letter, even if it meant doing so at midnight on Christmas Eve. Frederick Peterson retained his early interest in poetry which grew with intensity throughout his entire professional life. He WINTER, 1970 39 Dr. Peterson �wrote poems after a hard day's work and for amusement at dinner. For example: Life (1883) Great Agassiz once made a fish From one small scale in manner simple Like him I feel that I could quite Construct a woman from a dimple. He published four volumes of poetry. The first one, Poems and Swedish Translations (1883), was an outgrowth of his Swedish ancestry. His other works were, In The Shade Of The Ygdrasil (1893), A Song of The Latter Day (1914), and the culmination of his lyric poems was the publication of Chinese lyrics in 1916 under the pseudonym of Pai Ta-shun (Chinese for Son of Peter). This book, printed with reproductions of Chinese art, was highly praised as the work of a Chinese poet unusually gifted in English. Actually he did not know more than two or three words in Chinese. His Chinese lyrics were entirely his own. They were the fruit of his study of some 800 Chinese paintings which he had collected during thirty or more years. He had a cousin married to an Englishman, who lived at Ningpo up the Yangtze from Shanghai, who first interested him in Chinese art and very often supplied him with pictures. The "Chinese lyrics" were just the way his study of Chinese art impressed his mind. They were published in Shanghai because of the illustrations. The following was used many years later by Dr. Bernard Sachs in his obituary for Peterson: The Desert Garden by Pai Ta-shun I hear no more the .swish of silk Along the marble walks; The autumn wind blows sharp and cold Among the flowerless stalks. In place of petals of the peach Fast drifts the yellow leaf; And looking in the lotus-pond I see one face of grief. He wrote the words for "At Parting" in February 1882 which were put to music in 1886 by James H. Rogers. This will receive special attention at the end of this biography. Now let me return to Frederick Peterson's education. His own mother had remarried and by the time Frederick was seventeen she had lost three children and her second husband, a Mr. Berg. Her brother, the Reverend Joseph Lindholm, rector of the Episcopal Church at Pittsfield, Massachusetts, arranged that Frederick should go to live with his mother in Buffalo where she was teaching piano. A gifted musician and concert pianist, she was always known in Buffalo and New York as Mme. Berg. Frederick Peterson entered the University of Buffalo Medical School at Main and Virginia Streets in 1877. It is of interest that his name on the class list was Fred. S. Peterson. In subsequent years the middle initial was dropped. His preceptor was Dr. John Cronyn, M'76. In that year there was a change in the administration of the Medical Department, namely, the office of the dean was abolished. Duties of that office was performed by the Presi- 40 THE BUFFALO PHYSICIAN �dent of the Faculty and the Secretary, Dr. Charles Cary, M'75, also Professor of Anatomy. On February 25, 1879, President James D. White addressed the President of the Council, Honorable 0. H. Marshall as follows: "Mr. President- These candidates have shown, by proper certificates, that they have pursued the study of medicine under competent preceptors for the time of three years; that they are of good moral character, and have reached the age of twentyone years .... He also stated that Frederick Peterson had passed an excellent examination but, owing to the fact that he was not of age, a diploma could not be legally granted-." Following the presentation of diplomas, an address was delivered by Dr. Judson R. Andrews, Assistant Physician in the State Asylum for the Insane at Utica, on "Early Indications of Insanity". · It will never be known how much this motivated Peterson towards a lifelong practice of psychiatry or whether it was the mental illness of his uncle, Joseph Lindholm. His thesis on "Posterior Cerebral Lobes" certainly indicated a special interest in the nervous system. Peterson began his internship at the Buffalo General Hospital in 1879 and that same year marked the beginning of a career as a prolific writer on medical subjects which numbered more than 200 definitive contributions. His first paper, A Renal Calculus was published four months after he graduated. Six months later he wrote about Traumatic Aneurism. During the next two years, Peterson published a number of medical articles translated from Swedish, French, and German in addition to clinical reports. In 1881 Peterson published a 12 page article on Cremation. The first paragraph follows: Cremation is a necessity. It will come into vogue sooner or later. It awaits the evolution of good sense from the chaos of popular sentiment. Its advocates at present are the intelligent in general and scientists in particular. Its opponents are undertakers, manufacturers of coffin fixtures, dealers in fine woods, grave diggers, florists, cemetery associations, a large number with an antique and sentimental cast of mind, and those ministers and their congregations who fear cremation may make to Omnipotence an impossibility or at least a difficulty of resurrection. The advocates increase and the opponents die. To the intelligent man, personally, it is of course of no consequence what becomes of his body after death, but only with regard to the welfare of the living. After interning Peterson spent a couple years in Europe. His itinerary and items of medical interest were published as letters to the editor from Vienna, 1881 and Strassburg 1882. His medical observations and studies were made in Gottingen, Leipzig, Prague, Vienna, Strassburg, and Stockholm, but in both Berlin and Dresden the arts occupied most of his time and thought. In Gottingen he visited Henle's "theatrum anatomicum" and the museum with Blumenbach's collection of skulls from people of different racial origins. I cite this because it may have sewn the seed for the publication of Legal Medicine and Toxicology by Peterson, Haines, and Webster (1903). Furthermore he wrote: WINTER, 1970 41 Spring Clinical Days April 30 - May 1 Stockton Kimball Lecturer: John A.D. Cooper, M.D., President of the American Association of Medical Colleges; former Dean of Sciences at Northwestern University. Reunion Classes: 1921, '26, '31, '36, '41, '46, '51, '56, '61. �The insane asylum contains some 350 patients, mostly chronic. The principal treatment is merely to make the asylum like a home to them. They work, have concerts, balls, go to church, etc., just as if sane and at home. I noticed there and in many other similar institutions later that the methods of ventilation and heating are far from perfect. They often use their old-fashioned porcelain stoves in the wards. This passage is cited because Peterson incorporated some of these ideas and methods in the establishment of The Craig Colony at Sonyea. Pathology was mentioned for the first time during his three-week stay in Leipzig. He visited the anatomical laboratory of His and Braune, the pathological laboratory of Cohnheim, and the physiological one of Ludwig. In Prague he was impressed by the Lying-in Asylum and in Vienna by the 24,000 patients treated per year at the Allgemeine Krankenhaus, of whom 13 per cent died. The fame of von Recklinghausen attracted Peterson to Strassburg which at that time was fast becoming one of the best German universities. The anatomist and histologist Waldeyer, with the pathologist von Recklinghausen, had one building together. Peterson wrote: For these two branches of medical science, Strassburg is now pre-eminent. No other university has such teachers, such material or such conveniences. Both professors are arduous laborers; from early morning until seven every evening at their posts, and take the greatest pains with their pupils. Von Recklinghausen makes some five or six post mortem examinations daily which together with material sent him by physicians in the city, furnish sufficient for six hours of demonstration weekly. He is considered here as second to Virchow and is said he will be called upon to succeed his former teacher in Berlin, upon the decease of the latter, who is already at advanced age; but it is also said he will not leave Strassburg. Peterson left here for the University of Stockholm in order h e said "to study with Axel Key, one of the best of living pathologists, and to whom I carry a message and greetings from von Recklinghausen for the two were students together with Virchow. " In the Annual Announcements for the Medical Department of the University of Buffalo in 1883-84, Dr. Frederick Peterson's name appears in the faculty list as Lecturer in Pathology. The course in pathology was described as follows: This course will be one of signal interest, as Prof. Peterson is constantly collecting interesting Pathological Specimens from the General Hospital and the State Asylum for the Insane; he is also curator of the mus eum and has from these various sources an abundance of material. In the Annual Announcements for 1884-85 and 1885-86, Peterson is listed as Professor of Pathology. But in the last one there is a notice "Professor Peterson of the Hudson River Hospital for the Insane will give a course of lectures on Pathology." In addition to this record of Peterson's academic appointments at the University of Buffalo, records of his experiences as a 42 THE BUFFALO PHYSICIAN ' 1 I I .I �pathologist were published in five articles in the Buffalo Medical & Surgical Journal from June to December 1883. The first one is on Contagium Animatum and it touched upon "the etiology of this strange class of specific infectious diseases which have puzzled us for ages." The next four articles were about Some Interesting Autopsies. He said "I select from 60 odd autopsies made this year a few which I am sure will be of interest to the profession , several for their rarity, and several for their real value. For convenience I number them as they appear in my record. The specimens are all preserved in the college museum." In the October issue, Peterson criticized some of the practices in pathology prevalent at that time: With regard to these recorded autopsies it is necessary to say that the post mortem examiner has in no case neglected to look at every organ in the body where it was possible to do so. In the majority of cases at charitable institutions there is no difficulty in doing this: but in abductions at private houses the matter is different. These latter generally add nothing to science, and are made as a rule only in the selfish interests of the attending physician, who is anxious to make or to verify his diagnosis. There is only in exceptional instances profit to the pathologist. The post mortem examiner receives usually neither knowledge nor morbid specimens, nor payment for his services. Furthermore, he runs in every case a dangerous risk. In my humble opinion the attending physician in private cases had better make his autopsies himself; for he will then feel responsibility for no life but his own; he will not feel under such deep and lasting obligation to the post mortem examiner (as he otherwise would), and he can always receive satisfactory corroboration of his diagnosis. Where liberal compensation for valuable services is made, the matter is wholly different. Only very rarely do autopsies at private houses add anything to pathological science. Buffalo Evening News For 34 years Dr. Albin V. Kwak, M'34, served Depew, New York residents. On June 28 a grateful community dedicated a lasting memorial where future generations will be reminded of his work. Attending the dedication were members of his family from left: his daughter, Mrs. Richard Lubecki; his wife, Mrs. Dorothy Kwak, and his son, Ray. Dr. Kwak died November 1, 1968 in Hong Kong while attending a medical convention.O �Although Peterson was Professor of Pathology in 1884 he did not publish articles about interesting autopsies. Apparently he had decided to leave the laboratory and return to the bedside. His decision to leave Buffalo is best explained in Mrs. Antoinette Rotan Peterson's own words in a letter to me dated February 8, 1956: Before long he became convinced that there was no one in this country, no American physician who really knew enough about insanity to treat it properly. He made up his mind to take a position in a State Hospital in order to live daily with the insane, and learn by constant contact how to treat their disorders. His friends in Buffalo were horrified and tried to dissuade him but he had decided. He took his mother and her piano with him. They had a suite of rooms at the Hudson River State Hospital at Poughkeepsie, and in the evenings she would play the Masters of music to him, for she could, and that helped him. His description of the long, dreary wards, chairs screwed to the floor, not a picture nor a curtain nor a book for the patients, never a walk out of doors nor an entertainment in the evening, no occupation, is dreadful to think of now. When he left three years later, many patients were working out of doors, gardening, tending the grounds and playing games. The wards had pictures and curtains and books. Entertainments were given frequently, and life was changed for the unfortunates who had been legally committed there. I think I am right in believing that he was the first in the United States to make a strong attack on the old system of shuthng the insane up with nothing to do. In 1887 Peterson took a three month vacation from his asylum work to visit the continental hospitals for the insane in Europe and some in England to ascertain what was being done in other countries in the matter of occupational therapy. He was particularly impressed with the variety of occupation in the German Asylum near Leipzig and the new one at Rome. When he returned to the Hudson River State Hospital he made immediate application of these ideas and the complete transformation of that hospital inside of a year had beneficial results. Incidental to this tour abroad Peterson visited the Colony for Epileptics at Bielefeld in Westphalia and was astounded by the great variety of occupations for the patients. Eventually under Peterson's influence the word "asylum" was dropped from usage and the word hospital took its place, thus teaching the public to understand that mental disorder is a sickness like any other, not a crime or a disgrace- any more than typhoid or pneumonia or rheumatism, and that it can often be completely cured by the right sympathetic medical care. In 1888 Peterson went to New York City bearing a letter of introduction to Bernard Sachs. They joined forces at the New York Polyclinic Hospital and began research which resulted in the publication of "A Study of Cerebral Palsies of Early Life Based Upon an Analysis of One Hundred and Forty Cases", which in its 44 THE BUFFALO PHYSICIAN �day met with considerable favor. Many years later, Sachs in his obituary gave a good insight as to what kind of a man Peterson was. That any one has written dozens of articles means little. It was the spirit back of the work, the honest and unbiased search for truth, the enthusiastic support of genuine scientific inquiry, that made Peterson a most stimulating companion at a time when American neurology and psychiatry were beginning to achieve results that compelled general approval and some admiration. Peterson's first clinical appointment was as Chief of the Clinic for Nervous and Mental Diseases under Allen Starr at the Vanderbilt Clinic at Sloane Hospital, then part of Columbia University. A year later, Peterson published two papers which were to have a profound effect on hospitalization and care of epileptics and thrust him before the public eye at the age of 30 as a sound alienist (psychiatrist) and humanitarian. These two articles were "The Proposed New Lunacy Law" and "The Colonization of Epileptics." Agitated by these two publications and public addresses, the State Charities Aid Association appointed Drs. Peterson and George W. Jacoby on a committee to report on State provision for epileptics. On the strength of this report the Association introduced into the Legislature of 1890 a bill for such a colony which finally became law in 1892. The Legislature of 1894 authorized the purchase of the Shaker estate at Sonyea for the establishment of a colony for epileptics named in honor of Oscar Craig, president of the State Board of Charities. Because of Peterson's visit to Bielefeld in 1887 the Craig Colony was patterned after the Bethel Epileptic Colony and it has served as a guide for other states and countries wishing to found similar institutions. It was found that physical labor with the hands together with proper diet would, without drugs, reduce the annual number of epileptic seizures by fifty per cent. In its original design, it was a model village situated on a tract of 1895 acres in the rich Genesee Valley, divided in the middle by a deep picturesque gorge which separated the men's side from the women's side. It consisted of cottages each of which housed 12 patients under the supervision of a specialiy trained nurse. Many tasks kept them occupied and eventually the stronger ones were assigned work among the industries of the community. Frederick Peterson was president of the first Board of Managers and the Peterson Hospital was named out of gratitude to him. A large bronze plaque with this inscription is mounted in the foyer of the hospital. It was in this hospital that Dr. E. A. Sharp, M'98, took his residency in neurology. Today this colony or institution is called the Craig State School for mentally retarded children and adults. It no longer serves the entire state but only six counties. The current lack of available trained personnel and interested physicians has placed upon Dr. Vincent Bonafede, M'30, the horrendous task of keeping the show on the road, so to speak. Peterson remained President of the Board of Managers until he assumed another position, president of the New York Commission in Lunacy (1901-04) . There is an interesting anecdote conWINTER, 1970 45 Fly to the Medical Society of the State of New York Convention, February 14-18, 1971. Three packages available, including round-trip air transportation, tickets to shows, accommodations at Americana headquarters for the convention, Royal Box hit shows, supper and show, and post-convention tours. For further details on price and folder contact: David K. Michael, Director Medical Alumni Association 3225 Main Street Buffalo, New York 14214 Telephone: (716) 831-5267 �Dr. John G. Robinson is the new assistant dean for admissions at the School of Medicine. He has been on the medical school faculty since 1948. Dr. Robinson is also an associate professor of psychiatry. He is a 1945 graduate of the UB medical school. D nected with this position: What is the probability of two physicians with the same name, who graduated from th e University of Buffalo Medical School 17 years apart, meeting on a train between Ogdensburg and New York City? The story is in Mrs. Peterson's letter to me on February 8, 1956 : Frederick was at one time President of the New York State Commission in Lunacy, and had the arduous duty of visiting each of thirty-eight mental hospitals at least once a year. One time he was on a train going to visit a hospital at Ogdensburg. In the smoking car he found a seat beside a stranger. They began to chat and soon discovered they were both doctors, so they smoked and talked. When the time came to separate for bed Frederick said he saw the other man fishing in his pocket for a visiting card. so he drew out his own. They exchanged, and each man read the same name, Dr. Frederick Peterson. My Frederick said, " Upon my word! What was your University?" The other replied, "The University of Buffalo." So you must take into account the fact that there were two Frederick Petersons among your alumni! The other one came, I seem to remember, from Watertown. We heard of him again but once. That was when a clipping bureau sent a newspaper picture of the other man, with the name under it, to my Frederick, and I being away somewhere, he sent it to me as his 'latest portrait.' According to the medical alumni catalog which lists all of our graduates from 1847 to 1924, the other Dr. Frederick C. Peterson graduated in 1896 and resided in Smithtown, Long Island. Small world isn't it? Peterson received an honorary Ph.D. from Niagara University in 1893 in recognition for his stimulus and support to the State Charities Aid Association for making the Craig Colony possible. It is interesting to note that at the same Commencement, according to the Niagara Falls Gazette of June 21, 1893, Dr. John Cronyn received the degree of LL.D., bearing in mind that he was Peterson's preceptor in 1877. The citations for these degrees are not available. However 26 years later Peterson received the LL.D. degree from the University of Pennsylvania with the following citation: Eminent psychiatrist and author of profound works upon the most mysterious mental diseases - lecturer in medical jurisprudence and in toxicology- poet of distinction to whom the literary world is also indebted for hidden gems from The Swedish and Chinese literature. After resigning from his professorship in pathology at Buffalo, Peterson went on to hold four others: professor of nervous and mental diseases, University of Vermont, 1888-89; professor of insanity, Women's Medical College of New York Infirmary, 1890-95; clinical professor of psychiatry, 1904-08, and professor of psychiatry 1908-14, College of Physicians and Surgeons, Columbia University. It is noteworthy that Peterson was the first professor of psychiatry at the College of Physicians and Surgeons. 46 THE BUFFALO PHYSICIAN �What kind of a professor was Peterson? McDonough said in her book that his lectures on insanity profoundly impressed the minds of his students. The source of this information is unknown and furthermore it does not explain his teaching methods. Fortunately Dr. Louis Casamajor was kind enough to describe Peterson from a medical student's point of view in a letter dated January 9 , 1956. I first got to know Dr. Peterson when I was a student at the College of Physicians and Surgeons in New York from 1902 to 1906. He was Professor of Clinical Psychiatry and I think the first that P & S had. He also ran a psychiatric clinic in the Vanderbilt Clinic. Every year Peterson would hold two clinical lectures in psychiatry for the fourth year class but everybody used to go to them. They were real vaudeville shows where patients from the Manhattan State Hospital were shown to the class. They were chosen for their ability to perform and they always put on a good show. Peterson was not a showman but since he was allowed only two hours a year to present the whole subject of psychiatry it was undoubtedly the best he could do. He never was satisfied with it. Years later, in the Historical Background of the Neurological Institute, Dr. Byron Stookey wrote: Peterson urged medical students and practitioners not to be so overwhelmed with mechanics and half truths that they lose the power of close clinical observationI met a patient who had had most of these tests tried on him and he said the experience was most impressive. I asked what the doctor had done for him as a result of these labors. He said: 'He gave me rhubarb and soda, and when I told him that is just what my doctor had given me long ago, he said it was not rationalized, not scientific. Then I replied: Rationalized rhubarb is having a wonderful cathartic effect on my pocketbook'. Peterson, six foot-four inches tall, of excellent physique, radiated a serenity which made people feel better by being in his presence. Dr. Reback said, "He was very generous and lavish in entertainment and enjoyed good cigars, lobster a la newburg, and scotch with lots of water." Dr. Nolan D. C. Lewis has written about his reaction to meeting Peterson in Adolph Meyer's Department at Johns Hopkins: One didn't meet Dr. Peterson without remembering it. He impressed me with his kindly attitude. I talked with him several times on other occasions during meetings where he was very impressive as a discus~ant. In a certain sense there were two sides to Peterson which Dr. Lewis observed as follows: On the one hand he was a nice person with a pleasant approach to people, and a person with plenty of creative imagination (i.e. the humanitarian and poet). On the other hand, his scientific side was rather notably rigid. He would take nothing for granted. He had to have the 'evidence.' 'He seemed to be quite intolerant WINTER, 1970 47 Dr. John A. Richert has been named registrar and assistant to the dean at the School of Medicine. From 1966 to 1969 inclusive Dr. Richert had been admissions coordinator at the Gradua~ Education School at the University. He received his bachelor's and master's degrees from State University Coilege in 1958 and 1961. He received his Ed.M. and his Ed.D. from SUNY AB in 1966 and 1970. 0 �with those who disagreed with him, particularly in the field of psychopathology and so-called "psychodynamics".' If there was a 'hole' in any theory he would be sure to find it. Things must be black or white in science. Bernard Sachs, in his obituary for Peterson, also seased some of these things: His abhorrence of sham, his unwillingnes.; to be taken off his feet by fantastic doctrines of the day made him a pillar of strength for those who like him, were most anxious to direct the development of psychiatry in Ameriica along sound scientific lines. From 1901 to 1904 Peterson served as President of the New York State Lunacy Commission in which his administrative ability brought order out of chaos. He was the first to advocate a psychopathic hospital for New York, and had even secured a grant of land for it from the city at what is now called Beekman Place. Dr. and Mrs. Peterson went together to the Worcester State Hospital, Massachusetts to persuade Dr. Adolph Meyer to come to New York to the Manhattan State Hospital with the view of becoming director of the projected psychopathic hospital. According to Mrs. Peterson (February 23, 1956): Dr. Meyer came, but somehow the city wasn't ready to build a new hospital. Anything so singular, so erratic as a hospital, exclusively for nervous and mental diseases, was too far fetched in those days. So Dr. Meyer went to Phipps at Baltimore where he had a long and admirable career. Adolph Meyer, in his presidential address at the 84th meeting of the American Psychiatric Association, said: Frederick Peterson came to show an untiring devotion in the furtherance of the psychopathic hospital ideal. His goal was work with and for the living patient, but not so much from the inside of the existing centers and the very heart of psychiatric work of the rank and file of existing hospitals and their physicians, but through the creation of centers in cities and help from consulting staff. In the development of the New York Neurological Institute, Peterson gave unstintingly of his time and energy at a period when the public still needed to be instructed as to the value of such a hospital. His vision of the future included such aggregations of facilities as the present Medical Center and the New York Cornell Medical School and Hospital, long before the movements which created them had come to the surface. He lived to see the great Neurological Institute rise on the cliff above the Hudson River and the Psychopathic Hospital alongside. In 1907 Peterson spent two months in Zurich with Dr. Carl G. Jung at the BurghOlzli Mental Hospital. He and A. A. Brill were working on Veraguth's psychogalvanic phenomenon at the time when Ernest Jones visited Jung in November of that year. In reply to my letter, Professor Jung's secretary wrote as follows: 48 THE BUFFALO PHYSICIAN �Prof. Jung asked me to thank you for your letter. He remembers quite well Dr. Frederick Petereson and said that he was a personality of a very kind and generous nature. It is with pleasure that Prof. Jung thinks of him and of their work at the laboratory on the psychogalvanic phenomenon investigated with the help of the Association experiment. After having finished that work they made a trip, accompanied by their wives to the castles of the Normandie. It was Dr. Peterson who had invited Prof. Jung and his wife for this journey. They went in a motor carl and it was a wonderful tour. Dr. Peterson proved as a charming comrade. So Prof. Jung has the best remembrances of Dr. Peterson, both as a co-worker and as the comrade of a motor-car-tour in 1907 quite in the old style. The car they used was a Brasier-Quarante Chevaux (40 h.p.). Mrs. Peterson retold this experience in h er letter of February 8, 1956: Carl Jung we knew very well. Frederick worked with him for several months at Zurich. Later he and his wife spent ten days with us in Paris as our guests and we did a lot of motoring together. Jung was young and very agreeable then. Very interesting, though rather crude in manners. Later he seemed to me to become egotistical, tyrannical and very full of himself. Frederick didn't agree with him and Freud at many points but h e did credit them with bringing to light knowledge of the immense power of the subconscious in man. Peterson had a great sense of humor which helped develop a real joy of life. Mrs. Peterson told me that he was telling Dr. Jung a story about Alkali Ike, whose friend was dead. Jung asked the cause of death and w as told he called Alkali Ike a liar. Jung laughed heartily and asked, "sodium or potassium?", indicating that they both had a sense of humor, at least at that time. Dr. Ernest Jones wrote me from The Plat, Sussex, England on December 19, 1955 as follows: Buffalo Evening Ne w s Th e new president of the W estern Ne w York Heart Association Dr . Andre w A. Gage, M '44 [right] presents serv ice a war ds t o outgo ing presiden t Dr. Milfo rd C. Malo ney, M '53 [left] and Augest Mercke ns [cen ter] gen eral chairman of the 1970 Heart Fund campaign . Oth er officers e lected at th e 20th annual m ee ting we re Dr. Pau l Doole y , M '37, president-e lect; Dr. Joseph A. Z izzi, M'58, first v ice preside nt; Dr. Willi am J. Breen, M '55, secretary; M iss He len R o ot second vice preside nt and Gerald H . Greene, treas urer .O �I remember Peterson very well. He spent some months with Jung in Zurich in 1907 and it was he who induced Brill to join him there, with all the consequences that later led to for American psychiatry. Peterson himself was at the time chiefly interested in the psycho-galvanic experiment and did not get very far with the study of psycho-analysis. He encouraged Brill, however, in New York and used to send him patients. Then I think their friendship cooled because of the conflict between Brill's enthusiasm and Peterson's lukewarmness. Dr. Louis Casamajor first got to know Peterson personally when he joined The Neurological Institute as chief of the second division in the fall of 1910. In his letter of January 9, 1956 he assessed the relationship between Brill and Peterson as follows: When A. A. Brill started to practice in New York doing psychoanalysis he worked in Peterson's Clinic. There was a bond of sympathy between these two unlike men. Brill was very hard up and Peterson used to refer private patients to him for analysis. This assured Brill a living. Although Peterson was never an enthusiastic psychoanalyst yet, with his great intelligence, he recognized the value of psychoanalysis in treating the psychoneurosis. This took considerable of personal and scientific courage for in those days it was not even decent to take any stand about psychoanalysis except violent antagonism. Brill was always very grateful to Peterson for his sympathy, understanding and help. Undoubtedly Peterson's greatest contribution to psychiatry lay in his making it possible for Brill to develop into the great influence he was in spreading the knowledge of psychoanalysis in this country. In the selective service draft of World War I, 38 per cent of the young men were rejected for physical and mental defects. Something was wrong because the school curricula did not provide adequate supervision of the health of the bodies of the children and no health education. In June, 1918 Dr. L. Emmett Holt, Miss Sally Lucas Jean, and their coworkers met in the Peterson house and established the Child Health Organization of America. Dr. Holt, the foremost pediatrician in New York at that time, became president and later Peterson was secretary. They made it their chief point to introduce health education into all schools as part of the regular curriculum by winning the interest of the children themselves by making health, gaining and growing, fashionable among children. School lunches, teaching the children what to eat and why, the importance of baths and sleep and fresh air. Within a few years the movement spread throughout the world. Peterson said, "The health span of life must be increased, not the span of life with ill health and decrepitude." Nearly all of the meetings of the Child Health Organization were held in the Peterson home until Herbert Hoover, before he became president, took it over for his own political purposes. According to Dr. Reback, Peterson was not a man of prejudices, but he was resentful about this. This clearly shows itself in a passage from Peterson's book on eduation: 50 THE BUFFALO PHYSICIAN �A certain eminent American has been in the habit of saying, from time to time, in a solemn and portentious manner: "I have no use for the imponderable." This despite the fact that his whole life has been actuated by such imponderables as ambition for affluence and power and all the hokum of advertising and salesmanship in which he has been past-master. Mrs. Peterson was also keenly interested in the Child Health Organization and helped in many ways besides serving as a gracious hostess for the group. She too had considerable literary ability and wrote three small books which contributed to Health Education in America and other countries. The books were The Child Health Alphabet (1918), Everychild and The Rhymes of ChaGha's Grandma (1922). Cho-Cho was characterized as a clown who taught about cleanliness and honesty. Frederick Peterson and Olive T. Dargan published a book of four plays- The Flutter of the Gold Leaf (Scribner, 1922). In it there was one called Everychild in which Cho-Cho the clown talks about a new kind of doctor- "This is a Health doctor, not a Disease doctor. Present, treatment for Health; absent, treatment for absence of Health." Apparently this play was given in Washington, D. C. because Mrs. Peterson in her letter of February 2, 1956 mentioned in connection with the Hoover story "But when we sent our clown Cho-Cho to Washington, Congressmen slipped out of the House to see him in a room that Department of Interior Secretary Lane had provided for us." Among all these activities Peterson found time to be president for 10 years of the Board of Trustees of the Laboratory Theatre, a small theatre and School of Acting which was set up when exiled Russians of the Moscow Theatre Company came to New York in the early 1920's. Richard Boleslavski and Maria Ouspenskaya, the chief two having had as they said "a little trouble with their government." He befriended the Russians before they learned to speak English to show his quick appreciation of the fact that they had a great contribution to make to the growth of our theatre. After the financial crash of 1929 money was not available to keep them so the Russians went to Hollywood, where they had long been sought after and New York lost a valuable school of acting. Peterson went fifteen times to see his actors play Twelfth Night! In 1898 Peterson, Sachs, and others formed an association in New York known as "The Charaka Club" named the Father of Hindu Medicine. The members, which included Philadelphians, were all physicians who had spontaneously or instinctively discovered in themselves some recreative activity that gave them rest and reinvigoration from their arduous professional labors. Peterson attended these meetings for nearly 40 years. Sachs, in his obituary, said that "Peterson was at his best when he recited 'In the Shade of Ygdrasil' and other Chinese verses. It was at these meetings too that he gave his intimate associates the benefit of his unusual culture, his wide knowledge of the Orient and his deep insight into the spiritual and moral makeup of his fellowmen." WINTER, 1970 51 �Peterson drew heavily from his experiences at these club meetings for much of the material which was published in his little book on Creative Re-Education (1936, Putnam's, New York). It calls for training in good physical health, character building, and preparation for life's work for the young and creative re-education for the adult. The following are excerpts from his book: I have had hundreds of patients who have been reeducated out of invalidism by seeking and discovering in them latent capacities which they were never conscious of and which it was often difficult for me to uncover. Of course, any patient must be studied both physically and mentally as an organic whole, for there is no separation of mind and body.- I call this constructive psychological analysis in contradistinction to destructive psychological analysis which has been having a passing vogue now for a score or more years. In constructive psychological analysis, one seeks through the mind of the patient for any trace of old or new capacity, for those sparks of interest that may lead to illumination. We are told in Poet Physicians that many of Peterson's lyrics were set to music. He wrote The Sweetest Flower That Blows or At Parting in February 1882 and James H. Rogers set it to music in 1886. AT PARTING The sweetest flower that blows I give you as we part. For you, it is a rose! For me, it is my heart! The fragrance it exhalesAh! if you only knew! Which but in dying failsIt is my love for you! The sweetest flower that grows I give you as we part. You think it but a rose! Ah me! it is my heart! FREDERIC PETERSON Although this lyric received more than thirty musical settings this one became famous and has been sung for many years by prima donnas all over the world. The last five winters of Peterson's life were spent in California, and the last time he heard this song was in Pasadena, where Rogers the composer was also spending the winter. The following are Mrs. Peterson's words: Kirsten Flagstad was giving a Wagnerian concert. Encored, she came out and said, I understand that the composer of the music and the author of the words are both in the audience. I shall sing The Sweetest Flower That Blows. He had the intense pleasure of hearing his little song sung before an immense audience by one of the greatest singers in the world. He leaned to me and said, "Now lettest thou thy servant depart in peace." We both knew what was coming. Two months later he died. 52 THE BUFFALO PHYSICIAN �A Committee on Religion and Medicine was organized by Mrs. John Sherman Hoyt and Peterson served as chairman until his death. The committee was composed of scientists and clergymen who met to see what religion could do for medicine and medicine for religion. At first the meetings were held at Peterson's office but finally a ward was secured at the Neurological Institute, 168th Street on the Hudson, where certain practitioners of religious faith healing worked with patients. Regular hospital physicians always checked the results carefully. One morning in May 1938 Peterson attended his last meeting with the committee and in the afternoon entered Memorial Hospital knowing that he could never recover. He died July 9, 1938 at the age of 79 from a carcinoma at the root of the tongue and was cremated. In 1955 when I first started to rediscover Frederick Peterson, the proposed title of the biography was "Dr. Frederick PetersonA Forgotten Alumnus." You can well understand Mrs. Peterson's unfavorable reaction to this. Actually, he had spent but a short period of his life in Buffalo and made a name for himself in New York City. His textbook of "Nervous and Mental Diseases with Church," which went through nine editions, had worldwide acceptance and many medical students first learned about Peterson from it. Some Buffalonians may have heard about him from one of his daughters, Virgilia B. Peterson, who lectured here as an authoress and literary critic. At any rate the present title, "Dr. Frederick Peterson- Alumnus, Poet, Pathologist, Psychiatrist and Humanitarian," seems most appropriate. It has been a pleasure to rediscover this truly great man not only for our medical alumni but also for Buffalonians in general.D WINTER, 1970 53 �People The Classes of the 1900-'19 Dr. William Brady, M'01, reminisced in his newspaper column in The Daily News, McKeesport, Pa. of August 25 about his student days in the Medical School. He recalls at least half of the names of his classmates.D Dr. Warren C. Fargo, M'13, has been in private practice in Cleveland, Ohio since 1920. He continues to make house calls and does considerable examination work for the Cuyahoga County Board of Health and the Cleveland Board of Education. His chief hobbies are golf and bowling. He is also active in YMCA work. Dr. Fargo has been attending pediatrician at two Cleveland hospitals, St. Lukes and Womens. He has also been an instructor in pediatrics at Western Reserve University.D Dr. Milton E. Bork, M'15, is a member of the Erie County Medical Society. He resides at 650 Elmwood Avenue in Buffalo.D Dr. Edmund B. Spaeth, M'16, gave the Bedell Lecture to the Wills Eye Hospital (Philadelphia) in 1967, and the deSchweintiz Lecture to the University of Pennsylvania in 1969. He wrote four editions of "Principles and Practices of Ophthalmic Surgery" and many papers on ophthalmology, ophthalmic surgery and ophthalmic plastic surgery. Dr. Spaeth resides at 7021 Clearview Street in Philadelphia.D The Classes of the 1920's Dr. Carleton W. Bullard, M'23, is in private practice in otolaryngology. He is a member of the American Academy of Otolaryngology and resides on East Lake Road in Auburn.D Dr. Evelyn E. Alpern, M'26, is a member of the American Psychiatric Association, the American Orthopsychiatric Association, and the American Academy of Child Psychiatry. She lives at 381 Lincoln Parkway in Buffalo.D Dr. Sigmund B. Silverberg, M'26, is a member of the Buffalo Academy of Medicine, the Erie County Medical Society, the New York State Medical Society, the American Medical Association, and the American Academy of General Practice. He lives at 380 Lincoln Parkway in Buffalo.D 54 Dr. Eugene M. Sullivan, M'26, is in private practice in general surgery. He is a member of the American Medical Association, Erie County Medical Society and the American College of Surgeons. Dr. Sullivan lives at 1344 McKinley Parkway in Buffalo.D Dr. Milton A. Palmer, M'27, was president for 13 years of the Buffalo Eye-Bank Research Society, Inc., is a member of the South Buffalo Lions Club, the American Legion Washington Post #287, and is a past Vice-President of the Eye-Bank Association of America. Dr. Palmer lives at 18 Park Boulevard in Lancaster.D The Classes of the 1930's Dr. Thomas S. Bumbalo, M'31, has been appointed assistant medical director of the E. J. Meyer Memorial Hospital. He has been head of the pediatrics department at the hospital since 1955, and attending pediatrician since 1936. He joined the staff as assistant resident in pediatrics in 1932.0 Dr. Francis R. Coyle, M'32, is chairman of the annual Catholic Charity Drive. He lives at 238 Getzville Road, Buffalo.D Dr. Louis A. Vendetti, M'33, is chairman of the Cheektowaga Air Pollution and Health Offices. He is a member of the Erie County Medical Society, the New York State Medical Society, and the American Medical Association and lives at 22 South George Urban Boulevard in Cheektowaga.D Dr. Richard H. Watt, M'33, was awarded the Certificate of Appreciation from the American Medical Association Physicians Advisory Committee Radio, Television and Motion Pictures, 1960-69. He was chairman in 196668. He lives at 817 South Tremaine Avenue in Los Angeles.D Dr. Harry Bergman, M'34, is an attending urologist at the Bronx Lebanon Hospital Center. He is co-editor, with Dr. Richard M. Friedenberg, (professor and chairman, department of radiology, New York Medical College) of a column "Urologic-Radiologic Reviews", which is published monthly in the N.Y.S. Journal of Medicine. Dr. Bergman lives at 1749 Grand Concourse in the Bronx.D THE BUFFALO PHYSICIAN �Dr. James H. Gray, Jr., M'35, was awarded the Conspicuous Service Medal of the State of New York because he won the Soldiers Medal, (only 95 awarded to physicians in WWII). Dr. Gray lives at 4418 Lake Avenue in Lockport.D The Classes of the 1940's Dr. John D. Persse, M'42, is a Fellow of the American College of Surgeons, a Diplomate for the American Board of Surgery, and a member of the Buffalo Surgical Society. He lives at 396 Woodland Drive in Orchard Park.D Dr. William H. Georgi, M'43, is assistant professor of pediatrics, and is a member of the Erie County Medical Society, the New York State Medical Society, and the Congress of Rehabilitation Medicine. He lives at 70 Stanton Street in Williamsville.D Dr. Ronald E. Martin, M'43, is a member of the American Medical Association, the Erie County Medical Society, and the New York State Medical Society. Dr. Martin resides at 2611 W. Church Street in Eden.D Dr. Herbert E. Joyce, M'45, received a plaque in recognition of his work for the Health Organization of Western New York. He was president two terms. The group is the advisory body for the Regional Medical Program of Western New York.D Dr. Eugene M. Marks, M'46, is secretarytreasurer of the Connecticut Industrial Medical Association and is a member of the American Medical Association, the American Academy of Occupational Medicine, the Connecticut Diabetes Association, and is a Fellow of the Industrial Medical Association. Dr. Marks lives at 22 Grand Place in Newtown, Connecticut.D Dr. Maynard H. Mires, Jr., M'46, is director of local health services, the Delaware State Board of Health, and a member of the American Medical Association, the Medical Society of Delaware, the Kent County Medical Society. He is also a Fellow of the Royal Society of Health. He lives at 555 North State Street in Dover.D WINTER, 1970 The Classes of the 1950's Dr. Theodore Baratt, M'51, is a member of the American Medical Association, the Massachusetts Medical Association, and the American Board of Obstetrics and Gynecology. Dr. Baratt is in private practice in obstetrics and gynecology and resides on Congressional Avenue in Plaiston, New Hampshire.D Dr. Lawrence Joseph Comfort, M'52, is senior attending physician of the ear, nose and throat department, Sunnyvale Medical Clinic, Sunnyvale, California. He was recently elected vice president of surgery, El Camino Hospital, Mountain View, California. He is also an assistant clinical professor of surgery (ear, nose and throat section) at the Stanford University School of Medicine, Palo Alto, California. Dr. Comfort also received his DDS degree from UB in 1949.0 Dr. Roy J. Thurn, M'52 1 became a Diplomate of the American Board of Family Practice in May, 1970. He wrote and published an excerpt in the Minnesota Medicine, February, 1969, "Treatment of Leg Cramps of Pregnancy with Vitamin B6." His original paper was presented at the May 10, 1969, meeting of the Minnesota Obstetrical and Gynecological Society, in Duluth. Dr. Thurn lives at 2401 East Fifth Street in Duluth.D Dr. Edward W. Hohensee, M'54, is presently a lab instructor for a basic science course at Colby College. He resides at 43 Esther Drive in East Aurora.D Dr. Robert J. Pletman, M'54, was elected Fellow of the American College of Surgeons in 1969 and is presently serving president of the Ellis Hospital Surgical Group for 1970. He is residing at 2170 Lynwood Drive in Schenectady.D The medical advisor to the U.S. Embassy in Athens is Dr. William Paul Shrum, a 1954 Medical School graduate. Recently he was held hostage for a week by Palestinian guerrillas during the fighting between the guerrillas and the Jordanian army troops. The 45year-old physician was held longer than the other 62 hostages because of mistaken identity.D 55 People �People Dr. Milton Alter, M'55, has found a way to help tell by reading an infant's palm, whether it was born with a heart defect. He has studied the palm prints of 225 babies with defective hearts. Dr. Alter is chief of neurology at the Minneapolis Veterans Hospital and an associate professor in the University of Minnesota Medical School. The clue is a distinctive pattern, which normally occurs at the bottom of the palm and looks like a threepointed star. If it's found up toward the middle of the palm, there is an increased likelihood that the baby has a heart defect. He points out, however, that recognition of the pattern may be helpful in calling attention to heart defects that might otherwise go undiagnosed until too late for treatment. Dr. Alter recently received a research grant of $87,000 to further his studies of epidemiology.D Dr. William J. Barnum, M'56, is the Director of the Brookline Mental Health Center, Consulting Psychiatrist in the Brookline Public Schools, staff psychiatrist in Faulkner Hospital (by a Harvard Appointment), and deals in private practice in Adult and Child Psychiatry. He lives on Dover Road in Dover, Massachusetts. D Dr. Fred Lee, M'56, is in private practice in radiology. He is an instructor in radiology at the University of Michigan. Dr. Lee resides at 1926 Day Street in Ann Arbor.D Dr. Morton A. Stenchever M'56, is professor and head of the department of obstetrics and gynecology, University of Utah, College of Medicine, Salt Lake City. He was formerly in the department of reproductive biology, Case Western Reserve University, Cleveland.D Dr. Marvin N. Eisenberg, M'57, is the Director of Radiology at Horton Memorial Hospital in Middletown, New York. He is chief of staff and director of radiology at Arden Hill Hospital in Goshen, New York. Dr. Eisenberg resides at 36 Randall Heights in Middletown. D Dr. Carl D. Herman, M'57, published an article in the Journal of Albert Einstein, "Behavior in Hemiplegia - A Study in Regression." Dr. Herman resides at 1247 Glenburnie Lane in Dresher, Pennsylvania.D 56 Dr. Joseph A. Bellanti, M'58, received an award for outstanding research in pediatrics at the annual American Academy of Pediatrics meeting in San Francisco in October. He is an associate professor of pediatrics at Georgetown University. Dr. Bellanti was first to identify and characterize the antiviral principle of respiratory secretions as a secretary IgA globulin. He received a $3,000 check, a scroll and certificate. He interned at Millard Fillmore Hospital and served as a resident in pediatrics at Children's Hospital. "My interest in immunology was fostered by the late Dr. Ernest Witebsky and Dr. Edwin Neter of the Medical School," he said. D Dr. Mary Ann Zavisca (Bishara), M'58, is a Diplomate for the American Board of Anesthesiology and is also a member of the American College of Anesthesiology. She resides at 679 Mountain View Drive in Lewiston.D Dr. Anthony C. Noto, M'59, is the director of the Norwalk Hospital School of Medical Technology in Connecticut. He is in private practice in pathology and works part time in academic medicine as an instructor at the Yale School of Medicine. Dr. Noto is a member of the College of American Pathologists, the American Society of Clinical Pathologists, the Fairfield County Society of Pathologists, and the Connecticut Society of Pathologists. He resides on Betmarlea Road in Norwalk.D Dr. Sandra Wiltse (now Dr. Sandra Bennett), M'59, is a partner in the Permenente Hospital, Walnut Creek, California. Dr. Bennett works full time in academic medicine. She resides in Diablo, California. D Dr. Donn L. Yacht, M'59, is a member of the American Medical Association, the American Academy of Ophthalmology and Otolaryngology, the Santa Clara County Medical Society, and the California State Medical Association. Dr. Yacht lives at 1450 Oak Creek Drive in Palo Alto. D The Classes of the 1960's Dr. Harris C. Faigel, M'60, regularly publishes editorials in Clinical Pediatrics. He is executive director of Project Turnabout, a res- THE BUFFALO PHYSICIAN �People idential treatment center for young drug addicts. Dr. Faigel recently left the Yale Department of University Health for his present position. He lives at 123 Sewall Avenue in Brookline, Massachusetts.D Dr. William J. Hewett, M'61, is privately practicing obstetrics in Connecticut. He lives at 38 Walbridge Road in West Hartford.D A 1962 Medical School graduate has new dual appointments. Dr. Martin Abbert is Regional Mental Health Program Director and Superintendent of the Hastings State Hospital at Ingleside, Nebraska. The Regional Center includes 39 nearby counties . From October 1, 1969 to July 1, 1970 Dr. Abbert was acting superintendent of the hospital. Dr. Abbert interned at the Millard Fillmore Hospital in Buffalo before moving to Omaha, where he held a residency in psychiatry at the Nebraska Psychiatric Institute. He joined the Hastings State Hospital staff as a psychiatrist in July 1966. One year later he was granted a leave to fulfill his military obligations. He was stationed two years at Fort McClellan, Alabama in the Army Medical Corps where he was chief of the mental hygiene consultation service. He returned to Hastings in August 1969. He is married and the father of two children.D Dr. William P. Scherer, M'62, is in part time academic medicine at the University of Miami. He is a member of the American Board of Surgery and is a Fellow of the American Proctologic Society. Dr. Scherer lives at 3020 N.E. 45th Street in Fort Lauderdale.D Dr. Lee N. Baumel, M'63, is president of A.W.N. (All We Need- a national foundation for dialysis and transplanatation). He is chief of staff of the Los Angeles Development Center Psychiatric Clinic. Dr. Baumel resides at 9270 Warbler Way in Los Angeles.D Dr. Richard D. Hasz, M'63, has been named to the College of Medicine faculty at The Milton S. Hershey Medical Center of The Pennsylvania State University. The appointment of Dr. Hasz, as instructor in family and community medicine in the College of Medicine, was announced September 2, 1970. He has been in private family practice in Waynesburg, Pa., WINTER, 1970 for the past year. He is a member of the American Academy of General Practice and resides in Hershey.D Dr. Myron H. Marshall, M'65, works part time in academic medicine as a consultant in research. Dr. Marshall also works in connection with the Silver Hill Foundation- Mt. Sinai Medical School, New Canaan, Connecticut. With the help of Dr. Charles P. Neumann, Dr. Marshall wrote and published an article, "Medical Education in Psychiatry: The Teaching of Psychotherapy". Dr. Marshall also wrote an article, "Are There 'Benefits' Of Mental Illness?" He lives at 71 Farmington Road in Williamsville.D Dr. Marcella F. Fierro, M'66, is in private practice in Pathology, living at 102 North Garfield Street in Junction City, Kansas.D Dr. Norman Berkowitz, M'67, specializes in pediatrics. Since September, he has been in the Air Force. He lives at 83-40 Austin Street in New York City.D Dr. Stevan H . Broderson received his Ph.D. in 1967 and is now working in academic medicine as assistant professor, at the University of Washington. He lives at 4549 Purdue Avenue in Seattle.D Dr. Jeffrey L. Kahler, M'66, is a second-year orthopedic resident at Edward J. Meyer Memorial Hospital and is also a member of the American Medical Association. Dr. Kahler resides at 9 Daniel Drive in Bowmansville, New York.D Dr. Cary A. Presant, M'66, has two appointments; (1) American Cancer Society Fellow in Medicine (Hematology), and (2) Trainee in Medicine (Hematology) by the National Institute for Arthritis and Metabolic Diseases. Dr. Presant, together with Drs. Peter H. Wiernik and Arthur A. Serpick of Baltimore, have written and published Case Reports on "Disseminated Extrapulmonary Nocardiosis Presenting as a Renal Abscess". Drs. Thomas H. Steele, Arthur A. Serpick and Cary A. Presant have written and published an article on "A Reversible Concentrating Defect in Predominantly Unilateral Renal Hodgkin's Disease". Dr. Presant resides at 8914 Eager Road in Brentwood, Missouri.D 57 �People People Dr. Stanley Bodner, M'67, wrote an article in October, 1970, "Bacteremic Bacterodes Infections". Dr. Bodner is a candidate of the American College of Physicians. He lives at 2142 Acklen Avenue in Nashville. D A 1967 Medical School graduate, Captain Thomas P. O'Connor, received the Joint Service Commendation Medal in September. He had served as medical officer for the Armed Forces Examining and Entrance Station, Buffalo. The accompanying citation said Capt. O'Connor had "distinguished himself by meritorious service as a general medical officer. Throughout this period (Nov. 1969- Aug. 1970) he consistently demonstrated outstanding personal competence in the performance of all assigned duties. He was persistent and successful in adapting medical examining functions to mission requirements." Dr. O'Connor plans to practice in Buffalo. D Dr. Robert Baltimore, M'68, is senior assistant resident at the University of Chicago and is presently in his last year of residency training. He is spending six months in the laboratory of Dr. Albert Dorfman studying muccopolysaccharides. Dr. Baltimore lives at 5631 S. Kenwood Avenue in Chicago.D Dr. Thomas Cumbo, M'68, received the Dexter S. Levy award of excellence in bedside medicine at the Millard Fillmore Hospital's summer graduation. He has completed the first year of a three-year residency in internal medicine.D Dr. Brian S. Joseph, M'68, is a resident in psychiatry. He resides at 186 Saranac Avenue in Buffalo.D Dr. Timothy F. Harrington, M'69, was a recipient of the Mead-Johnson Award for graduate study in family practice. He is a resident at the Family Practice Center on Humboldt Parkway in Buffalo and lives at 91 Montfort Drive.D Dr. Ian M. Schorr, M'69, is an Ophthalmology resident. He lives at 590 Flatbush Avenue in Brooklyn.D 56 Dr. Molteni Agostino graduated from medical school in Milano, Italy, in 1957. He received his Ph.D. in experimental pathology from U.B. in 1970. Dr. Agostino is a member of the American Society of Experimental Pathology and resides at 1088 Delaware Avenue in Buffalo. D Dr. Irwin Friedman received his M.D. from New York University in 1955. Dr. Friedman is a member of the American Medical Association and lives at 4 Fox Chapel Road in Williamsville. He is a Clinical Assistant Professor in Medicine. D Dr. Frederick Helm received his M.D. from the University of Graz in 1955. He is in private practice in dermatology and is a member of the American Academy of Dermatology and Syphilogy, the American Medical Association, the Erie County Medical Society, the Society for Investigative Dermatology, and the Royal College of Physicians and Surgeons Association of Canada. Dr. Helm, together with Dr. Jacob Berger of Buffalo, have written and published an article on " Nummular and Infectious Eczematoid Dermatitis". Together with Dr. Halina Milgram of Buffalo, Dr. Helm also wrote an article, "Can Scalp Hair Suddenly Turn White?", A Case of Canities Subita. Dr. Helm lives at 46 Washington Highway in Snyder.D Dr. George Schillinger received his M.D. from the University of Budapest in 1954. He is a member of the Erie County Medical Society and the American Medical Association and lives at 61 Rolling Hills Drive in West Seneca. Dr. Schillinger is a Clinical Instructor in Surgery.D Dr. Emma K. Harrod, clinical assistant professor of pediatrics, is director of the maternal and child health division of the County of Erie Department of Health. She will continue as medical director of the Birth Defects Clinic at the Children's Hospital. 0 Dr. Charalit Svetvilas is the new director of Millard Fillmore Hospital's acute cardiac care unit. He is an assistant clinical instructor in medicine at the Medical School. The Thailand native received his medical degree in 1963 from the University of Medical Sciences in Bangkok. 0 THE BUFFALO PHYSICIAN �People Two members of the microbiology department faculty have edited a monography on International Convocation on Immunology. They are Drs. Noel R. Rose, professor and Felix Milgrom, professor and chairman. The 361 page book, published by S. Karger of Basel, Switzerland in 1969, covers the proceedings of the first international convocation held in Buffalo two years ago to honor Dr. Ernest Witebsky, head of the Center for Immunology. He died in December 1969.0 Dr. Robert Guthrie, research associate professor of pediatrics, received the 1970 Science Award of the American Association of Mental Deficiency. He was honored at the association's annual meeting for the development of a simple blood test that can be performed on new born babies to determine whether they have an inborn disease called phenylketonuria or PKU, which causes mental retardation.D Dr. Edward C. Lambert, professor of pediatrics, participated in a round table session of the VI World Congress of Cardiology in London in September. He presented a paper: "Indications and Hazards of Cardiac Catheterization and Angiocardiography in the Infant." Dr. Lambert is secretary of the Council on Pediatric Cardiology of the International Society of Cardiology. D Three alumni have been elected to the Buffalo General Hospital Board of Trustees with voting privileges. They are Drs. Everett H. Wesp, M'39, president of the medical board; J. Edwin Alford, M'34, vice president; and James F. Phillips, M'47, president of the adjunct medical board.D Seven Medical School faculty members have been inducted as Fellows in the American College of Surgeons. They are: Drs. Ronald E. Batt, clinical instructor of gynecology-obstetrics; Gerald P. Burns, assistant professor of surgery; S. Subramanian, clinical assistant professor of surgery; Mario L. Collura, John W. Cudmore, John J. Giardina, and Norman E. Hornung, all clinical instructors in Surgery.D WINTER, 1970 Dr. G. Newton Scatchard, who has headed the radiology department at Children's Hospital for 25 years was honored by his colleagues at a retirement dinner in October. The clinical professor of radiology at the Medical School will relinquish his administrative duties but will continue to practice radiology at the hospital. In June he was honored by Blue Shield for his 15 years of service. In a few months he and his wife plan to be living on Chincoteague Island, Virginia.D Two department heads have been appointed at the E. J. Meyer Memorial Hospital. Dr. Jimmie Holland will serve as director of psychiatry and Dr. Henry Staub will be director of pediatrics. 0 Dr. Max E. Chilcotte, clinical professor of biochemistry, is the new director of the Erie County Laboratory. He has been associate director of the laboratory since January 1970, and has served in various capacities the last 11 years. He succeeds Dr. Noel Rose, who resigned to become head of the Center for Immunology at the University.D Two Medical School faculty members were married August 6. Dr. Jane F. Pascale, clinical assistant professor of pathology and attending pathologist at the Meyer Memorial Hospital, became the bride of Dr. Joseph H. Kite Jr., associate professor of microbiology. He received his Ph.D. from the University of Michigan while his wife received her M.D . from the University of Chicago.D Dr. Clyde L. Randall is president-elect of the American College of Obstetricians and Gynecologists. Dr. Randall is professor and chairman of the department of obstetrics and gynecology at the School of Medicine.D Dr. John W. Vance, clinical assistant professor of medicine, is president of the Tuberculosis and Respiratory Disease Association of Western New York. He is also general chairman of the 1970 Christmas Seal Campaign. Dr. Vance is director of the Pulmonary Study Unit at Millard Fillmore Hospital and the respiratory disease program of the Regional Medical Program of Western New York.D 59 �In Memoriam Dr. Emerson Holley, M '36, died Sept. 8 in his home in Lockport, N. Y. of a heart attack. He was 58 years old. Dr. Holley was a Buffalo surgeon until 1940. He had been associated with the Veterans Hospital since his return from Montana. He was active in several state and local professional associations.D Dr. John K. Bembenista M'39, died September 26 in Sisters Hospital after suffering a heart attack. The 56-year-old dermatologist was born in Poland and came to the United States in 1920. He took his residency at Cleveland General Hospital and Columbia Presbyterian Hospital in New York City. He was chief of dermatology at St. Joseph's Intercommunity Hospital and on the staffs of Mercy and Sisters Hospitals. He also served as dermatologist for St. Rita's Home and Immaculate Heart of Mary Home. He was active in several state, local, and national professional organizations. D Dr. Jerome A. Murphy, M'12, died October 1 after suffering a heart attack. He was 82 years old. He was in private practice in Buffalo for 40 years, until he retired in 1955. Dr. Murphy was on the medical staffs of Sisters and Mercy Hospitals. He was a lieutenant in the United States Army Medical Corps in France during World War I. D Dr. Robert S. Stockton, M'40, died July 3 of a heart attack. The 54-year-old Cleveland physician and surgeon was on the staffs at University Hospital, St. Vincent Charity and Cleveland Metropolitan General Hospitals. Dr. Stockton had been active in Cleveland's civic and cultural life. During World War II he served as a Lieutenant Commander in the United States Naval Reserve. O Dr. Harry A. Miller, M'13, died November 3, 1969 in Hemet Hospital, Hemet, Calif. after a long illness. He was 79 years old. He was r esident physician in Los Angeles General Hospital for many years. He served in the Air Force during both World Wars. He did post graduate work in New York and California, and interned in Utica, New York. 0 Dr. Kerin P. Lyons, M'35, died August 16 after a long illness. The 59-year-old general practitioner was the organizer and first president of the Catholic Physicians Guild of the Diocese of Buffalo and a former police surgeon. He was on the staff of Sister's Hospital. He held membership in the Fellowship of the American College of Emergency Physicians . 0 Dr. James G. Fowler, who was professor of ophthalmology at the Medical School for many years, died August 6. He was 74 years old, and still practicing. He was a member of the Erie County Medical Association and the Association for Research in Ophthalmology.O The General Alumni Board Executive Committee - ROBERT E. LIPP, '51, President; DR. EDMOND GICEWICZ, M'56, President-elect; JOHN J. STARR, JR., '50, Vice-President for Administration; JEROME A. CONNOLLY, '63, Vice-President for Development; G. WILLIAM ROSE, '57, Vice-President for Associations ; JOHN G. ROMBOUGH, '41, Vice-President for A c tivities ; MORLEY TOWNSEND, '45, Vice-President for Athle tics ; G. HENRY OWEN, '59, Vice-President for Public Relations; MRS. ESTHER KRATZER EVERETT, '52, Vice-President for Alumnae; DR. HAROLD J. LEVY, M'46, Treasurer; M. ROBERT KOREN, '44, Immediate Pas t-President. Pas t Preside nts: WELLS E. KNIBLOE, '47; DR. STUART L. VAUGHAN, M'24 ; RICHARD C. SHEPARD, '48; HOWARD H. KOHLER, '22 ; DR. JAMES J. AlLINGER, '25 ; DR. WALTERS. WALLS, M'31. Annual Participating Fund for Medical Education Executive Board for 1970-71 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second Vice-President; KEVIN M. O'GORMAN, M'43, Treas ure r; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. Medical Alumni Association Officers: DRS. ROLAND ANTHONE, M'50, President; LOUIS C. CLOUTIER, M'54, VicePresident; JOHN J. O'BRIEN, M'41, Secretary-Treasurer; SIDNEY ANTHONE, M'50, Imm e diate Past President. 60 THE BUFFALO PHYSICIAN �Alumni Association Tour Curacao-February 6-13, 1971 $381.00 per person, all inclusive • Non-stop Jet from Niagara Airport to Curacao & return • 7-nights at the deluxe new Holiday Inn • Two gourmet meals daily • Welcome rum swizzle party • Free chaise lounges, beach equipment For details write or Call: Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716} 831-4121 First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 3225 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Address Correc tion Requ ested HA RRY H O F FMAN & SONS PRINTI N G c.CJ!ji,., -----------------------------------------------------------------YOU'VE GOT WHAT IT TAKES! ... we know you like to keep your records current. So do we. Please complete thl.s card, detach it and mail. No postage is required. [Please print or typ e all entries.) N a m e - - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - Year MD Received---Office A d d r e s s - - - - - - - - - - -- - - - - - - -- - -- - - - - - - - - - - - - - - - - - - Home A d d r e s s - - - - - - - - - - - - - - - - - - ---------------------------------------------If not UB, MD received from--------------------------------------------------------------------- In Private Practice: Yes ~ In Academic Medicine: Yes No ~ SpecialtY-------------------------------------------------------- ~ No ~ Part Time ~ Full Time ~ School------------------------------------Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.?------ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Original Format If the image is of an object, state the type of object, such as painting, sculpture, paper, photo, and additional data Magazine Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter, 1970 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1970-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1970-04-Winter Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Table Of Contents A list of subunits of the resource. Immunology Convocation Medical Rehabilitation Immunology Director Coronary Care/ Medical Education The 1974 Class Medical Alumni Contributors Upcoming Alumni Receptions Alumni Receptions in San Francisco, Chicago Faculty Promotions Provost Resigns/ Dr. Ranney Student Summer Fellowships Dr. Merrick Returns Dr. Andres/ New Chancellor From the desk of Dean Pesch Academic Affairs Office at Millard Fillmore Dr. Egeberg Speaks Continuing Medical Education Blood Group Research Allergy Program Pathology / Research Team Faculty Council Summer Studies Dr. Frederick Peterson by O.P. Jones, Ph.D., M.D. The Classes/ People In Memoriam Alumni Tour Date Created Date of creation of the resource. 2017-09-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v04n04 Extent The size or duration of the resource. 62 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/245e19f1b90cbf97abb21472762bbe9d.pdf c64261109f5a9233c453847d6b741cae PDF Text Text �Dean Naughton From the desk of John P. Naughton, M.D. Dean, School of Medicine Dear Alumnae and Alumni, The School of Medicine has been notified recently that three donors are favorably disposed to award us with new sources of endowment income. While all the details are not yet resolved. one bequest is well firmed up, and its purpose will be fulfilled during this academic year. Dr. Louis A. Siegel, Class of 1923, has established an annual award "to recognize and give evidence of the importance of superior teaching in the preclinical and clinical portions of the ~edical curr.iculum. and to provide encouragement and incentive for teachmg achievement." This endowment is deeply appreciated because it is among the few that emphasizes recognition for teaching excellence. In order to implement the award during this academic year, a student committee has been at work developing guidelines for selecting nominees and awardees. Three individuals, one a basic science faculty member, one full time clinical faculty member, and one voluntary faculty member will be acknowledged at the Annual Faculty Meeting of the School of Medicine. A recipient cannot be recognized more than two years consecutively. Among the criteria used for selection are that the faculty member: 1. Possess and demonstrate a comprehensive knowledge of the field; 2. Organizes and presents subject matter effectively; 3. Stimulates thinking and develops understanding; 4. Arouses student interest and enthusiasm; 5. Demonstrates resourcefulness; 6. Assists students in solving their individual and group problems. On behalf of the School of Medicine I extend my gratitude to Dr. Louis A. Siegel for his generosity and for his recognition of the importance and value of a TEACHER. Fraternally, John Naughton, M.D. Dean D �Spring 1977 Volume 11, umber 1 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Bu ffalo EDITORIAL BOARD Edi tor ROBERTS . MCGRANAHA Managing Editor MARION MARIO OWSKY Dean, School of Medicine DR. }OHN NAUGHTON Photography HUGO H . UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACAKANJA DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. }AMES F. PHILLIPS President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTER PANN ILL President, University Foundation JOHN M. CARTER Director of Public Information ]AMES DESANTIS Director of University Publications PAULL. KANE Vice President for University Relations DR. A . WESTLEY ROWLAND IN THIS ISSUE Dean Naughton's Message (inside front cover) 2 Nine Class Reunions 3 Dr. Phillips' Message 4 A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI B) Cancer: Its Effects on the Family of the Patient; Communication Between Physician and Patient's Family by Samuel Sanes, M.D. 15 Immunizations 16 Alumni Contributors, 1976 21 Moir Tanner 22 Lucian Howe Award 23 Continuing Medical Education 24 40th Annual Spring Clinical Days 26 Dr. Humbert 27 Dr. Cotlier 28 Witebsky Memorial Lecture 29 Dr. Carr 30 VAH Medicine Chief 31 Dr. Neu Dr. Miller 32 Immunopathology of the Skin 35 Dr. Collins 36 New Faculty 38 Dr. Faden Dr. Schimpfhauser 39 The Classes Tennis Tournament 43 Administrative Workshop 43 People 46 In Memoriam 48 Alumni Tours The cover by Donald Watkins focuses on the 40th annual Spring Clinical Days on pages 3, 24, and 25. THE BUFFALO PHYSICIAN, Spring, 1977 - Volume 11, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1977 by The Buffalo Physician. SPRING, 1977 1 �Dr. J. Frederick Painton, '27 Nine Class Reunions, May 6, 7 Dr. William M. Bukowski , '47 Nine classes will have reunions during the annual Spring Clinical Days, May 6 and 7. Approximately 600 physicians and their wives are expected to attend the reunion dinners. Mrs. Diane Saar is organizing the reunion dinners with the help of the class chairmen pictured here . Dr. J. Frederick Painton of Buffalo is chairman of the 50 year class reunion. Other members of this class: (from Buffalo) Drs. Arthur C. Hassenfratz; Joseph F. Kij, Sr .; Jennie D. Klein; Joseph G. Krystaf; William W. Meissner; Meyer H. Riwchun; Norman J. Wolf. (From New York State) Alta Brown, Ogdensburg; Lawrence L. Carlino, Lewiston; Samuel J. Castilone, Olean ; Nathan W. Chaikin, New York City; Frank M. Criden, Coram; William J. Kibler, Jr., Tonawanda; John A. Leone, Niagara Falls; Robert E. Maderer, Hoosick Falls; Raymond F. May, Alden; Maurice Miller, Rochester; Joseph R. Mullen, North Tonawanda; Gerald E. Murphy, Mount Morris; Milton A. Palmer, Lancaster; Richard L. Saunders, Niagara Falls. (From out of state) Doctors Herbert Berwald, Napa, California; Bernard Friedman, Corpus Christi, Texas; Arthur L. Funk, Waitsfield, Vermont; Arthur C. Goetzman, Fort Myers, Florida; Kenneth G. Jahraus, Sun City, Arizona; George B. Kuite, North Conway, New Hampshire; William S. MacComb, Greenville , South Carolina; Silas F. Scinta, Delray, Florida; J. Theodore Valone, Warren, Pennsylvania; Everett A. Woodworth, North Myrtle Beach, South Carolina. 0 �On May 6th and 7th of this year, the Medical Alumni Spring Clinical Days will feature one of its most exciting ever programs. The program, chaired by Dr. Edmond Gicewicz is going to be devoted to Sports Medicine. On Friday, May 6th, the morning program will be "Physiology and Preparation in Sports Participation." John Naughton, M.D ., will speak on "Measurement and Testing", James Counsilman, PhD., will speak on "Training the Olympic Swimmer" and Ernst Jokl, M.D., will speak on "The Physiology of Sport Records." "Doc" Counsilman, Coach, University of Indiana, has achieved fame for his revolutionary methods in the training of swimmers. Dr. Jokl has introduced some amazing concepts of the limits of various records and in his predictions of future record breakers. Friday afternoon's program will be on "Common Injuries in Sports." Featured will be, Joseph Godfrey, M.D., Lawrence M. Carden, M.D., John K. Quinlivan, M.D., and Edmond J. Gicewicz, M.D. On Saturday morning, the "Psychology of Sports" will be the topic. "Theory and Reality" will be discussed by Bruce Ogilvie, PhD, Professor of Psychology at San Jose State University. Lou Saban, former Coach of the Buffalo Bills will discuss "Professional Coach's Stand-Point" and Ed Abromoski, Trainer, Buffalo Bills, the "Trainer's Stand-Point." James Counsilman, PhD. will again participate. His discussion will be on the "Collegiate Coach's Stand-Point." The Stockton Kimball Memorial Lecture will be given by Congressman Phillip Crane of Illinois. His topic: "Doctors: Let's Take the Bureaucracy out of Private Medicine." We are looking forward to this with great enthusiasm and hope many of you will be able to share the fun with us. 0 SPRING, 1977 3 A Message from James F. Phillips, M'47 President Medical Alumni Association Dr. Phillips �A PHYSICIAN FACES DISSEMINATED RETICULUM CELL SARCOMA IN HIMSELF Part VI B Cancer: Its Effects on the Family of the Patient Communication Between Physician and Patient's Family Samuel Sanes, M.D. The seminar which I conducted for the sophomore medical class in April 1976 on "What A Cancer Patient Expects from a Physician" lasted for an hour and a half. (My wife, by the way, participated as representative of a patient's family.) At its conclusion, a student came up to me . "Dr. Sanes," he remarked, "do you know that your entire seminar can be summarized in three words? " "Three words?" I queried defensively. "Yes," the student replied , "the three COM 's"1. COMpetence, "2 . COMmunication, "3. COMpassion." In this article I shall discuss the second of these three "COM" expectations from the standpoint of communication between the physician and the family of the cancer patient. * * * * * For some physicians, communication with the family of the cancer patient is the most difficult expectation to meet - more difficult than communication with the patient. In a letter dated May 6, 1976 to the editor of The New York Times, Mrs. Virginia Bekus of North Brunswick, N.J., wrote : "I have been going to doctors a good part of my life, what with children, husband, parents, etc. I can say that, although I have pressured for information, I received none; that, although I have pressured for patient education or communication, I have received none. I have learned that doctors are a secretive group ." I do not know Mrs. Virginia Bekus. She gives no specific details of her medical experiences ... whether cancer was one of the health problems in her family. She offers no factual evidence by which to judge the validity of her generalization that " doctors are a secretive group." * * * * * ILLUSTRATIONS Dr. Sones wrote the first draft of this article during the July 4 week of the USA Bicentennial Celebration and the July 11 week of the Democratic National Convention . References to cancer can be made for both events. I do, however, know the wife in Example II of my Article VI A whose 30-year-old husband died four months after diagnosis and onset of treatment of a testicular embryonal carcinoma with metastases. The physician who first saw her husband and worked him up clinically refused to communicate with her at all during the 12 days of his hospitalization prior to transfer by a consulting urologist to a cancer institute. 4 THE BUFFALO PHYSICIA �Ironically, the physician was a family practitioner who, in the past, had also seen the wife as a patient. He held a faculty appointment at a medical school in its department of family medicine. The wife had no criticism of the scientific competence of her husband's physician. Within a couple of days after promptly admitting his patient to the hospital he had carried out a diagnostic investigation, arrived at a clinical impression, and called in a urologist for consultation and operation. He made daily pre- and post-operative visits to the patient. But the wife has never ceased being critical and feeling bitter about the physician's failure to communicate with her. As a result of her experience, she shifted her own patient-doctor relationship to another primary-care physician. A skeptical reader may characterize the foregoing illustration of physician-family communication as consisting merely of anecdotal evidence, involving only one patient, one physician, one family obtained thr~mgh a couple of informal interviews with the wife by a not-disinterested interrogator and reported by him as part of a personal narrative. * * * * * Let's look at some evidence which is more objective. It was reported by Shirley J. Salmon, Ph.D., at the 1975 meeting of the International Association of Laryngectomees, American Cancer Society. Dr. Salmon is speech pathologist at the Veterans Administration Hospital, Kansas City, Mo. Her study of a group of cancer patients (largyngectomees) and their spouses in regard to physician communication grew out of an experience with one of her own patients. He staggered into her office early one morning and, speaking with his artificial larynx, said " ... you didn't tell me it was going to be like this. Why didn't you tell me?" A short time later she heard similar poignant complaints from the spouses of laryngectomees attending a group workshop. "Why," they asked repeatedly, "didn't somebody tell us how it would be?" To determine how common such a feeling was, Dr. Salmon conducted a questionnaire survey. Questionnaires were returned by 59 laryngectomees (10 of them women), from 18 states, and by 47 spouses (including 5 males), from 15 states. Eight of the laryngectomees were single. The average age of the laryngectomees was 60 years, of the spouses, 58 years. One-third of the married laryngectomees had two children at home at an average age of 13 years when the operation was performed. I excerpt certain findings from Dr. Salmon's study of physician-patient-family communication. More than 50 percent of patients said that their doctors discussed only the surgical procedure, while 36 percent said they were told that their operation could be life-saving, heard something about the "pathology" of their lesion and the prognosis. Just 49 percent of the spouses were given information by doctors about the operation, prognosis, and resumption of activities by the patient. d- SPRING, 1977 5 POSITION WANTED Marion Marionowsky, managing editor of the "Buffalo Physician" since its inception ten years ago, will be looking for another job when her contract expires on June 30, 1977. With wide experience in medical writing, she would like to remain in the field. �.. - - · - - - ~ -- ~ . t A NEW RESEARCH AND DEVELOPMENT LABORATORY at the Univer- Medical Rehabilitation Laboratory sity will not only develop new diagnostic, therapeutic, and orthotic devices to amplify the weak muscles of the handicapped, but it will also provide employment for the handicapped to manufacture perfected devices in their sheltered workshops. The laboratory is located at the Bell Plant, a campus annex located at 2050 Elmwood Avenue. The rehabilitation medicine/ engineering laboratory, under the aegis of the University of Buffalo Foundation, Inc., is headed by Mr. J. Sam Miller. The young assistant clinical research professor in rehabilitation medicine, who holds a master's degree in electrical engineering from Polytechnic Institute of Brooklyn, will continue work which began at Cornell Laboratory about ten years ago, when an exoskeleton - it amplifies man's strength in military space situations - was studied there under a Navy contract. Worn over the body, this device would be capable of duplicating the full range of body movements in an unrestricted manner. While the problem of powering it remained to be solved, the team wondered whether its principle could be applied to the medical field. The result by them and scientists from the University and the Veterans Hospital was an exoelbow or myotron, as it is called, which duplicates the movement of the arm (flexion and extension at elbow and rotation at shoulder joint). When the patient's arm is placed inside an open sleeve structure and dials on a control board are turned the patient can do any number of things. After resigning from CAL when its sale by Cornell University threatened its future as a nonprofit laboratory, Mr. Miller joined the Sanders Associates at a new research and development electronics facility. Here, he and fellow engineers worked with the University, E. J. Meyer Hospital, and the University of New Brunswick (Canada), to instrument a powered arm brace with a control system which responds to weak muscular efforts of a patient. An experimental model of this device is to be evaluated at the new laboratory as a functional brace that enables certain paralyzed patients to make voluntary coordinated arm motions. ~~~~---·· 6 Engineer Ed Zurbuch instructs Anna Paradisi in driver training. THE BUFFALO PHYSICIAN -- �Early this year when Sanders closed its Buffalo office, Mr. Miller approached the University of Buffalo Foundation. Why not continue applying engineering techniques to rehabilitation medicine in close affiliation with the University and its teaching hospitals? Meyer Hospital, after all, is one of the state's chief rehabilitation centers. A $10,000 seed grant opened Mr. Miller's laboratory. He serves as its director; Dr. William P. Walsh, staff physician at the Meyer and instructor in medicine, serves as its part time medical director; Edward J. Zurbuch as its staff engineer; and John P. Curran is staff technician. Said Mr. Miller, "The challenge in our laboratory is great." He pointed to the 3,370,000 orthotic patients in this country whose weakened, deformed or paralyzed muscles require bracing. "With just a bit of residual muscular effort, many patients suffering paralysis from either stroke, some type of muscular dystrophy or spinal cord injuries, as well as post polio victims, would theoretically be able to produce desired motions through use of such a powered brace." In the new laboratory, which will also serve as an educational facility for the Health Sciences Center, work will proceed on such things as instruments to measure more precisely the condition of joints and muscle functions, and the use of driver/trainer simulators by physically handicapped. But to reach the year-end goal of a staff of 11, $70,000 remains to be raised from private and government sources. "If our envisioned instrument programs are successful, in three years our nonprofit laboratory should gross over six million dollars, a portion of which would be plowed back into research, scholarships, etc. But with additional fund support, the development of other types of powered orthotic devices, a research instrument for neuromuscular disorder studies, improvement in operations of standard braces, a powered arm assist, and therapy devices for stroke rehabilitation are also possible," Mr. Miller said.D Pediatric Nephrology Dr. Mitchell I. Rubin will direct a postgraduate course in Pediatric Nephrology April 5-7. Diagnosis, management, pathophysiology and etiology of common renal disorders will be reviewed by clinicians, radiologists, immunologists and pathologists. The participants will be encouraged to participate in seminars concerning patients with glomerulonephritis, nephrotic syndrome, urinary tract infection, renal tubular disease, obstructive uropathy, hematuria, orthostatic proteinuria and acute and chronic renal failure. Faculty will consist of both members of the faculty of the State University of New York at Buffalo and visiting faculty. D WINTER, 1970 7 John P. Curran, staff technician, models the power arm brace while Mr. Miller (left] and Dr. William P. Walsh, clinical instructor in medicine, evalute the procedure. �·----- . Dr. Rose Dr. Rose Will Direct Immunology Center ~ ,. Dr. Noel R. Rose has been named director of the Center for Immunology. The 42-year old professor of microbiology and assistant professor of medicine succeeds Dr. Ernest Witebsky, distinguished professor of microbiology, who died in December 1969. Dr. Rose holds both Ph.D. and M.D. degrees. Following the award of a Ph.D. degree in 1951 in medical microbiology from the University of Pennsylvania, he came to Buffalo to work and to study under Dr. Witebsky in the School of Medicine's department of bacteriology and immunology. Before earning a medical degree in 1964 from SUNYAB he spent a year at the Pasteur Institute in Paris as a visiting investigator. After his return to Buffalo in 1964, where he was associate professor of bacteriology and immunology and associate director of the Erie County Laboratories, two years hence he headed the Erie County Laboratories and the Meyer Hospital Laboratories and was appointed professor of microbiology in the School of Medicine. Following a year in 1966 as visiting investigator at the Institut de Bio Chimie in Lausanne, Switzerland, he returned to Buffalo and was appointed director of the World Health Organization regional reference laboratory for autoimmune serology, which is an arm of the Center for Immunology. He holds memberships in numerous national and international scientific societies and is a Fellow of the American Academy of Allergy, American Academy of Microbiology, American Association for the Advancement of Science, and the American Public Health Association. He has also served on many national and university committees. Among these are the World Health Organization as expert consultant, Immunobiology Study Section of the National Institutes of Health, the American Board of Microbiology, and the American Association of Immunologists. Dr. Rose has published over 150 scientific papers, and has served on the editorial board of Experimental and Clinical Immunology. The Center for Immunology, which he now heads, serves as a stimulating atmosphere for collaboration among all interested immunologists in the community. It is here where indepth study and high quality performance on a teamwork basis is emphasized in the basic studies that cover the nature and manifestations of immunologic responses, to better understand factors responsible for resistance or its lack against disease, and to aid in closing the gap between research results in the laboratory and its direct application to the patient. Dean LeRoy Pesch said, "We are all confident that under his able direction and leadership the Center will continue to grow and achieve the excellence which was the dream of its founders. And it will serve as a living memorial to Dr. Witebsky."D 8 THE BUFFALO PHYSICIAN �The Medical School faculty is making a major contribution to the new Coronary Care Unit at the Meyer Memorial Hospital, one of the first such units in the nation. Dr. Stephen M. Wittenberg is director of the unit. Dr. Francis J. Klocke, a 1960 Medical School graduate, who is now chief of cardiology and an associate professor of medicine, plays a key role along with Dr. Evan Calkins, professor and chairman of the department of medicine. Mrs. Anita Door, supervisor of Meyer's admissions and emergency department, has been instrumental in planning and directs the nursing aspects of the project. What the hospital is doing combines the best features of mobile coronary care units pioneered in Belfast, Northern Ireland, and time-study data recently reported by investigators at the University of Rochester. This new method concentrates on the suspected heart attack patient the minute he comes through the hospital door. It amounts to intensive pre-coronary monitoring, according to Dr. Wittenberg. Central to this concept is an especially equipped pre-coronary care area in the Emergency Department. Here is where the most modern equipment and knowledge are immediately provided the patient. There is a specially designed bed, a miniaturized battery operated oscilloscope, and other electronic monitoring devices along with skilled personnel that have reduced CCU fatalities from 30 per cent to 15 to 20 per cent.D 24-Hour Coronary Care Dr. Hilliard K. Jason, M'58, told the 66th Annual Congress of Medical Education at the AMA meeting that he considers the prevalent plan of medical education to be a strangely expensive exercise with little relevance. The Michigan State University Medical School educator suggested that medical education was directed at achieving conformity to the subculture of the medical student rather than the subculture of the practicing physician; that we make medical students into followers when we should be educating leaders in the field of health; that teachers fail in their control responsibility of serving as models after whom medical students may pattern their behavior; that students are led into a choice of specialization without exposure to a cross-section of the variety of medical practice forms. Dr. Jason advocates special attention to provision for an individualized rate of progress through medical school; early exposure to patients on a personal basis to offset dehumanizing effects of the laboratory science side of medical training; the use of practicing physicians as teachers; and constant continuing review of the curriculum for relevance to training medical students for entering medical practice. D Medical Education Expensive WINTER, 1970 9 �The new class hear from President Ketter and Dean Pesch. The 1974 Class Orientation. From Dean LeRoy A. Pesch they learned that they were the first class in the history of the medical school to register into an elective curriculum and that their biggest challenge would not be to get through medical school- "you are all well qualified" but to become part of the inevitable process of change of which all institutions, including this one, are a part. There is no one right way to solve problems, he said to the 125 freshmen, but "I hope you will find that you are, will have, will become part of the process of change." From the new president Robert L. Ketter, who found it difficult to think of incoming medical students as freshmen, they learned that 125 years ago the University started out as a medical school. "There is a heritage," he said. And there was registration, photographs, tours, and decisions to be made regarding electives to round out class schedules, a hotdog roast, and a faculty I student reception. But when the incoming class, on its second day at medical case presentation, moderated by Dr. Joseph Acquilina, learned that collectively they knew a substantial amount of knowledge, they were ebullient. "Ask questions, make a diagnosis based on a personal history taking," said the clinical professor in medicine as he introduced the first patient, Mr. X, to the class. 10 President Robert L. Ketter. THE BUFFALO PHYSICIAN �Yes, Mr. X responded to a student, he had family problems. Divorced, the father of two children, he planned to remarry next year. Yes, to a second student, he drank heavily as did his father who died recently of a coronary occlusion. His job? Professor. Yes, this did subject him to abnormal stresses and strains. But the 40-year-old, jaundiced patient had no galbladder problems or pain in his body, but there had been a pronounced weight loss. "What is the problem?" asked Dr. Acquilina of the class. Cirrhosis of liver was their response. "You are learning one of the fundamental skills of medicine- how to communicate with the patient." And he pointed to the tremendous amount of information they had accumulated from the patient. But what are the factors that led this patient to drink? Pressures from family, health, occupation, was the class reply. And Mr. X was the product of these factors. A picnic of hot dogs and beer. From the second patient, 52-year-old Mr. Addington who had served in three wars, the class learned that he suffered from intensive pain in the abdominal region. An air force pilot for over 20-odd years, and an engineer on a merchant marine ship, he was now a widower and the father of a married daughter and a staff sergeant son. No, he did not think that he had severe emotional problems. No, he was not a heavy drinker but he did like a good beer and he did smoke heavily, three packs a day. Yes, he did have pain after eating, about 30 minutes after, and especially if the food was spicy. What did a GI series show? It confirmed a chronic, intractable ulcer in the small bowel. Pointed out one student to the class, smoking increases gastric secretion and affects blood vessels. "Here again," summed up Dr. Acquilina, "while we have not examined the patient, we have been able to make a diagnosis by learning how to communicate with the patient."D Mr. Addington, Dr. Acquilina. ----.,...-----.,...-- �I -------·· 601 Pay Medical Alumni Dues A total of 601 physicians contribu ted $12,068.00 in dues to the Medical Alumni Association during 1970. Mr. David Mich ael, director of medical alumni affairs, said that 284 of the contributors lived in either Erie or Niagara counties, while 175 others were from New York State and 142 outside of the state. By comparison in 1969, 666 members gave $9,855.00; in 1968, 840 members contributed $8,610.00; in 1967, 787 gave $7,867.00; and in 1966, 835 contributed $8,345.00. The list of 1970 dues contributors: 1911 Scinta, Anthony C. 1912 Aaron, Abraham H. 1915 Hayward, Walter G. Oberkircher, Oscar J. Selleck, S.Zeno Wells, Herbert E. Wertz, Carlton E. 1930 1925 *Clark, William T. Dillon, Emerson J. *Howard, William M. Kahn, Milton E. Kuch, Norbert W. Lapi, Louis L. Schulz, Milton J. Zick, Clara U. *Zittel, Harold E. 1926 Reist, Harold J. Sampson, Luther C. Steele, Porter A. Cheplove, Max Podell, A. Alfred Sanford, James J. Silverberg, Sigmund B. Smith, Ernest P. Sullivan, Eugene M. 1917 1927 Thompson, Myron A. Chaikin, Nathan W . Criden, Frank M. Funk, Arthur L. Knapp, Lester S. Meissner, William W. Valone, J. Theodore 1916 1919 Goldstein, Henry N. Pech, Henry L. 1920 *Graczyk, Stephen A. Sorgi, Salvatore F. Tyrrell, Martin E. 1921 Gottlieb, Bernhardt S. Morgana, Dante J. Ward, Kenneth R. 1922 Tronolone, Daniel R. Walker, Irwin M. 1923 Chadwick, Leon A. Galantowicz, Henry C. Graser, Norman F. Hunt, J. Harold Siegel, Louis A. 1924 Finger, Louis Fisher, Daniel C. Marmorston, Jessie Sanborn, Lee R. Vaughan, Stuart L. Bonafede, Vincent I. Cherry, Anthony R. Custer, Benjamin S. Feldman, Raymond L. Heyden, Clarence F. Kanski, James G. Lynn, Myer W. Michalek, Leo M. Sanes, Samuel Taylor, Richard G. *Wolfson, Irving 1931 Balser, Benjamin H. Bean, Richard B. Boeck, Virgil H. F. Bumbalo, Thomas S. Connelly, Gerald T . *Driscoll, Edward F. Glick, Arthur W. Heier, Ellwyn E. Kenny, Francis E. Naples, Angelo S. Walls, Walter Scott 1928 1932 Bleichfeld, Samuel Brock, Thelma Etling, George F. Hawro, Vincent J. King, Walter F. Rickloff, Raymond J. Rosenberg, Joseph Walker, Helen G. Wilinsky, Isadore J. Chimera, Marion J. Leone, Angelo F. Leone, Frank G. McGee, Hugh J., Jr. Obletz, Benjamin E. Olszewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. Stone, Frederick J. 1929 Cohen, Victor L. Evans, Jay I. George, Clyde W . Heilbrun, Norman Leone, Charles R. Leone, Russell S. Lester, Garra L. Lockie, L. Maxwell Maggiore, Michael J. Meyers, Frank Schamel, John B. Smith, Warren S. Stoesser, Frederick G. Tyner, James D. Zaia, Anthony J. 12 1933 Anna, Wilfrid M. Cook, Edward D. Ferguson, Wilfrid H. Ford, William G. Hellriegel, J. Curtis Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Masotti, George M. Milch, Elmer Mountain, John D. Wagner, Aaron 1934 Alford, J. Edwin Bove, Emil J. Castiglia, Christy F. Gurnsey, Maynard W. LaForge, Harry G. O'Connor, John D. Schweitzer, Alvin J. Slatkin, Edgar A. Weiner, Max B. 1935 Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Brace, Russell F. *Eckhert, Kenneth H. Gray, James H., Jr. Kelly, Miles W. Lampka, Victor B. Mark, James Mecklin, Bennie Messina, Domenic S. Mogavero, Herman S. O'Grady, George F. Rosokoff, Solomon Ryan, Francis W. Stoesser, Paul N. Streicher, Carl J. Weig, Clayton G. Young, George S. 1936 Batt, Richard C. Brundage, Donald Burgeson, Paul A. Crosby, John P. Eschner, Edward G. Fischer, Willard G. Greenberg, Avrom M. Hoak, Frank C., Jr. Kriegler, Joseph Lipp, William F. Pellicano, Victor L. Wherley, Harold F. 1937 Ambrusko, John Ball, William L. Banas, Charles F. Borzilleri, Charles R., Jr. Culver, Gordon J. Dooley, Paul Flemming, Theodore C. THE BUFFALO PHYSICIAN �Goodman, Soli Jackson, Stanley J. Klendshoj, Niels C. Lenahan, Rose M. Lipsett, Robert W. MacCallum, James D. Musselman, M. Luther Shapiro, Norton Stewart, Charles F. Weintraub, David H. Woeppel, Charles J. Kleinman, Harold L. Lenzner, Abraham S. Matusak, George J., Jr. McCue, Daniel J. McGrane, James L. O'Brien, John J. Pierce, Allen A. Pitkin, John T. Shubert, Roman J. Wels, Philip B. Zaepfel, Floyd M. 1938 Catalano, Russell J. Cooper, George M. Gilson, Benjamin I. Kaminski, Chester J. Law, Harry C. Lieberman, Samuel L. Norcross, Bernard M. Oehler, H. Robert Phillies, Eustace G. 1942 Addesa, Albert J. Battaglia, Horace L. Bauda, Charles A. Eckhert, George L. Kibler, Diana D. Marmolya, Boris L. Milazzo, Richard T. Persse, John D., Jr. Rose, Wilber S. Staubitz, William J. 1939 Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Cotton, Thomas S. Dugan, William Fernbach, Paul A. Geckler, John H. Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Morelewicz, Henry V. Riforgiato, Frank T. Rudinger, Ellen E. Seibel, Roy E. Squadrito, John J. Storms, Robert E. Voltz, Charles P. Wesp, Everett H. 1940 Ascher, Julian J. Benny, John M. Childs, Milford N. Clinton, Marshall, Jr. Eppers, Edward H. Harer, George A. Hildebrand, William, Jr. Ireland, Corydon B. Juvelier, Bernard W. Mincks, Charles B., Jr. Montgomery, Warren R., Jr. Morgan, Lyle N. O'Brien, Matthew J. Palanker, Harold K. Reitz, Russell E. *Rekate, Albert C. Schaus, James P., Jr. Siegner, Allan W. Stressing, Norman G. Umiker, William 0. Urban, Stanley T. White, John D. Zoll, John G. 1941 Botsford, Daniel R. Botsford, Mary H. Cooper, Anthony J. Cryst, John E. Gentner, George A. Greco, Pasquale A. *Hall, Donald W. Hanavan, Eugene J., Jr. W INTER, 1970 1943 Birtch, Paul K. Bloom, Marvin L. Buckley, Richard J. Collins, Robert J. Crohn, Edward B. Donohue, John M. Fletcher, Richard S. Haber, Norman Hoffman, Paul F. Holly, Joseph E. Humphrey, Thomas R. Keenan, William S., Jr. Marano, Anthony J. Meyer, Franklin O'Gorman, Kevin M. Petersen, Walter R. Pleskow, Adrian J. Richards, Charles C. Slepian, Alexander Smith, Ralph E., Jr. Snyder, Arden H. Tanner, Charles J., Jr. Tederous, Edmund M. Trovato, Louis A. Valvo, Joseph A. Williams, John R. Wood, Lt. Melvin N. 1944 Aquilina, Anthony M. Bondi, Raymond G. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frawley, Thomas F. Frost, Frank T. Gerbasi, Francis S. Hudson, Raymond A. Long, Frank H., Jr. Maestre, Federico J. Magenheimer, William P. Pietraszek, Casimir F. Potts, William A. Rosenberg, Charles H. Schauffler, Harry W. Shaver, Carrol J. Shaver, Dorothy N. Shull, Gordon E. Souder, Byron M. Strong, Clinton H. 1945 Adler, Richard H. Andaloro, William S. Chassin, Norman Cotter, Paul B. Ellis, George M., Jr. Fugitt, George W . Greenwald, Richard M. Groff, Donald N. Johnson, James H. Laglia, Vito P. Lazarus, Victor C. *Longstreth, H. Paul MacKay, Milton J. McGrew, Cornelius A. Mcintosh, William N. Quinlivan, John K. Rogers, William J. III Rowan, Lillian E. Rutecki, Joseph E. Shaheen, David J. Steinhart, Jacob M. Taylor, William R. Templer, Wayne C. Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Carbone, Donato J. Foley, Jack C. Golden, Lawrence H. Joy, Charles A. Levy, Harold J. Marks, Eugene M. Morgan, Thomas W. Naples, R. Joseph Petzing, Harry Rowe, Albert G. Walczak, Paul M. Williams, Myron E., Jr. 1947 Aquilina, Salvatore H. Bukowski, William M. Dean, Robert J. Edgecomb, William S. Hubbard, Elbert III Julian, Peter J. Lippes, Jacob Nuwer, Donald C. Phillips, James F. Reitz, Phillip L., Jr. Riordan, Daniel J. Schaefer, Arthur J. Soanes, Ward A. Stagg, James F. Ward, Robert B. Whiting, Frederick D. 1948 Borman, Col. James G. Good, Raphael S. Graff, Harold L. Hanson, Warren H. Hollis, Warren L. Liss, Judith L. Marinaccio, John J. Martin, Ansel R. Regan, Cletus J. Regan, Thomas C. Schiff, Lester H. Stone, Edward R. Zola, Seymour P. 13 1949 Bernhard, Harold Dennen, Philip C. Franz, Robert Griffin, Joseph E. Magerman, Arthur Paroski, Jacqueline L. Schneider, Max A. Shalwitz, Fred Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Benken, Lawrence D. Benninger, Robert A. Bergner, Robert E. Berman, Herbert L. Bisgeier, George P. Brandl, James J. Brody, Charles Cecilia, Carl A. Chambers, Frank, Jr. Dingman, Joseph F. Dunghe, Adelmo P., Jr. Leberer, Richard J. Manders, Karl L. Patterson, Robert J. Robinson, Roy W. Sikorski, Helen F. Taylor, George E. Thomas, Donald B. *Tillou, Mary Jane Wasson, Anne A. Zinke, Myra R. 1951 Belsky, Jay B. Conrad, Carl R. Goldfarb, Allen L. Heerdt, Mark E. Kaplan, Marvin Leslie, Eugene V. Murphy, Thomas J. Secrist, Robert L. Teich, Eugene M. 1952 Abo, Stanley Banas, John J. Baumler, Robert A. Brown, Alvin J. Dyster, Melvin B. Fuhr, Neal W. Gartner, Albert A., Jr. Genewich, Joseph E. Kelley, Donald J. Mitchell, Frederick D. Panaro, Victor A. Simpson, S. Aaron Steiner, Oliver J. Thurn, Roy J. Wegner, Kurt J. 1953 Bertino, George G. Cohen, Stanley L. Comerford, Thomas E., Jr. David, JosephS. Ehrenreich, Donald L. Fogel, Sander H. Geoghegan, Thomas G. Gold, Jack Handel, John W. Johnson, Curtis C. �What to do in such instances is the doctor's dilemma. Here are two examples of how physicians handle it. Certain readers of this article, I am sure, go back far enough in years to recall Lilyan Tashman, a Ziegfeld Follies girl and Hollywood movie star. Upon learning that she had an inoperable, terminal cancer of the stomach, she wanted to keep the diagnosis from her husband, Edmund Lowe, stage and screen actor. The doctor, however, told Lowe the truth. The actor never let on to his wife that he knew. A general surgeon in his early 50s developed a chronic progressive degenerative disease of the central nervous system and was forced to give up practice. He and his wife moved from their home to a small apartment where she, a former nurse, took care of him. A married son lived in California, a daughter attended a New England college. Two years later the wife noticed enlarged nodes in her neck and entered a hospital for diagnosis. Left alone, her husband had to be admitted to a nursing home. The wife's illness was diagnosed as disseminated lymphoma. She remained in the hospital for X-radiation and the initiation of chemotherapy. When friends brought her husband in once a week to visit her, she arranged her negligee to conceal the enlarged lymph nodes in her neck. He had no idea of the diagnosis and treatment of her illness. She asked her attending physician not to tell him. The physician complied with her request. He did communicate fully, however, with the son and daughter. After discharge from the hospital the wife gave up the apartment and joined her husband as a fellow patient in the nursing home. Legally a cancer patient's request that his physician not disclose diagnostic and other information to family members comes under "privileged communication" and must be so honored. The physician, however, can try under ordinary circumstances to convince the patient that disclosure will rebound to the benefit of the patient and to that of his family and doctor. In the case of Lilyan Tashman, the physician took it upon himself to tell Edmund Lowe because, in the face of impending death, the actress had decided to go on a trip around the world with her husband for a second honeymoon. Aware of his wife's disease, Lowe could be ready for any contingency. Note: In the next issue of The Buffalo Physician Dr. Sanes will continue Article VI with a discussion of the "who, how, why, what, when and where" of communication between physician and family of the cancer patient. ACKNOWLEDGMENTS L. Gordon; J. ). Guariglia; SUNYAB- Dept. of Medical Illustration- M. D. Diedrick, D. Atkinson ; R. Teetsel. 14 THE BUFFALO PHYSICIA �REFERENCES AMPAC Political Stethoscope v. 15, pp. 9-12, Feb. 1976 (Physician-signers, Declaration of Independence); Bekus, V., Letter, May 6, 1976, to New York Times; Buffalo Evening News, p. 8, Oct. 8, 1976 (Humphrey operation]. p. 28, Oct. 15, 1976 (PO chemotherapy); Chase, R., The Buffalo Physician., v. 10, p. 30, Summer 1976 (Specialty Certification in USA); Church, F., Good Housekeeping, v. 182 p. 26, Jan. 1976 ("I Was Told I Had Only Six Months To Live") ; The Colony Reporter, Guadalajara, Mexico, A5, July 3, 1976 (Rodney]; Dale, P.M., Medical Biographies, U. of Oklahoma Press, 1952, pp. 223-226 (Cleveland]; Hawke, D.F., Benjamin Rush, The Bobbs-Merrill Co. Inc., 1971, pp. 324-325, 370, 373; Hoffman, B.H., Ladies Home Journal, v. 91, p. 80, Nov. 1974 (Hubert Humphrey's Gallant Fight Against Cancer); Holland, J., Cancer Medicine, J. F. Holland & E. Frei III, Lea & Febiger 1973, pp. 991-1021 (Psychologic Aspects of Cancer); Hussey, H., editor emeritus, JAMA, personal communication 1976 (Physician-signers, Declaration of Independence); Powledge, T.M., New York Times, The Week in Review, July 25, 1976 (Death As An Acceptable Subject]; Sagov, S.E. - Brodsky, A., The Active Patient's Guide to Better Medical Care, David McKay Co. Inc., 1976, pp. 126-131 (Arrogance]; St. Johns, A.R., Some Are Born Great, Doubleday & Co. Inc., 1974, pp. 181-182 (Tashman]; Salmon, S., Patients' and Spouses' Psychological eeds Neglected Says Study of Their Attitudes, The IAL News, v. 20, pp. 1-2, Oct. 1975, Psychosocial Considerations, personal communication, 1976; Seelig, M.G., Surg. Gyn. & Obst. v. 85, pp. 373-376, Sept. 1947 (Cleveland] ; Smith, P., A New Age Now Begins, McGraw Hill Book Co. 1976, v. 1, pp. 701-703 (Rodney); TIME, v. 108, p. 29, Oct. 4, 1976 (Carter]. A total of 6,017 University people were immunized for swine flu in November and December. Dr. M. Luther Musselman, University Health Service Director, supervised the nine general clinics on the Amherst and Main Street campuses. He was assisted by the School of Nursing faculty and the University Health Service staff. Students and staff from the Schools of Pharmacy, nursing and College "H" also assisted. Pictured with Dr. Musselman is Joan F. Brownie, R.N., M.S., assistant professor of nursing and continuing education. Swine Flu Injections SPRING, 1977 15 �Alumni Contributors, 1976 The number of dues-paying medical alumni increased again last year. A special thanks to this group as well as to those who give annually. And to the nine reunion classes - 1926, 1931, 1936, 1941, 1946, 1951, 1956, 1961 and 1966 - who contributed $31,505 to the Medical School, a thank you. We at the School of Medicine appreciate your support and participation. You will find an envelope in the back of the magazine for your 1977 dues . 1907 Costello, William F. Kuch, Norbert W. Loder, Margaret M. Unrath-Zick, Clara 1908 Maichle, Robert J. 1911 Scinta, Anthony C. 1916 Bondi , Anthony 1917 Atkins, Leslie J. Thoma, Earl W. Thompson, Myron A. Tillou, Donald J. 1919 Carden, Matthew L. Crage, Frances M. Goldstein, Henry N. 1920 Graczyk, Stephen A. Schultz, Cecil L. Walker, Irwin M. 1926 Cheplove, Max Flood, Leo T. Korn, John J. Pi sa, Joseph J. Rose, Werner J. Sanford, James J. Silverberg, Sigmund B. Sullivan, Eugene M. Yellen, Irving 1927 Chaikin, Nathan W. Criden, Frank M. Funk, Arthur L. Kibler, William J. Maderer, Robert E. Meissner, William W. Murphy, Gerald E. Painton, J. Frederick Palmer, Milton A. Riwchun, Meyer H. Saunders, Richard L. Valone, J. Theodore 1921 Farugia, Joseph V. McGroder, Elmer T. Morgana, Dante J. Reima nn, Hobart A. 1923 Burwig, W. Herbert Koch, Caryl A. Siegel, Louis A. 1924 Carr, Roland B. Finger, Louis Sanborn, Lee R. 1928 Bratt, Floyd C. Brock, Thelma Burns, John B. Etling, George F. Gardner, Richard M. Gerstner, Martin L. Guthiel, George N. Hawro, Vincent J. King, Walter F. Markovitz, Julius T. Rosenberg, Joseph Schutkeker, Bruno Stoll, Howard L., Sr. Walker, Helen G. 1925 Block, Marvin A. Clark, William T. Culver, Claire H. Fisher, Grant T. Kahn, Milton E. 1929 Cohen, Victor L. Evans, Jay I. George, Clyde W. Gurney, Ramsdell 16 Heilbrun, Norman Lester, Carra L. Lockie, L. Maxwell Maggiore , Michael J. Meyers, Frank Smith, WarrenS. Tyner, James D. Wollen, Ira C. Zaia, Anthony J. 1930 Bonafede, Vincent I. Custer, Benjamin S. Heyden, Clarence F. Jaroszewicz, Anthony G. Kanski, James G. 1931 Barone, Michael H. Bean, Richard B. Boeck, Virgil H. F. Bumbalo, Thomas S. Ciesla, Theodore F. Connelly, Gerald T. Heier, Ellwyn E. Kenny, Francis E. Kuhl, John R. March, Thomas A. Naples, AngeloS. Oderkirk, Francis V. Schwartz, Jerome H. Schweitzer, Harold T. Tedesco, Joseph C. Ullman, Robert A. Walls, Walter Scott Westinghouse , Walter D. 1932 Coyle, Francis R. Leone, Angelo F. Leone, Frank G. McGee, Hugh J. Jr . Northrup, Robert R. Obletz, Benjamin E. Olszewski, Bronislaus S. Smolev, Joseph M. Stio, Rocco L. 1933 Anna, Wilfrid M. Baube, John L. Ferguson, Wilfrid H. Fulsom, Elroy L. Hellriegel, J. Curtis Hobbie, Thomas C. Homokay, Ernest G. Huber, Franklyn A. Kolbrenner, Louis Masotti, George M. Mountain, John D. Scinta, Louis A. 1934 Alford , J. Edwin Castiglia, Christy F. Davidson, David Friedman, Emerick George, Alfred L. Haight , J. Rothery Kinzly, John C. Kraska, Michael D. LaForge, Harry G. May, Charles E. O 'Connor, John D. Ridall, Earle G. Rosenbaum, Myron G. Schweitzer, Alvin J. Slotkin, Edgar A. Weiner, Max B. 1935 Ames, Wendell Arbesman, Carl E. Argue, John F. Bernhoft, Willard H. Coleman, Benjamin Drexler, Bernard Kelly, Miles W. Lampka, Victor B. Madsen, Niels G. Peschio, Daniel D. Rosokoff, Solomon Ryan, Francis W. Squires, Mary Lou Weig, Clayton G. 1936 Angelo, Martin A. Ball, John G. Batt, Richard C. THE BUFFALO PHYSICIAN �Brundage, Donald Burgeson, Paul A. Cherry, Alfred V. Crosby, John P. Eschner, Edward G. Fischer, Willard G. Glauber, Jerome Greenberg, Avrom M. Hoak, Frank C. Jr. Houston, Thomas Kriegler, Joseph Leven, Eli A. Lipp, William F. Newell, Robert B. Pellicano, Victor L. Stell, Bernard S. 1937 Alford, Kenneth M. Ambrusko, John Ball, William L. Banas, Charles F. Challen, Alice A. Culver, Gordon J. Ehret, Francis Flemming, Theodore C. Goodman, Soli Jackson, Stanley J. Koepf, George F. Lenahan, Rose M. Lipsett, Robert W. Mac Callum, James D. Mittlefehldt, Myrton G. Musselman, M. Luther Schachtel, Maurice W. Tranella, Augustus J. Weiner, Irving Weintraub, David H. White, William F. Woeppel, Charles J. 1938 Catalano, Russell J. Cooper, George M. Doll, Leo J. Foit, Norman J. Gilson, Benjamin I. Kaminski, Chester J. Law, Harry C. Lieberman, Samuel L. McNeil, Crichton Mitchell, Alfred A. Phillies, Eustace G. Rosenblatt, Maxwell Straubinger, Clarence A. Sydoriak, Walter L. Terry, Richard N. 1939 Alden, Carlos C. Bissell, Grosvenor W. Bleich, LaMoyne C. Burton, Ruth C. Caldwell, Milton V. Camme r , Leonard Clarke, Lloyd A. SPRIN G, 1977 Dugan, William Feightner, Francis W. Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Olmsted, Elizabeth P. Perlstein, Irving B. Postoloff, A. V. Remington, John H. Riforgiato, Frank T. Seibel, Roy E. Squadrito, John J. Storms, Robert E. Wesp, Everett H. Winer, Marvin 1940 Ascher, Julian J. Benny, John M. Clinton, Marshall Jr. Eppers, Edward H. Hildebrand, William Jr. Molyneaux, Evan Montgomery, Warren R. Jr . Morgan, Lyle N. O'Brien, Matthew J. Palanker, Harold K. Reitz, Russell E. Rekate, Albert C. Roberts, Norbert J. Schaus, James P. Jr. Severson, Charles H. Siegner, Allan W. Trippe, Louis A. Umiker, William 0. White, John D. 1941 Bean, Berten C. Cooper, Anthony J. Edmonds, Robert W. Gentner, George A. Greco, Pasquale A. Gross, Arnold Hall, Donald W. Hanavan, Eugene J. Jr. Henrich, Mary I. Hull, Bradley Kidder, RussellS. Jr. Kleinman, Harold L. Lenzner, AbrahamS. McCue, Daniel J. McGrane, James L. Mott, Frederick E. O'Brien, John J. Pierce, Allen A. Pitkin, John T. Radzimski, Eugene H. Shubert, Roman J. Wels, Philip B. Wolin, Leonard Woodbury, Lida G. Zaepfel, Floyd M. 1942 Addesa, Alber t J. Ament, Richard Axelrod, Sidney J. Battaglia, Horace L. Bauda, Charles A. Blum, Robert Brown, Kent L. Cotroneo, Vincent S. Eckhert, George L. Follette, William J. Gulliksen, Frances M. Kalinowski, Aloysius A. Karp, Harrison M. Marmolya, Boris L. Milazzo, Richard T. Parlante, Vincent J. Persse, John D. Jr. Seeger, H. Allen Smith, Martha L. White, Ward J. Yochelson, Leon 1943 Atkinson, John Behling, Ralph T. Birtch, PaulK. Buckley, Richard J. Chillag, Erwin R. Collins, Robert J. Digman, George J. Donohue, John M. Donovan, Eugene T. Galdys, B. Joseph Grayson, Thomas L. Haber, Norman Hoffman, Paul F. Humphrey, Thomas R. Jones, Richard J. Keenan, WilliamS. Jr. Kibler, Diana D. Krauss, Ruth F. Marano, Anthony J. Martin, Ronald E. Meyer, Franklin Minkel, Amos J. Jr. Mitchell, Raymond W. Niesen, William C. O'Gorman, Kevin M. Petersen, Walter R. Pietraszek, Casimir F. Richards, Charles C. Ricotta, Joseph J. Segel, Nathan P. Selkirk, George H. Sherrill, Gene D. Smith, Ralph E. Jr. Swarthout, Gertrude S. Tanner, Charles J. Jr. Tederous, Edmund M. Trefts, Hazel J. Tovato, Louis A. Unher, Morris Valvo, Joseph A. Voorhees, Charles H. Wagner, Laverne G. Williams, John R. Wolfgruber, Paul J. 17 1944 Aquilina, Anthony M. Blodgett, Robert Boardman, Willard H. Bondi, Raymond G. Bramer, Clifford F. Jr. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W. Frawley, Thomas F. Frost, Frank T. Gage, Andrew A. Ginsberg, Irwin A. Graser, Harold P. Hudson, Raymond A. Kennedy, Sidney R. Jr. Long, Frank H. Jr. Maestre, Federico J. Major, William K. Marchetta, Francis C. Montani, Albert J. Perkins, Raymond C. Ross, Joseph Schaer, Sidney M. Shaver, Carrol J. Souder, Byron M. Stafford, Walter F. Strong, Clinton H. Sullivan, James R. Weygandt, PaulL. Wilkinson, Robert 1945 Adler, Richard H. Andaloro, William S. Baisch, Bruce F. Capraro, Vincent J. Chassin, Norman Ellis, George M. Jr. Fugitt, George W. Jr. Greenwald, Richard M. Groff, Donald Johnson, James H. Joyce, Herbert E. Kuhl, Ivan W. Laglia, Vito P. Lazarus, Victor C. Longstreth, H. Paul Mcintosh, William N. Quinlivan, John K. Rogers, William J. III Rutecki, Joseph E. Shaheen, David J. Sheedy, K. Joseph Steinhart, Jacob M. Tannenhaus, Joseph Templer, Wayne C. Thorngate, George IV Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. d- �1946 Allen, John G. Bauer, Charles D. Cowper, Alexander R. Crissey, John T. Driver, Maier M. Golden, Lawrence H. Gudgel, Edward F. Howard, Chester S. Imburgia, Ross Impellitier, Carl J. Joy, Charles A. Levy, Harold J. Lundquist, J. Richard Marks, Eugene M. Mires, Maynard Morgan, Thomas W. Munschauer, Richard Petzing, Harry Piccoli , Amo John Pirson, Herbert S. Pizley, Roland T. Potts, Robert J. Rowe, Albert G. Tardif, Henry M. Tornow, Willard W. Walczak, Paul M. Walsh, William P. Williams, Myron E., Jr. 1947 Arthurs, G. Robert Babcock, Bruce D. Bachman, David S. Blohm, Raymond W. Jr. Bukowski, William M. Clay, Thomas B. Curtin, Daniel E. Dean, Robert J. Edgecomb, William S. Ehrenreich, Robert J. Kipping, Hans F. Marchand, Richard J. Nichols, David H. Nuwer, Donald C. Phillips, James F. Prezyna, Anthony P. Riordan, Daniel J. Schaefer, Arthur J. Segal, Robert L. Sheffer, John B. Stagg, James F. Todaro , Joseph C. Tokars, Jerome Waite, John H . Ward , Robert B. Whitford , James E. Whiting, Frederick D. Wildhack, Robert H. 1948 Borman, James G. Doan, Glenn B. Gallivan, William F. Gambacorta, Joseph P. Good, Raphael S. Gordon, Myron Graff, Harold L. Hall, Robert J. Hanson, Warren H. Hollis, Warren L. Martin, Ansel R. Miller, Daniel G. Minde , Norman Moore, Darwin D. Paul, Norman L. Regan, Cletus J. Regan , Thomas C. Richardson, Josephine A. W. Schiff, Lester H. Shapiro, Alfred J. Smith, Edgar C. Solomon, Irwin Solomon, Rebecca G. Stone , Edward R. Turner, Wilbur S. Van Avery, Jasper L. Jr . Weinberg, Paul C. Zola, Seymour P. 1949 Armenia , Carmela S. Aust, J. Bradley Berl, Alfred Bernhard, Harold Carden, Lawrence M. Dennen, Philip C. Franz, Robert Griffin, Joseph E. Magerman, Arthur Paroski, Jacqueline L. Pfalzer, Frank A. Rosner, Edward W. Sanford, Robert D. Schneider, Max A. Shalwitz, Fred Smith, Robert G. Stuart, James D. VanCoevering, Russel J. Waldo, Irma M . Weinstein, Pierce Werick , James A. Wolfe, Charles J. 1950 Anthone, Roland Anthone, Sidney Henken , Lawrence D. Benninger, Robert A. Bergner, Robert E. Bisgeier, George P. Brody, Charles Cecilia, Carl A. Chambers, Frank Jr. Conte, Anthony Dunghe, Adelmo P.Jr. Dunn, James C. Gelormini, Carmen D. Heller, Marie H. Kling, Robert N. Leberer, Richard J. Lyons, Richard E. 18 Manders, Karl L. Meyer, Patricia A. Patterson, Robert J. Primeau, Daniel F. Robinson, Roy W. Scamurra, Vincent Sikorski , Helen F. Taylor, George E. Waite , Gertrude Wasson, Anne A. Webster , WilliamS. Weinberg, Sidney B. Zygaj , Eugene J. 1951 Baratt, Theodore Bash, Theodore L. Belsky, Jay B. Conrad, Carl R. Danzig, Leonard S. Davis, Harvey D. Engel, Eli Goldfarb, Allen L. Heerdt, Mark E. Kaplan, Marvin Keicher , Kathryn M. Krueger, Harold P. Leslie, Eugene V. Penn, Edward A. Phillips, Daniel A. Pleskow, Marvin J. Ploss, Robert E. Reinhard, Melvin C. Jr . Schultz, Gerard E. Shaw, Wilson W. Smith, Adolph Smolens, Bernard Teich, Eugene M . Weigel, James W. Wolcott, Lester E. Zehler, Edward M. 1952 Abo , Stanley Adams, Donald J. Altshuler, Kenneth Banas, John J. Baumler, Robert A. Brown, Alvin J. Connell, Bruce F. Corley, Barbara Davis, Bernie P. Oyster, Melvin B. Fate, Francis A. Fuhr, Neal W. Garner , Albert A. Jr. Genewich, Joseph E. Gottlieb , Solon H. Kelley, Donald J. Krohn, Melvin R. Lapp, Milton C. Loeser, Eugene W. Jr. MacLeod, Colin C. Panaro, Victor A. Ranchoff, John Y. Robbins, Travers Schmitt, James N. Schwartz, Wilber S. Sheesley, Byron E. Simpson, S. Aaron Sprecker, Donald H. Steiner, Oliver J. Stulberg, Burton Szabo, Imre Thurn, Roy J. Underwood , S. Jefferson Wegner , Kurt J. Zeller, James F. 1953 Atkins , Thomas W. Bertino, George G. Carlin, James W. Cohen, Stanley L. Comerford, Thomas E. Jr . David, JosephS . Delerme, Felix A. Ehrenreich, Donald L. Fogel, Sander H . Galeota , Samuel B. Geoghegan , Thomas G. Gold, Jack Handel, John W. Johnson, Curtis C. Lee, Herbert E. Maloney, Milford C. Maynard, Robert E. Nagel, Richard J. Panner, Molly R. Partin, Bertram A. Rachow, Donald 0. Ruh , Joseph F. Simpkins, Herbert W. Smulyan, Harold Sobocinski, RobertS. Strachan, John N. Jr. Sullivan, Michael A. Ullrich , Reinhold A. Wadler, Marvin 1954 Batt, Edward J. Beltrami, Eugene L. Campo, Joseph L. Carosella, Nicholas C. Cloutier, Louis C. Foley, Robert D. Genner , Byron A. III Greene, Lawrence S. Haines, Robert W. Hanson, Florence M. Hohensee, Edward W. Howard, William J. Hyzy, Eugene C. Lemann, Jacob Lesswing, Allen L. Lizlovs, Sylvia G. Marino, Charles H . Meese, Ernest H. Norman, N. Allen Oliver, Harry T. Olszewski, Walter A. THE BUFFALO PHYSICIAN �Pletman, Robert J. Rayhill, Edward A. Tomaka, Edwin B. Weinmann, PaulL. Wenzlaff, Edward F. Wilson, Donald M. 1955 Alter, Milton Beahan, Laurence T. Celestino, Vincent L. Collins, James R. Conti, Louis R. Dean, Robert T. Fagerstrom, Charles D. Franco, Albert A. Garvey, James M. Gazzo, Frank J. Handel, Cleora Hashim, Sami A. LaMancusa, Sam J. Leonhardt, H. Albin Mye, George Lai, Jr. Palmerton, David L. Peterson, John H. Riordan, Arthur F. Schaer, Leonard Schiavi, Anthony B. Schiferle, Ray G. Jr. Smith, Robert A. VonSchmidt, Barbara Weppner, David F. Whitney, Eugene B. Winter, John A. Wormer, Donald A. 1956 Alker, George J. Jr. Bartels, John D. Ben-Asher, M. David Corretore, Robert B. Denlinger, Mark A. Frey, Donald M. Gicewicz, Edmond J. Goergen, Peter F. Goldstein, Frederick P. Haar, Jean G. Haber, Francis B. Heimback, Dennis P. Jr. Hodson, John M. Johnson, Merrill C. Jones, Oliver P. Sr. Kunz, Joseph L. McCutcheon, Sue A. Mcintosh, Robert G. Nuessle, Frederick C. Popper, Jordan S. Reeber, Erick Reisman, Robert Schanke, Edward G. Sklar, Bernard H. 1957 Beck, Arthur L. Berghorn, Bronson M. Boncaldo, Germante SPRING, 1977 Bongiovani, John R. Carpenter, Robert E. Celniker, Benny Chafe!, Frank J. Friedman, Gerald Garsenstein, Myron Gulino, Lorie A. Hetzer, Barbara J. Kanel. Harris H. Knight, Wallace A. Lasry, James E. Lowe, Charles E. Messinger, Sol Meisch, Herbert Miller, Richard F. Myers, Robert C. Parker, JohnS. Shapiro, Bernard S. Sussman, Robert B. Thorsell. H. Gregory 1958 Alessi, Edward C. Batt, Ronald E. Boyle, Richard C. Brothman, Melvin M. Campagna, Franklyn Cohen, Gary Dickson, Robert C. Dischinger, Frederick W. Eisenberg, Benson L. Falsetti, Domonic F. Float, John W. Genco, Michael T. Giardino, John J. Ginsberg, Donald M. Guerino!, Gerard T. Kane, Leo A. Korn, John T. Kunz, Marie L. Mazza, Michael A. Olin, Charles I. Perez, Robert J. Rahner, Richard Romanowski, Richard R. Shatkin, Samuel Stein, Alfred M. Tracy, Ann A. Waldman, Irving Wasson, Richard D. Weinberg, Morton B. Wende, Reinhardt W. Williams, James S. Zeplowitz, Franklin Zimmerman, Harold B. 1959 Baeumler, George R. Brennen, Robert J. Cohen, Donald L. Elwood, Charles M . Falls, Richard A. Grauer, Seymour D. Heafitz, Morton H. Houck, John E. Monte, Joseph F. Morrell, Noel H. Ramsey, George F. Rock, Elton M. Spoto, Russell C. Stevens, Jason H. Zara, Sabah E. 1960 Abramson, William E. Bernat, Robert Budzinski, John M. Chazan, Joseph A. Dayer, RogerS. Diesfeld, Gerard J. Gamziukas, Algirdas Graber, Edward J. Guelcher, Robert T. Guttuso, Thomas J. Hammel, Donald A. Harrington, John H. Kanski, James R. Lamm, Edwin R. Metcalf, Harry L. Nadel, Hyman Partridge, Eugene T. Rakowski, Daniel A. Riggio, Charles J. Rivera, Eugene P. Saks, Gerald L. Sauer, Robert H. Shapiro, Marvin Stein, William J. Steinberg, Irwin Tuyn, John A. 1961 Bernstein, Joel M. Disraeli, Allan S. French, Paul D. Hatch, Richard C. Hewett, William J. Knight, Ovid D. Manning, Edwin J. Newburger, Alan C. Ronald, Roger A. Schnatz, Paul T. Skarin, Arthur T. Usiak, Ronald H. 1962 Armenia, Joseph P. Cowan, Martin Fisher, Jack C. Floccare, Anthony Gerbasi, Joseph R. Heilbrun, M. Peter Loree, Paul J. Lubin, Arnold N. Madden, Michael M. Markello, Anthony P. Morey, Philip D. Ney, Robert G. Oberkircher, Oscar R. Pohl, Alan L. Polatsch, Bernard Resnicoff, Seth A. 19 Scherer, William P. III Steinhart, Melvin J. Tzetzo, George R. 1963 Ament, Aaron Hermann, Max M. Blake, James R. DeLaus, Frank V. DuBois, Richard E. Ehrlich, Frank E. Fatta, Ernest A. Foti, Anthony M. Hamilton, Robert W. Herbert, Anita J. Joyce, Stephen T. Lessler, Paul A. Maggioli, Albert J. Malinov, David Narins, Richard B. Nathan, Ronald G. Post, Robert M. Rutecki , Gerald J. Scheuermann, Henry A. Seidenstein, Carol M . Seidenstein, Harvey Sobocinski, Lawrence J. Spielman, Robert B. Steiner, George L. Stumpf, John N. Sullivan, Eugene M . Jr. Tirone, Charles S. Tutton, Joseph C. Wadsworth, John M. 1964 Feinstein, Michael Ferrari, Anthony V. Hazeltine, JohnS . Holt, David N. Leff, David A. Michalek, Leo M. Jr. Ney, Lillian V. Painton, J. Frederick Jr . Paterniti, Samuel F. Rothfleisch, Sheldon Salton, William Serrage, Elizabeth G. Taylor, James M . Weinstein, David J. Williams, Richard Wolen, Richard E. 1965 Bucher, William C. Cardamone, Joseph G. Feinberg, Michael S. Giller, Jerald Grisanti, Anthony V. Hoffman, Sanford R. Hurwitz, Lawrence B. Jeffrey, Gary Jordan, Robe rt E. Marantz, Calvin d- �McMartin, Daniel E. Moskowitz, Robert M. Schnitzler, Robert N. Schultz, Robert W. Steckelman, Joel Verby, Harry D. Waldowski, Donald J. Wherley, Benjamin J. Young, Ronald F. 1966 Althaus, Sean R. Antonucci, Louis J. Barlow, Jared C. Fox, Melvin Gross, William G. Lindenbaum, Jeffrey E. Martinak, Joseph F. McRonald, Ross E. Michalko, Charles H. O'Connor, John J. Oehm, Rudolph Rappole, Bert W. Schrott, Helmut G. Spoor, John E. Zalma, Victor Waldeck, Benjamin J. Williams, Jean D. 1969 Blanc, Alan H. Cavalieri, James L. Dayton, Lang M. Greenberg, Lawrence S. Hevizy, Louis Major, William Milazzo, RichardT. Jr. Scanlon, Thomas S. Smallwood, Michael F. Smith, Wilbur L. Weinstein, Barry A. White, Madeline J. Augustine, Thomas A. Benson, Robert M. Berkowitz, Norman Cohen, Arthur H. Daffner, Richard Epstein, Barry M. Fugazzotto, David J. Gibbs, John W. Jr. Levine, Allwyn J. Miller, Donald E. Robinson, Trevor Sheedy, J. Brian Sheehan, Thomas P. Sosis, Arthur C. Starr, George Young, Linda Young, Richard J. 1968 Argentine, Leonard Blase, Barbara A. Clack, William E. Cumbo, Thomas J. Druger, George Friedman, Ronald J. Gold, John M. Jewel, Kenneth L. Kaine, Richard F. Kaplan, Milton P. Kaplan, Z. Micah Karch, Gary D. Kramer, David Kulman, Harold L. Milanovich, Robert Rodner, Robert D. Shields, John E. Jr. Sievenpiper, Timothy S. Sirkin, Sara R. Asbell, Penny Bendich, David Burdick, James P. Cassiano, Coley J. Li, Lillian Fu Y. Neumann, Peter R. Rowland, Michael Szefler, Stanley J. Trautman, Paul 1976 Marconi, Ronald 1970 Forden, Roger A. Frankel, Lawrence S. Krauss, Dennis J. Lippman, Michael Ungerer, Robert Vandersea, Harold M. Wirtzer, Allan 1971 1967 1975 Bukowski, Elaine M. Burstein, Alan G. Clark, John H. Kleinman, George M. Lo, Hing Har Matuszak, Diane L. Middendorf, Bruce F. Moore, Sarah E. Rowlingson, John C. Russell, Eric J. Weiss, Robert M. Wilt, Elaine M. Xistris, Evangelos Yerkovich, Stephen A. Baron, Michael B. Bovino, Jerald A. Christakos, Manny Greenberg, Harvey Handler, MarkS. Hoffman, David E. Kirsch, Scott D. Mazeika, Denis G. McCoy, James J. Paull, Joel H. Potts, David W. Richardson, Douglas S. Solomon, Kenneth VanSlooten, Dale A. Weinrieb, Ilja J. 1972 Berkson, Richard Bob, Harold B. D'Alessandro, John J. Frankfort, Ian Hawley, Virginia F. Kroopnick, Robert B. Levitt, Robert H. Morphy, Murray A. Natale, Dennis L. Rubin, Stuart Toledano, Stuart R. 1973 Greco, Joseph M. Kuritzky, Paul Kuritzky, Sharon Launer, Dana P. Mruczek, Arthur W. Smiles, Stephen A. 1974 Beckman, Daniel R. 20 Faculty & Non Alumnus 1976 Dues (Cont'd) Abdelmessih, Fawzi F. Ambrus, Clara M. Ambrus, Julian L. Anllo, Victorino Arani, Djavad T. Baliah, Tadla Basalyga, Ronald G. Bauer, Ulrich Becker, Donald R. Bernstein, Charles Besseghini, Italo Bronk, Theodore T. Cole, James R. Constant, Jules Cordaro, Joseph V. Cromwell, William R. Dashkoff, Neil Dean, David C. Defelice, Clement A. Dewey, Maurice R. Diji, Augustine Dobson, Richard L. Donius, Donald J. Egri, George Elibol, Tarik Federico, Anthony J. Feliciano, Hernando G. Fisher, Wilbur J. Florsheim, Anne Glasauer, Franz E. Greene, David G. Gordon, Wilfred E. L. Haque, Ukram U. Harrod, David B. Helm, Frederick Hummel, L. Edgar Irimajiri, Akihiko Kalyanaraman, Krishnaswamy Kinney, Ethel E. Klein, Edmund Kmiecik, Tadeausz Kwasman, Bertram G. LaDuca, Robert L. Lascola, Robert J. Levitt, Jacqueline R. Lippschutz, Eugene Llorens, Jacinta Lloyd, Catherine Menno , Albert Milkey, Gustave P. Mindell, Eugene R. Montes, Mario Mould, John D. Naples, John D. Nemoto, Takuma Noe, Michael F. Nowakowski, Paul A. Norton, James F. O'Connor, Robert W. Oestreich, Mitchell Okereke, Tati I. Ordonez, Carlos Park, Byung H. Park, Lenora Pascal, Oscar Penetrante, Aristides E. Potter, Paul H. Reen, Bernard Rempel, Jacob Rovere, Raphael A. Shenoy, S. S. Smith, Bernard H. Sullivan, Judith P. Taheri, Syde A. Udwadia, Rusi Voorhess, Mary L. Warner, Robert Wirojantan, Sawarngwong Wittkugel, Herbert Yassa, Fayek G. Zimdahl, Walter T. THE BUFFALO PHYSICIAN �Moir Tanner Honored An endowed account to support faculty research dealing with health scien ces issues h as been established at the University in honor of former Children's Hospital director, Moir P. Tanner. President Robert L. Ketter presented a special certificate to Mr. Tanner at a luncheon in his honor. For many years Mr. Tanner was "Mr. Hospital Administration" in Western New York because of his outstanding work in health services administration. According to Daniel Roblin, chairman of the U/B Foundation, through which the fund was created, $20,000 has initially been given by the now disbanded Community Mental Health Research and Development Corp. He said board members of the non-profit organization composed of faculty in the Community Psychiatry Division at U/B voted to give the sum left in the corporation to create the Moir P. Tanner Research Fund. The fund will be available to faculty in health sciences, social sciences and law for projects relating to health sciences issues. Under Mr. Tanner's guidance of 30 years, Children's Hospital became one of the foremost pediatric centers in the nation. Special departments for prematures, occupational therapy, speech and hearing, virology, heart and cardiovascular surgery and many other areas opened during his years of leadership. He was one of the organizers of the Rotary Club/Crippled Children's Camp and served as its president for two years. He has been president of the Hospital Association of New York State and the Western New York Hospital Association. He is a life member of the American Hospital Association and has been active on health planning councils in Western New York since 1946. Among the various groups who have honored Mr. Tanner are the Variety Club, National Conference of Christians and Jews, the Episcopal Diocese, the Boy Scouts of America, and the Hospital Association of New York State. During Mr. Tanner's nearly half-century of hospital administration, he has belonged to some 30 professional and community organizations. A native of Cooperstown, he is a graduate of Albany College of Pharmacy (now Union University). His hospital career began in Buffalo in 1929 when he joined Buffalo General Hospital Administrative staff. 0 SPRING, 1977 21 �f Lucian Howe Award Dr. Charles J. Campbell (l eft), Dr. Thurber LeWin, ch airman of th e aw ards selection committee, and Dean John Naughton. Dr. Charles J. Campbell, professor and chairman of the department of ophthalmology at Columbia University's College of Physicians and Surgeons, received the prestigious Lucian Howe Gold Medal December 9 at a dinner meeting of the Buffalo Ophthalmologic Club. The award is named for the eminent former Buffalo physician and U/B Medical School professor who in the 1880s pushed through the first state law requiring silvernitrate treatment to prevent blindness in newborns. Dr. Thurber LeWin, chairman of the Award Selection Committee, said Dr. Campbell was chosen because he has been " a most outstanding teacher, author and researcher. " He will be the 12th person since 1930 to receive the award. One of the most prestigious ophthalmology awards in the country, the medal was last awarded in 1973 to Dr. Arthur H. Kenney, ophthalmologist-inchief at Wills Eye Hospital in Philadelphia. Dr. Campbell also directs the Eye Service at the Edward S. Harkness Institute of the Presbyterian Hospital in New York City. He holds a medical degree from George Washington University, a master's degree in optics from the University of Rochester and a doctor of medical science degree in ophthalmology from Columbia University. 0 22 THE BUFFALO PHYSICIAN �The following Continuing Medical Education programs are scheduled for April, May and June , according to Mr. Charles Hall, director of the programs. The dates , titles and chairmen of the programs are: April 16 - Anesthesiology 1977, Dr. John I. Lauria, associate professor of anesthesiology. April 21 - Peripheral Vascular Surgery, Dr. Andrew A. Gage , professor of surgery. April 22, 23 - - Pediatric Gastroenterology, Dr. Stanley Levin, professor of pediatrics. April 23 - Epilepsy, Dr. Reinhold E. Schlagenhauf£, associate professor of neurology. April 23, 24 - Nephrology for the Practicing Physician, Dr. Basab K. Mookerjee, associate professor of medicine . April 29 - Surgical Infections and Septic Shock, Dr . John H . Siegel, professor of surgery and research professor of biophysical sciences. May 6, 7 - Spring Clinical Days: Sports Medicine , Dr. Edmond J. Gicewicz, clinical assistant professor of surgery. May 13, 14- Pediatric Immunology, Dr. Stanley Levin, professor of pediatrics. May 18-20 - Cardiac Evaluation: Workshop on Exer cise and Rehabilitation (Heart Association, Academy of Medicine and CME co-sponsors), Dr. Robert M . Kahn , clinical associate professor of medicine and Dr . David R. Pendergast, ass istant professor of physiology. May 22-25 - Westwood-Dermatology, Dr. Richard L. Dobson , professor and chairman, Department of Dermatology. May 26-28 - Immunopathology of the Skin , Dr. Ernst Beutn er, professor of microbiology and research professor of derm atology. June 6-10 - Advances in Pediatrics, Dr. Stanley Levin , professor of pediatrics. 0 Continuing Medical Education Co-sponso rs of th e 1976 symposium: American Cancer Society, Erie County Unit ; American Lung Association of W.N. Y., Inc.; American CoJlege of Chest Phyusicians; N . Y.S. Chapter, CoJlege and New York Trudeau Society (State Chapter of American Thoracic Society). (Left to right) Drs. A rthur Q. Penta, secre ta ry-treas ure r, N. Y.S. Chapter, American College of Chest Physicians; Jerome Ma urizi, M'52, one of two S tate Govern ors of th e CoJlege; (Mr.) Charles HaJJ, director, U/ B Continuing Medical Education; Frederick Beerel. Presiden t, N. Y.S. Chapter; Roy H. Clauss, past president, N . Y.S. Chapter ; fohn Vance , chairman , Conference on Chest Diseas e, Nove m ber, 1976. Dr. Beerel presents Chapter's $250.00 check to support ninth-annual conference on chest disease to Mr. Ha ll . Drs. Beerel, Ma urizi and Vance are on the Medical School faculty . �40th AnnuG State University at Buffalo Medical'A Theme: Sports Medicine May 6 and 7, 1977 Program FRIDA 6:30 p. Embassy Room STATLER HILTON HOTEL FRIDAY MORNING, MAY 6 SATUR 9:15 Registration 9:45 Welcome: James F. Phillips, M.D. '47 Clinical Associate Professor of Medicine President, Medical Alumni Association 9:50 Introduction of Sports Medicine: Edmond J. Gicewicz, M.D. '56 Clinical Assistant Professor of Medicine Program Chairman - 1977 Spring Clinical Days 10:00-noon 8:45 9:15-nl PHYSIOLOGY AND PREPARATION IN SPORTS PARTICIPATION Moderator: Milford C. Maloney, M.D. '53 Clinical Associate Professor of Medicine "Measurement and Testing" John Naughton, M.D. Dean, School of Medicine "Training the Olympic Swimmer: James Counsilman, PhD. Coach, University of Indiana "The Physiology of Sport Records" Ernst Jokl, M.D. Professor of Medicine University of Kentucky 12:00-12:15 Intermission 12:15-12:45 Business Meeting: open to all alumni Election of Officers 12:45- 2:00 Luncheon 12:00-1:< SATUR 12:30 FRIDAY AFTERNOON 2:00- 4:00 COMMON INJURIES IN SPORTS "Orthopedic Injuries" Joseph Godfrey, M.D. '31 Clinical Professor of Orthopedics "Injuries to the GenitoUrinary System" 24 Lawrence M. Carden, M.D. '49 Clinical Assistant Professor of Urology THE BUFFALO PHYSICIAN ~ATUR 6:30 p. SPRING �al \lumni Spring Clinical Days "General Surgical Aspects" Edmond J. Gicewicz, M.D. "Plastic Surgery Aspects" John K. Quinlivan, M.D. '45 Clinical Instructor in Surgery Class of 1927 Reunion Reception and Dinner Plaza Suite Lakeview Room lAY EVENING p.m. !JRDA Y MORNING, MAY 7 Registration -noon PSYCHOLOGY OF SPORTS Moderator: Edmond J. Gicewicz, M.D. -12:30 "Theory and Reality" Bruce Ogilvie, Ph.D. Professor, Psychology San Jose State University San Jose, California "Professional Coach's Standpoint" Lou Saban Coach, Miami University, Florida [Former Coach, Buffalo Bills) "Trainer's Standpoint" Ed Abromoski Trainer, Buffalo Bills "Collegiate Coach's Standpoint" James Counsilman, Ph.D. Intermission JRDA Y AFTERNOON U/B MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE Guest Speaker: Honorable Phillip Crane, M.A., PhD., Congressman, 12th District, State of Illinois; Chairman of the American Conservative Union; Ranking Minority Member of the Oversight Sub-committee of the House Ways and Means Committee. "DOCTORS: LET'S GET THE BUREAUCRACY OUT OF PRIVATE MEDICINE." JRDA Y EVENING p.m. -J'G, 1977 Class Reunions: 1932,1937,1942,1947,1952,1957,1962,1967 25 �Dr. Humbert Dr. Humbert Dr. James R. Humbert is the new director of the division of hematology at Children's Hospital. The associate professor of pediatrics comes to Buffalo from the University of Colorado where h e served on its pediatrics and biophysics/genetics staff over the past four years. Born and educated in Switzerland, he received a diploma of medicine from the University of Geneva in 1964, trained in pediatric hematology under an NIH fellowship at the University of Colorado, and earned an MS degree in pediatrics there in 1970. He returned to Geneva as chief of University pediatrics clinics and two years later (1972) was named Privat docent. From there, he went back to Denver to head the University pediatrics clinics and to direct the Colorado hemoglobinopathy screening laboratory. What attracted Dr. Humbert to Buffalo was the high quality of its pediatrics faculty, a positive academic atmosphere he found here, and an exceptional laboratory setup with which to practice good medicine. In his training program in hematology - two trainees are currently enrolled - clinical/research experience will emphasize pediatrics hematology. Setting top priority on reopening a comprehensive care facility for those with sickle cell disease, he hopes to apply the techniques of modern medicine to this often neglected disease. His research will center mostly on host defense against infection, with emphasis on neutrophils. Author of a text, Neutrophil Physiology in Pathology, published last year, Dr. Humbert is looking into its role against cancer as well. "Shorter lived than macrophages, neutrophils have been found to move more rapidly to the site of infection, in a matter of minutes," he said. "Only recently has it been demonstrated in animal models that they are capable of interfering with proliferation of such things as tumor cells," he added. In a study on chemotaxis that he has underway, he is using new metabolic approaches to document the way it can speed up or slow down mobilization against certain infections, diseases such as sickle cell as well as pollutants. And there will also be a closer look into bacteriocidal activity which depends on oxidative metabolism. "The same oxidase which produces a substance such as hydrogen peroxide that kills bacteria can also provide a similar substance capable of killing tumor cells," he said. And he also hopes for collaborative studies on genetic elements of blood determinants (cytogenetic, chromosomal) with Dr. Robin Bannerman. Dr. Humbert is a Diplomate of the American Board of Pediatrics, a member of various professional societies, and has published over 30 papers in his field. 0 26 THE BUFFALO PHYSICIAN �New Ophthalmology Head Dr. Edward Cotlier, professor of Ophthalmology at the University of Illinois, has been named chairman of the department of ophthalmology. Dr. Cotlier will also serve as head of ophthalmology at the Veterans, Children's, and Buffalo General Hospitals. A nationally known ophthalmologist, Dr. Cotlier is chairman of the National Eye Institute's Cataract Advisory Panel and Vision Research Program Planning Committee. He also serves on the Board of Scientific Counselors for the Institute and the Board of Scientific Advisors of the Retinitis Pigmentosa Foundation Inc. Author or co-author of more than 70 professional articles and textbook chapters, he is also editor of the book, The Eye in the Inborn Errors of Metabolism. In addition, he serves as editor of the Current Research Section of Survey of Ophthalmology and is on the editorial board of Perspectives in Ophthalmology. He is also chairman of the American Academy of Ophthalmology and Otolaryngology's Continuing Education Course, Physiology and Biochemistry Section III. Dr. Cotlier is a Diplomate of the American Board of Ophthalmology; a Fellow of the American Academy of Ophthalmology and Otolaryngology; and a member of the American Medical Association's section on Research in Vision and Ophthalmology. Last year, he received, with Dr. H. Reinglass, the American Medical Association's Knapp Award, Section on Ophthalmology. He received his BS degree from the Colegio Nacional, and his M.D. from the Universidad del Literoral, Medical School in Argentina. Prior to his joining the faculty at the University of Illinois, he was on the faculty at Washington University Medical School, St. Louis, Mo. and Commander of the Medical Corps at the U.S. Naval Hospital, Great Lakes, Ill . D SPRING, 1977 27 Dr. Collier �ErnestWitebsky Memorial Lecture Dr. Dausett When the tall, urbane Dr. Jean Dausset had ended his lecture on HLA Complex in Human Biology - it was the Sixth Annual Ernest Witebsky Memorial Lectureship - he had not only reconciled the conflict of two immunology giants over autoimmunity but satisfied the vision of the late Dr. Witebsky. Dr. Dausset opened with a photograph taken over 20 years ago. It was one of he and a very dear friend. To this friend, Dr. Felix Milgram, he then payed tribute. He followed by recalling his first meeting with Dr. Witebsky. It was back in 1948 at an international meeting of the Society of Hematology one hot summer day in Buffalo. "There was Ernest," he said, "always preceded by his legendary cigar which forever illuminated his calm, smiling face, ardently defending the purity of immunology as originally conceived by the Great Master Paul Ehrlich, against those champions of autoimmunity that included the name of William Dameshek." The French-born and educated investigator added it was several years later when Dr. Witebsky came into direct conflict with the Great Master. "It was while he was working on autoimmunity to the thyroid gland. With his scientific love of accuracy, Ernest could not escape the astonishing fact that man was capable of responding to his own antigenic determinants and contributing to his own destruction." Turning to one of the most extraordinary advances in modern biology - histocompatibility antigens - he then reviewed what is known on each animal species studied. That there is a major histocompatibility complex and that in man it is called HLA. (In 1956 Dr. Dausset was the first to discover the antigen controlled by this complex.) Continuing, he explained that in a short segment of chromosome 6 in man are found the most important genes which determine the uniqueness of each man as well as those which regulate the immune response to many antigens. In his review of the important role that major histocompatibility complex plays in tissue transplantation, he pointed to studies which show how transplantation may be improved when donor is "matched" with recipient. And he noted that in the not too distant future further improvement in transplantation may be achieved by "persuading" the recipient to ignore antigens of a graft while responding normally to other antigens such as those of pathogenic microorganisms. He added that such investigations, known as immunologic tolerance and immunological enhancement, have been carried out in animals for a number of years. Turning to recent studies which show some human diseases to be related to HLA type of patient, he noted the strongest evidence to point to Ankylosing Spondylitis in which the vast majority of patients belong to HLA type W27. He also reviewed evidence for an HLA complex relationship to MS, psoriasis, and rheumatoid arthritis. In connection with the relationship between diseases and HLA, Dr. Dausset then hypothesized on how the immune response may alter the body's own components. "The old Ehrlich principle of immunology is really correct," he concluded, "and Witebsky and Dameshek have been reconciled." 28 THE BUFFALO PHYSICIAN �Dr. Dausset is professor of immunohematology at the University of Paris and director of a large blood transfusion center and chief of service at St. Louis Hospital. A former director of the National Blood Transfusion Center and cochairman of the Institute for Blood Disease Research, he has served as a scientific advisor to the Minister of Education and the National Advisory Council. A past president of the French Society of Hematology, Dr. Dausset holds numerous memberships and offices in immunology and transplantation societies. He has been honored by the French Academy of Science, the National Center for Scientific Research, the City of Paris, and received the Stratton and Landsteiner awards. He was decorated for service in the French Army Medical Corps during World War II. Author or coauthor of three monumental books, he has more than 200 research publications to his credit. 0 Dr. Carr Named to Drug Panel D r. Edward A. Carr, Jr. has been named to a blue-ribbon commission to study adverse reactions to prescription drugs and to develop an early-warning system for doctors and the general public. Dr. Carr is professor and chairman of pharmacology and therapeutics and professor of medicine. He was picked along with Dr. Marcus M. Reidenberg of Cornell University, to represent the American Society of Clinical Pharmacology and Therapeutics on the 18-member panel. Formation of the Joint Commission on Prescription Drug Use was announced by Senator Edward Kennedy, who declared that the public is paying a price, both in health and with dollars, because of a lack of detailed information on the subject. A prestigious panel of doctors, pharmacists, hospital officials and drug manufacturers will take part in the three-year effort to develop what Senator Kennedy called a "rational drug use policy." The Pharmaceutical Manufacturers Association (PMA) is underwriting most of the $250,000 annual cost. Dr. Carr praised the PMA and the industry for arranging the cooperative venture which he said he hopes can be completed in less than three years. Dr. Carr warned it would be a mistake for the public to expect the Panel to come up with a "zero risk" postmarketing drug use surveillance system. "From the standpoint of the public," Dr. Carr said, "we have drugs today that are so much better than anything we knew in the past but they are not able to perform miracles. We will always have some risk. All we can do is reduce the risk-benefit ratio. We can't guarantee a sure-fire cure and no risk. "No matter what we do, the place it all begins is in the education of the physician. It has taken a long time for medical schools to provide doctors with more training in the use of drugs. Now we must get the parent universities to support this. They are still 20 years behind the times," Dr. Carr concluded. 0 SPRING, 1977 29 Dr. Carr �1 c f f New VAH Medicine Chie f I f 1 is the new chief of medicine at the Veterans Administration Hospital. The professor of medicine comes to Buffalo from New Haven where he directed Yale University medical clinics and a primary care center for two years. After receiving the MD degree from Yale in 1964 he completed an internship and residency at Grace ew Haven Hospital in 1969, served for two years with the U.S. Public Health Corps, and spent a year in private practice (family practice and internal medicine) in a small Montana town. For Dr. Lee, Buffalo is unique in terms of both its teaching and clinical opportunities. Not only is the V.A. one of three hospitals with a strong university affiliation, but as a regional Veterans Hospital center, there is planning underway in terms of specialty services. "We have a more major role to play in developing medicine for the veteran patient and special programs in the community," he said. And with a stable patient population - there is between 75 to 95 percent occupancy of its 880 beds - he can point to great potential for teaching. "Not only is there lots of physical diagnosis available for students but an integrated clinical exposure as well." Through more input into a nurse practitioner training program in geriatrics and in adult medicine he hopes to establish a stronger Medicine/Nursing relationship as a result. He also looks forward to establishing programs with other allied health professionals as has been done with clinical pharmacists. "We are emphasizing a team approach at the YAH," he said. He noted the tremendous contributions made by former medicine chief, Dr. Joseph Aquilina. "As one without whom we could not get along, we will be drawing on the expertise of this very important member of the department," he said. Because of its unique clinical setting, he sees the Veterans Hospital as a site to develop a very effective primary care center, "one which may well develop into a model for teaching and for service," he added. The clinical researcher has always had an interest in infectious disease, with emphasis on the venereal ones. As part of a ten-year Yale study on isolated groups of South American Indians and their response to infectious diseases seen in developed countries, he believes they are close to pinpointing genetic contributions to certain groups' susceptibility to measles, etc. Dr. Lee is a Diplomate of the National Board of Medical Examiners, a member of the American Boards of Family Practice and Internal Medicine, and has published extensively in the fields of infectious diseases and sex. D D R. RICHARD LEE Dr. Lee 30 THE BUFFALO PHYSICIAN s l c ~ l t l ( s 1 c a r ~ ( s �The cytogenetics laboratory at Children's Hospital has a new director. He is Dr. Richard L. Neu, associate professor of pediatrics, who comes from Syracuse where he served on the pediatrics faculty at SUNY Upstate since 1963. After receiving an MS degree in 1961 from SUNY College of Environmental Science and Forestry (Syracuse), he worked in plant cytogenetics for a time. He recalls that human cytogenetics was a new field back in 1963. But its rapid development led him to pursue doctoral studies in this field. And in 1974 he earned a PhD degree in human genetics. While he spent much of his time at Upstate in human cytogenetics, an opportunity to join a large, well-established genetics unit headed by Dr. Robin Bannerman, is what attracted him to Buffalo. While his service load at the hospital is a heavy one - many testing procedures are underway for chromosome analysis - he hopes to start work on differential staining techniques for human chromosomes. He will also continue to teach medical and nursing students. A member of the American Society of Human Genetics, Dr. Neu has published numerous articles in the field of human genetics. 0 Two professional degrees within five months from U/B is the Gary Miller story. Dr. Miller received his M.D. degree in May and received his Ph.D. in cell and molecular biology last fall. The road to dual degrees started for Dr. Miller after he received his bachelor's degree from U/B in the spring of 1972. "I immediately applied to both the U/B medical school and to the graduate division and when I was accepted in both schools I decided to 'try' for the dual degree," Dr. Miller said. He has always been interested in medical research and the two programs supplement each other. On July 1 Dr. Miller started his rotating internship in pathology at the Buffalo General Hospital. He is working closely with Dr. John Wright, professor and chairman of the pathology department at U/B. Dr. Miller's goal is to teach and do research in a medical school. The 25-year-old native of Angola hopes to stay in Buffalo. His wife, Heidi, is a research technician in cell and molecular biology at U/B. Dr. Reed Flickinger, professor of cell and molecular biology, has guided Dr. Miller in his research the last two years. His first advisor, Dr. Lawrence Berlowitz left U/B in 1974 to work for the National Institutes of Health and the National Science Foundation as an administrator. Dr. Miller's hobbies are bicycling and helping his mother on her Angola farm. He loves Chinese cooking and is raising Chinese vegetables 0 SPRING, 1977 31 Dr. Neu Dr. Neu Dr. Miller Dr. Miller �Dr. E. Beutner of its natural history but the role that autoimmunity may play, the immunologic findings in those treated with PUVA versus conventional treatment with tar. Although past histologic studies have failed to reveal differences in response , immunologic studies of patients treated by different methods do show some marked distinctions. Presented were some recent breakthroughs in our understanding of th e pathogenesis of pemphigus antibodies as revealed through tissue culture methods pioneered by Cleveland's Dr. B. Michel. They tend to confirm the original work on the passive transfer studies by Poland's Dr. T.P. Chorzelski and M.J. Chorzelska. Also, new findings on the e tiology of pemphigus by U/ B's Dr. Ernst Beutner point to the existence of different antigen/ antibody systems in different forms of the disease. And there were new insights into ultra structural changes in pemphigoid by Vienna's Carl Holubar via immunoelectronmicrographic studies as well as numerous striking documentation on the coexistence of Sixth Annual Conference Immunopathology of the Skin Drs. D. Deneau (Stan fo rd} and K. Judd (Boston}. It was the Sixth Annual Conference on Im- munopathology of the Skin. Sponsored by the State University at Buffalo's Departments of Microbiology and Dermatology, some 40 dermatologists, pathologists, and laboratory directors from around the world came to gain a better understanding as well as how to detect a group of autoreactive antibodies that may relate to a series of cutaneous and systemic disorders. During two days of lectures, they learned from an outstanding faculty of 14 about humoral antibodies and the role of complement - especially as it relates to autoimmune disease - as well as ways in which it may induce tissue damage. There was also a look at delayed and immediate hypersensitivity which may range from anaphylactic shock to atopic dermatitis. On psoriasis, a common disease afflicting well over two million in this country and whose course is rarely fatal but whose cost in morbidity is enormous, they not only learned 32 THE BUFFALO PHYSICIAN l �bullous disease with other autoimmune disturbances via meticulous immunopathologic/clinical studies by Dr. Chorzelski. Connective tissue diseases were reviewed. Not only did this review point to the diagnostic as well as prognostic significance of antinuclear antibodies but those to DNA and to extractable nuclear antigens as indicated in anti-ENA tests elaborated by U/B's Morris Reichlin. Also explored was the role of skin and kidney biopsies of immune responsiveness in systemic LE. Planning the conference was a committee headed by Dr. Ernst H. Beutner, professor of microbiology and dermatology. They included faculty- Drs. Russell J. Nisengard, T. P. Chorzelski, clinical advisor, (Mr.) W. L. Hale, P. Maddison, S. Shu, V. Kumar; students- J. Asaro, W. Binder, S. Krasny, and technicians P. Greenlee, D. Myers, L. Pelonero, G. Griffin. d- Drs. R. Scherer (Munich) and J. Eldridge (Westwood Pharmaceutical) . At three days of laboratory sessions, participants learned about procedures to characterize specificity I sensi ti vi ty of conjugates in a gamut of assays that range from immunochemical, biochemical to immunofluorescence (IF) ones. Highly reliable diagnostic tests for pemphigus, pemphigoid, dermatitis herpetiformis, they have also been found to be of value in a number of others such as SLE, primary biliary cirrhosis, chronic active hepatitis, pernicious anemia, thyrotoxicosis, Hashimoto's thyroiditis, etc. SPRING, 1977 33 �Dr. Chorzelski Dr. P. Hebborn (Westwood Pharmaceutical} . Noted Dr. Beutner, "many of the short courses that are presented at Academy of Dermatology meetings have been given by faculty and participants at previous courses on immunopathology of the skin." The Seventh Annual Conference on Immunopathology of the Skin? "It is already in the planning stages," he adds. Scheduled for May 26-27, 1977, it will follow the Second Annual Westwood Conference on Clinical Dermatology that is scheduled in Buffalo May 22- Dr. R. Nisengard 25, 1977. 0 Mr. W . A. Hale 34 THE BUFFALO PHYSICIAN �Dr. Collins Heads State Medical Society The new president of the New York State Medical Society hopes to increase its membership during his tenure in office. Dr. George L. Collins, Jr. of Eden, New York, believes this is his biggest challenge. He is a 1948 Medical School graduate and a clinical assistant professor of medicine. Increasing the society's membership was the main theme of Dr. Collins' inaugural address at the society's 107th annual convention. He estimated that there are about 40,000 licensed physicians in the state who are potential members. The society lists only 27,500 of them as members. Dr. Collins will push for more members on a physician-tophysician effort on the local level. "More members means more income. And to meet the challenges that face us we need more members." The new president will be guiding the society in its stand on many issues. Among them are the state's costly medicaid program and the malpractice insurance issue. Dr. Collins also stressed the society's role as "the spokesman" on the state level for the individual physician. "Physicians who are not members have to realize the benefits from the stands we take." Dr. Collins plans on spending "about six days a month" at the society's headquarters in Lake Success and be in touch by telephone several times a day. As a councilor of the society, he has been a member of its policy making body since 1968. An internist specializing in cardiology, Dr. Collins gave up his private practice about five years ago. "I don't think I'll be able to do all the things I did when I still had a practice." He continues to be a cancer research internist at Roswell Park Memorial Institute, tending to the cardiac needs of the Institute's patients. He is also an associate physician at the Buffalo General Hospital, attending physician at Deaconess Hospital and a consultant at Bertrand-Chaffee Hospital, Springville. Dr. Collins served on the Society's professional medical liability insurance and defense board and was a founder and is director of the Medical Liability Mutual Insurance Co., founded by the Society to provide physicians with malpractice insurance. He also serves as director of Houdaille Industries and as a director and member of the executive committee of the Niagara Frontier Hockey Corporation. He was president of the Erie County Medical Society in 1966-67. 0 SPRING, 1977 35 �Four Assistant Professors of Physiology New Faculty Dr. Joan S. Baizer Wood received her M.S. and Ph.D. degrees from Brown University. Before coming to Buffalo she was a Postdoctoral Fellow in the laboratory of neurobiology at the National Institute of Mental Health, Bethesda, Maryland. Twenty-two new faculty members were appointed recently to the Medical School, according to Dean John Naughton. Two Assistant Professors of Anatomical Sciences Dr. Frank Mendel comes to Buffalo from the University of California at Davis where he earned a Ph.D. degree in 1975 and served on its anthropology faculty. Dr. Robert G. Summers, Jr., after earning a Ph.D. degree in 1970 from Tulane University, served as associate professor of zoology at the University of Maine. Three Assistant Professors of Medicine Dr. Alberto A. Gentiletti, born and educated in Argentina, earned an M.D. degree in 1965 from Rosario School of Medicine and joined its medicine faculty before coming to Buffalo. Dr. Peter J. Murphy was born and educated in Ireland. He earned a Bachelor of Medicine and Surgery in 1970 from the National University of Ireland (Dublin). interned, and two years later was awarded a Bachelor of Science degree. After completing a residency at Strong Memorial Hospital, he held a fellowship in chest disease at the E. J. Meyer Memorial Hospital before joining the U/B faculty. Dr. Monica B. Spaulding comes to Buffalo from Yale University where she served on its clinical medicine faculty and held a NHLI fellowship in hematology. She earned an M.D. degree cum laude from Marquette School of Medicine in 1966 and pursued an internship, residency, and an oncology fellowship at Johns Hopkins University. 36 Dr. David B. Bender comes to Buffalo frmn Princeton University where he was a research associate. He received both his M.A. and Ph.D. degrees from Princeton University in 1972 and 1974. Dr. James M. Goldinger, after earning the Ph.D. degree from the University of Illinois in 1973, pursued postdoctoral studies at Yale University. He has served on the physiology research staff there for the past year. Dr. Mary Anne Rokitka was educated at U/B, receiving her Ph.D. degree in biology in 1973. She has been a lecturer in physiology at U/B the last two years. p n c !\ h 1! tE jc \o\ E a h n fc A tl A 0 l:y a~ Two Assistant Professors in OB/GYN Dr. William P. Dillon was born and educated in Buffalo. After earning the Ph.D. degree at U/B in 1970, he continued his training under the University residency program. He returned to Buffalo after completing two years with the U.S. Naval Reserve at Quantico, Virginia. Dr. Debabrata Maulik, born and educated in India, earned the MB/BS degree in 1962 from the Medical College in Calcutta and pursued graduate training there. Five years later, he earned the MRCOG degree from the Royal College of Obstetrics and Gynecology in London, and in 1975 was awarded the Ph.D. degree from the University of London. Dr. Sean O'Loughlin, assistant professor of dermatology, was born and educated in Ireland. He earned the MB/BCH degree (first place and honors) at the University College of Galway (Ireland) in 1962, pursued graduate training there, and joined the Mayo Clinic as associate consultant where he has been serving for the past year. He is a Diplomate of the American Board of Dermatology and the American College of Physicians. THE BUFFALO PHYSICIA B1 w cl s~ p1 vi c~ or bi as ti( AI ti 0 AI ta Pl N w u pt at SP �Dr. Bruce M. Dow, research associate professor of physiology, is head of the neurobiology research unit at the Ridge Lee campus. He comes to Buffalo from the National Institute of Mental Health where he has served as guest worker for the past year. Following the award of an M.D. degree in 1966 from the University of Rochester, he interned at Baltimore City Hospitals. After joining the U.S. Public Health Service, he worked as senior staff fellow at the National Eye Institute, was a special NIH Fellow, and a research associate with the National Institute of Dental Research. Among his research interests are visual neurophysiology, cerebral cortex, color and foveal vision as well as pattern recognition. Among his memberships are Phi Beta Kappa, the Society for Neuroscience, and the Association for Research in Vision and Ophthalmology. He has published extensively in his field. Dr. Thomas E. Frumkes, visiting research associate professor of physiology, comes to Buffalo from Queens College of CUNY where he was associate professor of psychology since 1973. He earned the Ph.D. degree from Syracuse University in 1967 in physiological psychology. In the U.S. Public Health Service, he was postdoctoral fellow at Queens College of CUNY for two years, and served on its psychology faculty as well as at Columbia and Syracuse Universities as a research associate in psychology. He is a member of the American Association for the Advancement of Science, the American Psychological Association, Association for Research in Vision and Ophthalmology, and Optical Society of America. He has published extensively. Dr. Robert C. Steinmeier, visiting assistant professor of biochemistry, earned the Ph.D. degree in 1975 from the University of Nebraska and for the past two years has worked in the bioenergetics laboratory at U/B. Jean M. Wilhelmsen, instructor of physiology, earned a B.A. degree in Fine Arts at U/B in 1976. SPRING, 1977 Two Assistant Professors in Pediatrics Dr. Frank J. Cerny comes to Buffalo from the University of Windsor where he was associated with its faculty of basic kinetics. After earning the Ph.D. degree in 1972 from the University of Wisconsin in physical education/physiology, he pursued postgraduate training at the Medizinisches Universitats Klinik in Freiburg, Germany. Dr. Peri Kamalakar was born and educated in India. After earning the M.D. degree from Guntar Medical College in 1967, he pursued an internship there and in Elizabeth General Hospital (New Jersey), a residency at Beth Israel Medical Center in Newark, and was a Fellow in pediatric hem a to logyI oncology at Children's Hospital and Roswell Park Institute in Buffalo. Dr. Marjan M. Drucker, research assistant professor of pediatrics, comes to Buffalo from Israel. After earning the M.D. degree in 1961 in medicine from Hadassah Medical School, he was Deputy Director of the department of pediatrics at Meir Hospital and head of the infectious disease committee, Israeli Pediatric Association. Dr. T. Dennis Sullivan, instructor of pediatrics, after earning the M.D. degree in 1972 from Emory University, pursued an internship and residency there and at Children's Hospital in Buffalo. Dr. Kimura Junji, research assistant professor of medicine, comes to Buffalo from Japan where he was born and educated. After earning the M.D. degree from Kyoto Prefectoral University of Medicine in 1971, he pursued graduate training in obstetrics/gynecology there. He is a Member of the Japan Society of Ob/Gyn, the Japanese Cancer Association, Japan Endocrinological Society and Clinical Electron Microscopy Society of Japan. Dr. Jan Holm, research assistant professor, pharmacology and therapeutics, earned the Ph.D. degree in 1975 from the University of Copenhagen (Denmark) and has worked in its department of clinical chemistry prior to coming to Buffalo. 37 �pl is (e Assistant Professor of Pediatrics Dr. Faden Dr. HowardS . Faden has joined the division of clinical infectious disease and virology staff at Children's Hospital. Here, the assistant professor of pediatrics, will have a heavy service commitment as well as continue his interest in host defense mechanisms, a field in which he has published numerous articles. After receiving the M.D . degree at the University of Maryland in 1969, the young 33-year old clinical investigator completed an internship and residency in pediatrics at the University of Colorado two years later. Over the next two years he was a Fellow in infectious diseases at the University of Utah and a year before coming to Buffalo he was an NIH Research Fellow there . In between, from 1971-73, he served with the U.S. Navy Medical Corps. He is a member of the American Society for Microbiology. D pl re c: in fr S1 D re N Sl H hE New Assistant Dean Dr. Schimpfhauser Ci Dr. Frank Thomas Schimpfhauser, assistant director of the Division of Research and Evaluation in Medical Education at Ohio State University's College of Medicine, is assistant dean for educational evaluation and research. A native of Buffalo, Dr. Schimpfhauser will be involved in faculty development especially for the improvement of teaching methods, evaluation of new programs and special programs concerning minority and disadvantaged students. He received his BS degree from U/B and his M.A. and Ph.D. degrees from Ohio State University, Columbus. He has been an assistant professor in the Department of Psychiatry and adjunct professor in the College of Education at Ohio State. Dr. Schimpfhauser has also been chairman of the Department of Psychology at Ohio Dominican College as well as a staff psychologist. He is a member of the Board of Directors of the Midwestern Area Alcohol Education and Training Program of Chicago and an educational consultant to the Office of the Attorney General, Peace Officers' Training Academy, London, Ohio . Author or co-author of some 14 professional articles, he has been active in several professional and research organizations including Psi Chi National Honorary Fraternity in Psychology ; Phi Delta Kappa National Honorary in Education; the ew York Academy of Sciences; the American Education Research Association and the Association of American Medical Colleges. D 38 THE BUFFALO PHYSICIAN In AI F1 b~ A B( m Fe Ei co fr1 AJ hi Cl GJ Ri pr D! SP �The Class of 1929 Dr. L. Maxwell Lockie, M'29, is the new president of the Country Club of Buffalo. He is a clinical professor of medicine (emeritus). 0 The Classes of the 1930's Dr. Henry H. Haines, M'33, is in part time private practice of psychiatry in Buffalo. He recently retired from the Mental Health Clinic, VA Hospital after 30 years' part time in clinical psychiatry. In July, 1973, he retired from the position of Deputy Director, Buffalo State Hospital, after 35 years with the Department of Mental Hygiene. 0 Dr. Victor L. Pellicano, M'36, was honored recently by the Heart Association of Western New York, Inc. for his contributions. 0 Dr. John Ambrusko, M'37, former chief of surgery at Buffalo's Kenmore Mercy Hospital, is now Pinellas County, Florida, health officer at Sarasota. 0 Dr. Leonard Cammer, M'39, New York City psychiatrist, has been elected President, International Psychiatric Association for the Advancement of Electrotherapy. His book, Freedom from Compulsion, was published by Simon & Schuster (Sept. 1976). It is an Alternate Selection of the Psychology Today Book Club, a Dual Selection of the Macmillan Book Club and will be serialized by Family Health Magazine. He has previously written two books: Up from Depression and Outline of Psychiatry. 0 Dr. Irving B. Perlstein, M'39, is associate clinical professor at the University of Louisville (Kentucky) Medical School and also in private practice of endocrinology and metabolism in that city. He is secretarytreasurer of the American College of Nutrition. His publications have appeared recently in the Journal of Clinical Endocrinology & Metabolism (Feb. 1976). Metabolism, Vol. 25 No. 9 (September 1976). and Clinical Chemistry, Vol. 22 No.8, 1976. 0 The Classes of the 1940's Dr. Norbert J. Roberts, M'40, received the 1976 Knudsen Award from the American Occupational Medical Association for health achievement in industry. Dr. Roberts is medical director of the Exxon Corporation and associate clinical professor in the department of community medicine at Mt. Sinai Medical School. He is also a lecturer in environmental medicine at New York University. Dr. Roberts is listed in Who's Who in America. 0 Dr. John D. White, M'40, retired anesthesiologist living in Tavernier, Florida, was appointed to the Medical Advisory Board of Florida Health Related and Professional Services and also to the Health Systems Agency of South Florida, Inc., Monroe County Sub-Area Council. 0 Eighty-eight medical students and faculty participated in the second annual round-robin tennis tournament in September. Jeffrey Pitts, a third year medical student, organized the tourney. Approximately 200 turned out to cheer their favorites. The six high student scorers were Peter Silberstein, Leonard Wagner, Christine Miller, Dawn Desiderio, David Simpson and Peter Greenman. The top faculty scorers were - Drs. Norman B. Richard, clinical associate in pediatrics, Eugene Mindell, professor and chairman of the department of orthopedics, and Donald Ehrenreich, clinical associate professor of neurology. 0 SPRING, 1977 39 Tennis Tournament Dr. Cammer �Dr. Philip B. Wels, M'41, was elected to the U/B Foundation Board of Trustees. Dr. Wels is a member of the University's Athletic Hall of Fame. He is chairman of the Department of Surgery at Millard Fillmore Hospital. 0 Dr. Ament Dr. Richard Ament, M'42, is the new president of the American Society of Anesthesiologists. Dr. Ament is clinical professor in anesthesiology at the Medical School and attending anesthesiologist at Buffalo General Hospital. A former president of the New York State Society of Anesthesiologists, he has held numerous ASA posts, including Chairman of the ASA Committee on Manpower. He served residencies in anesthesiology at Bellevue Hospital, New York City, a nd Boston Children's Hospital. In 1943-46 he was Captain, Medical Corps, serving with the Army Air Force Regional Hospital, Sheppard Field, Texas. Dr. Ament has been chairman, Anesthesia Section, Medical Society of the State of New York, and a member of the Comprehensive Health Planning Council, Erie County, and is a member of the Erie County Medical Society and Buffalo Academy of Medicine. 0 Dr. Leon Yochelson, M'42, Board Chairman of the Psychiatric Institutes of America, has been elected a vice-president of the Federation of American Hospitals. He lives at 7914 Orchid Street N.W., Washington, D.C. 0 Dr. Edwin J. Lenahan, M '47, of Buffalo, has been appointed an expert consultant on dust diseases for the State Board of Workmen's Compensation. A Fellow of the American College of Chest Physicians since 1956, Dr. Lenahan has been on the Buffalo General Hospital staff for 20 years. 0 Dr. Charles D. Ross, M'47, is Chief of pediatrics at Eden Community Hospital, Castro Valley, California. He is consultant to two elementary school districts, special education. 0 40 Dr. George L. Collins Jr., M'48, is the new president of the Medical Society of the State of New York. He is a clinical assistant professor of medicine at the Medical School and a cancer-research internist at Roswell Park Memorial Institute. Dr. Collins is a past president of the Erie County Medical Society, associate physician at the Buffalo General Hospital, attending physician at Deaconess Hospital and a consultant at BertrandChaffee Hospital, Springville. 0 Dr. Harold Bernhard, M'49, has been elected Governor for Northern New York State by the American College of Gastroenterology. He has also been elected vice president of the Western New York Society for Gastrointestinal Endoscopy. Dr. Bernhard is clinical associate professor of medicine and chief of the section of gastroenterology at the Millard Fillmore Hospital. 0 The Classes of the 1950's Dr. Allen L. Goldfarb, M '51, has been named a Fellow of the American College of Cardiology. He is associate professor of medicine at the Medical School. 0 Dr. Donald J. Adams, M '52, is clinical professor of ob/ gyn at the Upstate Medical Center, Syracuse. He is also Chief, ob/ gyn, at Crouse Irving Memorial Hospital in Syracuse. 0 Dt. Samuel B. Galeota, M '53, has been elected a Fellow of the American College of Physicians . He is a clinical associate professor of medicine at the Medical School. 0 Dr. Samuel Shatkin, M'58, is the new president of the American Society of Maxillofacial Surgeons. He is a clinical associate professor of surgery at the Medical School. Dr. Shatkin is the immediate past president of the Society of Plastic Surgeons of Upstate New York and immediate past chairman of the New York State Medical Socie ty Section of Plastic, Reconstructive and M axillofacial Surgery. 0 THE BUFFALO PHYSICIA OJ al F1 in c pi T1 A pl C: H Cl Bl w M de 49 C; re w of Cc HI ra Rc sit frc di~ DE Sc SP �The Classes of the 1960's Dr. Harris C. Faigel, M'60, whose specialty is adolescent medicine, is director of University Health Services at Brandeis University, Waltham, Massachusetts. He is also assistant clinical professor of pediatrics at Boston University School of Medicine. D Dr. Edwin R. Lamm, M'60, general surgeon, has changed the location of his office and practice from Dade City, Florida, to Lakeland, Florida. He lives at 5602 Lake Point Drive. D Dr. Kenneth V. Klementowski, M'66, opthalmologist, is assistant clinical instructor at the Medical School. He was appointed a Fellow of the American College of Surgeons in October and is treasurer of the Niagara County Medical Society. D Dr. Arthur H. Cohen, M'67, is a pathologist at Harbor General Hospital in Torrance, California. The Diplomate, American Board of Pathology, is an assistant professor of pathology at the University of California School of Medicine (Los Angeles). His major interest is in renal pathology. Dr. Cohen writes of his pleasure in reading THE BUFFALO PHYSICIAN and "keeping up with events and changes at the School of Medicine." The Cohen family (wife Susan, daughters Cheryl, Gail and Marjorie) live at 4909 Blackhorse Road, Rancho Palos Verdes, California. D Dr. Richard H. Daffner, M'67, recently returned to Duke University Medical Center where he did his residency to become Chief of Radiologic Services, Durham, North Carolina Veterans Administration HospitaL He is also assistant professor of diagnostic radiology. He is a member of the American Roentgen Ray Society, Association of University Radiologists. D Dr. Robert Baltimore, M'68, has moved from the Channing Laboratory (infectious diseases). Harvard Medical School, to the Department of Pediatrics at Yale University School of Medicine as assistant professor SPRING, 1977 where he will do research and practice in Pediatric Infectious Diseases. D Dr. George L. Druger, M'68, recently completed two years' active duty in the Army at Tripier Army Medical Center, Oahu, Hawaii. He has published many articles on pulmonary problems, as well as a book and tape series on physical diagnosis of the chest enti tied "The Chest: Its Signs and Sounds." Dr. Druger is in private practice of pulmonary medicine in Cumberland, Maryland and is also an instructor in medicine (part time) at Johns Hopkins School of Medicine. D Dr. Harold L. Kulman, M'68, is now in private practice of general and peripheral medicine in Sarasota, Florida, after having served in the U.S. Army Medical Corps, Fort Jackson, South Carolina. D Dr. Stuart H. Shapiro, M'68, a radiologist, has been appointed deputy commissioner for the Massachusetts Department of Public Health. Dr. Shapiro, who received a Masters of Public Health degree from the Harvard University School of Public Health in 1973, has extensive experience in public health and health policy development. He has worked with the U.S. Senate Sub Committee on Health (Senator Edward M. Kennedy, Chairman) on a variety of issues including medical malpractice. He served as regional director for family planning services for the U.S. Department of HEW. Dr. Shapiro is also Secretary of the Board of Registration and Discipline in Medicine of the Commonwealth of Massachusetts. This new board is charged with licensing and disciplining the 13,000 physicians in Massachusetts. He is also on the staff of the Massachusetts General Hospital and is an instructor at Harvard Medical School. D Dr. Stuart C. Spigel, M'68, is in private practice of oncology in Nashville, Tennesee. He lives at 6751 Pennywell, Nashville. D Dr. John R. Fisk, M'69, is teaching orthopedic surgery at Emory Medical School in Atlanta, Georgia. D 41 Dr. Shapiro �The Classes of the 1970's Dr. Ronald H. Blum, M'70, is assistant professor in medical oncology at the Sidney Farber Cancer Institute, Harvard University. He lives at 248 Summit Avenue, Brookline, Massachusetts. D Dr. Arthur M. Seigel, M'70, is assistant professor of neurology and pediatrics at Yale University School of Medicine. D Dr. Michael Baron, M'71, whose specialty is pulmonary medicine, is assistant professor of medicine at the University of Massachusetts Medical School. D Dr. John Guedalia, M'71, recently finished a residency in anesthesiology at the University of Texas Southwestern Medical School at Dallas. He is now in private practice in Dallas and is a Fellow in the American College of Anesthesiologists. He lives at 8215 Meadow Road, Apt. 2059, Dallas. D Dr. Stanley R. Levin, M'71, recently began a cardiology fellowship at the University of Michigan, Ann Arbor. He is a Diplomate of the American Board of Internal Medicine. D Dr. Kenneth Solomon, M'71, is co-director of the Center for the Study of Marital Alternatives in Schenectady. He also teaches psychiatry at the Albany Medical Center. D Dr. Sanford J. Holland, M'72, completed a fellowship in critical care medicine at the SUNY /Downstate Medical Center in December, 1976. He became a Diplomate of the American Board of Anesthesiology in October and is presently in the anesthesiology department of the Staten Island Hospital. Dr. Holland lives at 770 Ocean Parkway, Brooklyn, New York. D 42 Dr. John Zamarra, M'72, recently returned from one year's research and training at M.E.R.U. (Maharishi European Research University). Weggis, Switzerland. He studied the physiology of evolved consciousness as developed through the transcendental meditation program. In September 1975 Dr. Zamarra published the results of research done in Buffalo on an eight months' project carried out in the Cardiopulmonary Laboratory of the Veterans Administration Hospital, Buffalo, called "The Effects of the Transcendental Meditation Program on the Exercise Performance of Patients with Angina Pectoris." (Supported by a grant from the WNY Heart Association) He is presently in the first year of a cardiology fellowship at E.J. Meyer Memorial Hospital. D Dr. John P. Manzella, M'74, will complete a senior residency at the University of North Carolina (Chapel Hill) in internal medicine in July, 1977 and then become a Fellow in infectious diseases at the University of Rochester, (New York) Strong Memorial Hospital. D People Dr. Anthony J. Federico, clinical assistant professor of surgery, is the new president of the Heart Association of Western New York Inc. Dr. Arthur Lee, assistant professor of surgery, is first vice president and Dr. John A. Krasney, second vice president. D Rudolph M. Williams, assistant dean and financial aid officer at the Medical School, has been named president and chairman of the board of the National Association of Medical Minority Educators. D Dr. Fred Rosen, research professor of biochemistry at the Medical School, has received the Robert J. Atwood Memorial $56,653 grant from the American Cancer Society. Dr. Rosen is also associate chief cancer research scientist at the Roswell Park Memorial Institute. D THE BUFFALO PHYSICIA �ADMINISTRATIVE WORKSHOP is chaired by Ms. Bernice Fiedler, assistant to the dean. Some 40 directors and assistants to chairmen are expected to attend the several three-hour sessions scheduled for 1977. The sessions inform and teach the participants administrative procedures of the University, particularly the Medical School. Other sessions will be chaired by Ms. Lois Lewis, secretary to Dean Naughton, and George Anderson, assistant to the chairman of the department of medicine. Dr. S. Mouchly Small participated in the annual Jerry Lewis Labor Day Telethon which raised $21.7 million nationally ($537,287 for the Buffalo area) for the Muscular Dystrophy Association. Dr. Small is chairman of the Scientific Advisory Committee of MDA and professor and chairman of the department of psychiatry at the School of Medicine. Dr. Small told the TV audience about the scientific research programs that are on-going in 10 university based research centers. In addition there are 369 individual projects this year in the United States and 17 foreign countries. The research budget for the fiscal year is $10.5 million. 0 Two faculty members and one alumnus are new officers of the medical-dental staff of Buffalo Columbus Hospital. Dr. Paul Weinmann, M'54, is the new president. Dr. Robert J. Lascola, clinical instructor in surgery, is vice president and Dr. Joseph S. Calabrese, clinical assistant professor of GYNIOB, is treasurer. Dr. Edward M. Apen is secretary. 0 Dr. Arnold I. Freeman is the new chief of SPRING, 1977 People the department of pediatrics at Roswell Park Memorial Institute. He is also research associate professor of pediatrics at the Medical School. Dr. Freeman has been associate chief of the department at Roswell Park since 1971 and acting chief since July, 1976. He is recognized as a pediatric oncologist and has been particularly active in the treatment of acute lymphocytic leukemia in children. Chairman of a national and international study group that assesses current effectiveness of treatment for children and adult leukemia and other types of cancers, Dr. Freeman is author of a number of publications in the area of pediatric oncology. He received his medical training at the University of Toronto and, before coming to Roswell Park in 1968, was a research fellow at the St. Jude Research Center in Memphis. 0 Dr. Judith B. VanLiew was presented grants-in-aid and a national research award certificate by the American Heart Association, New York State Affiliate for her heart disease research. She is assistant professor of physiology and research assistant professor of medicine. 0 43 �People Dr. Richard G. Cooper, clinical associate professor of medicine, received the Chemotherapy Foundation's Scientific Award. He is affiliated with The Buffalo General Hospital 0 Dr. Hermann Rahn , distinguished professor of physiology, has been awarded the title, "Faculty Exchange Scholar." He becomes part of a group of 100 or so scholars considered among the most eminent in their disciplines in SUNY and who have been nominated by their peers, recommended by the SUNY Senate and approved by the Chancellor. The title, "Faculty Exchange Scholar," is awarded for life. The scholars are available to visit campuses throughout SUNY for periods of up to three days. The objective of the program is to enhance the scholarly growth of host departments. 0 Dr. John P. Naughton, Dean of the School of Medicine, delivered the keynote address to the Annual Meeting of the Upstate New York and Ontario Regional Group of the Medical Library Association. Dean Naughton discussed the changing aspects of medical education and some implications for medical librarianship. Mr. Erich Meyerhoff, Director of the Wood Library, Cornell University Medical College, and Mr. Robert Cheshier, Director of the Cleveland Health Sciences Library, delivered papers on the changing relationships between hospital and university medical center libraries. Mrs. Shirley B. Hesslein, President of the Regional Group and Associate Health Sciences Librarian, SUNY at Buffalo, reports that over 120 medical librarians from all over Upstate New York and Southern Ontario attended the three-day meeting hosted by the Health Sciences Library, SUNY at Buffalo, and held in Niagara Falls, New York. 0 Dr. Erwin eter, professor of pediatrics, has been elected a Corresponding Member of the German Pediatric Society. He is also professor of microbiology. 0 Dr. Edwin H. Jenis, clinical associate professor of pathology, is co-author of a book, Kidney Biopsy Interpretation, by the F.A. Davis Company. Dr. Jenis is also director of pathology at the Millard Fillmore Hospital. 0 44 Dr. Rufus R. Humphrey, professor of anatomy (emeritus). is recovering from major surgery at his brother's home in Marshall, Michigan. Dr. Humphrey receives mail at his home address, 1023 Southdowns Drive, Bloomington, Indiana 47401. 0 Dr. Mildred Gordon, associate professor of anatomical sciences, has presented a number of papers as well as participated in site visits as NIH consultant in electron microscopy. Among them were two lectures on female reproductive system/fertilization at Yale University, participation in a workshop on calcium cell secretion at International Cell Biology Meeting, and a paper on properties of mammalian sperm membranes at Harvard. There were site visits to Population Council and Columbia's Laboratories of Human Reproduction where she will serve as consultant on its electron microscope/histology facilities. 0 Dr. Donald Becker, chairman of the department of surgery at Deaconess Hospital, since 1966, has been promoted to clinical professor of surgery at the Medical School. He is also attending surgeon at the E.J. Meyer Hospital and on the adjunct medical staff at Children's Hospital. Dr. Becker has been on the faculty since 1959, and was assistant dean from 1963 to 1967. He is a Fellow of the American College of Surgeons. In 1949 he received his M.D. degree from SUNY/Upstate Medical Center, Syracuse. He has authored or co-authored 10 scientific articles for professional journals. 0 Dr. John W. Vance, associate clinical professor of medicine, was recently appointed Regent of ew York State for the American College of Chest Physicians. Dr. Vance is chief of the section of pulmonary disease at the Millard Fillmore Hospital and president of the medical staff. He is a past president of the Buffalo and Erie County Tuberculosis and Health Association, and of the American Lung Association of Western New York. He has been director of the Chronic Respiratory Disease Programs of the Lakes Area Regional Medical Program, and until 1975 served as chairman of the Board of Governors of the College of Chest Physicians. 0 THE BUFFALO PHYSICIAN �Dr. Walter F. Stafford Jr. has given the medical school a color lithograph by U/ B fine arts professor Harvey Breverman. It is hanging in Dean John Naughton's office suite. In his design, Breverman indicates, "my concept of a three-part composite or montage, dislocates the familiar and places it in a new context, with the boundaries of the entire image conceived in flux. Reality and illusion are juggled. A central pattern emerges of a cluster of seven faculties linked to one another, each visually textured by being superimposed over a ground plan of the Amherst Campus. "Emanating upward from this core of 'composite wisdom' is the Hayes Hall landmark, countered by a horizontal page of electronic musical notations. The lower image, which can also be read as a flat pattern, is an architectural fragment of the Ellicott Complex, in itself a capsule of the educational adventure." Dr. Stafford is a 1944 Medical School graduate. He is a clinical associate professor of neurology and a clinical associate in anatomical sciences. The U/B Foundation commissioned Professor Breverman to design a color lithograph representative of the University for the President's Associates, a group of alumni and benefactors who have contributed substantial financial support to the University. Professor Breverman's paintings and drawings have achieved international recognition since he joined the faculty in 1961. His works are part of the permanent collection of many of America's major art galleries. 0 Dr. Djaved T. Arani, clinical associate professor of medicine, has been named a Fellow of the American College of Cardiology. 0 Dr. Sidney Clayman, clinical instructor in medicine, has been initiated a Fellow of the American College of Chest Physicians. He is on the medical staff of the Veterans Administration Hospital. Dr. Clayman is a 1939 University of Michigan Medical School graduate. 0 SPRING, 1977 Dr. James P. Nolan, professor of medicine, is the new president of the medical staff at Buffalo General Hospital. Dr. George A. Cohn, clinical professor of neurosurgery, is president-elect. Dr. Peter A. Casagrande, clinical assistant professor of orthopedics, is vice president and Dr. James R. Kanski, M'60, is secretary-treasurer. He is clinical associate professor of medicine. 0 45 �In Memoriam Dr. Frank H. O'Brien, M ' 40, died February 12, 1976 of myocardial infarction in Green Island, New York. His age was 63. Dr. O'Brien was a general practitioner. He was associated with three hospitals - Ellis in Schenectady; Samaritan in Troy; and Albany in the state capital. He was an active participant in civic affairs and professional associations. 0 Dr. Thomas S. Cotton , M'39, died of cor pulmonale March 2, 1976 in Canisteo, New York. His age was 60. He was associated with Dr. John H. Siegel, professor of surgery and research professor of biophysical sciences at the Medical School , and chief of the department of surgery at The Buffalo General Hospital is the senior co-editor of a recently published book, The Aged and High Risk Surgical Patient: Medical, Surgical, and Anesthetic Management. (Grune & Stratton, 1976) He also wrote two chapters and was the co-author of four others . Other contributing authors from the U/ B medical faculty include- Doctors Richard H. Adler, professor of surgery; J. Edwin Alford, clinical associate professor of surgery (colon and rectal surgery); Julian L. Ambrus , research professor of internal medical and experimental pathology; Leonard Berman, clinical associate professor of surgery; Henry E. Black, clinical associate of cardiology ; John R. Border, professor of surgery; Charles M. Elwood, clinical professor of medicine; Jonathan D. Fichthorn, research instructor, department of biophysical sciences ; Irwin Friedman, clinical associate professor of medicine; Jack Goldman, associate professor of medicine; E. Douglas Holyoke, clinical associate professor of surgery; Leonard A. Katz, associate professor of medicine and associate dean; John LaDuca , assistant professor of surgery, Thomas Z . Lajos, 46 St. James Mercy Hospital in Hornell , New York. He belonged to the American Academy of General Practice and the American Society of Anesthesiologists. 0 Dr. Paul Berkson, M ' 58, of Pompton Lakes, New Jersey died October 26 , 1976. He was a pathologist at the Mary Immaculate Hospital , Jamaica , New York prior to his death. He was a Fellow , College of American Pathologists, and a member of the American Society of Clinical Pathologists. 0 associate professor of surgery, division of cardiac surgery ; Arthur B. Lee , assistant professor of surgery, division of cardiac surgery; Robert Milch, clinical instructor of surgery; Arnold Mittleman, research associate professor of surgery; Mario Montes , clinical associate professor of pathology; Takuma N emota , research assistant professor of surgery; James P. Nolan, professor and vicechairman, department of medicine ; Benjamin Obletz, clinical professor of orthopaedic surgery; Walter Olszewski , assistant professor of neurology, clinical associate professor of anatomy; Worthington G . Schenk , Jr ., professor and chairman, department of surgery; Roger Seibel, clinical assistant professor of surgery ; Samuel Shatkin, clinical associate professor of surgery; Donald P. Shedd, research associate professor of surgery; S. Mouchly Small, professor and chairman, department of psychiatry. 0 Dr. Ramon K. Tan, clinical associate professor of psychiatry, has been appointed Chief, department of psychiatry, Sisters of Charity Hospital. He is President of the Western New York Psychiatric Association and has been re-elected president of the Medical-Dental Staff of Linwood-Bryant Hospital. 0 THE BUFFALO PHYSICIA �Dr. Philip Goldstein, M ' 31, died November 27, 1976 at the age of 68. The general practitioner died in Millard Fillmore Hospital after a long illness. When he retired six months ago he was a clinical instructor in social and preventive medicine at the University, and attending physician at the Millard Fillmore Hospital. During his 42 years of practice he also served as attending physician in Buffalo General, Lafayette General, St. Francis and St. Joseph Hospitals. Dr . Goldstein was a Fellow, American Academy of Family Physicians, and active in several professional associations . His brother, Dr. Kenneth, is a 1939 Medical School graduate. One of Dr. Goldstein's sons, Dr. Gerald, is living in Tucson, Arizona. He is a 1964 Medical School graduate. 0 Dr. Henry C. Galantowicz, M'23, died April 6, 1976 at Birmingham, Michigan of a cerebrovascular accident. His age was 77. 0 Dr. Joseph Rosenberg, M ' 28 , died December 1 of an apparent heart attack in his car enroute to Children's Hospital where he was scheduled to operate. The 71-year-old had practiced in Buffalo 44 years. He was clinical assistant professor of otolaryngology (emeritus) at the Medical School. After his internship and residency at the Buffalo General Hospital, Dr. Rosenberg joined the hospital staff in 1945. He was also on the Children's Hospital staff and the Wettlaufer Clinic staff at Deaconess Hospital. He was a Fellow of the American College of Surgeons and a member of several other professional associations. Dr. Rosenberg was an amateur painter and sculptor and an avid golfer. A former Selective Service Board member, Dr. Rosenberg served during World War II on the examining board. 0 Dr. Hugh B. Deegan, M'08, died December 8 in DeGraff Memorial Hospital after a brief illness. His age was 98 and he had been a general practitioner for nearly 60 years. He practiced in the Dansville area and in Tonawanda. He retired in 1965. Dr. Deegan had been on the staffs of DeGraff Memorial, Millard Fillmore and Lafayette General Hospitals. He was a Fellow of the American College of Surgeons. He was also active in several other professional associations. 0 SPRING, 1977 In Memoriam Dr. Peter J. Sciarrino, M'15, a general practitioner in Niagara Falls for 60 years died December 15. His age was 85. Dr. Sciarrino was a former chief surgeon at Memorial Medical Center and at Mount St. Mary's, Lewiston. During the depression years, Dr. Sciarrino cared for some patients who paid him with bushels of fruit and vegetables instead of money. A former president of the Niagara County Medical Association, he was a charter member of the Century Club of Niagara Falls. 0 Dr. Myrton G. Mittlefehldt, M'37, a Buffalo general surgeon died December 15. His age was 68. A former head of the Deaconess Hospital medical staff, Dr. Mittlefehldt maintained a private practice of general surgery for 38 years. In 1975 he retired as a surgeon at the Bethlehem Steel Corporation, Lackawanna Plant after 13 years in that position. During World War II he served as a Captain in the Army Medical Corps and set up a center at Camp Robinson, Ark. for the physical rehabilitation of soldiers returning from combat. He was a member of the International College of Surgeons. 0 Dr. Josephine A. Wajert Richardson, M'48, died October 9 in the Louisville, Kentucky Methodist Hospital. The 50-year-old physician was associate medical director of the Rehabilitation Center in Louisville. Dr. Richardson was born in New Castle, Pa., and attended Westminster College. She was licensed in seven states and affiliated with Thomas Jefferson University Hospital in Philadelphia. She was listed in Who 's Who in American Women and was active in several professional and civic organizations. 0 Dr. Ernest G. Cramer, M'14, died October 9 in Millard Fillmore Suburban Hospital. His age was 86. He interned at Sisters Hospital and was a general practitioner for 62 years in Buffalo. Dr. Cra·mer had been active in several professional and civic organizations. 0 47 �Alumni Tours, 1977 MAY 1-9 LONDON (England) + 15% - Buffalo departure + 15%- New York City departure $399 $349 (TIA DC-8 stretch - 254 seats - Westmoreland Hotel- continental breakfast daily) AUGUST 10-22 EAST AFRICA (Kenya & Tanzania) + 15% Syracuse I New York City departures $839 (TIA DC-8 stretch - 254 seats - Nairobi Hilton or Nairobi Serena in Kenya, Taita Hills Game Lodge, Arusha Hotel in Tanzania- modified American breakfast daily, 3 meals daily while on Safari in Kenya) SEPTEMBER 10-20 RHINE RIVER CRUISE + 15% $769 Buffalo departure (PAM AM 707 - 180 seats - 3 days in Lucerne, Switzerland - Hotel Grand National, 3 days Rhine River on Holland Emerald, 3 days in Amsterdam, Holland - Amsterdam Hilton - 2 meals daily in Lucerne, 3 meals daily on board ship, breakfast daily + 1 dinner in Amsterdam) For details write or call : Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 The General Alumni Board - DR. GIRARD A. GUGINO, D.D.S.,'61, President; PHYLLIS KELLY, B.A., '42, President-elect; WILLIE R. EVANS, Ed.B.'60, Vice President for Activities; JO ATHA A. DANDES, Vice President for Administration; SUSAN D. CARREL, Ph.D.'76, Vice President for Alumnae; MICHAEL F. GUERCIO, A.S.C.,'52, Vice President for Athletics; CHARLES S. TIRONE, M.D.'63, Vice President for Development & Membership; RICHARD A. RICH, B.S.'61, Vice President for Public Relations; FRANKL. GRAZIANO, D.D.S.'65, Vice President for Education Programs; ERNEST KIEFER, B.S.'55, Treasurer; Past Presidents; GEORGE VOSKERCHIAN; JAMES J. O'BRIEN, L.L.D.'55; MORLEY C. TOWNSEND, L.L.D.'45; EDMO D J. GICEWICZ, M.D.'56; ROBERT E. LIPP, L.L.D.'54; M. ROBERT KORE , L.L.D.'44; WELLS E. KNIBLOE, J.D.'50. Medical Alumni Association Officers: DRS. JAMES F. PHILLIPS, M'47, President; MICHAEL A. SULLIVAN, M'53, Vice President; W. YERBY JONES, M '24, Treasurer; MILFORD C. MALONEY, M'53, Immediate Past President. Board Members- RICHARD BERKSO , M'72; JOSEPH CAMPO, M'54; LAWRE CE M. CARDEN, M'49; NORMAN CHASSI , M'45; GEORGE FUGITT, M'45; EDMOND J. GICEWICZ, M'56, Program Committee Chairman; ROBERT W. SCHULTZ, M'65; Exhibits Chairman; CHARLES TAN ER, M'43; PAUL WEI MAN , Past President. Annual Participating Fund for Medical Education Executive Board for 1977-78-DRS. MARVIN L. BLOOM, M 43, President; HARRY G. LAFORGE, M'34, First Vice Presiden t; KEN ETH H. M. O'GORMA . M'43, Treasurer; ECKHERT, SR., M'35, Second Vice President; KEVI DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past President. 48 THE BUFFALO PHYSICIA ·---- �A Message From James F. Phillips, M'47 President Medical Alumni Association . Dear Fellow Alumni . It is with great pleasure that I invite you to personally participate m the affairs of the Medical Alumni Organization. Your individual efforts specifically contribute to the success of yo~r organization and I urge you to send in your dues as tangible evidence of your much needed and appreciated support. Dr. Phillips --- --- ----------------------------------------------------First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association Diefendorf Annex 3435 Main Street Buffalo, New York 14214 28 �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 BRO N ROBERT I • DR . 1Sb BRANT 000 ROAo BUFFALO Ny l'f2~6 THE HAPPY MEDIUM Fill out this card; spread some happiness ; spread some news ; no postage needed. (Please print or type all ent ries.) Name - - - - - - - - - - - - -- -- - - - - - - - - - - - - -- - - -- Year MD Received _ _ __ Office Address - - - - - - - - - - - - - - - - - - - - - - - - -- - - -- - - - -- - -- -- - --HomeAddress - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - -- - - - - -- - - --IfnotUB , MDreceivedhom - - - - - - - - - - - - - - - - - - - - - - -- -- - - - - - - - - - ---InPriva te Practice: Yes 0 No In Academic Medicine : Yes 0 0 Speci~tY -----------------------------­ No 0 Part Time 0 Full Time 0 School - - - -- -- - - - - - - - - - -- - - - Title Other : Medical Society Memberships: - - - - - - - - - - - - - - - - - - - - -- - - -- - -- - - - -- - NEWS : Have you changed positions , published, been involved in civic activities, had honors bestowed, etc.? - -- - - Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Spring 1977 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1977-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-271, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1977-01-Spring Table Of Contents A list of subunits of the resource. Dean Naughton's Message Nine Class Reunions Dr. Phillips' Message A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (Part VI B) Cancer: Its Effects on the Family of the Patient: Communication Between Physician and Patient's Family by Samuel Sanes, M.D. Immunizations Alumni Contributors, 1976 Moir Tanner Lucian Howe Award Continuing Medical Education 40th Annual Spring Clinical Days Dr. Humbert Dr. Cotlier Witebsky Memorial Lecture Dr. Carr VAH Medicine Chief Dr. Neu Dr. Miller Immunopathology of the Skin Dr. Collins New Faculty Dr. Faden Dr. Schimpfhauser The Classes Tennis Tournament Administrative Workshop People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v11n01 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/6c658fe554521aa37a8e829c6f295e70.pdf ad2cf0afd3e74123ddb74110bece8545 PDF Text Text �From the desk of Paul L. Weinmann, M.D. '54 President, Medical Alumni Association The Role of Chance As we begin a new year of activity, we might benefit from a bit of refleh~. · g · T 1s honw h ere we were; where we are now· and where we are gom presumes the ability to see things fron: differing points of view. As physicians, we realize that almost as important as the facts of existence are the opinions of those involved in that existence. If we are fortu·n~te we can cultivate a sensitivity for the feelings of others, listening Wit a " third ear" to the underlying emotional needs of those about us. Concern rather than indifference is the key. Equally important is the appreciation of the role of chance in shaping our destinies. . This summer I chanced to visit the Viennese apartment wher~ 5 '~~ mund Freud lived and conducted his practice. Just as Dr. Freud, 10 t best traditions of medicine, was a helper and guide to others, so we can be the paraclete showing the way to our patients. We try to lead .thern from sickness to health; from anxiety to confidence; from depressiOn to emotional harmony. In this time of challenge to the practice of medicine as generation~ have known it, the future will tend to become increasingly impersona with the further encroachment of third parties into the physician-patient equation. It will be to our credit for us to continue the pursuit of ~he high ideals of medicine despite the dehumanizing pressures of mstitutionalized regimentation. Let us resolve to maintain ultimate conf cern for our patients, for our colleagues and for our School 0 Medicine. :) .. �Winter 1974 Volume 8, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State U11iversity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERTS. McGRANAHA Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACKAN)A 00 ALD E. WATKINS Secretary FLORENCE MEYER CONSULT ANTS President, Medical Alumni Association DR. PAULL. WEINMANN President, Alumni Participating Fund for Medical Education OR. MARVIN BLOOM Vice President, Faculty of Health Sciences and Acting Dean, School of Medicine DR. F. CARTER PANNILL Executive Office, School of Medicine DR.CL YDE L. RA DALL Vice President, University Foundation ]OHN c. CARTER Director of Public Information ]AMES DESANTIS Director of University Publications PAULL. KANE Vice President for University Relations OR. A. WESTLEY ROWLAND 2 3 4 5 6 16 20 22 24 25 26 29 30 33 34 37 38 42 46 48 49 50 52 57 58 60 64 69 73 76 The Role of Chance (inside front cover) Dr. Naughton Named Dean Dr. Greco Gives $50,000 Diabetes, Mumps Linked Loan Fund A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (part III) by Samuel Sanes, M.D. The VA Alcoholism Clinic Honorary Degree for Dr. Neter Perinatal Medicine LARMP Grant Dr. Nunn/Dr. Seller Acupuncture PSRO Chairman/New Division Heads Rural Externship $1,330,238 Grant/Or. Albuquerque Gravity and Man Continuing Education Programs The 1978 Class Our First Professor of Chemistry, Pharmacy by Oliver P. ]ones, Ph.D., M.D. Emergency Radio System Eight Women Honored Tennis Champion Cholinergic Antagonists Clinical Microbiology 95 Faculty Promotions New Library C.A.R.E. for Critically Ill The Classes People In Memoriam Alumni Tours The cover design by Donald Watkins and the photo by Denny Atkinson focuses on the Emergency Radio System, pages 46-47. THE BUFFALO PHYSICIAN, Winter, 1974 - Volume 8, Number 4, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 197 4 by The Buffalo Physician. WINTER, 1974 1 �·, Dean Naug hton Dr. Naughton Named Dean President Robert L. Ketter has recommended to the Board of Trustees of the State University of New York that Dr. John Naughton be appointed dean of the U/ B School of Medicine beginning March 1, 1975. The 41-year-old Dr. Naughton has been dean for academic affairs at George Washington University School of Medicine and Health Sciences in Washington, D.C. for the past year. He has had 11 years experience in medical education. While much of his experience has been at George Washingtonserving as professor of medicine as well as director of the division of rehabilitation medicine and director of the Regional Rehabilitation and Trainiryg Center - he was also instructor and assistant professor of medicine at the University of Oklahoma School of Medicine, Oklahoma City; and associate professor of medicine and director of the Rehabilitation Center at the University of Illinois College of Medicine in Chicago. In addition to his expertise in medical education, Dr. Naughton has served on community and Federal projects, including the National Heart and Lung Institute Task Force on Cardiac Rehabilitation and the District of Columbia's Mayor's Task Force on Out-Patient Care. He has served in editorial positions on five professional journals and is author of some 60 papers. Dr. Naughton is a Fellow of the American College of Cardiology, the American College of Physicians, and the American College of Sports Medicine. He also received a three-year fellowship under the International Health Research Act-Social Rehabilitation Service. In addition, he has served as consultant to the Social Security Administration, Social and Rehabilitation Service, Dallas Cardiac Institute and the National Heart and Lung Institute. Society memberships include the Washington Heart Association, Association of American Medical Colleges, American College of Cardiology, American College of Sports Medicine, American Society of Internal Medicine, and the American Congress of Physical Medicine and Rehabilitation. He has also been active on committees for organizations which include the American Cancer Society of the District of Columbia, the American Medical Association, and the International Advisory Committee on Exercise and Heart Disease. In 1966, he was recipient of a National Heart Institute's Career Development Award. A native of Pennsylvania, he received the B.S. degree from St. Louis University, St. Louis, Mo. ; and the M.D. degree from the Oklahoma University. He completed his internship at George Washington University and residency in internal medicine at the University of Oklahoma Medical Center. Dr. Naughton and his wife, Margaret, have six children. The recommended appointment of Dr. Naughton would fill the position vacated in 1971 by Dr. Leroy Pesch. Dr. Clyde Randall has served as executive officer of the School of Medicine since that time. In July, Health Sciences Vice President Dr. F. Carter Pannill assumed acting deanship of the school. 2 THE BUFFALO PHYSICIAN �Dr. Greco Gives $50,000 to Medical School Dr. Pasquale A. Greco, a 1941 graduate of the U/ B Medical School and Chief of Urology at the Millard Fillmore Hospital, has established a loan fund, bearing his name, to provide loans up to $2,500.00 per academic year to qualified U/B Medical Students. Dr. Greco's gift to the University, through the U/B Foundation, Inc., of $50,000 will be directed at Junior or Senior students in the U/ B School of Medicine who are residents of Western New York, and whose performance, in the opinion of the Scholarship Committee, indicates they possess the potential . of becoming outstanding clinicians in their community. Qualified students who apply for loans to the School of Medicine will undergo a detailed need analysis which will consider how the student has financed his education thus far, and how he will be financing the remainder of his education in the future. The complete academic record of the students involved shall also be included in the need analysis. Dr. Greco, who received a student loan while attending Medical School, has always felt that the University, and particularly its Medical School, were sympathetic to his financial problems, thereby helping him to graduate. " I nurtured this thought through the years, hoping that someday I could express, in a material way, my appreciation. I feel that a student needing help would appreciate a loan, as I did, and would be happy to repay it in the future to perpetuate assistance for other deserving students." Dr. Greco hopes to encourage other physicians to make similar donations. He would like to perpetuate this kind of philanthropy, he admits. Dr. Greco, a clinical assistant professor of urology at U/ B, also serves as Chief of Urology at Emergency, and Columbus Hospitals in addition to private practice. Dr. Greco has participated in many community and philanthropic activities and was most recently commended by the National Jewish Hospital and Research Center, Denver, Colorado as their 1973 Honor Award recipient for civic and charitable work. O WINTER, 1974 3 Dr. Greco, Preside11t Ketter �Dr. Sultz Dr. Sultz Links Diabetes to Mumps Dr. Harry A. Sultz has some new evidence linking juvenile diabetes mellitus with the mumps virus. The professor of epidemiology and acting chairman of the department of social and preventive medicine at the Medical School reported his findings at the 102nd annual meeting of the American Public Health Association in New Orleans in October. Dr. Sultz said the incidence of juvenile diabetes closely paralleled the cyclic infectious disease pattern which generally peaks every seven years. " Highs and lows in the occurrence of diabetes followed those for mumps by about four years in our long-term childhood illness study based on Erie County hospital and private pediatric records for the 25year period from 1946-1971." There were no parallels between diabetes and other infectious diseases such as chickenpox, whooping cough and measles. He pointed out animal experiments and other investigations in recent years have supported the theory that diabetes- as well as a number of other degenerative diseases - may result from development of an au to immune response to so-called " slow" viruses. " The pancreas, which is the organ involved in insulin production, is particularly susceptible to the mumps virus and may harbor it for as long as four years. During this time, the organ may build up an autoimmune response which destroys insulin production and results in juvenile diabetes mellitus," Dr. Sultz said. He cautioned that the adult form of diabetes results from a completely different mechanism. Figures showing a sharp rise in the incidence of diabetes among boys during 1950-1960 may be explained by the common practice of exposing preadolescent boys to mumps to prevent possible sterility which can result from contracting the disease after puberty, Dr. Sultz observed. As part of the study, Dr. Sultz interviewed parents of about onethird of the diabetic patients to find whether their children had been exposed to mumps or contracted the disease prior to the onset of diabetes, and, if so, how long before. " Some 50 per cent of 118 cases of juvenile diabetes had been exposed to mumps or had the disease about four years before evidence of diabetes; and an additional eleven per cent had received the live virus mumps vaccine," Dr. Sultz reported. He indicated in many of the other cases, parents' recollections were vague as to whether their children had been exposed to or contracted mumps. The observed time lag and the time involved in an autoimmune reaction are consistent and strengthen the study's findings that mumps may be a cause of juvenile diabetes. But Dr. Sultz emphasized these research findings support evidence suggested by other investigators over the past half-century. " We hope virologists will pursue the question and come up with more definite answers," he said. Co-investigators on the project were Dr. Benjamin A. Hart; Dr. Maria Zielezny, U/ B assistant professor of biostatistics, and the late Dr. Edward R. Schlesinger of the University of Pittsburgh' s Graduate School of Public Health. v 4 THE BUFFALO PHYSICIAN �$16,000 Loan Fund Dr. Harry G. LaForge, a graduate of both the University at Buffalo School of Medicine and School of Pharmacy, has made $16,000 available to the U/B Foundation for use by medical students as emergency short-term loans. The $16,000 represents the funds which have accumulated in the former Medical School Student Council Loan Fund. Dr. LaForge and a 1934 classmate, Dr. J. Edwin Alford, have been trustees of this fund which has not experienced a loan default since its inception in 1935. As chairman of a campaign to increase the principal of the loan fund , Dr. LaForge is asking all former recipients to contribute amounts equal to their original loans. Dr. Pasquale Greco, a 1941 graduate of the medical school and chief of urology at the Millard Fillmore Hospital, was granted such a loan. Last month, Dr. Greco made $50,000 available to the U/ B Foundation for medical student scholarship assistance as opposed to short-term emergencies. Monies from The University at Buffalo Medical School Student Loan Fund, its new name, are available to upperclass medical students in good standing academically. Applications are in the office of the dean of the medical school. Dr. LaForge is past president of the Buffalo Academy of Obstetricians and Gynecologists and past president of the Buffalo General Hospital Medical Board. He is a Diplomate of the National Board of Medical Examiners, a Fellow of the American College of Surgeons and a Founding Fellow of the American College of Obstetrics and Gynecology. In 1944 he established another student loan fund bearing his name, from which $20,000 has been loaned to medical and pharmacy students. In 1948, he established a research fund at Buffalo General Hospital. Dr. LaForge was an associate clinical professor of medicine at U/ B from 1937 to 1972, president of the General Alumni Board in 1959-60, a member of the Annual Participating Fund for Medical Education founding committee, and a member of the University of Buffalo Council before the state merger in 1962. In 1961, Dr. LaForge received the Samuel P. Capen Award which is given annually to the alumnus who has made notable and meritorious contributions influencing the growth and improvement of the University and thereby stimulating other alumni to give active interest and material support. O WINTER, 1974 5 Dr. LaForge �A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself Part III Responses of Professional Colleagues and Co-Workers To a Physician With Disseminated Cancer By Samuel Sanes, M.D. For 1974 in the U.S.A. the A m erican Ca>JCe r S ociety projected th e fo llowing ge n e r a l s tati s ti cs on N EW C A SESI DEA THS in th e ly mph o ma leukemia g roup : Leukemia 21 ,200/ 15,300 R eticulum ce lllymph osarco ma 9900/ 7700 Multiple m ye loma 7500/ 4600 H odg kin 's Disease 6900/ 3700 Oth er lymphomas 3300/ 4400 My first two articles for The Buffalo Physician have taught me much about the rewards of being an author. (So far I haven' t run into any of the risks .) The volume of response to my articles has been gratifying. An author always likes to know that he is being read. Comments have come from fellow physicians coast-to-coast, graduates of the UB Medical School over a span of 60 years- from 1913 to 1973 - representing a variety of disciplines. They have come by word of mouth , by telephone and by letter . They have reinforced my morale. I am now - 18 months after the diagnosis of disseminated reticulum cell sarcoma and the onset of therapy - psychologically adjusted to my disease and its treatment. I am physically fairly comfortable and leading a satisfyingly active life intellectually and socially. Yet it is good to hear from old friends and former students , to know that they are thinking of me, that I am not forgotten . **** * Among the letters that I received after the publication of my first article was one from a physician and his wife , a registered nurse . Both had been students of mine in Pathology 25-30 years ago . In their letter they speculated that we might all be better health practitioners if , as students, we had experienced the many illnesses we would later have to diagnose and treat in our patients. As a teacher in medicine , nursing and medical technology, I too have toyed with the thought that such a " learning experience" would aid in the development of highly empathic physicians, nurses and technologists . It is , of course, impossible to include such a " learning experience" in the medical curriculum. Some clinical conditions are not anatomically and physiologically feasible for both sexes. The male medical student could never experience pregnancy and labor , or the female student enlargement of the prostate. Just running through those that are feasible would delay the practice of medicine indefinitely. Students would be so busy being patients that they would never have time to become medical practitioners . Then we would really have a serious shortage of physicians. Nor would such a " learning experience" really accomplish its purpose. If our students were to live to be graduated, all of the diseases they 6 THE BUFFALO PHYSICIAN �experienced would have to be completely resolvable by themselves or curable, preferably by medical means , without sequelae. This might give students more empathy with patients undergoing tension headache, URI , impacted cerumen and basal cell carcinoma, but it wouldn' t help them empathize with patients suffering from a potentially fatal disease like disseminated cancer. Such empathy couldn' t be acquired by subjecting themselves to a " learning experience" for which they were guaranteed a magical recovery or cure not available to everyone else. (What about students experiencing diagnostic procedures, like sigmoidoscopy, needle biopsy of the liver, etc. , which they will order or do on their future patients?) * **** There are, however , ways in which medical students might learn more than they now do about the physical, psychologic, social and economic problems faced by patients with chronic " incurable" diseases , including disseminated cancer. They could read - along with their scientific text books , journals, atlases and laboratory manuals- some of the general literature (fiction, poetry, autobiography, etc.) written by and about chronic " incurable" patients over the years. (Possibly this series in The Buffalo Physician could tell them something.) And is it too far-fetched to suggest that they might attend lectures or discussions at which they could hear and question a guest faculty of physicians, medical students, nurses and lay persons who have themselves had to meet, as best they could , the problems of chronic, " incurable" disease? * **** What has my own " learning experience" taught me about how to respond to another patient - particularly a professional colleague with disseminated cancer? On the basis of that experience, and contacts with other physicianpatients, I have formulated a list of " woulds " and " would nots." Here are five from that list. -I WOULD keep in touch with him , particularly during critical periods of his illness. -I WOULD NOT necessarily express my assurance and good wishes in the conventional ways that symbolize remembrance to a patient spending five to ten days in the hospital with a recoverable , controllable, curable disease. -I WOULD determine whether he welcomes the opportunity to discuss his disease and its treatment and , if so, discuss them with him . -I WOULD NOT overlook or minimize his symptomatic or physical state and assume- or pretend- that everything is the same as it was before his diagnosis and treatment. -I WOULD guard against revealing undue pessimism or offering extravagant optimism on prognosis. ***** WINTER , 1974 7 Mortality and survival i>~ lymphomaleukemia received >Jotice du ring 1974 in pri11t a>Jd on the air through reports O>l i11dividual patien ts. Three of the patien ts were well-known professionals i11 the 11ews media. �Frank McGee, N BC- T V news co mm entator and hos t on th e network's TOO A Y s how, aged 52, d ied A pril1 7, 1974, f rom multi p le m ye lo ma co mpli cat ed by pr1 eum onia. He had bee n ill and under treatm ent fo r fou r y ears. As to " keeping in touch ." In my own case, I have until now gone through one critical period - the first three months after diagnosis of disseminated reticulum cell sarcoma and the onset of treatment. My major battle was a mental and emotional one, and I needed all of the support I could get. I'm sure that support is equally necessary and appreciated in at least two other critical periods- when disseminated cancer turns resistant to available types of therapy, becomes progressive and recurring and finally when it lapses into a terminal stage. The patient with disseminated cancer who is psychologically adjusted and physically comfortable, who can do some work and carry on familial, social and community activities, has less - or no - need for special attention. His friends will sense his self-reliance and independence. It was interesting to me how the professional colleagues and coworkers who sustained me during those critical first three months sensed when I began to take hold of myself. When I reached the point where I could go it more or less alone, they stepped out of the picture and let me do so . I am sure, if I need them again , they will be there . I must say here that there are certain patients who never adjust psychologically to their disease and its treatment, even when their cancer is under therapeutic control or carries a favorable prognosis . Some openly reject the persons who try to keep in touch with them . Others accept the attention, but are so bitter and resentful that they make their friends feel guilty for being healthy. I think of a respected physician in his late 50s . Before his illness he was an easygoing, genial fellow , the life of the 10 AM staff gatherings in the hospital coffee shop, the source of most of the humor and the best of the repartee. His whole personality and behavior have changed since his diagnosis and treatment for carcinoma of the prostate with bony metastases, though the disease is still under symptomatic control after orchiectomy and with hormonal therapy. He is sullen and unpleasant. He repulses the overtures of professional colleagues and co-workers, even those closest to him. Gradually they are giving up on him. They have their own problems and responsibilities. Their time is limited, as is the fund of emotion they have to dispense. They are concluding, one after the other, that in this fast-moving world their time and emotion are best spent on those who need and welcome such expenditure. *** ** As to ways of expressing assurance. I would consider the needs of the patient. The short-term hospital patient with a recoverable, controllable, curable disease can usually look forward to a full , normal life. A patient with disseminated cancer has a chronic, lingering illness. He may be homebound , even confined to a bed or wheelchair. He knows he is facing death . He is liable to feel isolated, lonely, self-absorbed and depressed at times . Let me illustrate the point I am trying to make by referring to the 8 THE BUFFALO PHYSICIAN �commonest ways of expressing assurance - flowers , greeting cards and visits. The bouquet of freshly-cut flowers will cheer the disseminated cancer patient as it does the short-term hospital patient, but only for a brief time. It lasts just a few days . Watching the flowers wither and die may even remind an introspective cancer patient with a bent toward thinking symbolically of his own mortality. A plant, a terrarium or a dish garden, on the other hand , will last indefinitely, signifying persistent survival. It symbolizes remembrance over a long period. Tending it, watching it grow, the patient sees it as a friend . He is drawn out of himself. The continuing life of the plant cheers him , gives him a more optimistic outlook on his own life. So, too, the greeting card that bids the short-term patient " have a speedy recovery" or cracks wise about illness is obviously inappropriate for the patient who is never go ing to get well. And the verses and sentiments on cards designed specifically for the " incurable" are often enough to plunge such a patient into a deeper depression than that which he has yet experienced. But why send a card at all? There are other ways to get a message of assurance over. A letter or note will serve. It need not be a lengthy one on formal stationery. Indeed a couple of sentences of remembrance and encouragement can be written on a prescription blank. A postcard sent from a trip to an out-of-town meeting brings the world of medicine closer, for a moment, to the patient who can no longer participate actively in it. So does a copy of the monthly newsletter of the hospital where he had been a staff member or a clipping from a newspaper or medical journal on some topic of interest to him. In visiting a chronic cancer patient, particularly in a critical period, you have to play it by ear or take a cue from his wife. There are times when he will want you to stick around , when he'll want to hold on to your company. Other times , when he is having symptoms from his disease or sideeffects from his treatment, a visit must be brief. (Toward the end the patient may choose to see only those closest to him.) If it is impossible to find time to visit him in person, he - or his wife, who needs support too- will welcome a telephone call. It is important not to promise offhandedly a visit or a phone call and then fail to make it. Anticipation that is not fulfilled may add " disappointment" to the patient's depressive feelings. **** * A husband and wife, both physicians, have exemplified to me the best possible course for dealing with a professional colleague and friend with disseminated cancer and the side-effects of treatment. As soon as they learned of my diagnosis , they got in touch with me and kept in touch frequently through those critical first three months. They phoned me, or my wife, regularly. They were always solicitous and reasonably hopeful. When they went out of town they sent me postcards. WINTER , 1974 9 Stewart Alsop, political c• <m11ist for NEWSWEEK magazine, aged 60, died May 26, 1974, from myeloblastic leukemia. His disease had been first diagnosed in July, 1971. Mr. Alsop wrote the story of his illness in a book, perfectly titled "Stay of Execution." �They have a farm where they spend their weekends. Each Sunday evening, on their way home, they stopped for a few minutes to talk of what had been happening and to leave gifts of their homegrown produce -cucumbers, squash, zucchini, tomatoes. A large, expensive bouquet of long-stemmed American Beauty roses wouldn' t have meant so much. As I improved psychologically and physically, their visits and calls were less frequent, but they still kept in touch. >t Barry Bingham ]r., since 1971 editor and pub lisher of the Louisville, Ky., m orning COURIER -JOURNAL and the evening TIMES, aged 40, w as discovered to have H odg kin 's Disease not long after he too k over th e newspapers. With apparently successf ul treatm ent " he's been on the job daily fo r m ore than two years now ." T oday 's "cure rate" fo r Hod g kin 's Disease, Stage 1- 11, is over 70%; the fiveyear surv iva l rate fo r adv anced stages is over 5 0 %. ~ ~- . :_. •' .. **** Parenthetically - while on the subject of ways of expressing assurance- professional colleagues in general seemed less attuned to my mental and emotional needs during those critical first three months than did my co-workers in nursing, social service, medical technology and medical illustration and photography. A social worker in the cancer institute, a woman with a medical background who, some years ago, had audited my lectures in sophomore Pathology, accidentally discovered that I was a patient. Unknown to me she kept a record of my appointments in the lymphoma-leukemia clinic. Whenever I went in, she would " just happen" to run into me and we would talk for ten or fifteen minutes. Those seemingly " chance encounters" were very supportive to me. The president of the local association of medical technologists called on me at home during the early course of my disease, bringing a message, and a remembrance, on behalf of herself and the membership. How often, I wonder, do medical groups take official cognizance of a member with a chronic, long-term, confining, incapacitating, debilitating, potentially fatal illness? As to discussions and conversations. Some physician-patients with disseminated cancer, I have found , want to talk openly about their disease with their professional colleagues. They feel frustrated when a visitor skirts the subject, talking of everything else instead. This is not true of all patients. One physician I knew would burst into tears whenever the word " cancer" was brought up in his presence, even if no reference was made to his own condition. On the other hand, I personally welcomed the opportunity to discuss my disease and its treatment openly and frankly with my fellow physicians. (Perhaps it was the medical teacher in me coming out.) Discussion of my experiences was a catharsis. It helped me accept the reality of my plight and made adjustment easier. Yet hardly any of my professional colleagues ever broached the subject of my disease during our conversations in visits at my home or when we ran into each other outside. If I raised the subject myself, I could see that it made some uncomfortable, ill at ease. They quickly changed the subject or direction of the conversation. If they did mention my illness, they resorted to euphemisms rather than calling it by its name, " cancer," or " reticulum cell sarcoma." Even after I had become somewhat adjusted psychologically, the 10 THE BUFFALO PHYSICIAN �evasive, euphemistic responses of my colleagues bothered me. They nullified the purpose of our conversations. Instead of bringing us together, those conversations left me feeling not only isolated but also alienated from the person who was talking to me. It was as if there was a glass curtain between us. Inwardly I found myself sympathizing with professional colleagues as I noted their difficulties in sympathizing with me outwardly. Sometimes it worried me that they seemed more scared than I was. Could it be, I wondered, that they knew something I didn ' t know about my diagnosis and prognosis - something from which they were trying to protect me by their silence? Four examples will illustrate what I mean. -One colleague of long standing with whom I had always had a close relationship came up to my wife and me at a public dinner. He chatted with her for several minutes, never acknowledging my presence. To him, I thought, I am already a ghost. (And I wasn' t being paranoid.) -One physician on a visit to my home talked to me for half an hour about everything except my disease. Then, when I left the room but was not out of earshot, he questioned my wife sotto voce about all of the things he had been afraid to ask me. -One morning while waiting my turn for a checkup at the cancer institute I recognized in the corridor an out-of-town physician whom I had known for years. I went up to him and inquired what he was doing there. He had brought in a patient for consultation, he replied. He didn' t ask why I was there but, assuming that he might be curious, I told him. " Yeah, yeah ," he muttered. " I heard some time ago that you had a problem. " And without adding more he reverted to talk about his patient. -Another physician, when I told him of my diagnosis, subjected me to a careful clinical history. Then, on leaving, he said: " That's it. That's all. This is the last time I' ll ever mention your condition to you ." From a conversational standpoint, the best thing that happened to me during the early months of my disease was developing shingles. Here was something professional colleagues and co-workers, as well as lay persons, could converse about freely, relate to, identify with. They had no inhibitions, embarrassment or aversion. Indeed , they seemed eager to discuss the subject, relaxed about it. For my shingles they gave me the empathy and assurance they couldn ' t express for my cancer. ** *** As to gaug ing the patient's symptomatic and physical state. It's easy for a healthy, active professional colleague to overlook or minimize that state. How a patient responds to a colleague's attentions will often depend on how he is feeling or looking at the time. If his response is less than enthusiastic, that doesn' t mean that it will always be. In my own case, I suspect that I lost friends, during the first three months after my diagnosis and onset of treatment, by my refusal of luncheon and dinner invitations. In the American culture, one of the ways to show attention , WINTER, 1974 11 Lym phoma- leukemia as a group is the most frequent type of cancer among high school, college and graduate school (illcludill!( that of medicine) students. Fo r 1974 the 11atio11al pri11t a11d televisio11 news services featured high school gradu atio11 stories 011 studen ts with Hodgkin's Disease and leukemia. The AP told of 17-year-old Ci11dy Co11way, Dallas, Texas, who received her diploma in a hospital bed where she had spe11t the last two mo11ths of the school year. The or(~i11al dia.~11os is of Hodgki11's Disease had bee11 made about twc years previously. �Th e m ost fam ous American reported in 1974 as a patient with " lymph oma" was Charles A. Lindberg h. A ged 72, he died Aug. 26 f rom "can ce r of th e lymphatic sys tem ." Th e disease, of one y ear's duratio n, bega n w ith s hing les and loss of we(~ ht. goodwill or kindness is to invite someone to eat with you . On the surface, such an invitation is a good idea for the patient with disseminated cancer, who needs to get out and see other people, to get his mind off his own problems. But radiation and chemotherapy may produce a variety of sideeffects . They should be taken into account by the person who proffers a luncheon or dinner invitation. For three weeks during radiation treatment, because of painful dysphagia from pharyngitis, I lived on macaroni and milk. I had a dry mouth , loss and perversion of taste. I was constantly nauseated. Food was my least concern. I just could not have savored a lavish gourmet meal preceded by cocktails. (Incidentally, alcohol may be a social lubricant but physically it is not an emollient for radiation pharyngitis .) Certain of the luncheon-dinner invitations from professional colleagues that I declined during those weeks were never repeated. Those who had made them obviously did not understand the reason for my declining their invitations and were hurt because I did so. (Their attitude prompted remorse on my part, further contributing to my psychological difficulties.) Such lack of understanding was compounded in some colleagues by their obviously hyperbolic cheerfulness about my general symptomatic and physical state. " Boy, do you look great! " one physician exclaimed boisterously, slapping me on the back. I had lost about 15 pounds in three weeks under radiation therapy . I was still wearing a shirt with a size 17 collar on a neck that a size 16 might have fitted loosely. The posterior part of my scalp exposed a saucer-sized irregular area of alopecia. My hemoglobin had dropped from 15 to 11 grams and my hematocrit from 49 to 35 . When I looked in the mirror before starting to shave in the morning I saw a face that could have served as a model for the tragic ~ide of the mask of Drama . " What do you say to someone like that?" I asked another patient with active recurring lymphoma of 11 years duration , a man who was under continuing chemotherapy with constant side-effects. The patient, who before his illness had been an administrator in a school of medicine , answered : " Outwardly I accept the remark graciously and gratefully . But inside myself I think bitterly ' I only wish I felt that great. ' " A recent report noted that cancer patients " loathed being told by families and friends how well they were looking when they knew they were looking and feeling bad. " * *** * As to revealing in any way, even unconsciously, attitudes on prog nosis. I would not add to a physician-patient's burden by undue pessimism (some M .D .s, particularly when a colleague is concerned , just naturally equate cancer with " that's the end" ) nor would I offend his intelligence with extravagant optimism. Unless his disease is therapy-resistant or terminal , the average physician with disseminated cancer clings to what hope - however tenuous- there is for control rather than cure of his type of lesion , just as other patients do. (The sick physician is first of all a patient.) 12 THE BUFFALO PHYSICIAN �But because of his scientific training and background , he knows better than they do (if he' s thinking straight) how serious his disease is and cannot be fooled by breezy overstatement of hope. A physician-patient reacts not only to what his professional colleagues (including those taking care of him) say about prognosis but how they say it. He finds clues in their facial expressions, vocal inflections , pauses and interruptions in conversation, physical gestures. Even when he is reasonably well-adjusted , he is vulnerable to any indication of hopelessness. I still remember three instances from the early months of my illness. -A physician whom I met on the street spoke of everything but my diagnosis . Then, in parting, he clasped my hand tightly. Solemn-faced, he softly bade me " Good luck, take care." -Another physician telephoned me after learning about my reticulum cell sarcoma. He asked how I was feeling. When I replied automatically, in the socially-expected manner, " Fine," he paused perceptibly. Then, with what seemed to me a note of surprise and skepticism, he exclaimed, " Really!?" -And there was the pathologist who interrupted our matter-of-fact conversation about my condition to ask abruptly , in his best " mortalityreview" manner , " By the way, Sam, how old are you now?" Extravagant, breezy optimism on prognosis can be just as bad as , if not worse than, undue pessimism, since it assumes that the patient is not really too bright and can be fooled . About ten days after my first biopsy, an internist who knew of my diagnosis came up to me in the hospital corridor. I had just had my sutures removed and was on my way to pay a social visit to the Pathology Department. I was yet to be checked for the extent of my disease upon which treatment and prognosis would depend . " Reticulum cell sarcoma - nothing to worry about," the internist told me confidently. " A few shots of X-ray and you 'll be home free. I have several patients with reticulum cell sarcoma who are doing fine. They have never required drugs. In fact, one young fellow who was diagnosed about 15 years ago has gone all this time without any treatment and is still playing tennis. " (My first thought, as a pathologist, though retired , was 'T d like to review the slides .") Eight months later I met the same internist in the same corridor. And I learned that breezy optimism was his approach to d isease in others - not in himself. This time he was so preoccupied that he almost didn' t see me. When he did, he made only the most superficial inquiry about how I was doing before blurting out: ' Tm on my way to the Pathology Department to find out the result on a specimen I left there. Two days ago a dermatologist removed a small brown lesion from the skin of my left temple. He's considering " cancer" as a possible diagnosis . Believe me, I'm scared to death . I want to get the pathologist's opinion as soon as possible. " That he did - and the opinion of two other pathologists as well. Their diagnosis was unanimous: " Pigmented seborrheic keratosis - benign. " ***** I shall always remember with gratitude and affection all of the WINTER, 1974 13 During 1974 th e m os t w ide ly-p ublicized case of lymphoma in a physicia n was that of Or. Jus tin]. Ste in, th e yea r's p residen t of the American Cance r S ociety. In 1945 Or. S te in had surgery an d radiatio n th erapy fo r reticulum cell sarcoma of h is righ t axilla. He w as told by hi.< 11hysicians that his chan ces of survival for even as lo ng as one year we re "very poo r." Now, 29 years later, Or. Stein, f ree of disease, is p rofessor of Radio log y and chairman of the Cance r Co mmittee at U CLA S ch oo l of M edicine. �During 1974 the lymphoma-leukemia group not only made the newsprint columns and radio- TV programs but also the pages of national and international history. Georges Pompidou, president of France, aged 62, died April 2, 1974, from multiple myeloma. In 1969 on entering the presidency he appeared in excellent health. In mid-1973, external effects of his disease and treatment were evident. Publicly President Pompidou put on a casual, witty, courageous front. To his wife he confided, " I didn 't think that anyone could suffer so much." He was informed of impending death by his son, who is a physician . professional colleagues and co-workers who have responded to me in any way during the year and a half course of my disease . (for those in examples I've cited , I fully understand the mental and emotional obstacles which blocked their relating to me freely and easily, openly and frankly . Some, I'm sure, were caught between their desire to comfort and the fear of causing hurt.) Let me tell you specifically about four colleagues whose attentions were particularly helpful during the critical first three months after my diagnosis and the onset of radiation treatment. Each had a distinctive professional relationship to me. They were : -An 83-year-old gastroenterologist who had been my teacher in medical school and with whom I had maintained a friendship for 45 years. -A 68-year-old out-of-Buffalo surgeon who had been my resident in gynecology when I was an intern. -A 41-year-old pathologist who had served his residency in the department of which I was a director and had subsequently been associated with me in practice and teaching. -A 25-year-old intern who had been a sophomore student in my laboratory section the year I retired from UB 's Department of Pathology. The gastroenterologist, with health problems of his own , was unable to visit me personally because he had given up driving an automobile. He telephoned me immediately after he learned of my diagnosis . from then on he called me or my wife two or three times a week with words of encouragement. He informed me of patients with a similar diagnosis who were responding to treatment. He kept alive my interest in medicine by asking my opinion on patients whom he was seeing, by quizzing me on material from the medical literature he had read , by seeking my impressions on matters of medical interest in the daily newspaper. The out-of-town surgeon, suffering from a serious brain lesion himself , wrote regular letters in a shaky script, telephoned long distance when he could no longer write legibly and once came to see me , accompanied by his wife, driven by a university student whom he had employed as a chauffeur. We had an agreement that if I came across reports of anything new concerning his disease I would let him know immediately and he would do the same for me. We argued about our prognoses. He maintained that disseminated reticulum cell sarcoma - because of the availability of radiation treatment, chemotherapy and immunotherapy- had a chance for a better outcome than the lesion which afflicted him. He died a year ago , several weeks after a craniotomy from which he never rallied. The pathologist telephoned regularly, dropped in unannounced for brief visits and occasionally came to spend the evening. In the three months after diagnosis and onset of treatment, he was the only personal link I had with what had been my professional world for 42 years . The intern is himself a patient with Hodgkin's Disease, which was diagnosed when he was a sophomore student in the last laboratory section I taught before retirement. He told me about his disease at that time and I visited him when he was hospitalized for a staging laparotomy and splenectomy. With his disease under control, he finished medical school, was 14 THE BUFFALO PHYSICIAN �graduated and took an internship outside of Buffalo. Somehow he heard about my diagnosis of disseminated reticulum cell sarcoma and wrote me in May, 1973. (I have also received mail from him since then.) Each word, coming from a former student who had been through it all himself - diagnosis, treatment, side effects, psychologic struggle was loaded for me with empathy and assurance. He wrote: " Dear Dr. Sanes : " I have heard through the medical grapevine of your illness and can' t tell you what shocking news that was to me. To be faced with malignancy is never an easy experience, but to have this burden so soon after starting a ' new' life makes matters so much more difficult. " I have felt the fear and frustration that you feel now. I know very well what it is like to wonder what the future will bring. " I understand that you are responding well to therapy and that chances for cure are excellent. I pray that you will continue to do well and trust that you will return to active life when the stresses of ex hausting therapy are no longer there. " ' Carpe diem.' We must learn to appreciate each day and prize each opportunity to enjoy our lives and loved ones. " " Fondest regards to Mrs. Sanes." References and photo-credits American Cancer Society (Stein , statistics); Am. ]. Nurs ing 74 #4 650-651 , A pril '74; Bu ffa lo Evening News (M cGee, Alsop, Lindbergh, Conway); N ewsweek, April 8, ' 74 (Pom pidou ); New Y ork Tim es, April 3, '74, Aug. 2 7, '74 (Pompidou, Lindberg h); SUNYAB, D ep t. of M edical illustration; T ime April15, '74 (Pompidou); W all Street Journal, July 11, '74 (Bingham ). WINTER , 1974 15 A case of lymphoma also played a role in American presidential history. After President William McKinley was shot at the Pan-American Exposition in Bu f falo Sept. 6, 1901, Or. Roswell Park, the city's fo remost surgeon, was sought to handle the emergency. But Or. Park was 20 miles away at Niagara Falls, N . Y . Memorial Hospital op e rating on a man for lymphoma of the neck. By the time he reached Bu ffalo v ia train a hastily assem bled g rou p of p hysicians had nearly f inished an abdominal operation 011 the President. T hey had dec led to ~o ahead rather than wait fo r Or. Park "But fo r a lymphoma," someone might muse, " would President M cKinley, the U.S.A. and the world have fared di f ferently ?" �A patient and Ka thy Frank, R.N., check with secretary Debbie Bessner about an upcoming appoin tment at the clinic's info rmation headquarters. The Alcoholism Clinic at the VA Hospital 11 A learning atmosphere for patients. " This is the approach that has been successful the last two and one-half years at Buffalo's VA Hospital in treating veterans who have an alcoholism problem. " It is important that our patients see others in the clinic who are doing well. We also want to keep our operation relatively small so we won' t lose person to person contact," Dr. Lucille Lewandowski, clinic director said . She is also a clinical instructor in psychiatry at the Medical School. " Detoxification, rehabilitation and changing the veterans ' life style are the major goals of the alcoholism clinic. It is important that the veteran has enough confidence in our staff to come back often for visits. We must motivate him and try to help him. We want to return the veteran to normal life as a useful and productive citizen." 16 Dr. Lewandowski encourages family members to attend Al-Anon meetings so they can learn how to adjust to living with an alcoholic. These meetings are run by people who are living with and coping with an alcoholic. Since the clinic opened July 1 , 1972, the 40bed ward has been full . The average stay is six weeks , but some stay longer depending on their needs. Repeaters stay only a few days , according to Dr. Lewandowski . " We also treat about 200 outpatients, who come back regularly for medication and counseling. " We have a staff of 24 th'at includes five volunteers , two physicians, six nurses and six nurses ' aids and one psychologist, social worker, counselor, recreation director and secretary. Two third-year medical students had summer fellowships in the clinic, and two first year and THE BUFFALO PHYSICIAN �John Fallon, chief of manual arts therapy, and a patient discuss a project. An in formal meeting with some of the staff - Linda Buczkowski, recreation therapist, Judy Blackley, R.N., Celma Be ll, rehabilitatio n technician, Dr. Lewandows ki, clinic director, and John Tardin o, third y ear m edical student. WINTER, 1974 several second year students spent one semester in the clinic last spring as their electives. From September 1973 to May 1974, four physiology trainees and a social work student did a major portion of their field work in our program. " Eight of the 40 beds are located in a " detoxification area" close to the nurses ' station for patients who require immediate and intensive care. Patients in this area receive treatment designed toward the safe withdrawal from the chronic misuse of alcohol. Other beds are for patients in progressive stages of recovery: -Restricted patients who are out of " detoxification" but continue to need close observation and care by the staff. They are restricted to the ward proper. They may not leave the ward unless escorted by a staff member. -Patients with " modified privileges" who still need close observation, but are permitted to leave the ward escorted by another " privileged" patient with prior consent (only) of the nurse in charge of the ward. -Patients with " full privileges." These patients are permitted to leave the ward (without escort) and have general access to other areas of the hospital such as patients' dining room, hospital recreation areas, library, canteen service, hospital movies and entertainments, etc. When leaving the ward, these patients must at all times sign out, giving time and destination. The only criteria for entering the clinic is veteran status and some indication of an alcohol problem. " And of course the person must be willing to come in. We won' t take a person who is too disturbed for our open setting and fortunately we haven' t had many of these. " �T wo patients in the recreation therapy room. The VA regards alcoholism as an illness and the administration of this hospital has been most helpful in organizing and maintaining the clinic. " Another of our aims is to restore the patient to the best possible physical condition. The full medical facilities of the hospital - special clinics, X-ray, operating facilities , psychiatric treatment, cardiology, etc. - are utilized to the same extent as for patients in any other ward of the hospital," Dr. Lewandowski said. " At least one-half of our patients are employed and another 25 per cent are on a pension. Probably only about 10 per cent are employable, but chose not to work. " Every Thursday an employment counselor from the New York State Employment Agency comes to the VA to visit with patients about job opportunities. " The first 10 days is the worst for the patient because he is restless and irritable while withdrawing from alcohol. Then it becomes easier and he usually wants to stay. He usually becomes involved in group meetings and recreation activities and other types of therapy. " There are no ' half-way houses' in Buffalo and this is a major problem in rehabilitation. Mrs. " Boots" Cad man, head nu rse, checks medication with a patient. Two patients w ith Duane Lafferty (righ t), manual arts therapist, discuss some light assembly work in th e Compensated W ork Th erapy Lab. THE BUFFALO PHYSICIAN �R ehabilitation technician ]ames Kn obloch (fo urth f rom left) leads a g roup therapy session on " respect." You can' t expect a person to survive in a room," the clinic director said. There is a wide range of activities for the patient to help him become a more responsible citizen. Four days a week there are small group therapy and problem solving meetings and AA meetings. Each group meeting is moderated by one or more staff members designated as " group leaders" . The meetings are designed to enable patients to participate in small group discussions aimed at their individual and group improvement. Other therapeutic activities include- leather and rug making; wood, metal and plastics work; corrective therapy and electronics and educational improvement. There are also recreational activities - pool, cards, table tennis, puzzles, painting, golf and bowling. Other hospital facilities and services are available such as Chaplain Services, social services, canteen, library, lounges, barber shop, etc. Marital counseling and family therapy are also offered. After two or three weeks in the hospital, patients may take passes to go home for one day or a weekend. Toward the end of hospitalization, patient and staff decide on a suitable discharge date. Some patients go to work and return to the hospital to stay for a short period, while others come to the hospital in the morning and return home at night. After discharge, patients are encouraged to return periodically for individual sessions, group therapy or medication. Dr. Lewandowski is a 1954 Medical School graduate (she received her BA in History in 1952 after entering Medical School). She interned and took her residency in general practice at the Millard Fillmore Hospital, 1954-56. She practiced in Arcade for two and one-half years (1956-59) and then spent two and one-half years in Saudi Arabia with the Arabian American Oil Company. In 1964 she became associated with the Buffalo State Hospital as a psychiatric resident, and in 1967 started the alcoholism program there. In 1972 she moved to the VA Hospital to work in general psychiatry and the alcohol program. Her present position is chief of alcohol and drug programs. An informal con terence w ith pa tients, staff and m edica/ students. WINTER , 1974 �Stephen Neter, Mrs. Neter, Or. Urbaschek Dr. Neter Receiv es Honorary Degree It was one of the most memorable days in his entire life. As Dr. Erwin Neter accepted the honorary degree bestowed on him by the University of Heidelberg he turned to its director of immunology and serology who had flown to Buffalo for the occasion and thanked Dr. Bernhard U rbaschek for his "very moving words. " To his wife louise there was an acknowledgment for " all you have done for me." And to Stephen who had come from California an expression of pleasure that his son could be there. He reflected on his years as a student in Heidelberg where he had earned a Doctor of Medicine degree in 1934 and years later a gold medal for his contributions in research. It was here where he met his future teacher, the late Dr. Ernest Witebsky. In sharing thoughts on his many years as part of the department of microbiology now headed by Dr. Felix Milgram and of pediatrics by Dr. Jean Cortner, there was recognition that both of these departments and the Medical School have given him "one of my most precious gifts that academic institutions can providean atmosphere in which research can progress in a clinical setting. " 20 THE BUFFALO PHYSICIAN �There were acknowledgments by others. From vice president for health sciences and acting dean of the Medical School Dr. F. Carter Pannil! there was an expression of pride that " we at the University are part of this significant mark in the events of one of our faculty. " From Dr. Urbaschek how honored he was to present to " one who can apply his research to clinical medicine, to think, act, critically analyze scientific knowledge. " And from Children's Hospital Board of Managers' President and German Consul, Mrs. Nathaniel A . Barrell, congratulations also. Dr. Neter is professor of microbiology and of clinical microbiology as well as a member of the Center for Immunology at the University. He is also director of bacteriology at Children's Hospital, and consultant bacteriologist at Roswell Park Memorial Institute. He came to Buffalo in 1936 as a resident under the late Dr. Witebsky and has been on the faculty ever since. Past president of the New York State Association of Public Health Laboratories as well as the Western New York Branch of American Society for Microbiology, Dr. Neter has served as chairman of the Medical Division, Society of American Bacteriologists; the Laboratory Section of American Public Health Association, the New York State Association of Public Health Laboratories and the Western New York Branch of American Society for Microbiology. He has also been an active member in many local, national, and international scientific and professional associations and organizations and has served on numerous editorial boards, scientific advisory and clinical laboratory committees. Among his honorary memberships is the Deutsche Gesellschaft fiir Hygiene und Mikrobiologie. In November when Dr. Neter was in Heidelberg as a visiting professor, another ceremony was held. Drs. Urbaschek , Neter WINTER, 197 4 21 �Perinatal Medicine There is still not enough information available on how well a baby is doing before it is born. That is what a team of experts reported to more than 300 pediatricians and nurses during a two-day conference on perinatal medicine. While advances are being made there are also setbacks . From Dr. Sumner Yaffe, professor of pediatrics, they learned of the problems of drugs and the fetus. " There is a high prescription and consumption of drugs by the mother during pregnancy," the professor of pediatrics at the State University at Buffalo said. " But we do not have the faintest idea whether they are safe enough for her to take. " He pointed to congenital malformations in the fetus that may lead to a high perinatal morbidity/ mortality rate. " We need more information concerning safe drug usage if we are to have better fetal diagnoses ," he said . " For what is the point of taking drugs if you can' t tell what is happening?" The problem becomes an even greater one as Federal regulations get more and more stringent regardi,ng research on the fetus. From Brown University' s Dr. Robert Schwartz there was caution on how little we know about metabolism in the newborn. " While we know a great deal on adults our knowledge of the young child is still limited to inferential understanding from animal studies. There has been progress over the past decade. We are now able to measure chemical data through new technology and we know that good care is now required. " He pointed to studies that have identified a variety of parameters. Nutrients , he said, are one example. While studies on prolonged starvation show the ability of the adult brain to metabolize nutrients other than glucose he feels it is still the most important substance. " There is no direct data on the premature or newborn ," he continued . " Only in the very young child are we certain that the brain metabolizes ketones. " He warned against drawing conclusions from these studies as to the newborn. " We need to develop newer techniques before we can. And until we have them from a therapeutic point of view glucose remains the preferred substrate. There must be meticulous attention to its rate of administration in those who cannot be fed by mouth. " Good nurses, he feels , can look at these parameters. "We do not have to wait for clinical symptomatology in the patient," he said. Regarding the infant of a diabetic mother, Dr. Schwartz pointed to data that supports the Pedersen hypothesis where " we have an overfed baby with higher insulin levels, one more prone to extreme hypoglycemia following delivery and loaded with glycogen/adipose tissue not mobilized to supply fatty acids for energy. We have a baby with lots of extra insulin it should not have at this time, " he said. Unexplained is the high incidence of congenital anomalies occurring in such infants. He called for early detection of the diabetic mother as well as meticulous control of maternal blood glucose to prevent any secondary metabolic disturbance in the fetus. In those centers where there is such rigid control, perinatal morbidity/ mortality has diminished. From Columbia College of Physicians and Surgeons Dr. L. Stanley James came a plea for early education of the public, identifying the high risk patient, and setting up clinics where all those interested in the fetus , 22 THE BUFFALO PHYSICIAN �in nutrition, and in helping the high-risk patient are available. But equally important, the chairman of the American Academy of Pediatrics' Committee on Fetus and Newborn said, is a need for closer surveillance during labor. While monitoring techniques can have a significant impact on both mortality/ morbidity, it is essential that the health care team interpret and implement the data correctly. From the National Institute of Health' s Dr. Ronald A. Chez came a report on better ways to determine how well the fetus is doing in utero. "Rate/rhythm pattern may be important to the condition of the newborn. " A bad sign, he feels, would be a gasping pattern. It suggests premature delivery, even Caesarean section of necessary. In pre-ejection patterns he feels that the action today is on determining fetal pH noninvasively. " If we can get going on this it will be of great help." Case Western Reserve's Dr. Marshall H. Klaus reported results from a study on the very close but firm bond of attachment of mother to child. Starting with animal studies with its different species behavior he noted that " we have come to realize that nature has not left survival of a species to chance but has instead provided intricate mechanisms which trigger maternal behavior in females and thus insure the care of their young." The professor of pediatrics and director of nurseries feels there is some chemical factor involved in mothering that can point to human studies. For in 70 percent of all cultures studied he found mothers/ babies to be isolated from the group immediately after birth. An exciting development in the newborn, Dr. Klaus said, is its ability after just one hour of life to follow an object at 180 degrees . All pathways, he feels, are present in the newborn whose rhythmic movement is a response to sound. There is a need to promote an " en face" mechanism between mother and baby. So important is this one-to-one relationship where mother' s eyes lock onto baby's that most mothers of twins tend to dress them alike. It is best, he stressed, to encourage them to dress twins differently. In this country he noted the difficulty of a bereaved mother to mourn. " If she wants to touch or see her dead baby she should be allowed to do so," he said. In need of special help, grandparents should be enlisted to help during this period. Unless the parents cry during this period of grief- it usually takes about eight months- he feels it will be a failure. As to a malformation problem, mothers need to mourn, to grieve as they make the transition from normal babies they should have had to abnormal ones. He noted that the sequence that parents must go through takes many days. If they do not they may end up separating. During labor Dr. Klaus pointed to the taking away of mother's independence and transferring it to the obstetrician. Important then becomes the need for mother/ father/ baby to become acquainted, to be left in privacy immediately following delivery. The fragile attachment following delivery and subsequent separation of a premature or sick baby from mother is traumatic. In most cases the mother thinks that her baby will die. " What we hope for in the future," he said, " is that mother will be able to accompany baby if transfer to another institution becomes necessary." WINTER, 1974 23 �But, notes Dr. Klaus, the father can also help a newborn to adjust. Important during the first two weeks of a newborn's life, he emphasized, is for the mother to touch her baby all over, to " send a message to your baby who sees and hears you. " He noted the sensitive period for the human mother who cannot love an unresponsive baby. And if there is a fetal death, there is a four to five hour period when she as well as the hospital staff need the support of a psychologist. The two day continuing medical education conference on new horizons in neonatal medicine was sponsored by the University's department of pediatrics and the regional intensive care nursery at Children's Hospital. Drs. Yaffe and George P. Giacoia, assistant professor of pediatrics at the University, planned the program. This was the first in a planned series of annual conferences. v $182,020 Grant to LARMP In September the Lakes Area Regional Medical Program, Inc. , received an award of $182,020 from the Division of Regional Medical Programs, U.S. Department of Health, Education and Welfare, which will be used to fund five health related projects benefiting Western New York and Northwestern Pennsylvania. Dr. John R.F. Ingall, director of LARMP, pointed out that the new award will provide support through June 30, 1975. The projects are: The Regionwide Genetics Program, which will provide education and special diagnostic and counseling facilities in the nine county region of Western New York and Northwestern Pennsylvania; The Primary Care Nurse Practitioner Program, to expand the role of the nurse in the health care delivery system; Domiciliary Staff In-Service Training, to develop an in-service training program to improve services within domiciliary facilities ; The Rehabilitation of Aphasia Patients, based at W .C.A. Hospital, Jamestown, New York, the development of a regional center for the treatment of aphasic patients (speech therapy) from throughout Western New York and Northwestern Pennsylvania; the Centralized Relocation Service for the Aging, a pilot study designed to decrease the trauma among the elderly associated with relocating from one setting to a more appropriate one. O 24 THE BUFFALO PHYSICIAN �A 1955 Medical School graduate has helped establish the Tel-Med program for the Erie County Medical Society. Dr. James R. Nunn said , " Americans spend billions and billions of dollars for health care each year and yet the average person does not know very much about the diseases he gets. As organized medicine we have a responsibility to provide health education to the people in our community. That is why we began Tel-Med. " Dr. Nunn is a clinical associate in medicine and clinical assistant professor of family practice at the Medical School. He is also chairman of the Erie County Medical Society's public relations committee. Erie County is the first Tel-Med installation in New York State and the first installation to become operational on the East Coast. Tel-Med has fielded 47,239 calls since opening May 2 . One of the biggest months was July with 17,425 calls. By dialing 855-3555 and asking the Tel-Med operator for any one of approximately 180 subjects, the public can listen to a 3-7 minute tape on the subject of their choice. The information was written and approved by the physicians and dentists of Erie County. Approximately 21 organizations and more than 200 physicians and dentists participated in preparing the information contained in the tape library. Tel-Med is a boon to both doctor and patient. The physician can save his patients' office time by having the person call Tel-Med for background on the problem after diagnosis and during treatment. For the patient, it offers factual messages in a clear way, answering questions that the patient may wonder about but does not have time to read about or talk over with his doctor. Dr. James H . Cosgriff, Jr. , immediate past president of the Erie County Medical Society and clinical assistant professor of surgery at the Medical School, emphasizes what Tel-Med is, and is not. " It is designed to help the individual stay healthy by giving preventive health information. It is also aimed at helping the individual recognize early signs of illness or, if he has a serious illness, at helping adjust to it. Tel-Med should not be used in any emergency, to find out what his illness really is , or to replace his doctor. " The program 's hours of operation are from 10 a.m. to 8 p.m. Monday through Friday, from 10 a.m . to 6 p.m. Saturdays, closed Sundays and holidays. The maintenance of equipment and production of tapes is provided by the Telephone Lecture Network of the Lakes Area Regional Medical Program.() Dr. Robert H. Seller is the new professor and chairman of Family Medicine at the Medical School. He is also chairman of the Deaconess Hospital Department of Family Medicine. Dr. Seller comes to Buffalo from the Hahnemann Medical College and Hospital, Philadelphia where he was director of the division of family practice. Dr. Seller is a graduate of the University of Pennsylvania School of Medicine. He is a Fellow of the American College of Physicians and American College of Cardiology and <l member of the American Board of Internal Medicine and American Board of Family Practice.() WINTER, 197 4 25 Dr. James Nunn Dr. Seller �Dr. Mo inserting acupuncture needles into patient with arthritis of the knee. Acupuncture Is there a place for acupuncture in the treatment of chronic pain? from the Medical School's Department of Anesthesiology , headed by Dr. Ross Markello, may come some of the answers. But, Dr. Markello cautions, " It is possible that, like chiropractic, acupuncture may turn out to be largely a placebo ." During a sabbatical at the University of Washington, which has a world-renowned pain clinic, Dr. Markello became interested in the nature of chronic pain. On his return to Buffalo he felt that the unique resources here - good neural science departments - would provide a focus for studying one of the larger forms of morbidity in this country. " There are many people suffering from chronic pain, " the Buffalotrained anesthesiologist (he earned his medical degree from U.B. in 1957 and completed a residency in anesthesiology at the Meyer Hospital) said. " While many physicians are treating such patients as part of their regular practice, there is no center where they could interact for education or research. " A former department member , now residing in Toronto, recommended one of his anesthesiology residents , Dr. Benjamin Mo. " Dr. Mo's clinical interests happened to coincide with ours," Dr. Markello said. The South China Medical College graduate (1956) participated in acupuncture there during a five year residency, holds a Master's degree in pharmacology (1965} from the University of California at San Francisco, and earned an FRCP in anesthesiology in 1972 from the University in Toronto. In setting up the pain clinic at the E. J. Meyer Memorial Hospital the anesthesiologists had specific objectives in mind. First, it had to be determined whether acupuncture is more effective in relieving pain than a placebo (25-35%}. In addition to the patients' subjective responses- " I feel better" - two criteria were chosen to determine effectiveness. Is there an improvement in socio-economic status, such as return to work? Is there a decrease in oral analgesics and sedatives? During the three afternoons a week that the clinic is open, patients are evaluated by Dr. Mo in order to determine the nature of the pathology - arthritis , etc. If the physician referral letter and evaluation indicate usual forms of therapy have been exhausted, a course of acupuncture therapy is begun. Treatments may run anywhere from one to ten. Approximately 100 patients were treated in the first three months of the clinic's operation. Seventy-five to 80 percent of these patients indicated positive results. "This is better than the 33 percent accompanying a placebo," Dr. Markello, who is a Diplomate of the National Board of Medical Examiners and American Board of Anesthesiologists, says. "We therefore feel justified to continue our studies to determine those syndromes most amenable to this type of treatment." To date they have found positive results as have other pain clinics around the country for the syndromes of arthritis of the knee, low back pain, neck and shoulder pain. Other isolated syndromes including trigeminal neuralgia, herpes, and migraine headache have responded to treatment. Whether results are fortuitous or related has yet to be determined. In one instance of herpes involving the ophthalmic nerve, acupuncture was as effective as local anesthetic for relief of pain. 26 THE BUFFALO PHYSICIAN �'-C"::\_, Dr. Mo prepares a patient fo r treatm ent of low back pain. " There are two ends to the spectrum in pain syndromes," Dr. Markello notes . One end is primarily subjective such as migraine headache. It may be a long-standing response to emotional stress. " Acupuncture," Dr. Markello says, " may perhaps interrupt the series of events wherein psychologic pressure comes out as a physical symptom. " At the other end may be involvement of the central nervous system and the musculoskeletal system. " Involvement here," he continued, " may be due to the interplay between connective tissue, muscle spindles, and the gamma fibre system. This is one lead that we are seriously looking into." To determine changes in muscle tone, the anesthesiologists may use electromyography before and after acupuncture treatment. Psychiatric interviews are conducted to determine whether or not there is a psychological profile of patients seeking this type of treatment. They also hope to enlist the services of an orthopedic surgeon and a rheumatologist to evaluate mobility of joints and musculo-skeletal func tion before and after a series of treatments . " Dr. Mo has ideas in terms of performing some control experiments," Dr. Markello said. With more and more people seeking relief from pain there are no lack of patients referred to them by physicians or by word of mouth. " When we undertook this investigation," Dr. Markello said, " we were fully aware that we might be getting a number of emotionally-crippled WINTER, 197 4 27 A patient being treated fo r mig rain e headache. �i.f ?< ')"\: 11!. l -J;, ~ TK;' """"'"' .: KEY 1'!1 Ill Dr. Mo shows traditional acupuncture poin ts. patients unable to adapt or contribute to society. " With national statistics pointing to 60 percent of all patients seen in a pain clinic with emotional problems, Dr. Markello feels that " it may be the greater part of this complicated picture of pain." While the basis of pain may not be organic the patient needs a psychiatrist to evaluate the emotional aspects of his problem. " While we initially wanted to find the general response following acupuncture treatment on patients who have had the usual forms of therapy and medications, results have been sufficiently encouraging to progress to education and more intensive investigation of this art," Dr. Markello concluded. O 28 THE BUFFALO PHYSICIAN �A 1935 Medical School graduate is Chairman of the Board of the Erie Region PSRO, Inc. He is Dr. Kenneth H . Eckhert, who is also a clinical instructor in legal, social and preventive medicine at the University. The planning grant proposal for the Erie Region PSRO, Inc., was accepted June 24 by HEW for a six-month period. The Region was formed by the eight county medical societies, the Eighth District Branch, Medical Society of the State of New York and the Western New York Osteopathic Association. Mr. Warren A. Mutz, who has been executive assistant to the Medical Society of the County of Erie for the last five years, is the new PSRO Program Director. The present board of directors evolved from the PSRO Steering Committee, organized by the district branch more than one year ago, on recommendations of the area Medical and Osteopathic Societies. The directors are: Doctors Irwin Felsen, Allegany County, vice-chairman; James A. Doucett, Cattaraugus County; Dana Wheelock, Chautauqua County; Bernard M. Reen, Erie County, secretary; Bruce Baker, GenesEe County; Maria A. Crea, Niagara County; Edward E. Barrett, Orleans County; Bruno J. Tryka, Wyoming County; Duane H. Tucker, Osteopathic Society, treasurer; and Paul Sum, district branch officer. 0 PSRO Chairman New Division Heads Dr. Peter Vlad, M '58, is the new chief of the division of cardiology at Children' s Hospital and Dr. Margaret H . MacGillivray is the new head of the division of endocrinology. Both are on the Medical School faculty. Dr. Vlad who has been acting chief since the death of Dr. Edward C. Lambert is a graduate of the University of Bucharest Medical School, Rumania. He has a diploma of tropical medicine and diploma of public health and hygiene, faculty of medicine from the University of Paris. He was in charge of the department of cardiology and laboratory of cardiac catheterization at the Hospital Broussais-la-Charite in Paris, from 194951 , senior fellow in pediatrics (cardiology) at the University of Toronto, Hospital for Sick Children 1952-55, joined the staff of the Children's Hospital in the department of cardiology in 1959 when he was also appointed assistant professor of pediatrics at the Medical School. He served as director of cardiac catheterization laboratory at Children's Hospital in Buffalo from 1960-63. From 1963 to 1968 he served as chief of the division of cardiology at State University of Iowa in Iowa City. He rejoined the staff of the cardiology department at Children's Hospital in 1968. He is professor of pediatrics at the Medical School. Dr. MacGillivray is a graduate of the University of Toronto, served her intership and residency at Cedars of Lebanon Hospital in Los Angeles and was a research fellow in the division of biology, California Institute of Technology, Pasadena, California and a research fellow in metabolism and endoc rinology on the children ' s s ervice at Massachusetts General Hospital, Boston. She is associate professor in the department of pediatrics at the Medical School. She fills the position vacated by Dr. Thomas Aceto who has gone to the University of Virginia at Charlottesville. 0 WINTER, 1974 29 F 1 Dr. MacGillivray Dr. V lad , �Rural Externship Jessica Kart, senior physical th erapy student, works with a patient at the Mt. View Hospital, Lockport. I I I t was an outstanding summer experience. One that will make me a better physician. " That was the general consensus of 19 medical students who participated in the fifth annual rural externship program in Western New York. A total of 57 health sciences students from the Schools of Dentistry, Pharmacy, Nursing, Health Related Professions and Medicine participated in the program sponsored by the Lakes Area Regional Medical Program. The medical students admitted the experience made them think like a physician and relate to people and to patients. The students also had an opportunity to meet and talk to the medical commity. Several students were so excited about their experience that they are planning to come back. The students scrubbed on cases, saw surgery, made rounds and participated in emergency room procedures. Others took case histories and did routine physical examinations. A few made house calls with a physician or a public health nurse. 30 THE BUFFALO PHYSICIAN �Some preceptors gave students problems to research at the hospital's library. Several other students were exposed to group practice and were impressed with the teamwork. Another student said "the exposure to out-patient medicine was great. We participated in the treatment of allergies, headaches , warts, adhesions and other common disorders. " Another student said " it was a hands on type of experience. We could observe and do things. " The preceptors enjoyed the contact with the students. " They did not hamper our practice. Many times the students would question the things we did and the decisions we arrived at. This was a good experience for us ." The students were almost unanimous in their praise for their preceptors and how they went out of their way to help them get involved in community activities and affairs. The students liked the direct patient contact and they loved the rural living and friendly environment. They were well accepted by the health professionals and the patients in the communities where they worked and lived for two months . Other general student comments: " medical practice is quite sophisticated and very excellent; initially I held a stereotyped view of rural medicine as being inferior to or behind that of larger city hospitals. This is completely false. I discovered that small doesn' t necessarily mean inferior, and rural should not be equated with behind the times." Dr. John R. F. Ingall, director of LARMP, said " we hope some of these young people decide to settle in these communities after they graduate. " Mr. Robert Bee Bee, director of the rural extern program, listed these students and preceptors. Many of the students rotated within their respective counties. NIAGARA COUNTY- Students: Joseph Bylebyl (medicine); Mark Jan Polis (medicine); Barbara Penn (medicine); David Carl Cavallaro (podiatry) ; Elaine Jansen (medical technology); Stephen Stockton (dentistry); Jessica Kort (physical therapy) . Preceptors: Dr. Richard Carlson; Dr. Harry T. Bylebyl (Degraff Hospital); Dr. Dy Consan (Newfane Intercommunity Hospital); Gordon Mittleman, D .P.M .; Polly Artley, ASCP (Mount St. Mary's Hospital); John Kugler, D.D.S.; Hanna Juul (Mount View Hospital). CHAUTAUQUA COUNTY- Students: Margaret Mitchell (medicine) ; David B. Nash (medicine); Mark Strassberg (medicine); Kathleen Szymkowski (nutrition); Mary Costello (nursing) ; James Nord (physical therapy); F. Scott Forsberg (physical therapy) ; Peter D . Guzzetti (dentistry); Dale Voelker (dentistry); David Wuertzer (podiatry); Marsha Larson (nursing); Rita Pridgen (nursing); Albert Schlisserman (medicine); George Toufexis (medicine); Jonathan Woodcock (medicine); Bruce M. Nohejl (medicine); Joseph Tomas Felsen (medicine) ; Marc Fedder (medicine); Cheryl Raisley Nohejl (medicine); Martha Slye (hospital administration). Preceptors: George McNaughton (Brooks Memorial Hospital); Dr. Arnold Mazur (Chautauqua County Health Department); George W . Lawn, D .M ., P.T. (W.C.A. Hospital) ; Dr. F. Palmer Lindblom; Charles Sinatra, D.D.S. ; Drs. Eunice & Bert Klein ; Marilyn Hale (W.C.A. Hospital); Cynthia Dauch (Jamestown Visiting Nurses Association); Dr. H . Gregory Thorsell (W.C.A. Hospital) ; Dr. R. X. Williams (W.C.A. Hospital); Dr. Wilson Shaw; Dr. Glen Ebersole; Dr. Carl A. Hammerstrom (W .C.A . Hospital); Dr. John Voltmann (W.C.A. Hospital); Dr. Lillian Vitanza Ney (W.C.A. Hospital); Murray Marsh (W.C.A. Hospital). WINTER, 1974 31 Margaret Mitchell, 2nd year medical stud ent, examin es a patient in th e emergency roo m , Br oo ks M e m o rial Hospital, Dunkirk. Or. Wils on Shaw an d Jon athan W oodcock, 2nd year medical student, examin e at the WCA H 'J spita l, , �Mrs . Bonnie Shaw , RN, and Rita Pridgen, 4th year nursing student, in the emerg ency room , WCA Hospital , Jamestown . A briefing session for the students at LARMP headquarters. ALLEGANY CO UNTY- Students : Richard Purcell Cudahy (medicine); Marilyn Jordan (nursing) . Preceptors: Dr. Daniel Tartaglia; Wellsville Nursing Home Staff. GENESEE CO UNTY - Student : Robert Baron (public health). Preceptor: Dr. V. Markellis (Commissioner, Genesee County Health Department). Steph en Stockton, Jrd year dental stu dent, and Or. John Ku g ler of Lockp ort X- ray a patient. CATTARA UG US CO U TY - Students: Robert Krall (medicine); Victor Vena (pharmacy) ; John Norlund (medicine); Ellen To (medical technology). Preceptors: Dr. Beck (Olean Medical Group); Don Jones (St. Francis Hospital); Dr. Ovid Dean Knight ; Elaine Brown (Personnel Director , St. Francis Hospital). ERIE CO UNT Y, N .Y. - Students: Stanley Scott (dentistry) ; Warren Krutchick (dentistry) ; David Sakal (medicine). Preceptors: Robert Watson , D.D.S.; Ron Zeilin, D .D.S. ; Dr. Tim Siebel. M cKEAN CO U NTY, PA.- Students: Debra McCracken (nursing); Kim Keneske (medical records); Patti Kulka (speech pathology); Janet Schoonmaker (physical therapy); Arthur Goodman (pharmacy). Preceptors: Mrs. Dorothy Ekas, R.N. (Bradford Hospital) ; Miss Genevieve Chiodo, R.M.A . (Bradford Hospital); Miss Ann Confer (McKean Easter Seals Society); Mrs. Melody Pollock, R.P.T. (Bradford Hospital); William Killen (Bradford Hospital). WYOMING CO UNTY - Students: Leonard Wagner (medicine); Fabia Kwiecinski (medicine) ; John Yerby (medicine; Vivian Wasik (nursing); Joseph E. Graham (medicine); Susan Bruch (occupational therapy). Preceptors: Dr. Gerald Diesfeld ; R.T . Williams (Wyoming County Community Hospital); Dr. M .F. Smallwood (Wyoming County Community Hospital); Dr. F.R. Downs (Wyoming County Community Hospital); Patricia Stopen, R.N. ; Dr. Paul K. Murphy (Perry Medical Center); Gail Riley , OTR (Wyoming County Community Hospital). ERIE COUNTY, PA. - Students : Terri D. Smith (physical therapy); Helen Li (pharmacy); Candace Marie Johnson (pharmacy); George Walker (pharmacy) ; Siu-Hing Ho (pharmacy) ; W illiam Davis (pharmacy); Lucienne Conti (pharmacy) ; Rita De Philip (pharmacy) ; Joel Owerbach (pharmacy). Preceptors: Ange LaFuria (Hamot Medical Center) ; Frank Mozdy , R.P. (St. Vincent Hospital). 32 THE BUFFALO PHYSICIAN �The Lakes Area Regional Medical Program received a $1 ,330,238 federal grant to fund existing programs and four new projects. The one-year grant will be used to continue local staff and existing programs including the Telephone Lecture Network , Tumor Service Registry , Rural Laboratory Improvement, Two-county Nutrition Program (Chautauqua-Cattaraugus), Allegany County Mobile Health Unit, Emergency Medical Services, and the Rural Externship Program. The four new projects to be funded are : Regional Hypertension Screening and Follow-up Program; Health Related Household Survey of the Elderly, which will determine the health needs of Cattaraugus County 's rural elderly residents ; a comprehensive training program for the prevention and treatment of senility in older persons in McKean County , Pennsylvania; and a grant to improve the ambulatory care service at Buffalo General Hospital, and subsequently create a model ambulatory care delivery system. Dr. John R.F . lngall, LARMP director said, " the monies being released now were made available as a result of successful legal action by the Lakes Area Regional Medical Program, Inc. and the National Association of Regional Medical Programs. The monies were impounded by the Administration, but have now been freed to be applied as designated by the law." ) Dr. Albuquerque Resigns Dr. Edson X. Albuquerque, professor of pharmacology at the University resigned in June to become professor and chairman of the University of Maryland 's department of cell biology and pharmacology. He will also serve on the staff of the department of pharmacology at Johns Hopkins University and be associated with the National Institutes of Health 's department of chemistry where he will continue pioneering studies with Drs . B. Witkop and J. Daly on the complicated electrical signaling that takes place between nerve and muscle cells. A better understanding of this mechanism may help to unravel the mystery in such diseases as muscular dystrophy. The Brazilian-born and educated investigator (MD 1959; PhD summa cum laude 1962, U. of Recife) continued postdoctoral studies at the Paulista School of Medicine in Sao Paulo, Brazil; Universities of Illinois and Lund in Sweden, the Royal Veterinary College in Stockholm, and at the Woods Hole Marine Biological Institute. In 1966 he joined the department of pharmacology at U/ B as assistant research professor and four years later became a full professor. Not only have his research studies on binding of toxin to macromolecular unities of the membrane that are involved in ionic transport led to a " tool" for studying nerve/muscle signaling but to over 200 publications on muscular dystrophy, muscle degeneration , and problems of the neuromuscular transmission system. 0 WINTER, 1974 33 $1,330,238 Grant to LARMP �Gravity and Man Or. Nunneley checks cannula in artm of subject Tom Haney as William ]. Lawrence, research assistant, helps. Man today does strange things in even stranger environments. A team of Buffalo physiologists who have pioneered in studies of man as he dives ever deeper in icy waters or flies at ever higher altitudes is now able to simulate gravity, altitude, temperature, and pressure in a unique environmental physiology laboratory that took eight years to complete and is now operational. One of the questions raised by their investigations - will exercise improve man' s ability to withstand the stress of acceleration- is being answered by Dr. Sarah A. Nunneley. The former flyer who trained as a flight surgeon at NASA's Flight Research Center in the Mojave Desert, came to Buffalo three years ago. She is now taking a close look at man's cardiovascular reflexesthe mechanism by which the human body normally defends itself against the effects of acceleration and gravity. While subjects ride in a specially-designed human centrifuge at up to 3 G- three times the normal force of gravity- they are studied at rest and during two levels of exercise as they pedal a bicycle ergometer. During one level, they turn an unresisting set of pedals. For the other, a known load is added so that "the subject feels as though he' s pedaling up an endless hill," the assistant professor of physiology said. There are measurements of pulmonary gas exchange as well as cardiovascular function of subjects under all combinations of acceleration, rest, and exercise. Although she is interested in normal man and his environment- it now includes space travel- the University of Minnesota graduate (MD 1967) who completed a residency in aerospace medicine at Ohio State University and is Board-Certified, hopes that findings may also help patients whose problems arise from an inability to handle the normal stress of gravity. "When a person stands up," Dr. Nunneley explained, "his vascular system tends to increase its tone to prevent pooling of blood in the lower extremities." But when man exercises, each muscle contraction forces blood through the veins where a series of valves directs it toward the heart. This mechanism is called the peripheral pump. Fainting can be a problem for those with varicose veins. They lack some of the crucial valves, pointed out Dr. Nunneley. Even normal people faint after standing still for long periods. This is especially true in hot weather. While moving the legs can prevent the pooling of blood at 1 G, it is not known whether it will be as effective at 2 or 3 G. Test results may even be applied to high altitude pilots who will soon be asked to withstand accelerations up to 10 G for a minute or more, she said. To prevent pooling of blood they now wear protective anti-G suits. These reduce pooling by squeezing legs and abdomen with air bladders in which pressure automatically varies with G level. But such suits may prove inadequate for future needs, she explained, and other protective measures are now being sought. 34 THE BUFFALO PHYSICIAN �Everyone experiences an effective change in acceleration as they switch from lying down to standing up . " While man is lying down ," Dr. Nunneley said, " there is almost no stress on either heart or lungs ." Physiologically this position resembles what is found at " zero gravity" in outer space. But when man assumes an upright position the cardiovascular system must adjust to the pull of gravity down the body' s long axis. If the adjustment is not fast enough, then man 's vision may temporarily dim on arising too suddenly or he may even faint. In this condition known as orthostatic hypotension , there is so much pooling of blood in the lower body that not enough is available to maintain perfusion at the head level. Gravity also handicaps gas exchange in man by preventing perfusion of the upper lung. During acceleration this ventilation-perfusion " mismatch" increases, a significant amount of venous blood passes through the lungs without ever seeing fresh air , and arterial desaturation results . Patients with chronic lung disease, she explained , may have a similar problem at 1 G or normal environment. While a mild exercise may improve the situation, Dr. Nunneley feels that a heavier kind is " definitely contraindicated. " The centrifuge is a part of the laboratory for environmental physiology. Among its unusual operating and safety features -it takes just 10 seconds to go from 30 revolutions per minute to a standstill position. Fro m con trol roo m Mr. Lawrence m o nitors medical statu s of capsule occupants as it spins at 3 G . WINTER , 1974 Insid e capsule at 1 G Dr. Nunn eley co llects blood sample w hile sub ject ex ercises and expired air is co llected in balloons. �David Shindell, graduate student, secures centrifuge door. -a secondary hatch allows access to the capsule. -it takes staff personnel less than 30 seconds to reach subject. -from a crawl space technicians can reach two electric motors while centrifuge - designed, built, installed by Rocker Corp. of Oakland, California - is in operation. It not only allows investigators to study the effects of increased gravity and low pressure - the centrifuge is designed for immediate access from a suspended platform- but it supports the activities of the team investigating underwater physiology and swimming. (Vol. 6, No.4, pp. 60) It is the result of several years of planning and reflects the contributions of members of the department of physiology and the School of Engineering including Drs. John V. Huddleston and Ralph E. Rumer who were involved in its design from the earliest stages. During these experiments, two people- the subject who is a paid volunteer and an observer who wears an anti-C suit - ride in the biomedical centrifuge. This capsule is surrounded by a 60.4 meter circumference swimming basin and running track. It whirls on the end of a 21-foot arm to create accelerations and can reach a maximum speed of 31 revolutions per minute. Inside the capsule, subjects may experience forces to 7 G- carnival rides only reach about 1Vz G while astronauts experience 7 or 8 G during launch as they lie on their backs. After being seated, both subject and observer adjust their seat harnesses to a comfortable position. The observer hooks up the arterial cannula that has been previously inserted in subject's arm and blood samples are collected at regular intervals during centrifugation. From the control room one gets an unobstructed view of the capsule at all times. Here there is continuous monitoring of capsule occupants via closed circuit television, recording of electrocardiogram, as well as open voice communication. On command from the control room, the subject operates valves to collect his own expired air. To determine the efficiency of the subject's gas exchange during these experiments, expired gas volume and its composition are measured. And arterial blood gases are determined. While a great deal is already known about lung function, the human centrifuge is yet another tool by which to add to this knowledge. 36 THE BUFFALO PHYSICIAN �Nineteen Continuing Medical Education Programs are tentatively scheduled for the first six months of 1975 , according to Mr. Charles Hall, director of the programs . The tentative dates , titles and chairmen of the programs are : January 9-May 8 Clinics in Physical Examination of the Cardiac Patient and Arrhythmia Workshops , Dr. J. Constant. Winter-Spring, 1975 Practical Psychiatry for Non-Psychiatric Physicians, Dr. M.L. Gerstenzang. Sprin g, 1975 Iatrogenic Disease (Neurology), Dr. B.H. Smith March 6 Meyer Pediatric Teaching Day : Practical Pediatric Allergy, Drs. H .P. Staub and D.J . Rapp Sprin g, 1975 Coronary Artery Disease, Dr. J. A. Zizzi . March 21-22 Recent Advances in Dermatology, Drs. R.L. Dobson and J.C. Maize. Sprin g, 1975 A Program in Biochemistry, Dr. D . MacN. Surgenor Sprin g, 1975 Surgical Aspects of Endocrinology, Dr. G. P. Burns. April 19-20 Anesthesiology, Dr. J.I. Lauria. April 23-24 Family Planning and Reproduction, Dr. J. Lippes . Sprin g, 1975 Laboratory Diagnosis in Office, Dr. W .J. Rahill . May 2-3 Ophthalmology for the Ophthalmologist, Dr. T .J. Guttuso. May 9-10 Medical Alumni Spring Clinical Days, Dr. M .A. Sullivan. May 14-15-16 Children Needing Rehabilitation, Dr. R. Warner and Mr. Tom Rozek. May 22 Current Trends m Primary Health, Drs. R.H. Seller and J.R. Nunn. Spring, 1975 Nuclear Medicine, Dr. M .A. Bender. Sprin g, 1975 Diseases of the Anus , Rectum & Colon, Dr. J.E. Alford . Jun e 4-6 Refresher Seminar in Pediatrics, Dr. E.F. Ellis. June, 1975 Gynecological Laparoscopy, Dr. N .G. Courey.O WINTER , 1974 19 Continuing Education Programs �President Ketter The 1978 Class President Robert L. Ketter told the 1978 medical school class " the clinical education that you you will get in our hospitals is one of the pluses of this School of Medicine. " He also mentioned the many inconveniences and frustrations that medical students will encounter during the redesigning of this campus as a health sciences center. Dr. Ketter also gave the incoming students a capsule profile of themselves. " The 135 of you here today were selected from 5 ,317 applications. The admissions committee interviewed 633 candidates before deciding upon you. Thirty of you are women and there are 23 blacks and one Cuban. Only ten are from outside New York State, and 58 come from Western New York. " Dr. Ketter praised the work of the Medical School Admissions Committee in selecting this class. Dr. Clyde Randall, executive officer of the Medical School, officially welcomed the newcomers to the school and the profession. " Although the image of the physician is somewhat tarnished, the practice of medicine is a personification of our private enterprize. Under this system any physician may select any area of specialization that he wants. But this may change if anyone of the three bills that are in congressional hearings are adopted." ��Three f irs t-y ear stude,ts Dr. M arin e Dr. Randall told the 1978 class to take " your lessons seriously. As you learn to live with this system your effectiveness as a student will help you get into the field you desire. " Be respectful of people - nurses, therapists, technicians, physicians, assistants - that you must be dependent upon for help. You can' t go it alone. You must have the respect and cooperation of your coworkers in the delivery of health care. " It is unfortunate that many people expect health care on a one-toone basis. This of course is impossible, because there never will be enough physicians to accomplish this. " Dr. Randall told the new students " to assess themselves periodically. Ask yourself what you are learning, and continue this process even after graduation. Examinations are very important while you are in school and for future board certification. There is pending national legislation that may require periodic testing or examinations for all physicians. " Dr. M. Luther Musselman, ch airman of the M edical School Admissions Committee, said " this is the finest class that we h ave ever admitted . You come from 74 undergraduate schools and h ave 27 different majors. Many are science majors but others majored in English, psychology, nursing, engineering, history, music, political science, economics, foreign language, pharmacy and liberal arts. " 40 THE BUFFALO PHYSICIAN �There were rap sessions with sophomores about positive and negative issues, as well as what courses to take, how to study and other do's and don' ts. There was also registration, picture taking, an informal luncheon with faculty in Norton Union, a tour of the new health sciences library, a picnic, and briefing on financial aid. Dr. Edward Marine, chief of medicine at the Deaconess Hospital, gave the 1978 class a brief overview of the Medical School and the affiliated and associated hospitals. He spoke of the curriculum changes that he helped bring about while he was an associate dean. " This is a larger and different type class than we had here five years ago," he said. " Today, almost without exception, all of you will graduate because you have been so well screened. Several years ago the attrition rate was 15 or 20 per cent. " You will have many frustrations and tensions and even threats from some professors that you might not make it. Don' t be scared. This is not true," Dr. Marine said. " Keep cool. Be sensitive to problems and stay in command of yourself." The clinical associate professor of medicine told the students that four years in medical school is a long time - a big chunk out of your lives. " View these years as a commencement of study that you will continue throughout your life." Dr. Marine answered many questions on clerkships, preceptorships, acupuncture, terminal diseases and the dying patient, mercy killing, drugs, alcohol, ethics, social and political problems. 0 , Or. Randall A n orien tation session Or. Musselman Dr. Richert WINTER, 197 4 41 �the eldest son of Dr. James and Maria Hadley, was born in Steuben, Oneida County, New York, 20 June 1813. The elder Hadley was born in Weare, New Hampshire where he worked on the farm until he was 19 years old. After two or three years of a liberal education he entered Dartmouth College as a sophomore in 1806 and was graduated with an A.M. degree in 1809. He commenced the study of medicine and chemistry under Dr. Josiah Noyes. In 1808 Dr. Noyes went to Fairfield, N .Y. where he lectured in chemistry at the young but thriving academy and the elder Hadley followed him there to continue his medical and chemical studies. In 1812 when the College of Physicians and Surgeons of the Western District of New York (Fairfield Medical College) was established, the Board of Trustees appointed James Hadley, A.M. , Professor of Chemistry. He apparently received his M.D. degree from Fairfield in 1813 and remained there as Professor of Chemistry and Materia Medica until the institution ceased to exist in 1840. When the professors saw the handwriting on the wall, so to speak, because of the increasing competition from schools in Albany and Geneva, they resigned their posts before their school lost its character and prestige to a lingering and wretched decline. Hence, this school stands almost alone in our country because it not only died but it did so with honor and dignity. It was at Fairfield that young George had his father' s chemical laboratory as his first school and playground. In 1834 he graduated in liberal arts from Hamilton College and in 1839, after attending six courses of lectures, he received his M.D. degree from Fairfield Medical College and at once became his father' s assistant. Like his father, he was versed in the natural sciences such as botany, mineralogy, geology and conchology. In 1841, Dr. James Hadley took his family to Geneva, New York where he had been appointed a year previously as Professor of Chemistry and Pharmacy. He held this chair until 1853, when partly because of his age and the unprosperous condition of the Geneva School he retired as emeritus professor. In 1856 the elder Hadley and his wife moved to Buffalo to live with their son, Dr. George Hadley. He died in 1869 in his eighty-fifth year after prolonged illness due to prostatic hypertrophy and urinary difficulties. It has been necessary to sketch the father's life longer than usual because as will be seen, four historians and one medical school dean have confused father with son. Getting back to Dr. George Hadley. In 1840 he went to Lockport and worked with Alfred Barrett, chief engineer for the western division of the Erie Canal. He recorded plans, sketches and calculations as he went up the Genesee Valley Canal. In 1841 he spent three months in the Canal Office at Albany working on reports. That winter he had an attack of acute rheumatic fever which recurred in April. Thirty-six years later his heart disease was fatal. In the fall of 1841, George Hadley accepted the professorship of mineralogy and chemistry at the University of Missouri in Columbia, where he remained for two years. After his return to the east, he spent the winter months of 1843-44 in New Haven where he attended Professor Silliman's lectures on chemistry and geology. His mind was strictly searching and analytical which made him a persistent and determined scientist. After this period he spent some time in the service of a Canadian Mining Company on the north shore of Lake Superior investigatmg copper and other mineral deposits. He was frequently consulted for his precise knowledge of metals and metallurgy. G EORGE HADLEY, Our First Professor of Chemistry, Pharmacy George Hadley (1813-1877) by Oliver P. ]ones, Ph .D., M.D. Distinguished Professor 42 THE BUFFALO PHYSICIAN �In 1846, Dr. George Hadley was appointed Professor of Chemistry and Pharmacy at the University of Buffalo, a position which he retained until he died thirty-one years later. He lectured at Buffalo before taking up his residence in 1855. In addition to these duties, he also lectured at two schools in Vermont - Castleton Medical College from 1853-61 and Middlebury College from 1858-59 and later at the Buffalo State Normal School. Unfortunately, in Julian Park 's " History of the University of Buffalo ", there are substantial differences of fact regarding the Hadleys father and son. George did not resign in 1851. His father was never a member of the faculty and certainly could not have resigned nine years after his death! Perhaps Park relied upon Dean Rochester' s memorial for Dr. George Hadley which also contains substantial differences of fact. How did these errors get into the literature? Certainly neither Dean Rochester nor Julian Park could have read James P. White's obituary for James Hadley and they could not have perused our Annual Announcement and Catalogues, otherwise they would have known that George Hadley occupied the chair in chemistry for thirty-one years and that his father was never a member of the faculty. Unfortunately , Austin Flint was responsible for some of this misinformation. On 25 August 1846, the Council of the University established seven professorships in the Medical Department. Austin Flint must have had good reason to believe that five professors occupying chairs in Geneva Medical College were to have also an appointment at Buffalo, because in the September 1846 issue of the Buffalo Medical Journal he wrote an editorial to that effect. The first name on his list was Dr. James Hadley. This was one month before the first meeting of the Medical Faculty which was held in the office of Dr. James P. White, 3 October 1846 at 9 A.M. Austin Flint was not present. One of the items on the agenda concerned the fees for the student tickets and it was decided that Dr. (No initial) Hadley should receive twelve dollars. This meeting was adjourned until 2 P.M . the same day . Apparently it was undecided which Hadley was to be the Professor of Chemistry because the Minute Book (available to Dean Rochester but not to Julian Park} records thatOn motion of Dr. Coventry, seconded by Dr. White, Resolved: That the dean and registrar be a committee with the power to nominate to the Council a candidate for the Professor of Chemistry and Pharmacy . A decision was made and it was printed in the Annular Circular later in October 1846, namely, George Hadley, M.D ., Professor of Chemistry and Pharmacy. His name and title appeared in every annual announcement until his death in 1877. In other words, it was the son and not the father who was appointed to the chair in chemistry and Austin Flint never corrected this editorial in the Buffalo Medical Journal, in spite of the fact that he had been elected Registrar and Treasurer. It is too bad Dean Rochester did not know this because his otherwise excellent eulogy for Dr. George Hadley would have been flawless. Unfortunately , Julian Park 's errors regarding our first faculty were reproduced and perpetuated by two medical historians - Walsh (1919) and Norwood (1944}. WINTER , 1974 43 _,...k .. .... ..... _ . . •• oi -· Mr. Richard Ma cakanja's cove r desig n fo r th e BUFFALO PHYSICIAN, Sprin g 1974, wo n seco nd award by Industrial Art M eth ods. T he des ig n foc used o n the retina that was a fea tu re s tory i11 this iss u e. ~ �The new Amherst Suburban Hospital- Millard Fillmore- opened August 12. The threestory 150-bed facility with 40,000 square feet of floor space occupies a 30-acre site along Maple Road, east of Hopkins Road. The cos t: $16 million. Mr. John R. Ferguson, who has been assistant administrator of Nassau County Medical Center, is administrator of the new facility. Dr. George Hadley was admitted to the Erie County Medical Society in 1856 and, according to Matthieu 's history of that organization, " Dr. Hadley's most valuable contribution to chemical science was his discovery of the changing of starch into glucose, which led to the foundation of the great glucose industry in America. " Had this reference been substantiated, it would have enhanced Dr. Hadley' s stature as a member of our first faculty and it would have brought fame and prestige to a basic science department of the University of Buffalo. The City of Buffalo at one time enjoyed the reputation of having one of the largest and most important glucose plants in the country, long after Kirchoff of Germany had discovered the process in 1811. As a matter of fact, Kirchoff's process is mentioned in one of the textbooks recommended to the students by Hadley - Turner's Elements of Chemistry (1832). In 1867, two separate firms, Firmenich, and Fox and Williams started to manufacture glucose in Buffalo. Perhaps Dr. Hadley did some consulting work for them. It is interesting to note that neither the history in Starch : Chemistry and Technology nor obituaries mention Dr. Hadley's connection - however remote - with the manufacture of glucose. It was not because Hadley lacked literary acquirements that he published but little, because he left some two thousand closely written notes and valuable observations. For years he also served as registrar for the Medical School, hence most of the Minute Book is in his handwriting. On 17 February 1866 the Medical Faculty elected him Dean and Registrar at an annual salary of $150! So far , only one published article has been found- a case of arsenic poisoning which underscores his strong bias for medico-legal investigation. As a lecturer he was clear, consice and precise which must have contributed a great deal to his reputation as a distinguished medico-legal witness. As a teacher he was preeminently the student's friend . 44 THE BUFFALO PHYSICIAN �Or. Hadley was an early Fellow of the American Association for the Advancement of Science, a member of the Buffalo Society of Natural Sciences, and one time President of the Buffalo Microscopical Society. On 2 January 1855 he was married to Miss Sophia G. Larned in New Haven, Conn. Before her marriage, Mrs. Hadley had been a teacher of chemistry and other sciences at a school for young ladies in New Haven. In Buffalo, they lived at 1355 Main Street where his father and mother also made their home after leaving Geneva, New York. It was here that both father and son enjoyed the pleasure of gardening and horticulture. About a year before his death, Or. George Hadley suffered from chronic passive congestion. He died from heart disease on the 16 October 1877. He was survived by his wife and one daughter. From early manhood he was a member of the Presbyterian Church. References 1. White, J. P., Biographical Sketch of James Hadley, M.D., Trans. Med. Soc. N.Y., 1871, Albany, n.v., p.345-349, 1872. 2. Park, Julian," A history of the University of Buffalo", Pub/. Buffalo Hi st. Soc. 22: 20, 1917. 3. Rochester, T. F., A tribute to the memory of the late Prof. Hadley. Buffalo Med. ]., N.S., 17: 188-192, 1877-78; Buffalo Daily Courier, 8 November 1877. 4. Editorial: University of Buffalo. Commercial Advertiser 26 August 1846; Morning Express 27 August 1846. 5. Editorial: Medical School at Buffalo. Buffalo Med. ]., 2: 244-246, 1846. 6. Minute Book of the Medical Faculty of the University of Buffalo (1846 to 1878). Archives, State University of New York at Buffalo. 7. J. N . Larned, A History of Buffalo, New York, Progress of the Empire State Co., 1911, 2 vols., II, 143-44. 8. James J. Walsh, History of Medicine in New York, New York, National Americana Soc., 1919, vol. 2, 351. 9. William F. Norwood, Medical Education in the United States Before the Civil War, Philadelphia, Univ. Penn. Press, 1944, p. 164. 10. Samuel A. Matthieu, The Medical Profession of Erie County, New York. Historical Review. Buffalo, Russell Printing Co., 1924, p. 27-28. 11. A. Perry Smith, History of the City of Buffalo and Erie County, Syracuse. Mason and Co., 1884, 2 vols., II, 255. 12. Edward Turner, Elements of Chemistry, ed. F. Bache, Philadelphia, Grigg and Elliot, 1832, p.505. 13. I am indebted to Mr. R. E. Brouillard, Vice President and Technical Director, Penick and Ford, Cedar Rapids, Iowa and Dr. Clark Capen, Director-Quality Assurance, CPC International, Argo, Illinois for some helpful backgrou nd material. 14. Hadley, G.: Case of poisoning by arsenic and chemical examination of the stomach. Buffalo Med. ]. 6: 1850, 1-10. 15. Obituary, Buffalo Daily Courier, 17 October 1877. 16. Memorial, Buffalo Commercial Advertiser, 18 October 1877. WINTER, 1974 45 II �Ambulance attendant Anthony Siracuse sends a message to a hospital emergency room via the Medical Emergency Radio System while the ambulance rushes the patient to the hospital. Mr. ]ames Wallace, LaSalle ambulance instructor, briefs three medical technicians on emergency treatment. Emergency Radio System The E.]. Meyer Memorial Hospital emergency room personnel, Dr. Robert Gatewood and Faye Nardi, R.N., receive the radio message from the ambulance that the patient is on the way for treatment. An emergency radio communications system linking 48 Erie County ambulances and 10 area hospitals is matching medical resources to patient need. This communication network provides voice linkage between hospital emergency departments, ambulances, police, fire and medical support services. The ambulances involved comprise commercial, hospital-based and volunteer companies, according to Dr. James H. Cosgriff Jr., emergency medical systems project director, and clinical assistant professor of surgery at the Medical School. "If the best in emergency health care is to be made available to the citizens of Erie County and Western New York in the future at a reasonable cost, the concept of a regional system of care must become a reality. It is narrow outmoded thinking to believe that needed services without exception, can or should be provided by each and every hospital, ambulance company or health professional," Dr. Cosgriff said. "In New York State this year, one in 15 citizens will require the service of an ambulance and one in four will seek care in a hospital emergency department. In the United States accidental injury ranks third as a cause of death and is the leading cause of death of those under age 37," Dr. Cosgriff said. This new program was designed and implemented by the Erie County Health Department Bureau of Emergency Health Services and the Erie County Emergency Medical Care Communications Committee. 46 THE BUFFALO PHYSICIAN �Approximately 2250 technicians have been trained through the Emergency Medical Services Project. Dr. ]ames H. Cosgriff, ]r., a clinical assistant professor of surgery at the Medical School, is directing the project. It is sponsored by the Lakes Area Regional Medical Program and the Erie County Department of Health. Nurses, doctors, technicians, advisory physicians, police, firemen, ambulance and rescue squads are all Working together to make it succeed. The Lakes Area Regional Medical Program provided $169,000 to purchase radio equipment, so vital for the project, according to Dr. John R.F. Ingall, LARMP director. The area hospitals involved in the initial phase of the project were: Buffalo General, Children's, E.J. Meyer Memorial. Emergency, Kenmore Mercy, Millard Fillmore, Our Lady of Victory, Sisters of Charity and South Buffalo Mercy. Also linked with the system are the Poison Control Center, Buffalo Police and Fire Departments, Erie County Sheriff's Department, Erie Fire Control, Office of Natural Disaster and Civil Defense, and the Erie County Medical Examiners. 0 47 WINTER, 1974 �Eight Women Honored A clinical associate professor of pediatrics and a medical writer were Or. Harrod Mildred Spencer Sanes among eight Western New York women honored for their achievements. The occasion was the annual Community-University luncheon to honor outstanding women. The affair was sponsored by the University Community Advisory Council and the U/ B Alumni Association in the Statler Hilton Golden Ballroom. They are Dr. Emma K. Harrod and Mildred Spencer Sanes. Dr. Harrod is also Deputy Erie County Health Commissioner. In citing her achievements for the professions, President Robert L. Ketter said, " Physician whose heart and skill have been devoted to mothers and children, and whose professional competence is blended with great consideration for people. You have clearly identified our community's commitment to the health and welfare of its families, especially those most dependent on the country's medical service. Your tenacious quest for medical funds has enabled Erie County to meet the challenges of adequate nutrition for children and pregnant mothers, realistic family planning for the medically indigent, and the afflictions of lead poisoning, sickle cell anemia and birth defects. We also acknowledge, Dr. Harrod , your excellence in teaching and scholarship, and your administrative ability as a supervisor of medical professionals. " In creative communications Mrs. Mildred Spencer Sanes, former medical writer for The Buffalo Evening News was honored . Her citation; " Influential woman of letters, whose skillful writings have stimulated substantial progress in the medical sciences. A prominent journalist, you crafted a deeper significance into your stories by accepting voluntary positions of leadership with the Erie County Board of Research for Health and the Advisory Council, State Kidney Disease Institute. Countless awards for medical reporting have been awarded you by area, regional, state and national organizations which recognize their involvement in such life and death matters. Acclaimed as the best, most prolific and most influential writer in your speciality, we also acknowledge your considerable involvement in the general affairs of your community." Mr. Raymond T . Schuler, New York State Commissioner of Transportation, pledged to do more to bring women into top level positions in government. " Our own department has missed the boat in many areas for not having more women in key posts. We have acted , I hope, to correct some of these faults." The other women honored: Arts- Dr. Virginia Cummings, director of the Museum of Science. Business - Mrs. Marie K. Corcoran, partner in a real estate firm. Community Service - Mrs. Mildred Campbell, former chairman of the Erie County Mental Health Advisory Board and chairman of the Governor's Citizens Committee on the Problems of Alcohol. Education- Mrs. Florence Baugh, member of the Buffalo Board of Education. Government - Mrs. Phyllis Kelly, a director of the National Federation of Republican Women and assistant chairman of the Erie County GOP Committee. Industry- Mrs. Alfa D. Dodge, owner of the George A. Terry Co., a tool manufacturing concern.<) 48 THE BUFFALO PHYSICIAN �A 24-year-old medical student is a tennis star. Dirk Dugan won the Buffalo Hard Court title in July. One month later he was runner-up in the singles and teamed with Chris Sadkowski to win the doubles in the National Public Parks tourney. In the championship singles match Dugan played three and onehalf hours with sets of 6-7, 7-6, 6-7, 7-6, 4-6. In the doubles he and his partner won three straight sets of 7-5, 7-6, 6-2. The second year medical student played tennis throughout his high school career at Hamburg. He was third in the state (singles) during his junior and senior years. Dugan captained the Cornell University tennis team for two years (1970-71 and 1971-72). He was the number one singles player at Cornell where he majored in history. In 1970-71 he had a 12-1 record and was the number one ranked Eastern College singles player. Before entering the UB Medical School in September 1973 Dugan worked as a hospital orderly at the Tompkins County Hospital in Ithaca. " Now that I am in medical school I have no time for tennis during the regular school year, but I run eight to ten miles a week to keep in shape for summer tourneys, " Dugan said. He is interested in family practice and surgery. He spends one afternoon a week in family practice with Dr. Harry L. Metcalf, clinical ins tructor in social and preventive medicine. Dirk's father, William, is an orthopedic surgeon in Hamburg. He is a 1939 UB Medical School graduate. () Tennis Champion Chris Sadkowski, W endy and Dirk Dugan WINTER, 1974 49 �This is th e fi rst in a se ries of articles on th e six clin ical div isions of th e Erie Coun ty Labo ratory . Five - biochemistry, m ic robio logy, he mato logy and bloo d bank, patho logy, fo rens ic m edi cin e are loca ted at th e E.]. M eye r M em o rial H os pital. Th e six th , public h ealth , is h oused in the City Hall. Clinical Microbiology Dr. K o nrad W icher Chief techn olog is t A nn e M o rrissey examin es a clinical specima n for anae rob ic microo rga nis ms. are the backbone of good medical care. With their specialized equipment and unique expertise they can confirm a diagnosis made by a physician or make one. Six clinical divisions of the Erie County Laboratory headed by Dr. Max Chilcote do just that . They are biochemistry , microbiology , hematology and blood bank, pathology, forensic medicine; and public health. Most are located at the E.J . Meyer Memorial Hospital. As an independent unit, it provides a variety of laboratory services not only to the hospital but to 13 area clinics. And while its virology, toxicology and public health laboratories serve other counties as well as the community, its 23 MD , PhD-trained staff and 300 paraprofessionals perform over three million tests a year, reports Dr. Chilcote. One of its divisions is that of clinical microbiology. Headed by Dr. Konrad J. Wicherhe is assisted by Dr. William R. Bartholomew over 800 tests are performed here on a daily basis . But , says the 50-year old professor of microbiology who came to Buffalo in 1963 and took over clinical microbiology activities in 1967, " a big part of our services are to nursing homes C uNICAL LABOR A TORIES 52 THE BUFFALO PHYSICIAN �At work with infective fungi under safety hood is chief technologist Mary Ann Renner. and clinics such as the Lackawanna Community H~aith Center, The Erie County Health Department's William Street Clinic; Jesse Nash Community Health Center; Family Life and Planning Service; Home and Infirmary; Penitentiary and Jail; Ingleside Home; Masten Park Rehabilitation Center; School 84 for exceptional children; and Maternity Infant Care Project. Clinical diagnostic services in this division are diverse. From mycobacteriology comes confirmation of TB diagnoses. Tests are performed here under a special hood to protect against infectious samples. While tests for fungi are performed in mycology, a search for that species of bacteria that has no cell walls and is responsible for primary atypical pneumonia and other disorders is underway in the mycoplasma unit. In general serology, pregnancy tests are performed and determinations of all titers for streptococcal infection, syphillis, etc. are made. And where there is a suspicion of autoimmune disease, antibodies are detected to many tissue constituents by immunofluorescent techniques. Playing an important role in immune disorders is complement whose 11 components may vary in different diseases. Determining thPir levels, says Dr. Bartholomew who heads the laboratory, therefore becomes an important diagnostic tool in glomerulonephritis, etc. In the immunoglobulin disorder laboratory there are quantitative/qualitative analyses of serum immunoglobulin and protein in the urine, says Dr. Wicher. The Polish born and educated Or. Bartholomew watches technologist Margaret Moore examine diagnostic cultures of tuberculosis. In autoimmune disease laboratory senior technologist Carolyn Kalinka and Or. Wicher thoroughly check a tissue section. 53 WINTER, 1974 �Technologists at work in bacteriology laboratory. At BACTEC machine (used to detect bacteria in blood) a diagnostic problem is discussed by technologist Loretta Krawczy k and Dr. Wicher. microbiologist earned a doctorate in medical sciences at Rockitnica Medical School where he was associate professor and acting chairman of its department of microbiology from 1957 to 1962, ·and associate professor of dermatology/ syphilology at the University Hospital School of Medicine in Bialystok the following year. He points to radioassays that determine digoxin and renin levels in patients at most community hospitals. And there are pilot studies and screening programs for toxoplasma or T. pallidum as well as determinations for rubella, CMV virus and IgM antibodies. Through research and development Dr. Wicher - he was a World Health Organization Fellow in England in 1963- hopes to find better methods to improve clinical diagnostic methods. " While we are now using some automated procedures we still need to develop better and even faster methods for laboratory diagnosis. " We were one of the first clinical laboratories in Western New York as well as in the nation to use a new isotope technique developed in Baltimore for detecting bacteremia in patients in a THE BUFFALO PHYSICIAN �Drs. 5. T . Robinson (assistant Chilcote and Wicher confer. Senior technologist Dorothy Kaminski prepares mycoplasma antigen for hemagglutination test. matter of hours rather than days. This means better medical care for the 10 to 15 percent of all patients tested in whose blood microorganisms are found ," he said. Because more anaerobic organisms grow in our body than aerobic ones there is more tendency to associate them with various infectious diseases. Volatile extracts of slow-growing anaerobes are prodded into revealing their identity through gas chromatography. " We can now speed up identification of anaerobic organisms causing infection in wounds, abdomen , lung abscesses, etc., " Dr. Wicher said. In research laboratory Or. Victoria Monte goes over results with technician Denise Zembryki while graduate student Monica Chang prepares cells for migration test and Rita Belani, research assistant, examines cell preparation under microscope. In research laboratory Or. Monte reviews results w ith sophomore medical student Sandra Blakowski _____ while Judith Martinko (left) performs lymphocyte irrms fo rmation test. .....~iiiii- �munologic diseases. There is also a continuous education program underway for the laboratory technician who is taught to recognize microorganisms. " We want them to have a better understanding of their tasks, to equip them to handle the many problems that come up in a laboratory," Dr. Wicher said. And in an educational way there is interaction with the clinician- when asking for an appropriate sample and in passing on the latest diagnostic procedures available. It even extends on an international level as well. For it is here where one of only two World Health Organization reference laboratories in the Western Hemisphere is located. " We collect important clinical material here," Dr. Wicher said, " and distribute it as it is needed. " For the future? More rapid methods for detecting infectious diseases, more automated equipment prophesizes Dr. Wicher. " The laboratory plays a very basic role in a patient' s welfare. For without the proper tests there would be a much higher mortality rate," he concluded. <) Marion Autch, chief serology technician, informs Dr. Wicher about the daily diag nostic problems while Marjorie Barrows, senior serology technician, examines a precipitation test. Examining immunoelectrophoresis slides are technologis t D oug las Myers and Dr. Bartholomew. Under NIH funding he and a team of investigators are taking a hard look at cell-mediated immunity in syphilis. From rabbits injected intratesticularly with T. pallidum they have isolated leukocytes and are now trying to separate B and T cells. " We want to determine," Dr. Wicher continued, " whether T-cell response is part of the immunopathology of syphilis." Not only do diagnostic services and research play an important role in clinical microbiology activities, says the noted clinical microbiologist, but teaching as well. In 1969 Dr. Noel R. Rose and he established training programs for clinical microbiologists. One of only nine such approved programs in this country, it is here where many clinical pathologists/microbiologists are taught the proper procedures. When they return to their institutions, they pass on this knowledge to others. Through clinical clerkships medical students also learn about specialized instrumentation and diagnostic methods available for detecting im56 THE BUFFALO PHYSICIAN �95 Faculty Promotions The following 95 Medical School faculty members received promotions effective July 1, 1974. Promotions to Professor: Doctors Robert Guthrie (pediatrics) ; K . Nicholas Leibovic (biophysical sciences) ; Pearay Ogra (pediatrics & microbiology); J. David Schnatz (medicine) ; Hugh Van Liew (physiology) ; Konrad Wicher (microbiology) . Promotions to Clinical Professor: Doctors Guy S. Alfano (general surgery) ; George J. Alker (radiology); Charles M. Elwood (medicine) ; Lawrence H . Golden (medicine) ; Walter T . Murphy (radiology) ; Victor A . Panaro (radiology) . Promotions to Associate Professor (with tenure): ~·octo~s ~icha.el Apicella (medicine); Pierluigi 1gazz1 (miCrobiOlogy} ; John Edwards (medicine) ; M~rray Ettinger (biochemistry); Michael Garrick (biOchemistry) ; Perry Hogan (physiology) ; R~bert Klocke (medicine) ; Daniel Kosman (biOchemistry); Thomas Lajos (general surgery) ; S~inpel Ohki (biophysical sciences) ; Peter NICkerson (pathology). Promotions to Clinical Associate Professor: Doctors David L. Berens (radiology); Robert J. Collins (gynecology-obstetrics) ; Paul B. Cotter (gynecology-obstetrics) ; Kamillo Flachs (radiology) ; Joseph L. Giunta (general surgery) ; Yehuda Laor (radiology) ; Samuel Lieberman (anesthesiology) ; James F. Mumma (general surgery-proctology) ; Frederick K. Neuburger (otolaryngology) ; Robert J. Patterson (gynecology-obstetrics) ; Bertram Partin (general surgery-proctology) ; Arthur Schaefer (ophthalmology) ; Roy E. Seibel (radiology) ; Joseph Wanks (medicine) . Promotions to Research Associate Professor: Doctors Zdzislaw Chmielewicz (biochemistry); A~nold I. Freeman (pediatrics) ; Chan Jung (biophysical sciences). ~romotion to Assistant Professor: Doctor Marcos allego (gynecology-obstetrics) . Promotions to Clinical Assistant Professor: Doctors Arnhilt L. Aceto (pediatrics) ; Louis J. Antonucci (ophthalmology) ; Craig L. Benjamin (gynecology-obstetrics) ; (Ms) Mary Brogan (medicine); Maurice R. Dewey (gynecologyobstetrics) ; Harold Feldman (gynecologyobstetrics) ; William A . Fleming (medicine) ; Arthur Goshin (social & preventive medicine) ; Richard G. Judelsohn (pediatrics); Leo A. Kane (anesthesiology); John N . LaDuca (general surgery) ; James B. McDaniel (gynecologyobstetrics) ; David J. Melzer (radiology); Vijayan A. Menon (pediatrics); (Mrs.) Patricia Milkowski (social & preventive medicine); (Mr.) David Mount (microbiology) ; YoungS. Oh (radiology) ; Elizabeth Olmstead (ophthalmology) ; Harry E. Petzing (gynecology-obstetrics) ; Marvin J. Pleskow (gynecology-obstetrics); John C. Read (pathology); Iqbal A. Samad (medicine); Carol J. Segal (medicine); Roger W . Seibel (general surgery) ; Lou is F. Viellard (anesthesiology) ; Carl E. Villarini (pediatrics) ; C. Dav id Widger (pediatrics) . Promotions to Research Assistant Professor: Doctors Judith A. Brown (pediatrics) ; Elias G . Elias (general surgery) ; Daniel Organisciak (physiology). Promotions to Clinical Associate: (all in department of gynecology-obstetrics, except as noted) Doctors Arnold A. Abramo (pediatrics); Italo Besseghini (medicine); August Bruno; Paul N. Burstien; Franklyn N . Campagna (medicine); C. James Chen; Stanford Copley; Jose Cunanan; Rafael Cunanan; Francesco Giacobbe (pediatrics); William Gross; Morton P. Klein, Daniel Kozera ; Daniel A. Mariniello; Donald Miller (medicine) ; Nirmala Mudaliar; Gerald Patterson; John Peterson; Adrian Pleskow (medicine) ; Louis Privitera; Richard R. Romanowski; Theodore Schulman; Robert W. Schultz (medicine). Promotion to Research Professor: Doctor Charalambos Coutsogeorgopoulos (biochemistry). <) 57 WINTER, 1974 �Health Sciences Library EDICAL STUDENTS have a new library horne on the main floor and basement of Stockton Kimball Tower (formerly Tower Hall Dormitory). The new Health Sciences Library provides about three times as much room for the library's 150,000 bound books and journals, nearly 16,000 audio-visual tapes and films and other equipment and services. In two years the second and third floors will be renovated adding another 10,000 square feet of library space, according to C.K. Huang, library director. The Health Sciences Library is the oldest library unit, created in 1846. The old location in Capen Hall was built 21 years ago. In addition to serving the six health sciences schools- medicine, pharmacy, dentistry, nursing, health related professions , health education - the library is used by the area's 60 hospitals and health institutions. When the second floor of Kimball Tower is renovated in 1975 it will be used for the History of Medicine Collection (6,000 volumes), the Buffalo Academy of Medicine Room, the audio-visual department, and the proposed Bernhardt S. and Sophie B. Gottlieb Psychiatric Library. Dr. Bernhardt Gottlieb is a 1921 graduate of the School of Medicine, now a New York City psychiatrist, who established a $75 ,000 endowment fund to support this library. The third floor renovation, which hopefully will be completed in 1976, will be converted to audio-visual and nonprint collection area to service all schools and departments in the six health sciences schools. " This is a five-year interim facility because of insufficient shelving space. The University administration hopes to build a new permanent Health Sciences Library on this campus," Mr. Huang said. O M 58 THE BUFFALO PHYSICIAN �Joumal collection stacks area B 1. The circulation desk at open house 2. The periodical reading area has 3,200 journals 3. The reference collection 4 . There are 130,000 books in the stacks 5. There are 145 study carrels 6. The reading room seats 179 7. Librarian C.K. Huang during open house B. An informal study session �CARE for the Critically Ill Modern data processing technology is now helping Buffalo General Hospital surgeons to care for critically ill patients. Through CARE, a computerized clinical assessment , research, and education system developed by Dr. John H . Siegel , professor of surgery and research professor of biophysical sciences, physicians with no previous computer experience are now able to get all of the relevant patient information needed to help them make their clinical decision the best of all possible choices for patients in the intensive care unit. If the system, developed with National Bureau of Health Resources support and being tested at Buffalo General Hospital, proves out, it may well serve as the basis for a national systemit now operates on a large time-shared computer in St. Louis, Missouri and can service many users throughout the country. " Because we live longer," Dr. Siegel, who heads BGH' s department of surgery, said, " and our environment is becoming a more violent way of life, we are seeing more and more serious injuries in the older population. These injuries," he continued, " occur in the setting of intercurrent disease processes - chronic heart, lung, or metabolic diseases - which seriously complicate patient management. " Surgeons are also performing more major surgical procedures on similar types of high risk patients. If all aspects of these patients' surgical or traumatic illness are to be managed then Dr. Dr. John H. Siegel Siegel believes that " we not only need to know how all of the diseases relate to the patient's primary problem but to be able to analyze each one' s effect on the others." The CARE system, Dr. Siegel points out, is not designed to substitute for the doctor. Rather it is programmed to pick up problems that may complicate a patient' s clinical management or may have been missed. It helps to focus a physician's decision-making process more sharply so he can make a better therapeutic choice for the patient. And it permits the entry of data, lots of it. Not only the physician's daily notes but detailed notes from three shifts of nurses, as well as biochemical, physiologic, fluid , electrolyte, and drug administration data. It is also programmed to compute relevant physiologic indices from primary cardiovascular and respiratory data. The CARE system brings all of these data together onto one record to be reviewed by the physician. It computes for him the patient's metabolic balance. It makes suggestions as to daily fluid , electrolyte, and caloric requirements of the patient. And it presents the physician with relevant information from recent literature on how to approach a specific patient problem, as well as the latest information on more than 60 major drugs used in treating intensive care patients. By analyzing and comparing many pieces of data the CARE system is able to caution the doctor regarding drug interaction which may influence care. For example, if the computer notes that the patient has a low serum potassium and is receiving Digitalis, it will not only warn him but suggest that hP consider raising the potassium level and withholding the drug until the imbalance is corrected. It also permits him to obtain a drug caution for Digitalis preparations. Not only does it give detailed information on the quantitative relation between serum potassium, serum digoxin levels. and incidence of arrythmias, but it suggests a method of computing maintenance dose levels. It tries to help the physician avoid an iatrogenic error. But most important, Dr. Siegel says, it reduces a data-rich but often unreadable medical THE BUFFALO PHYSICIAN �record to one that gives the physician information not previously available to him. "He can then make his clinical decision the best of all possible choices," Dr. Siegel said. CARE was a natural outgrowth of the noted surgeon's long-standing interest in the whole general problem of shock and its physiological aspects. After seven years of organizing, running, and medically validating a physiologic shock cart system that he designed for the critically ill ~atient who is in an intensive care unit, Dr. Siegel IS using it to evaluate the way patients undergoing open heart operations respond physiologically to surgery at the Buffalo General Hospital. From this study has come a method to detect an abnormal compensation response before complete cardiovascular collapse. He will report on this work done with Drs. Thomas Lajos, Arthur Lee, and George Schimert at an upcoming meeting of the Association for Academic Surgery. As a result of these studies the CARE system has also been programmed to handle more traditional medical problems- myocardial infarction, pulmonary insufficiency, postoperative ones. But, explained Dr. Siegel, CARE is just one part of our surgical department's commitment to teaching, research, and patient service at Buffalo General Hospital. The teaching program has been strengthened through a series of surgical seminars featuring a Elizabeth Moody, R.N., Or. Siegel, Christa Nolan, research assistant, and ]on Fichthorn, engineer, watch as CARE system calculates, computes patient information. wide range of distinguished visiting professors from all over the world as well as an internal program of combined medical-surgical conferences. In seeking better ways to use the talents of volunteer and full-time faculty, Dr. Siegel has been "especially pleased with their response and commitment to the teaching and training program. " There are also some new faculty with new ideas. Dr. Arthur B. Lee, a cardiothoracic surgeon, who has trained at both Columbia and New York Universities, is interested in coronary artery surgery and the problems of long-term extracorporeal respiratory support. Dr. Stephen Rakower, a general surgeon, who also trained at New York University, is interested in trauma surgery. He not only directs the Teaching goes on while patient outputs in intensive care unit are checked. �Or. Fra11k Cerra reviews paper with Drs. Siegel, and John Cudmore (ri~ht) and Bernard Vidne (lef t). II I surgery department's emergency services but is heavily involved in teaching traumatic and emergency surgery, and has done some of the pioneering work in autotransfusion- a technique of providing a hemorrhaging patient with his own blood at time of serious injury or major intraoperation bleeding. There is also a combined surgery/biophysics/ bioengineering sciences program in myocardial ischemia underway. Collaborating on this are department of surgery' s Drs. Thomas Lajos, Frank Cerra, and John Siegel as well as electrical engineering's Dr. Peter Scott and biophysical sciences' Mr. Jonathan Fichthorn. There is also a collaborative study by Dr. Siegel, and statistical sciences' Drs. Emanuel Parzen and Marvin Zelen in time series patterns in human shock. And there is a search by Dr. Siegel for better ways to care for the surgical patient whose liver function is impaired, to prepare him for surgery after major bleeding. Together with Dr. James Nolan- he is chief of the department of medicine at BGH - he is starting a study program on cirrhotic liver disease. In a number of joint programs with graduate students he is also looking at respiratory physiology. And a major departmental program on aspects of pancreatic surgery involves several surgeons as well as Medicine's Dr. Vilayat Ali. From medical students who now receive their surgery training at Buffalo General Hospital half of the student body does- Dr. Siegel is able to get feedback at a weekly series of informal luncheons. Together with Dr. John Cudmore, one of the dedicated part-time faculty who has major 62 responsibilities for coordinating third year medical student program, Dr. Siegel has extensively modified the surgical curriculum at Buffalo General Hospital. In a new course, juniors can gain practical experience as they perform a number of operative procedures on dogs in an experiemntal surgery program directed by Dr. Stephen Rakower. It is taught by he, Drs. Roger Dayer, and David Harrod. There has also been a closer look at the senior student elective program in surgery. Experience in intensive care can now be obtained as well as special thoracic and cardiovascular surgery electives taught by Drs. Richard Adler, Lee, Lajos and Schimert. Two special preceptorial electives are also offered. One is vascular surgery given by two part-time faculty, Drs. James Upson and Fero Sadeghian. The other offers a chance to observe surgical practice in an office and fa mily practice group and is taught by Drs. Dayer and Harrod. There has also been a strengthening of the University's SUNY I Residency Program in Surgery at BGH. Through a number of combined programs with Roswell Park Memorial Institute, residents now work both with Dr. Richard Adler of the BGH staff and with Roswell Park' s Dr. Ronald Vincent and Dr. Hiroshi Takita on thoracic problems. They also gain experience in Or. Arthur B. Lee Or. George Schimert �Guiseppe Andres. One study was presented at the American College of Surgeons meeting in Oc- Dr. Stephen Rakower Dr. Richard M. Adler surgical oncology with Drs. Douglas Holyoke, Arnold Mittleman, Kumar Sako and others on the Roswell general surgical staff. There are also a number of collaborative research studies in cancer underway with Drs. Holyoke and Nemoto of Roswell Park. Among programs with other hospitals is a cooperative one with Dr. John Border at E.]. Meyer Memorial Hospital. Residents gain a special trauma experience. The Veteran's Hospital program has been strengthened through periodic clinical visits and resident rotations. And there is closer communication and participation with the Children's Hospital. Members of the major teaching hospitals and Roswell Park Memorial Institute now participate in a grand rounds program at Buffalo General Hospital on a regular basis. The core program in basic physical skills and techniques has been redesigned for residents. They now rotate through intensive care service, can gain surgical research experience through an elective program, and learn how to use the new physiologic techniques that have been developed. In another important clinical and research area, Drs. Frank Cerra, Roland and Sidney Anthone have been working with departments of pathology and microbiology staff to enhance the kidney transplant program. And collaborating on a series of important studies on acute and chronic kidney rejection phenomena are Drs. Cerra and WINTER, 197 4 tober. In community service, Dr. Rakower has been working to strengthen emergency service with community leaders. Establishing primary care responsibility here has led to more rapid surgical care for injured patients. "We can now offer better, more compassionate service to the patient, more comprehensive support to the doctor, and better teaching to students and residents," Dr. Siegel said. But there is also a commitment to continuing medical education for area surgeons. Last year Dr. Siegel planned a program on difficult problems in human shock and trauma. Sponsored by the annual meeting of Western New York College of Surgeons, it featured three internationally renowned surgeons in the field and drew heavily on experience gained in Buffalo General Hospital's intensive care unit. Similar programs are planned for the future as well as medicalsurgical GI Conferences at the Hospital directed at continuing education activities, and other special surgical teaching and training programs. Delighted at the positive response and cooperation of the entire voluntary clinical st~ff, especially practicing surgeon~ on the ~o:p1tal staff, Dr. Siegel points to the1r great sacnfKe of energy and time, in making the program a success. " Together," he said, " we are doing all we can to improve our teaching, research, service commitments to the community." 0 Drs. Thomas]. Lajos, Bernard Vidne, Paul Lee are assisted by scrub nurse Carolyn Pitts during open heart surgery. �The Classes of the 1920's Dr. Lee R . Sanborn, M '24, of Gowanda, N.Y. , has been a practicing physician in Angola, N.Y. 41 years. He and his wife, Hildegard, worked together to form the group that was instrumental in founding the Lake Shore Hospital in Irving in the early 1960's. The hospital was completed in 1965. Dr. Sanborn retired from private practice on May 28, 1966. The following July he started work at the Gowanda State Hospital's department of mental hygiene as unit chief of the medicalsurgical wards, a position that he still holds. 0 The Classes of the 1930's Dr. Francis R. Coyle, M '32, Buffalo general practitioner, is also part-time school physician for the Erie County Health Department. Dr. Coyle recently received a Letter of Commendation from V. Rev. Edward D . Head, Bishop of Buffalo, regarding efforts expended for Catholic Charities Annual Drive. 0 Dr. Franklyn A. Huber, M '33, is a charter member Young Life, Adviser Drug Abuse, Chairman Florida Board, and a member of National Board Institutional Development Corporation. He lives at 667 Dunblane Drive, Winter Park, Florida. O Dr. John F. Argue, M '35, a Wilson, N .Y. physician for 37 years was honored September 29. The dinner was sponsored by the Wilson Historical Society. He is on the medical staff of the Inter-Community Memorial Hospital at Newfane where he was chief of staff in 1960-61 and Mount View Hospital where he was chief of staff from 1969-71. He is a Diplomate of the American Board of Family Practice. Dr. Argue was Wilson's health officer from 1948 to 1953 and has been school physician since 1937. He is a past president of the Niagara County Medical Society. During World War II he was a flight surgeon in the Air Force Medical Corps. 0 Dr. Kenneth H . Eckhert, M '35, has been elected to a fourth term as chairman of the Comprehensive Health Planning Council of Western New York. He is a clinical instructor in legal medicine, social and preventive medicine at the Medical School. Dr. Eckhert was president of the Medical Society, County of Erie in 1960 and is currently serving as president of the 8th District Branch and the newly formed Erie Region PSRO, lnc. O Dr. Charles F. Becker, M '38, director of Sisters Hospital laboratory, has been named to the Erie County Laboratory Board. His term will end December 31 , 1977.0 Dr. Paul A. Burgeson, M '36, physician at the Student Health Center , SUNY College at Geneseo, New York, recently moved to Silver Springs, New York (c/ o R .D .)O The Classes of the 1940's Dr. John D. White, M ' 40, anaesthesiologist, living at 234 Mohawk Street, Tavernier, Florida {33070) extends this generous offer to his former classmates- " simply offers to any member of the Class of U. of B. Medical School 1940, who has I l 64 THE BUFFALO PHYSICIAN �not had the pleasure of seeing the Florida Keys, an invitation to accept the hospitality of his guest apartment, when the Northern Winters get too much for them. Invitation includes classmates, their wives, fiancees , (no pets, no children under 18)." Dr. White is an alumnus of Mayo Foundation, in anaesthesiology. Dr. Harold J. Levy, M ' 46, is president-elect of Phi Lambda Kappa, national medical fraternity and the Medical Student Aid Society. He is also on the board of directors of the Blue Shield of Western New York. " Dr. Jack Lippes, M '47, is chairman of a subcommittee of the National Medical Advisory Committee of Planned Parenthood to evaluate the training of paraprofessionals in family planning clinics. He has also been invited to join the World Health Organization Committee investigating human reproductive physiology. O Dr. David H. Nichols, M ' 47, is the new head of the Ob/ Gyn department at the Buffalo General Hospital. He is a clinical professor of obstetrics and gynecology at the Medical School. Dr. Nichols formerly served as chief of obstetrics and gynecology at Sisters Hospital and acting head of Ob/Gyn at the E.]. Meyer Memorial Hospital. 0 Dr. George L. Collins, Jr. , M ' 48, has been elected to the board of directors at Houdaille Industries, Inc. Dr. Collins is associate chief cancer research internist at Roswell Park Memorial Institute, and is an associate clinical professor of medicine at the Medical School. He is a staff member at Buffalo General, Deaconess and Bertrand-Chaffee {Springville) Hospitals. The Classes of the 1950's Dr. Oliver P. jones, M '56, distinguished professor in the department of anatomical sciences at the Medical School, had an exhibit, " Milestones of the History of the International Society of Hematology," at the 15th Congress of the International Society of Hematology in Jerusalem last September. Dr. Jones was also chairman of the Free Paper Session. O Dr. BernardS. Shapiro, M '57, is chief of surgery, Griffin Hospital, Derby, Connecticut. He is president of New Haven Metro Unit, American Cancer Society. Dr. Shapiro recently presented a paper on colonoscopy and colonoscopic polysections to the Connecticut Society of American Board Surgeons. v Dr. Alfred M. Stein, M '58, president of the Buffalo Medical Group, is the new president of the Erie County Unit, American Cancer Society. O Dr. James S. Williams, M '58, is chief of surgery at the Joseph C. Wilson Health Center, Rochester, New York. He is also clinical associate professor of surgery at the University of Rochester Medical School. O Dr. Josephine A.W. Richardson, M ' 48, whose specialty is physical medicine and rehabilitation, is adjunct assistant professor at the University of Louisville (Kentucky) School of Medicine. Dr. Richardson was recently (May) installed as President of the Zonta Club of Louisville and in June was selected " 1974 Woman of Distinction" by the Council of Women Presidents of the Greater Louisville Area. 0 Dr. Robert A. Brenner, M '59, an orthopaedic surgeon, is a clinical instructor of orthopaedic surgery at SUNY Upstate Medical Center (Syracuse). Dr. Brenner worked as a volunteer orthopaedic surgeon in Chiang Mai, Thailand for the year 1972-1973. He taught orthopaedic surgery at McCormick Hospital and visited the Miraj Medical Center in Maharashtra, India in May 1973. Dr. Brenner lives at 38 Prospect Street, Auburn, New York.0 Dr. Lester H. Schiff, M ' 48, was the recipient of the first Humanitarian Award presented by the United Cerebral Palsy Association of Niagara County. Dr. Marvin G. Osofsky, M '59, is Chief, Department of Internal Medicine, New City HospitaL New City, New York. Dr. Osofsky's specialty is hematology. O WINTER, 1974 65 �City Department of Sanitation. Currently he is a private consultant to the New York City Fire Department, the Orange County Health Department and HEW. The Classes of the 1960's Two 1960 Medical School graduates have been elected president and vice president of the Western New York Society of Internal Medicine. Dr. James R . Kanski is the new president and Dr. Edward J. Graber is vice president. Dr. Harris C. Faigel, M '60, is director of adolescent medicine , Kennedy Memorial Hospital, Brighton, Massachusetts, and assistant clinical professor of pediatrics, Boston University School of Medicine, Boston. Two articles by Dr. Faigel were published in May (1974) - " A Developmental Approach to Adolescence" in Pediatric Clinics of North America, Vol. 21, No. 2; and " Getting Parents to Follow Advice: The Art of Communication" in Clinical Pediatrics, Vol. 13, No. 5 Dr. Robert H . Sauer, M '60, formerly of Tonawanda, New York, is now practicing psychiatry in Jessup, Maryland. His office is at the C.T. Perkins Hospital Center. Dr. Joseph A. Cimino, M '62, is the new Westchester (N.Y.) hospital commissioner. In his new position Dr. Cimino will be chief administrator of the Westchester County Medical Center Hospital at Grasslands, where he served part of his internship. During the last three years he has been on the faculties of Tulane Medical School, Albert Einstein College of Medicine and Columbia University School of Public Health. He has written three books and several articles in environmental medicine. While he was New York City health commissioner he served as chairman of the New York Board of Health and Board of Hospitals. His professional experience also includes service as director of health and safety for the New York City Environmental Protection Administration, medical director of the New York City Poison Control Center, chief medical consultant for the New York City Civil Service Commission and chief medical officer for the New York 66 Dr. Martin Cowan, M ' 62, is Chief, Ob/ Gyn, Ellenville (N.Y.) Community Hospital. He is president of the medical staff of the hospital and president of the Board of Directors, Southern Ulster Mental Health Clinic. v Dr. Roberta G. Jacobs, M '62, has changed her name to Roberta M. Gilbert. She is assistant clinical professor in psychiatry at the University of Kansas School of Medicine, as well as in private practice in Prairie Village, Kansas. Dr. Gilbert co-authored a paper " Treatment Techniques in Pedophilis and Exhibitionists in a Community Environment" read at the American Psychological Association in New Orleans in September. Dr . Robert W. Hamilton , M ' 63 , a nephrologist, is assistant professor at the Bowman Gray School of Medicine, Winston-Salem, North Carolina. For the past two years, Dr. Hamilton was Chief, Home Dialysis Training Unit, University of Pennsylvania service at the Philadelphia V.A. Hospital. Dr. and Mrs. Hamilton announced the birth of a son, Robert, Jr. on May 6, 1974. " Dr. Gregory Farry, M '64, has been named deputy director of the Intensive Care Unit at the Glens Falls, N.Y. Hospital. He has been on the hospital staff since 1970. After interning at Glens Falls, he took his residency in medicine at the E.J. Meyer Memorial Hospital, Buffalo. He also had a fellowship in cardiology at the Meyer Hospital. Dr. Farry is active in several state and regional professional associations. Dr. Ralph D. D ' Amore, M '65, recently left private Family Practice in Hamilton, New York to become associate director in organizing a new division of family practice at UCLA Medical School in Los Angeles, California. His home address is 16350 Meadow Ridge Road, Encino. Dr. Donald J. Waldowski, M '65, is the new full- time chief of pediatrics at St. Vincent' s Hospital, Bridgeport, Connecticut. In addition to coordinating the pediatric in-patient care, Dr. Waldowski will direct an expanded community THE BUFFALO PHYSICIAN �pediatric out-patient program. He will also serve as assistant director of the pediatric residency program which will be a joint venture with the Bridgeport Hospital. Dr. Waldowski served his internship and pediatric residency at the University of Virginia. From 1968-70 he was attending pediatrician at the Philadelphia Naval Hospital while with the United States Navy as lieutenant commander. He was in private practice at Culpeper, Va. from 1970-72 and served on the faculty of the New York Medical College from 1972-7 4 as assistant professor of pediatrics. ) Dr. Joseph F. Martinak, M '66, is the new director of the emergency department of Stormont- Vail Hospital in Topeka, Kansas . Before moving to Topeka, Dr. Martinak was director of ambulatory services at Augusta, Maine General Hospital and the C.S. Wilson Hospital (1968-73) at Johnson City, New York. '\ Dr. Franklin Spirn, M '67, recently opened an office in Clark, N.J., where he is associated With Dr. Anthony Inverno. Dr. Spirn interned at Beth Israel Medical Center and then spent two years as a Captain in the United States Army with the 35th combat engineers in Vietnam. He also spent one year in neuro-ophthalmology at Kings~ brook Jewish Medical Center. He was also chief resident at Brooklyn Eye and Ear Hospital. Dr. Margaret Brown White, M'67, a Pathologist, has joined the Northern Virginia Pathology Associates , a group of 12 pathologists ;;acticing at .five hospitals in northern Virginia . .r. Brown lives at 506 Kingsley Road, S.W., VIenna , Virginia . . Dr. Leonard A. Argentine, M '68, recently completed a residency in Internal Medicine at Millard Fillmore Hospital. He received the Anthony V. Postoloff Award for "proficiency in correlating laboratory science with clinical medicine" at MFH graduation ceremonies for medical residents in May , 1974. Prior to the re:idency , Dr. Argentine completed two years With USNR at Pensacola, Florida. He is now in Private practice in Oneida, New York. O C .~r. ~ill.iam E. Clack, M '68, received Board DerhfiCahon m dermatology, in September, 1973. r. Clack recently opened a private practice of dermatology in Elmira, New York. He lives at 904 Deerfield Road, Elmira. "> WINTER, 1974 Dr. David M. Kramer, M '68, completed a diagnostic radiology residency in Rochester, New York in July. He is now an instructor of Radiology, University of Michigan Hospital, Ann Arbor. " Dr. Harold L. Kulman, M'68, general surgeon, is with the US Army, currently stationed at Moncrief Army Hospital, Fort Jackson, South Carolina. "' Dr. Alan H. Peck, M '68, recently completed two years in the U.S. Public Health Service as Staff Psychiatrist, Lewisburg Penitentiary, Lewisburg, Pennsylvania. Dr. Peck is now in the psychiatric residency program of The Sheppard & Pratt Hospital, Towson, Maryland. His address is 1901 Greenberry Road, Baltimore. O Dr. Nicholas L. Schenck, M'68, is now at the William Beaumont Army Medical Center (E.N.T. Service), El Paso, Texas. O Doctors Barry S. Schultz and Bruce C. Stoesser, both M'68, are co-chief residents in urology at the University of Connecticut Health Center and Affiliated Hospitals. Just completing the urology program is Dr. Robin Smith, M'69, who will go to the U.S. Naval Hospital, San Diego, as a staff urologist. 0 Dr. Alberta Ann Borgese, M '69, is associated with her brother, Dr. Anthony C. Borgese, M ' 64, in the practice of Internal Medicine in Niagara Falls, N.Y. She was certified in June, 1973 by the American Board of Internal Medicine. She was married in August, 1972 to Joseph P. Micale, a pharmacist from Lewiston, New York and lives at 445 Fort Gray Drive, Lewiston. O Dr. Bruce S. Rabin, M'69, is the new director of the Division of Clinical Immunopathology at the University Health Center of Pittsburgh. Dr. Rabin is an assistant professor of pathology at the University of Pittsburgh Medical School. He joined the health center in 1972 as associate director of clinical immunopathology. Dr. Rabin did his residency training at the Medical College of Virginia and the E.J. Meyer Hospital. O 67 �II The Classes of the 1970's Dr. Joel H . Krumerman, M ' 70, recently completed a residency at the University of Miami in radiology. He is now in private practice at Lauderdale Lakes General Hospital, Fort Lauderdale, Florida . v Dr. Jeffrey S. Ross, M '70, was recently certified in anatomic and clinical pathology , American Board of Pathology. Dr. Ross is on twoyear active duty at Fort Jackson (South Carolina) with US Army , after completing a residency in pathology at the Massachusetts General Hospital. He has published three articles so far in 1974 on leukemia, herpes infection and is continuing bacis research into kidney regeneration . They are : " Leukemic Infiltration of the Lungs in the Chemotherapeutic Era," in American Journal of Clinical Pathology, Vol. 61, No. 2, Feb. 1974; " Herpetic Esophagitis - A Common Cause of Esophageal Ulceration," in Human Pathology, Vol. 5, No. 3, May 1974; and " Compensatory Renal Hypertrophy in Eviscerated Rats ," in Cancer Research, Vol. 34, 502-55 , March 1974. Dr. Ross lives at 3525 Lynhaven Drive, Columbia, South Carolina. 0 Dr. Peter E. Silversmith, M '70, received an award for his outstanding paper reporting research before the Western New York Chapter of the American College of Surgeons . Dr. Silversmith, a third year resident in general surgery at the Millard Fillmore Hospital, reported on his original research utilizing vein grafts to replace common bile ducts in animals. O Dr. Michael A. Arcuri , M '71 , is the new medical director of the Family Counseling Center of the Lancaster (Pa.) General Hospital. In May he completed a three year residency program at the hospital. () Dr. John Guedalia, M '71, recently discharged from U.S. Public Health Service, has accepted a position as first year resident in anesthesiology, University of Texas Southwestern Medical School, Dallas.\; Dr. Allen Stone, M '71, is in the practice of pediatrics in Scottsdale, Arizona. He lives at 5828 E. Calle Tuberia, Phoenix. O Dr. John Zygmunt, M '71, is directing the Family Practice Physicians program at Windson's (N.Y.) Stillson Medical Center. Dr. Zygmunt recently completed a three-year residency in Family Practice at Wilson, N.Y. O 68 Dr. Harold B. Bob, M '72 is Chief Emergency Physician, Maryland General Hospital, Baltimore, Maryland. Dr. Bob and his wife, Joan , announce the birth of a daughter , Rachel Hedi, on April24 , 1974. The Bobs live at 4 Sunny Meadow Court, Apt. 301 , Baltimore.O Dr. Gary H. Lyman, M '72, began a clinical oncology fellowship at Roswell Park Memorial Institute in July, 1974. Dr. Lyman lives at 26 Inwood Place, Buffalo. O Dr. Jeffrey S. Perchick, M '72, will go to the University of Rochester in July 197 5 for hematology fellowship after finishing second year of medical residency at Montefiore Hospital, University of Pittsburgh . He is the co-author of " Disseminated Intravascular Coagulation in Heat Stroke : Response to Heparin Therapy" which will be published in the Journal of the American Medical Association in the near future . Dr. Perchick lives at 3437 Fifth Avenue, Pittsburgh, Pa. " Dr. Richard A. Savage, M '72, has been appointed Chief Resident in Pathology at the Cleveland Clinic, Cleveland for the 1974-75 academic year. His paper, " Carcinoma of the Small Intestine Associated with Transmural Ileitis," will appear in a forthcoming issue of the American Journal of Clinical Pathology. Dr. and Mrs. Savage live at 6503 Marso! Road, #626, Mayfield Heights, Ohio. O Dr. Lary Schreiber, M '72, is working with Indian Health Service on a reservation in New Mexico. Dr. Schreiber lives in Cedar Crest, N.M . -'\ Dr. W. Roy Slaunwhite Jr. , M '73, has received a $110,762 grant from the American Cancer Society for a project, " Evaluation of Prolactin Control in the Management of Prostatic Cancer. " He is a professor of biochemistry and research associate professor of pediatrics at the Medical School. "'> Dr. Lawrence Zerolnick, M '72, is a pediatric resident at Long Island Jewish-Hillside Medical Center , New Hyde Park , New York . Dr. Zerolnick and his wife, T eri, announce the birth of a son, Jonathan David, August 2, 1974. The family lives at 255-17 74th Avenue, Glen Oaks, New York. (> THE BUFFALO PHYSICIAN �People Dr. William J. Staubitz, professor and chairman of the State University at Buffalo Department of Urology and chairman of the E.J. Meyer Memorial Hospital Department of Urology, has been selected by the Philadelphia Urological Society to present their annual B.A. Thomas Oration January 27 . His topic: " Overall Management of Testis Tumors. " 0 Dr. Julian L. Ambrus , research professor of medicine, is editor-in-chief of Journal of Medicine and Hematologic Reviews. He is also editor of Folia Angiologica and Research Communications in Chemical Pathology and Pharmacology . "> Dr. Margaret Acara , assistant professor of pharmacology, has been awarded a $74 ,247 National Institute of Arthritis , Metabolism and Digestive Diseases grant to determine what the kidney does with one of the body's vital compounds known as choline that not only helps in nerve transmission but in making proteins and forming cell membranes. Little is known on what the kidney actually does with choline. Said Dr. Acara, " we have yet to determine what effect too little or too much of it has in the blood. " After determining how the ~idney handles choline Dr. Acara will try to etermine what effect drugs such as alcohol has on the distribution of this vital compound in the body. Dr. Emma Tibold Domoszlai, assistant prof~ssor of pediatrics, is working at the Rehabilitation Center at Children's Hospital. She joined the faculty in September. \., Dr. Mary E. Mattar , clinical instructor of pediatrics , is working in developmental pharma~ology , the lead clinic and continuity clinics at Ch1ldren's Hospital. Three Medical School faculty members presented a paper on " The Management of Ectopic Ureters and U reteroceles in Children" at the ~merican Academy of Pediatrics annual meeting In October. They were Drs. William J. Staubitz, ~ofessor and chairman of urology , Imre V. D agoss , professor of urology, and Joseph Y. woskin , assistant professor of urology . Dr. 0 " w~skin also presented another paper on Unnary Tract Infections in a Pediatric Urology Pr ac t 1ce ' " at another session. <y WINTER , 1974 Dr. Anke A. Ehrhardt, has been named acting director of the department of child psychiatry and behavioral science at Children's Hospital where she has been director of psychoendocrinology . Dr. Ehrhardt has been research assistant professor in the department of pediatrics at the medical school since 1970 and a member of the department of psychiatry where she now holds the title of clinical associate professor of psychology. A 1962 graduate of the University of Munich, she received her Ph.D. in psychology in 1969 from the University of Dusseldorf (Germany). Prior to her appointments in Buffalo she was a member of the staff of the department of psychology at Johns Hopkins University. ;> Chester J. Brodnicki, Jr. has been named director of the Child Psychiatry Clinic. A graduate of Wagner College on Staten Island in 1965 , Mr . Brodnicki earned his Master in Social Work in 1967 from the School of Welfare at S.U.N.Y. Brodnicki joined the staff at the Children's Hospital in 1972 as director of Medical Social Services . The department was renamed, duties were expanded and he became Program Coordinator Hospital Services , Department of Child Psychiatry and Behavioral Science in March 1974. Previously, he had been senior psychiatric social worker at the Psychiatric Clinic in New York City from 1969 to 1972. He served as caseworker to residents of the West Seneca State School from 1966-69 and was associated with the Comprehensive Health Planning Council of Western N.Y . and the Nursing Home Research Center from 1968-69. Dr. Elliot F. Ellis , has been named director of the Clinical Research Center (a federally funded unit in the hospital) and head of the Division of Allergy at Children' s Hospital. He is also professor of pediatrics in the Medical School. Ellis is a graduate of Kenyon College in Ohio and earned his medical degree at Western Reserve University in Cleveland, Ohio. He served as chief of pediatrics at National Jewish Hospital in Denver from 1966 to the present, and associate professor in the Department of Pediatrics at the University of Colorado. Dr. Ellis took his residency at Babies Hospital, Columbia-Presbyterian Medical Center 1957-59. From 1962 to 1963 he had a Fellowship at Children's Asthma Research Institute and Hospital (Denver) and another for Allergy and Immunology in the Department of Pediatrics at the University of Florida College of Medicine (Gainesville, Florida) from 1963-66. 0 69 Dr. Ellis �People Dr. James B. Lee, clinical professor of medicine , is editor of Medcom Text on Prostag landins, Medcom Publishing Corporation, New York , 1973 . He contributed a chapter, " Prostaglandins and the Human Renal Antihypertensive Endocrine Function ." 'v All present officers of the Lakes Area Regional Medical Program's Regional Advisory Group have been re-elected to one year terms . Rev. Cosmas Girard , OFM , Ph .D ., a sociologistanthropologist from St. Bonaventure University , Olean, New York was renamed president. Other officers re-elected are : vice-president - Dr. Theodore T . Bronk, Director of Laboratories, Mt. St. Mary 's Hospital, Lewiston; secretary - Dr. Bert Klein , a Jamestown Podiatrist; and treasurerDr. John C. Patterson of Roswell Park Memorial Institute, Buffalo. Dr. Charles Bishop, clinical associate professo r of biochemis try, has edited a book - O ve rv iew of Blood, 1974 - published by the Blood Inform ation Service. Dr. Peter A. Nickerson , associate professor of pathology gave an invited paper at the first Balkan Congress on Electron Microscopy held in Sarajevo, Yugoslavia. Dr. Nickerson talked about his work on induction of intra-nuclear inclusions in the anterior pituitary gland of the Mongolian Gerbil. Representatives from eastern countries including Yugoslavia, Rumania , Bulgaria, Greece and Turkey presented their work at the Congress. Two Medical School faculty members are among the founding faculty of a new multidisciplinary center for the study of aging. Dr. Harold Brody, M '61 , professor and chairman of the department of anatomical sciences, and Dr. Eleanor Jacobs , research associate professor of psychology in the department of psychiatry, have been named to the new CE>nter. Dr. Constantine Yeracaris, professor of sociology, will be the acting director. Other faculty members represent the School of Social Work, the School of Management and molecular biology. ) 70 Dr. Roberta Pierson has joined the Medical School faculty as an assistant professor of anatomy . She comes to Buffalo after a three year postdoctoral fellowship with Dr. Malcolm Carpenter at the Columbia College of Physicians & Surgeons. Dr. Pierson' s teaching responsibilities are in histology and embryology. Her research interests are in neuroanatomy of eye reflex movements, stereotaxic lesion placement and degeneration studies of nervous system pathways using light and electron microscopy and autoradiography. Dr. Frank Baker is the new director of the Community Psychiatry Division in the department of psychiatry at the Medical School. He replaces Dr. Jack Zusman, who is on a one year sabbatical studying at the Stanford University Law School. Dr. Baker did his undergraduate work at Vanderbilt University where he majored in psychology . He received both his MA and Ph .D . degrees from Northwestern University in 1962 and 1964. During the last 10 years he has been on the faculties of Harvard Medical School, Lehigh University and the University of Massachusetts. Dr. Baker has authored or coauthored seven books and 43 articles and book chapters. Dr. Jeannette R. Spero, has been named acting dean of the School of Nursing at the University. She has been professor and chairman of the department of community health nursing since 1969. She is also vice chairman of the National League of Nursing' s Baccalaureate and Higher Degree Accreditation Review Board and a member of the advisory committee of the United States Public Health Service's Community Data Health Profile Center. Dr . Eugene A. Gorzynski , associate professor of microbiology, is the new president of the Western New York Branch of the American Society for Microbiology. Dr. Murray W . Stinson, assistant professor of microbiology , has been elected secretary of the Buffalo Chapter of the Society of the Sigma Xi . , THE BUFFALO PHYSICIAN �People Dr. Robert M . Kohn, clinical associate professor of medicine , is president of the American Heart Association, New York State affiliate . He is also editor of the Cardiac Rehabilitation Quarterly, and vice president of the social economic research foundation , American Society of Internal Medicine. Dr. John M . Lore, Jr. , professor and chairman of the department of otolaryngology, is author of a second edition of An Atlas of H ead and Neck Surge ry, W .B. Saunders Company (two volumes). v Dr. Robin M. Bannerman, professor of medicine, is chairman of the Medical Advisory Committee for the new Western New York Chapter of the Cooley's Anemia Foundation. He was also elected chairman of the local Medical Advisory Board of the Hemophilia Foundation. (' Dr. Fred M. Snell, professor of biophysical sciences, is vice president of the United States National Committee for International Union of Pure and Applied Biophysics . ..) . Dr. Nicholas K. Leibovic, professor of biophysical sciences, is the author of a book, Nervous System Theory - An Introduction Study, by Academic Press, N.Y. " Two Medical School faculty members have received a $300,000 grant from the National Institute of Allergy and Infectious Disease to study the extent of influenza in Buffalo school children. Dr. Pearay Ogra, professor of pediatrics and head of the department of virology at Children' s Hospital said he hopes to develop a safe and effective means to control future flu epidemics. Assisting Dr. Ogra is Dr. Richard G. Judelsohn , clinical assistant professor of pediatrics and consultant to the Erie County Health Department. Dr. J udelsohn is a 1967 Medical School graduate.<> Dr. Dennis DePace is an assistant professor of anatomy at Hahnemann Medical College, Philadelphia. Dr. DePace received his Ph.D . degree from the department of anatomical sciences at the Medical School in May.O WINTER, 1974 Dr. Carl BentzeL associate professor of medicine, is the new president of the Buffalo Academy of Medicine. Dr. David Harrod, clinical instructor in surgery is president-elect. Dr. Jules Constant, clinical associate professor of medicine, is the program chairman. 0 President Robert L. Ketter has been given an excellent job performance rating by the State University Board of Trustees and offered a new five year contract. Dr. Ketter has been president of UB since July 1, 1970. He joined the faculty in 1958 as professor of engineering. 0 Dr. Marguerite T . Hays is the new director of the Veterans Administration's medical research program. Before taking this position she was an associate professor of medicine and a clinical associate professor of nuclear medicine at the Medical School. O Dr. Jean A. Cortner is the new physician-inchief at Children' s Hospital of Philadelphia. He will also be professor of pediatrics and chairman of that department at the University of Pennsylvania School of Medicine. Dr. Cortner has been on the UB Medical School faculty for 11 years. Since 1963 he has been chairman of the pediatrics department at Children's Hospital. O An Honorary Doctor of Science Degree was conferred upon Dr. George W . Ferguson in May by the University of Nebraska. Dr. Ferg~son has been professor and chairman of operative dentistry at the UB School of Dentistry since 19~6. He is also director of the division of restorative dentistry. He was cited " for his contributions to research and teaching in the field of dental surgery in the U.S. Navy and at UB. " O Dr. Jack D . Klingman, associate professor of biochemistry , has been accredited by the American Institute of Chemists for a five year period.O Dr. Martha Kreimer-Birnbaum, research assistant professor of medicine and biochemistry, has been elected to the medical advisory board, Western New York Chapter of Cooley's Anemia Foundation. 0 71 �People Dr. James B. Lee, clinical professor of medicine , is editor of Medcom Text on Prostag landins, Medcom Publishing Corporation, New York, 1973. He contributed a chapter, " Prostaglandins and the Human Renal Antihypertensive Endocrine Function. " All present officers of the Lakes Area Regional Medical Program' s Regional Advisory Group have been re-elected to one year terms. Rev. Cosmas Girard, OFM, Ph.D., a sociologistanthropologist from St. Bonaventure University, Olean, New York was renamed president. Other officers re-elected are : vice-president - Dr. Theodore T. Bronk, Director of Laboratories, Mt. St. Mary' s Hospital, Lewiston; secretary - Dr. Bert Klein, a Jamestown Podiatrist; and treasurer Dr. John C. Patterson of Roswell Park Memorial Institute, Buffalo. Dr. Charles Bishop, clinical associate professor of biochemistry, has edited a book - Overv iew of Blood, 1974 - published by the Blood Informa tion Service. Dr. Peter A . Nickerson, associate professor of pathology gave an invited paper at the first Balkan Congress on Electron Microscopy held in Sarajevo, Yugoslavia. Dr. Nickerson talked about his work on induction of intra-nuclear inclusions in the anterior pituitary gland of the Mongolian Gerbil. Representatives from eastern countries including Yugoslavia, Rumania, Bulgaria, Greece and Turkey presented their work at the Congress. Two Medical School faculty members are among the founding faculty of a new multidisciplinary center for the study of aging. Dr. Harold Brody, M '61, professor and chairman of the department of anatomical sciences, and Dr. Eleanor Jacobs, research associate professor of psychology in the department of psychiatry, have been named to the new Center. Dr. Constantine Yeracaris, professor of sociology, will be the acting director. Other faculty members represent the School of Social Work, the School of Management and molecular biology. v 70 Dr. Roberta Pierson has joined the Medical School faculty as an assistant professor of anatomy. She comes to Buffalo after a three year postdoctoral fellowship with Dr. Malcolm Carpenter at the Columbia College of Physicians & Surgeons. Dr. Pierson's teaching responsibilities are in histology and embryology. Her research interests are in neuroanatomy of eye reflex movements, stereotaxic lesion placement and degeneration studies of nervous system pathways using light and electron microscopy and autoradiography. Dr. Frank Baker is the new director of the Community Psychiatry Division in the department of psychiatry at the Medical School. He replaces Dr. Jack Zusman, who is on a one year sabbatical studying at the Stanford University Law School. Dr. Baker did his undergraduate work at Vanderbilt University where he majored in psychology. He received both his MA and Ph.D . degrees from Northwestern University in 1962 and 1964. During the last 10 years he has been on the faculties of Harvard Medical School, Lehigh University and the University of Massachusetts. Dr. Baker has authored or coauthored seven books and 43 articles and book chapters. Dr. Jeannette R. Spero, has been named acting dean of the School of Nursing at the University. She has been professor and chairman of the department of community health nursing since 1969. She is also vice chairman of the National League of Nursing's Baccalaureate and Higher Degree Accreditation Review Board and a member of the advisory committee of the United States Public Health Service's Community Data Health Profile Center. Dr. Eugene A. Gorzynski , associate professor of microbiology, is the new president of the Western New York Branch of the American Society for Microbiology. Dr. Murray W. Stinson, assistant professor of microbiology, has been elected secretary of the Buffalo Chapter of the Society of the Sigma Xi. THE BUFFALO PHYSICIAN �People Dr. Robert M . Kohn, clinical associate professor of medicine, is president of the American Heart Association, New York State affiliate. He is also editor of the Cardiac Rehabilitation Quarterly, and vice president of the social economic research foundation , American Society of Internal Medicine. Dr. Carl BentzeL associate professor of medicine, is the new president of the Buffalo Academy of Medicine. Dr. David Harrod, clinical instructor in surgery is president-elect. Dr. Jules Constant, clinical associate professor of medicine, is the program chairman. 0 Dr. John M. Lore, Jr. , professor and chairman of the department of otolaryngology, is author of a second edition of An Atlas of Head and N eck Surge ry, W .B. Saunders Company (two volumes). President Robert L. Ketter has been given an excellent job performance rating by the State University Board of Trustees and offered a new five year contract. Dr. Ketter has been president of UB since July 1, 1970. He joined the faculty in 1958 as professor of engineering. ,) Dr. Robin M. Bannerman, professor of medicine, is chairman of the Medical Advisory Committee for the new Western New York Chapter of the Cooley's Anemia Foundation. He was also elected chairman of the local Medical Advisory Board of the Hemophilia Foundation.\, Dr. Marguerite T . Hays is the new director of the Veterans Administration's medical research program. Before taking this position she was an associate professor of medicine and a clinical associate professor of nuclear medicine at the Medical School. \ Dr. Fred M. Snell, professor of biophysical sciences, is vice president of the United States National Committee for International Union of Pure and Applied Biophysics. " Dr. Jean A. Cortner is the new physician-inchief at Children's Hospital of Philadelphia. He will also be professor of pediatrics and chairman of that department at the University of Pennsylvania School of Medicine. Dr. Cortner has been on the UB Medical School faculty for 11 years. Since 1963 he has been chairman of the pediatrics department at Children's Hospital. O Dr. Nicholas K. Leibovic, professor of biophysical sciences, is the author of a book, NerVous System Theory - An Introduction Study, by Academic Press, N.Y. " Two Medical School faculty members have received a $300,000 grant from the National Institute of Allergy and Infectious Disease to study the extent of influenza in Buffalo school children. Dr. Pearay Ogra, professor of pediatrics and head of the department of virology at Children's Hospital said he hopes to develop a safe and effective means to control future flu epidemics. Assisting Dr. Ogra is Dr. Richard G. Judelsohn , clinical assistant professor of Pediatrics and consultant to the Erie County Health Department. Dr. Judelsohn is a 1967 Medical School graduate. ~ Dr. Dennis DePace is an assistant professor of anatomy at Hahnemann Medical College, Philadelphia. Dr. DePace received his Ph.D . degree from the department of anatomical sciences at the Medical School in May.O WINTER, 1 974 An Honorary Doctor of Science Degree was conferred upon Dr. George W . Ferguson in May by the University of Nebraska. Dr. Ferguson has been professor and chairman of operative dentistry at the UB School of Dentistry since 1966. He is also director of the division of restorative dentistry. He was cited " for his contributions to research and teaching in the field of dental surgery in the U.S. Navy and at UB." O Dr. Jack D. Klingman, associate professor of biochemistry, has been accredited by the American Institute of Chemists for a five year period.O Dr. Martha Kreimer-Birnbaum, research assistant professor of medicine and biochemistry, has been elected to the medical advisory board, Western New York Chapter of Cooley's Anemia Foundation. ) 71 �People Three alumni and one Medical School faculty member have been elected officers of the Erie County Medical Society. Dr. Frank J. Bolgan, M '51, a thoracic surgeon, is the 153rd president of the society. Dr. Carmela S. Armenia, M '49, is the vice-president and Dr. John J. Giardino, M '58, is secretary-treasurer. Dr. Ralph J. Argen, clinical assistant professor of medicine, is president-elect. Dr. Edward M. Cordasco, clinical assistant professor of medicine at the Medical School, has recently been elected 2nd Vice President of the New York State Chapter of the American Society of Chest Physicians, 1974-75. Dr. Cordasco lives at 954 Rankin Road, Niagara Falls. Dr. Dongsoo Suk, clinical assistant professor of pathology at the Medical School, and Fellow of the College of American pathologists, authored an article in cooperation with Doctors J. Pickren and G.E. Moore of Buffalo in the NEW YORK STATE JOURNAL OF MEDICINE, Vol. 73, No. 20, October 15, 1973, pp 2479-83. Its title: Unusual Cellular Reaction to Malignant Melanoma in Patients Infused with Cultured Autochthonous Lymphocytes. v During the summer Dr. Robert J. Mcisaac, professor of pharmacology and therapeutics, experimented with new teaching methods for disadvantaged students by using audio-visual techniques. Dr. Cedric Smith, professor of pharmacology and therapeutics, has been appointed chairman of the search committee for the director of the department of alcoholism at the E.J. Meyer Memorial Hospital. Dr. Smith is also director of the Research Institute on Alcoholism. O Dr. John R .F. lngall has been elected chairman of the National Association of Regional Medical Programs. Dr. Ingall is director of the Lakes Area Regional Medical Program. ) Dr. Cynthia Clayton, assistant professor of pediatrics at the Medical School, is the new acting director of the department of pediatrics at Deaconess Hospital. She has been an attending physician at Children' s Hospital, and attending physician in the pediatrics and hematology clinics at the E.J. Meyer Memorial Hospital. Dr. Clayton is a graduate of the New York University School of Medicine.(> Two alumni were elected to office of the Kadimah Hebrew Day School of Temple BethEl, Tonawanda. Dr. Franklin Zeplowitz, M'58, is the new president and Dr. Solomon Messinger, M '57, was elected treasurer. ) Dr. Charlotte S. Catz, associate professor of pediatrics, has returned from her sabbatical in Paris. She has resumed responsibility for the senior medical student program in the department of pediatrics. " Dr. James F. Danielli, professor and director of the Center for Theoretical Biology since 1965, has been named chairman of the department of life sciences at Worcester Polytechnic Institute in Massachusetts. At one time Dr. Danielli was provost of the Faculty of Natural Sciences and Mathematics at UB. Three members of the department of pediatrics participated in the third International Symposium on Pediatric Nephrology in Washington, D .C. in October. They were Drs. Tadla Baliah, Jacob Steinhart and W. Joseph Rahill. '\ Dr. Edwin N . Naylor joined the faculty as a research instructor in pediatrics at Children's Hospital. He has been a post-doctoral Fellow with Dr. Robert Guthrie in the biochemical genetics division the last two years. 0 72 Dr. Sumner J. Yaffee , professor of pedia trics , chaired a session at the World Congress of Pediatrics in Buenos Aires in October. Two other research professors in the department, Drs. Heino Meyer-Bahlburg and Anke A. Ehrhardt, presented scientific papers. O THE BUFFALO PHYSICIAN �In Memoriam : Anne H. Deeley 1902-1974 On July 20th, after several years of chronic illness, death came to Mrs. Anne H . Deeley, retired secretary of the School of Medicine and its registrar for seventeen years. To the hundreds of students, faculty and staff of the school who had known her during that period, this event will mark the final closing of an era characterized by many major changes in the school, an era inextricably associated with her influence on its development. Mrs. Deeley joined the University in 1939 as a member of the staff of Chancellor Samuel Capen, and subsequently worked with Dr. Earl J. McGrath (later U .5. Commissioner of Education) on a pioneer study on the relationships of successive academic performance in high school, college and medical school. In 1945 she left the Chancellor's office to become a secretary in the office of the Dean (Dr. Edward Koch) of the School of Medicine, becoming within a short time its registrar and the Secretary of the Faculty, and eventually, Assistant to the Dean . In the ensuing seventeen years, by virtue of a personality uniquely compatible with the role which she was to structure and define, Mrs . Deeley was a major stabilizing influence during the four changes in the deanship which occurred during her tenure in the school. In addition to a high native intelligence, her extremely practical nature , impatience with bureaucratic methods for their own sake, abiding optimism and constant ability to see the good and the positive when these were minor facets made f or an eminently successful and, for her personal' ly ' sa t IS " f ymg . . expenence . Those fortunate students and colleagues who came to know her well will remember fondly a pervasive sense of humor and a sensitivity to and concern for the Problems of others which gave a uniquely per~onal quality to the functions of the dean 's office. :oubled students knew they had a sympathetic fnend in Mrs. Deeley, and similarly so did many members of the faculty and staff. She was the confidante of many, and the wise counselor of more than would admit it. When in 1962 she left the dean' s office to ?ecome executive assistant to Dr. John D . Stewart In the newly created office of the Vice Chancellor of Health Affairs , the School of Medicine suffered a loss the extent of which many failed to WINTER , 1974 A nn e Dee ley recognize. In her new role she continued her interest in the school and the association with her faculty friends. Increasing physical incapacity forced her retirement in 1970, but her concern for the school continued to the end. Rarely does a member of an administrative staff have both the opportunity and the ability to make a genuinely significant contribution to the functioning of an educational institution. Anne Deeley was such a person. v (R.L.B.) Dr. Mary J. Tillou, M '50, died September 27. She was a clinical associate in pediatrics and had been on the Medical School faculty since 1954. Dr . Tillou interned at the Buffalo General Hospital in 1950-51. From 1951-53 she was a resident at Childrens Hospital and until1968 she was a clinical assistant physician at Childrens. Dr. Tillou received her bachelor's degree in 1937 from Randolph-Macon Womans College, Lynchburg, Virginia . She was a Diplomate of the American Board of Pediatrics, and was active in several professional organizations. 73 �In Memoriam Dr. Leo M. Michalek, M'30, died June 26 of a heart attack. The 70-year-old had practiced in Lackawanna, N .Y. for more than 40 years. He retired in 1971. He had been on the medical staffs of Our Lady of Victory and Mercy Hospitals. Dr. Michalek served as Lackawanna health commissioner for 18 years and as physician in the public schools for more than 30 years. The surgeon also served on the Federal Housing Board in the 1940's and the Lackawanna Recreation Advisory Board from 1954-64. He was also on the board of St. Anthony's Home for the Aged in Hamburg, and served as an adviser and physician at St. Francis High School in Athol Springs. Dr. Michalek was the founder and benefactor of the National Honor Society chapter at St. Francis High School. The Chapter is named in his honor. For more than 40 years he supported awards and scholarships for outstanding students at the school. He was also active in numerous professional and civic organizations. Among the survivors is a son, Dr. Leo Jr., a 1964 Medical School graduate, and a brother, Dr. Arthur, who is a 1951 Medical School graduate. Dr. Emil J. Bove, M ' 34, died July 25 of cancer of the pancreas in the Seneca Falls, N.Y. Hospital. His age was 67. Although very ill he attended the 40th reunion of his class during Spring Clinical Days in May. Dr. Bove had been a practicing physician in Seneca Falls for 36 years. He was president of the 200 member committee which was organized in 1955 to build a new hospital, after the old building had been condemned. Dr. Bove was the first chief of staff of the new hospital, and later chief of obstetrics. Bove Drive, which opened two years ago, was named in his honor. During World War II Dr. Bove graduated from the School of Aviation Medicine and was a Major in the United States Air Force. He served in the China-Burma-India theater. He was a Seneca school physician for 17 years, a Sylvania plant physician for 15 years and past director of the Seneca County Board of Health. He also served as selective service medical advisor and examiner. Dr. Bove was a former member of the staff of Taylor-Brown Memorial Hospital, and a member of the courtesy staff of Geneva General Hospital. In 1967 he was appointed associate physician for general medical care at Willard State Hospital. Dr. 74 Bove was active in several civic and professional organizations. Prior to opening his practice in Seneca Falls, he practiced in Fair Haven and was school physician in Oswego and a member of the staff and health office at Oswego Hospital. Among the survivors is a son, Kevin, who is a 1961 Medical School graduate. " Dr. Peter S. Battaglia, M '55, died July 4 at Mt. St. Mary's Hospital after a long illness. His age was 46. He was on the staffs of St. Mary's and Niagara Falls Memorial Medical Center. He interned at Mt. St. Mary' s and was a resident in internal medicine at the Cleveland Clinic. In 1963 Dr. Battaglia received the New York State Jaycee Distinguished Service Award. He was also chairman of the State Medical Society Committee on Nursing Homes and Aging for six years. He also sponsored a free bowling program in 1963 for 49 underprivileged children and founded a free medical clinic at the City Mission for 20 homeless men. He was chairman of the State Advisory Committee on Mental Health; was a past president of the Niagara County Health department and chairman of the Health Task Force of Niagara County' s White House Conference on Aging. Dr. Battaglia served two years in the United States Navy; was president of the Niagara Falls Area Chamber of Commerce; was a past vice chairman of the United Givers Fund Professional Division; past president of the Niagara Falls Kiwanis Club , Niagara Falls Academy of Medicine and the Niagara Falls Diabetes Association . He was a former board member of the YWCA and the Council of Social Agencies Family and Childrens Service. He was also active in several other professional organizations. () Dr. Charles E. Rung, M '29, died October 2 in Millard Fillmore Hospital after a long illness. His age was 68. Dr. Rung was a general practitioner and general surgeon for 45 years and a consultant to the Veterans Administration Regional Office. He was also on the medical staff of Millard Fillmore Hospital. He had been in semi-retirement since 1967. ~ THE BUFFALO PHYSICIAN �In Memoriam . Dr. Raymond C. Laport, M '17, who practiced medicine in Lockport, N .Y. for 55 years died July 23. His age was 85. He served as a First Lieutenant in the medical corps during World War I. Dr. Laport was active in several professional and civic organizations.O Dr. Lester Knapp, M '27, died August 29 while playing golf in Canada. The 74-year-old proctologist was an attending physician at the Buffalo General Hospital for 31 years (19341965). Since then he has served as consulting physician. Dr. Knapp had also been on the staffs of Children's and Millard Fillmore Hospitals. In 1966 he was inducted into UB' s Athletic Hall of Fame. He played both fullback and halfback for the UB Bulls. Dr. Knapp also served on the UB Athletic Council for nine years and was assistant f:es~man coach for five years. Dr. Knapp was achv em severa1CIVIC · · an d pro f ess10nal · organizations and was a Fellow of the America Society of Colon & Rectal Surgeons and the American College of Surgeons. ;) Dr. John B. Schamel, M ' 29, died June 27 in ~obert Packer Hospital, Sayre, Pa. , after a short Illness. His age was 70. He was on the Medical School faculty from 1929 to 1933. Dr. Schamel Was active in several professional and civic organizations. ) Dr. Rafael Perez-Lara died June 29 of a heart attack. He was a clinical instructor in medicine at the Medical School and a staff physician at both the VA and South Buffalo Mercy Hospitals. He Was born in the Dominican Republic in 1922 and received his medical degree from the University of Santo Domingo. He did post-graduate training in Montreal, Toronto and Buffalo. In 1955-57 he served in the United States Army Medical Corps.O Dr. John F. Bently, M '63, died June 30. The 41-year-old physician of Bath, N.Y. was stricken With an apparent heart attack while sailing his Msc ow Wit . h a crew partner in races at Keuka Yacht Club. He interned at the E.]. Meyer Memorial Hospital and took his residency at the Rochester General Hospital. He has lived in Bath since July 1, 1966. From 1953-56, he served in the United States Army. 0 WINTER, 1974 Dr. Daniel C. Fisher, M '24, died September 8 in St. Francis Hospital after a brief illness. His age was 78. He retired in 1971 after a long career as a general practitioner. He had also been active in county medical and civic affairs. Dr. Fisher's most recent recognition was the VIP award by the Amherst Chamber of Commerce for his work with the Millard Fillmore Hospital Committee in locating a branch of the hospital in Amherst. Before retirement Dr. Fisher served on the staffs of St. Francis, Millard Fillmore, Sisters and Lockport Memorial Hospitals. When the Erie County Board of Health was formed in 1947, he was appointed its first president and served in that capacity 12 years. Dr. Fisher was also president of the Erie County Laboratory Board one year and the Board of the E.J. Meyer Memorial Hospital. He was a Fellow of the American Academy of Family Physicians. He was also active in several other state, regional and national professional associations. 0 Dr. Frederick T. Schnatz, M '26, a prominent Buffalo internist, died September 8 in Buffalo General Hospital after a brief illness. His age was 75. Dr. Schnatz interned at City Hospital and served his residency at Grace-New Haven Hospital, New Haven, Connecticut. He was a Fellow in the American College of Physicians and a Diplomate of the American Boards of Medicine and Cardiology. He was an attending physician at the Buffalo General Hospital and a clinical professor of medicine (1922-69) on the University faculty. Among the survivors are two sons, Dr. David, a 1957 Medical School graduate, and Dr. Paul, a 1961 School of Medicine graduate. O Dr. Dudley L. King, M '54, died September 16 at his East Aurora, N.Y. home. He was a clinical instructor in pediatrics at the Medical School and on the staffs of Children's, Buffalo General and Millard Fillmore Hospitals. His age was 47. Dr. King was also a staff physician at the Erie County Health Department well baby clinics in Cheektowaga and West Seneca. He also did volunteer work at the Attica Correctional Facility. He served in the United States Navy during World War II, and was active in several professional and civic organizations. O 75 �Spring Alumni Tour to Rome April12- 20 New York City and Syracuse Departures via Jet H otel: Ritz or Grand Beverly Hills Cost: $429.00 per person (round trip) plus 15% tax and service. This includes continental breakfast daily and dinner each evening, hotel and round trip air fare. For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 --- The General Alumni Board- DR. JAMES J. O 'BRIEN, L.L.D. '55, President; GEORGE VOSKERCHIAN, Presidentelect; DR. GIRARD A. GUGINO, D.D.S. '61, Vice President for Activities; WILLIAM MCGARVA, B.A. '58, Vice President for Administration; DR. ANN L. EGAN, Ph.D. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; RICHARD A. RICH, B.S. '61, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; ROBERT E. LIPP, LL.D. '54, Vice President for Public Affairs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents: DR. FRANKL. GRAZIANO, D.D.S. '65; MORLEY C. TOWNSEND, LL.D. '45; DR. EDMOND J. GICEWICZ, M.D. '56; M. ROBERT KOREN, LL.D. '44; WELLS E. KNIBLOE, J.D. 'so. Medical Alumni Association Officers: DRS. PAULL. WEINMANN, M '54, President; MILFRED C. MALONEY, M '53, Vice President; JAMES F. PHILLIPS, M '47, Treasurer; LAWRENCE H. GOLDEN, M '46, Immediate Past President; MR. DAVID K. MICHAEL, M.S. 68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM, M '43 , President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR. , M '35, Second VicePresident; KEVIN M . O 'GORMAN, M '43, Treasurer; DONALD HALL, M '41 , Secretary; MAX CHEPLOVE, M '26; Immediate Past-President. 76 THE BUFFALO PHYSICIAN �Alumni Tour To Rio de Janiero February 26 to March 6, 1975 for $469 plus 15% tax on the "dine around" plan (gratuities included). This is the second annual joint Dental and Medical Continuing Education Tour Program. You will be staying at the new Sheraton Hotel that opened in July. Round trip via jet from Niagara Falls and New York City. A $100 deposit will hold a seat for you. For details write or call: Alumni Office, SUNY AB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 ------------------------------------------------------------First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MA I LED I N THE U N I TED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 l.i THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - Year MD Received----: Office A d d r e s s - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - : Home Address------------------------------------------~ IfnotUB,MDreceivedfrom-------------------------------------~ D No D S p e c i a l t y - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - = In Academic Medicine: Yes D No D Part Time D Full Time D In Private Practice: Yes School------------------~ Title Other:--------------------------------------------~ - I NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ __ ' Please send copies of any publications, research or other original work. �� Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1974 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals. Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1974-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1974-04-Winter Table Of Contents A list of subunits of the resource. The Role of Chance Dr. Naughton Named Dean Dr. Greco Gives $50,000 Diabetes, Mumps Linked Loan Fund A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself (part III) by Samuel Sanes, M.D. The VA Alcoholism Clinic Honorary Degree for Dr. Neter Perinatal Medicine LARMP Grant Dr. Nunn/Dr. Seller Acupuncture PSRO Chairman/New Division Heads Rural Externship $1,330,238 Grant/Dr. Albuquerque Gravity and Man Continuing Education Programs The 1978 Class Our First Professor of Chemistry, Pharmacy by Oliver P. Jones, Ph.D., M.D. Emergency Radio System Eight Women Honored Tennis Champion Cholinergic Antagonists Clinical Microbiology 95 Faculty Promotions New Library C.A.R.E. for Critically Ill The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-15 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v08n04 Extent The size or duration of the resource. 81 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/b59cbdd1cad24fb2f9f2a43b8aff109b.pdf f170ba7ba32bb62fc1dcb1180869c0d4 PDF Text Text �Medical Alumni Officers Dr. Weinmann A 1954 Medical School graduate is the new president of the Medical Alumni Association. He is Dr. Paul L. Weinmann, who is director of the department of dermatology at St. Joseph' s Inter-community Hospital. Dr. Weinmann was graduated from Bennett High School, Buffalo, in 1947. He did his undergraduate work at the University of Michigan, returning to Buffalo in the fall of 1950 to enter Medical School. He interned at the Buffalo General Hospital in 1955, and took his dermatology residency at the University of Chicago. He returned to Buffalo in 1958. Dr. and Mrs. Weinmann and their two children live at 199 Ruskin Road, Eggertsville. A 1953 Medical School graduate is the vice president. He is Dr. Milford C. Maloney, who is clinical assistant professor of medicine at the University and chief of medicine at Mercy Hospital. Dr. Maloney is a graduate of Canisius College . He had a rotating internship with Georgetown University and Mercy Hospital. He took his residency at Buffalo General and Veterans Hospital. From 1957-59 he served in the United States Army Medical Corps as a Captain and chief of medicine at Fort Eustis Army Hospital, Virginia. From 1959-63 he was a part-time senior cancer research physician at the Roswell Park Memorial Institute. Dr. Maloney is a Fellow in the American College of Physicians . He is a past president of the Western New York Society of Internal Medicine (1968), and the Heart Association of Western New York (1969). He has also been an active participant in post graduate courses and the UB Medical Round Table TV Series . He has also presented several courses and lectures at clinics, symposia and other professional meetings. ) Dr. Maloney Dr. Ph illips Dr. James F. Phillips is the new treasurer . He is a 1947 Medical School graduate, who is clinical associate professor of medicine at the University and associate physician at the Buffalo General Hospital. Dr. Phillips attended Canisius College three years before entering UB in 1944. He was an intern at Buffalo General Hospital (1947 -48) and also took his residency in pathology and medicine there {1948-51 ). In 1951-52 he was chief resident in medicine at the hospital. He entered private practice the following year. Dr. Phillips is a Diplomate, American Board of Internal Medicine. He has published many articles and has served on numerous boards and committees of professional societies and associations . �Fall 1974 Volume 8 , Number 3 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORI A L BOA RD Editor R OBERT S . M cGRANAHAN M ARIO MarJaging Editor M ARIO OWSKY Photography H UGO H . U NGER EDWARD N OWAK Medical lllustrator M ELFORD ]. D IEDRICK Visual Designers R ICHARD M ACKA )A D ONALD E. WATKINS Secretary F LORE CE M EYER CONS ULT A NTS President, Medical Alumni Association D R. LAWRENCE H . G OLDEN President, Alumni Participating Fund for Medical Education D R. M ARVI BLOOM Vice President, Faculty of Health Sciences and Acting Dean, Sch ool of Medi cine D R. F. C ARTER P A NILL Executive Officer, School of Medicine D R. C LYDE L. R ANDALL Vice President, Un ivers ity Foundation ] OH C. C ARTER Director of Public Information ] AMES D ES ANTIS Director of Medical Alumni Affairs D AVID K . M ICHAEL Di rector of University Publications PAUL L. K ANE Vice President fo r University Relatio01s D R. A . W ESTLEY R OWLAND Medical Alumni O fficers (inside front cover) Spring Clinical Days American Medicine Paramedical Personnel New Drugs for Old Diseases Coronary Artery D isease Dr. Brown' s New Career 11 Continuing Education/ Acting Dean 12 A Physician Faces Disseminated Reticulum Cell Sarcoma In Himself (part II) by Samuel Sanes, M .D . 21 Husband, Wife Team/ Drs . Marra, Sheffer 22 Dr. Barnard 25 Pathology Chairman 26 Immunology Symposium Witebsky Memorial Lecturer 32 Commu nity Psychiatry 35 Ethical Problems 36 Improved Learning 38 Commencement 39 Students Honored 43 Medentian Honors 44 Indian Health Service 46 Seven Retire 47 Dr. Schenk 48 Center for Immunology Head 49 Or. Rennick/ Women in Medicine SO Summer Fellowships 51 SNMA O fficers 52 New Kind of Physician 54 Our First Professor of Physiology, Medical Jurisprudence by Oliver P. ]ones, Ph.D., M.D. 63 Two Graduates Honored 64 The Classes 67 People 70 In Memoriam 72 Alumni T ours 2 T he cover by Do nald W atk ins foc uses on the Indian Health Service, pages 44, 45. TH E BUFFALO PHYSICIAN, Fall, 1974 - Volume 8 , Number 3 , published terly Spring, Summer, Fall, Winter - by the School of Med ic ine , University of New York at Buffalo , 3435 Main Street, Buffalo, New 14214. Second class postage paid at Buffalo, New York. Please n o tify change of address . Copyright 1974 by The Buffalo Phys ician. FA LL, 1974 I qua rState Yo rk u s of �The Stockton Kimball luncheon. American Medicine Dr. Schwartz There was something for everyone at the 37th annual Spring Clinical Days. There were panels on paramedical personnel, new drugs for old diseases and the continuing controversy on surgical versus medical management of coronary artery disease. In addition Dr. Harry Schwartz presented the " Case for American Medicine" at the annual Stockton Kimball luncheon-lecture. " American medicine is now at the height of its capability. It provides more effective help to a larger number of people than ever before," the author-economist-lecturer said. He is on leave from the editorial board of the New York Times. " At almost every point along the frontiers of the fight against death and disability American physicians and medical researchers are the world leaders. They are setting new standards of excellence in such diverse fields as heart and kidney transplants , knee and hip replacements, treatment of leukemia and hypertension, the prevention of RH incompatibility and the application of new weapons against hyaline membrane disease in newborn babies," The Distinguished Professor of Economics, New Paltz Division, SUNY, said. Dr. Schwartz admitted that American medicine is not perfect or beyond improving. " It is much maligned/ slandered and sometimes justifiably." Then he challenged the alumni physicians " to get the facts better understood. The best possible medical care is available in the United States today. We must recognize that American medicine is composed of fallible human beings and has inadequacies in need of remedy - a far cry from the critics' stereotyped claim that we are in a ' health care crisis' of such magnitude and gravity that only the most radical surgery will set matters aright. " The hard fact about medical care is that there will always be infinite demand for it. The entire gross national product could not satisfy the demand for it. " In raising the specter of confrontation building up between American medicine and the community he pointed to the core of the 2 THE BUFFALO PHYSICIAN �problem- an economic one- the potential demand for free medical care and its infinite demands. " There are no rights without responsibilities in this world," he said, and he referred to the seeming contradiction between infinite expectations and a society denoting most of its needs/ wants out of the gross national product. How do you fit infinite demand with limited resources? He feels that a system of rationing must result. In pointing to pros/cons of one, the HMO' s, which provide medical care by reverse incentives. " To make money you give as little care as possible. HMO's will spur the economy." " It is always easy to be generous with someone else's money. Many people go to a hospital only because they have Blue Shield. If they were paying for it themselves, the answer might be NO." On the other hand, the PSRO will change the practice of medicine, and not assuredly to the good. Every medical transaction will be examined on medical norms or protocol. And he believes a conflict will ensue with computerized information/ patient-doctor relationship. It raises the specter of a mechanism by which some will or won't get medical care, within cost guidelines. " Confidentiality is the biggest worry with computer banks for everyone. The Eagleton affair is the best example. When it was leaked to the press that was the end. History has shown that when a secret is interesting or important enough it is no longer a secret. D espite all the promised safeguards, what is to stop someone from bribing a computer operator or using other methods to get medical records. In five or 10 years there will be no medical confidentiality. Everything will be on computers. ' Big Brother' will know everything about everyone," Dr. Schwartz said. " The more power we give the U.S. government the more incentive we have for corruption. If you ultimately give a dominant federal mechanism the power whether Mr. Jones lives or dies won' t we be creating incentives for corruption - a medical Watergate?" For him the whole lesson of Watergate is that with every power Government gets there is an opening for corruption; there will be people who will exercise that power. While he feels that the present medical care system is not perfect, it does have a pretty good record of progress. His final departing message was to " look before you leap, sometimes change is change for the worse." Medical students attend the two-day m eeting. FALL, 1974 3 Spring Clinical Days M rs. S tockton Kimball �The panel on " Utilization of Paramedical Personnel" - Drs. Cosgriff, D ickman, Mrs. Crowley, Mr. Carr, Dr. Wolin, Mr. McLeod. Paramedical Personnel Three interested participants At Friday's opening session Dr. Robert L. Dickman, the panel moderator, suggested that we must develop a health care team as a collective group. " When we do this we can provide exciting health care to patients. " The director of ambulatory services at the Buffalo General Hospital, believes health professionals can be used more effectively in " following patients and educating them. There are 700,000 registered nurses in the United States who could go into physician's assistant programs. Rejected applicants from medical schools are another source and there are many others." Miss Ann Crowley, medical nurse practitioner at the Buffalo General Hospital, pointed out that her role is to act as the patients' advocate. " But we are also very much involved in the decision making. We have our own patients and perform physical exams, teach patients how to manage their health problems. Physicians are always available for referral or consultation. " At the Buffalo General Hospital we function in the Medical OutPatient Clinic in adult health care. We have been pioneers' in the Western New York area in this new and challenging role in adult health care. " Basically, we see three types of patients. We screen those patients who come to clinic without appointments; taking care of episodic complaints, and referring those patients with more difficult problems to a physician. Secondly, we each have our own clinics where we follow chronic stable patients who have been referred to us by a physician. We follow the patient within the parameters set up by the physician. And, thirdly, we do Data Bases, or work-ups, for physicians who refer patients to us for this purpose. "After a complete work-up is done, the patient returns to the physician with the nurse practitioner for a review of his data base. The physician then makes the patient' s diagnosis and determines his 4 THE BUFFALO PHYSICIAN �prescribed treatment program. The nurse practitioner and physician try to see the patient together, as much as possible, on each follow-up visit. At such point in time when the physician feels the patient is under control and his condition is stabilized, the nurse practitioner then can follow the patient on her own. This is primarily how we establish our own patient load. " Disease entities which we follow generally include: hypertension, chronic stable diabetes mellitus, chronic C.H.F., arthritis, obesity, allergies, C.O.P.D., and really any disease that is in manageable control. As soon as the patient develops a significant new problem, or his treatment program is no longer under controL he is automatically seen by his physician for consultation and re-evaluation. In evaluation of the patient' s needs, then, the nurse practitioner can relate to the physician dependently, interdependently, or completely independently. However, the physician is ultimately responsible for the patient and therefore must counter-sign all our charts," Miss Crowley concluded. " The ambulance is an extension of the hospital and the ambulance attendant is the extended arm of the physician. The properly trained ambulance attendant can provide adequate and perhaps better care than doctors. " That is what Dr. James H . Cosgriff, Jr. , clinical assistant professor of surgery, said. The chairman of the Erie County Emergency Medical Care Committee pointed out that if the level of ambulance care is to be improved more money is needed for training and salaries. " Our goal is to provide trained paraprofessional personnel to staff mobile life support units. Its effectiveness and implementation is based on a communication system which will allow the Emergency Medical Technician to consult with a physician or specially trained nurse. In addition to voice contact, the ambulance attendant will be able to transmit biomedical data, particularly the EKG, which can be interpreted by the consultant and proper treatment can be prescribed. There are several such systems operating in New York State- in the New York City area, one in Elmira and one in Buffalo. " The effectiveness of this approach, particularly in patients with acute coronary disease, has been well established in many areas around the country. All types of ambulance personnel are involved, policemen, firemen, hospital based and volunteers. In some areas the experience has An interested audience. FALL, 1974 5 Th e O berkirchers, Drs. David ]., M '59, and Oscar]., M '15. Spring Clinical Days �Dr. Louis Antonucci is congratulated by Dr. George Fugitt for the winning exhibit pictured below. been such that the ambulance technician may defibrillate or start an IV even if voice contact cannot be established with the consultant," Dr. Cosgriff concluded. Mr. Norman Carr said that he had good experience with former military medical corpsmen (MEDEX) as physician' s assistants in New Hampshire. "Physician's assistants have been most effective in our operation. They are efficient in data collection and in many cases can relieve the physician of many other duties. We must develop a sense of unity and break down the barriers that exist in many physician assistant programs. " Mr. Carr is a physician's assistant at Matthew Thornton Health Plan, Nashua, New Hampshire. Dr. Richard E. Wolin, assistant professor of psychiatry at the Medical School, pointed out that the paraprofessional must prove that the extra cost is worth more efficient delivery of health care. "The psychiatrist's assistant must contribute something unique and different to a clinical or community setting. In the mental health field paraprofessionals are providing such therapeutic functions as individual counseling, activity group therapy, milieu therapy; they are doing case finding; they are playing screening roles of a non-clerical nature; they are helping people to adjust to community life; they are providing special skills such as tutoring; they are promoting clients self help through involving clients in helping others having similar problems. " Today paraprofessionals are contributing to mental health by filling new roles based on patients' needs which were previously unfilled by any staff. They are also performing parts of tasks previously performed by professionals, but tailoring the tasks to the paraprofessionals' unique and special abilities. " The use of assistants requires acceptance on the part of professionals and the proper mix of professionals and nonprofessionals. Many of the new roles performed by the non-professional are based upon the patient's individual needs. All formal treatment has the approval of the physician," Dr. Wolin concluded. The winning exhibit, Fluorescein Angiography, by the department of ophthalmology at the E. ]. Meyer Memorial Hospital. Drs. John Armenia and Antonucci prepared the exhibit. �" Today's pharmacist is much different than the druggist on the corner that we all remember. The clinical pharmacist is working with physicians, nurses, dentists for better health care." That is what Donald C. Mcleod, assistant professor of pharmacy at the University and director of pharmacy services at the Buffalo General Hospital said. " There are several emerging pharmacy specialties - radiopharmacist, psychiatric pharmacist, primary health care pharmacist, drug information specialist, pharmacokinetic specialist, general clinical pharmacist, and pediatric pharmacist {drug therapist and therapeutic consultant)," Mr. Mcleod said. This is possible because of the changes in pharmacy education. " Today' s pharmacy student receives expanded instruction in medical courses - biochemistry, physiology, anatomy and pathology. He also receives in-depth instruction in pharmacology, therapeutics, biopharmaceutics and pharmacokinetics. There is also clinical orientation through our clerkship in teaching hospitals. This gives the pharmacy student the opportunity to work with physicians and medical students. There are at least 15 or 20 new clinical roles where pharmacists are functioning such as-drug information analysis, pharmacokinetic consultation, patient rounds and drug consultation with medical staff, patient drug education, adverse drug reaction prevention and detection, poison information dissemination, cardiopulmonary resuscitation, antibiotic utilization control and many others," Mr. Mcleod concluded. Spring Clinical Days New Drugs for Old Diseases What are the new drugs being used for old diseases? For gallstones Dr. Leonard A. Katz pointed to a new experimental bile salt, chemodeoxycholic acid. It may soon be available to the 15 million Americans who spend a billion a year to treat this disease that is more common in the female as well as in a very high percentage of American Indians. In trials underway at six treatment centers in this country, the effects of this new drug that changes the composition of bile and thus increases the solubility of gallstones - almost pure cholesterol - will be followed. For, says Dr. Katz, " no one knows what happens to unexcreted cholesterol or if there are any harmful side effects." For Dr. Robert W. Schultz the important thing to remember about hypertension, a real disease for the 23 million in this country who have it and only half know it, is that only a small percentage are being adequately treated. And, Dr. Schultz says, there is treatment available. With screening programs now underway in Buffalo soon to come is a protocol for evaluating the hypertensive as well as hospital centers for evaluating those patients with management problems. One pharmacodynamic approach reviewed by Dr. Schultz to medically manage the hypertensive patient combined the use of diuretics with vasodilators and neural blocking agent. For asthma the new preventive drug, sodiumchromolyn is unique. For, says Dr. Robert E. Reisman, " it will effectively inhibit allergy and exercise-induced asthma attacks if a patient is pretreated. It prevents the release of chemical mediators which are responsible for these attacks. And it is also useful in the maintenance therapy of other asthmatics, particularly children. " For persistent asthma he cautioned on the overuse of adrenergic aerosols. FALL, 1974 7 Drs. We inmann, Pann ill �- / Dr. Lockie For Dr. L. Maxwell Lockie, arthritis remains an exciting group of diseases to treat. He reviewed two drugs that offer the most promise for relief of its symptoms. The effects of Motrin and Naproxen on the stomach of the patient unable to tolerate aspirin or salicylates is minimal, he said. And in animals Motrin was found to be 25 times more effective and totally excreted in 24 hours. He cautioned on the need to check the young rheumatology patient for lupus. In his overview of other therapies he pointed to the 90 percent surgical success rate in Buffalo on total hip and knee replacements. " The infection rate," he continued, " is very low. " What he found to be useful in the small percent of r.a. patients who do not respond to the usual program is Cytoxin. But he stressed the importance of using this immunosuppressant with both urinalyses and blood counts. Dr. Carl Arbesman, clinical professor of medicine and microbiology, presided. Coronary Artery Disease Dr. A rbesman The controversy over surgical versus medical management of coronary artery disease continued unabated. Reviewing the seesawing between medical and surgical approaches over the past decade, and today' s choice of the surgical one via angiography was reviewed by Dr. David G. Greene. While the U/ B professor of medicine and physiology felt that we can educate the young on diet, smoking, weight, etc. there was little leverage in attacking the problem in middle-agers until clinical manifestations appear. Yet to be established, he continued, is whether modifying one's metabolism re diet, etc. will do anything to make coronary artery disease go away. The clinical applications for coronary angiography were presented by Dr. Harold A. Baltaxe. " No examination," the Cornell radiologist T he panel on " Coronary Artery Disease"- Drs. Spain , K ohn, Baltaxe, Greene, Joh nson. 8 THE BUFFALO PHYSICIAN �cautioned, " should be performed without prior consideration of the risk factor to the patient. Only after the rate of complications has been established can the physician weigh the benefits of the procedure vs. potential ill effects. " Its use, he continued, " is to assess whether the patient is suitable for coronary bypass procedure. " He also stressed the importance of reevaluating the patient after surgery and establishing the result of the procedure. From Downstate pathologist David M . Spain there was a review of the nature of coronary artery lesions producing ischemia that leads to sudden death as well as angina pectoris and the two basic forms of myocardial infarctions. The role of coronary thrombosis in transmural myocardical infarction was also detailed. For Dr. W . Dudley Johnson, surgery is not the " ultimate answer to the problem. " For coronary artery disease is just one episode in the life of the coronary patient. While the Medical College of Wisconsin surgeon feels there is now good medical treatment for angina pectoris it is not the case in coronary insufficiency. He presented good evidence for atherosclerosis occurring more in veins and progressing in grafts as well. To the surgeon he pointed out the need to do something about the basic underlying problem of controlling blood pressure, weight, smoking, etc. Dr. Robert M. Kohn , clinical associate professor of medicine, presided. Spring Clinical Days Dr. Brown's New Career Dr. Robert L. Brown, who has been an assistant or associate dean at the Medical School since 1959, is embarking on a new career. He is establishing a School of Medicine museum. " I am appealing to physicians and their families to contribute old catalogs, correspondence, papers or anything else that may be of historical significance to the School of Medicine or medical practice in Western New York, " Dr. Brown said. He also hopes to do some writing and will work closely with public libraries, the historical society and the University Archivist. " I also want to review and organize records in the dean's office that relate to endowments and prizes. This will include a brief resume of the history and intent of restricted prizes and endowments. " Dr. Brown served five deans during his 15 years , and was acting dean two years. He formally resigned June 1. In 1967 he received the Dean's Award " for doing the most in carrying forward the purposes of the school, translatmg the desires of the faculty and departments into the necessary administrative framework , and working with loyalty and steadfastness of purpose. " In 1972 D r. Brown received the School of Medicine Medal which he conceived and designed in 1972 "for 14 years of devoted service to Medicine and the Faculty of the School. " At the annual Spring Clinical Days (1974) Dr. Brown received a special alumni award from Dr. Lawrence Golden, president of the Medical Alumni Association. FALL, 1974 9 Drs. ]ones, Randall �- - Dr. Golden presents a special award to Dr. Robert L. Brown for 15 years of dedicated serv ice to the Medical School. --- - - - - - - - The citation : " It is now my privilege to present a special award as I guess my last official act as your president to Dr. Robert Brown and this is an award that I do with a good deal of feeling and it is one that I want to be in a fashion that really portrays what we as members of the alumni feel towards Dr. Brown and so I would like to read this rather than to talk 'off the cuff' for fear that the words won' t come out the way that they are intended. " Dr. Robert Brown graduated from the University of Buffalo School of Medicine in 1944. After an internship at the Buffalo General Hospital, a tour of military duty in Europe and service as medical director of two nationally known pharmaceutical firms , he was appointed assistant dean of the School of Medicine in 1959. He served as acting dean from 1960 to 1962 and since then he has been our associate dean. In 1968 he designed and constructed the Medical School's silver Mace which symbolizes academic authority. In it he incorporated mythology , folk lore, ancient traditions of medicine that are part of the education of our physicians today. In 1971 through his efforts there was the adoption of the academic gown that is unique to the School of Medicine. In 1972 he conceived and designed the School of Medicine Medal that is given to distinguished members of the faculty. Through the years all of us have gotten to know Bob Brown as the steady, guiding force that has kept this School of Medicine operational. He has demonstrated the highest loyalty to the School of Medicine. His honesty and integrity have won him the respect of both the medical and the non-medical community. It is a pleasure and an honor for me to recognize for the Alumni Association a fellow alumnus who has given so much to this school. Dr. Brown, I would like to now hand you this plaque and this timepiece to acknowledge what you have done for this school for the past fifteen years. " (Dr. Brown' s response) " Larry, my friends and fellow alumni, as many of you know, I came to this school a little over fifteen years ago as a member of the Dean' s office because Dr. Witebsky , whom many of us over the years had come to love and respect, persuaded me to join him in the administration of the school. That was the biggest professional decision that I have ever made. A few weeks ago I made the second biggest decision when I decided, for a variety of personal reasons , to leave the active association with the dean's office the first of June. The intervening 15 years were a fascinating experience for me. I began to learn to accommodate to the continuing tensions and pressures of that office. I enjoyed, when I could, the satisfactions which came as part of the job and to tolerate the unhappiness and the dissatisfaction which were also frequently a part of it. But as I came to the end of this, for me, long period, I began to, as everyone would , ask himself whether there was any real significance either to me or to the institution as a result of my tenure in that office. In sum- was it really worth it? The very kind words which Larry has just said and which reflect the thinking of what I consider the most important constituency of this School of Medicine, its alumni, answer that question in a major way in the affirmative. I am sincerely grateful for this recognition, for your regard for me and the job that I have done. I shall remember it always. I want to thank you all. " "- 10 THE BUFFALO PHYSICIAN �Eleven Continuing Medical Education Programs are scheduled this fall, according to Mr. Charles Hall, director of the programs. Dates, titles and chairmen of the programs are: September 19, 20 Clashes and Conflicts in Childhood Cancer {sponsored by Roswell Park Memorial Park}, Dr. L. F. Sinks. 11 Continuing Education Programs September 19, 20 New Horizons in Perinatal Medicine, Dr. G. P. Giacoia September 26, 27VA Hospital Medical Audit (CME assisting), Mr. Bernard Reith. September 27Diagnosis and Treatment of Immunologically-Mediated Renal Diseases (with WHO, The Upjohn Company, WNY Kidney Foundation, etc.), Drs. C. M. Elwood and G. A. Andres October 1, 2 Family Planning for the Family Physician, Dr. R. G. Cunanan, Jr. 54th Annual Program: Current Trends in Primary Health Care, Dr. H. E. Black October 18, 19Ninth Annual Conference in Chest Diseases, Dr. ]. W. Vance. October 30 Infections in Gynecology-Obstetrics (with The Upjohn Company), Dr. V. J. Capraro. November 13, 14 Gynecologic Endocrinology and Applied Genetics, Dr. V. J. Capraro November 22, 23 Mental Disability and the Law, Dr. M . L. Gerstenzang and Mr. Wm. A. Carnahan. December Gynecological Laparoscopy, Dr. N. G. Courey December Ophthalmology for the Family Physician, Pediatrician and Internist, Dr. T. J. Guttuso Dr. Pannill Named Acting Dean Dr. F. Carter Pannill, vice president for health sciences at the University, has been appointed acting dean of the School of Medicine. Dr. Clyde L. Randall who has held the post of executive officer of the School of Medicine since June, 1973 will continue in this capacity. He was also vice president of the Health Sciences Faculty from November 1970 to June 1973. Dr. Pannill, who took the position of vice president a year ago, emphasized the " search for a permanent dean is actively continuing. " The School of Medicine has been without a permanent dean since December, 1971. The University is deeply grateful for Dr. Randall' s continuing leadership under these difficult circumstances," Dr. Pannill said. 0 FALL, 1974 11 Dr. Pannill �~~~ ----- - - - - - ~ Few Americans respond with understanding to chronic, lingering disease in other persons. This is particularly true if the disease is physically disfiguring and disabling, mind-altering, without specific therapy, irreversible, progressive, recurring, potentially fatal. Diseases which meet these criteria include, besides " stroke," obstructive lung disease with diffuse emphysema and fibrosis , multiple sclerosis, and disseminated cancer. Patients with disseminated cancer carry the heaviest burden. Their disease has not only many of the " unattractive" characteristics mentioned above- it also has its name. The stigma of the word " cancer" and its connotations are from the very beginning more repelling to most persons than the actual characteristics of the disease itself. FRANK A. HARTMAN, Ph.D . (1883Head of the D epa rtment of Ph ys iolog y at UB f rom 1919-1934. ln 192 7 he an d co-wo rkers repor ted fo r the f irst time the produ ction of an active horm ore ex tract f rom the adrenal co rtex, an ex tract named "co rtin " th e fo llowi ng y e ar . H e w as a w ard e d th e UB Chance llor's Medal in 1932. 1 9 71 ). My own cancer, disseminated reticulum cell sarcoma, has required no hospitalization except overnight stays for two biopsies and following a lymphangiogram. In the first three months , though, I was confined to my home much of the time. During this period I was not dependent physically on others. Psychologically, however, I did need assurance that I was still part of life. I didn' t want to feel forgotten , discarded , cut off from the real world. Why, I wondered, did so few persons who knew about my condition, including professional colleagues and co-workers, offer expressions of assurance? Why didn' t I receive them even from those persons from whom, because of close, long-time association, I might have expected them? Lay persons give varied reasons for not getting in touch with a patient afflicted with disseminated cancer. Some of them are undoubtedly true. But there are other reasons that they don' t give, that they won' t admit even to themselves. First the reasons that they give, usually to the wife or other members of the family rather than to the patient himself : 'Tve been so busy. I just kept putting it off." (The patient, after all, will be there next week, next month or next year - if he is fortunate enough to be still alive.) " I didn' t know how much he knew about his condition . . . what to say to him . .. whether he would want to talk about it. " (My physicians at the cancer institute hadn' t kidded me from the beginning about my condition. I would have been glad to discuss it openly. I found doing so helped me in adjusting to the disease.) " It hurts me too much to see him. I've heard that his cancer is one of the bad ones . It must be awful living with that knowledge." (Gradually, although not easily, I adjusted to my prognosis in a realistic way.) But what of the reasons people don' t give, can' t articulate? A nurse with few illusions after long years of practice with cancer patients answered the question for me. Her own husband had had cancer, treated by surgery and radiation. " People are cowards, " she told me. " They' re terrified merely by the word ' cancer.' They don' t want to see sickness or suffering. They' re up14 THE BUFFALO PHYSICIAN �set just by the sight of a cancer patient, especially one with any visible effect of his disease or treatment- pallor, loss of weight, a mass in the neck. Some aren' t sure that they may not catch the disease. They don ' t want to be reminded of death. Even thinking about it brings their own death closer. In regard to health and disease, life and death , they want to live in a closed world where everyone is healthy and sound, able and productive. " Thus the patient with disseminated cancer, who must contend. with his own fears , is deprived by the fears of the healthy of the assurance he so needs. During the first three months after my diagnos is and the onset of radiation therapy, I worried less about my disease and the side effects of treatment than I did about becoming isolated. Somehow I felt that if I could hold onto the outside world , I would think and feel better. To me this meant especially the world of medicine. I didn' t expect to participate in that world personally, for I had retired and I was ill, homebound, but I wanted to keep in touch with it through others, professional colleagues and co-workers. Conversation about things medical, if merely the latest gossip, seemed the most effective mood elevator, the best psychostimulant. The mental-emotional lift from contact with one's professional world, whatever it may have been, holds even when a patient is bedridden, in pain, with terminal cancer. Early this year TIME magazine reported the death from cancer of Charles E. Bohlen, former U.S . ambassador to the Soviet Union and retired State Department expert on Russian affairs. It told how Mr. Bohlen, in his last days of life, often in pain, responded with difficulty to most attempts at conversation. Yet a " visitor only needed to mention a scrap of news from Moscow or a question from Russian history and 'instantly as though by magic he would be his old, shrewd and endlessly knowledgeable self.' " The physician-patient with disseminated cancer who wants to keep in touch with the world of medicine can do so best through other physicians. But, unfortunately, physicians in general have the same hangups about cancer that lay persons do . These hangups interfere with their relations to all disseminated cancer patients - relatives, friends , professional colleagues and coworkers not under their care as well as the patients for whose care they are responsible. You might assume that physicians, because of their scientific training and background, would have a rational and objective view of cancer, the disease. You might assume that as students in medical school and teaching hospitals they should have acquired a holistic and humane approach to their patients, one that would enable them to look on anyone with cancer as a sick person with a variety of problems and needs, thoughts and feelings . FALL, 1974 15 GEORGE W. THORN, M.D. Native of Buffalo and 1929 MD graduate of UB. He worked with Drs. Hartman, A. H. Aaron, G. M. Beck, B. D. Bowen, C. W. Greene and I. W. Potter on the therapeutic application of cortin. In the late 1930s he assumed leadership of the clinical work on the newly discovered desoxycorticosterone. Co-recipient with Drs. Hartman and Greene of the 1932 AMA gold medal for an exhibit on cortin. In 1943 he was awarded the UB Chancellor's Medal. Cortin led eventually to prednisone, now used in the therapy of Hodgkin's Disease, lymphosarcoma and lymphatic leukemia. �- - . - -- - - -- - -- But physicians are human beings too. They share all of the fears of lay persons. They' re frightened by the very word "cancer." They envision themselves as potential victims. (My own reaction on first hearing my diagnosis of reticulum cell sarcoma was one of hopelessness.) But in addition disseminated cancer disturbs a physician of today for another reason. He knows that treatment of many such cancers, particularly in a progressive, recurring, terminal form, can offer no significant remission or cure. Professionally the situation spells defeat. Quite simply, in the context of his medical education, training and philosophy, the physician cannot face this inevitable defeat. SIDNEY FARBER, M.D. (1903-1973). Native of Buffalo, and 1923 B.S. graduate of UB. A cured cancer patient himself. Recognized as the father of modern chemotherapy for cancer. In 1948 he reported temporary remissions in acute childhood leukemia treated with aminopterin . He built the first institution devoted to research and care of children with leukemia and other cancers, the Children 's Cancer Research Foundation in Boston. He received a 1966 Albert Lasker Award for clinical research. There was a time, within my memory, when a physician had to accept defeat as normal and unavoidable. When I was a junior medical student, I was taught that the therapeutic function of the physician was a three-fold one - to cure when possible, relieve when indicated, comfort and console always. The patient's recovery, if he was going to recover, depended in many diseases on nature, not on his physician. The important thing was not to interfere with nature. Limited in methods of diagnosis, too often with no effective way of treating the diseases he could diagnose, the physician concentrated on relieving complaints, comforting and consoling the patient and his family. In those days the "science of medicine" was embryonic. The " art of medicine" (the word " empathy" was not yet in frequent usage) played a substantial part in practice. Today we have highly accurate techniques for detecting disease and its complications in an early stage. Treatment has become scientific instead of empiric. There are specific measures that can be taken to cure numerous diseases and complications. Complications can be prevented. Surgeons can even transplant vital organs. The physician doesn ' t have to depend on nature to do the job alone. Because there is so much that he can do scientifically, the average physician now sees his therapeutic function differently than he did 50 years ago. He looks at patients in terms of overcoming disease in as rapid a time as possible, or holding it in check over the long term. He is liable to think less about relief and almost not at all about comfort and consolation. With the waxing of the science of medicine, the art of medicine has waned. Scientific medicine, however, may offer only meager help to many patients with disseminated cancer, likely none when the cancer is in a progressive, recurring, terminal form. The art of medicine can always be of aid. But patients are deprived of its benefits because today's physicians have not learned it or deem it inappropriate to their self-image as scientific practitioners. They see their therapeutic function almost solely in terms of control, recovery, and cure. If treatment cannot achieve these 16 THE BUFFALO PHYSICIAN �goals, they feel defeated before they begin. Their defeatist attitude may be communicated to the other members of the medical team who work with the patient-residents, interns, students, nurses , nurses ' aides , even office secretaries. They no longer think of the patient as a human being with thoughts , feelings , need for empathy and assurance. To them he is already as good as dead, and their manner reflects that feeling. I don ' t want to be misunderstood. The role of the physician portrayed by Sir Luke Fildes in " The Doctor" is a thing of the past, and fortunately so, because of the tremendous advances in the science of medicine during the past 50-100 years. Today no one would expect a busy physician to sit for hours , even days , at the bedside of a critically-ill patient for whom he could do little else. However, it is not the quantity of time spent with such a patient that counts, but its quality. Rapport, heedfulness , warmth , understanding can be communicated in a few words a tone of voice, a smile, a touch . The cancer patient may adapt to the fact that his physician cannot cure him or prolong his life. He cannot accept being disregarded emotionally. It crushes his spirit. And that applies to his family too . (For palliation, empathy ought to rank with medical and surgical measures. An empathic physician can be the crucial factor in preventing a patient and his family from throwing away their time and money on quackery.) In the next article of this series I will discuss the reactions of physicians to a professional colleague with disseminated cancer who is not under their care. But for now let us look at how certain of them react to the persons who are their patients. Take the surgeon who finds diffuse carcinoma of the pancreas with nodal, peritoneal and hepatic metastases when performing a laparotomy on a 55-year-old housewife. He makes excuses for not stopping in after the operation to see the patient or talk to her anguished family. Making rounds with his resident, he leaves that patient until last. Then, after checking the chart at the nurses ' station, he turns to the resident and remarks : " There doesn ' t seem to be any change in this patient' s condition. It's late. I have a full schedule at the office. Why don ' t you look in on her today? I'll see her on rounds tomorrow . . ." Often that tomorrow never comes. Rather than face the death he sees growing in the patient, the surgeon continues to find excuses to avoid her. He fails the woman and her family , who all need the assurance of his presence. And then this advanced cancer patient goes home, perhaps with only a few months of life ahead of her. She becomes the responsibility of the internist who has been her personal physician for years and who referred her to the surgeon. As her disease worsens , her husband or some other member of the family calls the doctor. The reply is terse : " There 's nothing further I can do. It's a waste of time for me to come to the house. I have responsibilities to my other patients ... the ones I can help." FALL, 1974 17 JAMES F. HOLLAND, M.D . C hief of Medic ine A D epar tmen t at the R oswell Pa rk Memo rial Ins titute 1954 -1973. In 1956 he was appointed chairman of the NCI Acu te Leukemia Group 8 , a coopera t ive in t erna t ional g roup of phys ician s and scien tis ts whose investigations have increased the su rvival of childre11 w ith acute leukemia f rom one year afte r d iagnosis to more than five years for 70%. He received a 1972 Albert Lasker Award fo r h is contributions to the chemo therapy of leukemia. �-- -- - - - ~~ The circumstances in the foregoing case are not hypothetical. The same sort of things can happen to a physician who has disseminated cancer. I remember a physician in his 30s who developed what seemed to be an " acute abdomen. " At operation it was found that he had widespread peritoneal metastases, apparently from an infiltrating carcinoma of the stomach. The surgeon - on the faculty of a medical school and on the fulltime staff of a teaching hospital where the patient had taken a residency - could not bear to discuss the patient's condition with him. He avoided him in the hospital and failed to visit him on his return horne. The patient died in several months, embittered. He interpreted the surgeon's behavior not merely as a breach in personal relations but, in terms of medical ethics, as abandonment. DONALD P. PINKEL, M.D. Native of Buffalo and 1951 M .D. graduate of UB . Head of Pediatrics at the Roswell Park Memorial In stitute from 1956-61 and since then medical director of St. Jude's Child ren's Research Hospital in Memphis. His research brought him into association with Drs. Farber and Holland. Or. Pinkel received a 1972 Albert Lasker Award for his wo rk on th e chemotherapy of acute lymphocytic leukemia of childhood. The development of medicine as a science, and the parallel growth of medical specialization, have affected the physician's awareness of each individual patient as a total human being. What is true for the patient with disseminated advanced cancer can also be true for the patient with a cancer that is diagnosed early, treated adequately, and considered favorably for " cure. " A 44-year-old unmarried newspaper reporter in another city wrote to me, after undergoing a radical mastectomy for cancer of the breast with minimal axillary metastasis, " The surgeon says that I have ' healed beautifully.'" Then she added wryly : " Next week I'll be fitted for a prosthesis and will begin job hunting. In fact, I have a luncheon engagement this Friday with a prospective employer. My first public appearance since the operation. I'll have to wear a homemade stuffing, but maybe he won' t notice. " I suppose that when I start dating again, it will have to be with 90year-old men. ' 'I'm just not getting as much done as I used to. Many nights I have just enough energy to flop into bed at 9:30. This isn' t my idea of the way to live, and I'm going to do my best to change it. Next week I begin psychiatric counseling at a comprehensive care center, the name of which I've obtained through the local cancer society. " The surgeon who had operated upon the reporter had little or no awareness of his patient as a woman with all of the problems she faced. He didn' t see the still-open mental and emotional wounds that she bore from her disease and treatment. It was enough that the surgical wound had " healed beautifully." Medical education, in school and hospitals, gives students a thorough exposure, orientation, and training in regard to acute, controllable, recoverable and curable, especially organic, diseases. But how well does it prepare them, through regular assignment and follow-up of patients, through precept and example from clinical instructors, to care for human beings with chronic " incurable" diseases, for example disseminated cancer? 18 THE BUFFALO PHYSICIAN �Some time ago a physician and medical educator gave me one answer to this question. At his school the head of the department of medicine had proposed dividing the service in a large public teaching hospital into two parts. One would consist of acute, active, "interesting" cases, " those you can do something for," and the other of chronic cases with little or no chance of improvement, " the crocks," who are " poor teaching rna terial. " The former group would be assigned to the house staff and medical students. The latter would become in large measure the responsibility of part-time physicians hired from the community. The proposal was never activated. Perhaps my informant exaggerated the whole thing to make a point. But the view embodied in the proposal does exist, and as a result, some, perhaps too many, medical school graduates look on time for chronic "incurable" patients as a useless or wasteful expenditure outside the therapeutic function of the modern physician. Don' t get me wrong. I realize that in what I've written about care and empathy for chronic " incurable" patients I may have done an injustice to today's medical education and practice by raising general implications on the basis of a 'few selected examples of individual medical educators, physicians and patients. Please remember, however, that though not materially disabled or terminal, I' m a chronic " incurable" patient myself. For my disseminated cancer the science of medicine offers no probable permanent cure and no predictable method of control. That's the personal standpoint from which I've been writing. Further, during the past 1 V2 years, with the exception of my immediate family, I have felt closer to no one than to my fellow lymphoma patients who find themselves in the same leaky boat that I'm in. I've written also with them in mind. I have observed what empathic physicians, as well as other members of the medical team, mean to these men, women and children, whatever their general condition and prognosis. (Depending on his lesion, response to treatment, psychologic adjustment and luck, a patient with disseminated lymphoma can go for years in a relatively happy, useful life.) May I submit in evidence again only a single, selected example, but one that I'm sure epitomizes the meaning of empathy to the chronic "incurable" patient. A World War II veteran and college instructor with disseminated reticulum cell sarcoma sitting in the lymphoma-leukemia clinic comments: "Isn't everyone nice here! They're cordial to you. They make you feel as if you' re an individual, a person. They talk to you on your visits. They don' t expect that you know everything. You go away feeling better - more than from pills. At the (name of out-of-town center deleted) they treat you like a guinea pig." It's my impression (backed by a medical opinion poll of one UB senior student) that physicians trained in oncology who care for cancer FALL, 1974 19 JAMES T. GRACE JR. , M.D. (19231971). Director, chief of GI and soft tissue surgical services and director of the Viral Oncology Section at the Roswell Park Memoria/Institute from 1958-1971. The death of Or. Grace's two-year-old son (his namesake) from leukemia motivated him to go into cancer research. He had originally been in private practice as a family doctor and then as a surgeon. In 1961 Or. Grace, with E. A. Mirand, Ph.D., received the AMA silver medal for an exhibit on mammalian tumor viruses. His special research interest was the viral etiology of leukemia. �--- - - -- - -- - - patients principally, even in an institutional setting, differ on the average from other physicians in both their attitudes toward disseminated disease and their approach to the patient and his family. Their attitudes toward the disease are more objective, yet grasping for every possible hope. Their approach to the patient and his family is more understanding, yet holding out no false hope. The physician with greatest empathy, I suppose, would be one who had had cancer himself, or still had it. JOSEPH E. SOKAL, M.D. Chief of Medicine B Department at the Roswell Park Memorial Institute. He has headed research on the nature and treatment of lymphoma-leukemia including cellular immunity and immunotherapy. In November, 1926, Dr. Francis W. Peabody, in a lecture entitled "The Care of the Patient," described the philosophy of medicine which he had pursued as a student, researcher, teacher, administrator, and physician. Dr. Peabody was professor of medicine at Harvard and director of the Thorndike Memorial Laboratory at the Boston City Hospital. For him the doctor-patient relationship could be successful only if the doctor was a complete physician, combining human qualities with scientific knowledge and approaching the patient as a total person who happened to be sick. "What is spoken of as a 'clinical picture,' " Dr. Peabody told students at the Harvard Medical SchooL "is not just a photograph of a man sick in bed. It is an impressionistic painting of the patient surrounded by his home, his work, his relations, his friends, his joys, sorrows, hopes, and fears ... Thus the physician who attempts to take care of a patient while he neglects this [emotional] factor is as unscientific as the investigator who neglects to control all the conditions that may affect his experiment. .. Treatment of disease immediately takes its proper place in the larger problem of the care of the patient... The treatment of a disease may be entirely impersonal; the care of the patient must be completely personal. .. One of the essential qualities of the clinician is interest in humanity, for the secret of the care of the patient is in caring for the patient." It is interesting, perhaps even significant, that Dr. Peabody should have put together his thoughts and feelings on the care of the patient, and expressed them publicly, after he knew that he had cancer. Less than a year following his lecture and its subsequent publication in JAMA, at the prime of his life and medical career. Dr. Peabody, aged 46, was dead from his malignant disease. References: History of the Roswell Park Memorial Institute, 1973; ]AMA 88 877-882 March 19, 1927;]. Clin. lnv. 5 1-6 Dec. 1927; Pharos 36 122-128 Oct. 1973; Science 72-76 July 1930; Time 14 Jan. 14, 1974. 20 THE BUFFALO PHYSICIAN �A husband-wife medical team- Dr. Frances R. Abel, M '49, and Dr. David H. Abel, M'54 - are living at One Cunningham Drive, West Orange, New Jersey. Dr. Frances is assistant director of professional services working with ROCOM. This position involves audio visual multimedia programs in continuing education of health professionals. She is also listed in Who's Who of American Women, 8th edition, 1974-75. Dr. David was recently promoted to associate clinical professor of psychiatry at the New Jersey College of Medicine at Newark. He is a Fellow in the American Psychiatric Association. The Abel's especially enjoyed the Elizabeth Blackwell article that appeared in The Buffalo Physician (Vol. 8, #1). " I will always be grateful to Drs. Samuel Sanes and David K. Miller for their encouragement and the many opportunities that they made available to women students. With the help of these two professors we were able to organize the Elizabeth Blackwell Society for undergraduate medical students. Within the framework of this society we could discuss our common problems. Many times we invited women physicians to talk about their specialties. " Dr. Frances said. Husband, Wife Team Drs. Marra, Sheffer Honored Two medical school faculty members at the University were honored for their service to the School of Medicine at its annual faculty meeting in May. They are Drs. Edward F. Marra and John B. Sheffer. Dr. Marra, who has served as professor and chairman of the department of social and preventive medicine since 1960, was cited " in appreciation of his effective leadership, dependable support, and of his service as co-chairman of the Executive Committee (1970-74)." From Trinity College where he was a W.H. Russell Fellow and received a BS degree in 1945, he served in the U.S. Navy for the next two years, was awarded a medical degree in 1950 from Boston University, and completed graduate training in internal medicine. While serving on its faculty from 1953 to 1960 (he was promoted from instructor of preventive medicine to associate professor), Dr. Marra earned an MPH degree from Harvard University in 1955. Under his leadership in Buffalo over a 14-year span, not only have at least half a dozen faculty received their training to head similar departments at other medical centers, but he has been instrumental in setting up a comprehensive University undergraduate training program in family practice as well as help to organize programs in medical sociology. Dr. Sheffer, who has served on the U/B faculty for a quarter century, was honored " for loyalty to his alma mater and for indispensable services in maintaining the School's pathology program from 1971-74. " After receiving his medical degree at U/ B in 1947, Dr. Sheffer interned at Hackensack University from 1947-48 and completed a residency in pathology at Buffalo General Hospital over the next three years. In 1948 he joined the Buffalo pathology faculty as an instructor. He has also served as acting chairman from 1970-73, and has received numerous student awards for excellence in teaching. FALL, 1974 21 Dr. Marra Dr. Sheffer �A Or. Eric A. Barnard Dr. Barnard Receives Scholar A ward 22 BU FFA LO BIOCHEMIST was among 38 scientists in the country to be recognized for outstanding performance in the biomedical sciences by the Josiah Macy Jr. Foundation. He is Dr. Eric A. Barnard , chairman of the department of biochemistry, who has made pioneering contributions to the understanding of nervous function at the molecular level. With the coveted faculty scholar award (it covers full salary/ travel expenses for research studies anywhere in the world) the British-born and educated researcher will go to the M .R.C. National Institute for Medical Research in London , England for six months starting in January to continue work on receptors for acetylcholine, one of the major chemical messengers used in the nervous system. Explained Dr. Barnard, " when nerves carry messages in the brain or to muscles, they rely on specific ' receptors ' which recognize a particular chemical messenger. But how these receptors work and interact with drugs is yet to be determined. " The acetylcholine receptor, one of several receptors of the nervous system, is responsible for passage of messages from nerve endings to voluntary muscles. And in muscular diseases Dr. Barnard feels there may be some genetic defects involving this specific receptor protein. At any one time a team of about 10 graduate/ undergraduate students and postdoctoral fellows are at work in Dr. Barnard 's laboratories. Currently joining them are two Muscular Dystrophy Association Fellows- Drs. Oliver Dolly and Michael Hudecki . While the former and his associates work on purifying acetylcholine receptor from muscle, their major problem is to get it out from normal muscle in pure form to determine whether it is a single protein, and how it interacts with its messenger acetylcholine. Dr. Hudecki, who suffers from muscular dystrophy, is studying this disease in the experimental animal (chickens) at receptor protein level. The disease, of simple genetic origin in the strain of chicken they are studying, is similar to a common human dystrophy. Other laboratory approaches help determine how receptor molecules are arranged at nerve endings . In electron microscope studies a radioactive toxin made from snake venom is used to take " autoradiographs" or pictures of receptor sites at very high resolution. THE BUFFALO PHYSICIAN �Drs. Dolly and Hudecki check some measurements. There is a search for methods to identify/ isolate an ion-regulating component that combines with " receptor " to cause electrical change at muscle cell surface and thus allow messages to pass through . And electrophysical investigations by pharmacologist Edson X. Albuquerque may prove whether the receptor protein may be associated with another protein transporting sodium/ potassium ions through the membrane in a coordinated way as Dr. Barnard suspects. Other collaborative efforts have included Roswell Park Memorial Institute's George Kemp and Charles Wenner. Their work with muscle receptor isolated by Drs. Dolly and Barnard has led to the first successful demonstration of " reconstituting" a receptor in an artificial membrane. But Dr. Barnard was quick to point to studies underway in several other laboratories on electric organs of fish where a form of the acetylcholine receptor is abundant. The noted investigator spent six months last year at the Pasteur Institute with Dr. Jean-Pierre Changeaux, one of the leaders in developing new techniques for receptor work in the electric fish. Recalls Dr. Barnard, " it has only been over the past few years that we and others have been able to prove this almost century-old theory of individual receptor substances for nervous Dr. Hudecki checks a dystrophic chicken with two undergraduate biology students, Jack Tarabolous and " Skip " Beeler. �Work on enzyme active centers is reviewed by biochemistry graduate student Sam Otieno, technical assistant Roy Sambrotto, and Dr. Barnard. Dr. Dolly measures receptor radioactivity in samples as Dr. Barnard looks on. transmission of various kinds. These receptors do exist as specific molecules. And though we know they are proteins we continue to acquire masses of information on their makeup/location. Research on this receptor work is supported by the National Institute for General Medical Sciences and the Muscular Dystrophy Associations of America. But Buffalo, Dr. Barnard notes, is an important center for studying the basic neurosciences. He points to the presence of such groups as thuse of Sir John Eccles, Drs. Edson Albuquerque, Jack Klingman, Edward Koenig, Nicholas Leibovic, Werner Noell, David Triggle and Charles Wenner. The study of proteins and how they function has always interested Dr. Barnard. He is still looking at structure and evolutionary changes of certain enzymes. And understanding how receptor proteins work in the nervous system is a biochemical approach and the appropriate starting point to tackling problems in the brain at the molecular level. Dr. Barnard received his doctorate in biology from the University of London in 1957 and served on the faculty at King's College (England) until THE BUFFALO PHYSICIAN �1964 when he came to Buffalo as an associate professor in biochemistry. In 1969 he assumed the chairmanship of the department when the late Or. Richard Winzler went to Florida. He first visited this country in 1960 as a Rockefeller Fellow in the biochemistry and virus laboratory of the University of California at Berkeley. He has been a Guggenheim Fellow in 1969 at MRC Molecular Biology Laboratory in Cambridge (England) and a visiting professor the following summer at the University of Bordeaux (France). The professor of biochemistry and biochemical pharmacology has lectured extensively; in French last year at the Sorbonne as well as at several other centers in France. A frequent speaker at international meetings, he presented a symposium lecture on his recent work on the receptor at the recent Federation Meetings . On the editorial board of two international journals, he has organized two international sympsia, authored or coauthored well over 100 publications in scientific journals as well as chapters in several books. Or. Barnard still finds time for chairman responsibilities for the department of biochemisty, administrative duties in the School of Medicine that have included chairing the preclinical council and several important committees as well as teaching . Pathology Chairman Dr. John R . Wright was named professor and chairman of the department of pathology at the University, effective June 1. He will also head the pathology department at the Buffalo General Hospital. The announcement was made jointly by University President Robert L. Ketter and Dr. Theodore Jacobs, president of the Buffalo General Hospital. The Canadian-born physician graduated with honors from the University of Manitoba 's School of Medicine in 1959. He completed a rotating internship at the Winnipeg General Hospital and a year's residency in medicine there before switching to pathology at the Baltimore City Hospitals in 1961-63 and the Buffalo General Hospital (1963-64). Dr. Wright was a Fellow in endocrinology at the Buffalo General Hospital for a year (1965 -66) before joining the UB faculty as an instructor in pathology. Two years later, in 1967, he went to Johns Hopkins School of Medicine as assistant professor of pathology where he also served as visiting pathologist at Baltimore's Union Memorial Hospital and as assistant chief of pathology for Baltimore City Hospitals . The 38-year-old pathologist, who is noted for his studies in the amyloid-aging link, is a member of the Maryland Association of Pathologists, the Medical/Chirugical Faculty of the State of Maryland as well as the American Society of Clinical Pathologists and the International Academy of Pathology. Said Dr. Donald Larson, associate vice president for health sciences at the University on the appointment of the new professor and chairman of pathology, " Dr. Wright comes to us with an excellent background in teaching and is strongly committed to strengthening ties between basic science teaching in pathology with the clinical as well. We look forward to Dr. Wright joining us. " () FALL, 1974 25 �The program committee- Drs. Felix Milgrim, A/men Barron, ]ames F. Mohn, Erwin Neter (chairman). Immunology Symposium It was the fourth in a series of biennial convocations sponsored by The Center for Immunology. During four days of intensive scientific sessions and workshops more than 400 investigators from around the world shared extraordinary advances made in the field of immunology and related them to infectious diseases. Not long ago the human fetus and newborn were considered immunologically incompetent. Well established now is the fact that even the fetus can produce antibodies. By determining the kind of specific antibodies produced by the fetus, Alabama at Birmingham's Charles A. Alford, Jr. can diagnose intrauterine infections. Through studies he also showed that components of the human immune system develop early, some after only two weeks of gestation. 26 From Texas at Dallas' R. Billingham came strong support for maternal endowment of cellular immunity to the fetus . However he cautioned that transient immunological transfer of cells to babies - via maternal/fetal milk transmission - may spell trouble. Milk may be a significant source ofT -lymphocytes and these are responsible for allergic reactions of the delayed hypersensitivity type. From University of Pennsylvania' s David T. Rowlands they learned of some experimental models for fetal immunity. In the opossum with its short period of gestation, fetal antibody production to parasitic infection is more restricted than in the adult. New approaches in treating certain infectious diseases were explored. From New York University a pioneer in transfer factor reviewed these unique molecules " that are trying to tell us a new function of cell. " Dr. Sherwood Lawrence also told of newer animal models, in vitro assays to find its molecular spacing, and how this molecule that " confers on the recipient most of the immunological memories for immunity, bypassing active immunization," works. He also told of its newer clinical uses for disseminated immunological infection, for candidiasis where it is used as replacement therapy, and in a new trial underway for MS which may be a slow virus disease. From Hebrew University in Jerusalem there was a report on a major step forward in treating tumors in animals. While living BCG has been used as an enhancer in treating certain animal/human malignancies , Dr. Adam Bekierkunst explained that when BCG, in its killed form, is combined with cord factor, a component of tubercle baccili, it is easily as effective in treating skin tumors in the guinea pig while eliminating the danger of living tubercle baccili Dr. Jose ph A. Bel/anti �Drs. Bekierkunst, Ernst Beutner, Arthur G. Johnson, Horst Finger, David Dresser respond to questions on use of microbial agents as enhancers. that may cause complications in the immunologically-depressed individual as is the case when the viable form of BCG is used. However he showed that when using either one of the mixture separately there is a drop in effectiveness. While the immune system plays an important role in recovery from or protection against infection it may also contribute to damage in some viral infections. Pointing to the significance of most oncogenic viruses also being immunosuppressive was McMaster's Peter B. Dent. "Depression of immunocompetence," he said, " may be necessary for eventual development of malignancy following infection with virus. " From Johns Hopkins' Neal Nathanson came additional confirmation of these dual roles. In two experimental systems for cell-mediated immunity and antibodies formed in primary viral infections he found differences depending on the virus. While pathological damage caused by immunologic reactions may be virus-induced he pointed to the sometime dual role favoring survival or enhancement of disease. From the National Institute for Medical Research in London's David Dresser they received a review of increased antibody production/enhancement on three levels - the cellular, molecular, and anatomical. Among antibody enhancers discussed were those of pertussis organisms. While West Germany' s Horst Finger pointed to its inability to FALL, 1974 stimulate immune competence he stressed its important effect on macrophages, T and B cells. In his review of the role of cross-reacting antigens in both cancer and transplantation New York University's Felix Rapaport proposed that stimulus exerted by bacterial infections, manifested or subclinical, may be responsible for the " priming" of immunologic cells which then play a primary role in immunological surveillance. A similar picture with enteric baccili was given by Goteborg, Sweden' s Jan Holmgren. Possible sharing of antigen by enteric bacteria with kidney cells may point to an injurious effect by the immune response in patients with kidney infection. Reviewing several possible pathways for streptococcal infections was Rockefeller University's John Zabriskie. In models used, he found evidence of renal damage, a real sensitivity to antibody/antigen complex of renal tissue, and he implicated the immune complex in acute nephritis. Goteborg' s Lars A. Hanson explored clinical implications for cross-reacting antigens. While each of those with high avidity may produce antibody or protection, have identical/similar determinants on microorganisms, two systems of cross-reactive capsules, others with little avidity may induce antibody that is significant under certain conditions. NIH' s John B. Robbins reviewed his findings on common antigen that is shared by various 27 �Drs. Anne 5. and Guy P. Youmans microorganisms. Documentation of many such cross-reactions in bacteria through sophisticated techniques suggest the possibility of immunizing animals and possibly man with a harmless type of microorganism to protect against a pathogenic organism sharing the same antigen. Tulane's Gerald Domingue, a former Buffalonian, reported on the site of common antigen in bacterial infections and immunization to protect against experimental pyelonephritis. From John Hopkins' John J. Cebra came conclusive proof of a unique group of cells. These producers of lgA are committed to a molecular class that is unequally distributed and is more concentrated in the gut and bronchial lymphoid tissue than in the spleen tissue. He stressed its importance for defense against certain respiratory and intestinal diseases. From St. Mary's Hospital in Minnesota Thomas B. Tomasi, Jr., a former Buffalo faculty member who is an outstanding investigator of secretory antibodies, reported on progress made in splitting the lgA molecule. He also shared an exquisite structural model for the transfer version of lgA as well. There was general agreement on the natural immunization route - respiratory or intestinalas optimal for local immune response activation. A new test for assaying human cell-mediated immunity to viruses was presented by Georgetown's Joseph A. Bellanti, a former Buffalonian and au thor of a textbook on immunology. He added his assurance that the respiratory route is best as he reviewed results in models he developed in both animals/man for cell-mediated immunity to M. pneumoniae, rubella, and herpes labialis. 28 From Northwestern University's Georg F. Springer came a report that in certain vaccines there are blood group substances that may produce antibodies which may have a harmful effect. He also stressed the small amount of protection that is elicited in gonococcal infections for there may be repeated ones from the same source. There was a note of caution on a vaccine to be developed against this disease. " It must be far more stimulating of immunologic response than the disease itself," he said. The task? He feels it is a formidable one. From Louvain in Belgium's J. F. Heremans, a renowned immunologist, came an informative review on the role of local immune response in defense against infectious agents. He also characterized the cells, immunoglobulins, and mode of action. Naval Medical Research Institute's Emilio Weiss discussed the possible usefulness of vaccines against N. meningitidis and gonorrhoeae. While a vaccine against certain meningococcis has proven highly effective in the military an equally effective vaccine against gonorrhea in man has yet to be developed. In a morning devoted to bacterial vaccines that contain genetic material Drs. Anne and Guy Youmans clearly established that ribosomal vaccine from tubercle baccili is highly effective in the experimental animal. Other investigators discussed the role of similar vaccines from other diseaseproducing organisms. Dr. Felix Rapaport THE BUFFALO PHYSICIAN �Dr. Thomas B. Tomasi, ]r. Connecticut's Peter A. Ward showed that cell-mediated immunity is stimulated on the mucosal surface of lung alveoli. And he concurred that there is better immune response stimulation through local application of vaccine rather than the parenteral route. Buffalo's Carel J. van Oss identified physical conditions that are necessary for effective phagocytosis of bacteria while Wayne State's Noel R. Rose (he is a former Buffalo Center for Immunology director) discussed defenses against toxoplasmosis. ) chemical communication is separateness of organisms." On the other hand the self recognition mechanism in symbiosis is used to " recognize one's partners, to be recognized back, in order to join up. " Chemical signals , other than antibodies/ lymphocytes that play a role in symbiotic association were reviewed. Pheromones, he explained, probably dominated for millions of years before vertebrates appeared, and photosynthesis during prokaryotic life. In speculating on how we evolved, " certain cells joined together to form larger, more elaborate cell masses and cell nuclei evolved within the new aggregates. " There was phagocytosis or ciliated movement, nucleated cells with the " semi-autonomy of mitochrondria with its own DNA, RNA and ribosomes, each different from that of the host animal cells with each very similar to bacterial ones. " Possible but not yet proven are endosymbionts or cytoplasmic entities in nucleated cells, derived from microbes a billion years ago. Explaining that symbiosis is a " nearly universal way of life, " he started with examples from the sea where " every form depends on others, some living inside others, occupying the same burrows, caraspaces, sharing food , living off each other, carrying each other around, even cleaning each other, " he pointed to the very specific partners that involve exchange of equally specific chemical signals received and read by specific chemoreceptors. Drs. David T. Rowlands, Georg F. Springer, Rupert E. WITEBSKY MEMORIAL LECTURER For Dr. Lewis Thomas, who is one of the world 's most active and stimulating immunologists, it was an " honor to have been named as a Witebsky Lecturer." A friend and coinvestigator of the late distinguished professor of bacteriology and immunology he recalled Dr. Witebsky as a "scholar, a civilized world citizen, a useful man for society, a man of quality." In his exploration of two self-recognition systems - one is immunology that keeps things apart and the other symbiotic relations that keeps them together - the head of Memorial Sloan Kettering Cancer Center sought the fundamental relation of some kind between them. In immunology, he explained, the chemical distinction is between self and nonself. " Its elaborate apparatus that depends on specific FALL, 1974 Dr. Lewis Thomas �Drs. Konrad ]. Wicher, ]oe Berry Other negotations, he continued, are handled by olfaction, taste or " an obscure sort of molecular recognition at membrane surfaces. " Anemones and damset fish " become associated through capacity of fish to produce adaptively a surface material which the anemone seems to recognize as self. " Fish therefore are not stung by tentacles. And barnacles that attach themselves to whales are not encountered in any other species, he said. Among terrestrial forms of life are less conspicuous symbiotic arrangements. An indispensable one, he said, is the myxotricha paradoxa. Living exclusively in the intestinal tract of an Australian species of termite, it is "responsible for digestion of wood fragments so necessary for the termite. A conventional partnership," he emphasized, "it is not a single creation but a symbiotic arrangement." 30 Bacterial symbionts also play a crucial role in economy of plants, insects, and vertebrates. Mycetocytes (bacterial colonies) are small, essential organisms that live in tissues of certain insects " seemingly as indispensable for the insect as rhizobia! bacterial are for leguminous plants. " And without contributions from coexisting microbes many bacterial species in the soil could not survive. Even viruses know about symbiosis, he said. There are mutually dependent, paired viruses recognized among bacteriophages as well as among animal ones. While " some behave like symbionts within their own hosts (bacteriophages of diphtheria, hemolytic streptococci) others, after establishing lysogeny, enable host cells to produce their own exotoxins. " Explaining that the code for toxin " is information belonging to the virus, unless diphtheria baccilus is infected it is not a pathogen," he said. Even in biology, symbiosis plays an important role - there are mechanisms that " hold the entire ecosystem of earth together. " He explained that allelochemics, a term proposed by Whitaker account " for the enormous chemical communication network by which all the collective varieties of life keep in touch with each other, modulate each other's growth, regulate space allocations, and distribute resources around with equity." While some signals give information about territorial limits, food supplies, others environmental news, the most important " are surely the declarations of self. Without certainty concer- Dr. Noel R. R ose THE BUFFALO PHYSICIAN �Drs. Lars A. Hanson, ]. F. Heremans ning this specific piece of information for each creature," he said, " the system is unworkable. " The importance of self was reaffirmed by Dr. Thomas in organisms that lack any immunological equipment. For the annelid worm can reject homografts while accepting autografts. The two clear-cut mechanisms showing how sense of self is conveyed in nature, he said, are the immunological recognition system, and a system for olfactory recognition of self/nonself that is mediated by pheromones. While still unclear how the effector is stimulated in the mouse (there is an H 2 antigen complex and a T -lymphocyte receptor), its mechanism is " exquisitely selective, precisely specific, and potentially destructive," as shown by destruction of homografts of tissue from one mouse when placed in one of another line. In describing three experimental models (fish/ man/mice) that show individual selfmarking for olfactory mechanisms, he pointed to the yellow bullhead that " showed the ability to recognize changes in the social standing of individual fish as the outcome of disputes over territory or leadership. When the leading bullhead lost his position his friends knew of the change even before he did by the change in his smell." While it is not yet known whether humans have any mechanisms quite like this he pointed to a specific, self-identifying odorant " that marks each human being even though we do not orFALL, 1974 dinarily have any consciousness of this ourselves. Trained hounds can distinguish one man's particular scent from all others and in recent studies dogs detected the odor of a light fingerprint on a glass slide and could distinguish it from all others for as long as six weeks when the scent finally fades away." If there is a relationship between immunology and symbiotic recognition system Dr. Thomas believes that the mouse model will offer a possible experimental approach. Conjecturing that when things happening at surface receptors of lymphocytes come up against their specific antigens, there may be something in common with what happens between olfactory cell receptors and their specific odorants. For in specific studies certain olfactory cells will only fire when exposed to certain specific odorants. Already known are some 62 chemical odorants for which some humans lack receptors and the numbers of different receptors which may mean different cell types, he continued, are quite impressive. In the new field of taste physiology there are now models for sweet/ sour substances. And the possibility of modulating or enhancing the action of pheromones/ other odorants- when we know what happens at olfactory receptor surfaces - will become enormous, he said. " Investigators of other kinds of chemoreceptor cells- taste, olfactory - are now being driven to make use of the same dreamlike pictures that immunologists have had to depend on for so many decades," and diagrammatically he feels " that the two fields may be ready to converge." Drs. Gerald Domingue, George ]. Jakab, David Pressman at lunch. 31 President R obert L. K etter �Dr. Zusman lectures to a class-introduction to community psychiatry. Community Psychiatry Mrs . Carol/ McPhee, research associate in psychiatry, and Dr. Robert Schuder, assistant professor of anesthesiology, demonstrate resuscitation . Teaching and research focused on better delivery of services are the objectives of the Community Psychiatry Division in the department of psychiatry. " While the central issue of our field is how to provide more and better service to people in need, we feel we can make our maximum contribution through preparing those who will be directing the service agencies rather than attempting to give much service ourselves, " explained Dr. Jack Zusman, professor of psychiatry and director of the Division of Community Psychiatry. The new division was founded in May 1969. Although located at the E.]. Meyer Memorial Hospital, it has strong relationships with many other groups in the University and general community. Most of its courses are offered through the department of social and preventive medicine from where many of its students also come. One of the most popular courses, taught by Dr. Zusman and Mr. William Carnahan, a local attorney, is offered jointly with the Law School. Most part-time faculty and many students are drawn from community agencies throughout Western New York. One of the major activities of the Division is the Community Mental Health Service Administration Training Program headed by Dr. RayTHE BUFFALO PHYSICIAN �mond Bissonette. " Through a wide variety of courses, seminars, individual tutorial programs, supervised field placements and field trips we prepare the agency administrators of the future, " Dr. Bissonette said. " Because our part-time faculty comes from the group of administrators and clinicians actively engaged in practice in the community, we are able to provide meaningful and timely educational experiences for our trainees. When placed in an administrative position, they are not overwhelmed by the sudden responsibilities or by being in unfamiliar territory as many clinically trained professionals in the past placed in similar positions have been. " There are 15 graduate students including one resident in psychiatry currently enrolled in the training program which leads to a certificate. The trainees represent a wide variety of backgrounds and experience. Some are traditional mental health professionals - psychologists and social workers. Others are members of groups less traditionally involved in formal mental health activities but now becoming increasingly important - clergy and business administrators. After completing the program the trainees are usually employed as administrators and assistant administrators in agencies such as community mental health centers. Through its continuing education activities the Division also offers a variety of other sorts of training for practitioners and specialists in related fields. Recent educational conferences have focused on the " Future Role of the State Hospital " and " Evaluation of Alcohol , Drug Abuse and Mental Health Programs. " " Our research efforts are concentrated in developing and applying methods of evaluating output, efficiency and quality of services ," e:-.plains Mr. Robert Joss , director of operations research. " The emphasis in our research work , as in the rest of the Division, is on multidisciplinary involvement. Representatives of most of the behavioral sciences can be found on our staff or working with us as consultants. " The Division 's research projects have included evaluation of the emergency mental health efforts following the Hurricane Agnes flood in Wilkes-Barre , Pennsylvania ; an examination of the effects of the opening of the new community mental health center in Niagara Falls ; the effectiveness of a new unit established in the Erie County Probation Department and a number of other similar projects . Dr. Zusman demonstrates resuscitation on " Vic-tim " while Dr. Raymond Bissonette, assistant professor of psychiatry, Dr. Roger Zimmerman, clinical instructor i11 psychiatry, a11d Mrs . McPhee observe. " Resus-anna " is in the foreground . FALL, 1974 33 �Mrs. Fern Beavers, supervisor, and Dennis Horrigan, a trainee, in the Mental Health Emergency Clinic. Dr. Zusman is especially pleased about the Division library that is so important to the students and faculty. " We have several hundred books and several thousand journal article reprints, catalogued and cross-indexed. Many of them are not available elsewhere in Western New York, " he reported. The library has grown through the efforts of Mr. Elmer F. Bertsch, assistant to the division director, and his staff. Dr. Zusman and all of his colleagues are very proud of their accomplishments in their first five years. " We hope we have demonstrated the usefulness and importance of the developing subspecialty of Community Psychiatry and that we have become an accepted member of the University community. " Dr. Zusman emphasized that much of the credit for supporting and assisting the Division through the difficult years of establishment and growth belongs to Psychiatry Department Chairman, S. Mouchly Small, M.D. and University President Robert L. Ketter. " Without their interest we never would have made it. " Benjamin Bernstein, trained in mental health service administration, and Dr. Daniel Rakowski, M '60, director of the department of psychiatry at the E.]. Meyer Memorial Hospital and field supervisor of trainees. THE BUFFALO PHYSICIAN �" Physicians must help patients and their families make the best possible decisions in the face of tragedy. There are times when it would really be harmful to the child and its parents to sustain life. Our guide in these cases should be to balance the problems and grief of continued treatment on the one hand with death on the other. Every case must be judged on an individual basis. " That is what Dr. Raymond S. Duff, associate professor of pediatrics at Yale University, said in Buffalo. " We doctors are not gods, " he said. " We' re just human beings. In medicine, there is no certainty that's absolute. But perhaps as certain as the rising sun, we can know that if a seriously retarded infant or one born with multiple birth defects is kept alive, that survivor could be socially dead, a status no one would care to occupy. " The physician-educator said " when it comes to deciding whether a seriously-ill patient should be allowed to die, patients and families should have more power than they do now and hospitals and doctors should have less. In recent years medical specialization and institutionalization of care have claimed more and more power to decide in their own interests to the exclusion of patient and family interest. " Late last year Dr. Duff and Dr. A .G. M. Campbell of the University of Aberdeen, Scotland, disclosed that during a 30 month period at the Yale-New Haven Hospital intensive care nursery, 43 infants were allowed to die as a result of deliberately withholding vital life sustaining treatment. In each case the child was hopelessly ill, congenitally deformed or both. " All decisions made by a physician regarding a patient contain both medical and ethical factors. Because of the ethical component the patient and family should have a voice in what options should be taken, " Dr. Duff said. " Developments in medical technology have expanded the options which are available both ethically and medically. In many cases treatment has been devised which can keep a patient alive but do no more than that. But the patient may prefer to die. " Before modern medicine it didn ' t matter very much whether the patient had a significant voice because a physician did not have much of a choice when it came to treatment. However, the capacity for controlling life and living to the extent that we now can has created more ethical considerations which should involve both the patient and the family, " Dr. Duff said. The Yale University pediatrician admitted that he did not know who has the right to decide " life and death" situations. " But in respect to individual values and religious beliefs that many people have I think that the physician as a person trying to help the ill and the suffering does his best. If you are concerned about the Godlike Physician, you can also say that God gave us minds and hearts to think with. " When asked if this was the only way out for the severely ill and deformed Dr. Duff said " some people believe it is the only way out or at least the best way out. In the decisions I have participated in and those that I have studied people feel it is the right way out and they don' t see any conflicts between that decision and a person 's religion. " Dr. Duffs lecture was part of the Harrington Lecture Series. It was sponsored by the Medical School and the Western New York United Ministries in Higher Education. ) FALL, 1974 35 Ethical Problems of Modern Medicine Dr. Duff �-- -- Or. Gerry Holzman of Michigan State University with Drs. Vincent]. Capraro and Wayne Johnson during coffee break. Improved Learning - - - -- - - If you want self learning to occur, say a team of behavioral psychologists, than you must provide numerous practice cycles. So impressed were gyn/ ob chairman Dr. Wayne Johnson and gyn/ ob teaching program director Dr. Vincent Capraro with the feedback system of self learning presented at Duke University by Drs. Rita and Stuart Johnson that they were asked to present a similar workshop for interested physician/ researcher instructors here in Buffalo. " It is the most powerful means of assuring that students are learning what you wish them to learn," the 30 attendees were told as they began to prepare a short self-learning unit which they would in turn test, revise until their desired objectives were reached. The importance of practice cycles to reach each objective was again stressed by the Drs. Johnson as well as feedback following each one to show the student how well he is doing. Revision, they continued, may be necessary to bring about desired objectives. " You want a testable unit designed for clear objectives," the Johnsons said. " You must provide practice, followed by feedback , revision, and retesting so that you will have a tool that will stimulate, make the student more eager to learn and you, the faculty, can be tutors/ stimulators. You want to produce a package that will guarantee success, allow the student to work at his own pace through a unit that is broken up into small steps. The student practices and learns as he moves through each step in the unit. " At work on preparing self learning packages. 36 THE BUFFALO PHYSICIAN �Instructor/ students react to units produced during workshop. In evaluating students they were cautioned to stop comparing them. "What you want to know is whether most of them meet most of the objectives that you set. If not, you want to be able to identify the changes necessary to assure that they do. Expect 90 percent of your students to get 90 percent of the objectives, " they were told. Also held was a teaching workshop for ob/gyn faculty in anticipation of a revised curriculum that will incorporate self instructional materials at all teaching hospitals. l A student/ instructor tests a self learning unit. J Drs. Harry Sultz and Purnendu Dutta talk about need to revise a self learning unit in order to reach objectives . , .\ Dr. Luther Talbert of University of North Carolina goes over objectives of a core residency for ob/ gyn faculty . FALL, 1974 �Th e oath 128th Annual Commencement In the original Medical School graduating class in 1847 there were only 17 graduates who compl e ted a total medical program of 16 weeks. ) There were more minority (26) and women (18) graduates in the 128th graduating class of the School of Medicine than ever before. The 119 seniors marched in the processional, took the Maimonides and Hippocratic oaths, were hooded, and signed the Book of Physicians. From their senior class president came congratulations on " making it through the four rewarding and growing years. " Bruce Middendorf also offered them some ideas on resistance to scientific discovery that " radically challenges our view of man. " One, by neuroanatomist Harold S. Burrs on experiments in electrical fields surrounding living organisms, may help to elucidate the mechanism of acupuncture. The other, by Indian Yogi Swami Rama, on physiological demonstrations in voluntary reduction of heart rate during meditative state, has tremendous implications to understanding health and perhaps influencing disease. " As physicians," Dr. Middendorf sees " our task will be to use our expertise as a life-giving force . .. to critically examine this information. " While the lay public holds " our opinions in high esteem we must always let them be informed opinions." For his dedication to teaching and concern for students Dr. Thomas Commiskey was honored in the Medentian yearbook. In his response, the former assistant dean for student affairs and now a radiology resident at the E. ]. Meyer Memorial Hospital, posed the question, " What are you doing the rest of your life?" Reviewing decisions that led to his return to Buffalo as dean of students, he pointed to the many opportunities available to the graduates of 197 4, the " great responsibilities and potential to do enormous good . Whatever your answer," he said, " I urge you to do it with sensitivity and care." 38 THE BUFFALO PHYSICIAN �22 Seniors Honored Twenty-two senior medical students at the University shared 18 awards at commencement exercises of the School of Medicine at Kleinhans Music Hall. Two- BernardS. Alpert and Peter C. Welch- earned three each. Degrees conferred on 65 basic science graduate students by Dr. F. Carter Pannill, Jr., vice president for Health Sciences, included 40 Ph.D. degrees, 19 Master of Arts Degrees, and 6 Master of Science Degrees. The awards were presented to the following by Dr. Clyde L. Randall, executive officer of the School of Medicine who also conferred 119 MD degrees on the graduating class. Alpha Omega Alpha (National Honorary Society)-Bernard S. Alpert; Kathleen T. Braico; James L. Budney; Thomas A. Donohue; Howard R. Goldstein; Barry J. Kilbourne; John P. Manzella; Eric J. Russell; James A. Smith; Louise M. Stomierowski; Bernice H. Thiers; Bradley T. Truax; Peter C. Welch; and Elaine M. Wilt. Thesis Honors-James J. Freeman Upjohn Award (zeal, diligence, application in study of medicineLouise M. Stomierowski Buffalo Surgical Society Prize (academic excellence in surgery for junior/senior years) - Bernard S. Alpert Dr. Heinrich Leonhardt Prize (academic excellence in surgery) James A. Smith David K. Miller Prize in Medicine (demonstration of Dr. Miller's approach to caring for sick- competence/humility/humanity)- John P. Manzella Drs. John Robinson, 5. Mouchly Small, and Donald Rennie prepare to hood Timothy Anderson. FALL, 1974 39 Bruce Middendorf, senior class president. �John Fina, Drs. Daniel Fahey, Clyde Randall, F. Carter Pannill. 119 New Physicians ]im Manzella, Dr. Rar1dall Richard Alpert, Dr. Rar1dall ]ames Freeman signs the Book for Dr. Edward Marra. 40 THE BUFFALO PHYSICIAN �Gilbert M. Beck Memorial Prize (academic excellence in psychiatry) - Bruce F. Middendorf PhilipP. Sang Memorial Award (academic excellence/dedication to human values in practice of medicine) - Peter C. Welch Morris and Sadie Stein Neural Anatomy Award (excellence in neural anatomy) - George M. Kleinman Maimonides Medical Society Award (application of basic science principles to practice of medicine) - Bernard S. Alpert Hans ]. Lowenstein Award (academic excellence in obstetrics) Norbert J. Szymula Bernhardt and Sophie B. Gottlieb Award (combination of learning/living/service) - Bruce F. Middendorf Mark A. Petrino Award (demonstrated interest/aptitude for general practice of medicine) - Linda L. Yang Lieberman Award (interest/aptitude in study of anesthesiology)Keith F. Russell Clyde L. Randall Society Award (academic excellence in gynecology-obstetrics) - Kathleen T. Braico Alumni Association Award (outstanding achievement in third year) - Peter C. Welch Children's Hospital Prize (best demonstrated excellence in ability to understand disease in childhood) - Stephen Commins Charles F. Fritzke Award (academic excellence in psychiatry) Howard Goldberg Seven freshmen, sophomore and junior medical students were also honored and received the following from Dr. Randall: Roche Laboratories Award (highest ranking student for work in first/second years) - Michael E. Rinow Kornel L. Terplan Award (demonstrated best knowledge of pathology in sophomore year) - David B. Vasily Farny L. Wurlitzer Award (outstanding work in psychiatry) Mary Lou Meyers Physiology Award (outstanding work in physiology)- Arthur E. Mays ]ames A. Gibson and Wayne]. Atwell Award (highest record in anatomy for first year) - Timothy J. Spurling Bacteriology Award (highest record in microbiology) - Robert J. Lapidus Ciba Award (outstanding community service)- Alan J. Calhoun, Tone Johnson, Jr., and Raymond C. Noel. Edward L. Curvish M.D. Award (highest ranking student in biochemistry in first year) - Elliott I. Fankuchen, Thaddeus A. Zak. The following basic science students participated in the School of Medicine Commencement: MASTER OF ARTS - Susan Bassion (microbiology). Armando J. Batista (biochemistry), Larry Consenstein (microbiology), Angelo DelBalso (pharmacology), Linda Ann Girvin (microbiology), Stephania Justina Gol Grauman (microbiology), Holly Kai-Yuan Hsiang (biochemistry), Mahin Khatami (biochemistry), George Kracke (physiology), Linda Lazarus (anatomy), Kuo-Chi Lee (biophysics), MarFALL, 1974 41 �The University graduated 5,026 students in 12 commencement exercises. In addition to the general commencement, held Tuesday, May 21, in Buffalo Memorial Auditorium, eleven other individual exercises were held. This is the second year that U/ B has had optional separate unit commencements in an effort to personalize the ceremony. Of the 5,026 degrees, there were 40 associate, 3,075 baccalaureate, 1,175 master's, 349 doctorate and 387 professional (medical, dental and law) degrees. JOne Plummer (microbiology), Ruth Sporer (microbiology), Shihpen Sun (oral pathology), Paula Szoka {pharmacology), Karl R. Beutner (microbiology), Walter G. Dillon (anatomical sciences), David C. Jinks (microbiology), Dennis M. Mochnal (microbiology). " MASTER OF SCIENCE - Marie Caldwell (epidemiology), Rodman Goltry (epidemiology), Yoosuf Haveliwala (epidemiology), Brunhilde Meyer (laboratory animal medicine), Chutitaya Panpheecha (epidemiology), Robin Vollmer (biophysical sciences). DOCTOR OF PHILOSOPHY - Stephen Adams (biophysics), Anita Babcock (biophysics), Lloyd Bergon (pathology), Carol Brownscheidle (anatomy), Paul-Yuan Chen {physiology), Leslie Cutler (pathology), Elliot Davis (biophysics), Jeanette DeMarchi (microbiology), Dennis DePace (anatomy), Ayda Mohammed Fatehy El-Shirbiny (pathology), Peter Engler (biophysics), LeRoy Frey (pharmacology), Kanwai Kumar Gambhir (biochemistry), Frank Giblin (biochemistry), Robert Havier (biochemistry), John Howell (biochemistry), Li-Yen Mae Huang (biophysics), Vijay Kumar {biochemistry), Cynthia Kussmaul (microbiology), Fernando Merino (microbiology), David Musser (physiology), Melburn Park (physiology), Carl Porter (pathology), V. Renugopalakrishnan (biophysics), Richard Rosenfield, Jr. (biophysics), Paul Salvaterra (biochemistry), Christine Sekadde (biochemistry), Edward Shapiro (biophysics), David Silverman (microbiology), Harry Slocum (biochemistry), John Subjeck (biophysics), Melvin Swanson (biochemistry), Alan Tan (biochemistry), Gene Tobias {physiology), Norma Tritsch (biochemistry), William Ulvang (biophysics), Br-yan Weare (biophysics), Alton Woodams (biochemistry), Karen Zier (microbiology), Ezequiel Jethmal (physiology), Frank J. Lebeda (pharmacology), Richard G. Moran (pharmacology).<> Faculty processional John Clark 42 THE BUFFALO PHYSICIAN �Medentian Honors Two Professors Two School of Medicine faculty and alumni of the University were cited for their dedication to teaching and concern for students in the MEDENTIAN, a Schools of Dentistry/ Medicine yearbook. They are Dr. Thomas G. Cummiskey, former assistant dean for student affairs who is currently a radiology resident at the E. J. Meyer Memorial Hospital, and Dr. John B. Sheffer, clinical professor of pathology who has served on the faculty for almost a quarter century. In citing Dr. Cummiskey, " .. . throughout our four years of medical school we have been privileged to know Dr. Thomas G . Cummiskey ... his office may have been considered minor by some but he was one of the few friends we had among Administration during the past four year. He assumed the title of Dean of Student Affairs in the summer of 1970... The Coach as he is better known, was a friend to all students; he could always be counted on to help with a problem, listen to and examine a grievance or simply offer a warm smile and a friendly " hi" . . . he kept us abreast of developments concerning our education and philosophized about what the senior year meant; in the time of our most acute need he temporarily relinquished other responsibilitites to write our Dean's letters of internships. To have gone through Medical School without him would have been our misfortune. " Dr. Cummiskey served as assistant dean for student affairs from 1970-73. The 41 year old physcian graduated from UB Medical School in 1958, interned at the Buffalo General Hospital. A residency in surgery at Cincinnati General Hospital was interrupted by a two-year stint (196062) in the U.S. Army Reserve Medical Corps in Shreveport, Lousiana. He remained in that city for a year of internal medicine at Confederate Memorial Center, then returned to Buffalo in 1963 to complete a residency in internal medicine at Buffalo General Hospital. Dr. Cummiskey has held both University and hospital appointments at the Buffalo General (1965-66) and Veterans (1966- 67) Hospital before joining the American United Life Insurance Company in Indianapolis as assistant medical director. Two years later, in 1969, he became associate medical director. Dr. Sheffer was cited with heartfelt appreciation for " . . . imparting knowledge to a heterogenous group of students, a task that the seniors felt is one of herculian dimensions if one is to achieve an educational cuisine palatable to students' tastes. In our estimation one who has attained this level of achievement is Dr. Sheffer. When called on to construct/coordinate a pathology course a week before classes began that he was even able to approach success is remarkable, that he succeeded so triumphantly is almost incredible. " A member of the faculty since 1950 Dr. Sheffer received his medical degree at UB in 1947, interned at Hackensack Hospital (194748) and completed a residency in pathology at the Buffalo General Hospital in 1948-51. The dental students honored a former faculty member, Dr. Raymond Krug, who is associate professor and chairman, department of fixed prosthodontics at the University of North Carolina. He was on the UB dental faculty from 1970 to 1973. " FALL, 1974 43 Or. Cum miskey Or. Krug �Dr. Felsen visits with two medical school students, Margaret Mitchell and Glenn Rothfeld, at the E.]. Meyer Memorial Hospital. Indian Health Service A 1966 Medical School graduate is the n ew deputy director of program operations for the Indian Health Service. Dr. James D. Felsen 's interest in Indian health began in 1967 while he was taking his residency at the Peach Springs Health Center on the Hulapa Indian Reservation in Arizona (70 miles west of Flagstaff). "I made housecalls on horseback. We had two clinics - one at Peach Springs and another 60 miles into the canyon, where 300 Havasupai Indians lived. We were at the clinic every three weeks for two days. A nurse was stationed in the canyon and if there was an emergency she would contact us via short wave radio and we would use a helicopter to get people out of the canyon to the hospital or our Peach Springs clinic." From 1968-70 Dr. Felsen was with the San Carlos Apache tribe in Arizona where he was clinical director of a 40-bed accredited hospital. He was also responsible for the comprehensive health delivery of services to over 5,000 Apache Indians. As part of his residency program in community medicine he spent a year in Tulsa, Oklahoma with the city-county health department. It was here that Dr. Felsen saw the complexities of urban health delivery (preventive, curative and rehabilitative). During 1971-72 he was at the Harvard School of Public Health, where he received his master's degree 44 THE BUFFALO PHYSICIAN �in public health. He studied the development, administration, and evaluation of health care delivery programs as well as health planning, policy formation, politics and law. Dr. Felsen also served as medical director of the Peace Corps in Sierra Leone, West Africa four months in the summer of 1969. He was responsible for the health of 400 Peace Corps volunteers. Since 1972 he has been in Rockville, Maryland at the headquarters of the Indian Health Service of the Health Services Administration of HEW. " The recruitment of primary care physicians is my major responsibility. We need about 200 physicians a year for the Indian Health Service. Our first recruiting started in the fall of 1973, shortly after the military draft ended. Our major appeal is a new challenge, some adventure and personal fulfillment. Salaries are not a big problem, because there are a lot of people who ' want to do something different.' Most recruits stay at least two years," Dr. Felsen said. The young physician is also responsible for monitoring the health standards in 51 hospitals and 87 ambulatory care centers located on Indian reservations in 24 states. " We take care of about one-half of the Indian population (500,000) that live on reservations. " The physician is always the head of our health team on the reservation. In every case he must develop and integrate a comprehensive approach to health care. All members of his health team (nurses, therapists, dentists, social workers and others) become completely involved in health education, sanitation, and other community health affairs. We have a very progressive health program that is comprehensive. Our consultation and backup services are excellent too," Dr. Felsen said. Dr. Felsen is also active in the legislative field. He analyses Federal health legislation as it affects Indian health. This means working with the subcommittee of the Department of Interior on Indian Health as well as numerous other congressional committees. The goal of the Indian Health Service is to raise the health status of the Indian and Alaska native people to the highest possible level. Since 1955, when HEW took over the Indian Health Program, the infant death rate has declined 62 per cent; the death rate from gastroenteritis and other diarrheal diseases has declined 84 per cent; the tuberculosis death rate has decreased 86 per cent; the influenza and pneumonia death rate has declined 57 per cent; and the death rate from certain causes of mortality in early infancy has decreased 81 per cent. New facilities constructed since 1955 include 13 hospitals, 17 health centers, and 58 field stations. Major alterations have been made at 14 standing facilities and other hospitals and health centers were modified to serve as comprehensive community health facilities. During this same period, physicians assigned to the program increased from 125 to 486, dentists from 40 to 180, and registered nurses from 780 to 1 ,100. A significant trend in the Indian health program has been the increased acceptance by Indians and Alaska Natives of health care services, especially utilization of ambulatory services. Hospital admissions have doubled, out-patient visits have increased five-fold , and dental services have quadrupled. In addition, almost all babies are now born in hospitals rather than at home. Direct patient medical care accounts for just over 50 per cent of the budget. " This year we are concentrating our efforts towards educating the public. We want to make Indian Health a household word," Dr. Felsen concluded.() FALL, 1974 45 �Seven Medical Facuity Retire Seven medical faculty at the University - all are 70 years old - will retire on the last day of August after collectively serving a total of 220 years. Six are medical graduates of U/B; one of Harvard University. They are Drs. Evelyn Alpern; Walter F. King; David K. Miller; Angelo S. Naples; J. Frederick Painton, Sr.; Bruno G. Schutkeker; and Walter D. Westinghouse. Three are from the department of medicine. Dr. David K. Miller received his medical degree from Harvard University in 1929. Following an internship at Boston City Hospital he studied in Germany and Austria, and served on the staff of the Rockefeller Institute for Medical Research before he came to Buffalo in 1937 as an instructor in medicine and to head the county hospital' s laboratories. Two years later he became professor of medicine. He headed the Meyer Hospital's department of medicine from 1939 to 1967 when he asked to be relieved of his hospital duties. In 1971 he was reappointed professor of medicine. He is a Fellow of the American College of Physicians, the Harvey Society, and recipient of a School of Medicine plaque for " contributions as outstanding teacher, scholar, and clinician." Dr. Miller has served on the faculty for 37 years. Dr. J. Frederick Painton, Sr. completed medical studies at U/ B (MD in 1927). He joined the faculty in 1938 as assistant in therapeutics and became clinical associate professor of medicine in 1963. During his 42 years of faculty service that was interrupted by two years of military service (1942-43), the Fellow of the American College of Physicians headed medicine at the Millard Fillmore Hosptial from 1946 to 1969, served as president of the hospital's medical staff, and was instrumental in setting up a residency program in medicine there. Dr. Walter D. Westinghouse, a U/ B alumnus (MD in 1931) joined the faculty as an assistant in 1938 and in 1958 became clinical assistant professor. His 36 years of faculty service was interrupted by a military leave in 1944-46 as a Lt. Commander in the U.S. Naval Reserves. Two are from the department of ophthalmology. Dr. Walter F. King, a 1928 U/ B medical school graduate, joined the faculty in 1934 as an assistant after completing postgraduate studies at Columbia Presbyterian Hospital's eye institute and in Vienna, Germany, and Prague. He was made a clinical associate professor in 1963. The Fellow of the American Academy of ophthalmology-otolaryngology and the American College of Surgeons has completed 40 years of service at the University. Dr. AngeloS. Naples, also a U/ B medical graduate (1931) served during the second world war as a major and was a colonel in the U .5. Army Reserves Deputy Co. - 338th General Hospital. From 1949-59 he headed the ophthalmology department at the Veterans Hospital and joined the University faculty in 1961 as a clinical assistant. Five years later, in 1966, he became a clinical instructor. He has served on the faculty for 13 years. The remaining two retirees are from psychiatry. Dr. Evelyn Alpern, also a graduate of U/ B (MD in 1926) has directed child guidance clinics in Providence, Rhode Island; in Buffalo, and at the Children's Hospital here. She joined the faculty in 1948 as an assistant and in 1966 became associate professor of psychiatry as well as clinical assistant professor of pediatrics. A Fellow of the American Orthopsychiatric Association she has served on its membership/ program committees. She holds a 26-year service record with the University. 46 THE BUFFALO PHYSICIAN �Dr. Bruno G. Schutkeker, following medical studies at U/ B (MD in 1928), pursued postgraduate work in neuropsychiatry at Columbia (1934) and Syracuse (1946-47} Universities. While serving as commanding officer with the 119th medical battalion of the 44th Infantry Division of the 7th Army he won a Bronze Star. In 1945 he was commissioned a full Lt. Colonel. He was supervising psychiatrist at Buffalo State Hospital from 1931-40 before he joined the faculty in 1948 as an instructor. In 1960 he became a clinical assistant professor. He has served for 26 years. All were honored at the School of Medicine' s annual faculty meeting in May . . Dr. Schenk Dr. Worthington G. Schenk, Jr., chairman of the department of surgery, is the new president-elect (1974-75} of the Society for Vascular Surgery. Its limited membership of 250 surgeons specialize in the care of blood vessel disease by surgical means. The 52-year-old surgeon joined the Medical School faculty in 1954 as instructor in surgery, became professor of surgery in 1966, and three years later was acting chairman of the department of surgery, a position he held until his appointment as chairman in 1972. Dr. Schenk received his MD degree from Harvard Medical School in 1945, interned at the Massachusetts General Hospital over the next year. Before joining the E. ]. Meyer Memorial Hospital housestaff as surgery resident in 1948 he served with the U.S. Navy for two years. He has been on the E.]. Meyer Hospital staff since 1948 when he joined as a surgery resident, was appointed to associate attending surgeon in 1959, attending surgeon the following year, and as director of surgery there in 1966. Dr. Schenk is a Fellow of the American College of Surgeons and a Diplomate of the American Board of Surgery. He has held offices in several national societies - secretary of the Society for Clinical Surgery and Society for Vascular Surgery (treasurer and vice president). He was on the National Institutes of Health's surgery study section, was president of the Buffalo Surgical Society and has served on the Council, Central Surgical Association. A contributor of over 165 articles to medical journals, he has also been active on many University committees, in civic affairs in local, state, and national professional organizations. O FALL, 1974 47 Dr. Schenk �Center for Immunology Dr. M ohrz Or. ]ames F. Mohn has been appointed by the Governor of New York State to the newlycreated Council on Human Blood and Transfusion Services. The physician-educator will serve a two-year term on the Council of eight that, with the Commissioner of Health, will establish minimum standards for the collecting, processing, fractionating, storing, distributing, and supply of human blo od or blood derivatives used for transfusions. Dr. James F. Mohn, professor of microbiology and head of the blood group research unit has been appointed director of the Center for Immunology at the University. The 52-year old Buffalo-born and educated physician assumed directorship on July 1 of the Center. It was created in 1967 by the late Dr. Ernest Witebsky (distinguished professor and past chairman of bacteriology and immunology) to assure coordination and extension of a wide scope of immunological research and teaching in Buffalo. For it is here where all interested immunologists in the community meet and exchange high quality, indepth studies on all types of immunologic responses to better understand factors responsible for resistance to disease and to narrow the gap between research and patient care. Biennial symposiums and summer workshops sponsored by the Center attract leading immunologists from around the world to Buffalo. Dr. Mohn, renowned for his work in blood group immunology, joined the bacteriology and immunology faculty here as an instructor a year after graduation from UB medical school in 1945 . Over the next quarter century he rose to a full professorship. He has served as bacteriologist/ serologist at the Niagara Sanatorium (Lockport), directed the Buffalo General Hospital's blood bank, and as consultant to blood banks at the Veterans and Deaconess Hospitals. He has also served as consultant in immunohematology to the Erie County Laboratories , Walter Reed Army Institute of Research, and on the National Research Council's subcommittee on transfusion problems . A Fulbright scholarship in 1952 at Cambridge under Dr. Robin Coombs was interrupted by a call to milita ry service. Over the next three years he served in Walter Reed Army Medical Center's immunology division as assistant to the director and headed administration services at its Army Medical Service graduate school. Ten years later in 1962 he returned to Cambridge as a National Science Foundation Fellow to continue advanced research in immunology with Dr. Coombs . In 1969 he became the first Buffalonian to receive an honorary faculty appointment to Cambridge's department of pathology. Dr. Mohn is also a member of the State Department of Health' s clinical laboratory advisory committee which enacts all of its diagnostic laboratory services performed in New York State. The prolific contributor to the literature has served as contributing editor to Vox Sanguinis, the Journal of Blood Transfusion and Immunohematology, and as associate editor and board member of Transfusion. Among his numerous national and international professional memberships are the American Association of Immunologists, the British Society of Immunology, International Society for Blood Transfusion, American Society for Microbiology, American Association of Blood Banks (he has chaired its scientific programs/ awards committees), and the Society for Experimental Biology and Medicine. Dr. Mohn is also a Fellow of the International Society of Hematology which he was instrumental in founding , and of the American Association for the Advancement of Science. O 48 THE BUFFALO PHYSICIAN �Dr. Barbara Rennick has been named acting chairman of the Department of Pharmacology and Therapeutics in the School of Medicine. The professor of pharmacology assumed her new duties June 1. The appointment is effective through May 31 , 1975 unless a permanent chairman is nominated and appointed at an earlier date. Dr. Rennick has been on the Medical School faculty since 1965 . She received her bachelor's and master's degrees from Wayne University in Detroit in 1942 and 1944, respectively. She received her M .D . from the University of Michigan in 1950. Before corning to Buffalo she was at Upstate Medical Center, Syracuse, Mount Holyoke College, and the University of Cincinnati. ') Women in Medicine The double standard in health care, which sometimes works to the disadvantage of women patients and physicians, was the theme of a special symposium sponsored by women medical students. " The next generation must be brought up to know that not all women are nurses and not all men are doctors ," said Dr. Nancy ]. Stubbe, clinical instructor in surgery and anatomical sciences. She was one of four women physicians and medical school faculty members on the panel. Dr. Daphne ]. Hare, assistant professor of medicine and biophysical sciences, cited the discrepancy in treatment of male and female patients at the April meeting in the Harriman Faculty Club. " The majority of male doctors probably give a less thorough physical exam to women. And when it comes to getting dialysis treatment, physicians often use medical and social criteria. Since society can' t accommodate all these people, some must die . In some instances women are deemed worth less socially than men." The treatment of women in the mental health field was also attacked by Dr. Hare. " I think the evidence shows there is a tendency to take complaints and symptoms of women and write them off as psychosorna tic.'' Dr. Rose Ellison, associate professor of medicine, was optimistic about the future of women in medicine. " With women being accepted in more and more positions, it is going to get easier and easier. " Another panel member spoke of the rewards of a career in medicine. Dr. Cynthia Clayton, assistant professor of pediatrics, said " I have never regretted going to medical school. " Dr. Ruth Knoblock, who graduated from medical school 43 years ago, urged the medical students to become more active in the American Medical Women's Association. She is president of the Branch 18 of the New York State Chapter. Three students - Serafin Anderson , class of 1976, Mindy Friedman and Sharon Lipschitz, class of 1977- arranged the symposium. <) FALL, 1974 49 Dr. Rennick �Summer Fellowships Through a unique opportunity 38 medical students will be able to enrich their medical studies over the summer months. Under a summer fellowship program at the School of Medicine, 16 freshmen, 20 sophomores, and two juniors will receive from $750 to $1000 for an eight-to-ten week experience in either basic or clinical science projects, to investigate health care or community problems or to be involved in an educational investigation not covered in their medical curriculum. Here is how the program works. From a list of potential faculty sponsors available in the Dean's office, interested students may select one to work with on ongoing research or may pursue their own interests by locating a compatible sponsor. The proposal for a summer experience is then forwarded to an eight-member summer fellowship committee. They are Drs. Seymour Axelrod (psychiatry}; Carl Bentzel (medicine}; Gerard Burns (surgery); David Dean (medicine}; Murray Ettinger (biochemistry}; John Edwards (medicine}; Perry Hogan (physiology}; and Frank Kallen (anatomy). After each committee member rates each application, the highestrated ones are then funded. Explained Dr. Dean who is chairman of the committee, " we received more funds to cover research-oriented projects than for clinical experiences. " Five students were awarded $1000 grants for continuing projects that were innovative and imaginative. "We hope, " Dr. Dean continued, " that these special awards will encourage excellence by students who want to pursue worthwhile problems in depth. Last year these students reported on their research at a special symposium. We hope to continue this opportunity," he said. While the majority of students will be working in the Buffalo area, one will be at Massachusetts Institute of Technology, Boston, one at Maimonides Medical Center, New York City, and one at SUNY, Stony Brook Medical Center, Long Island. <) Continuing $1000 Research Projects Local Project Horner, Douglas B. '76 Factors affecting cadmium distribution/ excretion in rat Kostraba , Nina C. '75 Neander, Michael]. '76 Roehmholdt, Mary ' 75 Zak, Thaddeus '76 Nonhistine proteins of Ehrlich ascites tumor Correlating pharmacokinetics of antibacterial agents/ clinical outcome of chemotherapy in urinary tract infections in pediatric patient A. C. response to altered morphology Copper metabolism and Wilson's disease EDUCATIONAL EXPERIENCE Finley, Clarence D . '77 Clinical clerkship in pathology Kondray, Ildiko M. '77 Nocek, Marie A. ' 76 Clinical preceptorship at West Seneca State School Surgical externship PerL Alan '77 Liver cirrhosis CLINICAL RESEA RCH Capraro, Diane E. '77 Kressner, Michael ' 77 Kuwick, Richard]. '77 Masserman, Ivy ' 77 Montgomery, Erwin B. '76 Wild , Daniel '76 Evaluating high-risk pregnancy by various parameters of assessing fetal-placental status Clinical/chromosomal variations in 1900 children-correlating karotype/ phenotype Localizing mercury in human brain in normal/alcoholic patients Electrophoretic determination of neuroaminidase activity in human tissue extracts Surgical externship in Harry M. Dent Neurologic Institute Pseudarthrosis fractures of humerus 50 Dr. ].C. Smith, U. of Rochester and SUNYAB Nuclear Facility Dr. T- Y Wang, biology, SUNY AB Dr. S. Yaffe, Children's Hospital Dr. C. BentzeL VA Hospital Dr. M. Ettinger, Biochemistry, Capen Hall Dr. S. Minkowitz, Maimonides Medical Center, NYC Dr. L. Huzella, Anatomy, Capen Hall Dr. P. Wels , Millard Fillmore Hospital Dr. A. Lucas, Pathology, E. ]. Meyer Hosp. Dr. L. Padilla, Children's Hospital Drs. R. Davidson, ]. Brown, Children's Hospital Drs. C. Glomski, W. Olszewski, Anatomy, Capen Hall and Buffalo General Hospital Drs. P. Carmody and R. Davidson, Children's Hospital Dr. W . KinkeL Millard Fillmore Hospital Dr. E. Mindell, E.] . Meyer Hospital THE BUFFALO PHYSICIAN �COMMUNITY HEALTH Altesman, Richard I. '76 Burgher, Sonia Y. '76 Capraro, Judith A. '76 Friedes, Francine E. ' 76 Hayes, Patrick R. '76 Hemme, Hal S. '76 Kramer, Stanley]. ' 76 Mix, William A. ' 77 GENERAL RESEARCH Beneck, Neil D . ' 77 Bernstein, David '77 Friedman, Mindy '77 Gossman, Douglas ' 76 Lanse, Steven B. '77 McPhee, Gerard ' 76 Metzger, Walwin D. '76 Miegel, Robert E. ' 77 Wiles, John B. '76 Participating in psychiatric crisis intervention clinic Therapeutic investigation of an inner city family Emergency medical service system for Suffolk Countydeveloping care review sessions Counseling terminally-ill patient Neurologic problems at St. Mary's School for Deaf Etiologic factors in diabetes in semi-isolated population Study of diabetes among Seneca Indians at Cattaraugus Indian Reservation Experience in developing/delivery of urban health services Tetracycline resistance in E. Coli : how resistance level is controlled Immunologic response to Epstein Barr virus infection during infectious mononucleosis Determine in vivo rates of synthesis/ degradation of enzyme trans keto lase Studies on pathogenesis of renal encapsulation hypertension Alterations in permeability of blood/ brain barrier system to Levothyroxin I-125 and I-131 due to aging Study ionic mechanism underlying action of cardiac glycosides on canine Purkinje fibers Study morphological basis of glomerular permeability in experimental renal diseases Studies of structure/ mechanical properties of cancellons bone Exp. study of surgically by-passed small intestine of rabbits Lippman, Michael]. '77 Contagion of depression on cancer ward: correlating mood in patients/ staff Peng, ]in-Rong '77 Studies on brain tumor reproduction by subcellular fractions after differential ultracentrifugations Studying fibrinogen/ platelet turnover rates in cancer patients Urban, Hedvika, ]. '7 7 Dr. M. Gerstanzang, E.J. Meyer Hospital Dr. R. Charles, Buffalo Dr. T. Valles, SUNY, Stony Brook Drs. D. Rosenbaum, M . Plumb, Orchard Park and E.J. Meyer Hospital Dr. R. Zwirecki, Mercy Hospital Dr. R. Bannerman, Bflo. General Dr. R. Bannerman, Buffalo General Hospital Dr. A. Goshin, Lackawanna Clinic Dr. A. Reynard , Pharmacology, Capen Hall Dr. P. Ogra, Children's Hospital Dr. M. Meisler, Biochemistry, Capen Hall Dr. P. Nickerson, Pathology, Bell Facility Dr. J-C. Lee, Anatomy, Capen Hall Drs. P. Hogan, S. Wittenberg, Physiology, Sherman Hall Drs. G. Andres, Pathology, Capen Hall Dr. R. Rose, MIT, Cambridge Dr. G. Burns, Surgery, E. J. Meyer Hospital Drs. M. Plumb, D. Higby, E.]. Meyer and Roswell Park Memorial Institute Dr. ]-C. Lee, Anatomy, Capen Hall Dr.]. Ambrus , Roswell Park Memorial Institute FAMILY PRACTICE PRECEPTORSHIPS Beiter, Deborah '76 Dr. Melvin Oyster, 909 Pine Ave., Niagara Falls Bodkin, John]. III '76 Dr. Herbert Joyce, 3535 Bailey Avenue Privitera, Christine '76 Dr. Robert Corretore, 350 Alberta Dr., Amherst William Hall SNMA Officers Two junior medical students at the University have been elected to office in the Student National Medical Association. They are William Henry Hall, who is the new president elect, and Tone Johnson, Jr., who is the new speaker of the house. Mr. Hall, who holds a BS degree in biology from Howard University, is the president of POLITY, the U/ B Medical School student government. He is also president of the Junior class. Mr. Johnson, a Vietnam veteran who served from 1963 to 1966, studied science at Grambling College before he came to Buffalo in 1971. () FALL, 1974 51 Tone Johnson ]r. �--- - -------- A New Kind of Physician ''W e Dr. Haughton, Marlene Bluestein must introduce the 'caring doctor' to medical education. We need a new kind of physician. " That is what Dr. James Haughton told students and faculty at the annual Harrington Lecture in April. The executive director of the health and hospital governing commission, Cook County, Chicago said " our major incentive should be to get medical school graduates into public health. In this environment they can practice good medicine and serve the people who need to be served. The satisfaction of serving people is enough incentive and is greater than money." Dr. Haughton went on to say that " doctors are technical addicts. They use technology as a response to disease. Physicians often regard the alleviation of human suffering as scutwork. " He charged medical schools with stressing specialties and sub-specialties, and contributing more to the problem of health care delivery than the solution. " It is time for change. The solution must come from medical educators and students. We must be more human in our approach to medicine and patients. Students must demand education that will help the nation' s health. Resist influences that do not let you respond to the community, strip you of your humanity and redefine your excellence," the Panamanian-born physician warned. " Our education focuses upon the system instead of the patient. This is wrong. And as a result there is a fear for caring for the patient among some medical school graduates. You can' t become a good doctor by staying in your lab and reading books. " Dr. Haughton warned that teaching hospitals often compound the problem of education. " As a physician expands his education his service to patients becomes less. Students who work in prisons or in neighborhood clinics have better relations with patients than those who remain in teaching hospitals. " The physician-educator went on to say that many Americans believe having their own doctor is a status symbol. " We must teach people to be guardians of their own health, and not rely so much on physicians." Dr. Haughton said he would like to explode the myth that good clinicians are not good teachers. " Our clinicians at Cook County Hospital are good bedside teachers." Dr. Haughton, who practiced obstetrics for 15 years, said that other physicians are the single influence that most alienates young doctors from their patients. The emphasis on medical specialties rather than patient health has resulted in the deplorable frequency with which physicians see " nth degree disease because we neglect to teach the patient to protect his own health." On national health insurance, Dr. Haughton said he was not " hung up" on the insurance notion and pointed out that some European nations with national health insurance are turning away from it. The need, he said, is for national health financing in whatever form will achieve the goal of removing finance as an obstacle to health care. 52 THE BUFFALO PHYSICIAN �Currently some 30 million Americans, including a growing number of the middle class, are without health insurance because they are unable to afford it. In an afternoon rap session with students Dr. Haughton talked about his 12 years in administrative public health positions in New York City and Chicago where he has assumed responsibility for health service programs for Cook County's 1,500,000 indigent. The Cook County Hospital has a School of Nursing, a 1,600-bed acute hospital, a 1,900bed chronic disease hospital, and an 80-bed acute care facility for inmates of Cook County Jail and House of Corrections. The 48-year-old internist/ surgeon/ administrator mentioned the hospital's medical hierarchy - medicine, nursing, and administration. " We have inservice training programs for nutritionists, nurse practitioners, therapists, and social workers. And about 30 former medical corpsmen work in the Cook County Jail. " Dr. Haughton believes ambulatory care for the indigent must be increased. " We must provide primary care for patients and they should not have to travel an hour or more to see a physician. We need more neighborhood free clinics with hospital backup services and expertise. But to be successful they must have community involvement. The health constituent must become involved in health and must remain in an advisory capacity to the county health society." Dr. Haughton also said : " -hospitals may soon be public utilities; " -in the future private hospitals will be more accountable to the public; " -lack of appropriate health planning makes for vacant hospital beds (rather than the emphasis on ambulatory care); "-PRSO's are coming because peer review has never worked, but PRSO's have stimulated local medical societies to take this responsibility; " -very often patients get well in spite of the doctor or the treatment; " -house calls are not a good utilization of a doctor's time. A nurse practitioner is adequate; " -a Federal proposal is under way to discontinue all scholarships to manpower programs in needy and poor communities. Loans to students would be substituted; " -HMO' s will not have significant appeal to those millions of people who feel that they are already adequately covered by the 'Blues'; " -parmedical and social workers and nurses can take on many responsibilities so doctors can become more sufficiently involved with their patients." Miss Marlene Bluestein, a second year medical student, headed the committee that hosted Dr. Haughton. Other committee members were John Tardino, Anthony Camilli, Alan Gewirtz and Glenn Rothfeld. The annual Harrington Lecture is sponsored by medical students and was created through the will of the late Dr. Deville W . Harrington, professor of genital and urinary diseases at the School of Medicine. ') FALL, 1974 53 A rap session with students, faculty �----- Our First Professor of Physiology and Medical Jurisprudence, Charles B. Coventry (1801-1875) by Oliver P. ]ones, Ph.D., M.D. ~ CHARLES B. COVENTRY, the fourth son of Dr. Alexander and Elizabeth Coventry, was born at Deerfield, near the present site of Utica, New York, 20 April1801. The elder Coventry was born in Hamilton, Scotland and attended medical lectures at Glasgow in 1783-84 and at Edinburgh in 1784-85. He came to this country in 1785 and finally settled at Utica where he practiced medicine until the time of his death in 1831. (Some of Dr. Alexander Coventry's private library is in the Health Sciences Library.) Because young Charles was sickly he spent several years confined to the house with his mother, who died when he was thirteen years old. He was too feeble to work much on the farm so that until he was sixteen years old his time was divided between a grammar school in Utica and his father's office. In 1817 his father formed a partnership with Dr. John McCall and young Coventry was relieved of his duties, most likely menial, at the office. He spent three summers on the farm and attended the English and classical schools in Utica during the winter. In 1820 he was hired as a teacher in the district school and later became an assistant in the classical school where he was known for his habits of industry. By 1822, his physical condition had improved so much that he entered his father's office as a student of medicine. Young Coventry attended lectures at the College of Physicians and Surgeons of Western New York at Fairfield, Herkimer County and was graduated with the M.D. degree in 1825. Earlier that year, purulent ophthalmia (trachoma) had made its appearance in Western New York and Coventry made this the subject of his thesis which was subsequently published in the New York Medical and Physical Journal. The first paragraph reads - " Perhaps there is not in the animal economy any individual organ, with the exception of those immediately essential to life, which lays higher claim to the attention of the philosopher and surgeon, than that of vision." At that time, all medical students were required to write a thesis before graduating, but this is the only one written by a member of our first faculty which was subsequently published. Front Row: Roland B. Carr, Daniel C. Fisher, Evelyn H. Jacobsen Heath, W. Yerby Jones. Back Row: Edward S. Buffum, Ralph M. Colton, Francis R. Daniels, Lee R. Sanborn, Franklin C. Farrow, Mark A. Gildea, Charles M. O 'Connor. Class of 1924 at Spring Clinical Days �Class of 1929 at Spring Clinical Days Front Row: Charles R. Leone, Frank Meyers, Victor L. Cohen, Richard A. Downey, George E. Leone, Carra L. Lester Back Row: L. Maxwell Lockie, Ramsdell Gurney, Norman Heilbrun, Warren S. Smith, Michael J. Maggiore, John B. Schamel, James B. Tyner, Raymond J. Filsinger. Shortly after graduation he was made a member of the Medical Society of Oneida County. On two occasions he served as Treasurer and Librarian for the Society and was its President in 1842 and subsequently that of the State Medical Society. He worked in his father ' s office until1828 when he was appointed to lecture on Materia Medica at the Berkshire Medical College, Pittsfield, Mass. The following year he was appointed to the chair of Obstetrics and Materia Medica which he held until 1832. It was there that he established himself as a conscientious and successful teacher. Also during that year, when epidemic cholera had already reached New York City, the Common Council of Utica sent Dr. Coventry there to investigate its nature and character and to report back to the Oneida County Medical Society. Coventry had personal experience with and interest in tuberculosis, hence it is understandable why he gave his presidential address in 1833 before the Kappa Alpha Phi Society at Fairfield on "Tubercular Phthisis" and nine years later on "Tuberculosis" before the Oneida County Medical Society. On the other hand, his interest in insanity must have been due to his observation that confinement of insane paupers in the county almshouse was inhumane. As early as 1834, Coventry introduced a series of resolutions before the County Medical Society which were unanimously adopted and passed on to the State Medical Society. In 1836, a memorial was sent to the State Legislature which established "An Act to Authorize the Establishment of the N.Y. State Lunatic Asylum." Coventry was one of the trustees appointed by Governor Seward and one of the committee to draw up the plans. Utica was selected for the site and it opened in 1843. The first building was only part of the asylum and three years later two additional wings were completed, thus doubling the accommodations (450-500). The definite object was to take the insane out of almshouses and provide for them in a well ordered hospital. This became the model for similar institutions throughout the United States, not only because of its location, ample FALL, 1974 55 �Class of 1934 at Spring Clinical Days Front Row: John V. Anderson, Alvin J. Schweitzer, W. G. Rocktaschel, Samuel R. Patti, Edgar A. Slotkin, Joseph R. Saab, Nicholas Linderman. Middle Row : J. Rothery Haight, Adolfine Preisinger Linderman, Charles E. May, Max B. Weiner, James S. Kime, Alfred I. George, Emil J. Bove, Louis J. Schmitt. Back Row: Michael D . Kraska, J. Edwin Alford , Irving Cohen, Joseph S. Tumiel, Raymond R. Meyers, Emerick Friedman, James G. Harrity, John C. Kinzly, Christy Castiglia, Harry Bergman, Harry G. LaForge. space and cleanliness, but because the insane were treated with all the tenderness and care as sick patients under other circumstances. many years later a famous Buffalo alumnus, Dr. Frederick Peterson, caused the word "asylum" to be dropped from usage and the word hospital to be used instead. Coventry was married in the spring of 1829 and during that summer he had a severe bout of pulmonary hemorrhage. The disease was so persistent that he decided to test a change in climate by moving to New York City. He was there about one year when he returned to Utica because of his father's death in 1831 and after settling his father's estate, he decided to remain there. After repeated attacks of hemorrhage from his lungs, Dr. and Mrs. Coventry tried the effects of a sea voyage in January 1848. He had for many years been opposed to the treatment of tuberculosis by bleeding, emetics, sinapisms and closed rooms. Rather, he favored and practiced the treatment prescribed by Hippocrates over two thousand years ago - adequate diet, rest, exercise, sun and fresh air. According to Dr. Thomas ' obituary for Coventry, "His voyage had a favorable effect on his health, as there was no return of the hemorrhage after. " We now know from a medical student' s diary kept at Buffalo from 1848 to 1849, that this was not so. How many medical students had a professor cease lecturing because of hemoptysis- only to return to lecture five days later? The entire class did on 16 February 1849 according to the entry in the medical student's diary for that date .... Professor Coventry took up the function of reproduction. This morning's lecture was mostly preliminary and the Dr. took to bleeding from the lungs so that he did not lecture this afternoon .... The entry for 20 February 1849 says - Prof. Coventry again lectured on reproduction .... This is the last we know about his disease until the terminal illness twenty-six years later. Let us again enter the history of his academic career. 56 THE BUFFALO PHYSICIAN �When the Medical Department of Geneva College was organized in 1834, Coventry was strongly urged to accept the chair of Materia Medica and Obstetrics. He finally consented to do so but on the condition that Dr. Willard Parker be given the chair of Anatomy and Physiology. They both started to teach there 10 February 1835. When the school was reorganized in 1840, Coventry became Professor of Obstetrics and Medical Jurisprudence. Dr. Parker subsequently occupied the principal chair of Surgery at the College of Physicians and Surgeons for thirty years. According to Commercial Advertiser for 26 August 1846, the University Council established seven professorships for the Medical Department and Dr. Coventry was made Professor of Physiology and Medical Jurisprudence. However, since Dr. James P. White had not had any teaching experience the Annual Circular for 1846 has the following footnote: By mutual arrangement between Professors White, Coventry, and Flint, the Chair of Obstetrics and Diseases of Women and Children, for the ensuing year, will be filled by Prof. Coventry; and the Chair of Physiology and Medical Jurisprudence by Professors Flint and Coventry. However, the University of Buffalo reported to the Regents of the University of the State of New York in 1847 that a portion of the course was given by Professor White. The same report also mentions that Dr. Coventry received ten dollars from each student and Dr. White nothing. The next year, all of the professors received nine dollars for each student ticket with the exception of the Professor of Chemistry who received eleven dollars. Professor Coventry returned to his original assignment and delivered twenty lectures on Physiology and fourteen on Medical Jurisprudence over an eight week period. Front Row: John J. Squadrito, Ruth C. Burton, Lloyd A. Clarke, Robert E. Storms, George C. Brady, Elizabeth P. Olmsted, Frank T. Riforgiato. Back Row: Harold M . Harris, Anthony V. Postoloff, John H . Geckler, Frank W . Feightner, Frederick J. Szymanski, Kenneth Goldstein, Roy E. Seibel. Alfred H . Dobrak. Class of 1939 at Spring Clinical Days �Class of 1944 at Spring Clinical Days Front Row: Paul H. Longstreth, Frank H. Long, Jr., Irwin A. Ginsberg, Sam Cassara, Theodore C. Prentice, Raymond G. Bondi, Herman Edelberg, Walter F. Stafford, Jr. Middle Row: Robert L. Brown, Sidney M. Schaer, Andrew A. Gage, Charles J. Shaver, Howard R. Barnett, Eileen L. Edelberg, Anthony M. Aquilina, Anthony Kozlowski, John F. Montione. Back Row: Francis C. Marchetta, William P. Magenheimer, Raymond A. Hudson, Sidney R. Kennedy, Jr., Albert J. Montani, R. G. Wilkinson, Jr., James R. Sullivan, Frank T . Frost, Clinton H. Strong, Gordon E. Shull, James F. Mohn, William K. Major. Since five members of the faculty at Buffalo also held appointments at Geneva it is not surprising that for the sake of convenience, meetings were held at either place. The following entry in the Minute Book bears this out: 24 December 1847 At a meeting of the Faculty held at the room of Professor Coventry, Geneva. Present the following Members: - Drs. Coventry, Hamilton, Hadley and Flint. Dr. Hamilton submitted the following preamble and Resolution which were adopted: - Whereas it is known that the Asiatic Cholera has again made its appearance in Europe, and from the progress and direction, there is much reason to fear that it will soon revisit this country- and whereas, we deem it of the highest importance, that before it falls upon us we should be fully instructed in those modes of prevention and treatment which the latest experience has found most successful- thereforeResolved- that Professor Charles B. Coventry be and hereby is appointed a commissioner to visit Europe for the purpose of investigating the causes and ascertaining as far as possible, the best modes of Prevention and Treatment of the Asiatic Cholera and that he report the results of such investigation to the Faculty of this institution. The selection of Dr. Coventry for this task was a natural one because of his previous experience with the 1832 epidemic at Utica. He sailed from New York City 12 January 1848, reached Le Havre 7 February and immediately went to Paris. On the return trip he spent some time in London until the latter part of April. In July 1848 Coventry reported to the Medical Faculties of both schools which he subsequently published in the Buffalo Medical Journal and separately as a monograph. Less than a year later the first case of epidemic cholera was 58 THE BUFFALO PHYSICIAN �reported to the Board of Health of Buffalo. Altogether there were 2,639 cases reported and 742 deaths. While Coventry was in Europe some of his book reviews were published as well as an article on "Stomatitis materna" in the Buffalo Medical Journal. He was a ready writer, not only on subjects connected with his profession, but often about the political condition and reform. When Coventry wrote his "Remarks on the self-reformation of the medical profession," public estimation of the medical profession was at a new low. It was not a lack of confidence in individual members of the profession but a want of confidence in the profession as such. For example, the variety of doctors in New York City exceeded those in all England. There were at that time at least fourteen different kinds. Coventry said: If the Legislature choose to open the doors and permit everyone to practice, we will not object, but if the credit of all their blunders, their vice and ignorance is to be visited on the profession, I, for one, should protest. Call them anything but doctors or, if they prefer this title, call us anything else. The bulk of the complaints about the system of medical education was directed towards the medical colleges. Coventry went on to say, " If you send dolts, you can hardly expect them to come out scientific and intelligent practitioners. It would be asking rather too much of the schools to expect them to furnish their pupils with brains, as well as instruction." He had these areas of reformation in mind, viz., that in the practice of medicine, in medical education and in the general polity and conduct of the profession itself. Some of his concluding remarks were: If the private practitioners would admit into their offices, or send to the schools, none but those who, by previous education, mental discipline, and habits of application, was qualified for the study of the profession, they would find much less cause to complain of the schools. Let this, then, be Front Row: Lawrence M. Carden, Robert Franz, Joseph E. Griffin, Fred Shalwitz, John T. Sharp, Nelson R. Blemly. Middle Row: J. Bradley Aust Jr., Arthur Mogerman, Jacqueline L. Paroski, Julia M. Cullen, Pierce Weinstein, James A. Werick, Judith Weinstein. Back Row: Frank A. Pfalzer Jr. , James D. Stuart, William R. Ploss, Paul T. Buerger, Carmelo S. Armenia, Russel J. Van Coevering, Herbert Lansky, Philip C. Dennen, Henry A. Thiede, Edward W. Rosner, Harold Bernhard. Class of 1949 at Spring Clinical Days �Class of 1954 at Spring Clinical Days .. Front Row: Robert D. Foley, Jacob Lemann, Edward W. Backstahler, Robert H. Miller, Donald J. Murray, Walter A. Olszewski, Ernest H. Meese. Middle Row: Nicholas C. Carosella, Eugene C. Hyzy, Paul L. Weinmann, Sylvia G. Lizlovs, John A. Kutrybala, Ruth Fuchs, Joseph L. Campo. Back Row: William H. Howard, Edward A. Dunlap, Jr., Louis C. Cloutier, Robert J. Powalski, James E. Youker, Edward A. Rayhill, John L. Conboy, Thaddeus F. Reszel. Jr., Donald M. Wilson, William R. Kinkel. Norbert J. Kuberka, Byron A. Genner, Ill, Charles H. Marino. reformed altogether, and let each one for himself resolve that he will, on no consideration, receive a student into his office, until satisfied that he possesses the education and talents to qualify him for so responsible a profession. Dr. Coventry had an extensive family practice in Utica which was interrupted each year for at least two eight week periods when he taught first at Geneva and then at Buffalo. These interruptions became so serious that he tendered his resignation to the University of Buffalo in April 1851. At the Medical Faculty meeting on 23 May 1851, Professor Coventry was nominated as Emeritus Professor - the first one to be awarded by the university. His connections with the Medical Faculty did not cease at that time because the Minute Book has two entries to substantiate this. On 15 February 1860 he wrote a letter about the possibility of giving some lectures on physiology and on 21 June 1860 he made an application to give some lectures on blood. Both of these were recorded and ordered to be placed on file. The Annual Announcements for 1860 and 1861 do not mention that his offer was ever accepted. After the death in 1849 of Dr. Amariah Brigham, the first superintendent of the Lunatic Asylum at Utica, Dr. Coventry was appointed to fill the vacancy until a successor could be appointed by the Board of Trustees. When he took foster care of the institution he had already visited asylums here and abroad, hence when he learned that an entire stranger to the board had been appointed, he resigned. Coventry was too frank and honest to seek the appointment by means many men would have used. He made no complaint himself but his friends thought that mere courtesy should have dictated his selection as Medical Superintendent because he had so successfully executed the asylum's design from the beginning. From 1851 to 1859 he was unceasing in his great devotion to the cause of humanity. This culminated in his introduction of a resolution asking the State Medical Society for an appointment by the Legislature 60 THE BUFFALO PHYSICIAN �of a commissioner of lunacy who should have the power to examine the management of institutions for the insane in the State. Coventry was appointed chairman of the committee to frame such a bill. For three successive years he was thwarted in his efforts to have it adopted for want of support and opposition by those with vested interests. The project which Coventry originated was accepted eventually as a much needed improvement. Many years later a famous Buffalo alumnus, Dr. Frederick Peterson, was President of the Lunacy Commission of New York State (1901-04). His duty consisted of visiting thirty-eight mental hospitals at least once a year. In the spring of 1829, Dr. Coventry married the eldest daughter of Judge Butler, Stuyvesant, N.Y. Of their eight children, two daughters died at an early age; Walter, a young physician died of tuberculosis in 1865 and the older brother died of Bright's disease in 1872. A month before his death, Dr. Coventry complained of a soreness in the thigh which had been the seat of disease in his youth. (Probably a psoas abscess of long duration following tuberculous spondylitis.) After the abscess drained and healed, Dr. Coventry was too feeble to recover. He died on 24 February 1875 and was survived by his wife and four daughters. His religious affiliation was with the Protestant Episcopal Church. References 1. Sketches of eminent living physicians: No. XXI, Prof. Charles 8. Coventry, M.D., Boston Med. Surg . ]. 45: 159-162, 1852. 2. James ]. Walsh: History of Medicine in New York. New York, National Americana Soc. , 1919, 5 Vols. 3. Coventry, C.B. : On the epidemic purulent ophthalmia which appeared re- cently in the Western part of the State of New York. N.Y. Med . Phys. ]. 4: 299-307, 1825. Front Row: Logan A. Griffin, Burt W. Richardson, John J. McMahon, George R. Bauemler, Mary Ann Z. Bishara. Back Row: Morton H. Heafitz, James M . Cole, Robert A. Brenner, Thomas D. Doeblin, Paul E. Oberkircher, Robert J. Brennen, Daniel C. Kozera. Class of 1959 at Spring Clinical Days �Class of 1964 at Spring Clinical Days Front Row: Francis R. Weis Jr., James E. Carmody, Gerald B. Goldstein, Vincent P. Frantz. Middle Row: Elizabeth G. Serrage, Lillian V. Ney, Daniel F. Keefe, Joseph A. DiPoala, J. Frederick Painton, Jr., John J. Scomillio, Richard W. Williams. Back Row: Richard E. Wolin, Bela F. Ballo, Bert A. Lies, Jr., Leroy J. Leeds, William A. Fleming Jr., Stephen C. Scheiber, Anthony V. Ferrari, Irving Sterman. 4. Charles B. Coventry: Extracts from a Lecture on Insanity, Delivered before the Young Men's Association of the City of Utica. February 18, 1842, n.p., pp. 8. 5. Coventry, C.B.: "Stomatitis materna".- The sore mouth of nursing women. Buffalo Med. ]. 3: 513-525, 1848. 6. Coventry, C.B.: Report on epidemic cholera addressed to The Faculty of the Medical Institution of Geneva College and the Medical Department of the University of Buffalo, July 1848. Buffalo Med. ]. 4: 155-167, 1848. 7. Charles B. Coventry: Epidemic Cholera Its History, Causes, Pathology and Treatment. Buffalo, Derby and Co., 1849, pp. 119. 8. Coventry, C. B.: Remarks on the self-reformation of the medical profession. Buffalo Med. ]. 5: 575-585, 1850. 9. Charles B. Coventry: Annual Address Before The Medical Society of the County of Oneida, delivered July 11, 1865 (Tubercular phthisis), Utica, Roberts, 1865, pp. 18. 10. Coventry, C.B.: Obituary, Amariah Brigham, M.D., Buffalo Med. ]. 5: 397-403, 1849. 11. Jones, O .P.: Dr. Frederick Peterson - alumnus, poet, pathologist, psychiatrist and humanitarian. Buffalo Physn. 4: 38-53, 1970. 12. Minute Book of the Medical Faculty of the University of Buffalo (1846 to 1878). Archives, State University of New York at Buffalo. 13. Obituary. Buffalo Med. ]. N.S. 14: 317, 1875. 14. Thomas, D.G.: Biographical sketches of Drs. Coventry and Bissell. Tr. Med. Soc. N.Y., Albany, 1876, pp. 325-333. 15. I am indebted to Dr. Thomas B. Forbes, Professor of Anatomy, Yale Uni- versity, for obtaining a copy of Dr. Coventry's thesis. 62 THE BUFFALO PHYSICIAN �Two Medical School graduates were honored by the University Alumni Association at the annual Installation and Awards Banquet June 7. Dr. Thurber LeWin, M'21, won the Samuel P. Capen Award for his notable contributions to the growth and improvement of the University. Formerly an associate professor of ophthalmology at U/B, Dr. LeWin is being cited for his personal philanthropy and his service as a class agent and chairman of the Participating Fund for Medical Education. The Capen prize as been given annually since 1950. Dr. Donald Pinkel, M 'Sl, received the Distinguished Alumni Award. He is professor of pediatrics at the University of Tennessee at Memphis. The author of 71 publications, primarily about childhood cancer, Dr. Pinkel had previously served as chief of pediatrics at Roswell Park Memorial Institute and medical director of St. Jude Children's Research Hospital in Memphis. He is currently doing cancer research under four federal grants, and will soon join the staff of the University of Wisconsin at Milwaukee. Also honored were Dr. Claude E. Puffer, who received the Walter P. Cooke award; Mr. David Charles Adams, and the Honorable Ann T. Mikoll, who also received Distinguished Alumni Awards. Two Graduates Honored Or. LeWin Dr. Pinkel Drs. W. Yerby ]ones and Daniel Fisher, both 1924 Medica/School graduates, are touring the new Amherst Campus in April at the second annual 50-year graduate reunion. Sixteen Medical School graduates were among the 250 guests of the University. Other School of Medicine graduates attending were: Drs. Ralph Colton, Franklin Farrow, Lee Sanborn, class of 1924; Herbert Burwig, Leon Chadwick, Caryl Koch, L. Maxwell Lockie, class of 1923; Bernhardt Gottlieb and Elmer McGroder, class of 1921; Bart Nigro, class of 1920; Joseph R. LaPaglia, class of 1919; Morris Newman, class of 1918; Oscar Oberkircher, class of 1915; Anthony Scinta, class of 1911. A lumns Tour New Campus �The classes of the 1920's Dr. Bart A. Nigro, M ' 20, is now semi-retired from his Buffalo general practice. He is an honorary staff member of Columbus Hospital and former president of the Italian Literary Society. Dr. Nigro has been active in Italian-American societies and is a member of the Baccili Medical Club. ,) Dr. Ralph M . Colton, M ' 24, was honored for his 50 years of practice by the Medical Society of the County of Niagara in May. Dr. Colton has served as president of the medical staff of DeGraff Memorial Hospital in North Tonawanda, a member of the Niagara County and North Tonawanda Health Boards and a physician for the North Tonawanda school system. ,) Dr. Floyd C. Bratt, M '28, is a past president of the American Academy of Family Physicians. He lives at 40 Ambassador Drive, Rochester, New York. ,) Dr. Norman Heilbrun , M ' 29, was inadvertently omitted from the list of alumni contributors that appeared in THE BUFFALO PHYSICIAN, Vol. 8, No. 1. He has been a consistent contributor during the last 20 years. Dr. Heilbrun, a clinical assistant professor of radiology, has been on the Medical School faculty since 1930. 0 The classes of the 1930's Dr . Bennie Mecklin, M ' 35 , assistant professor of Family Practice at Syracuse School of Medicine, is also in private practice in Watertown, New York. Dr. Mecklin has been president of Jefferson County Medical Society, Watertown Symphony, B'nai B'rith, Jewish Appeal, and N .N.Y. Zionist. He lives at 935 Sherman Street, Watertown. O Dr. Kenneth M. Alford, M '37, was elected as a director of the James H. Cummings Foundation. Dr. Alford is chief resident in pediatrics at Children's Hospital and is a clinical professor of pediatrics at the Medical School. The Cummings Foundation was founded in 1962 following the death of James H. Cummings, a prominent manufacturer of pharmaceuticals with laboratories and plants in Buffalo and Toronto. 64 The Foundation places special emphasis on medical science, medical research and medical education in its grant-making. For the 1974 fiscal year, the Foundation distributed a total of $428,646 and has paid out more than $4 million in grants since its inception in 1962. ,) The classes of the 1940's Dr. Norbert J. Roberts, M ' 40, has been named medical director for the Exxon Corporation in New York City. After four years in the United States Army and three years at the Mayo Foundation for Medical Education and Research , he obtained an M.S. degree from the University of Minnesota in 1949. He then joined Standard Oil Company of New Jersey (now Exxon). In 1952, he became chief medical officer for the Pennsylvania Railroad . He returned to Jersey Standard in 1957 and was named associate medical director. Dr. Roberts was president of the Industrial Medical Association in 1971-72. (> Dr. John D. White, M ' 40, an anesthesiologist, is secretary of the Monroe County Medical Society, Florida. Dr. White lives at 234 Mohawk Street, Tavernier. ) Dr. Richard Ament, M '42, has been elected president of the Jewish Center of Greater Buffalo. Dr. Leon Yochelson, M '42, combines his private practice of psychiatry with his academic appointment at The George Washington University as professor of psychiatry and behavioral sciences. He is chairman of three organizations in his specialty- Psychiatric Institutes of America, Psychiatric Institute Foundation, and the Committee on Psychiatric Hospitals of the Federation of American Hospitals. Dr. Yochelson lives at 7914 Orchid Street, N.W., Washington, D.C. O Dr. Alfred S. Evans, M ' 43, is professor of epidemiology at Yale University School of Medicine. The Diplomate in Internal Medicine, who received his M.P.H. at the University of Michigan, is Director, WHO Serum Reference Bank and Section of International Epidemiology. He is a member of the American Epidemiological Society (Sec. Treas. 1967-73; President 1973-74} and also President of the Beaumont Medical Club (1973-74}. Dr. Evans is Editor, YALE JOURNAL THE BUFFALO PHYSICIAN �OF BIOLOGY AND MEDICINE; Co-chairman of the Immunovirology of Cancer, International Agency for Cancer Research, Lyon, France; Consultant in epidemiology, Surgeon General, U.S . Army and Consultant, Submarine Base, New London, U .5. Navy and Chairman, Section of Preventive Medicine, Consultants to Armed Forces. Dr. Evans lives at 38 Dogwood Circle, Woodbridge, Connecticut. O Dr. Henry A. Thiede, M ' 49, former associate dean for academic affairs at the University of Mississippi Medical Center (Jackson) is now chairman, department of obstetrics/ gynecology at the University of Rochester School of Medicine and Dentistry (New York) . 0 Dr. Paul F. Hoffman, M '43 , was among 15 retiring faculty and staff members honored at a special luncheon May 21. President Robert L. Ketter presented certificates of appreciation to each of the retirees. Dr. Hoffman has been director of the University Health Service since 1962, and a clinical associate professor of medicine. O Dr. Bernie P. Davis, M '52, is president of the staff at DeGraff Memorial Hospital, Buffalo. The orthopaedic surgeon was a volunteer in the October War in Israel, October-November, 1973. Dr. Davis lives at 352 Deerhurst Avenue, Kenmore " Dr. PaulL. Weygandt, M ' 44, an orthopaedic surgeon, is a Fellow of the American College of Surgeons. He has been active in AMA's Medical Aspects of Automotive Safety (1963-72) . Dr. Weygandt lives at 657 Ridgecrest Road , Akron, Ohio. ) Dr. Norman Chassin, M ' 45 , received the Israel Shalom Award for his active involvement in the Jewish Community and support of Israel. He is a clinical associate professor of medicine at the Medical School. ) Dr. Herbert E. Joyce, M ' 45, is the new president of the New York State Academy of Family Physicians. He is a clinical associate professor at the Medical School and a past president of the Erie County Medical Society.O Dr. Harold Levy, M ' 46, is president-elect of Phi Lambda Kappa fraternity. He will assume the presidency in March of 1975. Dr. Levy is a past president of the Medical Alumni Association and has been an officer of the General Alumni Association. He is a clinical assistant professor of psychiatry . . Dr. Maynard H. Mires, Jr., M '46, whose specialty is Public Health and Preventive Medicine, is Director of Public Health, State of New Hampshire. He lives on Dolly Road , Contoocook, N .H . ) FALL, 1974 The classes of the 1950's Dr. Roy J. Thurn, M '52, is clinical assistant professor of general practice and family medicine at the University of Minnesota, Duluth branch, School of Medicine. He is an ABFP charter Diplomate. Dr. Thurn lives at 2401 E. Fifth Street, Duluth, Minnesota.O Dr. Ronald Garvey, M '53, is the new president of the St. Paul Medical Staff in Dallas, Texas . He is a clinical assistant professor of surgery at the University of Texas Southwestern Medical School. Dr. Garvey is also a member of the medical advisory council of the Dallas County Hospital District. O Dr. Milford C. Maloney, M '53, is the new president of the New York State Society of Internal Medicine for the 1974-75 year. Dr. Maloney is a clinical associate professor of medicine and chairman of the Department of Medicine at Mercy Hospital. He is also vice president of the UB Medical Alumni Association.O Dr. Eugene L. Beltrami , M ' 54 , an obstetrician/ gynecologist, is president of the medical staff of St. Joseph 's Intercommunity Hospital (Buffalo) . He is a Fellow of the American College of Ob./Gyn. 0 Dr. Manfred Simon, M '56, is on the faculty of the Albert Einstein Medical School and on the staff of the Montefiore Hospital. He lives at 93 Highland Rd ., Scarsdale, New York.O 65 �The classes of the 1960's Dr. Edwin R. Lamm, M '60, has moved from Maryland to Dade City, Florida where he is on the general surgery staff of the Community General Hospital. He is living at 1504 W. Jefferson Avenue, Dade City. ) Dr. Ronald H. Usiak, M '61, recently changed from group psychiatric practice (DickinsonMilligan Psychiatric Associates), Ridgway, Pa. to individual private psychiatric practice. Dr. Usiak received Board Certification in psychiatry from the American Board of Psychiatry and Neurology in 1970. He lives on Vermont Road, St. Marys, Pennsylvania. ) Dr. Paul J. Loree, M '62, a clinical associate in ophthalmology at the Medical School, is director, Western New York Low Vision Clinic, and attending ophthalmologist, Batavia State School for the Blind. He will offer a course of instruction in Ophthalmic Anesthesia at the annual meeting of the American Academy of Ophthalmology and Otolaryngology for the second year. Dr. George Connell of Kenmore Mercy Hospital will participate. Dr. Loree lives at 2057 Bush Road, Grand Island. (> Dr. James R. Blake, M '63, Beverly Hills, California internist, is also an assistant clinical instructor in medicine, UCLA Medical Center. He lives at 12907 Sunset Boulevard, Los Angeles. <> Dr. Daniel S. Schubert, M'65, is assistant professor of psychiatry at Case Western Reserve University School of Medicine. Dr. Schubert's latest publications include " Increase of Apparent Adjustment in Adolescence By Further Ego Identity Formation and Age" in College Student Journal, Vol. 7, No. 4; "A Postulated Effect of Transmitted Nerve Impulses on Intra-Axonal Dipole Orientation: A Basis for Short and Long Term Potentiation and Fibril Formation" in Psychology, Vol. 11, No. 1, Feb. 1974; and "The Effect of Lithium and Other Antidepressant Medications on the Autonomic Nervous System" in Current Therapeutic Research, Vol. 15, No. 11, November, 1973. Dr. Schubertimd his wife, Nancy, announce the birth of a son, Alexander William, on October 21, 1973. ;) 66 Dr. John Anderson, M '67, was recently Board Certified by the American Board of Family Practice. He lives at 73 Valleyview Drive, Brockport, New York and has been in Family Practice in that city for about a year. ) Dr. Liberato A. Iannone, M ' 67, has been certified by the American Board of Internal Medicine as a Diplomate in the sub-speciality of cardiovascular diseases. He is staff cardiologist at Edgewater Hospital, Chicago. Dr. Iannone is living at 1016 Ridge Ave., Wilmette, Illinois. <> Dr. Laird Chester Quenzler, M'67, is now in private practice of ophthalmology at Merritt Island, Florida. He was discharged from the Navy in Key West, Florida in June, 1973. Dr. Quenzler lives at 65 Carrigan Boulevard, Merritt Island. <) Dr. Paul H. Dalgin, M '68, is a Fellow in Rheumatology at Columbia-Presbyterian Medical Center, New York City. He lives at 250 East 63rd Street. ) Dr. Brian S. Joseph, M ' 68, has finished his residency in psychiatry at Johns Hopkins (July, 1974) and is director of in-patient services at the Eric Lindemann Community Mental Health Center in Boston, Massachusetts as well as full time instructor in psychiatry at the Harvard School of Medicine. ;) Dr. Eric P. Juditz, M ' 68, writes that he has legally changed his last name to Daniels. His new address (effective June) is 12935 Longboat Way, Del Mar, Carlifornia. ) Dr. Sugba K. Bosu, M'69, a pediatrician, recently moved from Montreal's Children' s Hospital (Quebec, Canada) to California. He is at the University of California School of Medicine at Irving as clinical instructor in pediatrics as well as in private practice. Dr. Bosu's new address is Oakwood Garden Apartments, Long Beach Marina, 333 First Street, Seal Beach, California. () Dr. John R. Fisk, M '69, is at the 121st Evacuation Hospital, Seoul, Korea (APO SF 96301). He became eligible in orthopedic surgery on July 1, 1974. Dr. Fisk presented a paper on Lumbosacra Scoliosis at the International Scoliosis Research Society Meeting, September, 1973, at Gotenberg, Sweden. <> THE BUFFALO PHYSICIAN �The classes of the 1970's Dr. George D . Goldberg, M '70, completed a residency in neurology as Chief Resident, Boston University, Massachusetts, in June. He is now in Naval service as neurologist at Naval Hospital, Portsmouth, Virginia.<> Dr. Richard A. Justman, M ' 70, is a USAF pediatrician at the USAF Hospital (ATC) , Chanute AFB , Illinois . Following assistant residency in pediatrics at The University of Chicago in 1971-72, he was a Fellow in child psychiatry at the Johns Hopkins Hospital. Dr. Justman is a candidate member, American Academy of Pediatrics. 0 Dr. Peter E. Silversmith, M '70, finished a General Surgery Residency at Millard Fillmore Hospital in June, and began a two-year fellowship in plastic surgery at University of Toronto Hospitals. ') Dr. Terrace Clark, M ' 71, recently (July) began as a first year resident in radiology at the University of Virginia Hospital in Charlottesville, after completing two years in the National Health Service Corps in Austin, Texas. His address is 707 Village Road, Charlottesville. 0 Dr. Richard Manch, M '71, left the Maricopa County Hospital in Phoenix in July to become a Fellow in gastroenterology at the University of New Mexico in Albuquerque. His address is Bernadillo County Medical Center, 2211 Lomas Boulevard, N .E. , Albuquerque.O Dr. Craig R. Smith, M '72, will do his senior assistant residency at the Johns Hopkins Hospital (1974-75) and then do a Fellowship in infectious diseases at the Massachusetts General Hospital (1975-77). He lives at 550 N. Broadway, Apt. 600, Baltimore, Maryland. 0 Mrs. Furnas, President Ketter, M r. He rma n Brian A. Herman, who will be a first year medical student this fall , is one of five athletes to win C.C. Furnas Scholarships for the 1974-75 academic year. Herman is a biology major, who was a member of the varsity rowing team since his freshman year. As the " stroke" of the lightweight varsity crew, he led the four-man crew to the championship in the New York Metropolitan Regatta in New York City.O Dr. Beverly Bishop, associate professor of physiology at the Medical School, has authored Neurophysiology Study Guide (new second edition) by Medical Examination Publishing Co. , Flushing, N .Y. This new second edition has been completely updated, reorganized and expanded. The text is an aid to those studying neurophysiology, whether they are preparing for medicine, dentistry, neurology, the health related professions or board qualifying examinations.O Dr. Hermann Rahn, Distinguished Professor of Physiology at the Medical School, received an honorary degree of doctor of science from the University of Rochester School of Medicine and Dentistry at its 47th annual commencement in May. Dr. Rahn received his Ph.D . from Rochester in 1938. 0 FALL, 1974 67 People �---- · People Dr. Mitchell I. Rubin, emeritus professor of pediatrics, is a consultant to the Department of Pediatrics at the Medical University of South Carolina. He is living at 22 Charlestowne Court, Charleston, S.C. He was on the UB Medical School faculty from 1945 to August 31, 1972.0 Three alumni are 197 4 officers of the Glynn County (Georgia) Medical Society. Dr. William F. Austin, M '51, a family practitioner is president and Dr. Michael A. Glucksman, M '54, a urologist, is president-elect. Dr. Richard W. Egan, M ' 44, is vice-president. He is a general and thoracic surgeon. Dr. Egan is currently chief of surgery at the Glynn-Brunswick Memorial Hospital, Brunswick, Georgia. Dr. Glucksman also serves as one of Glynn County' s delegates to the Medical Association of Georgia House of Delegates. 0 Two alumni are new medical staff officers at Mercy Hospital. Dr. Harry E. Petzing, M ' 46, is the new president and Dr. Edward ]. Graber, M ' 60, is the new secretary. Drs. Joseph A. Prezio and Carl E. Day have been elected vice president and treasurer. 0 Dr. Daphne Hare, assistant professor of medicine and biophysical science, has been elected to the Council of Biophysical Society. O Three alumni are officers of the Millard Fillmore Hospital Medical Staff. The newly elected president is Dr. Paul M . Walczak, M '46. He is an attending surgeon at the hospital and a past president of the Buffalo Surgical Society and the New York State Society of Surgeons. Dr. Allen L. Goldfarb, M '51, is the new secretary, and Dr. William R. Kinkel, M '54, is treasurer. Dr. John W. Vance is president-elect. They are all on the Medical School faculty.O Dr. Walczak Three alumni have been elected officers of the medical-dental staff at the E.J. Meyer Memorial Hospital. Dr. Joseph A. Zizzi, M '58, is the new president and Dr. GuyS. Alfano, M '50, is the president-elect. The new secretary is Dr. George ]. Alker, Jr., M '56, and Dr. George P. Reading is the treasurer. A 1954 graduate, Dr. Edward W . Hohensee, is voluntary staff representative.O Three alumni and one Medical School faculty member are the new officers of the medical 68 staff of Sisters Hospital. Dr. Charles E. Wiles, M ' 45, is the president, and Dr. Raymond A. Hudson, M '44, is president-elect. Dr. Robert J. Powalski, M '54, is the new treasurer, and Dr. A. Charles Massaro is the new secretary. He is a clinical associate in medicine and family practice in the department of social and preventive medicine. The immediate past president is Dr. Ambrose A. Macie, clinical instructor in Ob/ Gyn.O Two alumni and two faculty members have been elected new officers in the GI-Liver Society of Western New York. Dr. Leonard A . Katz, associate professor of medicine is the president of the newly formed organization. A clinical associate professor of medicine, Dr. Mir Vilayat Ali, is the new vice president. A 1965 graduate, Dr. Dean E. Orman, is the new treasurer and Dr. Donald E. Miller, M '67, is the secretary.o Two alumni are new officers of the Lafayette General Hospital medical staff. Dr. Carl Contino, M '58, is the new president, and Dr. Robert Moran, M '61, is the new secretary. The newly elected vice president is Dr. Jose de Perio, and Dr. Ru-Kan Lin, clinical assistant professor of radiology, is treasurer. Dr. Lucien A. Potenza, M ' 58, is a representative at large.o Three alumni are new officers of the medical staff at Sisters of Charity Hospital. Dr. Charles E. Wiles, M '45, is the new president and Dr. Raymond A. Hudson, M ' 44, is the new presidentelect. Dr. Robert J. Powalski, M '54, is the newly elected treasurer, and Dr. A. Charles Massaro, clinical associate in medicine and family practice, is secretary.O Dr. Ruth T . McCrorey, dean of the School of Nursing since 1966, is on a one-year sabbatical. She plans to return to the University in 1975 to devote full time to teaching. Dean McCrorey will complete two major projects during her sabbatical. She is planning a trio of monographs on administration, teaching and consultation for Appleton-Century (now a subsidiary of PrenticeHall) which will explore a new conceptual model of implementing roles for nursing. The other project involves a research study on assessment in functional communication. The monographs will be suitable as a resource for graduate study, reflecting new role concepts and changing trends of health care delivery and teaching-learning theory.\) THE BUFFALO PHYSICIAN �Dr. Johannes A. Kylstra, a visiting professor of physiology at UB from 1963-65, received the Distinguished Scientific Research Award from the Buffalo Chapter of Sigma Xi in April. He is a Duke University physiologist. He was honored for his experiments with the breathing of fluids by mammals.<> Dr. Franz E. Glasauer , professor of neurosurgery, presented two scientific papers at the third International Meeting in Pediatric Neurology and Neurosurgery in Iman, Mexico recently.<> Dr. Frederick Helm, clinical assistant professor of dermatology at the Medical School, has been named Chief of the Section of Dermatology at the Millard Fillmore Hospital. He is an associate dermatologist at Roswell Park Memorial Institute and Buffalo General Hospital. Dr. Helm is President-elect for 1975 of the Buffalo-Rochester Dermatological Society and a Fellow in the American College of Physicians. Born in Reichenberg, Czecholslavakia, Dr. Helm received his education at the University of Erlangen, Germany, and the University of Graz, Austria. He held residencies in dermatology at the University of Graz, the University of Vienna, Tufts University (Boston City Hospital and Boston Dispensary), Roswell Park Memorial Institute and Deaconess Hospital. <> Dr. Carel J. van Oss , professor of microbiology, was appointed a member of the Space Electrophoresis Panel of the American Institute of Biological Sciences, Washington, D .C. He is also chairman of the editorial committee for Immunological Communications. ) Two microbiology faculty members are taking an active part in the Buffalo Regional Red Cross Blood Program. Dr. Reginald M. Lambert, associate professor, is the director and Dr. S. Kathryn Zelenski, clinical instructor, is the assistant director.<> Dr. Reginald M . Lambert, associate professor of microbiology, has been appointed to the scientific program committee of the American Association of Blood Banks for a fourth one-year term. He has also been appointed for one year to the committee on education.<> FALL, 1974 The Lakes Area Regional Medical Program honored three people for their contributions to the program at its 8th annual meeting in April. They were : Dr. Harry A. Sultz, professor of social and preventive medicine; The Reverend Cosmas Girard OFM, group president; and Dr. John R. F. Ingall, executive director. Dr. J. Gordon Barrow, director of the Georgia Regional Medical Program, was the main speaker. <> People Dr. Joseph H . Kite , professor of microbiology, has been appointed to the review panel of the National Heart and Lung Institute of NIH. He is also chairman of the Wesley Foundation Board, Methodist Campus Ministry, SUNY.<> Dr. Johannes Brentjens, research assistant professor of microbiology, is a Fellow in the American Society of Nephrology. <> Dr. Giuseppe A. Andres, professor of microbiology, is a member of the editorial board of Nephron . <> Dr. Erwin Neter, professor of microbiology, is a representative of the American Society for Microbiology to the National Committee for Clinical Laboratory Standards. He is also a member of the examination committee of the American Board of Medical Microbiology, and a member of the committee on approval of postdoctoral programs for Public and Medical Laboratory Microbiology , American Academy of Microbiology. Dr. Neter has also been appointed to a five-year term as editor and chief of Infection and Immunity. He has been elected as chairman of the Immunology Division of the American Society for Microbiology.<> Dr. Claude E. Merrin, the new chief of the department of urology at the Roswell Park Memorial Institute, has been on the Medical School faculty since 1971. He is a research assistant professor of urology. Dr. Merrin is a Diplomate of the American Board of Urology. A graduate of the University of Paris, in France, Dr. Merrin received his M.D. degree at the University of Buernos Aires, in Argentina. He served his internship and residencies at the Cook County Hospital in Chicago, Illinois.<> 69 Dr. Merrin �People Dr. Mitchell I. Rubin, emeritus professor of pediatrics, is a consultant to the Department of Pediatrics at the Medical University of South Carolina. He is living at 22 Charlestowne Court, Charleston, S.C. He was on the UB Medical School faculty from 1945 to August 31, 1972.0 Three alumni are 1974 officers of the Glynn County (Georgia) Medical Society. Dr. William F. Austin, M '51, a family practitioner is president and Dr. Michael A. Glucksman, M '54 , a urologist, is president-elect. Dr. Richard W. Egan, M ' 44, is vice-president. He is a general and thoracic surgeon. Dr. Egan is currently chief of surgery at the Glynn-Brunswick Memorial Hospital, Brunswick, Georgia. Dr. Glucksman also serves as one of Glynn County' s delegates to the Medical Association of Georgia House of Delegates. O Two alumni are new medical staff officers at Mercy Hospital. Dr. Harry E. Petzing, M ' 46, is the new president and Dr. Edward J. Graber, M ' 60, is the new secretary. Drs. Joseph A. Prezio and Carl E. Day have been elected vice president and treasurer. 0 Dr. Daphne Hare, assistant professor of medicine and biophysical science, has been elected to the Council of Biophysical Society.O Three alumni are officers of the Millard Fillmore Hospital Medical Staff. The newly elected president is Dr. Paul M. Walczak, M ' 46. He is an attending surgeon at the hospital and a past president of the Buffalo Surgical Society and the New York State Society of Surgeons. Dr. Allen L. Goldfarb, M '51 , is the new secretary, and Dr. William R. Kinkel, M '54, is treasurer. Dr. John W . Vance is president-elect. They are all on the Medical School faculty. O Dr. Walczak Three alumni have b~en elected officers of the medical-dental staff at the E.J. Meyer Memorial Hospital. Dr. Joseph A. Zizzi, M '58, is the new president and Dr. Guy S. Alfano, M '50, is the president-elect. The new secretary is Dr. George J. Alker, Jr., M '56, and Dr. George P. Reading is the treasurer. A 1954 graduate, Dr. Edward W. Hohensee, is voluntary staff represen tative.O Three alumni and one Medical School faculty member are the new officers of the medical 68 staff of Sisters Hospital. Dr. Charles E. Wiles, M ' 45, is the president, and Dr. Raymond A. Hudson, M '44, is president-elect. Dr. Robert J. Powalski, M '54, is the new treasurer, and Dr. A. Charles Massaro is the new secretary. He is a clinical associate in medicine and family practice in the department of social and preventive medicine. The immediate past president is Dr. Ambrose A . Macie, clinical instructor in Ob/ Gyn.O Two alumni and two faculty members have been elected new officers in the GI-Liver Society of Western New York. Dr. Leonard A . Katz, associate professor of medicine is the president of the newly formed organization. A clinical associate professor of medicine, Dr. Mir Vilayat Ali, is the new vice president. A 1965 graduate, Dr. Dean E. Orman, is the new treasurer and Dr. Donald E. Miller, M '67, is the secretary.o Two alumni are new officers of the Lafayette General Hospital medical staff. Dr. Carl Contino, M '58, is the new president, and Dr. Robert Moran, M '61, is the new secretary. The newly elected vice president is Dr. Jose de Perio, and Dr. Ru-Kan Lin, clinical assistant professor of radiology, is treasurer. Dr. Lucien A. Potenza, M '58, is a representative at large. o Three alumni are new officers of the medical staff at Sisters of Charity Hospital. Dr. Charles E. Wiles, M '45, is the new president and Dr. Raymond A. Hudson, M '44, is the new presidentelect. Dr. Robert J. Powalski, M '54, is the newly elected treasurer, and Dr. A. Charles Massaro, clinical associate in medicine and family practice, is secretary.O Dr. Ruth T. McCrorey, dean of the School of Nursing since 1966, is on a one-year sabbatical. She plans to return to the University in 1975 to devote full time to teaching. Dean McCrorey will complete two major projects during her sabbatical. She is planning a trio of monographs on administration, teaching and consultation for Appleton-Century (now a subsidiary of PrenticeHall) which will explore a new conceptual model of implementing roles for nursing. The other project involves a research study on assessment in functional communication. The monographs will be suitable as a resource for graduate study, reflecting new role concepts and changing trends of health care delivery and teaching-learning theory. ) THE BUFFALO PHYSICIAN �Dr. Johannes A. Kylstra, a visiting professor of physiology at UB from 1963-65, received the Distinguished Scientific Research Award from the Buffalo Chapter of Sigma Xi in April. He is a Duke University physiologist. He was honored for his experiments with the breathing of fluids by mammals.O Dr. Franz E. Glasauer, prof essor of neurosurgery, presented two scientific papers at the third International Meeting in Pediatric Neurology and Neurosurgery in Iman, Mexico recently.O Dr. Frederick Helm, clinical assistant professor of dermatology at the Medical School, has been named Chief of the Section of Dermatology at the Millard Fillmore Hospital. He is an associate dermatologist at Roswell Park Memorial Institute and Buffalo General Hospital. Dr. Helm is President-elect for 1975 of the Buffalo-Rochester Dermatological Society and a Fellow in the American College of Physicians. Born in Reichenberg, Czecholslavakia, Dr. Helm received his education at the University of Erlangen, Germany, and the University of Graz, Austria. He held residencies in dermatology at the University of Graz, the University of Vienna, Tufts University (Boston City Hospital and Boston Dispensary), Roswell Park Memorial Institute and Deaconess Hospital. O Dr. Carel J. van Oss , professor of microbiology, was appointed a member of the Space Electrophoresis Panel of the American Institute of Biological Sciences, Washington, D .C. He is also chairman of the editorial committee for Immunological Communications. ~ Two microbiology faculty members are taking an active part in the Buffalo Regional Red Cross Blood Program. Dr. Reginald M . Lambert, associate professor, is the director and Dr. S. Kathryn Zelenski, clinical instructor, is the assistant director. O Dr. Reginald M . Lambert, associate professor of microbiology, has been appointed to the scientific program committee of the American Association of Blood Banks for a fourth one-year term. He has also been appointed for one year to the committee on education.o FALL, 197 4 The Lakes Area Regional Medical Program honored three people for their contributions to the program at its 8th annual meeting in April. They were: Dr. Harry A. Sultz, professor of social and preventive medicine; The Reverend Cosmas Girard OFM, group president; and Dr. John R. F. Ingall, executive director. Dr. J. Gordon Barrow, director of the Georgia Regional Medical Program, was the main speaker.O People Dr. Joseph H . Kite , professor of microbiology, has been appointed to the review panel of the National Heart and Lung Institute of NIH. He is also chairman of the Wesley Foundation Board, Methodist Campus Ministry, SUNY.O Dr. Johannes Brentjens, research assistant professor of microbiology, is a Fellow in the American Society of Nephrology. O Dr. Giuseppe A. Andres, professor of microbiology, is a member of the editorial board of Nephron. 0 Dr. Erwin Neter, professor of microbiology, is a representative of the American Society for Microbiology to the National Committee for Clinical Laboratory Standards. He is also a member of the examination committee of the American Board of Medical Microbiology, and a member of the committee on approval of postdoctoral programs for Public and Medical Laboratory Microbiology , American Academy of Microbiology. Dr. Neter has also been appointed to a five-year term as editor and chief of Infection and Immunity. He has been elected as chairman of the Immunology Division of the American Society for Microbiology.O Dr. Claude E. Merrin, the new chief of the department of urology at the Roswell Park Memorial Institute, has been on the Medical School f acuity since 1971. He is a research assistant professor of urology. Dr. Merrin is a Diplomate of the American Board of Urology. A graduate of the University of Paris, in France, Dr. Merrin received his M.D. degree at the University of Buernos Aires, in Argentina. He served his internship and residencies at the Cook County Hospital in Chicago, Illinois.O 69 Dr. Merrin �In Memoriam Dr. Harry Schweigert, M '39, died May 23 in Sisters Hospital. The Buffalo specialist in internal medicine was 62 years old. A member of the medical staff at Sisters Hospital for the last 25 years, Dr. Schweigert was also a member of the faculty of the Medical School until his death. Dr. Schweigert completed his residency at Meyer Memorial Hospital after graduation from UB Medical School. During World War II, the Buffalo native spent two years as a public health officer in the Navy with the rank of captain and saw duty aboard the USS Serpent in the South Pacific. Dr. Schweigert was a Diplomate of the American Board of Internal Medicine. He was also active in several other professional and civic organizations. "> Dr. Julius Richter, 97, a 1904 graduate of the Buffalo Medical School, died May 26. A founder and past president of the Buffalo Surgical Society and the National Board of Surgery, Dr. Richter was also an artist whose oil paintings were entered in many national shows and exhibited at the Albright-Knox Art Gallery. In 1913 he was appointed to the UB Medical School faculty where he rose to assistant professor of surgery and associate professor of anatomy. A practicing surgeon for more than 50 years, he was admitted to the Regents of the American College of Surgeons as a qualified fellow in the art and science of surgery in 1923. He was a director of Lafayette General Hospital, the Erie County Medical Society, and the Buffalo Academy of Medicine. He was an associate member of the Buffalo General Hospital medical staff, and a consultant in surgery at Millard Fillmore, Meyer Memorial and Lafayette General Hospitals. O Dr. Courtland S. Jones, Jr., M'40, a Buffalo ear, nose and throat specialist, died May 24 in Sisters Hospital following a long illness. Dr. Jones was a clinical associate in otolaryngology on the UB Medical School faculty and a member of the medical staffs of Sisters, Buffalo General, Children' s, Meyer Memorial and Millard Fillmore Hospitals. During World War II he served with the U.S. Army Medical Corps in Alaska and in Europe. Dr. Jones was active in several civic and professional organizations. 0 Dr. Harry C. Schuhr, M'07, a Buffalo gynecologist and surgeon who maintained a general practice for many years died May 30. The 89-year-old physician was associated with the Buffalo Board of Education from 1912 to 1951 70 and the Millard Fillmore Hospital medical staff for 20 years. He retired in 1960. Dr. Schuhr was a first lieutenant with the 20th Division Army Medical Corps during World War I. Dr. Allen W. Holmes, M '09, Penn Yan physician for 30 years and active medical practitioner in upstate New York for more than half a century, died on May 16, at his home on Keuka Lake. He was 87 years old. Dr. Holmes was born on his father's farm in West Falls, N.Y. and graduated from Buffalo Central High School. While at U/B he was a member of Nu Sigma Nu medical fraternity. He interned at Buffalo General Children' s Hospital. He had vivid memories of traveling by horsecar to deliver babies in the " tenderloin" district of New York City while at The New York Postgraduate Hospital and of making winter house calls by horse and sleigh when he first started practicing medicine in Akron, New York. At the outbreak of the first World War in 1914, Dr. Holmes was attending the Medical Congress in Europe. From 1914-17 Dr. Holmes was the physician at the Jackson Health Resort at Dansville, New York, and from 1917-34, at The Glen Springs resort at Watkins Glen, New York. While at The Glen Springs, he was primarily occupied with the diagnosis and treatment of heart disease, but also took postgraduate work in roentgenology at the Massachusetts General Hospital and studied abroad in 1927 and 1929. He also studied at the University of Buffalo Medical College. On November 1, 1934, Dr. Holmes moved to Penn Yan, where he became associated with the FosterHatch Medical Group in general practice and continued his specialties of cardiology and roentgenology. Dr. Holmes was Trustee Emeritus of Keuka College. He was vitally interested in the development of the School of Nursing at the College and taught classes there during the last World War. He was a past president of the Rotary Club of Penn Yan, and a member of the Yates County Medical Society, the Central New York Roentgen Ray Society, the Lake Keuka Medical and Surgical Society, the American Medical Association, the Torch Club, and the Geneva Academy of Medicine. He was an honorary life member of the New York State Medical Society and also of the Soldiers and Sailors Memorial Hospital of Yates County Association. ) THE BUFFALO PHYSICIAN �In Memoriam Dr. Daniel R. Tronolone, M '22, died April 18. His age was 78. He had been a Buffalo general practitioner for 50 years and a charter member of the Mercy Hospital medical staff and its president in 1940. In addition he was a health officer in the Buffalo Street and Sanitation Department in the 1950' s and 1960's, and was a physician for the Erie Lackawanna Railway in Buffalo from 1955 to 1970. He had been a health officer for the Village of Sloan. Dr. Tronolone was a World War I veteran and was a Selective Service physician during World War II . In 1973 he was honored for 50 years of service in the medical profession by St. Francis of Assisi Church in Buffalo, the Erie County Medical Society and the Bacelli Medical Society, an organization of Italian-American physicians. Dr. Tronolone interned and completed his residency at the old Buffalo City Hospital. He was active in several professional and civic organizations. ) Dr. Ballard F. Smith, M '46, died April17 in Reno, Nevada where he lived. The 52-year-old educator was professor of medicine at the University of Nevada Medical School. Dr. Smith also held a master's degree in medicine from the University of Minnesota and was a Phi Beta Kappa graduate of the University of Wisconsin Pharmacy School. He was a former consultant at the Mayo Clinic and was co-founder of the Fort Lauderdale Medical Group in Florida. He was a past president of the Fort Lauderdale Rotary Club. ) Dr. John E. Cryst, M ' 41, died March 26 in Deaconess Hospital after a short illness. His age was 56. Dr. Cryst interned at Deaconess. He served in the United States Army Medical Corps in Europe during World War II. He returned to Deaconess Hospital in 1946 as an associate surgeon. Dr. Cryst entered private practice in 1952. He was also the Statler Hilton Hotel housephysician from 1946 to 1966, and former medical director for the Blaw-Knox Company and the Curtiss-Wright Corporation. He was active in several civic and professional associations. ) Dr. Carl B. Mischka Jr. , M '46, died April 7 after a short illness . He had been clinical instructor in anesthesiology at the Medical SchooL and was a member of the open-heart surgery team at the Buffalo General Hospital. He was also an FALL, 1974 attending anesthesiologist at the Children ' s Hospital. Dr. Mischka interned and completed his residency at the Buffalo General Hospital. He served in the Korean War as a Naval physician. He was active in several professional and civic organizations. (> Dr. Arthur L. Bennett, M '28, died April 13 in Buffalo General Hospital. His age was 75. He had been a Buffalo ophthalmologist for 44 years. Dr. Bennett was a World War I Army veteran and a World War II Navy veteran. He was active in several civic and professional organizations . 0 Dr. Allen E. Richter, M '20, died April 11 in Pompano Beach, Florida. The 77 -year-old retired Buffalo surgeon had been associated with Millard Fillmore Hospital before moving to Florida nine years ago . He also practiced in Florida before retiring. He was active in several medical societies and civic groups. ) Dr. Franklin T. Clark, M ' 22, of Niagara Falls, N.Y. , died February 15 of heart disease. He was 76. He was chief of the department of general practice at Memorial Hospital from 1951 to 1960. Dr. Clark was physician in charge of the V.D . clinic in Niagara Falls from 1924 to 1948. He was also on the staff of Mount St. Mary's Hospital and the Memorial Medical Center. He was a World War I veteran. He was active in several professional and civic organizations. (> Dr. Aaron Wagner, M '33 , died May 5 in Millard Fillmore Hospital after a brief illness. His age was 64 . He had been a general practitioner for 40 years and had been on the medical staffs of Millard Fillmore and Lafayette General Hospitals. Dr. Wagner served in the Army Medical Corps during World War II as a Captain aboard a hospital ship. He was a Fellow of the American Academy of Family Physicians. Among the survivors are two physician sons. One, Dr. Edward, of Chapel Hill, N.C. , is a 1965 UB Medical School graduate. ) Dr. Franklin T. Clark, M '22, died February 15 in Mt. St. Mary 's Hospital, Town of Lewiston, New York. He was 76 and had practiced 51 years in Niagara Falls, New York. Dr. Clark was an Army veteran of World War I. He was active in professional and civic organizations. 0 71 �1974 Alumni Tour Greek Islands- September 2 7 - October 1 3 (Niagara Falls & New York City Departures) • Jet to Athens, board ship for 13 days on the Black Sea/ Greek Isles voyage on the all-new Royal Viking Sky (Commissioned in June, 1973). Cruise the Dardanelle Straits, the Russian Riviera on the Black Sea. The cruise also offers Istanbul, Izmir, and the Greek Isles - Patmos, Mykonis, Rhodes and Crete. $1600-$2000 is the range for total package (air, land, stateroom) For details write or call: Alumni Office, SUNY AB 1 23 Jewett Parkway Buffalo, N.Y. 142 14 (716) 831-41 21 The General Alumni Board- DR. JAMES J. O 'BRIEN, LL.D. '55, President; GEORGE VOSKERCHIAN, Presidentelect; DR. GIRARD A. GUGINO, D.D.S. '61, Vice President for Activities; WILLIAM MCGARVA, B.A. '58, Vice President for Administration; DR. ANN L. EGAN, Ph.D. '71, Vice President for Alumnae; WILLIE R. EVANS, Ed.B. '60, Vice President for Athletics; RICHARD A. RICH, B.S. '61, Vice President for Development and Membership; PHYLLIS KELLY, B.A. '42, Vice President for Public Relations; ROBERT E. LIPP, LL.D. '54, Vice President for Public Affairs; ERNEST KIEFER, B.S. '55, Treasurer; Past Presidents: DR. FRANKL. GRAZIANO, D.D.S. '65; MORLEY C. TOWNSEND, L L. D. '45; DR. EDMOND J. GICEWICZ, M.D. '56; M. ROBERT KOREN, LL.D. '44; WELLS E. KNIBLOE, J.D. '50. Medical Alumni Association Officers: DRS. PAULL. WEINMANN, M '54, President; MILFRED C. MALONEY, M '53, Vice President; JAMES F. PHILLIPS, M'47, Treasurer; LAWRENCE H. GOLDEN, M '46, Immediate Past President; MR. DAVID K. MICHAEL, M.S. 68, Secretary. Annual Participating Fund for Med.ical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM, M ' 43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR., M '35, Second VicePresident; KEVIN M . O 'GORMAN, M '43, Treasurer; DONALD HALL, M '41, Secretary; MAX CHEPLOVE, M '26; Immediate Past-President. 72 THE BUFFALO PHYSICIAN �Alumni Tour To Rio de Janiero February 26 to March 6, 1975 for $469 plus 15% tax on the "dine around" plan (gratuities included). This is the second annual joint Dental and Medical Continuing Education Tour Program. You will be staying at the new Sheraton Hotel that opened in July. Round trip via jet from Niagara Falls and New York City. A $100 deposit will hold a seat for you. For details write or call: Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 ----- -------------------------------------------------------First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) Name-------------------------------------------------------------------- Year MD Received ________ OfficeAddress ------------------------------------------------------------------------------------HomeAddress ------------------------------------------------------------------------------------- If not UB, MD received from------------------------------------------------------------------------fuPrivateP~ctice: Yes 0 No In Academic Medicine : Yes 0 0 SpeciahY ----------------------------------------------------------- No 0 Part Time 0 Full Time 0 School----------------------------------------Title Other: NEWS: Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? ---------- Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Fall 1974 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1974-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1974-03-Fall Table Of Contents A list of subunits of the resource. Medical Alumni Officers Spring Clinical Days American Medicine Paramedical Personnel New Drugs for Old Diseases Coronary Artery Disease Dr. Brown's New Career Continuing Education/ Acting Dean A Physician Faces Disseminated Reticulum Cell Sarcoma In Himself (part II) by Samuel Sanes, M .D. 21 Husband, Wife Team/ Drs. Marra, Sheffer Dr. Barnard Pathology Chairman Immunology Symposium Witebsky Memorial Lecturer Community Psychiatry Ethical Problems Improved Learning Commencement Students Honored Medentian Honors Indian Health Service Seven Retire Dr. Schenk Center for Immunology Head Dr. Rennick/ Women in Medicine Summer Fellowships SNMA Officers New Kind of Physician Our First Professor of Physiology, Medical Jurisprudence by Oliver P. ]ones, Ph.D., M.D. Two Graduates Honored The Classes People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-15 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v08n03 Extent The size or duration of the resource. 76 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. 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For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/47bffe0dd6246d4f7b700e2afc56b1a8.pdf a72df3f4b2d5411748f1721fcb29c5bb PDF Text Text the buffalo physician 6502 6517 6522 6537 6'>42 6557 6542 6577 6582 6597 6608 6668 6673 6668 6673 6688 6693 67 0 4 6719 6739 67C)9 6764 6779 6784 6799 6800 6815 6820 6 835 684( 685 ~L PERT AN DERSON AV ER Y B A ~I( S BARNETT 8AHNETT BARNETT BEECHER BERNSTEIN BOS BOTSFORD BROWN BUDNY BROWN BUDNY BUKOkSKI BURSTEIN CHMIELFWSKI CI NTRON BE~~ARD S TI"tuTHY W GO~OON L JER~Y A GIDEuN G PAUL H GIDEuN G MICHAEL J HARK L STEVEN J DANIEL R JAN 5 JAMES l COMr1IN~ DONOHUF FERGU ' FINI School of Medicine State University of New York at Buffalo Volume 8 Number 2 UNIV CALIFORNIA HOSPS BAYLOR COLL AFFIL HOSPS GEORGETOwN UNIVERSITY HA~LEM HOSPITAL UNIV SO fLA AFFIL HOSPS BUFFALO GENERAL HOSP UNIV SO FLA AFFIL HOSPS SAN DIEGO CO UNIV HONTEFIORE HOSPITAL QUEENS HOSPITAL BUFFALO GEN ERAL HOSP KAISER FDN-LOS ANGELES HILLARD FILLMORE HOSP KAISER FON-LOS ANGELES HILLARD FILLMORE HOSP JFFALO GENERAL HOSP S HOSPITAL HOSPITAL " <;) AFFIL ALO 106284 171632 180184 147820 110920 143612 110920 104935 165032 180812 143632 205584 144084 205584 144084 143612 143718 108571 104 611 196580 108384 110532 141471 143720 166918 24412 4984 5633 3182 FO Z F' '732 384 ~12 , 80 ·20 80 80 ~7 1 J20 69t 69S 911 611 >175 5811 696 697 6 9 8h 6991 7 00 9 7 0 14 7029 70J4 7049 7 0 54 7069 70 74 7 089 7 0 94 71 0 5 J.l)l5 43718 178418 173433 144020 LE G, LEM I~ t LO MA NZFLLA M A K ~~A :-IAT USLAK ~EGG E TT MI DDENOORF 711 0 MDUKF 7 125 7 1 30 7145 ., MORIN MYLOT TE 1'10~Ell l 126187 190 0 32 UNIV HOSP 180232 173518 SPITAL 143718 .J t-JOSPITAL 144020 FILLMORE HOSP SISTERS OF CHARITY HOSP 144132 143718 DEACONESS HOSPITAL 280382 WH S HALL PSYCH INST 143612 BUFFALO GE NE RAL HOSP .: M BRUC e: . SARA H E DANI EL J CR AI G R KA THLEE N ..., . �Chief tec hnolog ist Mar cia Underwood (center) is testing fo r mono while Sue DePew, assistant professor of medical technology, reco rds the data. AI Benso n, a second year medical student, observes the procedure. He is a representative on Sub-Board I. A student initiated clinical lab is the newest addition to the University Health Service in Michael Hall. The new Sub-Board Clinical Lab tests hemoglobin, red and white blood count, hematocrit, urinalysis, pregnancy, mono, glucose, bilirubin, and differential white count. On~ of the goals of the new lab is more effective and efficient health care 0 students. In the past all testing was done at private labs in Buffalo. f Directing the lab is Dr. John Fopeano, professor and chairman medical technology in the School of Health Related Professions at the University. The chief technologist in the lab is Marcia Underwood, a 1973 med. tech. graduate. Special consultants are Drs. Chester A Glomski, associate professor of anatomical sciences, and Roger K. Cunningham, associate professor of microbiology. d The new facility is a cooperative venture involving students an faculty in the medical technology department, University Heal~h Serd vices, and Sub-Board I. Sub-Board I donated $25,000 for salanes an equipment for the new lab. Hopefully the lab will be self supporting by the end of the year. " We are doing about 50 tests a week and hope to double this in the near future, " Dr. M . Luther Musselman said. He is the assistant director of the University Health Services. The new facility is being used for teaching both medical and medical technology students, according to Dr. Fopeano. Five medical students (third and fourth year) will spend some time in the lab during their rotation in the University Health Service. This is one of five electives for medical technology students. " One-fourth of our students (about 10 a year) will spend three weeks in the lab." Two other University students are involved in the new lab. Mr. Albert Campagna, a medical sociology graduate student, is the director for health programs for Sub-Board 1, and Mr. Richard Hockman, a senior business major, is division manager for the Sub-Board Health Care Division. () ° New Student Clinical Lab �Summer 1974 Volume 8, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERTS. McGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medicallllustrator MELFORD }. DIEDRICK Visual Designers RICHARD MACKANJA DONALD E. WATKINS Secretary FLORENCE MEYER 2 11 12 14 15 16 18 22 25 CONSULT ANTS 26 President, Medical Alumni Association DR. LAWRENCE H. GOLDEN 32 36 President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM 37 39 Vice President, Faculty of Health Sciences DR. F. CARTER P ANN ILL 41 Executive Officer, School of Medicine DR. CLYDE L. RANDALL 42 44 Vice President, University Foundation }OHN C. CARTER 46 Director of Public Information }AMES DESANTIS 49 50 Director of M edical Alumni Affairs DAVID K. MICHAEL Director of University Publications PAULL. KANE Vice President for University Relations DR. A. WESTLEY ROWLAND 47 51 52 New Student Clinical Lab (inside front cover) A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself by Samuel Sanes, M.D. Manual on IF Tests Dr. James Freeman Hypertension Women/Forensic Pathologist Acapulco Excursion Our First Professor of Pathology by O.P. ]ones, Ph.D., M.D. We Ain't Got No David by Daniel C. Fisher, M.D. Dr. Jason Joins AAMC Intern Matching Time Present, Time Past by Rudolph E. Siegel, M.D. Dr. Zusman Mother of Five Simulated Accident Continuing Education Buildings Named Dr. Fronczak Dr. Kimball The New Campus Pediatric Nurse The Classes Rural Extern Program Dr. Lambert Dies Alumni Tours (inside back cover) The cover by Richard Macakanja focuses on intern matching on pages 26-31 . THE BUFFALO PHYSICIAN, Summer, 1974 - Volume 8, Number 2, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1974 by The Buffalo Physician. SUMMER 1974 1 �Or. Sanes giving his final lecture upon retirement from the School of Medi cine in 1971. A Physician Faces Disseminated Reticulum Cell Sarcoma 1n Himself By Samuel Sanes, M.D. 2 THE BUFFALO PHYSICIAN �The pathologist didn't hedge as he had in the hospital the day before, after examining the frozen sections. ' 'I've seen your paraffin sections," he told me. "You have a malignant lymphoma, of the mixed cell or reticulum cell sarcoma type." "That's it . . . that's the end," I thought. And then, aloud, "Maybe I'll not make my next birthday." The pathologist, a former student of mine and a colleague and friend of 31 years, had volunteered to be the one among my physicians to tell me. He had come to my home after work. Perhaps he thought it would be easier for me to hear the news from him. He made a couple of attempts to console me, but didn't raise any false hopes. His eyes seemed to say compassionately, "Poor son-of-abitch. " He stayed a few minutes, then excused himself. His wife, he told me, was waiting dinner. They had guests. My wife had gone out briefly on an errand. Since yesterday she had been clinging wishfully to the pathologist's impression from the frozen sections that "nonspecific inflammatory hyperplasia" was a possible diagnosis. She would be coming home soon. I would have to tell her the final verdict. *** I had found the first small lump, about the size of a lima bean, while bathing. It was on the left side of my chest, posterior to the left ax- illa. Nervously I palpated the rest of my body. I found a smaller lump in the mid-pubic region, and another in the postero-lateral aspect of the upper part of the right arm. All were superficial, discrete, moveable. The lumps on the left side of the chest and in the mid-pubic region were firm; that in the right upper arm resilient. The only palpable lymph nodes were located in both inguinal regions. They were small, the right slightly larger than the left. Physicians whom I consulted minimized the possibility of malignant tumor. Along with the physical findings, the sites were unlikely ones. At my insistence, however, they agreed to biopsy the lesion on the left side of my chest. There was no point, they maintained, in biopsying the other lumps. After the biopsy and the diagnosis of reticulum cell sarcoma I had a complete diagnostic workup - from urinalysis and blood count to lymphangiograms and a total body gallium scan. The scan showed involvement of mediastinal lymph nodes. Ten months later, after needle aspiration proved suggestive, a second biopsy, of the mid-pubic lump, which had not increased in size, confirmed reticulum cell sarcoma there too. Needle aspirations of the right inguinal nodes were negative. * * * I had retired at 65 from the practice and teaching of pathology. Since I was entering a new phase of my life, I thought it advisable to have a thorough physical checkup. Until then I had been in what I judged acceptable health. Although I felt some fatigue at the end of the day's work, I told myself that thi(j--SUMMER 1974 3 Or. Sanes retired as Professor of Pathology in the UB School of Medicine in June, 1971, after 40 years of teaching. This is the first in a series of articles by Or. Sanes. �was normal with increasing age. My internist had diagnosed a pain in my left shoulder and arm, which was not incapacitating, as due to arthritis of the cervical spine. The physical examination that I underwent in the fall of 1971 was a thorough one, from scalp to soles. It included X-ray studies of my chest, GI and GU tracts, bones and joints, an electrocardiogram, laboratory tests focused on my blood, heart, arteries, kidneys and liver. The examining physician gave me a clean bill of health except for the previously detected cervical arthritis, for which he prescribed no specific treatment. He advised me to go ahead with the plans I had made for retirement. I could do anything, he said. Now, 17 months later, in February, 1973, I had a definitive diagnosis of disseminated reticulum cell sarcoma. ** * Scar at site of original biopsy (Feb., 1973) posterior to left axilla. Loss of axillary hair following radiation therapy. Someone has said that cancer is a lonely disease. It is especially so if the victim is a physician, above all if he is a pathologist whose outlook is influenced by the destructive and fatal results of the disease as he has seen them at autopsy. No one who hasn' t faced cancer in himself can truly imagine what a cancer patient is experiencing. Even those closest to the patient, who love him, can only sympathize. They can' t empathize. The patient feels that empathy with other cancer patients, particularly those with the same type and stage of cancer as his. But even with them he is alone. In the last analysis, the question of his own wellbeing and survival is instinctively of primary concern. Individual reactions toward disease and death spring from individual minds and hearts. They depend on various factors in one's personal life situation, character and personality, social and cultural background, what one knows about his disease. How one meets a diagnosis of cancer is also related to his age at the time the disease is diagnosed, occupation, family, financial status, philosophical and religious beliefs. The type and extent of the cancer, the attitudes of the attending physicians, the kind and efficacy of treatment, are of fundamental importance. Take patients with three different types of cancer*Squamous cell carcinoma-in-situ of the cervix. *Mature adenocarcinoma of the recto-sigmoid, showing superficial invasion of the bowel wall and microscopic metastases to regional nodes. *Disseminated reticulum cell sarcoma. Each will have an altogether different outlook to his disease if he understands the pathologic and therapeutic significance of the diagnosis. But even when the pathologic diagnosis, mcluding distribution and histologic grade, and the treatment are the same, no two patients react in exactly the same way. Suppose a 65-year-old steel worker and a 29-year-old dentist are both told that they have disseminated reticulum cell sarcoma. The steel-worker's wife is dead, his children grown and married. He can retire and live comfortably on his pension and social security. He has adequate health insurance. He has a firm faith in his religion and its promise of an after-life. 4 THE BUFFALO PHYSICIAN �According to vital statistics, he knows that his life expectancy is running out anyway. 'Til be happy to settle for five years, " he confesses. The dentist has just started in practice after a residency in orthodontics. He is in debt. His life and disability insurance portfolio has not been completed. He does have Social Security credit. He and his wife are the parents of three children under six years of age. He remembers just enough from his sophomore course in General Pathology to view his diseaSE! in its darkest aspects. He is skeptical about all religion and has no faith at all in a life after death. Before his diagnosis, the life expectancy tables had told him that the average healthy man of his age had 40 to 45 years to live. Despite the disease that they have in common, each patient will face his reticulum cell sarcoma, and the future, alone- on the basis of his individual human situation. * * * The cancer patient has not only a medical problem but a semantic one. Medically cancer means a particular lesion in a particular person at a particular time and place. Semantically, however, the word "cancer" signifies more than it denotes medically. It carries terrifying connotations accumulated over the centuries when it was practically 100% untreatable, incurable, fatal. "We should discard the term 'cancer'," an old general practitioner once told me. " We could make progress in clinical management and save time and money in public education if we called the disease a name free of the old connotations, reflective of current accomplishments and future hopes. " He pointed out the value, in his own time, of the replacements in medical and public usage of the term "consumption" by "tuberculosis." Test yourself by playing a word-association game. Is your spontaneous response to " Wilms' tumor" as negative as that to " cancer of the kidney. " Yet the actual lesion referred to, regardless of its name, is a curable one today. * * * The first three months after my diagnosis of reticulum cell sarcoma were the hardest for me, as so111e other patients say they were for them. They were devoted largely to treatment, follow-up examinations and resting at home. I chose treatment and followup in a cancer institute, a national center for lymphoma-leukemia. My internist received regular reports from the institute. After my diagnostic workup, my physicians prescribed 4 Vz weeks of daily supervoltage mantle radiation. They also put me on an experimental program of immunotherapy with periodic intradermal BCG vaccination. In late November, after a positive biopsy report on the second lump in the mid-pubic region, chemotherapy was prescribed. Following two intravenous injections of vincristine, I went on a daily maintenance dose of 150 milligrams of cytoxan. SUMMER 1974 5 O riginal biopsy (high power microsco pic field) ly m ph node - reticulum cell sarcoma. �Before treatment, I had no complaints apparently referable to my disease except the lumps. I was active all day, met the normal social obligations, traveled. Except for inflammation at the site of injection, I had no noticeable untoward reactions to the BCG vaccine. Radiation was a different story. During those first three months, my physical problems all seemed traceable to the radiation treatment rather than any underlying disease. I lost the hair in the posterior portion of my scalp and my beard in the submaxillary and anterior cervical areas. I experienced loss and perversion of my sense of taste, and my appetite diminished. I was nauseated fairly constantly. My mouth was dry and pharyngitis made it painful to swallow. The skin in my axillae moistened and desquamated. I lost 15 pounds of weight. My hematocrit, white blood cell and platelet counts, which were checked three times a week, dropped. I experienced fatigue that limited my performance of daily activities. In June I developed shingles, with fever of 101-102. Later in the summer I suffered symptoms in my left shoulder, arm and hand which were interpreted as a possible variant of Lhermite syndrome. Or. Sanes took a 1974 winter vacation in Guadalajara, Mexico. The physician, Or. Daniel Camacho, who looked after him there had been a resident at Buffalo's Roswell Park Memorial Institute in 1970-71 on a lymphoma-leukemia service. During that same time Or. Camacho's wife had been a resident in pediatrics at the Edward]. Meyer Memorial Hospital. It's a small world. From my own experience, and from observing fellow patients, have learned much about the problems that confront the patient with disseminated lymphoma. (Problems, of course, vary in number, kind and degree with different patients.) The disease and its treatment will be a monkey on the patient's back for the rest of his life. It is potentially fatal. Survival is a matter of general percentages. No one can give a 100% guarantee of cure. The patient may live months, or many years. He now observes two birthdays - the most important being the anniversary of his diagnosis, marking the years of survival. The disease is chronic. There are all sorts of possible manifestations and complications. To the healthy person, even if he is no longer young, the future seems infinite. With a diagnosis of disseminated lymphoma, a curtain drops across it. Life becomes a matter of day-to-day planning. Goals are short-term ones, scaled down, limited. Looking back is more tempting than looking forward. Treatment whether radiation, chemotherapy or immunotherapy, can have side effects that are more disfiguring, discomforting and dangerous than the disease itself. Measures adopted to prevent and counteract these side effects may cause side effects of their own. Follow-up visits to his physicians, the hospital or cancer institute may be scheduled daily, then weekly or biweekly. A longer 6pan becomes a welcome reprieve. There is gratitude for a remission and despair over a relapse or resistance to further therapy. Personal and interpersonal strains and stresses are numerous. The ambulatory patient may be dependent on others, usually relatives, for transportation to and from the place of treatment. The homebound patient may be dependent upon his family for more intimate types of care. 6 THE BUFFALO PHYSICIAN �If the patient is unable to keep a steady job, because of the disease itself, the effects of treatment or the schedule of treatment and checkups, he may feel that he no longer has a purpose in life. To the university student, in whom lymphoma-leukemia is the most frequent cancer, the disease can mean the interruption, or the end, of his studies and his career. Many patients have to curtail social, recreational, organizational and community activities. Retirement or change to a less demanding job will mean financial problems for many patients. Medical and hospital care doesn' t come cheap to the person or family who must pay all or a major portion of the charges. And the costs can rise even higher if a patient has to go out of town for treatment and pay for transportation and room and board in a hotel, motel or rooming house. The person with disseminated lymphoma takes on a new occupation, that of patient. He can never retire from it and cannot escape, even when on vacation. Before taking a trip he may have to arrange to see a physician or physicians at intervals during his absence from home. His itinerary or vacation spot will be determined by the availability and accessibility of medical and laboratory facilities. He will need regular physical checkups, blood counts, X-ray films. Perhaps, depending on the results, his treatment will have to be modified. The patient who is on drug therapy takes his drugs with him. His carry-on flight bag is a portable pharmacy. With his passport and tourist visa he carries a letter from his physician describing his disease and bearing diagnostic and therapeutic instructions for the physicians who will look after him while he is away from home. He may have to produce that letter for customs officials who ask " Are you carrying any drugs?" * * * Along with physical death, the patient with disseminated reticulum cell sarcoma faces social death, death as an active, contributing, accepted member of society. The latter may seem much the worse fate to him. In the first three months after my diagnosis, while my physicians and I sought to ward off physical death by treatment, I also fought the mental and emotional battle against social death. My weapons were what I came to think of as the " three A 's" acceptance of my disease, adjustment to it, and assurance - the latter dependent on the attention, notice, understanding and sympathy of others. Most patients accept the diagnosis of malignant lymphoma by biopsy without question. A rare patient may never accept it, denying his disease to the point of disregarding the prognosis and refusing treatment. A certain number of patients delay acceptance of the diagnosis until they get an additional opinion on the microscopic changes. They are aware of the kind of treatment and prognosis involved in a diagnosis of malignant lymphoma and of the possibility of diagnostic error. (Witness the various lesions classified as " pseudo lymphomas."b-SUMMER 1974 7 / ... __ ... / / '' ' ' Mantle f ield-radiation therapy; 6 mev linear accelerator. �It is not easy even for a pathologist who trusts the professional expertise of his colleagues to accept such a diagnosis. In my own case, I asked the pathologist who first read the slides to have other pathologists look at them. I was sure that as a friend and colleague of many years he would feel better about sharing the responsibility. Even when the other pathologists concurred fully in his findings, I didn' t feel altogether comfortable until I had microscopically examined the slides myself. * * * Inflammation at site of intradermal injection two weeks after BCG vaccine, left upper arm; old smallpox vaccination scar superior to inflamed area. Successful adjustment to the fact that one has disseminated lymphoma doesn't come automatically with the acceptance of the diagnosis and its implications. A fellow patient in his 20's demonstrated this vividly during two successive visits to the lymphoma-leukemia clinic. On his first visit he was obviously anxious and agitated. Sitting next to him was a calm, poised, healthy-looking girl, also in her 20's. She told him that she was waiting for a follow-up examination for lymphoma, diagnosed four years earlier. "Four years- that's good!" the young fellow exclaimed. "The doctor told me just last week that I have cancer of the lymph nodes. I can hardly believe it. I'm awfully scared." A week later the same patient was asked by the clinic physician who had seen him originally, and explained cancer of the lymph nodes (Hodgkin's Disease) to him: "How are you today?" " WelL" the patient responded, ''I'm now accepting the fact that I have cancer. But I'm still awfully scared. " * * * The physical battle against disseminated lymphoma consists of following the prescribed regimen, with whatever discomforts or limitations it implies. It is a simple and straightforward conflict. Not so the mental and emotional struggle. Some patients with disseminated lymphoma may adjust to their disease, mentally and emotionally, as other patients do to duodenal ulcer or diverticulosis of the colon. They must be few. For the average patient, lymphoma is the most serious crisis he has ever had to go through. He must combat a host of fearful thoughts and feelings. These include uncertainty, inadequacy, isolation, recognition of his mortality, guilt, anxiety, depression, withdrawal, even, for some, the temptation of suicide. Each must find for himself the weapons that are most effective. How rapidly and successfully he routs the enemy depends on the factors I have previously mentioned - the strengths and weaknesses of his own personality, his philosophical and religious attitudes towards life and death, the support he receives from family, friends, professional colleagues and co-workers, fellow cancer patients. If he still needs help, there are trained professionals to whom he can turn - his own physicians, nurses, social workers, clergymen and, if need be, psychiatrists. 8 THE BUFFALO PHYSICIAN �It is not an easy battle. But victory on the mental and emotional front, when and if achieved, can be even more satisfying than winning the physical fight. Life has a way of setting a man back on his heels. Throughout my adult life I had imagined how I would face and cope with a final illness, such as cancer, when it came. For more than 25 years I had been a public education speaker for my county and state cancer societies. During those years I had talked to thousands of healthy men, women and children about how to meet cancer in themselves or their families. For ten years, as chairman of a hospital tumor clinic, I had counseled patients with all types and stages of cancer. Yet now that I had to cope with the reality of disseminated reticulum cell sarcoma in myself I was like the actor who is seized with stage fright on opening night. After weeks of rehearsals, his role letter and gesture perfect, he is seemingly prepared for any contingency. Then, in the face of a critical first night audience, he panics. The actor conquers his fears in a few seconds and goes on serenely, in reflex to his preparation. That was not true for me. In past mental and emotional crises, less serious to be true, I had relied on reason for my weapon and had not been disappointed. In this new crisis, reason failed to allay and dispel my fearful thoughts and feelings with the speed with which an antibiotic inhibits and destroys pathogenic bacteria. I became increasingly self-preoccupied. My fears were not so much for my life but for the loss of all that had made life worthwhile and enjoyable - useful work, multiple interests, professional and personal relations. " Why can' t I adjust?" I asked myself over and over again. " Why doesn' t reason conquer this problem as quickly and effectively as it has conquered others for me? Why do the worries that I think I have put aside during the daytime, the fears that I think I have overcome, still keep me awake at night or stalk me in my dreams?" A fellow patient in her SO's who also has disseminated reticulum cell sarcoma provided me with the insight I should have possessed as a physician. " It's not easy," she consoled me. " I always prided myself on being able to accept things and adjust to them. But no amount of reasoning seemed to help me when I first had to adjust to the reality that I had cancer. I was shattered. I went through a nightmare. It takes reason and determination - but it also takes time." My battle, like hers, was won with time. Time, I found, is not only a medium in which reason can neutralize the potency of fears. It also, in itself, acts as a diluent. As I approached the end of the first three months after my diagnosis, my thinking and feeling became more positive. I sought for optimism justified by available scientific data and experience - and for hope founded on a reasonable projection of that data and experience into the future . On that basis I made realistic deductions regarding possible remission and survival. SUMMER 197 4 9 S ites 4-8 mon ths after intradermal injectio n of BCG vaccine in rig ht upper arm. �Chemotherapy. Cytoxan (cyclophosphamide) tablets by mouth. Dose, 150-50 mgs. daily, depending on white blood cell count. Stoppage of drug with WBC below 2000 per cu. mm . I didn' t look for headline breakthroughs or miracles, but I left an opening for the unexpected. I recalled that the application of nitrogen mustard against lymphoma came from an accidental discovery during World War II. Without becoming a Pollyanna, I ceased being a Gloomy Gus. I determined to continue living and enduring, to make the best of life within the limits imposed by my disease, to fulfill, as far as I could, my personal and social roles. Retirement, I learned, had many advantages for me in coping with my disease mentally and emotionally. I had already changed my way of life from a rigidly scheduled work orientation to a more relaxed program. I could continue that at my own time and pace. The patient with disseminated lymphoma can never forget his disease, but he need not let it take over all aspects of his life. As he adjusts to life with its limitations - through reason and determination or, as many do, through faith and prayer- he also adjusts to death. * * * Or. Sanes' hospitalization for disseminated reticulum cell sarcoma has been minimal. Up to now 1 Y2 years after the discovery of the first lump, he has had only three "overnight" stays in the hospitals- twice for the biopsies of the left chest and mid-pubic lumps and once for observation following a lymphangiogram. Otherwise he has received all diagnostic examinations, medical, X- ray and laboratory follow-ups, needle aspirations of nodes and therapy as an ambulatory outpatient. No matter how self-sufficient he may have been before his disease was diagnosed, the patient with disseminated lymphoma can' t win the battle alone. He needs to feel that despite the fact that he has cancer- and the changes cancer makes in his life - he is still part of the world of the living, recognized, appreciated and loved. In ordinary social contacts I have never been considered a " hale fellow well-met." Some persons, I am sure, have looked on me as a loner, despite my full life in professional, orgnizational and community activities. During previous benign, self-limited illnesses I remained selfsufficient enough to think that " He suffers best who suffers alone. " But in adjusting to disseminated reticulum cell sarcoma, particularly during those first three months, I found that the opposite is true. "When you go through the desert, it is much better to have someone with you. " Like most cancer sufferers, I needed the assurance of others. I wanted desperately to be remembered by family, friends, professional colleagues and co-workers. A fellow cancer patient in her 60's expressed it for me. She had arrived at the cancer institute after a 200-mile automobile trip, gone through the admissions procedure and was waiting in her wheelchair to be taken to the ward . Pale, weary from the journey, her abdomen distended from her disease, she reached out to touch the arm of one of her family who had accompanied her and was now leaving for home. " Please," she begged, "don' t forget me." O 10 THE BUFFALO PHYSICIAN �Hard work during a series of conferences held over a six month period in Warsaw and Amsterdam has yielded a " how to" manual on immunofluorescent tests for a wide group of skin diseases. The manual has been prepared by Dr. Ernst Beutner, professor of microbiology and director of the immunofluorescent testing services at the Medical School. Dr. Beutner's manual has been reviewed and approved by a team of experts in the field at several conferences. One conference, held in Warsaw, Poland, Dec. 17-18, was organized by Dr. Beutner, hosted by Professor Stephanie Jablonska and chaired by Cleveland's Dr. Beno Michel. It was held in the 18th century Jablonna Palace that is located in suburban Warsaw. Other attendees were Houston 's Dr. Samuel F. Bean; Vienna's Dr. Karl Holubar; Leiden, The Netherland's Dr. Johan Ploem; Glasgow's Dr. N .K. Saikia, and Warsaw's Drs. Tadeusz Chorzelski and Maria Blaszyk. Over the two-day period a bulletin was completed for clinical dermatologists who will use immunofluorescent (IF) methods to diagnose chronic bullous diseases, and connective tissue diseases on how, when, and where skin specimens and/ or blood samples should be obtained for laboratory examination as well as interpretation of results from such studies. At a followup conference held in Amsterdam, Holland Dec. 20, Dr. Rudi Cormane who was unable to attend the first, was host for Drs. Beno Michel and Samuel Bean. Here, complete agreement was reached on all points of the bulletin. Preceding these conferences was extensive review as well as editing of a draft of the bulletin by all conferees including Denver' s Dr. Mitchell Sams; Lyon, France's Dr. Jean Thivolet; Pavia, Italy' s Dr. A. Gianetti; and San Francisco' s Dr. T . Tuffanelli and M .V. Dahl as well as Utrecht's Drs. ].B. van der Meer and Bart de Ia Faille-Kyper; Munich's Dr. D. Petzold; Barcelona's Dr. Castello Rodellas; and Detroit's Dr. Thomas Burnham. Distribution of the bulletin will be made to dermatologists in this country through a Task Force for Immunofluorescence of the National Program for Dermatology that is chaired by Dr. · Beno Michel. O Manual on IF Tests (Left to Right): Drs. Beno Mich el (back of head); Samuel Bean; Karl Holubar; and Erns t Beutner. SUMMER 1974 11 �The Freeman boys- Russell, who wants to be a physician or scientist; ]ames ]r., who wants to be a zoologist and a basketball player; and Patrick, who wan ts to be a football player and a physician. " I owe so much to so many people," Jim said. " Not only my family but many professors. In Buffalo I am especially indebted to Dr. Clyde Randall and Dr. Alexander C. Brownie for being my mentors, to Dr. Eric Barnard, professor and chairman of biochemistry, to Dr. Harold Brody, professor and chairman of anatomy, to Dr. Benjamin Sanders, and Willard Elliott, professors of biochemistry, to Dr. Peter C. Nickerson, assistant professor of pathology and Dr. Lloyd Clarke, clinical associate in psychiatry." Dr. Freeman dedicated his research thesis to his family . Specifically to his grandmother " for the high standards, compassion, courage and strength of her convictions. " To his mother and father " for guiding me into intellectual pursuits without my compromising grass-roots faith and principles." To Professor Ernest Swain of Wilmington, N .C. " for introducing me to Morehouse College and to Dr. Benjamin E. Mays, one of the nation's leading black educators." To his wife and children " for their endurance, sacrifice and understanding. " Dr. Freeman has authored or co-authored 30 articles on his research - cancer, diabetes, reproductive physiology and biochemistry. Dr. Freeman is active in several " grass root" fraternal organizations - Omega Psi Phi; St. John's Lodge #16 Free and Accepted Masons; Bison Consistory #29, Ancient and Accepted Scottish Rite of Free Masonry, Prince Hall Affiliation; Hadji Temple #61, Ancient Egyptian Arabic Order, Nobles of Mystic Shrine of North and South America, Prince Hall Affiliation; Improved Benevolent and Protective Order of Elks of the World, Johnson Memorial Lodge #1580. " After completing my internship and residency at Deaconess I hope to get a one-year fellowship to become a gynecologic endocrinologist. I want to be a very good clinician, but I want to teach. And I will try to work in some research too," Dr. Freeman said. 0 Hypertension Education The Lakes Area Regional Medical Program is sponsoring a massive informational educational project on hypertension in Erie County. The goal is to reach 100,000 people. " We want to make the public aware of the potential dangers of untreated hypertension," Dr. John R.F. Ingall, LARMP director said. Mrs. Eleanor Walker is coordinating the program. Offices are at 1490 Jefferson Avenue Center and the Jesse Nash Community Health Center, 215 Broadway. Dr. William Mosher, County Health Commissioner, said that in addition to the department's weekly screening program in the Rath Building, the blood pressure test will be added to its mobile diabetes units. These units reach about 10,000 persons a year. LARMP is working with the Heart Association and the Erie County Health Department in the inner city. The Upstate Medical Alliance, a group of black health professionals, is assisting in the educational effort. 0 14 THE BUFFALO PHYSICIAN �There are 74 women among the 270 first and second year medical students. In 1967 there were only five women in the first year class. There are 37 women in the third and fourth year classes. Dr. M. Luther Musselman, medical admissions chairman, insists there has been no special effort to recruit or even to admit women. All applicants are judged as persons, but many more qualified women are applying today. "The women are achieving very well," Dr. Musselman says, " at least as well as men." Although many of the women are married, none has quit for maternity. One member of the class that entered in September 1972, was out about a week that fall to give birth to her first child. She has been back with her class ever since. Most women believe they can manage horne, family and a practice. O Forensic Pathologist E ie County's chief medical examiner is a clinical associate professor of pathology at the Medical School. Dr. Judith M. Lehotay was the second woman in the United States to qualify as a forensic pathologist. She passed her board examination in forensic pathology in 1970, and last year was named a Fellow of the American Forensic Pathologists Association. Dr. Lehotay wants to see vigorous programs to combat alcohol abuse in the schools and gives lectures in area colleges and universities on " everything you always wanted to know about forensic pathology but were afraid to ask." In 1957, after the Hungarian uprising, Dr. Lehotay, her husband, Attila, and her 18-rnonth old son, Adam, escaped to Austria. Six months later the family was in Buffalo, after a refugee group arranged for the trip. "The Hungarian community and Buffalo were good to us, " she said. Her first introduction to the Buffalo medical community carne six weeks after arriving in Buffalo. She was hospitalized with a slipped disk at the E.J. Meyer Memorial Hospital for three months and again for five months when she underwent spinal fusion. During the interval between her two hospitalizations for her back problems her daughter, Veronica, was born. Dr. Lehotay took advantage of her extended confinement and learned to speak English. " I think I wore out five roommates. My doctor wanted to put me in a private room because he said I would be very sick but I insisted on having a roommate to help me learn English. We would practice and go through dictionaries and Agatha Christie mysteries. " Although Dr. Lehotay had practiced medicine in Hungary she had to take the examination for foreign medical school graduates and repeat her residency to qualify to practice in the United States. She took her residency training in pathology at Sisters and Children's Ho~pitals, and she also worked as a research pathologist at the UB Medical School. In 1966 she was named as assistant pathologist at the Meyer Hospital. She took a year' s leave in 1969-70 to train in forensic pathology in New York City under Dr. Milton Halpern, chief of that city's medical examiner's office. 0 SUMMER 1974 111 Women in Medical Classes �Or. Lawrence Carden, M'49 Acapulco Excursion Overlooking an unscheduled landing in Windsor (Toronto was completely fogged in), the Continuing Medical Education excursion to Acapulco in late winter was a memorable success. A combined effort of the General Alumni Association, U/B School of Dentistry and Medical Alumni Association, the February 23 through March 2 seminar involved 146 people. Included in the group were 35 medical doctors and 19 dentists. The physicians attended five days sessions, four hours a day, which were devoted to such subjects as urology, biliary tract disease, peptic ulcer, pulmonary embolism, tachycardia, scrotal masses and echocardiography. The teaching faculty were Doctors Lawrence W. Carden, M' 49, assistant professor of urology and chief of urology, Mercy Hospital; Donald J. Kelley, M '52, clinical associate in surgery and director of surgical education, Mercy Hospital; and Milfred C. Maloney, M'53, associate clinical professor of medicine and chairman, department of medicine, Mercy Hospital. Meanwhile, on the beach, the wives and general alumni were learning survival on two fronts; the first, reaping the beneficial rays but avoiding overexposure to a torrid Mexican sun, and second, beating off (politely) the unending stream of local" chair to chair" salesmen, women and children, peddling their wares. Attending classes (front row) Drs. Hans Raag, Kaiser Kamble; (middle row) Or. ]oo Sim Fang; (back row) Drs. Robert Mead, William Lamberton, Frederick Nuessle, M'56. 16 THE BUFFALO PHYSICIAN �Acapulco abounds in attractions. The U/ B tourists tried them allattending a Sunday bull fight; deep sea fishing ; watching the cliff divers; marveling at bright red sunsets sinking below the Pacific horizon; shopping especially for Mexican silver and fashionable sportswear; enjoying Mexican specialties at the Paraiso Marriott, which was home, or the famous Red Snapper at the Paraiso (Paradise Club) ; glass bottom boatrides, ogling the absolutely opulent new Acapulco Princess Hotel on the Pacific Ocean; a little golf. some nightclubbing, sailing, snorkeling. As more than one tourist put it, " Let's stay for another week, to rest up. A three-star feature of this year 's alumni tour was the first annual U/ B Alumni Parachute Jamboree, a 10-minute breathtaking ride high above Acapulco Bay (motive power-motorboat). Physicians, dentists, general alumni and their wives, all took part, and were screened for alumnus Robert Schaus' soon-to-be-released film epic, Bienvenidos, U/ B Alumni.O Drs. Jose ph Kau f man, Pincu s S o bie, Eli Leve n, M '36. Th e f irs t annual UB alumni parachute jum p. Drs. D ona ld K elley , M '52, and Mil fo rd Malo ney, M '53. A typical beach scen e. �Our First Professor of Pathology, Materia Medica Charles Alfred Lee (1801-1872) by Oliver P. ]ones, Ph .D., M.D . Distinguished Professor Charles Alfred Lee was born in Salisbury, Connecticut, 3 March 1801, the son of Samuel and Elizabeth Brown Lee. His paternal ancestors in collateral descent were related to colonial Governor Bradford. Much of young Lee's boyhood was spent with his uncle, Elisha Lee, Esq. , in Sheffield, Massachusetts where he prepared for college at Lenox Academy. He attended Williams College with the thought of entering the Congregational ministry. While there he was noted for his great industry, systematic study habits, strict performance of duties and irreproachable morals. He received the A.M. degree in 1822 with honorable distinction. However, his health was so poor, medical advisers pursuaded him to forego the ministry and study medicine- " a vocation better calculated to improve his constitution. " Lee commenced the study of medicine in the office of his brotherin-law and he attended two lecture terms at Berkshire Medical College, Pittsfield, Massachusetts where he was demonstrator of anatomy during the winter session and instructor of botany in the summer. He graduated in 1825 and practiced in Salisbury until he left for New York City in 1827. On 28 June 1828, he married Hester Ann Mildeberge of that city, by whom he had nine children - only three sons survived. When the Northern Dispensary of New York City was established, Dr. Lee and Dr. James Stewart were among the most active promotors. Together they prescribed for, and attended more than four thousand patients annually - making this one of the most useful of the many public charitable institutions of the city. In 1832, during the first epidemic of Asiatic cholera, Dr. Lee was appointed physician to the Greenwich Cholera Hospital and also attending-physician to the New York Orphan Asylum. During the epidemic he treated nearly one thousand cases of cholera. Dr. Lee wrote extensively on a great variety of medical and scientific subjects. His Human Physiology for the Use of Elementary Schools went through eleven editions from 1838 to 1847. In 1840 he founded the New York Journal of Medicine and Collateral Sciences and was editor until 1848. From 1834 to 1859 he undertook, single-handed, the editing with additions of Copland's Dictionary of Practical Medicine. During this period, Dr. Lee brought out in 1845 an edition of Guy 's Principles of Forensic Medicine; Thomson's Conspectus of the Pharmacopoeias of London, Edinburgh and Dublin Colleges of Physicians (1845 to 1862); he supervised and revised an edition of Paris' Pharmacologia, or the Th eory and Art of Prescribing (1844) and his own Catalogue of the Medicinal Plants, Indigenous and Exotic, Growing in the State of New York (1848). Dr. Lee had a herbarium of 1500 plant species. His writings on hygiene, the laws of health, temperance and the influence of alcohol on the human body were commenced when he was 27 years old and continued through various channels all his life. In 1840 he edited and annotated Grindrod's Bacchus, an Essay on the Nature, Cause, Effects and Cures of Intemperance. Lee's pen had won him an enviable reputation before he received his first academic appointment. In 1844, Geneva Medical College appointed him to the Chair of Materia Medica and General Pathology. Previous to this he helped organize the medical department of New York University. However, he declined the Chair of Materia Medica and Therapeutics before the institution was operational. 18 THE BUFFALO PHYSICIAN �Lee was very much concerned about the motivation for the study of medicine. In his Introductory Discourse on Medical Education at Geneva he said: Gentlemen: It becomes you to scrutinize well your motives in entering upon the study of medicine, and see whether they are such as well stand the test of a candid examination .. . There is reason to suppose that some engage in the study of medicine because they believe it will afford an easier mode of support than agriculture of the mechanic arts. . . Again, some turn their attention to the medical profession because they are unfitted for everything else. In the open competition of the bar they could not for a moment expect to succeed, for here imbecility and stupidity become as apparent as the sun at noon-day. In the pulpit concealment would be almost as difficult; they can here hope to pass for no more than they are really worth; counterfeit coin is soon detected and stamped as base. And so they turn their attention to medicine, where deception and cunning can better supply the place of talent and learning. . . Many years later, the first president of the Johns Hopkins University, Daniel Coint Gilman, paraphrased this in his address to the students . Lee' s professorial duties at that time required him to be absent from home only eight weeks annually which afforded him the necessary relaxation from an active practice in New York City. In 1846, while he was Dean of the Faculty, he demonstrated his liberality and independence of thought by admitting Miss Elizabeth Blackwell, as a regular medical student, knowing full well that this would evoke criticism unfriendly to Geneva College and himself. Dr. Blackwell was the first woman in the United States to receive the M.D . degree. The United States issued a stamp (January 1974) to commemorate the 125th anniversary of her graduation. The Council of the University of Buffalo met on 25 August 1846 and decided to organize the Medical Department. Seven professorships were established and Dr. Lee was appointed to the Chair of Pathology and Materia Medica. He held this dual appointment until 25 April1856 when he resigned from general pathology but continued to teach Materia Medica until 25 April 1871 when the medical faculty elected him Emeritus Professor of Materia Medica and Hygiene. It is interesting to note that he latinized his name - Carolus Alfredus - when he signed diplomas. In 1847 he also lectured at Starling Medical College, Columbus, Ohio and Brunswick (Maine) Medical College. The intervals between lecture terms were spent mostly in traveling. For example, one summer was spent exploring the copper regions of Lakes Superior, Michigan and Huron. His interest in mineralogy and geology commenced during his boyhood in his home surroundings. The summer and fall of 1849 were spent in traveling through Great Britain and Continental Europe where he visited the most noted hospitals and public institutions. (On 27 November 1849 the M edical Faculty resolved to make alternate plans should Dr. Lee not return from Europe.) He was particularly interested in the management of institutions for the insane and later (1866) wrote On the Provision for the Insane Poor of The State of New York and the Adaptation of the "Asylum and Cottage Plan" to Their Wants as Illustrated by the History of the Colony of Fitz ]ames at Clermont, France. d-- SUMM ER 1974 19 CORRECTION The story about Or. Elizabeth Blackwell, first woman medical graduate (Vol. 8 No. 1), should have read: ]ames Webster, who was among the first faculty at Buffalo and also taught at Geneva College, informed Miss Blackwell of her acceptance there. Professor Webster was the "fat little fairy in the shape of the professor of anatomy, blunt in manner and very voluble who in early November 1847 shook Elizabeth Blackwell by the hand and said her plan was a capital one. You'll make a stir I can tell you." Or. Blackwell graduated from Geneva College January, 1849. (reported in Buffalo Physician, val. 7, no. 2, Or. O.P. ]ones, distinguished professor of anatomy, in "Our First Anatomy Professor: ]ames Webster" ). 0 �It was "happy 72nd birthday" to Or. W. Yerby ]ones, M'24 at the Park Lane in February from the Medical Alumni Association. Dr. ]ones is a clinical professor emeritus of ophthalmology. Or. ]ones is standing between Drs. John O'Brien, M'41, and Paul Weinmann, M'54. Standing: Drs. Milford Maloney, M'53, Lawrence Golden, M'46, George Fugitt ]r., M '45, Michael Sullivan, M'53, Richard Berkson, M '72, and Edmond Gicewicz, M'56. After 1850, Dr. Lee was truly a peripatetic professor who taught Therapeutics and Materia Medica; General Pathology; Obstetrics and Diseases of Females; Hygiene and Medical Jurisprudence. In addition to the schools mentioned previously he also taught at the University of the City of New York, Vermont Medical College at Woodstock and Berkshire Medical School, Pittsfield, Massachusetts. In 1851, Drs. Lee, Flint and Coventry investigated the Roch es ter Knockings, purported to be spiritual in origin. These rappings were not confined to Rochester but accompanied the Fox sisters (one seventeen years old and the other, a widow, thirty-five years old) Anatomical and physiological inquiry revealed these sounds could be produced at the knee joint (articular}, the ankle (peroneus longus tendon) and the toes. According to Dr. Bryan, Lee later because a convert to the doctrine of spiritual rappings and felt indignant with his friends who did not subscribe to it. We now know from a medical student's diary kept at Buffalo from 1848 to 1849, Lee was considered . . . greatest of all the professors . .. and worthy of our hearts best and warmest emotions .. . And Dr. Toner had this to say in an obituary- The character of Dr. Lee's mind, and range of studies that engaged his attention, entitle him to be ranked with a class of medical men, never numerous in any country, such as Rush, Mitchell, Hosack, Francis, Drake, etc. . . . He was thoroughly unselfish and ready at all times to help others; and was particularly the friend and supporter of young men entering the profession . . . . In 1850, Dr. Lee purchased a handsome residence near Peekskill, N.Y. on the Hudson. He loved domestic retirement and quiet study in his library of three or four thousand volumes. " His writings attest the comprehensive nature of his scientific and literary acquirements as well as a vigorous and logical mind." By the time of his death , Dr. Lee had probably contributed mor·e to the medical literature than any other American author. 20 THE BUFFALO PHYSICIAN �He was about five feet nine inches tall, broad shouldered with a strong frame; hair of salt and pepper grey parted on the left; a large Roman nose, dark blue eyes and a well developed and clean shaven chin. His voice was clear and emphatic - never violent or personal. As a public speaker he usually read his lectures from manuscript- which he sometimes discarded in favor of his unharnessed thoughts filled with inexhaustible and irrestable humor. In 1862, while in England, he was invited to speak before the British Temperance Reform League at the annual meeting in Londonso great was his reputation as a forcible writer about that subject. In the same year he also visited Continental Europe and collected plans, models and specifications of the best and most recent naval, civil and military hospitals for the use of the United States Government. These, with others were placed in the archives of the War Department at Washington. He also wrote about fifty elaborate and carefully prepared letters for the American Medical Times designed to furnish useful and important information not only for our army and naval surgeons but for general practitioners as well. He returned to New York City in 1863 and immediately offered his services to the Government in the capacity of a surgeon. Dr. Lee was assigned to a subordinate position in a hospital but soon resigned this position to accept a more useful one in a wider field that of hospital inspector and visitor in the United States Sanitary Commission. Soon after the Civil War he spent several months in the south collecting material about the Confederate armies for Sanitary Records and Military History of the War published by that commission. Dr. Lee was a member of many learned and scientific societies both at home and abroad- some of which were the New York Academy of Medicine, the New York State Medical Society, the American Medical Asssociation, and the New York Historial Society and New York Lyceum of Natural History. He was an honorary member of the Connecticut State Medical Society, the Ohio State Medical Society and the British Social Science Congress. In religion, from 1835, he was a High Church Episcopalian and one time warden of St. Peter's Church at Peekskill. Dr. Lee was taken ill with endocarditis on 30 January 1872 and died 14 February 1872. He was survived by his wife and three sons. References !.Howard A. Kelly and Walter L. Burrage, American Medical Biographies, Baltimore. The Norman Remington Co., p. 690, 1920. 2.5ketches of eminent living physicians : No. XVII, Charles A. Lee, M.D. of New York. Boston M ed. Surg. ]. 42 : 467-470, 1850. 3.Charles A. Lee, An Introductory Discourse on Medical Education. Geneva, N .Y. , Merrell, 1844, 40 pp. 4.Editorial : Discovery of the source of the Rochester Knockings. Buffalo Med. ].6: 628642, 698-701 and 759, 1851. 5.Minute Book of the Medical Faculty of the University of Buffalo (1846 to 1878). Archives, State University of New York at Buffalo. 6.New York Times, 15 February 1872. 7.Toner, ].M ., Obitiary. N .Y . Med. ]. 15: 436-447, 1872. 8.Bryan, ]., Sketch of Charles A. Lee, M.D. Boston M ed. Surg. ]. 9: 147, 1872.0 SUMMER 1974 21 �We Ain't Got No David by Or. Daniel C. Fisher, M '24 Young Doctor David Hunter stirred in his sleep. It was near midnight. He had gone to bed a few hours earlier - dead tired. David had recently completed his internship, after graduating from Medical School, and was anxious to begin the practice of medicine. After visiting several places, he had chosen the village of Centerville, as a place that suited his purpose. It was a one-doctor town in an agricultural area. The previous doctor had recently moved away to a larger place and there was no doctor nearer than the one in the nearest village eight miles away. He hoped that patients would come quickly since he needed an income without delay. There was a college debt to be paid, and, besides he wanted to get married next summer. Who knows? Perhaps in a few years, if things went well here he could accumulate a nest egg and move to a larger town where there was a hospital, or he might even take time off for further study and specialization. Tomorrow he would put up his sign and then wait for patients to come. The sign would read David Hunter M.D. Hours: 1 to 3 and 7 to 9 daily. Then, half aroused, he stirred again. That was a knocking at the door. It came a third time louder and more insistent. Slipping into his b athrobe, David made his way downstairs, with the aid of a flashlight. The house that he had rented had not yet been wired for electricity. Electricity had only recently come to Centerville to replace the kerosene lamp which the local residents had used for many years. In fact, some of them still did, either because of habit or economy. David's house would not be wired for electricity until next week, or, at least, that is what he had been promised. When he opened the door, David saw there a youth in his teens. " Pa wants you to come. Ma is having another baby, and Pa said I should fetch you. " he said. " What?" " Ma's having a baby and pa wants you to come." It took David a moment to collect his thoughts. Was this to be his first case as a prac22 t1ong physician? But, here was a situation that needed an immediate decision and an answer. No time to ask - Who are these people? Why do they come to me? Instead he said "What is your name and where do you live?" " Jim Barker. We live down on Stover Road . You faller me and I'll get you there." So, the young doctor, remembering his Hippocratic Oath and faithful to it, hurriedly dressed in the middle of the night. Taking his medical bag and his obstetrical bag, which fortunately he had previously prepared, he went to the barn at the rear of the property, cranked up his newly purchased Model T Ford, and backed out. The youth was waiting with a nondescript car of doubtful vintage with one light. However, it was a clear moonlit light and David had no trouble following him as he lurched along the road, then turned onto a dirt road and another, coming to a stop in the yard of an old, unpainted farmhouse. The yard was filled with several junky pieces of machinery scattered about, and the house was, even in the moonlight, in a sad condition of repair. Entering, David found himself in a rather large living room, lighted by two kerosene lamps with smoky chimneys. There was a dining room table at one end of the room, several straight chairs, two overstuffed chairs that had seen better days, and at the other end of the room, a double bed in which the patient was lying. Present, besides the boy who had brought him, was a middle aged man, lolling in one of the easy chairs, who, David took correctly to be the husband and father, and two teen aged girls, one with a suspiciously large abdomen. The man spoke, without rising " You must be the new Doc. Thanks for coming. I reckon we will be a-needing you soon from the sounds she makes. " " I don't quite understand this" said the young doctor, " Tell me - what is your name?" " Charley Barker - but just call me Chuck. Everybody else does." " And your wife is in labor?" " Yep, she's gonna have a baby. " THE BUFFALO PHYSIC IAN �" But, didn' t she have prenatal care?" " What's that?" " Didn' t she go to a doctor for check-up examinations during her pregnancy?" " No- what fer? She never does ." " Well- why did you call me instead of your regular doctor?" " You be a regular doctor - ain' t you ?" " Tell me- who delivered her other babies?" " Sometimes we had Park and sometimes we had Hutchinson - so I thought we would have you this time. " " But I don' t understand - why didn' t you call Dr. Park or Dr. Hutchinson this time instead of a new young doctor?" There was a pause - then Chuck became confidential " Well to tell the truth, Doc- it' s like this - I'm a poor man and I owe Park for 3-4 babies and Hutchinson for 2 - 3 and I figured they might not want to come." Then a little flattery, " Besides I thought a new doctor might be smarter. By the way, Doc, How much do you charge?" " Well- we can talk about that later. " " Park always charged twenty dollars , but Hutchinson wanted twenty-five and I figured that was too much anyway. " David made no reply, not knowing what to say and Chuck continued " Don' t you worry, Doc, about your pay- I'll pay you sometime, or I will bring you some taters or a chicken - how about it? You just take care of the old woman now. We got everything ready for you ." " All right. What do you have ready?" O r. Fisher SUMMER 1974 " We got a good pair of scissors and some stout string all ready and we can make a fire and get some hot water and Oh Yeah, we even got some old newspapers. We don' t get a paper, but we borrowed some from a neighbor. " Everything ready! Everything! Scissors, string, hot water, old newspapers- what a contrast to the deliveries in the big city hospital with their immaculately cleaned rooms , delivery table, sterile sheets and gowns, sterile gloves, plenty of proper instruments, good light, an anaesthetist at the head of the table, and competent experienced nurses in attendance. Now for the first time in his life here he was all alone - in the middle of the night, miles from a hospital or assistance, in a dingy and a not-too-clean, to say the least room, without sterile instruments, in fact, no instruments, except those in his bag, no sterile material, no assistance- alone- and responsible for two lives. A phrase that he had heard many times , went through his mind - This is where they separate the men from the boys. But there was little time for thinking. Here was a patient that needed attention. From time to time she cried out in pain and implored " Help me, Doctor, Help me." Without examining the patient, David was experienced enough to know that here was a woman well advanced in labor. He judged that delivery was not imminent, but knew that one cannot be sure, especially in a woman who had had several babies . So he got about addressing himself to the problem at hand. First he turned his attention to the patient lying in the old low double bed, with a sagging mattress and tattle-tale grey sheets and pillow cases. " How old are you?" he asked . " Forty-one." " How many deliveries have you had?" " This is the twelfth " from the bed . " Tain' t neither, Ma, " said Chuck," " it's only the lev en th. " " Twelfth" from the bed. " Leventh" from Chuck. " Twelfth" again from the bed, " I ought to know." " She' s right, Pa." from the teen-aged girl with the large abdomen. " I still say it's the leventh," persisted Chuck, " you women can' t count. " " Well, then count they, " came back the teenager. " There 's Jim then me, then Shirley, then Reggie, then Mandy, then Ralphie, then Clarence, then Flossie, then the twins, John and Jackie, then Katie - that makes !even and this is the twelfth_:1_ See." U 23 �" Of course it is, if you count the twins as two - but that ain' t the way to do it." " Why not - I'd like to know." David let them argue and returned to his patient. " Did you have any trouble with any of your deliveries?" " Well - Ralphie came feet first - I guess that's why he's so lively, but Doc Park managed that alright, and one time I lost a lot of blood. I was weak for a spell after that but got over it all right in time. There it comes again, Doc- OhThat was a hard one." " O .K. relax between your pains. In a few minutes I will examine you to see how things are. " " Thanks, Doctor. Gee, I'm glad you are here. If you need anything, just tell the old man or the girls there and they will get it for you. " " First" said David " I would like a board to put under your mattress." " How big a board?" " About so big" indicating with his hands then noticing the puzzled look on their faces. " A couple of leaves from your dining table will do. " A puzzled look came over the faces of the girls and the boy. " Howcum he wants to put a dining table leaf in the bed?" " Never mind" said Chuck " He knows more than. you do about this business. Just get them for him. " While putting the leaves under the mattress to raise the patient's hips, David could not help but hear one girl whisper to the other " Dining table leafs in the bed. Do you suppose he' s a regular doctor? He looks pretty young to be a regular doctor. " " Hush" said Chuck, " Of course he's a regular doctor, didn' t I tell you that the guys in the saloon, when I was there last week, were talking about the new doctor that was a-coming to town . He rented the Johnson house. Remember Mrs. Johnson died last month and Old Man Johnson is going to live with his son. That's him alright. Same name - Hunter. You don' t have to have a beard to be a doctor. " Still in a whisper " I still think he looks awful young to be a regular doctor. " Meanwhile David was busy. He had the brightest lamp - thought not very bright brought and placed on a stand at the foot of the bed. Then he had a basin of warm water brought and placed on a straight chair beside the bed. In it he poured some lysol and placed his instruments. Lysol- how often during his career in Centerville 24 would he use Lysol. It killed germs, had a clean smell, and above all gave him a sense of protection against infection in situations like this. Then he did something that amazed his audience. From his bag he produced a clean white gown and put it on, asking one of the girls to tie it in back . His audience did not know what to make of this procedure. They were all eyes and watching to see what he would do next. He donned his rubber gloves, and after immersing them in the lysol solution said to the patient, " Let me know when the next pain comes. I want to examine you to see just where we are." " I sure will, Doctor. " In a moment " It's coming now, Doctor. " The examination revealed that there was little time to spare. In fact with a few more pains, the baby emerged and immediately greeted the world with a lusty cry. No need to stimulate his breathing. " You have a good healthy baby boy." David announced. " How much do you reckon he weighs, Doc?" asked the father. " Oh - about eight pounds, I guess. " " Was he born with a veil, Doc?" " Yes." " That's a good sign. He aughter amount to somethin." Then wrapping the newborn baby in a blanket, David went about his chores - clearing the baby's throat, tying and cutting the umbilical cord, expressing the placenta, inspecting for lacerations and giving an injection to control bleeding. Then, since no nurse was present, he had fresh water brought, sponged the patient, changed the soiled sheets, put fresh newspaper under them and removed the dining table leaves. " Thanks, Doctor" said the patient, " I appreciate your coming. I don' t know what we would have done without you. " Turning his attention to the newborn baby, David asked for some olive oil. " We ain' t got none - but we got plenty of lard. That's what Doc Park always used." After the lard was warmed to make it liquid, David proceeded to completely cover the baby's body with it, rewrapped it in the blanket, saying " You can leave him like that for a few hours until morning. Then you can wash and dress him. " Then, packing his bags, he left, driving back home to catch a few more hours sleep before daybreak. Now he had had his first patient - his first delivery. Never had he imagined that it THE BUFFALO PHYSIC IAN �would be like this. The next day David returned to the farmhouse to check on his two patients. He found everything in order. The mother was resting quietly and comfortably in bed, apparently glad for a few days in bed. The baby was a normal, healthy individual. Many of the younger children were on the scene, in and out of the house, which appeared even more dusty and ill kept than it had the previous night in lamp light. This did not seem to bother the family who lived there, all of whom had the appearance of a carefree, happy lot. The father said " You ' re all right, Doc. We like the way you do things. You can be our Doctor from now on. " David did not know whether he should be complimented or not - nor if he was going to look forward and to profit by this arrangement. He sat down beside the bed and began to gather information for the birth certificate parent' s name, age, address, occupation, etc. Then he asked " What are you going to name the baby?" " I dunno" , said Chuck, " didn' t give it much thought. What do you say, Ma? It's your baby. " The mother looked at the doctor. " What is your first name, Doctor?" " David. " " David. That's a nice name. We will call him David. We ain' t got no David."<) Dr. Jason Joins AAMC Staff Dr. Hilliard Jason, a 1958 Medical School graduate, will join the American Association of Medical Colleges staff in Washington, D.C. September 1. Dr. Jason, who has a national and international reputation for his work in medical education development, will head a division in the Department of Academic Affairs for faculty development. The Division of Faculty Development will replace the existing Division of Curriculum & Instruction. The new title for this division places an emphasis on assisting the Nation's medical school faculties in their efforts to improve the effectiveness of the educational programs of their institutions. The increasing number of students for which medical school faculties are now responsible makes this emphasis particularly appropriate at this time. Dr. Jason has been a full-time educational consultant to the Lister Hill National Center for Biomedical Communications of the National Library of Medicine since July of 1972. From 1966 to 1972, he was the Director of the Office of Medical Education, Research and Development at Michigan State University where he was Professor of Medical Education, Professor of Psychiatry and Professor of Educational Psychology. Dr. Jason is a Canadian by birth. He received his Bachelor of Science degree at McGill University and his Doctorate of Education at UB.<) SUMMER 1974 25 �]oh11 Clark, John and Irene Manzella. Intern Matching Mr. and Mrs. Daniel Botsford, Donald Robinson, Norbert Szymula. One half of the 119 senior medical students at UB were matched with their first choice hospital in the National Intern and Resident Matching Plan (announced late Friday, March 8). Three-fourths of the seniors will continue their training in a hospital which was one of their top three choices, according to Dr. Thomas G . Cummiskey, clinical assistant professor of medicine and a 1958 graduate. He handled the intern matching the last several years when he was assistant dean . Dr. Cummiskey said the high caliber of the 1974 class is reflected in a number of matches of students with such outstanding hospitals as Massachusetts General, Johns Hopkins, Los Angeles Harbor, Vanderbilt, and Michael Reese. Under the National Intern and Resident Matching Plan, which attempts to match the preferences of the students with those of the hospitals throughout the country, 40 will remain in Buffalo and 14 others will continue their training in other parts of New York State. The remainder will go to 20 other states, with California again receiving the largest number (16). Two will go into the Armed Froces (one to Letterman Hospital in San Francisco and one to Puerto Rico). Five will go to Massachusetts and three to Maryland. The District of Columbia, Connecticut, Pennsylvania and Ohio will each get four UB interns while Arizona , Florida, Minnesota and Texas will each get two. One graduate will go to Georgia, Hawaii, Illinois, North Carolina, South Carolina, Tennessee, Vermont and Wisconsin. Although 16 seniors did not participate in the matching plan electing to make their own arrangements - Dr. Cummiskey predicts that a little less than half the class (about 41) will remain in Buffalo to continue in various specialties. This figure is about the same as last year. Eighty-seven seniors chose to continue their training at Universityaffiliated hospitals (63 with major affiliations and 24 with limited ones). Forty-two others will go directly into specialty residencies, bypassing the internships which appears to be phasing out all over the country. With earlier introduction of family practice during the undergraduate years interest in this area has increased. And there is a doubling (12) over last year's group who selected family practice as a specialty (this was previously known as general practice). While ten will train in large urban centers (seven at the Deaconess Hospital), two will be located in rural areas (Johnson City and Waco, Texas). 26 THE BUFFALO PHYSICIAN �The University program in medicine at Buffalo General/E.]. Meyer Memorial Hospitals filled in straight medicine (18) as well as in general rotating (12). Children's Hospital received all nine of the pediatric residents they requested. One of three psychiatry residencies requested at the Meyer filled as well as one rotating one. Three of 15 surgery residents requested were filled at the combined Buffalo General/Meyer Hospital program. 0 BERNARD S. ALPERT, University of California Hospitals, San Francisco, surgery residency TIMOTHY W. ANDERSON, Baylor College Affiliated Hospital, Houston, straight medicine GORDON L. AVERY, Georgetown University, Washington, D.C., surgery residency JERRY A. BANKS, Harlem Hospital, New York City, rotating unspecified GIDEON G. BARNETT, University of Florida Affiliated Hospitals, Tampa, rotating unspecified PAUL H . BARNETT, Buffalo General Hospital, rotating medicine DANIEL R. BECKMAN, U.S.C. Medical Center, Los Angeles, rotating general MICHAEL]. BEECHER, University of California School of Medicine (San Diego), straight ob/ gyn ]ames Smith , Anthony Portale, Thomas Walsh. John Pinnella, Roy Seibel, Mr. and Mrs. Daniel Botsford. Daniel Morelli, Anna Ganczewski, Susan Hammond, Jerry Banks. John Pinnella, Gideon Barnett, Or. John Richert, registrar, Hing-Har La. SUMMER 1974 27 �MARK L. BERNSTEIN, Montefiore Hospital, Pittsburgh, straight medicine STEVEN J. BOS , Queens Hospital, Honolulu, Hawaii, rotating medicine DANIEL R. BOTSFORD, Buffalo General Hospital, straight medicine LORRAINE V. BOYD , Case Western Reserve University, Cleveland, pediatric residency MARVIN T. BOYD, Case Western Reserve University, Cleveland, medicine JOHN C. BRAICO, Children's Hospital, Buffalo, pediatric residency KATHLEEN T. BRICO, Children 's Hospital, Buffalo, pediatric residency ALBERT BROWN, Kuakini Hospital, Honolulu, rotating medicine IAN S. BROWN, Kaiser Foundation-Los Angles, Calif., surgery residency RICHARD J. BUCKLEY, Millard Fillmore Hospital, Buffalo, surgery residency JAMES L. BUDNY, Millard Fillmore Hospital, Buffalo, surgery residency ELAINE M . BUKOWSKI, Buffalo General Hospital, rotating medicine ALAN G. BURSTEIN, Deaconess Hospital, Buffalo, family practice Mary Shapiro , Or. Cummiskey THOMAS D. CHMIELEWSKI, St. Francis Hospital, Hartford, Conn ., ob/gyn residency WILLIAM C. CINTRON, University of California Affiliated, Davis, rotating general JOHN H. CLARK, Millard Fillmore Hospital, Buffalo, rotating medicine STEPHEN COMMINS, Children 's Hospital, Buffalo, pediatric residency ALVA DILLON, Letterman General Hospital, San Francisco, rotating unspecified THOMAS A. DONOHUE, Hartford Hospital, Connecticut, surgery residency WALTER L. FERGUSON, Case Western Reserve, Cleveland, straight medicine JOHN J. FINA , Millard Fillmore Hospital, Buffalo, rotating medicine JOCKULAR FORD, Albany Medical Center, New York, ob/gyn residency LESLIE FORD , Private position in government JAMES FREEMAN, Deaconess Hospital, Buffalo, rotating unspecified NICHOLAS E. FUERST, Washington Hospital, Washington, Pa., family practice ANNA C. GANCZEWSKI, Maryland Hospital, Baltimore, rotating medicine BART GERSHBEIN, University of California at San Diego School of Medicine, straight surgery WAYNE B. GLAZIER, Beth Israel Hospital, Boston, straight surgery RICHARD J. GOLDBERG, Albert Einstein Medical Center, Philadelphia, psychiatric residency HOWARD GOLDSTEIN, Montefiore Hospital and Medical Center, New York City, straight medicine JAN GORZNY , Hartford Hospital, Connecticut, surgery residency DONALD R. GREENE, Buffalo General Hospital, rotating medicine PAUL GUSTAFSON, Boston City Hospital, Mass ., pediatric residency 28 THE BUFFALO PHYSICIAN �Robin Trumbull Walter Ferguson , ]ames Freeman, Edward Langford. SUSAN P. HAMMOND, St. Mary's Long Beach Hospital, California, rotating unspecified BENJAMIN HART, Children's Hospital, Buffalo, pediatric residency RICHARD HERSHCOPF, Presbyterian University Hospital, Pittsburgh, pediatric residency RUFFINO JIMlNEZ, Michael Reese Hospital, Chicago, ob/gyn residency HOWARD KAPLAN, E.]. Meyer Memorial Hospital, Buffalo, general surgery CYRIL S. KHANYILE, Harlem Hospital, New York City, rotating unspecified BARRY KILBOURNE, Hennepin County General Hospital, Minneapolis, Minn., rotating general JOHN M. KIMPLE, University of California Affiliated, Davis, rotating general GEORGE KLEINMAN, Massachusetts General Hospital, Boston, pathology residency ANTHONY LAGLIA, San Francisco General Hospital, Calif., rotating general SARAH G. LAIN, Grady Memorial Hospital, Atlanta, Georgia, rotating ob/ gyn EDWARD LANGFORD, Deaconess Hospital, Buffalo, family practice DANIEL H. LASSER, Milwaukee County General Hospital, Wisconsin, family practice RICHARD S. LEE, University Hospital of Jacksonville, Florida, straight medicine DA YID W. LEFKE, Medical Center Hospital of Vermont, Burlington, straight surgery EDWARD A. LEGARRETTA, Millard Fillmore Hospital, Buffalo, rotating unspecified JOSEPH LEMMER, Nassau County Medical Center-Meadowbrook Division, East Meadow, New York, straight medicine HING-HAR LO, Massachusetts General Hospital, Boston, diagnostic residency-radiology JOHN P. MANZELLA, North Carolina Memorial Hospital, Chapel Hill, straight medicine .. JOHN F. MARRA, George Washington University Hospital, Was_hington, _D.C., strazght medzczne DIANE L. MATUSZAK, Providence Hospital, Waco, Texas, famzly practzce ISAIAH MEGGETT, Deaconess Hospital, Buffalo, family practice . . . BRUCE MIDDENDORF, Millard Fillmore Hospital, Buffalo, rotatzng unspeczfzed d- SUMMER 1974 29 �SARAH E. MOORE, Sisters of Charity Hospital, Buffalo, straight medicine DANIEL MORELLI, Deaconess Hospital, Buffalo, family practice CRAIG MORIN, Willaim S. Hall Psychiatric Institute, Columbia, South Carolina, psychiatric residency KATHLEEN MY LOTTE, Buffalo General Hospital, rotating medicine GUIDO J. NAPOLITANO, Bridgeport Hospital, Connecticut, straight medicine IAN T. NATHANSON, Buffalo General Hospital, rotating medicine RACHEL NXUMALO, Buffalo General Hospital, rotating medicine BENJAMIN OPARA, E.]. Meyer Memorial Hospital, Buffalo, surgery LAWRENCE A. OUFIERO, George Washington Univ. Hospital, Washington, D.C., straight medicine Lawrence Oufiero (shaking hands), Bruce Thiers. LAWRENCE E. PAYNE, Deaconess Hospital, Buffalo, straight ob/gyn JAMES C. PIETRASZEK, Bellevue Hospital Center, New York City, surgery residency JOHN W. PINNELLA, Maricopa County General Hospital, Phoenix, rotating unspecified SANFORD R. PLESKOW, Buffalo General Hospital, straight medicine ANTHONY PORT ALE, Children's Hospital, Buffalo, pediatric residency DOMINICK R. PRATO, Charles S. Wilson Memorial Hospital, Johnson City, New York straight medicine JAN PURGESS, Nassau County Medical Center-Meadowbrook Division, East Meadow, New York, medicine CARMEN R. RAMOS, Tulane University Affiliated Hospitals, New Orleans, psychiatric residency RAMON RIVERA-ARGUINZONI, Veterans Administration Hospital, San Juan, Puerto Rico, straight medicine DONALD W. ROBINSON, Deaconess Hospital, Buffalo, family practice JON ROSENBERG, Pacific Medical Center Presbyterian, San Francisco, straight medicine JOHN C. ROWLINGSON, Millard Fillmore Hospital, Buffalo, rotating unspecified ERIC J. RUSSELL, Montefiore Hgspital Center, New York City, straight medicine KEITH RUSSELL, Deaconess Hospital, Buffalo, surgery residency ELLIOT SCHULMAN, Los Angeles County Harbor General Hospital, family practice ELLIOT A. SCHULMAN, Montefiore Hospital, Pittsburgh, Pa., straight medicine ROY E. SEIBEL, Deaconess Hospital, Buffalo, rotating general Benjamin Opara, Timothy Anderson, Lawrence Payne. Richard Buckley, Ruffino Jimenez. THE BUFFALO PHYSICIAN �Stephen Commins Thomas Varecka, a friend, Elaine Wilt. JOEL A. SIMON, State University-Kings County Medical Center, New York City, straight medicine JAMES A. SMITH, University of California at San Diego Medical School, pathology residency ]A YNE E. SMITH, Millard Fillmore Hospital, Buffalo, pathology residency LOUISE M. STOMIEROWSKI, University of Virginia Hospital, Charlottesville, family practice REGINALD M. SUTTON, Deaconess Hospital, Buffalo, family practice VIRGINIA P. SYBERT, University of California Hospital, San Francisco, pediatric residency NORBERT]. SZYMULA, E.]. Meyer Memorial Hospital, Buffalo, surgery residency PAUL THALER, University of Maryland Hospitals, Baltimore, family practice BRUCE H. THIERS, Buffalo General Hospital, straight medicine CARL A. TODARO, Millard Fillmore Hospital, Buffalo, rotating general GREGORY TRAMUTA, Albert Einstein Medical Center, Philadelphia, psychiatric residency CRAIG A. TRAUGOTT, University of Arizona Affiliated Education Program, Tucson, pediatric residency BRADLEY T. TRUAX, Johns Hopkins Hospital, Baltimore, straight medicine ROBIN L. TRUMBALL, University of California Hospital, San Francisco, pathology residency WARD VALENTINE, Mary Imogene Bassett Hospital, Cooperstown, New York, rotating general THOMAS F. VARECKA, Hennepin County General, Minneapolis, Minn., general surgery THOMAS L. WALSH, Georgetown University Hospitals, Washington, D .C., pediatric residency ROBERT M. WEISS, Buffalo General Hospital, rotating medicine PETER C. WELCH, New York Hospital, New York City, straight medicine JAMES M. WETTER, Deaconess Hospital, Buffalo, family practice PETER V. WHITTREDGE, Boston City Hospital, Mass., straight medicine. PAUL H. WIERZBIENIEC, Millard Fillmore Hospital, Buffalo, surgery reszdency ELAINE M. WILT, Vanderbilt University Affiliated Hospitals, Nashville, Tenn. pediatric residency CONRAD WOLFRUM, Deaconess Hospital, Buffalo, straight surge:y . . . STUART A. WOLMAN, Montefiore Hospital Center, New York Czty, pedzatrzc reszdency EVANGELOS D. XISTRIS, Mt. Sinai Hospital, Cleveland, straight medicine LINDA L. YANG, Deaconess Hospital, Buffalo, family practice . . . STEPHEN YERKOVICH, D .C. General_ Georgetown University, Washmgton, D.C., medzcme DONALD YOUNKIN, Children's Hospital, Buffalo, pediatric residency() SUMMER 1974 31 �Time Present and Time Past by Rudolph E. Siegel, M.D . Dr. Rudolph E. Siegel, emeritus clinical assistant professor of medicine, has authored three books in the last five years. His most recent book, Galen on Psychology, Psychopathology, and Function and Diseases of the Nervous System, 1973. In 1968 Dr. Siegel authored Galen 's System of Physiology and Medicine and in 1970 Galen on Sense Perception. All books were by the same publisher, S. Karger - Basel - New York. Dr. Siegel was on the Medical School faculty for 30 years (1940-1970) and on the staff of the Buffalo General Hospital. He received his medical degree in 1924 from the University of Goettingen, Germany. For the last 15 years Dr. Siegel has been engaged in medical historical . studies. He has published many papers and lectured on the history of medicine and cardiology. The National Library of Medicine has supported his publishing. Interest in medical history in the Buffalo area is probably greater than is generally realized. Though the UB School of Medicine has no specialized department of medical history, its library contains many old medical journals and books useful for the study of this subject. With the expected reorganization of the library in the near future (a move to larger quarters in an adjacent dormitory building), the sizable collection of historical books will be housed in a separate room and a special librarian assigned. A number of local physicians are engaged in historical studies as attested to by their lectures presented at the meetings of the Historical Society of Western New York. It might be helpful for future programming if officers of the Society or perhaps the editor of The Buffalo Physician could be apprised of all such endeavors. The Society presents a local or out-of-town speaker three times a year. Personally, I was able to complete a lengthy research project in 1973 with the publication of my third book on Galen's System of Physiology and Medicine. The series presents a detailed survey of medical science as it was known and practiced during the second century A.D. in Rome or other large cities of the Roman Empire. Galen, the famed ancient Greek Physician (129-200 A.D .), wrote about 180 treatises of varied length, about two-thirds of which have been preserved in the original Greek language. These still extant works, together with their excellent Latin translations made during the Renaissance, occupy about 20,000 pages in modern print. Galen 's voluminous writings deal not only with all aspects of medicine but also cover many philosophical subjects. The latter, mainly concerned with psychological studies, logic, and the analysis of the thought process, definitely avoid any metaphysical speculation. For many centuries Galen's writings formed the chief textbooks of the medical profession. In Galen's time, physicians in training especially at the Alexandrian Library, the very center of studies and teaching, often devoted years to anatomical studies including experiments on living animals. The nomenclature used today in modern anatomy is largely based on the terms conceived at that time. During the 500-year period from the time of Hippocrates to that of Galen very little progress was made either in clinical observation or in therapeutic procedure. The words of Hippocrates were considered infallible. But even in antiquity his terse sentences were subject to varying scholastic interpretation, permitting the inclusion of newer observations. The greatest advances were made in the field of anatomy, a fact supported by Galen's numerous references. But Galen himself made many great contributions to descriptive anatomy, too numerous to mention here. Hippocrates' original clinical approach, combined with an equally unchanged state of Galenic anatomical and clinical teaching, dominated the entire field of medicine until the sixteenth century. When the Eastern Roman Empire, with its seat in Byzanthium, fell to the Turks in 1453 the refugee-scientists who managed to escape took with them many Galenic manuscripts as yet unknown in the West. Latin translations of these treatises by the humanist scholars, such as Linacre, Cajus (the founder of the Oxford Medical School), Guinther of Andernach and many others stimulated the revival of medical research conjointly with the rise of physical and mathematical sciences (Galileo, Sanctorius, etc.). 32 THE BUFFALO PHYSICIAN �This progress however was not the result of a wholesale abolishment of Galenic medicine. At this time a small society of young physicians was formed, called The Galenic Academy of Florence. It was an imitation of the well-known Platonic Academy of Athens. By this time the second generation of medical humanists exerted a vitalizing influence on independent investigation. The Galenic anatomical writings are so detailed that a modern reader can hardly understand the extensive treatise on dissection without consulting an anatomical atlas. Through the years many of Galen ' s statements, based mainly on animal dissection, have proven to be erroneous but the number of his errors has been highly exaggerated. Investigators like Vesalius, who wanted to abandon the old traditional pattern of book learning, pointed out many of Galen' s erroneous beliefs. They admired the wealth of his knowledge and accepted most of his physiological doctrines. Following is a summary of Galen 's concepts on the function of the human body in health and disease. Galen believed that all venous blood issued from the liver; that most of this blood flowed to the peripheral organs and only a small amount passed from the vena cava into the right heart and continued through the pulmonary vessels or hypothetical pores of the interventricular septum to the left heart. Galen explained at great length that life depended on a vital factor which he believed was absorbed during pulmonary respiration. Unable to determine the nature of this agent Galen, after many experiments, concluded that this undetermined quality - extracted from the inhal~d air- entered the blood during its very slow pulmonary passage from the right to the left ventricle. This factor seemed responsible for maintaining the body heat, which was the Galenice explanation of what is known today as internal combustion. Galen called the factor vital penuma, since the term pneuma to the ancients indicated air, spirit. This represented a partly vitalistic, partly materialistic concept, an early forerunner of Lavoisier's matter of heat, " and thus oxygen. Unfamiliar with the concept of tissue metabolism, the ancients postulated that all combustion took place in the left heart where all arterial blood collected before flowing into the arteries. Galen discovered, by needle aspiration from the left ventricle ·and by ligation of peripheral arteries, that all arteries contained blood and not as commonly assumed, an air-like pneuma. This physiological discovery was as important as Harvey 's discovery in 1625 of the circular blood flow. He overthrew Galen's heretofore unchallenged concept of blood flow which postulated that the separate venous and arterial bloodstreams were completely utilized by the peripheral organs, since blood never seemed to return to the heart. The misunderstanding of the direction of blood flow for many centuries induced physicians to bleed patients for removal of diseased humors based on the additional misconception that good new blood was formed soon enough to make up for the old bad blood lost by the phlebotomy, a misconception which still persisted a long time after Harvey. Galen recognized that arterialized or aerated blood entered the brain through the carotid arteries. This term was derived from the Greek word Karas (stupor) since ligation of these vessels rendered animals unconscious. This arterial blood supposedly generated in the brain an ad- SUMMER 1974 33 �tivating agent for all neural tissue. Galen called this agent the spiritus anima/is (soul spirit). Later it was called nerve fluid or Nervenkraft, and for a time it was regarded as identical to animal electricity. Galen made great efforts through dissection and animal experimentation to advance the understanding of the function of the nervous system. The living organism seemed to depend on a remarkable equilibrium of forces. Respiratory movements of the chest seemed to permit the vital factor to enter the blood during its passage through the lungs; the beating heart then sent the aerated blood to the brain which, through the flow of freshly produced nerve fluid or pneuma, stimulated the nerves which moved the respiratory muscles. Thus brain, animal spirit, pulmonary respiration, bloodflow, and heartbeat seemed to cooperate for the maintenance of the vital heat in the body, the loss of which meant death. Galen stressed that pneuma was not the soul but only a mechanism by which the soul manifested itself. A soul neither seemed to enter the body at birth nor left it at the time of death as popular belief held true. To Galen the soul was a concept of function and in relation to the body it was as vision is to the eyeball. The normal function of all organs was thought to depend on the correct balance of the humors which make up the blood. Their quality in turn depended upon heredity, nutrition, environmental influences, and extraneous factors such as venoms, poisons, drugs. A humor itself could become toxic and cause disease. The function of the brain depended on such influences which modified character traits and actions of a person. Thus indirectly extraneous factors could affect the mind. Consequently therapy of mental illness was based on physiotherapy, diet, education, and rationalization of emotional difficulties. Galen wrote several treatises on these problems which are available in English translation. Likewise, Galen' s principle physiological treatise On the function of the parts of the human body has been translated into English. But his extensive clinical writings still are not available in modern editions. Of these the best known treatise bears the title On the diseased parts of the human body. In this late study Galen tried to relate clinical symptoms to structural changes detectable by examination of the patient. He described different types of jaundice, although he was still unaware of biliary M ore than 10,000 Christmas trees w ere transformed into mu lch at the 2nd annual U/ B recycling project. Or. Albert Somit, ex ecutive vice president, is stu ffing a tree into the cho pping machine on the Main Street Campus. �obstruction caused by gallstones. Cirrhosis of spleen or liver, of whatever etiology, was diagnosed by palpation. Phthisis, pneumonia, and pleurisy were widespread and surgical drainage of pleural exudates or pulmonary abscesses was performed. Bowel obstruction, dysentery , and various types of stomach ailment were described. Galen often tried to determine structural abnormalities by thorough examination of excreted particles of tissue . Galen mentioned removal of goiters and cancerous breasts. However his remarks regarding surgery are widely scattered and difficult to assemble into a coherent picture. Heart disease was unknown but ascites, dropsy, and syncope were correctly described and their prognosis was well understood although he attributed these to humoral disturbances . The heart was not recognized as a seat of disease even though Galen successfully removed pericardia! accumulation of pus after resection of the sternum. The spread of disease seemed to take place through contact with adjoining tissues by nerve conduction, through the bloodstream, and even by vapors which allegedly permeated the body from one end to the other. Such combined symptoms were attributed to " sympathy, " which meant suffering of several organs in unison. The intricate causative mechanism of these diseases was not discovered for centuries . It is impossible in this short review to refer even briefly to the many other important contributions of Galen - those concerning the structure, function, and diseases of the sensory organs especially of the eye to which he devoted a special study or to his writings on crises, prognosis, and the pulses. In spite of Galen 's great scientific endeavors and many important accomplishments for many years medical practice remained a trade and a craft rarely performed by physicians. In vain he tried to raise the ethical standards of his contemporaries : " They will do anything to ingratiate themselves with the multitude. " He even compared a certain type of medical practitioner with robbers, the only difference being " that the former perpetrate their crimes in the towns, the latter in the mountains. " The gullibility of patients has never changed, and Galen' s words suggest : " We see that greedy men are more sellers of drugs than physicians. " But for centuries the best physicians did not forget the accomplishments of Hippocrates and Galen. As late as the year 1804, Laennec, the inventor of the stethoscope, in his doctoral dissertation on "Proposition on the Hippocratic doctrine in relation to practical medicine," analyzed the prevailing types of fever in comparison to the ancients ' interpretations. At this time summaries of Hippocratic and Galenic works were still published in Europe as well as in the States. Much of that which Galen and his contemporaries wrote sounds strange to our ears and is frequently difficult to evaluate because the language difference prevents an easy understanding of his thoughts. The ancient concepts often remain concealed because of their subtlety which escapes translation. Yet, a thorough analysis reveals their merit and furnishes a wealth of keen observation and logical thought. It seems proper to quote here the words of Austin Flint, a one time teacher at the Buffalo Medical School who in 1845 founded The Buffalo Medical Journal, the forerunner of The Buffalo Physician. Flint wrote in the historical introduction to his well-accepted treatise Physiology of Man (1866) : SUMMER 1974 35 �Bibliography of R.E. Siegel: Galen's System of Physiology and Medicine; an Analysis of His Doctrines and Observations on Bloodflow, Respiration, Humors and Internal Diseases; Karger, Basel 1968. Galen on Sense Perception; his Doctrines, Observations and Experiments on Vision, Hearing, Smell, Taste, Touch and Pain, and their Historical Sources; Karger, Basel 1970. Galen on Psychology, Psychopathology and Function and Diseases of the Nervous System; an analysis of his Doctrines, Observations and Experiments ; Karger, Basel 1973. "Theories which are not built upon false and imperfectly observed phenomena are the pioneers of actual discoveries." The evolution of modern medicine is unthinkable without Galen 's influence. Even William Harvey, whose discovery of blood circulation (1628) is considered the beginning of modern medicine, took Galen's work as a basis for his own studies. A rigid division of medical history into separate periods does not permit one to appreciate sufficiently the continuing influence of older work and the gradual transition of concepts. The past remains worthy of our study, and even more so the further we advance. In 1896, ].F. Payne, who is too little known as a historian, wrote: " The magic of literature brings together thinkers widely separated in space and time, and as one magnet makes other magnets, so the activity of one great mind sets other minds in vibration. The polarity of the second magnet may be opposite to that of the first, and so the result of the induced intellectual activity may be contradictory to that which set it in motion; but the one was nevertheless derived from the other. The moral is, I think, that the influence of the past on the present is even more potent than we commonly suppose. " In this age of restless innovation and bewildering scientific progress the historical study of our profession will help us to regain a certain perspective of values. Payne called the errors of the past "imperfect truths " : "The truth of today is the error of tomorrow. They are parts of a continuous evolution in which the so-called truth and the so-called error are inseparably mingled." As. T.S. Elliot wrote in one of his poems: "Time present and time past Are both perhaps present in time future And time future contained in time past. "O Sabbatical for Dr. Zusman Or. Zusma11 Dr. Jack Zusman will be on a one year's sabbatical (effective July 1) studying at the Stanford University Law School. The psychiatry professor will investigate social policy implications dealing with violence and potentially violent people. "How we deal with this type of person without violating the law and the individual's rights is a complicated problem. On the other hand we must consider society's rights and how to protect them," Dr. Zusman said. Dr. Zusman will be working with Dr. David Rosenhan, professor of law and psychology at Stanford. Dr. Zusman has taught at the UB law school the last four years. His Stanford study is supported by the Josiah Macy Jr. Foundation of New York City. Dr. Zusman was one of 38 investigators to receive a faculty scholar award. Dr. Zusman has resigned as director of the division of community psychiatry at the E.J. Meyer Hospital effective July I. He has been on the Medical School faculty since July, 1968. 0 36 THE BUFFALO PHYSICIAN �A mother of five is fulfilling a lifetime ambition. Mrs. Nancy Nielsen has always wanted to be a physician and is doing something about it. She is a freshman at the Medical School and espects to be finished in three years. Her husband, Robert Nielsen, is an assistant professor of philosophy at D ' Youville College. Nancy was chairman of the biology department at D ' Youville before entering the School of Medicine. She is 29 years old. The Nielsen's children range in age from one to seven years. " I can' t remember a time when I didn' t want to be a doctor, " Nancy said. She is fascinated with her classes and her work in infectious diseases at the Erie County Laboratories at the E.] . Meyer Memorial Hospital. She has also worked in the medical technology program at UB. When Nancy was a senior at the University of West Virginia she applied to three medical schools and was accepted at each. She selected the University of Pittsburgh, but needed a year to earn money for her tuition. It was during that year working as a research biologist in Washington, D.C. that she met and married Bob Nielsen. She re-applied to Catholic University in Washington which had accepted her 18 months earlier, and was re-accepted. But she was pregnant with her first child and decided to forego medical school once again. Nancy took off about " five and a half wonderful weeks" when her first child, Kristin, was born. She went back to her research and study and eventually received a Ph.D . degree in microbiology from Catholic University. Nancy is the first to admit that the greatest aid to her career is her husband. He' s fantastic. We' ve shared the household responsibilities since we were married. And Bob is interested in what I am doing and I'm interested in what he is doing. There is no conflict. " <) A Mother of Five The N ielsens - Robert, Kevin, Kristin, David (foreground), Mrs. Nielsen, Mark and R obin. �38 THE BUFFALO PHYSICIAN �A Simulated Accident Five physicians and six nurses from the University Health Service joined with several city emergency service agencies in a simulated bus accident on campus. Thirty-five "victims" were taken to Veterans Administration and Meyer Hospitals in a test of the area's emergency services in a crisis situation. Medical students were among the 12 volunteers at the accident scene on the west side of Diefendorf Annex. All volunteers had Red Cross first aid cards. The " victims" were members of the First Aid Simulation Team (FAST) who use their talents throughout the Western New York area by reacting as real casualties would in a crisis situation. SUMMER 1974 39 �The simulation was planned by Dr. Paul Hoffman , director of University Health Services and Mr. Robert Hunt, environmental health officer. City agencies answering the emergency call were the Fire, Police, Red Cross, Civil Defense, Ambulance Board, Emergency Care Commission and State Health Department along with Campus Security, Maintenance and Housing. Dr. M. Luther Musselman, who directed the medical operation, praised the speed and efficiency of all cooperating agencies. " The Meyer Hospital Ambulance arrived only three minutes after it was called . The senior fire official was most cooperative, and the medical emergency technicians did an outstanding job, along with the police, the FAST team and the volunteers," Dr. Musselman said. O 40 THE BUFFALO PHYSICIAN �Twelve Continuing Medical Education Programs are scheduled for May and June, according to Mr. Charles Hall, director of the programs. Dates, titles and chairmen of the programs are: May 3, 4 - Ophthalmology, Dr. professor of surgery. Thomas ]. Guttuso, clinical assistant May 9 - Shock & Trauma, Dr. John H. SiegeL professor of surgery. Sponsored by American College of Surgeons, Western New York Chapter. May 10, 11- 37th Annual Alumni Spring Clinical Days, Dr. James F. Phillips, clinical associate professor of medicine. May 14, 15- Management of High Risk Pregnancy and Fetal Monitoring, Dr. Wayne L. Johnson, professor and chairman of gynocologyobstetrics. May 16 - The Problem-Oriented Medical Record in Office Practice, Dr. Robert M. Kohn, clinical associate professor of medicine. May 17, 18- Current Trends in Primary Health Care, (53rd annual program), Dr. Henry E. Black, clinical associate in medicine. May 23, 24- Office Surgery for the Pediatrician and Family Physician, Dr. Theodore C. Jewett, Jr., professor of surgery and Dr. James E. Allen, associate professor of surgery. May 31- Neurosurgical Approach to Neuropsychiatric Disorder, Dr. Martin L. Gerstenzang, assistant professor of psychiatry. June 3-7Refresher Seminar in Pediatrics, Dr. Thomas Aceto, Jr., associate professor of pediatrics. June 5-7Laparoscopy, Dr. Norman Courey, clinical associate professor of gynecology-obs te tries. June 10, 11 Pediatric Pharmacology & Therapeutics, Dr. Sumner J. Yaffe, professor of pediatrics. June 17-19Computers in Clinical Medicine: The Obstetrical Record, Dr. Elemer Gabrieli, clinical assistant professor of pathology. O 41 SUMMER 1974 12 Continuing Education Programs �A view from the Governor's Residence Hall showing the Francis E. Fronczak Hall (physics building) and the industrial engineering building (center). Buildings Named for Alumni WO MEDICAL SCHOOL alumni have had buildings named after them at the University by the State University of New York Board of Trustees. Names were also approved for the two major campuses and five other facilities. Tower Hall, a dormitory on the Main St. Campus has been renamed "Stockton Kimball Tower" in honor of the late U/B alumnus who served as dean of the School of Medicine from 1946 to 1958. The building for whom the nationally known medical educator and community leader is named is currently being converted for use as a health sciences library and offices. The physics building, now under construction on the Amherst campus and slated for completion in 1975, has been designated "Francis E. Fronczak Hall" in memory of the 1897 U/B medical school alumnus who gained fame for his medical work in Poland during World War I. The single largest building on the new campus, the general library, administration and student activities building, has been named the "Samuel P. Capen Library and General Administration Building." Dr. Capen, U/B chancellor from 1922 to 1950, is credited as the architect of a plan which saw the University of Buffalo grow from a small group of loosely-knit professional schools and a liberal arts college to an integrated national center of higher education. The construction of the building which will bear his name is scheduled to start early in 1974. The present Capen Hall on the Main St. campus will be renamed. The Administration and Service Building will be named the "George D. Crofts Service Building" to commemorate the man who served U/B for more than 50 years as a professor of law and financial officer. Crofts organized and centralized the business structure of the University in T The new campus will now officially be known as the "Amherst Campus" and the present campus "Main Street Campus" to replace the present "North Campus" and "South Campus" designations respectively. The changes were made in response to requests from citizens of the Amherst community and to help avoid confusion with Buffalo State University College on Elmwood Ave. 42 THE BUFFALO PHYSICIAN �1921 when he was named University treasurer. Construction of the Crofts Building is expected to begin in the near future. The chemical engineering building will be known as " Clifford C. Furnas Hall." Dr. Furnas was chief executive officer of U/ B for twelve years, as ninth chancellor of the University of Buffalo from 1954 to 1962 and as first president of the State University of New York at Buffalo from 1962 to 1966. During his administration, the University merged with the State University of New York and doubled in physical size and increased its total faculty from 1200 to 2600 and its graduate and professional enrollment from 950 to 2 ,000. Construction of Furnas Hall will begin during the next few months. The library and courtyard of John Lord O 'Brian Hall, which has been occupied by the Law School for the past two months, has been named for Philip Halpern. The 1923 U/ B law graduate served on the State Supreme Court from 1948 to 1963 . For 18 years , beginning in 1925, he taught at the U/ B Law School and served as acting dean from 1943 to 1946, when he was appointed dean. The central courtyard of Christopher Baldy Hall, the education and philosophy building, will be known as the " Adelle Land Courtyard." The building, now under construction, is scheduled for occupancy in September, 1975 . Dr. Land, a graduate of U/ B and Columbia, served on the U/ B faculty for 46 years , until her death in 1969. She was instrumental in the development of the University's Teacher Education Program and initiated the " team-teaching" approach in education, long before the concept became popular. O The student lounge area of the Jo hn Lord O'Brian Hall (law & jurisprudence). 43 SUMM ER 1974 �A Profile of Dr. Francis E. Fronczak Francis E. Fronczak was recognized as one of the foremost public health authorities in the United States, Dr. Fronczak also had an international reputation. A native of Buffalo, he received the bachelor's degree at Canisius College in 1894 and a master' s degree in 1895. He matriculated at U/ B and received a medical degree in 1897 , then a law degree in 1900. Postgraduate work in philosophy at Canisius followed and then he studied medical jurisprudence, preventive medicine and state medicine at Jagellonian University , Krakow, Poland. In 1897 he entered medical practice in Buffalo and for two years served as physician to the Erie County Penitentiary. From 1899 to 1910 he was health officer of the Town of Cheektowaga, and was appointed to the Buffalo Charter Revision Commission in 1906. Dr. Fronczak's long association with the Health Department began on January 1, 1907 when he was named assistant commissioner. In 1910, he was appointed commissioner and held that post until 1946. Th e Fran cis E. Froncza k Hall (physics building). . -·.. • _ .. .. ~ · -- , .. -. ~ 44 ' ..... .,r THE BUFFALO PHYSICIAN �Dr. Fronczak's real claim to international fame came during World War I. When the war started in Europe in 1914, the Poles of America organized a Central Relief Committee in this country to bring relief to war-stricken Poland and elected him president. When the United States entered the war, he was commissioned a Major in the Medical Corps and sent overseas. While abroad, he was appointed by Secretary of State Robert Lansing to membership on the Polish National Committee in Paris, to represent the Poles of America. The Polish National Committee represented Poland in the Council of the Allies and Or. Fronczak was designated director of the department of physicaL moral and material welfare of the Polish Army. He was also placed in charge of Polish war prisoners, refugees, expatriates and orphans in France, Siberia, Morocco and England. As Director of the Polish National Committee's Department of Public Welfare from May 1918 to February, 1919, Or. Fronczak was designated to serve as one of the three members of the Council of War of the Polish Forces in France. At the time of the armistice, there were under his welfare supervision 97,000 troops, 57,000 Polish war prisoners who had been forced to serve in the German and Austrian armies, thousands of Polish refugees, men, women and children, orphans, and other unfortunates. His jurisdiction was increasingly extended until it embraced camps in England, Italy, Northern Russia, Siberia, Morocco and Algeria. Promoted to Lieutenant Colonel in the Medical Corps in ,1919, Dr. Fronczak was appointed a commissioner and medical adviser on the first American Red Cross Commission to Poland. His war service brought him high honors, including the Purple Heart of the United States, knighthood in the French Legion of Honor, the French Croix de Guerre and Medaille Militaire, the Cross of Valor of Poland, the Gold Cross of Merit, Haller's Swords, the commander in the Order of Polonia Restituta. He received a degree of Doctor of Science of Public Health in 1917 from Canisius College and an MD from the University of Warsaw in 1919. An honorary diploma was awarded to him in 1927 by the Army Sanitary School of Poland. Several Polish cities made him an honorary citizen. Dr. Fronczak held many positions, nonremunerative or honorary, in medical and public health fields. Formerly he was a member of the Council of the University of Buffalo and was associate professor for 25 years - later emeritus associate professor - of hygiene and preventive medicine. Dr. Fronczak wrote more than 400 papers dealing with public health and preventive medicine - papers in English, German, French, Spanish, Italian, Russian and Polish. His articles have appeared in many magazines, some in Central and South America, the Far East and the Antipodes. At his death in 1955, in a statement issued on behalf of the entire city, the mayor of Buffalo said .. . " The loss of Dr. Fronczak is indeed irreparable. He carried Buffalo's name into every part of the world with honor and distinction. His entire life was dedicated to public service. " O SUMMER 1974 45 �l ' A Profile of Dr. Stockton Kimball The Stockton Kimball Tower on the main street campus will be the new home of the Health Sciences Library. The former dormitory will also have administrative offices on the upper floors . Stockton Kimball was born in Buffalo in 1902 and graduated from U/B with an MD degree in 1929. After interning at the Buffalo General Hospital, he spent one year at Guy's Hospital, London, and another at Pathologische Institute, Freiburg, Germany. He returned to Buffalo in 1933 and steadily progressed from assistant in medicine to assistant professor of medicine, with an intermediate appointment in pathology and pharmacology. While he was assistant dean of the School of Medicine, Dean Edward Koch died, and Stockton Kimball succeeded him July 1, 1946, a position which he held until his untimely death in 1958. Or. Stockton Kimball Stockton Kimball was interested in teaching, students and their problems, and the advancement of medical education in general. In addi~ tion to these professional interests he gave much of his time and financial support to the Buffalo Philharmonic Orchestra, the Albright Knox Art Gallery and The Park School. Nationally, the American Medical Association recognized his ideas as a progressive medical educator and appointed him to the Committee for Accrediting Medical Schools. He served as treasurer for the American Association of Medical Colleges in 1955 until his death. He served as Chairman of a Joint Committee on Medical Education in Time of National Emergency. He contributed to Tice's Practice of Medicine and Nelson's Loose-leaf Medicine and for the }.A.M.A. he wrote the Report of the Committee on the Training and Supply of Doctors in the Event of Another War. Today, Stockton Kimball's memory is perpetuated at the annual Spring Clinical Days meeting by having a nationally known speaker give the Stockton Kimball Lecture and receive an award in his name. O 46 THE BUFFALO PHYSICIAN �A major portion of the new Joseph P. Ellicott complex on the Amherst Campus will be occupied this fall. President Robert L. Ketter said eight academic departments and other units, at least 1200 dormitory students and support services will move to the 38-building facility in time for the start of the fall semester. The departments of Classics, French, Germanic and Slavic, History, Linguistics, Spanish, Italian and Portuguese, the Program in Critical Languages and part of the Collegiate Program will use office, classroom and library space at the site. In addition, space for the Student Health Service, Student Affairs, business and administrative functions, recreation, the bookstore, food service and craft center have been allocated. The Student Health Service, now located in the Governors ' Residence Halls, will be moved, making available several dormitory rooms in the Governor's complex. John D. Telfer, vice president for facilities planning, said that almost all of the office, classroom and library space in the L-shaped The New Campus �spine of the complex, known as the Millard Fillmore Academic Center, will be utilized in the fall. Approximately half of the residential space will be in use, and three of the six planned combination residential/academic quadrangles will be allocated. These three are the William G. Fargo, Red Jacket and Peter B. Porter quadrangles. Some parts of the residential space will be temporarily assigned for academic use. In addition, two buildings joining the three quadrangles, made up of mostly library space, will also be occupied. Two or three of six dining rooms will be in service along with rathskellers located within the Millard Fillmore Center. The central offices of the Collegiate System, including its director dean, will be at the Ellicott site and a number of offices for individual colleges have also been designated. The specific allocation of this space will be made before the start of the fall semester. The total number of residential students at the Amherst Campus will reach at least 2000, 800 living in the Governors' Residence Halls and at least 1200 at the Ellicott location. To minimize the need for bus transportation, most lower division (freshman and sophomore) courses for students residing at the Ellicott complex and the Governors' Residence Halls will be offered in Ellicott classrooms. All departments moving to the site will offer all of their upper division and graduate courses there but will conduct some of their lower division courses at the Main Street and Ridge Lea campuses to facilitate instruction for students not residing on the Amherst Campus. Bus transportation will link the Governors' Residence Halls with the Ellicott complex and the Amherst Campus with the Ridge Lea and Main St. campuses. It is anticipated that the start of classes will be offset in twenty minute intervals on the three campuses with classes on the Main Street Campus beginning on the hour, Ridge Lea at 20 minutes past the hour and Amherst at 40 minutes past the hour. This will enable students to schedule courses with classes on any of the three campuses and to use bus transportation between campuses. This allows for 30 minutes travel time between classes scheduled for different campuses. Mr. Telfer noted that the allocation of space, location of classes and scheduling were all determined by a two-year study completed last year. The study involved the use of a computer which, using all available dates, determined which departments should be moved and how classes should be scheduled. The Ellicott Complex, comprised of 38 buildings all joined at thesecond level by the Millard Fillmore Academic Center, is named for the man who has been called "the founder of Buffalo. " Joseph P. Ellicott, the first resident agent of the Holland Land Company, surveyed the western part of New York State in 1798 and selected the site and drew the first plans for Buffalo. The facility, designed by architects Davis, Brody and Associates of New York with Millstein, Wittek, Davis and Associates of Buffalo as associate architects, is located on the northernmost point of the new campus. The complex will accommodate a total of 6,000 students, including 3,200 residential, when it is completed. Although it provides as much space as all of the physical plant of an average size liberal arts college, its scale was drawn to blend with the surrounding landscape and does not appear to be massive ..<> 48 THE BUFFALO PHYSICIAN �The Pediatric Nurse Twelve registered nurses will graduate from the Pediatric Nurse Associate Program the last of May. Two previous classes totaling 20 have graduated and received certificates from the School of Nursing at the University. Cooperating in the program is Children's Hospital and the pediatrics department of the School of Medicine. The graduates have assumed positions in a variety of ambulatory situations in clinics, public health agencies, schools and pediatricians offices , according to Miss Norma O 'Hara, project director. Dr. James R. Markello, associate professor of pediatrics, is co-director. Several members of the department of pediatrics are preceptors. " Our objective is to prepare registered nurses to update and expand their knowledge and skills in the area of ambulatory child health so they can assume primary care roles in appropriate settings," Miss O 'Hara said. She is also an associate professor of nursing and chairman of the department of child health at the School of Nursing. Miss O 'Hara received a $308,430 grant from the Bureau of Health Manpower Education, National Institutes of Health, for the three-year program.O A dele Pillitteri, D r. Ma rkello, D elores K ilcoyne. SUMM ER 1974 49 �The classes of the 1940's The classes of the 1960's Dr. John D. White, M' 40, received an Award of Merit from United States Coast Guard Auxiliary 7th District "in recognition of dedication and outstanding contribution to Public Education during year of 1973." Dr. White lives at 234 Mohawk Street, Tavernier, florida .(> Dr. Arnold N. Lubin, M ' 62, whose specialties are pediatrics and aerospace medicine, is now Hospital Commander (March, 1974), USAF Hospital, Lockbourne AFB, Ohio. (> The classes of the 1950's Dr. Lee N. Baumel, M '63, psychiatrist, is supervisor of residents in psychiatry on Group Therapy at Cedars Sinai Medical Center, Los Angeles . His recent publications include: " Psychiatrist as Music Therapist," Journal of Music Therapy, Summer 73, Vol. X, #2; "On Encounter Groups in the United States," Group Analysis, Vl/3 , November 73, London; " Letter on Diverse Themes," same issue of Group Analysis. Dr. Baumel is a member of the Executive Committee and Program Chairman for the Los Angeles Group Psychotherapy Society, and a member of the Executive Council of the Center for the Healing Arts, Los Angeles.(> Dr. Karl L. Manders, M '50, a neurological surgeon, is director of Pain Rehabilitation Clinic, Community Hospital, Indianapolis, Indiana. He is also Assistant in Surgery (neurosurgery) at the Indiana University School of Medicine (parttime). Dr. Manders lives at 5845 Highfall Road, Indianapolis. 0 Dr. Michael Feinstein, M '64, is an assistant professor of clinical medicine at SUNY I at Stonybrook. He is a Diplomate of the American Board of Internal Medicine as well as in its subspeciality of oncology. Dr. Feinstein lives at 3 Edith Court, Melville, New York. (> Dr . Paul L. Weygandt, M ' 44, an orthopaedist, has been on the AMA Automotive Safety Commission for ten years and is on the Board of Directors of the American Association of Automotive Medicine. He lives at 357 Ridgecrest Road, Akron, Ohio. 0 Dr. James T. Collins, Jr. , M '57, associate professor of therapeutic/radiology at Yale University Medical School, spent academic year 1969-70 at The Karolinska Institute-Radiumhemmet in Stockholm, Sweden. He is a member of the American Society of Therapeutic Radiologists and certified in Therapeutic Radiology by the American Board of Radiology. His sub-specialty is Brachtherapy within his field. Dr. Collins lives at 19 Avon Road, Branford, Connecticut. 0 Dr. Samuel Shatkin, M ' 58, clinical associate professor of plastic surgery, has been elected Chairman of the Plastic Section of the Medical Society of the State of New York. Last fall he was elected to his second term as Secretary of the American Society of Maxillofacial Surgeons. Dr. Shatkin is also a 1954 Dental School graduate. (> 50 Dr. Bernard Potter, M ' 65, is assistant professor of clinical dermatology at SUNYI at Stonybrook School of Medicine. He recently became board certified in dermatology and is a Fellow of the American Academy of Dermatology. His article, " Pityrosporum Folliculitis", appeared in Arch Dermatol/Vol. 107, March 1973. Dr. Potter lives at 410 Wolf Hill Road, Dix Hills, New York. (> Dr. Richard H. Daffner, M ' 67, is an assistant professor of radiology at the University of Louisville. His address is 4003 Ormond Road, Louisville, Kentucky. (> Major Anthony J. LoGalbo, M '67, received the Bronze Star for performance of duties in Vietnam. He is now at U.S. Army Hospital, Fort Carson, Colorado. Major LoGalbo is a recent Diplomate, American Board of Orthopaedic Surgery. (> THE BUFFALO PHYSICIAN �The classes of the 1970's Dr. Stuart C. Spigel, M '68, is completing his military obligation at the Keeser AFB Medical Center, Biloxi, Mississippi. Dr. Spigel is a Diplomate of the American Board of Internal Medicine and its subspeciality of oncology and is chief of the hemotology/ oncology service at Keesler. He has published in Cancer, Archives of Internal Medicine and Cancer Chemotherapy Reports on subjects of medical oncology. His address is 3208 Nottingham, Ocean Springs, Mississippi. O Dr. Michael Baron, M ' 71, is a Senior Assistant Resident in Medicine at George Washington University Hospital and affiliated hospitals. Dr. Baron has accepted a position for July, 1974 as a Pulmonary Fellow at Boston University and affiliated hospitals. The Barons also announced the birth of their first child, Ari Mathew, born November 29, 1973. Dr. Baron lives at 1850 Columbia Pike, Arlington, Virginia. O Dr. Daniel B. Levin, M '69, will finish his ophthalmology residency at University Hospitals of Cleveland, Western Reserve University, in June, 1974. He will ten begin a fellowship in retinal disease of surgery at St. Luke's Hospital, Cleveland in July. Dr. Levin lives at 3610 Silsby Road, University Heights, Ohio. O Dr. Harold B. Bob, M '72, is a surgical resident (2nd year) at Wilmington Medical Center, Wilmington , Delaware. His article " Hypocalcemia Following Thyroidectomy" appeared in the May 1973 Delaware Medical Journal. Dr. Bob lives at 1605 Stream Road #5, Wilmington. O Dr. Stuart R. Toledano, M '72, resident in pediatrics at the Montefiore Hospital, Bronx, New York, is a candidate member of the American Academy of Pediatrics. He will be a pediatric hematology fellow at Montefiore Hospital starting July 1, 1974. His home is 3411 Wayne Avenue, Bronx. O At least 20 medical students will be among the 60 health sciences students participating in the fourth annual Rural Extern Program this summer. The students will again be assigned to preceptors in the rural communities of Western New York and Northwestern Pennsylvania. In 1973, 55 students participated in the program; in 1972, 35; in 1971 22 students participated. The 8-week assignment will allow students to get first hand experience in living and working in rural areas where health manpower is usually scarce. It is hoped that some of the students will want to practice in these areas after graduation. Mr. Robert Bee Bee, director of the program, said that students in the fields of medicine, dentistry, nursing, nutrition, pharmacy, physical therapy, medical technology and podiatry are being recruited to participate. Each student receives a weekly stipend and will work directly with a health professional in one of the rural communities. The program is supported with funds provided by the Lakes Area Regional Medical Program, the Appalachian Regional Commission and local community contributions. Counties that make up the Lakes Area Regional Medical Program region include Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara and Wyoming in Western New York and Erie and McKean in Pennsylvania.O SUMMER 1974 51 Rural Extern Program �Dr. Lambert Dies Dr. Edward C. Lambert, professor of pediatrics at the Medical School since 1949, and a pioneer in pediatric heart surgery, died March 16 of pneumonia in Buffalo General Hospital. His age was 58. He was internationally known in medical and surgical circles. In the 1950's Dr. Lambert established the Cardiac Section of Buffalo's Children's Hospital's Department of Pediatrics. It was one of the first such facilities in the nation. He became chairman of the Section in 1959, and its director in 1960. Dr. Lambert was graduated cum laude from Harvard College in 1938 with a Bachelor of Science degree. He received his M.D. degree in 1942 from the Harvard Medical School. He served his internship in Massachusetts General Hospital. During World War II he was a Captain in the Army Medical Corps in the European Theater of Operations. In 1948, Dr. Lambert went to Johns Hopkins Hospital as an assistant physician and instructor in pediatrics in its Cardiac Clinic. While there he worked with Dr. Helen Taussig, a pioneer in the study of children's heart disease diagnosis and correction. Later he went to England where he worked in the Departments of Clinical Physiology and Cardiology in the Hospital for Sick Children. Dr. Lambert helped establish the Western New York branch of the American Heart Association and was a former chairman of the Association' s Council on Rheumatic Fever and Congenital Heart Disease. He was secretary of the International Society of Cardiology and an honorary member of the European Association of Pediatric Cardiology. He held office in several local, regional and state professional organizations. He also contributed articles on heart disease to many medical journals and books. O The Children's Hospital department of pediatric cardiology will be named the Edward C. Lambert Department of Pediatric Cardiology. The Hospital is planning an international symposium to be held in Dr. Lambert's honor, and a lectureship will be established. 0 The General Alumni Board - DR. FRANK L. GRAZIANO, D.D.S., '65, President; JAMES J. O 'BRIEN, '55, President-elect; GEORGE VOSKERCHIAN, Vice President for Activities; WILLIAM McGARVA, '58, Vice President for Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; DR. GIRARD A. GUGINO, D.D.S., '61, Vice President for Athletics; RICHARD A. RICH, '61, Vice President for Development and Membership; DR. DANIEL T. SZYMONIAK, D .D.S., '47, Vice Presiden t for Public Relations; ROBERT E. LIPP, '54, Vice President for Governmental Relations; ERNEST KIEFER, '55, Treasurer; Past Presidents: MOREL Y C. TOWNSEND, '45; DR. EDMOND J. GICEWICZ, M ' 56; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48 . Medical Alumni Association Officers: DRS. LAWRENCE H . GOLDEN, M '46, President; PAULL. WEINMANN, M'54, Vice President; MILFORD C. MALONEY, M '53, Treasurer; JOHN]. O 'BRIEN, M '41, Imm ediate PastPresident; MR. DAVID K. MICHAEL, M.S. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM , M '43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR., M '35, Second VicePresident; KEVIN M. O 'GORMAN, M '43 , Treasurer; DONALD HALL, M ' 41 , Secretary; MAX CHEPLOVE, M '26, Immediate Past-President. 52 THE BUFFALO PHYSICIAN �1974 Alumni Tours Copenhagen (two tours) -July 4-12 (New York City Departure) August 1-9 (Niagara Falls Departure) • 8 days & 7 nights- $399 complete per person, double occupancy, plus 13% tax & services (single supplement, $60.00) • • • • • • Direct round trip jet transportation Deluxe accommodations at the new Western International Scandinavia Hotel Scandinavian breakfast daily Dinner six evenings (dine around plan at Copenhagen' s finest) Sightseeing tour; others optional All gratuities and transfers Greek Islands- September 27- October 13 (Niagara Falls & New York City Departures) • Jet to Athens, board ship for 13 days on the Black Sea/ Greek Isles voyage on the all-new Royal Viking Sky (Commissioned in June, 1973) Cruise the Dardanelle Straits, the Russian Riviera on the Black Sea . The cruise also offers Istanbul, lzmir, and the Greek Isles - Patmos , Mykonis , Rhodes and Crete. $1600-$2000 is the range for total package (air, land, stateroom) For details write or call: Alumni Office, SUNY AB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 ----- --- --------------------------------------------------First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NE.:CESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 --------------------------------------------- ----------------------THE HAPPY MEDIUM Fill out this card; spread some happiness ; spread some news; no postage needed. (Please print or type all entries.) Name - - - - - - - - - - - - - - - - - - -- -- - -- - - - - -- - - - - Year MD Received _ _ __ Office Address - - - - -- - - - - - - - - - - - - - - - - -- - - - - -- - - -- -- - - - - - - Home Address----- -- - - - -- -- - - - - -- - -- - - - -- -- -- -- - - - - - - - - Ifno tUB , MDreceivedfrom-------------- - - - - - - - -- - - - -- -- - - - - - - In PrivatePractice: Yes D No In Academic Medicine : Yes D D Special~ ------------------------------­ No D Part Time 0 Full Time D S c h o o l - - - - - - - - - - - - - -- - - -- - Title Other: NEWS : Have you changed positions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ ___ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1974 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1974-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1974-02-Summer Table Of Contents A list of subunits of the resource. New Student Clinical Lab A Physician Faces Disseminated Reticulum Cell Sarcoma in Himself by Samuel Sanes, M.D. Manual on IF Tests Dr. James Freeman Hypertension Women/Forensic Pathologist Acapulco Excursion Our First Professor of Pathology by O.P. Jones, Ph.D., M.D. We Ain't Got No David by Daniel C. Fisher, M.D. Dr. Jason Joins AAMC Intern Matching Time Present, Time Past by Rudolph E. Siegel, M.D. Dr. Zusman Mother of Five Simulated Accident Continuing Education Buildings Named Dr. Fronczak Dr. Kimball The New Campus Pediatric Nurse The Classes Rural Extern Program Dr. Lambert Dies Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-15 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v08n02 Extent The size or duration of the resource. 54 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/8f677e9e24a47d2e8a871087b7affe33.pdf 393deb1aaeed068932df3cc0cdcad458 PDF Text Text the buffalo physician school of medicine state university of new york at buffalo volume 8, number 1 �Dr. Daniel C. Fisher, M '24 Dr. Victor L. Cohen, M'29 Nine Class Reunions May 10,11 Pictures were 110t available for Drs. ]ames R. Sullivan, class of 1944, Edward A. Dunlap, ]r., class of 1954, and John]. McMahon, class of 1959. Dr. George C. Brady, M '39 Dr. ]. Edwin Alford, M'34 Dr. Harry G. LaForge, M' 34 Nine classes will have reunions during Spring Clinical Days, May 10 and 11. Approximately 600 physicians and their wives are expected to attend reunion dinners. Mr. David K. Michael, director of medical alumni affairs, is organizing the reunion dinners with the help of the class chairmen pictured here. Dr. Daniel Fisher of 5900 Goodrich Road, Clarence Center, New York, is chairman of the 50 year class reunion. Other living members of this class: (from Buffalo area) Doctors Ralph M. Colton, Franklin C. Farrow, Evelyn H. Jacobsen, W . Yerby Jones, and Charles M . O'Connor. Samuel Atkin and Louis Finger, both from New York City; Raphael M. Baratta, Brooklyn; Edward S. Buffum, Rutland, Vermont; Roland B. Carr, Naples, Florida; Francis R. Daniels, Santa Ana, California; Mark A. Gildea, Bridgeport, Connecticut; Lee R. Sanborn, Gowanda, New York; George M. Shearer, Sun City, Arizona; Annette T. Stenstrom, Holmes Beach, Florida. Dr. P1111l T. B11erger, M '49 Dr.]. Fred Painton, ]r., M '64 �Spring 1974 Volume 8, Number 1 THE BUFFALO PHYSICIAN Published by the School of Medicine, State University of New York at Buffalo EDITORIAL BOARD IN THIS ISSUE Editor ROBERTS. McGRANAHAN Managing Editor MARION MARIONOWSKY 2 Photography HUGO H. UNGER EDWARD NOWAK 3 Medicallllustrator MELFORD }. DIEDRICK 7 6 8 Visual Designers RICHARD MACKAN)A DONALD E. WATKINS 12 Secretary FLORENCE MEYER 14 13 19 20 24 CONSULT ANTS 27 President, Medical Alumni Association DR. LAWRENCE H. GOLDEN 30 President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. F. CARTERPANNILL Executive Officer, School of Medicine DR. CLYDE L. RANDALL 28 35 36 37 38 42 Vice President, University Foundation }OHN C. CARTER 47 Director of Public Information }AMES DESANTIS 51 Director of Medical Alumni Affairs DAVID K. MICHAEL 52 Director of University Publications PAULL. KANE 55 Vice President for University Relations DR. A. WESTLEY ROWLAND 48 54 56 Class Reunions (inside front cover) Reflections Alumni Contributions, 1973 Dr. Eccles LARMP Projects Dermatology Continuing Education First Woman Medical Graduate AAMC Summary Audubon NewTown Fish Hemoglobin University Institute Medical Privacy/Primary Care Spring Clinical Days Retina Immunology Convocation Medical Curriculum Health Office Children's Rehab Center Our First Professor of Obstetrics by O.P. ]ones, M.D. Dr. Schnatz Renal Disease Dr. Barron/Prisoners The Classes/Kidney Hotline People In Memoriam Alumni Tours The cover design by Richard Macakanja focuses on the retina story on pages 30-34. THE BUFFALO PHYSICIAN, Spring, 1974 - Volume 8, Number 1, published quarterly Spring, Summer, Fall, Winter - by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1974 by The Buffalo Physician. SPRING, 1974 1 �Reflections From the desk of - Lawrence H. Golden, M.D. '46 Pres ident, Medical Alumni Association In January Mr. David K . Michael was appointed executive director of the U/ B Alumni Association. He will continue to be director of Medical Alumni Affairs, a position he has held since May 1, 1969. Before joining the medical school staff Mr. Michael worked on the U/B alumni association staff (19661969.) In his new position, he succeeds John M. Carter who became executive vice president fo the U/ B Foundation, parent organization of the alumni association. o One of the pleasures of this Presidency is that with the term of my office ending, I can now look back, assess the year, and suggest changes for the future . The first annual fall picnic for the Medical Students and their families was held in September. Despite a rainy day, it was a most pleasant way for the freshmen to get to know the upperclassmen socially early in the academic year. We offered our first postgraduate seminar trip to Acapulco and the response was excellent. All the financial gains will be used to strengthen our scholarship fund. We will broaden the Annual Spring Clinical Days activities this year by hosting the senior class at a cocktail party to be held May 5 at the Frank Lloyd Wright House. We hope it will become the annual means of welcoming the senior class to the ranks of Alumni. The number of dues-paying Alumni has increased 40 per cent this year-tangible evidence that there is interest and concern by the graduates of this School of Medicine for the University. There are many ways that Alumni can support the school, and if we are to become really effective, there must be an increasing commitment on the part of all our membership, a pledge not merely of physical resources but, more importantly, of effort and time. On leaving this office, I have one major concern for our organization. The " planners" are already working to convince us that we would function more efficiently as a part of a larger University group. I seriously doubt that such a change will increase our size or activities , and would probably bring far less stimulating and productive relations. I hope 197 4 will see an even more expanded program. Plans are currently underway for acknowledging the accomplishments of Alumni who have chosen to make their contribution to Medicine in different locales and under other than the UB banner. Another teaching day in the fall of the year would offer a further opportunity for postgraduate education of local Alumni . Perhaps we could sponsor a Hospital Exchange to provide needed dialogue regarding the many problems that face us all. The establishment of a communications center for personnel recruitment would be a service both to physicians and the community at large. Most of us have been part of the School of Medicine as students for four years . We will be part of its Alumni forever. The commitment we have to the University is an undated one. If more will accept the responsibility that is part of being an Alumnus, the chances of meeting some of the University 's needs and our own needs can be greatly enhanced . D 2 THE BUFFALO PHYSICIAN �Alumni Contributions, 1973 The number of dues paying medical alumni increased by 40 per cent in 1973. A special thank you to this group as well as to those who give every year. We at the School of Medicine appreciate your support and participation. You will find an envelope in the back of the magazine for your 1974 dues. Again many thanks. 1912 1926 Aaron, Abraham H. Cheplove, Max Silverberg, Sigmund B. Smith, Ernest P. Sullivan, Eugene M . 1915 Oberkircher, Oscar J. Wells, Herbert E. 1927 1916 Sampson, Luther C. 1917 Atkins, Leslie J. Thompson, Myron A. 1919 Chaikin, Nathan W. Criden, Frank M . Funk, Arthur L. Meissner, William W . Murphy, Gerald E. Saunders, Richard L. Sklarow, Louis Valone, J. Theodore Graczyk, Stephen A. Tyrrell, Martin E. 1921 Bosworth, Howard W . Lewin, Thurber McGroder, Elmer T. Morgana, Dante J. Ward, Kenneth R. 1922 Walker, Irwin M. 1923 Burwig, W. Herbert Graser, Norman F. Koch, Caryl A. Syracuse, Joseph A. E. 1924 Carr, Roland B. Fisher, Daniel C. Jones, Yerby Sanborn, Lee R. 1925 Block, Marvin A. Clark, William T. Fisher, Grant T. Loder, Margaret M. Unrath-Zick, Clara SPRING, 1974 Chimera, Marion J. Leone, Angelo F. Leone, Frank G. McGee, Hugh J. Jr. Northrup, Robert R. Smolev, Joseph M . Stio, Rocco L. 1929 1934 Evans, Jay I. George, Clyde W . Lockie, L. Maxwell Schamel, John B. Tyner, James D. Custer, Benjamin S. Heyden, Clarence F. Kanski, James G. King, William L. Michalek, Leo M . Alfred, J. Edwin Bove, Emil J. Castiglia, Christy F. Davidson, David Haight, J. Rothery Kraska, Michael D. LaForge, Harry G. O 'Connor, John D . Rid all, Earle G . Schweitzer, Alvin J. Slotkin, Edgar A. Weiner, Max B. 1931 1935 Barone, Michael H . Bean, Richard B. Boeck, Virgil H .F. Ciesla, Theodore F. Glick, Arthur W . Godfrey, Joseph D . Heier, Ellwyn E. Kenny, Francis E. Argue, John F. Arbesman, Carl E. Kelly, Miles W. Lampka, Victor B. Mecklin, Bennie Peschio, Daniel D. Rosokoff, Solomon Ryan, Francis W. 1930 Batt, Richard C. Brundage, Donald Burgeson, Paul A. Eschner, Edward G. Fischer, Willard G . Glauber, Jerome Kriegler, Joseph Lipp, William F. M cDonough, Thomas C. 1933 Bratt, Floyd C. Brock, Thelma Bukowski, Eugenia F. Etling, George F. Gardner, Richard M . King, Walter F. Markovitz, Julius T . Schutkeker, Bruno 1928 Vitanza, Peter P. Weig, Clayton G . 1936 1932 Ferguson, Wolfrid H. F ulsom, Elroy L. Hammon, Huber Hewett, Joseph W. Hobbie, Thomas C. Homokay, Ernest G. Huber, Franklyn A. Masotti, George M . Scinta, Louis A. Wagner, Aaron Wallace, Eugene W . Pech, Henry L. 1920 Kuhl, John R. Tedesco, Joseph C. Walls, Walter Scott 3 1937 Ambrusko, John Alford, Kenneth M . Ball, William L. Culver, Gordon J. Ehret, Francis Flemming, Theodore C. Goodman, Soli Jackson, Stanley J. Klendshoj, Niels C. Lapi, Angelo Lenahan, Rose M. Lipsett, Robert W . MacCallum, James D. Tranella, Augustus J. Weiner, Irving Weintraub, David H. 1938 Catalano, Russell J. Cooper, George M . Doll, Leo J. Foit, Norman J. Kaminski, Chester J. Kritkausky, Anthony R. Law, Harry C. Lieberman, Samuel L. Mitchell, Alfred A. Norcross, Bernard M. Phillies, Eustace G. Straubinger, Clarence A. Sydoriak, Walter L. Terry, Richard N . d- �1939 Bleich, LaMoyne C. Cammer, Leonard Dugan, William Fleszar, Frederick J. Geckler, John H. Goldstein, Kenneth Harris, Harold M. Mogil, Marvin Remington, John H. Seibel, Roy E. Winer, Marvin 1940 Ascher, Julian}. Benny, John M. Clinton, Marshall Jr. Eppers, Edward H. Hildebrand, William Jr. Ireland, Corydon B. Montgomery, Warren R. Jr. Morgan, Lyle N. Palanker, Harold K. Reitz, Russell E. Rekate, Albert C. Schaus, James P. Jr. Severson, Charles Henry Siegner, Allan W. Trippe, Louis A. Umiker, William 0. White, John D. Zoll, John G. 1941 Cooper, Anthony J. Cryst, John E. Gross, Arnold Hall, Donald W. Hanavan, EugeneJ.Jr. Henrich, Mary I. Kleinman, Harold L. Lenzner, AbrahamS. McGrane, James L. O'Brien, John J. Pierce, Allen A. Radzimski, Eugene H . Shubert, Roman J. Wels, Philip B. 1942 Battaglia, Horace L. Bauda, Charles A. Cotroneo, Vincent S. Eckhert, George L. Kalinowski, Aloysius A. Karp, Harison M . Kibler, Diana D. Milazzo, RichardT. Persse, John D. Jr. Rose, Wilber S. 1943 Atkinson, John Behling, Ralph T. Birtch, Paul K. Collins, Robert J. Crohn, Edward B. Grayson, Thomas L. Haber, Norman Holly, Joseph E. Jacobson, Payson Keenan, WilliamS. Jr. Lent, Melbourne H. Martin, Ronald E. Meyer, Franklin Minkel, Amos]., Jr. Niesen, William C. O'Gorman, Kevin M. Petersen, Walter R. Richards, Charles C. Ricotta, Joseph J. Tanner, Charles]., Jr. Tederous, Edmund M. Trefts, Hazel]. Trovato, Louis A. Valvo, Joseph A. Wagner, Laverne G. Williams, John R. Wolfgruber, Paul J. 1944 Aqualina, Anthony M. Blodgett, Robert N. Boardman, Willard H. Bondi, Raymond G. Brown, Robert L. Edelberg, Eileen L. Edelberg, Herman Egan, Richard W. Fountain, Newland W . Frost, Frank T. Graser, Harold P. Hudson, Raymond A. Long, Frank H. , Jr. Maestre, Federico J. Magenheimer, William P. Pietraszek, Casimir F. Potts, William A. Schaer, Sidney M. Shaver, Carrol}. Souder, Byron M. Stafford, Walter F. Strong, Clinton H. Sullivan, James R. Veber, Donald G. Weygandt, PaulL. Mcintosh, William N. Pod a, George A. Quinlivan, John K. Rogers, William J. III Steinhart, Jacob M. Tannenhaus, Joseph Templer, Wayne C. Tybring, Gilbert B. Valentine, Edward L. Wiles, Charles E. Wiles, Jane B. 1946 Cowpers, Alexander R. Driver, Maier M. Golden, Lawrence H. Howard, Chester S. Joy, Charles A. Levy, Harold]. Lundquist, J. Richard Mires, Maynard Moesch, Robert V. O'Dea, Arthur E. Petzing, Harry Piccoli, Amo John Rowe, Albert G. Tardif, Henry M. Williams, Myron E., Jr. Andaloro, WilliamS. Adler, Richard H. Capraro, Vincent J. Chassin, Norman Cummings, Anthony J. Fugitt, George W., Jr. Johnson, Byron H. Johnson, James H. Laglia, Vito P. Lazarus, Victor C. Longstreth, H. Paul McGrew, Cornelius A. 4 1949 Abel, Frances R. Aust, ]. Bradley Bathrick, Charles E. Berl, Alfred Bernhard, Harold Carden, Lawrence M. Cullen, Julia Dennen, Philip C. Erickson, George M. Griffin, J acoph E. Paroski, Jacqueline L. Pfalzer, Frank A. Rosner, Edward W. Shalwitz, Fred Wolfe, Charles J. 1947 1950 Bukowski, William M. Coughlin, J. Desmond Curtin, Daniel E. Dean, Robert J. Edgecomb, WilliamS. Ehrenreich, Robert J. Julian, Peter J. Kipping, Hans F. Lippes, Jacob Marchand, Richard J. Nuwer, Donald C. Phillips, James F. Riordan, Daniel J. Sacco, Russell J. Schaefer, Arthur J. Sheffer, John R. Stagg, James F. Tokars, Jerome Ward, Robert B. Whiting, Frederick D. Anthone, Sidney Benken, Lawrence D. Bisgeier, George P. Brandl, James]. Cecilia, Carl A. Chambers, Frank, Jr. Conte, Anthony Dunghe, Adelmo P., Jr. Dunn, James C. Falcone, Alfred E. Heller, Marie H. Kling, Robert N. Leberer, Richard J. Manders, Karl L. Patterson, Robert J. Pech, Henry L. Robinson, Roy W. Scamurra, Vincent Solomon, Yale Tillou, Mary Jane Waite, Gertrude Wasson, Anne A. Whitcher, Charles E. 1948 1945 Proplesch, Richard C. Regan, Cletus J. Richardson, Josephine A.W. Schiff, Lester H. Stone, Edward R. Sutton, Albert P. VanAvery, Jasper, L., Jr. Weinberg, Paul C. Armenia, Carmelo S. Bloom, William H. Borman, Col. James G. Fahey, Daniel]. Good, Raphael S. Gordon, Myron Graff, Harold L. Hanson, Warren H. Hollis, Warren L. Martin, Ansel R. Minde, Norman Paul, Norman L. Peisel, Francis J. 1951 Bolgan, Frank}. Danzig, Leonard S. Davis, Harvey D. Keuka!, Ludwig R. Krueger, Harold P. Leslie, Eugene V. Phillips, Daniel A. Schultz, Gerard E. Teich, Eugene M. THE BUFFALO PHYSICIAN �1952 Abo, Stanley Adams, Donald]. Banas, John J. Baumler, Robert A. Connell, Bruce F. Fuhr, Neal W. Genewich, Joseph E. Kelley, Donald]. Krohn, Melvin R. Panaro, Victor A. Pogul, Stanley Schmitt, James N. Schwartz, Wilbur S. Simpson, S. Aaron Sprecker, Donald H. Thurn, Roy]. Wegner, Kurt]. 1953 Atkins, Thomas W . Bertino, George G. Carlin, James W . Cohen, Stanley L. Comersford, Thomas E., ]r. Ehrenreich, Donald L. Fogel, Sander H . Galeota, Samuel B. Gold, Jack Handel, John W. Johnson, Curtis C. Maloney, Milford C. Maynard, Robert E. Nagel, Richard]. Oliver, Francis T. Orr, James M. Portin, Bertram A. Rachow, Donald 0 . Ruh, Joseph F. Simpkins, Herbert W. Smith, Raymond M., Jr. Sobocinski, RobertS. Spagno, Anthony A. Strachan, John N. , Jr. Ullrich, Reinhold A. 1954 Batt, Edward]. Campo, Joseph L. Cloutier, Louis C. Foley, Robert D. Genner, Byron A. III Glucksman, Michael A. Greene, Lawrence S. Haines, Robert W . Hanson, Florence M. Hohensee, Edward W. Howard, William J. Lemann, Jacob Lesswing, Allen L. Lizlovs, Sylvia G . Marino, Charles H. Pletman, Robert]. Powalski, Robert J. Rayhill, Edward A. SPRING, 1974 Reszel, Thaddeus F., Jr. Tomaka, Edwin B. Weinmann, PaulL. Wilson, Donald M . 1955 Beahan, Laurence T. Celestino, Vincent L. Collins, James R. Fagerstrom, Charles D . Garvey, James M. Hashim, Sami A. Horwald, Sylvan H. Kent, John H . Mye, George Lai, Jr. Nunn, James R. Peterson, John H. Schiavi, Anthony B. Schiferle, Ray G., Jr. Smith, Robert A. Von Schmidt, Barbara Winter, John A. 1956 Alker, George]., Jr. Ben-Asher, M. David Dentinger, Mark A. Gicewicz, Ed mind J. Goergen, Peter F. Goldstein, Frederick P. Jones, Oliver P., Sr. Kunz, Joseph L. O ' Neill, Hugh F. Reisman, Robert Sklar, Bernard H . 1957 Berghorn, Bronson M . Celniker, Benny Garsenstein, Myron Hetzer, Barbara J. Kanel, Harris H. Knight, Wallace A. Metsch, Herbert Myers, Robert C. Parker, JohnS . Thorsell, H. Gregory 1958 Alessi, Edward C. Anderson, Elroy E. Armenia, John V. Berkson, Paul M . Boyle, Richard C. Brothman, Melvin M. Byledbal, Ronald W. Campagna, Franklyn N. Cummiskey, Thomas G. Dickson, Robert C. Dischinger, Frederick W. Float, John W. Friedberg, Eugene A. Genco, Michael T . Jason, Hilliard Kunz, Marie L. Perez, Robert J. Potenza, Lucien A. Rahner, Richard Shatkin, Samuel Atein, Alfred M. Tracy, Ann A. W aidman, Irving Wasson, Richard D . Weinberg, Morton B. Wende, Reinhardt W. Williams, James S. Zimmerman, Harold B. 1959 Baeumler, George R. Brennen, Robert J. Cohen, Donald L. Falls , Richard A. Grauer, Seymour D . Heafitz, Morton H. Isaacs, Eli M. Kostecki, John W. Kozera, Daniel C. Morrell, Noel H. Rock, Elton M. Smith, Eugene Spoto, Russell C. Yacht, Donn L. 1960 Abramson, William E. Bernot, Robert Diesfeld, Gerard J. Kanski, James R. Metcalf, Harry L. Nakata, Harry H. Rakowski, Daniel A. Riggio, Charles J. Saks, Gerald L. Tuyn, John A. 1963 Bentley, John F. Blake, James R. Burgess, Gordon H. DeLaus, Frank V. DuBois, Richard E. Ehrlich, Frank E. Fanelli, John R. Hamilton, Robert W. Herbert, Anita] . Kotas, Robert V. Lessler, Paul A. Maggioli, Albert]. Malinov, David Narins, Richard B. Spielman, Robert B. Steiner, George L. Tirone, Charles S. Tutton, Joseph C. 1964 Carr, JeffreyS. Cherkasky, Paul Kaiser, Stephen Lies, Bert A., Jr. Lockwood, Marilyn Paterniti, Samuel F. Rothfleisch, Sheldon Salton, William Wolin, Richard E. Ziegler, David C. 1965 Giller, Jerald Goldstein, Gerald B. Hurwitz, Lawrence B. Jordan, Robert E. Marantz, Calvin Marshall, Myron H. Steckelman, Joel Waldowski, Donald]. Walls, Maj . WalterS. 1961 Baker, Richard H. Bernstein, Joel M. Brody, Harold Cimino, Eugene A . Hatch, Richard C. Porrath, Saar A. Rader, Stephen D. Ronald, Roger A. Skarin, Arthur T. 1966 Antonucci, Louis J. Althaus, Sean R. Bradley, Thomas W . Felsen, James D. Fierro, Marcella F. Fox, Melvin Guarino, Ross L. Klementowski, Kenneth McRonald, Ross E. 1962 Abbert, Martin F. Armenia, Joseph P. Bumbalo, James T. Dozoretz, Ronald Fisher, Jack C. Heilbrun , M . Peter Loree, Paul J. Madden, Michael M. Ney, Robert G. Resnicoff, Seth A. Scherer, William P. III 5 1967 Anderson, John R. Benson, Robert M. Berkowitz, Norman Ehrlich, Jonathan Gibbs, John W ., Jr. LaGratta, Roger J. Sheehan, Thomas P. Sosis, Arthur C. Starr, George �1968 1970 1972 Baker, Lawrence D. Blase, Barbara A. Burkhardt, Donald W. Cumbo , Thomas J. Druger, George Jewel, Kenneth L. Kaine, Richard F. Shields, John E. , Jr. Forden, Roger A. Frankel, Lawrence S. Krauss, Dennis J. Berkson, Richard Levine, Stephen Levitt, Robert H. 1969 Bosu, Sogba K. Cavalieri, James C. Smallwood, Michael F. Terplan, Peter Weinstein, Barry A. 1971 Baron, Michael B. Bloom, David A. Clark, Terence M . Fleigel, Jeffrey Dee Handler, MarkS. McCoy, James J. Paull, Joel H. Potts, David W. Sternfeld, William C. FACULTY & NON-ALUMNI Alvis , Harry J. Ambrus , Julian L. Brown, Robert Cordaro, Joseph V. Dobson, Richard L. Fachs , Kamillo Fett, Wolfgang Fisher, F. Craig Giordano, Paul Hasz, Richard D. Husian , Mohammad Klein, Edmund Kmiecik, Tadeusz Lippschutz, Eugene Mindell, Eugene R. Norton, James F. O 'Connor, Robert Prentice, Theodore Taintor, Zebulon Vaughan, James B. Warner, Robert Oxford University will Honor Dr. Eccles Nobel Laureate (1963) Sir John C. Eccles, distinguished professor of physiology and biophysics at the Medical School, will be presented an honorary doctorate degree from the University of Oxford this summer. During the Encaenia, an annual Oxford ceremony which recognizes former students for distinguished achievement, Dr. Eccles and some 20 other honorees will be given the British University's highest honor at the Sheldonian Theater. Dr. Eccles, a native of Melbourne, Australia, received his BS and MB degrees from the University of Melbourne and his MA and PhD degrees from Oxford. He is currently an honorary fellow of Oxford's Exeter College and Magdalen College. In 1963 he was awarded the Nobel Prize in Medicine and Physiology for establishing the relationship between inhibition of nerve cells and the repolarization of a cell's membrane-a fundamental question in the physiology of the central nervous system. Cambridge scholars Alan Lloyd Hodgkin and Andrew Fielding Huxley, who were studying nerve impulse production, shared the 1963 prize with Dr. Eccles. Dr. Eccles joined the U/B faculty in 1968 and, at age 70, continues his research which is now concerned with the cerebellum of the brain. He also maintains full teaching responsibilities and publishes actively. 0 6 THE BUFFALO PHYSICIAN �During 1973 the Lakes Area Regional Medical Program spent over $1,006,000 on the operation of 13 active projects. In addition three other projects received commitments for funds but no monies was expended. Despite the stress experienced by regional medical programs during the year there was no significant reduction in attention to programs according to Dr. John R.F. Ingall, director of LARMP. Three projects were conducted as in-house programs and funded through the core budget. They are the Rural Externship Program, whereby health science students were placed in rural settings for a summer to encourage them to consider rural practice after graduation $53,190; Community Health Information Profile - $66,753; and the Health Information Services Unit - $22,964. Projects funded by the LARMP in 1973: PROJECT ESTIMATED COSTS Telephone Lecture Network ............................. $135,644 Respiratory Project ..................................... $ 32,086 Tumor Registry ........................................ $ 80,049 Information Dissemination Service ....................... $ 27,551 Comprehensive Family Health ........................... $ 65,698 Allegany County Mobile Health Unit ..................... $ 23,701 Planning and Articulation for Allied Health ................ $ 4,731 Comprehensive Continuing Care for Chronic Illness ........ $ 67,243 Regional Hypertension ................................. $ 2,075 *Emergency Medical Services System ..................... $182,467 *(Another $167,000 has been allocated for this project and will be disbursed upon the completion of installation of radio equipment in the various locations as outlined in the project proposal.) During 1973 six other projects were funded, but the money was not all expended. These include the Lakes Area Health Education Center, $309,513; School of Architecture and Design at the University to complete phase II of ambulatory care model study, $99,723; Ambulatory Care Study in Niagara County, $25,000; to the UB Foundation for associate professor Sara Ciccarelli in the School of Health Related Professions for medical laboratory improvements in hospitals in nine Western New York Counties, $25,000; sharing educational resources among six hospitals and Genesee Community College, $25,000; two nutrition programs in Chautauqua and Cattaraugus Counties, $10,000. 0 SPRING, 1974 7 LARMP Spends $1 Million on 13 Projects �Dermatology Department S kin is the interface between man and his environment. As such it plays an important role in his social patterns. And for the millions of patients who suffer from its problems and diseases, its cost in terms of disability and morbidity is enormous. What attracted the noted dermatologist, Dr. Richard Dobson, to Buffalo just over a year and a half ago was the opportunity to develop a new program in a community having a broad range of clinical hospital facilities rather than one of a traditional university hospital with its selected patient population. In any of the already wellestablished departments in which opportunities were open to him he saw himself merely as " custodian. " But the former professor of dermatology at the University of Oregon since 1961 as well as senior scientist at the Oregon Regional Primate Research Center for four years was quick to point to Buffalo's long tradition as a clinical center in dermatology. Tracing the history he started with its first professor and chairman, Dr. Grover Wende, who was also a UB medical graduate (1892). Upon his untimely death in 1926 he was succeeded by astute clinician Dr. Earl Osborn who over the next 30 years pioneered in X-ray therapy, and not only established a large clinical Dr. Richard Dobson training center in Buffalo but was one of the founders of the American Academy of Dermatology as well. This history, Dr. Dobson emphasized, was the impetus for starting up a new department of dermatology in Buffalo. His conviction that the unique resources in this community - its thousands of teaching beds centrally located to the patient population and with no competition from any other medical school - was shared by others. For he had no difficulty in attracting a superb group of faculty, many of whom were former dermatology residents under him at Oregon. At the Meyer is immunologist and clinical dermatologist Dr. Thomas Provost who is also board eligible in medicine. He received his medical degree in 1962 from the University of Pittsburgh, took an internal medicine and dermatology residency at Dartmouth and in between spent two years with Public Health Service at the North Carolina Coast Air Station. Before joining the department of medicine in Buffalo in 1969 he spent two years as a postdoctoral Fellow at Oregon under Dr. Dobson. A biochemist trained in both medicine and dermatology is Dr. Norman W. Winkler who heads the dermatology department at the Veterans Hospital. The dual degree holder from the University of Chicago (MD 1965, PhD 1970) also headed Oregon ' s laboratory of im munofluorescence for a year. Especially interested in genetic disorders is Dr. James E. Rasmussen. He is the first full-time dermatologist at the Children's Hospital and holds a joint pediatrics/dermatology appointment. The Tulane medical graduate (1969) who was also a resident in dermatology at Oregon before coming to Buffalo served with the U.S. Navy for two years. Working with Dr. Dobson on sweat gland physiology, a good model system to study basic mechanisms of sodium/water transport, is Dr. Kenzo Sato. The University of Hokkaida medical school graduate (1964) completed a dermatology residency there and was a Fellow at Oregon and in the University of Nijmegen's dermatology and THE BUFFALO PHYSICIAN �With aid of shearing machine he designed Dr. Leonard Weiss measures detachment of cells from glass surfaces. physiology departments as well as at the Max Planck Institute before coming to Buffalo. Soon to be added to their studies are micropuncture and microperfusion techniques. A Fellow at the Max Planck Institute, Dr. Shigeo Kondo, will soon join the dermatology group here. The graduate of medicine from Hokkaido University (1966) completed a residency in dermatology there, was visiting scientist at Oregon Regional Primate Research Center for three years as well as a research fellow on skin aging and cancer research at the University of Pavia (Italy). A cytochemist, he is interested in the localization of enzymes within cells and is working on the renal tubule. Organizing and managing the education programs in dermatology is Dr. John C. Maize. The cum laude medical graduate (1968) from the University of Michigan completed a straight medicine internship and a dermatology residency there. He was also a consultant in dermatology at Jackson State Prison for a year. Dr. Carl Ehmann, a clinical dermatologist, is studying with Dr. Winkler the growth and development of epidermis, especially psoriasis. He is a UB medical graduate (1967) who interned in medicine at the Deaconess Hospital, completed a dermatology residence at the University of Washington in 1972, and was a research fellow in Buffalo. SPRING, 1974 Cell surfaces- pathology as well as biophysical aspects - are interests of Dr. Leonard Weiss, research professor of dermatology who directs cancer research (experimental pathology) at Roswell Park. The Cambridge graduate (MD 1958, PhD 1963, SeD 1971) was a cell physiologist at Cambridge's Medical Research Council from 1960 to 1964 as well as two years earlier at the National Institute of Research in London. Holding a joint microbiology/dermatology appointment is Dr. Ernst Beutner, one of the world's leading authorities on immunology of the skin and a pioneer in the use of immunofluorescence as a diagnostic technique. There is close collaboration with Dr. Edmund Klein, a research professor of dermatology at Roswell Park, in educational programs between the sister institutions. A winner of the coveted Lasker Award, Dr. Klein is internationally recognized for his work on treating cancer of the skin. "Our three research laboratories - Veterans, Meyer, Buffalo General Hospitals - that were equipped at a cost of over $200,000 from various sources - will soon be in full operation," Dr. Dobson said. With a fully-approved and integrated residency program in dermatology underway, he will have one of the largest programs in dermatology in the country. "Hopefully our plans to train 1d- Dr. John Maize reviews a patient's bullous pemphigoid problems as dermatology residents ]. Heckelman (left) and Richard Stearns (right) look on. 9 �Drs. Carl Ehmann and N orman Winkler prepare fo r psoriasis exp erim ent. residents every three years will alleviate the critical dermatology shortage in Western New York ," he said. Expansion of a broad clinical program has led to 11 clinics operating out of local hospitals and a tripling of the patient population being served. " Our eventual goal is to treat 25 ,000-30,000, the ten or 15 percent of all outpatients in this community who suffer from skin diseases ," Dr. Dobson continued. So too have inpatient services at four area hospitals expanded. " We are seeing patients from as far away as Massachusetts, Ohio, and Pennsylvania and soon hope to establish Buffalo as one of the referral centers in this country. " With emphasis on primary care " we want to insure early introduction to medical students of skin problems and its diseases, " he said. There is an expanded series of lectures for freshmen and sophomores , a week's elective program in clinical dermatology for juniors, and a month of electives for seniors. But, cautions Dr. Dobson, we can only accommodate six seniors a month. Postgraduate programs have also increased . The first program for primary care physicians has been held. Plans are underway to develop a program for physician assistants. "Many things dermatologists now do can be done as well by them ," Dr. Dobson said. He also pointed to 10 interest in training nurse practitioners who he feels are especially qualified to assume management of those children in the inner city who suffer from infections . Because of his interest in the broad spectrum of dermatolOgy - the occupational ones, those due to cancer, allergic reactions , environmental disorders - and its impact on the many aspects of human life- he is also looking into rehabilitation programs for patients with skin diseases. As an example he pointed to contact dermatitis. While it will eventually clear with removal of the causative agent, the patient must be retrained. " What gives us our strength ," points out Dr. Dobson , " is the ability of each of our young , well-trained clinicians I researchers I teachers to find his niche while participating in all phases of a balanced department that is considered one of the really good ones around ." Deploring the negative attitude that sometimes seems to pervade the Medical School-a deterrant to attracting good people- he points to the need to adopt a positive approach to things . " Unless one does , one cannot take advantage of the unique resources in this community - the thousands of teaching beds centrally located to a patient population and with no competition from any other medical school - has worked especially well for the department of dermatology. It is now providing better patient care to more people in the community as well as serving a huge population between Albany and Cleveland to the east and Pittsburgh to the south. A perpetual optimist, Dr. Dobson is willing to modify original goals when they cannot be achieved . " I am extremely pleased with the good group of young people that have been attracted to Buffalo and with the enthusiasm and response from the Medical School, colleagues , and hospitals. We have really been provided with more than was promised," he said. Or. Dobson was born in Boston, did his undergraduate work at the University of New Hampshire and received a medical degree in 1953 from the University of Chicago . Interning at the Cincinnati General Hospital he was a Fellow in Dermatology at Dartmouth for the next two years (1954-56) and spent a year as a Public Health Service research fellow . He was also an assistant in dermatology at the Hanover (New Hampshire) THE BUFFALO PHYSICIAN �Hitchcock Clinic and served on the University of North Carolina medical faculty for the next four years before joining the University of Oregon in 1961. The 45-year old dermatologist is a Diplomate of the Americate Board of Dermatologists and a Fellow of the American Association for the Advancement of Science, the American College of Clinical Pharmacology and Chemotherapy, and the American College of Physicians. He is listed in Who's Who and American Men of Science. A former assistant chief editor of Archives of Dermatology he has served on the board of directors of the Academy of Dermatology, as a consultant to the AMA Council on Drugs (195861), was chairman of the NIH's general medicine study section and associate director of the division of research for a national program on clinical care for those with diseases of the skin and developing conference goals to promote an attack on skin disease and patient care. He has served as a visiting professor of physiology at the Catholic University in the Netherlands while on sabbatical, and at Southwestern, Dallas, Brown, Duke, Cleveland Clinic, and the University of Palermo. He has also contributed over 100 articles to the literature as well as four textbooks. One (in four volumes) is now used as the standard textbook at many medical centers. He is editor of Contemporary Review (comments/current medical opinions related to dermatological practices). Dr. Dobson has also participated in international symposiums held in Japan (Congress of Environmental Physiology), the Fourth Congress held in Switzerland, the Congress on Cytoplasm of Secretions in Venice, and the Third Congress on Research/Pathogenesis of Cystic Fibrosis held in Washington, D.C. He delivered the Maurice Costello lecture in 1965 at the American Academy of Dermatology. He holds numerous memberships in national/regional/international scientific societies. 0 SPRING, 1974 Dr. Rasmussen examines patient with fungus infection of scalp as medical students and dermatology residents watch. Technician Chris Pristach and Or. Provost check the quality of an antisera by immuno electrophoresis. 11 �84thAAMC Meeting "[ am unwilling to be satisfied with physicians' and medical educators' emphasis on acute care because I know of no other g roup which has as much power in its hands to improve the quality of life. Any program of premedical or medical education, which slights or excludes the humanities and social science, pays no heed to the effects of population size and density or to the total environment surroundin g the individual, neglects prevention and health education or fails to understand the interdependency of a rapidly shrinking globe, will inevitably turn out idio savants and technicians and not broadly educated leaders at a time when we all sorely need them here and around the world." MERICAN MEDICAL EDUCATORS must pay more attention to public health needs. This was the main theme of the 84th annual meeting of the Association of American Medical Colleges, attended by 3,100 people. There are similarities between the health care of this country and the less-developed countries of the world. That is what Dr. John H . Knowles, president of the Rockefeller Foundation found in his travels. These similarities, he said, occur in the " minimal attention given to those elements which are indispensable to the health of a people- nutrition, maternal child care programs, public health programs stressing detection and prevention, and family planning services." In his address to the medical educators Dr. Knowles said, " I have been struck by the behavior of physicians throughout the free world and the universal role they have assumed in all countries, namely, their attraction to the functions of acute, curative, hospital based, high-cost, hightechnology medicine." Dr. Knowles predicts that the next major advances in the health of the people in both developed and less-developed countries will result from a marked increase in public health programs and not more doctors practicing acute, after-the-fact, curative medicine. "If we can believe the reports from North Vietnam, China and Russia, the development of health services has stressed decentralized and massive public health programs which start with the people's immediate needs. These programs are carried on by 'barefoot doctors ' in China and ' feldshers ' in Russia. In China it appears that population stabilization has been nearly achieved and that venereal disease has been eradicated. At the present time in the United States, we are suffering massive epidemics of gonorrhea, and millions of our citizens remain bereft of health services in both rural and urban locations. " In this country the educational system has separated public health from medical education. Organized medicine, whether in the form of the AMA or the medical faculties (professor of medicine) has studiously avoided or in the case of the AMA has actively lobbied against the interests of public health schools and workers and their programs. " Dr. Knowles pointed to signs of progress and reform and the surge of interest by medical schools and their affiliated health centers in the problems of their communities. But something is missing, and in most instances that 'something' is the professor and his faculty in the department of medicine. " I have always believed that the department of medicine and its faculty set the tone and the values of the ends of medical education - ends which must relate directly to society's needs and are inevitably utilitarian. " Dr. Knowles said there are few physicians who have the " depth and breadth" needed to lead and be models for students who " desire desperately to be at home in and in control of the modern world ." He said there are several possible reasons for this failure of American Medicine: " Perhaps the fault lies with pre-medical education, the requirements of which effectively exclude the humanities and social sciences. " Maybe the fault lies with hard science, which has assiduously avoided a moral ordering of priorities in quest for new knowledge . " Or perhaps the over-sold state of a proudly proclaimed value-free science and technology has us hoodwinked into believing progress is inevitable- an idea which has driven Western civilization since Bacon, and more recently , the Industrial Revolution ," Dr. Knowles said . A 14 THE BUFFALO PHYSICIAN �"It is an idea now no longer true" he said, "for the goods of an inexorably expanding system of production and consumption have been accompanied by the bads of environmental pollution, exhaustion of nonrenewable resources, and a destructive inflation of money and materialistic desire. " Or, he said, perhaps it was the separation of public health from medical education and practice, "which has allowed medical education to exist in glorious isolation from the community. "Whatever the reason, professors of medicine have, by their contemporary model, downplayed the art and science of clinical medicine and the importance of community public health measures, while stressing the role of super-specialized technocrat. Clinical medicine requires the highest and broadest powers of the intellect and the highest form of humanistic concern." " Doctors generally know little more than lay groups about sexual behavior, the cultural and socio-economic determinants of family size, and the social and economic implication of large families and spurting population and growth rates. Few physicians point out that increasing family size may be associated with increased fetal, neonatal and postnatal mortality rates, increased incidence of infectious disease, poorer growth among children, lower IQ rates and increased incidence of such diseases as rheumatoid arthritis and diabetes mellitus. "On the larger horizon," Dr. Knowles said, "the physician is unable to exert his influence at the national or international level, simply because he does not or cannot (for lack of knowledge and/or commitment) understand the relationship of population growth to poverty, disease, pollution, the exhaustion of non-renewable resources, and the diversion of resources away from those services and institutions concerned primarily with the quality of life- such as health, education and social justice." The Nixon Administration may reduce, if not completely end, Federal aid for health manpower education in 1974. Dr. Charles C. Edwards, assistant secretary of health at HEW, said the $3.5 billion program had eased concerns about a doctor shortage during the last 10 years and now threatened to create a doctor surplus. " The medical profession and educators must face up to the problems of maldistribution of doctors geographically and by specialty, underrepresentation of females and minorities and productivity of health professionals." Dr. Edwards said "we are questioning very seriously whether it is appropriate for the Federal Government to bear so substantial a share of the cost of preparing individuals for careers that offer about the highest earning power in our society. We have to question whether taxpayers should continue to subsidize tuition costs for medical students, but not for students in other fields whose income expectations fall far below that of physicians. " While one of the options is to allow all health manpower legislation to expire June 30, he said, "we cannot, in my judgment, sharply reduct- SPRING, 1974 IS "The report of the Commission on Population Growth and the American Future should be required reading for all medical students, and if it is, then their educators and preceptors would have to read it too." "We s e em incapable of launching a preventive medicine and health education campaign for those 24 million Americans with hypertension, most of whom don 't even know they have it. And only about oneeighth o f the persons with hypertension are receiving adequate therapy." "American medical educators must leave their classrooms and laboratories and start pay ing attention to the public health pro blems around them ." �"Medical educators have gotten off scott free as far as meeting their responsibility for improving the health system." He pointed to the same problems existent today as ten years ago in the health system despite federal funds to medical schools. He did not feel that medical educators could solve problems alone but that "it would take working with practicing community and reimbu rsers to meet the challenge." Federal support without a clear idea of where the schools will be able to turn for the funding they obviously need." If the current output capacity continues through 1985, he said, the United States will have SO per cent more physicians, 40 per cent more dentists and 60 per cent more registered nurses than it had in 1970. "I think that clearly we have moved beyond the point at which concerns about a shortage of physicians were genuine, if somewhat exaggerated. Even more significant is the possibility we may well be facing a doctor surplus in this country." More doctors create more demands for health care, with the "almost certain result being a rise in the price of health care services rather than a lowering of it," Or. Edwards concluded. AAMC Chairman Or. Charles C. Sprague spoke about the need of a national health policy. The President of the University of Texas Health Science Center reviewed health manpower, physician assistant output and the influx of foreign medical graduates. "Our present and projected health manpower policy is unplanned. We must make a decision as to what extent the United States is going to rely on foreign medical graduates or physician assistant types before we can formulate a tentative plan for our future health care delivery system." The AAMC chairman recommends a consortium of foundations be formed, which have had a primary concern with health problems. "I would also suggest that we not restrict participation to our' old reliables' but attempt to involve foundations from all geographic regions of the country. The full time staff should be headed by a health professional. " The Alan Gregg Memorial Lecturer, Or. John R. Evans, pointed out that there are many similarities between the United States and Canada in the practice of medicine and medical education. "The most important difference is that Canada has universal health insurance," the President of the University of Toronto said. " Hospital insurance was introduced in 1958 and 10 years later medical care insurance was added on a national basis. Only dental services and prescription drugs remain outside the publicly financed and administered plan. Medical care is insured on a fee for service basis and over 90 per cent of the physicians adhere strictly to fee schedules which are negotiated between the Ministry of Health and Medical Association in each province. " There are two major deficiencies in Canadian health services according to Or. Evans-lack of an organized framework of health care for ambulatory patients, wasteful competition and duplication in hospitals. The physician indicated the rapidly escalating costs of health care is as much a problem in Canada as the United States. " The cost burden has shifted from the individual to the public treasury. Our bed ratios to pop- 16 THE BUFFALO PHYSICIAN �ulation are high and comparative statistics show that hospital use per capita and length of stay by case type are both significantly greater in Canada than in the United States." In 1971 the ratio of physicians to population was 1:661 in Canada. "Uneven distribution of medical manpower is a greater problem than actual shortage of supply. Approximately one-half of the doctors are in general practice and this career continues to be the choice of the majority of graduates of Canadian medical schools." Dr. Evans concluded by emphasizing that medical schools, together with other health professional schools in the university, should contribute in a major way to the evolution of a system of health care and give special attention to the needs of the region in which they are located. "Unless the professional associations and the academic health centers participate responsibly and responsively there is little doubt that the resulting pressures for cost control alone will force a more doctrinaire approach from government with conformity, rigidity and restraint replacing pluralism, flexibility and incentives." The Swedish health system is built up by regionally functioning units under 26 county councils, according to Dr. Bror Rexed. "They are responsible for the planning, financing and running of the health delivery system in their respective areas." The Director General of the National Board of Health and Welfare went on to say there are seven regional hospitals partly financed by the county councils. "These regional hospitals are the most specialized. They are also university hospitals geared for research and the training of doctors and other medical personnel. The teaching and research is paid for directly by the government, but the local leadership of these activities are under a university medical faculty." In addition to the regional hospitals, there are also health centers (for primary care), district and general hospitals. "The out-patient medical care is done in health centers, which are also responsible for preventive medicine and nursing homes. Out-patient services in general practice and specialized care amounts to about 20 million visits (2Vz visits per person per year) to the doctor. This is much lower than in the United States. Visits are divided between hospitals, public physicians in outpatient service and private practitioners. About half of these visits are outpatient consultations in hospitals, 25 per cent are out-patient visits with publicly salaried doctors outside the hospitals and another 25 per cent with private practitioners. The work of private practitioners is concentrated in the bigger cities so that they cover almost 60 per cent of all outpatient visits in the Stockholm area. Since 1950 the number of health workers in Sweden has more than doubled. Of the 170,000 in the health delivery system, 11,000 are physicians, 39,000 are specialized auxiliary health (nurses, midwives, physiotherapists, etc.), 69,000 are nursing aides and 5,000 are working with the mentally handicapped. Dentists, dental technicians and assistants make up 17,000 while 10,000 are in pharmacy and 22,000 are in health and medical care administration and service. In addition another 80,000 are involved in municipal social and welfare work. SPRING, 1974 17 The public relations group learned about a new program, MEDAWARE, that will hopefully increase public support for medical education. Most people don't understand what medical schools are doing and why they need funds. Two films are planned in an effort to increase public support. One is a taped film for local TV stations and another that faculty members can show at meetings. With foundation support, AAMC hopes to get a coordinator for this program that will educate the public. With the faculty extremely aware of financial cutbacks they can use this information to lobby for community support. The films will tell of research benefits to mankind. The key is the interdigitation between the medical school and the faculty, and the 50,636 medical students in the country today. By emphasizing the positive the films will also show what medical schools are doing to help citizens and the role of academic medicine in public health. The films will also talk about health problems in a particular region and show what medical schools are doing about the problem, as well as the kind of support medical schools need to do it. �" There are about 135,000 beds available for in-patient services. This is roughly 16 beds per 1,000 population, which is something of a world record. National health insurance covers most of the immediate costs of a patient's disease episode," Dr. Rexed concluded. An American physician, who has been working in the British National Health Service for eight years, said " the British system would not be suitable for us." According to Dr. Paul B. Beeson, "the most striking thing about the American medical scene is lack of overall regulation. There is no uniform planning and no top guidance. The Federal government and the several states have tried a variety of schemes to influence the training of medical students and residents but these efforts have had little effect. Many medical schools and their teaching hospitals have inaugurated programs to involve themselves more in community medicine and to encourage young doctors to go into family practice in localities where they are needed, but these have all been more or less in the nature of experiments, limited in scope. " I feel the time for experimenting is short. If we are to avoid a takeover such as that which happened in Britain in 1948 we must achieve better organization. Our profession is going to have to give up a share of its traditional independence and free enterprise. Some kind of control of medical practice already exists almost everywhere else in the world. "We must reverse the trend of specialty practice in America. Today only 19 per cent of America's doctors are in family practice, and by 1990 this will fall to six per cent," Dr. Beeson said. A comparison between the United Kingdom and the United States: "[ am still an American, proud of many accomplishments of American medicine, and am looking forward to coming back to a new job in this country within a year. But in general I have come to feel that more thought is given to the comfort and welfare of the patient in a British teaching hospital." U.K. u.s. Population ................. . 55,000,000 220,000,000 Family Practice ............. . 22,000 80,000 Specialist Practice ....... .... . 8,000 270,000 " To reverse the trend we must start with our medical schools and teaching hospitals. If our most respected teaching centers put the highest priority on training programs suited to national needs, others will follow. " Unfortunately American medical schools and their associated residency training programs are overwhelmingly oriented toward certification by some board or other. Resistance to change springs from the fact that present systems of resident training are traditional and convenient. Clinical teachers rely on them in every phase of their work: patient care, research, and undergraduate instruction. If American clinical professors today are like I was in 1965 - and my guess is that many of them are- their main attention is on local hospital and medical school affairs and research. It is just not enough for a famous teaching hospital to organize a minor family practice training program by affiliation with some nearby community hospital. 18 THE BUFFALO PHYSICIAN �Dr. Beeson went on to say that many American medical professors " tell me that the well trained internist is the best answer to America's need for a family physician. I don' t agree. Today' s well trained internist is hospital-oriented and wants to practice ' big' medicine. He has had little training in such important branches as pediatrics, dermatology or non-surgical gynecology. If we really believe that the internist is the family doctor of the future we ought to change our system of training and strengthen the links between the American College of Physicians and the Academy of General Practice. The sub-specialties of internal medicine have their own organizations anyway. " Some agency will have to take charge, the federal government is the most likely one. Wouldn' t it be gratifying if we could exhibit the statesmanship and self-discipline to do it ourselves?" 0 Audubon New Town Health Plans A task force is already hard at work on the health plans for the new town that will spring up adjacent to the University Campus in Amherst. Dr. William M. Feagans, dean of the Dental School, is chairman of the task force of Audubon New Town in Amherst. This task force is part of the Comprehensive Health Planning Council of Western New York. Dr. Feagans described the task force's aim as " defining problems and coming up with solutions. " The task force includes doctors, dentists, a hospital official, and representatives of Amherst government, community groups, school districts and University administration, faculty and students. The makeup of the task force brings together the consumers and providers of health care. Planning health care for Audubon will focus on three areas- existing health-care resources, those which will be required by Audubon's residents, and what new resources m'ust be developed to meet those requirements. Noting that future needs may not be totally predictable, Dr. Feagans added : " our design must have a certain amount of flexibility in it to respond to health crises which might occur at any point in time. We must try and find out what type of persons might live in Audubon and what kind of health care they will need." Most of the health care services for Audubon's residents will not be located within its boundaries. Many of the integral resources, such as the Millard Fillmore Suburban Hospital (which opens this summer), already exist. Another new hospital is not in the task force 's plans. Dr. Feagans believes that a new ambulatory care facility may be needed. 0 SPRING, 1974 19 �Dr. No ble Fish Hemoglobin A rare fish FrsH HEMOGLOBINS are nice model systems to study. That is precisely why a University biochemist and 11 other scientists went on a " fishing expedition" off the west coast of the island of Hawaii in October. The Kona expedition of the Research Vessel Alpha Helix was sponsored by the Scripps Institution of Oceanography as part of the Alpha Helix research program which is funded by the National Science Foundation. Dr. Robert W . Noble has been studying the relation of structure to function in human hemoglobin for a number of years. Certain properties of human hemoglobins are exaggerated in fish hemoglobins making the latter useful models in attempting to understand the human protein. Having completed extensive studies on the hemoglobins of the carp and rainbow trout, Dr. Noble wanted to examine the hemoglobins of a wider variety of fish . Of particular interest were the fish which inhabit the ocean bottom at depths greater than a mile. " These benthic fish have adapted to an extreme environment in which they are constantly subjected to a pressure of some 200 atmospheres ," Dr. Noble said. " Such pressure will modify the free energies of chemical reactions which are associated with changes in volume , and any equilibrium between a fluid and a gas phase will be drastically modified. Because some of those fi sh possess swim bladders , an organ which fi sh li vi ng at lesser depth s fill with oxygen to maintain their neutral buoyancy, it seemed likely that the hemoglobins of the benthic fish might have unusual properties . This was found not to be the case. The hemoglobin of the deep dwelling fi sh we studied most is rather similar to that of the carp." Dr. Noble went on to say that there were 12 scientists on the eightweek scientific expedition. Each was interested in a different aspect of the biochemistry of the deep water fish . " After I got my blood others dissected the fish for his muscles, gills, swimbladder, heart, skin , liver, bones , etc. By the time the 12 men got through with the fish , there was nothing left," Dr. Noble said. Dr. Paul Dreizen of Downstate Medical Center, SUNY, the leader of this expedition had discovered on a previous expedition to the Galapagos Islands that muscle contraction in the benthic fish is associated not only with a sliding of the acting and myosin filaments relative to one another, but also with a physical shortening of the myosin filaments. This is contrary to the generally accepted sliding filament theory of muscle contraction, and has necessitated a reexamination of this theory. Besides the benthic fish, Dr. Noble and his collaborator, Dr. Austen Riggs of the University of Texas, studied hemoglobins from a number of surface fish. In all he returned with hemoglobin samples from fifteen different fish. These include specimens from three species of pacific shark. " Preliminary results suggest that the shark hemoglobins may have properties unlike those of either the bony fish or of mammals. These studies could be the most interesting part of the expedition," Dr. Noble said. In his laboratory at the Veterans' Administration Hospital Dr. Noble and his colleagues are studying two very different, but to them related problems. On the one hand they are trying to understand the relationship of structure to function in the hemoglobin molecule. On the other they are studying the nature of the immunological response to protein antigens and the chemistry of the reactions of antibodies with such antigens. 20 THE BUFFALO PHYSICIAN �An understanding of the molecular basis of the functional properties of hemoglobin is important for a number of reasons, according to Dr. Noble. " The molecule is of great physiological importance and malfunction as a result of genetic modification results in certain disease states in man. Hemoglobin is an allosteric protein, that is its structure and properties change as a result of the binding of small molecules or ligands. Thus when deoxygenated the molecule assumes a structure which has a relatively low oxygen affinity, but in the course of becoming saturated with oxygen its structure changes to one with a much higher affinity for oxygen. This results in the sigmoid saturation curve of hemoglobin so important to its physiological function. " When the attachment of a small molecule to a site on a protein molecule can alter the reactivities of other sites on the same protein, there is a clear potential for metabolic control by product or substrate regulation on enzyme activity. It is now apparent that there are a number of enzymes which display such allosteric behavior, and act as control points in intermediary metabolism," Dr. Noble said. " We have been studying the properties of the separate structural states of the hemoglobin molecule as well as trying to understand the basic mechanism and nature of the structural transition that accompanies oxygen binding. One of our approaches has been a study of the isolated subunits of the molecule. Hemoglobin is composed of two Alpha and two Beta sub-units and the allosteric behavior of the molecule is dependent on the interactions of these dissimilar subunits in the native tetrameric structure. The subunits can be separated and their properties have been carefully examined. from those results we can deduce which properties of the hemoglobin molecule are the result of subunit I Herbert Lau, biochemistry graduate student, using the Cary Spectro photometer. SPRING, 1974 21 Dr. Martha Mattioli, acting chief of th e immunology lab at the VA Hospital, collaborates with Dr. Noble in studies of protein immuno-chemistry. �Or. Anna Tan, research asso ciate , prepares reage nts for the isolation of a site specific antibody. interaction and which are intrinsic to the subunits themselves. In addition the isolate subunits have properties which closely approximate those of the high affinity structure of the hemoglobin molecule, and they have facilitated our study of this particular structure. It is in the study of the low affinity structure that the fish hemoglobins have been uniquely valuable." Dr. Anna Tan, working with Dr. Noble, discovered there are conditions under which these hemoglobins remain permanently in the low affinity structure even when they react with oxygen or other ligands. The studies of the immunology of protein antigens are carried out in close collaboration with Dr. Morris Reichlin, professor of medicine at the University. The original impetus for these studies was the hope that antibodies might be used as structural probes to detect the conformation transitions in the hemoglobin molecule. However, this attempt, although still of interest to us, has become secondary to basic problems in immunochemistry, according to Dr. Noble. " One of the major problems in the study of the antigen-antibody reactions is the intrinsic heterogeneity of these systems. There is a seemingly limitless number of different antibodies produced by the body, and the response to any antigen molecule is a complex mixture of proteins. We are attempting to Or. Russell Pennelly, research chemist, operates a flash photolysis system (which he constructed) for the study of the high affinity structure of hemoglobin. 22 THE BUFFALO PHYSICIAN �A big catch simplify the study of the immunology of proteins. We now know how to obtain antibody populations which are directed toward single antigenic sites on globular proteins. Evidence is accumulating to suggest that these site specific antibody populations are either pure protein of at worst mixtures of a very small number of different proteins. With such simple systems we are able to ask questions which are difficult or impossible to approach with more complex systems." Dr. Noble is an Established Investigator of the American Heart Association, and an associate professor of medicine and biochemistry at the Medical School. He has a research grant from the Veteran's Administration for studies related to Sickle Cell disease. He has also received support from the NIH for his studies. The 37-year-old scientist-educator was born in Washington, D.C., attended secondary school in Havertown, Pennsylvania. He attended MIT where he received his bachelor of science degree in 1959 and his doctor of philosophy degree in 1964. From November 1964 to December 1966 he was a postdoctoral fellow at the Regina Elena Institute for Cancer Research in Rome, Italy. Before joining the Medical School faculty in August of 1968, Dr. Noble was a research associate at Cornell University. 0 SPRING, 1974 23 Alice DeYoung, research technician, op erates the on-line computer while Dr. Noble operates the stop-flow kinetic apparatus. �An experimen t which successfully shows an animal can identify an injected drug. "This Institute represents a commitment to research and the beginning of a serious response to all facets of alcoholism with the use of every conceivable technique." This is what Dr. Alan D. Miller, commissioner of the State Department of Mental Hygiene, said at the Research Institute on Alcoholism open house ceremony. "The Institute represents one of the most important indicators that show that scientists mean business in trying to resolve the problems of alcoholism. " He pointed out that 100 years ago the State of New York decided to open a special hospital for the treatment of alcoholism as a disease. " That interest was short-lived and the hospital became Binghamton State Hospital. " University/ Institute Relationship Or. Marvin Block, Dr. Alan Miller. 24 Fish-experiment with gold fish designed to show the development of tolerance to ethanol in fish - Results of these experimen ts by Dr. Hebe Greizerstein & Dr. Cedric Smith were published in ]oumal of Pharmacology recently. THE BUFFALO PHYSICIAN �On behalf of the University, President Robert L. Ketter said he " looks forward to a long and productive relationship with the Institute. The University provides a reservoir of talented faculty who can engage in collaborative research with members of the Institute. Some of these persons may hold joint faculty-Institute appointments. Conversely, the Institute contributes to the University's total research effort and is a source of potential faculty who can aid the University in meeting its educational objectives. " The concept that this University-Institute affiliation embodies is important, Dr. Ketter said, " and will become increasingly so in higher ed ucation as more and more resources are directed toward multidisciplinary, problem-oriente& Dr. Barbara R . R ennick , professo r of pharmaco logy and therapeutics, and Dr. R obert L. Brown, associate professo r of medicine and associate dea n. Left to right- Dr. Panni// (standing); Dr. Ciam Salmoiraghi, associate commissioner, div ision of research, New York State Department of Mental Hygiene; Dr. Smith, Dr. Alan M iller, commiss ioner of mental hygiene, S tate of New Yo rk, & President Ketter. SPRING, 1 974 25 �Or. Thurman 5. Grafton, director of animal facilities, and Or. Joseph Nechasek, acting dean, School of Health Related Professions. 26 research. The multidisciplinary aspects of those efforts are especially critical, for the ramifications of such problems as alcohol and drug abuse - or more spectacularly these days, the shortage of energy resources - are so great and interdependent that they cannot be dealt with from the insularity of a single discipline." Institute Director Dr. Cedric Smith outlined the goals of his staff which include "a much greater effort to prevent the destructive effects of alcohol on individuals and society. We will also try to develop specific techniques to identify people at high risk of becoming alcoholics. Essentially we will try to develop more efficient treatment methods at less cost to the public. " Dr. Smith solicited ideas and suggestions. "We have adopted a multi-faceted approach, because we must. If we - or anyone - knew the answers, we wouldn't need research. We don't know the answers or many times even the right questions. " The pharmacology professor concluded by saying that there are few if any problems left that are easy picking. "This simple truth is especially valid in the case of mental illness, human behavior, societal problems and the like. We are stumbling in the dark in dealing with these issues because we still have too few scientific data to guide us." 0 THE BUFFALO PHYSICIAN �The use of the computer in medicine in Western New York is entering a period of accelerated growth, according to Dr. Elemer R . Gabrieli, editor and chief of the Journal of Clinical Computing. He is also a clinical assistant professor of pathology at the Medical School. With the use of computers in medicine in patient areas beginning to be more common, there is a national focus on Buffalo because of concerns which have been voiced here about the confidentiality of patient records. " With relation to computers, Buffalo may be the birthplace of medical privacy," Dr. Gabrieli said. " One of our big concerns is freedom and privacy. One one hand we believe the system is technically and medically ready to go. But we have not done our homework in terms of medical privacy. " Recently the Erie County Medical Society, in conjunction with representatives from the University, nurses and hospital records personnel, established a task force to set guidelines for " ethical health data centers. " The goal is to establish policies to assure that personal and medical information about persons stored in computers is available only for ethical medical applications. "This has never been done anywhere in the world ," Dr. Gabrieli said. He went on to predict that the use of computers in medicine will not be limited to hospital settings, but spread to physicians' private practices. " I believe that in five or 10 years to practice medicine from memory will be objectionable and negligent. The doctor will check with the computer. " D Primary Care Task Force Dr. F. Carter Pannill, vice-president for the Health Sciences at the University, is chairman of a primary care task force that was created by the Comprehensive Health Planning Council of Western New York. Dr. Pannill described primary health care as being " that kind of care that most people need most of the time." Dr. Pannill went on to say when people seek such care they find it may not be available because of problems such as physician shortages, unequal distribution of services and high costs. The Primary Care Task Force will prepare a description of a good system of health care, assess the quality and quantity of health care services available in the area and present a list of alternatives and recommendations to the Council's regional board of trustees. Task force members represent the counties of Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara and Wyoming. D SPRING, 1974 27 Medical Privacy �37th Annual State University at Buffalc Theme: AMERICAN MEDICINE TODAY j May 10 and 11, 1974 Program STATLER HILTON HOTEL Embassy Room FRIDAY MORNING, MAY 10 9:15a.m. Registration 9:45a.m. Welcome: 10:00- noon UTILIZATION OF PARAMEDICAL PERSONNEL LAWRENCE H. GOLDEN, M.D . '46 President, UB Medical Alumni Association (The various paraprofessionals and their roles in the present-day practice of medicine. These will include pharmacists, nurse practitioners, therapists, and probably social workers, psychologists, and others.) 12:15- 12:45 p.m. Business Meeting Election of Officers 12:45-2:00 p .m. Luncheon FRIDAY AFTERNOON 2:00-4:00 p.m. 6:30p.m. NEW DRUGS FOR OLD DISEASES Moderator: CARL E. ARBESMAN, M.D. '35 Clinical Professor of Medicine & Microbiology Gallstones- LEONARD A.KATZ, M .D. Associate Professor of Medicine Joint Pains- L. MAXWELL LOCKIE, M.D. '29 Clinical Professor of Medicine High Blood Pressure- ROBERT W. SCHULTZ, M.D. '65 Clinical Instructor in Medicine Asthma- ROBERT E. REISMAN, M.D. '56 Clinical Associate Professor of Medicine Class of 1924 Reunion Reception and Dinner 28 Plaza Suite Restaurant 1M & T Plaza THE BUFFALO PHYSICIAN �lo Medical Alumni Spring Clinical Days ( SATURDAY MORNING, MAYll 9 :15a.m. Registration 10 :00 - noon SURGERY OF CORONARY ARTERY DISEASE Moderator : ROBERT M . KOHN, M.D . Clinical Associate Professor of Medicine 1 ) Medical Aspects - DAVID G. GREENE, M.D . Professor of Medicine Pathology- DAVID SPAIN, M .D. The Brookdale Hospital Medical Center Brooklyn, New York Angiology- HAROLD A . BALTAXE,M .D. Head, Division Cardiovascular Radiology New York Hospital-Cornell Medical Center Surgery- W . DUDLEY JOHNSON, M.D . The Medical College of Wisconsin SATURDAY AFTERNOON Noon -12 :15 p .m. Intermission 12 :15 p.m. UB MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE Guest Speaker : HARRY SCHWARTZ, Ph .D ., Distinguished Professor of Economics, New Paltz Division, SUNY* Dr. Schwartz is author of The Case for American Medicine - A Realistic Look at our Health Care System, published in 1972. The medical economist-writer is a member of the editorial board of The New York Times. Topic: AMERICAN MEDICINE I 6 :00p.m. Class Reunions : 1929, 1934, 1939, 1944,1949,1954, 1959,1964 *Or. Schwartz has been named as a one-year visiting professor of medical economics at Columbia University College of Physicians and Surgeons, as well as a writer in residence at Physicians and Surgeons Center for Community Health Services. He is on sabbatical leave from SUNY at New Paltz and from his post at The New York Times . SPRING, 1974 29 �THE RETINA, like the film in a camera, takes pictures to the brain which then tells us what we see. So specialized has treatment of its many diseases become that it has grown into a fullblown subspecialty within the field of ophthalmology. A handful of the 40 volunteer faculty of the department of ophthalmology located at the E.J. Meyer Memorial, Buffalo General, and Deaconess Hospitals are devoting much of their time and energy to developing expertise in the new modalities of diagnoses and treatment of retinal diseases. It is also here where residents, enrolled in the many residency programs available in Buffalo together with those medical students who are Dr. John Armenia Treating The Retina Dr. Elizabeth Olmsted, who brought photocoagulation to Buffalo at an early date, readies a patient fo r fluorescein ang iography. Dr. Charles Addington shows Dr. ]ames Scibetta the area to be treated by the ruby laser. supplementing their one hour of ophthalmology training by additional elective hours, are exposed to the gamut of retinal problems and the improved surgical skills/techniques that have led to better patient care. "But," insists Dr. John Armenia who has been acting chairman of the department of ophthalmology for two years , " better patient care is largely due to those people with curiosity and interest in promoting new things and in making them available to the community. While many formerly worked in the area of the retina, there was no expertise available. That, Dr. Armenia emphasized, " is no longer the case." For at the Meyer Hospital there is Dr. Louis Antonucci to handle the medical retinal problems, 30 THE BUFFALO PHYSICIAN �Dr. Antonucci adjusts the xenon arc photocoagulator. t ( while Dr. Thomas Guttuso takes care of the surgical ones. A similar setup at the Deaconess Hospital is handled by Drs. Elizabeth Olmsted and Gerald Swartz respectively. At the Buffalo General Hospital there are Drs. Charles Addington, Joseph Monte, and Rajnikant Patel. One of the most serious problems of the retina, Dr. Armenia points out, is that of detachment. A process of aging, it is basically one of tissue degeneration and becomes an even wider problem. But it can also result from a blow to the eye that is so common in athletics. Its treatment is a surgical one, with the cryoprobe and the laser as adjuncts. Photocoagulation, now available in several areas of the spectrum, converts light/energy into heat to treat, burn, seal, kill fungus or destroy leaking blood vessels. It also causes the retina to adhere to underlying tissue. The cryoprobe, less destructive because of its freezing/heat reaction that also causes the retina to adhere, is used for larger-type reactions. The surgery itself is one of scleralbuckling. After the sclera is dissected, an implant silicone device pushes sclera/choroid to meet the retina, thus forcing it to adhere. There are both prophylactic and postoperative possibilities for photocoagulation. In the former it is used to seal holes and thus prevent detachment from occurring. In the latter it is used to enhance and reinforce tissue cohesion. The oldest and most versatile is the xenon arc photocoagulator. Its intense white light produces the largest size burns, making it most efficient for the more generalized types of repairs. SPRING, 1974 Be~ause of its red spectrum of light the ruby laser IS used to repair both tears and holes in the retina. With its specific wave length, light/heat hits the pigment of the eye, is absorbed by the pigment of retina, and pops a burn. "It is a great preventive tool for retinas that are threatening to detach," Dr. Armenia said. The newest, just five years old, is the argon laser. Because of its blue/green portion of the spectrum, it is extremely useful for attacking blood vessels of the retina. Its ability to get at leaking blood vessels without causing heat reactions around it makes it the only tool available to treat macular degeneration which is the central vision area of the retina. "In combination", Dr. Armenia said, "we have them all." But he cautions on the necessity to know the instruments and their capabilities, as they can destroy normal as well as diseased tissue. There is also widespread use of the laser in treating medical diseases of the retina, the vascular ones-such as retinal vein thrombosis sickle cell anemia, aneurisms, diabeti~ retinopathy. And for central serous retinopathy with its leakage in back of the eye as well as the inflammatory ones such as histoplasma-retinal syndrome. In special instances it is used for malignant melanomas and retinoblastomas and occasionally for primary and metastatic tumors of the choroid that present as retinal detachments. These must be distinguished, he said. d-- Dr. Anto~ucci wa tches Sheldon Dukoff photograph route of fluorescem dye after Dr. Schankman injects it into patient's arm. 31 �pathologic vessels. If untreated these leaking vessels may eventually lead to blindness. As a precaution only the elderly are kept overnight. However following treatment all patients are asked to restrict any straining for a two-week period. When performing laser techniques an indispensible diagnostic tool is that of fluorescein angiography. It is used on all patients whose diabetic retinopathy is beginning to threaten vision. After fluorescein dye has been injected intravenously into the arm of a patient, in a matter of 12 to 15 seconds it shows up in back of the eye. A rapid sequence series of pictures are taken during the first few minutes as well as a delayed series over the next 10-15 minutes to dTechnician Dorothy Vance is shown pathology on angiogram she has taken and developed. While the cost of photocoagulation equipment is astronomical, it is not difficult to justify when treating formerly untreatable diseases such as the macular ones. Underway is a national study to prove the efficacy of treating diabetic retinopathy with the argon laser. While Buffalo is not participating it is studying the longterm effects of this type of treatment as it is used on patients. Therapy with the argon laser is but an afternoon of painless treatment without drugs, anesthetics, etc., to destroy the newly-formed or Technician Dorothy Bechtold readies a patient for an ERG. A typical retinal clinic day. 32 THE BUFFALO PHYSICIAN �Chief resident Richard Srebro and Or. John Armenia discuss a problem of the retina. Or. Thomas Guttuso maps out a patient's problem through use of the indirect ophthalmoscope. It takes Or. Gerald Swartz months to train a resident in the proper use of the indirect ophthalmoscope. dSPRING, 1974 33 �Drs. Louis Antonucci and Allan Schankman refer to angiogram before using argo n laser. pinpoint any pooling from leaking vessels. "It gives us a precise map of the patient's problem," says Dr. Armenia, "and allows us to decide whether laser treatment is appropriate." To see diseases of the peripheral retina, particularly the pathology of retinal detachments, the indirect ophthalmoscope is used for it cannot be seen with an ordinary ophthalmoscope. "One must be expert in using this instrument in order to do retinal detachments," says Dr. Armenia. "It takes many months of training to use it properly." But with its even greater magnification the slit lamp allows better examination of vital structures in the macula and is an essential tool for laser treatment in this area. B-scan ultrasonography is another modality to test for tumors behind the eye or for other problems. While anatomical abnormalities can be seen by looking at the eye or determined through diagnostic tests another new tool known as electroretinography or ERG of the eye tells us whether an anatomically normal-looking retina is functioning properly. "Through the great effort and knowledge of renowned Dr. Werner Noell, two retinography laboratories have been set up in Buffalo," Dr. 34 Armenia said. "The ERG is done by fitting a contact lens onto the sclera of a patient and is filled with saline fluid. Light from a lamp that is placed in front of a reclining patient then stimulates the retina. And certain impulses given off are seen on the oscilloscope and then photographed for a permanent record. From these recordings, Dr. Noell interprets the patient's retinal performance." "Prophylactically," says Dr. Armenia, "with good observation and tools we can solve patient problems before they become difficult ones." But not only has Buffalo doubled its number of ophthalmology residents in training over the last ten years- there are now 18- but the quality of training also greatly improved. "Only a few years ago our residents received no training in the new technology- the argon laser, fluorescein angiography, ERG - that all large medical centers were teaching with fulltime staff," Dr. Armenia pointed out. " Because of the interest and dedication of our volunteer staff it is now being done in Buffalo. And hopefully, because of this excellent training, many will remain here to set up their practice and make their own contributions to the community by further enriching training programs." D THE BUFFALO PHYSICIAN �Fourth International Immunology Convocation The fourth in a continuing series of biennial convocations sponsored by the Center for Immunology will be held June 3-6, 1974 at the Holiday Inn, Grand Island. Here scientists from around the world will present and discuss the role of the immune system in infectious diseases. While this area of investigation - the cradle of immunology - was initiated more than a century ago it has only been over the past few decades that progress has been made in other areas of immunobiology/immunochemistry to give us a better understanding of immunological mechanisms that operate in infectious diseases - its pathogenesis, recovery, prevention. Many of these modern trends will be discussed by the more than SO participants from the area, other parts of the United States and the Middle East, Belgium, Sweden, Israel, England, W. Germany. Monday morning (June 3) -maturation of the Immune System Monday afternoon -microbial agents as immunosuppressants Tuesday morning (June 4) -microbial agents as adjuvants Tuesday afternoon -host/parasite relations: cross-reacting antigens Wednesday morning (June 5) -Ernest Witebsky Memorial Lecture "Symbiosis in Immunobiology and Medicine" by Dr. Lewis Thomas -local immune response I Wednesday afternoon -humoral immune response and aspecific factors Thursday morning (June 6) -role of RNA of microorganisms in immunity to infection Thursday afternoon -local immune response II Six simultaneous workshops will be held in the above subjects. The registration fee is $30 and $15 for students, interns, residents and research fellows. Make checks payable to The UB Foundation Inc., and send registration to: The Center for Immunology School of Medicine, Sherman Hall State University of New York at Buffalo Buffalo, N.Y. 14214 0 SPRING, 1974 35 �NeuJ Look to Medical Curriculum CORRECTIO N Dr. Carel]. v an Oss w as in co rrec tly listed as Co nsul G eneral on page 39, Vol. 7, No. 4 . He is th e Dutch C o nsul in Buffalo. While standards remain unchanged there is a new look to the medical school curriculum. Not only is there for the first time a remedial program set up in each basic medical science department for those students having difficulties, but there is more student accessibility to faculty . Explained Dr. Alastair Brownie who co-chairs the curriculum committee of the medical schooL " In the past, students have picked their own electives and their preceptors were frequently members of the volunteer clinical faculty . But this year ten faculty advisors from the basic medical sciences have volunteered to look after 10 or IS students apiece." The Advisors are : anatomy- Drs. Joseph Lee, Chester Glomski; physiology- Drs. Hugh VanLiew, Peter Field ; psychiatry- Dr. Norman Solkoff; nuclear medicine - Dr. Rita Hayes; social & preventive medicine - Dr. Harry Sultz; biochemistry - Drs. Murray Ettinger, Alastair Brownie. During the first week of school when they meet with their students (who have been randomly selected) they are able to assist them in the selection of electives. And because they will now know the overall performance of their students - exam scores will be fed to them throughout the semester - they will be able to pinpoint early difficulties, talk them over, and be certain that the student is taking the necessary remedial action to overcome them, " he said. If the advisor feels that the student is taking too many electives he may insist that some be dropped . Explained Dr. Brownie, who is professor of biochemistry and research associate professor of pathology at the University , " rather than one final comprehensive exam in each core course there will now be several during the semester to enable us to identify at an early date any problems that a student may be having . " While we recognize that it is financially unsound to have failures we are also unwilling to change standards. " To assist in achieving this goal of high pass rate and high performance remedial programs have been set up in each basic medical science department. This program is monitored by a committee headed by Dr. Felix Milgrom. Each department will now spell out precisely what remedial action students are expected to takethey may be reading assignments or individual or group tutoring - if they fail an exam during the semester. Another ad hoc committee headed by Dr . Brownie (Drs. Joseph Lee, Leonard Katz and Donald Rennie) has worked on grading and promotions procedures. " Each student will now know in advance what is expected of him as well as the standard of work anticipated during pre-clinical and clinical years ," he said . Final student grades, submitted by departments to the Dean's office, will be reviewed by the promotions board at the end of the year. On the basis of individual student performance - departments will convert grades into standard scores for performance comparison - the board will decide who is to be promoted, dropped , repeat or make up for an incomplete. The grading picture also shows significant changes as well. If a student fails one or more exams there is now an opportunity for him to achieve a satisfactory grade through the passing of a comprehensive exam. In looking into the clinical years Dr. Brownie said " midpoint review will reveal any unsatisfactory performance which will then be followed 36 THE BUFFALO PHYSICIAN �by discussion with the student regarding make up for deficiencies. It is necessary for faculty to inform students on what is expected of them in advance, " Dr. Brownie emphasized. No longer are National Boards a prerequisite for promotion to the clinical years. " Previously, you had to take them but not necessarily pass them to be promoted," he explained." Although faculty recommend that they now be taken there is no insistence on it. It becomes a personal thing for the student. " Dr. Brownie pointed to the lowering of faculty morale when someone else evaluates their students. The Medical School is now in the process of returning the number of hours cut down through coring over the last few years in the medical curriculum. Dr. Brownie explained that no department has appreciably cut down on the amount of material that a student is expected to know however. While less time is spent in lab/lectures, the number of reading handouts has increased tremendously. " In fact, " Dr. Brownie said, " the amount of material today's student is expected to know has increased due to breakthroughs in our knowledge of protein synthesis, biochemical basis of genetics, autoimmune disease, etc. And the search for keeping standards unchanged while improving the medical curriculum goes on. " In summary," he explained, " high standards are being maintained in the Medical School but students are now aware of what these standards are. The remedial program, which has been very active in some of the preclinical core subjects during the first semester, brings together faculty and students who are having academic difficulties . And the faculty advisor program not only ensures that students with academic difficulties get advice, but it helps students make contact with other faculty ." 0 The University Health Services opened a new satellite office on the Amherst Campus in November. The five-room suite is in the Roosevelt Building (A-117} of the Governor 's Complex. The new facility has a waiting room, an examining room , nurses station, a three-bed holding room for students, a bathroom, plus two other holding rooms that may be used. " The holding rooms are an out-patient clinic," Dr. M. Luther Musselman said. " Patients are kept here only a few hours. If they can't be released they will be sent to the inpatient facility at Michael Hall or referred to a local physician and hospital. " There are six full-time and 11 part-time physicians on the staff of the University Health Services. Dr. Paul F. Hoffman has been medical director since 1962. Dr. Musselman is the assistant director. One of three registered nurses - Miss Dona Medinger, Miss Mary K. Brown, Mrs. Patricia Telaak - will rotate from the University Health Services at Michael Hall and the Ridge Lea Campus. Campus security officers have volunteered to transport patients from the Amherst health facility to Michael Hall. If it is a serious case a private ambulance is called . l.J SPRING, 1974 37 Medical Alumni Association Reception during the American College of Physicians meeting at the Americana Hotel, New York City, April 1-5, 1974. It is open to alumni, faculty and friends of the Medical School. Satellite Health Office �Or. Warner winning the confidence of a patient. Children's Rehabilitation Center THE CHILDREN'S REHABILIT AT! ON CENTER under the direction of Dr. Robert Warner, was founded to serve children with disturbances of the brain, locomotor and neuromuscular systems as an evaluation and rehabilitation center. As a unit of the Children's Hospital and the department of pediatrics of the University, the Center is dedicated to research and teaching, as well as service to the handicapped child and his family. The Center serves and has served handicapped children by diagnosis, evaluation, treatment, rehabilitation and counseling. The Center serves as a focus and coordinator in cooperation with 38 THE BUFFALO PHYSICIAN �various child care agencies in the community, working with parent groups, social agencies, other hospitals, clinics, schools, pre-schools and nursery schools to create and maintain wide community interest and in procuring adequate facilities and services for the physically and mentally handicapped child. The Center is a demonstration unit, with constant reappraisal of program and process, in the methods of evaluation, treatment and follow-up techniques for service to handicapped children. Since many of the children with disorders of the brain and neuromuscular system present common problems in diagnosis and management and require many (if not all) of the same professional disciplines, the belief has been firmly established and maintained that handicapped children can best be served, studied and cared for by a team of investigators using a democratic team approach. The Center was established on the basic idea that such a clinic serving a multiplicity of similar defects could attract professionals with greater ability and insight than could be obtained were only single specific disease entities serviced separately. The Center is organized into seven teams: 1. Cerebral Palsy 2. Juvenile Amputee 3. Neuromuscular disturbances 4. Seizure 5. Mental Retardation 6. Rehab Diagnostic - primarily children with the minimal brain dysfunction so called " braindamage " syndrome (cerebral dysfunction - learning and reading disorders), children with multiple handicaps (including those with sensory disability who do not fit primarily into one of the five preceding categories.) 7. PKU Utilizing the child's abilities- his feet to paint because of no hand co-ordination. Reading therapist Jane Carrel helps a child with congenital-partial amputation . SPRING , 1974 39 �Physical therapist Susan ]esella teaches balance and posture. The Children's Rehabilitation Center has since its initiation maintained a close cooperation with the Buffalo Board of Education as well as other educational systems in Western New York. An integral part of the program is the inclusion at the Center of classrooms serving handicapped children as an annex of School #84 a facility for handicapped under the Buffalo Board of Education. The facility is located in a building owned and maintained by the Crippled Children's Guild. The guild's board and the hospital board co-ordinate efforts for the handicapped child through a joint committee and mutual affiliation. Dr. Warner, associate professor of pediatrics at the medical school, was the first and only director since it opened in 1955. He states: " Our aim is to treat the whole child. Although we cannot ignore a child's disability, we must recognize it and make the most of his remaining abilities. " With that philosophy in mind, approximately 3,500 children have been treated at the Center and it has been running near capacity since its opening date. Dr. Warner is a native Buffalonian who received his AB from Harvard and his M .D . from the University of Chicago Medical School. 0 40 It's refresh m ent time in the "early child hood program" fo r M rs. T oby Fa /man and three child ren. ,. THE BUFFALO PHYSICIAN �Occupational therapist Mary Ann Kirisits trains a child in eye-hand co-ordina tion. Mrs. Frances Berbary in the Frostig training lab. A parent conference with Dr. Warner (left) and social worker Mrs. Debra Baumanis (right). SPRING, 1974 �J AMES PLATT WHITE was born in Austerlitz, Columbia County, New Our First Professor of Obstetrics James Platt White (1811-1881} by Olive r P. ]ones, Ph .D ., M .D . Distinguished Professor York , 14 March 1811 . He was a lineal descendant of Peregrine White, who was born aboard the Mayflower in Provincetown harbor, the first white child born in New England. His grandfather was a soldier of the Revolution and his father, David Pierson White, served in the War of 1812. In 1816 the parents of James Platt White settled in East Hamburg, New York. Their son pursued his classical studies under the Rev . John C. Lord and at Middlebury Academy, then began the study of law, but an opportune hearing of some lectures on physiology convinced him of the bias of his mind and soon abandoned it for the study of medicine. He began the study of medicine in 1830 in the offices of Drs. John E. Marshall and Josiah Trowbridge, charter members of the Medical Society of the County of Erie. White attended lectures at Fairfield Medical College from 1831 to 1833, and at Jefferson Medical College, Philadelphia, graduating from the latter in March 1834. Previous to his graduation, he was asked to practice at Black Rock, now a part of Buffalo , during a cholera epidemic in 1832. Following graduation Dr. White settled in Buffalo where in 1836 he married Mary Elizabeth Penfield of Penfield, New York. According to Austin Flint, " Shortly after his marriage he met with a remarkable accident. Railroads had not extended in those days into Western New York and traveling in a stage coach over a rough road, his head was jolted upward against the top of the coach with such force as to fracture the atlas. Fortunately there was no displacement of the fractured portion of the bone. He was , however, obliged to keep to his bed for a long time, and eventually an entire segment of the atlas was expectorated. He recovered , with permanent loss of the power of rotation of the head upon the neck." For the next ten years he devoted himself largely to surgery. Later, he abandoned general surgery and made a specialty of gynecology and obstetrics in which he was an expert. It should be pointed out that Dr. White was in Buffalo when the State Legislature granted a charter for the establishment of the U niversity of Western New York. It was, according to the map for 1836, to be bounded by College, Delaware, North and Allen Streets. However, due to the speculative craze of 1836, its construction was never realized because of the tremendous financial crash. The establishment of the Medical Department of the University of Buffalo in 1846 was due largely to his exertions. On 25 August 1846, the University Council held a meeting, at which time it was decided to organize the Medical Department immediately by establishing seven professorships. Together with Austin Flint and Frank H. Hamilton they attracted five professors from Geneva Medical College including the Demonstrator of Anatomy. To bring an outsider to occupy any position of prominence in the community has always excited jealousy, envy and even enmity. Individually they may have been popular with the medical profession; as a faculty they were unpopular. The University acquired many enemies, some of whom were even noisy. Unlike the other professors, Dr. White had had no teaching experience. Therefore, it is interesting to note that the Annual Circular for 1846 stated " .. . The Chair of Obstetrics and Diseases of Women and Children for the ensuing year, will be filled by Professor Coventry; and the Chair of Physiology and Medical Jurisprudence by Professors Flint and Coventry." The Minute Book of the Medical Faculty (1846-1878} shows that for the first session, the Professor received ten dollars per student except the Professor of Chemistry who received twelve dollars 42 THE BUFFALO PHYSICIAN �and Dr. White received nothing. However, he must have done some teaching, because the students of that first class appointed a committee" ... to express their high sense of his professional attainments, as exemplified in his valuable course of instruction, to tender their congratulations on the success attending his first professional labors, and to acknowledge their obligation for his kindness and courtesy in all their official and social relations during the session." Dr. White was a man of inventive genius which is illustrated by the publication of an article about the construction of obstetrical forceps (noted for its lightness, excellent cephalic curve and form of the fenestra.) He did so with the conviction that forceps used in this country at that time were exceedingly defective in construction and in addition to calling this to the attention of the profession it might induce others to make a better and safer instrument. When the University of Buffalo was planning its first building, the Medical Department, Dr. White (chairman of the Building Committee) suggested that the lecture room be equipped with iron armed chairs with cushions for the seats instead of plain boards in use in other institutions. This he thought would contribute much to the comfort and convenience of the student, by affording more ease of sitting and a place for taking dBuffalo Evening News Dr. Wayne L. Johnson (seated), profesi>or and chairman of the department of gynecologyobstetrics at the Medical School, demonstrates new equipment, donated to Children's Hospital, to three children of the late Dr. Robert ].A. Irwin. From left to right are Robert ].A. Irwin ]r., Mrs. Airel/ B. Jenks, and Mrs. Theodore M. Carver. Dr. Irwin, a 1930 Medical School graduate, served on the UB faculty from 1938 to 1958 as assistant in obstetrics. Dr. Irwin died January 23, 1973. Renovation of the new quarters at Children's Hospital was provided by a gift of $25,000 by Mr. and Mrs. Norman McLain in memory of Dr. Erwin. 0 �notes , and would also prevent the usual disfiguration by " whittling" that universal Yankee propensity which spares not even the sacredness of the church - much less the fixtures of institutions of learning. The style of architecture was Romanesque and the building was 56 feet wide by 100 feet long and four floors high , built from Lockport red sandstone. It was located at the northeast corner of Main and Virginia Streets. The basement in front was occupied by the janitor and his wife. The historic event in obstetrics took place in the room adjoining the kitchen - it was lighted by tallow candles. As a teacher, White was direct, forcible and practical, which was certainly borne out by his decision to show the graduating class a real live birth for the first time in the United States . This was his fourth class and at this point he became innovative and left the ranks of the traditionalists in this country on 18 January 1850. He knew there was an unmarried Irish girl, Mary Watson , age 26 at the Erie County Alms House, who was expected to deliver in about nine days . He persuaded her to live with the janitor and his wife at the Medical School for the remainder of her confinement. The janitor's wife promised to act as a nurse until she recovered . During this period each member of the class, in the presence of Dr. White, was permitted to auscultate the fetal heart sounds by means of a stethoscope, with the same delicacy as in a private case. They were best heard over the right flank posteriorly. When labor commenced and delivery appeared imminent, the class was assembled in a separate part of the building and each student, singly, was permitted to visit the patient in the presence of Dr. White, and make a vaginal examination, again with the same observance of delicacy as in a private case. You could touch but you couldn' t look! At the time of delivery , all of the students crowded into the room and Dr. White drew back the bed clothes. They watched him support the perineum with a napkin in each hand so that only the head of the child was visible and not the vulva. The prenatal position of right occiput posterior was verified . After the confinement, Dr. White gave Mary Watson ten dollars which she said, at the trial, was no inducement for her going to the Medical College, because she felt the treatment was far better there than what she would have received at the Alms House. Very likely all twenty medical students said something to either their preceptors or their landladies about the new method of instruction at the Medical School. At first there was no mention of this in the local papers but it was the topic of gossip and rumor among some physicians because of personal enmity and professional jealousy, and among the lay persons because of a moral issue based on the opinion at that time that it was immoral to expose female genitalia for visual observation. You could touch but you could not look! The sentiment against Dr. White soon became so pronounced that the students who had witnessed the demonstration felt called upon to refute the charges in a letter to the Buffalo Medical Journal. Nevertheless an extremely bitter letter protesting against the repetition of such a procedure was signed by 17 Buffalo physicians and also published in the Buffalo Medical Journal. Two libelous and slanderous letters to the editor of the Buffalo Daily Courier were signed by a mysterious " L" . In addition a venomous article was published by the Rev. John E. Robie, Proprietor of the Christian Advocate and anonymous handbills were distributed from door to door. 44 THE BUFFALO PHYSICIAN �Dr. Ernest R.D. Haynes (left) was given the Or. Max Cheplove award for his contributions to the practice of fam ily medicine last November. At right is Or. Cheplove, M'26. Looking on are Mrs. Haynes and Dr. Herbert E. Joyce, M'45, dinner chairman. Or. Haynes is the former director of the Family Practice Center of Deaconess Hospital. He is now head of the department of family medicine at Queens University in Kingston, Ontario, Canada. D Buffalo Evening News This was too much for Dr. White and the Faculty, so steps were taken to call the author to task, with the result that an indictment for criminal libel was brought against Dr. Horatio N. Loomis, an active enemy of the University, who was thought to be the writer of the articles signed "L". His identification with the publication consisted in his procuring it to be set up at the Daily Courier office after it had appeared in the daily edition of the paper and the type had been distributed, in consequence of which it was inserted in the weekly issue, in his purchasing extra copies, distributing them, reading the article to his patients and stating that he had been assured of the accuracy of the statements it contained. The trial of The People versus Horatio N. Loomis for libel opened June 24, 1850 before presiding Judge Mullett at the Erie County Oyer and Terminer and lasted five days. The fact was brought out that Dr. Loomis had not written the article himself and he was acquitted primarily because the jury ignored the judge's charge. The matter did not end here, because in spite of all the objections urged against this method of teaching, the ball was started rolling and the profession has long since thoroughly vindicated Dr. White by using clinical illustration of labor as a teaching method. d- SPRING, 1974 45 �Dr. White was also the first to bring to the attention of the medical profession the successful treatment of chronic uterine inversion. His original method consisted of manual pressure and counterpressure continued over a comparatively long period, i.e. , hours. Later he added to his maneuver the use of a stem repositor or rectal bougie. He had altogether reduced twelve cases and one hundred and fifteen operations for ovariotomy. In his memorial for White, Austin Flint said, " As a teacher he was direct, forcible and practical, he did not aim at rhetorical or oratorical display, but his object was sound teaching, the value of which was to be verified at the bedside. " The graduating class of 1855 asked his permission to have engraved, ... a lithographic likeness of yourself , in order that we may take with us or may obtain on our return to our homes , some momenta of so faithful and efficient teacher as yourself, and also that we may hold in our possession a true likeness of the first instruction in the U.S . who has adopted the " demonstrative " mode of teaching in that department. In submitting the wishes of the class, we have the honor to assure you of their highest regards . . .. In the Dean's office in Capen Hall, there hangs a diploma granted to Macy B. Searls in 1869. It is interesting to note that some of the signatures were latinized, i.e. , Jacobus Platt White, M .D ., Obstetrics, Professor. His bust is in the corridor of Capen Hall. Dr. White visited hospitals and clinics in Europe on two occasions . In 1851 he studied under the distinguished Professor Simpson of Edin- Dr. Sambamurthy Subramanian was one of six selected as " outstanding citizens f or 1973" by the Buffalo Evening News. He is an associate professor of surgery at the Medical School and chief of cardiovascular surgery at Children's Hospital. The famous open-heart surgeon reported on his research in England in 1973 as one of 12 Hunterian Lecturers at the Royal College of Surgeons . Educated in India, he studied pediatric cardiac problems in England before coming to Buffalo in 1967.o burgh, who demonstrated the efficacy of using chloroform for the treatment of eclampsia . In 1866 he returned to Europe and renewed the valuable friendships previously formed . He wrote in a letter that " . . . Sims remains without a competitor in his specialty, both in Paris and London." This of course refers to his treatment of vesicovaginal fistula. Dr.] . Marion Sims presented White with a copy of his book on Uterine Surge ry (1866) which is now in the Rare Book collection of the Health Sciences Library. It is interesting to note that according to The Minute Book of the Medical Faculty (1846-1878), ten years previously on the 26 February 1856, The University of Buffalo bestowed upon ]. Marion Sims, M.D . an honorary degree of Doctor of Medicine. During the Civil War he was Goverment Medical Inspector of Military Hospitals in the West and Southwest. He was a member of the American Medical Association, its first vice-president in 1878 ; of the New York State Medical Society, its president in 1870; honorary corresponding member of the New York Academy of Medicine, and honorary member of the Rhode Island Medical Society; he was twice president of the Erie County Medical Society and the Buffalo Medical Association; and founder of the American Gynecological Society. He was dean of the faculty of the Medical Department of the University of Buffalo at the time of his death, and had been president of the Board of Trustees of the Buffalo State Asylum for the Insane from its establishment until a short time before his death , when he resigned on account of ill health. For some time he was president of the medical staff of the Buffalo General Hospital. He was Professor of Obstetrics and Gynecology at the University of Buffalo for 35 years. 46 THE BUFFALO PHYSICIAN �Dr. White had pride in everything relating to the prosperity and welfare of Buffalo. He was one of the founders of the Young Men's Association, Academy of Fine Arts and Buffalo Historical Society. Although he was a good financier and business man, he was a liberal benefactor to the poor. He was a devoted member of the Protestant Episcopal Church and was active in behalf of the charitable organizations connected with it. He cooperated actively with Bishop Timon in the establishment of the Sisters of Charity Hospital, the Maternity and Fondling Hospitals and the Providence Asylum for the Insane. He was one of the foremost of the founders of St. John's Church and also of Christ Chapel, and president of the Buffalo Club when he died at home on 28 September 1881. His widow survived him less than four months. He had an adopted son - James Penfield White. References: 1. Flint, A., A memoir of Professor James Platt White , M.D. Trans. Med. Soc. New York, n.v.: 337-346, 1882. 2. Report of the Trial. The People Versus Dr. Horatio N. Loomis For Libel. Tried at the Erie County Oyer and Terminer, June 24, 1850. Buffalo, Jewett, Thomas and Co., 1850. 3. R. French Stone, Biography of Eminent American Physicians and Surgeons, Indianapolis , Carlon, and Hollenbeck, p . 542-544, 1894. 4. ]. J. Walsh , History of Medicine in New York, New York , Americana Soc., 1919. 5. Editorial: Buffalo Commercial Advertiser, 18 September 1849. 6. White,]. P. , Remarks on the construction of obstetrical forceps with a description of an instrument, Buffalo Med. ]. 4: 715-721, 1849. 7. Miner, ]. F., Obituary, Am. ]. Obstet. Dis. Worn. 15: 199-200, 1882. 8. Editorial: Buffalo Med. ]., n.s. 21: 182-190, 1881. 9. Obituary : New York Times, 30 September 1881. 0 Children's Hospital Department Head A 1957 Medical School graduate is the new head of the department of medicine at Children's Hospital, a division of consultative medicine at the School of Medicine. Dr. J. David Schnatz is an associate professor of medicine, and has been at the Medical School since 1963. He is an internist who specializes in Endocrinology and Metabolism. Since 1963 Dr. Schnatz has been chief of the diabetes unit and a member of the endocrine unit in the department of medicine. He developed and directed a nursing unit for education and care of patients with diabetes mellitus as a part of the diabetes teaching service at the E.J. Meyer Memorial Hospital. Dr. Schnatz did his residency at the Buffalo General Hospital. He then took endocrine-metabolic post doctoral training at the University of Washington in Seattle, with an internationally known expert, Dr. Robert H. Williams. 0 SPRING, 1974 47 Dr. Schnatz �More insight into the development, diagnosis , and treatment of kidney diseases may result from studies of Dr. Guiseppe Andres and a team of renal investigators . For Dr. Andres , a professor of microbiology and pathology at the University, is involved in investigations on the immunopathology of renal diseases and organ transplantation. In the renal pathology laboratory that he heads at the Buffalo General Hospital both pre- and postoperative studies of renal grafts are underway to learn more about rejection processes . These studies are performed with the aid of serologic as well as immunohistological techniques. " For," says the 49-year old Italian born and educated physician, " it is necessary to gain a deeper knowledge into the etiology and pathogenesis of renal diseases that are mediated by immunologic mechanisms ." Close collaboration with renal units in local hospitals have made these studies possible, says Dr. Andres. At the Buffalo General Dr. Charles Elwood has established what Dr. Andres believes to be " one of the best clinical nephrology centers in the country. " Here Drs . Roland and Sidney Antone direct an efficient transplantation clinic. D octora l fe llow David W. O 'Con nell reviews electron micrograph. Studying Renal Disease 48 THE BUFFALO PHYSICIAN �O ne of weekly renal conferences. Other excellent and active renal units are located at the Meyer Hospital under Drs. H . Evan Strong and Joseph R . Gerbasi; the Veterans Hospital under Drs. John Boylan, Carl Bentzel. Basab Mookerjee, and Mario Montes; the Children's Hospital under Dr. Tadla Baliah; and the Millard Fillmore Hospital under Dr. Robert T. Schultz. This team of physicians/ pathologists meet at weekly renal conferences to review the clinical histories, laboratory and immunopathologic data of patients with renal diseases or renal grafts. Buffalo, Dr. Andres discovered when he came here four years ago from the University of Rome (where he was chief physician of its department of medicine's renal unit), was an excellent place to study renal disease. For here he found a group of distinguished investigators working on clinical aspects and the pathology/immunopathology of renal diseases as well as mechanisms of hypertension and renal function. He recalled many who encouraged and contributed to this interest. There is Drs. Felix Milgrom (chairman of microbiology) and Robert McCluskey (then chairman of pathology who now heads this department at Boston's Children's Hospital). There was Dr. Charles Brennan at the Buffalo General who is now in California; Dr. Alan Grossberg at Roswell Park Memorial Institute; Drs. Elwood and Alf Tannenberg at the Meyer (he is now at Albert Einstein). There was Dr. Mitchell Rubin (he served as chairman of the department of pediatrics and is now retired); Drs. Boylan and Bentzel and their group of renal physiologists as well as Drs. Morris Reichlin and Martha Mattioli at the Veterans Hospital. Dr. Andres studied at the Universities of Torino and Pisa, receiving his medical degree in 1949 from the latter where he worked over the next six years in its department of infectious diseases. d- SPRING, 1974 49 �Or. ]an Brentjens, research assistant professor of pathology, watches Irene B. Pawlowski (research assistant) and Joyce R. Niesen (research technician) prepare tissue for a histochemical technique. Senior research assistant Soon W. Chai places specimen in electron microscope. In 1965 he spent a year at Columbia's College of Physicians and Surgeons in the department of medicine under Dr. Robert F. Loeb. Over the next two years he was a Hay Whitney Foundation Fellow, a visiting professor in the departments of medicine, pathology or microbiology at the University of Rome, Stockholm's Karolinska Institute, and at Columbia's College of Physicians and Surgeons. He is now a visiting professor in the latter's department of medicine and pathology. Among research interests that Dr. Andres pursues with fellows, graduate students, and technicians are the pathology produced by antigen/antibody complex, glomerular permeability in immune complex diseases, and the course of other types of glomerulonephritis such as anti-GBM and basement membrane dense deposit disease. Renal biopsy specimens and renal allografts that the noted investigator uses for his diagnostic activity at Buffalo General are also relied on heavily when training medical students, residents, and fellows in renal pathology. But for even greater insight into kidney diseases Dr. Andres hopes for closer ties with all Buffalo and upstate nephrologists and physicians who handle diagnostic problems and the treatment of renal disease. 0 so THE BUFFALO PHYSICIAN �Dr. Almen L. Barron, professor of microbiology at the University has been named chairman and professor of microbiology of the University of Arkansas School of Medicine, effective July, 1974. The Canadian-born virologist came to Buffalo in 1954 as instructor following graduation from Queen's University (Canada) with a doctorate, and became an American citizen. Over the next 20 years Dr. Barron rose to the rank of professor of immunology, directs the Erie County Virology Laboratory and is a special consultant in pediatrics at Children's Hospital. A Fulbright research scholar in virology at Hadassah Medical School in 1964, and visiting professor in immunology in 1972 at Hebrew University's medical school, he has served on the Buffalo medical school admissions committee for five years and as director of its graduate microbiology studies for four. His interest in viral immunology has led to active programs of studies on chlamydia! agents causing infections such as psittachosis, trachoma and lymphogranuloma venereum, and over 50 publications to the literature as well as 25 abstracts and presentations for scientific meetings. He is a member of the editorial board of Infection and Immunity, and the Infectious Diseases Society of America, Society for Experimental Biology and Medicine, American Association of Immunologists and the American Society for Microbiology. CJ Medical Students Aid Prisoners Seventeen medical students are practicing medicine behind bars. The program is sponsored by the Buffalo Police Department and the Medical School. It is the first time that medical examinations have been available to " inmates" in the overnight holding facilities. The students are taking turns conducting 5 a.m. examinations, seven days a week , according to Dr. Ralph Landsberg, clinical instructor in nuclear medicine at the University. " The students are eager to come in and if they find just one case a month they'll be happy, and so will we." Assistant chief of detectives Thomas P. McMahan said, " any prisoner who is in apparent need of medical attention, or who requests medical attention, will be examined by the medical students. " Most of the examinations ·are being conducted in the cells, but small examination rooms are available in the security areas surrounding both the men's and women's cellblocks. " If the medical student finds a problem, he can conduct a more thorough examination in the presence of a guard in the smaller rooms. The student may also recommend that the prisoner be taken to a hospital for treatment," Mr. McMahon said. 0 SPRING, 1974 51 Or. Barro n Arkansas Appointment �The Classes of the 1920's The Classes The 1916 Class Dr. Marvin A. Block, M '25, has been named to the new 10-member New York State Advisory Committee on Alcoholism. Dr. Block is an internationally recognized expert on alcoholism and the au thor of more than SO professional articles and books on the subject. He formerly served on the Governor's Advisory Council on Alcoholism. Dr. Vincent S. Mancuso, M '16, retired, is President of the Retired Doctors of Medicine Association of Broward County (Florida). He lives at 4200 N.W. 3rd Ct., Plantation, Florida. D Dr. Milton A. Palmer, M '27, ophthalmologist, was re-elected President of Buffalo Eye-Bank and Research Society, Inc. for the 17th consecutive term. D Kidney Hotline The Kidney Foundation of Western New York Inc. maintains a hotline which may ring at any hour of the day or night. The hotline can set in motion a race that can involve private, commercial or governmental aircraft, state and local police and even helicopter airlifts to speed a kidney from one team of surgeons to another. " There is still a tremendous shortage of kidneys," said Dr. Sidney Anthone, chairman of the Medical Advisory Committee on the Kidney Foundation. The 1950 Medical School graduate attributes much of the problem to physicians who often are reluctant to ask relatives of a dying patient about the possibility of donating kidneys. " We are not notified often enough about a patient who is dying who might make a suitable kidney donor. Sometimes it is because the private physician doesn' t want to ask the family 's permission," Dr. Anthone said. The Buffalo General Hospital has a portable kidney profusion machine. Here kidneys are stored for 12 to 24 hours and kept alive with blood plasma circulating through the organs. Dr. Anthone carries a list of the area residents awaiting transplants with their particular blood and tissue typing. When he receives a call of a potential donor (whether in the United States or Canada) he consults the list to determine whether anyone matches the donor. All potential recipients nationwide are listed by blood type on a master computerized list. D 52 THE BUFFALO PHYSICIAN �Milch, M '33, is a director of the Life Holding Corporation, parent the International Life Insurance Buffalo. 0 Dr. John Bird, M '65, is in solo private practice of ophthamology in South Bend, Indiana after having finished residency training at Northwestern University , department of ophthalmology. His home address is 2010 Peachtree Lane, South Bend. 0 Colonel Matt A. Gajewski, M '39, retiring commanding officer of the 338th General Hospital, Army Reserve, was honored recently. Dr. Gajewski has commanded the unit for 12 years. He is also president of the Buffalo Board of Education. Dr. Jeffrey E. Lindenbaum, M '66, is a Fellow, Adolescent Medicine, at the University of Washington , Seattle . He is a Diplomate , American Board of Pediatrics. 0 The Classes of the 1930's Dr. Elmer International company of Company of The Classes of the 1950's Dr. Frank J. Bolgan, M '51, is the new chairman of the department of thoracic and cardiovascular surgery at the Millard Fillmore Hospital. He will continue as chief of the section of cardiac surgery. Dr. Bolgan is a clinical assistant professor of surgery at the Medical School. 0 After 16 years of solo general practice in Wapakoneta, Ohio, Dr. Robert Sobocinski, M '53, has taken a position with William Giessel and Associates at the Milby Clinic of Houston, Texas, largely performing Industrial Medicine. O The Classes of the 1960's Dr. Harris C. Faigel, M '60, recently published two articles in CLINICAL PEDIATRICS : " The Adolescent With a Learning Problem-The Need for Insight" (Vol. 12, No. 10, October, 1973); and " Hematocrits in Suburban Adolescents : A Search for Anemia" (Vol. 12, No. 8, August 1973). Dr. Faigel is at Kennedy Memorial Hospital , Brighton, Massachusetts. 0 Dr. Edwin R. Lamm, M '60, relocated his home and practice of general surgery to Community General Hospital, Dade City, Florida in November. He is also College Health Physician at St. Leo' s College, St. Leo, Florida. He lives at 1504 Jefferson Street, Dade City. 0 Dr. David F. Paa, M ' 64, is an assistant professor of neurosciences and pediatrics at the University of California at San Diego. He is also senior physician at both Children's and University Hospitals. He was board certified in neurology in 1973. Dr. Paa lives at 3286 Villanova Avenue, San Diego. 0 SPRING, 1974 Dr. Arthur C. Sosis, M '67, recently completed a three-year residency in determatology at the Skin & Cancer Hospital of Philadelphia (Temple University Health Sciences Center). During that time Dr. Sosis had several articles published in medical journals (DERMATOLOGICA 146 :222228, 1973 and THE JOURNAL OF INVESTIGATIVE DERMATOLOGY, Vol. 60 No. 5, 1973). He recently entered private practice in Allentown, Pa., and teaches part-time at the Skin & Cancer Hospital, Philadelphia. His home address is 939 Edward A venue, Allentown. 0 Dr. Sherman G. Souther, M '67, has returned to the Stanford Medical Center after spending six months of his residency at the Roswell Park Memorial Institute, Buffalo, and three months in Guatemala. 0 Dr. Paul G . Murphy, M '68, has established a general practice in the Perry, N.Y. (Wyoming County) medical center with four other physicians. Dr. Murphy had a Wyoming County Scholarship while attending medical school. 0 The Classes of the 1970's Dr. Elliott Brender, M '70, is living at 309 Via Recodo, Mill Valley, California 94941. 0 Dr. David S. Irwin, M '70, completed his psychiatry residency as Chief Resident at the University of Connecticut in June. He is now medical director of " Project Outreach," an outpatient clinic of Hillside Hospital, Queens, New York, serving primarily adolescents involved with drugs. Dr. Irwin lives at 62 Tobin Avenue, Great Neck. LJ 53 �PEOPLE Dr . Eleanor Jacobs received a special award of the Soviet Union from Sergei Naumovich Yefuni of the Soviet Ministry of Health for using the hyperbaric chamber to bring more oxygen to the brain. Dr. Jacobs is a research associate professor of psychology in the department of psychiatry at the Medical School and research psychologist at the Veterans Hospital. D Dr. Clyde L. Randall, professor of gynecologyobstetrics, is co-author with Dr. David H . Nichols , M ' 47, of a book, Vaginal Surgery, Williams & Wilkins Company. Dr. Randall is also Executive Officer at the Medical School. The illustrations were drawn by Mr. Melford D . Diedrick, director of Medical Illustrations. D Three alumni have been elected to head the medical staff at Children's Hospital. Dr. Joseph M . Mattimore, M 'SO, is the new president, while the president-elect is Dr. Roland Anthone, M 'SO. Dr. Richard Munschauer, M ' 46, is the new vice president. Dr. Theodore I. Putnam, clinical assistant professor in pediatrics, is the secretarytreasurer. D Dr. Luis L. Mosovich , associate professor of pediatrics, was named Man of the Year for Cystic Fibrosis by the Western New York Chapter Cystic Fibrosis Research Foundation in December. He was honored for his research on children ' s diseases and care of children at Children's Hospital where he is director of the Cystic Fribrosis Center. Dr. Mosovich has been associated with the Center since 1958. He was born in Argentina and came to the United States in 1956. He is a Fellow of the American Academy of Pediatrics and has been the recipient of the Mead Johnson Award of the American Medical Society of Pediatrics for outstanding research in children's diseases. D Dr. Doris Rapp , clinical associate in pediatrics, has written a new book, Allergies and Your Child . Dr. S. Mouchly Small, professor and chairman of the department of psychiatry at the Medical School, was elected to the board of directors of the Muscular Dystrophy Association of America in New Orleans in January. Dr. Small is a member of the national organization's scientific advisory committee. D Perspectives in Cancer Research and Treatment is a new book honoring the 75th anniversary of the Roswell Park Memorial Institute by Alan R. Liss, Inc., New York, 1973. Editor of the book is Dr. Gerald P. Murphy, Institute director and research professor of urology at the Medical School. Associate editors are Dr. David Pressman, associate director for scientific affairs and research professor of microbiology at the Medical School, and Dr. Edwin A. Mirand, associate director for educational affairs. D Three Medical School faculty members are featured in a new book, Th e Uncertain Miracle, Hyp erbaric Oxyge nation by Vance H . Trimble (Doubleday) . The author is a Pulitzer Prize winning reporter, who edits The Kentucky Post and Times-Star at Covington, Kentucky. The text includes a directory of hyperbaric chambers listing those at the University , Millard Fillmore and Veterans Administration Hospitals. It also has a lengthy treatment of the studies of Dr. Eleanor Jacobs , research associate professor of psychology in the department of psychiatry, into the impact of oxygen on senility and citations on the deep-diving and related studies of Dr. Edward N . Lanphier, associate professor of physiology (currently on leave). Dr. Harry A . Alvis , clinical associate professor of social and preventive medicine, was a consultant on the book. D Dr. Rudolph E. Siegel, emeritus clinical assistant professor of medicine, has authored three books in the last five years . His most recent book, Galen on Psychology, Psychopathology, and Function and Diseases of the Nervous System, 1973. In 1968 Dr. Siegel authored Galen's System of Physiology and Medicine and in 1970 Galen on Sense Perception. All books were by the same publisher, S. Karger - Basel - New York. Dr. Siegel was on the Medical School faculty for 30 years (1940-1970) and on the staff of the Buffalo General Hospital. He received his medical degree in 1924 from the University of Goettingen, Germany. For the last 15 years Dr. Siegel has been engaged in medical historical studies . He has published many papers and lectured on the history of medicine and cardiology. The National Library of Medicine has supported his publishing. 54 THE BUFFALO PHYSICIAN �In Memoriam Dr. Rodolfo Quebral, a clinical assistant professor of pathology at the Medical School, died December 30. He was 46 years old. He was also an associate pathologist at Sisters Hospital and had been on the hospital staff the last 14 years. Dr. Quebral was a past president of the Western New York Society of Pathologists and a Diplomate of the College of American Pathologists. He was born in the Phillippines and was a graduate of the University of the Phillippines Medical School in Manila. He came to the United States in 1953, interned at St. Peter's Hospital, Albany, and completed his residency at the Albany Medical Center. D Dr. Corydon Boyd Ireland , M' 40, died December 4 in Millard Fillmore Hospital after a short illness. The internal medicine specialist was a member of the medical staffs at the E.J. Meyer Memorial, Sisters, Veterans, Millard Fillmore, Deaconess and St. Francis Hospitals at various times. Dr. Ireland interned at Meyer Hospital where he also completed his residency. From 1942 to 1946 he was in the Army Air Force in the Pacific theatre and held the rank of major. Dr. Ireland was active in several civic and professional organizations. D Dr. Herbert E. Wells, M '15, died January 7 at St. Joseph ' s Mercy Hospital, Ann Arbor , Michigan. His age was 86. He had been a Lackawanna, N .Y. physician for 58 years. By his own count he had delivered more than 5,500 babies. Dr. Wells had been a Mercy Hospital staff physician since 1930. He had been president of the Medical Union of Buffalo and of the Erie County Past Presidents Medical Association. He was also a past president of the Erie County Medical Society and the Gross Medical Club of Buffalo. During World War II he was named the first chief of Erie County Civil Defense Medical Services. He was also active in several other professional and civic organizations. D Dr. Charles Simon, M '14, died December 28 at his home at the age of 82. He had been a general practitioner in Buffalo for more than 50 years. He served with the Army Medical Corps during World War I in France. He was the son of the late Dr. Ferdinand Simon, one of the pioneer doctors on Buffalo's East Side. D SPRING, 1974 Dr. John C. Brady, 83, Buffalo's grand old man of surgery, died October 27. He was an assistant professor of surgery at the Medical School from 1937 to 1956. He had practiced until May 11, 1973. Dr. Brady was chief of surgery at Sisters Hospital for 25 years and saved the E.J . Meyer Memorial Hospital in the same capacity during World War II when Dr. John D. Steward was on active duty . Dr. Brady was chairman of legislation for the Erie County Medical Society for more than 20 years. He organized and directed a medical program at St. Mary's School for the Deaf and was physician for the Canisius College football team. He was active in Blue Shield and the Red Cross blood program. He had been a Fellow of the American College of Surgeons since 1931, and was a past president of the Medical Union and a member of the Buffalo Surgical Society. He was also active in several other professional and civic organizations. After graduating from the Fordham University Medical School (first in his class) he interned at Bellevue Hospital. During World War I he served overseas and with Herbert Hoover' s Commission for relief in Belgium after the war. D 55 �ALUMNI TOURS, 1974 Rio de Janeiro- April26- May 4 (Niagara Falls Departure) • • • • • • • • $499 complete per person, double occupancy, plus 15% tax & services Round trip flights on DC-10 Seven nights at the fabulous Nacional Rio Hotel (or comparable) Brazilian Continental breakfast every morning Full course dinner every night (5) in selection of Rio restaurants Sightseeing in Rio No Regimentation Transfers & luggage handling Majorca (Spain Deluxe)- May 10-18 (Syracuse and New York City Departures) • 8 days & 7 nights- $329 complete per person, double occqancy, plus • • • • • 13% tax & services (single supplement, $60.00) Direct round trip jet transportation Deluxe accommodations at the Victoria, Fenix or Nixe Palace Hotels Sightseeing tour of Palma City All gratuities and transfers Optional tours available The General Alumni Board - DR. FRANK L. GRAZIANO, D.D.S. , '65 , President; JAMES ]. O 'BRIEN, '55, President-elect; GEORGE VOSKERCHIAN, Vice President for Activities; WILLIAM McGARVA, '58, Vice President for Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; DR. GIRARD A. GUGINO, D.D.S. , '61, Vice President for Athletics; RICHARD A. RICH , '61, Vice President for Development and Membership; DR. DANIEL T. SZYMONIAK, D.D.S ., '47, Vice President for Public Relations; ROBERT E. LIPP, '54, Vice President for Governmental Relations; ERNEST KIEFER , '55, Treasurer; Past Presidents: MOREL Y C. TOWNSEND , '45; DR. EDMOND]. GICEWICZ, M '56; ROBERT E. LIPP, '51 ; M. ROBERT KOREN, '44 ; WELLS E. KNIBLOE , '47 ; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. LAWRENCE H. GOLDEN, M '46, President; PAULL. WEINMANN, M'54 , Vice President; MILFORD C. MALONEY, M '53, Treasurer; JOHN] . O 'BRIEN, M '41, Immediate PastPresident; MR. DAVID K. MICHAEL, M.S. '68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74- DRS. MARVIN L. BLOOM, M '43, President; HARRY G. LaFORGE, M '34, First Vice-President; KENNETH H. ECKHERT, SR., M '35, Second VicePresident; KEVIN M. O 'GORMAN, M ' 43, Treasurer; DONALD HALL, M ' 41 , Secretary; MAX CHEPLOVE, M '26 , Immediate Past-President. 56 THE BUFFALO PHYSICIAN l �Copenhagen (two tours) -July 4-12 (New York City Departure) August 1-9 (Niagara Falls Departure) • 8 days & 7 nights- $399 complete per person, double occupancy, plus 13% tax & services (single supplement, $60.00) • • • • • • Direct round trip jet transportation Deluxe accommodations at the new Western International Scandinavia Hotel Scandinavian breakfast daily Dinner six evenings (dine around plan at Copenhagen's finest) Sightseeing tour; others optional All gratuities and transfers Greek Islands- September 27- October 13 (Niagara Falls & New York City Departures) • Jet to Athens, board ship for 13 days on the Black Sea/Greek Isles voyage on the all-new Royal Viking Sky (Commissioned in June, 1973). Cruise the Dardanelle Straits, the Russian Riviera on the Black Sea. The cruise also offers Istanbul, Izmir, and the Greek Isles - Patmos, Mykonis, Rhodes and Crete. $1600-$2000 is the range for total package (air, land, stateroom) For details write or call: Alumni Office, SUNY AB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 J First Class Permit No. 5670 Buffalo, N.Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 ----------------------;: :. ..--------------------------------------------- .... THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news; no postage needed. (Please print or type all entries.) 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For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Class Reunions Reflections Alumni Contributions, 1973 Dr. Eccles LARMP Projects Dermatology Continuing Education First Woman Medical Graduate AAMC Summary Audubon NewTown Fish Hemoglobin University Institute Medical Privacy/Primary Care Spring Clinical Days Retina Immunology Convocation Medical Curriculum Health Office Children's Rehab Center Our First Professor of Obstetrics by O.P. ]ones, M.D. Dr. Schnatz Renal Disease Dr. Barron/Prisoners The Classes/Kidney Hotline People In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-15 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v08n01 Extent The size or duration of the resource. 58 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/2f28d0819aed37eaab7a35e24b19e788.pdf 98eecd77cc42723e435e4ca61bb8fffd PDF Text Text �Dr. Golden Dr. Lawrence H. Golden is the new president of the Medical Alumni Association. The 1946 Medical School graduate has been on the faculty since 1951. He is a clinical associate professor of medicine. Dr. Golden is chief of cardiology, attending physician, and chairman of the department of medicine at the Millard Fillmore Hospital. He is also attending physician at the E. J. Meyer Memorial Hospital. He did his undergraduate work at UB, his internship at the Jersey City Medical Center, and his residency at Millard Fillmore Hospital. He was a Cardiovascular Teaching Fellow at the University (1950-54) and had a Fellowship in Cardiology at Tulane University (1956-58). From 1954-56 he was a Captain in the United States Air Force (medical corps). Dr. Golden is a Fellow in the American College of Physicians, American College of Chest Physicians, and American College of Cardiology. He is also a Diplomate, American Board of Internal Medicine. 0 A 1954 Medical School graduate is the new vice president. He is Dr. Paul L. Weinmann, who is director of the department of dermatology at St. Joseph's Inter-community Hospital. Dr. Weinmann was graduated from Bennett High School, Buffalo, in 1947. He did his undergraduate work at the University of Michigan, returning to Buffalo in the fall of 19 50 to enter Medical School. He interned at the Buffalo General Hospital in 1955, and took his dermatology residency at the· University of Chicago. He returned to Buffalo in 1958. Dr. and Mrs. Weinmann and their two children live at 199 Ruskin Road, Eggertsville. 0 Dr. Weinmann Dr. Maloney A 1953 Medical School graduate is the new treasurer. He is Dr. Milford C. Maloney, who is a clinical assistant professor of medicine at the University and chief of medicine at Mercy Hospital. Dr. Maloney is a graduate of Canisius College. He had a rotating internship with Georget~wn University and Mercy Hospital. He took his residency at Buffalo General and Veterans Hospital. From 1957-59 he served in the United States Army Medical Corps as a Captain and chief of medicine at Fort Eustis Army Hospital, Virginia. From 195963 he was a part-time senior cancer research physician at the Roswell Park Memorial Institute. Dr. Maloney is a Fellow in the American College of Physicians. He is a past president of the Western New York Society oflnternal Medicine (1968), and the Heart Association of Western New York (1969). He has also been an active participant in post graduate courses and the UB Medical Round Table TV Series. He has also presented several courses and lectures at clinics, symposia and other professional meetings. 0 �Summer 1973 Volume 7, Number 2 THE BUFFALO PHYSICIAN Published by the School of Medicine, State Uni1·ersity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor ROBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Visual Designers RICHARD MACKAN J A DONALD E. WATKINS Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. LAWRENCE H. GOLDEN President, Alumni Participating Fund for Medical Education DR. MARVIN BLOOM Vice President, Faculty of Health Sciences DR. CLYDE L. RANDALL Vice President, University Foundation JOHN C. CARTER Director of Public Information JAMES DESANTIS Director of Medical Alumni A/fairs DAVID K. MICHAEL Director of University Publications PAULL. KANE Vice President for University Relations DR. A. WESTLEY ROWLAND Medical Alumni Officers (inside front cover) 2 Immunopathology of the Skin 6 Selecting Students 7 New Space 8 First Anatomy Professor by 0. P. Jones, Ph.D., M.D. 9 Continuing Medical Education 10 Medical Students Honored 11 Health Changes 13 Ernest Witebsky Memorial Lecturer 14 Health Sciences Vice President Dr. Pannill Discusses Plans 16 Selecting a Dean 17 Dr. Grabau 18 A Clinical Rheumatology Service 21 LARMP Accomplishments 22 Medical Information System 23 Medical Alumni Receptions 24 Treating Chronic Alcoholism 28 Roads Named After Physicians 29 Alumni Reception 30 The Aging Process 31 Problem Solving Approach to Teaching 32 Improved Medical Care 33 Rural Extern/Immunology Center 34 Navy's Pediatric Surgeon 3 5 Accreditation 36 Lasker Awards 38 BGH Space 40 Living in Thailand by Mrs. Robert Brenner 41 People 44 The Classes 4 7 In Memoriam 48 Alumni Tours The cover design by Richard Macakanja focuses upon the new approach to treating chronic alcoholism on pages 24-27. THE BUFFALO PHYSICIAN, Summer 1973 - Volume 7, Number 2, published quarterly Spring, Summer, Fall, Winter - . by the School of Medicine, State University of New York at Buffalo, 3435 Mam Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New "Y<_>rk. Please notify us of change of address. Copyright 1973 by The Buffalo PhysiCian. SUMMER, 1973 1 �Dr. Beutner (center) reviews data from electron microscopy study with Susan Vetter, laboratory technician , and Dr. Russell J. Nisengard. I call senseless beliefs and degenerate customs diseases of humanity. Maimonides 1135-1204 Immunopathology of the Skin If you were to walk into the offices of Dr. Ernst Beutner in Sherman Hall you would find the most prominent location on the wall occupied by this admonition of Maimonides. For the professor of microbiology, who has not only established the concepts of defined immunofluorescence but has played a major role in laying the groundwork for the subspecialty of immunopathology of the skin, the copy serves to remind him of the direction for his research, teaching, and service commitments. Dr. Beutner came to Buffalo in 1956 from the Harvard School of Dental Medicine to work under the late Dr. Ernest Witebsky. Here the liberal arts graduate from Pennsylvania State (armed with a Ph.D. degree from the University of Pennsylvania in microbiology and with expertise in bacteriophage, food technology, and tissue culture gained at Cold Spring Harbor, MIT, and Cooperstown respectively), was introduced to autoimmunity in thyroiditis. 2 THE BUFFALO PHYSICIAN �"Dr. Witebsky suggested that I use the fluorescent antibody method," he recalled. He started with studies of thyroiditis in the model system discovered by Drs. Witebsky and Noel Rose, and then in man. His studies of human thyroiditis led to the discovery of one of two major types of antibodies associated with this disease which react with thyroid cells. While studying experimental models of two other autoimmune response systems- the pituitary autoantibody and those to the salivary glands - the German-born researcher became convinced that reactions of animals are usually different from those in man. He therefore turned to the study of human diseases. Focusing first on Myasthenia gravis he recalls "we were able to generate methods of demonstrating muscle autoantibodies by indirect immunofluorescence, hemagglutination, and later by precipitation." And the direct and complement immunofluorescence methods of Dr. A. Strauss and collaborators were thereby advanced several steps. His success with the role that autoimmunity plays in pemphigus precipitated the discovery of its role in bullous pemphigoid. Further investigations pointed to a greater relevancy of antibodies to both of these disease processes than to Myasthenia gravis or associated thymomas. And from his work on the bullous diseases evolved the new subdivision of immunopathology of the skin, the establishment of immunofluorescence as a diagnostic tool not only for pemphigus but for other skin diseases as well. While pemphigus is not a common disease, about a thousand in this country suffer from it, an equal number from bullous pemphigoid, and double that figure for dermatitis herpetaformis. Dr. Beutner's diagnostic methodforpemphigus (if untreated the patient will die) is now an accepted procedure. The professor of microbiology feels that about a dozen highly-skilled laboratories in this country can handle the problems of diagnosis for this group of disease~ William Hale checks slide as lab technicians Cheryl Young and Christa Nagy work at staining slides of tissue sections with patient sera . SUMMER, 1973 3 �His study of these diseases continues. Recent findings by the renowned immunopathologist and his collaborators point to the passive transfer of pemphigus with serum of patients suffering from the disease. Transfer, he says, can be affected by injecting adequate doses of such sera into monkeys intradermally or intramucosally. "There is now good evidence that pemphigus antibodies cause the lesion," Dr. Beutner pointed out, "and that passive lesion formation, like those in man, are mediated by fixation of complement to bound pemphigus antibodies. What remains for us to discover is the cause of formation of pemphigus antibodies. If we can understand this we may then be able to prevent it in the future." The 50-year old scientist is committed to continued sound development of this new subspecialty of immunopathology. But he anticipates that it may take half a century for it to grow into a fullblown discipline (it took equal time to elaborate the specialty of histopathology of the skin). In the immunofluorescent testing service (IFS) initiated by Drs. Beutner, Russell Nisengard, and Mr. William Hale, dermatologists, interns, and physicians in both the community and throughout the country gain personal experience necessary for meaningful testing. This correlates with Dr. Beutner's belief (based on Maimonides' warning) that the emphasis of a school of medicine or dentistry's teaching should be as a deliverer of service. And that some of the responsibility for excellence of service performed in clinical laboratories must be placed on them. Many working today in the field of immunopathology of the skin received some of their training in Buffalo. More and more of the time of the Honorary Member of the Warsaw Academy of Dermatology, the Rocha Lima Medalist for studies on immunopathology of Brazilian pemphigus, and WHO visiting Dr. Ernst Beutner goes over a manuscript with secretary Christine Alsford. 4 THE BUFFALO PHYSICIAN �professor at Escole Paulista de Medicine, Sao Paulo, Brazil is devoted to teaching via a commitment to reviewing articles in this specialty and adding to his more than 100 contributions to the literature at this date. A book soon to be released, Immunopathology of the Skinlabeled Antibody Studies includes reviews of each of the most salient uses of immunofluorescence. One of the exciting possibilities detailed in this text edited by Dr. Beutner and three dermatologists (Drs. Chargelski, Bean, and Jordon) is the role of autoimmunity in psoriasis. He looks forward to possible collaborative efforts with dermatology head Dr. Richard Dobson. Dr. Beutner also hopes to establish a reference service for other laboratories through possible Summerhill Foundation support. He is therefore at war k on a series of World Health Organization bulletins through which laboratories may check on reliability of immunofluorescent testing procedures used in diagnosis. Summer courses on these techniques have been very successful. However Dr. Beutner's writing commitments include final editing of his textbook, Immunopathology of the Skin, sponsored by the National Library of Medicine, a laboratory manual to be distributed by Highland Laboratory, a commitment to draft a series of WHO bulletins - one for dermatologists on diagnostic value of immunopathologic methods and another with Stockholm's Dr. Fagraeus on accepted practices of defined immunofluorescence. As writing commitments ease, Dr. Beutner hopes that he and his associates (Mr. Hale and Dr. Nisengard) will resume this teaching service to immunologists around the world. A series of symposia has also been devoted to quantifying immunofluorescence. In the first, held in 1968 in London a result of his sabbatical led to the text, Standardization in Immunofluorescence, edited by E. J. Holborow. The second workshop, held in Stockholm under Dr. Beutner, was the first international program sponsored by the New York Academy of Sciences in its more than 100-year history. Its text, Defined Immunofluorescence Staining, edited by Dr. Beutner, appeared as Volume 17 of the Annals of the New York Academy of Science . A third, to be held in Amsterdam under Dr. Willie Hijmans, will focus on the development of methods for quantification of immunofluorescence. It is in the development of such methods that Dr. Beutner is committed. For only through these can the diagnosis of diseases such as pemphigus become possible and the field of immunopathology of the skin be introduced. 0 SUMMER, 1973 5 �Selecting Medical Students "D ECIDING WHOM to interview and how to choose 200 students from 5,200 is one of several concerns of the Admissions Policy Committee. "That is what Dr. M. Luther Musselman, assistant dean for admissions, told the Medical Faculty Council recently. Dr. Musselman listed other problems - promoting minority recruitment; possible student representation on the Admissions Policy Committee; admitting Ph.D.'s; possible limiting of foreign students; and what to do about a number of students previously denied admission who took courses in the Medical School and have asked to be admitted on the basis of their excellent performance. Comments were generally in favor of student representation on the Admissions Policy Committe, according to Dr. Zebulon Taintor, Council Secretary. He is also an associate professor of psychiatry. The desirability of representation by consumers of health services was raised by Dr. Norman Solkoff who was informed that that Committee would consult with them. Dr. Solkoff is professor of psychology in the Department of Psychiatry. Taxing problems in the admissions procedure remain, the previous chairman of the Committee, Dr. John G. Robinson, reported. It is very difficult to get black students, Dr. Robinson said, even from New York State which contributes the largest number of total applicants to the national pool. The U/B minority pool is not larger, Musselman explained, because other medical schools are able to provide financing greater than the 30 to 45 per cent of calculated need offered here. Additional funds could be solicited to boost this percentage, possibly from organizations interested in higher education for blacks, Dr. Taintor suggested. Dr. Robinson expressed hope that current recruitment procedures giving special treatment to minority and women candidates can be continued. Currently 5,000 applicants have to be turned down to accept 200, which usually results (because of duplicate applications) in a class of 135. As Dr. Richard Ament, clinical professor of anesthesiology, pointed out, nationally the total number of applicants to acceptances is about three to one. Limiting the number of applications per student might alleviate this situation, but no such step is being taken nationally. The eventual need to employ a lottery for interview and a lottery for acceptance of white male applicants was raised by Dr. Robinson. The desirability of generating admissions policies which relate acceptances to need for special medical services was raised by Dr. Ament, who pointed to a national precedent among surgeons. Using such a system, allied health professionals, for example, already trained in a high, priority field, might be recruited with the expectation that they would continue in that field after medical school. The problem of training much needed physicians for rural areas was also considered in this context. Students from rural areas tend to return home to practice. However,rural applicants often interview poorly and are not currently given preference in admissions. As Dr. Solkoff pointed out, the selection procedure could be made less random by employing multiple regression analyses, a suggestion taken under advisement by the Committee. Some members of the Council suggested the possibility that the ceiling on class size is an arbitrary one, particularly in light of the numbers of non-medical students who are able to enroll in courses. Laboratory space and the expressed need to limit the size of certain 6 THE BUFFALO PHYSICIAN �clinical experiences were cited as key limiting factors by others. On the other hand, it was noted, the student body was abruptly expanded in recent years without much consultation or planning and the School survived. A good study is called for, it was agreed. In related discussion, it was suggested that foreign students be limited to less than 10 per cent of the class. A six-year curriculum from high school was discussed negatively. The lack of a program for Ph.D.'s was cited as an impediment to acceptance of applicants with advanced degrees. D "A of space will probably be available for the Health Sciences on the Main Street (South) Campus when the University occupies the new Amherst (North) Campus." That is what Dr. Clyde Randall, vice president for health sciences, told the Medical Faculty Council recently. Duplication of such facilities elsewhere would cost, according to President Robert Ketter's estimate, $80 to $90 million. Some faculty members have questioned the desirability of separating the basic sciences from the clinical departments. "The basic choice," Dr. Randall said, "appears to be either having the basic sciences stay on the campus (as was decided last year) or developing an alternative that might take decades to accomplish in which basic sciences would move to one of the affiliated hospitals, probably the County Hospital." Dr. Randall pointed out that a focus of preclinical departments near one of the community hospitals would not alter the Medical School's need to depend upon others of the community hospitals for teaching, especially with larger enrollments in the School. He said he hoped to avoid repetition of the dissatisfactions of the 1930's and 40's when the basic sciences had all been adjacent to the Buffalo General Hospital, a situation which had been found unacceptable to the professional staffs of the county hospital and other community hospitals. Dr. Randall indicated that another alternative, dividing the personnel of the basic science departments among the affiliated hospitals, seemed even less desirable than keeping the basic science departments together on the Main-Bailey campus and in association with the Veterans Administration Hospital, which does offer much in the way of nearby clinical facilities. The vice president said sympathy and understanding are due those still anguishing over the frustrations of where the Medical School should be located, particularly since it was not the Faculty's fault the School had been led down at least two blind alleys in the last few years. On the other hand, he felt that there was virtually no chance of getting anything near the $80-90 million it would cost to reproduce - adjacent to any one of the hospitals - the space that was being made available to the Health Sciences on the MainBailey (South) campus, nor would there be much happiness during the years it would take to move the basic science departments to a location adjacent to one of the hospitals. D PPROXIMATELY 900,000 SQUARE FEET SUMMER, 1973 7 More Space for Health Sciences �Our First Anatomy Professor James Webster (1803-1854) by Oliver P. Jones, Ph.D., M.D. Distinguished Professor of Anatomy TAMES WEBSTER was born in Washington, Lancashire County, Engfand on 24 December 1803, and was an only child. His parents emigrated to this country while he was a small boy and settled in Philadelphia where his father became an eminent bookseller and publisher. Mr. Webster published the celebrated life of Patrick Henry by Wirt and he commenced the publication of the American edition of the New Edinburgh Encyclopedia. The father was also, for many years, the publisher and proprietor of the Medical Recorder, paying liberally for the best talent he could engage to superintend the editorial department. Consequently, the intimacy of the father with medical men, no doubt had an influence on the son's mind. The father wanted his son to finish college and then study law, but young Webster, after hearing an interesting lecture on anatomy, decided to direct his attention to the subject of medicine. He attended one course of lectures at the University of Maryland and two at the University of Pennsylvania where he graduated in March 1824 with the M.D . degree. In addition to his regular lectures, he attended the private class of Dr. John D. Godman, taking a prize as the best anatomist in his class at the age of 18. In the fall of the year that he graduated, Webster commenced giving lectures in anatomy to a private class. When Dr. John D. Godman was appointed to the chair of Anatomy in New York in 1826 he induced Webster to take charge of the "Philadelphia Anatomical Rooms" and to adopt the analytical method of teaching anatomy. This consisted in bringing the subject (cadaver) before the class unmutilated, and dissecting, demonstrating and lecturing at the same time. To do this required not only a perfect knowledge of the subject and ready use of the scalpel, but a fluency of speech and ready command of English which few possessed. As a successful teacher of Anatomy, Dr. Webster had few, if any, superiors in the country at that time. Dr. W. E. Horner, a distinguished anatomist at the University of Pennsylvania, was appointed Dean of the Medical Faculty in 1822. From this vantage point, the dean collected a matriculation fee and in addition also sold the students' private tickets for Practical Anatomy, which they thought would give them a greater chance of obtaining a degree. Thus Dr. Horner and Dr. Hopkinson, the prosector, had a monopoly on the emoluments derived from the students but they also controlled the supply of anatomical material so as to prevent every private teacher of anatomy, not directly nor indirectly connected with the University, from the successful prosecution of their course. Needless to say, the eloquence of Dr. Webster attracted large classes but he was deprived of anatomical material to the extent that he sat up night after night watching that neither the University nor any private class should obtain them until he was supplied and gaining his point. According to Webster, the editor of the S. Carolina J. Med. wrote, "For our part, we most sincerely wish, that this money-making practice, which puts science upon the footing of trade could be eradicated from all our schools ." In 1827 Webster became editor of the Medical Recorder, which was published by his father, but resigned two years later when publication of this journal was merged with the American Journal of Medical Sciences (est. 1827). He was also associated with editing the U.S . Medical and Surgical Journal and edited the first American edition of one of John Hunter's treatises. Dr. Webster found Mr. Hunter's style inelegant and frequently obscure. 8 THE BUFFALO PHYSICIAN �In 1834 he moved to New York City and acquired an enviable reputation. As a surgeon he was cautious because of his intimate knowledge of anatomy, and of the difficulties and dangers to be encountered. However, he was bold and prompt enough when the occasion demanded. He was particularly skillful as a lithotomist. When Dr. Willard Parker left Geneva Medical College in 1836, Dr. Webster was appointed to the chair of Anatomy and Physiology, and in addition, gave John G. Morgan's course in Surgery. He was appointed Professor of General and Special Anatomy in 1846 at the University of Buffalo and remained there until1851. It was in the lecture room that he appeared to greatest advantage, he was never so happy as when lecturing on his favorite subject -anatomy. It is interesting to note that at the trial for libel (1850) in the case of "Demonstrative Midwifery", Webster did not think it necessary to expose a woman during delivery. However, on cross examination he thought exposure might be useful. Dr. Webster and his family moved to Rochester in 1839 where they continued to live until two years before his death. This meant that from 1846 to 1851 he commuted to Geneva and Buffalo in order to give two courses of lectures in anatomy. Harvey Cushing said he was "the fat little fairy in the shape of the Professor of Anatomy, blunt in manner and very voluble" who in early November, 1847 shook a certain woman named Elizabeth Blackwell by the hand and said her plan was a capital one - "You'll make a stir, I can tell you." He was made emeritus professor of anatomy and physiology at Geneva Medical College a year before he died. Dr. Webster suffered from heart disease and died at Louisville, Kentucky, 18 July 1854 and was survived by an aged mother, his wife and four children. 0 References: 1. Coventry, C.B., Trans . Med. Soc. New York, n.v.: 165-169, 1855. 2. Harvey Cushing, The Pioneer Medical Schools of Central New York, Syracuse. Printed Privately, 1934, 36 pp. 3. Howard A. Kelley and Walter L. Burrage, American Medical Biographies , Baltimore, The Norman Remington Co., p . 1209, 1920. 4. James Webster, Facts Concerning Anatomical Instruction in Philadelphia, Philadelphia, 1832. 5. Obituary: Boston Med. Surg. ]. 51: 218, 1854. Continuing Medical Education Four Continuing Medical Education Conferences are scheduled during May, June, and August. May 16-17, Fetal Monitoring: Evaluation of the Baby During Labor, Delivery and the Immediate Neonatal Period; May 25-26, Mental Health Treatment in Prisons and other Correctional Programs; June 4-8, Refresher Seminar in Pediatrics; August 6-9, School Health. Mr. Charles Hall, director of continuing medical education, said that all conferences will be at the Statler Hilton Hotel except the June 4-8 meeting which will be at Children's Hospital. 0 SUMMER, 1973 �I ........ Three seniors -Fredric Hirsh , William Ackerman, Bruce Abramowitz Medical Students Honored Ten medical students were honored for their academic excellence at the annual School of Medicine Convocation in Butler Auditorium February 1. Seven students also became members of the honorary society, Alpha Omega Alpha. Dr. Calvin Hastings Plimpton, president of the Downstate Medical Center, (Brooklyn) spoke on "Continuity in a World of Change." Dr. Clyde Randall congratulates Michael Savona Dr. john ]. O'Brien presents alumni association award to William Ackerman. Diane Matuszak, Dr. Randall THE BUFFALO PHYSICIAN �The award winners were: James A. Gibson and Wayne J. Atwell Anatomical Award (for highest record of anatomy during first year) Elliot Fankuchen Roche Laboratories Award (for highest ranking student during first and second years) Barry Kilbourne Pfizer Award (for three years of academic excellence) Michael A. Savona Children's Hospital Prize (for ability to understand children's disease) James Marks Dr. John Watson Prize (for excellence in medicine) Steven Smiles Farny R. Wurlitzer Award (for outstanding work in psychiatry) Diane Matuszak Physiology Award (for outstanding performance in physiology) Ralph Bellamy Ernest Witebsky Memorial Award (for outstanding performance in microbiology) John Manzella Kornel L. Terplan Award (for demonstration of best knowledge of pathology during second year) George Kleinman Alumni Association Aw ard (for outstanding achievement during the third year) William Ackerman Alpha Omega Alpha (honorary society) William Ackerman, Nancy Lieberman, Robert Penn, Melvin Pratter, Michael Savona, Richard Spector, Dennis Stempien. 0 Dr. Plimpton Changes in Health Professions "T HERE IS A LOT of change in the academic world and it is coming so fast that it is frightening. In the health professions the rate of change is moving from an evolutionary to a revolutionary rate." That is what Dr. Calvin Hastings Plimpton, the third president of the Downstate Medical Center, said at the annual Medical School convocation. "You may not be able to see the change, but I see it." The physician continued, "Death is changing. It is acceptable. You can now talk about it. Death has been discovered. Someday you may even be able to die at home if you can get unhooked from the machine. There is even research in death toda& SUMMER, 1973 11 �Drs . Felix Milgram, Evan Calkins, Ronald G. Davidson "About 1970 a new group joined the revolution- the patientconsumer. He demanded his rights and wanted a voice in decision making. This tended to scare physicians. But these people just wanted to be helpful.· The consumer councils that have been formed are excellent. These people aren't going to tell the doctors whether to make vertical or horizontal incisions, but they do want a voice in whether we should expand their intensive care unit or their alcohol unit," Dr. Plimpton said. The educator told the students that medicine is no longer a very respected profession. "We have many sins. We have been autocratic too long. We are a split union with many specialties, and our supremacy is being challenged. This is good." The physician went on to say that we are about as callous as the Romans. "We do things in the same old way and there isn't much change in human nature." He told the future physicians that "we belong back at the bedside, comfortably in the armor of our starched white coat, with a folded stethoscope where the revolver used to hang." Dr. Plimpton described an "ideal" physician as a warm human being and a trained scientist. He also believes a good doctor is a teacher, as well as a healer, teaching his patient to live with his disease. "Students today think they are wiser, smarter, and more clever. But they aren't. The training is different and more sophisticated. You look like students of 100 years ago- with your long hair and beards." Dr. Plimpton said expectations aren't much different than they were 100 years ago. How do you achieve expectations? he asked. "Be good, reliable, and do little things yourself rather than call for the orderly. The more things you do for yourself the more interesting it is. Do one little act of kindness every day. Don't delegate. Do it yourself. The nice thing about medicine is the fact that you can do it yourself. "We in the health professions are indeed the 'imperial few' we are in the most fulfilling occupation that continually stimulates the very appetite it satisfies," he concluded. 0 12 THE BUFFALO PHYSICIAN �Dr. Coombs Dr. Mohn When the man who no longer travels received an invitation from Dr. James Mohn to come to Buffalo as the Third Annual Ernest Witebsky Memorial Lecturer, there was not a moment's hesitation. For Dr. Robin R. A. Coombs, who is the Quick Professor of Biology at the University of Cambridge in England, wanted to honor the man for whom he had "enormous respect and admiration." Although personal visits between the two immunology "giants" who lived many miles apart and who did not collaborate, were limited to but half a dozen, their relationship - dependent on correspondence - remained a source of inspiration and strength to the younger investigator who "so much modeled his approach to things to the kind of Witebsky thinking." Their first meeting in 1950 at the Biennial International Congress of the International Society of Hematology in Cambridge culminated in a "meeting of the minds" between the immunologist (whose test for detecting antibody coating of red cells in pre-transfusion testing and to diagnose hemolytic disease of the newborn was already well established) and "one of the world's greatest immunologists." Their last visit was in 1968 at the inauguration of the then new Center for Immunology over which Dr. Witebsky was to preside. Dr. Coombs presented the banquet address. In between times, personal ties between Drs. Coombs and Witebsky strengthened. Dr. Witebsky was named godfather to Rosalind Coombs (she is now 16). And his daughter Grace spent a summer in England with the Coombs. Keen-humored Dr. Coombs opened the Memorial Lecture with an early dictionary definition of rosettes and followed with a photo of what they really look like. He eased his way into a definition pertinent to immunology. With microphones that did not work, a makeshift pointer quickly assembled, graffiti adorning walls where sound deflectors had been removed (intersession appears to be housekeeping time on campus regardless of room reservations) Dr. Coombs, through beautiful line drawings, defined each of the existing rosetting techniques, what they can/cannot do, as well as its applications and pioneers. The 350 gathered in Capen's Butler Auditorium shared Dr. Coombs' enormous respect and admiration for the late Dr. Witebsky. The lecture was sponsored by the department of microbiology and The Center for Immunology. 0 SUMMER, 1973 13 Ernest Witebsky Memorial Lecturer Dr. Coombs pointed out in his banquet address that "immunology cannot be considered to be basic or fundamental to the other sciences as is obviously the case with chemistry, physics or biochemistry but it is perhaps uniquely characterized by the numerous intersections it has with other sciences besides pathology; with chemistry, biology, microbiology, genetics, hematology, and medicine, for instance figure I." The figure depicting this concept is being used on the cover of each issue of The Center for Immunology Journal, Immunological Communications. 0 - �Health Sciences Vice President THE PHYSICIAN who was the founding dean of the University of Texas Medical School at San Antonio (1965-1972) is the new Vice President for Health Sciences at the University, effective July 1. He is Dr. F. Carter Pannill, a 51-year-old internist, who was also professor of medicine at San Antonio. He will replace Dr. Clyde L. Randall, who has held the position since November, 1970. In announcing the appointment, President Robert L. Ketter noted that "one of the goals of our Faculty of Health Sciences is to achieve a pre-eminent position in the area of health care delivery." He said that "Dr. Pannill's background as both an educator and administrator as well as a health care practitioner will be of immeasurable value in helping us to reach this goal." The Faculty of Health Sciences is the largest of seven academic divisions of the University and includes the Schools of Medicine, Dentistry, Pharmacy, Nursing, and Health Related Professions. Born in Rosemont, Pennsylvania, Dr. Pannill received the B.A. in Spanish from Yale in 1942 and an M.D. from Yale University School of Medicine in 1945. He served in the United States Army Air Force for 21 months (April1946-December 1947). After completing his internship and residency in Houston, he joined the staff of the Baylor University College of Medicine, continuing there as assistant professor of medicine until1954. From 1954-60, he was engaged in the private practice of internal medicine in Corsicana, Texas. He served as associate professor of medicine at The Hahnemann Medical College and Hospital of Philadelphia from 1960-61, moving to the University of Texas Southwestern Medical School in Dallas as assistant dean for grants and sponsored research where he remained until accepting the San Antonio Post. He was also assistant professor of internal medicine at Dallas. Dr. Pannill is a Diplomate of the National Board of Medical Examiners and a Fellow of the American College of Physicians. In 1961 he was the recipient of the Christian R. and Mary F. Lindback award "For Excellence in Teaching" at Hahnemann Medical College. Dr. Pannill received the John and Mary R. Markle Foundation Award as a "Scholar in Academic Medicine" in 1962-1967. He is the author or co-author of articles on syphilis, alcoholism and medical education. Dr. and Mrs. Pannill have three children - Fitz, Jr., Mary and Elizabeth. 0 Dr. Pannill Discusses Plans "The search for a dean for the Medical School should start right away. It can't wait until I take office July 1. The School's been deanless too long." Finding "a strong, effective professional" to fill the Medical School vacancy tops the priority list of Dr. Fitzhugh Carter Pannill, Jr., the new next Vice President for Health Sciences. Pannill discussed this and other plans and concerns for the health sciences area during a three-day visit to the campus early in March, sandwiching an evening interview between meetings and 14 THE BUFFALO PHYSICIAN �preliminaries to house-hunting. It's going to take a long time to find the right man for the School, Pannill predicts. The ideal candidate is someone with impeccable academic credentials who will be accepted without reservation as a faculty colleague. He will also need solid administrative experience, but Pannill thinks that the administrative-academic balance will tilt toward a solid research-publishing background. "Personally, I favor bringing someone in from the outside. It has been my experience that much stronger institutions develop when people whose primary experience has been in another institution are brought in," he said. Pannill assured that he would assist in the search in any way that he can, including suggesting names to the search committee and flying up from Texas to meet with candidates. Solidification of affiliation agreements with area hospitals is another pressing concern, Pannill said. The emphasis of current agreements is almost entirely on meeting the clinical needs of the medical and nursing schools. The educational requirements of other health science areas such as dentistry and pharmacy have to be recognized as well, he said, predicting that at least some of the present agreements will be rewritten. Pannill, who was founding dean of the University of Texas Medical School at San Antonio from 1965 to 1972, is sensitive to a "certain insecurity among non-medical health professionals." To counter this locally, and to foster communication among the campus's health professionals, he favors organization of a health sciences-wide faculty body, perhaps an assembly, and a parallel organization for health sciences students. Pannill views cross-committee appointments as another way to counter the relative isolation of the health sciences schools. Asked about the division between the Medical School and the rest ofthe University, Pannill answers, "There's always a split. People hear more about it on this campus because of the proximity of the faculties." Continuous positive attempts at communication, including ongoing efforts to bring medical personnel into the life of the University as faculty members, are a partial solution, he says. This will be increasingly important as the rest of the University moves to the North Campus, he adds. The physical plant also presents an immediate concern. As boldly underscored by the recent accreditation report, present health sciences facilities fall critically short of minimum space requirements. Dentistry, for example, needs three times its present space allocation. A poor physical plant affects faculty morale, Pannill explains. Long-term improvement will come as the rest of the University vacates this campus, but the lack of concrete details about the planned conversion has been a problem. "People can put up with the most appalling working conditions as long as they can see the light at the end of the tunnel." Those concerned have to know exactly what's being planned, he says. Convinced this University has tremendous potential for future growth in health sciences and "challenged by the challenge," Pannill admits that the next few years will be relatively hard times for health education. Over the last ten or fifteen years most medical schools have tied themselves to Federal funding to the degree that recent and probably future government cutbacks threaten basic education(j-. SUMMER, 1973 15 Dr. Panni/J Patricia Ward Biederman interviewed Dr. Pannill and wrote this story that appeared (March 8) in the REPORTER, University Newspaper. �programs as well as formal research activity. "This University is not quite as dependent as some," but it too will feel the pinch. As a first project, the vice president-designate would like to initiate an ambulatory health care delivery system here. He envisions a cooperative program that encourages respectful peer relationships among all the health professionals involved. Ambulatory care and preventive medicine are special interests of the administrator. At San Antonio, Pannill developed a comprehensive family health care program with Federal funding that serves 8,000 poverty-level persons, mostly Mexican Americans who had previously known mostly "bus station medicine." Non-crisis care is a widely neglected area of most health education, Pannill says. "Students usually see only the acutely ill person and miss the really interesting phases of medicine," such as the social adjustment that must be made by the chronically ill. "They don't see the discharged patient re-structuring his life. "The good doctor knows about these things instinctively but he didn't learn them in medical school," Pannill says. Student health service facilities could be utilized in an experimental program in this area that would give advanced health care students an opportunity to study and deliver ambulatory care services and even to use them when the occasion arises. The health sciences curriculum must be studied constantly. It must not be allowed to solidify and become rigid, he says, endorsing, in medical education, experimentation with advanced placement, dual degree programs, and "personal educational timetables." 0 Committee to Select Dean The president of the Medical Alumni Association, Dr. Lawrence A. Golden, has been appointed to the 11-member search committee for a dean of the School of Medicine by President Robert L. Ketter. Dr. Golden is a clinical associate professor of medicine. Dr. Alan J. Drinnan, chairman of the Department of Oral Medicine in the U/B School of Dentistry, will chair the committee to find a successor to Dr. LeRoy A. Pesch who resigned as dean in December, 1971. Dr. Clyde L. Randall, vice president for health sciences, has been serving as acting dean since that time. In his charge to the committee, Dr. Ketter asked that they "carry out a national, even international search which will bring us the very finest medical educator available." Dr. Ketter's letter continued, "Obviously the Dean must possess the academic credentials in teaching and research that will command the respect of his colleagues. I am particularly concerned that we attract a communicator who possesses the skills of a diplomat; a person who can gather the faculty into a single unit, working for the betterment of the whole, while still recognizing that it is one of the major units of a still larger community - The State University of New York at Buffalo. 16 THE BUFFALO PHYSICIAN �"At the same time, we look for innovation and academic excellence. We must not fear or avoid change, nor should we change for change's sake," Dr. Ketter said. Other members of the Committee are: Dr. John C. Dower, acting chairman of the Department of Pediatrics; Paul Edwards, associate professor, School of Social Policy and Community Services; Dr. Leon E. Farhi, professor of physiology; Dr. Francis J. Klocke, professor of medicine; Miss Coletta A. Klug, associate professor of nursing; Dr. Felix Milgram, chairman, Department of Microbiology; Michael Sdao, 3rd year student, School of Medicine; Dr. Jui H. Wang, Einstein Professor of Biochemistry; and Reverend William Zenns, associate director of Catholic Charities. Dr. Ketter did not set a deadline for the Committee. 0 Dr. Grabau Retires A 25 year battle against tuberculosis has been most rewarding to a 1945 Medical School graduate. Dr. A. Arthur Grabau has seen the decline of the disease as a major public health problem in his 22 years as head of the Tuberculosis Control Division of the Erie County Health Department. He retired March 1. "For the first time the number of new active tuberculosis cases reported in Erie County for one year was below 200. In 1948 there were 1,136 recorded new cases and 248 deaths. Last year we had 198 new cases and only 19 deaths. This was my aim and the aim of all people working in tuberculosis control - to eliminate the disease as a health hazard," Dr. Grabau said. The clinical associate in social and preventive medicine at the Medical School estimated that at the turn of the century there was at least one case of tuberculosis in every family and about 95 per cent of the adult population was infected by the tuberculosis bacteria. Although drugs for treatment were available in the early 1950's, "there usually was a waiting period of about three months before a patient could get into a tuberculosis hospital. Patients often died before they could be admitted to the hospital." The State of New York once had seven tuberculosis hospitals. Now it has only one end it will soon close. The E.J. Meyer Memorial Hospital, which once had 250 beds for tuberculosis patients, now has only 40, according to Dr. Grabau. "We probably will get to a point where tuberculosis occurs sporadically, like typhoid fever. It is doubtful that we will ever be able to eliminate the tuberculosis bacteria from our environment," Dr. Grabau concluded. 0 SUMMER, 1973 17 �A Clinical Rheumatology Service Dr. Raymond Partridge. To some extent a majority of the population over 65 has felt the effects of musculoskeletal pain due to arthritis and other musculoskeletal conditions. However all ages may suffer from inflammatory arthritis, especially rheumatoid arthritis. The cost to both patient and family - who must continue to care for the disabled - may be astronomical in terms of loss of employment, suffering, soaring cost of medical care, and social restraints. In 1968 Dr. Raymond Partridge joined a arthritis/immunology group at the E. J. Meyer Memorial Hospital headed by Dr. Thomas Tomasi. With NIH support, he started a clinical study and research center, an adjunct to the arthritis clinic initiated by Dr. L. Maxwell Lockie back in 1933. (Dr. Lockie was also instrumental in starting similar clinics at the Buffalo General and Children's Hospitals). 18 The rheumatology unit, as it is called, is also used for clinical research and for teaching medical students, fellows and residents. "We use a team approach," Dr. Partridge said, "in our care of the patient." Not only is the physician, orthopedic surgeon, social worker, physical and occupational therapist involved, but health nurse and aide in the home care program as well. "We diagnose, treat, and try to maintain maximum function with the least amount of pain for the patient who suffers from rheumatic disease," the British-born and educated physician said. "And early diagnosis is important if we are to prevent the worst effects of disease from occurring." The unit has a 12-bed inpatient facility, access to large laboratory facilities to study the disease, and two outpatient clinics - one for arthritides and the other for connective tissue and immunologic diseases. Clinic visits run about 3000 a year. There are 250-300 new patients annually. Additional clinics developed as it became more and more apparent that one physician could not handle all of the problems arising in the care of patients. "We are now able to draw on expertise in several areas at our combined arthritis/orthopedic clinic held monthly with orthopedic surgeon Dr. Theodore Papademetriou. Here we can assess the need for corrective surgery in treating arthritis," the assistant professor of medicine said. And there is a weekly immunology clinic with dermatologist Dr. Thomas Provost and immunologist Dr. Charles Singleton. An identical team approach is used to care for children who suffer mostly from juvenile rheumatoid arthritis, dermatomyositis, systemic lupus, and other musculoskeletal disorders. It is at Western New York's only clinic for arthritis and connective tissue disease in children originally headed at the Children's Hospital by Dr. Kenneth Herd and now by Dr. Partridge. Here, longterm followup/care of a growing patient with arthritis is even more important than in the adult disease. "We not only educate the child but his family," said Dr. Partridge THE BUFFALO PHYSICIAN �Dr. Partridge looks at the uric acid crystals in synovial fluid taken from a patient with gout. who is also trying to develop some useful immunological tests for more accurate diagnosis. For those who suffer from rheumatoid arthritis, "early treatment can free the patient from much of his pain," the rheumatologist pointed out. Agents used are aspirin, gold, antimalarials, corticosteroids, and immunosuppressive drugs. While drugs may be used to control the inflammatory process over a long period, Dr. Partridge cautions that with some drugs the development of toxic reactions may be a significant barrier to continued use. Drugs alone, he pointed out, are no substitute for adequate physicaVsurgical methods of treatment. "The most functional good that we can do for the patient is to prevent deformity in all destructive arthritis. In chronic arthritis of any type the patient becomes crippled when deformities develop, particularly in weight bearing joints. Prevention and correction of existing deformity is therefore of prime importance in maintaining function," he said. To do this he may add programs such as splinting and exercise to maintain muscle power and range of motion for the patient. If deformity or joi(j-+ One of the relatively new things going on in the treatment of rheumatology -a total knee/joint replacement -is examined by Dr. Partridge. SUMMER, 1973 19 �Teaching goes on in the outpatient clinic. Here Fellows Paul Kandel and Alberto Gentiletti review x-rays with Dr. Partridge (right). destruction is bad enough, an effective orthopedic/surgery approach makes reconstruction now possible in many cases. For the patient who suffers from diseases such as rheumatoid arthritis, there is hope for slowing the rate of joint destruction, and in the case of gout, preventing it from occurring. Under Dr. Partridge visits one rheumatoid arthritis. of his patients with 20 longterm evaluation is a group of patients with systemic lupus erythematosis whose prognosis has been improved through early diagnosis and treatment. There are also longterm followup studies on groups of patients with rheumatoid arthritis and other connective tissue diseases as well. The approach to better treatment and therapy for the patient is a multifaceted one -through research, its clinical application, and teaching. Not only is Dr. Partridge beginning to take a closer look at aspirin, its interactions with other drugs and how to increase its effectiveness, but he is assessing three new trial drugs, reevaluating the metabolism of gold, exploring reconstruction through the route of surgery, and evaluating some of the new prostheses being used on patients who have undergone joint destruction. A number of the research programs are collaborative efforts with other University departments. Has the comprehensive program for patients suffering from rheumatic conditions had a major impact? "Yes," says Dr. Partridge, "perhaps over a short period of time. There is no way of our knowing over the long run what the effect may be. Hopefully in the course of at least some of our patients' disease, our impact has been a major one." 0 THE BUFFALO PHYSICIAN �A bi-partisan group of 15 U. S. Senators has introduced legislation that would continue the Lakes Area Regional Medical Program at least until June 30, 1974. The LARMP region covers seven Western New York and two Northwestern Pennsylvania counties. In 1972 the LARMP received $2.5 million in federal funds. The money is spent to solve what a group of representative health professionals and consumers from the LARMP region believe are the principal health problems of this area. Some examples of what the LARMP has done to improve the region's health are: -Funds provided to establish a radio communications network linking all police and fire departments, fire, base stations, hospitals and transit authorities. This is designed to improve and coordinate emergency medical services in Erie County and eventually the region. In addition an associated Medical Emergency Technician Training program (MET) will train 5,000 ambulance and rescue squad attendants over a three-year period. - I t has trained 325 nurses in coronary and pulmonary care throughout the region. This training program is considered one of the best in the nation. - Programs to improve existing skills of health personnel have benefitted 1,704 physicians, 10,157 nurses and 3,752 other health personnel during the period 1970-1973. -The development of new skills in existing health personnel during the same 1970-1973 period, have benefitted 905 nurses, indirectly responsible for training additional groups to eventually serve an estimated 1,070,551 in the region. -A mobile health unit, purchased for Allegany County, New York has provided necessary health assessments for many of the county's 46,000 population, who otherwise would have no health care at all due in part to the lack of physicians and accessibility to health facilities. -In just three years 102 health sciences students have been placed in the rural communities of the region under the Rural Externship Program, providing them an opportunity to work and live in a rural area where health manpower is scarce. Their summer experience may encourage them to settle in one of these areas after graduation. - A special telephone lecture network connecting hospitals in the region has been used to meet the educational and training needs of over 60,000 health professionals during its four years of operation. - The LARMP-supported Lake Area Health Education Center in Erie, Pennsylvania has initiated area-wide education and training programs for providers and consumers in a wide range of continuing professional education programs to improve its quality and number of health manpower. - An information dissemination service, funded by LARMP, has made it possible for thousands of health personnel, especially physicians and researchers, to obtain library services such as reference requests, book loans, photocopy requests for journal articles, bibliographic searches, etc., without time-consuming searches for the materials. D SUMMER, 1973 21 LARMP Accomplishments The LARMP will receive $750,000 to keep eight of its projects operational until February 14, 1974, according to HEW. The projects to be extended are - Chronic Respiratory Disease Program, Telephone Lecture Network, Tumor Service Registry, Model Program for Comprehensive Family Health, Allegany County Mobil Health Unit, Emergency Medical Services, Rural Externship Program and the Lakes Area Health Education Center in Erie, Pa. �Medical Information System T HE UNIVERSITY will hook its computer medical information system into the system operated by the Federal government, according to Chancellor Ernest L. Boyer. The State University has a $240,000 annual contract with the National Library of Medicine for the hookup. The Federal system, called Medline, permits physicians and researchers throughout the United States, Canada, and France to search a list of 400,000 titles indexed from 1200 major medical journals. The state system, called the Biomedical Communication Network, serves several universities and medical schools (including U B) on the Eastern Seaboard and in the Midwest. With the two systems working a physician, medical librarian, medical student or other health professional can retrieve almost instantaneously references to the latest journal articles in his area of interest. As part of the total system, the University computer activated on February 15, 40 inquiry lines through which Medline users can retrieve information via a typewriter-like terminal at a member medical library. These are in addition to the 50 lines in use at the Federal computer in Bethesda, Md. According to C. K. Huang, director of the U/B Health Sciences Library, a Medline terminal is currently being installed in the Capen library where library staff are completing a training course for the system's use. The Library already houses three similar terminals of the SUNY Biomedical Communications Network. At peak periods the expanded Medline system will have the capability of five-second response to requests for information by 90 simultaneous users. Some 140 medical libraries in major cities throughout the country have terminal access to the Medline system service. Four participating medical libraries in France and Canada use the system. Under terms of the contract with the National Library of Medicine, State University will also play a major role in further expansion, development and improvement of the Medline network. It is expected that the information system will gradually expand to a capability of providing service to 250 medical centers and other users, such as hospitals and clinics in the United States and overseas. Dr. Boyer said State University was chosen to back up and help expand the Federal system because of its seven years of experience and success with its own pioneering Biomedical Communications Network. Computer techniques used in biomedical bibliographic retrieval were initally researched and developed by SUNY starting in 1966. By 1968, its Biomedical Communications Network began providing service to eight users, including Buffalo, from headquarters in Syracuse. Following a move to Albany and a change in software, the Network now serves 24 major medical centers in Massachusetts, Minnesota, and other states as well as New York. U/B is the heaviest user (in terms of completed searches) of this 24-unit system. Close to 3,000 searches were performed here last year, and this year that number will be exceeded, Huang predicts. From a user's point of view, the retrieval system for both the University's Network and Federal Medline is essentially the same. By "conversing" with either the computer in Albany or Bethesda via a typewriter-like terminal, connected through telephone lines, 22 THE BUFFALO PHYSICIAN �a physician, medical librarian, medical student or other health professional is able to retrieve almost instantaneous references to the latest journal articles in his area of interest. In a matter of seconds the inquirer is directed to the locations of these articles in his own or member libraries. The process eliminates manual searches which in the past have consumed hours and sometimes days. A comparable manual search is more costly as well as more time-consuming. A machine search can be completed for approximately one-fourth the cost of a manual search. The Biomedical system offers the option of searching by author, subject and title of article, and Medline by author and subject. The University will continue to expand and provide concurrent service to the 24 major medical centers using its Biomedical Network, which provides on-line access to a base of 1. 7 million journal articles published in 2,300 medical journals in many languages. Chancellor Boyer pointed out that the implications of the combined service to the medical profession extends far beyond the libraries and major medical centers where Medline and Biomed terminals are now located. As the Medline services expand and become increasingly more available to members of hospital staffs and practicing physicians, the Chancellor said, the value of the system in terms of local patient care will be strengthened accordingly. Until then practicing physicians in urban and rural areas can telephone the library of the medical center in their area and request searches of information in a particular field. Eventually, the Medline information retrieval potential to the entire U.S. Medical community will be as close as its telephone, Dr. Boyer predicts. 0 Medical Alumni Receptions Since its inception in July, 1969 as a part of our alumni program, 523 alumni have attended cocktail receptions hosted by the Medical Alumni Association. These receptions are open to all alumni, faculty and friends of the Medical School. The following receptions are planned for 1973: American Medical Association June 24-28, 1973- New York City American Association of Obstetricians & Gynecologists September 6-8, 1973- Hot Springs, Virginia American College of Surgeons October 15-19, 1973- Chicago, Illinois We invite your attendance. SUMMER, 1973 23 �\ j Laurence T. Hosie (right) discusses downtown clinic problems with executive director of clinics John Cole (left) and Dr. Earl W. Noble, director of the hospital's department of alcoholism . A New Approach to Treating Chronic Alcoholism Dr. Mahendra Mirani takes care of medical problems that crop up. The "hub" of the department. 24 THE BUFFALO PHYSICIAN �\ I T HERE IS A NEW APPROACH to treating chronic alcholism, the nation's number one addiction problem, at the E. J. Meyer Memorial Hospital. "This new approach begins by tying the treatment of the disease - its medical I social I psychiatric I rehabilitation aspects - into one serviceable package of care for the patient," says Dr. Earl W. Noble, director of the hospital's department of alcoholism, "and it continues with planning some real aftercare and followup once the patient is discharged from the hospital." From the moment that the chronic alcoholic is assigned by the hospital's admissions department to the 30-bed inpatient detoxification facility (four rooms reserved for women, the remaining 26 for men), one individual, a patient management coordinator, will follow the patient through his hospital stay. During what will probably be an average ten-day stay, the assigned counselor, who may be any member of the health care team - from supervising psychiatric social worker, internist, psychiatrist, rehabilitation counselor, mental health worker, nurse, supervising social worker, program administrator to chaplain - will coordinate all of the services necessary for that particular patient. "Our philosophy is to help anyone who wants to be helped," said John Cole, executive director of clinics for the department of alcoholism at the Meyer. "We want to teach the patient to avoid the misuse or abuse of alcohol, to make him as totally productive in society as is possible." The detoxification process - the patient is drawn away from alcohol through the use of other drugs- usually takes about five days. Following this other health care team members also become involved in helping the patient who, as soon as he or she is able to be up and around, will attend group meetings, may join others in the recreation room to watch television, participate in the planned bingo, shuffleboard activities, etc., utilize the hospital gym or occupational therapy center. There are daily meetings with the patient management counselors to see that everything that can be done is being done, meetings three times weekly with Alcoholics Anonymous representatives as well as open discussions with volunteers who visit the inpatient facility. Not only does the patient learn about what he must do to handle his disease of chronic alcoholism, but team members learn as well. At numerous weekly meetings there is an exchange of information on all patients as well as a sharing of difficult medical and rehabilitation problems. Others learn about alcoholism as well junior and senior medical students through elective opportunities and hospital nursing students during their training. When the patient is ready for discharge a program of aftercare is carefully planned that will best fit the particular needs of the patien~ Team members exchange information on patients and share difficult medical/rehabilitation problems. SUMMER, 1973 25 �Oth e r s l ea rn a bout c hr o ni c a l co h o li s m as well. Dermatologists a nd medica l s tud e nt s o n a "con sult. " Some may be assigned to one of two outpatient clinics for long term treatment. One is in the hospital proper. The other, community based, is in the downtown core area. Both clinics are open daily from nine to five and there are evening hours by appointment. Again there is a team approach in the individual as well as group counseling sessions. For medical problems that may crop up in the downtown clinic there is one full-time and a half-time physician available to look after the patient's needs. Other patients may be referred to either the State Hospital or "to what best fits the patient's particular needs," stressed Dr. Noble. "We want to help the patient to reorder his life by creating a living situation in which he can best function." It is too early to judge the effectiveness of the program. However among the optimistic signs are the increasing number of requests for consultations from other parts of the hospital and more than half the admissions to the service, whom have never before been seen. The program is funded in part by a threeyear $600,000 grant from the State of New York, Department of Mental Hygiene's Division of Alcoholism. 0 26 Dr. St eve n M. Cle ment, p syc hi a tri st, fo ll ows up o n patient di sc harged from h ospita l. THE BUFFALO PHYSICIAN �Administrative/supervisory staff share difficult problems. -- Patients participate in a game of pool with nurses aide Don Stites. John Cole serves as patient management coordinator. The team approach is also used at the downtown clinic. SUMMER, 1973 27 �l!l SK INNERSVILLE .. 0 0 a: w ::;; 0 r ....w ~ RENSCH ROAD r .... a: ~ 0 Q o" <t a: ....w zw "w<.> ~ 'tl ROAD 8 SERVICE CENTER El MAPLE ROAD --------------·-----:==--=--=----· New Campus Roads Named After Physicians IVE OF SEVEN PHYSICIANS, who founded the University as a Medical School, have been honored by the State University of New York Board of Trustees. Entrances and roads to the new North Amherst Campus have been named after the five "founding" physicians. Two terraces were also named for two women Medical School graduates. Flint Entrance for Dr. Austin Flint, professor of principles and practice of medicine, who gained fame by establishing that typhoid fever is a water-borne disease. Hamilton Entrance for Dr. Frank H. Hamilton, professor of surgery, who performed the first successful skin graft. Lee Entrance for Dr. Charles A. Lee, professor of pathology and materia medica. Hadley Road for Dr. George Hadley, professor of chemistry. F 28 THE BUFFALO PHYSICIAN �White Road for Dr. James Platt White, who introduced clinical midwifery into the college curriculum for the first time in the United States. Newcomb Terrace for Kate Pelham Newcomb, a 1917 Medical School graduate, who practiced medicine for 25 years in the northern woods of Wisconsin, often under primitive conditions. She was awarded a UB citation for her humanitarian service in 1956. Moody Terrace for Dr. Mary Blair Moody, first woman graduate of the UB Medical School in 1876. She was also the first woman admitted to the Erie County Medical Society. A street circling the academic core will be known as Putnam Way in honor of James 0. Putnam, a member of the UB Council and UB Chancellor from 1895 to 1902. He was also United States Minister to Brazil. A courtyard entrance in the Joseph Ellicott College Complex will be called Marshall Court for Orasmus H. Marshall, a lawyer and historian, who served as UB Chancellor from 1882 to 1884. Gone Terrace was named for E. Marguerite Cane, a social worker who came to Buffalo in the 1920's to organize the Foster Home Care Program for the Children's Aid and the Society for the Prevention of Cruelty to Children. Augspurger Road is named for Owen B. Augspurger, an attorney and alumnus, who was a member of the Board of Trustees of The University of Buffalo Foundation, Inc., and member of The Council (1953-1962). He was twice honored by the Buffalo Evening News as one of Buffalo's outstanding citizens. The 50-acre campus lake on the new campus will be known as Lake LaSalle for Rene Robert Cavalier, Sieur De LaSalle, a French explorer who sailed the first ship into what is now Buffalo Harbor in 1678. In 1682 he explored the Mississippi River to the Gulf of Mexico and claimed the whole territory for France, naming it Louisiana in honor of King Louis XIV. D Alumni Reception, New York City A total of 30 alumni, wives, faculty, guests and U.B. Medical School students attended the Medical Society, State of New York Convention alumni reception at the Americana Hotel, New York City, February 12. Mr. David Michaels, director of medical alumni affairs and Dr. Thomas A. Cummiskey, M'58, assistant dean for students and academic affairs, co-hosted the reception. Those attending from Buffalo were: Doctors Guy Alfano, M'50; Carmelo S. Armenia, M'49; Thomas S. Bumbalo, M'31; George Collins, M'48; Kenneth and Mrs. Eckert, M'35; Francis E. Ehret, M'37; John R. Hall; Leon and Mrs. Kane, M'58; Robert and Mrs. Kohn; Rose M. Lenahan, M'37; Myron H. Marshall, M'65; and guest Miss Miriam Mlodek (New York City). Also, James and Mrs. Phillips, M'47; Rob and Mrs. Seibel, M'39; William and Mrs. Staubitz, M'42; Walter Scott and Mrs. Walls, M'31; and four UB Medical students - Francine Friedes, Dave Katz, Eugene Schwartz, Vicki Seltzer also attending James Webber, M'72. From Demarest, New Jersey, Solon H. Gottlieb, M'52. D SUMMER, 1973 29 �THE Dr. Brody The Process of Aging Drs. Vijayashankar and Brody examine a section of human brain. of aging includes those changes, genetically determined, progressive, and generally irreversible, which occur in an organism with time. Its effects on the nervous system has absorbed Dr. Harold Brody since his arrival in Buffalo back in 1954 as assistant professor in anatomy. And it continues to absorb the department chairman (he was appointed a year ago) who has contributed to both national and international endeavors. The former associate dean for student affairs (1969-70), and two prior years as acting assistant dean, is a member of the White House Conference on Aging's Technical Committee on Research and Demonstration. He has served as chairman of the American Biology Research Committee for the International Association of Gerontology held last summer in Kiev, Russia and as vice-president of the research-oriented Gerontological Society whose major goal is to make man's later years both healthier and happier. He is also a member of the American Aging Society's Board of Trustees. What really spurred the then new Ph.D graduate (University of Minnesota, 1953) who had completed a four-year assistant professorship at the University of North Dakota (1950-54) was the confusing picture on aging one obtained from the literature. There were no quantitative studies in the human which could be correlated with functional changes common in the elderly. "Few of the statements regarding central nervous system changes made by wellknown neurologists and neuropathologists were backed by investigative work" he recalls. There were no investigations underway on either the proportion or differentiation of cell decrease in various areas of the cerebral cortex. Dr. Brody set out to explore the knowledge of aging in the nervous system of the human, its quantitative changes and how they relate to cell function. Over the next two decades the differential effect of aging in the human continued to occupy much of his time. In between he completed medical studies at U.B. (1961), was awarded a National Science Foundation Travel Award to the Fourth International Gerontological Congress held in 1957 in Merano, Italy, and was a Fulbright Senior Research Scholar during 1963 at the Kommune Hospitalet in Copenhagen, Denmark. What he found, after surveying many areas of the cortex of the human, was a loss of cells- about 30 percent- between the ages of 20 to 90 particularly in the frontal and temporal lobes. "What this loss means in terms of man's activity, function, behavior are now being examined at a number of research centers both in this country and abroad," Dr. Brody said. In current studies of the human brain stem, with collaborator, Dr. N. Vijayashankar, he has demonstrated very little change in cell number with age. The two Buffalo anatomists are attempting to explain the difference in response of cortex/brain stem structures to increasing age. They have also turned their attention to electron microscopic studies of the synapse lipofuscin, the so-called " aging pigment" as well as microcirculation of the brain as its relates to the aging process. Dr. Brody, who received the 1961 Medentian Award (dedication of the UB medical/dental school yearbook) has published extensively in the field of aging in the nervous system and has reviewed for the Journal of Gerontology, Science, and Journal of Morphology. Now associate editor of the Journal of Gerontology, he heads its biological sciences section. D 30 PROCESS THE BUFFALO PHYSICIA �A Problem Solving Approach to Teaching T HERE IS A different look to learning in the physiology department. It is through a computerized problem-solving approach where stu- dents can find out how well they have assimilated the concepts of respiratory physiology presented to them in both lectures and laboratory sessions. Through a series of exercises painstakingly prepared by Drs. Harold Modell, Albert Olszowka and Leon Farhi, interested students (it is not homework) can check on their progress. Some of the exercises are in simple question and answer format. Others simulate an experiment, a clinical situation or a combination of both. It takes minimal technical knowhow of computers to operate any one of six terminals set up in the physiology laboratory, Dr. Farhi points out. Three afternoons a week, we are available to help students add their own variants to a program, test a preparation or treat a "patient" in any way he chooses via the computer. From background material, a student receives a brief description of the physiology involved in a program as well as its goals. From operating instructions, he learns how to "load" the program, the variable values needed, how to express and to change them. The instructor "gets the student on the air" by connecting the terminal to the computer. The student then communicates with the computer via the terminal keyboard that is as easy to operate as that of a typewriter. No math background is required. By trying a few programs, "it is hoped that we can help a student find out whether he has assimilated material well enough to apply it," Dr. Farhi said. When the student supplies the right answer to the question/answer exercises, the program goes on to the next question. If not, some guidance is given as well as a second chance. If the response is still not the right one, the proper answer is derived for the student. In the set of exercises describing a specific experiment or clinical situation the student must decide whether his input and the computer's response seem reasonable. If not, he must try additional input values. The student who supplies several different values for input will detect/observe trends and, Dr. Farhi feels, will obtain maximal benefit from the program. A suggested procedure points out a possible response to student input of important aspects of the physiological system. And, Dr. Farhi points out, the study of validity/limitations of shortcuts, simplified assumptions often suggested in a program, may be the object of another exercise that the student will run. Is this problem solving approach working? Some students are spending part of their spring vacation "talking" to the computers. One department faculty member feels that "we may not know until the end of the semester whether the student has been helped." From the feedback sheet onto which the student is asked to evaluate the system, may come some of the answers. 0 SUMMER, 1973 31 Dr. Farhi explains how to use the computer. �"W Medical Care Must Be Improved Dr. Janeway is the Thomas Morgan Rotch professor of pediatrics at the Harvard Medical School and physicianin-chief, Children's Hospital Medical Center, Boston. He was Alpha Omega Alpha visiting professor and lecturer in January. This is a summary of his address, "The Decline of Primary Medical Care: An Unforeseen Consequence of the Flexner Report," given at Kinch Auditorium, Children's Hospital, Buffalo. E MUST EXPAND and improve our medical care system so it blends scientific sophistication with intelligent and human concern. This is the great challenge of the 1970's," a Harvard pediatrician said. Dr. Charles A. Janeway contends that "America's major hospitals have become the world's best for the care of life-threatening disease. But primary health care for the bulk of our population has been steadily deteriorating. This situation can and must be changed." The Harvard professor believes the current situation is an unforeseen consequence of the Flexner Report of 1910 which provided the basis for modern, specialized medical training- a consequence which has been reinforced by the more recent Federal policy of providing support monies primarily for medical research. Dr. Janeway identified four festering problems of our medical care system: 1. The shortage of personnel to meet what the public considers its health needs. 2. The high costs of medical care, which have unquestionably been pushed up by the paradoxical effect of the major voluntary health insurance system (Blue Cross -Blue Shield). This system encourages admission to the hospital, which is paid for, rather than ambulatory care, which in general is not, because it is cheaper for the patient and easier and more remunerative for the physician- despite the fact that it costs society more. 3. The differences in health and medical services available to the more affluent segment of our society as contrasted with those available to the urban and rural poor, whose health needs are greater, and 4. The general unwillingness of the medical profession to accept consumer participation in the planning and organization of medical care. These problems, Dr. Janeway said, have aroused increasing public concern, and created pressures for changes in medical education to emphasize the training of family physicians and a better distribution of health personnel and facilities. "A primary health care system manned by physicians is the ultimate answer," Dr. Janeway said. "Whether such groups should consist of properly-trained family physicians, teams consisting of internists and pediatricians or a combination of all three can only be determined by trial. I believe there will be a place for all of these in a primary care system in view of the diversity of tastes and personality among physicians and patients. It is essential that both the patient be satisfied and the physician happy in his work, if the quality of medical care is to be maintained. "The groups must also make use of other health professionals -nurse practitioners, physicians' associates, physicians' assistants, ex-medical corpsmen, social workers, community aides, and community advocates. It is essential that there be room for experimentation, lack of rigidity while maintaining standards , and opportunities for people with proven ability to move up the ladder of health careers even if their formal educational background is suboptimal, if we are to reduce the costs of medical care, meet our urgent need for greater health manpower, and overcome the cultural barriers between health providers and the poor minority groups in greatest need of care." 32 THE BUFFALO PHYSICIAN �Whatever its final make-up, however, the field of primary health care, Dr. Janeway said, must become a specialty in its own right - a specialty devoted to health promotion, identification of individuals at special risk, early detection of serious disease, the management of acute emergencies, and the ability to render continuing care to chronically ill patients. 0 Rural Extern Program At least 25 medical students will be among the 40 health sciences students participating in the third annual Rural Extern Program this summer. The students will again be assigned to preceptors in the rural communities of Western New York and Northwestern Pennsylvania. In 1972, 35 students participated in the program; in 1971, 22 students participated. The 8-week assignment will allow students to get first hand experience in living and working in rural areas where health manpower is usually scarce: It is hoped that some of the students will want to practice in these areas after graduation. Mr. William D. Crage, director of the program, said that students in the fields of medicine, dentistry, nursing, nutrition, pharmacy, physical therapy, medical technology and podiatry are being recruited to participate. Each student receives a weekly stipend and will work directly with a health professional in one of the rural communities. The program is supported with funds provided by the Lakes Area Regional Medical Program, the Appalachian Regional Commission and local community contributions. Counties that make up the Lakes Area Regional Medical Program region include Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara and Wyoming in Western New York and Erie and McKean in Pennsylvania. 0 Center for Immunology Hosts Course The Center for Immunology will host the third biennial course on current methods of immunological research and diagnosis from July 16 through August 3, according to Dr. Stanley Cohen acting director of The Center. The course will consist of practical laboratory exercises supplemented by demonstrations, lectures and discussions designed to provide the participant with a survey of presently available methodology and insight into the underlying immunological principles. The topics will include: gel precipitation techniques, passive agglutination, immunofluorescence and immunoperoxidase procedures, radioimmunoassays, complement fixation tests, determination of complement mixed agglutination, tissue typing, blood group determination and compatibility testing, and in vitro assays for delayed hypersensitivity. 0 SUMMER, 1973 33 �Dr. Ehrlich examines a patient. The Navy's Pediatric Surgeon A 1963 Medical School graduate is head of pediatric surgery at the Portsmouth, Virginia Naval Hospital. He is Commander Frank Ehrlich who believes he may be the only specially trained pediatric surgeon in any branch of the military. "My early training was in general surgery. But I've always been interested in the illnesses and diseases of children. When the Navy offered me the chance for specialized training in pediatric surgery, I took them up on it. It may sound corny, but I want to help children; it's that simple." The Navy doctor believes that general surgeons, for too long, have thought of children as adults. "This is an error in thought," he said. Diseases and illnesses can affect a child's growth and development. When pediatric surgeons operate, they approach their work with that in mind. General surgeons don't face growth problems when operating on adults. Besides the physical, there are psychological differences between children and adults. Children are often frightened by the environment of the hospital." Following an internship at Boston City Hospital, Dr. Ehrlich served a four-year surgery residency at the Boston Naval Hospital in Chelsea, Massachusetts. Prior to his current assignment (August 1972) he completed two years as a pediatric surgery resident and teaching fellow at the Pittsburgh Children's Hospital in Pennsylvania. This residency was spent learning to operate a la miniature. His 34 THE BUFFALO PHYSICIAN �superiors understood he was already a trained surgeon. He became skilled enough to cope with the ancillary problems pediatric surgeons face. And most of what he learned wasn't found in a textbook, but working the hospital's wards. "You try to deal with children as individuals," he said. That meant Dr. Ehrlich had to take an extra few minutes to pick up and cuddle a baby scheduled for major surgery the next morning, or maybe talk over a little baseball with the 8-year-old appendectomy patient. "Parents sometimes bring their own special problems to a physician. More often than not, you have a set of parents who are as frightened as their child. Many parents have guilt feelings because their child is sick. This emotion is especially true in parents of babies born with hereditary problems." Dr. Ehrlich takes a rather unorthodox approach when he records medical history of his patients. Whenever possible he gets most of his information from the child. "I tend to get more accurate history from the child, especially between 8 and 12 years. But even if I don't get the information from the child, I'll take the history from the parents in the child's presence. If you make a child leave the room so you can talk to his parents in private, you frighten him and there is no reason to do that." 0 THE has been denied a seven-year accreditation status by the National Association of Medical Colleges, but has been accredited for three years. The Association will make its next "site visit" in 1975. President Robert L. Ketter said that lack of teaching space and inadequate size of the Health Sciences Library were the main objections cited in the interim report. A team of the Association was on campus for a three-day visit in October, 1972. A final report will be issued later this year. The Medical School received its last accreditation in 1965. At that time Dr. Ketter said, the Association had not ruled on certain conditions because the Medical School was going to be at the Amherst Campus. Since that time, however, a decision was made to keep the Medical School at its present location on the Main Street Campus. President Ketter has announced plans to enlarge the Health Sciences Library and move it into the basement and first two floors of the Tower Dormitory by the end of this year. The National Association of Medical Colleges also asked for progress reports on the following: the role of faculty in governance; reimbursement to affiliated hospitals for educational expenses; administrative relatior.ships with UB; long-range curriculum planning and evaluation; and long-range planning for the ultimate location of the basic sciences and health science complex. 0 MEDICAL SCHOOL SUMMER. 1973 35 Medical School Accreditation �Lasker Awards Dr. Holland was recently appointed professor and chairman of the newly created department of neoplastic disease at the Mount Sinai School of Medicine of the City University of New York. He will also be director of the Cancer Center at the Mount Sinai Medical Center. Two Roswell Park Memorial Institute physicians are among 16 who shared the 1972 Albert Lasker Medical Research Awards for drug treatment of cancer patients. They are Drs. James F. Holland, chief of medicine A and director of the Cancer Clinical Research Center and Edmund Klein, chief of the dermatology department. Both physicians are research professors of medicine at the Medical School. Dr. Holland, who is in Moscow for seven months as the first chief medical liaison officer between the National Cancer Institute and the Soviet Union, was cited for his outstanding leadership of Acute Leukemia Group B, a cooperative, international group of physicians and scientists whose investigations have increased the life expectancy of children with acute lymphocytic leukemia. Dr. Klein was honored for new techniques of drug treatment which not only achieve a cure rate up to 95 per cent in patients with skin cancer but also spur the body to marshall its own defenses against such cancer. Also honored for his contributions in this area was Dr. Eugene J. Van Schott, professor of dermatology at the Skin and Cancer Hospital at Temple University in Philadelphia. The citation to Dr. Klein states: "Dr. Edmund Klein pioneered in the development of local chemotherapy of tumors of the skin as a new treatment modality in over 500 patients, with an aggregate of more than 15,000 neoplastic lesions, and observation periods in excess of five years. He adapted known general systemic anti-cancer chemicals for the eradication of premalignant and superficial malignant tumors of the skin, which resulted in a cure rate of up to 95 per cent in these patients. He was responsible, therefore, for an important new therapeutic weapon, particularly for those skin cancers which were so situated that they could not be treated effectively by surgery or radiotherapy. "Through Dr. Klein's method of topical application, healing of the skin cancers usually occurs with no scarring, and normal tissue is left unharmed. This treatment has been successful even against some basal cell and some squamous cell carcinomas. Dr. Klein expanded his studies to demonstrate that immunologic factors could be manipulated to control malignant disease in animals and in man. His observations have pointed the way to the justification for great expansion of immunotherapy alone, or in combination with chemotherapy in the treatment of cancer in man. Dr. Klein's pioneering and persistent efforts have extended, to an important degree, the therapeutic attack on cancer." The citation to Dr. Holland reads as follows: "Dr. James F. Holland, as Chairman of Acute Leukemia Group B, a cooperative, international group of physicians and scientists, has provided the outstanding leadership for the Group's investigations which has resulted in increasing the life expectancy of children with acute lymphocytic leukemia. Since 1956, the Group has studied 1538 patients with this disease. In 1956 only 30 per cent of children lived one year from the onset of their disease. Now 90 per cent do. "In 1956, only 4 per cent lived four years from the start of their disease. Now in 1972 more than 40 per cent of such children live as long as four years. In 1966, out of 267 children who started treatment then, 27 per cent have survived 5 years. In another group of 55 children treated in 1966, 9 are still alive and well, without evidence of disease, four years or more after completion of the last drug treatment. 36 THE BUFFALO PHYSICIAN �"In one segment of a program started in 1968, 33 children were treated in a new regimen of combination therapy. Twenty-nine have survived since 1968, and the projected probable survival rate among them appears to be the most favorable in the Group's experience to date. "Dr. Holland's success in leadership is based upon his great clinical skill, and his outstanding ability in clinical investigation." The three other physicians honored for their work in acute lymphatic leukemia were: Dr. Emil Frei III, physician in chief of the Children's Cancer Research Foundation in Boston and professor of medicine at Harvard; Dr. Emil J. Freireich, professor of medicine at the University of Texas M.D. Anderson Hospital and Tumor Institute in Houston; he was also cited for developing isolation techniques to protect cancer patients from infection; and Dr. Donald Pinkel, medical director of St. Jude Children's Research Hospital in Memphis. Three doctors were cited for their contributions in Hodgkin's Disease. They were: Dr. Paul Carbone and Dr. Vincent T. DeVita Jr., both of the National Cancer Institute and Dr. Frei. Two doctors - Dr. Min Chiu Li, director of medical research at Nassau Hospital in New York, and Dr. Roy Hertz, professor of obstetrics and gynecology at New York Medical College in Valhalla- were cited for their discovery of a chemical cure for choriocarcinoma. Those honored for their contributions in Burkitt's Lymphoma were Dr. Denis Burkitt, surgeon at the Medical Research Council in London, (who first identified this tumor); Dr. Joseph H. Burchenal, director of clinical investigation at Memorial Hospital in New York City; Dr. John L. Ziegler of the National Cancer Institute and director of the Uganda Cancer Institute in Kampala, and Dr. V. Anomah Ngu, professor of surgery at the Center of Health Sciences in the United Republic of Cameroun. Dr. Isaac Djerassi, director of research hematology at Mercy Catholic Medical Center at Darby, Pa., was a Lasker winner for perfecting techniques for transfusing blood platelets and white blood cells into cancer patients who lacked them. Each of the 15 winners received a $2,000 honorariam. In addition Dr. C. Gordon Zubrod, director of the division of cancer treatment at the National Cancer Institute received a $5,000 special award for his administrative leadership in creating "an effective national cancer chemotherapy program." The 16 winners represent a departure in the presentation of the Lasker awards, which are usually given annually by the Albert and Mary Lasker Foundation to two researchers, a basic scientist and a clinician. The selection of cancer chemotherapy as the subject of this year's awards reflects the significant progress made in recent years in the use of drugs to cure some previously fatal cancers, as well as to prolong the useful lives of victims of other cancers. The researchers honored have worked on the treatment of acute lymphatic leukemia, Hodgkin's disease, Burkitt's lymphoma, choriocarcinoma and skin cancers. By calling attention to the success of drugs in these areas, the Lasker Foundation hopes to stimulate further efforts to apply chemotherapy to the leading cancer killers in this country, cancer of the lung, breast and colon. The foundation also wants to make the successes in cancer-chemotherapy more widely known to the public and to practicing physicians, with th(:t+ SUMMER, 1973 37 Dr. Holland Dr. Klein �hoped-for result that more patients will receive the benefits of the latest advances in treatment. In giving the awards for cancer chemotherapy, Mrs. Lasker, whose husband died of cancer in 195 2, underscored her longstanding political interest in cancer research. She played a major role in securing the passage of the new National Cancer Act, which provides for greatly expanded funds and facilities for cancer research and treatment. 0 UB Will Lease Space at BGH The University plans " to lease a substantial amount of space" for the Health Sciences teaching programs at the Buffalo General Hospital. The new space will be designed and constructed especially for the University and the five Health Sciences schools as part of the hospital's planned expansion and modernization program. Construction is expected to begin in the spring of 1974. Following is President Robert L. Ketter's letter of intent (Feb. 26, 1973) to Mr. Harlan J. Swift, Chairman of the Board of Directors, Buffalo General Hospital. More than 100 years ago The Buffalo General Hospital and the University of Buffalo, now the State University of New York at Buffalo, formed the first working partnership which existed in Buffalo and Western New York between the University and a hospital to work cooperatively toward the mutual goals of teaching, clinical service, research, the training of physicians and surgeons, advanced professional and specialist training, and the expansion of medical knowledge through the joint efforts of university and hospital capabilities applied to the care and treatment of the sick and injured. This relationship has continued to grow until today the Buffalo General Hospital provides a major clinical base and has continued to be one of the principal teaching hospitals of the University. Over the years the University and the Hospital have worked together to develop programs and facilities for properly carrying out these responsibilities. They have made, for example, significant additions to their professional staffs and programs which reflect the changes and increasing importance of various sectors of the Health Science disciplines. In addition, the Hospital has made changes in and expanded its physical plant to provide a proper clinical base and the supportive facilities to implement and carry out mutual programs. The Hospital has recently begun a new expansion of its physical facilities and the Hospital and the University have continued to review the nature of the programs involved and the extent of the University's commitment to the provision of the n ecessary physical facilities . Concurrently, the University and the Hospital have undertaken to review the agreements existing between them for the purpose of more clearly defining and updating their professional staff relationships and the development of an agreement designating the Hospital as an affiliated teaching hospital of the State University 38 THE BUFFALO PHYSICIAN �of New York at Buffalo to serve as a learning center for the students of the University and as a center for further training and continuing education for the professional staff of the Hospital in the Health Science disciplines in the care and treatment of patients. It is the purpose of this letter to indicate the intention of the State University of New York at Buffalo to enter into an Affiliation Agreement establishing and defining the professional relationships and designating The Buffalo General Hospital as an affiliated teaching hospital of the University and to enter into further agreements with The Buffalo General Hospital to lease University dedicated space within the Hospital, specifically designed and constructed to meet the unique educational requirements of the University which, because of its proximity and access to the clinical programs of Buffalo General Hospital, has particular educational and teaching significance. In addition, the University anticipates the development of a formula and a contractual arrangement to relieve the Hospital of some portion of the cost of its clinical operations directly attributable to the University's presence in the Hospital, including the leased University dedicated space. The space to be assigned to the University has been or will be developed on the basis of programs, plans and specifications prepared and approved jointly by the University and the Hospital. It should also be understood that to the extent the Hospital shall be able to secure fees and other funds and/or fees and other funds are available for either its capital costs or for the reduction of any cost or deficit in its clinical operations, payments by the University to the Hospital shall be reduced correspondingly. While it should be recognized that the State University of New York cannot legally be bound until an affiliation agreement and a lease are duly executed by the appropriate State officials, we propose to enter into negotiations immediately to finalize and to secure the execution of such documents. Accordingly, I have directed Clyde L. Randall, M. D., Vice President for Health Sciences, and Mr. John D. Telfer, Vice President for Facilities Planning, and their staffs at the University, to work with Theodore T. Jacobs, M.D., President, The Buffalo General Hospital, and his staff to develop the programs, plans, specifications and legal documents necessary to accomplish these objectives. I have further directed that this Letter of Intent be incorporated by reference into both the Affiliation Agreement and the lease agreement or other legal documents which may be necessary to cover the academic and operational relationships and the use of facilities between ourselves. These documents collectively will then constitute the basis on which we can build for the future. As we start our second century of working in close cooperation the State University of New York at Buffalo looks forward to a long and continuing affiliation with The Buffalo General Hospital in the accomplishment of our mutual goal - the creation of a Center at which the development of innovative and significant programs for the training of physicians and other health care personnel, the discovery and implementation of new techniques and procedures in the treatment of disease, and advances in the care of sick and injured patients can occur which will be of benefit not only to Buffalo, but throughout the world. I trust this letter will provide you with the assurance you need to begin planning for our occupancy of the space under discussion. 0 SUMMER, 19.73 39 Dr. Albert Somit, executive vice president of the University (right) gives the " Jetter of intent" to Mr. Harlan J. Swift , BGH board chairman (left), and Dr. Theodore T. Jacobs, president of BGH. �Living in Thailand by Mrs. Robert Brenner Mrs. Brenner wrote this letter about her experiences in Thailand to her good friend, Mrs. Bill Dock. Mrs. Brenner's husband is a 1959 Medical School Graduate. They have been living in Chiang Mai, 500 miles north of Bangkok. After three years of writing letters and attending to legal matters and much soul-searching we finally did it - that is to make up our minds to make a change. Bob's practice got way too busy and he knew something had to be done. Through the Commission on Ecumenical Mission and Relations or COEMAR (possibly you have heard of it through your church - especially if you're still Presbyterian)- we are doing nearly a year of overseas voluntary service. Bob thought you might like this news - to keep up with us and maybe put in the U.B. News. (he's Med. School 1959). Bob received an invitation to come to McCormick Hospital with the family. While here he has a young Thai doctor working closely with him. He has had two years of general surgery and Bob is trying to give him some of his orthopedic training. We've now been here two months and have found this to be mostly what he had hoped for. As volunteers we are provided with housing, food, and laundry. All other expenses we paid for i.e., travel expenses and any extras while here -plus having no income for the year. We live in one part of a duplex home on the hospital grounds. This is far from fancy, in fact it is very sparse, but convenient. The hospital kitchen brings us our evening meal and I prepare breakfast and lunch using food that I can order through the hospital. This makes it much better for us, than having to go to the market each day - if you do this you almost need a Thai cook, then she does the marketing. Everything over here is so very different than we have ever known, but what an enriching and educating experience we are having. This city is the second to Bangkok in size- it has really become modernized within the last 10 years. Ten years (some say 6 years) ago there were only about 10 cars -now it is very motorized. We walk because cars to purchase are taxed 142%! You can get most everything if you want to pay prices like $2.00 for one quart of Miracle Whip! There is a lot of Mission work - many different churches - and countries - are involved. This hospital has two fraternal worker MD's from United Presbyterian Church U.S.A. One is an internist, the other ob-gyn. They have been here 20 and 23 years, respectively. Other things Bob can do is spend time at McKean Rehabilitation Institute for leprosy patients. This was originally part of the Presbyterian Mission, but now its support is from many other services. A medical school here is connected with Chiang Mai University- he gets to conferences. We have met fascinating people here, in all kinds of work and from all parts of the world. Sunday I met a woman (she and her husband are in Bangkok, he is a biologist) who had taught in Battle Creek, Michigan at the same time I was there (her home was Grand Rapids!) A man who is here now as a Presbyterian Minister for a while was in Niagara Falls - his name Everett McNair. We will be home sometime in July. 0 40 THE BUFFALO PHYSICIAN �People Dr. Carl E. Arbesman, clinical professor of medicine and microbiology, was awarded the Aberman Fellowship in England. He is the first United States physician to be honored by the Royal College of Physicians. During March he gave lectures and seminars at the College of London. 0 Deaconess Hospital is the site of a one-year study to analyze the goals and functions of ambulatory care services. Dean John P. Eberhard of the School of Architecture and Environmental Design at the University is the principal investigator. Cooperating in the study is the department of social and preventive medicine. The Lakes Area Regional Medical Program, Inc. is funding the study. 0 Three alumni have been elected officers of the Lafayette General Hospital Board of Directors. Dr. Lucien A. Potenza, M'58, was re-elected to his third term as president. He will also serve as secretary of the medical staff. Dr. Mario L. Collura, M'57, was named vice president, and Dr. Victor C. Lazarus, M'45, was re-elected secretary. Mr. Nicholas Biancofiore was re-elected treasurer. 0 One alumnus and two facult y members have been elected officers of the Niagara Falls Medical Center. Dr. Anthony B. Schiavi, M'55 is the new president. The president-elect is Dr. Victor H. Kaunitz, a clinical associate professor of surgery. Dr. Louis B . Kramer, clinical associate in medicine, is the new secretarytreasurer. 0 One of the nation's foremost surgeons, Dr. Jonathan E. Rhodes, received the Buffalo Surgical Society's Roswell Park Memorial Medal in February. Dr. Rhodes is director of the department of surgery at Pennsylvania Hospital in Philadelphia. The medal was presented by Dr. Harold K. Palanker, the president of the society, who is a clinical associate professor of medicine and a 1940 Medical School graduate. Dr. Floyd M. Zaepfel, a past president of the Buffalo Surgical Society and a clinical assistant professor of surgery at the Medical School, cited Dr. Rhodes for building and restoring strength in patients who must be fed intravenously. 0 Dr. C. Chlouverakis, director of E. /. Meyer Me morial Hospital's obesity research program , monitors m e tabo l ic ch a nges in a con trol pa tient during exercise - a project in conjuncti on with Dr. Robert Klocke - w h ile tec hni c ian Diona Hojnicki tries to make the patient a little more comfortabl e. SUMMER, 1973 41 �Michael Rowland Dr. Dean A prominent French cardiovascular surgeon visited the Veterans Administration Hospital and the Medical School in January. Dr. Marceau Servelle, chief of cardiovascular service at St. Michael's Hospital, Paris, talked at several conferences at the Hospital. He also visited with students and faculty. Co-hosts of Dr. Servelle's three-day visit were Dr. David Dean, clinical associate professor of medicine, and a second-year medical student, Michael Rowland. People Dr. Leon Stutzman, research associate professor of medicine at the Medical School and associate chief cancer research internist at Roswell Park Memorial Institute, is one of six U.S. physicians whose comments on management of Hodgkin's disease appear in the March 19 issue of Modern Medicine, a leading national medical journal. Dr. Stutzman received his M.D. degree in 1947 at Washington University, St. Louis. 0 42 Five alumni are working and learning together at the University of Connecticut Health Center in Hartford. Dr. Eugene Sigman, M'52, former associate professor of urology at UB, has four recent graduates in a residency program at the health center. They are: Drs. Robert D. Rodner , M'68, chief resident; Bruce Stoesser and Barry Schultz, both 1968 graduates; and Robin Smith, M'69. Dr. Rodner, who lives at 200 Nutmeg Lane, East Hartford, reports that Dr. Sigman is as "well liked and respected by house staff and students at the University of Connecticut as he was in Buffalo." Dr. Sigman was on the UB faculty from 1961-69. He is now professor and chief of urology at the Connecticut Medical School. 0 THE BUFFALO PHYSICIAN �Three Medical School faculty members are serving on a new Drug Information Service Review Committee of the School of Pharmacy at the University. They are Drs. James Lee, professor of medicine; Sumner Yaffe, professor of pediatrics; and Stanley Platman, clinical professor of psychiatry. Five other faculty members from the Schools of Dentistry and Pharmacy are on the committee. The purpose of the committee is to periodically examine and review the operations and quality of services provided by School of Pharmacy's Drug Information Center. Its services are offered roundthe-clock, seven days a week, at no cost to the users. By means of an IN- W A TS telephone hookup, practitioners can phone the Buffalo facility toll-free from anywhere in New York State. D Two Buffalo area physicians were honored and a third was named president-elect of the New York State Society of Internal Medicine. Dr. Milford C. Maloney, M'53, was named president-elect. He is a clinical assistant professor in medicine and chairman of the department of medicine at Mercy Hospital. Dr. Robert M. Kohn was presented an Award of Merit. He is a clinical associate professor of medicine at the University and director of the Buffalo Cardiac Work Evaluation Unit. The award was for his pioneering work in establishing a peer review mechanism. Dr. Virgil H. Boeck, clinical assistant professor of medicine at the Medical School, was given a Certificate of Merit for outstanding service to internal medicine in the state. Both Drs. Kohn and Boeck are past presidents of the Internal Medicine Society. D Dr. George E. Moore, director of public health research for the New York State Health Department since 1967, is professor of surgery and microbiology at the University of Colorado School of Medicine and chief of the oncology section of Denver General Hospital. Dr. Moore was director of Roswell Park Memorial Institute from 1953 to 1967. He was also a member of the Medical School faculty. D Dr. Morris Reichlin, professor of medicine, has been appointed to the Merit Review Board in Immunology. D SUMMER, 1973 Dr. Fred Rosen, research professor of biochemistry, has been appointed to Cancer Research Editorial Advisory Board for three years. D People Dr. Robin M. Bannerman, professor of medicine, made a presentation of his work on Hereditary Iron Deficiency to the British Society for Hematology at the University of Aberdeen, Scotland. D Dr. Martha Kreimer-Birnbaum, research assistant professor of medicine and biochemistry, is collaborating with London Professor of Chemistry Dr. Raymond Bonnett of Queen Mary College on unusual pigments excreted in some hereditary blood diseases. D Two recent developments resulting from the research of a chemistry professor at the University may enable hospitals to spend less time and money examining body fluid specimens of patients. Dr. Garry A. Rechnitz has begun the 12th year in the study of ion selective membrane electrodes with the present assistance of a staff of 10 and three grants from the National Science Foundation, National Institutes of Health, and the Environmental Protection Agency. The research centers around the development and application of ion selective membrane electrodes, which are sensors or probes that are sensitive to a particular ion (electrically charged chemical material) and can measure the amount of that ion in a given sample fluid. Continuing research since 1961 resulted in the development of several sensor systems now in use at the professor's laboratory. Most recently, Dr. Rechnitz and a graduate student, Ramon Llenado, have devised an Automatic Analysis System which allows clinical measurements to be made more quickly and conveniently than by methods presently available. D Dr. Virginia Calkins is in charge of the women's medical program and the entire surgical program of Gowanda State Hospital. She is the wife of Dr. Evan Calkins, professor and chairman of the department of medicine at the Medical School. He is also executive director of the department of neurology. D 43 �Dr. Caryl Koch, M'23, is the new president of the Ismailia Temple Shrine Chanters, West Seneca, N.Y. 0 The Classes American Medical Association, and is a former Governor of the American College of Surgeons. The Society is comprised of orthopaedic surgeons interested in promoting improved care of the athlete through research and education. 0 The Classes of the 1930's Dr. Arthur Winfield Glick, M'31, is acting chairman and director of dermatology, Mt. Sinai Hospital and Medical School, New York City. He is a member of the Manhattan Dermatological Society, New York Academy of Medicine, Noah Worcester Dermatological Society, Society Investigative Dermatology, and the American Academy of Dermatology. His address is 20 East 74th Street. 0 Dr. Joseph D. Godfrey, M'31, orthopaedic surgeon, is the new president of the American Orthopaedic Society for Sports Medicine. He is clinical professor of surgery (orthopaedics), at the Medical School, and team orthopaedi&t for the Buffalo Bills. Dr. Godfrey is Chief of Orthopaedics at Mercy Hospital and Children's Hospital, and attending orthopaedic surgeon, Buffalo General Hospital. He is a member of the Committee on Sports Medicine of the American Academy of Orthopaedic Surgeons, the nation's largest organization for specialists in bone and joint surgery. Dr. Godfrey is also a founding member of the orthopaedic Research and Education Foundation, a member of the American Orthopaedic Association, International Society of Orthopaedics and Traumatology, and Pan Dr. Charles E. May, M'34, retired as director of medical services for Erie County Department of Social Services February 5. His duties, which started in 1939, included acting medical consultant to the commissioner, supervision of the medical assistance program and providing professional direction to the medical division of the social services department. Since retiring from private practice in 1970, Dr. May has devoted full time to his duties as medical director. 0 Dr. Robert B. Newell, M'36, discontinued his private practice in surgery in Rock Island, Illinois in May, 1972. He is now with the Emergency Group, High Point Memorial Hospital, High Point, North Carolina. He lives at 213 Northpoint, Apt. 217A. 0 Dr. Bissell Dr. Grosvenor W. Bissell, M'39, has been promoted to professor of internal medicine at Wayne State University Medical Center, Detroit. He was also named one of four chiefs and directors of medicine at Wayne State. Dr. Bissell will continue as chief of medicine at the Veterans Administration Hospital, Allan Park, Michigan. Dr. Godfrey 44 0 THE BUFFALO PHYSICIAN �• The Classes of the 1940's Dr. Pasquale A. Greco, M'41, received the 1973 Honor Award of the National Jewish Hospital and Research Center in Denver, Colorado May 16. Dr. Greco is a trustee of the hospital and serves on the State Advisory Council of the Kidney Disease Institute. D Dr. Ralph R. Chapman, M'42, retired from active duty with the U.S. Army Medical Corps in October 1972, spanning 29 years of military service. As battalion surgeon, medical commander, and Chief of Surgery in various Army Medical Facilities, he treated combat casualties in World War II, the Korean War, and the Viet Nam conflict. He is now physician and surgeon at the University of Maryland Health Service. Dr. Chapman resides at 7704 Hemlock Street, Bethesda, Maryland with his wife Ruby, a daughter age 10, and a son age 14. Two older daughters live nearby in the metropolitan Washington area. D Dr. Richard W. Egan, M'44, a Fellow of the American College of Surgeons, was recently reelected Chief of Surgery, Glynn Brunswick Memorial Hospital, Brunswick, Georgia. He is also Secretary, Glynn City Medical Society and Director, Cancer Society of Glynn County, Georgia. His home address is 3 Baker Road, Jekyll Island, Georgia. D Dr. Paul C. Weinberg, M'48, is associate professor of obstetrics/gynecology at the University of Texas Medical School at San Antonio. Dr. Weinberg spent 15 years in private practice in Baltimore, Maryland with clinical faculty appointments at the University of Maryland Medical School and Johns Hopkins University before moving to San Antonio in 1968. He lives at 1307 Mount Vieja. D The seventh floor conference room in the new Law & Jurisprudence Building on the new campus. The Classes of the 1950's Dr. Robert A. Baumler, M'52, clinical assistant professor of medicine, is the author of an article "Medical Care for Love" that appeared in the Physician's Management Journal. D Dr. Roy J. Thurn, M'52, a Family Practitioner in Duluth, Minnesota, is also an instructor of medicine at the University of Minnesota Duluth School of Medicine and a member of its Medical Advisory Committee. He recently was appointed to serve on the Reference Committee on Education for the 1973 session of the House of Delegates at the Minnesota Academy of Family Physicians. D Dr. Curtis C. Johnson, M'53, a general surgeon, who lives at 600 N.W. 5th Avenue Delray Beach, Florida was appointed in March, 1972 by Governor Askew as the first physician member of the Governing Board, Bethesda Memorial Hospital, Boynton Beach, Florida. He is a Fellow, American College of Surgeons, and a Diplomate, American Board of Surgery. D SUMMER, 1973 45 �Dr. Spencer Raab, M'54, a hematologist, recently moved from the Catholic Medical Center, New York City, to the University of Arkansas Medical School at Little Rock, where he is an associate professor of medicine. His address is 3211 Imperial Valley Drive. 0 Two 1958 graduates are officers of the Lafayette General Hospital Medical Staff. Dr. Franklyn N. Campagna is the new president and Dr. Carl Contino is the new vice president. 0 Dr. Russell C. Spoto, M'59, a general surgeon living in Thousand Oaks, California is a member of the Board of Trustees of Los Robles Hospital in that city. He is president-elect of the Ventura Medical Society. Dr. Spoto is a Fellow, American College of Surgeons and a Diplomate, American Board of Surgery. 0 Dr. Marvin Z. Kurlan, M'64, in private practice as a general surgeon, is also associated parttime with Pennsylvania Medical College. He is attending surgeon, St. Luke's Hospital, Bethlehem; associate attending surgeon, Sacred Heart Hospital, Allentown; and plant surgeon, Bethlehem Steel Corporation. He is co-author of an article "Inguinal Herniorrhaphy by the Mitchell Banks Technique" which appeared in the Journal of Pediatric Surgery, Vol. 7, No.4 (August-September), 1972. 0 Dr. Myron H. Marshall, M'65, was elected vice-chairman of the Section of Psychiatry at the 167th annual convention of the Medical Society of the State of New York. Dr. Marshall is also a member of the Public Information Committee of the American Psychiatric Association. 0 Dr. John Randall Anderson, M'67, recently (April) discontinued his full time Emergency Room activities at the Community Hospital of Roanoke Valley, Virginia to return to Brockport, New York to enter Family Practice there. 0 The Classes of the 1960's Dr. Howard Goldstein, M'61, specializing in internal medicine and diabetes, is assistant clinical professor of medicine at Harvard Medical School. He is vice chairman, department of medicine, New England Deaconess Hospital, Boston; treasurer, New England Diabetes Association; director of fellowship training, Joslin Clinic, Boston; and has written three chapters in Joslin's Text, "Treatment of Diabetes Mellitus." 0 Dr. Ray C. Hippchen, M'61, is assistant professor of Family Practice and Pediatrics at the University of Minnesota (St. Paul) School of Medicine, and affiliated with the department of Family Practice, Community Health and Pediatrics at St. Paul-Ramsey Hospital Medical Center. 0 Dr. Peter M. Kelly, M'64, is a recent Diplomate, American Board of Internal Medicine and Rheumatology. Besides private practice, he is associated with University of California at Los Angeles Medical School as Assistant Clinical Professor of Medicine. His address is 32144 Agoura Road, Westlake Village, California. 0 46 Dr. Lawrence Schwartz, M'68 is at Kenner Army Hospital, Fort Lee, Virginia. He writes that he enjoys reading the alumni news. 0 Dr. Ian M. Schorr, M'69 is currently chief resident in ophthalmology at the Kings County Downstate Medical Center, Brooklyn, New York. In July he will begin private practice in Fort Lee, New Jersey. His address is 240 East Palisade Avenue, Englewood, New Jersey. 0 The Classes of the 1970's Dr. Bruce M. Prenner, M'70 is with the USPHS, OPC, San Diego, California. He will begin a one year pediatric residency at the University of California (San Diego) in July. Following that he will be a Fellow in Pediatric Allergy and Immunology for two years. Presently he is Chairman, School Age Committee, Sim Diego County Heart Association for 1973 and is a candidate member for the American Academy of Pediatrics. His address is 6343 Oakridge Road. 0 THE BUFFALO PHYSICIAN �In Memoriam Dr. Katherine F. Carnivale, M'18, died March 15 in Sister's Hospital after a long illness. She was the first woman of Italian heritage to practice medicine in Buffalo. She retired in 1969 after practicing for 51 years. She specialized in tuberculosis cases. Dr. Carnivale, who practiced under her maiden name, was the widow of Michael T. Sullivan, former Buffalo attorney. She was a member of several professional organizations. D Dr. Henry D. Duryea, M'12, died March 13. He had been an attending physician at Sisters Hospital for more than 30 years. He retired in 1958. The 84-year-old physician was honored in 1962 by the New York State Medical Society for 50 years of service to medicine. He was also a member of several other professional organizations. Dr. Duryea served in the Army Medical Corps during World War I. D Dr. Marshall L. Learn, M'33, died February 10 at his home in Hamburg, N.Y. He had been a general practitioner since serving his internship at Sisters Hospital. He was a combat surgeon in the European theater during World War II, and received the Bronze Star for valor. He was discharged a lieutenant colonel. The 52year-old Dr. Learn had been active in several professional and civic organizations. D SUMMER, 1973 A pioneer in children's cancer research, who received his Bachelor of Science degree from UB in 1923, died March 30 of an apparent heart attack in his office. Dr. Sidney Farber, 69, was director of research of the Children's Cancer Research Foundation in Boston. He was credited with establishing the first hospital unit devoted exclusively to the care of children who have cancer. He also coordinated vital research programs on the treatment of cancer by drugs. Dr. Farber received his M.D. at Harvard in 1927. He also studied at the Universities of Heidelberg and Freiburg. D Dr. Joseph B. Loder, M'21, died September 26, 1972 after a long cardiac illness. He was 75 years old. The specialist in ob/gyn practiced in Rochester, N.Y. From 1938-1954 Dr. Loder was chief of ob/gyn at Highland Hospital and on the teaching staff of Strong Memorial Hospital (University of Rochester School of Medicine). He was also senior attending physician at St. Mary's Hospital. He was the first president of the Rochester Blue Shield and a Diplomate of the American College of Obstetricians and Gynecologists. He retired in 1964, and was active in several professional societies. D Dr. Edmund F. Schueller, a clinical associate professor of pathology at the Medical School, died March 14 after suffering a heart attack five days earlier. He was also acting director of the E.J. Meyer Memorial Hospital's pathology department and director of pathology at the Erie County Laboratory. A specialist in gynecology and pathology, Dr. Schueller was a graduate of the University of Vienna Medical School. He came to Buffalo in 1963 as an associate in gynecology for the Roswell Park Memorial Institute. The following year he joined the staff of Buffalo General Hospital and the Medical School faculty. He was a Fellow of the College of American Pathologists, the International Academy of Cytology, and the American Clinical Pathologists. He was also an associate of the Royal Society of Medicine of London. Dr. Schueller was active in several local and national professional organizations. D 47 �Four Alumni Tours HAWAII July 13-20 $379 plus 10% tax and service (from New York City) (Single Supplement- $70.00) IIikai Hotel - American breakfast and dine-around dinner daily - Sightseeing tours included and optional low-cost tours available SWITZERLAND/GERMANY $499 plus 10% tax and service July 20-28 (from Niagara Falls, N.Y.) Luxury hotels in Geneva and Munich - First-class train transportation between these cities - Sightseeing in both American breakfasts and complete dinners throughout trip- Fly Trans-International Airlines Jet SPAIN August 17-25 $319 plus 13% tax and service SPAIN August 24-September 1 $319 plus 13% tax and service For Details Write or Call: (from Niagara Falls, N.Y.) (from New York City) Alumni Office, SUNYAB 123 Jewett Parkway Buffalo, N.Y. 14214 (716) 831-4121 The General Alumni Board - MORLEY C. TOWNSEND, '45, President; DR. FRANK L. GRAZIANO, D.D.S., '65, President-eJect; GEORGE VOSKERCHIAN, Vice President for Activities; FRANK NOTARO, '57, Vice President for Administration; MRS. PHYLLIS MATHEIS KELLY, '42, Vice President for Alumnae; JAMES J. O'BRIEN, '55, Vice President for Athletics; ROBERT C. SCHAUS , '53, Vice President for Constituent Alumni Groups; DR. GIRARD A. GUGINO, D.D.S., '61, Vice President for Development and Membership; G. HENRY OWEN, '59, Vice President for Public Relations; ERNEST KIEFER, '55, Treasurer; CHARLES M. FOGEL, '38 and ESTHER K. EVERETT, '52, Members of the Executive Committee; Past Presidents: DR. EDMOND J. GICEWICZ, M'56; ROBERT E. LIPP, '51; M. ROBERT KOREN, '44; WELLS E. KNIBLOE, '47; RICHARD C. SHEPARD, '48. Medical Alumni Association Officers: DRS. LAWRENCE H. GOLDEN, M'46, President; PAULL. WEINMANN, M'54, Vice President; MILFORD C. MALONEY, M'53, Treasurer; JOHN J. O'BRIEN, M'41, Immediate Past-President; MR. DAVID K. MICHAEL, M.S.'68, Secretary. Annual Participating Fund for Medical Education Executive Board for 1973-74 - DRS. MARVIN L. BLOOM, M'43, President; HARRY G. LaFORGE, M'34, First Vice-President; KENNETH H. ECKHERT, SR., M'35, Second VicePresident; KEVIN M. O'GORMAN, M'43, Treasurer; DONALD HALL, M'41, Secretary; MAX CHEPLOVE, M'26, Immediate Past-President. 48 THE BUFFALO PHYSICIAN �LAWRENCE H. GOLDEN, M.D. '46 PRESIDENT SCHOOL OF MEDICINE ALUMNI ASSOCIATION RE: MEDICAL ALUMNI CONTRIBUTIONS Your gifts to our dues program and scholarship and loan fund mean much to both the success of our activities and to medical education. Where does your gift go? 0 DUES: Supports such things as the SPRING CLINICAL DAYS, REUNIONS, MEDICAL ALUMNI OFFICE, RECEPTIONS (1973 calendar inside this issue) 0 SCHOLARSHIPS & LOANS: The Medical Alumni Association has given $1500 in scholarships annually. We'd like to make this a more meaningful, expanded program. Will you help? First Class Permit No. 5670 Buffalo, N. Y. BUSINESS REPLY MAIL NO POSTAGE STAMP NECESSARY IF MAILED IN THE UNITED STATES POSTAGE WILL BE PAID BY- Medical Alumni Association 2211 Main Street Buffalo, New York 14214 Att.: David K. Michael �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 H ARRY HOFF MA N & SONS PR INTING ~ ·' ------------------------------------------------------------------THE HAPPY MEDIUM Fill out this card; spread some happiness; spread some news ; no postage n eeded . (P lease print or type all entries.) Name - - - - -- -- - - - -- -- -- - - - - - - - - - - - - -- - -- - Year MD Received _ _ __ Offic e Address - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - HomeAddress - - - - -- -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - IfnotUB , MD receivedfrom - - -- - - - - - - - - - - -- - - - - - - - - -- - - - - - - - - - - - - InPrivate Pmctice : Yes 0 No 0 In Academic Medicine: Yes 0 Speci~~ -------------------------------­ No 0 Part Time 0 Full Time 0 School - - - - - - -- - - -- - - - - - - - - Title Other : Medical Society Memberships; _ _ _ _ _ _ _ _ _ _ _ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ _ _ _ _ _ _ ___ NEWS : Have you changed p ositions, published, been involved in civic activities, had honors bestowed, etc.? _ _ _ __ Please send copies of any publications, research or other original work. � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Summer 1973 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1973-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1973-02-Summer Table Of Contents A list of subunits of the resource. Medical Alumni Officers (inside front cover) Immunopathology of the Skin Selecting Students New Space First Anatomy Professor by O.P. Jones, Ph.D., M.D. Continuing Medical Education Medical Students Honored Health Changes Ernest Witebsky Memorial Lecturer Health Sciences Vice President Dr. Pannill Discusses Plans Selecting a Dean Dr. Grabau A Clinical Rheumatology Service LARMP Accomplishments Medical Information System Medical Alumni Receptions Treating Chronic Alcoholism Roads Named After Physicians Alumni Reception The Aging Process Problem Solving Approach to Teaching Improved Medical Care Rural Extern/Immunology Center Navy's Pediatric Surgeon Accreditation Lasker Awards BGH Space Living in Thailand by Mrs. Robert Brenner People The Classes In Memoriam Alumni Tours Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v07n02 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. 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Javits' proposed $100-million "disaster relief program" for the nation's medical schools. Dr. Pesch, who met with the Senator and 12 medical school deans in New York City recently, said the Buffalo Medical School was faced with a serious crisis because of sharp cutbacks in Federal funding. Dean Pesch said there are five main areas that will seriously affect Buffalo and Western New York: "discontinuance of the clinical research center at the Buffalo Children's Hospital; reduction in available funds for loans and scholarships to medical students to 20 per cent of needs; reduction in research support by 20 per cent; discontinuance of education programs in community health and other elective educational programs which are of vital importance to the people of Western New York; weakening of the educational programs at hospitals affiliated with the Medical School which are dependent on educational resources available through the school for the production of health manpower so vital to the Western New York area." Dean Pesch also stressed ''the necessity of re-ordering the priorities in meeting in a responsible way the health needs of this country. The responsibility is clearly on the Federal Government. The State of New York provides 12 per cent of the output of physician manpower for this nation. Clearly the responsibility is to meet an urgent need by the citizens of the entire nation. ''Most medical school reserve sources are gone, including those here in Buffalo," Dean Pesch said. "We need continued Federal funding for research and training grant support, loans and scholarships, to strengthen faculty, and for construction of new schools. "Health related research (including fundamental research in human biology) is a public responsibility," Dr. Pesch continued. "We have a good start in this endeavor and cannot cut back. ''To simply maintain current health manpower production at a minimum we must have full funding of authorized expenditures under existing legislation in construction, research, loans and scholarships. We must also maintain our research training program at its current level of activity." D D ean Pesch �- WINTER, 1969 -- -----~---- ~- Volume 3, Number 4 THE BUFFALO PHYSICIAN Published by the School of Medicine, State Uni,·ersity of New York at Buffalo IN THIS ISSUE EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY 2 Dean, School of Medicir.e DR. LEROY A. PESCH 6 Photography HUGO H. UNGER EDWARD NOWAK Medical Illustrator MELFORD J. DIEDRICK Graphic Artist RICHARD MACAKANJA Secretary FLORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. SIDNEY ANTHONE President, Alumni Participating Fund for Medical Education DR. MAX CHEPLOVE Provost, Faculty of Health Sciences 11 12 13 14 15 16 18 21 22 23 25 26 DR. DOUGLAS M . SURGENOR Associate Dean for Continuing Medical Education DR. HARRY J. ALVIS 29 30 Vice President for Alumni Affairs JOHN c. CARTER Director of Public Information JAMES DESANTIS Director of Medical Alumni Affairs 32 34 35 DAVID M . KRAJEWSKI President, University Foundation DR . RoBERT D. LoKEN Director of University Publications THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY RowLAND 36 38 40 42 44 45 47 49 Disaster Relief Program inside front cover Medical Care in a Changing Society by Peter F. Regan, M.D. Anatomy in the Medical Curriculum by Joseph C. Lee, M.D., Ph.D. New Biochemistry Head New Surgical Approach Musical Hobby Two Alumni Honored Spring Clinical Days Regional Medical Grant Otology Fellowship Eskimo Adaptation Immunology Summer School First Clinical Experience Students Honored The Class of 1973 Pressure Chamber Simulates Dives by Gail McBride Dr. Isacson Directs New Lab Health Care in Israel by Barbara A. Blase, M.D. Fight on Senility Cytogenetics Phagocytosis Immunofluorescent Antibody Tests Dr. Paul Leber Nerve Deafness Cancer Grant Medical Alumni Activities Dr. Paine Retires President Nixon Congratulates Dr. Wertz People In Memoriam Majorcan Carnival The cover design is based on native Alaskan wood carvings especially for the story "Eskimo Adaptation" on pages 18-20. Nancy MacDonald created the woodcut and Dick Macakanja designed the first cover of THE BuFFALO PHYSICIAN. This quarterly magazine replaces THE BUFFALO MEDICAL REVIEW. THE BUFFALO PHYSICIAN, Winter, 1969 - Volume 3, Number 4, published quarterly Spring, Summer, Fall, Winter-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1969 by the Buffalo Physician. - --- �Medical Care in a Changing Society by Peter F. Regan, M.D. Dr. Regan addressed the annual Medical School Convocation Wednesday, September 3, 1969. Dr. Regan came to the University in April, 1964 as Vice President for Health Affairs; was named Executive Vice President in February, 1967; and Acting President September 9, 1969. He is also Professor of Psychiatry. APPROACHING THE SUBJECT OF MEDICAL CARE in a changing society is a very ticklish business. It is terribly easy to point with pride at the technical achievements in medicine (organ transplants, antimicrobial therapy, hyperbaric medicine) and to view with alarm the deficiences that we all recognize (our deplorable perinatal and neonatal mortality rates, the wide discrepancies that exist between health care provided to the affluent and that which is provided to the poor). It is after this litany has been recited that the real problem becomes apparent - the definition of a plan for action that will preserve the good, while eliminating the evils, of our present system of medical care. The bitter truth is that no one knows precisely how best to provide medical care to our nation. More and more there is substantial agreement that good health care is the right of every citizen rich or poor, white or black, urban or rural. But how will we achieve it? Will it be by " socialized medicine," national medical service, networks of clinics scattered throughout urban and rural populations, the elaboration of "doctor assistants" and other allied health professionals or compulsory health insurance? The thrust of my remarks today will be threefold. First, that the ultimate solution is not known at the moment, but the general directions we should take are becoming apparent. Second, that the urgent responsibility for beginning corrective action and assuming a leadership role rests squarely on the profession of medicine and on each individual physician and medical student. Third, that the faculty and students of our Medical School , in their present circumstances, have one of the best opportunities in the world for undertaking this leadership role. Let us consider first what will be necessary in order to provide the best of health care to every citizen - your father and mother, your friends, your wife and children. One basic answer rings out loud and clear - teamwork. By teamwork I mean simply that the delivery of health care to our people, in this day and age, depends upon the coordinated efforts of many health professions. One hundred years ago, when the physician's most reliable tools were morphine and digitalis , it may have been possible for the horse and buggy doctor to THE BUFFALO PHYSICIAN �- ~ - ------- ---- bring alone and unaided the best of medical care to his patients. This is certainly no longer the case. Each physician working in the United States depends upon the coordinated efforts of 20 other professional and non-professional helpers in order to do his job. To increase the effectiveness of this team each physician, and the medical profession in general, have an urgent responsibility to analyze their work and to delegatP. portions of it more and more completely to those helping people. There is a second element to teamwork - the disposition of the resources available to the team. At this moment in time the disparate distribution of our medical resources is verging on a national scandal. Whole towns and counties lack the opportunity to receive medical care. Patients who require very specialized treatment such as open heart surgery frequently do not obtain these services because of poverty, distance or lack of knowledge . Let it not be thought for one minute that these disparities in the distribution of health resources only exist in distant places. On the contrary they exist in Appalachia, 30 miles south of us. They exist in Lackawanna. They exist in many of the areas of the East Side of Buffalo. What is needed to combat this maldistribution is an interlocking regional system of medical treatment facilities. Appropriate sections of the health care team should be stationed in comprehensive community health centers close to the families who need care, with appropriate referral mechanisms for those who require more specialized treatment. Such a program, outlined in principle a decade ago by such leaders in medical education as John Dietrick (then Dean of the Cornell University Medical College) must come if health care is to be provided to our citizens. But if these are the necessities for approaching a better method of medical care for our society - team work between the health professions , and a better distribution of resources why does the responsibility for designing this system fall upon the medical profession? This question is a serious one and it is asked in many ways. I recall the words of a physician who recently wrote "The job of the doctor is to take care of his own patients. The very idea that he should take care of society is ridiculous." That statement , in which an individual physician renounces responsibility to society, arouses a recollection of some of the epitaphs to be found in western graveyards like ''He died with his boots on.'' The truth of the matter is that the citizens do not expect any individual physician to solve the problems of health care delivery. They do expect the medical profession 300,000 strong - to take that responsibility. The individual doctor still maintains the affection and devotion of his patients. But these patients, and those many citizens who do not have the opportunity to become patients, expect that the group of physicians, banded together as a profession, will take the leadership in proposing and executing sound answers to our present difficulties in health care distribution. WINTER, 1969 3 - ----------- Dr. Regan - �Within the profession of medicine it is the medical schools which have the greatest opportunity and responsibility to respond to this national need. It is from the medical schools in fact that the present level of technical excellence in modern medicine has sprung. In the Flexnerian era they developed the basic sciences and unleashed the great discoveries that our present clinical departments are elaborating. At this juncture in history it is not only their responsibility to maintain the basic biomedical scientific excellence which they now possess but to add excellence in the understanding of social problems that relate to medicine, and of managerial techniques that will allow medical care to be better distributed. The Association of American Medical Colleges has strongly urged that medical schools not be satisfied merely with attempts to graduate more physicians per year. But that they also dedicate an increasing proportion of their effort toward teaching and research revolving around patient care distribution - teaching and research which focus on the realities of medical practice in the communities, in the ghettos, and in the rural regions, to complement the kind of teaching and research already going on in our scientifically-oriented medical centers. Thus I believe that there is great need for a kind of change in our patterns of clinical practice. These changes need not curtail or infringe upon the rights, responsibilities, and freedoms of the physician. Instead, they should enhance his effectiveness, multiply the number of hands which he can use in dealing with health problems. Such a positive outcome can only be brought about if the physicians, and the medical schools in particular, assume leadership in designing these changes. It is at this point that the opportunities available to us in Buffalo become so clear. The students and faculty of our Medical School are part of an institution which has its roots spread wide and deep in the realities of the community of Western New York. Over the past 125 years, the Medical School has made the kinds of scientific achievements for which we can be justly proud and it has never sacrificed its vital ties with the community in the process. We operate our teaching and research programs in hospitals and clinics geared to the needs of the citizens of this region. All that we need to do at this moment in time is to expand our vision. We need to recognize that some new steps are necessary, and aim our efforts toward the kinds of teamwork and distribution necessary for an optimal educational process . As I review the present situation in the Medical School it is apparent that important first steps are being taken. -The Faculty of Health Sciences embraces the Schools of Dentistry, Pharmacy, Nursing, and Health Related Professions. These Schools are ready and eager to follow the leadership of the Medical School and its faculty in devising the kind of teams and the kinds of distribution of effort, that can make a better system of patient care a proper subject for teaching and research. 4 THE BUFFALO PHYSICIAN �- -~-- ---- ~---- - ---- -- - Initial efforts have been made in designing new kinds of contact with the patients who live in our community, for teaching and research purposes. Examples which come to mind are the "outpost" clinic in Lackawanna (which owes so much to the enthusiasm and dedication of medical students), our coordinated inpatient-outpatient care program in internal medicine operating between the Meyer Hospital and Talbert Mall on the lower East Side, and the inpatientoutpatient continuum of patient care provided by the psychiatric services of the Meyer Memorial Hospital. - The winds of change are sweeping through the curriculum of the Medical School which will now provide far greater flexibility in basic scientific and clinical electives for all students. It is my hope that this new-found freedom will lead to greater union between the educational efforts of the Medical School and those of the many interested and dedicated disciplines in other areas of the University. - Plans for the new Clinical Center on the Amherst campus are in their near-final stages. They represent a dramatic change from a bed-oriented "hospital" to an integrated clinical facility oriented around the best methods for producing the most care for the most people. While the number of units we think of as "hospital beds" in this new facility will number only about 350, the amount of care that will be provided will be the equivalent of that provided in a ''classic" 680-bed hospital. Thus the new Clinical Center will be an exciting and inspiring place in which to learn new methods of patient care and do proper and sound scientific research about the effectiveness of various patterns. It will be a place in which the health care teams of the future will learn together in order that they can work together. It is clear that the time is now. There is an urgent national need for a better system of patient care with the responsibility for designing this system falling most squarely on the medical profession. Here at Buffalo, we have a unique combination of circumstances. Our long-standing ties with the community, the present strength and dedication of our faculty and students, the new curriculum, and the Clinical Center combine to give us the chance to break new ground. As an educational institution we alone will not be able to provide health care to all the citizens of the Niagara Frontier much less the nation. We can and should however design the models and test them out in application. We can educate a new generation of physicians and other health professionals to work in an optimal system of health care. We can provide that leadership and knowledge which the nation so desperately needs. In doing so we face the exciting prospect of making enormous contributions that will help to reach the objective of providing the best possible health care to all the citizens of this country. 0 WINTER, 1969 5 - - - �Anatomy as a Science and its Role in the Medical Curriculum by Joseph C. Lee, M.D., Ph.D. Dr. Lee is professor of anatomy at the Medical School. He presented this paper at the Mayo Clinic, August. 25, 1969. He is also associate research professor of surgery (neurosurgery). Is ANATOMY A SCIENCE? Those who have asked this question generally refer to gross anatomy. They usually do not strongly object to the scientific status of neuroanatomy, embryology or histology which are actually parts of anatomy. They consider that gross anatomy is just a collection of scattered facts to be memorized rather than for reasoning. To them, anatomy is static and not dynamic, and it has neither generalized principles nor governing laws. Is all of this true? According to Webster's or any other standard dictionary, science can be defined in at least five ways. All these definitions more or less emphasize that science is a systematic knowledge of facts built on principles and laws that can be verified by observation and experimentation. If we accept these criteria for science then let us see whether or not gross anatomy is a science. On one hand anatomy comprises the locomotive, cardiovascular and nervous systems, etc. These systems are not only structurally interconnected but also functionally intercorrelated. The primary objective of anatomy is to provide the function with structural basis. Anatomy has never been taught without referring to living dynamics and clinical application. In this respect I hope that there is no disagreement upon anatomy as a systematic knowledge of facts. On the other hand anatomy is not without governing principles and laws. Unfortunately they have not been well appreciated. People readily recognize the law of balance in natural science and the law of equilibrium in chemistry but few appreciate the law of homeostasis in living body. Perhaps I may cite some specific anatomical principles and laws that underlie human architecture. We have Hilton's law. It states that a nerve trunk supplying any given joint also supplies the muscles moving the joint and the skin over the insertions of such muscles. There is a principle of inverse phenomena. This reveals that . the earlier a tissue or an organ forms the later it ceases to survive or to grow and vice versa. For example the heart appears early and succumbs late, the epiphysis of a long bone that ossifies first ceases to grow by fusing with the diaphysis last, and the lymphoid tissue develops late but degenerates early. We have a principle of the neurovascular pathway - that in any region the major nerve and blood vessels travel together and this neurovascular bundle is located on the side of flexion or adduction. The law of nerve degeneration and regeneration has been known since Galen reported "On Anatomy of Nerves" in the second century. It was further substantiated by Cajal at the turn of the 20th Century. This law indicates that a sectioned nerve degenerates more extensively and regenerates more slowly if the cut is closer to the neuronal soma. It has been amplified by recent clinical and electron microscopic observations that the unmyelinated nerve fibers of a sectioned nerve degenerate later and regenerate earlier than the myelinated fibers. 6 THE BUFFALO PHYSICIAN �..... ~-- ~----- Time does not permit me to describe all the anatomical laws and principles which to my knowledge are about 40. Other examples are the law of myotomes, the principle of collateral circulation, the mechanics of bony architecture, the law of tendons, the pattern of dentition, the law of ligaments, the principles of reciprocity and compensation, the law of muscular action, etc. All these principles and laws can easily be verified by observation because they are derived from the generalization of actual observations. They can also be confirmed by appropriate experiments. For instance Hilton's law can be tested by experimental denervation. The principles of reciprocity and compensation can be demonstrated by gradual obstruction of an artery or by unilateral removal of a kidney. The experimental procedures of testing the actions of muscles and the strength of bones have been carried out routinely in many laboratories. The data discussed above fit well the criteria for science set forth previously. There seems no reason to disqualify gross anatomy as a science. From a historical point of view gross anatomy has always been a science and it had a much larger scope in the past than at present. In a very loose way anatomy was the only biological science in ancient Greece, Arabia, and China. An anatomist of that time was also a physiologist, pathologist, ecologist, taxonomist, etc. From Galen to Harvey, anatomy was almost the only medical science regularly taught in the hospitals and early medical schools. With the explosion of new information and technology many disciplines became independent of anatomy. This does not mean that the parent science is no longer a science after the children grow up. Professor Kolliker of Switzerland in 1852 said, "Anatomy is and remains the science of the structural parts of the organism and of the laws of their origin and transformation, whether these structural parts are visible to the naked eye or only through the microscope. The final goal of anatomy is aimed at the composition and function of the structural parts.'' Dr. Stanley Bennett of this country paraphrased this Kolliker' s dictum in his presidential address at the 7th International Congress of Anatomists in 1960 that anatomy as a science has no limitation in structural size and biological species. I now want to review briefly the present status of anatomy in the medical schools as I see it. Since the end of World War II, the medical curriculum has been greatly altered and anatomy has always been the salient target of the changes. The teaching time for gross anatomy has been cut most severely among the basic sciences. A quick survey of medical schools shows that anatomy is currently in one of the following five situations. 1. In many, it has become a "core course" with apparent reduction of teaching time and real mutilation of subject matter. 2. In some, in the name of "relevancy," it is taught by several clinicians of various disciplines although the clinicians have gradually given up such extra burdens of teaching anatomy. 3. Others have tried to eliminate human disWINTER, 1969 7 - ------- - - - Dr. Lee -- - �section but to my knowledge have failed and actual dissection has been reinstated. 4. Still others have advocated relegation of anatomy to the premedical department but this has not materialized. 5. As there are always two sides to a coin we can find another situation in very few medical schools where anatomy has not changed appreciably. On one side of the coin, I cannot see the point of mutilating the subject matter by omitting the actual human dissection attaining the immediate relevancy at the expense of integrity of expelling the anatomy course from the medical schools. Anatomy is a morphological science which can be better learned and its knowledge better retained only by actual dissection and observation of the cadaver. It should not be taught in the premedical college where it lacks a clinical ambient and orientation or should it be fragmented to serve the immediate purposes of some clinical practices. We should take heed that education which is too specifically relevant is rapidly outdated, and some of the most irrelevant things turn out to be the most practical in the long run. It is difficult to understand how we can educate our students to deliver health care to man without giving them some basic knowledge of the structure of the whole human body. By elimination or senseless mutilation of anatomy we cannot expect our students to learn physical diagnosis well, to perform an operation properly or to localize a brain lesion sensibly. Ironically enough many people think that psychiatrists do not need much anatomy, but it is the psychiatrists who advise the medical students to learn the whole man and not his separate parts and functions. I would like to digress for a moment to my personal witness of a tragic failure in medical education in the early period of communist China. Soon after the communists came to power in 1949, the government ordered some medical schools to reduce the six-year curriculum to three years. This mandatory change was so sudden that sufficient time was not available to reorganize the subject matter and to develop new teaching methods. The schools were in a state of confusion. Three years later the graduates were sent to the farms and factories to work independently. One year later these "M.D.'s" were recalled to take another five years of medical training because they could not make differential diagnoses, or treat diseases properly. If we do not want to repeat such failure we have to be cautious and prudent in changing our present medical curriculum. On the other side of the coin I cannot see the point to some anatomy professors maintaining a course of some 350 hours. They have not fully realized that anatomy is no longer the only or the major basic science to be taught in the modern medical school. In medical schools I have visited in Asia, North America, England, and Continental Europe there are always a few anatomists talking about the "good old time." 8 THE BUFFALO PHYSICIAN �~~--- -~------- ----------------- Old time is valuable so long as it serves as a guide so that we do not have to repeat the trials and errors. But it is not always good. In this rapidly moving world there is no room for the stereotype. Innovation is necessary if we wish to advance to the future from the present. A reduction of teaching time and subject material of gross anatomy is unavoidable in view of the information explosion in all medical sciences. The whole subject should be re-examined carefully giving priority to matters of medical and surgical significance. Unfortunately, most medical schools which have cut gross anatomy to a so-called "core course" do not secure the active participation of experienced anatomy professors in reorganization of the course. Consequently there is very little development of new teaching methods, techniques, and facilities commensurate with the reduction of teaching time and material. The last part of my talk concerns anatomy in the future . I am confident that anatomy will remain an important subject in the future medical curriculum. Even if some medical schools have or will have removed anatomy in one way or another, they have or will have re-embraced it. This confidence is based on past and present evidences. Anatomy has always been basic to all other medical sciences. Apart from its obvious relationship to medical and surgical sciences, it is also essential for biochemistry and biophysics in such a way that few people are willing to admit. The lecture of a biochemist on the enzyme system of oxidative phosphorylation will be biologically meaningless if he does not know that this enzyme system is concentrated in mitochondria. It will be senseless for a biophysicist to study nerve conductivity if he is unable to distinguish a myelinated from an unmyelinated nerve fiber. Anatomy has contributed to medical education in some obscure ways which have never been completely recognized and appreciated. These contributions have been well summarized by Dr. Oliver P. Jones - anatomy furnishes about 25-30% of the medical terminology, helps students learn how to educate themselves, and trains them to develop and to refine their power of observation so important in medical arts and science. In addition anatomy teachers are always the anonymous counselors to the medical freshmen. For the reasons just mentioned anatomy is always the first course taught in the medical school as a prerequisite to other medical subjects. Drs. William and Charles Mayo, cofounders of the Mayo Clinic, started their medical education by learning osteology from a skeleton of an Indian Warrior and by studying histology with an expensive light microscope. The importance of anatomy to their surgery can be illustrated by the fact that Dr. Will would review the anatomy of biliary pathways the night before he operated on a patient with complicated gall stones. Dr. Charlie had refined his surgical techniques in ophthalmology by dissecting time and again the orbits of cadavers. WINTER, 1969 9 ---- �John Hunter, the eminent English anatomist, was one of the heroes of Dr. Will. Talking about John Hunter, I was amazed to see the well-dissected and well-preserved specimens when I visited the Hunterian Museum at the Royal College of Surgeons of England in 1965. Professor Gilbert Causey, Director of the Museum, told me that few anatomical specimens prepared by modern techniques were as good as Hunter's and that the anatomical museum was one of the important segments in postdoctorate education. I agree with him. Anatomy in the future medical curriculum will certainly have a shorter syllabus and time than in the present. As far as I can foresee it will be taught in two stages. In the first, anatomy will introduce to the medical freshmen the basic facts and concepts of human bodily structure. This basic material will be so organized that it requires a minimal amount of teaching time but provides optimal anatomical knowledge which is essential for the students to learn other medical subjects and for those who wish to be general practitioners. Concomitant with the reduction of teaching time and material, the teaching methods and techniques will be improved or redesigned. A self-learning anatomical museum will be established for both the undergraduate and graduate students. This museum will contain serial prosected specimens, comprehensive models, explanatory charts and audiovisual facilities .* The second stage of teaching anatomy will be in the junior or senior year. It will have several courses, depending on the nature of specialties that demand in-depth anatomy. These will be in the form of conjoint courses in collaboration with the clinicians concerned. The future department of anatomy will also undertake a greater responsibility in providing postdoctorate physicians and surgeons with anatomical material, facilities, and consultation. In my own experience with Fellowship of Royal College of Surgeons candidates, I found that they demand both in-depth and in-width information of anatomy. In other words they want to grasp the anatomy of certain regions in great detail, the embryonic development of specific organs in these regions, the anatomical basis of pathological changes, and the current anatomical advance related to their fields. 0 Dr. Lee presented slides on part of an anatomical museum that he initiated and helped develop at the University of Hong Kong which has proved itself useful to medical students and residents. I frequently spent many hours a day with them in the dissection room, at the conference table, in the museum and at the C.P.C. It was very rewarding and I admit that I learned from them as much as I hone I was able to impart to thern Looking further beyond the immediate future, I do not worry about anatomy being eliminated from the medical school curriculum, but I am deeply concerned about the shortage of qualified anatomy teachers. If we are going to teach the undergraduates several anatomy courses and to take care of the postgraduates, we will need far more staff members than available at present. 10 THE BUFFALO PHYSICIAN �· ---==--------~----~ Nowadays most young M.D.'s are interested in clinical sciences and basic sciences other than anatomy. Many a Ph.D. tries to avoid learning and teaching gross anatomy. The hard fact is that we cannot train instant anatomists. A person cannot become a gross anatomist simply by having dissected a cadaver. As an analogy, a third grader in the elementary school cannot be a good teacher of second grade students even though he knows every word of (heir textbooks. A qualified gross anatomist in my opinion should not only have thorough knowledge of macroscopic anatomy but adequate information of microscopic, developmental, pathological, comparative, and neuroanatomy as well as the need of clinical sciences. He should of course keep himself up-to-date with modern advances in his field. If we agree upon these qualifications for a gross anatomist, we should not expect our busy clinicians to become devoted anatomy teachers nor could we produce good anatomists overnight. In order to avoid such a critical shortage of teacher-anatomists, I most sincerely urge my contemporary fellow anatomists to make anatomy more attractive to the young M.D.'s and Ph.D.'s and to train them to be the anatomists of tomorrow.O Dr. Eric A. Barnard is the new biochemistry department chairman. He replaces Dr. Richard J. Winzler who has accepted a Distinguished Professorship in Chemistry at Florida State University, Tallahassee. Dr. Barnard was born in London, England in 1927. He received both his Bachelor of Science and Doctor of Philosophy degrees from King's College, University of London. He served in the Royal Air Force for three years prior to completing his college education and was an assistant lecturer and lecturer at King's College after receiving his doctorate. His first visit to the United States was as a Rockefeller Fellow in the Virus Laboratory of the University of California, Berkeley in 1960 and 1961. He was a Visiting Professor at the University of Marburg, Germany before accepting an associate professorship at State University of New York at Buffalo in 1964. He was promoted to professor of biochemistry in 1965. Dr. Barnard has authored or co-authored more than 75 publications in the field of enzymology, has read papers at 20 international conferences, delivered lectures at universities and institutes across the United States and Europe, and is currently preparing a book on ''Active Center of Enzymes.'' At the State University, he is now serving on a committee to draft by-laws for the newly formed Faculty of Health Sciences and recently chaired a committee which completely revised the department of biochemistry curriculum. Dr. Barnard received a Guggenheim Fellowship in 1969 for study in Europe, which he is presently completing. Dr. Barnard, his wife Penelope and their two children reside at 4 Soldiers Place in Buffalo.O WINTER, 1969 11 New Biochemistry Department Head �A New Surgical Approach About one third of patients with myocardial infarctions develop congestive heart failure or end up in shock. A new surgical approach developed at the School of Medicine has drastically reduced the 80-90 per cent mortality rate of patients in shock by two-thirds (30 per cent]. These patients were all victims of heart failure, pointed out Buffalo's developer of the surgical procedure Dr. George Schimert. This "power failure" as it is medically termed, may range from the acute to chronic stage - from cardiogenic shock following acute infarction to chronic congestive heart failure. Local coronary artery lesions, he said, are usually responsible for the damage to heart wall or its muscles. Factors causing heart failure are much more common than was previously thought. More important than the dead muscle itself, he emphasized, is the initial damage to the surrounding muscle. The main pumping chamber of the heart will function more effectively as its radius is decreased (Law of LaPlace]. Once these conditions are corrected (in patients originally thought to be nonsurgical candidates) by this new surgical approach the intractable heart failure can be reversed. " Our experience over the past three years in the surgical treatment of 23 postinfarction heart failures assures us that we are now able to pinpoint the patient who is surgically correctable. While these defects can be surgically corrected, many problems still remain: how to assess quality and contracting ability of remaining heart muscle; how much muscle to remove without obliterating the cavity and thus impede pumping function?" A paper on this procedure was reported at the Society of Vascular Surgeons in July. The coauthors are: Drs. George Schimert, associate professor ofsurgery; Thomas Z. Lajos, assistant professor of surgery; Ivan L. Bunnell, associate professor ofmedicine; David G. Greene, prcifessor of clinical medicine and cardiovascular disease and assistant clinical professor of physiology; Herman L. Falsetti, assistant professor of medicine; Andrew A Gage, assistant clinical professor of surgery; David C. Dean, assistant professor of medicine; Michael Bernstein, department of surgery. Although these patients can be suspected clinically they can only be definitely diagnosed through the diagnostic procedure of ventriculography - movies of the heart - which have proven highly accurate in outlining the akinetic areas. Findings agree with observations made during surgery. "In the group of patients with akinesis, if only 20-30 per cent of the heart wall is damaged, the patient will probably have excellent clinical results. But this percentage, he pointed out, will decline with increasing cardiac involvement. If more than 50 per cent of the heart wall is involved patients may not survive surgery or may have minimal clinical benefit from resection. Patients with associated mitral regurgitation who have mitral valve replacement have done exceptionally well,'' he said. Mortality is difficult to predict but without surgery the majority would have died in less than a year. Seven received surgery as a desperate emergency measure. The worse the medical outlook, the poorer the surgical risk. But, he pointed out, any salvage is better than none. No patient was considered too sick for surgery. Some of the sickest patients overlap the group who may become suitable for transplantation. As experience accumulates, left ventricular reconstruction may be extended to better risk patients as well as patients who may otherwise be considered for cardiac transplantation. 12 THE BUFFALO PHYSICIAN �~~--------------------- -~------------------ ~--------------~--- Selection was based on a high index of suspiciOn, careful preoperative clinical evaluation, and identification of all lesions by angiocardiography - x-ray movies of the heart. Surgical success, he said, depends upon meticulous attention to preoperative preparation, postoperative management, as well as the surgical procedure itself. Twenty-four patients - ages 37 to 68 - with congestive heart failure had surgery for complications of coronary artery disease. In 21 patients, congestive heart failure was due to localized akinesis of the left ventricular wall, associated with mitral regurgitation in seven patients and with rupture of the ventricular septum in two patients. One patient with status anginosus, previously documented left descending coronary artery narrowing, had acute coronary thrombectomy. Four had been defibrillated - cardiac arrest - and in two patients the only lesion found was rupture of papillary muscles with mitral regurgitation. Seven patients were in shock and pulmonary edema and were operated on as emergencies. There were four hospital deaths, four late deaths, and variable degrees of improvement in the other 15 patients, 11 of whom are now working or are fully active. To date about 50 cases have been reported across the country. The Buffalo group - pioneers in the new surgical procedure - has been active in this field for the past three years (first reported April 1968 by Dr. Herman Falsetti at the 49th Annual Session of the American College of Physicians, Boston). The implications for patient salvage by this surgical procedure may present a major breakthrough.D A medical couple with a musical hobby. That is the interesting life of Dr. and Mrs. Stephen E. Moshman. Susan is a senior in the Medical School, while her husband received his MD in May. He is interning at the Meyer and Buffalo General Hospitals, and hopes to specialize in internal medicine or neurology . Steve's father gave him his first violin lessons, and interested him in composing and conducting. As a teen-ager he and his father were in a string quartet in Brooklyn . At the University of Rochester where he majored in biology, Steve was conductor of the string ensemble, a chamber orchestra of about 15 pieces, which he and a group of fellow music lovers founded . The ensemble offered concerts of baroque and classical works. Now it is a part of the music department. Mr. Lukas Foss, conductor of the Buffalo Phill).armonic, has commented favorably on Steve's musical compositions. At least two have been played in concerts in Rochester. Interning keeps the 25-year-old doctor from working on composing or practicing the violin. His 23-year-old wife was on a pediatrics fellowship during the summer. She helped in the organization of the Lackawanna Clinic which opened last year. The Moshmans have no idea where they will practice. But wherever they go they will continue their twin careers of medicine and music .D WINTER, 1969 13 Musical Hobby ------------ �Dr. Obcrkircher Hospital Honors Two Alumni Two alumni, who have given more than 100 years of service as teachers and physicians, were honored by the Buffalo General Hospital when it opened its $7.3 million addition recently. The medical library on the second floor of the new fourstory building will be named the Dr. A. H. Aaron Library and the Urology Department on the same floor will be the Dr. Oscar J. Oberkircher Urological Suite. Portraits of both men will hang in the new building. Hospital Director Rudolf G. Hils said, "in naming the library and urology department for them we are paying tangible tribute to the many intangible ways in which they have made their influence felt over the years - an influence that is still strong today as it will be in the years ahead. ''The contributions the two physicians have made to the hospital, patients, students and their colleagues are immeasurable. They have passed on their spirit of dedication to succeeding generations of physicians." Both men interned at Buffalo General, and were appointed to the staff in 1917 -Dr. Aaron as an assistant attending physician, Dr. Oberkircher as assistant in urology. Dr. Aaron became a full attending physician in 1938, Dr. Oberkircher in 1931. Dr. Aaron served as vice president of the hospital staff in 1944. He was named to the consulting staff in 1955. He still practices his specialty, gastroenterology. He was on the Medical School faculty from 1917 until he retired July 1, 1955 as clinical professor of medicine, emeritus. He was instrumental in establishing the postgraduate teaching program and headed it from 1921 to 1949 on a volunteer basis. Dr. Oberkircher served as chief of the Buffalo General's urology department from 1945-60, and chief of urology at Children's Hospital from 1946-58. He was named to the consulting staff at General in 1960, and retired from the practice of medicine five years later. He was on the Medical School faculty from 1917 to July 1, 1958 when he retired as professor emeritus and h ead of the urology division. In 1944-45, Dr. Aaron served as president of the American Gastroenterological Association, which subsequently gave him its highest honor, the Julius Friedenwald Medal. He was also editor of the Journal of Gastroenterology; a past vice president of the State Medical Society; past president of the Erie County Medical Society, the Buffalo Academy of Medicine, the University Medical Alumni Association and the Buffalo and Erie County Tuberculosis and Health Association. In 1951 the University named him an outstanding teacher, and the Buffalo Evening News an Outstanding Citizen in 1958. Dr. Oberkircher was a Captain in the Army Medical Corps during World War I. He is a past member of the Board of Members of the Roswell Park Memorial Institute. The Buffalo Urological Society honored him in 1962 as "teacher, surgeon, and friend.'' His three sons are all Medical School graduates - Dr. David J., M'59, a Buffalo urologist; Dr. Paul, M'59, a radiologist at Fort Riley, Kansas; and Dr. Oscar, M'62, a Buffalo pediatrician.D 14 THE BUFFALO PHYSICIAN �~ -------~~~ ------------ ~ - -- The Annual Spring Clinical Days will be Friday and Saturday, April 10 and 11, at the Statler Hilton Hotel according to Dr. Sidney Anthone, president of the medical alumni association. Dr. Robert Evans, director of medical education, York Hospital, York, Pa., will give the annual Stockton Kimball Lecture Saturday noon. Dr. Evans and Stockton Kimball were personal friends. In addition there will be at least three panel type sessions: "The Role of the Physician in Sex Education;" "Clinical Problems in Gastroenterology;'' and ''Physician Heal Thyself: A Discussion of the Social Hazards of Medical Practice'' that involves a cross-section of the various medical specialties. The details of the program will appear in the next issue of this magazine.D Spring Clinical Days April 10 and 11 A $635,048 grant has been awarded to the Regional Medical Program for Western New York to finance a variety of health projects. The award was made by the Division of Regional Medical Programs, Health Services and Mental Health Administration. Since the original grant three years ago the Buffalo-based program has received $2,512,886, according to Dr. John R. F. Ingall, program coordinator. The new grant will continue to support the coronary care training program for physicians and nurses, the telephone lecture network, which provides health related lectures to 47 hospitals throughout Western New York and Erie County, Pennsylvania and the chronic respiratory disease program, which provides training programs and consultative service to hospitals and physicians throughout the region. In addition, funds will now be available for a tumor registry , a program to test and evaluate methods of continuing medical education, planning for a dialysis program and a program of diagnostic procedures in immunofluorescence. One of the prime functions of the tumor registry will be to provide physicians with cumulative regional and individual clinical data. With proper utilization, it hopefully will improve the management of the cancer patient. The chronic respiratory disease program will include the expansion of a training program for inhalation therapists at Erie County Technical Institute, first of its nature to be centered in a community college in Western New York; a post graduate program in pulmonary diseases for physicians and nurses; use of the acute respiratory unit at the Millard Fillmore Hospital as a model for the educational program , and the addition of a screening program for respiratory diseases . The immunofluorescence project will provide education and service by a relatively new technique utilizing immunofluorescence to aid in diagnosis and treatment of cancer, thymoma, leukemia, rheumatic heart disease, etc. A service laboratory will provide , by request, diagnostic tests to assist the physician . At present, these tests are not available locally to a majority of practicing physicians. 0 $635,048 Regional Medical Program Grant WINTER, 1969 15 �An Otology Fellowship Herbert H. Rabiner Why otology? There are the words "I can hear again" from patients following successful surgery. Or the more than 25 million Americans who have hearing problems - many are children - who may never reach their maximum potential if they are not treated or their hearing losses repaired. That's why Herbert H . Rabiner, a senior medical student with a special awareness of what it is not to hear - he was born with a moderate degree of hearing loss - spent eight weeks last summer on an otologic fellowship with renowned otologist Irwin Ginsberg. Hearing problems, Herb explained , may _be congenital, viral or familial in origin. They range from the sensorineural nothing is known about the inner ear and therefore these cannot as yet be treated - to conductive losses which are now, due to research advances, almost always repairable. The combination of in and out-patient services, study and research at the temporal bone laboratory, has exposed him to the entire field of otology. " Today? It will start with surgery for a 70-year-old Nun. A dedicated teacher , she was forced to leave the profession because of an 85 per cent hearing loss from otosclerosis. ' ' A progressive condition beginning at an early age, it is caused by bony particles which have grown and spread in the inner ear membranes until they prevent the stapes - a tiny stirrup-shaped bone - from carrying sound vibration to the hearing nerve. Dr. Ginsberg a nd Mr. Rabiner 16 THE BUFFALO PHYSIC IAN �~-----------~ - ---------~~- -- . ------------- ------ ------ - Mr. Rabiner, Dr. Ginsberg, Dr. Mohamad Zohur The stapedectomy, as the operation is called, does not take more than an hour. The impaired stapes is removed and a teflon and steel replacement is inserted. "Following her first operation a year ago, she regained 90 per cent of normal hearing and returned to teaching. Today we are operating on the second ear," Herb said. But there are at least four patients every morning at the Buffalo General Hospital who are scheduled for microsurgery use of a special microscope for surgery of the ear. Afternoons until 6:30 are spent at the nonprofit, privately endowed Buffalo Hearing Foundation, dedicated to the study and causes of deafness. Daily between 50 and 60 patients are either diagnosed for the extent of deafness, evaluated and treated as vertigo patients, or exposed to the special techniques of audiometry to assess the causes of deafness. More than half are referrals, who arrive from as far away as Hong Kong. Modern technology is responsible for the expanding field of otology, Herb pointed out. "We are seeing more young patients who have returned from the military service, older patients exposed to industrial noises, and thos e with hearing problems due to the intensity of today's music." Herb has a vested interest in otology. And the summer has convinced him that this is to be his future area of specialization.O WINTER, 1969 17 · Mr. Rabinerandaud iologist Tom White co nduct a test. �A participant in the 15-mile run. Eskimo Adaptation Pulling in a u·alrus. How HAS THE ESKIMO adapted his way of life to a variety of harsh environments over the centuries? Dr. Donald W. Rennie [he is professor of physiology and associate department chairman). with two dozen other scientists, spent the past two summers in Wainwright, Alaska. Their assignment? to measure Eskimo physical fitness and capacity for exhausting work (as reported by both explorers and Eskimo hunters in legendary tales). The invitation - from coordinator of the Eskimo study Dr. Frederick Milan [he is an anthropologist at the University of Wisconsin) - meant Dr. Rennie's return after a decade to work with a population he first encountered 27 years ago and has since studied. It is part of a 55-nation biological program that is due to end in 1972. Their concern - to preserve the habitability of the earth and broaden our knowledge on all forms of its life. To plan the study, 40 international scientists from the U.S.A., Canada, Denmark, Norway, France, Japan [the USSR joined the team last summer) met in Point Barrow, Alaska. That was over a year ago, where it was agreed that the USA phase would be a detailed study of the Wainwright villagers. This phase would include a medical and dental team, anthropologists, sociologists, ecologists, epidemiologists, geneticists, and physiologists. Wainwright, the northernmost Eskimo village in Alaska, still retains sea and land hunting as a way of life. It is reasonably accessible by both bush plane or winter tractor. And, from a study initiated in 1955 by Dr. Rennie, there is much information available on the cardiovascular status of the villagers [they willingly consented to be hosts). The Point Barrow Office of Naval Research dragged four "wannigans" or cabins across the winter sea ice to Wainwright100 miles away - to provide housing for the visiting scientists. But where to find funds? In a lean budget year the Smithsonian Institute responded to Dr. Rennie's request with a seed grant. He, Dr. Pietro diPrampero [an exercise physiologist from Milan, Italy) and Robert Fitts [a physiology graduate student and long distance runner with an eye on Olympic competition) were ready in early summer, 1968. The last act before leaving Buffalo - to personally deliver the 500 pounds of equipment packed in two sturdy aluminum dog crates loaned by the Animal Facilities Laboratory to the Buffalo airport. Destination: Fairbanks, Alaska. �=--·~- Miraculously the equipment, the two-man Buffalo contingent, and Dr. diPrampero from Milan all converged within hours of each other at the Fairbanks airport. Then it was on to Point Barrow where Office of Naval Research personnel flew them directly to the walrus-strewn village of Wainwright. To the south of the village the flat, marshy tundra extends 100 miles onto the slopes of the 10,000 foot Brooks Mountain range. To the north stretches the Arctic Ocean. The 320 villagersan increase of 100 since 1955-occupy 52 frame and sod houses loosely clustered around two Protestant churches, a two-room schoolhouse, and a National Guard Armory - the latter two donated for medical, dental and physiological studies as well as clinical services to the villagers. A daily "spectacular" included an eight-hour sunset that gradually illuminates the northern horizon. Icebergs (some extending 10 feet above the water) sail majestically past your door all day and night with the currents. And flowers are found tucked · in among the crevices of the flat tundra. "Our three tests, relatively simple, were to assess the fitness of the male population," Dr. Rennie said. "A step-test of graded effort to test 'maximal aerobic power'- capacity to perform hard work over long periods of time - was established. To measure 'anaerobic power' - the type that characterizes a champion 100-yard dash man - we used an electronic chronometer sensitive to 0.01 second to measure vertical velocity while running at top speed up stairs.'' What proved to be the most fun was the final test - a 15-minute distance run - to doublecheck endurance. Planned for the final day of the study, this last test precipitated a series of incidents "I guess we will all remember for a long time," Dr. Rennie recalled. He laughed. The temporary air strip, carved out of the tundra, was selected as the ideal site for the run. A stone was placed at each end of the measured one-quarter mile track, the number of laps run to serve as the measurement. But the prize? Gasoline, the most coveted prize of all for the villagers whose supply was depleted. It was needed for their outboard motors and skidoos - to hunt caribou and walrus. A listing of rules and prizes was posted. Every participant was to receive a prize. The number of gallons awarded depended on the number of laps completed. Sunday evening following church services, small clusters of villagers slowly drifted toward the airstrip to view the awesome sight of 200 gallons of gasoline. They were flown in from Point Barrow only the day before. The village recreation committee took charge. They organized the races by age groups, counted the laps, and awarded the prizes. While the "over 55" group did not fare too well, side bets were placed on the "20 group," which included Bob Fitts. Showing the best time - he ran over three miles in 15 minutes - Bob won the villagers' admiration and respect. WINTER, 1969 19 Scientifically the study provided a systematic description ofhuman workcapacityandpulmonary function for about onethird of the village's male population. The others, as well as the women, were studied this summer to draw correlations between this physiologic description of the population and otheraspects of their health - cardiovascular status, prowess in hunting, etc. The initial study does not indicate a genetic trait endowing these people with a superior capacity for exhausting work. But the older age group and certain families do have higher 'scores' than reported on many Americans in other states. Hard and prolonged hunting - soon to become obsolete due to outboard motors and skidoos - does improve the endurance of these men so they can utilize all of their potential work capacity for long periods of time. Bob Fitts - he completed his master's thesis based on the initial summer's study - returned this summer before heading for PhD work at the University of Wisconsin. Sylvia L. Sinclair a graduate student in Physiology who joined the Buffalo team this summer - was charged with studies on the Wainwright female population. �Even the somewhat aloof Abraham - a young village hunter who ran half a mile behind Bob - became friendly when the winner refused to accept any side bets . The women joined in and performed as well as the men. The teenagers, as their reserve broke down, also participated. About midnight the evening ended - or so they thought - on a happy note with everyone receiving prizes. ''But the assemblage moved on to the center of the village a big sandy square where a volleyball net was set up, '' Dr. Rennie recalled, " and we were invited to join. All 'night ' long we played. About 5:30 in the morning a modified teeter totter was assembled. As one man jumped onto the end of a six-foot long board, he propelled the man at the opposite end as high into the air as possible. Into orbit they went - some flying as high as five feet. The ' winner' was the man who flew highest without crashing.'' To sleep finally at 7:30 only to be awakened half an hour later by a herd - about 1000 - of caribou charging down the airstrip, sending everything in its path into confusion and/ or chaos. " As soon as the herd was spotted by the villagers, every one with a gun or skidoo charged after them - to cut off an escape route. This only added to the chaos which, at that moment , seemed complete, " recalled Dr. Rennie. In the excitement Bob almost "got himself killed" by running into the herd. The AAUC three-mile New York City champion he could really run - pursued two caribou , shooting at them with a gun loaned to him by Abraham. ' ' H e ran them into the ground. He stood there and his gun jammed. Fortunately, a 12-year old standing nearby shot the two caribou before Bob could unjam his gun. "And that was the final blaze of glory for the trip," Dr. Rennie said.D Making a harpoon head . In a corner of the school house is the working ph ysiology laboratory. 20 THE BUFFALO PH YSICIAN �~~- - -- ---~~-~~------- Immunology Summer School officially inaugurated at an international convocation held in Buffalo in 1968 opened its first summer school on July 21. The Center - headed by Distinguished Professor of Microbiology Dr. Ernest Witebsky - exposed the 20 students to current methods for immunological research and diagnosis. The students, selected from more than 40 applicants - represent four nations from abroad (Switzerland, El Salvador, Denmark, England) as well as Canada, and the United States. Over a three-week period they attended practical laboratory sessions, demonstrations, and heard lectures and discussions by faculty from the University, its affiliated hospitals, and institutions. The 20 - who paid a $300 tuition fee - studied antigen preparation methods, gel diffusion precipitation, passive and mixed agglutination, immunofluorescence, blood group determination and compatibility testing, immediate and delayed hypersensitivity as well as transplantation and tissue typing. They ranged from non-Ph.D. candidates to full professors; from a doctoral candidate in veterinary T HE CENTER FOR IMMUNOLOGY WINTER, '1969 medicine majoring in parasitology to one who will be teaching students at the new University of Toledo Medical School; from a non-Ph.D. from Hawaii studying immunologic disease in South Pacific orientals to a Harvard professor interested in public health microbiology. The course, supported in part by a World Health Organization grant, was directed by Dr. Noel R. Rose, professor of microbiology. Other Center activities include last year's Convocation results soon to be published. It is hoped to hold a Convocation biannually and to publish its results. Over 25 senior immunologists in the community - all members of the Center - meet at monthly workshops where ongoing research is discussed, criticized, and evaluated prior to publication. The Center's W.H.O. Regional Reference Laboratory serves as a training center for diagnostic and research laboratories. It is here where advice and training of personnel is obtained to improve their diagnostic capabilities of autoimmune diseases, and where international standards of sera are prepared. 0 21 �Diagnosis: cirrhosis of the liver. First Clinical Experience A ny major illness? It was their second day. The 104 freshmen filed into the auditorium at the Veterans Hospital to participate in their first clinical exposure - a medical case presentation. "In today's health care system, " Dr. Albert C. Rekate emphasized, "the solo discipline of the physician has disappeared. But leadership and coordination are skills you are expected to retain. Begin today to develop them as you talk to these patients. '' The professor of medicine and director of Rehabilitation Medicine pointed out . that he was present only as an interlocutor. "Mr. Kopinski, " asked a student, "what is your physical complaint?" Bad headaches keep building up, burning sensation in the nostrils, pain in right eye. "Any major illness? " asked another. No, but I have had hypertension. Interjected Dr. Rekate "doesn't the fact that our patient used a technical term surprise you? He no longer needs to say high blood pressure.' ' "How about your family status?" asked a third student. Single, live with a brother, both parents dead. "Do you smoke?" Yes , a pack a day . " What do you do? " Draftsman. "When you are not working?" Good times, have been engaged a couple of times . ''Could you possibly be suffering from a type of migraine?" YES. ''Do you see how long it takes a group taking a history to get to know a person?" Dr. Rekatedpointed out. "Family relations are important to our patient. Loss of family, frequent job moves take the pressure off of him. The pain in migraine a change in the circulation - comes with dilation of the artery. '' Questions were then directed to the second patient whose swollen feet and abdomen were clearly visible from the wheelchair in which he sat. Mr. Chester Boris, a 49 year old male railroad guard was separated from his wife. Very cold , unable to walk, he became sick right after Christmas. Yes , he drank a little every day. No, there had been no weight gain. Had been taking pills, now has a rash accompanied by itching. Remember the lock on wheelchairs, Dr. Rekate cautioned the group as he proceeded with an interesting story about alcoholism. "Our patient here blames his inlaws for his marriage breakup. Whiskey became a sedative for him. But he showed manifestation of liver disease, although he was not jaundiced. His job - for 22 years he worked 85 hours a week - was the major part of his life ." Diagnosis : severe cirrhosis of the liver. D �"A Symbolic Beginning of a New Year" Michael L. Lippman wins medicine, psychiatry, outstanding achievement awards, and James K. Smolev wins the coveted $1.,000 Pfizer award. Twenty-one students shared 13 awards at the annual Medical School Convocation. Dr. Peter F. Regan, Executive Vice-President of the University, was the main speaker. Dean LeRoy A. Pesch of the Medical School presided and gave a brief welcome. The awards and recipients: Pfizer Award - ($1,000) for highest ranked Junior for work for three years- James K. Smolev. Merck Co. Award - Two Juniors with highest grade in medicine - Donald P. Copley and Michael L. Lippman. Mosby Award - High performance of the previous year - Junior Year, Russell Massaro and Jeffrey S. Ross. Sophomore Year, Francis J. Twarog and Neil N. Senzer. Freshman Year, Arthur L. Siegel. Lange Award - High performance of the previous year - Juniors, Sebastian Conti and Theodore Dratch. Sophomores, Barbara Dattwyler and Jerald A. Bovino. Freshmen, Ian M. Frankfort and William T. Murray. Roche Laboratories Award - Highest ranking student for first and second years - Robert Kaufman. Annual Participating Fund for Medical Education Award - For outstanding academic achievement in the first year - Michael Gordon. Alumni Association Award - Outstanding achievement in the Junior year - Michael L. Lippman. Kornel L. Terplan Award - For demonstration of the best knowledge of pathology in the Sophomore year - Askold D. Mosijczuk. Children's Hospital Prize - Junior demonstrating excellence in his ability to understand disease in childhood - James K. Smolev. Alpha Omega Alpha (Medical Honorary Society) - Brian A. Boehlecke, Michael L. Lippman, Russell P. Massaro, Jeffrey S. Ross, Jeffrey G. Rothman, and James K. Smolev. James A. Gibson and Wayne J. Atwell Anatomical Award Highest record of anatomy first year - Frederick S. Hust. Farny R. Wurlitzer Award- For outstanding work in psychiatry in the Junior year - Michael L. Lippman. Physiology Award - For outstanding performance in Physiology- Ian Frankfort and Paul Seligman. D WINTER, 1969 23 D ean Pesch co ngratulates Robert Kaufman Dr. Jean Cortner presents the Child ren's Hospital prize to James K. Smolev. �1 J More women in the class 24 �1 I The Class of 1973 A diverse group - the records reveal of the 124th class to arrive at the Medical School. The freshman of 1969 is a graduate from any one of 55 college campuses (includes U.S. Air Force Academy) that crisscross this nation. And his academic background ranges from science to the liberal arts - philosophy, psychology, history, English - or music or math. And in quite a few cases you may find him listed in Who's Who in American Universities and Colleges. But - he has a "mix" of interests. He may have captained a basketball or a baseball team, been selected as a candidate for the Olympic Soccer Team or just enjoyed playing a sport. Or he has probably held an office in a premedical society, a fraternity, or a social group, and worked with the underprivileged as part of the Big Brother or Upward Bound Programs. More women in this class, the records point out. And this year's freshman comes from a family background covering just about every field - law, business, teaching, manufacturing and industrial, agriculture as well as medicine and the health sciences. And in nine out of ten cases, the future MD has been exposed to some hospital experience, either as a technician or as an orderly. But the commitment is identical - he is one of the 104 in the medical class of 1973.0 Getting acquainted Many personalities Meeting old friends and making new ones �Pressure Chamber To Simulate Deepest Dives by Gail McBride A group of scientists in Buffalo are plainly more fascinated by what happens to man in the depths of Earth's oceans than on the backside of the Moon. For 21/2 years now, they have painstakingly planned, designed and dreamed of doing research in the world's highest pressure chamber, soon to be located on the campus. It will be capable of attaining a pressure of 170 atmospheres, or 2,500 pounds per square inch. This is equivalent to about 5,600 feet of depth underwater, and gives an idea of the tremendous pressures encountered at ocean depths. Only in Marseilles, France is there a chamber of similar size that can attain a pressure nearly as great. Part of the facility located in the laboratory of Prof. Jacques Chouteau, has a working pressure of 150 atmospheres. ''Many familiar physiological problems require further investigation at higher pressures," said Dr. Edward H. Lanphier, associate professor of physiology and director of the high pressure facility, in announcing the contract. "But the most crucial need is for a bold effort to determine what problems will set new limits to man's penetration of the sea at great depths and to what extent these can be circumvented or overcome. "Although our own present chamber can go to 7.8 atmospheres and others can go higher, their limits for human studies have been reached. A larger, more versatile chamber is needed." Members of the designing team were Dr. Lanphier, a former U.S. Navy submarine and diving medical officer; Richard A. Morin, director of facilities for Project Themis at the University and a former Navy diving hospital corpsman; John M. Canty, consulting engineer; and Dr. John N. Miller, a research associate in respiratory physiology. Much deep sea research utilizes the many types of manned submersible craft which can descend as deep as 8,000 feet [Lockheed's Deep Quest) or even 20,000 feet [the Navy's bathyscaphe Trieste II) for varying lengths of time. Research with the new chamber, however, will be directed at the diver who is unprotected by a steel shell. It is crucial to know how far a "useful diver" - one who can move about freely and apply his own senses and dexterity to tasks - can descend. ''And what we must discover,'' says Dr. Lanphier, "is how to enable man to go as deep as he possibly can. If deep diving can be accomplished only in submarines , attempting to work at great depths will be like living on earth without getting out of your car." Miss McBride was a science writer at the University before joining the AMA press relations staff The deepest actual dive made thus far was to 1,000 feet in 1962. The deepest simulated dive - in a dry, high pressure chamber - was to a depth of 1,190 feet, or about 36 atmospheres. This was in 1968 in France. [Each 33 feet of descent into the sea equals one additional atmosphere of pressure or an additional14.7 pounds per square inch.) 26 THE BUFFALO PHYSICIAN �O?EAN SIMULATOR --: T~e worl~'s highest .working pressure of a~y high pressure chamber wtll be located at the Umve rs~ t y . Destgnedfor ultlmate use of man, it will be used fo r simulat mg dee p-sea dtVes. The 8 x 22 f oot chamber combining wet and dry compartments will be delivered in the fall of 1970. It will cost about $l 30,000 . Almost an equal amount' will be spent on compressors, gas storage banks and accessory systems. Struthers Wells Inc., in Warren, Pa. has the co ntract. Funds f or the hig.h pressure c hamb~ r are be i~g provided by the U.S. Office of Na val Re~earc h . The ve~se l w1ll be assocwt ed w1th the ProJe~ t Themis fa cility at the Uni versity, which IS co ncerned w1th research 1n enVI ronmental, phys10logy and related educational programs f or undergraduates and health science students. "The ocean bottom is more likely to have valuable resources than the moon," Dr. Lanphier notes. "Yet, ironically , we haven't yet placed a man on the bottom of the ocean except in a steel sphere. Of course, there are good reasons. On the moon, the pressure is zero and a man must artificially maintain a pressure of 3.5 pounds per square inch - about a fifth of our normal sea-level pressure - in his space suit. But to oppose a pressure of 1,000 atmospheres in the deepest depths of the oceans is something else again. We are faced with the alternatives of putting the ocean diver in a strong structure to protect him or somehow ensuring that his physiological response to pressure at depth will be tolerable." The smaller vessel of the new high pressure chamber is a sphere, 7 feet in inside diameter, which is welded to the second vessel, a cylinder with rounded ends, 14 feet long and 7 feet high internally, with 5-inch-thick walls. Beyond this, the additional unusual features of the chamber probably will result in at least two patents. The cylindrical vessel contains the most interesting innovation - the combination of wet and dry compartments. The water is retained in one half of the cylinder by a pair of semicircular Plexiglas barriers so placed that a diver can climb over one and duck under the other to enter the water compartment. These barriers also can be moved about or dissembled to convert the wet and dry compartments into one dry compartment. WINTER, 1969 27 �These combination compartments are the subject of a patent application by the Navy. According to co-inventors Lanphier and Morin, they work on the same principle as a mercury barometer. "The basis is Torricelli's principle from the 17th Century," they say, "thus we 've only found a new application for an old idea." The new arrangement contrasts with the more common practice of lowering experimental divers into an attached pressurized compartment known as a ''wet pot''. The combination compartments are much less costly and more convenient to use, and furthermore will simplify breathing measurements made on divers. 1=- li Inert gas narcosis or "rapture of the deep" necessitates a shift to helium instead of nitrogen as an oxygen diluent at 200 to 300 feet of depth. There is the possibility that helium also will be found to have narcotic properties at greater depths. Decompression will become longer and more treacherous as dives become deeper. But, according to Dr. Lanphier, the saturation approach should make very deep diving practical "even if you have to decompress for a month after doing a month's useful work." Density ofthe breathing gases will continue to be a matter of concern, as it results in an increased effort to breathe and in the retention of too much carbon dioxide by the body. Possibly this will be relieved by some kind of mechanical breathing assistance as well as by the use of less dense gases. "Oxygen toxicity " is another 'Jamiliar" problem. Pure oxygen becomes toxic beyond 33 f eet of sea depth or two atmospheres. Another invention is a lightweight outside door assembly for a "pass-through" or "medical" lock, through which materials are passed in or out of a pressurized chamber. Customarily with such a lock, the outer door opens outward, the object is placed inside, and the lock is raised to full chamber pressure. The inside door of the lock - leading to the interior of the chambercan then be opened without losing pressure from the chamber. All of this means that the outside door of the lock must withstand the high pressure acting from within to force it open. Conventional doors of such locks require heavy and cumbersome mechanisms to hold the pressure inside and prevent leakage of gas around the seals; for the pressure of almost 100 tons that would be encountered with this chamber such a mechanism would be massive indeed. In the new design, however, not yet released in detail, the outside door becomes the only moving part and the pressure itself is the only sealing force. Co-inventors Morin and Lanphier note that there should be many other applications for this form of closure, which will work equally well against positive or negative pressure. The 200 or more openings in the chamber will range from 12 inches to 1/2 inch in diameter, the smaller ones for various instrument cables and pipes and the larger ones for interchangeable functions - another unusual feature. Some of the 12-inch openings will be used for viewports (windows) made of Plexiglas about 6 inches thick. These will be coneshaped much like those in the Piccard bathyscaphes, but will have specially designed frames to allow easy removal from the openings. Other of the large openings will interchangeably accommodate pass-through locks, life-support systems or other special units, all readily removable. Exploratory animal studies at great pressures will require remotely operated observation and information-gathering systems. Hence, another unusual feature of the chamber will be remotely controlled sampling of blood via catheters coming from an animal' s body and connected to a selector valve which cues the appropriate sample return. Through the same mechanism, drugs and intravenous fluids may be administered to the animals. Almost all by the wet temperatures, psychological 28 aspects of a deep ocean dive will b e simulated compartment: submergence, high pressure , low darkness and performance of work. Only the experience of being in the ocean will be lacking. THE BUFFA LG PHYSICIAN �~-- - --- Moreover, by utilizing the spherical vessel as a sea-lab habitat or decompression chamber, the dry compartment of the larger vessel as a vestibule, and the wet compartment as the ocean itself, simulation of both saturation and excursion dives will be possible. Regardless of the type of dive being simulated in the new chamber, the submerged diver usually will be working at simulated undersea or diving tasks. High on the list for investigation during these working dives will be four familiar problems of deep-sea diving to be studied at higher pressure than previously possible-inert gas narcosis, decompression problems, density of breathing gases and oxygen toxicity. Hydrostatic pressure and its controversial effects on man and animals lurks as the primary "new" problem at this time. There is considerable evidence that pressure itself is harmful to living tissues at pressures over 100 atmospheres. Other reports suggest that it harms animals at less pressures, such as 50 atmospheres for squirrel monkeys. It is likely, according to Dr. Lanphier, that even the rate of application of pressure makes a difference.O Saturation diving can be conducted either by living on the sea floor in a special "structure" like the Sealab III habitat or by using a pressurized submersible chamber to "commute" between the work site and a pressure chamber at the surface. The process called excursion diving permits a diver to work for limited periods at depths greater than his saturation level. Dr. Peter Isacson will direct a new laboratory established and supported by the East Side Coalition of Churches and Agencies in Buffalo to give blood tests to determine German measles susceptibility for all women of Western New York. Dr. Isacson is an associate professor of social and preventive medicine and director of the University's Vaccine Evaluation Unit. Dr. Almen Barron, director of Erie County's Virus Laboratories, will serve as assistant director. The laboratory is operating at the Main Street Division of the Medical School at 2211 Main Street. Sometime in 1970 the laboratory will probably move to the East Side Area served by the Coalition. The laboratory may become the nucleus for a health center on the East Side. All technicians and clerical personnel are from the inner city. The Coalition is responsible for the hiring, firing and salary schedules for all employees. The director and assistant director serve without salary. The Coalition has no state or federal grants to underwrite the project , only its own funds. It is hoped that eventually the laboratory will be self-supporting. Blood samples may be collected by a physician and sent to the laboratory for testing, or patients may be referred directly to the laboratory , where one of the trained technicians will take the blood and test it. Erie County patients will be billed $5 a test either directly or through their physician. Those from outside the county will pay an additional $2. If the test indicated that a woman has never had rubella and is, therefore, susceptible to it, she will be referred to her private physician or, if she has none, to the Erie County Health Department.O Dr. Isacson WINTER, 1969 29 Directs New Lab �Health Care In Israel by Barbara A. Blase, M.D. (Class of 1968) The health center in the Arab village of Tira . Watching the celebration of Passover by the Samaritans on a mountain top nea r Sh 'chem . 30 ''In discussing health care in Israel,'' said Dr. Barbara A. Blase, "one must remember that this is an area of the world which, in two decades, has eradicated diseases which plagued it for centuries. Once uninhabitable because of malaria-infested swamps, the coastal strip north of Tel Aviv is now a first-class resort which attracts many visitors. Appallingly high infant mortality and short life spans, once common in Israel and still present in surrounding countries, are no longer part of the Israeli health picture.'' She continued, '' In terms of international health, this should give encouragement to those who believe that with proper government support and popular education modern medicine can radically improve the health conditions of peoples in the developing nations .'' Barbara, a 1968 Medical School graduate, interned at Bronx Municipal Hospital Center, Albert Einstein Medical College, where she is also taking her residency. She participated in a 11-week training project in Israel in 1968, along with 10 other medical students selected by the American Association of Medical Colleges to study abroad under the new U.S. Public Health Service International Health Fellowship Program. Her training was divided between practical work, lectures, and conferences. It centered in the departments of internal medicine and pediatrics at the 935-bed Tel Hashomer Hospital (just outside of Tel Aviv), the outpatient and family medical services in an Arab village, and at a kibbutz. Originally army oriented, the government hospital Tel Hashomer now has several large buildings and a series of unattached quonset huts. "The doctor to whom I was assigned was quite eager to teach. The ward never before had a medical student,'' Barbara said. Four weeks spent in a general medical ward was followed by another two in nephrology. "I had no trouble with the physical examinations, but taking a history required a translator. An English-speaking patient from South Africa - a depressed patient - acted as interpreter. This was good therapy for her while being an invaluable service to me,'' she said. Tel Hashomer shared the tragedy of the IsraeliArab conflict. Treated in the wards during border clashes were wounded soldiers, several children rescued from a school bus that rode over a land mine, and Moshe Dayan the Minister of Defense, who was recovering from the effects of an excavation cave-in. THE BUFFALO PHYSICIAN �In Tira, an Arab village located near the old border of Israel, Barbara worked at the public health facility. Understaffed, it still provided very adequate care. Although Israel does not have socialized medicine, most of its inhabitants - Jew and Arab - belong to the Workers ' Union Health Service, which provides comprehensive health coverage. A typical Arab family lives in a clean but sparsely-furnished house. Barbara pointed out that although the average family appeared in general good health , " child-rearing practices , however, are outdated by a generation. In the Arab culture, it is the grandmother who makes the decisions and there are still some superstitions. For example , if an infant does not take milk well, it is believed that the uvula must be in the way and an uvulectomy is performed. The danger is that the child might bleed to death. '' During her last week in Israel, Barbara worked with the doctor at Kibbutz Beit Alfa , located at the foot of Mount Gilboa (just six miles from the Jordanian border). While medical problems there were fairly routine, what proved most fascinating was life on the kibbutz. "An idealistic economic cooperative,' ' she said, ''the 400 members work without wages. All of their needs are provided for by the kibbutz. Camels . . . . . . . . . . . feels like riding a ca rpet. . .. J "Children live in the 'children's home ' ," she continued, "and are cared for by nurses. They do spend time with their parents daily and there is no lack of parental affection.'' There was time to sightsee on weekends. One of the more interesting trips was into Jordan - to Sh' chem - where 100 of the surviving 400 Samaritans live. A very religious sect, their lives are dictated by the Five Books of Moses. On Passover, Barbara attended the sacrificial service on top of the holy mountain of Gerizim. " During the ceremony, the men, dressed in white, chanted in an ancient Hebrew dialect and the high priest performed the sacrifice of a young lamb on the altar. By this time the chanting reached a frenzied rhythm," she described. "Each child's forehead was dabbed with the blood of the sacrificial lamb , a sign that the Angel of Death shall pass over the Children of Israel. Barbara, with an American who came to buikl Kibbutz Beit Alfa about 32 years ago. ' 'Throughout Israel ,' ' Barbara emphasized, ' ' one sees a mixture of the old and the new. Traditions die hard. Fortunately - in the field of health - superstitions and cults have succumbed quickly to modern treatment and techniques." D WIN TER, 1969 31 �Fight on Senility Intermittent breathing of pure oxygen in a high pressure chamber has reversed some symptoms of senility in 13 elderly male hospital patients suffering from arteriosclerosis and has allowed them to make significant although perhaps temporary gains in intellectual performance. The patients were at the Buffalo Veterans Administration Hospital. The gains in intellectual performance were assessed by means of three psychological tests which were administered to each patient before and after the series of high pressure oxygen treatments. The tests are designed particularly to establish deficits in recent memory and in thinking. The authors termed the results ''extremely challenging in the light of increased longevity and the greater number of individuals who will most likely suffer from the effects of senility in the next few decades," but emphasized that they do not as yet understand what is happening and that "many, many questions remain unanswered.'' A diagnosis of cerebral arteriosclerosis means that the blood supply to the brain of these persons is considerably diminished. Hence the brain's essential supply of oxygen, which is carried in the blood, is also decreased, producing in some manner deficiences in memory and learning performance as well as behavior problems. Members of the team, all on the Medical School faculty and associated with the Buffalo Veterans Administration Hospital are: Dr. Eleanor A. Jacobs, clinical instructor in psychology in the department of psychiatry; Dr. Peter M. Winter, assistant research professor of anesthesiology; Dr. Harry ]. Alvis, associate dean and associate professor of preventive medicine, and director of the hyperbaric medicine facility at the VA hospital; D. S. Mouchly Small, professor and chairman of the department of psychiatry. In September Dr. Jacobs reported on the study to the American Psychological Association in Washington, D.C., and Dr. Winter gave a paper to the 4th International Congress ofHyperbaric Medicine in Sapporo, Japan. For this reason and because intellectual functioning generally diminishes with aging, the physicians decided to use oxygen as an experimental "drug" to treat the senile patients. A hyperbaric chamber - one in which the atmosphere is at higher than normal pressures - was utilized because oxygen is more easily absorbed into the bloodstream under high pressure, and the desirable higher oxygen tension in the blood is achieved. Eight of the 13 VA Hospital patients, whose mean age was 68, were the experimental subjects in the study; they breathed 100 per cent oxygen through a mask while at a pressure of 2.5 atmospheres absolute (21/2 times normal sea-level pressure) in the hyperbaric chamber. The other five patients were "control" subjects, matched to five of the experimental subjects; they were at the same pressure in the hyperbaric chamber but instead of pure oxygen breathed a mixture of 10 per cent oxygen and 90 per cent nitrogen - similar to breathing normal air at normal sea-level pressure. This was to make sure that any gains in intellectual performance were due to breathing pure oxygen under high pressure and not just to high pressure alone. For 15 consecutive days each patient entered the hyperbaric chamber for 90 minutes twice a day to breathe either 100 per cent oxygen of the 10 per cent oxygen-90 per cent nitrogen mixture. He was not told which percentage of oxygen he was breathing. 32 THE BUFFALO PHYSICIAN �All patients who breathed the pure oxygen scored significantly higher on the psychological tests after the treatment regimen than they did prior to the treatments. The control patients, on the other hand, showed no change. However, when these control patients were later allowed to go through the pure oxygen treatments they, too, displayed significant gains on the psychological tests. (Dr. Jacobs, who administed the psychological tests both before and after the treatments, did not know which patients had breathed what percentages of oxygen until the end of the experiments.) Ward personnel and the patients themselves noticed also behavioral and physiological changes, such as "just feeling better'' and increases in appetite. Blood samples taken from both experimental and control patients during the procedures showed that the oxygen tension in the arteries of the pure-oxygen breathing patients had risen considerably above that of the control patients. Oxygen content in the blood also rose substantially. Again stressing that she and fellow scientists do not really know why they are seeing these gains in intellectual performance, Dr. Jacobs said: "We know the effects last at least 24 hours, but how much longer we don't yet know. Other investigators have shown that under such conditions all oxygen absorbed within the high pressure chamber should be washed out of the body within 30 minutes after emerging from the chamber, so obviously we are seeing some kind of residual effect. "In some way the oxygen delivery system must be stimulated in the brain so that undernourished tissues get more oxygen and function better," she said. "We must see how long these effects last," Dr. Jacobs continued, "and so currently we are doing duration studies whereby we wait to give the second round of tests to the patients until 72 hours, one week, two weeks and so on after the final treatment. Obviously we cannot test these patients more than twice with the same psychological tests because they will become too familiar with them. Eventually, of course, we would like to determine just how often a person might have to take a hyperbaric oxygen treatment to maintain these results. "Another thing to determine is how long an exposure time is necessary, and even whether high pressure is necessary at all. Perhaps just breathing pure oxygen at surface pressure would be sufficient. And there may be other ways, equally good, of getting oxygen into the system and to the brain.'' The scientists also are looking at the detailed biochemicalphysical events going on in the brains of the patients and are performing before-and-after electroencephalograms, blood chemistry analyses and spinal taps. They plan also to develop a behavioral observation scale and new psychological tests. In addition, they would like to determine the effects of pure oxygen breathing on learning-in normal persons and mentally retarded persons as well.O WINTER, 1969 33 �Cytogenetics CYTOGENETICS- the study of chromosomes and genes - is a field barely ten years old. And it has involved Dr. Maimon Cohen since he joined the School of Medicine four years ago. While the associate professor of pediatrics and microbiology's clinical responsibility covers multiple congenital anomalies, undiagnosed genetic diseases, and involvement in counseling between 300 to 350 patients a year (mostly referrals), his research centers mainly on chromosome breakage - in an attempt to pinpoint the mechanism for some types of chemical agents. One postulated mechanism - hydrolytic lysosomal enzymes may be instrumental in causing damage to DNA (the chromosomes), particularly DNASE which in various systems has been shown to cause chromosomal damage. If this postulation were to prove true, agents known to be chromosome breakers should have an effect on lysosomes. A regimen was established. Used were agents known to break chromosomes, to rupture lysosomes as well as compounds (corticosteroids and chloroquin) capable of protecting them. Biochemical electromicroscopy and cytological means revealed that known chromosome breaking agents had no effect on lysosomes, that corticosteroids offered no protective influence, and that lysosomal breaking agent - Vitamin A compounds - did not induce chromosome damage. The possibility of lysosomal involvement in the mechanism of chromosome breakage by these agents was therefore ruled out. But Dr. Cohen is off on a tanget with Vitamin A. What is really significant about chromosome breakage? "We don't yet know," Dr. Cohen said. "But if we can discover the underlying mechanism of chromosome breakage, perhaps we may be able to protect against it. All of the breaking agents in the human population have not yet been assessed. But attention is increasingly focusing on "environmental mutagenesis" as it is scientifically termed. Among suspected breaking agents are artificial sweeteners in soft drinks, various components of air pollution (ozones), benzene , and some of the other solvents. Dr. Cohe n .• Concerned about these chemical mutagens, an international society - Dr. Cohen is one of 30 members - will soon publish a "cookbook" covering standardized methods and types of tests for agents reported to be mutagenic . , But there are other areas of research. Dr. Cohen is investigating the stages of early embryogenesis, using proper biochemical and cytological marker systems to aid in estimating the time at which gene activity begins, especially for the X chromosome or sex-linked genes . I ...:r.J,·:.: .., -· . '": ~ ')) 110 t JIUliUI: U . UUIA ... " And there are investigations by Drs. Cohen and Carl Gans (Biology) in evolutionary cytogenetics. One recently completed study on surviving crocodilia points to the possible taxonomic reorientation of this class of reptiles. D 34 THE BUFFALO PHYSIC IAN �One of the processes which prevents us from becoming sick is Phagocytosis - the "eating up" of foreign particles of bacteria by our white cells. Because bacteria differ in their surface properties, some get eaten up faster than others. When the rate is fast enough we remain in good health, if not we become ill. Dr. Carel J. van Oss wants to identify these surface properties and to find out what the connection, if any, is between these and the process itself. "We are beginning to measure the surface properties of different species of bacteria,'' pointed out the associate professor of microbiology, ''as well as their ability to absorb gamma globulin. We can then try to correlate the data obtained with the degree to which our white cells (or "neutrophils" as they are termed) tend to phagocytize various types of bacteria."D Dr. Ernst H. Beutner, professor of microbiology, is the director of a two-fold program of service and education that will be carried out by a immunofluorescent antibody testing laboratory. The Regional Medical Program of Western New York is financing the project through a $48,000 grant for the first year. Since 1963 this laboratory at the University has been financed from other sources. The program is designed to bring the benefits of new research - particularly in the fields of heart disease, cancer and stroke - more quickly to practicing physicians and his patients. Dr. Beutner pointed out that immunofluorescent antibody tests have proved valuable in the diagnosis of several diseases: rheumatoid arthritis and related conditions; pemphigus; myasthenia gravis; atrophic gastritis; and pernicious anemia. The new, expanded program will inform physicians of the availability and value of the tests; assist hospital laboratories in developing their own fluorescent antibody testing programs by offering seminars for laboratory directors, training technicians, supplying participating laboratories with the reagents and quality control procedures; and perform free tests for physicians in the region to demonstrate their value. The program has helped several hospitals - Buffalo General, Meyer Memorial, Veterans, and St. Vincents in Erie, Pa. - set up their own laboratories.D Dr. Paul Leber has joined the department of pathology of the School of Medicine. The 32-year old pathologist received his M.D. degree with Honors in Physiology from New York University School of Medicine (1963). Prior to entering the field of pathology, Dr. Leber served as an intern on the Osler Service of Johns Hopkins and as a medical resident at Bellevue Hospital. Trained in pathology at Bellevue-NYU Medical Center, he is a Diplomate of the American Board of Pathology. Dr. Leber will be active in the development and teaching of the pathology curriculum, in addition to his research activities. In the past, Dr. Leber has worked in the areas of enzyme kinetics and renal physiology. He is a member of the American Society of Nephrology.D WINTER, 1969 35 Phagocytosis Dr. Beutner Directs Immunof 1uorescen t Antibody Tests Dr. Paul Leber Joins Faculty �Dr. Fahey d emonstrates the electro nys trograph to its contributor, Mr. Da vis. 18 Million Americans Have Nerve Deafness Dr. Hemani adjusts the microto ne for serial sectioning of the first temporal bo ne bequeathed to the Temporal Bone Bank. Over 18 million Americans - three million are children have some degree of hearing loss due to nerve deafness. If the hearing loss is due to an inner ear disorder, chances are that it may never be either medically or surgically treatable. What hope then for this sizable chunk of the population? A national commitment - of which Surgery's division of otolaryngology headed by Dr. John Lore is a part - into its prevention. Two new laboratories have opened under otolaryngologists Daniel J. Fahey and Joel M. Bernstein. One- a clinical laboratory to study vestibular disorders - is located at the Kenmore Mercy Hospital. Here , electro nystrographic records* are made on the balance portion of the patient's inner ear. "When we stimulate the inner ear with either warm or cold water," Dr. Bernstein explained, "it causes involuntary ( nystagmus) movements of the eyes. Through a permanent recording of these nystagmus movements, we hope to learn more about problems of dizziness caused by inner ear problems." But, the clinical instructor in surgery cautioned, this may account for just one small part of the patient's dizziness. Added Dr. Fahey (associate clinical professor of surgery and president of Buffalo's Hearing and Speech Clinic): "this sophisticated examination is available to area physicians. We hope they will utilize it for their private patients.' ' The second laboratory - research and teaching oriented is located at the Meyer Hospital. It is here where specimens are processed and inner ear disorders studied. This temporal bone pathology laboratory - animal as well as human - is one of over 40 in the country and is affiliated with the eastern temporal bone facility headed by Johns Hopkins University. In its dissection room - where the first human temporal Equipmentpurchased through a ~5 , 000 gift from Mr.Joseph Davis, mechanical contractor, who has headed the Buffalo Hearing and Speech Clinic for 15 years. 0 36 THE BUFFALO PHYSICIAN �- - - - - - ~ - - -- - - bone (it is otosclerotic) is being processed - residents will study the anatomy and surgical procedures in the middle and inner ear. There is a great need for temporal bone donations - the temporal bones contain the inner ear and their nerve structures - if we are going to correlate the hearing loss with its pathology, pointed out Dr. Bernstein. " Because of its inaccessible location in the head , we have never been able to study the inner ear in the live patient. The nationwide temporal bone banks program maintains a medical and hearing history on each inner ear structure bequeathed. Upon death of the donor, this information becomes invaluable to us," he said. "We are interested in people with hearing problems," continued the pathology-oriented otolaryngologist. "Yes, " concurred Dr . Fahey . " But we want to study all forms of ear disorders hearing losses of the aging or presbycusis as it is medically called , patients who do not do well with hearing aids, who have h ead nois es , Meni ere ' s disease as well as all sorts of viral inf ections (Mumps , German Measles] involving the inner ear. " Summed up Dr. Bernstein: ' 'the breakthroughs we are looking for will probably take place in the prevention of congenital deafness. With the now available German measles vaccine, the socalled Rubella deafness syndrome may be completely irradicated. Our greatest contribution may therefore be the prevention of inner ear disorders and not in its treatment. '' 0 While Drs. Hemani and Bernstei n check patient 's record, ENT tech nician Terry Hartn et t stimula tes her inn er ea r tcith IL'a rm u;a ter. WINTER, 1969 37 " Here is t he ex ternal auditory canal " Dr. Bernstein points out to Dr. Sadruddin Hema ni, ch ief resid ent in th e d epart ment of otolaryngology. �$1 Million Cancer Grant to Social, Preventive Medicine and Sociology A Principal investigator on this five-year interdisciplinary program is Saxon Graham, Ph.D. (professor, departments of social and preventive medicine and sociology). Co- investigators are Edward Marra, M.D. (chairman, department of social and preventive medicine); William Mosher, M.D. (commissioner of Health, Erie County Health Department); John B. Graham, M.D. (associate professor of gynecology - obstetrics); and John C. Patterson, M.D. (acting chief, Roswell Park's department of gynecology). Department of Health, Education and Welfare seed grant totalling over $1,000,000 has been awarded to the departments of social and preventive medicine and sociology to develop a program of study into the development and prevention of cancer. "Not only must we study the factors in the development of cancer," Dr. Saxon Graham said, "but ways of applying information obtained from these studies must be pursued to reduce the illness. Mere knowledge that smoking is related to lung cancer will not protect public health. We must either change the nature of the smoke or persuade the public to smoke less." Research into its prevention, he pointed out, becomes as necessary a step as research into its development. The data linking the two areas naturally suggest fields and approaches to study, he added. Program studies will center on continued research into cancer of the lung, stomach, breast, cervix as well as leukemia. Prevention studies will zero in on such problems as reducing smoking to control lung cancer, cervical cytology screening, the public image of cancer and reasons for public delay in seeking care following recognition of symptoms. Many problems must be investigated in lung cancer. Heavy smokers in older age groups will be studied to determine how those who develop lung or other respiratory site cancers differ from those who do not. Hopefully, data collected may pinpoint factors other than smoking. Why do people smoke? What leads some to give up the habit successfully? Information obtained from the group's studies will be used to develop ways to further reduce smoking. Random community-wide samples will be used to assess different approaches to mass communication techniques. A previous study of 3,400 Buffalo-Kenmore citizens indicated that a spouse and siblings are more likely to smoke if a parent does. In high school, a student is more likely to smoke if one of his parents smokes and the possibility increases if his best friends smoke. A group approach to helping people stop smoking may therefore be pursued. It was also found that information on health hazards of smoking was an important factor leading to success in giving up the habit. Different methods of group persuasion to give up smoking may be attempted and assessed by interviewing a sample of the target area. Previous studies in the area of gastric cancer pointed to a high incidence in lower socioeconomic groups among Negroes, 38 THE BUFFALO PHYSICIAN �in certain ethnic groups (Japanese and Polynesians), among metal workers, and residents of high air pollution areas. Dr. Graham therefore feels that an outside factor may be an important contributing cause of this disease and studies will continue. Studies in ways of persuading women in the community to obtain cytological studies for the detection of cervical cancer are planned. In addition, factors in the epidemiology of cervical cancer will be studied. In dealing with breast studies, the socioeconomic relations revealed in a previous study on the Buffalo and Kenmore population - relationship of late age at first and last pregnancies to breast cancer will be carefully reviewed. Leukemia, another area to be pursued, will focus on analysis of data or a previous unexamined tri-state leukemia study. Acute and chronic leukemias in upstate New York, and urban areas of Baltimore and Minneapolis, with random control samples from the same areas will be compared. One of the approaches to the prevention of cancer lies in the activities of health guides. These employees of the Erie County Health Department personally contact families in their assigned neighborhoods. Studies will be undertaken of the use of health guides in spreading information to aid in the prevention of cancer. "We also want to study the images of various community hospitals." Dr. Graham pointed out. "How are these images acquired and if they are poor ones, how can they be changed so that care for cancer as well as other diseases will be sought at an earlier date?" The personal interview will continue to serve as the prime instrument in these studies. Interviewers will receive extensive training. Methods to be used will be based on the needs of each study. Area hospitals will be utilized for patient studies. And the community will also be used for certain studies, as will Erie County Health Department and New York State Tumor Registry records. Dr. Graham concluded: ''The approach which we plan to use - studying the social factors in the development of cancer, methods to change people's behavior toward a more healthful direction, and persuading them to seek care immediately after symtoms develop - will hopefully shed some light on ways of reducing death and suffering from cancer. If we are to pursue all of the projects outlined - particularly those involving surveys of large populations - additional funds will have to be sought." D WINTER, 1969 39 Dr. Graham �From the desk of Sidney Anthone, M.D. Preside nt , M edical Alumni Associa tio n After a pleasant summer interlude, the Medical Alumni Executive Committee reconvened and recounted the alumni activities since their last meeting in June of 1969. Of important note was the success of the Buffalo Medical Alumni cocktail party held at the Americana Hotel on July 14 during the annual convention of the American Medical Association in New York City. Dean Pesch and many representatives from Buffalo helped entertain the New York group. Progress was made in laying the groundwork for reactivation of a New York City area Medical Alumni Chapter of the Buffalo Medical Alumni Association. There were also cocktail receptions at the American Academy of General Practitioners in Philadelphia September 30, and at the American College of Surgeons in San Francisco October 7. Mr. David M. Krajewski, director of medical alumni affairs, coordinated and attended the meetings. Two others are planned - February 8-12 at the Medical Society of New York State Convention, New York City, and the American College of Physicians Convention, April12-17, Philadelphia. 40 Another noteworthy happening was the presentation at the convocation program of the Medical School on September 3, of the Buffalo Medical Alumni Award for outstanding scholastic achievement during the Junior year to Michael Lippman, now a senior student at the Medical School. This award is a $100 check plus a handsome desk set. Also the Medical Executive Committee was informed that Paul M. Ness who is now entering his junior year at the medical school, received the Alumni Scholarship of $1,500 for this year (1969-1970). Mr. Ness came to the medical school very highly recommended from the Massachusetts Institute of Technology. The program committee of the Medical Alumni Association is now finalizing the program for the forthcoming Spring Clinical Days on April 10 & 11, 1970. It behooves all to set aside these two days for this event as the program will be most interesting and provocative . The Stockton Kimball lecturer will be Dr. Robert Evans, Director of Medical Education at York Hospital, Pennsylvania. He will discuss the advantages of community hospital teaching, the place where health delivery to the community takes place. Other topics to be heard during the two day meeting will be subjects pertaining to the physician's role in sex education, social hazards of the physician's life, and a general review of the latest treatment of duodenal ulcers. We are looking forward once again to seeing all the Medical Alumni gathered together for these Spring Clinical Days. Attending the cocktail-reception during the AMA Convention, July 14 in New York City were: Drs. John G. Ball, M'36, Bethesda, Maryland; Robert H. Burke, M'51, Oakland, California; Ralph R. Chapman, M '42, Bethesda; Sander H. Fogel, M'53, Ossining, New York; Henry N. Goldstein, M'19, Buffalo; Soil Goodman, M'37, White Plains, New York; Bernhardt Gottlieb, M'21, New York City; Sanford R. Hoffman, M'65, Jamaica, New York; Dr. Kahn, non-alumnus; Dorothy F. McCarthy, M'67 , Buffalo; Ross E. McDonald, M'66, Maplewood, New Jersey; Eugene M. Marks, THE BUFFALO PHYSICIAN �M'46, Bridgeport, Conn.; M. H. Marshall, M'65, Buffalo; Richard F. Meese, M'66, Pensacola, Florida; Ira Miller; Michael M. Phillips, M'67, Bronx; Erick Reeber, M'56, Bagley, Minnesota; Alan R. Saltzman, M'67, New York City; Dr. Schwartz; Edward Shanbrom, M'51, Santa Ana, California; Dr. Weiss; Carlton Wertz, M ' 15, Buffalo; Ernest Witebsky, Distinguished Professor of Microbiology, UB; Myra R. Zinke, M'50, Holmdel, New Jersey; Joseph L. Kunz, M'56, Buffalo; Marie Leyden Kunz, M'58, Buffalo; Paul Dalgrin, M'68 , Brooklyn. Attending the cocktail-reception during the American Academy of General Practitioners meeting in Philadelphia, September 30 were: Dr. Carra L. Lester, M'29, Chatauqua, New York; Dr. and Mrs. Richard D. Hasz, M'63, Waynesburg, Pennsylvania; Dr. and Mrs . George Ellis, M'45, Connersville, Indiana; Dr. and Mrs. Ross McDonald, M'66, Maplewood, New Jersey. Attending the cocktail-reception during the American College of Surgeons meeting in San Francisco, October 7 were: (from Buffalo and UB Medical School faculty) Dr. and Mrs . Sidney Anthone, M'50; Dr. and Mrs. Flemming Lydral, research assistant professor of surgery; Dr. and Mrs. Marvin Z. Kurian, M'64; Dr. Johan Hoie , postdoctoral fellow in surgery; Dr. John R. P. lngall, Director, Regional Medical Program of Western New York; Dr. Richard Egan, M '44; Dr. Joseph Gerbasi, M'62; Dr. and Mrs . Bruce Miller, assistant clinical instructor of surgery; Dr. Joseph M. Dziob, assistant professor of surgery; Dr. Paul Kennedy; Dr. and Mrs. Charles Woeppel, M'37; Dr. Eugene Pollack, former E. J. Meyer Memorial Hospital resident ; Dr. and Mrs. Donald F. Bradley, former Buffalo General Hospital resident; Dr. Charles F. Becker and Miss Judy Becker, M'38; Dr. Murray Andersen, M'47; Dr. Donald R. Becker and Miss Laurie Becker, assistant clinical professor of surgery; Dr. and Mrs . Milton G. Potter, M'24; Dr. and Mrs. Richard G. Buckley, M'43; Dr. and Mrs. Kenneth Eckhert, M'35; Dr. Kenneth Eckhert, Jr., M'68; Dr. and Mrs. Donald J. Kelley, M'52; Dr. and Mrs. (Roberta G.) Rae R. Jacobs, both M'62; Dr. and Mrs. R. H. WINTER, 1969 Dusinberre, clinical instructor of surgery; Dr. and Mrs. RichardS. Fletcher, M'43; Dr. David B. Harrod, clinical instructor of surgery; Dr. and Mrs. Roswell K. Brown, former faculty member; Dr. and Mrs. Samuel Shatkin, M'58; Dr. and Mrs. Michael J. Gianturco, M'55; Dr. and Mrs. David N. Kluge, former Meyer Hospital resident; Dr. and Mrs. Seth Resnikoff, M'62; Dr. H. W. Hale, former faculty member; Dr. and Mrs. (Jane Brady) Charles E. Wiles, both M'45; Dr. John McDonald, former faculty member. Also attending: Dr. and Mrs. Joseph S. David, M'53, Orange, California; Dr. Sheldon Rothfleisch, M'64, Bronx, New York; Dr. and Mrs. David Ziegler, M'64, Danville, California; Dr. Harold Hulbert, M'26, Dansville, New York; Dr. and Mrs . Ronald Friedman, M '68, Larkspur, California; Dr. and Mrs. Donald DeLutis (no address given); Dr. Russell Spoto, M'59, Ft. George Meade, Maryland; Dr. John Weiksnar, M'47, Grosse Pointe, Michigan; Dr. and Mrs. R. F. Garvey, M'53, Dallas, Texas; Dr. and Mrs. Robert H. Wilbee, M'59, East Aurora, New York; Dr. and Mrs. William Glazier, M ' 58, Gowanda, New York; Dr. and Mrs. John Float, M' 58, Sacramento, California; Dr. and Mrs. Edwin R. Lamm, M'60 , Bowie, Maryland; Dr. and Mrs. Ralph Behling, M'43, San Mateo, Calif.; Dr. and Mrs. Theodore Drapanas, M'52, New Orleans , Louisiana; Dr. and Mrs. Maier M. Driver, M'46, Cleveland, Ohio; Dr. and Mrs. Kenneth S. Mesches, M'53, Santa Rosa, California; Dr. and Mrs. Robert Pletman, M'54, Schenectady, New York; Dr. Byron H. Johnson, M'45, Fresno California; Dr. and Mrs. Curtis C. Johnson, M'53, Del Ray Beach, Florida; Dr. and Mrs. Jason Stevens, M'59, Orange, California; Dr. and Mrs. Ronald Hoyt, M'59, Escondido, California; Dr. and Mrs. Noel Morrell, M'59, Menlo Park, California; Dr. and Mrs. Richard McDowell, M '43, Tulsa, Oklahoma, Dr. and Mrs. William Niesen, M'43, Lewiston, New York; Dr. and Mrs. Jack Fisher, M'62 , Boston, Massachusetts; Dr. and Mrs. Barry T. Malin, M'61, (no address given); Dr. Frank Ehrlich, M'63, Stoughton, Massachusetts and Miss C. J. Clifford; Dr. and Mrs. John Connelly, M'42, Lewiston, New York.D 41 �Dr. John R. Paine Retires Drs. Robert Wilb ee and Richard Adler present pic tures to Dr. Paine at the luncheo n. Dr. John R. Paine, chairman of the medical school' s department of surgery and Buffalo General Hospital Surgery head for twenty years, has retired. He is the first physician to perform heart surgery in Buffalo and establish heart surgery programs at both the Buffalo General and the Children' s Hospitals. Born in Dallas , Texas , he completed his medical degree at Harvard College . Both internship (surgical) and residency were completed at the University of Minnesota Hospital where he also held a subsequent appointment as research assistant at the University of Minnesota . During and following World War Two he served as a Major for three and a half years with the 25th General Hospital Unit in Europe , retiring as a Lt. Colonel. He came to Buffalo from the University of Minnesota in 1947 as professor of surgery and surgery chief at the Buffalo General Hospital. Two years later he headed the School of Medicine's department of surgery. In 1967 he was awarded the fifth Stockton Kimball Award for his great strides in unifying and in building the department of surgery, adding to its strengths and specialties, and in leading the department and working to plan for its future. Active in his contributions in the field of intestinal obstruction, he has published widely. Dr. and Mrs. Paine will live at their home on Jekyll Island, Georgia. They have a daughter, Mrs. Judith Kelly, who lives in Connecticut, and a son, Dr. Jonathan Paine, a 1969 graduate of the Buffalo School of Medicine who is now interning at the University of Iowa Hospitals in Iowa City.D Dr. Pain e receives his po rtrait at the banquet . From left to right - Mrs. Harold Palanker, Dr. Paine, D ean LeRo y A . Pesc h , Mrs. Paine and Dr. William Lipp. 42 e e I e �. Honored at Symposium, Banquet An aU-day symposium at the Buffalo General Hospital honored Dr. Paine, Sept. 27. It was arranged by the Surgical Residents Alumni Association of the Hospital. Sixtyfive residents who served under his aegis returned to honor him. At the symposium scientific sessions included papers on Problems of Organ Transplants by Buffalo's Dr. Roland Anthone and Dr. Joseph R. Gerbasi and Maryland's Dr. Robert Ollodart; and Coronary Artery Visualization by Cincinnati's Dr. Fernando Mendez. A book - pictures and bibliographies of residents during 22 years under Dr. Paine were presented to him at a luncheon given by the residents. Mrs. Paine was also honored by the wives of the residents at a luncheon. Over 200 faculty, colleagues and friends attended a testimonial dinner for Dr. Paine at the Buffalo Athletic Club, where a large colored portrait of the noted physician was presented to the Buffalo General Hospital. Also presented to Dr. Paine was the following printed tribute: In the twenty-two years since his appointment as Professor of Surgery and Head of that department at the Buffalo General Hospital, and the twenty years of his chairmanship of the department in the School, he has unwaveringly maintained the same high principles in the teaching and practice of surgery which so impressed the search committee that was responsible for his appointment here. His steadfast dedication to the school and support of its goals have never been more apparent than in recent days. The Committee will miss his pungent remarks and wry humor which often seasoned its meetings, and frequently added perspective to its deliberations. His many friends and colleagues ofthe faculty will miss the firm and fair leadership which has guided the department and which, in times of stress, has always responded beyond the call. From a divided house he has evolved cohesiveness - a tribute to his persuasiveness, his realism and his convictions. The members of the Executive Committee extend to Dr. Paine their gratitude and warm best wishes, and record these sentiments in the Minutes of this meeting. June 19, 1969 The Executive Committee of the State University of New York at Buffalo School of Medicine wishes to honor John Randolph Paine on the occasion of his retirement from the chairmanship of the Department of Surgery, and to record its respect for the physician and its fond associations with the man. The symposium panel - Drs. Roland Anthone, Robert Ollodart, (john Paine), Fernando Mendez, and Joseph Gerbasi. 43 �President Nixon Congratulates Dr. Wertz Dr. Carlton E. Wertz, M'15, is treasuring a telegram he received recently from President Richard Nixon. Dr. Wertz is president of the 50-year-club of American Medicine. President Nixon praised ''the incredibly great contribution you have made to those whom you have helped over so many years and the part you have had in the remarkable transformation of human life during your years of practice.'' Detailing some of the changes that have taken place in the last 50 years, President Nixon concluded: ''To have lived in such a time indeed distinguished you. ''To have worked toward making those vast changes possible distinguishes you even more. For surely the triumphs of this remarkable age would not have been possible if many had not first determined to place the highest value on all of life and health. '' othing expresses more eloquently than your own service the faith you have in the dignity and worth of human life. For that service, on behalf of a grateful nation, I thank you and I wish you well. " D People Dr. Jerome J. Maurizi, M'52, has been appointed professor and director of the Inhalation Therapy Department. The two-year program started in September at Erie County Community College. It is funded by the Regional Medical Program of Western New York. The course teaches students to carry out treatment prescribed by physicians utilizing oxygen and other gases, breathing and electronic equipment to persons suffering from respiratory diseases. Dr. Maurizi specializes in internal medicine and pulmonary diseases. He is on the staffs of Deaconess and Meyer Memorial Hospitals.D Dr. Alfred F. Luhr, Jr., M'43, is the new president of the Erie County Unit, American Cancer Society. Dr. Walter T. Murphy, M'30, associate clinical professor of radiology, is the new vice president.D 44 Dr. John Ambrusko, M'37, has been given a recess appointment to the Board of Visitors of Roswell Park Memorial Institute by Governor Rockefeller. Dr. Ambrusko has been Chief of Surgery and Chairman of the Department of Surgery at Kenmore Mercy Hospital since 1951. He is a Fellow of the American College of Surgeons and a member of the Health Advisory Committee of the State University of New York at Buffalo. He is a former member of the staff of the Mayo Clinic in Rochester, Minnesota, and a winner of the Award for Scientific Research of the Medical Society of the State of New York.D Dr. Samuel Sanes, M'30, professor of pathology, received the National Division award for Outstanding Service to the American Cancer Society in October. He is one of the founders of the Erie County Unit, and has been active in the society since 1948. He was state president in 1967-68.0 Dr. Elmer Milch, M'33, was honored by the Albert Einstein College of Medicine of Yeshiva University in October. The surgeon was honored for his contributions in medical and community affairs. He is a clinical professor of surgery at the Medical School, acting chairman of the surgery committee at Buffalo General Hospital, and a surgery consultant at Roswell Park Memorial Institute. Dr. Milch has been active in many medical and civic organizations and has been awarded a prize by the New York Academy of Medicine for his work in the prevention of coronary artery occlusion. D Dr. Donald Dohn, M'52, of Cleveland is president-elect of the Congress of Neurological Surgeons.D Dr. Lauren G. Welch, M'34, of Niagara Falls, has been named Niagara County Health Commissioner. Currently he is chairman of the Niagara County Mental Health Board. He was formerly assistant commissioner of the Niagara Falls Health Department.D THE BUFFALO PHYSICIAN �Dr. John H. Talbott will be editor emeritus January 1 of the AMA Journal· and of AMA's division of scientific publications. From 1946-59 Dr. Talbott was professor of medicine and chief of medicine at the Buffalo General Hospital. He presented a Stockton Kimball Lecture (Bench Marks) at Spring Clinical Days March 27, 1965.0 Dr. M. Herbert Fineberg, director of the Buffalo Veterans Administration Hospital since 1962, retired September 30. He has been an assistant clinical professor of medicine at the Medical School. Mr. Eugene E. Speer Jr., director of the Louisville, Kentucky Veterans Administration Hospital, has succeeded Dr. Fineberg. The new director is a graduate of Athens College, Athens, Georgia, and served in the Air Force from 1942 to 1946. He has been with the VA since 1946.0 Dr. Marvin A. Block, M'25, recommended research and education on alcoholism and community facilities to care for alcoholic patients. He testified before a Senate Select Subcommittee on Alcoholism and Narcotics in July. Dr. Block said the AMA supported the establishment of facilities such as intensive treatment centers, clinics, detoxication centers and halfway houses; special education courses particularly for those involved with the law as a result of use of alcohol; legislation to provide for treatment of alcoholic patients; coverage by medical and hospital care insurance contracts of alcoholism as an illness; encouragement of hospitals to accept alcoholic patients for care. "Alcoholism is the nation's worst drug problem,'' Dr. Block said. 0 The most dramatic rejection process takes place in only ten minutes. Antibodies from previous animal grafts are responsible for the hyperacute rejection process as it is medically termed. Microbiologists Felix Milgram and John Klassen have published several papers covering their research in this area.O Dr. Irving Jacobs, associate professor of psychology in the department of psychiatry resigned to join the New York State Department of Mental Hygiene in Albany as senior WINTER, 1969 consultant in psychology and to hold a faculty appointment in the Albany Medical College's department of psychiatry. 0 President Martin Meyerson will spend two-thirds of his time during the current academic year heading a nationwide study of the functions and purposes of American Colleges and Universities. He will be chairman of the Assembly on University Goals and Governance which was established with the aid of foundation funds by the American Academy of Arts and Sciences. Dr. Peter F. Regan, Executive Vice President, will serve as Acting President during the 1969-70 academic year.O The first clergyman on the faculty of the department of psychiatry in the Medical School is The Reverend Dr. C. Charles Bachmann. Currently he is chief Protestant Chaplain at Meyer Memorial Hospital and chaplaincy director of the Erie County Council of Churches. As assistant clinical professor of psychology, Dr. Bachmann will direct a program leading to a master's degree in community mental health with a major in pastoral counseling. It will be open to clergymen of all faiths. Dr. Bachmann has a doctor's degree in psychology from Boston University, and has taken graduate studies in psychology at Princeton Seminary.O A 1960 Medical School graduate, who is a Leukemia Society of America Scholar, spoke at the third annual Leukemia Society's Western New York Awards Dinner in September. He is Dr. Marshall A. Lichtman, assistant professor of medicine at the University of Rochester School of Medicine and Dentistry. He has been awarded $100,000 to help support his leukemia research.O Three alumni are new officers in the Medical Historical Society of Western New York. They are: Drs. Paul Fernbach, M'39, president; James W. Brennan, M'38, secretary; and Irving Wolfson, M'30, corresponding secretary. Dr. Robin Bannerman was elected vice president, and Dr. David Dean, treasurer.O 45 People �MENTAL HEALTH TRAI ING Dr. Jack Zusman, associate professor in the departments of psychiatry and preventive medicine, received a $20,000 grant from the Bruner Foundation, New York City to support the first phase of ''A Career Ladder for Community Mental Health Workers.'' This is a joint effort between the Medical School, the Erie County Department of Mental Health, and the Division of Community Psychiatry at the E. J. Meyer Memorial Hospital to train community health workers. These workers will be trained to carry out, under supervision, many tasks performed by mental health professionals. "Experience in other communities shows that such persons, when trained , are able to do as well as professionals with many problems," Dr. Zusman said. "We hope the program will help solve Erie County's shortage of mental health manpower. "0 People Dr. Martin Downey Jr., M'45, was honored by Buffalo fire fighters for his instruction in closed heart massage in classes at Children's Hospital.O Dr. Milford C. Maloney, M'53, is the new chief of medicine at Mercy Hospital. He succeeds Dr. John J. O'Brien, M'41, who will become full time director of medical education. Dr. Maloney is president of the Hearl Association of Western New York, and a member of several professional executive committees. He interned at Mercy Hospital and served his medical residency at Veterans Administration Hospital. 0 Dr. Maloney Dr. Ralph D'Amore, M '65, is taking his residency at the Mary Hitchcock Hospital of Dartmouth University. From March 1968 to July 1969 Dr. D'Amore, his wife and three children were in Australia. He served as a aval physician at the Northwest Cape Communications base, located in the northwestern corner of the continent. The D 'Am ores are living in Lebanon, N.H.O 46 Dr. Gary N. Cohen, M'58, is the new medical director of the Psychiatric Clinic in Central Park Plaza. The United Fund agency provides diagnostic treatment ·services for emotionally disturbed persons. Dr. Cohen's appointment is part of the clinic's expansion program as it prepares to become part of the Buffalo General Hospital Community Mental Health Center in 1971. Dr. Cohen is an assistant clinical professor of psychiatry at the Medical School and a Diplomate of the American Board of Psychiatry and Neurology.O Two alumni - Drs. Thomas D. Doeblin, M '59 , and Ronald E. Martin, M'43 - are interested in learning more about the health care of the Seneca Indians on the Cattaraugus Reservation. The Medical Genetics Unit of the Medical School and the Buffalo General Hospital interviewed 100 Seneca households during the summer to see how they obtain treatment of illness and injury. Dr. Robin Bannerman, associate professor of medicine, is director of the unit.O Dr. Marie H. Heller, M'50, has an interesting holiday hobby. She makes Christmas tree jewels from hat pins, imported ribbon, and satin balls. The silken ornaments suggest the wealth of the Indies or the gifts of the Magi.O Three Medical School faculty members are authors of books to be published by Charles C. Thomas of Springfield, Ill., during the next six months. They are: ''Brain Tumor Scanning with Radioisotopes," edited by Dr. Louis Bakay, professor of neurosurgery. "Roentgen Diagnosis of Rheumatoid Arthritis," by Dr. David L. Berens and Dr. Ru-Kan Lin, both assistant clinical professors of radiology. "Inhibitory Pathways in Central Nervous System," by Dr. John Eccles, distinguished professor of physiology, and Nobel Laureate .0 THE BUFFALO PHYSICIAN �Dr. Robert R. Greil, M'32, died Oct. 16 from injuries suffered in an automobile accident. He was health officer of the Town of Amherst and had been a general practitioner in Williamsville for 32 years. He had been active in several professional and civic organizations.D A 1914 Medical School graduate died July 12. He was 78-year-old Dr. August LaScola, who was born in Sicily. In 1943, Dr. LaScola was president and chief of the surgical staff at Sisters Hospital. He also worked with Erie County Medical Society and the Board of Health. He interned and was associated with Sisters, Deaconess and Millard Fillmore Hospitals . He also worked under Dr. E. J. Meyer.D Dr. John M. Dowd, M'58, an internal medicine specialist in Chicago , died July 14. He was 35 years old. Dr. Dowd was a clinical associate at the Medical School before he moved to Chicago in June to do research on infectious diseases of the respiratory system. H e interned at the University of Illinois Research and Educational Hospital, Chicago. He completed his residency at the West Side Veterans Administration Hospital, Chicago and the Buffalo General Hospital. From 1961 to 1965 , Dr. Dowd served in the Navy as chief, division of epidemiology, Naval Medical Research Unit, Great Lakes, Ill. , with the rank of Lieutenant Commander. Before returning to Buffalo in 1967, he was assistant professor of preventive medicine and community health at the University of Illinois and assistant superintendent at the Chicago Municipal Contagious Hospital for two years. D Dr. Filbert A. L. Ferrari, M '25, died July 7. The 70-year-old physician collapsed at the Bethlehem Steel Company Clinic , Lackawanna. He practiced medicine from 1927 to 1960, when he retired for health reasons. He ended his retirement in 1965. Dr. Ferrari served in the Army Medical Corps during World War II. He was active in the Erie County Medical Society. 0 WINTER, 1969 In Memoriam Dr. Hiram S. Yellen, M'17, professor emeritus of obstetrics and gynecology died September 2. The 75-year-old physician had been in practice for more than 50 years. He was on the staffs of Buffalo General, Meyer Memorial, St. Francis and Children's Hospitals. Immediately after his graduation he enlisted in the Army and was one of the first medical officers sent overseas in World War I. He served in France, as a Captain and returned to Buffalo after the war. He enlisted again in World War II and was sent to the Aleutian Islands where he built and commanded the first military hospital. Because he did such an outstanding job with this hospital he was selected to organize the 103rd General Hospital in England. In recognition of the speed in which the hospital was set up and its efficiency during the invasion. Dr. Yellen was decorated with the Legion of Merit by General Dwight D. Eisenhower. He was also awarded the Distinguished Service Cross of New York State by Governor Thomas E. Dewey. Dr. Yellen was a Colonel at the end of WW II. He was a member of the American College of Obstetrics and Gynecology and was named a founding Fellow of the College in 1952. He was also a Fellow of the American College of Surgeons, and the recipient of the New York State Conspicuous Service Cross.D Dr. Peter V. DiNatale, M'24, died September 18 in Batavia. He was a past president of the Eighth District Medical Society. The 69-year-old physician was a native of Italy. He carne to Batavia when he was six years old and started practicing in 1925. From 1933 to 1943, he was a Genesee County Coroner. Dr. DiNatale was also a former city health officer. He had also served as secretary of the Genesee County Medical Society, and was a former vice president of the State Medical Society. He was also active in education and civic affairs.D 47 �In Memoriam The death of Dr. Charles M. Dake, Jr., September 3 ended 200 years of medical practice for the family that started about 1745. He was 69 years old and had been chief of the department of anesthesia at Niagara Falls Memorial Hospital. In 1924 he was graduated from the School of Pharmacy and six years later, in 1930, from the Medical School. Dr. Dake had been head of the anesthesia department at the Memorial Hospital from 1940 to 1963 except for four years in the Army during World War II. He was also director of the department of anesthesia at Mt. St. Mary's Hospital in Lewiston from 1936 to 1963 except for military duty. He was appointed to the medical staffs of both hospitals in 1934. Dr. Dake received a fellowship in the International College of Anesthetists in 1936. He joined the Army as Captain in the Medical Corps in 1942 and served in the European theater. He was a Major when discharged. He was a past president of the Niagara County Medical Society, a member of the New York State Medical Society, the Association of Military Surgeons Academy of Medicine, Lon- don, and several other professional groups.D Dr. Edward L. Rosner, M ' 26, died August 11. He had been a physician and surgeon in Buffalo for 43 years. The 69-year-old doctor was on the staff of Deaconess Hospital. He was a veteran of World War I. Dr. Rosner interned at Buffalo General Hospital, and did post graduate work at Lying-In Hospital, New York and old Buffalo City Hospital and Deaconess. He was a member of several professional organizations.D Dr. Anthony S. Culkowski, M'10, died July 9. The retired Lackawanna physician was 81 years old. The general practitioner started the first Well Baby Clinic in Lackawanna and was among the first local physicians to inoculate against diphtheria and typhoid fever. Dr. Culkowski served as city health officer from 1924 to 1939, and was on the staff of Our Lady of Victory Hospital for 50 years. After graduating from the Medical School he interned at the old German American Hospital. He was a member of several professional organizations.D Dr. Floyd R. Skelton Dies x:..~ Dr. Skdton Dr. Floyd R. Skelton, chairman of the pathology department from July 1, 1961 to June 30, 1967, died October 22 after open heart surgery in Cleveland, Ohio. The 46-yearold pathology professor-researcher was nationally known. In 1967 he was awarded federal grants of more than one million dollars for research in the new area of experimental pathology and research concerning the cause of high blood pressure and its relation to hypertensive heart disease. Dr. Skelton relinquished his chairmanship to devote full time to teaching, research and training of graduate students. He did an outstanding job of improving the department by adding several prominent scientists to his f acuity. In 1964, when the Erie County Laboratory had no pathology director, Dr. Skelton worked as a part time director. He was president of the Erie County Heart Association in 1963. He was also a member of the Council for High Blood Pressure Research of the American 48 Heart Association, the International Academy of Pathology, the Society for Experimental biology and Medicine, and other scientific and medical groups, several in Canada. Dr. Skelton won the Parke-Davis Award in Experimental Pathology in 1960. He was one of the most widely published pathologists in the United States. Earlier this year he was named McFarlane Professor in Experimental Medicine at the University of Glasgow, Scotland. Poor health prevented him from going to Scotland. Dr. Skelton was born in Stratford, Ontario and earned his MD degree in 1947 from the University of Western Ontario. He received his Ph.D. from the University of Montreal in 1952. He taught pathology at the University of Kansas School of Medicine; was a research fellow of the American Heart Association in Kansas; taught at the Medical College of Georgia; and the Louisiana State University School of Medicine.D THE BUFFALO PHYSICIAN �Majorcan Carnival 8-DA Y DELUXE VACATION TO THE MEDITERRANEAN, A CHARMING SPANISH ISLAND cleave nagara :1-a!£, January 17, 1970 VIA CHARTERED DC-8 $329.00 per perjon (double occupancy plus $19.50 tax and services) • PALMA - the historical capital city of Majorca • THE OLD QUARTER ... quaint, colorful • ISLAND FESTIVITY Optional :Jourj: • A day in Madrid, $40.00 • A day in Algiers, $40.00 For details write or call Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 (716) 831-4121 The General Alumni Board Executive Committee-M. RoBERT KoREN, '44, President; ROBERT E. LIPP, '51, President-elect; HERMAN CoHEN , '41, Vice-President for Development; MRs . ESTHER K. EvERETT, '52, Vice-President for Associations and Clubs ; EDMOND GICEWICZ, '56, Vice-President for Administration; JEROME A . CONNOLLY, '63 , Vice-President for Activities and Athletics; JoHN J. STARR, JR ., ' 50, Vice President for Pu blic Relations; CHARLES J. WILSON , JR ., '57, Treasurer; WELLS E. KNIBLOE , ' 47, Immediate Past-President. Past Presidents: DR. STUART l. VAUGHAN , ' 24; RICHARD C. SHEPARD, '4B; HowARD H. KOHLER, ' 22 ; DR . JAMES J. AlLINGER, '25; DR . WALTER s. WALLS, '31. Annual Participating Fund for Medical Education Executive Board for 1969-70 DRs . MAX CHEPLOVE, M'26, Pres ident; HARRY G. LAFoRGE , M'34, First Vice-President; MARVIN l. BLOOM, M '43, Seco nd VicePresident; DONALD HALL, M ' 41, Secretary-Treasurer; JoHN J. O ' BRIEN , M' 41, Immediate Past-President. WINTER, 1969 THE BUFFALO PHYSICIAN �THE BUFFALO PHYSICIAN STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 • C 51 l ST C YL A. KJCI-1 U Kf TRE T 1{0 PARK, YJRK l 127 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo physician, Winter 1969 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals. Medical colleges -- New York (State) -- Buffalo -- Periodicals. Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1969-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.268-270, Buffalo physician and biomedical scientist Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1969-04-Winter Table Of Contents A list of subunits of the resource. Disaster Relief Program Medical Care in a Changing Society by Peter F. Regan, M.D. Anatomy in the Medical Curriculum by Joseph C. Lee, M.D., Ph.D. New Biochemistry Head New Surgical Approach Musical Hobby Two Alumni Honored Spring Clinical Days Regional Medical Grant Otology Fellowship Eskimo Adaptation Immunology Summer School First Clinical Experience Students Honored The Class of 1973 Pressure Chamber Simulates Dives by Gail McBride Dr. Isacson Directs New Lab Health Care in Israel by Barbara A. Blase, M.D. Fight on Senility Cytogenetics Phagocytosis Immunofluorescent Antibody Tests Dr. Paul Leber Nerve Deafness Cancer Grant Medical Alumni Activities Dr. Paine Retires President Nixon Congratulates Dr. Wertz People In Memoriam Majorcan Carnival Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Date Created Date of creation of the resource. 2017-09-18 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v03n04 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/96642b9e4826f9fe47fbc565f6387101.pdf 1bc86d5ffd53e74df09e168223dd9e25 PDF Text Text �The Cover: Dr. LeRoy A. Pesch, who has completed his first year as Dean of the School of Medicine, is featured on our cover and on pages 26 and 27. The pictures were taken by Hugo Unger and the cover was designed by Richard Macakanja. Fall, 1969 - Volume 3, Number 3, published quarterly Spring, Summer, Fall, Winter-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1969 by the Buffalo Medical Review. This magazine sponsored in part by the Annual Participating Fund for Medical Education . THE BuFFALO MEDICAL REVIEW, �FALL, 1969 EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Volume 3, Number 3 THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo Editor IN THIS ISSUE MARION MARIONOWSKY Dean, School of Medicine A. PESCH 2 Photography 3 DR. LEROY HUGO H. UNGER EDWARD NowAK Medical Illustrator J. MELFORD DIEDRICK Graphic Artist RICHARD MACAKANJA Secretary FLORENCE MEYER CONSULTANTS President, Medical 10 12 13 15 16 18 19 Association 20 DR . SIDNEY ANTHONE 21 Alumni President, Alumni Participating Fund for Medical Education DR. MAX CHEPLOVE Provost, Faculty of Health Sciences DR. 9 9 DouGLAs M. SuRGENOR Associate Dean for Continuing Medical Education DR. HARRY J. ALVIS Director, Continuing Education in the Health Sciences DR. MARVIN L. BLOOM Director of Public Information 23 23 24 25 26 28 29 30 32 33 DICK 34 Director of Medical Alumni Affairs 37 CHARLES H. DAVID M . KRAJEWSKI President, University DR . Foundation RoBERT D. LoKEN Director of University Publications THEODORE V. PALERMO Vice President for University Relations DR. A. WESTLEY RowLAND Director of Alumni Affairs THEODORE J. SIEKMAN 38 40 41 44 45 50 51 52 53 New Curriculum Instructor Reinstructus by Dr. Douglas S. Riggs Regional Medical Program Medical Alumni Director Project Themis Dr. Cudkowicz Appointed Anthesiology Paraguay Honors Meyer Hospital Senior Class Day Drug Survey Medical Education Renal Disease Tissue Typing Lab Influenza Virus Orthopedic Practice New Medical Chief The Dean's First Year APFME Praised Infectious Disease Head Ophthalmology Fellowship Residency Diplomas Faculty Promotions Cardiac Program Dr. Randall Honored Medical Alumni Association Glomentlar Diseases Student Summer Fellowships Continuing Medical Education People Dr. Furnas is Dead Scholarships In Memoriam Homecoming Weekend �New Curriculum for Medical School students this fall. It is designed to make each student a responsible partner in planning his own education. Flexibility and individuality are the key words in the new program. THERE WILL BE A NEW CURRICULUM Dean LeRoy A. Pesch said, ''required courses in basic science and clinical medicine will be reduced by nearly 50 per cent from 140 weeks to 74. Instead of eight weeks of elective programs the student will have 74." Each basic science department cut its required course time by one-third to one-half by developing a "core course" that gives students a distillation of the knowledge that is indispensible for the effective practice of medicine in any sphere. Dr. Pesch explained that this does not mean simply a compression of all that is now taught into a shorter period of time. It means careful selection of the most salient points. There will be other specialized courses in each science for those who want to delve into them more deeply courses they can take as electives. The new curriculum will place increased emphasis on clinical medicine. Many of th~ ~rec~p­ tors will be private practitioners .o.f medic~ne, Including general practitioners affiliated With the School of Medicine. There will be more opportunity for students to work with patients - beginning in their freshman year - and get credit for doing so. Credit may be given for time spent with a general practitioner in his office or for service in the Lackawanna Health Center opened last year. Beginning in September, each freshman student will be assigned to a faculty advisor or preceptor who will help him with his program and problems. At the end of six months, there will be an opportunity to change preceptors if the combination is not working out. Medical students will be encouraged to take accredited courses in other divisions of the University. To enable him to take courses outside his own school, the calendar of the Medical School is being changed to confo!'m to that of the University. Dr. Pesch is hopeful that the curriculum changes, by reducing the time spent in the basic sciences, will make more laboratory space and faculty time available for teaching more students. Dr. Edward J. Marine, associate dean, said the new curriculum is ''in tune with the national trend. The explosion of knowledge has made it mandatory that we change our teaching methods. Many of today's medical school graduates are at the level of intern graduates several years ago. We are trying to develop a program that will allow some of our students to intern during their senior year. "We are certain the new curriculum will make physicians more family oriented and meet the needs of group practice. We should also be able to graduate more and better physicians,'' Dr. Marine concluded. He headed the curriculum committee.O THE BUFFALO MEDICAL REVIEW �Three years ago I realized that my tolerance for the administrative duties of a department chairman was approaching zero. It also became painfully clear to me that my knowledge of mathematics and engineering was utterly inadequate to support my research interests in the behavior of biological feedback mechanisms. I quit my chairmanship and went back to school. I started as a student in a 12-week summer program which Professor Thrall in the Department of Mathematics at Michigan had designed specifically for mathematically-naive life scientists. I spent the following academic year in Professor Lawrence Stark 's Department oj Biomedical Engineering at the Chicago Circle Campus, University of Illinois, also taking one graduate cour e at Northwestern. And lastly I spent a year in Professor Paton 's Department of Pharmacology at Oxford, where I wrote a monograph entitled Control Theory~y~gical Feedback Mechanisms. To these eminent cientists and to their many colleagues who contributed to my re-education, I am most grateful. I would also like to thank the School of Medicine for giving me two years' leave ofabsence, and the National Institute of General Medical Sciences, N.I.H., for financial support in the form of a Special Research FellOtcship. The following account is a slightly expanded ver ion of a seminar which I gave last Fall to the Physiology and Pharma cology Departments upon m11 return to Buffalo. In a seminar especially a seminar for old Jriends - one can be more personal and less sedate than is usually considered proper in print. This explains the informal style of my narrative. As for its content, I make no apology. I have said the things which I felt needed saying and I have pulled no punches. I am grateful to the !1yjfp.lo Medical Review for letting me address a wider audience. FALL, 1969 IT STANDS TO REASON that recovery from being a department chairman should be hastened by a wellorganized program of occupational therapy. It was certainly so in my case. But the supposition is hard to prove. Most victims of this crippling disease exhibit few outward or visible signs of their inward and intellectual decay until it is too late for any sort of treatment. They totter bravely on from committee to conference, from conference to staff meeting, from staff meeting to project site visit, from project site visit to planning session, from planning se stion to committee, always concealing the true gravity of their condition by the efficient performance of their administrative chores. I have even observed this deceptive appearance of well-being to persist during those terminal stages of the disease marked by the victim's accepting a Deanship. It is a horrible fate! Requiescat in pace! 3 Instructor Reinstru tus or My n<Jt..quite-so-bright college years by Dr. Douglas . Rigg �I turn with infinite gratitude to my own situation. I was lucky. After 11 years of department chairmanship, I presented a picture of mental deterioration so advanced, so obvious, so revolting, that I was allowed to resign. But the National Institutes of Health, discussing the feasibility of retraining what they delicately called ''the mature scientist," were looking for a test case. They gave me a special fellowship. I guess they felt that if something could be salvaged from my wreckage, anybody, however "mature," could be rehabilitated. For their support I am profoundly thankful. They sent me back to school to learn some mathematics and engineering. I begin by scotching an ugly rumor that one's brain cells disappear one by one -with no replacement - as age advances. I would like to begin that way, but honesty forbids. Alas, the ugly rumor is all too true! One does not have the same mental equipment - past half-century - that one had thirty years since. In fact one is not quite so bright as one used to be. That is all I mean by my subtitle. ... "registration in the M aidenform Bra Building" ... My experience as a student again was as bright as any I have ever known. Clear and intense it shines out against the dark background of my administrative years. Going back to school is in some respects an odd business. Of course, the first thing was to register. At the University of Illinois, Chicago Circle Campus, registration is no mean achievement. I had often heard students complain about registration procedures. But I thought they were just being unreasonable. Unreasonable my eye! 4 At the Chicago Circle Campus, anybody who actually completes his registration within 24 hours is immediately awarded his degree magna cum laude no questions asked! It took me three full days. The lowest point was having to fulfill the inflexible requirements of their Graduate School - to submit official transcripts of my previous work. I wrote to Yale (you see I really do know all about the "bright college years") asking them to dig up my grades from the Sheffield Scientific School, long since defunct. May God bless Yale! Their archeological investigations were faultless. The records were located, the spiderwebs removed, the dust blown off, the pre-xeroxian records xeroxed, and the transcripts mailed. The next lowest point was registration in the Maidenform Bra building - I am in some doubt about the brand, but perfectly clear about the commodity - and having one of the sub-sub-subregistrars ask coldly, --On whose behalf are you registering? There were no high points in registration. The first serious observation about my recent experience as a student - though there was indeed a noticeable decrease in my mental ability - was evidenced only by a slowing down of my intellectual processes. It did not, so far as I could judge, impair my ability to understand new mathematical concepts or to master new mathematical techniques. I found that I could do perfectly well in my formal course work provided that I took only about two-thirds of the load which my classmates were carrying. Two-thirds is a rough estimate, for I was THE BUFFALO MEDICAL REVIEW �behind the class in academic preparation. I had to do a fair amount of unscheduled reviewing. On the other hand, I was ahead of the class in the kind of scientific savoir faire which comes from grappling with real-life problems over many years. But these are details. The important point is that when a faculty member needs additional formal course work, he should not worry about his mental qualifications for the job provided he can devote a substantial amount of time - and regularly- to the course work. Nor should he fear being looked upon as an elderly oddball by his younger classmates. It is remarkable how quickly the generation gap narrows when the rest of the class realizes that you are just as confused as they are about where to put the plusses and minuses when analyzing the response of an electrical network to stored energy. I am well aware that few will be able to take a full calendar year of concentrated course work as I did. But I see no reason why the same end result could not be achieved more gradually by taking one course at a time over a period of years. I feel strongly that the reinstruction of instructors should become a regularly accepted part of faculty life. My second serious observation is that the predominantly undergraduate courses which I took were distinguished by a general excellence of teaching far too rarely encountered in our medical schools. So struck by the contrast, I tried to summarize it in a report to my N.I.H. Committee at FALL, 1969 the end of my training period a year ago. I quote from that report: ''Good Teaching versus Bad Teaching A good teacher is expert in his own field and competent in related fields. He knows what level of understanding his students have alnady achieved when they begin his course. He leads them out from there. It is an orderly and well-paced sweep through new territory, the teacher ahead (but never out of sight!). the students jogging breathless but not exhausted behind. As new terms or new concepts are encountered the good teacher defines them precisely, indicates their scope of usefulness, and illustrates them with specific examples. He warns his students of hidden difficulties and pitfalls, but he also makes them see the beauty and elegance of the subject. He misses no opportunity to show the students how really limited are the areas already explored, and how vast is the terra incognita which lies just beyond the hills on the horizon. Perhaps I have been unusually lucky, but this is just the kind of teaching which I have encountered in the nonmedical school courses I have elected this past year. I think it significant that each of these courses was taught throughout by the same instructor. It was his course and he took nride in it. He was a teacher by profession. My experience (I speak from many years past, and not just from last year) in medical school courses too often points to examples of bad teaching. The bad teacher is expert in but a very small sector of his subject. He cannot see the woods for the trees and he bewilders his students by delivering a seri of lectures consisting of slides of his own work stru together by an unprepared patter of technical jargon. Or far worse, he pretends a knowledge of his field which he does not possess and he gives foolish, illogical, outmoded lectures. Or worst of all, he is patronizing to his students. There is nothing a student more justly resents than being talked down to. The bad teacher is late to class or never shows up at all. When he does get going he runs overtime. He assigns laboratory exercises too complex to complete in the time allotted. The equipment doesn't work. The animals are not ready. The instructors 5 �. . . "the only way a student really learns . .. is by beating his brains out" ... are not available. The bad teacher is not a teacher by profession. His bread is buttered by research productivity . The five or six lectures he gives during the school year are a sideline - an excuse for an academic title . They occupy no significant segment of his life , and they are treated accordingly. " Let me make my point even more forcefully. At the Chicago Circle Campus, I had a superb three-semester course in linear systems analysis taught by a brilliant young engineer, Professor Agarwal. He started out with a two-week review of what seemed to be half of College Physics. And he ended up with a lucid explanation of how to use matrix techniques to analyze linear feedback systems with multiple inputs and outputs. He delivered every lecture. He supervised every laboratory. He corrected every homework exercise. He devised every examination. He answered our questions with an astounding grasp of a very broad field. Any student who passed his course had a firm working knowledge of the fundamentals of lumped-parameter systems analysis. No doubt about it! How would a medical school department have approached teaching such a course? In need of a concrete example, I apologize in advance to my colleagues in the Pharmacology Department. Professor Smith would begin with five lectures on atomic structure and the rate of diffusion of electrons through a metallic conductor in an electromagnetic field. He would be followed by Dr. Albuquerque who would deliver seven lectures on the design of commercial amplifiers. I would then give six lectures on the uselessness of transfer function analysis in nonlinear sys6 terns with special stress on bang-bang nonlinearities . Dr. Rennick, our expert in fluid flow, would devote seven lectures detailing the water supply for New York City. Dr. Reynard would then show, in four justlyrenowned lectures, how to describe an electrophoresis pattern as a Fourier series sum of sines and cosines. And to end the first trimester in a blaze of glory, we would invite Professor Snell, as an outside expert, to discuss in three lectures the stability of linear feedback systems from the standpoint of irreversible thermodynamics. Of course I've left some of the pharmacology staff out. Their fields of special competence will not be touched upon until the second or third trimester. And it is a pity because there isn't going to be any second or third trimester for this course. Our students - to the last man have transferred to the University of Illinois, Chicago Circle Campus. I really have no good idea what to do about this problem. The pattern is firmly established in practically all of our medical school departments. It is likely to continue. But let us at least be honest about it. It does not make for good teaching. This brings me to my third observation. In a school of engineering, the instructors are singularly unimpressed by what we would term the basic or pre-engineering sciences. They encourage their students to look Laplace transforms up in a table instead of deriving them from the defining integral. They don't seem to realize how fundamentally important the precise chemical composition of transistors is, and they tend to be satisfied if the student understands what a transistor does. THE BUFFALO MEDICAL REVIEW �Such basic subjects as atomic and molecular structure, statistical mechanics, quantum theory, and crystallography are neglected, while down-toearth matters such as computer science, circuit diagrams, transfer function analysis, the stability of feedback loops, and the perpetuation of limit cycle activity are emphasized. Students are even expected to learn about certain empirical techniques - small-signal stabilization which are of considerable practical importance but are not supported by a body of rigorous theory. We would undoubtedly call this sort of thing ''the art of engineering.'' As a basic scientist, I was naturally distressed by such callous neglect of the fundamentals and by the engineers' preoccupation with the everyday tools of their profession. But then I began to think about what I want my physician to know when I have my coronary occlusion. I want him to know everything there is to know about the interpretation of electrocardiograms, about acute circulatory failure, about antiarrhythmic drugs, and about the sovereign virtues of morphine. I want him not to know where the methyl groups are on the cholesterol crystals in my atheromatous plaques. I want him not to know anything about the Hodgkin-Huxley equations, even though they help to explain how the crushingly painful message gets from my heart to my brain. I want him not to know that morphine has both an alcoholic and a phenolic hydroxyl, and an excitatory effect in racehorses. I want him not to know these things because they would clutter up his mind with a bunch of totally irrelevant information, thereby reducing his effectiveness as a FALL, 1969 clinician. But there is something else I do want in my physician and it is not based upon a body of rigorous theory. I want him to know me well enough as an individual to realize that I am not the sort of person to accept gracefully the halfalive role of a cardiac invalid. If things look dubious I want him to let ventricular fibrillation convey me quickly and kindly into that eternal nothingness which constitutes the second boundary condition for life. Physician, I want no compromises! If my infarct be massive, let me go! Send the defibrillator off to a younger patient. Do not detain me beyond my appointed hour in the hope that some scalpelhappy colleague of yours will transplant a news item into my chest. I now want to make the most important observation about my recent experience as a student. It is simply this. The only way a student ever really learns mathematics or engineering or systems analysis is by beating his brains out trying to solve substantial problems assigned as homework. You can listen to lectures, read textbooks, study your notes until doomsday, and you will have learned nothing. When you are forced to fight your way throu a couple of well-posed homework problems, that 's when the educational process really sets in! I'm sorry to have to tell you that all of the dull old cliches are true. We do profit by our mistakes. We do learn by doing. Experience is the best teacher. You can now see that in describing the Good Instructor I left out his most important characteristic. He regularly assigns, collects, corrects, re7 ... "physician, I want no compromises" ... �. . . "let us think twice what we fill it with" ... turns, and discusses homework. How often do we do that in medical school courses? I know what your reply is going to be. You will tell me, " it is one thing to emphasize homework in the exact sciences. It is quite another thing in the biological sciences. The biological sciences are not exact. Because of the complexities and the uncertainties inherent in the subject matter, we cannot pose well-posed problems. Far too much of what is important is still purely descriptive.'' It is not as easy to devise meaningful homework exercises in the preclinical and in the clinical sciences as it is in mathematics or engineering. But it is not impossible. Suppose that our second year students in Pharmacology have just had a lecture on the sympathomimetic amines. We might assign them the following homework exercise (to be worked before they consult their textbooks): " The cardiovascular effects of levarterenol (norepine phrine] and of isoproterenol were compared in a normal recumbent human subject. In a first experiment , levarterenol was infused intravenously at a constant rate until a reasonably steady state was reached. In a second experiment , isoproterenol was similarly administered at a rate which would produce the same positive inotropic effect on the myocardium. The levarterenol caused a rise , the isoproterenol a fall in mean arterial blood pressure . Which drug produced the greatest increase in cardiac output or was there no significant difference? Justify your answer using no more than the allotted space. '' (Rem ember that the homework is to be collected and corrected . Hence the need for an " allotted space " ] What would such an exercise make the student do? It would make him think about the factors determining cardiac output. In particular, he would have to reason out logically what effect a 8 . . . "my 50-plus-year-old wife" . . . change in peripheral resistance would have upon venous return in the recumbent subject. If he thought this through successfully, he would have learned by his own logical arguments to avoid a misconception common among medical students that a decrease in arterial blood pressure necessarily implies a decrease in blood flow. Even if he didn't arrive at the correct answer, working out the problem would insure his close attention when the homework exercise was discussed in the subsequent class. Most such homework exercises should deal with actual clinical problems: THE BUFFALO MEDICAL REVIEW �"My 50-plus-year-old wife, an enthusiastic bicyclist in excellent general health, accompanied me on a 150 mile, 4-day bike trip over mountainous terrain in orway. The weather was exceptionally hot. On returning to Bergen, we relaxed by attending a Folk Festival, including a supper at which the principal dishes were sour cream pudding and dried leg of mutton preserved in salt and served raw in thin slices. On the following day, my wife exhibited marked pitting edema of the ankles. Should we start out on the second bike tour we had planned, or should I ask to have her admitted to the Bergen University Hospital? Justify your answer in the allotted space.'' Allotted space again! (By the way, we did go immediately on the second bike tour. It was magnificent! But of course, the students wouldn't be told this until after they had struggled with the problem.) This kind of exercise requires for its solution the application of basic principles to a clinical situation. The ability to apply basic principles is the key to the accurate diagnosis and the rational treatment of disease. The medical student will never develop that ability by scribbling lecture notes or reading textbooks. He will develop it only if he himself is required to solve problems and more problems and still more problems - from the day he enters medical school until the day he graduates. For heaven's sake, why don't we make him do it? In conclusion, I put it to you that man's intellect, though illimitable, is not limitless. I am far better at control theory than I was two years ago. But I am a worse pharmacologist. The potentialities of a student's mind are infinite. The capacity of a student's mind is finite. Let us think twice what we should fill it with. D FALL, 1969 "You have one of the most progressive and fast-moving regional medical programs in the nation." That is what Dr. Ray E. Brown, past president of several hospital organizations and now affiliated with Hospital Center .1t Harvard University, said at the annual meeting. He pointed specifically to the training courses for physicians and nurses in coronary care unit and the telephone lecture network which covers 48 hospitals in seven Western New York counties and Erie County, Pennsylvania. Dr. Brown said, "The medical health areas of this country have tried so hard to keep up with new advancements in the medical and allied fields that they have not looked at what the community demands in terms of service. The public is demanding that we serve the patient where he is. We must look to see what is needed in these fields of medical care.'' 0 Medical AI un1ni Director Mr. David M. Krajewski has been named director of medical alumni affairs. He has been assistant director of alumni affairs at the Uni e~ it , since 1966. After graduating from Pine Hill High School, Cheektowaga in 1960, Mr. Krajewski attended Florida State University, Tallahassee where he received his bachelor's degree in 1960. He received his master's from SU YAB in 1968, and hopes to get his doctorate in 1971. During the 1965-66 year Mr. Krajewski taught business subjects at the East Aurora High School.D 9 R gional M dical Prooran1s Praised �Project Themis (E DITOR 'S NOTE: Excerpts of a stat ement by Pres ident Martin Meyerso n regarding educational and re ea rch policie fo llou; . It u:as iss ued Aprill , and mention th e physiology departm ent a ndl:.!_oj££.1 Th emis.) In the early hours of April 16th, two incendiary devices were thrown onto the construction site for the Department of Physiology on our campus. Such acts of vicious, premeditated and anonymous violence (perhaps coming from those outside our campus) leave no recourse but to turn to outside assistance. The arson squad of the Buffalo Police Department is making an investigation. My position against violence does not need restatement ... It is through the Faculty Senate and other constituencies of the University that the principal educational and research policies of this campus are set. As part of that statement I made it clear that the University is bound to its contractual obligations. Most importantly, it should be self-evident that our University is dedicated to all forms of lawful inquiry and creativity which through generation of new knowledge may protect, enhance, and enrich life . . . . . . . . . . . . . . . . . . . . The University, by its nature, encourages and facilitates an open forum of dialogue and dissent. Our own University is constantly involved in serious dialogue and at times strong dissent. It is essential that opposing views be heard through rational discourse. It is imperative that the successful conduct of such discourse be protected in an atmosphere free of the violence and resulting intimidation we have seen on the Department of Physiology site both this week and last month . . . . . . . . . . . . . . . . . . . . . . 10 . . . as a University, we are dedicated to humane, scientific and social inquiries . . . . . . . . The fact that research and creativity may be applicable to a variety of ends does not mean that a University abstains from research. Without research , the frontiers of knowledge come to rest. . . . Without research our teaching would be less freshly informed, less propelled by adventure, less vital altogether. What we can properly ask is that we be mindful of the consequences of our research ... . . . if the Department of Physiology research were not supported from its present source, it would have to be supported in other ways. 0 (EDITOR 'S NOTE : This is an excerpt of a statement rega rding f..!:.Qj ec t Th emis iss ued jo intly March 22 by Dean L eRoy A. Pesch and Pror:os t Dougla s M . Surge nor.) The research conducted in the Department of Physiology - with the financial support of Project Themis - is an extension of the research activities undertaken by several members of this Department over the last twenty years in the general area of cardiopulmonary physiology. In order to support this program, an unsolicited proposal was submitted to the Department of Defense under Project Themis. This is a unique program, specifically designed not only to promote research, but to integrate this research into the educational framework. It is important to mention that eligibility for participation in Project Themis requires an ongoing program in graduate education, an interdisciplinary approach, and ''explicit endorsement by the University ' s Chief Executive exTHE BUFFALO MED ICAL REVIEW �plaining how the program would fit into longrange plans for the Institution's development.'' Plans and financial support for a new laboratory building were approved by the President's Office and subsequently by the Board of Trustees of the State University of New York at Albany. More specifically, the research done under this program deals with fundamental problems of the oxygen supply to the human body by means of the delicate interplay between lung ventilation and lung perfusion. For example, under present investigation are the effects of surgical anesthesia on oxygenation of the blood and the development of a special computer program for predicting the oxygen-carbon dioxide transport in patients with anemias, diabetes, and chronic respiratory diseases. This work is a direct extension of work done previously under other D.O.D. contracts which led to the description of new methods for analyzing pulmonary function and diagnosing respiratory disease. These methods are now in use in every clinical pulmonary function laboratory in this country and throughout the world. Plans for future work include studying effects on changes of the environment on the cardiopulmonary system. This will require construction of a special laboratory complex to include among other things a centrifuge, a swimming pool, and a running track. This will facilitate studying the effects of gravity on the heart and pulmonary circulation, the heat loss during swimming, and better methods for conditioning the cardiovascular system by a training program. The Department of Defense does not support classified research in any university. Consequently all results obtained from this program are unFALL, 1969 classified. Furthermore the sponsoring agency does not require review of the results before they are submitted for publication and thus these become immediately available to the entire scientific community. The addition to Capen Hall was planned by the University and is being constructed from funds of the State University by the State University Construction Fund. The facilities will provide needed additional space for the educational and research programs of the Department of Physiology.D Lackawanna Health Center Business is booming at the Lackawanna Community Health Center, according to Dr. Richard Carter, assistant clinical professor of social and preventive medicine. Approximately 1,000 people have made 2,300 visits to the Center since it opened in October. During the first six months there were abo 300 visits each week. It is now open 27 hours per week (originally only 12), and the visits have increased proportionately. A senior medical student, Arthur R. Goshin, is arranging his class schedule so he can work at the Center almost full time. He was one of the students instrumental in starting the Center. Both nursing and dental students have also participated in the program. 0 11 �w Pathology Microbiology Pr f ssor Dr. Cuclkou:ic::. A scientist, internationally renowned for his research in the fields of transplantation, immunology, and genetics, has joined the School of Medicine as professor of pathology and microbiology. He is Dr. Gustavo Cudkowicz, who for the past three and one-half years has been principal cancer research investigator at Roswell Park Memorial Institute and has participated in the University's microbiology graduate teaching program. A native of Zurich, Switzerland, he received his medical degree cum laude from the University of Milan (Italy) where he was also a resident in radiology and later joined its National Cancer Institute. A post-doctoral fellow at the University of Uppsala (Sweden), he also pursued postgraduate studies at the Oak Ridge National Laboratory before joining Roswell's staff. At ORNL he completed a course in advanced industrial and research radioisotope techniques, subsequently served as a biologist there, and participated in the graduate student program at the University of Tennessee's Institute of Radiation Biology. Author of over 40 technical papers, among his numerous society memberships are the American Society of Experimental Pathology, Genetics Society of America, Society of Experimental Biology and Medicine, American Society of Hematology, American Association for the Advancement of Science, the Transplantation Society, and the American Association for Cancer Research. He will offer two courses in the spring on immunogenetics and on cell differentiation. ''These are areas in which you can be both practical and fundamental at the same time,'' he pointed out. 12 ''I plan to extensively cover the field of transplantation genetics in one of these courses never before offered to graduate and medical students.'' Immunology, genetics, and differentiation, he said, come together in transplantation. The success or failure of a graft depends on genetically-controlled antigens and on immune responses against them. "We will be studying ways to determine, prior to transplantation, whether or not a prospective graft recipient is a strong rejector. While our studies are very basic, they have an obvious clinical impact,'' he said. ''In our studies of bone marrow grafts in conditioned mice, we found that blood-forming cells do not behave as other tissues in foreign hosts. Rejection of a hemopoietic graft - it generates blood cells, macro phages, and immune cells - is effected by a mechanism different from that responsible for skin graft rejection. If we can successfully graft blood-forming tissue,'' pointed out Dr. Cudkowicz, "we will have grafted a new immune system as well. "We are also looking at tumor immunity," he said. Tumor, which is not a foreign tissue, possesses antigens not found in normal tissue. Therefore it can behave as a foreign graft. ''To strengthen the immune response against tumor antigens, we must understand how the immune system functions. "By studying the differentiation process of primitive stem cells into mature antibody-forming cells and into their close relatives, the blood cells, we hope to uncover the steps by which specialization occurs in the immune process. If we can pinpoint the step, we may then proceed to modify and thus control the process of graft rejection." D THE BUFFALO MEDICAL REVIEW �"Hou:' the patient doing?" Dr. King (sea ted ) a k Dr. Darid R. Dantzker. Anesthesiology ~WE HAVE JUST BEGUN to scratch the surface," esthesiology chairman Benton D. King said, we continue to explore potentialities for the esthesiologist. Advances in improved care FALL, 1969 an"as anfor patients in respiratory or circulatory failure, new anesthetic agents, and the introduction of more complex surgery continue to add to our duties. "Our experience equips us to properly manage patients both in and outside of the operating room. There is the trauma patient who may have a crushed chest from an automobile accident or an intracranial injury. There is the patient with drug poisoning or suffering from chest disease, neuromuscular disorder or respiratory distress in the newborn.'' Managed by an interdisciplinary team - medicine, surgery, nursing, anesthesiology - these patients are located on the medical intensive care or the surgical recovery intensive care units, the latter supervised by anesthesiology. "Our department name," pointed out Dr. King, "does not adequately describe the many aspects of acute patient management for which we have become responsible.'' ''Ten years ago,'' added anesthesiology resident Arthur E. Yahn, "we might not be talking about survival for many respiratory failure patients who we now see leaving the hospital. With our new understanding of these problems, we can not only pinpoint the patient in need of respiratory support, but the type he should have, and t appropriate time to discontinue its use.'' For the majority of patients, any one of a number of mechanical breathing devices may be satisfactory. But the type of support selected for certain patients - severe asthmatic attacks may mean survival. It was not long ago, Dr. Yahn recalled, that only the patient who had stopped breathing was given the benefit of these devices. Today, it is 13 �Dr. Yahn prepares a patie nt for remor;al of e ndotracheal tube. chiefly the patient with varying degrees of respiratory insufficiency who may be managed on them. While a patient is on a ventilator, frequent arterial blood gas analyses are performed to determine the efficiency of his lung's gas exchange mechamism. It not only accurately pinpoints how well the patient is doing, but if he is not breathing properly, it will point to the changes that must be made. His breathing pattern must also be varied to include occasional deep breathing - to simulate the normal sighing. Gradual withdrawal from his support must be planned as an abrupt one may prove fatal. The routine clinical use of blood gas analysis - which has led to improved respiratory care is local history. The first carbon dioxide and oxygen electrode used in Buffalo for patient care was introduced by our department, Dr. King pointed out. And it was through the assistance of Dr. Hermann Rahn, the noted physiologist, that it was possible. One day - a decade ago - Dr. King discussed his interest in performing carbon dioxide levels in the patient's blood with Dr. Rahn, who promptly provided him with a prototype of inventor / anesthesiologist John Severinghaus' C02 electrode. When placed into clinical use at the Meyer Hospital shortly thereafter, it was one of the very few in service. "One of our major efforts today," Dr. King stressed, ''is to educate the practicing physician as to the value of using blood gas analyses for diagnosis and for planning therapy for the patient in respiratory distress. Not only can acid base balance be determined - when combined with 14 pH - but the blood gas transport system's efficiency as well.'' When asked at what point the anesthesiologist becomes involved with the surgical patient, Dr. Yahn pointed to a computerized sheet prepared for all patients scheduled for surgery. "It pinpoints trouble areas - respiratory disease, diabetes, etc., and suggests the need for consultations with other physicians prior to surgery. ''While we can assess the patient to determine whether he is fit for surgery - and if he is not take whatever appropriate measures are possible to correct them - what we consider most important is the interpersonal relationship that must be established between patient and anesthesiologist. Ideally, we must properly prepare him before he even enters the hospital.'' The proper time for this personal contact of patient with anesthesiologist is when the decision is made to have surgery. The anesthesiologist who is aware of the drugs administered during surgery and is responsible for the management of postoperative pain - must advise the patient as to what he can expect during and after surgery. From the moment that the patient is wheeled into the operating room, he is monitored by the anesthesiologist. This physician must continue to made decisions as to proper monitoring and any ancillary therapy necessary for the patient's management during surgery. An aid in postoperative and intensive care is the patient care chart carefully worked out by Dr. Yahn with the floor nurses. The patient, previously checked only for blood pressure, is now checked for central venous pressure, pulmonary THE BUFFALO MEDICAL REVIEW �elective program - would afford a wonderful learning experience to the medical student. ''As anesthesiologists, there are so many more contributions we can be making,'' Dr. King concluded. "We have just begun to scratch the surface.''D Dr. Yahn crutizines re piratory upport for Mr. Smith. care, etc. While not reducing the entire patient care picture, this chart offers a more complete profile. Anesthetic side effects appear to be minimal due to advances in pre- and post operative respiratory and circulatory care and in general anesthesia techniques. It is not the anesthetic agent itself that is important, but the technique by which it is administered. Twelve years ago, anesthesiology was a branch of the School of Medicine's department of surgery. But over a short time, this specialty has developed its own body of knowledge. As subspecialities emerge - pediatric and obstetrical-neonatal anesthesia respiratory intensive care - the need for a team within a team has become obvious. The need for intradepartmental teams - an anesthesiologist assisted by one or two nurses or other technicians who are under his direct supervision - as part of an interdisciplinary team in the operating room, are hopes for the future. Participation in this team approach - through an FALL, 1969 President Martin Meyerson and Dr. Douglas M. Surgenor, provost for the Faculty of Health Sciences, received honorary degrees of professorship May 27 at special ceremonies at the National University of Asuncion, Paraguay. The ceremonies terminated a 10-year contract of modernization at the University. The program was directed by UB through funds of the Inter-American Development Bank with the cooperation of the Agency for International Development. The relationship between the two universities is the longest ever sustained between an American and a foreign university. During the 10 years, more than 35 members of the UB fac. 1lty have taught at Asuncion and many faculty men bers from the Paraguayan school have come to Buffalo to study and do research. The new basic science building was named Kimball Hall in honor of the late Dr. Stockton Kimball, Dean of the Medical School when the first contract was signed in 1956. This original contract was for programs in medicine and nursing. Later it was expanded to include other academic areas. 0 15 President, Provost Honored �Meyer Hospital Partnership and the State University of New York have a new partnership. It is a first step in University participation in capital expansion programs of the major teaching hospitals in Buffalo. The five one-story wings, built and equipped for $2.3 million by Erie County, will be financed by the University under a five-year lease agreement. This will add 69,000 square feet of office space, laboratories, examining rooms, clinical facilities and related research space. Sharing the space are the departments of medicine, psychiatry, neurology, obstetrics and gynecology, surgery, radiology, pediatrics, anesthesiology, medical technology, and pathology. There is also an animal unit and space for the Erie County Laboratory. The University's provost for health sciences, Dr. Douglas M. Surgenor, told guests at the May 12th dedication that UB has asked the State University of New York to endorse its plans to "provide for the physical support of its educational mission in community hospitals. ''It is a step which has been slow in coming, and it took some ingenious maneuvering to find the best way the County and University could do it, but it has been done. We welcome this first step and we look to further steps in improving and continuing the university educational programs in the Health Sciences at the affiliated hospitals. ''The University will continue for the forseeable future to rely upon the Meyer Memorial Hospital and the other affiliated hospitals for its clinical teaching programs in the health professions.'' THE E.J . MEYER MEMORIAL HOSPITAL 16 Dr. Surgenor's statement reinforces those previously made by Medical School Dean LeRoy Pesch that the University has changed its mind about a teaching hospital on the new Amherst campus. "Buffalo ranks 15th among the nation's medical centers with 2,400 students in the health sciences (medicine, dentistry, nursing, pharmacy, health related professions)," Dr. Surgenor said. ''We rely upon the affiliated teaching hospitals and community agencies to obtain clinical teaching opportunities for our students. Except for the clinical teaching programs in the dental clinics on campus, all of the university clinical teaching is in the community. And even though the new University Clinical Center on the Amherst Campus will greatly improve the University's own capabilities for health education, this will be more than balanced out by the expansion of the number of health professional students we will be educating in the 1970's. ''The Meyer Memorial Hospital plays a vital role in providing a wide variety of clinical teaching for university students. The affiliation between a hospital and a university is a relationship that is difficult, if not impossible, to fully understand. The two partners become mutually dependent in many ways. The university cannot carry out its mission without the hospital; and the hospital, in turn, usually finds that the presence of the university faculty, students and other programs, improves the quality of care which it renders to its patients. ''Some idea of the involvement of the University in the Meyer Memorial Hospital shows up in one statistic - 43,500 student days were spent THE BUFFALO MEDICAL REVIEW �at the Meyer this year. Most of this time represents the education mission of the hospital in medical education. But it also reflects the instructional time of students in every other university health education program," Dr. Surgenor pointed out. "Just as our educational programs and students in the health professions create a demand for all kinds of clinical teaching opportunities, it FALL, 1969 follows that where there are students, there must be teachers. Prior to the 1960's the hospitals provided most of the clinical teachers and furnished the offices, classrooms and laboratodes in which the university programs were carried forward. In the past few years, that picture has been changing. The University has assumed an increasing responsibility for its faculty, so that we now have in Buffalo one of the most impressive faculties in the health professions in the United States. These include the voluntary faculty, the part time and full time faculty." Dr. L. Edgar Hummel, superintendent of the hospital, told the audience that ''many of us know what dedication to an idea and dedication to a project really means. There were those who said it was impossible for two public agencies to build something on the other's property. But there were also those who spoke of a great need for the benefit of health education and for the betterment of community comprehensive health care, who found the ways and means to have these buildings constructed to help serve those needs. There are many in the County and State University entitled to a special vote of thanks for their efforts." County Executive B. John Tutuska said, " new buildings provide eloquent testimony to the invaluable and continuing co-operation between the County and the Medical School. This goes a long way in meeting the teaching and medical care needs of the community. The county is willing and ready to work with the university in a manner exemplified by these new facilities. Such a course is bound to be of mutual benefit to the County hospital, the Medical School, and the people. "D 17 �n1or Class Day ToP HONORS IN MEDICINE and neurology went to Dr. Madeline J. White at the annual senior class day ceremonies. Fourteen others shared more than a dozen prizes. Dr. White was the recipient of the Morris Stein Neural Anatomy Award, the Philip P. Sang Memorial Award, the Janet M. Glasgow Memorial Scholarship Award - she shared with an honorable mention to Dr. Cheryl C. Rosenblatt - and was one of ten seniors elected to Alpha Omega Alpha, national honorary society. Mrs . Wilson Another "top honor" went to registrar Eileen Wilson. Following a tradition established 28 years ago, the senior class dedicated the MEDENTIAN (medical/dental yearbook) to "the one person who we believe has provided the most assistance, compassion, and understanding throughout our four years of medical training.'' In his address, class president Robert J. Gibson pointed out that it was more important ''how we - the somewhat homogenous product of a four year experience - are going from here. There are three other areas - the political, social dimension, and changing moral values in which we should have an understanding and a working knowledge. Let us hope that we do not lose this learning experience.'' Dean LeRoy A. Pesch awarded the prizes. They are: The Buffalo Surgical Society Prize and Alpha Omega Alpha - Dr. Stephen W. Moore. The Arthur G. Bennett Memorial Prize - Dr. Walter W. Jones. 18 Dr. Whit l', D l'an Pesch The Heinrich Leonhardt Prize and Alpha Omega Alpha- Dr. Daniel B. Levin. The Baccelli Research Award - Dr. Glenn Tisman. The David K. Miller Prize - Dr. Timothy F. Harrington, Jr. The Gilbert M. Beck Memorial Prize - Dr. Dorothea A. Downey. The Maimonides Medical Society Award and Alpha Omega Alpha - Dr. Daniel P. Mandelbaum. The Hans ]. Lowenstein Award - Dr. Louis Hevizy. The Upjohn Award and Alpha Omega Alpha Dr. Robert V. Smith. THE BUFFALO MEDICAL REVIEW �The Mark A. Petrino Award - Dr. Robert J. Gibson. The Bernhardt and Sophie B. Gottlieb AwardDr. Carl A. Perlino. The Lange Award - Drs. James J. White, Jr. and Albert B. Finch. Thesis honors went to Dr. Jonathan T. Paine. Others named to Alpha Omega Alpha: Drs. David H. Atkin, Eugene M. Chlosta, Lawrence S. Greenberg, Stephen W. Moore, David J. Rosenblatt, Wilbur L. Smith, Jr.D Results of the 1968 UB drug survey revealed that 16.6 per cent of over 8500 campus students have experimented with drugs. While 7.6 per cent are now using some type of drug - primarily marijuana - the remaining 9 per cent are no longer using them. Pharmacology chairman Cedric M. Smith, who headed the University Committee on Drugs and the Campus, feels that ''while all surveys are subject to inherent limitations, I believe that the survey is accurate and represents a high rate of student response.'' The survey data will be available in Lockwood Library. The most current drug users are the 20-21 year old single liberal arts sophomores and juniors living in apartments. Nursing, education, and engineering students indicated the lowest drug use rates. Alcohol usage showed a positive relationship to drug usage, with daily drinkers reporting the highest rates. The survey pointed to about 45 per cent of all marijuana users having stopped usage of the drug, while 19 students substituted another drug. Marijuana usage today is undoubtedly higher than the rates revealed in the one-year-old ur vey, pointed out vice-president for student affmrs Richard A. Siggelkow. "And the number of high schoolers experimenting with drug use is increasing.'' He emphasized that the University clearly disapproves of drug usage and has consistently reflected genuine concern for student welfare. Drugs were defined to include marijuana, barbituates, heroin or other narcotics, LSD, amphetamines (pep pills or weight reducers), mescaline, spilocybin and glue, DMT, hashish and STP. 0 19 Drug urvey �Experiment in Medical Education Dr. Lindsley Two non-medical speakers - both leaders in their respective fields - closed the first year of the department of pediatrics' experiment in medical education, designed to enlarge the physician's understanding of the many influences that affect child development. They are Dr. Ogden Lindsley - he directs education research at the University of Kansas child rehabilitation unit - who applied the methods of experimental psychology to problem behaviors; and Dr. Donald A. Schon - he is president of the Organization for Social and Technical Innovation and has played a major role in initiating programs of social action and research in community and neighborhood development, lowcost housing, service delivery systems, health, disability and education - who discussed behavioral sciences and the management of social change. "Involve the patient in charting his own behavior symptom," pointed out Dr. Lindsley. "I don't know of a single case where we have failed to change children's problem behaviors by using this technique. It is more efficient, economic, and presents a more rapid behavior change than any other system in use.'' Can it be used in a clinical setting? ' 'Why not? A hospital could set up parents classes to 20 teach the system. It is malpractice not to. There are no costs, no side effects." Dr. Schon pointed out that the medical student of today has a sense of moral commitment in institutional change - the ways it applies to medicine and the institution. A bit fuzzy, but a delightful sense of commitment. Where does the power come from? How does the doctor make choices as to how he works? "There is a kind of anguish these days," he said. ''The decisions students make on their way to their profession has something to do with the profession.'' What is the medical care system, the problems of the institution, the difficulties in assessing the system? "The system is forced to protect itself from scrutiny,'' he said. Preventive medicine is planning for the future. "If you take prevention seriously," he continued, ''you must involve the receivers of health who won't seek it out. There is no way to avoid community development and a broad range of social policy, no way to avoid implications in our society. If you start out with prevention of medical problems in children, you end up in the community development phase,'' he concluded.D THE BUFFALO MEDICAL REVIEW �MANY PATIENTS suffer from renal disease. But the death rate - in 1964 it was 14.3 per cent per 100,000 population - can be considerably reduced by early detection and prevention, a better understanding of its various pathogenesis, and proper medical treatment. At a two-day conference on clinical nephrology, over 60 physicians - from as far away as Charleston, South Carolina - were exposed to a continuing medical education course by 16 local and visiting faculty. What did thev learn? The need for sodium handling by the kidney was stressed by Dr. Carl J. Bentzel, assistant professor of medicine. He pointed to important factors that regulate or determine excretion of sodium by the kidney - extracellular fluid volume and sodium and water intake. More studies, he feels, should be directed to the renal tubular membrane, a sodium transport phenomenon. What is the control system for sodium? How can we regulate salt balance when certain aspects change in renal disease? Dr. Neal S. Bricker, professor of medicine at Washington University, pointed out that what enters the body as fluid must leave in the same amount. In renal disease the functioning nephrons must assume the workload for those no longer in working order. But what tells these nephrons what to do? So precise is the control system that he feels it must be some function of the sodium mass. ''There must be several mechanisms, all interdigitated. The fine modulator must be a peptide hormone - its activity in the uremic state playing the major role in regulating sodium excretion.'' The findings of recent systematic studies in the treatment of chronic pyelonephritis - a kidney FALL, 1969 infection caused by bacteria - in the adult were outlined by Dr. Richard B. Freeman, assistant professor of medicine at the University of Rochester. The guidelines he proposed: the culture is extremely important in establishing a diagnosis of infection in the urinary tract; identity and correction of factors known to predispose the patient to infections; eradication of organisms from the urinary tract, and compulsive patient followup. Bacteriuria, which will recur in over 80 per cent of patients with chronic urinary tract infections, may cause progressive damage. Long-term therapy, he feels, is critical in its prevention. A pill, he pointed out, is a more preferable treatment than an artificial kidney or a transplant. Analgesic abuse may affect the kidney by direct toxicity from the drug administered or its metabolites. Or it may secondarily predispose the kidney to necrosis of the papilla with concomitant infection. Analgesic mixtures are so easily available to the public without a physician's prescription, pointed out Dr. Rufino C. Pabico, assistant professor of medicine, that in managing renal disease it is important to include a drug history-taking of the patient. Nephral toxic agents present major problen of therapy in acute oliguric renal failure - a fairly common complication of hemorrhagic or septic shock. Two common causes of fatality are secondary infections and hyperkalemia. Correction of the high catabolic rate and early dialysis will maintain the patient in an adequate state of health so that common secondary infection does not occur. The dosage of common medications - digitalis and antibiotics - should be regulated according to the degree of renal failure. 21 Renal Disease �In managing the chronic renal failure patient, overall therapy must be very carefully planned. While the diet cannot cure the disease, pointed out Dr. Alf M. Tannenberg, assistant clinical professor of medicine, it can make the patient comfortable. '' Calories must be adequate so that the patient will not break down his own protein. While the limited protein intake should be of high biologic value, it is important to keep the potassium intake low. The sodium intake must be guided by the patient's renal excretion. One of the biggest problems for these patients, he feels, is hypertension. ' 'Try to keep the diastolic pressure below 100 with sodium restriction and/ or antihypertensive agents. When the patient has fluid retention, diuretics may be given.'' A high percentage of infections in the urinary tract of children recur without symptoms, pointed out Dr. Mitchell I. Rubin, professor of pediatrics. ''Transient loss of concentration means that the kidney is involved,'' he said. Findings on children with renal disease sometimes point to growth and development abnormalities revealed Dr. W. Joseph Rahill, assistant research professor of pediatrics. Patients with these disorders should therefore be investigated for possible renal problems. Intensive medical therapy, he pointed out, can be used to improve both growth and development abnormalities and renal disease. In a session on metabolic derangements in uremia, Dr. Jack K. Goldman, assistant professor of medicine, outlined disorders of calcium and 22 phosphorus metabolism. Hyperphosphatemia results from decreased glomerular filtration, culture metabolism abnormality from vitamin D resistance which prevents normal intestinal calcium absorption. This leads to lower serum calcium levels which will stimulate parathyroid activity. When hypercalcemic calcium mobilization from skeletal source is stimulated, it leads to various abnormalities of the bone. He also pointed out that abnormalities in carbohydrate and lipid metabolism are commonly seen in patients with renal failure. Although renal vascular hypertension is a common cause of high blood pressure, it is not usually recognized. Research findings point out that 5-15 per cent of patients with high blood pressure may be due to renal artery disease. In diagnosing this disease, Dr. Marguerite T. Hayes, assistant professor of medicine, covered several techniques of radioisotopic renogram and renal scan. Renal arteriography, Dr. Ivan L. Bunnell, associate professor of medicine said, can be important in suspected cases of renal hypertension where surgery offers the highest incidence of cure. "The renal arteries are the easiest branches of the aorta to catheterize,'' he said. In studying problems in dialysis and transplant patients Dr. Gerald P. Murphy, research associate professor of surgery, emphasized the greater opportunities now available. One example - the recent study of erythropoietin, a hormone found primarily in the kidney that stimulates red cell formation. Two new diuretics - ethacrynic acid (Edecrin) THE BUFFALO MEDICAL REVIEW �and furosemide (Lasix) were described by Dr. Paul J. Cannon, assistant professor of medicine at Columbia University, in the treatment of edema. Both may be administered orally or intravenously he pointed out. While they differ chemically they are similar in both physiological and pharmacological effects. Toxic effects are few, he said, and if properly used the clinical results may be dramatic.D tissue group of the patient in need of a transplant is not an easy matter. There are many tissue groups using many sera. Essential are the immunogenetic studies performed in this laboratory that will point to those members of the family that are heredity donors, that is, who have inherited antigens. Working with Dr. Milgram in this new laboratory is Dr. Kyoichi Kana, assistant professor of microbiology.D M.D.-Ph.D. Two students - enrolled in the Medical School's combined MD- PhD Program - graduated in June. They are Roger J. Ferguson and Bruce Rabin. While completing his medical training Roger also worked toward a doctorate in anatomy. Bruce's interest was in microbiology. Their dissertations - "Vascular Structure of Red Bone Marrow'' and ''The Immunological Competency of Peripheral Blood Leukocytes. "D Tissue Typing Laboratory There is a regional tissue typing laboratory it serves Buffalo and Rochester - operating under microbiology chairman Felix Milgram in Capen Hall. Since January, when it opened, over 100 have been tissue-typed. To find the individual - a family member and especially a sibling is the ideal - who most closely matches the FALL, 1969 Influenza Virus In the first step of the infective process, the influenza virus attaches in a very specific way to the red blood cell. What is the component in the red cell to which the virus will attach and combine? Over the past ten years a group of bio-chemists have been working on this problem. The first to isolate the receptor site in the human red cell, the group under Dr. Richard J. Winzler has begun to study its detailed chemistry. Similar cell sur ~~ce components have also been found on different kinds of cells investigated to date. "These studies," Dr. Winzler said, "may someday permit us to design an inhibitor or discover other avenues that will prevent the virus from infecting the cell.'' A paper presenting the group's research findings was recently presented at the second annual American Red Cross Scientific Symposium.D 23 �" ... I like to work with my hands ... to see results quickly ..." Dr. Eugene R. Mindelltcith student and patient. Elliott checks x- ray on a pa tient with sco liosis. Orthopedic Practice ''I have not had that much experience in medicine or surgery,'' Elliott L. Gross said as he discussed his summer fellowship in orthopedics. "But I like to work with my hands . . . like to see results quickly.'' There are mornings devoted to conferences with residents on inpatient and outpatient care, trauma, and rehabilitation cases. There are also grand rounds where each case is discussed with the residents. For Elliott, the highlight of the week is the x-ray conference where everything is tied together. "We go over how the patient has been treated or is going to be treated.'' Surgery is scheduled several days a week. Elliott, a senior medical student who had worked as an extern in the Meyer emergency room, tries to see most of the hipnailings that are usually performed. ''The Annual Participating Fund for Medical Education fellowship is loosely structured,'' he said. ''It allows me to delve into anything that is interesting at the moment.' '0 24 THE BUFFALO MEDICAL REVIEW �ew Medical Chief at Ten Women Graduates Ten of the 98 Medical School May graduates were women. Three are married and one is a mother. It was the largest graduating class in the history of the school. The three that are married all chose husbands from scientific disciplines. Cheryl Chadburn Rosenblatt is married to Elias, an intern at Deaconess Hospital. Moira Burke Murphy's husband, J. Brian, received his degree from the Dental School. Penny Anderson Gardner is married to John, a medicinal chemist. The Rosenblatts have a son born during a leave of absence Cheryl took in the spring semester of her junior year. Two women will intern in Buffalo hospitals. Alberta A. Borgese, whose brother, Anthony, was a 1964 Medical School graduate, will intern at Millard Fillmore, Mrs. Rosenblatt at Children's. The others and the hospitals where they will intern: Miss Dorothea A. Downey - Harrisburg Polyclinic, Pa.; Miss Francis A. Dud a - Los Angeles County; Mrs. Gardner, Presbyterian, New York City; Miss Evelyn Hirschorn and Mona T. Milstein - New York Medical College, Metropolitan; Mrs. Murphy - Lankenau, Philadelphia; Miss Madeline J. White, Los Angeles County Harbor; and Miss Marion E. Wind, Brookdale Hospital Center, Brooklyn. A total of 2,365 degrees were awarded at the 123rd annual commencement ceremonies at Memorial Auditorium. Lord Noel G. Annan, provost of University College, University of London, gave the main address.D FALL, 1969 Dr. James P. Nolan has been appointed professor of medicine and chief of the Medical School's department of medicine at the Buffalo General Hospital. Dr. N alan received his bachelor and medical (cum laude) degrees from Yale University (1951, 1955) and completed both his internship (1955-56) and residency (1958-62) at the Grace-New Haven Hospital at Yale University where he later served as an associate physician and an instructor in medicine. In between (1956-58) he served in the U.S. Navy Medical Corps as a Lieutenant Commander, and as a clinical fellow in medicine (1960-61 in the Liver Study Unit at the Yale Medical School). He has been on the Buffalo Medical School faculty since 1963 when he was appointed assistant professor of medicine and served as a clinical associate in medicine, The Buffalo General Hospital, and associate attending physician at E.J. Meyer Memorial Hospital. In 1966 he w as named attending physician at the Veterans Ho pi tal. The 40-year-old physician, who has published extensively on liver disease, is a Fellow of the American College of Physicians, Diplomate of the American Board of Internal Medicine, the American Federation for Clinical Research, the American Association for the Advancement of Science, the American Association for the Study of Liver Disease, the Reticuloendothelial Society, Phi Beta Kappa, and Alpha Omega Alpha. 0 25 Buffalo Gen ral Dr. olan �Informal lunch and admiss ions briefing w ith Dr. Philip W el . Surprises, R ewards A difficult d ec ision . ''My first year had many surprises and rewards, along with a few frustrations and disappointments.'' That is the way Dr. LeRoy A. Pesch summarized his first year as Dean of the School of Medicine. It has been a year of getting acquainted. There was a lot of talking and listening to become fully briefed on people, facilities and policies. This was the prelude to important decisions on curriculum, admissions and student-faculty-alumni affairs. "There were many extra-ordinary problems more than I had expected - because of the complexity of the institution. But we have made a good start in developing new programs and strengthening our ties with the University and the Community.'' The ''Pesch Team'' is off to a good start. In spite of the burdens and pleasures (shown in pictures) Dean Pesch finds time to enjoy his family in their new Williamsville home. D For D ean Pesch Mrs. Roberta Singer, admini trati ve assi tant , ha many re ponsibilit ie . 26 �A convocation address. Dr. Robert Brown, a sociate dean, talks about the budget. Working on cellular injury experiments with Miss Janice Peterson in a lab at Roswell Park Memorial Institute. Dr. Edu:ard]. Marine, as ociate dean, discus es a student problem. It i goodbye to Dr. Lionel Bernstein from the V£'t£'rans Admini tration c£'ntral offiC£', Washington , D .C. �~rHE MEDICAL SCHOOL President Meyerson Praises APFME 28 must be an integral part of the University.'' That is what President Martin Meyerson told the members of the Annual Participating Fund for Medical Education recently. ''Of all the great medical schools of the nation, not a single one is separate from a university,'' he continued. Mr. Meyerson praised both Dean LeRoy Pesch and Provost Douglas Surgenor for their "most imaginative health care package.'' The President praised APFME for its past support and urged them to rededicate themselves to bringing the world's best health care program to the Niagara Frontier. ''I have the greatest respect in the world for Dr. Hermann Rahn. About a year ago I asked him to be one of my special advisors. He has a national and international reputation for his physiology research and I will do everything in my power to make him happy here.'' Mr. Meyerson reviewed the progress of the University since it became affiliated with the State, pointing out that the budget for the Health Sciences has increased tenfold in seven years; that the size of the University library has tripled (acquiring more books than in the previous 120 years); and that the salary schedule is second only to the University of Michigan. "We would not have been able to attract Dr. Pesch - just to mention one,'' President Meyerson said. ''Any state university that becomes wholly dependent upon legislature or a governor for finanTHE BUFFALO MEDICAL REVIEW �cial support is in trouble. That is why we need the continued financial backing of APFME. "We are moving toward our pattern of seven separate University faculties, and each is getting more autonomy,'' the President said. Mr. John Galvin told the physicians that "we are on the threshold of building a great University, and your continued support will be needed.'' Mr. Galvin is a member of the executive committee of the University Foundation Board of Trustees. Dean Pesch paid tribute to APFME as "one of the hidden values of the University and the Medical School. Your dedication and support provides the 'vital margin' that will make this University a great one. ''One of the major accomplishments of my first year has been the consolidation and unification of the Medical School. We have come a long way on program development and the coordination of all of our activities. "Our Medical School must be an integral part of the total University and the community. We must be more effective in our service to the community and to society. These are new roles for all of us." Dr. Pesch pledged himself to finding new ways of recognizing the activity and responsibility of the volunteer faculty. Dr. Max Cheplove, M'26, was re-elected APFME president. Others elected were: Dr. Harry G. LaForge, M'34, first vice-president and Dr. Marvin L. Bloom, M'43, second vice-president; Dr. Donald W. Hall, M'41, was re-elected secretary-treasurer. Dr. John J. O'Brien, M'41, is immediate past president. D FALL, 1969 A dynamic teacher and outstanding academic physician has joined the department of medicine to head its new infectious disease division. He is Dr. James C. Allen, associate professor of medicine who will also serve as attending physician at the E.J. Meyer Memorial Hospital. He comes to Buffalo from The Johns Hopkins School of Medicine where he has been associated since his graduation in 1955. He completed an Osler medical internship and residency at its hospital, was associated with the allergy and infectious disease section of its department of medicine, has been assistant professor of medicine for three years, and since 1967 held the rank of associate professor. In between, the 40-year-old physician completed two years in the Public Health Service at the National Institutes of Health (1959) and was associated with The Rockefeller Institute as an assistant physician for two years. Author of numerous technical papers on immunology and infectious disease, included among his memberships are the American Federation of Clinical Research, and the American Association of Immunolog' sts. His medical degree was accompanied by elecho into Phi Beta Kappa and Alpha Omega Alpha honorary societies. He held a Lederle Medical Faculty award from 1964-68 and an NIH career development award in 1968. ''Dr. Allen's appointment,'' commented medicine chairman Dr. Evan Calkins, ''represents the culmination of a four-year effort to create just the right environment. We look forward to the development of one of the strongest infectious disease programs in the country. His qualifications (Continued on Page 44) 29 In£ ctious Dis as Had Dr. Allen �"When I am working in the clinic, I might see a many as 15 patients in the morning," said Michael Goldberg. Ophthalmology Fellowship 30 Why pick clinical opthalmology for a summer fellowship? Two seniors - Michael Goldberg and Moira B. Murphy - did. "The whole field seemed to intrigue me," said Mike. ''In my junior year, exposure to this field was inadequate. I did have an interest and wanted to get. more of a background before deciding whether this is what I really wanted. And now I think it is.'' A radical experience in addition to what was available in Medical School was what Moira was seeking. By the process of elimination, she wanted something that was a combination of both medicine and surgery. And ophthalmology - a combination of academics and clinical work was it. '' It is certainly the most adaptable for personal reasons," she said. " Once I am qualified I want to be able to limit the size of my practice so that I can raise children." For both, most of the time was spent in the outpatient department - observing and testing. Inpatient care included medical workups, physicals for new patients, and observing the surgical procedures. "Even if there is a busy clinic," said Mike, '' we can go up to see the surgery procedure. We aren't here to do the resident's work, but we are supposed to learn.'' On glaucoma day, patients who return to have their medications renewed and their occular tensions checked keep Moira and Mike pretty busy. All work is supervised by the resident staff. THE BUFFALO MED ICAL REVIEW �"No matter what branch of medicine you arc in," ay Dr. ]one to Mike and Moira, "you can use ophthalmology." Moira, Mike (on right) u;ith Resident Leon Leu;is examine patient. Afternoons when Attendings come in, and residents have patients to present, Mike and Moira join the informal conference. '' I hope the students will be stimulated to become inquisitive about this area where all too often exposure of the student is ' too little ','' said Dr. W. Yerby Jones, co-head of Ophthalmology. Physicians, he feels , have an erroneous idea about ophthalmology. '' They think they can see more than they can see. You have to know what you are looking for . You have to be a detective to find out what you see. ''D FALL, 1969 Mornings, Mike can handle as many as five to ten refract ion . �46 Re ident Physician Diploma Forty-six resident physicians received their "certificate of residency" at the second annual University Residency Program Graduation givefi by the School of Medicine. The physicians represent the four Universityaffiliated hospitals - Buffalo General, Children's, Meyer, and Veterans. Dr. Edward J. Marine, associate dean, was the main speaker. His topic: "Current Trends in Medical Education.'' Dr. William J. Staubitz, chairman of the University Residency Committee, and Dean LeRoy A. Pesch, passed out the certificates. A reception followed the ceremony. The resident physicians are: ANESTHESIOLOGY - Francis T. Oliver; Han Toung Park; Robert J. Schuder; Arthur E. Yahn. GYNECOLOGY & OBSTETRICS - Anthony J. Floccare; Gholamreza Ghaffari; Samuel F. PaterniH; Gerald E. Patterson; Krishnarao S. Potnis; Mark A. Treger. MEDICINE - Samuel C. Armstrong; Robert F. Bohnen; Germonte Boncaldo; Marjorie A. Boyd; Thomas E. Chvasta; Joan E. Clemmons; Liberato Iannone; Ronald P. Josephson; Michael M. Kline; George A. Levi; Dorothy McCarthy; Edward Miller; Kenneth Newmark; Rene Oliveros; Ronald A. Rohe; Sanford H. Schwartz; Carol Segal; H. Evan Strong; Louis F. Wertalik; Jesse S. Williams. NEUROSURGERY - Guillermo Nogueira. OTOLARYNGOLOGY Mark F. Grefenson; Lorenzo T. Teruel. PSYCHIATRY - Benjamin F. Bacalzo; Sebastian S. Fasanello. SURGERY - Jimmy P. Cordero; Donald M. Fisher; Francis J. Fochler; Joseph R. Gerbasi; Ramesh C. Gupta; William C. Heyden; Kalzer T. Kamble; Joseph A. Tabet. UROLOGY - Paul F. Kelly; Radhakrishna M. Ravavarapu; Dale P. Skoog.O 32 �Faculty Dean LeRoy A. Pesch announced 104 medical faculty promotions effective July 1, 1969. They are: Promotions to Professor: Dr. Erika Bruck (Pedia- trics); Dr. Gustavo Cudkowicz (Microbiology and Pathology); Dr. James P. Nolan (Medicine); Dr. Vernon K. Vance (Medicine). Promotions to Associate Professor: Dr. Edson X. Albuquerque (Pharmacology); Dr. Mary 0. Cruise (Pediatrics); Dr. Lawrence A. Frohman (Medicine); Dr. Andrew A. Gage (Surgery); Dr. Franz E. Glasauer (Neurosurgery); Dr. John C. Hubbard (Pathology); Dr. Michel A. Ibrahim (Social & Preventive Medicine); Dr. Donald Kerr Grant (Pediatrics); Dr. Eleonore A. Ohr (Physiology); Dr. Konrad Wicher (Microbiology). Promotions to Assistant Professor: Dr. C. John Abeyounis (Microbiology); Dr. Beth Erasmus (Physiology); Dr. Thomas D. Flanagan (Microbiology); Dr. Joseph Gerbasi (Surgery); Dr. Kenneth J. Kant (Physiology); Dr. Robert J. Schuder (Anesthesiology). Promotions to Clinical Professor: Dr. Carl Arbesman (Medicine); Dr. Murray S. Howland, Jr. (Medicine). Promotions to Clinical Associate Professor: Dr. Oliver J. Bateman (Medicine); Dr. Norman Chassin (Medicine); Dr. Marshall Clinton, Jr. (Medicine); Dr. Jules Constant (Medicine); Dr. Diana 0. Duszynski (Radiology); Dr. James C. Dunn (Anatomy); Dr. Daniel J. Fahey (Otolaryngology); Dr. Irwin A. Ginsberg (Otolaryngology); Dr. Floyd A. Green (Medicine); Dr. Jean G. Haar (Otolaryngology); FALL, 1969 Dr. Robert M. Kahn (Medicine); Dr. Sol Messinger (Pathology); Dr. Gustave P. Milkey (Surgery); Dr. Richard Munschauer (Radiology); Dr. Joseph A. Zizzi (Medicine); Dr. Russell T. Schultz (Medicine). Promotions to Research Associate Professor: Dr. Clara Ambrus (Pediatrics); Dr. Lee L. Bernardis (Pathology); Dr. Rose R. Ellison (Medicine); Dr. Leon Stutzman (Medicine); Dr. Lucius F. Sinks (Pediatrics). Promotions to Clinical Assistant Professor: Dr. Frederick R. Beerel (Medicine); Dr. Richard G. Cooper (Medicine); Dr. Richard S. Cotsen (Medicine); Dr. Donald Ehrenreich (Neurology); Dr. Paul A. Fernbach (Surgery); Dr. Emma K. Harrod (Pediatrics); Dr. Jack W. Herrmann (Surgery); Dr. William R. Kinkel (Neurology); Dr. Marie L. Kunz (Medicine); Dr. Judith M. Lehotay (Pathology); Dr. Edwin J. Lenahan (Medicine); Dr. James E. Long (Medicine); Dr. Agnes Lukas (Pathology); Dr. Leo E. Manning (Medicine); Dr. Joseph M. Mattimore (Pediatrics); Dr. Mohamed S. Megahed (Neurology and Anatomy); Dr. Anthony S Merlino (Medicine); Dr. Mario Montes (Pathology); Dr. Warren R. Montgomery (Medicine); Dr. Harry M. Murphy (Medicine); Dr. Joseph R. O'Connor (Medicine); Dr. Harold K. Palanker (Surgery); Dr. Eugene Radzimski (Ophthalmology); Dr. Arthur J. Schafer (Ophthalmology); Dr. Harry Schwippert (Surgery); Dr. Kenneth H. Seagrave (Radiology); Dr. Robert Spier (Surgery); Dr. Lazlo B. Szimonisz (Medicine); Dr. Louis A. Trovato (Medicine); Dr. Robert A. Ullman (Medicine); Dr. James F. Upson (Surgery); Dr. Joseph Wanka (Medicine); Dr. Leonard I. Wolin (Medicine1. (Continued on Page 36) 33 Promotions �Cardiac Car Facility A $1,000,000 comprehensive cardiology program - a blending of department of medicine vision and County support - has opened at the Meyer Hospital. The result is better patient care including acute and intermediate care units, excellently equipped clinical and research laboratories, a cardiac catheritization unit featuring the most advanced equipment available, and a cardiac clinic for outpatients. ''It is an exciting opportunity,'' program director Francis J. Klocke said, ''and offers a unique opportunity to evaluate treatment of the cardiac patient. By broadening our scope of studies,'' the associate professor of medicine continued, ''we hope to add something to patient care in the future.'' The facility, he pointed out, will also serve as a training center for professionals who will go out into the community. Critically ill cardiac patients are brought together in the quiet and isolated setting of the acute coronary care unit headed by Dr. Stephen Wittenberg. Here, each patient is continuously monitored for heart rate and rhythm. He is directly visible to nurses staffing the central monitoring bank and alarm system. The patient is assured that the nursing staff is continuously observing his heart rhythm and that any arrhythmia will be identified through the continuous monitoring. Therapy, instituted by an alert team, will be immediately applied for disorders which arise. Two of the seven beds - equipped for specialized hemodynamic monitoring - are used for patients with pump failure producing shock. The mortality rate for patients suffering from this type of power failure has been a constant 80 per cent. 34 Dr. Klocke (left) shows Dr. Wittenberg how to make a pressure measurement. If inroads are to be made, sophisticated diagnostic measurements are necessary. "We use inert gas technology developed by Dr. Klocke to measure the cardiac output and other related parameters,'' Dr. Wittenberg explained. "We also utilize the information to decide on appropriate pharmacologic therapy and to continuously assess its effectiveness." In an adjacent room, house staff, students, nurses, and paramedical personnel receive specialized teaching in coronary care and arrhythmias. A uniquely effective device in teaching the latter is the portable FM 10-hour tape. To improve their observation capacity, nurses need only review a tape on one of their patients to see whether they have missed something. While making more information available on arrhythmias, these tapes will also lead to an expanded teaching program in electrocardiology. THE BUFFALO MEDICAL REVIEW �Cardiologists in training - four have started in July - will learn special procedures. In turn, they will teach house staff, interns, and residents. "We cannot teach first-grade patient care," summed up Dr. Wittenberg, "without learning something ourselves.'' Following the acute phase of a heart attack it usually lasts seven days - the patient is transferred to the adjacent intermediate or convalescent unit. He is treated by the same team of professionals for the remainder of his hospitalization. Extended monitoring in this 12-bed unit allows the physician to identify problems requiring specific therapy following discharge. After leaving the hospital, the patient returns to the cardiac clinic as an outpatient to be followed by the same professional team. He may also participate in the rehabilitation program under Dr. Albert C. Rekate. An additional facility for diagnostic and related problems is the cardiac catheterization laboratory - operated in conjunction with the deA patient in the convalescent unit is examined by Dr . Wittenberg (left) and Peter Kirkpatrick, a first year medical resident. partment of radiology. Trained and experienced in the difficult procedure of catheritization are Drs. Joseph A. Zizzi and Herman L. Falsetti. By threading a catheter into the patient's heart, they learn what is going on and are better able to evaluate the patient for surgery. Coronary arteriograms - injecting dye into the small vessels leading to the heart - reveal how well the heart contracts, and ventricular angiograms - injecting dye into the contracting ventricle - reveals the presence of coronary atherosclerosis. ''Our highly sophisticated approach to coronary care," Dr. Falsetti pointed out, "can only be manned by a limited number willing to go into it in depth. '' Said Dr. Klocke: "we want to bring to the patient more of the research procedures that have been developed by ourselves and others." Dr. Falsetti is continuing collaborative studies with Drs. David G. Greene and Ivan L. Bunnell (Buffalo General) on contractility - how the heart works as a pump. Its efficiency and effectiveness cannot presently be measured. He is applying what has been learned in animals to man. In a study with Endocrinology, he wants to find out why patients develop coronary atherosclerosis and how to correct its risk factors. Dr. Zizzi, on the other hand, wants to determine exactly what happens in the disease process of patients in shock. ''I want to evaluate patients from a functional point of view before and after heart surgery and how we have helped them,'' he said. Dr. Wittenberg will concentrate on abnormal heart rhythms to understand problems resulting from intoxication with digitalis. He is also inter35 "Thi program pre sents excitingpos ibilities, Dr. Klocke said. �/ / Dr. Lio nel S ifo nt es, a Fellou.· in ca rdiology, and Dr. J oseph Zizz i (rig ht ) di sc uss a problem . ested in problems related to transthoracic shock for arrhythmia corrections, evaluating relationships between electrical instability of the heart in myocardial infarction, and abnormalities in blood flow , a very important area. Dr. Klocke's research centers on evaluating coronary blood flow in both its total and regional distribution. He will also add to his research on a technique for measuring cardiac output and abnormalities of ventilation and perfusion. '' We are all involved in collaborative studies interdepartmental as well as interdisciplinary, " Dr. Klocke said. "We want to understand what is happening in acute coronary artery disease as well as other cardiac problems, and in examining these problems in both an experimental and a clinical setting. This facility creates a unique opportunity to do just this, to establish a critical approach to a problem, good working habits, a particular orientation toward a specific disease, and a Center for first-class training in all of the important aspects of contemporary cardiology. "D 36 FACULTY PROMOTIONS (Co ntinu ed f ro m Page 33) Promotions to Research Assistant Professor: Dr. Thomas D. Doeblin (Medicine); Dr. Martha Kreimer-Birnbaum (Medicine); Dr. Harold G. Rosamilia (Microbiology). Promotions to Clinical Associate: Dr. John L. Barrett (Medicine); Dr. Charles Bernstein (Radiology); Dr. Joel M . Bernstein (Otolaryngology); Dr. David E. Carlson (Medicine); Dr. Richard A. Carlson (Medicine); Dr. Carl Cecilia (Medicine); Dr. James M. Cole (Orthopedic Surgery) ; Dr. Ediz Z. Ezdinli (Medicine); Dr. Joseph E. Fracasso (Medicine) ; Dr. Samuel B. Galeota (Medicine) ; Dr. Allen L. Goldfarb (Medicine); Dr. James R . Kanski (Medicine); Dr. Louis B. Kramer (Medicine); Dr. Albert M. Kraus (Ophthalmology); Dr. Arthur J. Loman (Medicine); Dr. Matthew J. O 'Brien (Medicine); Dr. Frank J. Palumbo (Medicine); Dr. Joseph A. Prezio (Medicine); Dr. Alvin L. Scott (Medicine); Dr. Robert A. Smallman (Ophthalmology); Dr. Nelson Torre (Medicine); Dr. Anna Tracy (Pediatrics); Dr. Wilbur B. Zinn (Radiology). Promotion to Clinical Instructor: Dr. Joseph C. Tutton (Neurology). Promotion to Research Instructor: Dr. Nicholas J. Calvanico (Medicine).D THE BUFFALO MEDICAL REVIEW �One of three to be honored this year by the prestigious Royal College of Obstetricians and Gynecologists is a physician who has served the School of Medicine for 33 years. He is Dr. Clyde L. Randall - chairman, department of gynecology-obstetrics - who was installed as an honorary member of the Royal College in London, England. Dr. Randall personally accepted this honor at the Society ' s induction meeting July 25 where '' each year the Royal College honors those in the specialty who it deems worthy of exceptionally high praise.'' The only Buffalo physician to be so honored, he has been selfless in his service to the field of obstetrics and gynecology at the local and national levels. Dr. Randall pursued much of his medical training in Kansas, the state where he was born. After receiving his medical degree in 1931 from the University of Kansas, he completed an internship (St. Margaret's Hospital, Kansas City) and residencies in pathology and general surgery (Kansas City's St. Luke's and Childrens Mercy Hospitals). He came to Buffalo in 1932 to complete a residency in gynecology at the Buffalo General Hospital. In 1937 he joined the School of Medicine as assistant to gynecology professor James E. King. Five years later he became professor of gynecology and in 1960 was named department chairman. Since then, he has been instrumental in unifying the Ob / Gyn activities into a well-functioning university department. Head of the obstetrics / gynecology department at both the Buffalo General and Meyer Hospitals (Children 's 1960-66), he is on the honorary staff at numerous area hospitals. FALL, 1969 Certified in 1939 by the American Board of Obstetrics and Gynecology the 64-year old physician has served as examiner (1950-60), director in 1960, and as secretary-treasurer since 1964. He has also served on both the state and national Board of Medical Examiners and the Residency Review Committee for Obstetrics / Gynecology since 1957. Active in the Planned Parenthood Center of Buffalo, he served as its medical director (1945-57) and has chaired its medical advisory board since 1957. He has been president of numerous medical societies: American Association of ObstetricsGynecologists in 1964 (coveted honor for a gynecologist); Buffalo Academy of Medicine in 1956; Buffalo Obstetrical-Gynecological Society in 1950; American Gynecological Club this year ; and the Society of Pelvic Surgeons in 1967. He is a Fellow of the American College of Ob stetricians-Gynecologists (chairman of its Committee on Professional Standards ); th e American College of Surgeons; and the Society of Obstetricians-Gynecologists of Canada. Among his numerous memberships are the American Gynecological Society; Association of Professors of Gynecology-Obstetrics; ObstetricalGynecological Travel Club, and the Central Association of Obstetricians and Gynecologists. He has published chapters in 11 texts and over 70 medical periodicals, and for five years (195963) was associate editor of OBSTETRICS AND GYNECOLOGY. O 37 Dr. Randall Honored D r. Ra nda ll �From the desk of Sidney A nthone, M.D., '50 President, Medical Alumni Association THE MEDICAL ALUMNI ASSOCIATION of the State University of New York at Buffalo has once again completed a very active and fruitful year. The 1968-1969 season was culminated with another very successful Spring Clinical Days Program held in March. Because of the uncertainty of the availability of the campus for this past year's program, the Spring Clinical Days Program was once again returned to the Hotel Statler Hilton. All those who attended the program were very pleased with this move, and it is now planned to have next year's program at the Hotel Statler Hilton. The Spring Clinical Days Program brought together many experts, who discussed very current problems beneficial to all present. At the Stockton Kimball Luncheon we learned that Doctor Bernhardt Gottlieb, 1921 graduate from the State University of New York at Buffalo, School of Medicine, and a prominent Medical Alumnus had established a $75,000 endowment fund to support the library of the Department of Psychiatry in the Medical School. We are very proud of our fellow alumnus and thank him for his very special gift to our school. Also, at this luncheon, Doctor H. Paul Longstreth presented to Doctor David K. Miller a special plaque in recognition of his contributions as outstanding teacher, scholar, and clinician. I am sure all of us who have had the opportunity of having Doctor Miller as our teacher will agree that he certainly does deserve this special recognition. 38 Another one of our very prominent Medical Alumni was honored at the recent Alumni Association 20th Annual Installation and Award Banquet. Doctor Walter Scott Walls received the 20th presentation of the Samuel P. Capen Alumni Award in honor of Doctor Walls' notable and meritorious contributions to his university and its alumni family. A new year has come upon us and the Medical Alumni Association has many challenges to meet. It is the desire of the president to have the Medical Alumni Association play a more active role in solving the problems that face the Medical School in its relations to the community and to the University as a whole. It is more important than ever for the Medical Alumni to be active participants in the formulation of new ideas and new directions for our Medical School. Our new Medical School dean, Doctor LeRoy Pesch, has asserted many times his desire to have the Medical alumni work with him and have frequent exchange of ideas. To prove that this was not idle chatter the dean has established a liaison committee made up of members of the Executive Committee of the Medical Alumni Association to meet with him at periodic intervals. Several of these meetings have already taken place. The discourse has been most fruitful to the Alumni Executive Committee, and has affirmed our belief that the Medical Alumni can play an active role. The new dean has also established an office of Medical Alumni Affairs in the Medical School. He has appointed Mr. David Krajewski as full-time direcTHE BUFFALO MEDICAl REVIEW �tor of this office. This will certainly make for a more intimate role of the Medical Alumni in the Medical School affairs. Under the direction of our new dean, a new spirit in the Medical School appears to be developing. The dean feels the importance of health care and its delivery to the community and the responsibility of the Medical School in helping to solve the existing health problems. He is interested in involving all Medical facilities in the community, rather than establishing a University teaching hospital distant from the core of the community where these health problems exist. The Medical Alumni, especially those who are closest to serving the community needs, can play a valuable part in advising and participating in the role the Medical School must play in community health. It is also important that the Medical Alumni see that the Medical School stays strong and continues the major role that it has always played in the Western New Yark area. The Governing Board of the Medical Alumni Association already has let its voice be heard following recent events at the University regarding the student demonstrations and especially their action in destroying parts of the physical set-up of the Project Themis, a project being carried out by the Department of Physiology at the Medical School. The Governing Board felt that it was important that an open campus and academic freedom prevail at the Medical School. With this in mind, the Governing Board unanimously approved a resolution already passed by the Executive FALL, 1969 Committ~e of the Medical School ''deploring the d.estructwn of University property, urging immediate legal and disciplinary action, and endorsing the importance of Project Themis. '' This resolution was sent to President Meyerson. Since the Medical School has become part of the vast State University system, the geographic distribution of the Medical alumni has changed considerably. No longer, as in the past, are the majority of graduates of the Medical School from the Western New York area. The more recent graduates are predominently from outside the Western New York area, with a considerable percentage being from downstate New York. There is also a large group of Medical alumni who have moved to the West Coast area. It is for this reason that the Executive Committee of the Med1 cal Alumni Association feels that there must be set up other chapters of the Buffalo Medical Alumni Association around the country. It is our aim this year to establish a chapter in the New York City area and then in the Pacific Coast area. It is hoped that the downstate chapter will be functioning by the spring of this coming year. Any alumnus who would care to actively participate in the formation of these chapters can contact Dr. Milford Maloney, the chairman of the committee for establishing new chapters. In conclusion, I feel that it is very important that all Medical Alumni join the Medical Association and participate in the new spirit and direction of the School of Medicine.D 39 �Glomerular Dis ase GLoMERULAR DISEASES are an important cause of death. A group of investigators hope to discover something about its causes. Meeting at weekly pathology conferences at the Buffalo General Hospital, they are classifying the structural findings of its various forms, correlating this data, and amassing a file of its natural history. The cause of certain glomerular disease is 40 still unknown. Some may not yet have been recognized. In most cases however the glomerular disease appears to be caused by some type of allergic mechanism. What triggers this mechanism in most cases is yet to be uncovered. In poststreptoccal glomerulonephritis, a streptoccal product combines with an antibody in the bloodstream to form antigen antibody complexes. These complexes are deposited in glomeruli where they produce a disease - usually shortlived- from which the patient almost always recovers. Most forms of chronic glomerular disease are not related to the streptoccocus. But many appear to be due to antigen antibody complexes deposited from the circulation. Through the technique of immunofluorescence, it is hoped to identify specific antibodies or antigens. The investigators - who examine histologic, electron microscopic and immunofluorescence evidence are: Dr. James C. Brennan (professor of pathology and director of pathology at Buffalo General Hospital) who is particularly interested in renal disease; Dr. Robert T. McCluskey (pathology chairman) who is interested in the immunologic aspects of renal disease; Dr. Mitchell I. Rubin (professor of pediatrics) and Dr. Oscar R. Oberkircher (assistant research instructor in pediatrics) who are both interested in the diagnosis, natural history, and treatment of renal disease; Dr. Felix Milgram (microbiology chairman) and Dr. John Klassen (assistant research professor of microbiology) who are both studying aspects of immunologic disease in general as well as in transplants; Dr. Bahram Pars a (instructor in pathology) who studies electron microscopic evidence, and Mrs. Marion Sepulveda (technician) who presents the immunofluorescent findings.D THE BUFFALO MEDICAL REVIEW �Eighty-two freshman, sophomore, and junior medical students are spending the summer on clinical, research or general practice fellowships. While the majority are working in area hospitals and laboratories, 12 are located in other cities, and 12 have selected foreign countries. The recipients of the $600 summer fellowships, together with faculty sponsors selected by them, proposed the fellowship programs. Support on a competitive basis from available funds RESEARCH Local Project was allocated by the six-member fellowship committee (one half representing the basic sciences, and the remaining three - clinical). ''These fellowships,'' pointed out committee chairman Frank C. Kallen, ''afford the students a learning experience that may otherwise not have been possible. Six students are working in general practice, an area not presently covered in the Medical School curriculum. Others are involved in research or clinical areas in which they have not previously been exposed.'' Student Summer Fellowships Site, Faculty Kinetics of lymphocytes in rat kidney homografts ........................................ Roswell Park-Dr. Slaunwhite and Batt, Michael G. '71 Buffalo General-Dr. R. Anthone M easuremen;t of. cardiac OU;tput _using inert gases ........................................ Physiology, SUNY AB-Dr. Farhi Bloom, David '71 Electrophyswlogtcal analysz of mfluence of amygdala Carr, Neil D. '71 on septal nuclei in rat ·:················································································Neurosensory Lab, SUNYAB-Drs. Kant, Noell Drug induced blood dyscrastas ......................................................................... Buffalo General-Dr Stein Clemens, Mary E. '70 Phenobarbital in perinatal period .................................................................... Childrens-Dr. Yaffe Daimler, John C. '71 Pathogenesis of immunological tolerance to protein antigensFleigel, Jeffrey D. '71 adult guinea pigs, mice ................................................................................ Pathology, SUNYAB-Dr. Cohen Unidirectional sodium fluxes in necturus proximal tubule ........................ Buffalo General-Dr. Hare Frankfort, Ian '72 Nucleic acid metabolism in rats and mouse cells ........................................ Buffalo General-Dr. Stein Kam, Linda A. '72 Radiologic study of skull .................................................................................... Meyer-Dr. Leslie Kas irer, Marilyn '70 Kotrady, Konrad P. '72 Biochemical study of F~bry's disease ............................................................ Biochemi try, SUNY AB-Dr. Klingman Lundgren, George E. '72 Health profile patterns zn telephone workers ................................................ Bell Telephone Medical Center Aging of neurons in human inferior olive .................................................... Pathology, SUNY AB-Dr. Brody Miller, Merrill L. '72 Ultrastructure of parenchymal liver cell of salamander ............................ Buffalo General-Dr . Nolan Brennan Mintzer, Ira '72 Piazza, Kenneth M. '71 Fluorometric studies of 0-methylation in dimethoxyphenylethylamine .... Pharmacology, SUNY AB-D'r. Kauffman Role of adrenal glands in hypersplenic rats ................................................ Anatomy, SUNY AB-Dr. Glomski Porretta, Jerome C. '72 Pharmacokinetic aspects of intestinal absorption, metabolism Rider, John A. '70 of corticosteroids ............................................................................................ Children's-Dr. Aceto Role of growth hormone in renal response to unilateral nephrecRo s, Jeffrey '70 tomy in hypohysectomized rats ................................................................ V eterans-Dr. Goldman Phenobarbital in perinatal period .................................................................... Children's-Dr. Yaffe Row ley, Richard '71 Schlesinger, Stephen '70 Growth hormone secretion in children ............................................................ Children's-Dr. MacGillivray Effect of testosterone and estrogen on prostatic microsomal Schiller, Stanton '72 ATPose activity (rat) .................................................................................. Veterans-Dr. Farn worth Indicator-dilution measurement of cardiac output in low flow states ........ Meyer-Dr. F. Klocke mith, Craig R. '72 Effec~ of zaroxol~n on isolated, bloodless pe:fused canine kidney ............ Ro well Park-Dr. Murphy Smolev, James K. '70 Bzndzng properttes of colostral secretory pzece ............................................ Buffalo General-Dr. Toma i Twarog, Franci J. '71 Genetic (heredity) aspects. of autoimmune thyroiditis ................................ Microbiology, SUNY AB-Dr. Kite Vogel, Stephen N. '71 Weinstein, Harold J. '72 Adsorption studzes of carmtme ......................................................................... Meyer-Dr. Border FALL, 1969 41 �National Levy , Jonathan . '70 Littman, Bruce H. '70 Lubow, Lawrence D. '71 Manno, J o eph A. '72 Milgrom, Henry '71 S y nthe is of benz ene from L -amino-phenylboronic acid ............................ San Franci co Medical Center, Calif. lmmuno ·uppres ion. histocompatibility . compatibility testing .................... U. of Wisconsin Medical School Forensic and statistical pathology .................................................................... Office of Chief Medical Examiner, NYC Molecular genetic ................................................................................................ College of Physicians and Surg-eons, NYC Ultrastru cture of cell making antibody in secondary respon e ................Scripp Clinic & Research Foundation, LaJolla, Calif. Foreign Ro sman, David J. '70 Sackler, Richard S. '71 Resipratory h y persensitivity cau ed by inhalation of organic antigens ............................................................................................................ Institute of Diseases of Chest, London, England Structure of active site of pepsin ...................................................................... King's College Ho pital, London, England CLINICAL Local Balistreri, William F. '70 Blum, Ronald H . '70 Bordan, Denni L. '70 Br nder, Elliott '70 itron, Peter L . '70 opley, Donald P. '70 Dillon, William P. '70 Dratch, Julie '70 N eonatology ............................................................................................................ Children's-Dr. Cortner Renal disease and renal vascular hy pertension ............................................ Meyer-Dr. Tannenberg Pediatric surgery .................................................................................................. Children' -Drs. Jewett, Allen Cardiova cular surgery ........................................................................................ Veterans-Dr. Gage Gastroenterology and liver disease .................................................................... Meyer-Dr. Katz ; Buffalo General-Dr. Nolan Cardiology ................................................................................................................ Buffalo General-Dr. Nolan Ob tetric and gynecology .................................................................................. 277 Linwood Avenue--Dr. Carpraro R enal function studies on children with recurrent urinary tract infections ................................................................................................... ....... Children's-Dr . Rubin, Steinhart Dratch, Theodore '70 Renal ammonia production in gouty patients .......................................................................................... Buffalo General-Dr. Elwood DuBoi , Denni P. '70 Gastroenterology and liver disease .................................................................... Meyer-Dr. Katz; Buffalo General-Dr. Nolan Fingeret, Arnold '70 Endocrinology .......................................................................................................... Children' -Dr. Aceto Forden, Roger A. '70 Hematology .............................................................................................................. Veterans-Dr. Fisher Goldman, Richard . '72 N eurology ................................................................................................................ Millard Fillmore--Dr. Kinkel Hajek, Theodore J. '70 Hematology .............................................................................................................. Children's-Dr. MacDougall Lawley, Thomas J. '72 Steroid use in high risk pregnancie . clinical application ..................... .4647 Main Street-Dr. Beltrami Litvak, Baris I. '70 Pediatric .................................................................................................................. Children' -Dr. Cortner Marcus, Donald H. '71 Cardiology ................................................................................................................ Meyer-Dr. Zizzi Moshman, u an '70 Pediatrics private practice ... ..................................... ............................................ Drs. Ei enberg, Markello, Mattmore, Webster Moyce, Paul R. '70 Radiologic technique ............................................................................................ Deacone s-Dr. Seibel 0 trow, Lawrence D. '71 Cardiology ................................................................................................................ Meyer-Dr. Zizzi Paull, Joel H. Plastic and reconstructive surgery .................................................................... Variou ho pitals-Dr. Shatkin Rabiner, Herbert '70 Otologic microsurgery .......................................................................................... 897 Delaware Avenue--Dr. Ginsberg altzman, Martin J. '71 Clinical oncology , especially cancer chemotherapy ..................................... . Roswell Park-Dr. Band ecri t, John G. '70 Cardiovascular di eases ........................................................................................ Buffalo General-Dr. Constant enzer, Neil N. '71 Silversmith, Peter E. '70 zekeres, Agne V. '70 Golden ~~JtTz:~f~~t~~~~~~~~-~~· • • ·• •·• • • • • • • • • • •·• • • • • • • • • •·· ·••••••••••••••••.•. ~rY£ ~t~~i. 42 THE BUFFALO MEDICAL REVIEW �National Finley, Allen J . '70 Gewirtz, Henry '71 Marder, Stephen R . '71 Evaluation of pediatric~ clinical teaching. health care_ delivery ................San Francisco General Ho pital, Calif. Health care problen:s zn a d_epressed rural. commumty ............................ Beaufort County, South Carolina Organizing communzty psychzatry program zn an O.E.O. neighborhood health center ........................................................................ East Palo Alto, Calif. Niemtzow, Ellen '70 Schreiber, Lawrence '72 Sehayik, Sami Weinstein, Steven F . '70 g~,~;t,~z~~t~ ::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::fJ~ue~nJ~~~grtJ i>~~~ 2:~;:;: ~~~!~~~l~Nvc 1 Pediatric cardiology .............................................................................................. New York Univer ity School of Medicin~ NYC Pediatric psychiatry ········--·············-·······--·······-·····················-··-·----····-··················New York Psychiatric Institute, NYC ' Foreign Craig, Seth C. III '70 David on, Sanford '71 Eckhert, Nancy L. '70 Gale, Robert P. '70 Gould, Sigmund '71 Greenberg, Harvey '71 Handler, Mark S. '71 Pine, Jeffrey R. '70 Seigel, Arthur M. '70 Twal, Shafic '70 Tropical f!nd infec~io_us diseas_e~ ........................................................................ Hopi_t~l _de Clini~as, A_ uncion, Paraguay Jntrf!du~twn to clzr~:zcal med_zczne ·· ······· ··· ····-·· ··-··-·-·-··---·············· ··-· ·--------······· Me~Iz~msche l:Jmv. Klmic, Bonn, Germany Pedzatrzcs and famzly p?annzng ····:····-·······:······---·····-····------·--··············-·-----·---· C~~1st~an MediCal College, Vellore, India Delivery of health care zn developzng natzon ·························------··----·-·······-·SinraJ Hospital, Bangkok, Thailand 'l 'heoretzcal znstructwn, practical serological work -·-··-·······-···-··-············-······················--·--·-·············Central Laboratory & Blood Transfu ion Center, Amsterdam, Netherlands ?opulatwn genetics --························-······-····-········--·-·--·-·-·------·-··-·--·-··············--················· Central Laboratory & Blood Transfusion Center, Amsterdam, Netherlands Hematology principles ····:··-·····--·-············--·-····-····-·-··-····-··-···-·········-·----·-·············Ho pital Cantonal, Geneva, Switzerland Tropical and infectious dzseases ·····-·······--·-····-·-····--·--·-·---·---·····-····-·--·-··-·--·-·····Hopital de Clinicas, A ·uncion, Paraguay lf;,~r/(;0Vra~t·f~-~--·::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::::~~~~b:~ ~~~~!~te of Neurtlogy, London, England GENERAL PRACTICE Dr. Baker,James M. '70 Dr. Purow, Elias '71 Dr. Sapin, Neil J. '71 Dr. Schaffer, Daniel J. Thorn on, Brendan D. '70 Dr. Dr. Whited, Henry L. '70 FALL, 1969 Herbert Joyce and a sociates, 3435 Bailey Avenue Robert Corretore, 350 Alberta Drive, Tonawanda Frank Evans, 1453 Jefferson Avenue Harry Metcalf, 3435 Bailey Avenue Max Cheolove, 142 Bidwell Parkway Herbert E. Joyce, 3435 Bailey Avenue 43 �Continuing Medical Education Dr. Harry Alvis, associate dean for continuing medical education, has six programs scheduled for fall. They are: Trends in Internal Medicine: September 25-27; The Use of Computers in Clinical Medicine: October 2-5; Obstetrics and Gynecology for the Family Physician: October 7 and 8; Chronic Obstructive Lung Disease: October 9-11; Birth Defects: October 16 and 17; Contemporary Therapy, for Psychiatrists: November 8. There will also be a series of two-way telenhone conference programs with hospitals, operated by the Regional Medical Program of Western New York. They are: A weekly series of general interest for all physicians, presented Tuesday mornings beginning September 16. The once-amonth City-Wide Obstetrics and Gynecology Conference meeting at 9:00 A.M. usually on the first Wednesday. The once-a-month Pediatrics Conference from Children's Hospital presented at 10:00 A.M. the second Friday. The once-a-month series on trauma presented on the fourth Thursday at 10:30 A.M. Dr. Samuel Sanes, M'30, professor of pathology (left) and Dr. Ernest Witebsky, distinguished professor of microbiology, recfice plaques honoring their accompli lzments from the Buffalo Academy of Medicine. Making the presentation is Dr. H. Paul Longstreth, M'45, immediate past president of the academy. DR. ALLEN A fifth series in the field of cardiology, currently in process of development. 0 Dr. Robert E. Jordon, M'65, has been awarded a $1,000 check for outstanding performance in the Mayo Graduate School of Medicine. He is a resident in dermatology, and one of five out of 700 to be honored. He is the son of 1930 Medical School graduate, Dr. James W. Jordon. O (Continued from Page 29) and especially the warm support and potential collaboration with both microbiology and pediatrics faculty will make this possible. Concomitant with this appointment will be an expansion in infectious disease research activities of a number of faculty members. Dr. and Mrs. Allen have three children: David age 12, Timothy age 10, and Christopher age 5.0 44 THE BUFFALO MEDICAL REVIEW �The new treasurer of the Western New York Psychoanalytic Society is Dr. S. Mouchly Small, professor and chairman of the psychiatry department. The society is composed of analysts from Buffalo, Syracuse, Rochester, and Albany.O Dr. David K. Miller, professor of medicine, received an honorary Doctor of Science degree from Illinois Wesleyan University June 8 in Bloomington, Ill. Dr. Miller received his Bachelor of Science degree from Wesleyan in 1925.0 Dr. Jerald P. Kuhn, M'62, has been named assistant attending physician on the radiology staff of Children's Hospital. He is also an assistant professor of radiology at the Medical School. Dr. Kuhn served his pediatric internship and residency at Buffalo General and Children's Hospitals and his radiology residency at Peter Bent Brigham Hospital, Boston, and the University of Vermont Hospitals. He has been an instructor in radiology at Johns Hopkins University School of Medicine and associate in pediatric radiology at the Children's Medical and Surgical Center there. 0 Dr. Frederick Reichel, M'57, of New York City is among six United States physicians whose comments on anticoagulant therapy for stroke appeared in the May 19th issue of Modern Medicine.O President Martin Meyerson was awarded an honorary Doctor of Laws Degree at Alfred University June 8.0 FALL, 1969 Three alumni are new officers in the Medical Historical Society of Western New York. They are: Drs. Paul Fernbach, M'39, president; James W. Brennan, M'38, secretary; and Irving Wolfson, M'30, corresponding secretary. Dr. Robin Bannerman was elected vice president, and Dr. David Dean, treasurer. 0 Dr. Maimon Cohen, associate professor of pediatrics and microbiology, has been elected president of the Kadimah School of Buffalo. Other officers of the Hebrew day school are: Dr. Sol Messinger, M' 57, one of two vice presidents; Dr. Herbert Lansky, M'49, treasurer.O Dr. Sherman G. Souther, M'67, has been commissioned a Surgeon in the United States Pubhc Health Service. On July 1 he took up his new duties as a Clinical Associate in the Clinic of Surgery in the National Heart Institute at the National Institutes of Health in Bethesda, Maryland. During the past two years Dr. Souther has been an intern and then a junior assistant resident in surgery at the Johns Hopkins Hospital, Baltimore.O Dr. Herbert E. Joyce, M'45, was re-elected presiden.t of the Regional Medical Program of Western New York. Dr. Joyce was also appointed to Governor Rockefeller's Advisory Council on Alcoholism. The Governor also reappointed Dr. Marvin A. Block, M'25, to the Alcoholism Council.O 45 People �People A 1931 Medical School graduate received the Samuel P. Capen Alumni Award May 17. He is Dr. Walter S. Walls, a Buffalo surgeon and an associate clinical professor of surgery. Dr. Walls is president-elect of the New York State Medical Society and former president of the UB General .Alumni Association. He was president of the Erie County Medical Society in 1955. The Alumni Board also presented special awards to James E. Peelle, athletic director; Kenneth Rutkowski, athlete of the year; and David M. Krajewski, assistant alumni affairs director, who has a similar position with the School of Medicine.O Dr. Robert M. Barone, M'66, a second-year surgical resident at the University of Illinois Hospital, has been commended by the Chicago Police Department for his speedy diagnosis and surgical skill in saving the life of a wounded patrolman. The patrolman, Kenneth Fowler, was brought into the hospital in March with a stab wound in the heart. Dr. Barone used open-heart massage to restart the heartbeat, then kept his finger in the wound for more than 45 minutes while a team of surgeons, internists, anesthesiologists, nurses and other personnel repaired the damaged heart. Ten days later the patrolman was discharged from the hospital in good health. Police Superintendent James B. Conlisk, Jr. said, "Dr. Barone, who courageously went into action without hesitation, is certainly a hero in our book.'' Dr. Barone is the son of a 1931 Medical School graduate, Dr. and Mrs. Michael H. Barone.O 46 Dr. Willard G. Fischer, M'36, has been reelected president of the medical staff of Deaconess Hospital. Dr. John B. Sheffer, M'47, was named vice president, and Dr. Albert E. Walter, M'29, secretary. Dr. Charles D. Bull is treasurer. 0 Dr. Joseph J. Ricotta, M'43, received the 1969 Centurian Shield Award for his ''distinguished missionary service.'' He is the founder and director of the Family Life Clinic of the Diocese of Buffalo. Dr. Ricotta spent four weeks in the Phillippine Islands last year helping to establish family planning centers at the request of the government. 0 Dr. H. Paul Longstreth, M'45, immediate past president of the Medical Alumni Association was honored by the Buffalo Academy of Medicine for his service as president the last year. 0 Dr. Pasquale A. Greco, M'41, is chairman of the Millard Fillmore Hospital soliciting committee for the hospital's $3,500,000 building and expansion fund.O Dr. James F. Holland, associate research professor of medicine at the University, is vice president of the American Association for Cancer Research. He is director of the Cancer Clinical Research Center at Roswell Park Memorial Institute, and chairman of the Acute Leukemia Group B, an international organization for research in the treatment of leukemia and related diseases.O THE BUFFALO MEDICAL REVIEW �Dr. Benton D. King, chairman of the anesthesiology department in the Medical School and Meyer Memorial Hospital, the last 12 years, has been named to a similar position in the Downstate Medical Center, Brooklyn. Dr. King will also direct the anesthesiology service at State University Hospital and Kings County Hospital Center, a Downstate affiliate. He assumed his new duties June 1.0 A 26-year-old dentist, who is a graduate student in the microbiology department of the Schools of Medicine and Dentistry, won a national award in periodontics research. He is Dr. Russell Nisengard, a 1966 Dental School graduate. He was one of two people to win the 1969 "Balint Orban Prize in Periodontics" from the American Academy of Periodontology. He was the first student at the University to ever receive this award. Dr. Nisengard will be a candidate for his Ph.D. in microbiology in 1970. Four alumni were named officers in the Heart Association of Western New York. Dr. Milford C. Maloney, M'53, is the new president; Dr. Andrew A. Gage, M'44, is the president-elect; Dr. Paul Dooley, M'37, first vice president, and Dr. Joseph A. Zizzi, M'58, secretary.D Dr. Ernest Beutner, associate professor of microbiology, and Dr. Sebastian Ciancio, assistant professor of periodontics, are Dr. Nisengard's major advisors for his research and clinical work. D Dr. John C. Kinzly, M'34, was re-elected for the 15th year as board of directors chairman of Blue Shield of Western New York, Inc. Dr. Walter S. Walls, M'31, was re-elected vice president. Two other alumni - Drs. Thomas S. Bumbalo, M'31, and George L. Collins, M'48 - were re-elected to five year terms on the board.D The annual membership drive of the 50-year Club of American Medicine is underway. Dr. Carlton E. Wertz, M'19, is the club's president. Dr. Dwight H. Murray of Napa, California is the president elect. D Two alumni, who are surgical residents at the E.J. Meyer Memorial Hospital, were winners of the annual essay contest sponsored by the Western New York Chapter of the American College of Surgeons. Dr. William Heyden, M'63, won the $300.00 first prize, and Dr. Irving Sterman, M'64, won the $100.00 third prize. Dr. Heyden's winning paper: ''Subtotal Gastric Resection: A Review of 1288 Cases. "D FALL, 1969 Dr. Victor Reinstein, M'16, won the first Service to Mankind Award from the Sertoma Club of Cheektowaga for his $100,000 contribution toward the Cheektowaga Memorial Library. D Dr. Richard Ament, M'42, has been re-elected president of the Jewish Center of Buffalo.D 47 People • Dr. Ni cngard �People Dr. Eric A. Barnard, professor of biochemistry and biochemical pharmacology, is among 270 scholars, scientists and artists chosen from 1, 977 applicants to receive Guggenheim Memorial Foundation Fellowships for research. Dr. Barnard's research project is ''Biochemical Evolution in Chymotrypsins. '' The Fellowships are awarded to ''persons of the highest capacity for scholarly and scientific research, as shown by their previous contributions to knowledge.'' 0 Two alumni, Drs. Murray Andersen, M'47, and Jack Kostecki, M'59, placed first and second respectively in the Buffalo Yacht Club's second Highlander Spring Series race on Lake Erie's Abino Bay, June 22.0 Dr. Sherman Waldman, M'57, is the new president of the Buffalo Pediatric Society. Other officers: Drs. Alan H. Reckhow, M'46, vice president; Willard W. Tornow, M'46, secretary; and Peter L. Dishek, treasurer.O Dean LeRoy A. Pesch has been named a member of the nine-man Board of Directors of the Medical Foundation of Buffalo. The Foundation, established in 1958 with a large grant from the late Mrs. Helen Rivas, is a non-profit membership corporation devoted to research in the health sciences.O 48 President Martin Meyerson received the Community Service Award of the National Association for the Advancement of Colored People June 8.0 Four Medical School alumni are officers of the Erie County Medical Society. Dr. James R. Nunn, M'55, is the new president; Dr. Charles D. Bauer, M'46, president-elect; Dr. Anthony P. Santomauro, M' 56, vice-president; Dr. Julia M. Cullen, M'49, secretary. Dr. Duane H. Dougherty was elected treasurer. 0 Five Medical School alumni were presented 50-year citations by the Erie County Medical Society. They are: Drs. M. Leon Andrzejewski, Matthew L. Carden, Henry N. Goldstein, Mesco J. Helminiak, and Henry L. Pech. Dr. Walter S. Walls, M'31, president-elect of the New York State Medical Association, made the presentations.O Eight School of Medicine faculty members retired this year. They are: Dr. Arthur Bennett, assistant professor of surgery; Dr. Franklin Farrow, assistant clinical professor of urology; Dr. Norman Graser, clinical professor of medicine; Mr. Jacob Israel, lecturer in legal medicine; Dr. Nathan Kutzman, clinical professor of medicine; Dr. Abel Levitt, clinical professor of medicine; Dr. George Martin, assistant professor of medicine; and Dr. Frederick Schnatz, clinical professor of medicine. 0 THE BUFFALO MEDICAL REVIEW �Dr. Eugene V. Leslie, M'51, was elected secretary of the American Society of Neuroradiology at the annual meeting in Cleveland. He is also president of the E.J. Meyer Memorial Hospital staff and associate director of the radiology department.D Four alumni are newly elected officers of the Buffalo Academy of Medicine. They are: Drs. Albert C. Rekate, M'40, president; Ivan L. Bunnell, M'43, president elect; Michael A. Sullivan, M'53, vice president; Charles P. Voltz, M'39, secretary-treasurer. Dr. David C. Dean, assistant professor of medicine, is the program chairman.D Dr. Robert M. Kahn, assistant clinical professor of medicine, is the new secretary of the Internal Medicine Section, New York State Medical Society.D A 1948 graduate of the School of Medicine, Colonel Robert J. Hall, has been named medical director for the Texas Heart Institute and director of research and education in the medicine service at St. Luke's Episcopal Hospital, Houston. Dr. Hall was attending cardiologist to the late President Eisenhower while chief cardiologist at the Army's Walter Reed General Hospital. He has also been a clinical associate professor of medicine at the Georgetown University School of Medicine. For two years he was a member of the physical evaluation team for the National Aeronautics and Space Administration's Project Gemini. D The chairman of the biochemistry department in the Medical School resigned to become professor of biochemistry at Florida State University, Tallahassee. Dr. Richard J. Winzler, who has been in Buffalo since 1965, will take on his new duties, teaching and research, October 1.0 Dr. tional at the Board G.H. Leak, M'40, has been elected a nadelegate to the American Cancer Society semi-annual meeting of the State Division of Directors. D ''Comprehensive Health Planning - Its Impact on Mercy Hospital and the Physician'' was the topic of Dr. Kenneth Eckhert, M'35, at the Mercy Hospital Research Symposium and Commencement. Other alumni participating were - Drs. James A. Curtin, M'50; John J. O'Brien, M'41; John D. Persse, M'42; Carrol J. Shaver, M'44; John V. Armenia, M'58; Anthony B. Constantine, M'43; Joseph M. Mattimore, M'50; and Donald J. Kelley, M'52.D Dr. Matt A. Gajewski, M'39, was elected unanimously president of the Buffalo Board of Education. Dr. Gajewski commands the 388th General Hospital in the Army Reserve. He is a Colonel and officer in charge of the Amherst Reserve Center. He is the past president of Adam Plewacki Post 799, American Legion and of the Mercy Hospital staff. He served in Alaska and Central America during World War II.D 49 FALL, 1969 People Dr. Eckh ert �Dr. Furnas is Dead Dr. Clifford C. Furnas, 68, died April 27 in Amsterdam, Holland, on the final day of a threeweek Buffalo area Chamber of Commerce tour. He headed the University as chancellor and president from 1954 to 1955 and from 1957 to his retirement on August 31, 1966. He was named assistant secretary of defense for research and development in 1955 and served in Washington, D.C. until 1957 when he returned to the University. Dr. Furnas was the ninth chancellor and the first president, following UB 's affiliation with the State University. The president-emeritus was also president of the Western New York Nuclear Center. He held doctorates in science and philosophy, English and law. Originally a chemical engineer, Dr. Furnas was executive vice president of Cornell Aeronautical Laboratory from 1946 to 1954. He was also a science writer, a member of the National Academy of Engineering and a former chairman of the U.S. Defense Science Board. He was also an active member of 12 boards of directors including the Carborundum Co. and Aerospace of Los Angeles. He was a member of the scientific advisory committee of Bell Aerosystems Corporation. As a young scientist in 1935, Dr. Furnas brashly predicted that man would land on the moon one day. In his book, "The Next Hundred Years," published that year, he forecast many of the advances in nuclear science. He wrote several other books. The physical expansion of the University under Dr. Furnas was estimated at $26.5 million (including the $8 million Health Science complex 50 and enrollment grew from 6,800 to 11,000 full time students. Dr. Furnas was a track star at Purdue University in the 1920's, specializing in the one and two-mile runs. He ran the 5,000 meter event as a member of the U.S. Olympic team in Antwerp in 1920. He won the Big Ten Conference two-mile indoor title and cross-country title and in 1922 was awarded the Big Ten Conference Medal for the best combined scholastic and athletic record. After earning a Bachelor of Science degree with honors from Purdue in 1922, he taught mathematics and coached the track team at Shattuck School in Fairbault, Minnesota. He was awarded the Doctor of Philosophy degree from the University of Michigan in 1926, and honorary doctorate of engineering from Purdue in 1946 and Michigan in 1957. He was a professional engineer, licensed in New York and Connecticut. Dr. Furnas spent five years as a research metallurgist for the U.S. Bureau of Mines before becoming associate professor of chemical engineering at Yale University in 1931. He held this post for 12 years. He served the National Defense Research Committee in the early years of World War II, coordinating a research and development program. In 1943, he joined CurtissWright in Buffalo and became director of research in guided missiles. When Curtiss-Wright closed, Dr. Furnas was instrumental in havings its laboratory donated to Cornell University. He became executive vice president and director of the converted lab. THE BUFFALO MEDICAL REVIEW �Dr. Furnas served in many scientific capacities with the federal government under Presidents Eisenhower and Kennedy. He was appointed vice chairman of the National Research Council in 1968; a member of the Committee on Science, Engineer·i ng and Regional Development of the National Academy of Sciences, and a permanent member of the House Subcommittee on Science, Research and Development's Panel on Science and Technology. UB's highest honor, the Chancellor's Medal, was bestowed on Dr. Furnas in February 1968, by his successor, President Martin Meyerson, who described him as "architect of today's university, and the first to speak and dream of the great university which has developed.'' In 1951, Dr. Furnas received the UB citation for public service; in 1952 The Buffalo Evening News outstanding citizenship award; and in 1953 the University of Michigan alumni acomplishment award. Among his many citations was the Golden Cross of the Order of Phoenix, conferred on behalf of the king of Greece in 1963. In 1964, Dr. Furnas received the title of Fellow in the American Society of Mechanical Engineers. He received many other honors and citations during his long, active professional career. University classes were suspended May 1 and more than 500 people attended a special memorial service in Clark Gymnasium May 3.0 Stephen Morris James Webber C. C. Furnas Scholarships Two Medical School students, Stephen Morris and James Webber, are recipients of the C.C. Furnas Scholarships for the 1969-70 academic year. Each will receive $1,000. Mr. Morris, fencing captain and North Atlantic champion who was on the Dean's List throughout his undergraduate days, will enter the School of Medicine this fall. He has been elected to Phi Beta Kanna. Mr. Webber, who also received the Furnas Fellowship last year, is a graduate assistant in the physiology department of the Medical School. He is a former football player. The fellowship was formally established in 1965 by the late Dr. Clifford C. Furnas, then Chancellor of the University. It is granted annually to UB graduates who are outstanding in scholarship and athletics, and is designed to encourage graduate school education. D 51 FAll, 1969 �In Memoriam Dr. Raymond S. Kibler, M'41, died June 4. He was an instructor at the Medical School since 1948, and clinical pathologist specializing in nuclear medicine at Roswell Park Memorial Institute since 1955. After completing his internship and residency at the Buffalo General Hospital, he served in the Army Medical Corps (Captain), supervising prisoner of war hospitals in Austria in World War II. Dr. Kibler, certified in pathology by the American College of Medicine, was a former president of the Great Lakes Chapter, American Society of Nuclear Medicine, and a member of Alpha Omega Alpha, a medical honor society. He was also active in several local, state, and national professional organizations. Mrs. Kibler is a 1942 graduate of the School of Medicine.O Dr. Howard J. Ludwig, M'15, a Buffalo eye specialist, died June 17. He was 75 years old. In addition to his private practice he was the attendant ophthalmologist at the Buffalo Eye & Ear Hospital and the Wettlaufer Clinic, both connected with Deaconess Hospital. Dr. Ludwig served in World War I as a lieutenant in the Army Medical Corps. After interning at Deaconess he did post graduate work in medicine of the eye in Vienna and Budapest. He had been active in several state and national professional organizations.O Dr. Frank A. Dolce, M'31, died February 14. He had been on the faculty as clinical associate 52 in dermatology since 1939. He was 62 years old. He was chief of dermatology at Sisters, Emergency, and Columbus Hospitals, and associate dermatologist at the E.J. Meyer Memorial Hospital. Dr. Dolce was active in several state and national professional organizations. 0 Dr. Ernest A. Olson, M'31, died May 27. He had practiced for 18 years in Hamburg and was on the staff of Our Lady of Victory Hospital as general practitioner and surgeon. After graduation he interned at the E.J. Meyer Memorial Hospital. Dr. Olson was a member of the Erie County Medical Association.O Dr. Clarence A. Vallee, M'37, died June 13. The 58-year-old Dr. Vallee was chief of the neurology service at the Veterans Administration Hospital of Buffalo. He had served with the VA for 21 years. Prior to 1948 Dr. Vallee was head of the women's psychiatric section at Buffalo State Hospital and had been in charge of the medicalsurgical building at Willard State Hospital near Geneva. For the past 15 years he was also an examiner for the State Department of Social Welfare Bureau of Determination. He was also a clinical instructor in psychiatry at the Medical School. Dr. Vallee was a member of the staffs of Mercy, St. Francis, and Meyer Memorial Hospitals. He was a past president of the Western New York Psychiatrists Association and a diplomat of the American Psychiatrists Association. He was also active in several local, regional, and national professional organizations. 0 THE BUFFALO MEDICAL REVIEW �_Alumni fiomecoming Octoter 31, 1969- rJovemter I, 1969 Three Big Events FRIDAY, OCTOBER 31, 1969 Fashion Show- Fillmore Room- Norton Union 8:00 P.M. Stag- Faculty Club- Harriman Library 8:00 P.M. SATURDAY, NOVEMBER 1, 1969 Homecoming Football Game U.B. -Temple -1:30 P.M. 1969 FOOTBALL SCHEDULE SEPTEMBER • 13-at Ball State 20-XAVIER 27-at Massa hu etts OCTOBER TUNK- Faculty Club (Following Game) SATURDAY EVENING Homecoming Dance 9:00 P.M. Goodyear Hall 4-KENT STATE 11-DAYTON 18-at Holy Cross 25-VIRGINIA TECH NOVEMBER 1-TEMPLE (H.C.) 8-at Boston College 22-at Villanova The General Alumn i Board Executive Committee- M. RoBERT KoREN, '44, President; RoBERT E. LIPP, '51, President-elect; HERMAN CoTTEN, '41, Vice-President for Development; MRs . EsTHER K. EvERETT, '52, Vice-President for Associations and Clubs; EDMOND GICEWICZ, '56, Vice-President for Administration; JEROME A . CoNNOLLY, '63, Vice-President for Activities and Athletics; JoHN J. STARR, JR., '50, VicePresident for Public Relations; CHARLES J. WILSON, JR., '57, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President. Annual Participating Fund for Med ical Education Executive Board for 1969-70- DRs. MAx CHEPLOVE, M'26, President; HARRY G. LAFORGE, M'34, First Vice-President; MARVIN L. BLOOM, M'43, Second VicePresident; DoNALD HALL, M'41, Secretary-Treasurer; JoHN J. O 'BRIEN, M'41, Immediate Past-President. THE BUFFALO MEDICAL REVIEW FALL, 1969 �THE BUFFALO MEDICAL REVIEW TATE UNIVER ITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, EW YORK 14214 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Riggs Regional Medical Program Medical Alumni Director Project Themis Dr. Cudkowicz Appointed Anthesiology Paraguay Honors Meyer Hospital Senior Class Day Drug Survey Medical Education Renal Disease Tissue Typing Lab Influenza Virus Orthopedic Practice New Medical Chief The Dean's First Year APFME Praised Infectious Disease Head Ophthalmology Fellowship Residency Diplomas Faculty Promotions Cardiac Program Dr. Randall Honored Medical Alumni Association Glomerular Diseases Student Summer Fellowships Continuing Medical Education People Dr. Furnas is Dead Scholarships In Memoriam Homecoming Weekend Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-09-14 Is Part Of A related resource in which the described resource is physically or logically included. 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You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/f8ff249f42ea6ebd456ca3c59c36883d.pdf d7b1fec7538714899a215f1099edca99 PDF Text Text �The Cover: Spring Clinical Days, biggest event of the Medical Alumni Association, is featured on our cover on pages 21-25. The pictures were taken by Hugo Unger and the cover was designed by Richard Macakanja. Summer, 1969- Volume 3, Number2, published quarterly Spring, Summer, Fall, Winter-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1969 by the Buffalo Medical Review. This magazine sponsored in part by the Annual Participating Fund for Medical Education. THE BuFFALO MEDICAL REVIEW, �Volume 3, Number 2 SUMMER, 1969 EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY Dean, School of Medicine DR. LEROY A. THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo PESCH Photography HUGO H. UNGER IN THIS ISSUE Medical Illustrator J. DIEDRICK MELFORD Graphic Artist RICHARD MACAKANJA Secretary fLORENCE MEYER CONSULTANTS President, Medical Alumni Association 2 3 6 8 10 11 DR. SIDNEY ANTHONE President, Alumni Participating Fund for Medical Education DR . MAX CHEPLOVE Provost, Faculty of Health Sciences DR. DOUGLAS M. SURGENOR Associate Dean for Continuing Medical Education DR . HARRY J. ALVIS Director, Continuing Education in the Health Sciences DR . MARVIN l. BLOOM Director of Public Information CHARLES H. DICK Director of Alumni Affairs THEODORE J. SIEKMAN Associate Director of University Publications THEODORE V. PALERMO Vice President for Univers ity Relations DR. A. WESTLEY RowLAND President, University Foundation DR. RoBERT D. 16 18 19 20 21 26 27 28 LoKEN 34 35 36 37 38 43 45 Medical Alumni Officers Combining Both Worlds Intern Matching Libraries Linked by Computer Regional Medical Grant An Internship as an Education, by Sherman G. Souther, M.D. Radiological Fellowship New Associate Dean Think and Challenge APFME Scholarship Spring Clinical Days Dr. Gottlieb Gives $75,000 Medical Education Medical Education in Turkey, by William J. Staubitz, MD Teaching Innovations What's New in Research Student Speaks to Immunization Group Physiological Adaptations People In Memoriam Alumni Tour �Medical Alumni Officers A 1950 graduate of the School of Medicine is the new president of the Medical Alumni Association. He is Dr. Sidney Anthone, assistant clinical professor of surgery at the University. He is also on the staffs of the Buffalo General, Children's, and Veterans Administration Hospitals. Dr. Anthane succeeds Dr. H. Paul Longstreth. Dr. Anthone is active in several local, regional, state and national medical associations. He did his undergraduate work at Harvard College where he was graduated Cum Laude in 1946. He served two years in the armed forces during World War II. Dr. Anthone and his wife have four children.D 2 Dr. Roland Anthone, assistant clinical professor of surgery at the University, is the new vice president. He is a 1950 graduate of the School of Medicine. Dr. Anthone is also on the staffs of the Buffalo General, Children's, and Veterans Administration Hospitals. He did his undergraduate work at Harvard College and his residency at the Buffalo General Hospital and Roswell Park Memorial Institute. Dr. Anthone served 20 months in the armed forces during World War II. He and his wife have three children. He has published some 20 articles for professional journals and is active in several local, state, and national medical associations. 0 A 1954 Medical School graduate is the new secretarytreasurer. He is Dr. Louis C. Cloutier, a general surgeon. He is president of the Emergency Hospital staff and presidentelect of the Sisters of Charity Hospital staff. Dr. Cloutier received his bachelor's degree from Canisius College in 1950. After receiving his medical degree he took his internship and residency in general surgery at Sisters of Charity and Emergency Hospitals. Currently he is co-ordinator of the surgeryresidency program at Sisters Hospital. He is a member of the Buffalo Surgical Association, a Fellow of the American College of Surgeons, and a Diplomate of the American Board of Surgeons. Dr. Cloutier and his wife have five children.D THE BUFFALO MEDICAL REVIEW �physician, botanist, zoologist, physiologist, biophysicist - spoke on a highly controversial subject. The large faculty/student audience was spellbound as he discussed some of his experiments on the problems of osmosis and imbibitions which argued against classical concepts. Dr. Per F. Scholander of the Scripps Institution on Oceanography visited Dr. Hermann Rahn, department of physiology chairman, with whom he shares many research interests. In typical "Scholander fashion" the two men combined the best of both worlds - travel and research. "We worked together on the Great Barrier Reef of Australia," recalled Dr. Rahn, "and we almost died together.'' Camped on an island located in the northernmost point -of Australia, the giant sea turtle lived on the other side of the span. To reach the 200 pound turtle meant navigating the surf a treacherous voyage at best - and negotiating the span with a 'land crab from Buffalo.' ''I was assured by 'Pete' that it was very easy. And we did make it. And I did succeed in turning over all 200 pounds onto its back. But how to get it into the small dinghy? Only he could have persuaded me to hang onto it in the bow of the eight-foot dinghy while he manipulated an outboard motor at the stern. I never did manage to AN UNUSUAL MAN - For Dr. Scholander (right), any place is appropriate to apply his theory on measuring negative water pressure of soil. Dr. Rahn listens intently. Photographs by Fritz Goro, LIFE Magaz ine SUMMER, 1969 3 Combining Both Worlds �pull it on board. I was left hanging over the bow with a struggling 200-pound turtle in my arms while Pete tried to run the surf. How we made it I will never know.'' The small boat was so unbalanced that they missed the channel, and lost their way back to the campsite. Again an optimistic reassurance from Dr. Scholander that it was nothing. "We are just going to have to find something to eat here.'' Off in different directions went the two very hungry and very thirsty men. Two hours later they met and ''Pete had located one little clam.'' By nightfall, with the tide heading in the right direction, they found their way back to camp. "We found the rest of our party drinking beer and celebrating our recent demise.'' In the close kinship of a shared adventure, both men laughed, and then were silent. The Alpha Helix - the first floating physiological laboratory to voyage to many remote parts of the world - originated with Dr. Scholander. Its latest voyage - a six-month expedition into the Arctic and Northwestern waters-involved over 75 scientists of diverse backgrounds. Their mission - to trigger interest in those who have never concerned themselves with the process of aging in the Pacific salmon and the unique antifreeze mechanism of Arctic fish. Last March, Dr. Scholander joined a Navy icebreaker in the Berring Straits to prepare a path for the Alpha Helix. He spent four months on the ice studying the unique process of antifreeze in Arctic fish. They defy the fate of the others in their family who freeze and die when they reach the surface of the water and touch ice. 4 At base camp in Brittsh Columbia, Dr. Rahn measures a salm on's swim bladder volume. THE BUFFALO MEDICAL REVIEW �Blood freezes at -1 °C and the water temperature, in the bottom of the Arctic Ocean at 100 meters deep, is almost -2°C. But the Arctic fish can ''supercool,'' that is, reach the freezing point without forming ice crystals. Living in shallow water and going along the ice, the "antifreeze" may vary from specie to specie. It may be sodium chloride in some, organic compound in others. Another strange and striking feature noted is that some species have achieved a double protection through the development of a protein fraction to prevent ice crystals from spreading. Running the shore camp as well on this portion of the expedition was Dr. Walter Garey, a former Buffalo physiology faculty member. Dr. Barbara Howell, associate professor in physiology, joined the group in Kodiak, and Drs. Rahn and Charles V. Paganelli, Jr., associate professor in physiology, in British Columbia, to study atherosclerosis in the '' steelhead.'' Atherosclerosis, a reversible process in the steelhead, is not reversible in the Pacific salmon who dies after spawning. Salmon, who live in the ocean, have high concentrations of cholesterol in the bloodstream (five to ten times higher than humans can tolerate). As the fish enters fresh water to spawn, the pituitary gland changes - growing to more than twice its normal size. The gland then triggers a metabolic speedup that burns away practically all of the fat in the salmon's body. The production of a hormone, causing calcium to dissolve out of the salmon's bones, results in the two-week process of aging which takes 20-40 years in man. With pituitary gland changes and loss of bone calcium paralleling man, the salmon then is an SUMMER, 1969 ''ideal laboratory tool'' to seek clues into the process of aging and to gain new knowledge of atherosclerosis. The success of the expedition will lead to the continuing study of what triggers this quick deterioration- perhaps hormonally - which follows spawning. Dr. Rahn serves on the National Board governing the Alpha Helix's operations. Its next expedition is New Guinea. When asked if the future of man is in the sea or in outer space, Dr. Scholander responded, "it should be a joint venture, but the sea is more immediate and accessible to mankind.' '0 As Dr. Rahn (left ), ex plains a point to " Per", Dr. Walt er Garey trots off to his assignment. �National Intern Matcbing Program ''We added a couple of outstanding hospitals -Los Angeles County Harbor and San Francisco Mt. Zion-this time." That is what Dr. Harold Brody told the 97 seniors on intern matching day. ''This happened because our previous graduates have opened doors for you with their very successful internships. It is now up to you to do a better job so future graduates will have other doors open to them.'' Of the class 78 will join medical school affiliated hospitals; 68 in major teaching hospitals. More than half of the class-62-will intern in New York State, with Buffalo receiving the largest number-40. Both the combined medicine program (Buffalo General and Meyer Hospitals) and the pediatrics program (Children's Hospital) were filled. Other local hospitals: 8-Children's, 5-Millard Fillmore, 6-Deaconess, 3-Meyer, and 1-Buffalo General. The second largest number-15-will go to California, with 7 assigned to Pennsylvania, 2 each to Connecticut and Ohio, and one each in eight other states. The types of internships obtained: Medicine19 straight and 17 rotating; Surgery-9 straight and 12 rotating; Pediatrics-11 straight and 1 rotating, and the remainder in other rotating programs. This was Dr. Brody's last and favorite assignment as acting assistant dean for student affairs. He resigned in January to devote full time to teaching anatomy. 6 Kaiser Foundation Oakland California, Rotating ' ' JACK ALMELEH, Hahnemann Division Philadelphia General Hospital, Rotating ' DAVID H. AMLER, Bellevue- New York University Straight Pediatrics ' DAVID B. ARKIN, Denver General Hospital, Rotating Surgery DAVID H. ATKIN, North Shore Memorial Hospital New York, Straight Medicine ' DENNIS BAREK, Bronx Municipal Hospital Center New York, Straight Surgery ' ALAN .. H. BLANK, Veterans Administration Hospital, Los Angeles, Straight Medicine ALBERTA A. BORGESE, Millard Fillmore Hospital Buffalo Rotating Medicine , ' SOGBA I<;. B?SU, Children's Hospital, Buffalo, Straight Pedzatncs JOEL B. BOWERS, Buffalo General- Meyer Memorial Hospitals Straight Medicine JERROLD D. CANTOR, qe_orgetown. University Program, D.C. General HospLtal, StraLght Medicine JAMES L. CAVALIERI, II, Children's Hospital Buffalo Straight Pediatrics ' ' CHERYL D. CHADBOURN, Children's Hospital Buffalo Straight Pediatrics ' ' ' BENJAMIN J. CHAU, Los Angeles County General Hospital, Rotating EUGENE M. CHLOSTA, Buffalo General - Meyer Memorial Hospitals, Rotating Medicine LAWRENCE A. CITRO, Buffalo General- Meyer Memorial Hospitals, Rotating Medicine JAMES CIULLA, New York Medical College HospitalMetropolitan, Straight Pediatrics WILLIAM J. CUNNINGHAM, E. J. Meyer Memorial Hospital, Buffalo, Straight Surgery LANG M. DAYTON, Buffalo General- Meyer Memorial Hospitals, Straight Medicine ARTHUR L. DEANGELIS, Buffalo General - Meyer Memorial Hospitals, Straight Medicine CARL J. DEPAULA, Jefferson Medical College, Philadelphia, Rotating DOROTHEA A. DOWNEY, Harrisburg Polyclinic, Pennsylvania, Rotating CHARLES J. ACCETTOLA, THE BUFFALO MEDICAL REVIEW �St. Elizabeth's Hospital, Washington, D.C., Psychiatry FRANCES A. DUDA, Los Angeles County General Hospital, Rotating JAMES A. DUNLOP, Children's Hospital, Buffalo, Straight Pediatrics ROGER J. FERGUSON, Duke Hospital, Durham, North Carolina, Straight Surgery ALBERT B. FINCH, Children's Hospital, Buffalo, Straight Pediatrics JoHN R. FISK, University of Minnesota, Minneapolis, Straight Surgery JAY C. FRANKLIN, Jackson Memorial Hospital, Miami, Straight Pediatrics CARL .. B. FRIEDMAN, Meadowbrook Hospital, New York, Rotating PENNY A. GARDNER, Presbyterian Hospital, New York, Straight Pediatrics ROBERT J. GIBSON, Deaconess Hospital, Buffalo, Rotating MICHAEL M. GOLDBERG, Deaconess Hospital, Buffalo, Rotating LAWRENCE S. GREENBERG, Los Angeles County Harbor General Hospital, Rotating TIMOTHY F. HARRINGTON, Deaconess Hospital, Buffalo, Rotating ROBERT M. HARTOG, Albany Hospital, Rotating DAVID F. HAYES, Buffalo General- Meyer Memorial Hospitals, Straight Medicine PETER S. HERWITT, Buffalo General - Meyer Memorial Hospitals, Rotating Medicine LOUIS HEVIZY, Buffalo General- Meyer Memorial Hospitals, Rotating Medicine EVELYN HIRSCHHORN, New York Medical CollegeMetropolitan, Straight Medicine HANLEY M. HORWITZ, Buffalo General Hospital, Rotating Surgery FRANK M. HUDAK, Meadowbrook Hospital, New York, Rotating Surgery WALTER W. JONES, Cleveland Metropolitan Hospital, Straight Surgery STEVEN A. KATz, New York Medical College HospitalMetropolitan, Rotating Surgery RUSSELL G. KNAPP, JR., Deaconess Hospital, Buffalo, Rotating ISRAEL KOGAN, E. J. Meyer Memorial Hospital, Buffalo, Rotating Surgery DANIEL B. LEVIN, University Hospitals, Cleveland, Straight Surgery LAWRENCE A. LEWIS, Montefiore Hospital, New York, Rotating Medicine LAURENCE M. DRELL, SUMMER, 1969 Buffalo General- Meyer Memorial Hospitals, Straight Medicine ROBERT J. LOEWINGER, Millard Fillmore Hospital, Buffalo, Rotating Medicine WILLIAM K. MAJOR, E. J. Meyer Memorial Hospital, Buffalo, Rotating Surgery DANIEL P. MANDELBAUM, Mount Zion Hospital, San Francisco, Rotating RICHARD T. MILAZZO, JR., Buffalo General - Meyer Memorial Hospitals, Rotating Medicine MONA T. MILSTEIN, New York Medical College HospitalMetropolitan, Straight Pediatrics DAVID A. MOLTZ, ·Michael Reese Hospital, Chicago,. Rotating Medicine STEPHEN W. MOORE, Deaconess Hospital, Buffalo, Rotating STEPHEN E. MOSHMAN, Buffalo General-Meyer Hospitals, Straight Medicine SASSON J. MUKAMAL, Meadowbrook Hospital, New York, Rotating Medicine MOIRA B. MURPHY, Lankenau Hospital, Philadelphia, Rotating BERNARD C. MUSCATO, Harrisburg Polyclinic, Pennsylvania, Rotating HACHIRO NAKAMURA, Pennsylvania Hospital, Philadelphia, Rotating JONATHAN T. PAINE, State University of Iowa Hospitals, Straight Surgery JAMES A. PATTERSON, Buffalo General- Meyer Memorial Hospitals, Straight Medicine CARL A. PERLINO. Buffalo General- Meyer Memorial Hospitals, Rotating Medicine MICHAEL N. PISICK, State University- Kings County Medical Center, Straight Medicine MICHAEL M. PUGLIESE, Buffalo General- Meyer Memorial Hospitals, Rotating Medicine DOUGLAS L. RoBERTS, Buffalo General- Meyer Memorial Hospitals, Straight Medicine DAVID J. ROSENBLATT, New York Medical CollegeMetropolitan, Rotating Surgery WARREN ROTHMAN, Genesee Hospital, Rochester, Rotating Surgery THOMAS S. SCANLON, Millard Fillmore Hospital, Buffalo, Rotating Medicine IAN .. M. SCHORR, Jewish Hospital, Brooklyn, Straight Medicine DAVID S. SCHREIBER, University Hospital, Boston, Straight Medicine HENRY P. SCHWERNER, Cedars of Lebanon Hospital, Los Angeles, Rotating Pediatrics (Continued on Page 9) MICHAEL R. LIEBLING, 7 �Students and faculty use th e communications terminal in th e H ea lth Sciences Library. Libraries Linl~ed by Computer N etworl~ Computers are playing an increasing role in the education of medical students at the University. The SUNY Biomedical Communications Network links the Health Sciences Library in Capen Hall with eight other participating libraries SUNY Upstate Medical Center, Syracuse; Univer8 sity of Rochester Medical Center, Rochester; Albany Medical College, Albany; SUNY Downstate Medical Center, Brooklyn; Parkinson Disease Information Center of Columbia University, New York; SUNY at Stony Brook, New York; Francis A. Countway Library of Medicine, Harvard University, Boston; and the National Library of Medicine, Bethesda. Each institution has one or more communication terminals connected on-line to the master computer at the Network headquarters in Syracuse. There are three terminals in Capen Hall. The computer is used by both students and faculty for retrieving information. For example, a researcher types in a query in English rather than in code to the computer which retrieves complete references from its data bank within minutes. ''The computer is becoming the new way of retrieving and storing information for all the Health Sciences. We hope this will become the most extensive computerized library system in the nation. There is nothing else, at the present time, like it,'' Mr. Erich Meyerhoff, Health Sciences Librarian, said. With this computer system, a student's search for books on any medical subject can be reduced to less time than it ordinarily takes someone to look up a book in a card catalog. In a few short minutes, the record of books from the participating libraries will be searched to find appropriate books or journal articles on the subject requested. Gone is the laborious process of checking and re-checking under various subject headings and making THE BUFFALO MEDICAL REVIEW �handwritten notes of authors, titles, and classification numbers. The terminals are much like typewriter keyboards. The student types out the kind of information he wants. He must be specific, either about subject, author, or title. In less than a minute the computer will sift through 15,000 titles, select a predetermined number of those most appropriate, and type the information back to the student. Mr. Meyerhoff pointed out that the 1962 cutoff for books was arbitrary. ''Obviously we couldn't feed everything into the computer data bank. We know that medical journals and books published in the last five years satisfy about 90 per cent of all demands. The card catalog system for books published before 1962 will be retained at present.'' In the future, libraries at the British Museum, Oxford, and Cambridge may be linked with this system. The information stored in the Network consists of the combined book catalog records for the three SUNY medical libraries at Brooklyn, Buffalo, and Syracuse, dating from 1962 to the present; the book catalog records from the National Library of Medicine from 1966 to the present; and one million journal articles from 2,500 international periodicals from the National Library of Medicine's MEDLARS file of the last five years. The Health Sciences Library also makes a significant contribution to the Biomedical Communication Network in that, until quite recently, it was the major medical library in the State University system acquiring materials in dentistry, pharmacy, nursing, and health related profes' sions.D SUMMER, 1969 INTERN MATCHING-(Continued from Page 7) Presbyterian - Pacific Medical Center, Pittsburgh, Rotating DAVID M. SHERER, San Diego Community- University Ho pital. Straight Surgery LESTER S. SIELSKI. Millard Fillmore Hospital, Buffalo, Rotating Medicine TIMOTHY V. SIEPEL, Buffalo General-!1feyer Memorial Hospitals, Straight Medicine PETER D. SIROF, St. Mary's Hospital, San Franci co, Rotating MICHAEL F. SMALLWOOD, Deaconess Hospital, Buffalo, Rotating ROBERT V. SMITH, Hartford Hospital, Connecticut, Rotating Surgery WILBUR L. SMITH, JR., Children's Hospital, Buffalo, Straight Pediatric THOMAS F. STEPHENSON, Rochester General Hospital. Rotating Medicine GERALD D. STINZIANO, E .•J. Meyer !11emorial Hospital, Buffalo, Rotating Surgery RONALD F. TEITLER, Hartford Hospital, Connecticut, Rotating Surgery PETER K. TERPLAN. Los Angeles County General Hospital, Rotating GLENN TISMAN. Los Angeles County General Ho pita[, Straight Medicine HARVEY I. WEINBERG, Public Health Service, Rotating BARRY A. _WEINSTEIN, Meadowbrook Hospital, New York, Rotatmg MICHAEL S. WEISS, Los Angeles County General Ho pital. Rotating SAMUEL V\:'EISSMAN, !1fillard Fillmore Hospital, Buffalo, Rotatmg Surgery JAMES J .. WHITE, JR., Pre byterian University, Pittsburgh, Strazght Surgery MADELINE J. WHITE. Los Angeles County Harbor General H o pi tal. Rotating FREDERI<?K \YILKIN ON. Highland General Hospital. Calzfornza, Rotating MARION E. WIND. The Brookdale Hospital Center New York. Rotating ' WILLIAM G. WOLFF. !1feadowbrook Ho pital, New York Rotating Medicine ' FRANK G .. ZAVISCA. Buffalo General- Meyer !1femorial Ho pztals. Rotating Medicine DONALD J? . ZONE, Roche ter General Hospital, Straight Medzczne D ROBERT S. SHAPS, 9 �$955,685 Regional Medical Program THE NATIONAL INSTITUTES OF HEALTH awarded a $955,685 grant to the Regional Medical Program for Western New Yor~ to finance four health projects. -Continuation of the two-way telephone lecture network ($182 ,362), which presents telephone lectures for physicians, nurses, dentists, pharmacists, and other health-allied professions in 47 hospitals in Western New York and Pennsylvania. as the national goal) is conquering heart disease, cancer, stroke, and related diseases by bringing the benefits of research more rapidly to patients. Dr. John R. F. Ingall, program director, said that the size of the grant, in a year when federal funds are tight, is an indication of the success the local program has achieved. The initial$300,000 grant was made to the School of Medicine for the Regional Medical Program December 1, 1966.0 Grant -Support of a chronic respiratory disease program ($207 ,452). This will include establishment of a training program for inhalation therapists at Erie County Technical Institute - first of its nature to be centered in a community college in Western New York; a post graduate program in pulmonary diseases for physicians and nurses; and use of the acute respiratory unit at Millard Fillmore Hospital as a model for the educational program. -Purchase of equipment ($57 ,000) for a nuclear medicine department and expansion of training program for isotope technicians at Wyoming County Community Hospital at Warsaw. The pilot program will determine the value of nuclear medical departments in rural medicine. -Continuation of the coronary care training program for physicians and nurses ($40,927). The training facility at 820 Kenmore Avenue trained 72 nurses and 60 physicians during the last year. -Over-all operational costs ($467, 944) for the Regional Health Program. The objective (same 10 MEDICAL TEAM STUDIES STROKE VICTIMS The Regional Medical Program of Western New York is studying the incidence of stroke, the problems of treating stroke victims, the need for physicians, and hospital facilities. Dr. Samuel Sanes, M'30, chairman of the committee, said the data will be used statistically to plan future stroke treatment programs and provide the numbers and distribution of stroke victims in the study area. Dr. Michael A. Ibrahim, county deputy health commissioner, is the principal investigator for the project. He heads the study group and is checking stroke incidence and treatment facilities in Erie, Chautauqua, Cattaraugus, Genesee, Niagara, Wyoming, and Allegany counties, and Erie County, Pa. Dr. Harvey H. Borden, heart disease and stroke control officer for the U.S. Public Health Service, is contacting physicians, trained nurses, and area hospitals.D THE BUFFALO MEDICAL REVIEW �An Internship as an Education by Dr. Sherman G. Souther To Dr. Alfred Blalock, perhaps apocryphally, is attributed the statement that there is only one good internship in any man, and Dr. Mark Ravitch, 1 himself a Blalock resident, states in his intraduction to The Papers of Alfred Blalock that Dr. Blalock took "superb clinical performance ... for granted as the least common denominator in his men, which could be exasperating to men going without sleep for days and knowing he was looking for additional evidence of independent performance." This tradition has continued at The Johns Hopkins Hospital, where Dr. William Stewart Halsted created the graded residency system for the training of surgeons, and where Dr. Blalock trained so many residents who themselves are now professors of surgery. Slightly more than one year ago, I began the Halsted internship at The Johns Hopkins Hospital, and now with my internship behind me, I have been asked to write about my year as an intern. An intern may be defined 2 as one who serves in preparation for independent practice. The internship is a period of dependent service, and for me, it was an arduous, frustrating, and at times bitter, yet rewarding, fulfilling, and exciting period of growth. 1 M.M. Ratritch, The Papers of Alfred Blalock (Baltimore: The Johns Hopkins Press, 1966), p. liii. Zwebster's New Collegiate Dictionary (Cambridge: G. & C. Merriam Co., 1959). p. 440. SUMMER, 1969 I think that no one can dispute that the intern, being at the nadir of the training program, should function in a dependent role, yet the perfect balance of supervision in time of need and freedom of independent action in areas of competence has probably never been achieved and is subject to all of the frailties of those in more senior positions who must delegate responsibility and of those in more junior positions who must be constantly cognizant of the limits of their abilities. Much of the bitterness and frustration of the internship results from this dependent status. The reward and the excitement are greatest in the mastery of skills needed to function as a competent physician, to treat life-threatening problems concisely and swiftly, and to stand with confidence between man and disease. To dwell on bitterness and frustration would, I think, be only a self-indulgent exercise, and I fear that further discussion of the reward and excitement of acquiring skills which with maturity become only necessary tools would be even less electric than that of Doctor X. Therefore, I would like to direct my thoughts to an important aspect of the internship-the internship as an education. Dr. Halsted expressed his philosophy of surgical training in 1904 when he delivered the annual address in medicine at Yale University, entitled "The Training of the Surgeon." He stated: "We need a system, and we shall surely have it, which will produce not only surgeons but surgeons of the highest type, men who will stimulate the first youths of our country to study surgery and to Dr. Souther 11 �devote their lives to raising the standard of surgical science.'' Dr. George D. Zuidema, 3 Dr. Blalock's successor as the Professor and Director of the Department of Surgery at The Johns Hopkins University School of Medicine and Hospital, has stated that the philosophy of Dr. Halsted is as relevant today as it was when articulated 64 years ago. And he believes that common to all surgical training programs should be research, teaching, and excellence in clinical surgery. The Halsted internship, save comparable surgical training elsewhere, is prerequisite to proceeding in the residency program at Johns Hopkins and thus is the foundation of experience on which these components-research, teaching, and excellence in clinical surgery-are developed. From the outset, it is obvious. that not all of the three great goals of the training program are equally emphasized during the internship. At Johns Hopkins, the emphasis during the internship is on clinical surgery, although teaching is expected and research is not discouraged. As is probably appropriate, however, little basic science research is carried out by the intern. His exposure is primarily through clinical studies and through reviewing records and literature, the inglorious and at times unattractive, but essential, basic labor-the structure about which the complete project is developed. The intern is expected to participate in the education of the nursing and medical students. His 3 w . P. Longmire , et al, " The Training of the Surgical House Officer Symposium,' ' Johns Hopkins Medical Journal, 123 (1968), 1-16. 12 role is primarily in informal instruction carried out in the sphere with which the intern is most familiar, the basic care and management of the surgical patient. The intern's education is most greatly concentrated in the area of clinical surgery. However, his immersion in the preoperative and postoperative care of patients is almost complete. He is required to be on call at all times for problems related to his patients, and he may leave the immediate vicinity of the hospital only by arranging to have his patients covered by a fellow house officer. This system results in an unparalleled encounter with pathology and an unsurpassed continuity of experience. The Halsted internship is divided into rotations on cardiac surgery, emergency room surgery, and pediatric, private, and ward general and thoracic surgery. The intern spends approximately one month on each of the pediatric surgical and cardiac services, two months on the private service, and four months on each of the ward and emergency room services. The intern rotates among the various services at monthly intervals in order that on the services where more than one month is spent, it is possible to integrate a wide variety of past experiences into present patient management. There is also a plethora of conferences, rounds, and lectures, including house staff teaching rounds, which are held two evenings each week by the residents and one evening each week by the assistant resident on his pathology rotation, and which are perhaps the most valuable of all in making daily experience more meaningful. THE BUFFALO MEDICAL REVIEW �There is on each service an assistant resident to aid in assuming the burden of decision in areas of unfamiliarity and inexperience, and a senior surgeon-private, full time or resident-to assume ultimate responsibility, but the prevailing philosophy is that the intern is solely responsible for everything, save intraoperative care and techniques, which the patient requires-from preoperative evaluation to ihitial care in time of distress and to discharge and further follow-up. He can use whatever laboratory or paramedical' aid is available, but lacking them he must perform the necessary test or service himself. The task is arduous and at times deeply frustrating, but the result is an incomparable realization of every detail of patient care, the acquisition of unprecedented responsibilities, and an intense exposure to general and thoracic surgery. Now, having made these rather broad generalizations concerning the program, I would like to turn to the specific rotations in an attempt to show how, for the intern, they contribute to the realization of the goals of the training program. The private rotation probably strains to the greatest extent the relation between the internship as an education and the internship as a service industry. Here, the intern is least solely responsible for the patient's care, and this atmosphere of interference, some justified and some petty, at times detracts from his motivation. There is much to be learned from the exposure to the wide variety of surgical problems present on the private service and from the exposure to the various modes of dealing with these problems utilized by a variety of senior surgeons. On the cardiac rotation, the intern again has SUMMER, 1969 something less than full responsibility for patient care, but much of this lack is one of sharing the tremendous responsibility and work load with the assistant resident and is dictated by the intern's inexperience and the nature of the surgery involved. The rewards of this rotation are great, however, and here the intern learns to use a wide variety of potent drugs and to witness some of the most dramatic physiological responses and principles in clinical medicine as well as to use them in patient care. In this month of the disappearance of cyanosis and murmurs as well as hypotension, arrythmias, hemorrhage, and low urine output, he learns to practice some of the most acute of acute medicine. The most responsibility for the preoperative and postoperative care of patients is left to the intern on the pediatric surgery and ward rotations. These services at Johns Hopkins are completely controlled by the house staff under the direction of the Residents, and the prerogatives of the house staff at all levels are jealously guarded. Here, the philosophy of intern responsibility reaches fruition and all, save intraoperative aspects of the patient's disposition are expected of the intern, within the limits of his ability. This ultimately detailed, basic approach to the patient and his problems becomes ingrained and results in a disciplined mode of patient care which verges upon the clinical excellence which has been traditionally demanded. Here also the groundwork in basic operative techniques and procedures is begun, when later in the year hernias, appendectomies, and other basic general surgical procedures are handed down to the interns. There can be no doubt, however, that the emphasis is not on an 13 �operative education but on an education in the care of the surgical patient. On the ward rotation another important responsibility of the intern is the instruction of the : year V-or senior-medical students. The intern is expected to teach the basic concepts and techniques of patient care, to supervise, and to be responsible for independent work by the medical students. Thus the intern is expected to instruct in those areas in which he, himself, has some degree of competence, and he is expected to hone his skills in teaching for, like the care of the patient, it is a responsibility delegated solely to him. There is no prearranged program of instruction between the intern and the nursing students who receive clinical experience on the ward service. Common to all interns, however, is the realization of the increased quality of patient care on the part of the nursing students which results from a few minutes of discussion and explanation of patient problems. The consequence of these experiences is an increased awareness by the intern of his role and responsibility as a teacher. In the emergency room rotation, the intern achieves the pinnacle of his responsibility in patient care. Here he becomes the primary physician to a large group of people with miscellaneous surgical problems from backache to life-threatening trauma. He sees all surgical problems including those which ultimately are referred to the surgical sub specialties. As the first physician to see the patient, he must decide if the problem is one totally within his sphere of competence or if he should seek the advice of the assistant resident. At times there are agonizing moments between the patient's 14 release and his follow-up when the results of the intern's judgment are revealed. With the severely ill or injured, there are times when decisions must be made before advice can be asked. Unrequested responsibilities are thrust upon the intern, and he is forced alone into the waters of patient care to negotiate the calms and rapids of the course of disease. The intern in the emergency room assumes greater teaching responsibilities. He is totally responsible for instruction of year IV -or juniormedical students in suturing lacerations, evaluating abdominal pain, and other basic skills. He must attempt to bring some order and sense to the chaos of pathology present in a busy emergency department in order to enable the student to achieve as much benefit as possible from the student's brief experience. And he must learn to integrate these teaching duties with his own clinical responsibilities, which is the essence of the Halsted philosophy of surgical training. Little can be said about the aspect of research. No time for research is allotted, and no research output is prerequisite at any time during the intern's service. There is considerable academic stimulation from the senior surgeons and the senior house staff, and an inquiring, inquisitive approach to patient care is the rule. Many find time and stimulation to review a few cases of an unusual problem or to test some modality of patient care. Most wish that more time were available to pursue these interests but recognize that the internship represents only one year in a long period of training. It is probably sufficient that this inquisitive approach is nurtured and that these interests are not stifled. THE BUFFALO MEDICAL REVIEW �To me, the internship is primarily an educational experience. It is a period of time in which many basic skills are acquired, and a basic approach to medicine and patient care is learned. The most mundane and undramatic aspects of excellent clinical medicine become ingrained by precept and repetition so that more dramatic and aggressive action may be taken with safety and informed judgment. An awareness of one's own abilities is achieved. One learns to live with and to utilize the delicate balance struck by ability between responsible and irresponsible action. The internship is a time to develop acumen and maturity. It is with much relief that I have left my internship behind me, for it was a time of awesome confrontation with inexperience. I believe, however, that my internship succeeded in establishing a base on which a training program with the goals of teaching, research, and excellence in clinical surgery can grow. Dr. Halsted revealed his attitude toward the intern in the address from which I have previously quoted. ''The intern suffers not only from inexperience, but also from over-experience. He has in his short term of service responsibilities which are too great for him; he becomes accustomed to act without preparation, and he acquires a confidence in himself and a self complacency which may be useful in time of emergency, but which tend to blind him to his inadequacy and to warp his career." I have not progressed far enough from my internship not to have my vision obscured from overexperience, but I have, as one still close enough to well remember the frustration, attempted to express my feelings about the reward.D SUMMER, 1969 The Department of Pediatrics' Experiment in Medical Education, will broaden the physician's understanding of the many factors that affect child development. Non-medical speakers - all leaders in their respective fields - will come to Buffalo during the two-year program to speak and consult with department members at the Children's Hospital as well as spend a day in the University department of their particular specialty. Formal talks, question and answer sessions where full-time faculty, residents, students, and fellows in the department of pediatrics will have an opportunity to bring their individual points of view together in a free discussion, ''office hours'' for consultation with interested persons on problems in his field, is the series format. The first of three speakers scheduled this spring was anthropologist Sol Tax from the University of Chicago. All persons, he pointed out, are products of one or another culture which sets them on a narrow pathway. "We not only fall into error of simple misinterpretation, we also make incorrect value judgments,'' he said. The president of the International Union of Anthropological and Ethnological Sciences and former president of the American Anthropological Association noted that we know very little about the culture of the ghetto and therefore cannot judge its inhabitants by our style of living. ''Physicians must realize," he said, "that they do not have everything .to bring to the patient who has his own culture and habits. Faculty as well as students are always being educated by and with patients.'' (Continued on Page 17) 15 Medical Education Experiment �Larry studies an x-ray, one of the teaching file of selected radiographic findings. (Annual Participating Fund for Medical Education sponsored 12 summer fellowships. Larry was the recipient of one - on radiological studies - at the Buffalo General Hospital under Dr. Gordon]. Culver.) is different from other fields of medicine. Laurence A. Citro, who selected it for his summer fellowship, wanted to gain more experience in the field, to observe it in greater depth, and to decide whether to make it his career. At weekly x-ray conferences held by Dr. Gordon J. Culver, cases of interest that came up during the week were presented to both physicians and students. This, coupled with informal and impromptu consultations with house staff and attending physicians discussing their patients, makes it a unique fellowship. One of the best ways for Larry to learn about radiology was through Dr. Culver's teaching file of selected radiographic findings. This teaching aid offered examples of a large range of clinical diseases. "I try to spend two hours a day studying some of the thousands of x-rays available in the teaching file," Larry said, "and Dr. Culver is readily available to advise me on interpretations of the films. '' Radiology is rapidly expanding its techniques. Many of the methods used today were not possible in the past, Larry explained. Angiography, a specialized procedure, is now being used more often for diagnosing cancer and diseases of the abdomen, and lymphangiography is aiding in the diagnosis and treatment of lymphoid tumors. "In medicine," concluded Larry, "the radiologist is an indispensible aid to practicing physicians in evaluating and treating their patients.' 'D RADIOLOGY Radiological Fellowship 16 Larry reviews a chest x-ray with Dr. Culver. THE BUFFALO MEDICAL REVIEW �MEDICAL EDUCATION EXPERIME T (Continued f rom Pa ge 15 ) The other two speakers- Dr. Ogden R. Lindsley, professor of education in the department of psychology at the University of Kansas , Applying the Methods of Experimental Psychology to Problem Behaviors in Children," Dr. Donald Schon, Organization for Social Technical Innovations , Cambridge, Mass ., " Behavioral S-ciences and the Management of Social Change.'' The series which will resume this fall has been planned by Dr. Ira S. Cohen, acting provost of Social Sciences and Administration, Dr. Mitchell I. Rubin and Dr. Edward C. Lambert, professors of pediatrics, and Dr. Thomas Aceto Jr., associate professor of pediatrics. O II Adjus ting th e ima ge int e nsifying j lu orescope u:ith Dr. C ulcer. Rac.liolo gical Fellowship With Dr. Cul cer, Larry disc usses procedure w ith patient's. Amherst Campus The drama of the University's move to the new campus is highlighted by a few lines from the state planners' report. By 1975, they note, the daily population of the Amherst Campus will be more than 50 ,000 persons on what is now vacant land. Other statistics: by 1985, students from outside the area will number 34,100 compared with 9,800 in 1968. University employment will rise from 18,900 to an estimated 43,500. Indirect employment will go from 20,000 to 46,700. 0 17 �New Associate Dean There is a new associate dean in the School of Medicine. He is Dr. Edward J. Marine, who will also be an assistant professor of medicine. Dean LeRoy A. Pesch of the medical school said, ''Dr. Marine's appointment is a major one for my new administration. His experience qualifies him to accept major responsibilities in many facets of medical school administration. He is an outstanding young leader who will help us tremendously as we move forward to chart the future course of medical education in Buffalo.'' Dr. Marine received his bachelor's degree (biochemistry major) from Columbia University in 1956, and his M.D. from New York University in 1960. He did both his internship (1960-61) and residency (1962-63) at The Buffalo General Hospital. In between (1961-62) Dr. Marine was a Fellow in Medicine at the Cleveland Clinic. Before entering the service he returned to The Buffalo General Hospital as Resident in Medicine. From 1964 to 1966 he served as Chief of Medical Service, Davis-Monthan Air Force Base Hospital, Tucson, Arizona. He was a Captain in the United States Air Force Medical Corps. Dr. Marine has been on the medical school faculty since 1963, with the exception of his two years in the Air Force. In 1966-67 he was a Buswell Fellow in Medicine (rheumatic disease research). During 1967-68 he was assistant chief of medicine, The Buffalo General Hospital and associate director of the Clinical Research Center (rheumatic disease). In 1967 he was certified by the American Board of Internal Medicine. In 1968 he was named chief, division of medical care research and education, department of medicine, The Buffalo General Hospital. 18 Dr. Marine will continue on the staffs of The Buffalo General Hospital and E.J. Meyer Memorial Hospital. He will also continue to be chief of the division of community medicine, department of medicine, and continue his work in rheumatic diseases. Dr. Marine replaces Dr. Harold Brody, professor of anatomy, who has returned to teaching and research at the School of Medicine.D Congressional Panel Clifford C. Furnas, President Emeritus of the University and now President of the Western New York Nuclear Research Center, is one of the sixteen outstanding scientists, educators, and engineers who will play key roles in the tenth annual meeting of the Panel on Science and Technology, of the House Subcommittee on Science, Research, and Development. This Subcommittee, chaired by Representative Emilio Q. Daddario, is part of the House Committee on Science and Astronautics. Martin Meyerson, President of the University, will be one of the experts invited to present views and will chair one of the sessions of the Panel. The Panel was formed in 1959 to serve in an advisory capacity to the Congress and to provide an open forum for the exchange of ideas between the scientific and academic community and the legislative branch. The Committee meets with the Panel in open session once each year to review trends and problems in areas requiring legislative attention. The theme for the coming session is "Science, Technology, and the Cities. "D THE BUFFALO MEDICAL REVIEW �''The point I want to make - think and challenge what you hear. Demand to know why. This is the way we get research done and this is the way we make progress. II As a visiting professor, Dr. Hugh R. Butt, Mayo Clinic's gastroenterology and internal medicine chairman who spent two days on medical grand rounds, conferences, and informal discussions with students and faculty, challenged his students. ''Textbooks have stressed that duodenal ulcers be treated with milk every half hour . . . but have you found scientific data about what milk really does? For 50 years professors taught me and your professors taught you, and this was good. What I am saying to you as a young group is to doubt these things unless your professor has some data to support it.'' Teaching? If the student can have good examples from teachers, he will end up this type of doctor, he replied. And the statement that medical schools are producing doctors more interested in research than in people is untrue. "Most people - today as always -are impressed with taking care of sick people.'' His teaching method? "You learn best when you are involved, when you ask questions and participate. Good teachers have to present lectures so that the student becomes involved with the teacher, II he pointed out, "and the lecture system, as we have known it in the past, is becoming obsolete. He feels that a core of knowledge must be learned and cannot be treated lightly. ' 'After all, it is one of the things that students must carry through life with them. Everything depends on it and to say that you can get it any way you want is just not true.'' 11 SUMMER, 1969 ... thinl~ and challenge what you hear. Demand to know why... Once students have learned a certain amount of medicine, he feels that they must then have contact with patients. During their training they have the responsibility to learn to know and to work with people. ''That, after all, is really their business.'' But as to the proper time pointed out this notable physician - that is up to the teacher and not the students or the public to decide. ''Young man - you in the blue sweater would you like to ask our patient here, what is wrong with him?IID Dr. Butt challenges students. �JOHN M. ANTKOWIAK, '71 Cheektowaga , N . Y. Canisius College WILLIAM J. CUNNINGHAM, '69 Lockport, N . Y. Niagara University JEFFREY D. FLEIGEL, '71 Brooklyn , N . Y. Brooklyn College 1968-69 APFME Scholarship Winners A n nual Participating Fund for J\ledical Education Six Students Receive $5,160.00 JEFFREY R. PINE, '70 Belle Harbor, N . Y. Brooklyn College 20 JAMES K. SMOLEV, '70 Buffalo, N . Y. Columbia College MADELINE J. WHITE, '69 Levittown, N . Y . College of New Rochelle THE BUFFALO MEDICAL REVIEW �AN INSPIRATION TO A LOT OF PEOPLE, Dr. George N. Thorn has also been quite instrumental and played a significant role in the development of my own career." Some of the 350 physicians, students, and alumni who attended the 32nd Annual Spring Clinical Days at the Statler Hilton heard Dean LeRoy A. Pesch add this special tribute to one of the School of Medicine's great alumni. ''Admonished to speak not to the future but to the present," Dr. Pesch continued, "while the frustrations of the present are with us, we see in the contributions of the 40-year class - the 1929 graduates - that progress comes by evolutionary processes. It is important to have patience in the presence and to hope that the future is better.'' The 40-year section of the program, moderated by Dr. Samuel Sanes, featured five graduates. ''Four months after diplomas were awarded them, the greatest depression in the history of the United States hit them,'' he explained. ''But today we honor the 40-year graduates who persevered, never losing faith in the future, to become contributors to the progress of their communities, to become leaders, and to make the past 40 years the most productive of all time.'' Forty years ago, it was pointed out in Dr. Victor L. Cohen's presentation, ''we could only offer an autopsy for patients with vascular ring simulating bronchial asthma. But today we can offer them an accurate diagnose and a life-saving operation.'' An excellent prognosis in the treatment of gout was attested to by Dr. L. Maxwell Lockie. SUMMER, 1969 Drugs are now available to relieve acute symptoms promptly and for the patient with more than one attack of gouty arthritis per year, there is long-term therapy. Immuno-suppressant drugs for the rheumatoid arthritic and an artificial hip jointa new procedure in orthopedic surgery - have led to ''seeing lots of patients walk two weeks after surgery who have not walked in two years.'' Practical uses for hyperbaric oxygen were outlined by Dr. Frederick G. Stoesser. Its greatest value is in gas gangrene, he pointed out. But other uses include hemorrhage, emergency cases where blood is not available, carbon monoxide poisoning, osteomyelitis, and circulatory deficiency. ''I want to educate you to the potential of hyperbaric therapy. Other uses that are being experimented with now will eventually become more available,'' he concluded. Dr. Norman Heilbrun admonished faculty members who are editors of journals not to reject new case experiences from young practicing physicians and thus prevent evidence of some abnormalities from reaching the professional public. In his presentation of a 30-year follow-up of a patient with cathartic colon, he pointed out that he was discouraged from publishing. But three months after receiving the editor's rejection notice, a colleague who ran across several similar cases, encouraged him to publish on his own. "He felt that my findings were striking." In less than six months the article was published. Patients who take cathartics over the years, noted Dr. Heilbrun, are really hyperstimulating the bowel. It is in a state of chronic contraction. 21 Spring Clinical Days Dr. Puinman �CORROSION STUDIES of RENAL DISEASE PAUL DITTMANN JAMES C. BRENNAN.M.D. J?affa/o-!Je/ttnat'c/(o-JjJIIat Spring Clinical Days Medical Hangups and Happenings Drs. Longstreth , Miller, Pesch, Maloney , Cheplove The winning exhibit. Runnerup - "Whole Lung Sections in Pulmonary Pathology" by Mario Montes, M.D., Buffalo General Hospital ; 3rd place "Pelvic Pneumography" by Norman G. Courey, M.D. , Deaconess Hospital. Drs . Carl E . Arbesman and Eru.: in Neter �cisit before the dinner. Drs. Raymond C . Bunge and Oscar]. Oberkircher The Annual Stockton Kimball Memorial Luncheon Drs. Carlton E. Wertz , Porter A. Steele, Herbert E. Wells, and Oscar]. Oberkircher at the reunion dinner. \ �Spring Clinical Days Dr. H eyd In hypertension, a common medical disorder, said Dr. George L. Thorn, there is a possible 5-lOo/o patient population that is surgically curable. But, he cautioned, medical therapy should not be instituted until the patient is screened properly. Excellent screening tests, pointed out the Hersey professor of theory and practice of physic at the Harvard Medical School, are now available that can identify these patients. There were also sessions on bacterial disease, antibiotics, viral and fungal diseases where Dr. Paul A. Bunn of the State University at Syracuse pointed to a new drug - gentamicin - with great implications in the treatment of extensive burns which also has possible side effects on the kidney as well as the cranial nerve. A problem for the 1970's, stressed Dr. Erwin N eter, will be chronic urinary tract infection. Multiple antibiotic resistance will also have to be dealt with. Even effective drugs, after long use, may be associated with the emergence of resistant germs. In the session on organ transplantation bothDr. Felix Milgram and Dr. Robert T. McCloskey concurred. While it is not yet completely understood how cells reject skin grafts, the process itself is mediated by the lymphoid cell. Citing the clinical aspects was Dr. Felix T. Rapaport, director of the transplantation and immunology division of New York University. He pointed out that 2,400 kidney transplants have been reported, and traced its surgical history since the first transplant by Dr. Hume in 1952 at the Peter Bent Brigham Hospital. In the rejection process, he pointed out that change in kidney size should be carefully noted. 24 Dr. Fred erick G . Sto esser wa s one of the four panelists Lc ho s poke Saturday morning. Where live related donors are concerned, compatability in kidney graft survival is important. To solve the logistics problem, a pool of transplant candidates - tissue typed and registered in a given region is maintained. Any donor appearing at any hospital is typed immediately and referred to the most compatible recipient in any pool. Moderating the panel on Problems of Intersex was Dr. William J. Staubitz. "In ambiguous genitalia we can sex the newborn through the sex chromatin positive cell within half an hour following birth," said Dr. Maimon M. Cohen, while Dr. Vincent J. Capraro warned the group not to administer hormones to any pregnant mother who is threatening to abort. Any hormone drug you give may cause harm. THE BUFFALO MED ICAL REVIEW �Surgical management of a child who looks so abnormal that the mother may have an aversion to the child was outlined by Dr. Thomas Aceto, Jr. In terms of psychosexual growth, he said, it is important that sex determination be made extremely early in life and not be delayed. Delivering the Stockton Kimball Memorial Lecture was Dr. William J. Putnam, assistant surgeon general and regional health director of Region II, Department of Health, Education and Welfare, New York City. The "partnership for health" program that is ''people oriented'' was described by him. Public Law 89-749 which supports this program is an effort on the part of Congress ''to reinvest in the States and communities that muscle, that spirit of community action, which is vital to the preservation of our governmental and societal structure.'' The receiving line for Dean and Mrs. Pesch (left). Its goal is to promote and assure the ''highest level of health attainable for every person, in an environment which contributes positively to individual and family living.'' Innovations, he stressed, are being made in the methods of delivery of health services, scarce resources are being better utilized, gaps are being plugged, and overlaps resolved. ''People oriented, this program can work . . . it is working,'' he concluded. Dr. David K. Miller was given a special plaque at the Stockton Kimball luncheon ''in recognition of his contributions as outstanding teacher, scholar and clinician.'' He was director of medicine and head of the department of medicine at the Meyer Hospital (1937 -1968), director of laboratories (19371948), and professor of medicine at the University (1937-1969). Currently he is associate director of medicine at the Meyer and professor of medicine at the University. Sixteen members of the 50-year class of the Medical School were honored at a 1919 class reunion. Seven other classes also held reunions. The 1919 class members are: Drs. Edgar C. Beck, Matthew L. Carden (host), Elmer L. Dane, Henry N. Goldstein, Mesco J. Helminiak, Arthur S. Huebschwerlen, Henry L. Pech, M. Leon Andrzejewski, Albert M. Crance, Margaret Douglas, George P. Eddy, Joseph R. LaPaglia, Frank H. Valone, Francis M. Crage, Florence I. Creager, and Stanislaus Nowak. The seven other class reunions and their hosts: 1929, Dr. Victor L. Cohen; 1934, Dr. J. Edwin Alford and Dr. Harry G. LaForge; 1939, Dr. George C. Brady; 1944, Dr. William A. Potts; 1949, Dr. Paul T. Buerger; 1954, Dr. Edward A. Dunlap, Jr.; and 1959, Dr. JohnS. McMahon.D 25 Senior Madeline White �Dr. Gottlieb with his grandson Stephen W einstein, class of 1970. Dr. Gottlieb Gives $75,000 For Psychiatric Library 26 A 1921 graduate of the School of Medicine established a $75,000 endowment fund to support the library of it's department of psychiatry. He is Dr. Bernhardt S. Gottlieb, a New York City psychiatrist. The income from this fund will provide books and educational materials in support of the psychiatry program. The new library will be in the Health Sciences Center on the Amherst Campus. It will be known as the Bernhardt S. and Sophie B. Gottlieb Psychiatric Library in honor of Dr. and Mrs. Gottlieb. Dr. Gottlieb presented an initial gift of $5,000 to the University of Buffalo Foundation in December, 1968, and pledged an additional $70,000 to complete his gift, according to Dr. Robert D. Loken, Foundation President. This is the largest single gift to the Foundation for the Medical School since the Foundation was started in 1962. "The University has done more for me than I can ever do for it. This gift affords me a tremendous amount of pleasure and satisfaction, ' ' Dr. Gottlieb said. Dr. S. Mouchly Small, professor and chairman of the department of psychiatry, said, "We are most indebted to Dr. and Mrs. Bernhardt S. Gottlieb for this magnanimous gift to our School of Medicine for a Psychiatric Departmental Library. Such a library will serve to stimulate scholarship and research activities among students, residents, and staff in the field of mental health.'' (Continued on Page 37 ) THE BUFFALO MEDICAL REVIEW �The need for significant change in curriculum and representation in policymaking prompted the formation of several student and faculty committees in January and early February. Provost Surgenor formed a Health Sciences Bylaws Committee (elected), with student representation, to propose bylaws for Health Sciences. From this Committee, Dean Pesch appointed a Medical School Faculty Bylaws Committee to propose a compatible set of bylaws for the Medical School. This group has nonvoting student members. At the same time a Student-Faculty Liaison Committee was formed with an ombudsman-type function for dealing with student grievances in the Medical School. The recommendation of this group to form an action-oriented student-faculty Committee on Medical Education (curriculum revision for September 1969) was implemented on February 21. The student body has been urged repeatedly by Dean Pesch to form a representative government in order to facilitate a stronger voice in School affairs. In a related action, Provost Surgenor appointed an ad hoc Committee on Minority Admissions, with representation of the Health Sciences Schools, to develop a Health Sciences approach to the problem. This group has been consulting with community and student groups, Independent Studies, and SEEK representatives. A proposal for a Health SUMMER, 1969 Sciences career development center was presented to the Provost. The administration proposed to student representatives on Monday, March 3, that classes be cancelled on Wednesday morning, March 5, in favor of a teach-in. All students and faculty were notified on Tuesday. On March 5, a group of 600 students and faculty met in Butler Auditorium where Dean Pesch presided over presentation of on-going activities, described above, followed by discussion and a decision to convene voluntary workshops that afternoon. Groups on curriculum (200) and bylaws (60-80) met concurrently at 1 p.m., and another group on black admissions met at 4 p.m. The ad hoc Student-Faculty Liaison Committee has been coordinating activities. The student body met Sunday, March 9 and decided to form a constitutional-drafting group of 20 students which could also function as an interim representative body. On Saturday, March 15, another student-faculty teach-in was held. The need for a more representative system of governance for the Medical School was discussed at length. Many individual departments have scheduled faculty-student gatherings to discuss curriculum and problems of communication, and the adll;linistration is providing full cooperation and support for all such activities initiated by either students or faculty.O 27 Medical Education by Dr. Edward ]. Marine, Associate Dean �-'- is undergoing a worldwide evolutionary change. The degree and progress of this change however depends on alert, intelligent, and visionary leadership to provide the necessary catalyst for maximum results. The Hacettepe School of Medicine in Ankara, Turkey has such leadership in Dr. Ihsan Dogramaci, its founder and president. In less than 10 years, he has developed an institution that has become the center of attention for medical education all over the world. Dr. Dogramaci, a 1938 graduate of the University of Istanbul School of Medicine pursued his post-doctoral studies in pediatrics (1939-46) at the University of Ankara, Boston Children's Hospital, and the St. Louis Children's Hospital. Shortly after he returned to Ankara in 1946, he realized that without the facilities of a modern children' s hospital, he could not apply the techniques acquired from his studies abroad. With a handful of Turkish physicians who had also trained in the United States, he planned the first children's hospital to be built in Ankara. In 1951, his plan for a modern children's medical center envisioned future expansion to include a large general medical center as well as research facilities, schools of medicine, dentistry, nursing, physiotherapy, medical technology, dietetics, and social work. The 150-bed Hacettepe Children's Hospital became a reality on July 8, 1958 but three years later a tragic fire destroyed much of it. The record stands that on the day following the fire , Dr. Dogramaci began to rebuild his dream that started in 1951. Six months following the fire, a MEDICAL EDUCATION Medical Education: A New System in T url<ey by William J. Staubitz, M.D. Dr. Staubitz, professor of surgery (urology) at the Buffalo S(·hool of Medicine, spent four r..ceeks at Hacellcpe Unirersity this fall as a cisiling professor. He assisted in selling up research lab oratories and a leaching program in its urology department . 28 THE BUFFALO MEDICAL REVIEW �250-bed children's hospital was in operation and construction of the 1,000-bed Hacettepe general hospital began the following year. Five years later (1963) the Faculty of Medicine which included a Dental School was organized, and the first medical and dental classes were admitted 12 months later. The Hacettepe Science Center opened in 1965 and a year later an institute of population study was added. The status of an autonomous state university was granted to the Hacettepe Institutions of Higher Learning on July 8, 1967 by the Turkish Parliament. In less than 10 years, Hacettepe University now encompasses a school of basic science, faculties of Medicine, Health Science, Natural Science, Engineering, Social and Administrational Science, Graduate Studies, two research institutes, and a 1,250-bed teaching hospital. It stands as a tribute to a man of vision, dedication, determination, and genius. Before the Hacettepe Medical Center was developed, Turkish medical schools generally accepted students directly from high school. They matriculated into their six-year medical program without an intermediate balanced premedical college course. Large entering classes - anywhere from 200-600 students - necessitated a lecturetype curriculum due to limited laboratory and clinical facilities. No regular period of internship followed graduation. To overcome many of these deficiencies, the education committee for the new Hacettepe University turned to a new program of medical education. The integrated teaching system is the outstanding feature of the five-year program at the Medical School which is composed of three main departSUMMER, 1969 ments - Basic Medical Sciences, Clinical Sciences, and Community Medicine. Each has its own chairman. The three department chairmen, comprising the highest executive committee of the Medical School, administer the medical teaching program under the aegis of the Education Committee. These departments, divided into subdepartments and units, are each headed by a professor. Basic Medical Sciences, for example, includes the following subdepartments anatomy, physiology, biochemistry, pathology, microbiology, and pharmacology. The three units in the subdepartment of anatomy are gross anatomy, histology and embryology, and neuroanatomy. Other departments are organized in a similar manner. Although subdepartment and unit heads are free to organize their research and postgraduate training programs, they are responsible to department chairmen regarding organization and implementation of the Medical School teaching program. Committees - subcommittee representatives draft medical curriculum and syllabi. Subdepartment heads cannot assume too dominant a role as the curriculum committee, part of a larger administrative setup, is responsible to the depart-· ment chairman. Teaching in the basic medical sciences is integrated. Instead of the usual subject matter arrangement according to departmental topics, the student is first introduced to the simplest and smallest functional and structural units, moving gradually toward consideration of the more complex functional and structural systems of the human organism. 29 Dr. Dogramaci �The organization of the five-year medical education program follows: Months First Year Scheduled teaching 9 Elective 111z Vacation 11/z Second Year Scheduled teaching 101/z Vacation 11/z Third Year Scheduled clerkships Basic - medicine and pediatrics 6 Surgery 3 Obstetrics and gynecology 11/z Vacation 11/z Fourth Year Scheduled clerkships Outpatient services 6 Psychiatry 1 Rural health and community medicine 2 Elective 11/z Vacation 11/z Fifth Year Internship Medicine 2 Pediatrics 2 Obstetrics and gynecology 2 Surgery 6 Note: Medical and surgical specialties are included under medicine and surgery respectively. In his first year, the student is taught mammalian and bacterial cells - its morphology and 30 metabolism. He is then introduced to the organization of cells and tissues. The anatomical, physiological, and biochemical characteristics of the various tissues are then discussed. The remainder of the year is reserved for the coordinated discussion of organs and systems. Initially the cardiovascular, respiratory, and hematopoietic systems are discussed. Then body metabolism - together with the gastrointestinal and urinary systems are considered. It is here that the basic principles of immunology are introduced. At the end of the year various organ systems are discussed in detail. The teaching of anatomyincluding dissection-is carried out in a similar sequence. The nervous and endocrine systems are presented with reference to their position as cardinal integrating factors in the human body. Finally, during this first year, reproduction is taught and the student is also introduced to a family-care and clinical program. Basic sciences - microbiology, pharmacology, pathology- are also taught in an integrated fashion in the second year. Here, too, the student is first exposed to morphological and physiological changes observed in mammalian cells and tissues under infective, radiological, and metabolic pathological conditions. The principles of re-establishing normal physiological conditions and the basis of drug action is discussed, and the clinical pictures and tissue manifestations of infections are introduced. Various pathological changes of various organ systems are next introduced and discussed by instructions from the departments of bacteriology, pathology, pharmacology, biochemistry, physiology, and anatomy, as well as the clinical departments. THE BUFFALO MEDICAL REVIEW �The student is given an overall view of the clinical conditions related to the system under study. Introductory clinical science teaching also continues during this period. Beginning in the third year and continuing through the fom:th year, students rotate as clerks through various clinical departments. Instruction continues in seminars, clinical-pathological conferences, group discussions, case presentations, and symposia. Students are expected to take some responsibility for night duties. The fifth year corresponds to an internship in the major clinical departments - medicine, pediatrics, surgery, and obstetrics and gynecology. During this final year interns live at the hospital. For the first two years the curriculum is designed to include about one-third theoretical material - usually presented in small group discussions and occasional lectures - and two-thirds practical laboratory training. Work in the family clinics and "journal studies" continue through the entire five years. Subcommittees are responsible for the preparation of the syllabi as well as the supervision of lectures and laboratory sessions. Student opinions about the program, obtained through interviews with their tutors, are duly appraised and often contribute to the improvement of the system. Except for anatomy dissection and autopsies, all laboratory work is performed in multidiscipline laboratories. Composed of individual units, each student is assigned one for the entire academic year. In his unit, the student has a microscope, a reading area, and a locker for his books and personal effects. SUMMER, 1969 Each unit provides adequate space and has enough basic equipment so that the student can easily perform any biochemical experiment or animal dissection required for a physiology or pharmacology course. Special equipment and chemicals are provided as needed. A student may carry on independent research in his unit if he desires. Each laboratory-with units for 28 students-has a central area for large equipment such as a spectrophotometer as well as other special apparatus. Students perform all experiments independently. Since equipment need not be disassembled after each session to allow for another group, experiments of two-to-three day duration can be conveniently carried out. To encourage individual initiative, all laboratories remain open 24 hours a day. Anatomy dissections and autopsies are completed in the departmental areas specifically equipped for this purpose. Groups of four students each are assigned a cadaver in anatomy dissection. From the inception of his medical education, an elementary clinical teaching program exposes the student to the fundamental principles of observing and recording all pertinent information about the patient. One of the main objectives of this program is to illustrate the importance of the doctor/patient relationship and the holistic approach to the patient. Instructors are carefully selected from those noted for their psychological approach in dealing with their patients. The teachers emphasize the biological, psychological, and sociological aspects of the human being as a whole. 31 �During the first two years of the program, three hours weekly are devoted to clinical studies. Lectures on clinical topics are given, and the students have an opportunity to visit the family clinic. Following these sessions, students meet in small groups with their instructors to discuss the content of the lecture and their observations in the clinic. Each student is assigned to a family (from a low socioeconomic background living in an area near the hospital) in which there is either a pregnant woman or a baby less than one year of age. The student, introduced to the family as its student doctor, takes part in the periodic medical checks required by the family. Gradually, during the second year, he takes increasing responsibility for the family, always under the supervision of the doctor assigned to the family through the general practice unit. In lectures, group discussions, and the family clinic, the student is taught to observe how social and cultural factors affect the medical picture. He also learns how to relate to the patient within the family and cultural setting. During these meetings, the traditional distance between teacher and student is reduced considerably. Students are stimulated to think more independently. By agreement with the Ministry of Health and the authorities of the Province of Ankara, seven health centers located in seven province villages are used by Hacettepe Medical Center for training purposes. At each of these centers, the auxiliary health personnel are appointed by the Ministry of Health. The health officer, who lives in the village, is a member of the Hacettepe teaching staff. 32 These seven villages, with a total population of 50,000, are served by a 50-bed rural hospital, completely staffed by personnel appointed by the Medical School. Fourth year Hacettepe medical students spend approximately four to five weeks in the villages to acquire experience in extending preventive and curative medical assistance to these underprivileged rural people. Throughout the five-year program, the students meet in small groups to discuss new and original articles selected by a special subcommittee. These two-hour-a-week sessions are called "journal studies.'' Prior to the meeting, each student receives a copy of the article to be discussed. He can then make preparatory studies and read materials referenced in the article. Toward the end of this program, students are presented case material or experimental findings from an article. They are then expected to be able to write the discussion themselves. This program is designed to develop student ability in three main areas-reading medical periodicals critically, searching the medical literature on given subjects and gathering pertinent material, discussing experiment findings and relating it to what is known. In this way the student becomes aware of the wealth of new information and knowledge that is added almost daily to the medical sciences and learns to think of medicine as an expanding rather than a static body of knowledge. To gain experience in laboratory procedures and to stimulate interest in medical research, groups of two-to-four students each are assigned research projects which can conveniently be carried out in multidiscipline student laboratories or in THE BUFFALO MEDICAL REVIEW �Students and faculty observe and participate in an intricate operation. departmental laboratories. During the final year (internship), each student completes a thesis which he prepares under the guidance of his tutor. This gives him the experience of studying a selected subject in depth. Two major components comprise the evaluation system at Hacettepe Medical Center. The student is not only appraised by instructors on formal examination but also on performance in group meetings, journal studies, his ability to think scientifically and to deal with patients, as well as their families in the family clinic setting. Weekly 45-minute tests and monthly three-tofour hour tests are regular features of the evaluation system. Test scores account for 65 per cent of the student's total grade. The remaining 35 per cent is determined by the student ' s performance on a formal written examination given at the end of each phase of his training. These examinations are not set by individual departments but by subcommittees representing all the departments involved in that particular phase. SUMMER, 1969 It is hoped that this examination system not only provides a means of assessing the student's ability to coordinate the know ledge he has acquired but also serves as yet another instrument for learning. A baccalaureate degree in the basic medical sciences is given at the end of the second year of medical school by which time the student has completed four years of training, two at Hacettepe School of Arts and Sciences, and two at the Medical School. After receiving this initial degree, it is expected that the student will continue his studies at the Medical School, complete the three remaining years, and receive his Doctor of Medicine degree. However, he may choose to continue in a basic medical science such as physiology, anatomy, biochemistry, microbiology, or pharmacology, and receive a master's or a doctor's degree in one of these sciences. After three years, this exciting and innovative medical experience in Turkey appears to be functioning well. But perhaps it will take several more years to judge its impact on improved medical care for this nation. It is my belief that the rewards from Dr. Dogramaci's plan will be many to the Turkish nation as well as to medical education throughout the world. I will be most interested in observing the reaction of the other medical schools in Turkey to this new and progressive approach to medical education. And I hope they will recognize the program's merits and adapt it either in part or in its entirety.D ~r. f!ogramaci:.s article o_n "A New System of Medical Educatton m Turkey appears zn Journal of Medical Education, Vol. 41, No. 11, Nov. 66. 33 �Students j oin Dr. Smith. the level at which it is primarily engaged in anesthesia. Is he breathing? dead? holding his breath?'' Over 100 freshmen students - crowding the conference room - heard Dr. Cedric M. Smith describe, as well as demonstrate, the actions of local anesthetics while using the nerve as a model of the nervous system. ''I was anticipating a small class-about 15-when I set up a clinically and socially relevant course on 'Drugs and the Mind',' ' said the young and vigorous chairman of the department of pharmacology, '' but when more than 100 registration cards were returned to me I had to revise my plans to accommodate a larger audience. ' ' Two rabbits - the first under a light analgesia and completely unconscious and the second intravenously given a small dose of barbiturate through the ear vein - were being compared. ''There are four major steps to watch when giving an analgesia with ether in low concentration - unconsciousness, hyperactivity, surgical anesthesia or a WATCH HIS RESPIRATION- Teaching Innovations 34 progressive depression of different reflexes, and irreversibility or a cessation of response and failure of the cardiovascular system. Notice that I had to use mouth-to-mouth resuscitation to produce recovery.' ' What about halothane? " There is a marked depressive effect on the heart.'' Nitrous oxide or laughing gas as it is called? " It produces a limited potency and most people will not even go to sleep with it alone.'' The second rabbit appeared to ''have a good drunk" on. "While some of his reflexes work fairly well, others do not. Pick him up, let him fall" - and Dr. Smith did just that. "You see you must catch him as he can't stop his fall.'' None of the anesthetics are perfect, he pointed out. Alcohol may have a lethal effect on people who also have a tolerance to barbiturates, such as pentothal. When were they first used? In 1844 Morton introduced ether. There were many acrimonious debates as to who should receive the credit and monetary reward for the new medicine. With chloroform, Simpson helped Queen Victoria who had lots of children, and didn't God place Adam in a deep sleep? How do these drugs act? Where do we get selectivity of action? And there were more questions. The hour quickly passed. '' What I want you to do for next week - pretend you are in the position to made decisions regarding where research will go in the drug industry. You want to develop a new local anesthetic, as you think the dentist can use a better one. How would you do it; what research should be done to find a new substance; how can its effectiveness and safety be tested ' ' ?0 THE BUFFALO MEDICAL REVIEW �Dr. K. L. Matta and Larry Donoso check data with Dr. Bahl. What's New in Research SUMMER, 1969 A hormone that plays a vital role in pregnancy is under investigation by an associate professor in biochemistry. He is Dr. Om P. Bahl who feels that ''if we can understand the chemical makeup of this complex molecule, some modified forms of it may inhibit fertility while others may cure birth defects.'' Human chorionic gonadotropin - as it is technically called - is produced by the placenta during pregnancy and is responsible for the early growth of the embryo. Several pregnancy tests rely on measuring its level in the urine. Public interest has recently centered on the use of this hormone in treating infertility in humans as well as in farm animals as it is generally believed that its absence makes it impossible for any female to maintain her pregnancy. ''But there is another facet to this hormone that we are investigating,'' he pointed out. '' In women suffering from certain types of cancer, the hormone is produced in excessive amounts. We want to find out whether this 'disease state' hormone is identical to the normal pregnancy hormone, and if it is not, how it differs." He, and three Ph.D. candidates-Larry Donoso, Josephine Alfano, Melisenda McDonald - working with him, now understand part of the hormone's chemical structure; have the tools enzymes developed for the first time in the laboratory over the past few years; and are now in a position to modify the hormone. His studies may hopefully lead to understanding the relationship between the hormone and this type of cancer.O 35 �Student Speal~s to Immunization Group Dr. l sacso n a nd Carl Pcrlino (seat ed) A way to identify and quickly isolate rubella (German Measles) viruses that "couldn't be done" was described at the International Conference on Rubella Immunization by a 25-year old senior medical student. Carl A. Perlino refused to be discouraged while he was working as a summer fellow in a Vaccine Evaluation Unit. He suggested to project director Dr. Peter Isacson that a laboratory test used in the past for influenza and parainfluenza to determine the presence of certain animal viruses in tissue cultures might be profitably used to detect rubella viruses. But if it were a simple test, it was pointed out to him, why hadn't someone else come up with it? ''He went ahead and showed us that it really would work.'' Dr. Isacson said. "And although Carl is married and the father of an active eight-month old daughter, he worked on the project over the summer and continued during his free time at nights and on weekends." Dr. Isacson is an associate professor of social and preventive medicine. Carl's test takes only five days as compared to the two weeks necessary for the present test for rubella virus in which a sample believed to contain the virus is added to a cell culture. After ten days, a different virus, Echo II, is added and if it does not grow, it indicates that the first sample actually did contain rubella virus and that the rubella virus interfered with the growth of the Echo. Under certain conditions of pH and temperature, Carl added red cells to the cell cultures (baby hamster kidney) to which the suspected virus-containing sample had been added earlier. He found the optimal to be a bit on the alkalyl side. After one hour in the refrigerator if the red blood cells stick to the cells in the culture, it suggests that rubella virus is present. A very sensitive procedure, Carl found that the red cells generally wash off easily and don't stick tightly, probably the reason why ''someone else did not come up with it.'' "We now have a rapid identification of the virus,'' Dr. Isacson said. ''Carl has now shown that if a culture is positive, we can wash red cells off, flood the culture with serum from people immune to rubella or from animals. He has isolated rubella virus from at least six throat swabs of children in field trials, and has received experiments from Yale and NIH to see if he can recover viruses.'' The son of Dr. and Mrs. Alexander C. Perlino (130 Depew Avenue, Buffalo), Carl graduated from Nichols School and Harvard College before entering the Buffalo Medical School. Following an internship, he hopes to go to NIH to do research but, with a new daughter, he is considering pediatrics as his field of specialization.D 36 THE BUFFALO MEDICAL REVIEW �DR. GOTTLIEB (Continued from Page 26 ) Dean LeRoy A. Pesch said, ''This is a most significant gift to our school, and the largest one that I have had the pleasure of accepting in this, the first year of my new administration.'' A Phi Beta Kappa graduate from the City College of New York, Dr. Gottlieb ended his medical school days with an interest in neurosurgery. Lack of openings in this field led to his training and ultimate shifting of interest to psychiatry. Today, he has a private practice in psychiatry and psychoanalysis in New York City. The practice of medicine has also been an integral part of family life for two other generations of the Gottlieb family . His son, Solon, a 1952 graduate, is a specialist in obstetrics and gynecology. A grandson , Stephen Weinstein, is a member of the class of 1970 , and a nephew, Jeffrey Perchick, one of triplets, a member of the class of 1972. A loyal supporter of the Medical School, he and his wife-a Columbia University graduate who has been a visiting professor at Brooklyn College in marriage and family courses, and is now a psychologist-also established in 1966 an annual award for the senior student who best exemplifies the fact that living and learning go hand in hand. Dr. Douglas M. Surgenor, Provost for the Faculty of Health Sciences, said, '' This library will be a focal point for the education of students, residents, and faculty , not only for the psychiatry department but for the entire health sciences. " D SUMM ER, 1969 Physiological Adaptations How does an organism adapt to its environment? That's what Dr. Edward J. Massaro who is studying the effect of thermopollution on fish is finding out. Enzymes, important in energy and carbohydrate metabolism probably exist in all living cells in multiple molecular forms. "When you pollute a river, you change the environment of the fish that inhabit it, " said the assistant professor who joined the department of biochemistry. " And these cold-blooded animals that have a certain temperature tolerance must adapt physiologically if they are to survive. What is the mechanism of physiological adaptation? How does the environment tell the organism to turn on a different gene or turn it off? This is what we are studying, ' ' he continued. The young biochemist who has published extensively came to Buffalo from Yale University where he was a research associate for three years. He held a similar position at Johns Hopkins University where he earlier completed postgraduate training. A Ph.D. biochemistry graduate from the University of Texas (1962), he is a member of Sigma Xi , the American Chemical Society, American Society for Cell Biology, Society for Cryobiology, American Association for Advancement of Science, and the New York Academy of Sciences. He feels that teaching must take precedence over research. '' I must be a teacher first, and then a researcher. '' D Dr. Massaro r 37 �Mr. Lippmann People A second Buffalo medical student has received a U.S. Public Health Service International Health Fellowship for 12 weeks of training in medical care techniques and research methods at the Hadassah Medical Center in Jerusalem, Israel. He is junior Michael Lippmann who will leave in September as a member of the third group selected by the Association of American Medical Colleges. Dr. Barbara A. Blase, M'68 was among the first group of medical students chosen to study abroad under this program. O Dr. Jack Zusman has been named part-time director of planning and research in the Erie County Department of Mental Health. Dr. Zusman is associate professor of psychiatry and director of the Division of Community Psychiatry at the University. O Dr. Fred Gorman, M'36, completed his second tour on the SS HOPE in March. In 1966 he was in Corinot, Nicaragua; in 1968-69 in Colombo , Ceylon. Dr. Gorman was accompanied by his wife and young daughter. While in Ceylon the HOPE medical staff treated 1 , 700 patients aboard ship, and with Ceylonese counterparts conducted 2,100 operations. More than 3,000 patients were treated in the ship's dental department, and some 50,000 children received immunization against diphtheria, whooping cough, and tetanus. Ceylon is the eighth nation visited by the S.S. HOPE since her maiden voyage in 1960. 0 38 Dr. Guy S. Alfano, M '50, a surgeon, and Dr. Peter F. Regan, executive vice president of the University have been appointed to the E.J. Meyer Memorial Hospital Advisory Board by County Executive B. John Tutuska. O Two alumni are officers on the Mercy Hospital staff. They are: Dr. Milford Maloney, M'53, secretary, and Dr. Charles Tanner, M '43, treasurer. Dr. Gerald S. Klee is the new president, and Dr. Matthew Burke was installed as vice president. O Two Buffalo psychiatrists were cited recently for "distinguished service to the community" by the Western New York District Branch of the American Psychiatric Association. They are Drs. Evelyn Alpern, M'26, and Henry Goldstein, M'19. Dr. Alpern has been a practicing psychiatrist since 1931. She has served as executive director of Children's Hospital Child Guidance Clinic since 1949. She has also been a child psychiatric consultant in Children's in-patient and out-patient services. Dr. Goldstein has been chief of psychiatric service at Sisters Hospital for 30 years. He is also on the psychiatric staff of Meyer Memorial and Linwood Bryant Hospitals, and is a psychiatric consultant to the Rosa Coplon Jewish Home and Infirmary as well as the Nazareth Home. O THE BUFFALO MEDICAL REVIEW �People Dr . .Vincent ]. Capraro, M'45, president of the Buffalo Gynecologic & Obstetric Society, seated left, presents a silver chalice to Dr. Hiram S. Yellen, M'll. Standing in rear, from left are: Dr. LeRoy A. Pesch, dean of the School of Medicine, Dr. Milton G. Potter, M'24, Dr. Lewis F. McLean and Dr. Herbert W. Burwig, M'25. Dr. Robert E. O'Connor, one of the five honored, was ill and could not attend. All received chalices. Three of the five obstetricians, who have delivered 85,000 babies, are medical school alumni. The five honorees are still in practice after 226 years of combined service. Their teaching service helped train 1,450 interns, 735 residents specializing in obstetrics and gynecology, plus thousands of medical students. At the special dinner meeting Dean Pesch paid tribute to their contributions to medical education.D "" c: 0 0 ~ ~ :;· 10 z ...,_-....,,..._.... !" ~ ~......._..=;~--~ 0 0 A 1947 School of Medicine graduate is the interim director of the Buffalo General Hospital's Community Mental Health Center. He is Dr. William S. Edgecomb, an assistant clinical professor of psychiatry at the University. The new center will be built at Ellicott and Goodrich Streets. 0 39 SUMMER, 1969 �People A 1926 School of Medicine graduate was honored at a testimonial dinner in February by the community. He has served for more than 40 years. He is Dr. Eugene M. Sullivan, Sr. of Lackawanna. His son, Eugene Michael, Jr., is a 1963 Medical School graduate. He is currently a surgical resident at Meyer Memorial Hospital. Dr. Sullivan, Sr. was police and fire surgeon for _the City of Lackawanna in the 1920's; has been railroad surgeon for the Baltimore & Ohio Railroad for many years; examing physician for Bliss & Laughlin Incorporated; plant physician for Flangeklamp Corporation, and physician for Our Lady of Victory School. He taught anatomy to nurses at Mercy Hospital, where he is senior and consulting surgeon, and taught contagious diseases to nurses at Our Lady of Victory, where he is former chief of surgery. During World War II he was examining physician at the induction center and subsequently organized the civil defense disaster unit at Our Lady of Victory. Dr. Sullivan, Sr. is past president of the Buffalo Surgical Society; at one time headed the Board of Censors of the Erie County Medical Society (now the Ethics Committee); and served on the society's executive committee. He is a Fellow of the American College of Surgeons. Dr. James C. Dunn, M'50, was chairman of the dinner. 0 Drs. John J. Giardino, M'58, and Allen L. Lesswing, M'54, have been inducted as Fellows of the American Academy of Orthopedic Surgeons at the annual meeting in New York City recently.D 40 Dr. Kenneth H. Eckhert, M'35, has been reappointed to the Erie County Social Services Advisory Board for a term that will expire December 31, 1973. He has been a member of the board since 1961, and is currently chairman.D Dr. Leon Far hi, professor of physiology in the Medical School, has been elected to charter membership in The Johns Hopkins Society of Scholars. The Buffalo scientist _received a gold medallion and membership certificate at the Commemoration Day ceremonies in February honoring the founding of The Johns Hopkins University. Dr. Farhi was one of 16 charter members.D President Martin Meyerson was one of five prominent Americans named to the Board of Directors of the new Center for Community Change. The Center, funded by $3.5 million from the Ford Foundation, will provide technical advice to community groups working among the poor in urban and rural areas. It is a combination of three existing groups: The Citizens Crusade Against Poverty, the Citizens Advocate Center and the Social Development Corporation. Other board members are Julian Bond, Georgia state senator; Walter Reuther, president of the United Auto Workers, Frank Mankiewicz, former press secretary to the late Senator Robert F. Kennedy and Paul Yavisaker, commissioner of the New Jersey Department of Community Affairs.D THE BUFFALO MEDICAL REVIEW �Dr. John H. Remington, M'39, of Rochester is the new president of the American College of Surgeons Upstate New York Chapter. Dr. Remington is clinical associate professor of surgery at the University of Rochester School of Medicine and Dentistry.D Captain George S. Stains, Medical Service Corps, US Navy, Officer-in-Charge of the Disease Vector Control Center, Alameda, California, received the Major Gary Wratten Award at the Annual Meeting of the Association of Military Surgeons of the United States on October 22, 1968. Captain Stains conceived and developed a method of penetrating heavy jungle canopies with pelletized insecticides, an operation not previously possible on any significant scale. This equipment has been the principal aerial dispersal system in the I Corps area of Vietnam, and has been a major factor in reducing insect-borne diseases in operating troops. The Major Gary Wratten Award was established by the Association of Military Surgeons of the United States in 1967 to honor the memory of Major Gary Wratten, Medical Corps, United States Army, who died while testing the Medical Unit Self-Contained Transportable (MUST) hospital equipment under operational conditions in Vietnam. It is presented for outstanding accomplishment in field military medicine to an individual eligible for membership in the Association. Major Wratten was a 1958 graduate of the Medical School.D SUMMER, 1969 Joseph A. Tomasulo, S.J., who decided to "heal the soul instead of the body'' received his doctor of philosophy degree in anatomy at the 129th mid-year commencement in February. After one year in medical school (1958), he decided he wanted to be both a doctor and a Jesuit. By combining the two, he was able to become a Jesuit and a biology teacher to prepare others to become doctors. Dr. Tomasulo is continuing his theological studies for the next three years at Weaton College, Massachusetts. Dr. Alvin C. Eurich, president of the Academy for Educational Development, addressed the 1,113 mid-year graduates. Dr. Eurich was the first president of State University.D Dr. Daniel H. Murray, dean of the School of Pharmacy since 1954, is the new dean of the Graduate School at the University. He replaces Dr. Fred M. Snell, professor of biophysics. Dr. Murray will also serve as associate vice president for academic development under Dr. Warren G. Bennis.D Dr. Harry W. Hale, professor of surgery at the Medical School and associate director of surgery at the E. J. Meyer Memorial Hospital, has resigned to become chairman of the department of surgery at Maricopa General Hospital, Phoenix, Arizona. With the exception of one year with the Navy (1950-51), Dr. Hale has been at the Meyer Hospital since 1946.0 41 Father Tomasu[G People �People Dr. Max Cheplove, M'26, has been named to a three-year term on the Commission on Membership and Credentials of the American Academy of General Practice.D Dr. Robert D. Loken is the new president of the University of Buffalo Foundation. He succeeds Dr. William J. O'Connor, who accepted an academic position in Florida. For the last seven years, Dr. Loken has been a program specialist with the Ford Foundation. After receiving his doctorate in psychology from the University of Southern California, Dr. Loken developed a business management service at the University of Illinois, and served as assistant to the publisher of Life Magazine.D The executive vice president of the University has been elected to the E. J. Meyer Memorial Hospital Advisory Board. He is Dr. Peter F. Regan. Mrs. John R. Campbell was re-elected chairman of the board. Dr. Guy S. Alfano, M'50, is also a new member of the board. Dr. Alfano is also president of the Erie County Medical Society.D Dr. Joseph R. LaPaglia, M'19, of Dunkirk, New York received a citation for his 50 years of practice from the Medical Society of New York State. Dr. LaPaglia came to Dunkirk as an infant from Sicily. After interning at St. Mary's Hospital, Rochester, he returned to Dunkirk.D 42 The president-elect of the New York State Medical Society is a 1931 graduate of the Medical School, and associate clinical professor of surgery. He is Dr. Walter S. Walls, attending surgeon at Buffalo General and Veterans Hospitals, and consulting surgeon at Booth Memorial and Meyer Memorial Hospitals. Dr. Walls is past president (1955) of the Erie County Medical Society, and has been a councillor of the state society since 1963. He was chairman of the society's Commission on Medical Services in 1967 and a delegate to the American Medical Association in 1946-54, and again from 1956-59. Dr. Walls is also medical director of Blue Shield of Western New York and Trico Products Corporation, and a member of the executive committee of the UB General Alumni Board. He is a Diplomate of the American Board of Surgery and a Fellow of the American College of Surgeons; a member of the Buffalo Surgical Society, and the Industrial Medical Association. Dr. Walls is a retired Colonel of the Army Medical Corps; a former member of the UB Council and a former trustee and president of the Board of the Park School of Buffalo. In 1970, Dr. Walls will succeed Dr. Walter T . Heldmann, a Staten Island otolaryngologist, who took office in February. D Two alumni have been named to positions in the New York State Society of Internal Medicine. Dr. Milford Maloney, M'53, was named treasurer, and Dr. Norman Chassin, M'45, was named to the board of directors.D THE BUFFALO MEDICAL REVIEW �Dr. Arthur Muldoon, M'26, died February 10 while vacationing in Acapulco, Mexico. He had been a surgeon in Niagara Falls since 1928. He was 71 years old, and served on the staff of both Niagara Falls hospitals.O Captain Benjamin Spencer Park Jr., M'61, was killed March 8 in Korea when a medical evacuation helicopter crashed. The helicopter was airlifting three wounded United Nations soldiers from the Demilitarized Zone. The 34-year-old Captain Park entered the Army in May, 1968. He served his internship and residency as surgeon at New Yark Hospital. 0 Dr. Augustus C. Paul, M'11 died April 4, after an 18 month illness. He had been a general practitioner in Buffalo for 56 years. A native of Lakeville, Pa., the 92-year-old physician attended Pennsylvania schools and worked as a teacher, school principal and osteopath before enrolling at the Medical School. He interned at Lafayette General Hospital. 0 A man who was on the School of Medicine faculty for 36 years died February 20. He was Dr. Wilson D. Langley, who was head of the department of biochemistry from 1946 until his retirement in 1960. He was 74 years old. In 1964 he was recalled as professor and acting ~ead of the department until a department head was hired in August, 1965. Dr. Langley continued to conduct research in biochemistry until December, 1968. He joined the Medical School in 1928 as an assistant professor of biochemistry and was named an associate professor in 1934, and professor and department head in 1946. He was a native of Charleston, South Carolina. He received his bachelor's and master's degrees from Wesleyan University, and his Ph.D. from the University of Illinois. Dr. Langley taught physiological chemistry at the University of Pennsylvania Medical School from 1922 to 1928.0 Dr. Paul C. Campbell, M'09, died February 20 at St. James Hospital, Hornell, N.Y. The 82-yearold physician retired in 1949, after practicing 38 years in Buffalo. Dr. Campbell was a native of Lockport, and interned at Emergency Hospital, Buffalo. He was active in the Erie County Medical Society and the AMA. In 1959 he was honored by the New York State Medical Society for his half century of service as a physician. His son, Dr. Paul C. Campbell, Jr., a 1936 graduate of the Medical School, lives in Fayetteville, North Carolina.O 43 SUMMER, 1969 Dr. Langley 1Ju flrmortatu �lfu tlrmnriam Dr. Clyde E. Maxwell, M'55, died of a heart attack at his home February 10. The 39-year-old physician had been practicing in Waverly since 1963. He was a surgeon at the Tioga General Hospital. Dr. Maxwell served his residency at Millard Fillmore Hospital and was on the staff of Kenmore Mercy Hospital. He received his Bachelor's degree from Williams College, Williamstown, Mass. in 1951.0 Dr. Paul J. Weigel, M'35, died March 11 in Houston, Texas where he had undergone surgery for correction of a heart valve defect. He was director of Student Health Services at Buffalo State University College. From 1960 to 1968 Dr. Weigel was on the Medical School faculty as a clinical associate in medicine. The 57-year-old was a Diplomate in internal medicine and a Fellow of the American College of Physicians. Dr. Weigel interned at the Millard Fillmore Hospital and at St. Elizabeth's Hospital in Elizabeth, New Jersey, before entering private practice in 1937. In 1942 he entered the Army as a First Lieutenant. He served in the European theater where he won five campaign stars, a combat medical badge, a bronze star, and unit Presidential citation. He was a Captain when discharged in 1945. Dr. Weigel was a visiting physician at Meyer Memorial Hospital; assistant attending physician in medicine at Millard Fillmore Hospital; full time staff member at Veterans Hospital; and chief medical officer, Buffalo Regional Office, Veterans Hospital. At the time of his death he was physician in charge of physicals for the Niagara Mohawk Power Corporation.O 44 Dr. Horace 0. Muscato, M'13, died February 25 in Columbus Hospital, where he was dean of the hospital's medical staff. He had been on the staffs of Buffalo General, Millard Fillmore, and E. J. Meyer Memorial Hospitals. He was a general practitioner and surgeon until 1945 when he became a licensed dermatologist. The 80-year-old physician was a past president of the Baccelli Medical Club and a life member of the AMA. He was also active in the New York State and Erie County Medical Societies, and the Buffalo and Rochester Dermatology Society. Dr. Muscato was awarded a citation and medal by President Franklin D. Roosevelt for voluntarily examining military inductees during World War II. Dr. Muscato was born in Sicily and came to Buffalo as an infant.O Dr. Irwin A. Cole, M'20, died February 1 in Clearwater, Florida. The 74-year-old physician began his practice in LeRoy, New York and in 1929 he moved to Batavia. He was also Genesee County Coroner.O Dr. Grace Joslin Shaver, M'15, died March 12. She had been a physician in the Town of Elma for 53 years, and health officer for 35 years. The 83-year-old general practitioner had been active in several local, regional, and national professional organizations. She is survived by two School of Medicine graduates, Dr. Carrol, M'44, a surgeon in Lancaster, and Dr. Ralph, M'46, a general practitioner in Elm a. 0 THE BUFFALO MEDICAL REVIEW �:Jourf~ _A-nnuaf _A-fumni Summer 5our 4 days-MOSCOW; 4 days-LENINGRAD; 3 days-SOCHI; 3 days-KIEV ..A-uguJl 7-21, 196 9 $699.00 /rom Bu//afo F or further information please write: SUMMER T OUR Alumni Office 250 Winspear Avenue (716) 831-4121 SUNYAB Buffalo, N .Y. 14214 The General Alumni Board Executive Committee- M. RoBERT KoREN, '44, President; RoBERT E. LIPP, '51, Vice-President for Administration; CHARLES J. WILSON, JR ., Vice -President for Oevefopment; MRs . EsTHER K. EvERETT, '52, Vice-President for Associations and Clubs; EDMOND GICEWICZ, '56, Vice-President for Activities and Athfetics; JoHN J. STARR, JR., '50, Vice-President for Pubfic Refations; HAROLD J. LEVY, '46, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President Annual Participating Fund for Medical Education Executive Board for 1968-69 DRs. M Ax CHEPLOVE M'26, President; HARRY G. LAFORGE, M'34, First Vice-President; M ARVIN L. BLOOM, M '43, Second President; DONALD HALL, M' 41, Secretary-Treasurer; JoHN J. O'BRIEN, M ' 41, Immediate Past-President. Vice~ �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 MRS 133 I LEE C E CA PUS I LSOt H L � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. 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Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1969-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.267 Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1969-02-Summer Table Of Contents A list of subunits of the resource. Medical Alumni Officers Combining Both Worlds Intern Matching Libraries Linked by Computer Regional Medical Grant An Internship as an Education, by Sherman G. Souther, M.D. Radiological Fellowship New Associate Dean Think and Challenge APFME Scholarship Spring Clinical Days Dr. Gottlieb Gives $75,000 Medical Education Medical Education in Turkey, by William J. Staubitz, MD Teaching Innovations What's New in Research Student Speaks to Immunization Group Physiological Adaptations People In Memoriam Alumni Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. BMR Buffalo physician Date Created Date of creation of the resource. 2017-09-14 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL009 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v03n02 Extent The size or duration of the resource. 48 p. Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Spatial Coverage Spatial characteristics of the resource. New York (State)--Buffalo Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/66d5ad07fae7084e776d0c0edc684fe7.pdf cc0afd033f00a6b0bc8ff014cbf8b3f3 PDF Text Text THE BUFFALO MEDICAL REVIEW Spring 1969 · Volume 3, No.1 · The State University of New York at Buffalo ·School of Medicine �L" UUIIALO \lfDICAl Rf VI[W vmr The Cover: Graphic artist Richard Macakanja designed the cover. University photographer Donald G. Glena contributed two pictures . The picture story on the Veterans Hospital Clinical Clerks is on page 20. THE BuFFALO MEDICAL REVIEW, Spring, 1969 - Volume 3, Number 1 , published quarterly Spring, Summer, Fall, Winter-by the School of M edicine, State University of New York at Buffalo, 3435 Main Street, Buffalo , New York 14214. S econd class postage paid at Buffalo , New York. Please notify us of change of address . Copyright 1969 by the Buffalo Medical Review . This magazine sponsored in part by th e Annual Participating Fund for Medical Education. �SPRING, 1969 Volume 3, Number 1 EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Editor MAR l ON MARIONOWSKY Dean, School of Medicine DR. LEROY A. THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo PESCH Photography IN THIS ISSUE DoNALD D. GLENA H u Go H . UN GE R Medical Illustrator DIEDRI CK 2 Graphic Artist 4 MELFORD D. RICHARD MACAKANJA Secretary FLOREN C E M EYE R CONSULTANTS President, Medical Alumni Association H. DR . PAUL LONGSTRETH President, Alumni Participating Fund for Medical Education DR. MAX CHEP LOVE Provost, Faculty of Health Scie nces DR . DOUG L AS M . SURGE NOR Associate Dean for Continuing Medical Education DR. HARRY J. ALV I S Director, Continuing Educatio n in the Health Sciences DR. MARVIN L. BLOOM Director of Public Information CHARLES H . DICK Assistant Director of Alumni Affairs D AVID M. KRAJ EWSK I Associate Director of University Publications V. PALER MO University Relations WE ST L EY RowLAND THEODORE Vice President for DR. A. 6 7 16 20 24 26 28 29 30 31 32 33 34 35 41 42 43 Gastrointestinal Disease USS Repose Student Research Fellowships Austin Flint, by George W. T horn, M .D . Community Medicine at Meyer Hospital Veterans Hospital Clinical Clerks A Summer in Pediatrics Pulmonary Emphysema Harrington Lecture Dr. William H. Wehr Premedical Advisors Orientation Project THEMIS Child Enrichment Outstanding Cit izens Medical Sociology People Medical Admissions Today's Stresses; 1500 Children Inoculated In Memoriam �An Impact on Gastrointestinal Disease Two will have an important impact on the study of gastrointestinal disease. Established by the University's department of medicine at the Meyer Hospital, the gastrointestinal clinical laboratory - the first in Buffalo - not only serves the hospital but patients referred from other hospitals and physicians as well. The seconda medical! surgical diagnostic laboratory - will use an interdisciplinary approach to study gastrointestinal disease. Like so many other areas, these specialties have been affected by technological advances. ' 'The frequency of general gastrointestinal complaints makes this an important field, '' said Dr. Leonard A. Katz1 who came here last summer from the U.S. Air Force (Maxwell, Alabama] Hospital to head the laboratory, "and we cannot write everything off as gastritis." Contemporary developments in the field of gastroenterology have led to many new techniques that were not available several years ago. A fiber gastroscope and camera is used to observe the inside of a stomach - to diagnose ulcer and cancer. A multichannel recorder - useful for disorders of swallowing-is utilized in the study of gastrointestinal motility and pressures within gastrointestinal organs. The gastroscopy room - multifunctional - has a gastroscope and an esophagoscope. NEW LABORATORIES 1 Dr. Katz received his medical degree from the Columbia College of Physicians and Surgeons. H e completed his internship and residency in medicine at the Bronx Municipal H ospital Center and a postdoctoral f ellowship in gastroneurology at Yale School of Medicine. H e is chief of clinical gastro enterology at th e Meyer Hosp ital. 2 �Research - both clinical and basic - is being developed. While Dr. Katz' relates directly to the patient! clinical disease states, Dr. David M . Bull, who works with him in this new laboratory, is interested in immunity in the gastrointestinal tract. ''We want to establish a basic understanding of the GI tract and are building on the work of Dr. Thomas B. Tomasi who has been looking at the immunochemical properties of saliva, milk, tears, and sweat in which Immunoglobulin A appears to be the prevalent immunoglobulin. This seems to apply as well in secretions of the GI tract. Eventually, we would like to apply new knowledge of secretory antibodies to the problems of intestinal infections and possibly to the question of intestinal autoimmune dis ease,'' Dr. Bull said. Working with Dr. Katz in the interdisciplinary diagnostic laboratory-for studies of the esophagus and the GI tract - is Dr. Gerard Burns, assistant professor of surgery. Together, they are studying the physiological activities and motility of diverticulosis - a diseas e of the colon which can produce pain, fever, and constipation. With a successful surgical trial underway - dividing the thickened muscle of the bowel to relieve the fundamental difficulty of spasm and muscular overactivity in lieu of removal of a large portion of the bowel - they want to find out, from a r esearch point of view, "how it works . " They will look at the newly purified h ormonegastrin-manufactured in the stomach which has only recently been synthesized. All physiological properties are not yet understood of this hormone which plays an important role in the regulation of gastric secretion in both normal and abnormal individuals. Patients who have had gastric surgerySPRING, 1969 Does it hurt here? Senior Peter Herwitt and Dr. Katz examine patient. removal of portions of the stomach or cutting of the vagus nerve - will b e studied for their r esponse to this hormone. The n ew laboratories will permit an expansion of gastrointestinal physiology and pathophysiology teaching to medical students, interns , residents, and community physicians . Dr. Katz is working closely with Dr. Mir Vilayat Ali [instructor in medicine), Dr. James P. Nolan (acting coordinator of gastroenterology and chief of t h e department of m edicine at the Buffalo General Hospital), and Dr . Jorge A le a [staff physician at the Veterans Hospital) . They are holding combined conferences and GI rounds . Ov er 60 local physicians have been invit ed to participate in this uniqu e study on the m echanism of gastroint estinal disease .D 3 �X - ray technicians at work. The Hospital Ship USS Repose The dental clinic laboratory. and professionally rewarding years of my career. '' That is the way Dr. Richard E. DuBois , M'63, described his year as a medical lieutenant (in charge of two wards) aboard the USS REPOSE, a hospital ship operating off the coast of Vietnam. '' Our major medical problems were fever and diarrhea. The majority of the fever w as malaria, however we saw quite a bit of dengue, scrub typhus, leptospirosis, hepatitis , and infectious mononucleosis . Extensive laboratory facilities were available to us on the ship , in Danang , and the Naval Medical Unit , Taiwan," Dr. DuBois said. ' 'The diarrhea w as an epidemic problem. It seemed as though all Marines had hookworm, many had ascariasis , and some even h ad strongyloidiasis . Severe diarrhea was sometimes seen with the frequent amoebic and bacillary dysenteries . There were three cases of amo ebic hepatic abscess successfully treated during the year . Plague, typhoid, cholera, and t etanus were endemic diseases among the Vietnamese, however, the American immunization program seemed to be effective since we saw no cases of these dis eases among the troops. ''Respiratory infections were common, usually bronchitis or pharyngitis . Scattered cases of tuberculosis and rare case.s of Meleoidosis were seen. Skin disease, like diarrhea , seemed to be a universal problem. Heat stress , ectoparasites, snake bites, venereal dis,ease , and miscellaneous others were all present. " O NE OF THE MOST SIGNIFICANT Dr. DuBois is a 1963 School of Medicine graduate. He spent the first two years of his naval tour in Hawaii before volunteering for dut y aboard the USS REPOSE in 1966 . He returned to Buffalo in Ju ly 1967 to begin a m edical residenc y at Meyer Memorial Hospital. Since August 1, 1968, he has been a Fellow in Infectious Diseases at Grady Memorial Hospital, Atlanta, Georgia. He will be in Atlanta for two years. ''Most of the malaria was falciparum and partially resistant to chloroquine . We usedquinine , daraprim , dapsone, sulfa, and chloroquine in varying dosages for this infection. T he men in the I Corps area took chloroquine-primaquine prophylaxis, nevertheless 10 per cent of our malaria cases were vivax.'' Dr. DuBois praised the naval corps on board and said, " a great many more men would die in Vietnam if not for the work of the corpsmen who do a wonderful job. " However, he said, ''The surgeons aboard the REPOSE are by far the hardest working. They stand for hours in surgery without sleep. "One of the toughest jobs is having to return a man to combat after having been near death with malaria or some other disease . '' The ship is 520 feet long, has a 72 foot beam, displaces 15,000 tons, and is capable of 18 knots. A crew of 16 officers and 200 men sails the ship, while the hospital's 550 beds are staffed by 23 doctors , 29 nurses, 3 dentists , 7 staff officers , and 250 corpsmen. Medical specialties are well r epresented including urologic, ENT, thoracic, neuro, ophthalmologic, orthopedic, cardiovascular, �and general surgery. In addition there are anesthesiologists, pathologists, radiologists, internists, and general practice officers. There are also three dental specialities - prosthodontics, oral surgery, and general dentistry aboard the ship. The ship was reactivated and fitted for $9 .5 million as a hospital ship in October, 1965. There are three major and three minor operating rooms, a recovery room, and an intensive care unit. There is a hyperbaric chamber, elaborate x-ray facilities , and frozen as well as conventional blood banks . The surgical facilities were usually very busy. A pump oxygenator was available and this enabled the REPOSE surgeons to successfully graft the thoracic aorta of a patient injured in a jeep accident. ' 'The magnitude and nature of combat injuries are indescribable. The burden of receiving fresh, gruesome casualties day after day was evident on the faces of all concerned. They arrived by helicopter day and night; each was announced by 'Flight Quarters! Flight Quarters! All hands man your flight quarters stations.' Triage was designed for emergency resucitation. Most patients passed through one of the three x-ray rooms on the way, The sick bay. but some were rushed directly to surgery. Operative priority was established by the Chief of Surgery; while the medical cases went directly to the wards.'' According to Dr . DuBois the REPOSE (prior to June 1, 1968) has treated over 13 ,000 patients , 46 per cent of which were battle casualties. Another 17, 000 outpatients (Vietnamese , Thai, Filipino, Chinese , Korean, French) have been treated . There have been 7,000 accident free helicopter landings on the ship . In 1967 the REPOSE and crew was pres ent ed the Navy Unit Commendation for support of the Marines in the DMZ during 26 combat missions. The Special Boards of General and Orthopedic Surgery have approved the hospital for three months of re sidency rotation. Dr. DuBois saw Dr. Robert Winters, M'61, on several occasions to compare cases and discuss therapy. They worked together for two weeks at the very busy Naval Station Hospital, Danang. Another Buffalo graduate , Dr. Kevin Gorman, M'62, arrived on the REPOSE as staff psychiatrist in January, 1967. "Seems like you don't go far in the Navy without bumping into a doctor from Buffalo,'' Dr. DuBois said. The REPOSE was joined by the USS SANCTUARY in April1967. As casualties mounted, the two white ships sailed up and down the coast (without weapons) receiving the sick and wounded. At night they are lit up like hotels in accordance with the Geneva Convention. Togeth er th ey represent over 1,000 clean, air conditioned beds with full complements of doctors, nurses, corpsmen, and facilities. "Nobody likes the war. But it is at least gratifying to know that there is first class medical care available to the young men w ho bear the brunt of our nation's commitments .' 'D The high-line transfer ofpersonnel f rom one ship to another. �Student Research Fellowships Five medical students have been awarded research fellowships that will enable them to work with a degree of independence on a limited amount of research activity during the academic year. Funded by a General Research Support Grant at the School of Medicine, each recipient receives $700 and an additional $300 for research needs if necessary. The research program , now in its fourth year, bases its selection of awardees on the quality of the student, his proposed project, and previous r es earch experience. The four sophomores and one junior who received the awards, their assigned projects, and sponsors are: Frank J. Twarog, class of 1971 (he holds a PhD degre e) " The Production and Passive Transfer of Exp erimental Thy roiditis in Rats'' (Dr . Noel R. Rose, professor of microbiology) Merrill L. Miller, class of 1971 ' 'The Aging Process of Neurons in the Human Inferior Olive" (Dr. Harold Brody, professor of anatomy) Stephen N. Vogel, class of 1971 ' 'An Investigation of the Incid ence of Thyroid Autoantibodies in the Families of Children with Chronic Lymphocytic Thyroiditis '' (Drs. Thomas Aceto , Jr., associate professor of p ediatrics, and Jos eph H . Kit e, Jr. , ass ociate professor of microbiology) Kenneth M. Piazza, class of 1971 "Biochemical Assay of Tissue H emogenat es of Autonomic Ganglia from Bats for N eurotransmitter Substances'' (Dr . Frances M . Sansone, assistant professor in anatomy) 6 John A. Rider, Jr., class of 1970 ''Kinetics of Gastrointestinal Absorption and Metabolism of Cortisone Acetate in Nephrotic , Adreno-Genital and Nor mal Children '' (Drs. Thomas Aceto , Jr., associate professor of pediatrics, and William H . Barr, assistant professor, pharmacy).D THE GARY P. WRA TTEN S URGICAL SYMPOSIUM The Gary P. Wratten Surgical Symposium w ill be sponsored b y Walter Reed General Hospital March 31 , April 1 and 2 . The 33-year-old phy sician was a 1958 Medical School graduate. H e w as killed in South Vietnam November 4, 1966. At the time of his death h e was a M ajor and command er of a United Stat es Army field h ospital. Clinical surgeons of national prominence w ill be on the program that w ill include recent advances in the fields of general surgery and the surgical specialties , new adv anc es in clinical r es earch , and n ew procedures and techniques.D THE BUFFA LO MEDICA L REV I EW �Austin Flint by George W. Thorn, M.D. Stockton Kimball Lecture, 1959 SPRI NG, 1969 Austin Flint was born in Petersham , M assachusetts , on October 20 , 1812, in a family rich in m edical tradition . His great-great grandfather, Thomas Flint , settled in Concord in 1638 . His great grandfather, Edward Flint, was a practicing phys ician in Shrewsbury, Massachusetts. His grandfather , Austin Flint I, practic ed medicine in Leicester , Massachusetts, and served as a surgeon in the Revolutionary Army . His father, Joseph H. Flint, was a surgeon in Northhampton, Massachusetts. Austin Flint ' s son b ecame professor of physiology at Bellevue Hospital, and his grandson, professor of obstetrics at New York University. Thus, over a period of six generations, direct descendants of this family were engaged in the practice and teaching of medicine . Austin Flint attended Harvard Medical School b etween th e y ears of 1831-1833 . It is interesting to note the faculty of medicine under whom he studied . James Jackson , the second Hersey Professor of the Theory and Practice of Physic occupied the chair at that time, and John Ware, later to become Hersey Professor , was adjunct professor. The professor of anat omy and surgery was the famous John C. Warren, and of chemistry, John W. Webster. Professor of midwifery and medical jurisprudence was Walter Channing, while Jacob Bigelow was professor of mat eria medica. This group constituted an outstanding r epresentation of the best minds in m edicine in the United States at that time. Regarding James Jacks on, the second Hersey Professor, Dr. George Minot, a beloved former memb er of this Association adds the following notation: Jac kson was cons idered a conspicuous and popular teacher but not a brilliant one . H e taught the practic al as w ell as the scientific sid e of m edicine . His 7 �patient was the man and not the diseas e. He wrote as he taught, saying the most useful things in the simplest way . His 'Letters to a Young Physician' are full of practical guidance for the student today. He prescribed cod-liver oil with whiskey, but since these two ingredients do not remain well mix ed, he commonly found the whiskey gone and codliv er oil in the bottom of the g!ass! " 1 Between 1833 and 1836, Austin Flint practiced medicine in Boston and Northampton , Massachusetts . In 1836, he moved to Buffalo , New York, his home for the following twenty years. For one year, in 1844-45, he taught in the Rush Medical College in Chicago while maintaining his residence in Buffalo. In 1846, he founded the Buffalo Medical Journal which was published monthly unaer his editorship for the subsequent ten y ears. Flint's justification for an undertaking of this magnitude in this comparatively young community is convincingly presented in his introduction to Volume I. On the occasion of introducing to the medical public the first number of a new Journal, it will be expected of the editor to give some reasons for its appearanc e, and to premise some account of the objects to which it w ill be devot ed . It will readily be acknowledged, that for the more voluminous and elaborate journals , in m edical as in other departments of knowledg e, we must look to the larger cities , where the elements and facilities for their preparation and diffusion , are to be found in the greatest abundance. But without any derogation from the sup erior claims of these, there are many reaso ns why th ey do not, and cannot accomplish all the objects to be derived from periodical literature . Of these reasons , we may her eafter take occasion to speak more particularly, and to discus s their respective merits. But assuming, for the present, 1. Minot, George Richards. The Inquisitive Ph ysician. (Camb ridge, Mass.: Harva rd Uni versity Press, 1956), p. 199. 8 their existence and validity , it has seemed to ourselves and o thers that Buf-falo is in many r espects a desirable location for a Medical Jo urnal. This opinion is based on its present and prospective size and resources; its relations with the eas t and west , through canals and railroads on the one hand , and the chain of the Grea t Lakes, with their n umerous tributaries, on th e other . It is believed that sufficient material to commend an enterprise of this kind, may be derived from sources which will be constantly increasing and improving; and that a Medical Journal may d o much , not only toward making available the material whic h already exists, but to r ender its futu r e availability and improvement com mensurate with its increase. By m eans of facilities for rapid and extensive communications on every side, our location is p eculiarly favorable for the collection and diffusion of facts from a wide circuit , and the interchange of views and opinions among members of the profession , n ot only in this section of co untry, but situated at points remotely distant from each other . "In conducting the Journal , we shall in the firs t place , devo te as much space as practicable to original co mmunications . Cases are constantly occ urring under the observation of practical men, which are interesting fro m their no velty, a11d which contribu te either to develop or confirm imp ortant truth . . .. In the second place, we shall endeavor to supply to thos e who may b eco me our patrons, C('Jlldensed intelligence of discov eries, improvements, and n ew views in m edicine, surgery, and collateral branch es of science , which may b e co mmunicated to the professio n in this country or abroad, through periodicals and books .. . . Our pages w ill be open to interchange of opinions and free discussion , not only of subjects stric tly belonging to M edical Science - but of any involved in the progress , or interests of the medical profession. Medical education , medical legislation, quackery, medical ethics, and the vario us plans of medical reform, are among the subjects , w hich at th e present time, furnish questions of interest and moment, both as r egards the profess ion and the public . .. . W e would add that the Journal is pledged to no inter ests apart fro m those w hich relate exclusively to the p rogr ess of Medical Scien ce, and the advancem ent of the medical profession. It is not instituted fo r any sectional objects , or partisan views; but to serve as an organ fo r the impartial and untrammelled utteranc e THE BUFFALO MED ICAL REV IEW �of opinions on any matters pertaining directly or indirectly to its professwnal objects. 2 The regular publication of the Buffalo Medical Journal, with its high level of critique under Flint's editorship, provided a vital force in the elevation of standards of medical practice in the western part of the state and adjoining areas in Pennsylvania, Ohio, and Canada. In 1847 Austin Flint, in cooperation with Frank Hamilton and James White, founded the Buffalo Medical College. He maintained his faculty position there until 1852, at which time he became professor of medicine at the University of Louisville for a period of four years, returning again to Buffalo Medical College for the period of 18561858 . During the winters of 1856-1858, Dr. Flint served as professor of medicine at the New Orleans Medical School. In 1861 he left the watershed of the Mississippi and assumed the Chair of the principles and practice of medicine and clinical medicine in Bellevue Hospital Medical College and that of pathology and practical medicine in the Long Island College Hospital. Thus, in his lifetime , he influenced the early course and development of six medical schools in the United States - a tremendous educational accomplishment in its own right. Austin Flint's interests in medical practice and education w ere not confined to the editorship of the Buffa lo M edic al Journal and his professional duties . In 1846 he attended the first National Medical Convention in New York City. This meeting ended on a discouraging note and undoubtedly would have result ed in failur e had it 2 · Flint, Austin . Int rod uct ion, Buffalo Medical Journal I : I , 1886. SPRING, 1969 not been for the courage , interest, and farsightedness of three members , one of whom was Flint. Because of his continued belief in the cause, he was made a member of the committee on medical literature, a committee chaired by the Honorable Oliver Wendell Holmes . Austin Flint was elected chairman of the section of practical medicine of the American Medical Association in 1850, and in 1884 he was honored by being its president. The American Medical Association, under his leadership , convened in Washington on May 6, and the following excerpts from his Presidential Address delivered in Washington, D.C. on May 6, 1884 illustrate his concern for the needs of the profession at this time, his wisdom and his understanding. I revert to the question: What can our Association do to promo te mo re and mo re th e elevatio n of the st andard of m edical education? It is to be borne in mind that exclusive of the motives for personal improve m ent ~hich appeal to its members individually, the profess ion must rely upon itself for w hatever is to b e done . T he A m erican Medical A ssociation repres ents the pro fessio n of the whole co untry . Hit herto the association has b een content w ith r eports, addresses, and communications pointing out existing def ects in m edical education , and reco mmending changes and improvements , the immediate adoption of so me of whic h was imp rac ticable . T oo often a predo minant spirit of animadversion has been apparen t. Le ~ a c ou ~se be pursued w hich is more active and p racllc ~l, w1th refer ence to m easures for progress . Let certam m easures be proposed for immediate adoption , w hich are within th e limits of practicability . Let these measures r eceiv e the sanction and support of the local associations in th e differ ent states of the union . Let the National As sociation take th e initial steps and solicit co nfe rences with , and the cooperation of , State Associations and the leading medical colleges throughout th e country, w ith a view to agr eem ent r especting the propos ed definit e m easures . Let these steps b e taken in a kindly spirit, with an earnest 9 �desire to harmonize different views and interests in order that there may be united action as regards improvements agreed upon. In this way, as we may hope, uniformity in the different states w ill be secured in behalf of the second of the objects for which our association was instituted. Our association, bo th by precept and example, has aimed to facilitate and foster friendly intercourse between those engaged in the practice of medicine. The opportunities for the renewal of old and the formation of new friendships and for social enjoyment are in themselves sufficient to rend er the meetings of the association of great value. Let us continue to cherish this last one of the several objects fo r which our association was instituted, so that, in this point of view, to the enjoyment of its meetings, may be added the pleasures of anticipation and of retrospection. '' 3 This address had a tremendous impact on medical thinking throughout the United States and represented, as one might well have predicted, the well-considered and well-tempered judgment of a man who for nearly 40 years had devoted his energies towards the advancement of medical education and the standards of medical practice. It is difficult in the time available to do justice to the scientific accomplishments of Austin Flint. Some idea of the breadth and depth of his medical knowledge may be ascertained from the following, First and foremost was the publication of his Treatise upon the Principles and Practice of Medicine, 4 the first edition appearing in 1866, This textbook, which was used widely throughout the country, unaerwent several revisions. As an example of Flint's remarkable understanding of 3 · Flint, Austin. Annual Address, J.A.M.A. 2:505-513, 1884. 4 · Flint, Austin. A Treatise on the Principles and Practice of Medicine. (Philodelphia : Henry C. lea, 1866), p. 654. 10 pathophysiological changes , I would like to present the following excerpts: A cute, Desqua mative Nephri tis: Causation. This affection may occ ur at any period o f life; young infants are not exempt from it. It occurs oftener in males than in females. As already stated , in the ma jo rity of cases it is a sequel of scarlatina . It may occur during the progress of scarlatina , or follow directly the stage of desquamation, but it is most apt to oc cur in the seco nd or third week after the date of convalescence. It is an import ant question whether this sequel proceed exclusively o r chiefly fro m an agency pertaining intrinsically to scarlatina, or whether it depends on ex trinsic causes , suc h as the action o f cold . It occ urs in cases in which the utmost care is taken to place the patient beyond th e agency of extrinsic causes, but it is probably that the latter are frequentl y involv ed. In this discussion of the causation of lomerular nephritis, Flint judged quite correctly that scarlatina was more important in the etiology of nephritis than extrinsic causes. Diabetes Mellitus, or Saccharine Diabetes, Glucosuria . Melituria. Glucohaemia . Following a definition and notes on the clinical history of the disease, Flint has this to say under Pathological Character: The pathological character of this disease has already been briefly considered in conn ection w ith the morbid conditions of the blood in Part I [of the textbook]. N otwithstanding the facts relating to digestion which science has acquired within late years , and the impor tant discoveries by Bernard relating to the glucogenic function of the liver, the pathology of diabetes is still obscure. It is n ot certain that the disease does not consist, in a meas ure at leas t , in an abnormal production of sugar from the ingesta w ithin the alimentary canal , as maintained by Bouchardat and others. The notable effect of excluding from the ingesta substances readily converted into sugar goes to support this pathological view . Bernard considers that the disease is due t o h yper -secretion of s ugar THE BUFFALO M ED ICAL RE VI EW �by the liver, dependent on morbid excitation rec eived through the n ervous system . The know n essential pathological condition is the existence of sugar, in more or less ab undance, everyw here in the blood . But it is not certain that this co ndition is due to the en trance into the circulation of an excessive quantity of sugar; it may be due to th e entranc e into the circulation of an excessive quantity of s ugar; it may be du e to interruption of the processes by w hich the sugar existing in th e blood in the right side of the hea rt is destroyed during the passage of the blood through th e pulmonary organs . This is the view held by Mialhe and Raynoso, the form er a ttributing the deficient d es tructio n to a w ant of s ufficie nt alkalinit y of the blood. The goo d effec ts of alkalies given as r emedies , in some cases of diabetes, affords some support of this do ctrine. It se ems clear that the essential pathological conditio n is depend ent either , (1) On an undu e introduction of sugar into the blood , w heth er fr om hype r-production of sugar in the liver or in the alim en ta ry cana l, or both ; (2] On d efic ient destruction of the suga r, the quantity not being in creased; (3) On an increased introduction and deficient destruction combined . Our present knowledge does not ena ble us to sa y in w hich of these thr ee explanations lies the tru e pa th ology of t he disease . The great am ou nt of s ugar excreted in the urine in so m e cases of diabetes r end ers it pr obable that the quantity w hich enters the b lood exceeds that in health. 5 This r emarkable discussion of the etiology and pathophysiology of diabetes mellitus, particularly the discussion r elevant to "over production and under utilization" is a classic . It is to be borne in mind that this section was w ritten in 1866, more than 20 years prior to th e experiments of Von Mering and Minkowski and n early 50 years prior to the discovery of insulin. Diseases of th e Supra-Renal Capsules-Addiso n 's Disease . . . . Bronzing of the skin, or melasma, corresponding to th e description by Addiso n , may exist without the anaemia and cac hectic condition w hich 5. Ibid., pp. 676-680. are essen tial to the affection w hich he describes. T his affectio n ends fa tally aft er a duration varying fro m two months to three years. It is to be b orne in mind that m elasma alo ne is not evidence of Addison's disease and , in itself , does n ot involve a grave condition. The melasma , w hich is a symptom of Addison's Disease, is to be di scriminat ed from the eruptive disease known as pityriasis nigra. The latter is ac co mpanied by fur furaceous desquamation of the cuticle, and is attended b y a troubles o me pruritus . Discoloration of the skin caus ed by the prolonged adm inistration of silver is , also, not to b e co nfo und ed w ith th e bronzed skin of Add ison' s Dis ease. Microscopical exam ination of specimens of skin affected with the bro nzed discoloration made by Wilks, Robin, and Dalton , has shown that the morbid cha nge in color is d ue to pigmentary granules in the ret e mucosum, id entical with those in the skin of th e Negro . 6 Flint 's warning that melasma or increased melanin was not , in itself, diagnostic of A ddison's Dis ease is a point well tak en. Austin Flint's outstanding contributions in the area of physical diagnoses are best illustrat ed by a paper entitled " On Variations of Pitch in Percussion and Respiratory Sounds and their Application to Physical Diagnosis" w hich was awarded th e annual prize by the American Medical Ass ociation for the year 1852. In addition, his articles on serous effusion into the arachnoid cavity and pleuropneumonitis complicated w ith pericarditis , illustrate a high degree of pathological correlation with physical signs and symptoms. There is no doubt that Flint's contributions to the physical diagn osis of valvular h eart disease r emains to this day a classic . His skill in diagnosis is illus trated both in the sections on heart disease in his textbook as well as several scientific reports dealing with the correlation of physical ch aracteristics of murmurs and autopsy findings . 6. Ibid., p. 687. 11 SPR ING, 1969 I I �The medical profession today acknowledges his contribution in its eponymy -the Flint Murmur, an apical diastolic murmur occurring in aortic regurgitation as the result of a relative narrowing of the mitral orifice in the presence of a dilated left ventricle. In 1849, Flint made a notable contribution to American medical literature in his report on an epidemic of cholera in w hich he summarized effectively the criteria for diagnosis and contributed significantly td important epidemiological features. A medical classic of all times is to be found in Austin Flint's description of a typhoid fever outbreak which occurred in a small town near Buffalo. The contagiousn ess of typhoid fe ver is proven by instances in which persons having contrac ted the disease in one locality, go to anoth er in w hich the disease was not prevailing , and of the residents in the latter locality with w hom they are brought into co ntact , a gr eater or less number become affected . Many instances of this kind have been reported, but the most remarkable of any on record came und er m y observation in 1843 in a little settlement called No rth Boston situated eighteen miles from th e city of Buffalo, consisting of nine fa milies, all b eing w ith an area of a hundred rods in diameter; b ut th e few houses in w hich the disease occurred were closely gr o uped together around a tavern, the house farthes t remov ed from the ta vern b eing o nly ten rods distant. A stranger from New England, tra veling in a s tage coac h which passed through this settlem en t, had been ill fo r several days , and on arriving at this stopping pla ce, was unable t o proceed furth er. He r emained at the tavern and, after a few days, died. H e was see n by several physicians of the vicinit y and there can be no doub t that his disea se was the same as that w ith w hich others w er e s ubsequently affec ted . Up to this tim e typhoid fever had never been known in that neighborhood . The sick stranger w as seen by the members of all th e families in immediat e proximity 12 to the tavern w ith a single excep tion. One family, named S tearns, having quarrelled with the tavernkeeper had no interco urse w ith the family of the latter and very lit tle w ith th e oth er families , a ll of w hom w ere tenants of the tavern keeper . No m ember of the family of Stearns saw either the sick stranger or any of those w ho were taken ill after the stranger's death. Members of the fam ily of the tavern keep er were the first to b ec ome affected . . . In a month , more than one-half the popula tion , numbering 43 , had been affec ted . . . and ten had d ied. Of the families imm ediately surrounding the tavern , tha t of Stearns alone escaped; no case occurred in this family. The occurrence of th e dis ease p roduced great excitem ent in the neighb orhood; poisoning was suspected, a nd Stearns was charged w ith having poisoned a well u set.: by all the families excep t his ow n . A fact which encouraged this suspicion w as the common well being owned by the tavern keeper; he had r efused permission to us e it to Stearns w ho had in consequenc e been obliged to dig a well for his own use . An examination of the w ater from the commo n well showed it to be perfectly pure . The disease was undoubtedly typhoid fever. Visiting this settlement during the prevalence of the dis ease , and rec ording the symptoms of s eve ral cases then in progress , the clinical history furnished abundant evidence of th e nature of the diseas e . Moreover, I mad e a n examination of th e body of one of tho se who had died w ith the disease , and fo und the P eyerian patches ulcera ted and the mesenteric gland s greatly enlarged. Now , were it proposed to d evise an experiment to tes t the communicability of a dis ease, no b etter plan could b e adopted than to introd uce a case in to a district w h er e it was not at the time prevailing, and to procure free exposure on the part of some of thos e residing in the d is trict. T h e experiment would be mo re satisfactory if the diseas e introduced had n ot been hitherto endemic in that locality. And to rend er the experimen t as p erfec t as possible, by divesting it of any moral infl uence, it sho uld be mad e w ith out the know le dge of those w ho were to b e the s ubjects. If, under all th ese circ umstanc es, a large propo rtio n of thos e of the inhabitants of the district who had bee n bro ught into contact with the dis ease were attacked simultaneously or in quick succession , and thu s a new and hitherto unknow n affe ction be suddenly THE BUFFA LO MEDICAL REVIEW �------~--- d evelop ed , w hich spreads rapidly over a limited circuit , affecting tho se onl y w ho had been in habits of intercourse with th e impo rted case or w ith th e perso ns w ho were s ubseq uently a ttac ked , o th ers res iding in th e same dis tric t , b ut not bro ught into contact with the disea se, uniformly escaping- w ha t is the logical dedu c tion from the facts? In the abs ence of all evidence of epidemic or end emic agencies , contagion offe rs th e only adequate expla nation. The law s of probabilities w ould not authorize th e s upposition that the even ts d epend ed on mere co incidence. T o und erta ke s uc h an ex perim ent w o uld b e n eithe r prac tica ble nor jus'ifiable: but it w ill be seen , on r eview ing the fac ts co nnected w ith the d evelopment and diffusion of typhoid fever a t Nor th Boston, that they embrace all the conditions fo r a fair experime n t to test the con tagiousness o f the disease. If every circums tance had b een d elib erately s elected and arranged , th ey co uld hardly have been mo re co mp lete. 7 Of this paper the standing c ommittee of the , Association on Medical Literature r eported at the meeting in Charleston, in 1851: W e cannot, in justic e to the lab o r and tale nt d is played s pea k of it mer ely as a ffording a rigid co mprehensiv e anal ysis o f the s ubjec t. A s an expositio n of the clinical fa ct s of the disease , as w itne ssed in this co untry, as a n Am erican work on fever , rich in ma teria l a nd admira ble in execution , it is o ne of th e bes t contributions ever publish ed in the United States . a Austin Flint ' s impact on medical education was not limited to this side of the Atlantic. In 1881 , he presented a paper at the meeting of the International M edical Congr ess in London; the enthusiasm with which he was received at this meeting was reflected in his b eing selected to deliver the principle address in medicine at the 7 · Ibid., pp. 7 11 -7 13. 8 · Necrology, Au stin Flint, Sr., J.A.M.A. 6:363, 1886. SPR ING, 1969 meeting of the British Medical Association in 1886. Unf ortunately , his untimely death prevented him from presenting his discourse on " M edicine of the Future. " The manuscript was found among his papers and the address was printed precisely as it was written. Ex cerpts from this paper illustrate Flint 's insight into the problems w hich w ould confront medical libraries and the profession in the years to come. W ith each s uccessive decade in the last centur y, th e medical pr ess has been more and more pro lific. Th e fecundity is likely to increas e r a ther tha n diminish. There is no prospect of a menop ause . W hat a progeny may be expec ted at the end of the next half-century! Co nsider the situ atio n at the pres ent time o f that unfortuna te perso n so often men tion ed as the ' bus y practitioner!' He is naturally, as is to be h oped , a nxious to be a u courant with Frenc h , Ger man , a nd English m edical lite ratur e. W ith each s uccessive month he co nsults the 'Index M edic us,' a m onthly classified record of the current m ed ical literature o f th e world. If he be tho ro ughly disCo Ul'aged at this da y, w ha t must be th e s ta te of m ind produced by consulting Index M edicus in th e yea r 1936? The truth is tha t a t the present time , a nd still more in th e future , th e range of r eading a nd study mus t be restricted , in a grea t m eas ure . to limi ted parts of the field of medical li te rature. 9 His prophetic apprehension is substantiat ed by the r ecent withdrawal of the Index M edic us from publication - presumably because its task could no longer be carried on adequately by the facilities available to it. F urth er on in his address, Flint points out: A naly tical ch em istry carri es in vestiga tion beyond the limits of m icroscopical observa tion . T h e lat te r , a t the pr esent mo m ent, b oth in pathology and phys iology, see ms to pro mise most; bu t is it not a ra tional 9 · Flint, A ustin, M ed icin e of the Future. {N ew York: D. Appleton & Co., 1886), p. 27. 13 �anticipation to look for future results from chemical analysis of the components of the body , in health and disease, which in brilliancy and practical utility may surpass those of the labo rs in this fiel d of investigation during th e past half-century ? T he medical semicentenarian can recall the enthusiasm aroused b y the labors of Liebig. Histology is now in the ascendant , but it is safe to predict that, before the lapse of another half-c entury, there will b e another era in organic chemistry , and that light will penetrate dark recess es w hich histology cann ot reach . Tracing to protoplasmic cells physiological and pathological processes brings us in close proximity to these processes, but th ey are not thereby elucidated . Histology may disclos e the agents, but it leaves us in the dark as regards the agencies . How is it that secretions, excretions, nutrition, growth, and certain morbid products are bro ught abo ut. " This ques tion cannot be answ ered w ith our existing knowle dge , and the answer must come from organic chemis try. The suprem e ob jects of stud y in pathology at the present time are the disco very of micro-organisms and their na tural history . But these agent s, it is probable, are pa thogen etic , not directly but indirec tly, by means of the toxical p rodu cts of their activity. What are these products , and how do they giv e rise to the phenom ena of disease? W e may ask the same q uestion of certain of the poisons introduced from without the body . How is it that fraction al quantities of morphia , hyoscy amin, strychnia, aconitia, atropia, and other alkaloids produc e their lethal effects? It conveys no adequate information to say that they act upon the nervous syst em. This is merely th e statement of a fact , not an explanation. For the latter, we must look to the organic chemistry of the future. · The progress of m edicine, so far as it d epends o n observation, h as b een affec ted especially by the sense of sight. T h e sense of hearing, it is true , has contributed most important information, especially respecting the organs within the chest. It is needless t o refer to the knowledge ob tained by means of auscultation and percussion of th e lungs and heart. A large share of this knowledge has been obtained within the last half-century . It is ne edless , also, to refer to the marvelous developmen ts w ithin th e last f ew years of knowledge respecting the tr ans mission of sounds outsid e of the body, as exe mplified by the telegraph , th e telephone, the microphone, ahd the 14 phonograph. These developments have not as yet add ed much to our knowledge of th e normal and abnormal actions taking place within the body . Much is to be exp ected from this so urce in the future .' It seems certain to m e that the principle of the tel ephone will , by-and-by , be applied to intrathoracic respiratory and heart sounds , so that they will be transmitted to th e ear with m ore distinc tness than they are by the binaural stethoscope. The healthy and morbid sounds will then be so easily observed as to rend er the physical diagnosis of pulmonary affection in all cases a very simple problem. More than this the clinical teacher may b e able to demons tra te ausculta to ry sign s to a class of m edical students co mfortably seated in the lec ture room or hospital amphith eater . The same is to be said of asculatio n of the h eart. 1 0 A remarkable and accurate prediction! Austin Flint, age 74, died at his residence in New York on Saturday , March 15 , 1886 . T h e last lecture of the term -an hour in duration was giv en earlier in the week and this w as followed by a quizzing exerc ise w hich wo uld hav e done cr edit to a professor of 40 . He attended the examination which w as concluded on F riday, w ent to the faculty me eting o n Fri day ev ening w hich las ted until a late ho ur, and was driven ho me a pparently in good spirits . Very soon a fter reaching his ho me he h e w as tak en ill . Dr . E. G. Jan ew ay was called imm edia tely an d he in turn sen t fo r Au stin Flint , Jr., Dr. Isaac T aylor , and Dr. William T . Lusk. T he pati ent sank slowly and died ea rly on the aft erno o n of the foll owing day .·1 1 A study of the life of Austin Flint quite naturally stimulates one to r eview the present status of medical practice and the education of young physicians - particularly in reaction to our university-teaching h ospitals. Flint's life-long efforts in behalf of medical education and practic e have born fruit and he undoubtedly would be proud of the high position which the medical schools, teaching hospitals , and practicing physicians occupy in this l 0 . Ibid., pp. 9 - l 2. ll. Nec rology, A us tin Fl int, Sr., ).A.M.A. 6 : 362, 1886. THE BUFFA LO MEDICAL REV IEW �country. His apprehension regarding the inevitable deluge of medical literature and the tendency of the profession to specialize in restricted areas of medical practice are well justified. His suggestions regarding the need for basic science training in conjunction with clinical experience were never more pertinent - and we can well imagine that his voice, if present today, would ring out loudly in favor of strong basic science experience for all students throughout the four years of medical school - thus recognizing that the difficult decisions with which the physician of tomorrow will b e faced can only be made effectively by a mind well prepared through the objectivity which biochemistry, biophysics, and mathematics provides . So too, we would find the voice of Flint insisting on the fact that there is also an "art" in the practice of medicine - that the teaching and exemplification of this is a responsibility which fulltime teachers must assume personally if students are to believe in its importance. In other words , the successful practice of medicine today requires that a physician accumulate a rapidly-increasing body of scientific information, develop the ability to think clearly and objectively, and be capable of establishing a warm and understanding relationship with his patients. In addition the true physician carries an obligation to record his experiences for the benefit of others. Austin Flint was all of these , and subsequent graduates of the University of Buffalo School of Medicine have had their professional lives deeply enriched by the influence which h e exerted during the formative days of this institution. SPRING, 1969 Dr. Thorn presented this Stockton Kimball Lecture on Clinical Day, 1959. Theinternationallyfamous doctor-educator received his M.D. degree in 1929 from the School of Medicine. In 1942, when he was only 36 years old, he was appointed to the most distinguished Chair in American medicine - Hersey Professor of the Theory and Practice of Physic, Harvard Medical School, and as Physician-in-Chief, Pet er Bent Brigham Hospital, Boston - positions he holds at the present time. In April1967, he was appointed Samuel A. L evine Professor of Medicine, Harvard Medical School. Dr. Thorn's medical interests and research have been concentrated in the field of endocrinology and m etabolism. His early work in the study of Addison's disease led to the discovery of an extract of adrenal glands which preserved the lives of individuals with this disease, and his continuing contributions to the understanding and treatment of this condition have brought to him numerous honors in this country and throughout the world. He pioneered in studies of salt and water metabolism, the effect of high altitude on adrenal function, the myopathy of thyroid disease and has made outstanding contributions in furthering medical know ledge ofdiabetes mellitus. Of his many accomplishments, it is difficult to single out any one for particular emphasis but, in recent times, his research in ACTH and the development of its use in the treatment of numerous diseases of man has brought to him world-wide acclaim and numerous national as w ell as international awards. He was the first to show that complete adrenalectomy in man could be performed safely, and he initiated the earliest work in human kidney transplantation. D 15 D r. Thorn �Someone Cares. Young Dr. Sattar Farzon and patient bridge the generation gap. Con~munity Medicine at M eyer Hospital 16 A new 49-bed community medicine facility, established at the E. J. Meyer Memorial Hospital, is a joint venture between the hospital and the department of medicine at the University. It is serving to close the gap between a better understanding of the patient and how his problems affect him and the community. Patients are referred from the acute medicine service-in n eed of further hospitalization for chronic or convalescent care following acute illness -and those who need professional help to return to the community . The facility hopes to find out why these patients keep coming back with the same problems . It is the community - as taxpayers and as family members - who must pay a high cost for not closing the gap. States the new facility 's director, Dr . Earl H. Noble, " we feel that the most effective way to shorten a patient's hospital stay and return him to the community - within the limitations imposed upon him by his medical problem - is to bring together all the professionals in one area to look after him.'' A team - physicians , nurses , nurs es aids , occupational and physical therapists, medical sociologist, social workers, psychologist, psychiatrist , chaplain, etc. - meet at weekly conferences where they pool their information ab out the patient. Collectively, they develop a treatment program that covers not only care but a plan to organize the patient ' s life around his medical problem. They also determine the place in the community home, a nursing facility, the Erie County Home that will most benefit the patient. THE BUFFA LO M EDI CAL REV I EW �This facility serves as a pilot project where the team approach assures the patient of a continuity of treatment , a program of rehabilitation if necessary, and the feeling that someone cares. It includes a 12-bed rheumatology unit and will soon add a pulmonary rehabilitation unit. Many of its patients, by virtue of their medical problems, are elderly. With national statistics showing over 20 million 65-year olds, and better nursing and medical care lengthening their lives, the numb er of chronically ill will increase. "The staff must have an understanding of how to handle the elderly patient, " Dr . Theodore C. Krauss, a part-time consultant on the facility stresses. ''The relationship itself can help to "Punch and cookies? " Nurse Florence Davis and Head Nurse Nanette Pugh (behind her) inquire of a patient . • SPRI NG, 1969 Som e of the staff enjoy the Christmas "trim m ings" they prepared. create a healthy community response to the problem. While the elderly patient does not ex pect a miracle he does want something done for him . . . to offer him a ray of hop e. If we can make him accept the inevitable or if h e is incontin ent , h elp him to co ntrol this condition, that is a result,'' he concluded. Reeducating the patient so that h e can live w ith his problem is w hat team m emb er Nurse Florence Davis thinks must be done. " Sometimes th e patient does not even feel that he is worthy eno ugh to eat. We must make him fee l that he is, that someone cares . Our aides try to bring the best of what is left in each patient 's life to the surface.'' Group th erapy is practiced in the facility. Patients eat together and share each oth ers' experiences. 17 �help he needs , so that he can b e as independent as possible. "Let's take the case of a 70-year old femal e patient admitted from the acute medical service. She arrived in our unit bedridden, very depressed , uncommunicative, and would not eat. Obviously there were other problems as well as the medical. Unable to speak English well, another patient w ho spoke her native tongue explained things to her. She began to trust the staff, to respond. She was ambulated and reached the point w here she could sufficiently take care of h erself. ' 'When we brought her son to the hospital to see her functioning, we were able to convince him that she would be happiest w ith him and not at a nursing home as he had planned. Three months A patient takes care of him self "How are you today?" asks Dr. Earl H. Noble. The patient ' s treatment is reevaluated by the team. Will he need followup home care? A comprehensive treatment program if he is arthritic? Continuous advice on how to manage his illness and to live with it? "We want to find the right place in the community where the patient can most benefit,' ' says the facility's full-time internist Sattar Farzon. "We encourage the patient to take an active part in each phase of his hospital stay." No patient, he feels, should have complete bed rest but should be ambulated as soon as possible . " We must evaluate how much the patient can do , how much 18 �ment grant will h elp to evaluate th e effectiven ess of this type of program . Definitiv e studies on data collected from patients in the facility are planned for the futur e. These studies may pinpoint the most successful treatment modalities or communication gaps in total patient care. And if they do , this pilot-typ e program may hav e far-reaching implications for future hospital treatment m odalities .O Dr. Raymond .E. Partridge, who heads the 12-bed rheumatology unit, checks an outpatient in the clinic. Mrs. Thyra Charles, director of public health nursing, joins the party. later the son brought in a happy mother for a checkup in our outpatient clinic. She was functioning -cooking and cleaning in her own home . Had she been s ent to a nursing home, she may have lost all interest in the future." It is hoped to have the community medicine facility evolve into a teaching program for health professionals. "Public health nurses are expected to start their training on our service in March,'' Dr. Noble said . " We hope that medical students, who have seen many of our patients on the acute medicine ward, will have an opportunity in the future to see and to participate in our team approach to total health care of the patient,' ' How many patients will benefit from the community medicine facility's ability to close the gap? Only time will tell. A two-year basic improv eSPRING, 1969 �'LINICAL CLERKS - senior medical students - at t he Veterans Hospital have an opportunity to practice medicine and participate in surgery on a subintern level. c More patient responsibility is due to the highly selective teaching program. Every fourth patient assigned to the clinical clerk is a new case . H e works up a complete history , performs the physical examination - th e initial complete blood count and urine analysis in the ward laboratory which he also utilizes in the diagnosis , treatment, and management of the patient. He writes the orders and signs " clinical clerk" on the record w hich is kept on permanent file. The resident physician, who is assigned at least two clinical clerks, checks and c ountersigns the orders. Every fourt h night, however, this procedure is performed unguided . Subsequent laboratory procedures are performed by the clinical labor atory. ''The consultation work is r eally tremendous . . . some very exciting conferences,' ' one of th e clinical clerks said. " We may call on experts and specialists at any time. ' ' Students present their cases at conferences - at least one a day with a specialist in some area - and on grand rounds. " We are expected to fo llow our patients until a disposition is made. '' More patient responsibility for Penny Gardner V et erans H ospit al Clinical Clerl~s 20 W h en on night duty , the clinical clerk can eat and sleep at the hospital. Whenever new patients or m edical emergencies are ass igned to his wardweekends and holidays included- the clinical clerk is called in. TH E BUFFA LO M ED ICAL REVI EW �Practical work is gained on the ward which is equipped with a vilator machine to determine pulmonary function studies as well as a modern EKG machine . During the eight-week stint , clinical clerks have library privileges, participate in clinics (in and outpatient) and are exposed to the hospital's hyperbaric chamber, units in intensive coronary and pulmonary care, inhalation therapy, and cardiopulmonary, research, radioisotope, renalelectrolyte, and animal research laboratories. The junior interns are assigned general surgical services. In a 40-bed ward, two have responsibility for about 18 patients. And new patient assignments are alternated. There are ward and operating room rounds, operating room assistanc e during surgery, surgical and trauma conferenc es , and the s urgical clinic. Dr. Joseph T. Aquilina is chief of the medical services and Dr. Andrew A. Gage is chief of the surgical services at the hospital.O ". . . a fast-moving service. Some very exciting conferences. " Donald D. Z one makes surgery rounds with staff surgeon lrineo Z. Gu tierrez. �32nd Annual State University at Buffal~ Dr. Bunge Dr. Bunn Dr. Cohen Theme: "MEDICAL HANGl 1 Dr. Lockie Prog-rl FRIDAY, MARCH 28, 1969 11: 00-11: 30 a .m. Intermission Norton Union Conference Theatre 11:30-12:30 p .m. VIRAL AND FUNGAL DISEASES Moderator: DR. CORNELIUS J. O'CONNELL 8:15a.m. Registration 9:30-10:00 a.m. Welcome: DR. H. PAUL LONGSTRETH, M'45 President, VB Medical Alumni Association 10:00-11:00 a.m. Panelists : 12: 30- 1: 00 p.m. Business Meeting Election of Officers Announcements : DR. HARRY J . ALVIS Associate D ean for Continuing M edical Education 1:00- 2:00 p.m. Luncheon BACTERIAL DISEASE AND ANTIBIOTICS 2:00- 4:00p.m. ORGAN TRANSPLANTATION Moderator: DR. CoRNELIUS J . O'CONNELL A ssistant Clinical Professor of Medicine Moderator: DR. ROLAND A NTHONE, M'50 Assistant Clinical Professor of Surgery Panelists: Immunological Aspects DR. FELIX M ILGROM Professor of Microbiology DR. PAUL A. B UNN Professor of M edicine, State Uniner.~ity of New York Upstate M edical Center, Syracuse, N ew York Clinical Aspects D R. FELIX T . RAPAPORT Associate Pro fessor of Surgery, New York University School of Medicine Pathological Aspects D R. RoBERT T . M cCLUSKEY Professor of P athology Questions and Discussion DR. ERWIN NETER Professor of Microbiology DR. C. F. PIETRASZEK, M '44 Associate Clinical Professor of Medicine DR. MARTIN E. PLAUT Assistant Professor of Medicine 22 DRS. B UNN, NETER, PIETRASZEK AND PLAUT 6:00 p.m. Fiftieth Class Reunion Dinne r R eception-Faculty Club Red Room D inner-Faculty Club Dining Room (Old Norton Union) THE BUFFA LO MEDICAL REVIEW �Medical Alumni Spring Clinical Days JPS AND HAPPENINGS" Dr. Pesch I Dr. Putnam D r. Thorn D r. Stoesser ~m 8:15a.m. Registration 9:00-10:00 a.m. PROBLEMS OF INTERSEX Moderator: Urology Endocrinology Cytogenetics Gynecology 10: 00-10: 30 a.m. Intermission 10:30-11:30 a.m. 40 YEAR SECTION SATURDAY, MARCH 29, 1969 DR. WILLIAM J. STAUBITZ, M'42 Professor of Surgery (Urology) DR. RAYMOND C. B UNGE Assistant, Department of Urology, University of Iowa College of Medicine, Iowa City, Iowa DR. THOMAS ACETO, JR. Associate Professor of Pediatrics DR. MAIMON M. COHEN Associate Professor of P ediatrics DR. VINCENT J. CAPRARO, M'45 Associate Clinical Professor of Gynecology -Obstetrics Moderator: OR. SAMUEL SANES, M '30 Professor of Pathology Cathartic Colon30 Year Follow Up DR. NORMAN HEILBRUN, M'29 Assistant Clinical Professor of Radiology Vascular Ring Simulating Bronchial Asthma DR. VICTOR L. COHEN, M'29 Associate Clinical Professor of Pediatrics Progress in the Treatment of Arthritis and Gout DR. L . MAXWELL LOCKIE, M'29 Clinical Professor of Medicine SPRING, 1969 Norton Union Conference Theatre Practical Uses for Hyperbaric Oxygen DR. F. G. STOESSER, M'29 Associate Clinical Professor of Surgery The Approach to the Patient With H y pertension DR. GEORGE W. THORN, M'29 H ersey Pro fessor of the Theory and Pract ice of Phy sic. Harvard Medical School; Physician-inChie f, P eter B ent Brigham Hosp ital, Boston, Massachusetts 11:30-12:00 CADUCEUS 1970 DR. LEROY A. PESCH Dean, S chool of Medicine Professor of Medicine 12:00-12:30 p.m. Questions and Discussion 12:30- 2:45 p.m. Norton U nion Millard Fillmore Room UB MEDICAL ALUMNI ANNUAL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTU R E " Comprehensive H ealth Planning - An Invitation to Initiative" DR. WILLIAM J. P UTNAM Regional H ealth Director, R egion II, Department of H ealth, Education and Welfare New York, New York 3: 00- 5:00 p .m. Reception honoring D ean and Mrs. LeRoy A. Pesch Norton U nion, The Dorothy Haas L ounge 23 �ArTRACTED BY THE VARIED TECHNIQUES and For Dennis L. Bordan, the physical exam of the pedia tric patient has its own characteristics. problems in pediatrics, Dennis L. Bordan, a junior medical student, spent the summer studying the clinical aspects of metabolic and nutritional diseases of children at the Children's Hospital under Dr. Luis L. Mosovich, assistant professor of pediatrics. "My interest in pediatrics dates back to my freshman year where I was exposed to the diseases of childhood in the Introduction of Medicine Cf!Urse and during last summer's research fellowship. The clinical study of metabolic and nutritional diseases seemed an excellent way to utilize some of the things I learned in the basic sciences, as well as an opportunity for clinical experience in pediatrics,'' Dennis said. ''My program involves both clinical investigation and patient care," he continued. The genetic study of a family with liver glycogen disease with phosphorylase deficiency [Hers' disease) revealed that the males [grandfather and four grandsons) and none of the females are affected. Patients with this metabolic abnormality have a pathognominic galactose response to the galactose tolerance test. Dennis is utilizing this tolerance test to detect family members suffering from the disease, the normal carriers and those who are completely normal. Pediatrics Fellowship (Dennis L. Bordan was one of tw elve medical students on a APFME-sponsored Summ er Fellowship.) 24 "From my preliminary data I feel that we are dealing with a sex-linked inherited disorder , " Dennis said. Carnosinemia - a recently described metabolic disease - manifests itself as a gradual and insidious central nervous system deterioration. In the study of a patient, Dennis gain ed insight into this unusual condition. '' Very often, it is accompanied with uncontrollable conv ulsiv e activity,'' he said, "and there is an absence of carnosinase. " The study of this patient and his brother consists of the determination of carnosine , histidine , 1-methylhistidine and anserine in plasma and urine while the patient received a normal carnosine-containing diet, a carnosine-free diet and a high anserine and carnosine-containing diet. These studies will be followed by the determinations of metabolized carnosine in blood and urine during Dennis and Dr. Mosovich in the bi- weekly nu trition clinic. �In patient care, there are the ward rounds following patients with diabetes , cystic fibrosis and progeria and infectious disease. There is also the bi-weekly Nutrition Clinic where Dennis sees patients in a more natural social surrounding. Not only is he exposed to the patient ' s reactions to his problems, but to the parents ' reactions as well. ''Here,'' Dennis said , '' I have the opportunity to learn the intricacies of regulating children with diabetes, following patients with cystic fibrosis, and to adjust the therapy of patients with vitaminD resistant rickets. Ward rounds for D ennis and Dr. Mosovich. a carnosine loading test. " I learned the technique of electroencephalography to monitor the patient during the dietary changes,'' he said. Although he is not studying the patients directly, he followed and saw two patients admitted to the Clinical Research Center with hypophosphatasia. They had clinical rickets, low serum aldaline phosphatase, wide fontanelles and respiratory difficulties. "The therapeutic approach to this condition gave me the opportunity to become familiar with the concept of enzyme induction by corticosteroids, phenobarbital and vitamin A," Dennis observed. SPRING, 1969 ' 'The physical examination of the pediatric patient has its own characteristics, '' he continued. ''My clinical experience has been solely with adults, and I am now b ecoming more keenly aware of the differ ent approac h needed in pediatrics. '' Dennis had the opportunity of examining two patients with homocystinuria, with characteristic features of dislocation of the lenses, fine blond hair, malar flu sh , typical skeletal deformities, and v ascular thrombosis . Dr. Mosovich, his freshman preceptor and sponsor of last year's research project, said, "I would like Dennis to see the pediatric patient as a unique patient - one that is growing and maturing from a mental, as well as a biochemical and physiological point of view. Also important is that h e learn to correlate his knowledge in basic sciences - biochemistry, biophysics and physiology - and apply it to bedside problems. He will have found his program most satisfying if these two aspects in his training are accomplished over the summer. ' ' D 25 " A d ifferent approach is needed in pediatrics. " �Pulmonary Emphysema This was one of 21 Continuing Medical Education courses offered during the 1968-69 year. A "first" in Buffalo , and perhaps on a national level, was the use of a new media to increase the exposure to medical education. It was introduced at a two-day symposium, w h ere all asp ects of pulmonary emphysema - one of the most challenging and more complicated medical problems in the field of internal medicine - were cov ered. Each session was taped on video tap e, permitting duplicate sets of the program sessions which will b e reproduced on film for movie projection. Round-the-clock service by an able Health Sciences audio/ visual crew under the direction of Dr. Robert E. Pantera assured the success of this portion of the program. O ver 250 att endees, one of the largest groups at a continuing m edic al education pr ogram , heard an unusually outstanding international faculty . Co-sponsorship of the program with the American College of Chest Physicians assured representation from South America, Europe, Russia , and Japan. From all over the country came 46 F ellows supported t hrough grant funds . In r eturn , they will p erpetuate the t eaching aspects of the conf erence by showing the taped teaching sessions in their respective communities . At coffee break : Dr. Rahn listens to the other fellow 's point of view. The Public H ealth Service grant also calls for a summary of the c onference by a F ellow to serve as its model t eaching program fo r ch est disease. Dr. Theodore H. N oehren (ass ociate professor of medicine) op en ed the confer enc e by outlining the scope of the problem. As evid ence that the national and regional incid ence of emphys em a and bronchitis is rising at a ph enomenal rate, h e The program featured a unique series of 25 simultaneous roundtables at an evening session. This p ermitted a direct but informal exchange on all aspects of emphysema among the r egistrants, the visiting faculty , and over 30 of our own faculty sp ecialists. Dr. Noehren j oined the University of Utah Medical Center January 1. He had been on the Buffalo School of Medicine fa culty since 1952, He w ill have a similar fa culty position in Salt Lake City, and be affiliated with the V eterans Administration Hospital. 26 THE BUFFA LO M EDICAL REV IEW �pointed out that New York City alone reported an increase of 700% in this disease in the last 15 years. Although bronchogenic carcinoma is the fastestrising cancer incidence in males today, emphysema is increasing four times as fast as lung cancer. "If this trend continues," he warned, "before the decade ends the death rate from this particular chronic respiratory disease for white men over age 45 will exceed mortality rates from all the other chronic respiratory diseases (tuberculosis, cancer, and asthma, etc.). One of the round table discussions SPRING, 1969 One of our major problems is the collection and accuracy of the data. He pointed out that diagnosis alone creates a tremendous area of uncertainty. Prolonged morbidity is another area of significance. ''Some patients live more than 20 years with this disease ... a long time to live without enough air to carry on a normal existence." Dr. Noehren also traced the complicated chain of physiologic events that occur. He noted thatpersonalproblems of patients can b e tremendous and pointed out that psychological stresses lead to a neurotic triad of anxiety, depression, and oversensitivity. Another speaker, Dr. }. Bernard Gee of the University of Pittsburgh, reviewed respiratory acidosis, the retention of carbon dioxide caused by defective ventilation, and how artificial ventilation can help ease the problem. A new techniqu e for the assessment of gas exchange was detailed by Dr. Francis J. Klocke. Inert gas determination by cardiac catheterization, which can be repeated at two to three-minute intervals, eliminates the diffic ulty of alveolar gas samples, said the associate professor of medicine at Buffalo. Dr. Alfred P. Fishman of the Michael Reese Hospital in Chicago, detailed the importanc e of chemical stimuli as regulators of pulmonar y circulation. The banquet speaker, Dr. Hermann Rahn, was introduced by Dr. Noehren to " t h e largest and mo st interested group of chest physicians to attend thes e continuing medical education programs. " Dr. Rahn , department of physiology chairman at Buffalo, outlined his own concept of the evolution of respiratory acidosis. D 27 �Harrington Lecture on Genetics Dr. Em ery exam ines patient during clinical gra nd rounds. From the laughter heard in the corridors at the Children 's and Meyer Hospitals during grand rounds, and from the lecture halls at the Medical School, it was obvious that the audience enjoyed listening to the soft-spoken man with a Scottish brogue, and he enjoyed talking to them. It was also obvious from scanning the same faces that appeared at each teaching session that teaching was a delight to Dr. Alan E. H. Emery and that th e stud ents came to learn. The only disappointment expressed by the second Harrington Lecturer - not having the opportunity to talk with more students. The professor and head of the department of gen etics at the Univ ersity of Edinburgh, Scotland , accepted the student body invitation to visit Buffalo , particip at e in grand rounds, and talk to them about his primary inter est - genetics. '' I came to Buffalo because the students asked me! '' And that feeling was generated throughout his visit. The Harrington Lecture Committee (a student body) was organize d in March 1967. A new pattern for the Lectureship , endow ed in 1905 in th e last will and t estament of Devillo B. Harrington , closely identified the student body with the Lectureship. It was now their r esp onsibility and their privilege. ' 'Gen etics is really th e Cinderella of the medical sciences,'' Dr. Em er y said to the fres hman and sop h omore medical st udents who cam e to his session on M od ern Trends in Human Genetics. H e presented an overall view of genetics - what the geneticist is doing now and wher e gen etics is going. " A lot of p eo ple are going to b e working in mathematical gen et ics . W e w ant to find out w h ere th e gen es are located on the chromo so m es." 28 " I came to Buffalo beca use the students ask ed me. " Prevention of rare genetic diseas es through couns eling he felt to b e an imp ortant area. In dis eas es that can be r ecognized as c arriers, most wish for genetic counseling. This c an mos t successfully b e don e in tw o s ession s . In the first , to point out th e chances the c arrier w ill b e taking ; and in the sec ond (to give the patient tim e to live w ith this) - to stress th e seriousness of such a step . In Great Brit ain , 20 genetic counseling centers h ave b een established to handl e this imp ortant ar ea. Questions from the students covered : " Is XYY chr omosom e pattern associated with criminal b ehavior?'' '' How about LSD and chromosome breakage?'' ' 'What is th e r elation between mongoloid children and th e age of the mother ?' ' Selecting a sp eak er annually is a serious business to the Harrington Lecture Com mittee . " In sp ite of the problems in stimulating st udent part icip ation, it is a responsibility to b e guard ed jealously," stressed senior John R. Fisk.D THE BUFFALO M ED ICAL REVIEW �Dr. William H. Wehr Retires from Roswell Parl< A 1930 graduate of the School of Medicine has r etired after 37 years as assistant director of Roswell Park Memorial Institute. He is 52-yearold Dr. William H. Wehr. It was 1931 when he completed his internship at Buffalo General Hospital he went to the New York State Institute for the Study of Malignant Diseases . The name was changed to Roswell Park in 1946 as a tribute to Dr. Park, w ho had been instrumental in founding it. Dr. Wehr started as an attending physician, then became an associate cancer gynecologist, associate cancer surgeon, principal cancer breast surgeon and finally assistant director. Dr . Wehr served as acting director, and at one time served in four jobs (acting director, breast-treatment program, the business office, nursing department]. ''I worked seven days a week. After working all day, I returned in the evening to visit the patients, talk to their families, change their dressings, give intravenous feedings and set up radium treatments. I got home about midnight and was sure to be awakened one to five times between then and 5 a.m. by phone calls from nurses ," Dr. Wehr said. In the 1940's, Dr. W ehr was instrumental in initiating the educational program that brought SPR ING, 1969 students fro m the Medical School and the resident physicians into the institute. Since 1952 , w h en h e was named assistant director, he served in a liaison capacity between the State supported institute and the State Department of Public Works and Budget, overseeing the continuing expansion program. An animal-research building on Maple Street has been named for the r etiring assistant director. When Dr. Wehr came to Roswell Park in 1931 the institute had beds for 25 patients and a staff of 68 (only four were full-tim e physicians). Its budget was approximately half a million dollars . This year the institute has 300 b eds , an extensive research program, has 2,100 employees and a budget of $21 million. Dr. Wehr has long been active in the Erie County Unit of the American Cancer Society. The unit recently named him an honorary life member. He is a past vice president of the unit. Until he was injured in an industrial accident, his gr e ~t e st joy was sailing an aux iliary sailing sloop that was built for him in Denmark. He is past commodore of the Buffalo Canoe Club and a memb er of the Swiftwater Squadron of the United States Power Squadrons. Dr. and Mrs. W ehr hav e moved to Pompano Beach, Florida .D 29 �... "we rely heavily on your letters of recommendations. " Premedical Advisors Orientation How about the student with a strong motivation and drive for medicine but whose academic record is wishy-washy? What about the veteran whose grades have been improving since his return to school? These were some of the questions raised by the 22 premedical advisors who attended the two-day meeting sponsored by the Annual Participating Fund for Medical Education . The conference, initiated five years ago, exposes them to the background , program, faculty, and students of the Medical School. Last year , over 100 diverse college backgrounds were represented by the more than 2000 admission applications received, making selection of medical students a difficult task. ''We turn down an equally qualified number of candidates as we accept, " admissions chairman Dr. Philip B. Wels pointed out to the group. " And we must therefore rely heavily on your letters of recommendation. '' Adelphi, Allegheny , Canisius, Hamilton, Haverford, Howard, lana, Lincoln, Morehous e, Philander Smith, Rutgers, Skidmore, Swarthmore, Trinity, Connecticut, Massachusetts, Vermont , Wyoming , and SUNY at Buffalo, Albany, Stony Brook, and Oneonta were campuses represented. There were the usual tours of the m edical and dental facilities - "give and take sessions " - and prearranged appointments with students from their college to find out how they were progressing as medical students. Informal social sessions permitted Admissions Committee members and advisors to mix freely. "I think that I have personally met and spoken to every one of the advisors. This has helped to establish a much more meaningful relationship. 30 The advisor is b etter informed ab out Buffalo and I about his campus, " one of the Admissions Committee memb ers pointed out. The group witnessed a research project demonstration by James T . Webber, a master' s candidate and a freshman medical student. He pointed out the importance of res earch which leads to a h ealthy skepticism. " Things we are now sure of, we will not b e so sure of in the future - and w ill question as more information comes out. ' ' There was a medical lecture and laboratory session, and an outline of the future of the Univers ity and the Medical School by Associate Dean Robert L. Brown. Its effect? As the advisorfrom Adelphi summed it up ... " I think that the dialogue w hich resulted among all of us was a significant educational experienc e.' '0 I �Dr. Leon E. Farhi, who heads the $600,000 twoyear PROJECT THEMIS grant from the Qffice of Naval Research looks over a model of its specific research tools. Bids and actual construction of the submergence basin call for a completion date of December 1969. Final review session of new modifications on the centrifuge was held in January and about six months will be needed for the "nuts and bolts " planning. Planning and design of a new idea for the wet-dry pressure chamber brings the fabrication and installation date to the end of the year, and the monitoring systems planning and design should b e completed at the end of the summer. Construction of the building to house thefacilities has been started, and completion date is scheduled for September 1969. SPR ING, 1969 31 �Children's Program at the Medical School "Call it motivation or potential .. . they need to see something besides despair and hopelessness." A CH ILD ENRICHMENT program for preschool children from the inner-city is in full swing at the Medical School's Main Street Division at 2211 Main Street. The unique program offers a group of 30 three and four year olds some of the cultural and recreational advantages lacking in their homes. The program is an offshoot of the well-baby clinic operated jointly by the Vaccine Evaluation Unit in the department of social and preventive medicine and the Erie County Health Department. It originated with Mrs. Genevieve Holmes, the nursing coordinator for the clinic, who felt that many of the children attending the clinic needed more than health ch eckups. ''Call it motivation or potential. They need to see something besides despair and hopelessn ess." Area businesses were approached and donations of toys, food and drink for snacks, and play equipment were obtained. 32 Of the 524 children attending the clinic , 100 are preschoolers . The 30 particip ating in the program are divided into small groups that attend two-hour weekly sessions. Periodically all the groups get together for a joint music lesson, singing, and rhythm band. Mrs. Bernice Cassals, a clinic assistant who taught seven years in inner-city schools , explained the program is a varied one . Children draw and paint, listen to st ories told or read to them , and play games. They learn how to care for personal property, how to share, and how to express themselves . There are also occasional field trips to the zoo, concerts, plays , and other cultural events.D Mrs. Bernice Cassals and Mrs. Genevieve Holmes with som e of the 4- year olds. �Sopl1.o1nore Woman President There is a woman president at the School of Medicine. She is Mrs. Colleen Livingston Gratto , president of the sophomore class. The 22-year-old attractive blond believes she was elected for her "activist tendencies," not for her glamour. ''Since shortly after w e got to m edical school, we 've been known as the activist class," Colleen explains. "But now we've got the new freshman class with us. "Some of us have been pretty discontent about the relevance of a curriculum that provides so little clinical work in the first two years. And with only two electives allowed in a four-y ear medical school curriculum, we think a lot of individuality is being sacrificed.'' Despite her busy class and study schedule and the homemaking chores that go along with being the bride of a y oung law student , she's getting things done. With five other students, she is meeting with the Medical School faculty to discuss solutions to both the clinical and elective questions. "All we want is a better education and that's something the faculty should be interested in too . " Being married and a college student at the same time seems most natural to Colleen who was attending Amherst Central Junior High School while her father, a onetime farmer, went through the University Dental School. The family was originally from Canton, New York, and aft er h er fath er's graduation they returned ther e. That ' s where Colleen met h er husSPRING, 1969 band, Clarence Gratto. She ' s a Cornell University graduate . He's a St. Lawrence graduate. They both hope to return to a small town-probably Cantonto practice their professions.D Two Medical School men were among eight honored as ' ' outstanding citizens of 1968 ' ' by The Buffalo Evening N ews . They are: Dr. Max Cheplove, M '26, general practitioner, and Dr. Ernest Witebsky, distinguished professor of microbiology and Buswell Fellow . Dr. Witebsky has been on the faculty since 1936 , and Dr. Cheplov e has been active in local, state, and national m edical circles . The other six outstanding citizens represent business , law enforcem ent, civic action, the sciences, labor, and music . Fifteen other medical alumni and members of the UB medical faculty who receiv ed " outstanding citizen'' awards in previous years are: 1965-Dr. Jack Lipp es, M '47 ; 1964-Dr. Glenn H . Leak, M '40; 1963-Dr . Robert W arner , clinical instructor of m edicine; 1962-Dr. Rob ert Guthrie, associate resident professor of pediatrics ; 1961-Dr. Theodore C. Krauss , assistant clinical professor of medicine; 1960-Dr. William M. Chardack, associate professor of surgery, Dr. William E. Mosher, clinical professor of social and preventiv e medicine and Erie County Commissioner of H ealth, Dr. Walt er T . Murphy, M '30; 1959-Dr . Edgar C. Beck, M'19, Dr. James T. Grace Jr. , associate r esident professor of surgery; 1958-Dr. A . H. Aaron, M '12; 1957-Dr. Carlton E. Wertz , M'15 ; 1955Dr. Marvin A . Block, M '25; 1954-Dr. W illiam J. Orr, M '20 ; 1953-Dr . Samuel Sanes, M ' 30.0 33 Dr. Cheplove Dr. W itebsk y Out standing C itizen s, 1968 �Medical Sociology " You may notice things on the physical exam that you may not have no ted in the history. " INE STUDENTS -working toward their doctorate in Medical Sociology - ar e finding o ut about the physician and his work. One day a week, the gro up meets with Dr. Edward Marra, chairman of the department of social and preventive medicine , and is iritrod uced to the general content of medicine. '' The most effective way to find out how a doctor studies a patient," explained Dr. M arra , "is through personal involvement. And we do just that. We use the tools of m edicine , teach concepts, and the student 'role plays ' ." Basic science lectures are combined with demonstrations. The student " role plays" w hen he looks at slides on pathology, uses the cardiac teaching machine, do es a throat culture, blood smear and blood grouping. Diagnosis , th erapy and treatment are discussed and ''role played' ' at the Vet erans Hospital. Before wheeling the patient in, Dr. Joseph T. Aquilina, clinical associate professor, reviews each N "What do you see?" step in the care of patients - the history, physical examination, diagn osis , and treatm ent. Students are then free to observe and examine the patient ' s symptoms , and ask questions after the patient is w h eeled out. "You may see many things on the physical examination that yo u m ay not hav e not ed in the history and perhaps the oth er way aro und ,'' pointed out Dr . Aquilina. There are also grand rounds and therapy sessio ns at the Sisters, and autops y and pathology observations at the M eyer H ospitals . The teaching program for this graduate program is under the direction of Dr. Saxon Graham, who s erves on the faculties of Sociology and M edicin e. The opportunity to re-enac t each decision-making step of th e ph ysician is invaluable to the Medical Sociology graduate w h o w ill study innov ations in m edicine, the systems of m edical care or m edicine as a social organization. O TH E BUFFA LO M ED ICAL REVIEW �Visiting Board Twelve prominent persons hav e been named to the Board of Visitors for the Faculty of Health Sciences. They will visit the campus in May. President Martin Meyerson said, ' 'this board composed of distinguished academics and professionals, representative of the Faculty' s many areas of concern and points of view, will provide us with the advice and counsel needed in the years ahead. ' 'We hope the board will work with the Provost and his colleagues to review the current activities of the Faculty in teaching, research, and public service, as well as help guide its future plans.'' Eventually each of the University's seven faculties will establish a visiting group of authorities in their respective fields. The Social Sciences and Administration Board of Visitors visited the campus last fall. Dr. John H. Knowles, general director, Massachusetts General Hospital, Harvard Medical School, will be chairman of the Faculty of Health Sciences Board of Visitors. Other members are Dr. Elkan R. Blout, Edward S. Harkness professor of biological chemistry & head of the department, Harvard Medical School; Miss Jo Eleanor Elliott, director of nursing programs, Western Interstate Commission for Higher Education, University of Colorado ; Dr. Robert J. Glaser, acting president, vice president for medical affairs, dean , School of Medicine , Stanford University; Dr. George E. Moore, director, Public Health Research, New York State Department of Health, SPRING, 1969 Rosw ell Park Memorial Institute; Dr. Gardner C. Quartan, professor of psy chiatry , director, Mental Health Res earch Instit ute , University of Michigan; Dr. Edw in F. Rosinski , professor and chairman , D epartment of Health Education Research, University of Connecticut M edical Center; Mrs . Harlan Swift , Buffalo; Dr. Max Tishler, president, Merck Institute for Therapeutic Research; Dr. George W. Thorn, Hersey professor of the theory & practice of physic, Harvard Medical School, physician-in-chief, Peter Bent Brigham H ospital, Boston; Dr. Jos eph F. Volker, executiv e vice pr esident , Univ ersity of Alabama in Birmingham; Dr. Alonzo S. Yerb y , professor and head, Department of Health Services Administration, Harvard School of Public Health.D The President of the Annual Participating Fund for M edical Education is Erie County' s doctor of the year. He is Dr. Max Cheplov e, M '26 , a general practitioner. The selection as family doctor of the year recognizes '' his achievements in fostering and maintaining the quality of family doctors to serve the health needs of American families. '' Dr. Cheplove has been a leader in efforts to raise the status of the general practitioner and persuade more students to enter the field. For many y ears students interested in general pr actice have w orked in his office on a preceptorship basis. Dr. Cheplove is a past president of the State Academy of General Practice and the Erie County Chapter, American Academy of General Practice, which he helped organize. He is also a pas t president of the Erie County Medical Society.D 35 Doctor of the Year �A Physician's Hobby A 1921 Medical School graduate believes in hobbies. He preaches it to his patients , and he practices what he preaches. Dr. Arthur J. Reissig, an internist , works mostly in water color. Dr. Reissig , who has been interested in painting since boyhood, gives some of his patients who are interested in painting, pr eliminary lessons. After the patients grasp the essentials they can seek instruction from regular teachers. "I spend some time painting almost every day. Being busy is no excuse for neglecting a hobby,' ' Dr. Reissig said. Each Wednesday evening he paints with a group of friends. The physician, who has b een in practice for 50 years, doesn 't know whether painting has contributed to his own good h ealth. " But I do know that it has help ed my spirits ," he said. ''When I am depresbed I grab my sketching pad and get to work. Just looking at th e sketch or painting, I get a reflection of my mood. '' While traveling Dr. Reissig sketches on boats, buses, trains, and automobiles. "I have a lot more fun sketching than using my camera. In a sketch you can eliminate a car, add a few flowers, in short, through imagination catch the full b eauty of a scene. " D Buffalo Co urier Ex pre ss Pho to 36 TH E BUFFALO M EDICA L RE V IEW �Dr. Richard Carter, assistant clinical professor of social and preventive medicine , is the new director of the Lackawanna Clinic, a unique family oriented medical program.D Dr. Edwin H. Jenis, M'66, is in his second year of residency in pathology at Walter Reed General Hospital. He recently w as commissioned into the regular Army. D Dr. Kenneth Goldstein, M'39, is the new president of the Montefiore Club. Dr. Julian Ascher, M'40, was named to the club's board of governors.D Dr. Victor A. Panaro , M '52, is the new president of the Catholic Physicians Guild of Buffalo. He succeeds Dr. Hubbard K. Meyers, M '36. Dr. Richard J. Leberer, M'50, was elected vice pr esident, and Dr. Richmond Romanowski, M ' 58, treasurer. Dr. John Grimaldi is the new secretary. D People Dr. Elmer Friedland, M'32, has been medical director of the Cancer Detection Center at Meyer Memorial Hospital since it opened 21 years ago. It is the only one of its kind in Upstate New York. The center has given 27 ,500 examinations since it opened. Dr. Friedland is also an associate professor of medicine at the University .D Llr. John Ambrusko, M'37, is the new chief cons ultant of surgery at Kenmore M ercy Hospital, Town of Tonawanda. The former chief of surgery was also named a permanent member of the hospital's executive committee. The board also named Dr. John M. Donohue, M'43, chief of staff; Dr. Norman J. Foit, M'38, chief consultant of gynecology and obstetrics; Dr. Norman Chassin, M'45, chief of medicine; Dr. Robert H. Wildhack, M '47, chief of gynecology and obstetrics; Dr. Everett A. Woodworth, M'27, chief of surgery; and Dr. Albert G. Rowe, M '46, member of the executive committee.D Dr. Myron H. Marshall, M'65, will head a seminar panel at the annual meeting of the American Psychiatric Association May 5-9 in Bal Harbour , Florida. The topic: "Are There Benefits of Mental Illness?" D Dr. Milford N. Childs, M'40, is one of five newly elected directors of the Automobile Club of Buffalo. D Three alumni are serving on the Board of Trustees of Blue Shield of Western New York. They are: Drs. Charles D. Bauer, M'46 ; Thomas S. Bumbalo, M'31; and George L. Collins Jr ., M'48 .0 D r. Marshall SPR ING, 1969 37 �People Dr. Louis C. Cloutier, M'54, is the new president of the Emergency Hospital medical staff and Dr. James A . Werick, M'49, is vice president. Other officers are Drs. Fernando Salazar, secretary; John Ring, treasurer. D A 1923 UB graduate is the president of the American Cancer Society. He is Dr. Sidney Farber, staff chairman of the Children's Hospital in Boston.D Dr. E.K. Cantwell, M'45, is the recipient of a certificate of achievement fro m the Department of th e Army for his " dedication and technical skill" in giving physical examinations to young men at the Armed Forces Examining and Entrance Station in Buffalo. "Dr. Cantwell's contributions to the Unit ed States Army Recruiting Command are in the high est traditions of public service,'' the citation said.D The Roswell Park Memorial Institute has named a series of lectures after a former School of M edicine faculty member and his w ife. He is Dr . Carl F. Cori and his w ife, Gerty. They won the N abel Prize in physiology and m edicine in 1947. He was assistant professor of physiology at the University from 1927-31 . Dr. Gerty Cori died in 1957. Dr. Carl Cori is now visiting professor of biochemistry at Massachus etts General Hospital and Harvard University School of Medicine.D 38 Dr. Edmond ]. Gicewicz, M'56 , team physician, congratulates split end Dick Ashley upon setting a new University pass receiving record. Playing end in 1949, 1950, and 1951 , Dr. Gicewicz caught 49 passes for 789 yards. In three years (1965, 1966, and 1968 ) Ashley broke the record with 83 receptions and 1,188 yards. Dr. Gicewicz still holds the single game total pass receiving yardage mark of 144 yards. This was set in 1951 against Bucknell. Dr. Gicewicz is also an excellent bowler. Recently. he rolled his all- time personal high series of 666, including a 244. D TH E BUFFALO M EDI CAL REV IEIIII �An assistant professor of surgery at the Medical School has been named associate professor of surgery and immunology at Tulane University Medical School, New Orleans. He is Dr. John C. McDonald who has also .been at Meyer Memorial Hospital for 10 years. He will be joining Dr. Theodore Drapanas, M'52, formerly of the Meyer Memorial Hospital staff, who is chief of Tulane's surgery department. Associates praised Dr. McDonald for his "very significant contributions to kidney transplantation in this city and for his extraordinary passion for honesty and standards of human decency in dealing with others. ' ' In a moving tribute the surgical nursing staff lauded his "empathy and ability to see and recognize human dimensions." Personnel working with Dr. McDonald " felt enriched, enlivened, and he promoted action, gave impetus to innovations and ideas. He is an extraordinary surgeon and an unequaled friend,'' the citation concluded. 0 President Martin Meyerson was one of nine world figures - including Pierre Elliott Trudeau, Arthur Koestler and Dr. Rene Jules Dubas- who received honorary LL.D. degrees from Queens University, Ontario in November. It was in conjunction with a two-day symposium and convocation to install the Univ ersity's n ew principal, Dr. John J. Deutsch. "Ethical Issues Involved in Changing the Physical Urban Environment" was the title of President Meyerson's symposium address. D SPRING, 1969 Dr. James F. Mohn, professor of microbiology at the Medical School, has been named to the permanent position of ''visiting research worker'' in the pathology department at the University of Cambridge, England. Dr. Mohn, who spent his sabbatical year (1963-64) at Cambridge , returns there annually to do collaborative research in blood group immunology. He will return to Cambridge in May and June.D Dr. William F. Lipp, M'36, was re-elected president of the Buffalo General Hospital medical board. He is also an assistant clinical professor of medicine . Dr. Walter T. Murphy, M '30, associate clinical professor of radiology, was named secretary-treasurer. The new vice-president is Dr. Everett H. Wesp, assistant clinical professor of surgery. Dr. James P. Nolan was named to the executive committee.D Dr. Philip B. Wels, M '41, is chief of the department of surgery at Millard Fillmore Hospital. Dr. Wels is also assistant dean for admissions and associate clinical professor of surgery at the School of M edicine. He received his bachelor' s and master 's degrees from the University where he was elected to the Athletic H all of Fame for fencing. Dr. Wels succeeds Dr. Frederick G. Stoesser, M'29 .D Dr. Milton A. Palmer, M'27 , has been reelected President of th e Buffalo Eye Bank and R esearch Society. D 39 People �People Dr. Miller Dr. Daniel G. Miller, M'48, has been appointed Medical Director of the Preventive Medicine Institute- Strang Clinic, New York City. Dr. Miller will have responsibility for the medical services program of the Strang Clinic, and will direct research and development of the Preventive Medicine Institute in the area of automated health services with an early objective of applying multiphasic screening techniques to broad programs of community health and disease prevention. The Institute, a non-profit organization, is engaged in a combined program of service, research, and education in preventive medicine and through the Strang Clinic, a division of PMI, has provided comprehensive health examinations to 36,000 individuals since it opened as an independent clinic in 1964. Dr. Miller, presently chief of the Lymphoma Clinic of Memorial Hospital, completed his medical training at the Memorial Sloan-Kettering Cancer Center. A fellow of the American College of Physicians and Associate Member of Sloan Kettering Institute, Dr. Miller has held numerous postdoctorial and research appointments including: research associate, University of Texas Medical School ; Sloan Fellow, Pasteur Institute, Paris; and assistant professor of medicine, Cornell University Medical College .D Dr. Douglas M. Surgenor is the new vice president of the Food and Nutrition Services for the Elderly, Incorporated. Dr. Surgenor, former Medical School Dean, is now the Faculty of Health Sciences Provost. D 40 The Millard Fillmore Hospital has been approved as a cardiac center by the State Division of Vocational Rehabilitation. The approval qualifies the hospital to offer cardiac surgery and other heart procedures to adults who can be rehabilitated but cannot afford the full cost of s uch care themselves. The heart surgery team is headed by Dr. Frank J. Bolgan, M'51. Others are: Dr . William Breen, M'55 , team cardiologist; Dr. Francis W. O 'Donn ell, and Dr. Anthony J. Federico, both M edical School faculty members .D Dr. Rudolph E. Siegel, clinical associate in medicine, is the author of a new textbook , " Galen's System of Physiology and Medicine. '' It is an analysis of Galen's doctrines and observations on bloodflow, r espiration, tumors , and internal diseases .D D:r. Harold Brody, professor of anatomy, is v ice-president-elect of th e Gerontological Society . The 1961 M edical School graduate was also elected chairman of the biological science section at the society' s annual meeting in Denver. The society is dedicated to r esearch and programs for the ageing. Its memb ers are often asked their opinions on governmental research proj ects at Congressional hearings. D THE BUFFALO M EDICA L REV IEW �An associate professor of social and preventive medicine at the University believes the stresses of present-day living may give both father and son ulcers. Dr. Harry A. Sultz told the American Public Health Association that the incidence of peptic ulcer among Erie County children increased from 0.9 per 100,000 in 1946-53 to 3.6 per 100,000 in 1954-61. Today' s Stresses Dr. Sultz pointed out that certain findings of his study "seem to support" the hypothesis that the stress on children in modern urban society may be a factor in the increase. The study was initiated in 1962 by the State and County Health Departments to determine the occurrence and distribution of about 70 long-term illnesses in children, the characteristics which might affect their frequency, and the impact of disease on the child and his family. The study team obtained its information from hospital records, the office records of medical specialists, birth and death certificates, selected school health records, and family interviews. The study covered a period of 16 years. During that time 106 cases of peptic ulcer were diagnosed. The lowest rate was found among children one to four years of age. The highest rate was found in the 15-year-old group. As with adults, the dis ease most commonly strikes boys . Others who participated in the study with Dr. Sultz were Dr. Edward R. Schlesinger of the University of Pittsburgh; Dr. William E. Mosher, Erie County Health Commissioner; and Dr. Joseph G. Feldman, a clinical instruCtor in social and preventive medicine at the University.D 42 1,500 Children Inoculated The Vaccine Evaluation Unit of the department of preventive medicine is inoculating approximately 1,500 children in 13 Catholic schools in a test of new vaccines against German measles or rubella. The parents have given approval for their children to participate. The children represent the first three grades. Dr. Peter Isacson, associate professor and project director , pointed out that a sample of blood is taken from each child before he received either a shot of one of the three brands of vaccine b eing tested or a " placebo, " an ineffective watery solution. Parents will keep a record of any unusual reaction that occurs afterwards. Tests to date indicate that there are no side effects . At the end of two ma'nths another blood sample w ill be taken and compared with the first to determine whether the vaccine has caused the body to produce disease-fighting antibodies against German measles. At that time the children who received only the " placebo " will also be given the protective vaccine. All of those inoculated will be followed up to five years to determine the length of the protection. This is one of ten test centers in the country. The 13 participating schools: Saint Margaret, Saint Mark, Holy Family, Saint Gerard, All Saints, Saint Benedict, Saint Thomas Aquinas, Holy Name, Queen of Heaven , Cathedral , Saint Teresa, Saint Gregory the Great, and Christ the King.D THE BUFFA lO MED ICA L REV IEW �Medical School Admissions Dr . Philip B. W els, assistant dean and chairman of the School of Medicine admissions committee, indicated there would b e an increase in the number of medical students admitted in the n ear futur e. There were 104 admitted last fall. "There may b e a gradual increase to 150 in the years ahead,'' Dr. W els said. Of the 104 admitt ed last fall only fiv e w er e r esidents of other states and 30 to 40 p er cent wer e from W estern New York. A much higher proportion of out-of-state r esidents w ere admitt ed before the school became a part of the State University system in 1962. The total number of students admitted with the numbers from out of state from 1953 to 1968 are: Total Out of Year Admitted 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 70 79 79 79 80 82 81 82 95 SPRING, 1969 State 10 7 16 14 10 8 9 11 99 13 99 97 10 .1 00 99 0 .1 04 .1 04 U.S. Navy News Photo 10 5 Alum Delivers Baby Dr. Wa lter M . Lonergan chats with Lucy Nugent, Lynda Robb and litt le Lucinda Robb on the steps of the Naval Medica l Center. The bow of ribbon in Lucinda 's hair is colored yellow in honor of the State of Texas, according to Lynda. Captain Lonergan, MC, USN, chief of obstetrics and gynecology at the Nava l Hospita l, Nationa l Nava l Medical Center, Bethesda, Mary land, is a 1948 Medical Sc hool graduate. He was an intern at the E.]. Meyer Memorial Hospital before joi ning the Navy. 6 8 5 5 41 �Dr. Louis G. Farris, M'30, died January 5. He had been in poor health since a 1964 heart attack. The 64-year-old physician was a former University basketball star. He was named to UB 's Athletic Hall of Fame in 1967. Dr. Farris played four varsity seasons (1922-26) of basketball. As a freshman he led the team in scoring with 98 points, an impressive total in those days. He captained the team his junior and senior years, when he w as also president of his class . He was graduated Phi Beta Kappa. In 1925, when Coach Art Powell was ill for three weeks, Dr. Farris ran the team during that time and won all three scheduled games. Dr. Farris began his career in 1932 after serving his internship and residency at Millard Fillmore Hospital. Since 1950 he specialized in obstetrics and gynecology. He had been active in the Dow ntown YMCA since 1916. He played basketball and won the city squash tournament championship. In recognition of his achievements in sports, the YMCA's Dow ntown Branch voted him a life membership, named him chairman of its board of managers , and physical education committee. In May of 1962, the Planned P arenthood Center of Buffalo honored him at its meeting in the Tennis and Squash Club for his 11-year association. Dr. Farris w as also activ e in several local, regional, and national pr ofessional organizations.O SPRING, 1969 Dr. Albin V. Kwak , M '34, died in Hong Kong Nov ember 1 following a heart attack. He was in the Far East to attend a medical convention in Tokyo. Dr. Kwak had been a physician in Depew for 34 years, where he established the Depew Medical Center. He served as a Captain in the United Stat es Army from 1942 to 1945. He w as decorated w ith the Silver Star, and the Purple H eart with Oak Leaf clusters . Dr. Kwak was named citizen of the year by the Dep ew Police d epartment in 1961 and by the Lancaster Police Club in 1966. H e w as a Fellow in the American Ac ademy of Dermatology; member of the Association of Military Surgeons ; the State Public Health Association; the American Geriatrics Society; the American School Health Association; the Citizen Adv isory Council of the National Police Officers Association; the Aerospace Medical Association; and the American Ordinance Association. He was also active in sev eral local civic organizations. O 43 I n M emoriam �In Memoriam Dr. Alfred C. Alessi, M'36, died November 27 in Mount St. Mary's Hospital, Niagara Falls, after an apparent heart attack. The 59-year-old physician was a general practitioner until 1950. After graduate work at the University of Pennsylvania (1952), his practice was limited to obstetrics and gynecology. He was on the staff at St. Mary's and Memorial Hospitals in Niagara Falls and Deaconess Hospital in Buffalo. Dr. Alessi was a member of the American and Niagara County Medical Societies, the Niagara Falls Academy of Medicine, American College of Obstetricians and Gynecologists, American Society of Abdominal Surgeons, American Association for Maternal and Child Health, and the International Correspondent Society of Obstetrics and Gynecology.O An assistant professor of psychiatry at the Medical School from 1942 to 1965 died November 26. He was Dr. Harry E. Faver, a psychiatrist and neurologist who practiced in the Buffalo area for 40 years. The 70-year-old Dr. Faver served on the staff of Buffalo State Hospital for 22 years and was assistant director from 1943 to 1953. He was also chief of psychiatric services at Millard Fillmore from 1952 to 1968 and senior psychiatrist for the Monsignor Carr Institute, a psychiatric and psychological service operated by the Buffalo Catholic Dioces e. Dr. Faver was active in many local, regional, and national professional groups. He received his medical degree in 1927 from Queens University, Kingston, Ontario.O 44 Dr. Joseph F. Krawczyk, M ' 31 , died October 31 in St. Jerome Hospital, Batavia where he had been chief of the medical staff for 11 years. Dr. Krawczyk began his urology practice in Buffalo in 1946 and continued it in Batavia when he moved there in 1950. He maintained his practice until March, 1968. He interned at Sist ers Hospital and was a general practitioner and surgeon with Dr. William Gallivan in Buffalo from 1933 to 1940. Dr. Krawczyk was the first doctor in the Buffalo vicinity to enlist in the United States Army in January, 1941. During his last three and onehalf years in the service he was commanding officer and chief of surgical service at the 308th Overseas Station Hospital in Europe. He was a Lieutenant Colonel when discharged. He received a presidential citation in recognition of superior, efficient, and meritorious service during the war. Dr. Krawczyk was a past president of the Genesee County Medical Society and a charter member of the State Association of the Professions. He was also active in many other medical, charitable, religious , and civic organizations. He was also selected for membership on the American Board of Urology and was a member of the Medical Arts Society of Buffalo and the Batavia Club. He was active in civil defense work and received a " certificate of merit " from Governor Nelson A. Rockefeller for 10 years of volunteer service. D TH E BUFFA LO MEDICAL REV I EW �Where Alumni Live N.D. A-12 M-4 S.D. A-7 WYO. M-1 A-2 M-0 ,o HAWAII A-19 ~ NEB . A-10 M-2 ~t> COLO. M-6 A-72 M-6 KAN . A-29 M-6 ARIZ. A-81 M-23 N.M. A-35 M-3 A-ALUMNI M- MEDICAL ALUMNI The General Alum ni Board Executive Committee- M. ROBERT KoREN , ' 44, Pre sident; Ro BERT E. LIPP, ' 51 , Vice-President f or A d ministration; CH ARLES J. WIL SON, JR., V ice-President for Development; MRs. EsTH ER K. EvERETT, ' 52, V ice-President for A ssociations and Clubs; EDMOND GICEWICZ, ' 56, V ice-President fo r Activitie s and Athletics; Jo HN J. STARR, JR., ' 50, Vice-President fo r Public Relations; HAROLD J. LEVY, ' 46, Treasurer; W EL LS E. KN IBLOE, ' 47, Immed iate Past-President Ann ua l Parti cipating Fund f o r M ed ica'l Educat io n Executi ve Board fo r 1968-69 DRs. MAx CH EP LOVE, M'26, Pre sident; JoH N A M BRUSKO, M ' 37, First Vice-Preside nt; HARRY LAFORGE, M'34, Second V ice-President; DoNALD HALL, M ' 4 1, Secretar y-Treasurer ; JOH N J. O ' BRI EN, M ' 4 1, Im mediate Past-President. �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 MRs E: lLf:tN WI LSON 133 8 CAPEN HAlL CAMPUS � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Spring 1969 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1969-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.267 Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1969-01-Spring Table Of Contents A list of subunits of the resource. Gastrointestinal Disease USS Repose Student Research Fellowships Austin Flint, by George W. Thorn, M.D. Community Medicine at Meyer Hospital Veterans Hospital Clinical Clerks A Summer in Pediatrics Pulmonary Emphysema Harrington Lecture Dr. William H. Wehr Premedical Advisors Orientation Project THEMIS Child Enrichment Outstanding Citizens Medical Sociology People Medical Admissions Today's Stresses: 1500 Children Inoculated In Memoriam Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. BMR Buffalo physician Date Created Date of creation of the resource. 2017-09-11 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v03n01 Extent The size or duration of the resource. 48 p. 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For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/636501c9fd51c521bd5b6f86f972a1c0.pdf 4af8cb79d5e30da24ff81ad1ddda4311 PDF Text Text w z u 0 w :::2:: LL. 0 _J 0 0 I u (j) '-- 0 _J <( LL. LL. ::J co 1<( ::.::: 0:: 0 >- sw z LL. 0 >- 1(j) 0:: w > z ::J w 1<( 1- (j) w I 1(Y) 0 z w :::2:: ::J _J 0 > 0:: w 1- z s �The Cover: The cover design , depiciting Medical School activities, is a co-operative effort between Richard Macakanja, health sciences graphic artist, and Donald G. Glen a, university photographer. THE B uFFALO MEDICAL REVIEW, Winter , 1968 - Volume 2, Number 4, published quarterly Spring, Summer, Fall, Winter-by the School of Medicine, State University of New York at Buffalo , 3435 Main Street, Buffalo, New York 14214. Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1968 by the Buffalo Medical Review . This magazine sponsored in part by the Annual Participating Fund for Medical Education. �WINTER, 1968 Volume 2, Number 4 EDITORIAL BOARD Editor RoBERT S . M c GRANAHAN Managing Editor M ARION Dean, MARIONOWSKY of Medicine School THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo DR. LEROY A . PESCH Photography DONALD D. IN THIS ISSUE GLENA Medical Illustrator MELFORD D. DIEDRICK 2 Graphic Artist 6 RICHARD MACAKANJA Secretary f LORENCE MEYER CONSULTANTS President, Medical Alumni Association DR. H. PAU L LONGSTRETH President, Alumni 1 Participating Fund for Medical Education DR. MAX CHEPLOVE Provost, Faculty of Health Sciences DR. DOUGLAS M. SURGENOR Associate Dean for Continuing Medical Education DR. J. H ARRY ALVIS Director, Continuing Education in the Health Sciences DR. MARVI N L. BLOOM Director of Public Information CHARLES H. DICK Assistant Director of Alumni Affairs DAV ID M. KRAJEWSK I Associate Director of University Publications THEODORE Vice President for DR. A. v. PALERMO University Relations WESTLEY RowLAND 7 8 9 10 12 15 16 19 22 23 24 26 27 28 32 33 36 37 38 39 40 41 41 42 43 43 44 44 45 51 Revolution - The Discontinuity ·of Change Two Grants for $589,000 Buffalo Contractor Gives $26,575 Cardiovascular Research Training Center Health Manpower Shortage Medical Case Presentation Family Orientated Medical Program The Physiology of Stress Ground Broken for New Campus You Don't Look Well Sea Survival Study Proposed New Meyer Hospital The Class of 1972 Convocation Awards Dr. Max Cheplove Issues Challenge Health Sciences Clinical Center Spring Clinical Days Research: Frustrations and Rewards A Different Experience Millard Fillmore Neurology Institute University Residency Programs Interdisciplinary Approach Community Pediatrics Cancer Linked to Air Pollution (:ommunity Psychiatry Community Service Partnership Filipino Family Planning Meyer Crisis Service Deaconess $7.5 Million Expansion African Safari People In Memoriam �Revolution - The Discontinuity of Change by LeRoy A . Pesch, M.D. Dean, School of Medicine D ean Pesch's address to the medical students in Butler Auditorium, September 4. First, let me say it is indeed a pleasure to be here today and have an opportunity to share a few of my thoughts with you on the occasion of this Honors Convocation. Next let me congratulate each of you, not only thos e individuals who have received special recognition, but all of you here assembled who represent the future of medicine. Not the future of medicine as we know it today but the future of medicine as it b ecomes molded into the pattern of the social institutions of American society to emerge ov er the next few decades. Medicine has clearly become a major v ehicle for social change. To be a part of medicine at this juncture is to occupy a pivotal position in what must be the most exciting and challenging period in hunt an history. I would like to talk with you about revolution, not violent rev olution responsive to crisis as a form of solution for social behavior, but a revolution which produces an abrupt discontinuity in the evolution of change and prov ides an opportunity to &ccomplish a quantum leap to a new and better position for the human condition. It is my firm belief that medicine stands in such a position in society today and th e way in which we use the opportunities before us w ill, in large measure, determine the health of society for many 2 gen erations to come . Failure to effectiv ely utilize thes e opportunities on the other hand w ill provide an equal opportunity for us to doom the human condition t o chaos and destruction. The r esults of frus tration , despair , and diseased society are all too apparent to everyone h ere to need furthey elaboration. Let us then look at some of the elements of the rev olution in medicine which have brought us to this point. Then let us project s ome of the opportunities which present themselves for our consideration and action. The r evolution had a silent but w ell planned b eginning. It began at the turn of the century with the development of the Johns Hopkins Medical School. This school did not just come into being. It was the r esult of the dream of a man and the well defined and thoughtful planning of an extraordinary group of individuals brought together in Baltimore. Within that model a revolution in modern medical education took place. The curricular pattern established w ithin the Johns Hopkins model quickly b ecame a positive solution for the chaotic condition of m edical education w hich existed at the turn of the century. Certainly my ow n educational experience and th e curricular pattern you are following today in medTH E BUFFA LO M ED ICAL RE V I EW �ical school with minor modifications is a direct transcription of the innovations which occurred at that point in time. The second component of the revolution in medicine became operationally manifest immediately after World War II with the phenomenal growth of scientific information in the general area of human biology. The pattern for the development of the National Institutes of Health and the support of research was the direct positive outgrowth of some of the chaotic and destructive aspects of that World War . Practically speaking, the major impact of the scientific growth of medicine can only secondarily be measured by its impact upon health and disease. Its primary contribution has been to establish the intellectual substance for medicine as an appropriate university discipline. This, more than anything else, has led to the evolution and development of the concept of the university medical center, a recent concept which has placed universities directly at the interface between the educational, scientific, and intellectual aspects of medicine and its community service counterpart. Let me digress for a moment to enlarge upon how these first two components or determinants, have combined or conspired together to bring about a great deal of progress in the University approach to medicine over the past 60 years. Medicine has a long history of professionalism and omnipotence. In its beginnings, the acquisition of the skills necessary for the practice of medicine occurred through a process of apprenticeship. Although its educational beginnings were firmly rooted in the University with the clergy and the WINTER, 1968 law, medicine was not a science, but rather a mystical and metaphy sical discipline. It was in many ways feudalistic, building its base in a pragmatic way, testing the validity of its ideation by practical results. The vestiges of this heritage in medicine are still with us today. This is not to demean the humanistic heritage of medicine for anyone who has encountered the ugliness of disease knows full well the necessity for compassion of the humanistic approach to the patient. However, the educational innovation of the Hopkins model, together with the impact of the growth of scientific knowledge, have combined to facilitate each one, the goals of the other, and as a result, medicine now embodies a scientific substance of its own which we may call for purposes of this discussion and for lack of a better term, clinical science, and which has led to the development of further innovations in the educational approach to medicine. Witness , if you will, the many experiments carried out in the medical education process since the early 1950's. While many of these experiments have not b een innovative, they have in a sense, been a struggle for the individualization of medical education and the individual rights of students to pursue an education consonant with their abilities, interests , and career objectives. Hence , at the present time, the physician can be defined no longer in absolute terms, nor can the curriculum which fosters his d evelopment be rigidly stated. Ij:ducational programs within medical schools are now coming very close to achieving a graduate approach which brings medical education into the 3 Drs. Surgenor, Pesch �University environment as a continuation of general education, and relates the knowledge of the medical sciences to other fields of knowledge. No longer can we say that there are six or seven or eight or even a dozen sciences basic to medicine. Neither can we say that the field of medicine belongs to the physician alone . D ean Pesch Instead, we must take the position that the science of medicine has reached a point where the knowledge of human biology has the answers for the solution of many problems in society and that the educational programs in medicine must now provide the opportunities for students to achieve the necessary roles in society to facilitate the solutions to problems and the achievement of the many goals we all see as desirable. Only in this way can we deal effectively with the implications of disease in the world today. The third factor responsible for shaping the opportunity before us is one operating outside the University. This is the demand by a sophisticated and urban society for adequate, comprehensive health care . Call it a consumer demand, if you will. These forces at work within society today have brought us to a point where government, which must exist to serve the purposes of the people, is demanding that medicine respond by producing the manpower, the delivery systems, and the total capability for elevating the health of this nation, indeed of the entire world and for all people to the highest level we are capable of achieving. Medicine must become productoriented and not selfserving if it is to reach this goal. 4 At this point in history it is clearly an intellectual exercise to argue that the medical school and the university do not have a major responsibility in this task. The question before us is a complex one . There is no easy solution. The university medical center in its further evolution walks a narrow line between providing the resources necessary for the solution of the problem, at the same time avoiding the risk of becoming inundated or swamped with the service commitments of that service solution. These, then, are the major components which have brought us to the present stage of the revolution in medicine - the educational, scientific , and social determinants which have brought us to another point of discontinuity in the process of change. These elements have combined to create the opportunity before us. The challenge in the solution is the challenge we must meet over the next several years . The opportunity at this medical school at the present time is in many ways unique. This is a university with a great tradition, a tradition which has developed throughout the course of these historical events and a university which now stands on the threshold of a new and exciting redevelopment and expansion of its purposes, its goals, and its programs. We, the members of this university community, possess the opportunity to have a major impact on the solution of these problems. Medicine specifically can be a unifying force, welding together the resources of the university and the community THE BUFFALO MEDICAL REVIEW �in an effort to model the solutions for society. History will record how effec tively we use the opportunities at hand. We stand at a point in time which is not dissimilar to that facing the people who created the Hopkins model at the turn of the century, and facing scientists who stood on the thr es hold of th e opportunities in human biology shortly after the second World War. The history of the next several decades in medicine will record how effectively we utiliz e these opportunities. I do not intend to pose solutions to these problems today nor do I hav e them readily at hand. However, I am confident that together we can work toward their accomplishment. I ask eac h of you to join me in this effort. Finally, let me say that I am afraid that I have been a bit too serious and perhaps overwhelming in raising and speaking to these issues in the presence of the first-year class just beginning their experience with medicine . I am reminded of an experience that the late President John Kennedy had in addressing the incoming class at the Naval Academy in Annapolis several years ago. In concluding his remarks , he told a story which some of you may have heard. I would like to share it with all of you today, and especially with the incoming class: ''There was a yeoman who was the naval aide to a young lieutenant who had just graduated from Annapolis and who was just begin- WINTER, 1968 ning a meteoric rise in his career. The yeoman noticed that each morning the naval officer would go to his desk, open the drawer, take out a piece of paper and read it intently, whereupon he would put the paper back in the desk, close the drawer and go about his business . The lieutenant rapidly became the youngest captain in the service, the youngest admiral, and the youngest commander-in-chief. Finally, as will frequently happen, the young commander-in-chief fell ill. While he was in the hospital, the yeoman decided that the time had come for him to inquire into the nature of the information which the officer kept on the paper in his desk in the hope it might help him in his own career. So late one night he crept into the commander-in-chief's office, opened the desk drawer, pulled out the piece of paper and read the following: ''Port is left and starboard is right." Kennedy closed his speech to the beginning class at Annapolis by saying that if you learn the fundamentals as well, your career will be assured. In closing, let me simply say to all of you that while I have attempted to be serious today, medicine can, will, and must be fun for all of you. I hope we can make it that way during your stay here, and that because of that experience your future will be assured. Thank you very much. 0 5 �Two Grants for $589,000 Buffalo has been selected as one of nine communities in the United States to participate in field trials of a vaccine to prevent rub ella ( German measles). In a nearly $100,000 two-year contract with Dr. Peter Isacson, associate professor of preventive medicine, the NIH National Institute of Allergy and Infectious Diseases is hoping to avert a recurrence of the 1964-65 epidemic which produced some 30,000 abnormal pregnancies. Rubella symptoms are often so mild-rash, enlarged glands behind ears and neck, and many of the symptoms of common cold-that persons may be unaware they have the viral disease . Its greatest danger lies in the possibility that a woman early in pregnancy may be exposed to rubella for the first time. The result can be infants stillborn or who die soon after birth or children crippled by heart disease, mental retardation, cataracts, glaucoma or deafness. The full-scale national testing program will involve about 7,500 school children. "My goal, " said Dr . Isacson, "is to test 1, 500 kindergarten to fourth graders, hopefully before Thanksgiving. Negotiations are underway to select the school sites . Followup evaluation will cover from three to five years. This full-scale testing program to evaluate the safety protection of the rubella vaccine is a necessary step before governmental licensing can be granted next year." Here's how the study will work: The primary school graders will be split at random into four groups and blood samples taken. Different vaccines will be received by each of three groups, and the fourth will receive a placebo (an ineffective solution) . Parents will be asked to record 6 unusual reactions and temperature changes over a 28-day period. A second blood sample to check for antibodies will follow this period and over a three-year period one sample per year will be taken.D Buffalo has been named one of four centers in the nation to initiate a new graduate training program that will prepare superior scientists for careers in clinical settings. Through a $489,000 grant from the National Institutes of Health, the department of biochemistry, over the next five years, will offer beginning graduate students in biochemistry and post doctorate fellows (with either PhD or MD degrees) a unique opportunity for clinical investigation. Dr. Richard J. W inzler, department chairman, said: ''we ought to have one of th e really outstanding centers for biochemistry in the country. Dr. Max E . Chilcote, clinical professor of biochemistry, will head the graduate program which will offer new elective courses in clinical biochemistry, biochemical components of clinical conferences , and human biochemistry and disease. Research areas of potential interest to the medical and dental community will be stressed.'' The two-year postdoctorate program, geared to make up a candidate's educational deficiencies, will also provide experience in several clinical biochemical laboratories, the development of a knowledge of computer application to laboratory problems, participation in clinical conferences, and cooperation with clinical colleagues in research programs.D THE BUFFALO MEDICAL REVIEW �A prominent Buffalo mechanical contractor has given the School of Medicine $26,575. He is Mr. Joseph Davis, President ofJoseph Davis, Incorporated , mechanical contractors, 120 W est Tupper Street . H e is also presiden t of the Davis Refri geration Company and the Davis- Ulmer Sprinkler Company, Incorporated. Dr. LeRoy A . Pesch, Dean of the School of Med icine, said, "We w ill abide by Mr. Davis' wish and use the money to purchase equipment f or an Electronystagmography Laboratory and a Temporal Bone Bank in the Division of Otolaryngology in the D epartment of Surgery. " Dr. Daniel ]. Fahey, assistant clinical professor of surgery (otolaryngology), will direct these new laboratories. The laboratory will be at Kenmore M ercy Hospital. On August 26, 1957 Mr. Davis took out a 10-year endowment policy on his son, Marshall E. Dav is, with the University as the benefi ciary. The policy was with the Aetna Life Insurance Company. Mr. Davis has been interested in otolaryngology for many years. He was president ofthe Buffalo Hearing and Speech Center board for 12 years (1955-1967 ). The Center at 325 Summer Street has served the hearing and speech handicapped of this area since it was incorporated in 1953. WINTER, 1968 Mr. D av is gives his check to Dean Pesch for D rs. J ohn M . Lore and D a niel]. Fahey. Buffalo Contractor Gives $26,575 to Medical School 7 �Cardiovascular Research Training Center A grant of $104,380 has been awarded by the National Heart Institute to support th~ planning of a Cardiovascular Research and Training Center at the Medical School. The grant is for two years, effective immediately. Dr. Douglas M. Surgenor, provost of the Faculty of Health Sciences and a distinguished scientist in basic cardiovascular research, has appointed Dr. LeRoy A. Pesch, dean of the Medical School and director of University Hospitals, director of this project. The University is among several institutions to receive a planning grant to establish a Cardiovascular Center by the National Heart Institute. The award to Buffalo is in recognition of Buffalo ' s excellence in the field of heart disease, both in treatment and in research. In 1946 Dr. John R. Paine, professor and chairman of the University's department of surgery, brought surgical treatment of cardiovascular disease to Buffalo, beginning with the surgical repair of coarctation of the aorta and patent ductus arteriosus. The surgical developments could not have been made without parallel growth in cardiology, in radiology, and in pediatrics. As a result Buffalo has become a major national center for open heart surgery. Similar progress has been made in cardiovascular research. Outstanding investigators in the Medical School have brought recognition and support to Buffalo ' s program. At present over 70 investigators at the University conduct research in cardiovascular disease and receive support from the National Institutes of Health amounting to over $1.2 million. This work is conducted in 8 many departments, including medicine, surgery, physiology, pathology, biochemistry, anatomy, preventive medicine, microbiology , and in the Center for Immunology. Because cardiovascular research and training involves so many parts of the University's Faculty of Health Sciences, and is conducted both within the affiliated hospitals and on the campus, planning for a Cardiovascular Research and Training Center will focus on improving the University's capabilities in cardiovascular disease. This will be achieved by improved teaching programs, expanded and coordinated research, and through greatly accelerated efforts to improve communications between the laboratories and the hospital clinics where patients are cared for. Great care will be taken to plan so that the University Health Sciences Center on the new Amherst Campus will augment and supplement the present strong clinical programs located in the Buffalo General, Veterans, the Children's, and the Meyer Memorial Hospitals. Consistent with this the planning does not conceive of the bringing together of all the University's strengths in one building. Since December, 1966 a committee has been working on this project. They are: Dr. David G. Greene, (Chairman) professor of clinical research in cardiovascular disease; Dr . Floyd Skelton, professor of pathology; Dr. Edward C. Lambert, professor of pediatrics; Dr. Francis J. Klocke, associate professor of medicine; and Dr. Worthington G. Schenk, Jr., professor of surgery. Dr. Oliver R. Hunt, Jr., associate dean of the Medical School, also worked with this committee.D THE BUFFALO MEDICAL REVIEW �There is a shortage of medical and health personnel in Western New York and it may soon become critical. That's what a health manpower survey directed by Dr. Harry A. Sultz, clinical associate professor of social and preventive medicine, indicates. The survey, made on behalf of the Regional Medical Program of Western New York, shows that health services are concentrated in the cities, and it is very difficult for people in outlying areas to travel into the city for treatment. More health care professionals are graduating from schools, but research and teaching attract many of these.D Health Manpower Shortage The shortage in all fields is more acute in rural areas than in cities. Erie County, for example, has 2,078 physicians, or 1.95 per 1,000 population and 765 dentists, or . 72 per 1,000. The comparable figures for physicians in other WNY counties are: Niagara, 226, or .93 per 1,000; Chautauqua, 128, or .88; Cattaraugus, 86, or 1.07; Wyoming, 26, or .74; Genesee, 69, or 1.28; Allegany, 30 , or .68. In Erie County, which is better off than the others, shortages are drastic. There are 2,759 full-time and 606 part-time nurses , but 420 funded positions are vacant and there is a need for 504 others. There were shortages in many other fields psychologists, social workers, dieticians, X-ray technicians, medical technologists , speech clinicians, occupational and physical therapists. There are at least 118 vacancies in these areas today and n eed for another 187 trained people. "Health service today is one of the nation 's largest and fastest growing industries," Dr. Sultz declared . "We need to make a concerted effort to fill the manpower gap and develop new kinds of health personnel to increase the productivity of overburdened professionals.'' W INTER, 1968 Junior Alan I. Leibowitz, past president of the Student American Medical Association (SAMA ), presents a $500 check to Dean LeRoy A Pesch for use in em ergency loans to Buffalo medical students. This is one of seven regional awards made possible by the Sears Roebuck Foundation through SAMA, which offers the medical student membership, health insurance, scholarships, and international summ erfellowships. Over one-half of the Buffalo medical student body are members. 0 Dean Pesch, Ala n Leibowitz �M edical st udents interuiew pa t ients Medical Case Presentation fRESHM EN MEDICAL STUDENTS- on their first day in Buffalo - know what it feels like t o be practicing physicians and/ or part of the m edic al profession. In a program unique to the Buffalo Medical School, a two-hour medical cas e presentation at the Veterans Hospital (located just across the street fr om the M edical School) is an essential part of the orientation pr ogram for the incoming class. Now in its fifth year, it was initiated and planned by Dr. Theodore H. No ehr en , associate professor of medicine. Collectively, the class of 105, who had not yet attended a single class, was asked to diagnose and recommend treatment for three patients. This year the problems were - a duodenal ulcer , gastritis, athlete ' s foot complicated by a secondary infection and hyp erthyroidism. ''The session is run entirely by y ou, ' ' Dr. Noehren advised. "Take a history . Make a diagnosis. The patient know s who you are. Take him and enjoy it as you can. ''I am not trying to trap you,'' he said to the assembled class. " What I am trying to demonstrate is the tremendous amount of knowledge your class brings with you b efor e y ou even ent er the medical training. '' Freshman Lawrence S. Pohl (Hew lett, New York), in a white laboratory coat , began the examination. "What" he asked of the first patient volunteer, " are your complaints? " " Wait , " laughed Dr. Noehren, "do you have his name ? How are you going to send the bill?" After a nervous b eginning the interview got underway. Patient George M. Nicholas revealed that he had a history of stomach aches. 10 " Are any typ es of foo d upsetting to y our system? " No , h e had never b een on a diet and had had these s ymptoms fo r 20 y ears - off and on. Hands wer e rais ed and oth er students joined in the questioning. '' Any bleeding ? W hat is the pain like? W h en did it begin? Did he drink'? W hat was his job? " One student , who had work ed in a strip mill over a summer and who w as aw are of the em otional problems involved w hile working a swing shift , asked- ' 'Did the patient enjoy his job ? Was h e afraid of b eing laid off ? Did pain increas e since his army days? " Aft er an hour of qu estioning, Dr . N oehren interrupted - " Let 's make a diagnosis now . . . our waiting ro om is full. " Collectively, the clas s concluded that the patient (nerv ous even though he liked his job and w as not going to get layed off) had a duodenal ulcer. The prescription a bland diet, a mild tranquilizer, and clos e m edical observation. "W auld y ou like a lady doctor with you ? " asked Dr . N oehren of the sec ond patient. Unknown to the students , the patient (Dr. Clarence THE BUFFA LO M ED ICA L RE V I EW �D. Bull] was a specialist in internal medicine on the hospital staff. No one asked his occupation. After 30 minutes Dr. Noehren pointed out that this might be pertinent information. He was asked, and stated that he was employed by this institution (Veterans Hospital]. Aft er a long pause . . . ' 'and before that I was a physician in South Carolina.' ' Silence - and realizing they had been "had " and by themselves - applauded loudly. Turning to him, Dr. Noehren asked " Aren't you surprised that there are no negro students in this class? Are there any programs in this area for negroes? '' Concerned about these problems, the class questioned Dr. Bull at great length about medicine in the south and ghetto medicine in Buffalo . It was most revealing of Buffalo, the students , and their ' 'patient. '' The final patient (a mailman and a Marine in World War II] was in a wheelchair with his foot elevated. Questioning him (Edward W. Kuzan] revealed that his problems dealt with swelling, redness , and tenderness of his feet since World War II when he spent 30 days in the swamps of Bougainville . Asked one student - ' 'where in the world is Bougainville?" Mr. Kuzan, a member of the First Marine Division that took the last enemy stronghold in the Solomons, was astonished . Dr. N oehren delivered a brief geography lesson to the students (most of whom were not born when Mr. Kuzan and the Marines landed on the island]. As in the other two cases, however, the students were completely accurate in their diagnosis and recommendations. This mass clinical session is only the beginning to the early introduction to patient care for the WINTER, 1968 freshman class. Groups of five students are assigned to a preceptor for an orientation to the profession of medicine. Meeting weekly for two hours, the course is adapted to their particular needs, The advisor gets to know each member of his group intimately and is available for guidance in academic or personal problems. Sessions are usually in a hospital setting where students meet and talk to patients on the wards, observe an operation or a delivery, visit the accident or admissions service or observe a program of medical research. There are also visits to community clinics, offices of private practitioners or with the hospital administrator. Students are unanimous in their approval of an early introduction to clinical medicine, and the proof is that most graduates can still remember the patients interviewed during M edical Case Presentation on their first day of medical schooLD Dr. No ehren d irec ts the m edic al case presentation �Family Oriented Medical Program Two medical technolog y stud ents - Karen Karni , Ruth Aylesworth and Sharon Richardso n - work in the lab oratory. medical students are working in all phases of a unique family-oriented medical program. "We want to meet the special needs of the people in the First Ward of Lackawanna. We want to get to know the families and their problems . . . to make sure they are getting the type of health care they should be getting," said Elliott S. Dacher, a junior medical student, associate director of the Student Health Organization , and a member of the program 's board of directors. "It all started a year ago with an 'idea'. University medical students saw the need for first-class medical care in ghetto areas," according to Arthur R. Goshin, also a junior medical student and the Student Health Organization chairman. Wanting to do something about their serious health problems, the people in the First Ward of Lackawanna organized a health co mmitt ee . Approached by this committee, the medical students volunteered to help. " We are meeting the patients in a community setting and studying at first hand the health needs of the poor. We are seeing the significance of social, economic, and educational factors in the perpetuation of the poverty cycle, of dis ease, and of inadequate health care," Mr. Go shin said. "All of this seemed miles away when it was first mentioned in some of our classes,'' he continued. Early in 1968 several medical students visited the area and talked to people in Lackawanna about what was needed and wanted. And a few months later, the students decided to concentrate their efforts on the First Ward. APPROXIMATELY150 12 Dr. Edward ]. Marine checks pha rma ceu tical suppli es u; ith m edical student s - Gary Lym an, Alan Mandelbaum an d El liott Vacher. Ques tionnaires were sent to their counterparts in the Health Sciences - nursing , dentistry, medical technology, physical and occupational therapy - as well as social welfare. These disciplines volunteered to give at least one night a month to the project. Approval was obtained from th e University, the Erie County Medical Society, and the Health Department. The latter agreed to accept legal and administrative responsibility for th e project and to provide personnel - three physicians, a nurse, THE BUFFALO MEDI CAL REVIEW �a dentist, a social worker, office help , an x-ray technician, nurses ' aides, and a laboratory technician. The University provides the salary of the medical director, Dr. Joseph B. Armenia, M'62, clinical instructor in medicine; the volunteer services of several faculty members; medical equipment and supplies , and pay for the renovation of the building for the Center. The Center, designed to give medical care to both children and adults , is located in the basement of the building on Wilkesbarre which houses the Catholic Charities Center. It has a complete laboratory setup [for hematology studies) as well as an x-ray machine. Furnished tastefully with attractive modern furniture and draperies, future plans call for a mental health counseling program. An important facet of the program is followup health care. The patient advocate program emphasizing the team approach - under the direction of junior medical student Russell Massaro , does just this. Teams consisting of an upperclass nursing student and a freshman or sophomore m edical student under the supervision of an upperclass medical student, number close to 100 students. The groups, already set up , have been receiving orientation lectures from professional community members. They will soon visit families from the clinical p opulation or those recommended by the community to bridge the gap b etween the patient and the doctor. The first patients visiting the clinic [which has not yet officially advertised its opening) were pediatrics cases. On Monday and Thursday evenings [6:30-9:30), Wednesday afternoons [2-5), and WINTER, 1968 Saturday mornings [9-12), y ou may see anyw here from 15-20 patients w ho have come through appointments . Although the Health Department has the legal responsibilities for its administration, Health Commissioner William E. Mosher has agreed to b e guided b y an advisory b oard of directors representing the community , and students and faculty of the University. Working on the advisory board with Chairman Goshin are community leaders, University students and faculty. The v ice chairman , treasurer , and Elliott Dacl1er entertain s several pediatrics pa tients. 13 �recording secretary, all from the community group are: Mrs. Olga Pawlik, Mrs. Eugenia Dockett, and Mrs. Elsie P. Estrada. Miss Linda Dorr, a senior nursing student, is corresponding secretary. Other board members from the community are: Bruce Holmes, Mrs. Joan Burghezi, Mrs. Jovita Valentin. University students are Elliott S. Dacher and Hachiro Nakamura, medicine; Miss Bonnie Lantiegne, medical technology ; Miss Sharon Freedberg, social welfare. From UB faculty: Dr . Edward J. Marine, assistant professor of medicine; Dr. A pediatrics pati ent sees Dr. Ja ck Carter. 14 Harry Sultz, associate clinical professor of preventive medicine; Dr. John C. Dower, professor of community pediatrics ; Mrs. Karen R. Karni, assistant professor in medical technology; Miss Althea M. Glenister, assistant professor of nursing; Mrs. Eleanor A. Berger, assistant professor of social welfare. The First Ward is a residential "island" with a population of 7 ,500, completely surrounded by industry. This area is the sixth most unhealthy of the 30 wards in the cities of Buffalo and Lackawanna. The ward 's birth rate is thesecondhighest , it's tuberculosis cases rate fourth, syphilis and out-of-wedlock birth rates sixth and infant mortality seventh. Health and medical facilities are limited. The Health Department has maintained well-baby clinics, a dental clinic for children up to the fourth grade and a clinic for the detection - but not the treatment- of chest disease. Our Lady of Victory Hospital, the only one in Lackawanna, is unable to expand its outpatient clinics because it has no interns or resident physicians to staff them. The two physicians who practice in the First Ward one only part time - cannot begin to meet the needs, and one of these at least, does not accept medicaid or welfare patients. President Martin Meyerson has repeatedly enunciated the policy of fostering the greatest possible interaction with the urban and regional community of which we are a part. He has indicated that we must seek new and different ventures whereby this interaction can be meaningful. The Lackawanna Community Health Center is such a venture.D THE BUFFALO MEDICAL REVIEW �Some of the first quantitative information on heart function in water was presented at a twoday stress conference sponsored by the department of physiology and the Heart Association of Western New York, Incorporated. Dr. Charles V. Pa ganelli, Jr. , associat e professo r of physiology, and Dr. Rahn join the group for lunch. The Physiology of Stress Dr. Donald W. Rennie, (associate department chairman) told the 45 world-renowned physiologists representing 11 countries that by using a technique co-developed by Dr. Leon E. Fahri (professor of physiology), he found the heart to pump less blood when the body is in water . He also pointed out to the scientists - many of whom are or were associated with the department of physiology - that exercising as a body heating mechanism is not nearly as effective in water as in air. Much of the heat is lost to the environment. This type of research, he stressed, is of practical value in determining the type of protective suits needed by deep-ocean diving scientists who will live on the sea bed for extended periods of time . " Only the surface of the sea and its problems associated with diving have been scratched, '' pointed out Dr. Edward H. Lanphier (medical diving expert at UB) . He felt that perhaps hydrostatic pressure itself may be the limiting factor in deep-ocean dives and likened the use of submersible vehicles in underwater exploration to " living on earth without ever getting out of your car. '' Dr. Hermann Rahn, department chairman, opened the conference in Niagara Falls.D WINTER, 1968 15 �Ground Brol<en for New Campus THis Governor Roc k efeller and Matthew Meyerson dig while President M eyerson and Mr. Seymour Knox wai t their turn. of the great universities of the Western World." That's what Governor Nelson A . Rockefeller told an overflow crowd of more than 1,000 persons, all prominent in the educational, civic, and industrial life of the Niagara Frontier, at the ground breaking ceremonies October 31. The ceremony was on the site of the new 1200acre campus off Skinnerville Road, between Millersport Highway and Sweet Home Road. Governor Rockefeller said, "this $600 million facility will be the key unit in the State University system. Here at Buffalo we have the best of both worlds - the rich tradition of excellence and diversity brought to the State University system by a venerable private institution, the University of Buffalo, and the dynamics, drive, and financial strength of the world's fastest growing State University. "In a real sense this combination of attributes at Buffalo symbolizes the balance w e seek in meeting our responsibilities to assure every q ualified young man and woman in New York State a chance for higher education. I said early in my first term that all young New Yorkers should have this chance if they want it. Nothing could be more important in my opinion. And this new Amherst campus is a giant step toward the full achievement of that goal.'' Dr. Samuel B. Gould, the State University of New York Chancellor , said construction of the 16 WILL BE ONE new campus w ill be the most significant happening in the history of Buffalo an d Amherst. President Martin Meyerson said, " that agreement has b een reached by all parties on the nature of the new campus and the actual physical r elationship of its parts. '' The estimated cost breakdown: academic buildings, $233 million; housing and dining halls , $152 million; health sciences, $120 million; health sciences clinical center, $50 million; health and physical education, $25 million; service and administration units, $20 million. Most buildings will be six stories high with some 11-story structures . Huge as the over-all university will be, Mr. Meyerson said the ''system of 30 separate colleges will be designed to provide all students w ith a small individual unit to which they can be identified in their personal life. '' President Meyerson describ ed the colleges, serving about 30,000 students and 5 ,000 faculty, as ''small centers of identification. '' The role of the colleges is one of informal education where living, dining, social, educational, cultural, and athletic activit ies are related to th e whole of th e educational experience.'' Mr. Seymour H. Knox , chairman of the State University at Buffalo Council, labeled Mr . Meyerson "a superman " for the work that led to the groundbreaking. Mr. Knox who presided, rem embered Dr. Clifford C. Furnas, president-emerit us THE BUFFA LO MEDICAL REV I EW �Chatting with Governor Rockefeller are Mrs. Maurice Moore, Dr. Samuel Gould, an unidentified guest, and President Me yerson. " as the man responsible for getting the expansion on the road.'' There were greetings from State University of New York officials - Mrs . Maurice T. Moore, Chairman, Board of Trustees; Mr. Homer H. Woods, Vice-Chairman, Board of Trustees, Dormitory Authority; and Mr. James W. Gaynor, Chairman, Board of Trustees, Construction Fund. Mr. Harry R. Jones, Supervisor, Town of Amherst, and Mr . Richard Schwab, President of the University Student Association, also participated in the ceremonies. There wasn ' t time for talks by Senate Majority Leader Earl W. Brydges, and Charles R. Diebold, Chairman of the Niagara Frontier Transportation Authority. Dr. John T. Horton, professor of history, served as the University Marshall. He wore academic cap and gown and carried the mace, a medieval reminder of university authority, with regal pomp . He has been on the faculty 42 years. WINTER, 1968 Governor Rockefeller said, " that by 1985 the new campus and the community surrounding it must house approximately 70,000 people directly related to the university or indirectly related by the economic activity the university generates. There will be more than 16,000 new jobs, and a 36 per cent increase in household income within the Amherst area. This is the most promising single new development since the opening of the Erie Canal in 1925. " The Governor reviewed the future of higher education in the state and cited the educational significance of the University Center at Buffalo. ''The commitment at Buffalo, symb oliz ed by this Amherst campus, re-emphasizes the special mission of comprehensiveness assigned to all University Centers. The wide diversity and study opportunity at Buffalo is indicated by the titles Approximately 1200 people fill the tent for theformal ceremonies. �This is based upon competitive salary levels and a climate of encouragement for creative acad emic pursuits. The Buffalo area ' s pre--eminenc e in the sciences and research ($11 .5 million in sponsored research projects) makes the Univ ersity the leader in the state in sponsored research. '' D A reception a t the Rid ge L ea Ca m pus. Professor John Horton leads the processional. Ground Breal<ing of the seven faculties - Health Sciences, Social Sciences and Administration, Arts and Letters, Educational Studies, Engineering and Applied Sciences, Law and Jurisprudence, and Natural Sciences and Mathematics.'' ''Each of these new faculties is rising to the challenge of a new mandate which calls for education in the true university sense," the governor said. " The highest quality prevails, the individuality of scholarly and professional attainments is maintained, and new programs representing timely development in important areas are encouraged to emerge and thrive. The successful growth of the University is related in no small measure to the over-all program of vigorous faculty recruitment. 18 TH E BUFFALO M ED ICAL RE V I EW �in the title of this article may have for the doctor a more meaningful connotation than that of its ordinary use. Cutaneous associations with internal diseases have long been noted in the medical profession. In our clothed society, the most obvious and available part of the skin is the face, and it is to the face that w e will address ourselves here. We will be talking about a little noted and not often used diagnostic art called pathognomy (from the Greek: patho, plus gnome - a means of knowing). Pathognomy is defined as the science of the signs and symptoms of disease, or, more specifically, "the recognition of the nature of a disease by observation of the unconscious revelations of the patient.'' Obviously this covers more than facial clues to disease, but we shall limit our discussion to the face. The face, in a typical medical dictionary, is defined as ''the anterior aspect of the head, from the forehead to the chin inclusive." Ordinarily , to most of us, this is all the face is: an opaque covering for the front of the skull, conveniently supplied with various appendages which differ enough from person to person so that we can recognize those we know. THE WELL-WORN EXPRESSION Dr. Farber is a 1943 SchoolofMedicine graduate. After interning at Buffalo General Hospital, he spent two years at the Mayo Clinic as a Fellow and First Assistant in Dermatology and Syphilology. He went to Stanford University School of M ed icine in 1948. He has been prof essor of d ermatology and executive head, Department of Dermatology, since 1959. H e has also been Physician-in-Chief at the Palo Alto- Stanford Hospital since 1959. He, his wife, and four children live at 300 Pasteur D rive, Palo Alto. W INTER, 1968 But , to the curious , skilled, and intuitive medical diagnostician the human face is far from opaque. It can, in fact, be seen as a sort of w indow to the entire body . Various facial changes and markings can provide the tip-off to scores of internal diseases, both systemic and specific as to organ or area. So, to the physician aw are of this intimate link between face and body, the expression "you don't look w ell" can hav e a special and literal meaning. For example, what would one make of a patient who appeared with what Shakespeare describes, in speaking of Cassius , as " a lean and hungry look"? One would not normally suspect such a patient of contemplated regicide , but he could be suffering from tuberculosis. He might be a victim of the malabsorption syndrome, a failure of the system whereby digested foods are absorbed through the intestinal walls into the blood stream. Or the physician might suspect ulcers, or even anorexia nervosa , a severe nervous condition resulting in a loss of appetite. It might be, of course, that the " lean and hungry' ' looking patient simply has not been able to afford a square meal in some time . In that case it w ould seem appropriate to check his finances as well as his health. Let us look now in brief detail at some other facial indices to disease, beginning with some pertaining to the cardiovascular system . The patient with generaliz ed , nonsp ecific, heart disease may tip off the observant physician almost immediately because of a complex of facial clues: an anxious expression with bright , watery , staring eyes, a tensely-held mouth and a face that appears to be somewhat shrunken. As might be expected, 19 ou D on,t L ool< W ell" ~~y The Face as a C l ue to Disease EUGENE M. FARBER , M .D . P rofessor a n d Exec utive H ead Departm ent of D ermato logy Stanfor d University Sc ho ol of Medicine �Dr. Farb er this group of facial symptoms is known as cardiac facies. On the other hand, the patient whose cheeks are notably shrunken, with the complexion pale and sallow and the sclera pale or bluish, may well be suffering from aortic insufficiency . This complex of facial symptoms is so likely to be linked to the specific condition that it has come to be called aortic facies. A condition involving another part of the heart, mitral disease, may be tipped off by a facial aspect known as mitrotricuspid facies, marked chiefly by rosy, flushed cheeks and dilated capillaries. If a patient has yellow patches, like small deposits of tallow, under the eyes or on the eyelids, chances are about fifty-fifty that he has arteriosclerosis; that his blood is thick with cholesterol or other lipids. Many other facial clues to disease are somewhat rare, but nonetheless interesting . We might look at some of them, remembering what ''a lady'' says to Macbeth in the first act of that play: "Your face, my thane, is as a book where men may read strange matters ... '' The patient whose face has a silvery sheen should be suspected of argyria, a condition resulting from the long-continued use of silver salts, as from argyrol eye or nose drops. The face can show a number of early signs of leprosy: subcutaneous nodules over the eyebrows, loss of eyebrows, a general bovine look. If a patient presents himself with freckle-like markings of the oral mucosa on the lips or inside 20 of the mouth, it is almost a sure bet that he also has benign polyps of the small intestines. A pinched, anxious and furrowed face, with nose and upper lip drawn up, (a complex known as facies abdominalis), is likely to indicate the presence of some abdominal condition worth investigating. In seeing children, one ought not assume that young Johnny is simply as dumb as he looks. That open-mouthed, stupid look may, instead, be a sign calling for the removal of excess adenoid tissue. A cow-like expression, known as facies bovina, is characteristic of a condition known as hypertelorism. Facies hepatica includes a thin face with sunken eyeballs, a sallow complexion and yellowish conjunctivae. This is, of course, a sign of chronic disorders of the liver. The patient with stare and flushed face his current bill. On appearance is often episode. a vacant and bewildered may have just been handed the other hand, such an characteristic of a febrile In the presence of vascular nevi of the face and angiomas of the retina, a physician might suspect the Lindau-von Hippel disease: cystic angioma of the cerebellum, with polycystic pancreas and kidneys. A general bronze-like darkening of the facial skin (not to be confused with a summer tan) could indicate the onset of Addison's disease, hypofunction of the adrenal glands, with resulting internal complications, and likely to prove fatal. THE BUFFALO MEDICAL REVIEW �Almost all physicians are familiar with the pinkish ''butterfly'' on the upper cheeks which is an almost certain sign of lupus. A facial condition involving yellow or yellowbrown flat plaques distributed around the eyes (so-called Xanthelasmas) is associated with anumber of different diseases: hyperthyroidism, biliary cirrhosis, diabetes mellitus, chronic pancreatitis, nephrosis and glycogen storage disease. Urticaria, often assumed to be a disease entity, is actually only a sign of something wrong elsewhere. These recurrent hives or wheal-like lesions, with their intense itching, may have anumber of underlying causes. These include sensitivities to drugs, foods or other things; or chronic infections in teeth or elsewhere. Cafe-au-lait spots on the face are often an indication of generalized neurofibromatosis. They also may point to the presence of Albright 's syndrome, involving multiple bone cysts and, in the female, precocious puberty. If a patient is seen with gray or slate-blue skin, he may well have hemochromatosis, an inborn error of iron metabolism. It was formerly believed that the color was due to iron deposition in and around the sweat glands. Now it seems clear that the pigmentation is due primarily to an increased amount of melanin in the skin. There is considerable evidence of a high correlation between peptic ulcers and various vascular abnormalities of the lip, including venous lakes and cherry spots, both of which are small angiomatous lesions. W INTER, 1968 Using the face as a clue to disease has led to some interesting absentee diagnoses involving people long dead. One of these concerns Abraham Lincoln and the existing pictures of him. His long, narrow face and projecting jaw are seen by many experts as evidence of the Marfan Syndrome, particularly when linked to descriptions of his long, loosely-jointed figure and long arms and legs. This is a rare heritable, congenital condition. Despite all this emphasis on the face's use as a diagnostic aid, it should not be forgotten that people do undergo facial changes, both sudden and long-term, which have nothing to do with disease. The man who appears to be developing an elongated face may, in fact, only be suffering the ravages of balding, with his forehead moving up toward the crown of his skull. And it is no secret that a woman 's face does not always present the clear source of clues it might. Much can be hidden from the physician's eye by pancake makeup, or even simple powder and paint. The wise physician will also keep in mind that the face does change with age; the longtime patient is going to acquire wrinkles, sagging skin, spots and other indications of aging. This can be a comfort to the physician, since it proves what he sometimes forgets; other people are getting older too. One final thought: Disease is not all. In the human face, friendship and love are good things to look for too.D 21 �Sea Survival Study How MAN CAN SURVIVE in the sea has been cited by the Navy as an example of its new program to bring more schools into military environmental research work. The physiology department in the School of Medicine is leading the way under a special "Project Themis " two-year, $600,000 grant. At a closed-door hearing of the House Defense Appropriations Subcommittee Dr. Robert A. Frosch, assistant secretary of the Navy for research and development, told how the Navy's "Project Themis" was designed to establish "centers of excellence" at universities which had done relatively little research before in connection with special military needs such as medical-biological, informational sciences, and underwater engineering. Specifically the Navy hopes to learn from the study more about the performance of man in the sea and conditions concerning free swimming and existence in a sealed environment such as a cabin. Rear Admiral T . B. Owen, chief of Naval Research, explained the Navy felt it necessary to establish new facilities for the studies to supplement work already being done on performance and survival of man at sea. ''The University has assumed financial responsibility for erecting the building to house new 22 research facilities in Buffalo ," he testified. " It is hoped that 'Project Themis' can make available the specific research tools desired; namely, the submergenc e facility , wet-dry pressure chamber, and centrifuge. ' 'An unusual and compact feature of the planned submergence pool and centrifuge is that these components w ill be made concentric, '' he continued. " Not only will the angular configuration of the submergence pool permit continuous motion required for studies of swimmer energetics, drag , and the like, but it is planned that the centrifuge arm will accept a removable addition . ' ' Although the present contract is for two years the study will probably extend several more years. It is hoped that the centrifuge will become operational in 1973. A 2 ,000-foot high pressure chamber is scheduled for use in 1971, Admiral Owen continued. The plan is to employ a scientific staff of 12, primarily from the physiology department but some from the Engineering School, plus four graduate students and four technical assistants . Dr. Leon E. Farhi, professor of physiology , heads the project. Working with him are Dr. Hermann Rahn , chairman of the physiology department, Dr. Edward Lanphier, associate professor of physiology, Dr. Donald W . Rennie, professor of physiology, and other faculty members.D THE BUFFALO M ED ICA L REV I EW �A new 1,800-bed, multi-million dollar Edward J. Meyer Memorial Hospital has been proposed to replace the present hospital. Mr. Gordon A. Friesen, an internationally recognized hospital consultant, proposed a three-phase program of construction to be completed in the early 1980' s. The first phase, to be completed by 1973, would be the construction of the hospital proper, with its acute-care and long-term beds . Phase II, to be completed by 1977, would include offices for physicians, extensive new research facilities, a dormitory and classrooms for student nurses. When this phase is completed all existing buildings at the present site would either be razed or removed. In phase III , to be completed in the early 1980 's, additional space for acute-care and longterm care beds would be added. W INTER, 1968 When the 1,800-bed, all-private-room complex is completed it will have such special features as a multi-phasic testing laboratory, facilities for organ transplants, multiple disability rehabilitation services, a detoxification unit for alcoholics, a Federally approved mental health center, major trauma center, and comprehensive computerization for both medical and financial data, as well as other statistical information. Dr . Friesen also recommended that the Erie County Home and Infirmary be phased out of us e as a patient care facility. Patients at this facility would be transferred to the new hospital. Dr. Harry W. Hale, Jr., president of the hospital's medical and dental staffs , pointed out that each year our out-patient and emergency services rise by about 15 per cent. "Our present facilities are completely inadequate . ' 'D 23 Proposed New Meyer Hospital �Social hour for freshmen and faculty Two first year m en register. Drs. Harold Brody and Felix Milgram . Three futur e phys ic ian s chat ab o ut tll eirflrs t day on campu s. �I I JoAnn e Levitin Dr. Pesc h ha s lun c h w ith th e stude nt s. IT wAS NOT THE TYPICA L freshman orientation. T1iere was registration, orientation, an informal luncheon, a social hour where faculty and students mixed freely and met preceptors. There was also the fifth annual medical case presentation at the Veterans Hospital where Dr. Theodore H. Noehren again demonstrated to the 1972 class of 105 (97 men, 8 women] that ''before you even enter Medical School you bring with you collectively a fantastic amount of information.'' But this year there was the inclusion of Convocation ceremonies- where 18 medical students shared 11 awards. And there was the introduction to the student body of their new dean - Dr. LeRoy A. Pesch. WINTER, 1968 Re laxing in th e stud ent lounge. The overwhelming applause following his welcoming speech was their response to his challenge "in which revolution produces an abrupt discontinuity in the evolution of change and provides an opportunity to accomplish a quantum leap to a new and better position for the human condition.' ' In his introduction of the new dean, Dr. David K. Miller (chairman of the nominating committee to select a new dean] told the convocation audience that he had no prizes to offer ''but what I have is, for the Medical School, the biggest prize of all, the type of person the School at this particular time needs .' ' 25 The Class of 1972 �Dr. Brody congratulates Madeleine White, Wilbur Smith, Jr. , · · · Sogba Bosu · · Dr. Harold Brody, professor of anatomy, and assistant dean for student affairs, presented the awards. Convocation Awards The Pfizer Award for highest achievement in all three years went to Miss Madeleine J. White. She also shared the Merck & Company Award with Mr. Wilbur L. Smith Jr. for the highest grades during the junior year. Smith also won the Farny R. Wurlitzer Award for outstanding work in Psychiatry. Dr. S. Mouchly Small, professor and chairman of psychiatry , made the latter award. Another double award winner was Mr. James K. Smolev. He won the Kornel L. Terplan Award for outstanding proficiency in Pathology. He shared the Mosby Company Award for highest performance in previous Medical School work with Messrs . Daniel P. Mandelbaum, Robert V. Smith, Susan M. Moshman, and Jerald A. Bovino. Dr. John C. Read, clinical instructor in pathology and treasurer of Western New York Pathologists, made the Terplan Award. The Lange Award for high performance in previous Medical School work was won jointly by Messrs. Daniel B. Levin, Albert B. Finch, · Robert Kaufman, · · · Daniel Levin, Albert Finch. Jeffrey G. Rothman, John G. Secrist, Francis J. Twarog, and David M. Rowland. Mr. Brian A. Boehlecke won the Roche Laboratories Award for outstanding academic achievement in the first and second years . The Alumni Association Award went to Mr. Stephen W . Moore for outstanding achievement in the junior year. Mr. Sogba K. Bosu won the Children' s Hospital Prize in Pediatrics for demonstrating excellence in understanding childhood diseas es . Dr. Jean A. Cortner , professor and chairman of pediatrics, made the award . Mr. Robert B. Kaufman also won two awards. He was honored by the Annual Participating Fund for Medical Education for outstanding academic achievem ent. He also won the James A. Gibson & Wayne J. Atwell Anatomical Award for highest academic achievement in first year anatomy. Five students - Miss Madeleine J. White and Messrs. Lawrence S. Greenberg, Daniel P . Mandelbaum, Stephen W. Moore , and Wilbur L. Smith, Jr. - were named to Alpha Omega Alpha, National Medical Honorary Society.D �Dr. Max Cheplove Issues Challenge THE AMERICAN MEDICAL ASSOCIATION is suggesting something that the Annual Participating Fund for Medical Education has been doing since 1954, according to Dr. Max Cheplove, M'26, APFME president. Dr. Dwight L. Wilbur, president of the AMA, said that he would like to hav e association members contribute $100 a year for medical college needs. The money could be given directly to the medical schools or to the AMA Education Research Foundation. Dr. Cheplove has issued a similar challenge to his 2,815 medical alumni as well as other practicing physicians in the Buffalo area. "If each would contribute $100 annually this would help significantly in our long-range goals of improving m edical education and community relations.'' In the last 14 years the alumni of the medical school and other practicing physicians have contributed nearly $1,000,000 through APFME. In the early years the APFME concentrated on recruiting and support of preclinical faculty. Today APFME is concentrating more in the area of community-medical school relationships, summer preceptorships, hospital libraries, continuing education and the overall improvement of medical education. WINTER, 1968 Dr. Wilbur said that " in the last 15 years phys icians of this nation have given almost $68 million to U.S. Medical Schools, directly or through AMA-ERF.'' There are several advantages in contributing to APFME: -The donor knows w here the money is going and what it is being used for; -The medical school does not have an unlimited source of finances to meet future expectation for health services ; -The donor ' s money stays in the community to educate future physicians; -Your medical school needs money from many sources (other than state] to expand its medical education facilities. D People President Martin Meyerson has appointed Dr. Hermann Rahn as a presidential faculty adviser on a part-time basis. He will work with the faculty senate, the vice president for academic development, and in matters of academic policy and curriculum. Dr. Rahn, chairman of the medical School's physiology department, is the only member of the University faculty who has been elected to the National Academy of Sciences. Dr. Rahn was also appointed to the Research Career Award Committee of the National Institute of General Medical Sciences, National Institutes of Health. He also gave the annual Rovenstine Lecture of the American Society of Anesthesiologists. The title: ''The Evolution of Gas Transport Mechanisms from Fish to Man. "D 27 �Health Sciences Clinical Center for New Campus ·A T THE FALL CO NVOCATION for students and faculty, I tried to outline some of the factors which have created both the problems and the opportunities in medical education and the delivery of health services to the community . I also attempted to characterize this University, its medical school, its health sciences effort, in an attempt to frame what I consider our greatest opportunities and challenges. The first thing I want to do is to go back and rephrase a portion of that statement - to go on from that point and outline a set of proposals which will begin the constructive solution to many of these problems. You, who were present, will recall that I tried to stress the three major forces largely responsible for shaping the opportunities and the challenges before us - educational, scientific, and social factors. I will begin by reemphasizing the latter - the demand by a sophisticated and urban society for adequate, comprehensiv e health care. It is a consumer demand. The strength of this force has brought us to a point where communities and other constituencies are demanding that medicine respond by producing the manpower , the delivery systems, and the total capability for elevating the health of this nation, the world, and for all people, to the highest level we are capable of achieving. Address prese nted by D ean L eRoy A. Pesch to the M edical Sc hool faculty on N ovember 14, 1968. Medicine must respond. It will not however ignore its educational and scientific functions which must be preserved at all cost. But at this point in our history, it is clearly an intellectual exercise to argue that the Medical School and the University do not have a major responsibility to 28 the community in this task. The Univ ersity Medical Center, in its continuing ev olution, walks a n arrow line b etween providing the resourc es necessary for the solution to some of these problems and avoiding the risk of b ecoming inundated or swamped with the service commitments of that solution. The opportunity for this Medic al School to m eet this challenge is unique in many ways. Our University, with a great tradition which has dev eloped throughout the cours e of the hist orical events leading to this point , now stands on the t hreshold of a new and ex citing red evelopment and expansion of its purpos es, its goals , and its programs. We - the members of this University community - possess the opportunity for a major impact into the solution of these problems . Medicine can be a unifying force , welding together the resources of the University and the community into a model solution for society . As a profession and a philosophy, medicine offers hope for the future. It promises man a control ov er his destiny, and it has frequently and consistently provided a meeting-gr ound for man 's humanism, science, lessons from the past , and hope for the future. Standing out in bold relief against man 's lagging social conscience are some of the revolutions in the expression of medical science. We are scientifically in the midst of the age of genetic engineering. Just two days ago , the Supreme Court finally declared the last remaining statute forbidding teaching the theory of evolution in p ublic schools as unconstitutional. THE BUFFALO M ED ICAL RE V IEW �In practice, such revolutions have steadily widened the purview of medicine. From mere survival, medicine has grown to encompass a concern for life. From the treatment of symptoms, it has moved to consider the whole man. The inevitable result of these changes is to thrust the physician more and more into the midst of the social process whereby man determines his future. He is increasingly regarded as the externalization of social conscience, the one who must repeatedly voice warnings about the kind of life man is fashioning for himself and for the generations that will follow. Effective utilization of our opportunities will provide an opportunity to better the human condition . Failure to do so will doom it to chaos. The frustration and despair of our diseased core areas make it mandatory. Paraphrasing Bishop Matthew Simpson, (Walks About New York , 1859). "Medicine (like the Church of Christ) must grope her way into the alleys and courts and purlieus of the city, and up the broken staircase, and into the bare room, and beside the sufferer." It is in this dimension of medical consciousness that we must begin a vigorous development of the clinical system to amplify planning that has been completed and phase it into the next stage of architectural design. Not only for our immediate future is such clinical system development important, but it will become the mainstay of a vital and growing program in the health sciences. This development will express the nature of our educational, research, and clinical programs, together with its demands for faculty, facilities, and operational support. W INTER, 1968 I strongly believe that by building upon the strengths of our current programs, we can demonstrate real leadership in health system development. If the many commitments, which have and will continue to be made during the course of this development, are to fit into an effective pattern that is oriented in the desired direction, immediate action and decisive policy mandates must be made in several areas. Guidelines for the development of such policy mandates will insure an imaginative and innovative program. They will meet our needs as a faculty in research and education, and allow us to express a proper role of leadership in conceptualizing a health care delivery system for the University, the community, and Western New York. They are: 1. That the School of Medicine will fully support the development of a Program of Health Sciences at the State University of New York at Buffalo. That we will actively encourage the participation of other faculties to seek the solution to the moral, ethical, economic, and social problems facing the delivery of heath care through the development of interdisciplinary research and demonstration programs. 2. That existing and projected programs of the several schools, institutions, and departments, will be reexpressed as activities for functional design consideration. 3. That the present program will be reduced to a minimal set of activity modules - research, educational, administrative, clinical, and support for translation into an architectural building system for the entire Health Sciences complex. 4. That the clinical activities be divided into on-campus and off-campus activities on the basis 29 �of an inventory and assessment of existing programs and the potential for continuing and strengthening them in existing hospitals. 5. That our principal affiliated hospitals will be the major location for our clinical activities and clinical science development. This includes clerkship experience, internship and residency training, clinical science research activities, and resource support for on-campus clinical activities. This location and concentration of resources will allow for the development of demonstration programs in the delivery of health care to the core area. 6. That existing affiliation agreements and contracts will be reexamined and renegotiated to insure that proper responsibilities are assigned between the University, county, and community institutions . 7. That the present plan for a 350-bed University Teaching Hospital on the Amherst campus will be reexpressed as a set of clinical, educational, research, and service activities not presently available but necessary to achieve our goals in Health Sciences, as well as serve other faculties on the campus. 8. That the University will actively seek and deploy the resources necessary to assist affiliated community institutions in the development of activities located off-campus. 9. That the University will seek to develop with the community an efficient transportation and communication system which will tie the community institutions and the university together, thus avoiding the logistical problems of any geographic separation. 10. That the community immediately express their intent to join with the University in such a 30 partnership so that building system design and communication development w ill form a compatible system in the long-range goal for the development of a workable H ealth Delivery System. In this framework, the Health Sciences Program for Buffalo becomes a binodal resourc e system (with a s ystem for exchange of resources] to link the University (as a resource of education and research] with community resources for h ealth services and patient care. The educational and research activities, located on campus which require on-campus clinical facilities, can be defined and justified. These clinical facilities will become the components for a campus Health Sciences Clinical Center. A partial list of such on-campus clinical activities might be as follows: 1. An Ambulatory Care Center for the diagnosis and treatment of disease on an outpatient basis. Such a center would be supported by minimal and transition inpatient facilities. This facility would provide the following resources not now available or anticipated: a] An integrated Health Sciences Ambulatory Care Center bringing together health professionals with dental medicine; b) An Ambulatory Care Center for research in the delivery of health care; c) A facility to provide the delivery of highly sophisticated treatment methods developed through research efforts at the University , but not requiring complex inpatient care (chemotherapeutic agents for malignancy , the fitting and training procedures for prosthetic or rehabilitative devices , speech or skill retraining , oral surgical procedures]; THE BUFFALO M ED ICAL REVIEW �d) A facility for the maintenance of health and a preventive treatment center; e) Most problems requiring intensive inpatient care would be referred to inpatient services in existing affiliated hospitals; f) Such a facility would serve as a Student Health Center, provide comprehensive health care for the patient base now using the University Dental Clinics, and as a health care resource for faculty and staff. 2. Specialized inpatient-outpatient clinical research centers for the development and evaluation of new modes of treatment, including rehabilitation and nutritional studies. 3. Student Health Service Inpatient Facilities. 4 . Health Care Facilities Planning and Evaluation Program - a center of activity to bring together health professionals, engineers, management experts, economists, and designers to carry out research in the delivery of health care. 5. Alcoholism Institute. 6. Behavioral Science Study Center, bringing together sociologists, anthropologists, and health professionals in the study of ecological factors in disease. 7. The architectural development of the Health Sciences building system is in itself a major University contribution to the Health Care Delivery System. Such a system will be adaptable to the development of totally flexible health care facilities for use by the community. 8. Other activities will be defined over the next two months as the evaluation and inventory of existing resources continues and our oncampus needs are defined. WINTER, 1968 Health Sciences education is a combination of undergraduate and graduate study. In medicine we must constantly seek ways of bringing other University disciplines into the complex scientific, social, moral, ethical, and economic problems to be faced in providing optimal health care. We should begin to develop a collegiate environment in Health Sciences by establishing undergraduate colleges for students interested in health careers. Health professional education can no longer be divided into preclinical and clinical studies. The entire educational experience should be carried forward into a clinical environment, making it mandatory that, from the very beginning, clinical activities be a part of the experience. This set of guidelines and plan has the full support of our University administration. A bold concept, it is a challenge to the University and to the community. It will require major efforts by all of us to meet architectural and construction deadlines. Construction of the first elements will begin in early 1970. Our resources are adequate to achieve the total program. The key to the solution rests in the development of the building system design. I am confident that our architectural firm - Helmuth, Obata, and Kassabaum - has the creative and imaginative potential to develop this system. If we work together, we can achieve the potential of this school and this community. We can create a lasting tribute to the community and to our preceding generations who have made this opportunity in Buffalo possible.D 31 �Spring Clinical Days March 28-29 The first Continuing Medical Education program for 1969 will be an interdisciplinary approach to Community Mental Health. Dr. Duncan Whitehead will be in charge of this January 16 program. It will focus on the inter-related roles of the psychiatrist, psychologist, occupational therapist, and social worker in the field. The annual specialists program in GynecologyObstetrics, chaired by Dr. Paul Birtch, is set for March 26-27. Dr. Louis C. Cloutier, program chairman for the Alumni Spring Clinical Days, March 28-29, said there will be scientific sessions on antibiotics and bacterial infection, viral and fungal infection, problems in intersex, immunological aspects of organ transplants and surgical aspects of organ transplants . In addition, several members of the 40-year class will speak on their specialties. Among those who have agreed to speak are Dr. Victor L. Cohen, Dr. L. Maxwell Lockie, Dr. Frederick G. Stoesser and Dr. George W. Thorn. Rehabilitation of the Cardiac Patient has been re-scheduled for May 27-28. This symposium, chaired by Dr. Albert C. Rekate, is planned for professionals in medicine, nursing , physical therapy, occupational therapy, social work, rehabilitation counseling and nutrition. Also starting in January will be a series of 22 general medical lectures on the two-way telephone network of the Regional Medical Program of Western New York , according to Dr. Harry Alvis, associate dean. 0 32 50-Year Association with Meyer Hospital For at least one Buffalo physician the Meyer Memorial Hospital's new building program is something special. It was just 50 years ago that Dr. Stephen M. Graczyk, M '20, became associated with the hospital as a sophomore in the Medical School. He did his internship and residency at the Meyer, and was on the full-time staff before entering private practice . He continued to assist w ith the teaching program for nurses and senior medical students until last year. '' My early years at the Meyer gave me a basis for all that I have done since. I wouldn 't trade my experience there for anything in the world. ''Fifty years ago the hospital had only B and C buildings . They had been built for tub erculos is patients, and had sleeping porches in keeping with the current belief that tuberculosis patients should be outside in all sorts of weather.' ' Dr. Graczyk is past president of the Erie County Medical Society, the Erie County Unit of the American Cancer Society, the Catholic Physicians Guild , the Medical Arts Society, the Western New York Geriatrics Society and the University Medical Alumni Association. In 1962 , he was invested as a Knight of St. Gregory the Great, the highest possible honor for a lay Catholic. 0 TH E BUFFALO MEDICA L REV I EW �Research: Frustrations and Rewards "I Glenn Tisman WINTER, 1968 F YOU HAD INTERVIEWED me two days ago, I would have stated that my summer fellowship experience has been frustrating, just plain frustrating. But that was two days ago," said Glenn Tis man of the Class of 1969, " and everything has changed.'' Working under Dr. Albert F. LoBuglio at the Meyer Memorial Hospital, Glenn wanted to develop a new kind of folic acid test, " one that would give the Buffalo physician the opportunity to measure folic acid levels of his patients within a day. " Never before done in Buffalo , the folic acid assay had to be sent elsewhere , and days would pass before results were returned. " Glenn set up the first folic acid assay in Buffalo, " said Dr. Robert S . Cotsen. " He is furnishing a service to us in general medicine . Only large university centers or hospitals measure serum folic acid levels. Everyone in Buffalo sends theirs out. ''While the method Glenn employs - that of Victor Herbert - is a well accepted but laborious and time consuming procedure, the new technique he is dev eloping will enable every small hospital to do their own folic acid assays.'' 33 �Gle nn and Dr. LoBu g li o check the diameter ofbact eria growth on a prepared pore plate. The usual technique - a tube setup for bacteria growth dependent on folic acid, takes two days. " In my method ," stressed Glenn, "a pour plate , prepared with folic acid sensitive bacteria, agar and folate deficient growth media into which little wells are cut, is stored in the refrigerator. ' 'When a serum is to be tested, the plate is removed, ten micro liters of serum placed into the well, and the plate is put into an incubator overnight. As the folic acid activity of serum diffuses into the plate, bacteria grow. The next morning the diameter of the halo of growth around the well is proportional to the folic acid activity of the serum.'' ''It looks interesting and promising, and may well be utilized as a quick way in testing folic acid,'' Dr. LoBuglio said. As an undergraduate at Hofstra University, Glenn studied the drug methotrexate, an antimetabolite which inhibits folic acid. It is used to treat some patients with acute leukemia who later become resistant to its action. Using bacteria resistant to methotrexate but folate dependent, Glenn isolated an impurity in methotrexate-a pteridine-chemically related to methotrexate and able to inhibit the resistant bacteria from growing. He feels that if enough of this impurity could be isolated it might also work on " patients" resistant to the drug. Glenn has never had time for followup of this work but plans to do so in the future. Graduation, and a year in the Buffalo Medical School, preceded a summer working in clinical hematology with Dr. Ben Fisher at the Deaconess 34 Hospital. He also had an opportunity to work with Dr. James Holland at the Roswell Park Memorial Institute during part of his clinical training in medicine. " It seems as though the branch of medicine you are going into is determined by the type of person that you meet and who teaches you. My choice of hematology was greatly influenced by Drs. Fisher and Holland . . . both tremendous personalities .. . excellent clinicians, " Glenn said. " While working with Dr. Fisher I realized the importance of having folic acid values on hematology patients and we started the wheels turning to develop a routine assay for the Buffalo physician. No one did it!" Glenn checks a new teaching learning microscope - a unique program at the Meyer Hospital with D rs. L oBuglio, Cotsin and Resid ent Sam Armstrong. �One day a w eek in the clinic to learn general clinical hematology and to see patients with low levels of f olic acid. A new semester started before an assay procedure was worked out, and it was only while Glenn was on service in his junior year at the Meyer that he experimented with the idea of doing a quick, bioautographic method for folate levels . He contacted Dr. LoBuglio, and it was agreed"this would make an interesting summer fellowship.'' Three nights per week during the latter part of the junior year were necessary to iron out bugs of the standard Victor Herbert assay, the procedure now available at the Meyer and Buffalo General Hospitals. ''Most systemic diseases reflect themselves in the blood. . .a mirror of what is going on in many different disorders," Glenn continued. WINTER, 1968 These folic acid studies led him into something brand new-the binding of folic acid to serum proteins . Previous reports in the literature were controversial as to whether folic acid was bound to a transport protein. Elaborate experimentation by other authors failed to pin down a specific carrier protein. One day while just " fooling around the lab" he noticed that folic acid fluoresces under ultraviolet light. This fact enabled him to quickly show that by paper electrophoresis studies folic acid is transported in the body by A lbumin. It may be an important finding, valuable in interpretation of folic acid clearance studies, and in the development of Megaloblastic anemia in association with anti-epileptic drugs which also bind serum albumin. He is going to inv estigate along these lines. ''Glenn's summer fellowship, " concluded Dr. LoBuglio, ''is not geared along the lines of other fellowships. I give him the opportunity to do what he wants and we learn just as much from experiments that fail as we do from our successes. '' An ardent reader-a trait which Dr. Fisher instilled in him, Glenn recently read an article in The Lancet (a British medical journal) concerning Hyaline-Membrane Disease and Intravascular coagulation. From this came an idea about the possible role vitamin K might play in the disease. Withholding the vitamin from the premature infant in respiratory distress he feels may be helpful. The idea, accepted the publication in Th e Lancet, will soon appear. ''The frustrations of research may be rewarding, " he said. He smiled.D 35 Another aspect of his f ellow ship. Every Monday psychotherapy f or a paranoid psychophrenic, who he had established rapport with during previous psychiatric service. �Dr. Martinis received hisM.D.inMayandis interning at velt Hospital , New York City. Roos e ~ A Different Experience Th e Mayo Clinic ~ ------~ ......--:; A different kind of experience as well as exposure to a fantastic teaching program were highpoints of Ray Martinis' senior elective period spent at the Mayo Clinic. Five weeks in the department of neurology was followed by two weeks in pediatric neurology, concluding with a week in neuro-ophthalmology. A graduate school, the Mayo Clinic has only residents and draws its patients mostly by referral. Its international patient clientele is advance scheduled in either the clinic outpatient service (a building located in the downtown area] or in two privately-owned hospitals (Methodist- across from the clinic, or St. Mary's - about a mile away]. Both affiliated hospitals are entirely staffed by Mayo Clinic physicians. Residents divide their service into four quarters. Each quarter is spent in a different sub-specialty in his area of training, 36 with half of each quarter at the hospital and the remaining half in the clinic. Because of Mr. Martinis' limited time, he alternated between the hospital (mornings) - making rounds, seeing patients, going over the day's admissions - and the clinic (afternoons]. "The clinic is unique with a very adequate faculty to student ratio. You can always find someone who is not busy and can explain something to you,'' Mr. Martinis said. An advance list of scheduled admissions allowed sufficient time to study the disease prior to admission of the patient. On his initial five-week neurology service at St. Mary's, also present was an attending (a fulltime Mayo staff member], a senior neurosurgical resident, a senior neurology resident, and two Fellows from Internal Medicine who were rotating through neurology. "Every afternoon I would handle up to two to three consultations. In the morning I would present my case on rounds and report my findings. All five of us would then sit down at the conference table, present our findings on a particular patient, and the professor would pick out all of the items missed. A visit to the patient, a re-eliciting of the pertinent facts by the professor followed by a re-examination of the patient, a return to the conference table to rediscuss the case, presented an invaluable learning experience. ''The atmosphere at Mayo is just wonderful. The clinic physicians are all excellent, well trained, from good schools, and famous in their particular specialty. Everyone is interested in teaching. PriTHE BUFFALO MEDICAL REVIEW �vate donations,. government subsidies, and clinic profits add up to Mayo's substantial financial resources," Mr. Martinis said. Interested in neurosurgery, Ray decided that at this stage in his training neurology would be most beneficial. Dr. Harold Brody, professor of .anatomy, helped him in his selection of Mayo for this type of training. ''The opportunity of getting all sorts of philosophies of medicine prior to forming my own opinion was offered to me. Medical research is dependent upon obtaining a long series of a large sample of cases treated in a specific manner. Mayo is unique in that a large number of cases of rare diseases can be subjected to its own specific treatment and still allow a sufficient number as a 'control'. IBM computer files the information and a statistical analysis department also assists in the information retrieval system at Mayo. "The medical program is structured so that the entire impetus of learning is up to you. You can do as little or as much as you like. A lecture series, with each specialty offering daily lectures, demonstrations, a museum of medical history featuring models of various diseases, exhibits, and x-rays are available. With repetition and experience, one just can't help but learn. While on the neuro-ophthalmology service for a week, I looked at 100 different pairs of eyes, each presenting an interesting diesase. Everyone has been filtered from the general population and the interesting cases all come here. ''If students are interested in getting a different kind of experience and being exposed to a fantastic teaching program, they will find a clinical fellowship at Mayo very rewarding,'' concluded Martinis. W INTER, 1968 A neurological institute will be created at Millard Fillmore Hospital with a grant of $750,000 from the Harry M. Dent Family Foundations, Incorporated. The institute will be a physically separate unit. Research space will b e located on the first floor of the hospital's adjacent Research Institute. Millard Fillmore is one of five affiliated hospitals. Dr. William R. Kinkel , a 1954 graduate of the School of Medicine , w ill be the director of the institute. He is a graduate of Harvard University , and is a clinical instructor and lecturer in neuroanatomy in the Medical School. H e was certified by the American Board of Psychiatry and Neurology in 1960 and is a past president of the Buffalo Neuropsychiatric Society . The institute will have three div isions -stereotactic surgery, neurochemistry, and thermography. The institute will bring under one roof neurological procedures and research formerly carried out under Dent Foundation grants at Millard Fillmore, M eyer Memorial, and Roswell Park Memorial Inst itute. Millard Fillmore 's Harry M. Dent Clinic, organized in 1963 to ev aluate, treat , and pursue research in Parkinson's Dis ease and other movem ent dis orders , will be an int egral part of the new institute. The plans call for the renovation of the first floor of the hospital 's East Wing at a cost of approx imately $330,000. The foundation will pay $250 ,000 of this, and will contribute $100,000 a year for each of fiv e years towards operation of the institute. The plans are subject t o t h e approv al of the State H ealth Department. The institute is expected to be completed sometime in 1970.0 37 Neurology Institute P lanned at Millard Fillmore Hospital �University Residency Programs THE Dr. Paine This article wa s writt en by John R. Paine, M.D. , pro f essor and head of the d epartment of surgery. DEVELOPMENT OF UNIVERSITY RESIDENCIES is one of the significant changes that has occurred within the School of Medicine during the past three years. Beginning with the residency program in Gynecology and Obstetrics, other programs in four Surgical Specialties and Anesthesia have been developed and accepted by the School of Medicine prior to the 1967-68 academic year . In the spring of 1968 a plan for General Surgery was accepted by the School of Medicine and approved by the national accrediting bodies. Traditionally, intern and residency training has been the sole concern of the hospital with direction and regulation coming from national medical organizations . In recent years, with the increase in the number of University Hospitals which are run and controlled by the Schools of Medicine, there has been an increasing trend for all Schools of Medicine to take an increasing interest in the post graduate education of its students, manifested in an increasing concern with the internship and residency training programs of the '' teaching hospitals." In most institutions the University Hospital serves as a base for the various post graduate programs and have been able in most instances to give a certain degr ee of prestige to the various programs concerned , which may or may not have been pres ent when such programs were the sole concern of the hospital. Of prime consideration in this situation has been the increased emphasis the Schools of Medicine have placed on the educational aspects of these training pro38 grams rather than the service aspects, although the latter are both necessary and important. In the local situation here in Buffalo it has been found that relatively small University Residency programs involving a minimal number of teaching hospitals have been relatively easy to fit into a University setting, anticipating the developm ent of the H ealth Scienc es Clinical Cent er at th e n ew campus. In General Surgery, how ev er , with the large number of residents and hospitals involved , tog eth er with the inescapable heavy service commitments to be assumed, the problem has been much more difficult. Prior to 1968 there were four independent surgical residency training programs operating in the four principal teaching hospitals of the Medical School. Approximately 50 young surgeons were enrolled in these programs for up to five years of training. To incorporate all these facilities and personnel into one program seemed to be inadvisable and impractical, if not impossible. Alternatively it was decided that two University sponsored programs based respectively at the Buffalo General Hospital (Program I) and at the Meyer Memorial Hospital (Program II) would be set up. The previous program at the Veterans Administration Hospital would be abandoned as an independent entity, with resident responsibility for half of that Surgical Service being incorporated into Program I and half into Program II. The two year residency program for special training in Pediatric Surgery at the Children ' s Hospital would continue but would THE BUFFA LO M EDI CA L RE V IEW �receive residents in rotation from both Programs I and II as requested for training in this special field. These changes have now been effected. Program I involves 16 residents who spend approximately one year at the Veterans Administration Hospital and three years at the Buffalo General Hospital with thre e month periods of rotation at the Children's Hospital and at the Meyer Memorial Hospital. Program II involves 20 residents for four or five years of training, of which about one year is spent at the Veterans Administration Hospital. Three or four additional men are accepted by each program for one or two years of training b efore they proceed into one of the smaller surgical specialty programs. The program in Pediatric Surgery at the Children's Hospital, in addition to providing training for men in Program I at present and possibly also for men in Program II in the future , provides two years of specialized training for its own appointees, which number one per year. This entire scheme has been accepted by the School of Medicine as the University Residency Training Program in Surgery and has also received the approval of the national accrediting bodies, although it will not be fully operative until July 1969. With the completion of the H ealth Sciences Clinical Center, inevitably certain changes w ill have to b e made in the overall plan, but it would be futile to attempt to project any such changes at present.D WINTER, 1968 In t erdisciplinary A pproach D r. Lanphier observes physical endurance tests. In teaching, the department of physiology has an an enviable reputation among students in both the m edical and graduate schools. This dedication also extends to cover an interdisciplinary approach. Over an eight- da y period, three levels ofstudentshigh school, undergraduate and graduate physical education majors - participated in a study by William Zimmerle, a physical education doctoral candidate, to analyze two selected measures of cardiovascular endurance. Eighth graders - 11 5 in all - from the Williamsville Mill Midd le School met in Physiology Lab. I and, while running for six minutes on a treadmill, they w ere tested and retested by fi ve physical education majors for continuous gas readings and telemetered heart rate. Dr. Edward H. Lanphier, associate professor of "physiology, and a member of Mr. Z immerle's thesis committee, arranged for use of the facilities and equipment. 0 39 �Dr. Jobn C. Dower N amed Professor of Community P ediatrics Dr. Dower The first to occupy the Goodyear Chair at the University is Dr. John C. Dower. He joined the School of Medicine and the Children's Hospital as professor of community pediatrics during the summer. An endowment, established by A. Conger Goodyear in 1965, designated the Chair for a ' 'professor of pediatrics in charge of a program of maternal and child health or for a professorship in a related field. ' ' George F. Goodyear and Mary Goodyear Kenefick, brother and sister of the grantor, are its trustees. The community pediatrics program , under Dr. Dower, will be a " first " for Buffalo. " Like any other large city," he said, "Buffalo has a substantial number of its children who are not receiving the high quality of health care which the community is capable of delivering. The obstacles to appropriate utilization of these resources are enormous. The medical profession needs the cooperation of other disciplines such as the social and political sciences, and eventually, the practicing politician, in order to achieve the goal of providing all children with optimum health service .' ' Charged with all University community pediatrics teaching and ambulatory services , the 44-yearold physician feels that the program must start with the training of the medical student. ''The educational emphasis, " he said, " should be on the patient as he exists in his community rather than on the disease he happens to have . ''W e must utilize the talents of practicing physicians in a more meaningful w ay in the 40 training of medical students and resident physicians in the hospital setting. Greater utilization of the practicing physician in the education of doctors implies that the Medical School ha'S an obligation to become inv olved with their continuing medical education as w ell. When these problems are engaged w e w ill be in a better position to become more involv ed with the health problems of the greater Buffalo community. ' ' In New Hav en, Connecticut , where he w as clinical assistant professor of pediatrics at Yale University School of Medicine , chairman of the department of pediatrics at the Hospital of St. Raphael, and chairman of its gov erning committee , Dr . Dower w as also actively involved in corearea projects. He has serv ed on the staffs of Seton Hall College of M edicine , New ark, New Jersey (professor of clinical pediatrics]; Columbia College of Physicians and Surgeons, New York City, (assistant in pediatrics]; The May o Clinic (consulting physician in pediatrics) ; and Babies H ospital of Newark, New Jersey (director of medical education] . Two y ears in the U .S. Marin es preceded his undergraduate (1950) and medical education (1954) at Johns Hopkins University. His training in pediatrics included an internship and r esidency at the Boston Childr en's Hospital ; a residency at Babies Hospital , Columbia Presbyterian Medical Center; followed b y a year in private practice . D TH E BUFFA LO M ED ICAL REV I EW �There is an association between air pollution and stomach cancer. That is what Dr. Warren Winkelstein, Jr., former professor of social and preventive medicine, told an AMA research conference on air pollution. He joined the University of California [Berkeley) faculty in September. Cancer Linl~ed to Air Pollution On the basis of a three-year study conducted while at the School of Medicine, Dr. Winkelstein reported that the death rate from cancer of the stomach is almost twice as high in areas with large amounts of air-borne dust than in neighborhoods with cleaner air. This is consistent with the fact that deaths from stomach cancer have been declining in recent years as air pollution controls have succeeded in lowering the amount of industrial dusts in the air. The researcher pointed out that particulate air pollution remains high in certain areas and that ''gastric cancer continues to rank among the first four causes of death from cancer in American men." Two other studies, conducted independently of Dr. Winkelstein's, have come up with similar indications of airborne agents capable of producing stomach cancer. Organic fuels such as soft coal are often mentioned as the most likely sources. Dr. Winkelstein's survey did not , however, show an association between airborne dust particles and lung cancer. But it did show some relationship to other respiratory diseases. Statistically the researcher reported: -in areas with the highest amount of dust suspended in the air, the stomach cancer death rate for men and women in their 50s and 60s was 31 per 100,000 population; -in the areas with the least dust in the air, the comparable death rate was 16 per 100,000.0 A program in community psychiatry will be headed by Dr. Jack Zusman who joined the School of Medicine faculty and Meyer Memorial Hospital this summer. He is an associate professor in the departments of psychiatry and preventive medicine. " Traditionally , the psychiatrist only worked in his office and saw patients who came to him,'' Dr . Zusman said. " But, we must get psychiatry out of the hospital and into the public health and nursing stations, courts, and storefront core area clinics.'' The 34-year-old psychiatrist comes to Buffalo from the National Institute of Mental Health, Chevy Chase, Maryland, where he headed the Center for Epidemiologic Studies for the past year and a half. He has also served as a consultant in a halfway house for mental patients [The Woodley House in Washington, D.C .); a public clinic for alcoholic and drug addicts [Montgomery County of Maryland Health Department); and in a rural clinic far removed from public medical and mental health services [The Mental Health Center, Silver Springs, Maryland). A master's in experimental psychology at Indiana University in 1956 preceded the medical degree in 1960 from Albert Einstein College of Medicine , New York City. In 1966 Dr. Zusman received an MPH in community psychiatry at Columbia University School of Public Health and Administrative Medicine . Internship with the U.S. Public Health Service Hospital in New Orleans was followed by epidemic intelligence service at the Atlanta Communicable Disease Center. Residency at the State Psychiatric Institute in New York City covered four years of training in psychiatry, community psychiatry, epidemiology of mental illness and public health.D Dr. Jacl< Z us man Heads Community Psychiatry Progran'l D r. Z usman �Partnership in Community Service A ''partnership'' between the School of Medicine and the Underwater Division of the Erie County Sheriff's Department has provided a unique safety program for sport and scuba divers. The Divers Registration Program, started in July 1961, today numbers over 1,000 diver registrants and has attracted nationwide attention. The partnership is perhaps responsible for the lack of news in the local press regarding diver fatalities; it has also made Erie County one of the few inland areas where both facilities and treatment of water accidents requiring compression ar e available. Dr. Edward H. Lanphier, associate professor of physiology - a former Navy submarine, diving medical officer, with an international reputation in diving research - joined Erie County Sheriff Deputies Don Chamberlin and Ralph Beehler in 1961 to plan and organize a comprehensive program to aid divers suffering from decompression sickness (bends) or air embolism. Prompt and proper treatment for divers is the key to prevention of permanent injury or death. Today, a trained t eam of medical personnel is on call 24 hours a day, and the r ecompression cha mb er - there ar e three: Veterans and Millard Fillmore Hospitals, Department of Physiology is always kept ready for treatment. Each registered diver must wear an ID tag around his neck during a dive and for 24 hours following the ascent. In the event he is found unconscious, the Sheriff' s office - telephone numW INTER, 1968 ber listed on tag - is called, the diver 's card checked, and an escort service provided to the Veterans Hospital where he is checked by members of the trained team of medical personnel. Prevention is also part of the program. A booklet, "Ten Commandments for Safe Diving," is furnished to registrants, and was written by Dr. Lanphier, who is a member of the editorial board, The N ew Science of Skin and Scuba Diving (third revised edition , 1968), published by the Council for National Cooperation in Aquatics.D A token of appreciation by the Erie County Sheriffs Underwater Division. Th is framed copy of its patch is presented to Dr. Lanphier b y Deputy Chamberlin. �THE CONCEPT OF FAMILY PLANNING is relatively new to the Filipinos." That is what Dr. Joseph J. Ricotta said after returning recently from a four-week assignment in the Philippines, where he helped establish family planning centers at the request of that government. Dr. Ricotta, a 1943 School of Medicine graduate, is founder and director of the Buffalo Family Life Clinic . Filipino Family Planning "The Philippines had asked the United States through the Association for International Development, to send them a medical adviser on family planning. I was called to Washington and asked if I would assist.'' In the family planning seminars set up by Dr. Ricotta part of the time was spent discussing the idea that the most important thing for parents is not the number of their children, but being able to take care of them and educate them. ''Warmth and hospitality greeted us everywhere. And the people were eager to learn how our Buffalo clinic operates, what our techniques and attitudes are," Dr. Ricotta said. Mrs. Ricotta, a guidance counselor, worked with her husband in the towns and villages. Among the Filipinos who opened their home to the Buffalonians were Celso and Crisanta Villanueva, a husband and wife team of doctors who had trained at Deaconess Hospital several years ago . Mrs. Ricotta has fond memories of the Filipino women. She has a great deal of status. Her life is centered around her family. She is a competent shopper and homemaker, is well educated, interested in the arts, and, like her American counter WINTER, 1968 part, wants a good education and a good life for her children. The Ricotta's 11-year-old son, Paul, was a student at the Campus School. The family is looking forward to a return visit in 1969. Dr. Ricotta has been asked to make a follow-up tour of the clinics that he helped establish.D A crisis service is enabling physicians at Meyer Memorial Hospital to handle an increasing number of psychiatric patients without actually admitting them to the hospital. " The percentage of patients handled without admission has increased from 9 per cent in 1963 to 48 per cent in 1967." That is what Dr. Laurence T. Beahan, M'55, chief of the hospital's psychiatric admission service said. He is also an assistant clinical professor in psychiatry at the School of Medicine. In 1963, 311 patients were given temporary aid and discharged and 2,995 admitted. In 1967, 1,952 were sent home after temporary aid and only 2 ,124 admitted. The crisis service, which operates from 9 to 5 seven days a week , will eventually be expanded to 24-hour coverage, Dr. Beahan said. It is called EMPATH- for Emergency Psychiatric Admission Therapeutics. The service has two full-time psychiatrists, one part-time psychiatrist, one full-time and one part-time psychiatric residents, a half-time occupational therapist, a fourth-time pastoral counselor, a psychiatric social worker, nurses and attendants. A volunteer works one evening a week from 7:30 to 11:30.0 43 Meyer Crisis Service �$7.5 Million Expansion for Deaconess Hospital Deaconess Hospital has a $7.5 million expansion plan in the blueprint stage. The plans call for: -Construction of a five-story building on Kingsley street. The building, which would connect with existing structures, would have emergency, outpatient and special clinic facilities, laboratories, and the W ettla uf er Eye Clinic on the ground floor. The first floor would be allocated to surgery, recovery, intensive, and coronary care units; the second to a new obstetrical suite, nurseries and postpartum care, bringing all obstetrical facilities onto one floor; the third to a new medicalsurgical nursing unit; the fourth to a 60-bed extended care unit. -Construction of a unit for physicians ' offices and living quarters for student nurses and house staff. -The plan will expand the hospital 's present capacity from 428 beds to 538. The ground floor of the existing buildings will be remodeled to provide extended central storage, central services and record storage; relocate and expand clinical departments of inhalation therapy, physical therapy and pharmacy. -Demolition of the hospital's 1898 building, being used as a nurses ' residence, and the south end of the 1945 building.D 44 African Safari ''There are a great many diseases in Africa that make it a 'great pathological laboratory' for medical researchers.'' That is what Dr. Boris Golden, a 1940 School of Medicine graduate, said after returning from Africa. He and Mrs. Golden and a group of 120 other physicians and their wives flew to Dakar where they visited the Pasteur Institute. They also visited Johannesburg and conducted a medical clinic at Samburu. This was in the bush and natives came from miles to visit the clinic. They also attended medical lectures and symposiums at various places, but there was some time for sightseeing. At the Serengeti National Park the Goldens were impressed by the natural beauty and the awe-inspiring sight of thousands and thousands of animals roaming the plains. ''There were no billboards, no beer cans, just natural, unspoiled, beauty," Dr. Golden said. The Niagara Falls physician pointed out that there is a high incidence of cancer of the esophagus in South Africa, but no one knows why. Another big problem is a disease in which tiny parasites which come from snails in water, invade humans and eat away at internal tissues such as the spleen. There is no known cure, but researchers are working on both of these medical problems.D THE BUFFALO MEDICAL REVIEW �A former microbiologist at the School of Medicine is the new director of the division of immunology at Millard Fillmore Hospital Research Institute. He is Dr. Richard J. Albin, who held a post doctorate fellowship from the United States Public Health Service, while at the University. Dr. Albin will head one of three new research divisions at the hospital. D Dr. Ward A . Soanes of Millard Fillmore, and Dr. Maurice J. Gonder of Veterans Administration Hospital are the recipients of the $398,187 John A . Hartford Foundation, Inc., grant for a basic research program of immunological and biochemical studies of the prostate gland. Dr. Soanes is clinical associate in surgery (urology) at the University and Dr. Gonder is associate clinical professor of surgery (urology).D Dr. Stanley Cohen has been appointed associate professor of pathology in the School of Medicine. The 31-year-old pathologist holds a Massachusetts and New York medical license and received board certification in anatomic pathology in 1966. He has been at the Walter Reed Army Institute of Research, Washington, D.C. the last two years. He received his medical degree from the Columbia College of Physicians and Surgeons.D Dr. Zebulon C. Taint or joined the Medical School faculty as an assistant clinical professor of psychiatry this fall. He has his medical degree from Cornell University. During July and August he served in South Vietnam with the American Medical Association's Volunteer Physicians program.D WIN TER, 1968 Dr. Harold J. Levy, M'46 , is the new chairman of the department of psychiatry at Millard Fillmore Hospital. He was president of the Medical Alumni Association in 1966-67, and clinical associate in psychiatry at the University. Dr. Levy interned at Meyer Memorial Hospital and did his psychiatric residency and fellowship there and at the Alcoholism Center of the Chronic Disease Research Institute of the University. During active duty with the Army Medical Corps, he served as chief of psychiatry in Korea and as psychiatric consultant to the North Sector Commander in Hawaii. He is president-elect of the Western New York District Branch, American Psychiatric Association, and chairman of the committee on Mental Health of the County Medical Society. He is treasurer of the General Alumni Association, and president of the Maimonides Medical Society. He is also a past national vice president of Phi Lambda Kappa Medical Fraternity. Dr. Levy was certified in psychiatry by the American Board of Psychiatry and Neurology in 1955. He is an attending psychiatrist on the staff of Millard Fillmore, Meyer Memorial, and Linwood Bryant Hospitals and clinical director of the latter. He is also clinical director of the Psychiatric Staff of the Family Court Clinic.D Dr. Richard Ament, M'42, is chairman of a committee which is developing plans for a suburban branch of the Jewish Center of Buffalo. The center will be built on a 14-acre site on North Forest Road between Millersport Highway and Sweethome Road in Amherst.D 45 People Dr. L ev y �Medical Student Wins Scholarship Dr. John P. Anton, James T. W ebber, (a lso a freshman m edical student), Dr. Clifford C. Furnas. 46 A freshman medical student has been awarded the first C.C. Furnas $3,000 Scholarship. He is James T. Webber, a graduate assistant in the physiology department. He received his bachelor' s degree from the University in 1966, and was an outstanding m ember of the intercollegiate football and track teams for two years (1964-66). In his senior year, he was voted three awards for his athletic and academic accomplishments : the Eastern Collegiate Athletic Conference Award for academic and athletic proficiency; the Dam Grossi Award for distinction in athletics, and the Alumni Athletic Scholarship Achievement Award given to the senior athlete who has distinguished himself and the University. The fellowship, which was formally established in 1965 by Dr. Clifford C. Furnas, then chancellor of the University, is to be " granted annually to a University graduate who is outstanding in scholarship and athletics, and is designed to encourage graduate school education.' ' The scholarship is administered at the University of Buffalo Foundation. Webber is described as a "very promising young man," by Dr. John P. Anton, chairman of the scholarship committee. He was selected on the basis of personal qualifications and personality , his dedication to his studies and future plans .O TH E BUFFALO MED ICAL REV I EW �Dr. Warren G. Bennis, Vice President for Academic Development, has been appointed to the Erie County Mental Health Board for the r emainder of the y ear. O A junior in the School of Medicine, is one of 20 students in the United States and Canada to receive a two-month ($600) scholarship from the Allergy Foundation of America. He is Roger A . Forden, who is working with Dr . Carl E. Arb esman, M'35, associate clinical professor of medicine.D Dr. Elmer Friedland, M'32, is administrator of the Central Cytologic Laboratory . It is sponsored by the Erie County Unit of the American Cancer Society and the Erie County Medical Society in cooperation with the Western New York Society of Pathologists and other interested medical and health organizations.D Dr . Martial R. Knieser, M '68, is serving a oneyear Army medical internship at Brooke General Hospital, Ft. Sam Houston , Texas . He is a Captain. 0 Dr. Harv ey L. P . Resnik , associate professor of psychiatry, and clinical director of psychiatry at Meyer Memorial Hospital, has edited a book by 48 co ntrib uting authors for Little, Brown and Comp any . T h e title: " Suicidal Behaviors: Diagn osis and Managem ent.' '0 W INTER, 1968 An assistant clinical professor of surgery at the School of Medicine has been appointed chief of surgery at the Buffalo Veterans Hospital. He is Dr. Andrew A. Gage , a 1944 graduate of the School of Medicine. The46-year-old surgeon joined the staff of Veterans Hospital 15 years ago , after completing residencies in surgery and pathology at Mey er Memorial and the Batavia and Buffalo Veterans Hospitals. Dr. Gage replaces Dr. William M. Chardack, chief since 1953, who asked to be reliev ed to devote more time to research and writing. Dr. Chardack , an associate professor of surgery in the School of M edicine , will remain on the hospital staff as chief of thoracic surgery. Drs. Gage and Chardack worked w ith an engineer, Wilson Greatbatch, in developing the implanted heart pacemaker that is now used w idely throughout the world for persons with heartblock. For the last four years Dr. Gage has been doing research in the use of a freezing technique, cryosurgery, to treat cancer. He has presented papers at surgical meetings, and is author or coauthor of more than 50 scientific publications. He is a Diplomate of the American Board of Surgery and the National Board of Medical Examiners , associate editor of the journal of Cryos urgery, and a Fellow of the American College of Surgeons .O 47 People Dr. Cage �Drs. Sha piro and M oersch. People Dr. Stuart H. Shapiro, M'68, (left ) receives his first prize Alfred A Richman Essay Contest award at the 34th annual meeting of the American College ofChest Physicians in San Francisco. Making the presentation is Dr. Richard N . Moersch, San Bernardino, California, chairman of the Committee on College Essay. The School of Medicine received the Silver Trophy award that was accepted by Dr. Theodore H. Noehren, associate professor of m edicine. Dr. Shapiro is now interning at Hahnemann Hospital, Philadelphia. He was the first VB m edical student to w in the award. "An Analysis of Angiographic Measurem ents of L eft Ventricular Wall Thickness Throughout the Cardiac Cycle " was the title of Dr. Shapiro's essay. 0 48 The firm of Davis, Brody and Associates of New York City in association with Milstein, Wittek, Davis and Hamilton of Buffalo have been designated to undertake site developments for the first six colleges at the new Amherst Campus. The New York firm received the "most outstanding design " award of Progressive Architecture in January 1966, for the Science Building of the State University at New Paltz. The firm has been commissioned to design the United States Pavilion for Expo 70 at Osaka, Japan. The firm recently received a national design award from the American Institute of Architects for the Humanities Building at Long Island University. The Buffalo architectural firm designed the new 16-story office building for Erie County currently under construction, a new campus center at Rosary Hill College, and the new rehabilitation center at Buffalo State Hospital. D Dr. Joseph H . Melant , M' 43 , w as one of three physicians honored by the Medical Arts Society recently for 25 years of practicing medicine. Drs. Stanley F. Swiatek, and Marian M. Konczakow ski were also honored. The society president , Dr . Robert J. Jaro sz , presented each with a plaque. D Dr. Robert C. Myers, M'57 , has been reassigned to the United States Naval Hospital at Chelsea, Massachusetts. During the last four years the Commander was chief of the obstetrical, gynecology, and outpatient departments at the Guam Naval Hospital. D THE BUFFA LO M EDICAL REV IEW �Dr. Robert Guthrie, associate research professor of pediatrics, is in New Zealand this year. He is on a one-year leave to conduct studies in genetic research. His studies will add to the know ledge of the distribution of certain genes in human populations and provide practical knowledge of importance in public health planning in the South Pacific area. With Dr. Guthrie is his wife and five children. He is the developer of a blood test for detection of Phenylketonuria [PKU) in newborn infants .D Dr. Mitchell I. Rubin received the distinguished service award of the New York State Society of Dentistry recently . It was in recognition for more than 40 years of dedicated service to pediatric teaching and patient care. Dr. Rubin is retired from both the chairmanship of the department of pediatrics and the directorship of Children 's Hospital's department of pediatrics. He is now director of a special teaching well-baby clinic conducted at the hospital under the joint auspices of the University and the Erie County Health Department.D A heart sound simulator which emits heart beat sounds and graphically shows the heart beat was used by four School of Medicine faculty members recently to demonstrate the characteristics of various heart diseases. They were Drs. Robert M. Kahn, Jules Constant, David C. Dean, and Joseph A. Zizzi. The machine enables professors to exhibit and analyze the indicators of heart disease without needing a wide assortment of ill patienfs .D WINTER, 1968 Dr. Helen F. Sikorski, M'50, is the recipient of the " Woman of the Year Award" presented by the National Medical and Dental Association and the National Advocates Society. Dr. Sikorski, a physician for 18 years, is past president of the National Medical-Dental Association. The association is made up of 3,500 Americans of Polish heritage. The award reads: " In recognition for her humane services, philanthropic endeav ors, incomparable dedication to the course· that enhances the growth of professionalism and her tireless , selfless devotion in behalf of medicine.' 'D People D r. Siko rsk i Dr. Carlton E. Wertz, M '15, who recently retired as director of the National Association of Blue Shield Plans, received a plaque in recognition of his services at the association's annual conference in Chicago. The award was in recognition of Dr. Wertz ' " service as a pioneer in the Blue Shield mov ement and the many contribution he made as an organizer of the Buffalo Plan.'' He was an association director for 20 years.D President Martin Meyerson received an Honorary Doctor of Science degree from the University of Chattanooga recently. This is his second honorary degree. The other, in law, was awarded last spring by D'Youville College.D 49 �People Dr. Drapana s Dr. Cecil L. Schultz, M'20 , is acting director of the Chautauqua County Health Department Chest Clinic . H e replaces Dr . Walter E. Lawrence of Cassadaga who has accepted a position with the state tuberculosis facility in Vermont. Dr . Schultz, who has been in retirement, was formerly director of the Suffolk County Tuberculosis Hospital.D Dr. Elliott Rivo , M'58 , is on the staff of the Patterson Army Hospital, Ft. Monmouth, New Jersey. He was recently promoted from Captain to Major. He is also a 1954 School of Pharmacy graduate. Major Rivo is now chief of obstetrics and gynecology at th e Ft. Monmouth Hospital. He is a former member of the Harvard Medical School faculty.D Dr. Theodore Drapanas, M'52, is the new chairman of the department of surgery, Tulane University, School of Medicine . He has been professor of surgery at the University of Pittsburgh ' s School of Medicine since 1964. From 1960 to 1964 he was an assistant professor of surgery and a Buswell Research Fellow at the School of Medicine .D Two alumni have been elected officers in the Erie County Unit of the American Cancer Society for the 1968-69 year. They are Drs. Alfred F. Luhr Jr ., M'40, and Walter T . Murphy, M'30. Other vice presidents are Mrs. Glenn. H. Leak and Henry Z. Lang Jr. James J. Daly Jr . , is the new treasurer and Mrs. William N. Woods, secretary.D 50 Dr. Thomas H. Heineman, M'43, served as United Fund chairman for Our Lady of Victory Hospital physicians group during the 1968 campaign.D WBEN-TV (Channel 4, Buffalo) won an award for the best original television material on cancer developed by a local station. The winning program was one of the University's Summer Medical Round Tables, ''Progress Against Cancer.'' It was broadcast July 28. Dr. Samuel Sanes , M'30, was moderator of the program and wrote the script from material submitted by the three participants - Drs. James T. Grace, Jr., Francis W . O'Donnell, and James B. McDaniel, Jr. Mr. Melford D. Diedrick, director of medical illustrations for the University, prepared the slides . The studio producer was Mr. Robert F. Crawford, and Miss Mildred Spencer was co-ordinator producer for the Round Table Series.D Dr. Jean A. Cortner, professor and chairman, pediatrics, was appointed chairman of the Community Service Committee of the Medical Society of the County of Erie (June '68). He was also appointed a member of the Buffalo Area Chamber of Commerce Health and Medical Services Council (July '68).0 THE BUFFALO MEDICAL REVIEW �A former faculty member died October 5. He was 77-year-old Dr. Harvey P. Hoffman, an associate in the department of surgery from 1946 to 1957. The Buffalo surgeon was a leading figure in establishing the Western New York Medical Plan, now Blue Shield of Western New York. He was its first president. Dr. Hoffman was a past president of the Erie County Medical Society, a former chairman of the Erie County Board of Social Welfare, and a former member of the Advisory Health Board. He had been vice chairman of the Advisory Board of Meyer Memorial Hospital since 1962 , and co-chairman of its Medicare-Medicaid Committee. At one time he was also president of the Millard Fillmore Hospital staff. Dr. Hoffman was a diplomate of the American College of Surgeons; a member of the AMA; a past delegate to the New York State Medical Society; a life member of the Erie County Medical Society; a member of the Buffalo Academy of Medicine, the American College of Surgeons, the American Geriatric Society and the Buffalo Surgical Society. He was also activ e in many other civic organizations.D WINTER, 1968 A 1906 graduate of the School of Medicine died August 2 at Roswell Park Memorial Institute. He was Dr. Charles Battaglia. The 84-yearold general practitioner and surgeon maintained an active practice until his death. H e was born in Italy and came to Buffalo with his parents w hen he was five years old. Dr. Battaglia was on the staffs of the old St. Mary ' s Maternity, Sisters , and Columb us Hos pitals. He was an incorporator of the latter hospital in 1908 . He was also a memb er of the house staff of the form er Erie County Hospital, the present site of Hayes Hall at the University . Dr. Battaglia studied surgery at the Mayo Clinic and was a member of AMA. D The founder and administrator of the Ransomville, New York General Hospital died August 4. He was Dr. Salvatore J. Piazza , a 1948 graduate of the School of Medicine. The 61-year-old started the hospital in 1953 with 22 beds. H e later added a nursing home and expanded the hospital to 195 beds. Dr . Piazza, a native of New York City, was a 1928 graduate of Fordham University School of Pharmacy . In 1956, Dr. Piazza received the Citizenship Award from the Ransomville Lions Club for his community, philanthropic, and medical service. The World War II veteran was active in local, state , and national professional organizations .O 51 lin fllllrmnriam �lJu fitrmnriam A former professor of neurology at the School of Medicine died July 17. He was 92-year-old Dr. Edward A. Sharp, M'98. He was president of the Erie County Medical Society in 1933. Later he was on the State Committee of Mental Hygiene . From 1945 to 1949 he served on the Board of Psychiatric Examiners, State Department of Mental Hygiene. Dr. Sharp served as resident physician, Craig Colony for Epileptics at Sonyea (1898-1901), and was physician in charge of a private institution for the treatment of nervous and mental diseases at Central Valley (1902-04). For the next five years he was the medical superintendent of an institution for nervous diseases in Katonah. In these last two positions he had offices in New York City and was associated with the Vanderbilt Clinic of the Columbia University College of Physicians and Surgeons. In 1910, Dr. Sharp went to Europe for two years to do special work in neurology in clinics in London, Paris, Berlin, Vienna, and Munich. He served as a Major in the Army Medical Corps in World War 1.0 An ear, nose, and throat specialist in Buffalo for 60 years died July 15. He was 85-year-old Dr. Walter J. Wurtz. The 1908 School of Medicine graduate was widely known for his expertise in mastoidectomies in the 1920's and 1930's. He had also been an instructor in the School of Medicine. Dr. Wurtz was health officer of the Town of Tonawanda from 1910 to 1920. He also served as Buffalo Selective Service examining physician in World Wars I and II. He served on the staffs of Children's, Millard Fillmore , St. Francis, and Sisters Hospitals. In June he received a gold plaque from the Buffalo Otolaryngology Society for 60 years of service to that organization. He was also honored by the New York State Medical Society for 50 years of active practice. Dr. Wurtz was a former president of the Gross Medical Club of Western New York and a member of the American Academy of Ophthalmology and Otolaryngology, the Erie County and New York State Medical societies , and the AMA.D Dr. Elmer Dane, M'19, died July 21. The 73-year-old physician had practiced in Buffalo for 45 years. He retired two years ago. After service in the Army at the end of World War I, he interned at Deaconess Hospital, and was a member of the staff until entering private practice in 1939. Dr. Dane was assistant medical examiner from 1939 to 1959, and served as physician at the Erie County Jail during that period.D 52 THE BUFFA LO M EDICAL REV IEW �fiawaiian Carnival 3-DAYS IN LAS VEGAS 7-DAYS IN HONOLULU 3-DAYS IN SAN FRANCISCO Departing January 19, 1969 from J . F. Kennedy International Airport, New York and Niagara Falls Airport, Niagara Falls, New York Returning February 2, 1969 $599.00 complete per perjon double occupancy plus $19.50 tax and services; via Trans International Airlines For details write or call- Alumni Office, 250 Winspear Avenue State University of New York at Buffalo Buffalo, New York 14214 716-831-4121 The General Alumni Board Executive Committee - M. RoB ERT KaREN , '44, President; RoBERT E. LIPP, ' 5 1, Vice-President for Administration; CHARLES J. WiL SON, JR ., Vice-Pres ide nt for Development; MRs . EsTHER K. EvERETT, '52, V ice-President for Associations and Clubs; EDMON D GICEWICZ, '56, V ice-President for Activities and Athletics; JoHN J. STARR, JR ., '50, Vice-President for Public Relations; HAROLD J. LEvY, '46, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President Annual Participating Fund for Medica·l Ed ucation Executive Board for 1968-69 DRs . MAx CHEP LOV E, M'26, President; JoH N AMBRUSKO, M ' 37, First V ice-President; HARRY LAFORGE, M '34, Seco nd Vice- President; DoNALD HALL, M ' 41 , Secretary-Treasurer; JoH N J. O ' BRIEN, M ' 4 l , Im m ediate Past-President. �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Winter 1968 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1968-Winter Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.267 Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1968-04-Winter Table Of Contents A list of subunits of the resource. Revolution - The Discontinuity of Change Two Grants for $589,000 Buffalo Contractor Gives $26,575 Cardiovascular Research Training Center Health Manpower Shortage Medical Case Presentation Family Orientated Medical Program The Physiology of Stress Ground Broken for New Campus You Don't Look Well Sea Survival Study Proposed New Meyer Hospital The Class of 1972 Convocation Awards Dr. Max Cheplove Issues Challenge Health Sciences Clinical Center Spring Clinical Days Research: Frustrations and Rewards A Different Experience Millard Fillmore Neurology Institute University Residency Programs Interdisciplinary Approach Community Pediatrics Cancer Linked to Air Pollution Community Psychiatry Community Service Partnership Filipino Family Planning Meyer Crisis Service Deaconess $7.5 Million Expansion African Safari People In Memoriam Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. BMR Buffalo physician Date Created Date of creation of the resource. 2017-09-07 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v02n04 Extent The size or duration of the resource. 56 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/4a9a582d0fa3a7ca931740c3234d836b.pdf dc99ef69f1d84746a4fb3f5b154d0441 PDF Text Text ' ' . . ir,, . ~ FALL 1968 VOLUM E II, NO. 3 THE ST UNIVERSITY OF NEW YORK AT BUFFALO I SCHOOL OF MEDICINE buffalo medical review the �The Cover: The cover design was a co-operative effort between the medical illustrator's studio and Richard Macakanja, health sciences graphic artist. The Medical Mace s tory is on page 34 . Fall, 1968-Volume 2, Numb er 3, published quarterly Spring, Summer, Fall. Winter-by the School of Medicine, State University of N ew York at Buffalo, 3435 Main Street, Buffalo , New York 14214. Second class postage p aid at Buffalo, New York. Pleas e notify us of ch ange of address. Copyright 1968 by the Buffalo Medical Review. This magazine sponsored in part by the Annual Participating Fund for Medical Education. THE B u FFA LO M ED IC AL R EV I EW , �Volume 2, Number 3 FALL, 1968 EDITORIAL BOARD Editor Ro B ERT S. McGRANAHA N Managing Editor MAR ION MARIONOW SK Y THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo School of Medicine Dean, DR . A. LEROY PESCH Photograph y J. CROWLE Y T H OMAS DONALD D. Medical MELFORD GLENA D. DIEDR IC K Graphic Artist R IC HARD IN THIS ISSUE Illustrator MAC AKANJA Secretaries FLORENCE MEYER M ADELEINE WATERS CONSULTANTS Preside nt, Med ical Alumni A ssocia tion 2 3 3 4 6 7 8 9 CHEPLOV E 17 20 21 22 Provost, Faculty of Health Sciences 25 DR . H. PAUL LON GST R ET H President, Alumni Participating Fund for Medical Education DR. DR. MAx M. DOU G LAS SURGENOR A ssociate De an fo r Continuing Medical Education DR. HARR Y J . ALVIS Director, Co ntinuin g Education in the Health Sciences DR . L. MARVIN BLOOM Director of Public Information 29 30 31 34 35 36 DIC K 37 Assistant Director of Alumni Affairs 40 41 CHARLES DAVID M. Director of University ROBERT A ssociate Director o f University THEODORE Vice President for DR . A. H. KRAJEWSKI Pub licatio ns T. MARLETT Publications v. PALERMO University Relations WESTLEY RowLAND 43 44 48 50 51 53 New Medical Dean University Hospital New Pathology Head Better Health Care Equal Opportunity Dr. King Memorial Continuing Education Medical Practice Vietnam Medicine Senior Class Day Resident Diplomas Amherst Campus Medical Satellite Affiliated Hospitals Faculty Awards Immunology Center Medical Mace Coronary Care Harrington Lecturer The Coach-Doctor Team Essay Contest Winner People Relaxing Hobby Drs. White, Flint, Hamilton Erie County Heart Surgery In Memoriam Homecoming Weekend �has a new dean and a University Hospitals director. He is Dr. LeRoy A. Pesch, who comes to Buffalo from the Stanford University School of Medicine w here he has been professor of medicine and associate dean since 1966. He assumed his new duties July 1. At Stanford the 37-year-old physician headed the admissions and curriculum committees. Dr. Pesch's curriculum committee made further changes in the Stanford Plan for Medical Education adopted in 1959. This revised curriculum (effective in September) offers each student more elective opportunities. It will also allow students to develop a study plan in accord with their abilities, background , experienc e , and personal car eer inter est. In commenting on the appointment of Dr. Pesch, Dr. Douglas M . Surgenor, provost of the Faculty of Health Sciences said: " W e have an outstanding young leader of medical education. His background and training in three of the finest medical schools in th e country and his associations in the development of a n ew m edical sch ool in New Jersey affo rd him a unique experience fo r our challenge for growth and change in the Medical School as well as maintaining a high quality in the education of our physicians today. As director of the University Hospitals , Dr. Pesch will also be responsible for developing the clinical program of the n ew h ospital to b e located on the Amherst Campus and for the design of the p att ern and programs of p atient care. '' The new hospital w ill probably b e ready f or occupancy by late 1973. The new dean w as involved in community health at Stanford. H e w orked w ith a faculty committee to develop neighborhood health centers THE SCHOOL OF MEDICINE Dr. Pesch New Dean for Nledical School f . [sponsored b y the Office of Economic Opportunity) in East Palo and Elviso , a Mexican-American Community just north of San Jose . He and 11 other phy sicians staffed the clinic on a temporary basis and h elp ed to develop the center's h ealth program . Dr. Pesch did his undergraduate work at Iowa State University [Ames , Iowa) and graduated w ith honors from the Washington University School of Medicine [St. Louis) in 1956. He r ec eived his internal medicine training at W ashington Univ ersity [internship at Barnes H ospital) and at Yale University [assistant professor of medicine and a r esidency at th e Grace-New H aven Community Hospital). F ollowing internship, he spent several years as a re search associate in biochemistry at the National Institute of Arthritis and Metab olic Diseases in Bethesda, M aryland . In 1963 h e left Yale to assist in establishing a new School of Medicine at Rutgers UniversLy. An associate professor of m edicine , h e became professor and chairman of the department of medicine a year later . While at Rutgers h e practiced medicine and saw patients in the community . Dr. P esch is an excellent t eacher and clinician. He has made significant investigative contributions in the field of liver diseas e, and has had a k een interest in student affairs . The n ew dean is the father of three children. H e has w ritten ext ensively and served on the General M edical Study Section at t h e N ational Institutes of Health . H e is a member of th e American Association f or th e St udy of Liver Diseases , th e A m erican Federation for Clinical Research , The American A ss ociation for the A dv ancement of Science, and the American Societ y of Biological Ch emists. D TH E BUFFA LO MEDICAL REV I EW �U niversity I--Iospi tal The Health Planning Council of Western New York tentatively approved preliminary plans for the construction of a 350-bed teaching hospital. The new facility will be on the Amherst Campus. A total of 100 beds each will be assigned to the major departments of medicine and surgery, with 10 to 20 beds assigned to each of the other services. There will be 14 operating rooms, intensive care units and clinical research centers . The plans call for an ambulance service and a helicopter port. There will be a large outpatient division of 46,700 square feet and an emergency service of 10,640 square feet. Dr. Douglas M. Surgenor, provost of the Faculty of Health Sciences emphasized that the new hospital will not meet all clinical teaching and patient needs . The University will continue to maintain strong and active educational programs in the community hospitals. ''The University hopes to bring more and more area hospitals into its teaching program,'' he said. "We will have to develop n ew programs. Our new hospital will not duplicate programs such as open-heart surgery already being done with great skill in other hospitals. The responsibilities of the affiliated hospitals will be increased . We will have to rely on community hospitals for additional laboratory operations as well as clinical experiences for students." The University's consultants estimate the cost of construction at $32,964,124 or about $50 per square foot for 642,500 square feet of space. Dr. Surgenor said we are on schedule with our planning.O FALL, 1968 Dr. Robert T . McCluskey has been appointed professor and chairman of the department of pathology in the Schools of Medicine and Dentistry at the University. His appointment was effective August 1. New Patl1.ol ogy D eparhnent I-lead Dr. McCluskey comes to Buffalo from the New York University School of Medicine where he has been since 1950. He has been an assistant and an instructor in pathology. Since 1962 he has been professor, attending pathologist , and director of laboratories at the University Hospital. The new pathology chairman received his bachelor's degree from Yale University in 1944 and his M.D. from the New York University School of Medicine in 1947. Dr. McCluskey interned at Kings County Hospital, Brooklyn , where he was later an assistant resident in pathology. He has also been a resident in pathology at Bellevue Hospital, and a consultant at Manhattan Veterans Administration Hospital, both in New York City. Dr. McCluskey served as first lieutenant and captain in the United States Army Medical Corps in 1953-55. He is a member of several professional organizations and has written extensively in his field. Dr. Floyd Skelton resigned as department chairman several months ago to devote full time to teaching and research.O 3 Dr. McC luskey �Better Health Care Dr. Surgenor stresses teaching, research. hopes to take the lead in delivering better health care to patients when the new proposed 350-bed University Hospital is completed. But this can only come about by complete cooperation with all the hospitals and physicians in th e area." This is what Dr. Douglas M. Surgenor, provost of the Health Sciences Faculty, said at the annual meeting of Annual Participating Fund for Medical Education. ,, T HE SCHOOL OF MEDICINE "We will continue to stress teaching and research in our n ew hospital,'' Dr. Surgenor said. The provost said h e hoped the n ew University Hospital would be r eady for occupancy by late 1973 on the new Amherst campus. Today we are on schedule with our planning. H e emphasized, however, th at you just don't open a hospital one day and have it running smoothly the n ext day. 4 By 1978 we hop e it will be running well. " Not all the policy decisio ns about the new hospital hav e been settled. There is still m uch consulting and planning to do with physicians in the area . This new facility certainly must be compatible w ith the other teaching hospitals. There may be areas of friction , but we hope to keep them to a minimum. "We hop e by continuing coo peration on a co mmunity-wide effort to overcome (in part) the severe shortage of physicians, and to make the h ealth team a reality . '' There are great pressures on medical schools to expand and turn out more physicians. The financial support that we get in the future from The revised constitution and by-laws of APFME received a 94 per cent mail approval by its membership. Dr. Max Cheplove accepts the APFME presidency. �the government and other agencies depends on how much and how fast we can expand the School of Medicine. "We must turn the research efforts of the medical school in a new direction. We need new machinery to deliver knowledge to the physician at the patient's bedside," Dr. Surgenor said. Across the nation there are three new trends in medical schools-expand the output; have a new curriculum; and give better medical care to patients. ' 'I assure you - your medical school is working towards these very important go als. ''While the present curriculum is suited to train small numb ers of physicians in skill and competence, it does not enable the school to train enough physicians to meet the people ' s demands," the Provost said. The new flexibl e curriculum will be divided into three phases. Phase I will b e centered in the basic science departments on campus; phase II would be a combination university-hospital year; and phase III will be concentrated in the university hospital and affiliated hospitals. This flexible curriculum will give the student the opportunity to explore some subjects in depth at an unhurried pace and to tailor his m edical training appropriately as h e begins to see the direction of his career in medicine . The new curriculum will also introduce students to patients in their freshman year. This will give them a chance to put the basic knowledge to work in diagnosis and treatment. FALL, 1968 "Even with our new hospital we will need more clerkships and affiliation - not only with our fiv e affiliated hospitals, but with other h ospitals in the community." Dr. Surgenor also told the physicians that today's health care problems are so complex that we must bring in other areas-engineering, computer, social science , behavorial science , and h ealth related professions to help. We mus t be geared to the rapidly accelerating pace of b oth scientific and social advances in health care. Following Dr. Surgenor' s talk there was a panel discussion-Drs. Kenneth E. Eckhert , M' 35; Pasquale A. Greco, M '41; John M . Bozer; and Salvatore R . LaTona . Dr. John M . Donahue , M'43 , presided at the me eting.D The informal brunch was well attended. �Equal Opportunity Programs President Martin Meyerson announc ed a series of programs aimed to make the University "nationally known as a place where non-w hit e teachers and scholars study and teach b ecause members of the University want and need them . ' ' The new program will be operated by a committee and the Office of Equal Opportunity. Dr. James A . Moss, professor of sociology, will be the chairman of the Equal Opportunity Committee, and former School of Education Dean Rob ert S. Fisk will head the committee office . ' ' Universities - no less than other institutionshave for too long permitted an intolerable waste of human resources that must now be checked through massive co-operative efforts in w hich the University will play a major part ," Mr. M ey erson said. At the University two per cent of the students are non-white and about five per cent of the faculty and employees are non-white. Only about half of the latter are Negro es . However , the nonwhite population of m etropolitan Buffalo is about eight p er cent. ' 'Even more important than an incr ease in our commitment to numbers, there must be fundamental changes in our attitudes and approaches. Instead of attempting to study and educate the disadvantaged as w e have t ended to do , we must work t ogether with th em, ' ' the President said. H e went on to list " five major areas of concern '' as: (1) increasing the proportion of non-white and Spanish-speaking students at the University ; · (2) reviewing employment practices and finding ways of '' training, hiring, and upgrading non6 white workers at all levels of our employment roster;'' (3) increasing the numb er of no n-w hite memb ers on the University faculty; ( 4) dev eloping "other channels " through w hich the University can b etter serve the needs of the Negro community ; ( 5) bringing the influenc e of the University ' 'to b ear upon the attitudes and the fe ars of a whit e community which is just b eginning to sense th e urgency and the importance of achieving understanding with our non-white brothers." Dr. M oss ' committee is working on th e fo llowing programs and proposals : (1) summer jobs for 50 teen-agers from min ority groups ; (2) an increase in the numb er of minoritygroup students enrolled in special programs; (3) fift een teachers from Inn er City are as in New York and other states spend th e 1968-69 ac ad emic year in summer session as sp ecial graduate fellows in law; ( 4) the busin ess administration fac ulty will start a program to advise small businessmen in the Inner City ; ( 5) the organization of " topical courses " has begun to be taught in late afternoon and early evening by undergra duate and gr aduate students on and off campus for anyone interes ted; (6) a branch studio of the Univer sity radio station, WBFO , will b e located in th e Negro c ommunity ; (7) faculty memb ers and students wishing to work with minority gr oup s in community actiTH E BUFFA LO MED ICAL REV IEW �vities will be encouraged; [8) the University will continue to increase its involvement in these programs- Model City, the Storefront Education Information Centers in Buffalo and Niagara Falls, Community Aid Core, Secretarial Training, Upward Bound, and Computer Education. Dr, Moss said the committee is not meant to ''stop ghetto riots but will be used to make the University a sustaining, supporting part of the community. We can not expect the committee to accomplish any miracles. " D Th e foll owin g is th e text of Preside nt M artin M e yerson's remark s at th e Univ ersity m emorial servi ce for Dr. Martin Lu ther King , he ld April 8: This is a time of mourning and of grief. . . . But this must not be a time for retrospection alone. This must be a time for renewed dedication and commitment. Martin Luther King at the time of his death was about to embark on a poor man's crusade to amplify for all of us the anguish of the poor-black and white alike. A quarter of a century ago Gunnar Myrdal had been trying to tell us that the problem of race was a problem in the hearts and minds of Americans which could easily divide the nation . Martin Luther King in his actions, and symbolically through his death, has shown that the problems of the poor, regardless of skin color-although so many who are poor are black-must pervade the hearts and minds of all Americans. But University communities, like other communities, have been mindless of the warnings of the prophets among us-and he was among us within recent months . When the Rev. Martin LuFALL, 1968 ther King was last in Buffalo, he pointed out that the past efforts to extend civil rights in the United States were ones that required change in law and in some behavior, but were not very costly of time or other resources. Now , as attention must shift to economic and educational equality, the need grows for a commitment of time and of r esources which requires a sacrifice from the prosperous and from the white . As a University community, there are some things we can do to remedy the economic problems of the poor, and of the N egro poor in particular, and we must do them. Howev er, our best and most pervasive effort can be educational. To this end, I shall us e what moral influence I have to encourage the teachers, the students and the staff of our University community to commit a few hours of themselves each w eek to giv e what we have the most of-that knowledge and education which has been the traditional door to opportunity in America. I call on us all to us e these next few weeks to develop those m eans by which our dedication to a living memo\:ial to Martin Luther King can be made most effective. Whatever we do, w e shall do not alone but with the fullest involvement of the larger communities in Western New York. Our efforts by themselves will not solve the great problems we face. We must use our energies as well through every other means . I will welcome suggestions from any of you in the next few weeks . Let us all reflect tomorrow on what this tragic loss means to the country and to each of us as people who must now assume individually the enormous burden of improving our countryan enormous burden which Dr. King carried so much and for so long on his own shoulders.D 7 President Meyerson Urges Dr. King Memorial �Continuing Medical Education The fall 1968 program in continuing medical education-the forty-eighth annual - promises to be especially varied and stimulating, according to Dr. Harry Alvis, associate dean for continuing Medical Education. The season will start on September 14 with the program Newer Concepts in the Understanding and Management of Shock, planned by Dr. John R. Border as an intensive review of the latest thinking on the various facets of shock. On September 19, 20 and 21, a program on The Use of Computers in Clinical Medicine will be chaired by Elemer R. Gabrieli, director of the Clinical Information Center at E. J. Meyer Memorial Hospital. The program will have two related purposes - to review the current use of computers in medical practice and to plan for the future . In the two-day review, speakers will discuss, in non-technical language, their current use of computers in medical practice focusing on equipment and methods now available. On October 4 and 5 a detailed consideration of Clinical Sepsis will be presented by a panel of speakers who have given these matters their personal concern. Dr. Border has organized this unusual but important program. This fall's program on Trends in Internal Medicine, planned by Dr. Martin Plaut, October 7 and 8, will immediately precede the regional meeting of the American College of Physicians, October 9. Major subjects of the Trends pr ogram will include septic and cardiogenic shock, gastrointestinal malabsorption and endocrine effects of nonendocrine tumors. Last y ear's overwhelming response to the program on Pulmonary Emphysema prompted a similar definitive presentation to be given October 10, 11 and 12 , this year under the chairmanship of Dr. Jerome J. Maurizi. A program Obstetrics and Gynecology for the Family Physician, presented for the first time last year, will be repeated October 15 and 16 with a different orientation. It will again be under the chairmanship of Dr. Norman Courey. The Price of Medical Progress, October 24, sponsored by the Department of Social and Preventive Medicine, with Dr. Edward F. Marra, Department Chairman, presiding, will be addressed to problems created by utilization of some of the newest drugs , skills and techniques. Dr. Albert Rekate and members of his planning committee have organized the program Rehabilitation of the Cardiac Patient, November 7 and 8, as a multidisciplinary approach for professionals from the fields of medicine, nursing, physical therapy, occupational therapy, social work, rehabilitation counseling and nutrition. Two programs, both chaired by Dr. Duncan Whiteh ead, will be presented by the Department of Psychiatry: Contemporary Therapy for Psychiatrists on November 9; and Emotions and Illness, December 6 and 7. The first program, directed to psychiatrists, will feature two sessions each of which is planned to cover on e topic in depth. Subjects chosen for this fall are Adolescence and Family Therapy. The second program, planned for physicians not trained as psychiatrists, will provide an opportunity to become acquainted with psychiatric methods which can b e applied in the office treatment of the emotional and mental problems of patients.D THE BUFFALO M EDICAL REVI EW �The Shape and Future of Medical Practice by Thomas McKeown, M.D. The task of talking to a medical audience is always comparatively simple because they are all identified by common interests in certain problems . For my own part, I find relatively little difference in discussing certain problems such as the type I am going to talk about now to first year students or the Royal College physicians of London. We are all in the same boat, and must somehow work it out. I think part of our difficulty is that most of us come into the field of medicine, already fixed in a definite framework from which we find it difficult to break away. Our impulse is to accept the organization before us, which has been there in the past and is likely to be there in the future. The thing human beings don't do very well is-to sit back and Dr. McKeown was " visiting professor" at the School of Medicine this year. The professor of social medicine at the University of Birmingham, England visited informally with students, faculty and hospital personnel during his five days in Buffalo. He also gave six formal presentations at local hospitals, the annual Niagara Falls Conference, and at the Student Medical Convocation. This is a recorded summary of his talk at the Student Convocation. Dr. McKeown is a National Research Council Scholar and Dem onstrator in Biochemistry at McGill; a Rhodes Scholar; and a Poulton Research Scholar and Demonstrator in Physiology at Guy 's Hospital , England. He is a m ember of the Minister of Health 's Standing Advisory Com mittee and f ormer editor of the British journal of Preventive and Social Medicine. FAll, 1968 9 �reflect, to examine what they are doing and to ask themselves-"couldn't it be done better?" I want to briefly reflect on this question of organization of medical practice and its possible future. As always, I find it extremely helpful to look back as well as to look forward. I do not see how one can do the second without having done the first. I think one must realize that the strength of medical practice as we know it today is a very rec ent thing and of great value from one country to another. These difficulties do not reflect sharp differences of language or political differences, but they are profound differ~nces in the organization of medical practice in different countries w ith roughly comparable assumptions about politics, social organization, etc. It seems therefore essential that we should come to some kind of conclusion r egarding balance of advantages with respect to the different parts of practice in the modern world. Looking back, I think it may be useful to remember that the doctor's origins are by no means highly respectable. Practitioners and distinguished consultants do not go back very far. The doctor's origins are in three classes - the physician, the surgeon, and the tradesman. These three vary enormously in training, prestige, income, and in work. The physician is essentially a professional man. Almost from the beginning, his associations were with the church. In Britain and elsewhere , in earlier centuries , he practiced within a very limited clientele and was mainly concerned with services to the rich. In the 16th and 17th cen10 turies, he would sit in a coffee house waiting for people to report the symptoms to him. From that comfortable position he would prescribe. The second class of work!=)r, the surgeon, was not a professional man at all. He was a craftsman and his associations were w ith the barter. It was only during the era of Henry VIII that the company of barter surgeons w as founded and considerably later that the association was disbanded. A surgeon was hardly respectable until about the 18th and 19th centuries. H e did all sorts of discreditable things such as obstetrics which was a guarded office for a gentleman. The third of the three classes , the tradesman, was not allowed to prescribe . He was expected to take the prescriptions written by the physician . He kept the shop and made up these prescriptions which he then sold. The contribution of surgeon and physician was so inadequate that gradually through the centuries the tradesman b ecame the doctor of most people . He was not allowed to charge for an examination, but he did examine patients and he did prescribe. Our history is rooted in the tradesman and not in the early physician or surgeon. I believe that the character of medical practice underwent its first and really profound change as a result of hospital construction . There were no hospitals until the 18th centur y . There was an enormous increase in building during the 18th and 19th centuries-mainly charitable hospitals. I want to examine for a moment the effect of the hospital on the role of the doctor. I think this is crucial to understanding the present physiTHE BUFFALO M EDI CAL RE V I EW �cian. Until the 18th century, medical work was performed outside the hospital. During the 18th and 19th centuries no one who could afford to be treated elsewhere went to a hospital-a place essentially for the destitute. The effect of the introduction of hospitals and the prestige of a hospital connection was profound. Formerly the distinction between doctors had been the ones I outlined for physicians, surgeons and tradesmen. There now was a distinction between the doctor with a hospital connection and the one who did not. It was really the hospital which began to alter this distinction and conditions of medical practice. It became highly desirable for a doctor to have a hospital connection. This is the origin of the distinction between consultants and general practitioners or a medical specialist and a general practitioner. It is important to recognize that this distinction in the early periods had very little reality in terms of competence. The doctor w ho worked in the hospital was really no better trained or had more varied experience than the man who worked outside. The British Medical Association Journal in the middle of the 19th century complained bitterly about the equality in relation to consultant and specialist practice. They said the so-called consultant was merely a general practitioner with a hospital attachment who was able to charge higher fees. The next phase was roJJghly from the second half of the 19th century (about 1858) when, for the first time, the "Medical Act" brought all classes of doctors under the same umbrella, and registered them all in the same way. It created FALL, 1968 a single av enue of treatment, training , and for the first time conditions of a unified medical practitioner were created. From that point I think we can really begin to talk about our modern concept of m edical practice and I find it v ery helpful to think of it in three phases. I believ e these phases are fairly well illustrated today and remarkably so by three countries speaking the same language , having the same social and political backgrounds , and with similar organizations of medical practice - Australia, the United Kingdom and the United States. I think the problem of medical practice that one sees today in Australia can be regarded as the first phase . One might even call it the primitive phase of medical practice, in w hich a doctor describes himself as the general practitioner and sees patients who come to him directly , and who performs complex services. In a town such as Sidney , approximately one-third of the major surgery is performed by general practitioners , with independent access to the wards of the h ospital. Although this is not uniformly true throughout Australia, and somew hat different in Queensland, it is certainly true of the large part of the South. I believe that most of us feel that form of practice is not really well adjusted to modern conditions. There are a lot of things in medicinethe techniques, know ledge of a sufficient degree of complexity-that can only be mastered by people who devote, train and practice in a field exclusively and who largely depend on other doctors for finding their patients. I think it is entirely r easonable that medicine should move from this first phase-differentiated 11 �practice-into a second phase where there is a line drawn between the general practitioner dealing with the public and the consultant or specialist. In Britain today the general practitioner meets the public as a whole and refers certain types of problems to the consultant. I believe that, in principle , this is a perfectly correct state of affairs, but that it can go too far. It is impossible to be aware of its dangers which I think may eventually accrue. We may have a situation in which essentially everything that is complicated is referred to a special class of doctors, or that the specialist or consultant will become based in a hospital, or that the general practitioner will be largely excluded from the hospital. This will result in a wide gulf between medical care outside and inside the hospital. I think this more or less describes the organization of present-day medical practice. I think that while there is no restriction or planning in the shap e of medical practice, it revolves into a third phase seen in a large number of cases in the United States where the doctor or general practitioner is no longer prepared to operate on that basis . He no longer wants to offer services outside, but wants a hospital connection, and wants them to have a specialization referral when needed. Medicine fragments therefore into a complexity of specialities in which it is very difficult to maintain p ersonal, or any other kind of medical care outside the hospital. This type of arrangement also seems to have its dangers and I think the problem of the loss of personal care and the loss of medical care at home is a real one . 12 The Future of Medical Practice It is against this background then that I want to raise w hat seems to me the outstanding issues which confront us today regarding the future of medical practice. A variation in its shape exists in different parts of the world at approximately the same stage of development. I think we must ask ourselves about the following issues: Do we think it is important to maintain personal medical care? Is it desirable to maintain personal medical care? Two interesting articles on this subject were written several years ago in which the author expressed the view that everyone in this complicated medical world very desperately needs w hat we call a '' medical friend ,'' someone who is continuously responsible for his Informal discussions at Niagara Falls . .--!:""""11....--:::o-:::"'-~ �health, who will steer him through all the complexities of the medical scene and arrange for extra help when required. But back to the first question-Do w e think it is important to provide p ersonal medical care? The second question, I think , is : Do w e think it is important to provide family care, over and above the advantages of an individual having a doctor who is p ersonally identified with him? Is it r eally desirable to have all m embers of the family under the same doctor? If w e think it is , we have to recognize that certain problems follow. Is it really feasibl e for one man to b e perfectly competent in different areas - obstetric emergency, the care of a psychotic child, the care of an emergency treatment of an adult, and the prolonged care of an elderly patient? I think w e ought to rememb er that most students who are passing through the Medical School at the pres ent time will practice in the n ext century. Therefore, we have to ask not only : Is the physician at present satisfactory ? Do we b elieve it is realistic to go into the n ext c entury not technically c omp etent in the demands in the widely diversified areas as stated? I think we must ask ourselv es-if we want p ersonal m edical care , do we want the doctor w orking outside to also work inside the hospitals? The point is made that it is not always easy to reconcile the two roles. If he is to work in the hospitals then w e have to ask ourselves w hat work is he to do? If he is offering personal care outside, can he do technical things such as surgery, anesthetics or should he confine his activities to other fields? FALL, 1968 W e particularly w ant to ask ourselves - if he comes into the hospital , does he enter independently, w ith free rights to admit patients to certain areas of the ho spital with no supervision by consultants or sp ecialists, or should h e enter som e kind of as sociation-fitting into a t eam? We should also ask ourselves wheth er we want to maintain m edical care in the patient ' s hom e. As I stated earli er ther e are places in the United Stat es where it is increasingly difficult to maintain hom e s ervices. One can see that a doctor or ev en a nurs e making r egular visits to h omes is an extravagant use of their time . There are circumstances in which ther e is little adv antage in their doing so. There are at least two large areas of medical care in which I think we have to look very gravely at the p ossibility of ending all hom e care. These are th e care of geriatric and p sychiatric patients. To admit a child who has m easles to a hospital when h e could have b een cared for at h om e may b e unnecessary, but it is not a desperately serious step because the child is going to b e abl e to return hom e. But to unnecessarily admit a psychiatric patient may put him into an institutional environment w hich is only likely to prolong his illness instead of preventing or curing it. T o take an elderly p atient with influenza into a hospital w h en he could b e satisfactorily cared for at home, risks the possibility that the doors of the home will close b ehind him and the patient' s children and relatives will be unwilling to take him back. This is a common case and yet it is v ery easy to get into a situation in which r elatives take it for granted that it is the obligation of the hospital to make provision for their 13 �elderly, sick relatives. I think that we have to critically look at an organization of practice which -'does not perpetuate the idea that it is an obligation of relatives to accept some responsibility for their elderly sick and psychiatric relatives. Services for The Ambulant Finally I think we have to ask ourselves about the organization of services for the ambulant. Do we want the patient who is capable of walking to a doctor or to a nurse to invariably enter a major hospital center or do we want the patient based outside the hospital for this type of activity? We have to ask ourselves-do we really want to clutter up a hospital with large numbers of people with trivial illnysses? Do we think the hospital is the bes~-·~aee for preventive activities in fields such as S!Jild welfare and psychiatry? I have tried to show that there is a balance of advantages on both sides. I want to end by expressing some personal view about the question of practice which might reasonably be consistent with the best answers that we can give to these problems. I want to make it perfectly clear that I am not dogmatic about any of these things. I think that the issues are too complex for anyone to competently predict w hat the nature of medical practice will be in the indefinite future . I am quite sure we need a large number of experiments in different typ es of practice and w e must have the research results before we arrive at the final decisions . I think we have to start in certain directions before we can look ahead. The more of the jigsaw that we can assemble at one time, the more likely we are to have a form of practice which really is pliable. 14 Pers onal Medical Car e Let us take the issues that I have considered one at a time. Do we want personal medical care? I would say we do. It seems unsatisfactory to have a situation in w hich patients find their way to individual doctors with out any sort of continuing care fro m any one physician. We should expect to provide some family care. I have what is regarded by many people in Britain as h eretical views . I think it is a highly desirable objective but not really a r ealistic one . It seems inconceivable to me that a person can be technically and psychologically equipped for the full range of problems which are present in a family. I can conceive that if the doctor wants to go more in the direction of the social worker, if he wants his task to be less specifically medical and technical, I would conceive of a role which would allow him to care for the entire family. But I believe that with the increasing prosperity, with increasing elimination of the problems of poverty , which we can surely look forward to , we should be able to diminish th e role of the doctor as family advisor in the gen eral sense. "What's the boy going to do? How should we invest as little money as we can spare?" I think these things can be reasonable subjects for discussion over a drink with your doctor, but I don't think they should be conceived of as an essential part of his work. I think it is in line w ith both medical wishes and public w ishes that th e doctor should remain a doctor. When he is called in to see a sick child , he really is competent w ith this problem. I believe therefore that a little aggressiveness in the other areas is necessary. THE BUFFALO M EDICAL REV I EW �think it is satisfactory to bring all our ambulants to the hospital. I do think we need medical centers intimately associated with the community in which our personal doctors can work in groups. And finally, from what I said about family practice , there ought to be a degree of specialization in all forms of medical practice. I think that it is unrealistic for one doctor to deal with the whole family. I think we have to find some way of allowing him to specialize. The Student Convocation. Medical Care in the Home Next, I think that we ought to maintain medical care in the patient's home. I think we must explore means of reducing this to an absolute minimum. W e ought to find possible ways to hav e services in the home for certain psychiatry and geriatric patients. If we don't, we shall pay a very heavy price at the hospital end. I think that the personal doctor working outside and giving some service in the hom e should have a role in the hospital. I think this role should be one which is compatible with his activities outside. I do not believe he should be in the hospital performing surgery, or giving anesthetics, when obviously specially trained and experienced p eople can get substantially better results. I think , too , that he should b e working from a base for ambulant services outside the hospital as well as inside the hospital. In other words, I do not FALL, 1968 Personal Doctors, Consultants suggested some years ago , and got into plenty of trouble doing it, but I think as time goes on it is reasonable to think of doctors broadly divided into two classes; personal doctors and consultants. I suggested that we ought to have a consultant in any field in which the nature of the work is such that it can only be well done by someone who has trained himself to specifically follow and dedicate his career wholly to it. I still feel that it is perhaps most realistic to think of this consultant working mainly as a secondary agent-not seeing patients directly, but by referral from the p ersonal doctor. The personal doct or, on the other hand , might base his specialization on the age of the patient. I suggested that we might think about it as composed of obstetrician, pediatrician, adult physician, and geriatric physician. Perhaps this combination do es not differ from what does exist in some places in the United States. I think the chief departure is in resp ect to the geriatric physician. A society which has a very elderly population should have a class of doctors who devote themselves to its 15 �care. I think that the age of retirement is a very useful yardstick for this point of differentiation. I think that this distinction may b e justified because from the time of retirement, the character of the medical problems changes so rapidly that from about age 69 the increase of geriatric disease goes up sharply. There is as well the profound change in the patient ' s social circumstances. With the loss of work, loss of income, and the loss of interest, there are profound differences in the social background against which this disease has to be examined. I therefore thought it quite reasonable to think of these four classes of doctors working in a group , according to the numbers of the population they are serving and to think of these doctors providing all the preventive and treatment services needed by the individual. I think of them also working in hospitals and providing the hospitals with the full range of care with their competence. But when they are presented with the problem which is beyond them, they must turn to the assistance of the consultant. This would be wholly in a field like surgery, for an example, or in psychiatry. I feel that is a possible way. I do not claim more than that for r econciling the various and almost conflicting inter ests that we have to cope with. The maint enanc e of successful personal m edical care, the maint enance of home care, a role for the doctor in the hospital which k eeps him in full touch with medical interests and insures continuity of care between home and hospitals. I think that if we went in some such direction, w e would resolve many of the ills 16 which at present exist between tw o different classes of doctors . They are very obvious of course in the British Isles. We would no longer have two different classes of citizens~as we virtually have at the present time-one very - w ell attended, the other rather depressed , and th e difficulty of maintaining the second. I feel we would have two classes of doctors then, both very well trained , both trained for specialized work , but trained on quite different principles. One group would provide for the needs of special sections of the population for whom they are trained in preventive care, treatment through hospital care, and home care. The m edical workers or consultants working at the hospital end would be do ing the other tasks which are inevitably complimentary to the work of the personal doctors. I said that I wasn 't dogmatic , b ut in the case of medical practice I have no illusions about the difficulties. I think they are far too complex for on e person to pres um e to have a complete answer. What I have been mainly concerne d with is attracting your att ention to our formal practice at the present time, the fact that it was very different in the past and will almost certainly change in the future. I think nothing could b e healthier for the future of medicine than for us to obtain a generation of doctors w ho hav e some idea of w h ere we have come from , and at least some idea of w h ere we are go ing. They can th en approach future changes not as tho ugh th ey w ere to be challenged , dismissed , ignor ed or res ented , but as something quite inevitable- w hich they must accept , welco me , and do their b est to shape .D THE BUFFALO MED ICA L REV I EW �I Geoffrey Clark makes friends with the Vietnamese. ''I wanted to see for myself what was going on in Vietnam.'' This is why Geoffrey E. Clark, a senior medical student volunteered for nonmilitary medical service. Mr. Clark spent two and one-half months (September 6 to November 13, 1967) in this war-torn land with Project Concern, a private medical relief agency. He was in DaMpao, 35 miles from the provincial capital city of Dalat. This is 125 miles northeast of Saigon. He was ten minutes by helicopter from Dalat or two hours via a terrible dirt road. FALL, 1968 ' 'This particular area had an elevation of 300 feet. It looked more like Maine than the jungles of Southeast Asia. It was inhabited by Koho Montenyard tribesmen, who came down from the hills to settle in small hamlets. They were refugees, escaping from the Viet Cong. These people were right out of the National Geographic - barechested women smoking pipes and carrying babies on their backs. The men wore loin cloths and used home-made, primitive tools. They liv ed in grass huts, were very friendly, and had an interesting culture. ' 'The hospital was nothing like its American counterpart. Patients sleep on bamboo mats over bedsprings. Usually there are at least two people to a bed, since most patients have at least one relative with them. If the whole family comes to the hospital, the extra people just curl up on the floor. They sleep this way at home. The family takes care of the patient - feeding and washing. They even scrub the ward floors. " The Vietnamese are very self reliant , and straight forward. They are strong, real people, and life isn't cheap. They suffer just as much and die as hard as Americans. Perhaps they don't take death as hard because they see so much of it. After all they have been at war for almost 30 years. '' The people I contacted during my stay in Vietnam want the fighting stopped, and they don't Mr. Clark received his M.D . in May and will i ntern (internal m edicine) a t Cambridge City Hospital, Boston. H e received his AB d egree f rom Harvard College in 1963. Enrou te to Vietnam he attended the General Assem b ly of International Federation ofMedical St udents Association in Vienna, Austria. 17 Medical Student in Vietnam �The Vietnamese children. care who runs the country. I am neither a pacifist nor a left winger, but I am absolutely opposed to the United States policy. It is a bad, unfruitful policy that isn't based on the facts as they exist in Vietnam. I b elieve this is a civil w ar between the Vietnamese p eople. They do not think of Vietnam as two distinct countries,'' the medical student said . Mr. Clark went on to say that the people he met dislike the Viet Cong. They also dislike their government b eing a puppet of the United States. The 29-year-old medical student admitt ed that Vietnam is a complex political and social situation. There is no simple solution. It is much more than two distinct forces opposing each other. ''Most Vietnamese b elieve it would be almost impossible to forc e a settlement with the National 18 Liberation Front or Hanoi. I think our present position is militarily hopeless and morally bankrupt. I doubt that we can 'win ' without imposing some 'final solution' on all the Viet namese people , and I think w e are coming dangerously close to this in our 'resettlement programs ' . "On the other hand my stint in Vietnam made me realize that we just can't pull out. We must negotiate and realize that the results may not b e too favorable to the United Stat es ," Mr. Clark said. ''The people talked v ery little about the 'big issues ' of the war. They knew su ch things w ere out of their hands . For them the war is a fact of life which they try to live w ith the best they can.'' '' The level of m edicine we practiced in Vietnam w as very simple. W e did, how ever , make some improvements. We cleaned up the equipment, got it operating, and develop ed a hospital procedure book. '' ''My daily routine consisted of ward rounds at 8:30 a. m ., follo we d by outpatient clinic until noon. During this time two or three of us saw b etween 40 and 100 patients . Then it w as lunch and siesta time . Then it was off to a nearby village via truck to hold a clinic for 200 [or less) patients in two ho.urs. This w as r eally primitive medicine. Often we \ad only a flashlight and a stethescop e. " Every W ednesday the Arm y provided h elicopter transportation to a remote village fo r a clinic . We enj oyed seeing the country side and the villages untouched by civilization. Every oth er Saturday w e h eld a clinic in the Dalat prison . "The major diseases that I encountered-parasites, dysentery, and malaria-were what I exTHE BUFFA LO MED ICAL REVIEW �Geoffrey Clark with Dr. Donald J ohnson and a Vietnamese. pected. There are also many skin diseases and abcesses, and I believe tub erculosis is quite common . Long term drug therapy is impossible. "I fo und the medical experience [on 24-houra-day call) most worthw hile. The responsibility for admitting and treating patients was most gratifying. I saw a whole range of diseases seldom en countered in medical scho ol. The lack of basic facilities made me appreciat e what we have to work w ith h ere in Buffalo , but also made me r ealize how much can be done with a good history and physical. ''There was very little fighting in the province where we had our medical outpost. And I soon got us ed to th e distant sound of artillery.'' The medical student has many fond memories . . . "the struggle for one of my first patient 's life - a 9-year-old girl with convulsions and in a FALL, 1968 coma, attended by h er father, who remained sleepless for more than 24 hours at h er bedside until she came around; . . , ''the time the- medical team was stranded for thr ee days in a fortress v illage , because the airlift forgot to pick them up ; , . . ' ' my invitation to a ric e wine party in a crowded grass hut , where the wine was sipped from a communal jug w hile the drinkers listened to music 'like you 've never h eard b efo re'; "But what r eally hits home is how bad life is fo r 95 per cent of the peoples of the world. They are lacking in sanitation , public h ealth and preventiv e medicine . '' H elping these underprivileged p eople got in my blood. I may go back for a couple of years after my graduate training. "0 �assistant professor of pediatrics, stressed that the graduating class should not be afraid of getting involved . . . ''we must have a goal. .. something to strive for . ... " The class gift, a memorial plaque to honor Dr . John M. Watson , "physician, teacher, and friend ... given in respect and admiration .. . ' 'was presented to the Medical School. The assistant professor of medicine and his wife were fatally injured in an automobile accident. Senior Class Day Dr. John E. Shields being hooded by Drs. Donald W . Rennie and Albert C. Rekate. THREE TOP PRIZES in neurology, surgery, and psychiatry went to Dr. Jonathan C. Reynhout at the annual senior class day ceremony. Twelve other students shared a dozen other awards. Dr. Reynhout was the recipient of the Morris Stein Neural Anatomy Award, the Buffalo Surgical Society Prize in Surgery, and the Gilbert M. Beck Memorial Prize in Psychiatry. He was also one of 11 students named to Alpha Omega Alpha, national honorary society. Three "firsts" were added to the ceremonythe bearing of the School of Medicine Mace , administration of the Hippocratic Oath in lieu of the Oath of Maimonides, and the hooding of candidates. In her response to the MEDENTIAN dedication (medical-dental yearbook), Dr. Mary 0. Cruise , 20 �Diplomas for 2 6 In his address, class president John A . Milch emphasized that ''what is desperately sought by student and teacher alike . .. service to our fellow human beings. This is the unwritten meaning of the Hippocratic Oath, linking all of us together. " Dr. Douglas M. Surgenor, provost for the Faculty of Health Sciences, awarded the prizes. The Lange Award was shared by Drs. Lawr ence J. Dobmeier and Robert E. White. Dr. White also received the Heinrich Leonhardt Prize in Surgery. Other award winners: Dr. Raphael A . Martinis, the Irving Hyman Memorial Award; Dr. Joel M . Andres, Upjohn Award; Dr. Charles P. Yablonsky, the Arthur G. Bennett M emorial Prize in Ophthalmology; Dr. Suzanne M . Sgroi, Baccelli Research Award; Dr. Gerald E. Daigler, the David K. Miller Prize in Medicine; Dr. Robert A. Milch, the Philip P. Sang Memorial Award; Dr. John D. Stobo, Maimonides Medical Society Award; Dr. Anthony J. Bonner, the Hans]. Lowenstein Award; Dr. Lawrence D. Baker, the Dr. Bernhardt Gottlieb and Dr. Sophie B. Gottlieb Award; Dr. Frank G. Emerling, the Emilie Davis Rodenberg Memorial Fund. The following were graduated with thesis honors: Drs. Geraldine F. DePaula, Lawrence J. Dobmeier, Suzanne M. Sgroi, Stuart H . Shapiro. Other students named to Alpha Omega Alpha were Drs. Lawrence J. Dobmeier, Raphael A. Martinis, Charles P. Yablonsky, Gerald E. Daigler, Robert L. Dickman, Robert A. Milch, Paul S . Schulman, Stuart C. Spigel, John D. Stobo, Robert E. White.D FALL, 1968 Twenty-six resident physicians received their diplomas in the first official University Residency Program Graduation in June. "This program permits a broader range of patient contact through rotation in five affiliate hospitals ," said Dr. William J. Staubitz, chairman of the residency committee. Dr. Samuel Sanes , professor of pathology, spoke at the ceremony. Dr. Douglas M. Surgenor, provost of the Faculty of Health Sciences , made the presentations. Anesthesiology - Drs. Heide R. Lim, Dawn Selim ; Psychiatry - Drs. Bruce Block, Roberta G. Jacobs, Myron H . Marshall, DanielA. Rakowski, Richard W. Wolin; Urology - Drs . James A . Bronner, Chandar Ram a Rao, George Schillinger; General Surgery Program I - Drs. Sallah Uddin Abbasey, J. Edward Kelly, Jr., Alberto Lopes da Conceicao, Fereydoon Sadeghian , Wilbur Williams, Jr.; General Surgery Program II - Drs. Edward M. Apen, Jr., Richard Wilcox; OtolaryngologyDrs. M. Anwarul Haque, Muhammad Zohur ; Neurosurgery - Drs . Tajammul H. Bhatti, Guillermo Santa Cruz; Otstetrics-Gynecology - Drs . Julian T. Archie, Natalia P. Bayonet , Christopher A. Curran, Morton P. Klein, Parvis Taefl.D Dr. Carlton E. W ertz, M'15, of Buffalo is the new president of the AMA's 50-year club. A physician for 53 years , Dr. Wertz is a past vice president of the AMA and a past president of both the New York State and Erie County M edical Societies and Blue Shield of Western New York.O 21 Resident Physician s �Amberst Campus Approved of the first six colleges at the new Amherst Campus will begin sometime this fall. The site development plan shows the new campus will be seven times the size of the present Main Street campus. When completed late in the 1970's, the huge complex of individual but interrelated structures will stretch for nearly a mile south from Ellicott Creek and cover more than 1,000 acres . The estimated cost is in the $600$650 million range. President Martin Meyerson described the new campus as the "most imaginative, educational development in the country. It allows space for the traditional pageantry as well as teaching machines. Its impact on upper New York State will be tremendous.'' "This is the largest project the State University has ever undertaken,'' State University Chancellor Samuel B. Gould said, "and we are proceeding with the kind of speed to make it a reality just as fast as possible.'' "This is going to be a magnificent campus," he said, ''not only in attractiveness but in the way it will meet the academic needs of the university. It will attract attention all over the country by its size and its innovative departures.'' Some of the major features of the new campus developed by Skidmore, Owings and Merrill of New York City are: - a core dominated on the northwest end by a health sciences complex that would include medical teaching facilities , a 350-bed University Hospital and a 300-bed state mental health facility for alcoholism. - the other end of the core will feature basic academic facilities for several of the interdis- CoNSTRUCTION 22 ciplinary "faculties" including arts and letters, engineering and applied science, and the arts center. They will be arranged in a U-shape facing a mall . In the center of the U will be the library, programmed to be the tallest building on the campus at about 11 stories. Some administrative offices will be in the library. - between the health sciences and the library will be more mall, plus elongated structures for the faculties of natural science and mathematics, and social science, education and law. - a cluster of eight "colleges" which will encompass a total student environment of some academic space, plus living, eating and recreational facilities are to be located near the center of the core. Another 22 "colleg-es" will be scattered north of the health sciences complex, as well as along Ellicott Creek . The master plan provides for a core of four sub-campuses: (1) Faculty of the Health Sciences; (2) the Faculties of Social Sciences and Administration, of Educational Studies , and of Law and Jurisprudence; (3) the Faculties of Natural Sciences and Mathematics and of Engineering and Applied Sciences, and (4) the Faculty of Arts and Letters and related functions. Each of these sub-campuses will have a major library with separate wings for each faculty. These libraries will be connected to a central library building. The first six colleges, on which work is expected to start this fall, will be located along Skinnersville Road and the shore of Ellicott Creek. They are scheduled to be occupied in February 1971. These six colleges, like those to be built later, will have no more than 1,000 graduate and undergraduate students attached to each one. About THE BUFF A LO M EDICAL RE V IE W �Master Plan for Amherst Campus Numbers indicate locations; building designs are not final . (1) Typical Colleges; (2) Arts Center; (3) Engineering & Applied Science; (4) Library; (5) Arts & Sciences; (6) Student Union; (7) Ellicott Creek; (8) Library for Natural Sciences & Engineering; (9) Natural Sciences & Mathematics; (10) Social Sciences, Education & Law; (11) Health Sciences; (12) Field House and Gymnasium; (13) Stadium; (14) Parking �400 of the 1,000 will be residents in living-learning units. Incorporated in the first six, in addition to residential and dining facilities, will be seminarsize classrooms, a satellite computing center, experimental theater, craft shop, and a three quarter size Olympic swimming pool. With the exception of the colleges, which will be essentially suburban satellites of the main core, the central group of buildings will be constructed on a platform raised about 20 feet off the present ground level. The faculties, library, and related communication facilities will all be interconnected by pedestrian passageways above, below, and on the ground. Underneath the platform, access roadways will be provided for truck and other delivery of supplies. Some underground parking facilities will also be provided under the health sciences and faculty-library complexes. The plan also provides for 12 parking lots on the periphery, each running nearly 10 acres. "There will be some sort of rapid transit between buildings, but the exact nature of the system has not yet been decided upon," Dr. Robert L. Ketter, the University's vice president for facilities planning, said. Some type of rapid transit will also be used to interconnect the Amherst and Main Street campuses. A lake of 50 or 60 acres, up to 20 feet in depth, will be a very important feature of the new campus. It will be located in the northern part of the site and will hopefully "solve the difficult drainage problems of the area,'' as well as offering recreation opportunities. A modest-sized student union will be located at one side of the body of water, although the majority of student union facilities will be scattered about among the faculties and colleges. 24 There will be two major gateways to the main core of the campus. On the east, a concrete canopy more than 1,000 feet long will cover theaters, exhibit spaces for the arts and sciences meeting areas, kiosks for snacks and student group meeting places. On the west side of the campus, the gateway will lead to the Faculty of Health Sciences and related hospitals, and other facilities. There will be a 20,000-seat stadium, a 12,000seat fieldhouse, an ice hockey rink, athletic fields, outdoor courts for tennis and other sports, and a central gymnasium on the southern part of the site. Most athletic facilities will be attached to the colleges. Dr. Gould said the bulk of the campus would be completed by 1975, but intimated the work would not be finished until after that date. Ultimately, it will have 14,577,575 gross square feet of floor space, as compared with 1.8 million at the Main Street campus. The new campus is designed to serve a total projected enrollment of 45,000 students on all levels by 1975. Of this number, about 39,000 will be full time graduate and undergraduate students. The rest will be part-time students. Exactly what structures will be built after the six colleges are started remains to be determined. That is subject to agreements "to be reached with the State Division of the Budget in accordance with normal procedures for State University Construction,'' Dr. Gould said. Also involved is the establishment of priorities for the Amherst Campus construction in relation to building projects at other State University units . 0 THE BUFFALO MEDICAL REVIEW �has a satellite. It is the ''Main Street Division'' at 2211 Main Street (formerly the Chronic Disease Research Institute). Prior to 1951, it was the Federal Marine Hospital of the United States Public Health Service. This multifaceted complex embraces five buildings, 14 departments, offices, laboratories, classrooms , and about 125 people. There is the orthopedic pathology laboratory, the unit of community services' research and development in the department of preventive medicine (epidemiology, virology, vaccine center, air pollution studies, wellbaby clinic), the neuro-psychology laboratory of the department of psychiatry, the headquarters for the Regional Medical Program (Health Organization of Western New York), the electrophysiological studies division of the department of physiology, occupational therapy, a cardiovascular evaluation clinic, animal facilities, headquarters of continuing medical education, and medical illustrations . Tec hnical specialis t Henry]. Sallm en cuts a tumor section with a sliding microtone in the orthopedic pathology lab oratory. Many rare tumor cas es are sent here. Since 1942 Mr . Sallmen ha s instructed about 90 per cent of the peo ple who d o this type of research work . He j oined the Uni versity in 1967 after 11 years at the University of Chicago, and 14 years at Ochsner Medical Foundation in N ew Orleans. THE SCHOOL OF MEDICINE Dr. Seymour Axelrod shows his lab technician how to adjust programing equipment in the neuro-psychology laboratory. The Model Child Health Conference (well-baby clinic) started in January, 1964 when Dr. Warren Winkelstein, Jr., professor of preventive medicine, and Dr. David T. Karzon, professor of pediatrics, received a $785,000 five-year Public Health Service grant for "Ecological Studies of Vaccines." The purpose was to evaluate specific vaccines, determine when and where vaccines should be used, and provide a center for the collection, evaluation, and dissemination of information. Rather than develop new vaccines, the emphasis is on the effectiveness of those which have been licensed for use in humans. Dr . William E. Mosher, Erie County Health Commissioner , and Dr. Michel Ibrahim, Deputy Commissioner, are active participants and coinvestigators in the research program. Additional financial support has come from the Erie County Health Department, the United Health Fund, the New York State Health Department , and several pharmaceutical manufacturers. (Continued) 25 The Medical Satellite �Each child, with his mother, visits the clinic two hours per month during his first five months, and then comes in once every three months. Mrs. Louise Kauffman , Red Cross volunteer, at the reception desk. The Medical Satellite The clinic operates 12 months a yea r. It offers five two- hour sessions per week is psychologic and sociologic aspects of child development and care. The staff includes public health nurses, Red Cross volunteers, secretarial and clerical help. Two Red Cross volunteers, Mrs. Louise Kauffman, and Mrs . Alice Vogl er, prepare to serve coffee to the mothers. Nurse co-ordinator, Mrs. Genevieve Holmes (left) and Mrs. Edward Dona hue, Red Cross volunteer, play with the children in the �Five physicians - Drs. Bernard Eisenberg, David H. Weintraub, Joseph M. Mattimore, Donald ]. Donius, and Louis Judelsohn - are pediatricians in private practice who serve the 500 children in the clinic. ------~- There is a contract with City Service Cab Company to bring mothers and children to the clinic. Mrs. Helen Hasselbau er, Red Cross volunteer, weighs a baby while mother observes. Mrs. Edward Donahue, Red Cross volunteer; Mrs. Maxine Oliver, Research Nurse; and Mr. John Yates, a lab technician, in the venula uncture room. Most of the research data is obtained from the more than 500 volunteer who bring their babies to the clinic. �Medical Satellite Dr. Werner K. Noell and graduate student Donak/. Faber in the electro physiological studies laboratory. In air pollution, a study is underway to find the relationship between it and respiratory disease in school aged children. Under a $147,908 three year contract with the New Yark State Health Department, primary investigators are Drs. Winkelstein, and E. Peter Isacson, associate professor of preventive medicine. Air pollution levels and infection rate in children have been studied separately many times, but this project represents the first time they have been studied together on the same group. Under Dr. Harry Sultz, associate clinical professor of preventive medicine, a health manpower survey has been conducted in the Western New York region for the Regional Medical Program. It is compilation of both professional manpower requirements and needs. In the vaccine center , evaluation unit members have conducted tests on measles , mumps , poliomyelitis , and smallpox vaccines. 28 The neuropsychology laboratory is headed by Dr. Harold Axelrod, associate professor of psychological research. He is interested in how the nervous system regulates behavior in rats, cats, and people. The electrophysiological studies division is headed by Dr. Werner Noel, professor of physiology. Here, one retinal project is to test for hereditary blindness in animals (rats and cats) to determine how light stimulates the eye, the way in which we· see, and damage by light. In the histology laboratory animals are exposed to light, and testing response, and histological damages are recorded. A new bone laboratory (orthopedic pathology section) under Dr. Eugene Mind ell, professor and chairman of orthopedic surgery, is also a part of the "Main Street Division." Many of the nation's rare tumor cases are referred to this laboratory for further study.D Air pollution is a concern of the University. Clarence Cooper, research- training co - ordinator, and Arthur T. Hoekstra , Erie County Air Pollution Chief, examine a "dust fall jar and high volum e air sampler" on top an office building in downtown Buffalo. �Four university affiliated hospitals-Children's, Meyer, Millard Fillmore and Buffalo General-are planning multi-million dollar expansions . The master plan for the only children's hospital in New York State includes the construction of two 10-story buildings - one to replace the present two-story administrative building at 219 Bryant Street (built in 1906) and the other fronting on Hodge Street at the back of the parking lot, for research. Both buildings will be completed by 1980. Hospital Director Frank L. Muddle anticipates that the first four or five floors of the buildings will be built in the first phase of the expansion and the other floors added later. The expansion is tailor made to meet the needs of the hospital's outpatient department and the teaching and research requirement of the hospital staff and the School of Medicine. Under construction at Meyer Memorial Hospital is five one-story wings totaling 75,000 square feet. This is a teaching-research-administration complex for the School of Medicine. It will include laboratory and research areas, diagnostic and clinical treatment areas, and office and administration space. No bed space is involved. It will cost about $2.9 million (including equipment] and will be completed in 1969 . The county has agreed to build and finance the project on condition that the state repay the county for full costs within a five year period. This project is not part of the planned construction of a new county hospital on the existing Meyer Hospital site, but will be taken into account in hospital design and planning stages. FALL, 1968 Beside expanding on its present site, Millard Fillmore Hospital will build a 150-bed satellite hospital on Maple Road near Hopkins in the Town of Amherst. The sate-llite hospital will cost approximately $5,750,000 . The additional $9 .5 million is earmarked for modernization of the present facility. Four floors will be added to the three-story west wing, built in 1956. Another seven floors can be added later. Hospital President Charles W. Dorries said the "comprehensive and flexible program" would enable the hospital to meet the anticipated needs of both the community it now serves and the rapidly expanding population of the suburban area. The hospital complex will be a "communityoriented teaching center." It will "offer patients a broad list of specialized services while continuing to make substantial contributions to education and research.'' The hospital has filed a letter of intent with the New York State Health Department asking permission to proceed with the building project. Construction is well along on The Buffalo General Hospital's $4.7 million addition at Ellicott and High. This addition-four stories above two basement levels-will be completed in the summer of 1969. The 108-bed wing will house a urology department, new emergency section, and physicians' library. An additional $2.5 million will be spent to link the wing via a tunnel under Goodrich Street to a future Community Mental Health Center and for connections to the boiler plant.O 29 Affiliated Hospitals Expand �Faculty Awards Two FACULTY MEMBERS were honored at the annual spring faculty meeting by President Martin Meyerson and Dr. Douglas M. Surgenor. Dr. Hermann Rahn, chairman of the department of physiology, was the sixth recipient of the Stockton Kimball Award, traditionally given in recognition of distinguished research, teaching and community service. The award was a Steuben glass star crystal. Dr. Kenneth H. Eckhert, clinical instructor in. legal medicine, received the Dean's Award for contributions to the University and the community. He received a desk clock. Dr. Eckhert , a 1935 Medical School graduate, has served on the volunteer faculty since 1940. He was cited for his role of organizing and serving as the first president of the United Health Foundation. He also served as chairman of both the County Advisory Board of Social Services and the County's Co-ordinating Health Council. He is also chief consultant of surgery at Deaconess Hospital and senior cancer research surgeon at Roswell Park Memorial Institute . Dr. · Surgenor praised Dr. Eckhert for bringing to the attention of the community, through the United Health Foundation, '' the importance of research for health in its broadest aspects. '' Since the organization's formation, more than $250,000 has been dedicated by the community for this program. Dr. Eckhert was also credited with "providing urgently-needed leadership last fall in the reestablishment of the master plan for the Meyer Memorial Hospital. His efforts set in motion plans to maintain the hospital's future as an outstanding President Meyerson admires Dr. Rahn 's award . community and teaching hospital, thus assuring continuing co-operation between the University and the community. " As a member of the faculty since 1956, Dr . Rahn is internationally known for his research in respiratory physiology . He is a consultant to the National Aeronautics and Space Agency's Man in Space Program, the USAF School of Aviation Medicine at Brooks Air Force Base and the Aerospace Corporation in El Segundo, California. Dr. Rahn was cited, " for the enviable reputation he and his department have earned in teaching and the many interfaces of his work with clinical medicine, patient care in the community and in broad national programs of high-altitude and underwater explorations.'' Dr. Rahn received his bachelor's degree from Cornell University and his Ph.D. from the University of Rochester .0 Dr. Eckhert 30 THE BUFF A LO ME DI CAL RE VI EW �was the site of the first international meeting of immunology ever to be held. Organized by a committee consisting of department of microbiology's Dr. Noel R. Rose, professor; Dr. Felix Milgram, chairman; Dr. James F . Mohn, professor; and Dr. Ernst Beutner, associate professor, the three-day (June 17-19) International Convocation on Immunology attended by over 500, was sponsored in part by the Chancellor's Innovative Fund of SUNYAB's Research Foundation. Its purpose-to present a comprehensive picture of immunology ' s current status, to point toward directions for future r esearch, and to inaugurate the new Center for Immunology to be headed by Dr. Ernest Witebsky. Its most obvious emphasis was to honor the distinguished professor of bacteriology and immunology and director of the new Center. It opened with a social evening at the AlbrightKnox Art Gallery, complete with a string quartet playing Mozart. Immunologists from around the world - Japan, India, Australia, Yugoslavia, Brazil, etc. - met and, over cocktails, talked about immunology, the study of the body's immune responses, its importance in resistance to disease and in organ transplants . Opening the scientific sessions, President Martin M eyerson emphasized that the international flavor of the group attest ed to the international vitality of immunology. Representing different areas of immunology, the 32 speakers and discussants presented in-depth sessions on chemistry and bi6lug~ of cellular antigens; development and control of the immune response; blood group and transplantation antigens; autoimmunity; models BuFFALO FAll, 1968 and mechanisms; tissue specificity and autoimmunity; and tumor specific antigens. The sessions were highlighted by a paper by Dr, Jean Dausset of the Blood Disease Research Institute in Paris . His conclusions emphasized that the chances for successful organ transplants would be greatly enhanced if all the information on possible donors and recipients were pooled. If further progress was made in organ preservation, he felt that the chances could be even greater. ''Three essential requirements are necessary for the eventual success of clinical organ transplantation'' further progress in organ preservation to permit transportation of the most compatible organ to the very best possible recipient. establishment of a large or even nationwide pool of organ transplant recipient candidates whose tissue types have been fully characterized by the best available techniques. further development of immunological techniques designed to induce tolerance to the organ transplant without interference with the remainder of the recipient's defense mechanisms. Dr. Dausset described his participation in the discovery that a person's white blood cells can give ready indication of his organ tissue typ e . Considered a major breakthrough in the area of transplant, this discovery confirmed that a transplanted organ stands less chance of rejection if the donor and recipient "match." At a banquet which followed the first day's sessions, Dr. Robin R.A. Coombs honored his long-time friend, Dr. Witebsky. "To the University 31 The Center for lmn1.unology �'Jrs. Salah Al-Askari,].]. Van loghen he has been a distinguished professor, to his colleagues the chief, to all of us a good friend. He has been a giant.'' The Quick Professor of Biology at the department of pathology, Cambridge University, England, pointed out that ''there are not many immunologists whose output is still going up after 45 years." He noted that Dr . Witebsky' s scientific output involved over 300 publications. Greeted by a standing ovation from the 275 attendees, Dr. Witebsky responded that one notable effect of scientific research "is the tie of friendship it builds not only between immediate colleagues but among men in the same field around the world . . . a fraternity of immunologists.'' Dr. Coombs lauded the new Center for Immunology and emphasized that it should have strong faculty support . . . facilities for both graduate and undergraduate teaching. " There should be a catholic research program that is organized and seminal . . . and it should be directed by a wise and selfless person. ' ' Other speakers included Dr. Pierre Grabar of the Institute Pasteur in Paris ; Dr. Otto Westphal of the Max Planck Institut fiir Immunbiologie in Freiburg, Germany; Dr. Elvin A. Kabat of Columbia's department of microbiology; from the UB School of Medicine Dr. Erwin N eter, Dr. Thomas B. Tomasi, Dr. James F . Mohn, Dr . F elix Milgram, Dr. Noel R. Rose, Dr. Ernst Beutner; Dr. David Pressman of Roswell Park as well as Dr. Theodore Hauschka; Dr. Robert A. Good of Minnesota's department of pediatrics. 32 Also Dr. Jaroslav Sterzl of the Czechoslovak Academy of Science's department of immunology; Dr. J.J. van Loghem of the Netherlands Red Cross; Dr. G. J. Thorbecke of New York University's department of pathology; Dr. H. H. Fudenberg of the San Francisco Medical Center; Dr. Robert R. Race of the Lister Institute's Medical Research Council in London; Dr. Philip Levine of the Ortho Research Foundation in Raritan, N.J. From Duke University's department of microbiology was Dr. B. Bernard Amos ; Dr. Felix T; Rapaport of New York University 's department of surgery; Dr. Rupert E. BillinghamofPennsylvania's department of medical genetics; and from Cornell University's Hospital for Special Surgery in New York City, Dr. Robert C. Mellors. Repres enting the department of microbiology at Yale University was Dr. Byron H. Waksman; Dr. Robert S. Schwartz of Pratt Clinic-New England Center Hospital; Dr. William Dameshek from Mt. Sinai Hospital; Dr . Philip Y. Paterson of the department of medicine at Northwestern; Dr . Frank J. Dix on of Scripps Clinic 's department of experimental pathology in La Jolla. A former UB department of microbiology professor and now with the department of microbiology at New York Medical College, Dr. Sidney Shulman; also Dr . Robert T. McCluskey of New York University 's department of pathology and soon to join UB 's department as its chairman; Dr. George Klein of the Karolinska Institute in Stockholm and Dr. Edward A. Boyse of the Sloan Keteering Institute for Cancer Research. The formal d edication of the Center for Immunology concluded the International Convocation. TH E BUFFALO M EDICAL REVIEW �The ceremony was conducted solely on the remarks of three men closely involved with its creation - Drs. Surgenor, Witebsky, and Milgram. Representing the verbal result of three year 's endeavor on the part of immunologists at UB and Roswell Park, the center itself as presently conceived will provide a framew ork of collaboration among interested innumologists in the Buffalo community, the site of intensive immunological research. Dr. Witebsky stressed, "we feel that such a c~nter has a permanent future . .. within the free Drs. Surgenor, Milgram , Mohn, W itebsky. work of the university, not outside the campus in an ivory tower.'' Dr. Surgenor stated that Chancellor Gould designated it as the immunology center for the entire University system comprised of 60 different units. In an outline for such a center the Provost said, ''there should be a small number of centers. Their quality should be high . . . they should have finite size and not dominate the academic environment to the exclusion of other important functions of the University. "Noncompetitive, it should be an imminent part of the University and not an ivory tower built off to the side. It should have a core of fulltime staff . . . perhaps half a dozen . . . provide the administrative support for the core of investigators and the setting in the University which will allow them to interact in a maximal effect with many other people ... to draw investigators in and out of the university." It is difficult to predict in which direction such a center will go , responded Dr. Witebsky. "We must relinquish certain rights of the ivory tow er . . . the price is worth paying. What can it offer for the present and possibly for the future? Try to correlate different interests in various parts of the state . . . we have already started . . . holding monthly meetings.' ' Chairman of the dedication, Dr. Milgram is regarded as the man who first proposed the center. "We r ealized that the teaching of immunology on all levels requires an organizational framework. . . and that as immunologists are scattered in various departments of the university , we needed some basis for coming together. W e hope to repeat the Immunology Conferenc e every other year," he stated.D 33 �The Medical Mace SENIOR CLASS DAY exercises a tradition seven years old - added something new this year to its ceremony. It is the School of Medicine Mace which represents an important symbolic achievement. Its origin started in 1961 when members of the graduating class complained of the increasing impersonality of the overall University Commencement. To counteract this lack of tradition , Dr. Edward Marra, professor and chairman of the department of preventive medicine, helped to develop the senior class ceremony at which members of the graduating class take the traditional Oath of Maimonides, receive their academic hoods, and sign the Great Book of Physicians. One day in December, 1967, Dr. Marra walked into the office of Associate Dean Robert L. Brown. "Make us a mace." In his hand was a wooden object - a reproduction of a plunger of an early American butter churn. The mace, originally a weapon for breaking armor, evolved into a symbol of authority associated with the formal ceremonial rituals of educational, religious, and governmental institutions with a western European heritage. Into its design were incorporated elements representative of the history of the institutional traditions. The University as a whole has had one for several y ears , but the Medical School has never had one of its own . Dr . Brown became its designer and executor . H e carried it for the first time at the 122nd annual Commencement May 31. T h e School of Medicine mace incorporates a numb er of symbols of local and medical signifi canc e. The plunger is covered with silver leaf. 34 Silver - used for the wooden form and fittingsweighs approximately one pound. The initial artifact-a block of Lockport red sandstone-came from the first Medical School building opened at the corner of Main and Virginia Streets in 1849. It is the identical stone included in the capital buildings of Albany and Washington. From the block, six ground and faceted rectangular stones were placed around the drum of the head of the mace. They represent the six original departments of the school - surgery; medicine and physiology; chemistry and pharmacy; anatomy; obstetrics, diseases of women and children and medical jurisprudence; and pathology and material medica or pharmacology. The flaming urn-a motif used to represent the search for knowledge-was the contribution from the second School of Medicine library located on High Street and was used for classes Drs. Surgenor, Rahn, Eckhert, and Brown with the Ma ce. �from 1893 until the present building was opened in 1953. When the building was torn down, one of the urns was salvaged. A silver casting of it was used at the other end of the mace. Jade-dark green which is the academic color of medicine, and was once believed to prevent or cure back pains-was selected as an appropriate jewel for the six points of the crown surmounting the head of the mace . A serpent-entwined silver staff-the symbol of Aesculapius, son of Apollo and god of medicine in Greek mythology-rises from the crown. An alumnus of the Law School, George E. Phillies, and father of Dr. Eustace G. Phillies, M'38, brought back a number of seeds from the plane tree on the Greek Island of Cos under which Hippocrates, the Father of Medicine, reputedly taught his students more than 2,000 years ago. One of the seeds is imbedded in the head of the mace, under the crown. When not in use, the mace will rest on an oaken box or cradle made of wood shelving from the High Street library. The metal rests that will support it are copied from the medieval alchemist's symbols-one which represents Diana, goddess of childbirth, and another representing Mercury, a god associated with health. A drawer in the cradle holds colored slides of each of the elements of the mace. The mace represents a community effort. Dr. Brown was assisted in its technical aspects by Hans Blazy, head technician of the prosthodontics department in the School of Dentistry, and William Tanski, Jr. of the Health Sciences fabrication and maintenance shop.D FAll, 1968 Mrs. Betty N. La wson, RN, de monstrates a Coronary Care monitor machine. The Regional Medical Program for Western New York will sponsor three more coronary care training programs for registered nurses and physicians this fall. The six-week courses begin September 2, 30, and October 28. The objective is to develop competence of the nurse in the specialized area of coronary care. The initial course, which ended in June, graduated 16 nurses. The course included theoretical instruction at the organiz?-tion's training headquarters, 820 Kenmore Avenue, and supervised clinical experience in six hospitals-Buffalo General, E. J. Meyer Memorial, Deaconess, Mercy, Sisters of Charity, and Veterans Administration. Mrs. Betty N. Lawson, R.N., associate professor of clinical nursing at the University, directs the coronary care program. There is about $40,000 worth of the newest cardiac treatment equipment at the Kenmore Avenue headquarters.D 35 Coronary Care Progran1s �Students Sponsor Harrington Lecturer It was the students' day when Dr. Paul E. Russell came to Buffalo as the first student-sponsored Harrington Lecturer. The John Homans Professor of Surgery and chief of the general surgical services at the Massachusetts General Hospital participated in Grand Rounds, dined with the students, and delivered two lectures on his research specialty-transplantation immunology. Informal student discussions ranged from the medical school curriculum to the role of the teacher. Over an informal lunch of sandwiches and coffee he stressed that '' times are changing but medical school education is one of the slowest to change. ' ' Dr. Russell Impressed that the invitation was studentsponsored, he accepted. He likes t o teach and thinks it is quite important. "The primary job of a teacher is to teach and not to do research . '' In a lecture open to the public, he pointed out that 14,000 people could be saved each year in this country but there are fewer donors than recipients . "It is going to be possible for most of ·the organs in the body to be transplanted. '' Very soon, he felt it will be within our grasp to alter conditions, and that transplants will earn an important and justified place in the merciful cause of medicine. Approximately 150 junior and senior medical students participated in Grand Rounds with Dr. Russell at Meyer Memorial Hospital. Heading the student committee that was responsible for bringing Dr. Russell to Buffalo were John R. Fisk, Andrew Y. Silverman, and Harold L. Kulman. A similar lecture is planned for the coming year .0 36 New HOWNY President Dr . Herbert E. Joyce, M'45, is the new president of the Health Organization of Western New York, the advisory group for the Regional Medical Program. Dr. Joyce is a general practitioner who was president of the Erie County Medical Society in 1966 and president of the American Academy of General Practice in 1960. Dr. Joyce succeeds Dr. William Chalecke of Jamestown. Other officers are: Dr . Paul Welch of LeRoy, vice chairman; the Reverend Cosmos Girard, OFM, St. Bonaventure, secretary; and Mr. Martin Meier of Jamestown, treasurer . The area covered includes the Western New York Counties of Allegany, Cattaraugus, Chautauqua, Genesee , Erie, Niagara and Wyoming, and Erie County of Pennsylvania . This program will bring benefits of research in heart, cancer and stroke to patients of this area. Commenting on the program Dr. Joyce said , ''I have seen this organization grow during the past two years. We have reviewed over 34 proposals to provide better patient care. We have six proposals worth over $6 million awaiting Federal funding. It is significant that there now is actually cooperation between all the allied health fields in our eight county region. For the first time people involved in nursing, the medical profession , educators, and other paramedical fields are sitting down and discussing comprehensive patient care and cooperation.' 'D TH E BUFFALO MEDICAL RE VI EW D r. Joyce �of a major college football program is a complex endeavor, enlisting the skills and services of a great number of people w hose duties both complement and supplement each other in an extensive variety of ways. Among these people are players, coaches, the trainer and his staff, the equipment manager and his aides, academic couns elors , the athletic director and/ or business manager and the team physician. The physician of a college football team is in a unique situation as regards his relationships with his patients (the players) and the person who is, in a practical sense, his employer (the h ead coach). There are certain things expected of the team doctor and h e must perform his duties with these things in mind, at the same time remaining consistent with sound medical principles. This requires a high degree of understanding between the doctor and the head coach. So much so, that the coach-doctor relationship may be d escrib ed as a team. At the Univ ersity the two individuals who comprise the coach-doctor team are men w h o bring to their positions excellent backgrounds in their work. Coach Richard "Doc" Urich has been 16 years in his profession, working at Miami (0.), Northwestern and Notre Dame. He holds a Mast er's degree in Physical Education and is a member of the faculty at the University. He is also assistant athletic director. His nickname, incidentally, has nothing to do with the practice of medicine. It is simply something that was acquired during his boyh~od and has remained with him ever since. The team physician is Dr. Edmond J. Gicewicz, M'52, a member of the THE OPERATION FALL, 1968 faculty (clinical instructor in surgery) at the University of Buffalo Medical School , a practicing surgeon, a former star football player who was enrolled in the University of Buffalo Athletic Hall of Fame in 1966. Dr. Gicewicz never lost his interest in football even after his playing days were finished and he has b een and continues to be, when dutie s permit, a referee at high school and college football games , locally and throughout th e East. To Coach Urich, Dr. Gicewicz is an imp ortant part of the football organization, both physically and psy chologically, before, during and after games. Because football is a hard , body-contact sport, injuries will h appen. They are part of the game and can be indeed a decisive part. A coach seeks to have his b est physically fit players in action and he must know who these players are at any given time. Consequently, as far as the coach is concerned, it is an absolute necessity that the team physician be always on call and maintain standardized hours for attention to the team. During the season daily consultations are a' ' must '' b etween coach and doctor. The basic job of the doctor is to recognize and treat injuries early and aggressively, to bring the injured boy into playing condition as soon as possible without compromising the boy' s wellbeing. For this, more than knowledge of mere medicine is required. Making a decision on athletic injuries entails recognition on the doctor's part when an injury is such that the player can p erform without suffering physical harm. In this connection Dr. Gicewicz r egards his playing days as an invaluable aid. He well r emembers his own 37 The Coach-Doctor Team by Joe Marcin Former Sports Information Director at the University �"Doc" Urich experiences with wrenched knees, turned ankles and the like and thus is able to render a better judgment on the rehabilitation time required to heal such things. When he deems it necessary, the team doctor should avail himself of the knowledge of other doctors, as he may have to base his decision regarding an operation and/ or procedure of treatment on a consensus of opinion. The ultimate decision, of course, is his alone. Psychologically, the doctor can do a great job on behalf of the team. College boys can be reached at different levels and the doctor who practices the art of medicine is in a position to render substantial service. One of the more difficult aspects of this part of the work is to know which players have a tendency to "goldbrick" and which are the opposite. Some boys seemingly enjoy treatment as they can perhaps get a day or two off from practice, some have hypochondriacal tendencies, others may disdain to seek treatment when it is necessary. It is up to the doctor to learn his personnel so that he knows which players fit into a particular category and handle them accordingly. The bedside manner is as important in the dressing room and on the playing field as it is elsewhere. One of the requirements demanded of the team doctor is the ability to react to pressures during a game. He must be cool under fire and able to make a sound judgment regarding injuries in the heat of battle. The coach, on his part, must respect the doctor's judgment and have sufficient confidence in it to be guided by it. This is part of the rapport which should exist on the coachdoctor team. A case in point occurred in 1966 during the Buffalo-Boston College game. Bill Tay38 lor, the captain of the Buffalo team and its best offensive lineman, appeared somew hat dazed when taken out of the game in the third quarter. Dr. Gicewicz 's decision was that the boy should not be permitted to play any more t hat day . Coach Urich kept the young man out of action although Taylor was sorely needed. The final score of th e game was Boston College 22 , Buffalo 21 , and one good player might have made a difference. However, the physical well-being of the boy is of paramount importance and the decision to withhold Taylor was not regretted by either coach or doctor. Neither wants to win games at the expense of physical harm, either to one 's own players or to the opponents. UNIVERSITY OF BUFFALO 1968 FOOTBALL SCHEDULE Sept. 14-at IOWA STATE Sept . 21-at KENT STATE Sept. 28-MASSACHUSETTS Oct. 5-at BOSTON COLLEGE 12 - DELAWARE Oct . 19 - VILLANOVA* Oct . 26-HOLY CROSS Oct. 2 - at TEMPLE Nov. 9 - at N . ILLINOIS Nov. Nov. 23 - at BOSTON U. * Hom ecoming Preventive medicine is an asp ect of the team doctor's job that cannot be underestimated. The doctor's work begins before th e first practice session of the season. Each prospective play er is given a thorough physical examination to m ake TH E BUFFA LO MEDI CAL REVI EVI< �certain that boys are eliminated who will not be able to handle the hard work. The examination includes , besides looking for obvious physical defects, a goo d look into the boy's past medical history. Preventive medicine includes the coach, the doctor and the team trainer working together to devise a good, strenuous training program. Experience has demonstrated that injuries are more likely to occur when a player is not at his physical peak. It may be that three-quarters of the way through a game he doesn't react quickly enough to a situation or he's trying to relax and catch his breath when he gets hit. The player who can go at top speed for 100 per cent of the contest, because of good physical training and conditioning, is less apt to incur an injury. A sound training program should seek to develop protective muscular mechanisms about the body, especially at the joints. Part of the doctor's responsibility, along with the coach and the trainer, is to see to it that the players are well-fitted with the best of equipment, including ancillary pieces such as neck braces and harnesses for dislocations. He should also check on the facilities of the training room, insuring that there are adequate physical therapy modalities to take care of the treatment and rehabilitation of the abundant musculoskeletal injuries which are bound to occur in any strenuous sport. Both Dr. Gicewicz and Coach Urich regard the liaison between them as the critical part of the team physician's duties . The coach depends upon the doctor's evaluation of injuries and his FALL, 1968 judgment as to when a boy will be ready to play. The coach also depends upon the doctor to prescribe activities for the injured player so that the coach is constantly abreast of the progress of injured players. The coach must have daily r~ports on all injuries, both new and old . It is up to the doctor to direct the trainer as to what physical therapy modalities are to be used in particular cases , to describe the kinds and lengths of treatment and to decide also upon special taping techniques. Dr. Gicewicz feels that a useful purpose would be served by having some experienced team physicians sit in on meetings of the Football Rules Committee of the National Collegiate Athletic Association to advise and make recommendations in connection with proposed rules changes so that the aspect of possible injuries is taken into account when changes are considered.D Dr. Gicewicz wants that touchdown �Senior Wins Essay Contest A graduating senior won a Commencement bonus for himself and his school. Dr. Stuart H. Shapiro won first prize in the 1968 Alfred A . Richman International Essay Contest sponsored by the Council on Undergraduate Medical Education of the American College of Chest Physicians. Stuart is the son of Dr . and Mrs. Norton Shapiro, 947 Harrison Avenue, Niagara Falls, New York . Dr. Shapiro is a 1937 Buffalo Medical School graduate . Dr. Shapiro Dr. Stuart Shapiro received his $500.00 prize along with a certificate of merit at the Convocation of American College of Chest Physicians meeting in San Francisco, June 16 . Dr. Douglas M. Surgenor, provost for the Faculty of Health Sciences, accepted a trophy for the University at the same time. ''An Analysis of Angiographic Measurements of Left Ventricular Wall Thickness throughout the Cardiac Cycle" was the title of Dr. Shapiro's winning essay. It is the first time that a Buffalo medical student has won this coveted prize. Dr. Shapiro was graduated from Park School of Buffalo in 1960; received his bachelor ' s degree from Syracuse University in 1964, and entered Medical School the following September. He started his internship at Hahnemann Hospital, Philadelphia in July. The 1967 winner was a Yale University medical school student.D 40 A RESEARCH PROJECT by Stuart H. Shapiro, M ' 68 Editor's note: T his is a summary of the research project that wo n the $500 Alfred A. Richman Int ernational Essa y Contest . Dr. Shapiro is t he fi rst UB m edi cal stude nt to win this aw ard . D r. Shapiro is in terning at Hahnemann Hospital, Philadelphia. I spent the summer of 1967 in the Cardiac Investigation Laboratory at the Buffalo General Hospital continuing on a research project I had begun the preceeding summer and continuing on throughout the past year. This work was done under the guidance of Drs . Colin Grant , David Greene , and Ivan Bunnell. Originally I developed an in viv o model, clinically usable, to measure, with considerable accuracy, the wall thickness of the left ventricle . Clinical angiograms taken at six or twelve frames per second were utilized in this work. Myocardial volume and mass were subsequently calculated by the 7044 IBM Computer at the University Computing Center. Changes in left ventricular wall thickness had not been measured before in the intact human heart. This was done for 25 patients with extremely rewarding results . I have completed a paper with Drs. Colin M. Grant, Ivan L. Bunnell, David G. Greene, and Herman L. Falsetti. The final drafts are now in preparation for submission to either Circulation or Circulation Research . A draft of the summary and conclusion follows: THE BUFF A LO MEDIC A L RE V IEW �The thickness of the left ventricular free wall was measured from clinical angiocardiograms in twenty~five patients using Elema biplane large film angiograms. Wall thicknesses were minimal during late diatole and early systole, and increased markedly (25 to 150 per cent) as the ventricle emptied during systole . The increase was greatest in those ventricles that had undergone concentric hypertrophy following a chronic pressure overload [i.e., in aortic stenosis). Some thickening of the ventricular wall is expected during ejection, as the total volume of a contracting muscle changes negligibly. This effect was examined quantitatively, and accounted for wall thickening seen up to mid-systole, but only for a part of the marked thickening at end-systole. A technique is given for calculating excess wall thickness not due to the isovolumic property of muscle. It was a round-about-route to a medical degree for one 1968 graduate, Dr. Lawrence J. Dobmeier. After graduation from high school he enrolled in Erie County Technical Institute. He was graduated in two years as a chemical technician. While working full time he attended Millard Fillmore College, the night division at the University, nine hours a week and completed his prerequisite requirements for medicine. In 1964 he entered the Medical SchooL At the end of his freshman year in medicine the 29-year-old was awarded a summer fellowship in rehabilitation medicine and the next year received a fellowship in research and clinical cardiology. He reported on his research at the 1967 fall meeting of the American Physiological Society in Washington. He held an AMA scholarship in his junior year, when he was elected to the Gibson Anatomical Honor Society and won the Mosby Award. Dr. Dobmeier is interning at the University of Michigan Affiliated Hospitals.D This excess of measured wall thickness over expected wall thickness is partly attributed to visualization at end-systole of trabeculae carnae and papillary muscles which are invisible in late diastole. Another possible explanation [related to the nature of left ventricular contraction) is indicated. Dr, Alexander Cline was honored at a retirement testimonial dinner June 9, after 50 years as a general practitioner. His two sons, Drs, Paul Cline, M'43, of Buffalo and Steven Cline, M'47, of Atlanta were present.D It is concluded that radiologically-measured wall thickness [and calculated wall stress) at endsystole may not be comparable to measurements made in late diastole. Data in early and midsystole [the period of peak wall stress) do not appear to be disturbed by the effect found at end-systole.D Dr. Morris Unher, M'43, is the new president of the health care staff of the Rosa Coplon Jewish Home and Infirmary. Dr. Maurice A. Pleskow, M'51, is the new vice president; Dr. Robert M. Kohn, assistant clinical professor of medicine, is secretary; and Dr. Bertram G. Kwasman, instructor in surgery [orthopedic), is treasurer.D FALL , 1968 41 Late Start for Medical Graduate �People The University of Buffalo Medical Round Table, believed to be the oldest medical broadcast series in the nation, started its 21st year on WBEN-TV (channel 4, Buffalo) July 7. The summer series started on WBEN-TV shortly after channel 4 went on the air in May 1948, and has continued as a 13-week seasonal series. Dr. Charles P. Voltz, M'39, of the Sisters of Charity Hospital, moderated the current panel "Health Tips for Travelers." Other participants were Drs . Harry J. Alvis, associate dean for continuing medical education, Edward F. Marra, head of the department of preventive medicine, and Michael A. Ibrahim of the Erie County Health Department.D Mrs. Mabel Barresi, widow of Dr. C. S. Barresi, who practiced medicine in Silver Creek, N.Y. for more than 40 years, has given some rare medical texts to the University of Buffalo Foundation, Incorporated. Mr. Erich Meyerhoff, director of the Health Sciences Library, cites nine volumes of British Surgical Practice, A Textbook of Histology, and the medical classic, Outlines of Psychiatry, as being especially useful. A plate indicating that the volume is a memorial to Dr. Barresi and comes from his library will b e placed in each book. The volumes w ill be a part of the Health Sciences Library.D Dr. Willard G. Fischer, M ' 36, president of the Deaconess Hospital medical staff, has been reelected to the board of the Foundation. In June the Foundation gave $25,000 to the hospital. D 42 Dr. John L. Musser, M'51 , director of the Chautauqua County Community Mental Health Services, Mayville, is vice chairman of a Western New York mental health and mental retardation committee. Dr. Joseph J. Sconzo , director of the Buffalo State Hospital and associate clinical professor of psychiatry, is chairman of the committee. Two other alumni -Dr. J. Rothery Haight, M'34 , director of Gowanda State Hospital, Helmuth; and Dr. Samuel Feinstein, M'31, director West Seneca State School, West Seneca - are members of the committee .D Five alumni are newly elected officers of the Erie County Medical Society. Dr. Guy S. Alfano, M'50, is the new president and Dr. James R. Nunn, M'55, president-elect. Dr. Charles D. Bauer , M '46 , vice president; Dr. Julia M. Cullen , M'49 , secretary; and Dr. Anthony P. Santomauro, M '56, treasurer. Dr. Edward C. Rozek , M'41, is immediate past president.D Dr. Robert Guthrie, associate research professor of pediatrics, was praised recently as the ' 'greatest contributor to the problem of retardation.'' In 1961 he developed the blood tests for detection of phenylketonuria (PKU) in new~orn infants. State Senator William T. Conklin lauded Dr. Guthrie at the annual dinner meeting of the Erie County Chapter, Association for Retarded Children. Mr. Conklin is chairman of the Joint Legislative Committee on Mental and Physical Handicaps. He is responsible for the state law providing mandatory PKU testing of every infant at birth for possible chemical imbalance that could cause mental retardation.D THE BUFFAl O M EDICA L REVIEW �Relaxing AN Dr. Bunnell shows the silk screen print he presents to visitors .as a souvenir. Among the landmarks to be found i n the d esign are the Albright- Knox Art Gallery, County Hall, City Hall, the towers of First Presbyterian Church, St. Louis Church and St. Mary of Sorrows Church, the old lighthouse in Buffalo Harbor, Kleinhans Mu sic Hall, and Hayes H all. Th e Peace Bridge appea rs at the very center. FALL, 1968 ASSOCIATE PROFESSOR of medicine has a relaxing hobby. He is Dr. Ivan L. Bunnell, a 1943 graduate of the School of Medicine, who paints for fun . He is also co-director with Dr. David G. Greene of the cardiovascular laboratory at Buffalo General Hospital. Dr. Greene is also professor of clinical research in cardiovascular disease in the School of Medicine. " Sev eral years ago when I was sick my wife, Alic e , brought a little water color set to mtf at the hospital. I gradually got going on it, and it was a good thing. I've had a lot of enjoyment from painting," Dr. Bunnell said. He took several classes with Robert Blair, a skilled water color painter. Now Dr. Bunnell turns out lively, loos ely-brushed water colors. Dr. Bunnell's artistic hobby has enabled him to give to foreign guests who visit his home or office a little memento of Buffalo . "Some years ago we had a guest from Mexico. I told my wife to go downtown and buy him a little reminder of the city. She had a difficult time and told me next time to do it yourself. So I thought I would make something my self that would be pleasing and meaningful. I took a two-day seminar in silk screen techniques offered by the Buffalo Craftsmen. ''Then my wife and I went around town sketching buildings we were particularly fond of. I put them together in the form of a design and made a silk screen print at home in the basement.'' The tasteful design is printed on cloth of different colors with inks in varied hues, and then wrapped around masonite and mounted on burlap. 43 Hobby �The silk screen prints have been taken by pleased visitors to about 60 countries, Dr. Bunnell said. Two water colors in Dr. Bunnell's office are a cluster of quaint old buildings of the old town of Stockholm, and the other of a boy flying a kite. Dr. Bunnell painted it "to show how gay I was in Stockholm. '' Dr. Whit e The physician took his family to Stockholm in 1959 on a six-month sabbatical. He went to learn the techniques of angiocardiography developed by the Swedes, methods of taking rapid sequence photographs for diagnosing diseases involving the arteries. An outgrowth of this experience and of the applications of the Swedish methods in the Buffalo laboratory, led Dr. Bunnell to write a book, "Selective Renal Arteriography," that was published in April by Charles C. Thomas, Springfield, Illinois. Dr. Bunnell and his wife moved to Buffalo 27 years ago from Waterbury, Connecticut.D Dr. Flint Search for Descendants Dr. Hamilton The search is on for the d escendants of the seven physicians who started the School of Medicine May 11, 1846. They were Drs. Austin Flint, Frank H. Hamilton, James Platt White, George Hadley, Charles B. Coventry, Charles A. Lee, and James Webster. 44 Dr. Flint, the professor of principles and practice of medicine and clinical medicine gained fame by establishing that typhoid fever is a waterborne disease. He later left Buffalo and taught in Louisville, New Orleans, and New York. Dr. Hamilton, professor of surgery, performed the first successful skin graft. He, too, subsequently moved to New York City. Dr. White introduced clinical midwifery into the college curriculum for the first time in the United States. Dr. Coventry died in Utica in 1875. He was professor of physiology and medical jurisprudence at the University. Dr. Hadley was professor of chemistry; Dr. Lee professor of pathology and materia medica; and Dr. Webster professor of general and special anatomy. He died in Louisville, in 1854. Gradually the University expanded. A School of Pharmacy was opened in 1886, a School of Law in 1891, a School of Dentistry the following year. The first Chancellor of the University was Millard Fillmore, who held the post for 28 years, even while President of the United States. Lectures in Arts and Sciences were introduced in 1913 when the Committee on Medical Education of the AMA ruled that medical schools must require at least one preliminary year in such studies. About the same time the University acquired the old county almshouse property on the Main-Bailey site that has, since 1920, been its campus. Today the University, which started with a faculty of seven and a student enrollment of 66, has a faculty of approximately 3,500, and a student body of 21,000. Very soon construction will begin on the new Amherst Campus.D THE BUFFALO MED ICA L REVIEW �Dr. Richard Ament, M'42, is the new president of the Jewish Center of Buffalo. He is also an associate clinical professor of anesthesiology at the University. Also elected were Harold Chapin, Morris Markel, and Leonard Rochwarger, all vice presidents; Morris Mesch, treasurer; Maer Bunis, financial secretary; and Mrs. Herbert Lansky, corresponding secretary.O The graduating classes of the School of Medicine and Dentistry dedicated their yearbook, the MEDENTIAN, to two professors who have demonstrated both teaching ability and concern for students. They are Drs. Mary 0. Cruise, associate professor of pediatrics, and George W. Ferguson, chairman of the department of operative dentistry. Of Dr. Cruise, the medical students said: "Our training has been highlighted by a woman devoted to teaching medical students. She has focused her efforts upon us and has treated us as individuals. We have been impressed with her untiring devotion and with the respect she has given us. We are indebted to Dr . Mary Cruise for her continuous interest in our careers. "0 Dr. Pasquale A. Greco, M'41, has been appointed chairman of the Buffalo Committee of National Jewish Hospital and Research Center of Denver, Colorado. Dr. Greco will direct the educational and fund-raising activities locally for the free, nonsectarian chest disease center in Denver. Dr. Greco is also president of the medical staffs at Millard Fillmore, Columbus, and Emergency Hospitals.O FALL, 1968 Dr. Theodore C. Krauss, assistant clinical professor of medicine, received the Recreation Society of Buffalo's annual award June 16. The recognition was for ''his dedication to and his accomplishments for his fellow men, in keeping with the high standards and objectives of the society, particularly in the field of senior citizens." Dr. Krauss was the first chairman of the Mayor's Committee on Recreation for the Elderly, from 1961 to 1966. He represented New York State as a delegate to the 1961 White House Conference on Aging. He is the founder and honorary president of the Western New York Geriatrics Society and serves in various capacities with many other organizations concerned with the welfare of the aging. In 1961 Dr. Krauss was cited by The Buffalo Evening News as an outstanding citizen.O Dr. Warren Winkelstein Jr., professor of preventive medicine, will join the University of California (Berkeley) faculty in September as head of the division of epidemiology, School of Public Health. Dr. Winkelstein has been on the faculty since 1962. He was the first deputy commissioner of the Erie County Health Department from 1959 to 1962.0 Dr. Theodore T. Bronk, assistant clinical professor of pathology, is the new president of the Niagara County Medical Society. He succeeds Dr. William C. Stein of Lockport. Dr. Bronk is also director of laboratories at Mt. St. Mary's Hospital, Niagara Falls. Other officers: Drs. Edward C. Weppner, president-elect; John C. Argue, vice president; Marie Crea, secretary; Richard A. Baer, M'46, treasurer.O 45 People �Dr. Adolph Smith, M'51, teamed with Sherwood Freed to win the 39th annual Niagara Falls Country Club Invitational Golf Tournament June 23. They shot a record-setting 54-hole total of 196 for their first victory in 10 years. Dr. Del Dunghe, M'50, tied for second with a 200, and Dr. Anthony Schiavi, M'55, tied for fourth with 202.0 The School of Medicine will begin an exchange program of students and faculty in September with the University of Parma, Italy. The departments of international law, philosophy, and literature will also participate. And in 1969 students and faculty of the art and music departments will become involved. Antonio Sanna, head of Parma's Institute of Microbiology, visited the medical school this summer. Dr. Giancarlo Venturni, distinguished professor of law at Parma, will join the UB faculty this fall. Located in central Italy, the University of Parma originally was a school of law and medicine after it was founded in the eighth century.D Dr. Alton Germain, M'45, presents his painting, "Crime and Punishment" to Lt. Switalski, president of the Cheektowaga Police Club at the new Cheektowaga Police and Court Building on Union Road. 46 An exhibit prepared by Drs. Morton Maser, Ward A . Soanes and Maurice J. Gonder won second prize in the laboratory research division at the 63rd annual meeting of the American Urological Association in Miami Beach in May. Drs. Gonder and Soanes are on the Surgery (urology) faculty at the University. All three are on the staff of Millard Fillmore Hospital. D THE BUFFALO MEDICAL RE V IEW �Five alumni, who graduated 25 years ago, were honored in May by the Baccelli Medical Club at the Statler Hilton. They were: Drs. Louis Ciolo, Salvatore J. Colangelo, Anthony J. Morano, Louis M. Privitera, and Joseph J. Ricotta. Dr. Anthony S. Meralino, M'47, was master of ceremoni~s. and Dr. Frank T. Riforgiato, M'39, was dinner chairman. 0 Dr. Irwin A. Ginsberg, M'44, predicted that industrial deafness claims ''will be the greatest single claim loss to employers in the future.'' The assistant clinical professor of otolaryngology surgery at the University spoke on "Noise" at a recent meeting of the Western New York Safety Conference. " More than half the machines in industry today operate at noise levels of over 90 decibels and anything more than 85 decibels is dangerous to hearing,'' he said. More than 25 million persons in the nation suffer socially inadequate hearing. This is the price we must pay "in a civilization of noise. "0 Three alumni are officers in the Western New York Chapter of the American College of Surgeons. They are: Drs. Everett W. Woodworth, M'27, vice president; Paul M. Walczak, M'46, secretary; and Robert M. Moesch, M'46, treasurer. Dr. Joseph P. Mallo is the new president. Drs. William J. Staubitz, M'42, Harold J. Palanker, M'40, and Harry W. Hale, Jr. are new councillors.O FALL, 1968 The new chairman of the radiology department at Marquette University School of Medicine is Dr. James E. Youker, M'54. He comes to Marquette from the University of California Medical Center in San Francisco. Known for his work in coronary arteriography, Dr. Youker will be responsible for developing a new training program in radiology at Marquette and for directing the construction of an enlarged radiology area at the medical school's principal teaching institution, Milwaukee County General Hospital. As associate professor at the University of California he has been serving as program codirector for the Public Health Service-sponsored cardiovascular radiology training program. He was formerly on the faculty of the Medical College of Virginia. He has also worked abroad as a National Institutes of Health Research Fellow in Malmo, Sweden, and as attending radiologist for Project HOPE in Indonesia.O Dr. Ernest Witebsky, distinguished professor of microbiology, received the 1787th Cross of Merit for exceptional service to the Netherlands Red Cross in June. He met Her Majesty, Queen Juliana at a reception marking the 25th anniversary of the Blood Transfusion Service of the Netherlands Red Cross.O The Annual Participating Fund for Medical Education and the Medical Alumni Association sponsored a reception for the alumni attending the AMA meeting in San Francisco June 17. The newly appointed dean of the School of Medicine, Dr. LeRoy Pes6h and Mrs. Pesch attended the informal recephon and visited with faculty and alumni.O 47 People Dr. Youker �Erie County, Medical Schoo1 Cooperation Thirteen years of cooperation between the Erie County Virology Laboratory and the School of Medicine has made a significant health contribution to the community. The laboratory, located in Sherman Hall, examines samples from I patients submitted by physicians, hospitals and the Erie County Health Department to determine if viruses are present and what those viruses are. Directing the laboratory is Dr. David T. Karzon, professor of pediatrics. The associate director is Dr. Almen L. Barron, associate professor of virology. "Our principal service is the diagnosis for a physician of what exactly is ailing his patient. Speed. is the important thing here, and fast correct diagnosis can often prevent the spread of virus, or alert the medical community of outbreaks of virus which they can prepare to treat,'' Dr. Karzon said. Dr. Barron said, "the local health picture is aided by the availability of the laboratory, because of its speed and interest and especially by .its ability to adapt and acquire diagnostic materials for all virus outbreaks .'' The virology staff also conducts analys es of tissue from autopsies. The lab's examination last year of a student thought to have died of meningitis found the cause of death to be encephalitis, a far less menacing disease. ''The analysis of virus also has its preventive side. Laboratory work on polio and rubella occurences are primary examples of the fight to prevent disease. The lab analyzes every case of polio to see if it is vaccine-induced, or caused by a virus in circulation, " Dr. Karzon said. 48 ''The laboratory also uses a speedy, simple test to determine a woman's susceptibility to rubella virus, which causes anomalies in children if contacted in the first three months of pregnancy . ''D Dr. Grant Fisher, M'25, a Buffalo surgeon and golfer, won the Canadian Cup Golf Tournament at the Palm Beach National Golf and Country Club in May. Dr. Fisher's 78-12-66 was the best in the two-month tourney open to Western New York and Canadian members of the club.D Five alumni have been elected officers of the medical staff of Deaconess Hospital. The new president is Dr. Willard G. Fischer, M'36. Other officers: Drs. John B. Sheffer, M'47, vice president; Richard J. Leberer, M'50 , treasurer; and Frank C. Marchetta, M'44, secretary. Dr. Thomas F. Kaiser, M'43, is the immediate past president. Drs. Harold C. Castilone, M ' 57, and Charles D. Bull are members of the executive committee.D Dr. Jerome I. Tokars, M'47, has been named associate director of the Health Organization of Western New York, a division of the Regional Medical Program of the National Institutes of Health. Dr. Tokars, an internist, is a clinical associate in medicine. He also received his pharmacy degree from the University.D THE BUFFALO MEDICAL REV IEW �Three School of Medicine faculty m embers are studying human growth in hypo-pituitary dwarfs at Children ' s Hospital. They are Dr . Thomas Aceto, Jr., who heads the Endocrine Clinic at Children ' s and is assistant professor in pediatrics; Dr. Margaret MacGillivray, assistant professor in pediatrics; and Dr. Lawrence Frohman, assistant professor of medicine. These and other studies in the field of human growth are enthusiastically supported by Human Growth Incorporated, anational organization of parents of children with growth disorders. The local chapter is a member of the United Health Foundation which contributes to research in the field. The nation-wide study involves 100 children in 60 clinics .D Dr. Hermann Rahn, chairman of the department of physiology, is one of 50 scientists throughout the United States elected to the American Academy of Science. Election to the academy is considered the highest honor that can be accorded an American scientist or engineer. Dr. Rahn, who came to the University in 1956, is internationally known for his high altitude and diving research. He is former editor of both the American journal of Physiology and the journal of Applied Physiology. As far as the records of the Academy reveal, he is the first faculty member of State University of New York to receive this distinction while actually serving on the faculty of one of its campuses.D · Two alumni were among the past presidents of the Buffalo Area Council on Alcoholism honored May 14. Dr. Milton G. Potter, M'24, first president (1948-50) received a plaque citing him for outstanding service in making the community understand the problems of alcoholism. Others honored: Dr. Berwyn F. Mattison, 1951-53; Dr. Marvin A. Block, M'25, 1954-59; Robert A. Burrell, 1960-62; Sheriff B. John Tutuska, 1963; and Dr. Stephen M. Clement, 1964-65. Mr. William W. Moore, Jr., executive director of the National Council on Alcoholism, told the 20th anniversary dinner guests that ''alcoholism needs to be attacked both locally and nationally by all people.'' Mr. Charles R. Turner is currently president of the local area council.D A 1943 medical school graduate has an unusual hobby. He is Dr. Joseph H. Melant, an ear, nose and throat specialist who lives in West Seneca, New York. The physician is a World War II buff and an amateur expert on the Hitler era (1933-1945). Despite the tremendous amount of research done on the Third Reich by professionals, Dr. Melant continues to unearth new and interesting facts about life in a society that was built, according to Hitler, to last 1,000 years, but in reality, lasted only 12 years. After his graduation he lived as a young doctor in the 85th Field Hospital, United States Army in Germany. Dr . Melant has more than 1,000 books on this era as well as signatures and pictures of Hitler, Goering and other Nazi hoodlums tried by the Allies at Nuremberg, and the once-coveted Iron Cross decoration .D FALL, 1968 49 People �New Type of Heart Surgery Two School of Medicine faculty members performed a new type of heart surgery on three patients at different times in late 1966 and 1967 at Buffalo General and Veterans Administration Hospitals. One of the three men who underwent this new type of heart surgery still survives. Dr. George Schimert, associate professor of surgery, and Dr. Andrew A. Gage, M'44, assistant clinical professor in surgery, performed the operations. This was revealed by Dr. Herman L. Falsetti, resident instructor in medicine, at the 49th annual American College of Physicians meeting in Boston in April. Four other faculty members assisted Dr. Falsetti in the akinesis diagnosis: Drs . Ivan L. Bunnell, M'43, associate professor of medicine; David C. Dean; assistant professor of medicine; Colin Grant, assistant resident professor of medicine; and David Greene, professor of clinical research in cardiovascular disease. Dr. Falsetti d escribed the operation as openheart surgery supplemented by the us e of a heartlung machine. Removal of the diseased area of the heart results in more efficient heart action, he said. The patients were men in their late 40's. Two died about three to four months following surgery. Dr. Falsetti said that within the past two months (F ebruary and March) two other men had undergone the same type of surgery in Buffalo and both survive, but that he considers it "premature" at present to report further on their cases. 50 Dr. Falsetti estimated that akinesis probably occurs in about 10 per cent of persons with heart congestion ailments . It afflicts both men and women, usually in later life.D Dr . Daniel J. Fahey, M'48, was named by Governor Nelson Rockefeller to an 8-year term on the State University of Buffalo Council. Dr. Fahey is also an assistant clinical professor in otolaryngology in the School of Medicine. He succeeds Dr. William J. Orr, who died recently.D Dr. Nelson G. Russell Jr., assistant clinical professor of medicine, was honored in April as the "Episcopal Layman of the Year". The Rt. Rev . Lauriston L. Scaife, Episcopal Bishop of W estern New York told Dr. Russell: "Hundreds of individuals have b enefited from your expert diagnosis and treatment, which, with your compassionate concern for them as persons, is in the noblest tradition of the art of Christian healing. Many have testified to your willingness to go beyond the call of duty to minister to your fellow man. Because you offer the skills of your chosen profession with sup erb competence and Christian compassion, spontaneously blended with healthful humor and a momentary respite for reflection, we salute you. Christian physician, churchman and friend, your life of service is splendid witness to your deep and abiding faith. "D TH E BU FFALO MEDICA L REVIEW �Dr. Karl Eschelman, M'08, died June 12 at Meyer Memorial Hospital. The 85-year-old physician retired in 1961 after a 50-year career as a specialist in internal medicine. Dr. Eschelman held the doctor of dental surgery and doctor of medicine degrees from the University. He was a professor of anatomy in the School of Dentistry and an associate professor of medicine in the School of Medicine. He was on the staffs of four Buffalo hospitals. He was consulting oral surgeon at Buffalo General Hospital where he also served as an assistant attending physician. For 25 years he was physician to the Nurses Training Schools at Buffalo General Hospital and the former Buffalo City Hospital, now Meyer Memorial Hospital. He also served many years as coordinator of the tumor clinic at the Meyer. He was also bronchoscopist at both Children's and Buffalo State Hospitals. He interned at Buffalo General Hospital. Dr. Eschelman served as a Major in the Army Medical Corps during World War I, and when he died he held the rank of Colonel [retired] of the Medical Corps of the New York National Guard. The former internist was a Fellow of the American College of Physicians and a Diplomate of the Board of Internal Medicine. He was a past president of the Practitioners Club of Buffalo. His professional memberships included the Erie County and New York State Medical Societies, the AMA, the Radiological Society of North America, and two medical fraternities. Dr. Eschelman was a Fellow of the Institute of American Genealogy and a member of the FALL, 1968 American Association fat the Advancement of Science. He was a member of the Nature Sanctuary Society of Western New York, and chief of the Campcrafters of Buffalo Museum of Science. He was elected an associate of the American Ornithologist Union and was honored by life memberships in both the Buffalo Rifle and Revolver Club, of which he was past president, and the Gowanda Rifle Club. He was elected an original member of the New York Society of Military and Naval Officers of the World Wars. He was also a member of the Buffalo and Erie County Historical Society.D Dr. George G. Davis , M '07, an Arcade , N.Y. physician for 60 years, died May 2. He was enroute to the Olean General Hospital in an ambulance when he passed away. The 85-year-old physician started his practice in Arcade in 1908. He served in the Medical Corps in World War I in France. He was a member of the Wyoming County Medical Society.D Dr. John P. Hyland, M'37, died of a heart attack May 10. His career as a physician, surgeon, and Erie County Medical Examiner spanned almost three decades. From 1933-1938 Dr. Hyland interned at the Erie County Jail. Following graduation he interned at Sisters Hospital, and during World War II he was stationed with the Army Air Corps in the Pacific. Dr. Hyland was active in several local, national, and international professional organizations. D 51 1Ju ~rmnriam �llu ilrmnriam Dr. T. Edwin O'Brien, M'21, died April 20 at Lockport Memorial Hospital, N .Y. The 72-yearold physician had practiced in Lockport fo r 35 years. After graduating from the University h e took his internship and residency at Rochester General Hospital. He served as surgeon at the General Electric Company plant at H enderson Harbor, before taking sp ecial courses at Willard Park Hospital , New York City. While in practice Dr. 0 'Brien studied surgery at Rochester, Minnesota , and in 1955 was a delegate to the International Anatomical and Applied Anatomy Congress in Paris, France, and the British Congress in Surgery, Gynecology and Obstetrics in Oxford, England. In 1967, he was elected a life member of the Medical Society of the State of New York.D Dr . Harold F eldman, M'32, suffered a fatal coronary attack April 13 while playing golf. The 60-year-old psychiatrist was deputy director of the Rochester State Hospital and associate clinical psychiatrist at the University of Rochester Medical School. He also served as psychiatric attendant at Rochester Veterans Hospital, Attica State Prison, and Rochester Red Cross Clinic. Dr. Feldman was a Diplomate in neuropsychiatry for the American Psychiatric Association.D 52 An assistant professor of medicine was killed in an automobile accident April 14. He was 38y ear-old Dr . John L. Watson , a specialist in kidney disease. H e was on the staff of Buffalo General and Meyer M emorial Hospitals. He received his medical degree from Johns Hopkins in 1955. Dr . Watson interned and did a residency in internal medicine at Columbia University' s Presbyterian Hospital in New York City , before entering the Air Force.D An assistant clinical instructor in surgery in the School of Medicine died April 9. He was Dr. Michael S. Blick. The 56-year-old surgeon was a charter member and director of the AmherstClarence Hospital Fund Association . He had b een active in the negotiations which recently led to Millard Fillmore Hospital's decision to build a 250-bed satellite hospital in Amherst. During World War II, as an Army major, Dr. Blick saw servic e in the African and European theaters and was chief of surgery on the hospital ship Larkspur. Following the war he came to Buffalo as a chief resident in surgery at Millard Fillmore. He subsequently spent three years as a surgical resident at Roswell Park Memorial Institute. He was appointed a clinical assistant in surgery on the active staff of Millard Fillmore in 1949, promoted to assistant attending the following year and subsequently to associate attending. He has been a full attending in surgery for the past year . He was also an attending surgeon at Lafayette General Hospital.O THE BUFFALO MEDICAL RE V IEW �_A.fumni ...JJomecoming Octoter 18, 19, 1968 Three Big Events FRIDAY, OCTOBER 18, 1968 Fashion Show- Fillmore Room- Norton Union 8:00 P.M. Stag- Faculty Club- Old Norton 8:00 P.M. SATURDAY, OCTOBER 19, 1968 Homecoming Football Game U.B.- Villanova-1:30 P.M. SATURDAY EVENING Homecoming Dinner-Dance Cocktails- 7:00 P.M. Buffalo Athletic Club The General Alumni Board Executive Committee- ALEXANDER P. AvERSANO, '35, President; M. ROBERT KoREN, '44, President-Elect; RoBERT E. LIPP, 51 , Vice-Preside nt for Administration; CHARLES J . WILSON JR., Vice-President for Development; MRs . EsTHER K. EVERETT, '52, Vice-President for Associations and Clubs; EDMOND GICEWICZ, '56, Vice-President for Activities and Athletics; JOHN J. STARR JR., '50, Vice-President for Public Relations; HAROLD J. LEVY, '46, Treasurer; WELLS E. KNIBLOE, '47, Immediate Past-President. Annual Participating Fund for Medical Education Executive Board for 1968-69- DRs. MAx CHEPLOVE, M'26, President; JOHN AMBRUSKO, M'37, First Vice-President; HARRY LAFORGE, M'34, Second Vice-President; DoNALD HALL, M'41, Secretary-Treasurer; JoHN J . O'BRIEN, M'41, Immediate Past-President. Tailback Kenneth Rutkowski �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFAW, NEW YORK 14214 I f'artners' Press, lroc: . ....,14Abgott&SmithPrintini � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Fall 1968 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1968-Fall Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. 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The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-31 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v02n03 Extent The size or duration of the resource. 56 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/65b46493746eb8cc6b05aa0ba4d85568.pdf 624e283956299ff2b15520dbec4da7c3 PDF Text Text The Buffalo Medical Review SUMMER, 1968 Volume 2, Number 2 THE ScHooL oF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO �The Cover: Medical students receive much of their clinical training at the Edward J. Mey er Memorial Hospital. Donald D. Glena 's camera captured the m ood of Western New York 's most compreh ensive h ealth center on film (pages 3-9). T HE B uFF A LO M ED ICA L R Ev i EW, Summer, 1968- Volume 2, Number 2, published quarterly Spring, Summer, FalL Winter-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo , New York 14214 . Second class postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1968 by the Buffalo Medical Review . �SUMMER, 1968 Vol. 2, No. 2 EDITORIAL BOARD Editor RoBERT S . McGRANAHAN Managing Editor MARIO N MARIONOWSKY Dean, School of Medicine THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New Y ork at Buffalo DR. DOUGL AS M . SURGENOR Photography THOMAS J. CROWLEY DONALD D. GLENA Medical Illustrator IN THIS ISSUE MELFORD D . DIEDRICK Graphic Artist RICH ARD MACAKANJA Secretaries FLORENCE MEYER MADELEINE WATERS CONSULTANTS President, Medical Alumni Association DR. H . PAUL LONGSTRETH President, Alumni Participating Fund tor Medica/ Educatio11 DR . MAX CHEPLOVE Associate Dean for Continuing Medical Educatio .. DR. HARRY J. ALVI~ Director, Continuing Education in the Health Sciences DR. MARVI N l. BLOOM Director of Public Information CHARLES H . DICK Assistant Director of Alumni Affairs DAV ID M. KRAJEWSKI Director of University Publications ROBERT T. MARLETT Associate Director, Unive rsity Foundation MR s. M ARJO RIE MuRPHY Associate Director ·of University Publications THEODORE v. PALERMO Vice President for University Relation• DR. A. WESTLEY RowLAND 2 3 10 13 14 16 17 17 18 19 23 24 25 26 27 28 31 32 33 34 38 41 Medical Alumni Officers The Meyer Memorial Hospital Australian Medical Practice Emergency, Mercy Hospitals Intern Matching APFME Scholarship Winners Proposed Amherst Campus APFME Officers Medical Alumni Association Spring Clinical Days Mental Health Center Telecommunication Network $357,761 Grant to HOWNY MD-PhD Program Pollution, Respiratory Study APFME Summer Fellowship P eople Medical Journal Honors Dr. Rubin Medical Society Honors Alumni People In Memoriam Scandinavian Tour �Medical Alumni Officers Dr. H. Paul Longstreth, a 1945 graduate of the School of Medicine, is the new president of the Medical Alumni Association. He was assistant dean for two years (1957-'59), and has been on the faculty since 1950. Currently he is assistant clinical professor in medicine. He is also on the staffs of Meyer Memorial, Millar d Fillmore, and Kenmore Mercy hospitals. Dr. Longstreth succeeds Dr. Charles F. Banas. Dr. Longstreth, an internist and specialist in chest diseases , is active in several local and national professional organizations. He was an officer in the Army Medical Corps . Dr . Longstreth and his wife have two children.D A 1950 graduate of the School of Medicine is the new vice president of the Medical Alumni Association. He is Dr. Sidney Anthone, assistant clinical professor of surgery at the University. He is also on the staffs of the Buffalo General, Children's, and Veterans Administration Hospitals. Dr. Anthone is active in several local, regional, state and national medical associations. He did his undergraduate work at Harvard College where he was graduated Cum Laude in 1946. He served two years in the armed forces during World War II. Dr. Anthone and his wife have four children.D Dr. Roland Anthone , assistant clinical professor of surgery at the University, is the new secretary-treasurer. He is a 1950 graduate of the School of Medicine. Dr. Anthone is also on the staffs of the Buffalo General, Children's, and Veterans Administration Hospitals. He did his und ergraduate work at Harvard College and his residency at th e Buffalo General Hospital and Roswell Park Memorial Institute. Dr. Anth o ne ser ved 20 months in the armed forc es during World War II . H e and his wife have three children. He has published some 20 articles for professional journals and is active in several local , state , and national medical associations. D TH E BUFFALO MEDICAL REVI EW �"THE The Meyer Memorial Hospital M O ST COMPREHENSIVE health care c enter in Western New York is the Edward J. Meyer Memorial Hospital, " Dr. L. Edgar Hummel said. He is Superintendent of th e Hosp ital. The 825-bed hospital prov id es a com plete range of facilities covering both inpatient and outpatient care. There are about 180 ,000 first aid and clinical (Con t 'd. o n Page 5 ) SUMMER, 1968 3 �MEYER HOSPITAL (Continued) D r. Edm und F. Schueller, associate prof essor of pathology, examines a liver while his colleagues observe. A senior medical student, Henry Purow , looks at an ear infection . There is an active resid ency in anesthesiology. Students and fa culty compare notes around the conference tab le. �Dr. Chairat Butsunturn explains the multiple channel electrical recorder to junior medical students, Jack Almeleh and Arthur DeAngelis. Dr. Louis Antonucci (standing) in structs Milt on Kaplan in the use of the slit lamp. visits annually by adults and children. Owned and operated by the County of Erie, the law specifically states that all who are sick and apply for care, regardless of financial status, must be admitted. Dr. Harry W. Hale, Jr ., Associate Director of Surgery at the hospital, pointed out that approximately one-half of the clinical teaching for medical students is done at the Meyer. It is here where the major portion of the teaching of trauma is accomplished . This is where the largest psychiatric residency program in the area is located. Approximately 80% of all ophthalmologists in the area receive all or part of their training at the hospital, and surprising as it may seem, about one-third of all practicing pediatricians as well. The hospital was named after Dr. Edward J. Meyer, an 1891 graduate of the School of Medicine. In 1920, through his efforts, an agreement was reached between the Medical School and the Buffalo City Hospital w h ereby appointments to the hospital medic al staff would b e approved by the Medical School. In return, the University promised to accept sponsorship for the medical and surgical care of all patients and to develop the hospital as a teaching center. Today all staff m embers are on the faculty of the School of Medicine. At the Meyer is found the only acute alcoholic s ervice in Erie County, the treatment of tub erculosis from diagnosis to completion of therapy, the only amputee clinic operated jointly by surgery, orthopedic, rehabilitation services in Western New York, and the only bone pathology laboratory in Western New York. Con t'd. on Pa ge 9) Dr. Bernard H . Smith (long coat ) explains active residency program to three seniors - Benjamin Waldeck, Timoth y Sievenpiper, and Geoffrey Clark. �Th ere are many physicianstudent discussions. Students, interns, ents and physicians participate in a psychiatric discussion . Students Jeffrey Stoff and John Shi elds make the rounds with Dr. Charles Nicol f. Staubitz ex plains ce ptopanendoscopy instruments Dr. to Michael Goldberg and Larry Greenberg. Seniors Theodore Hopens and Ronald Fischer learn the importance of records from Dr. Andreas K. Steiner, resident in surgery. Four students - T homas Cumbo, Robert Rodner, Sara Sirkin, and Robert Milanovich - talk with a patient. �Senior Gerald Daigler in the intensive care ward with Dr. John LaDuca, a resident in surgery. Students have di rect contact with many patients. Dr. Dale Skoog calks about his patient's progress to Arthur DeAngelis, Dr. Butsunturn, Benjamin Chau and Jack Almeleh. �MEYER HOSPITAL (Continued) D r. Albert C. Rekate explains the portable electrocardiorecorder to his rehabilitation med ici ne class. J unior students D avid Hayes and Timothy Harrington listen while Dr. D onald Pachuta , a resident , discusses a problem. Tw o interns are in the background . �MEYER HOSPITAL (Continued) In the last 30 years , at least two prominent physician-educators who have held faculty appointments in the School of Medicine, have been instrumental in further developing the teaching and residency programs. They are Dr. David K. Miller, professor of medicine and former head of the department of medicine at Meyer from 1937-1967, and Dr. John D. Stewart , who headed the hospital's department of surgery from 1941-1965 and retired from the School of Medicine after 24 years of service. At the Meyer the students see and participate in the delivery of health care. They become more aware that the practice of medicine is a group responsibility, and they learn to work closely with others. Dr. Meyer's goals -care of the patient, teaching, research - are still today's goals . In this picture story we have shown medical students in a teaching-learning situation in one of the most comprehensive health-care centers in Western New York.D Senior Arden Kane examines a patie nt Bruce Stoesser examines a hand -....--~- Dr. Edward G. E sch ner's X -ray class �Australian Medical Practice (Superficial Impressions) by Stuart L. Vaugh an, M '24 Dr. Vaughan I WAS IN PART OF AUSTRALIA for 11 days and therefore lay claims to expert knowledge (?)of medicine as practiced in that country. Since this was my first and probably my last trip down under, I had other things on my mind. Much of seven days was taken up with meetings and functions related to the International Congress of "Haematology. " This afforded some opportunity to see and hear Australian doctors, to exchange ideas with them and to observe some of the hospitals and medical school units in the University of Sydney complex. The numerous convivial social functions also provided unique opportunities for discussion of medical affairs and other topics in relaxed, downto-earth and mutually informative atmospheres. However , my busy medical schedule did not prevent extra curricular activities such as exploring the beautiful Botany Bay Harbor, visiting the famous Sydney Zoo, examining the world renowned opera hous e, bird watching in Hyde Park, and wining Dr. Vaugha n received his M.D. in 1924. He was president of the General Alumni Association in 1966-67 . H e ha s a fa culty appointm ent as Clinical Professor of Medicine. and dining in places providing interesting extremes of culinary excellence and entertainment. Our visit was made in the middle of Australian winter. We arrived in Sydney August 19th, having been somew hat cooled-off in New Zealand w here the prev ailing temperature was 40 indoors and out. Those who warned us that indoor h eating was inadequate were right, 100 percent. In Australia the temperature was 50 and often v ery comfortable in the midday sun. Also, Mrs . Vaughan and I were most for tunate in choosing the Menzies Hotel that had central heating. But permit me to tell you that if there is anything w rong with medical practice in either New Zealand or Australia, it begins with the chronic frostbite and deepfreeze that settles in the lecture theaters and other rooms at the University . If this seems exaggerated , so be it. A few facts about Australia are essential fo r background information. The area of 3,000 ,000 square miles is about that of the U .S.A. prior to the admittance of Hawaii and Alaska. Only a little more than one-tenth is agricultural in any real sense. This portion is inhabited by some 6,000,000 iCo n tinue d) 10 TH E BUFFALO M EDICAL REV I EW �people. The rest of the country is the "out-back," an arid, almost desert-like country of 127,000,000 sheep, smaller numbers of cattle and horses , many rabbits and kangaroos, and some 60,000 aborigines. This " out-back" presents many difficult problems, for the future of Australia and for the present in relation to medical care, education , transportation, and the like. What doctors or nurses would like to live and work in places so far apart, with so few people, most of whom are poor? That is why the government tries to solve the problems with aid stations and traveling medical and educational teams. Australian society in general is small, British and democratic in ways that we might consider peculiar. In the 200 years of its existence it has been jealous of its racial integrity. There are almost no non-caucasians except the aborigines who are chocolate brown. The labor class has dominated the political atmosphere. They speak of the Aristocracy of Labor and the Workingman's Paradise . The basic ideals are sobriety, ability and common sense - personally, I would add the terms thrift and conservatism. All of this suggests a strong trend toward socialization but with differences. Many functions are socialized but there is also much free enterprise. There are varieties of health insurance plans, ostensibly voluntary, but encouraged to the point where they are almost compulsory. I believe most of the physical facilities in medical care are government owned and controlled. This refers to hospitals, clinics, and medical schools. Many physicians in institutions are salaried but many practice private medicine . Pa tients have the right of choice . Doctors practice private medicine in the community hospitals, exactly as though they were private hospitals . From all I could learn, the arrangement is most satisfactory to the doctors although there is reason to think that doctors do not get rich. I believe Australian physicians to be excellent. Many of them attended our meetings and they certainly compared favorably with groups of medical people anywhere. They emanate an aura of good breeding, good humor, education , training, confidence , and common sense . Many r eceived part or all of their education in England, Canada or the United States. Medical science is on the move in Australia. At our Congress some 62 scientific papers were read by Australians from four medical schools and five other scientific institutions . These papers represented an abundance of original and applied experimentation. There were rumors of a flight of top-notch scientific talent to the U .S .A. and elsew h ere. It could be true because financial and scientific opportunities could be competitive with the thrifty, cautious attitude of Australians. However , it is obvious that the whole of Australia has a forward look. It is making determined efforts to take its place in the forward '' March of Modern Medical Progress." It is a land of opportunity with reservations. People with n eeded skills , talents, and bank accounts can strike it rich in Australia, but it would be a mistake to get a gold-rush fever and think you can hit the jackpot easily. Think it ov er! Our most enlightening experience was our visit to the District Hospital of Kurri Kurri. W e were (Con tinue d) SUMMER, 1968 11 �the guests of Superintendent Kenneth Kingsford who had visited friends of ours in Buffalo during a hospital inspection tour. The early morning train ride to New Castle was delightful as was our auto ride to Kurri Kurri. The hospital is a neat, snug set of buildings with a main unit and some separate pavilions and service areas . It w as exceedingly clean, quiet and fri endly . The buildings were of red brick and the roofs of red tile . It was a one-floor plan with no elevators, of course . The staff, the nurs es , the attendents and the patients s eemed like a happy family. No yelling, no screaming, no clutter. Mrs. Vaughan and I were given the grand tour by Kenneth, his assistant , the matron, and a student nurse . There were no computers, no air conditioners, no electric typewriters. There was only one private room in the whole hospital and that was in the maternity pavilion. The " boss " proudly told us that there was not a single ' '$700 ' ' bed in the place. The surgical operating rooms had simple equipment and were lighted by outside w indows . The laboratories were small and the number of tests p er patient obviously only a fraction of what is done at Buffalo General Hospital. There are no automatic counters or pipettes but there was an active unit for electrophoresis. Before going to lunch, I was given a hand towel to take with me to the lavatory . I believe each worker was assigned his individual towel. Lunch was a special affair obviously prepared with great care for the guests. There was a choice of chicken or lamb and wine was served. The food was served on platters and tureens and was delicious and the whole affair a leisurely and pleasant function. After completing the hospital tour , w e visited 12 Kenneth's home and met his wife of two years and their infant daughter . The house w as one of a row formerly occupied by coal miners . It b elonged to the Hospital but w as being r emodeled and r edecorated piecemeal by Kenneth and his wife . There was a bathroom but the toilet w as in a separate building behind the home . The w ater closet was conn ected w ith a sewer and had a chain pull. Our h osts were proud of their home w hich was not basically unlike most of thos e in town. Their project of modernization w as planned as a long term affair. They proudly expressed their own and Australia's philosophy about the virtu es of thrift and the avoidanc e of w aste not only in priv ate life but in the government hospitals as w ell. Kenneth said that his observations of w hat seemed to b e unnec essary wastefulness in our country made a great impression upon him and made him resolv e to avoid it in A ustralia. In that country we found no sympathy w ith the '' w aste prosperity" philosophy . We were informed that the Kurri Kurri district hospital w as typical of the government hospitals . The equipment , surroundings, and attitudes w ere much like that of our own Buffalo priv at e hospitals in 1920. Profes sional activities seemed to b e about the same also , except for the updating of pr ocedures. Obviously, the new things of proven value and practicality w ere adopted w ithin the fram ework of th eir economy. This has b een an account of impr essions gained from a brief and superficial observ ation. Let it be a challenge to some expert who may w ish t o give us a truer picture .D THE BUFFALO M EDICA L REV I EW �ic and long-term care. The new Mercy H ospital will be largely automated . Emergency Hospital is planning a new $7.2 million facility. Construction is exp ected to start in 1970. The fiv e-story new hospital will have a bed capacity of approximately 230. This will replac e the present 155- bed institution w hich will be demolished. It will be built about 200 feet west of the present hospital at Pine and Eagle Streets, in the middle of the block betw een Pine Street and Michigan A venue. The main entrance will face Michigan. D Emerge nc y H os pital M erc y Hospital Two NON-AFFILIATED HOSPITALS- Emergency and Mercy - are expanding. Mercy Hospital is a year along on a $4 million four-level addition that will be completed in August of 1969. This addition will double the patient capacity of the 350-bed hospital. This addition is the first part of an $8 million new Mercy Hospital to serve South Buffalo and adjacent area. This first phase is being built near the Lorraine Avenue-Mercy Drive portion of the block owned by the hospital. The east wing of the old hospital will be converted to rehabilitation, chronSUMMER, 1968 Emergency, Mercy Hospitals Expanding �National Intern Matching Program A total of 32 of the 92 seniors in the School of Medicine will intern in Buffalo hospitals - 10 at Millard Fillmore, 9 at Deaconess, 5 at Buffalo General (surgical), 4 at Children's, and 4 in a combined program at Meyer Memorial and Buffalo General. Eighteen others will go to hospitals in New York State, 10 to hospitals in California, and 26 to hospitals in 14 other states. Three others will intern in the United States Public Health hospitals, one in an Army hospital and one in an Air Force hospital. All of the seniors participated in the National Intern Matching Program sponsored by the American Association of Medical Colleges to '' match'' the desires of hospitals for specific interns and those of prospective interns for specific hospitals. All medical students, during their senior year, indicate the hospitals in which they would like to intern in order of preference . The hospitals indicate the seniors whom they would like to have as interns. This program matches them as closely as possible. The complete intern matching list: University Hospitals, Madison, Wis. A. ARGENTINE, Millard Fillmore Hospital, Buffalo LAWRENCE D. BAKER, Maimonides Medical Center, Brooklyn ROBERT S. BALTIMORE, University of Chicago Hospitals and Clinics STEPHEN A. BARRON, Millard Fillmore Hospital, Buffalo DAVID K. BELL, Deaconess Hospital, Buffalo ALBERT W. BIGLAN, University of Pittsburgh School of Medicine (Presbyterian) JOHN C . BIVONA, JR., Deaconess Hospital, Buffalo BARBARA A. BLASE, Bronx Municipal Hospital Center, Albert Einstein Medical College JOEL M . ANDRES, LEONARD 14 N . BOGARD, Albert Einstein Medical Center, Philadelphia ANTHONY J. BONNER, Millard Fillmore Hospital, Buffalo MARTIN A. BRENNER, Maimonides Medical Center, Brooklyn DONALD W . BURKHARDT, Deaconess Hospital, Buffalo WILLIAM E. CLACK, Millard Fillmore Hospital, Buffalo GEOFFREY E . CLARK, Cambridge City Hospital, Cambridge, Mass. MARC N. COEL, San Diego County - University Hospital, California GEORGE A. COHEN, Lenox Hill Hospital, New York City GARY H. CRAMER, Vanderbilt University Hospital, Nashville, Tenn. THOMAS J. CUMBO, Millard Fillmore Hospital, Buffalo GERALD E. DAIGLER, Children's Hospital, Buffalo PAUL H . DALGIN, Downstate Medical Center Hospital Kings County , Brookly n GERALDINE DEPAULA, D eacon ess H ospital, Buffalo ROBERT DICKMAN, Cleveland Metropolitan Gen eral Hospital, Cleveland, Ohio LAWRENCE DOBMEIER, University of Michigan Affiliated Hospitals, Ann Arbor KATHERINE DOWLING, Childrens Hospital of Los Angeles GEORGE DRUGER, Los Angeles County General Hospital JEAN E . DwYER, E. J . Meyer Memorial Hospital, Buffalo KENNETH H . EcKHERT, JR. , Deaconess Hospital, Buffalo STEPHEN A. EDELSTEIN, R ochester General Hospital, Rochester, N. Y. FRANK G. EMERLING, Children's Hospital, Buffalo RONALD A. FISCHER, E . J . Meyer Memorial Hospital, Buffalo RONALD J. FRIEDMAN, Public H ealth Service, B ethesda, Maryland BRUCE H . GESSON, Charity Hospital of Louisiana ( Tulane Division), New Orleans JOHN M. GoLD, Los Angeles County General Hospital ERWIN J. HAAS, Ohio State University Hospital, Columbus RAYMOND HANSEN, Meadowbrook Hospital, East Meadow, New York !Con tinued) BRUCE THE BUFFALO MEDICAL REVIEW �Genesee Hosp ital, R ochester, N . Y . Public Health S ervice, Washington, D .C. BRIAN J. JOSEPH, Buffalo General Hosp ital ERIC P . J UDITZ, Sinai Hospital of Baltimore, Md. RICHARD F. KAINE, Harrisburg Poly clinic Hospital, Pa. ARDEN M . KANE, Genesee Hospital, Rochester, N. Y. MILTON P. KAPLAN, Los Angeles County General Hospital Z. MICHAH KAPLAN, Vanderbilt University Hospital, Nashville, T enn. GARY KARCH, Genesee Hospital, Rochester, N. Y. JULIAN R. KARELITZ, L os Angeles County General Hospital MARTIAL R. KNIESER, Brooke General Hospital (Army) , San Antonio, T exas DAVID KRAMER, R ochester General Hospital, Rochester, N . Y . HAROLD L . K ULMAN, Michael Reese Hospital and M edical Center, Chicago FRANCIS J. LALUNA, Maimonides Hospital, Brooklyn SANFORD E . LEFF, Public H ealth Service, B ethesda, Md. PETER A . MANSKY, Buffalo General Hosp ital RAPHAEL A . MARTINIS, Roosevelt Hospital, New York City KENNETH W. MATASAR, Jefferson Medical College Hospital, Philadelphia ROBERT A. MILANOVICH , Medical College of Virginia, Richmond RoBERT A. MILCH, Buffalo General Hospital PAUL K. M URPHY, Millard Fillmore Hospital, Buffalo JULIAN OFFSAY, Veterans Administration Hospital, Brooklyn ALAN H. PECK, George Washington University Hospital, Washington, D .C. ROGER PERRY, Michael Reese Hospital and Medical Center, Chicago HENRY M . PUROW, Staten Island Hospital, Staten Island, New York HOWARD W . RAYMOND, Buffalo General Hospital JONATHAN C. REYNHOUT, Deaconess Hospital, Buffalo RICHARD C ..RIVELLO, Children's Hospital, Buffalo ROBERT D. RODNER, Hartford Hospital, Hartford, Conn. THEODORE HoPENS, KENNETH L . JEWEL, SUMMER, 1968 Santa Clara County H ospital, San J ose, Calif. ELIAS S. R OSENBLATT, D eaconess Hospital, B uffalo R OGER D . ROSENSTOCK , George W ashington University Hospital, Washington , D .C. GEORGE P. S ABA, Buffalo General Hospital NICHOLAS L . S CHENCK , San D iego County University Hospital JOHN B. SCHLAERTH, Los A ngeles County General H ospital PAUL S. S CHULMAN, R ochester General H ospital, R ochester, N . Y . LAW RENCE J . S CH WARTZ, L os A ngeles County General Hospital S UZANNE M. S GROI, M illard Fillmore H ospital, B uffalo STUART H . SHAPIRO, Hahneman n M edical College and Hosp ital, Philadelphia JOHN E. S HIELDS, Millard F illmore Hospital, Buffalo BARRY S . S HULTZ, R eading H ospital, W est R eading, Pa. TIM OTHY SIEVENPIPER, E. J . Meyer Me morial Hospital, B u ffalo SARA G . SIRKIN, Millard Fillmore Hospital, Buffalo LESBIA FERN ANDEZ S M ITH, D eaconess Hospital, B uffalo GARY C. S M ITH, Deaconess H ospital, Buffalo STUART C . SPIGEL, Lackland Air Force Base, T exas MORRIS J. S TAMBLER, P assa van t Memorial Hosp ital, Chicago RICHARD STAMILE, Millard F illmore Hospital, B uffalo JOHN D . STOBO, Johns Hopkins Hospital, Baltimore BRUCE C. STOESSER, Millard F illmore Hospital, Buffalo JEFFREY S. STOFF, Cleveland Me tropolitan General Hospital, Ohio HERBERT M . TANENHAUS, Rhode Island Hospital, Providence BENJAM IN J . WALDECK, M aricopa County General Hospital, Phoenix, Ariz. ROBERT J . WHITE, Buffalo General Hospital ELEANOR M . WILLIAMS, Children's Hosp ital, Buffalo CHARLES P . YABLONSKY, M ontefiore Hospital and Medical Center, Bronx D ROBERT T . RoSEN, 15 �JOHN ANTKOWIAK, '71 Cheektowaga, N . Y. Canisius College KATHERINE DOWLING, '68 Shelter Island, N.Y. Manhattanville College JEFFREY PINE, '70 Belle Harbo r, N.Y. Brooklyn College 1967-68 APFME Scholarship Winners Annual Particip atin g Fund fo r Medical Education Six Students Receive $5,653.00 JOHN SCHLAERTH, ' 68 Buffalo, N.Y. LeMoyne Co llege JAMES K. SMOLEY, '70 Buffa lo, N . Y. Columbia Co lleg e MADELINE WHITE, ' 69 Lev ittown, N. Y. Col lege o f N ew Rochel le �APFME President Dr. Max Cheplove, M'26, is the new president of the Annual Participating Fund for Medical Education for 1968-69. He is on the faculty of the School of Medicine and chairman, department of general practice at Millard Fillmore Hospital. He is past president of the Erie County Chapter, American Academy of General Practice, and the Erie County Chapter, Medical Society of the State of New York. Other officers - Drs . John Ambrusko, M'3 7, first vice president; Harry LaForge, M'34, second vice president ; Donald Hall, M'41, secretarytreasurer . Dr. John J. O'Brien , M '41, is the immediate past president .D Drs. Surgenor, Cheplove T he new university-campus site (approximately 1,000 acres) in Amherst is shown here with its relationship to the existing campus at 3435 Main Street . Construction on som e units may start this ll. D CAMPU!a SITE �From the desl~ of H. Paul Longstreth, M.D. '45 president Medical Alumni Association THIRTY-TWO YEARS AGO THE Medical Alumni Association of the State University of New York at Buffalo was founded. One of its aims has been providing scholarships to needy and deserving medical students who needed financial assistance to help complete their medical education. Another project carried out has been the Spring Clinical Days at which time a scientific program has brought together many noted medical scientists and clinicians to discuss current problems in the medical field. These two major aims have been very successful and each year we are striving to do even better. However, we feel one of the most important aspects of any alumni organization is to represent their respective alumni. To properly represent any body of people one must have an enrollment encompassing the majority. The present membership in our Medical Alumni Association unfortunately is only one-fourth of the graduates of the medical school. If every graduate became a dues paying member of the organization and let their feelings and thoughts be known to their officers, a stronger Medical Alumni Association would ensue. The graduates of our medical school are living and working in all parts of these United States and abroad, contributing greatly to the field of medicine in all of its aspects. They have become involved in the many and different medical settings 18 and thus enabling them to hav e new ideas and thoughts with respect to the future in medicine. Getting together, pooling our thoughts and aims on a common ground to further continued progress in our medical school and medical education in general, seems to us to be a logical and constructive approach for our Medical Alumni Organization. Our medical school is rapidly b ecoming a much larger part of a mushrooming university educational system in the State of New York. It seems only a natural sequence for the Medical Alumni Association to become a larger and more important organization in helping to formulate medical educational policies in the future. We realize that this is a relatively new approach for an alumni group, but in our estimation a natural, logical, practical, realistic and constructive one. Actually , the Medical Alumni Association is the soun ding board or spokesman for approximately 3,000 living alumni of the medical school. Let us all become, and continu e to be , active dues-paying members of the Medical Alumni Association. We could expand our scholarships to more needy and deserving medical students. Also , our Sprin'g Clinical Days could become a larger and more actively attended medical meeting each year. By being active members of the Alumni Association, proper and complete representation of the group could be more fully realized.D THE BU FFALO MEDICAL RE'V IEW �31st Annual Spring Clinical Days " NEARLY A LL HIPPIES 99 per cent of the men and 97 per cent of the women - smoke marijuana for relaxation and take LSD for spiritual understanding of themselves and the world. The hippie is usually from a middle class background and thinks that middle class society is dead. " That is what Dr. David E. Smith, medical director of Haight-Asbury Medical Clinic , San Francisco, told some 400 physicians, students, and faculty at the 31st annual Spring Clinical Days at the University. ''The hippie wants to formulate a parallel culture with his own institutions , to develop his own philosophy. He deliberately disassociates himself from political life, believes society should have no leaders , that all should share and that money should be replaced by a barter system . "Adults who criticize youthful 'drug addicts' often abuse one powerful drug - alcohol - themselves. Eight per cent of all adults us e alcohol and one in 20 of those who use it abuse it,'' Dr. Smith said. At the lOth annual Stoc.kton Kimball Memorial Luncheon Dr. William B . Bean , professor of medicine at the University of Iowa, traced Walter Reed's contributions to the control of typhoid and yellow fever. Dr. Bean portrayed Walter Reed as a brilliant man who made many significant contributions. Walter Reed was '' A Doctor of the Community'' wherever he went. "Many of Walter Reed 's contributions were published by someone else who took the credit,' ' Dr. Bean said . The 50-year class memb ers were guests of the University at a special banquet in the Faculty Club. Members of the 1918 class are - Drs. Katherine F. Carnivale, Glee W. Cheesman, John (Con t'd. on Page 22) A lumni join students and fa culty. Drs. Anthone, Banas, Bean, and Alvis �Spring Clinical Days The annual Stockton Kimball Mem orial Luncheon Dr. Mendeloff An illustrated lecture. Dr. Foley Dr. Grace D r. Killip �Visiting during a coffee break. �Spring Clinical Days Drs. Witebsky, Banas, Bean Two 1955 grads? D . Fadale, Joseph P. Garen, M ary J. Kazmierczak , William E. McGarvey, Everett T . Mercer, Morris E. Newman (chairman), and Chancellor H. Whiting, Sr. Dr. Ernest Witebsky was given an honorary membership in the alumni association and a plaque which read : " A special tribute from the Alumni Association of the School of Medicine State University of New York at Buffalo. So many of whom were his pupils, exposed to and impressed by his zeal for know ledge. '' The 1943 class held its 25th reunion. Because of World War II there were twograduatingclasses . Drs. William H . Georgi and Morris Unher were chairman of th e April and December reunions, respectively. The annual "exhibit of distinction" award went to Drs. Irwin A. Ginsberg, M '44, and Joel M . Bernstein, M'61, for their studies on Labyrinthine Vertigo. It was under the auspices of the Buffalo Otological Group and The Hearing Foundation of Buffalo. Second place honors went to a display Metroplasty Improves Fetal Salvage - prepared by five representatives of the department of obstetrics and gynecology of Sisters of Charity Hospital and the School of Medicine . A display on Pulmonary Emphysema (whole lung sections), prepared by repres entatives of Buffalo General Hospital placed third . A special visitor at Spring Clinical Days was Dr. Andrea Bosatra, associate professor of otolaryngology and audiology at the University of Padua, Italy . H e is internationally known for his new methods for effectively treating hearing and equilibrium diseases .D Dr. Smith visits with students, fa culty and staff at the Meyer Hospital. T he final Saturday afternoon session. �will probably start in 1969 on a $4.7 million Community Mental Health Center adjacent to the Buffalo General Hospital. The center will be operated in cooperation with the School of Medicine's psychiatry department. Dr. S. Mouchly Small said, "the proposed facility is an active living center which involves people, and is not just brick and mortar. It will care for an estimated 8,000 to 10,000 persons annually." Dr. Small is chairman of the psychiatric department both at the School of Medicine and at Buffalo General Hospital. He is also professor of psychiatry at the University. The proposed center (approximately 900 ,000 square feet) will consist of two three-story buildings connected by a one-level structure in campus style architecture . It will be built north of the new addition along High Street and will be connected with the main hospital by a tunnel under Goodrich Street. One three-story building will house a facility to serve 60 in-patients, a 24-hour emergency admitting service, and a clinic for children to be operated bv the Psychiatric Clinic Incorporated. This clinic will move from its' present location in the Central Park Shopping Plaza when the center is completed. The other three-story building will be a central union somewhat like a student union on a college campus. This would be the focal point for people attending the center. Here would be the occupa- CoNSTRUCTION SUMMER, 1968 tiona! and activity areas for both in-patients and out-patients. This is where work and rehabilitation will be emphasized. A gymnasium is also planned. The one-story building would have connecting corridors, dining facilities and administrative offices. Other major projects will be available for patients such as cooking. laundromat , and automobile repair. Partial operational plans for the center revolves around the team approach. Each of the six teams will be composed of a psychiatrist , clinical psychologist, psychiatric social worker, mental health worker, psychiatric public health nurse and resident physician. This team approach was developed by Dr. Small and Dr. Irving A. Jacobs, associate professor of psychology. As an assistant to Dr. Small, Dr. Jacobs is in charge of community mental health services and a clinical psychologist. The center will both reach out by house calls, bring people to it, and use the traditional appro ach of waiting for clients to come to it. The teams would rotate on a 24-hour basis. Once a team received a client, it would continue caring for him whether he is experiencing in-patient or outpatient care, or after-care. The center has a $1,557,666 grant from the United States Public Health Service. The hospital is seeking $1.6 million from the New York State Department of Mental Hygiene and $1,523,000 from the Erie County Mental Board.D 23 Community Mental Health Center �BATAVIA • GENESEE MEMORIAL VETERAN'S ADMIN WARSAW • WYOMING HOSPITAL • CUBA MEMORI AL JAMESTOWN • OLEAN GENERAL HOSPITAL • WCA HOSPITAL WELLSVILLE • JONES MEMORIAL Two-way Telecommunication Networl~ or the lack of it, may often spell the differenc e between success or failure of organizations and well-meaning programs. In an effort to help solve the problem of the "information gap," the Health Organization for Western New York, in a joint effort w ith the Continuing Education division of the State University of New York at Buffalo, School of Medicine, has established a two-way telecommunication n etwork system which is designed to link the hospitals of Western New York and Erie County , Pennsylvania, and other regions, with the Continuing Education departments of the University's Schools of Medicine and Nursing and Roswell Park Memorial Institute . CoMMUNI CATION 24 The initial phase of the network is a pilot program of nine we eks duration which began April 2. Following the initial period, the Health Organiganization of Western New York, which is the advisory group to the Regional Medical Program, will continue the lecture series under its own aegis. Lectures for both physicians are transmitted on separate days. The programs consist of a thirty minute lecture followed by discussion for the remaining half hour. Some of the presentations will include slides and printed materials . Fourteen hospitals , spread throughout the Western New York region and representing every county in the Regional M edical Program area, will make up the first phas e of the combined project. They include W.C.A. Hospital at Jamestown, Brooks Memorial at Dunkirk, St. Vincent and Hamot Hospitals in Erie, Pa., Wyoming Community Hos pital at Warsaw, Genesee Memorial , Veterans Administration Hospitals at Batavia, Niagara Falls Memorial, Olean General, Tri-County at Gowanda, Jones Memorial at Wellsville , Interc ommunity Memorial at Newfane, Lockport Memorial and Cuba Memorial Hospitals. Programs are transmitted from Sisters of Charity Hospital in Buffalo . The netw ork is to be used fo r professional programs of continuing education for all health related professions, for the exchange of Regional Medical Program administrative affairs , and problems of procedure and consultation s essions w ith experts in th e fi eld of heart, canc er, stroke and r elat ed diseas es. Plans als o call for the inclusion of an emergency poison or toxicology c enter to be utilized throughout the region. Eventually the network will be expanded to include some 45 hospitals in the r egion cover ed b y the Regional Medical Program .D TH E BUFFALO M EDICAL REVIEW �$357,761 Grant to Health Organization of Western New Yorl~ THE HEALTH ORGANIZATION OF W ESTERN NEW YORK , INC. has been awarded a grant of $357,761 for the first year of a three-year operational program by the Division of Regional Medical Programs of the National Institutes of Health. This program brings benefits of research in heart, cancer and stroke to patients of Western New York area and Pennsylvania. The program includes a tw o-way telephone communications network system which will link the hospitals of Western New York and Erie County, Pennsylvania, and other regions, with the continuing education departments of the University's Schools of Medicine and Nursing and Roswell Park Memorial Institute . The tele-lecture series, which initially will be on a pilot project basis for about nine we eks, started April 2 and will include 16 hospitals in Western New York and Pennsylvania. Eventually the network will be expanded to include about 50 area hospitals. There will be a program to train nurses and physicians in the specialized area of coronary care. The six week course will have enrollees from each of the eight counties comprising the regional area. The program started on Ma y 6 at the training facility locat ed at 820 Kenmore A v enue. Part of t he clinical training will take place at Buffalo General, Deaconess, E. J. Mey er SUMMER, 1968 M emorial , South Buffalo M ercy and Veterans Administration Hospitals . Directing the program will be Mrs. Betty N. Law son , R.N . A concurrent , but shorter course for physicians who w ill be participating in coronary care is planned. Expansion and further planning for a Respiratory Intensive Care Model, based at the M illard Fillmore Hospital in Buffalo is underway . The model unit will collect data on all facets of pulmonary care and make this information available to other area hospitals. The new program will create an intensive care unit for lung patients and train personnel in working in them. Directing the nursing programs of the r egion is Miss Patricia Shine , R.N. Her duties include coordination of continuing education programs for nurses , establishing relationships w ith nursing groups , and investigating potential nursing programs throughout the region. The Health Organization is the advisory group to the Regional Medical Pr ogram of Western N ew York. Directing the program is Dr. John R . F. Ingall from offices at 2211 Main Street , Buffalo. The Board of Directors includes repres entativ es from each of the eight counties that make up the region. The region includes the counties of Erie , Niagara, Genesee, W yoming, Cattaragus, Chau1Cont'd. on Page 30) 25 �The MD-PhD Program THE MD/PH o PROGRAM affords to medical students early preparation for an academic career in either the clinical or basic sciences field. A highly individualized and informal program, selected students, with an interest in research and teaching careers, combine the study of medicine with advanced studies in one of the basic medical sciences. Selection of candidates, as well as their specific course of study and research , are determined individually through consultation with the student's department of choice. Programs usually alternate periods of study in the medical and the graduate schools. By taking summer course work, a prospective candidate may expect to receive a combined degree within a minimum of six years or he may extend to six and one-half or seven years to complete research and thesis work. Stipends , including graduate tuition fees, are often available to support students during their graduate work period. Two graduates [both in Physiology) of the combined program are Franklin Knox , M'65 and Richard Lederman, M '66. Dr. Knox, whose thesis on renal physiology was carried out under the guidance of Dr. Donald W. Rennie, graduated in six years. Continuing his interest in physiology, h e decided against an internship and went directly into a two-year commitment with the National Institutes of Health. Dr. Lederman, who will become a neurologist, also completed the program in six years. His thesis, under Dr. Werner Noell, concentrated on the excitation and inhibition of 26 vessel pathways. Following his internship at Albert Einstein Medical School, he started his two-year tour of duty with NIH. Currently enrolled in the program are Roger J. Ferguson, '69 [Anatomy); Bruce Rabin, '69 [Bacteriology and Immunology) ; and Frank Zavisca, '69 [Biochemistry). Roger Ferguson and Bruce Rabin in the lab. THE BU FFALO MED ICAL REVIEW �(MD.-PhD. Program Cont' d.) Completing two years of graduate work in bacteriology and immunology, Bruce Rabin found that his primary interest was in immunology research. He enrolled in the Medical School and entered the combined program at the end of his sophomore year. His research project, financed through a NIH fellowship, is the study of the immunological competency of circulating leukocytes, to find out whether white cells can synthesize antibodies in nonorganized lymphoid tissue areas, where cells become sensitized, and how they can be attracted to different sites to release their antibodies. He will graduate in June 1969. Roger Ferguson, with a year of graduate work in Anatomy, entered the Medical School. He was interested in research, wanted to teach, and felt that academic medicine would allow him more time to call his own. The six years of attending school on a 12-month basis has made it seem "almost a way of life .'' His research project, financed through an Anatomy Teaching Assistantship, centers on an electron microscopic study on degeneration and regeneration of bone marrow in rats maintained on the drug Methotrexate . This drug, a folic acid antagonist, inhibits cell division, a clinically-used technique to maintain remission in leukemia. The effect of Methotrexate in people has never before b een studied. He will return in the fall to complete his senior medical year and Ph.D. thesis and will graduate in June 1969 . " Regardless of what I decide to do in the future , I have everything to gain by going through this combined program," Mr. Ferguson said.D SUMMER, 1968 The relationship between respiratory disease in school children and air pollution will be studied by the preventive medicine d epartment of the School of Medicine . The New York State Department of Health awarded a $147,908 contract for the three-year study. The project has the full approval of the Erie County Health Department and the Buffalo Board of Education. Chief investigators for the study are Dr. W arren Winkelstein Jr. , professor of preventive medicine, and Dr. E. Peter Isacson, associate professor of preventive medicine. Mr. Anthony F . Kehrer is project director. Dr. Isacson said, "air pollution levels and infection rates in school children have been studied separately many times , but this project represents the first time they are being studied together in the same group.'' A high-volume air sampler will be placed on the school roof to determine the amount of pollution in the air. A special type of analyzer will measure industrial fumes. The study w ill b e carried out in three or more local area schools. Students participating must have written consent of their parents . Tests on the children will take only a few seconds. They will have blood tests at the beginning and end of the study, a weekly throat examination , four finger prick blood tests throughout the study - to continue through the next school year-and a weekly test of breathing capacity, made by blowing air through a small spirometer. The parents will also b e asked to submit a monthly record of colds and illnesses of their children.D 27 Pollution, Respiratory Disease Study Dr. Wi nkelstcin Dr. Jsacson M r. Kehrer �APF.NlE Sumn'ler examine and then discuss with Dr. Metcalf before he saw them. After our discussion, I would write prescriptions and laboratory orders for the patients . On h ouse calls we both checked the patients and watched their progress. In the hospital , I got experience in writing progress notes, orders, admission and discharge notes, and in doing narrative summaries . I also learned about the extra responsibilities of staff members. The summer' s experiences were far beyond my initial expectations of viewing the life of a general practitioner and his role in modern medicine. Association with a group practice demonstrated one approach to some of the problems of medicine today such as keeping informed of the advances in medicine, meeting one ' s hospital staff responsibilities , having time for each patient w hile leading a normal family life . Although it is an arduous Fellowsbip by Penney Gardner Class of 1969 (Confinued ) Penny and D r. M etcalf examine a patient at the nursing home . Penny Gardner consults tcith Drs. Harry L. M etcaif and Herbert joyce about the day 's schedule. ~EN I LOOK BACK OVER MY SUMMERS in medical school, I am sure the one I spent on a General Practice APFME Fellowship will stand out as the most enjoyable and the most valuable. Although my preceptor was Dr. Harry L. M etcalf, I was working in the offices of Drs. Joyc e, Haines, and M etcalf, and therefore had three preceptors . My entire summer was spent with Dr. Metcalf doing office rounds, house calls, and hospital rounds. In the office I had my own patients to I �task for each doctor in the group to keep up with all the patients of the entire group, this system allows the hospital to be covered all day, every day, with each man on call every third night and every third weekend. Such a system also makes it possible for yearly vacation time, time to attend meetings and conferences, and time to work on special projects. This fellowship also gave me a glimpse of an exciting "new" area of medicine- family practice. In this field one deals with entire families, and thus, a tremendous range of problems. Although a patient may be referred to a specialist for some particular problems or treatment, one always gets a followup on the results and the reactions of the family. Thus, one is treating the whole person. With a large enough family, one is always living through some medical crisis with the family. In addition the summer has been a most valuable clinical experience . There were problems in so many areas of medicine. Some of the dermatological cases treated at the office were - thrush, poison ivy, herpes zoster, molluscum contagiosum, pediculosis corporis, dermatitis nervosum, rash of avitaminosis A, and cheilosis. Descensus of the cervix and vagina, twisted ovarian cyst, endothelioma, squamous cell carcinoma of vulva, stenosis of the external cervical os , and Nabothian cysts were some of the cases in gynecology . In orthopedics I had experience with - olecranon bursitis, Osgood Schlatter 's disease, osteopetrosis of the sagital suture of the skull , aseptic necresis of the head of the femur, and a possible osteogenic sarcoma. There were many geriatric problems: ASHD, arthritis, chronic brain syndrome, hypertension, and prostatism. In surgery I scrubbed SUMMER, 1968 A patient is examin rd later at another nursing home. for a twisted ovarian cyst, an attempted portal caval shunt, and exchange transfusion on a newborn. Some of the more unusual cases I was exposed to included - anti-c incompatibility in an A positive baby with an A positive mother , cancer of the tail of the pancreas, Tsetse syndrome, mycoplasm pneumonia, Turner 's syndrome and alopecia areata. As Dr. Metcalf is a clinical hypnotist , I was exposed to this very fascinating area of medicine, especially its use in obstetrics and weight reduction. Thus the summer was an excellent introduction to clinical medicine . I learned how to appro ach the patient with confidence, to take a history , and to do a physical examination pertinent to the patient 's chief complaint. With the help of my preceptor, I would then begin to put the pieces together in order to outline an approach to the care and treatment of the patient. In addition, I could follow up the patient to see the effect of medications and treatment. D 29 �Health Organization (Cont'd from Page 25 ) tauqua , Allegan y and Erie County, Penns ylvania . The purposes of the organization are to coordinate, improve, plan and develop h ealth programs and faciliti es in the Wes tern New York area; to initiate, participate in and operate local , state, federal and private health programs; evaluation of health education , care , services and research, and to act as a sponsoring agen cy fo r s uch progra ms in West ern New York , eit her independently or jointly with other agencies. Junior and senior medical students work w ith Dr. James C. Brennan, professor of pathology, around the Carl Zuss photo microscope, a gift to the department by the Junior Board of The Buffalo General Hospital. From left to right are Julian Karelitz, Dr. Brennan, Raymond Hansen, and James Patterson. 0 Dr . Milford C. Maloney, M'53 , is th e new president-elect of the Heart Asso ciation of Western N ew York . Dr. Andrew A. Gage, M '44, is the first vice president, and Dr. Lawrence Golden, M'46, was named to the Board of Directors . Dr. David C. Dean is the new president .D 30 Regional M edical Programs in h eart diseas e , cancer and stroke started with President Lynd on B. Johns on's signing of P ublic Law 89-239 on Octob er 6, 1965 . This law implemented th e maj or r ecommendatio ns of the 1964 Presid ential Commission to study th e problems and rec omm end m eans to achiev e significant advances in th e prev ention , diagnosis and treatment of these thr ee disease groups which today exact a staggering toll of human life and disability . A grant of $300,000 fro m th e Unite d States Department of H ealth, Education and Welfare to th e School of Medicine for feasibility studies launched the program in Decemb er of 1966 .0 Dr. Matt A . Gajewski , M '39 , has b een elected chief of the medical s taff of F elician Sisters Institutions . Ano th er alumnus, Dr. Bernard S. Stell , M '36, was nam ed second vice president .D THE BUFFALO MED ICAl REV IEW �Dr. Dominic Falsetti, M'58, is the new chairman of the Rehabilitation Council of the Council of Social Agencies. This newl y organized council will oversee dev elopment of Niagara area rehabilitation services by establishing communication and cooperation between existing agencies. Dr. Falsetti is a member of the staff of Mount St. Mary's Niagara Falls Memorial and Buffalo General Hospitals. Two other 1955 School of Medicine graduates, Drs. Peter S. Battaglia and John Charles Read, are members of the council. D Dr. Joseph R. Dolce, M '31 , rec eived the Distinguished Civilian Service Medal at the Edgewood Arsenal Chemical Research, Development and Procurement Center in Maryland. Dr. Dolce was presented the award for his research on wounds. D Dr. Joseph A. Bellanti, M'58, is one of 525 consultants named by the Ameri can Academy of Pediatrics to evaluate the medical aspects of Head Start Programs. Dr. Bellanti is an associate professor of pedicatrics and microbiology at Georgetown University .D Dr. Lawrence H. Golden , M'46, has been appointed chief of the new cardiology section at Millard Fillmore Hospital. Dr. Golden has been on the staff since 1958 and previously was a resident in internal medicine at the hospital from 1947 to 1950. He was chief of cardiology at Maxwell Air Force Base Hospital , Alabama in 1954-56. Currently he is also an assistant clinical professor of medicine. D SUMMER, 1968 Three alumni have formed a new corporationThe Kidney Bank and Research Society of Buffalo and Western New York. They are Drs . John M. Hodson , M'56, Thomas F. Kaiser , M'43 , and John J. McMahon , M'59. Other directors are Dr. Albert D. Menno and Vernon A. Reed. They head the new hemodialysis departm ent at Deaconess Hospital. The group's purpose is to acquire kidneys or parts of kidneys , to hold them, to deliver them for research or for use in attempts to sav e or restore renal functions. The society also plans to carry on research that may be " reasonably calculated to be of value in saving, restoring, aiding or preserving renal functions. "D D r. M cMaho n D r. K aiser Peopl e D r. M enno D r. H odso n �l A JIJERICAN JOURNA L OF DISEASES OP Cll!LDREN CONTEtiTS F£BRUM'!' t9r,lt This is the first tim e that any Buffalo physician has been so honored by one of the publications of the A merican Medical Association. The 17 scientific articles in the February issue of the journal were all written by Dr . Rubin ' s co-workers and former students, now practicing throughout the United States. Subjects range from bronchial asthma to kidney disease, the subject of much of Dr. Rubin 's personal research. T h e journal also lists Dr. Rubin ' s activities and b ibliography of 72 p apers h e has published. An introductory appreciation of Dr . Rubin as an educator said: " H e has always fought for the b est and never been satisfied w ith less . . . H e was one of those unusual p eople, a disappearing species, w ho seem able to combine an activ e pediatric practice with teaching and extensive research activity. H e had to practice to support himself , h e loved to teach; an inquiring mind drove him to research. Dr. Rubin Honored by Medical Journal The American Journal of Diseases of Children paid a special tribut e to Dr . Mitchell I. Rubin in the February issu e. He retired last July after 21 years in the School of Medicine as h ead of the department of pediatrics and pediatrician-in-chief of Children's H osp ital. 32 ' 'Th e programs of teaching to the m edical school was the result of his ability to organize and integrate into an effective unit th e activities of the voluntary and full-time staffs . ''After almost 22 years, Mitchell Rubin stepped aside this spring from his position as THE CHIEF. He h as not r etired. H e probably do es not know how. He continues to follow his research interests and to take part in teaching. For a long time he will be in demand w henever a cons ultant is needed on a most difficult case. '' D THE BU FFALO M EDICAL REVIEW �The Erie County Medical Society honored four members of the class of 1918 in March - Drs. Everett T. Mercer, Morris E. Newman, Katherine Carnivale (Sullivan], and Mary J. Kazmierczak. They are among 21 members of the World War I class, the smallest in the history of the School of Medicine. Dr. Carnivale (Sullivan) is a specialist in chest and pulmonary diseases . She did her post-graduate work at the J.N . Adam Memorial Hospital, Perrysburg, N.Y . , a tuberculosis institution at that time. Dr. Kazmierczak interned at Children's Hospital and served 23 years with Buffalo's Health Department. She introduced mass immunization in the early 1920's by inoculating children at German Roman Catholic Orphanage against diphtheria during an epidemic. It was so successful that the state adopted the slogan ' 'wipe out diphtheria by 1930," and almost did. Dr. Kazmierczak served on the Board of Education from 1947 to 1957, and was president several years . In 1957 she was named New York State Medical Woman of the Year by the American Medical Women's Association. Dr. Mercer was president of his class. After interning at the Buffalo General Hospital he went into general practice. He still makes house calls, but has given up obstetrics. Dr. Newman is an ear, nose and throat specialist. He attended the New York Post Graduate School and studied a year in Vienna after graduating from the School of Medicine. He started practicing in 1922. He was known as "the doctor for the stars," since he was house physician for SUMMER, 1968 the Teck and Majestic Th eaters. As an undergraduate he worked as assistant sports editor for the Buffalo Times. As a medical practitioner he had many professional athletes as patients. Dr. Newman h elp found the Buffalo Speech and Hearing Center and serv ed 25 years as chief of the Buffalo Ear and Ey e Hospital. D Medical Society Honors Four .Lt\lumni Dr. Everett T. Mercer, M '18, D r. Gu yS . Alfano, presiden t of the Erie County Med ical Society, and D r. Morris E. Newman, M' 18. �People Dr. Rennie Dr. Theodore C. Flemming, M ' 37, is the new president of the Board of Presbyterian Homes of Western New York. H e is associate physician on the staff of Buffalo General Hospital and associate clinical professor in the School of Medicine. D A School of Medicine professor w ill travel to W ainwright, Alaska in July to join an international team studying the life of the Nomadic Eskimo . He is Dr. Donald W. Rennie , professor of physiology, who will be one of 13 American scientists in the 300-person Eskimo settlement at Wainwright. Canadian teams will study the Eskimos of the Northwest Territories, and Danish-French teams will study the Greenland Eskimos . Dr. Rennie said his part of the experiment will be to find out if Eskimos have a higher capacity for work than other persons . ' 'They maintain their physical stamina far longer in life than we do, and have a much lower incidence of heart attacks. They seem to adapt themselves very well to severe climatic conditions with relatively meager resources, " Dr. Rennie said.D Three alumni are on the board of directors of Lafayette General Hospital. They are Drs. Anthony W. Kozlowski, M '44, vice president; Victor C. Lazarus, M'45 , secretary; Mario L . Collura, M'57 , life membership to the board. Dr. Alexander C. Perlino was re-elected to a seventh term as president. Dr. Norman J. Wolf serves as treasurer. D 34 An oil painting of t he late Dr. D exter S. Levy, president of Millard Fillmore Hospital medical staff f rom 1964 to 1966, w as presented to the hospital February 8. Dr. Lev y, w ho died February 25, 1967, established a cardiac wing and a hyperbaric chamber at the hospital. The painting will hang at the nurses station in the cardiac wing. It was purchased by t he m edical staff Making the presentation to Leon C. Carson, hospital administrator (right), is Dr. Anthony C. Borgese, M '64 (left), and Dr. Jerald Giller, M '65. D THE BUFFALO M EDICAL REV I EW �Dr. John D. Fadale, M'18, was honored recently by the medical staff of Our Lady of Victory Hospital for his 50 years' practice in Lackawanna and almost as long at the hospital.D Dr. J. Edwin Alford, M'34, was one of two area physicians honored by the Niagara Falls Academy of Medicine at the 22nd Annual Clinical Day this spring. Dr. Erwin W . Gates of Niagara Falls was also honored. Dr. Alford is president of the American Board of Colon and Rectal Surgery. He was cited for ''pioneering efforts in developing the specialties of gastroenterology and proctology ." Dr. Gates is president of the American Diabetes Association and director of the Katherine Nye Bartlett Diabetic Teaching Unit at Niagara Memorial Hospital. He was cited for ' ' untiring efforts to further the education and treatment of diabetes. "D Six alumni are officers and council members of the Buffalo Gynecologic and Obstetric Society. The new president is Dr. Vincent J. Capraro, M '45. Dr. Harry E. Petzing, M'46, was named secretary, and Dr. Carmela S. Armenia, M'49, treasurer. Council members are Drs. Donald W. Hall, M'41, Robert V. Moesch, M'46, and Morris Unher, M '43. Dr. Lawrence Roth was named vice president and Dr. Norman Courly to the council.D SUMMER, 1968 The chairman of the department of psychiatry in the School of Medicine is one of three named to the nine-man Advisory Council on Community Mental Health Centers by Governor Nelson Rockefeller. He is Dr. S. Mouchly Small, who is also vice chairman of the Erie County Community Mental Health Board, Coordinator of the department of pyschiatry at Meyer Memorial Hospital and head of the department of psychiatry at Buffalo General Hospital. The Council is charged with implementing the state's plan for pro viding high quality comprehensive psychiatry care for patients in their immediate home communities. The first Community Mental Health Center in Buffalo w ill be at the Buffalo General Hospital. D The School of Medicine received $5.5 million for sponsored research last year. This is one half of the total of $11 million received by the university. Ten years ago sponsored research at UB was only $2.5 million, accordi!lg to Dr. Raymond Ewell, vice president for research. Currently there are about 500 research projects in the university covering 90 departments. About two-thirds of the research budget is allocated t o the Health Sciences. About 40 per cent of the universities' applications for research are accepted by government or private foundations .D Dr. G. J. Diesfeld, M'60, is the new president of the Wyoming County Unit of the American Cancer Society.D 35 Dr. Small �People Scientist, educator, consultant , author are among the activities of Dr. Ernest H . Beutner. H e is an associate professor of bacteriology and immunology in the Schools of Medicine, Dentistry, and Graduate School. Currently he is working on a research project with a Polish dermatologist, Dr. Thaddius Chorelski. They are collaborating on the development of a new diagnosis for pemphigus , a skin disease that is often fatal to 95 per cent of untreated patients. Dr . Chorelski sends material from patients of the Warsaw Dermatological Clinic by air to Buffalo, where Dr. Beutner studies them and applies his new technique in his laboratory. This close research relationship began three years ago after Dr. Beutner's published paper on antibodies that react to cause skin diseases. Dr. Chorelski read the article and started corresponding with Dr. Beutner. In July 1967 the two men met in Warsaw. Dr. Beutner has been a consultant in Panama, Brazil, and Paraguay. He contributes regularly to scientific journals and is currently working on two books .O Two alumni -Drs . Walter A. Ceranski, M'64 , and Thomas E. Pastore, M'66, - have been called into military service. Both are members of the Millard Fillmore Hospital staff.D Three Erie County physicians have been elected Fellows of the American College of Physicians, an international organization of specialists in internal medicine and related fields. They are Drs. Peter S. D'Arrigo , M '56, Irwin Friedman, and Lawrence E. Pierce.D 36 Dr. Vincent I. Bonafede , M' 30, director of Craig Colony School and Hospital, Sonyea , N.Y. , receiv ed a c ertificate of appreciation and a pin for 25 years of service in the Selective Service System. He served as medical adviser of Livingston County Board 72.0 Dr. Lloyd A. Clarke, M'39 , has been re-elected president of the medical staff of Linwoo d-Bryant Hospital. Dr. Harold Levy, M'46, is the new vice president .D Dr. Vincent J. Capraro, M '45 , hasbeenappointed visiting professor and guest lecturer at D 'Youville College. The obstetrician and gynecologist is on th e staff of Children ' s, Sisters, and Meyer M emorial Hospitals .O Dr. Clifford C. Furnas, president emeritus , has b een appointed vice chairman of the National Research Council. This agency w as organized in 1916 by the National Academy of Scienc es. O Dr . Kenneth H. Eckhert, M '35, was among fiv e citizens to receive the 1968 Brotherhood Award Citation from the National Conference of Christians and Jews. The citation said, "whose medical responsibilities have not blinded him to the wide range of social needs in the total community and whose leadership and vision h ave spurred others to face and accept the challenge of urban life." Dr . Eckhert is chief consultant of surgery at Deaconess Hospital and clinical instructor in legal medicine in the School of Medicine. O THE BUFFALO MEDICAL REVI EW �Dr. GuyS. Alfano , M'50, heads the Professional Division of the 1968 Torch Fund Drive. Last year this division attained 101.4 per cent of its goal. He has worked for United Fund Drives the past five years.D Mr. Dudley M . Irwin has been re-elected to his third term as president of the Buffalo General Hospital Board of Trustees at its 109th annual meeting. Other officers re-elected: Mr. Robert S. Scheu, treasurer; Mr. Raymond D. Stevens, Jr., secretary; and Mr. David J. Byers, assistant secretary; Elected for one year: Mr. Howard T. Saperston, Sr., vice president; Mrs. F. Sears McGraw, Jr. , second vice president; and Mr. Edmund P. Platt, assistant treasurer. D Dr. Warren Winkelstein Jr., professor of preventive medicine, and his associates will use air samples from 21 stations for an air pollution study involving sub-atomic bombardment of air samples. A two-year $121,567 contract has been awarded to the Western New York Nuclear Research Center at the University for this study .D Dr. Pasquale A . Greco, M'41, chief of the urology department at Millard Fillmore Hospital, is the new president of the hospital ' s medical staff. Dr. Donato A. Carbone, M'46, is the new secretary. Two other alumni, Drs. Paul A. Walczak , M'46, and Kenneth A. Kelly, M'50 , were elected to the executive committee. Dr. John K. Dustin was named vice president, and Dr. Louis Lazar will be the new treasurer. Dr. Richard T. Johnson was also named to the executive committee .D SUMMER, 1968 President Emeritus Clifford C. Furnas is the 1968 recipient of the Chancellor's M edal. It w as awarded at Mid-Year Commencement Feb . 12 . Established by the bequest of Charles P . Norton, chancellor of the University from 1909-1920, the Chancellor Norton M edal is the most sp ecial of honors the University bestow s. It is r eserved, in the words of Norton, " for some citizen who has performed some great thing. ' ' Other conditions for the aw ard as set forth in the b equest are that it should ' 'p ersonify civic patriotism and vivify public servic e ," and that the deeds for w hich it is awarded should " dignify th e performer and Buffalo in the eyes of the world. ' ! In concluding the citation address w hich traced Dr. Furnas ' career in education, government at the Cornell Aeronautical Lab oratory and at the University , President Martin Meyerson said: " W e have before us now the picture of a man who has done for Buffalo and the nation-not just one 'gr eat thing ' but a series of great things. For these contributions and for his t welve years that transformed the Univ ersity, our m ed alist today is an outstanding selection. ' ' . . . I ask him now to step forw ard to this spot from w hich h e himself has aw arded this highest distinction to the leaders of our community . . . the University honors itself as it awards the Chanc ellor Norton M edal to a scientist , educator, man of lett ers , nati onal public servant , architect of today ' s University."D 37 D r. F urnas �lin •rmnriam Dr. William J. Orr, M'20, died February 14. He had taught in the School of Medicine since 1924, rising from assistant to clinical professor of pediatrics. His long-time leadership brought national recognition to himself, Children's Hospital, and the University. Dr. Orr had cared for three generations of children, taught two generations of medical students . He also found time to serve his community and his University. He had been chairman of the Erie County Medical Society's Advisory Committee on Polio since the early days of the Salk Vaccine. Dr. Orr was the former president of the Society, as well as the 8th district branch of the State Medical Society, the Buffalo Academy of Medicine. the Children ' s Hospital Medical Board, the General Alumni Board (1953-54) and the Medical Alumni Association of the University. Dr . Orr headed the Medical Division of the University's centennial drive more than 20 years ago. In 1962 the Buffalo Pediatric Society honored him for his " outstanding contribution to pediatrics and for his important role in establishing Buffalo as a pediatric center.'' He was elected to the Council of the University in 1956 and was appointed to that body by Governor Rockefeller when the University became affiliated with the State University. During the later years of the University's existence as a private institution, it became obvious that the Medical School needed an increased budget to meet the burgeoning needs of the times. Dr. Orr helped found the Annual Participating Fund for Medical Education, through which area 38 physicians contributed to the support ofthe school' s basic science departments. H e served for several years on the executive committee of the fund. Many diseases once co mmonplace among children declined and virtually vanished during his lifetime . Dr. Orr rejoiced particularly in the eradication of polio by the Salk and Sabin vaccines. In 1956, The Buffalo Evening News named him one of the year's 10 outstanding citizens for helping to obtain an institution for mentallyretarded children in West Sen eca. Two years later the University honored him with its Samuel Paul Capen Alumni Award. Dr. Orr interned at Buffalo General Hospital and served as a resident physician in pediatrics at Children's Hospital. He subsequently spent two years at Johns Hopkins H ospital and Medical School in Baltimore. Upon returning to Buffalo he joined the faculty and the staff of Children 's Hospital, where he was an attending pediatrician. He was also an assistant at Meyer Memorial Hospital and a consultant at Mercy Hospital. Dr. Orr was a charter memb er of the Pediatric Travel Club, a small selected club of pediatricians throughout the United States. He was a member of the American Medical Association. In the State Medical Society he served as a delegate and a member of the co-ordinating committee and the committee on maternal and child welfare. For three years he was on the editorial board of the State Medical journal. He was named national chairman of the scientific program of the American Academy of Pediatricians in 1950. (continuedJ THE BUFFALO MEDICAL REVIEW �He served as a member of the executive committee of the Community Chest, was chairman of the Western New York Child Health Study Committee and was a member of the Health Committee of the Council of Social Agencies. Dr. Orr was a past president of the Buffalo and Erie County Tuberculosis Association. He was also a member of advisory committees of the Western New York Cerebral Palsy Association and the Buffalo and Erie County Infantile Paralysis Foundation. He was chairman of the American Academy of Pediatrics' Committee for Control of Infectious Disease in New York State.D Dr. Henry J. Siedler died March 30. The 93-year-old physician retired in the late 1940's after practicing for 48 years. After studying medicine at Niagara University School of Medicine for two years, he transferred to the University of Buffalo where he received a pharmacy degre e in 1897 and his m edical degree in 1900. He interned at Sisters Hospital. Dr. Siedler started his practice Sept. 6, 1901 the day President William McKinley was shot by an assassin at the Pan-American Exposition in Buffalo .D Dr. Arthur S. Huebschwerlen, M'19, died March 28. The 75-y ear-old gen eral practitioner retired about one year ago. He had practiced in Buffalo several years before moving to the Town of Tonawanda. For the last five years h e worked for the Buffalo Red Cross Chapter 's Blood Bank. During World War II he was a surgeon aboard a Army hospital ship in the Atlantic. He was a SUMMER, 1968 major when he retired from the army. Dr . Huebschwerlen was a member of several local and state profess ional organizations. 0 Dr. George P. Eddy , M'19, died February 27. He was medical director of the Carborundum Company from 1930 until he retired in 1967. He was made a Fellow of the Industrial Medical Association in 1955 for his outstanding work in this area. Dr. Eddy was also a past pres ident of the Western New York Society of Industrial Medicine and Surgery. He was also a member of several local, regional, and national professional organizations .D Dr . Wm Oakley Hill, M'15, died March 16. The 75-year-old surgeon retired in 1961 when he was injured in an automobile accident. He began his medical career as a r esident surgeon at Deaconess Hospital in 1916. This was followed by eight months as resident physician at the former Ernest Wende Hospital. Then for two years h e was house and resident surgeon at the New York Postgraduate Hospital. During World War I hewas a first lieutenant and served as orthopedic and general surgeon at Walter Reed H ospital, Washington , D.C. He returned to Buffalo in 1919. Dr. Hill was on the consulting staffs of Deaconess and Millard Fillmore Hospitals. He was a member of several local , state, regional, and national professional organizations . One of his surviving brothers, Dr. Joseph M. Hill of Dallas , Texas , is a 1928 graduate of the School of Medicine. D 39 lu ilrmnriam �lin .tlrmnriam Dr. Willard H. Cleveland, M'34, died February 11 in Cocoa, Florida. The 58-year-old ophthalmologist practiced in Buffalo from 1954 to 1960. While in Buffalo h e was on the staffs of Buffalo General, Millard Fillmore and Children'sHospitals. He interned as a pathologist at Meyer Memorial Hospital and became clinical pathologist in St. Croix, Virgin Islands, in 1939. In 1941 Dr. Cleveland enlisted in the Army at San Juan, Puerto Rico . He was commissioned a Lieutenant and served in the European Theater. Following VE-day he went to the Pacific and was stationed in Japan from 1945 until 1947. He was decorated with the Legion of Merit by the Army for his service in Japan . When h e returned to the states he was stationed at Fitzsimmons General Hospital, Denver, Colorado, at Pres idio , California, and Ft. Sill, Oklahoma. He resigned his commission as a Lieutenant Colonel in 1954 . Dr. Cleveland was a Diplomate of the American Board of Ophthalmology and a Fellow of the American College of Surgeons .D Dr. Harlan G. Vowinkel, M'33, died February 6 of a h eart attack in his office . Th e 59-year-old orthopedic surgeon was an attending surgeon at Deaconess Hospital. He had b een in private practice for 30 years. Dr. Vowinkel was also a consultant to Gowanda State Hospital and th e New York State Division of Vocational Rehabilitation. He was active in several local, regional, and national professional associations. One of his main hobbies was trap and skeet shooting , and he was active in several rifle clubs and associations .D Dr. Harry S . Howard, M'34, di ed April 2, 1967. After spending seven years in the practice 40 of general medicine in the city of Buffalo , he took a r esidency in Psychiatry at the Kalamazoo State Hospital in Kalamazoo , Michigan. Completing this h e b ecam e a m ember of the staff there and was head of the Female Receiving Unit. In 1948 he became a Diplomate of the American Board of Psychiatry an d Neurology and moved to Delaware where he became Director of the Mental Hygiene Clinics for the State of Delaware. H e was a past pres ident of the Delaware Psychiatric Association; a member of the Delaware Academy of Medicine; a member of the New Castle County Medical Society; and a Fellow of the American Psychiatric Association . H e was Consultant for the Vet erans' Administration Hospital in Delaware, as well as Con sultant to the Youth Services Commission of Delaware; The State Psychiatrist ; a memb er of the teaching staff at the University of Pennsylvania Medical School; Psychiatrist for the Half-Way H ouse for released prisoners which is operated by th e Correctional Council of Delaw are; and Consultant to the W oodsh aven-Kruse Schools for Delinqu ent Girls . H e was also consulted by many school officials and judges throughout the state of Delaware in handling cases of emotionally disturb ed youngsters and adults . In the course of his career , Dr . Howard personally handled the problems cases of thousands of sc ho ol children and adults . A t one time h e w as acting State M ental Health Commission er of Delaware . Dr . H oward also carried on a private practice in psychiatry in Delaware , Maryland and P ennsylvania. H e is surv ived by his w ife, the former Anne G. Ehrinpries, two daught ers, and a son. D THE BUFFALO MEDICAL REVIEW �-..A-futnni Sutntner 6 Counlrieo - 22 :lJa'Jd - ~our Pan American Ju!'J 24 - Auguol 14, 1968 Scandinavian Countries [Norway, Sweden, Denmark] plus England, Germany and Holland price under $898.00 per peroon ($50.00 deposit- Final Payment, June 12, 1968) For further information please write: SUMMER TOUR Alumni Office 250 Winspear Avenue (716) 831-4121 SUNYAB Buffalo, N.Y. 14214 The Genera l Alum ni Board Execu t ive Committee WELLS E. K NIBLOE , '50, President; ALE XANDER P. AvERSANO, '36, President-Elect; M. RoB ERT KoREN , '44, V ice-Presiden t for Adm in istra t io n; THEODORE J. BERGER, '62, V ice-President for Associations and Clubs; CHARLES J . WIL SON, JR., '57, V ice-President for Development; M ICHAEL F. GUERC IO, '52, V ice-President fo r Activities and Athletics; J o HN J. STARR, JR., '50, Vice-President for Public Reiations; HAROLD J. LE VY, '46, Treasurer; STU A RT L. V AUGHAN, '31 , Immediate Past-President . �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Partllerl' Press, lrw.:. ,.._,14 Abgott &Smiltl l'mlin& � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Summer 1968 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1968-Summer Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.267 Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1968-02-Summer Table Of Contents A list of subunits of the resource. Medical Alumni Officers The Meyer Memorial Hospital Australian Medical Practice Emergency, Mercy Hospitals Intern Matching APFME Scholarship Winners Proposed Amherst Campus APFME Officers Medical Alumni Association Spring Clinical Days Mental Health Center Telecommunication Network $357,761 Grant to HOWNY MD-PhD Program Pollution, Respiratory Study APFME Summer Fellowship People Medical Journal Honors Dr. Rubin Medical Society Honors Alumni People In Memoriam Scandinavian Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-28 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v02n02 Extent The size or duration of the resource. 44 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1b2276d1f4428f13d32113e134f80661.pdf a2e57f31395326f93caec444b558ae04 PDF Text Text The Buffalo Medical SPRING, 1968 Volume 2, Number 1 THE ScHOOL oF MEDICINE STATE UNIVERSITY oF NEw YoRK AT BuFFALO �The Cover : Our cover picture shows thre e university medical students in confe rence with a physician and a nurse at The Buffa lo General H osp ital. U niversity Photographer Donald D . Glena cap tured more of this unique " m edical partnership " on film (pages 7-11). A similar story picturing the involvement between th e Sch ool of Medicine and Meyer M emorial Hospital w ill appear in a fut ure issue. THE BuFFALO MEDICAL REVIEW, Spring, 1968 - Volume 2, Numb er 1, published quart erly Spring, Summer , Fall , Wint er-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street , Buffalo, New York 14214. Second class postage paid at Buffalo , New York. Please notify us of change of address. Copyright 1968 by th e Buffalo M edical Review. �. SPRING, 1968 Vol. 2, No. 1 EDITORIAL BOARD Editor RoBERT S . McGRANAHAN Managing Editor MARION MARIONOWSKY THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo Dean, Schoof of Medicine DR. DOUGLAS M . SURGENOR Photography THOMAS J. CROWLEY DONALD D . GLENA Medica/ Illustrator IN THIS ISSUE MELFORD D. DIEDRICK Graphic Artist RIC HARD MACAKANJA Secretaries FLORENCE MEYER MADELEINE WATERS CONSULTANTS President, Medical Alumni Association DR. CHARLES F. BANAS President, Alumni Participating Fund for Medica/ Education DR. JoHN J. O'BRIEN Associate Dean for Continuing Medica/ Education DR . HARRY J. ALVIS Director, Continuing Education in the Health Sciences L. DR . MARVIN BLOOM Director o f Public Information CHA RLES H. DICK Assistant Director of Alumni Affairs DAVID M. KRAJEWSKI Director of University Publications ROBERT T. MARLETT Director, University foundation DR. WILLIAM J. O ' CoNNOR Associate Director of Univers ity Publications THEODORE v. PALERMO Vice President for University Relations DR. A. WEST L EY RoWLAND 2 4 6 7 12 15 16 18 20 22 23 24 26 30 32 37 38 45 48 49 $600,000 Physiology Grant Student Convocation Immunology Center Medical Partnership Continuing Education International Medicine Head and Neck Program Mexican Summer APFME Members APFME Fellowship Alcoholism Institute Spring Clinical Days Medical School, 1920 Neurobiology Unit Finland Sabbatical Alumni Banquet People In Memoriam Letters Scandinavian Tour �Physiology Department Receives $600,000 Grant Dr. Farhi has been awarded one of the first "Project Themis" contracts for the study of man and his environment. The $300,000 a year contract for a minumum of two years is from the Office of Naval Research of the United States Department of Defense. Dr. Leon E. Far hi, professor of physiology, will head the project. Working with him will be Dr. Hermann Rahn , chairman of the physiology department, Dr. Edward H. Lanphier, associate professor of psysiology and Dr. Donald W . Rennie , professor of physiology, and other faculty members. ' 'Project Themis'' covers a center of excellence type program designed to strengthen the scientific and engineering capabilities of selected academic institutions and enable them to carry out high quality research . A total of 50 proposals were THE PHYSIOLOGY DEPARTMENT selected from 479 submitted by 171 institutions. Eight of the 50 are in the medical and paramedical sciences. The contract to the School of Medicine is one of the first 17 awarded. Dr. Farhi said, " the r esearch program will explore problems of abnormal pressures , temperatures, gas compositions and gravity. It will range from the effects of exposure to high altitudes to the survival and performance of man in the sea.' ' The University will build an addition of approximately 1 ,300 square feet adjacent to Capen Hall. ThB new facilities will include a human centrifuge , a circular submersion tank, and a very high-pressure chamber with a capacity equivalent to 1,500 feet of water . The chamber will have a wet compartment which will not only allow the subject to be exposed to the pressure changes but to the actual water environment encountered during a dive. The building will be completed in the fall of 1968 . The program will remain on the Main Street campus following the university move to Amherst. One of the environmental conditions to b e studied is exposure to high altitudes . Dr. Rahn , when starting his career in physiology , was one of the first scientists in the nation to study human requirements during ascent to altitude. Another study will be survival and performance of man in the sea, an area of continuing department interest. Both Dr. Rahn and Dr. Rennie have conducted fie ld expeditions to Korea to study women divers. The department 's interest in high pressures , under Dr. Lanphier's guidance , radiates into the community. B THE BUFFALO MEDICAL REV I EW �The central laboratory in the new complex will enclose the centrifuge, submergence facility and running track. The centrifuge will permit animal experimentation a·s well as work with humans. The circular submergence facility, placed around the centrifuge pit, will have an outside diameter of approximately 70 feet, a depth of 8 feet and a width of 8 feet. This design allows swimmers to swim for long periods of time without having to turn around, as would be the case in a conventional pool. In addition, the centrifuge motor will be able to run at extremely low speeds. This will allow a rotating platform to precede or follow the swimmer and obtain valuable measurements. It is also possible to use this system to pull a swimmer through the water, measuring the drag. At intermediate speeds, the monitoring platform will be used to obtain measurements on subjects running on a banked track outside the submergence facility. The speed of the monitoring platform will be adjustable, allowing either to impose a pre-selected speed on the runner or swimmer, or to follow the subjects at the rate they select spontaneously. The novel design of this combined facility will lead to substantial savings in area and costs and will also bring into closer contact scientists working on different aspects of environmental physiology. The high pressure chamber, which will be able to simulate dives to 1500 feet below sea level is shown in an adjacent room, with its dry and wet compartments. SPRING, 1968 Not shown . in this architect's drawing is the central computer room. This will receive signals from any of the various laboratories and process them instantaneously. The results will be transmitted immediately to the experimental laboratory so that the researcher will be able to determine the need for additional measurements or modifications in the setup .• 3 �Dr. Thomas McKeown Speal~s at Student Convocation EsPITE INCREASED S PECIALIZATION in the medical field, we do want personal medical care. And most people need the continuing care of one physician. '' That 's what a British medical authority told the 400 medical students at the annual convocation. ''D Dr. Thomas McKeown, professor of social medicine at the University of Birmingham, said that ''most of us come into medicine , which is already fixed in a definite framework.' ' Dr. McKeo wn He suggested that students maintain a broad outlook and recognize the need for progressive change. ''Th e first profound change in medicine came with the construction of hospitals ,'' Dr. McKeown said. " There ought to be some degree of specialization in all forms of medical practice. But specialization can go too far, resulting in the loss of personal care and loss of care at home. " We should be able to diminish the role of the doctor as a family adviser , particularly when the doctor's role is required for all members of a family unit." Dr. McKeown stressed the importanc e of continuity of medical care between the hospital and home . He also indicated that physicians should accept the responsibility for care of the elderly, sick and pyschiatric patients in the home. In some 4 Medical Alumni Association Presiden t Dr. Charles F. Banas presents out standing achievem ent award to Gerald E . Daigler. areas there is a gulf between medical care within and without the hospital. ''It is difficult to predict how m edical practice will change in the next 50 to 100 years. No one person has all the answers ," Dr. McKeown concluded. THE BUFFALO MEDICAL REVIEW �Eighteen academic awards were presented to medical students at the annual conv ocation. Dean Douglas M. Surgenor, Provost of the Health Sciences Faculty, presided, and pre.sented most of the awards, except as noted. The Pfizer Award for highest achievement in all three years went to Mr. Jonathan C. Reynhout. He also received the Children's Hospital Award for highest demonstrated excellence in understanding disease in childhood. Miss Madeline J. White also received two awards. The Kornell L. Terplan Award for outstanding proficiency in Pathology in the second year was presented to her by Dr. Terplan, professor emeritus of Pathology. The Roche Laboratories Award for outstanding academic achievement in the first and second years was also presented to Miss White. Another double-award winner was Mr. Jeffrey G. Rothman - the Wayne J. Atwell Anatomical Award for highest achievement in Anatomy in the first year, presented to him by Dr. Oliver P . Jones, Chairman of the Anatomy Department and the Annual Participating Fund for Medical Education Award for outstanding achievement in the first year. The Merck & Co. Award for outstanding achievement in medicine in the third year was won jointly by Mr . John D. Stobo and Mr. Robert L. Dickman. The Farney R . Wurlitzer Award went to Miss Suzanne M. Sgroi. This was given for outstanding work in Psychiatry in the third year . Dr. Charles F. Banas , president of th e Medical Alumni Association , presented the Alumni Association Award for outstanding achievement in the third year to Mr. Gerald E. Daigler. The Mosby Company Award for high est p erformance in previous Medical School work w as won jointly by Messrs . Law rence J. Dobmeier , Stuart C. Spigel, Daniel Mandelbaum , Lawrence S. Greenberg, and Brian A . Boehlecke. The Lange Award for second highest performance in previous Medical School w ork was giv en to the following: Messrs. Raphael A . Martinis , Charles P. Yablonsky, Samuel Weissman, David H. Atkin, Russell P. Massaro , and James K. Smolev. Mr. Reynhout, Mr. Dobmeier, Mr. Martinis and Mr. Yablonsky were inducted into A lpha Omega Alpha, National Medical Honorary Society .• Dean Douglas Surgenor congratulates Jeffrey G . Rothman, winner of two awards. �A Center for Immunology Dr. Witebsky There will be a new Center for Immunology in the School of Medicine. Dr. Ernest Witebsky, distinguished professor and former chairman of the bacteriology and immunology department, will be the Center's first director . Dr. Douglas M. Surgenor, prov ost for Health Sciences and dean of the School of Medicine, said, ''by establishing the new Center for Immunology the University shows its commitment to the field of immunology. We are confident that this will attract new support for continuation of Dr. Witebsky ' s investigations on the basic immunological aspects of various diseases including cancer immunology and auto-immunity, the new concept of disease caused by sensitization against one's own tissue, transplantation of organs, and blood transfusion. ''The new Center will preserve and further encourage immunological research in Buffalo. It will serve as the focus for immunology and will provide a stimulating atmosphere to foster research collaboration in immunology between all departments in the School of Medicine, the Health Sciences, and those in the medical community interested in immunology. ''We are in the process of changing the name of the department of bacteriology and immunology to the department of microbiology to reflect the importance of building new strengths in the broad field of microbiology for the Health Sciences.'' 6 Dr . Witebsky said, " the emphasis will be on in-depth study and high quality performance on a teamwork basis . We will continue to perform our basic studies on the nature and manife stations of immunologic responses , to better understand the factors responsible for the resistanc e or lack of resistance against disease . We will also attempt to aid in closing the gap betw een the results of research obtained in the laboratory and its direct application to the patient. ' ' The new Center will have many members of the bacteriology and immunology department- Drs. Felix Milgram, James F. Mohn , Noel R. Rose, Ernst H. Beutner, Almen L. Barron , and Joseph H. Kite, as well as many investigators from other departments who are involved in immunological research. Existing teaching programs will be supported and graduate and postgraduate teaching w ill be extended. The new Center will also participate in improving the service functions for hospitals and for practitioners in medicine and dentistry through the introduction of new diagnostic and therapeutic procedures . In connection with the n ew Center, the W orld Health Organization will establish a regional reference center for the Americas to aid in the research, teaching, and training of this large area of immunology. • TH E BUFFALO M EDIC A L REV IEW �B ET TER H EALTH through affiliation has been the 113-year-old theme of The Buffalo General Hospital and the School of Medicine. Both have this common goal. By working togeth er, in teachinglearning situations, better health has come to the community . From the day it was fo unded in 1855 (nine years after the Medical School) The Buffalo General Hosp ital has b een known as a ' 'teaching ho spital ,'' but the care and we lfare of the patient has always been paramount. Through the years The Buffalo General Hospit al staff has been devoted not only to the patient, but also to the teaching and training of futu re phys icians - medical students. A lmost without exception , the doctors at The Buffalo General Hospital were faculty m emb ers of the School of Medicine. The executive committee of the m ed ical board of The Buffalo General Hospital (s tanding) - Dr. E van Calkins, Dr. James C. Brennan. Dr. Richard W . Baetz, Dr. Clljde L . .Rand all, Mr. Rudolf G. Hils. (Director of The Buffalo General Hospital ), Dr. W alter T . Murphy, Dr. ]. Ed win Alfo rd , Dr. E verett H. Wesp; (s eated ) - Dr. Robert Brown (School of Medicine representative ), Dr. Richard H . Adler, D r. Robert Blum , Dr. William F. Lipp, Dr. John R. Pai ne, and D r. Theodore T . Jacobs. Dr. Ed ward F. Driscoll was not available wh en this picture was taken. i - A Medical Partn~rship �Partnership contin ued Making the ro und s together is an im portant part of medical education. D r. R ichard Egan, associa te cli nica l prof essor of surgery, att ending surgeon (center) cha ts with st udent s, intern s, and res id en ts. A n !'xchange of ideas in a ward with D r. Winfield B utsch , associate clinical profrssor of surgery, attendin g surgeo n (business s uit). D r. ]. S. Park, residen t; D r. Madeleine Melencio, an intern; and ] onatltan Pain e, junior medica l student. Dr. Taefi (left) observes as Charles Yab lonsk y and Kenneth Eckhert, Jr., senior m edical students, exam ine a patient. D r. jules Constant, assistant professor of m edicine, instructs David Bell in an emergency cardia-version . Senior Micah Kaplan studies in the hospital library. �Dr. Ramesh C. Gupta, assistant clinical instructor in surgery, and Dr. Quintiliano A. Melgarejo, an intern, " talk shop" in the hospital cafet eria. Senior David Kramer relaxes between operations. Two new babies are examined by Robert Baltimore and Anthony Bonner, senior medical students. D r. Samuel Arm st rong, assistant clinical inst ructor, and Arthur D eAngl'lis, j unior med ical student, givi ng a tran sfu sion. A resident, an intern and two students discuss x-rays . �W illiam senior head of the d epartment of surgery. Senior John Reynhout calls from the hos pital lounge. Two senior medical students, Eric Juditz and John C. Bivona, Jr., examine a "mother to be." Miss Marion Bowman, assistant head nurse in charge of the outpatient ward, visits with John C. Bivona, Jr. Informal discussions are important in the teacl1 ing- learning process. Senior medical students, Rob ert Baltimore, Anthony Bonner, John C. Bivona, J r. and D r. Parviz Ta efi , senior resident and assistant clinical instructor in obstetrics and gyn ecology. Dr. Taefi is seco nd from left. �''One of our major objectives is to help educate medical students - tomorrow 's ph ysicians . We are concerned that the medical student develop into a careful , dedicated physician. We also have on-going research to deve lop new tech niques and methods which will be disseminated for the benefit of all patients," Dr . Theodore T . Jac obs , Associate Director of Th e Buffalo Gen eral Hospital and Assistant Clinical Profes sor of Surgery at the School of Me dicine, said. On the f ollowing pages we hav e tried to capture th e junior and senior medical students in '' observing-learning " clinical situations in the departments of medicine , surgery, obstetrics and gynec ology. The depth of involvement between the two institutions goes beyond to almost every room , ward , and lab oratory in the hospital. It involves many people - students, professors , doctors, interns, residents, nurses, technicians, and staff personnel at all levels. This long "partnership " has added luster to both institutions. One has complemented the other. And the common goal of better health through affiliation has been projected into the 21st century. Partnership Conti nued �knowledge and skills, and to reduce the time-lag between medical discoveries and their application. Of this original group , Dr . A. H. Aaron , M '12, of Buffalo and Dr. Edward A . Sharp , M '98 , of Chicago are still in active practice. Continuing Medical Education Dr. Alvis (right) presents bookends to Dr. Aaron for inaugu-rating continuing medical education. many advanc es in medicine and the importance of phy sicians continuing their education throughout their active professional lives becomes more evident each day. The slogan 'Forty Years, Not Four' aptly describBs medical education from now on." In these words Harry J. Alvis, M.D., associate dean for continuing medical education, presents a rationale for the activity he heads and suggests why it is enjoying an exciting phase of development . The program, launched in 1921 by seven farsighted physicians who recognized the need for what they termed refresh er courses, has had two primary purposes: to help physicians im.provetheir , ' T HE TIMES A H EAD PROMISE 12 The 79-year-old Dr. Aaron spearheaded this program until 1949 on a volunteer basis . H e w as secretary of the group that set up the first tw oweek course of lectures, clinics, and demonstrations. This group r ec eived permission fr om the School of Medicine to hav e short sessions on advances in medicine, surgery, gynecology and obstetrics. It proved so successful that a second course was offered on a similar basis in 1922. The following year the University took over the cours es , making them a permanent feature of th e School of M edicine . " But through the years and especially recently there has b een a marked change in configuration of programs ," Dr. Alvis said. ' 'Many years ago it w as assumed that exp erts in the city educated the m en from outlying areas , intimating that ther e w as an appreciable information gap between the two groups. Then , the emphasis tended to shift toward programs for specialists. Although the information gap is greatly narrowed and programs of both typ es are still presented, today there is a trend to present multi-discipline programs with p eop le from various specialties discussing the contribution their specialty can mak e to a specific medical program. A program of this kind is the one presented last fall on Pulmonary Emphysema at which chest physicians , pathologists , radiologists and surgeons all participated. TH E BU FFALO M ED ICAL REVIEW �''A more recent development is the multidisciplined program which approaches a subject with the idea of giving all members of 'the health sciences team' a common understanding so that personnel trained in the various fields can more intelligently coordinate their efforts. Such a program was The Rehabilitation of the Stroke Patient , also presented last fall. Those taking part included neurologists, specialists in physical medicine, specialists in rehabilitation, nurses, physical therapists, occupational therapists, speech therapists, psychologists, rehabilitation counselors and social service personnel," Dr. Alvis said . In addition to these short term programs of one to five days' duration, new ways of conveying information are being explored. Broadcast television was first used h ere by Dr. Marvin L. Bloom, currently director of continuing education for the health sciences. Beginning in 1963-1964 , he has presented a series of medical television programs, first locally and then, beginning in 1966, by educational television stations in Syracuse and Schenectady as well as in Buffalo. Plans call for expansion of the network of television stations affiliated with the State University so that eventually the broadcasts can reach 85 per cent of the people. Another means of communication soon to be employed is the two-way conference network, using telephone or radio facilities or a combination of the two. Such a network is now in the planning stages of the Regional Medical Program and if present plans materialize, the network will be available for programs in continuing medical education shared by physicians associated w ith hospitals throughout Western New York. Finally, there are opportunities for individual participation in various departments of the School. Looking to the future , Dr. Alvis comments , "modern communications and 'the information explosion' make it safe to predict that the practicing physicians will enjoy a broad array of opportunities for keeping well informed and practicing truly modern medicine. At the same time the doctor's patients and various licensing bodies will exert pressure on him to keep up to date. A typical audience fo r continuing m ed ical education. �opportunity to update one's medical concepts in a systematic manner without risking the disintegration of one 's practice and loss of one 's livelihood." The fall session of the Continuing Medical Education Program offered programs on eleven topics, some for the general practitioner , some for the specialist , and some of an interdisciplinary nature. The winter and spring session included fourteen programs and plans for 1968-1969 are now being formulated . The remaining schedule for the current winterspring session: March 1 and 2 - Surgical and M edical Aspects of Urology . March 7, 14 and 21 - Emotional Problems in the Office Practice of Medicine . March 15 - Current Topics in Liver Disease. March 21 , 22 and 23 - Allergy: Basic Immunologic and Clinical Aspects. April 2 - Neurology Seminar Day. Th e main s peaker cla rifies a point during a coffee break. · ' Such developments w ill hav e an indirect impact on the format of medical practice . In the future it app ears likely that more and more individual practitioners will relinquish their solitary practice and practice in groups. The fears of individual practitioners abo ut their status in group practic e have not b een realized and many advantages have become appar ent. The advantage most immediately relevant to continuing medical education is the 14 April 3 and 4 - Gynecology and Obstetrics. April 5 and 6 - Thirty-First Annual U .B. A lumni Spring Clinical Days. April 26 - Anesth esia. April 27 - Respiratory Intensive Care. May 2 and 3 - Indications for Surgery. May 9 and 10 - Cardiology. May 16 and 17- Trauma. May 23 and 24 - Brain Scanning with Radioactive Isotopes .• THE BUFFALO MEDICAL REVIEW �w as born in 1964 in the School of Medicine. Its main purpose is the diss emination of information on world health problems . Several medical students , who shared a common inter est in international h ealth, decided to form the organization to enc ourage m edical and health related professions personnel to inv olve themselves in the w orld community . T HE soci ETY o N IN TERN A TIONAL M EDICINE Miss Barbara Blase, president of the society, told about the organizati·o n at th e Student A ffairs session of th e Americ an Association of M edical Colleges Conferenc e in N ew York City. She highlighted the summer fellowship program whereb y fellow students spend their summers abroad w orking in underdev eloped areas. Last summer Barbara worked with a public he alth unit in central M exico treating leprosy patients . ' 'Also last summer w e invited a young man from Greece to come to Buffalo to participate in a clerkship at one of our hospitals ,'' Miss Blase said. During the first year th e organization grew to include among its memb ers doctors , dentists , nurses, medical technologists, social workers , and of course, many medical s tudents. The Society held monthly meetings at which guest speakers , renowned in the field of international health, presented interesting experiences. A list was published of summer foreign opportunities for stud ents, and the School of Medicine w as approached for its support in these international ventures. The medical school respond ed favorably and granted fellowships for clinical work SPRING, 1968 abroad. During the last three summers m embers of the Societ y have worked in Nigeria , Gabon, Paraguay , Guatamala , Costa Rica , Israel, Liberia, Mexico, Puerto Rico , Thailand , and Vietnam. Our students have returned w ith enthusiastic reports of their experiences and r ecommend them highly to others. " From the v ery beginning it w as our desire to interest students in other medical schools in what w e w ere doing. W e sent letters to the deans and student presidents of all the medical schools in th e country explaining our purpose and asked if any of their students shared our interest. We were gratified to learn that at a few schools there already were similar organizations . W e als o b egan to publish the JO URNAL OF INTERNATIONAL HEA LTH, an infant publication only thre e issues old, w hich is sent to the dean and library of every medical school in this country, many fo reign medical schools, and any individual w h o requests to be put on our subscription list. " This year, our Society on Internation al M edicine at Buffalo became an associate m ember of the Int ernational F ederation of M edical St udent A ssociations (IFMSA) . IFM SA is compris ed of m edical student associations from Europ e , A frica, Asia, and the Americas . Among its many excellent functions is a well-organized student ex change program for the memb er nations. Now that our Society has b ecome a m ember, we are eligible to part icipate in this exchange pro gram a nd are eager to do so, " Miss Blase said.• 15 S ociety on International Medicine �The three main areas of the program are: diagnosis , general surgical principles and techniques, and plastic reconstruction. Dr. Lore' (seat ed) makes his point - "total patient care is essential. " The Head, N eel~ Training Program A BROAD AND FORWARD-LOO KING head and neck training program and service now in effect at the Buffalo General Hospital will soon be instituted at the Children's Hospital. The program , initiated and implemented by Dr . John M. Lore' , Jr., head of the division of otolaryngology, and Dr. John R. Paine, chairman of the department of surgery, has combined under one service all disciplines involved in the total care of patients with surgical disease of the head and neck - otolaryngology, general surgery , plastic surgery , oral surgery. The field today appears to be so fragmented that few, if any, institutions and centers of learning appear equipped to utilize the skills of the various involved specialties. This has prov en to be detrimental to good patient care as well as good teaching. 16 Diagnosis , which must alway s come first, is under Otolaryngology . It includes anterior and posterior rhinoscopy, nasopharyngoscopy (both mirror and with the nasopharyngoscope), mirror and direct laryngoscopy, otoscopy , hearing testing, vestibular testing, bronchoscopy , and esophagoscopy, digital palpation of the oral cavity and the neck. Also, adequate of training and experience in the management of masses in the neck where the primary lesion is beyond the scope of ordinary palpation and inspection. Needle aspiration or open biopsy should b e undertaken only after adequate diagnostic procedures listed above have been carried out. The common practice of some surgeons of first taking biopsy of a cervical lymph node or mass often spreads cancer and makes subsequent radical neck surgery impractical. General surgical principles and t echniques , under the general surgeon , is necessary to push forward the frontiers of surgery of the head and neck , i.e. , reconstruction of the esophagus using transplanted colon or vascular r econstruction in the head and neck using the technique of general vascular surgery. The ability to handle major complications is based on general surgical background; continued contact and experience is necessary. In plastic reconstructions , surgery of the h ead and neck not only includes tumor removal but reconstructive surgery follow ing r adical operations for cancer, trauma , and congenital abnormalities. The surgeon training in reconstructive surgery contributes his knowledge and experience in this THE BUFFALO MED ICAL REV IEW �field to the comprehensive care of the patient and to the training program. Each member of the attending staff has demonstrated special competence in his field of surgery, plastic surgery, chemosurgery, oral surgery, otolaryngology, general surgery. A radiotherapist also participates in the clinic conferences where he discusses choice of therapy relative to malignant lesions. Resident coverage is provided by both general surgery and otolargyngology residency training programs. Patients are admitted directly from out-patient clinics. Attending physicians assigned to the service may also admit their private patients and present problem cases at the clinic conferences . Material covered by this service includes all major surgery of the head and neck - malignant and benign tumors , severe and extensive trauma, significant congenital anomalies, major infectious processes. It does not include neurosurgery and ophthalmology . Continuity of patient care and training of residents is achieved through the year-round assignment of attending physicians. The joint clinic and conference meets one day per week for three hours. This is follow ed by a lecture series as well as a clinical pathological conference. Five lectures presented by the department of oral surgery cover various aspects of oral pathology. Resident arbeits alternate weekly. Senior resident coverage is shared by the chief resident in otolaryngology (who has two or more years in general surgery) and a third or fourth year rotating resid ent in general surgery . Assistant resident coverage is supplied by junior residents in otolaryngology and oral surgery residents when applicable. Virtually all major h ead and neck surgery becomes available to both r esidents in otolaryngology and general surgery , vastly increasing their total patient exposure . Exposure to such a c ombined service p ermits experienc e, ob servation , and evaluation of the various techniques , skills , and differenc es of opinion expressed by the involved disciplines . Both residents and patients b enefit , and the requirements of th e American Board of Otolaryngology and the American Board of Surgery are fulfilled. F or residents primarily interested in head and neck surgery, practice in a large metropolitan area or an academic career in this field , an extended training course is proposed , so that virtually total residency training in both otolaryngology and general surgery is accomplished. A training program including both otolaryngology and gen eral surgery with plastic and oral surgery is suggested .• Exam ining th e patient. �A Summer 1n Mexico This article was written by Barbara Blase and L es bia Fernandaz Smith about their exp eri e nces in Mexico last summer. Both Barbara and Lesbia will receive their M.D . d egrees in May . THE cENTRAL REGION oF MExrco, the Bajio, is a mountainous area with long tracts of fertile acreage. In this region, which gave birth to the indepen~ dence Movement from Spain and the Mexican Revolution, there is presently a new struggle, a struggle to eradicate leprosy. Twenty thousand Mexicans are afflicted by this malady; 30% live in the Bajio. During the months of June and July 1967, the authors were privileged to be able to join the Association Against Leprosy of Irapuato, (Associacion Irapuatense Contra la Lepra] in their campaign to control leprosy. Leprosy has been known in Mexico since the time of the Spanish conquest. There is no arche~ ological or historical evidence pointing to the existence of the disease before Cortez. The indigenous population, unexposed to this disease, quickly succumbed to it. The type of leprosy which is predominant in Mexico today is the lepromatous type, which occurs in those without defenses. Tuberculoid leprosy, the hypersensitive form, is less frequently found. Not much could be done to control leprosy until a decade ago,1 Then, in the mid-fifties, under the auspices of the Centro Dermatologico Pascua 2 in Mexico City, a group of public health physicians and nurses were specially trained to teach and treat those with leprosy in all of Mexico but particularly in the rural areas. Today it is hoped that through the combined efforts of government agencies and private associations, leprosy will be controlled in one generation. We arrived in Irapuato early in June and met Dr. Eduardo Salazar, the chief of dermatology in the Irapuato district of the state of Guanajuato . During our entire stay in Mexico we worked side by side w ith Dr. Salazar. At first our w ork was closely supervised by him. He taught us the basics of the dermatological disorders of the region, and their treatment. In many cases his treatment differs from the one used here. Once we familiarized ourselves with the common disorders of the area, Dr. Salazar shared the clinics with us. We called on him in instances when there was doubt as to .diagnosis . Our clinics were held in a public health unit or, when we visited small settlements (ranchos)3 , in someone ' s home or in the open air. The public health units we used are prefabricated structures which usually had a reception r oom, two examining rooms , a bathroom, and the nurse 's living quarters. Most of these units had no physician on duty. It was necessary for us to travel by jeep to these places as the roads were generally unpaved or nonexistent. As very few physicians ever visit these small communities because of their relative inaccessibility, the inhabitants w ould come to our clinics with many disorders other than those of the skin. Thus we were able to see 1. A decade ago Dapsone was introduced into Mexico. 2. Centro Dermatologico Pascua is a privately sponsored cen ter for the study of leprosy and dermatological diseases headed by Fernando Latapi, a world renow ned leprologist. 18 3 . A rancho consists of on e or man y one-room mud block houses in which a fam ily li ves. THE BU FFALO MEDICAL REVIEW �a large number and variety of medical conditions. During the summer we saw over 130 different cases of leprosy. Many were seen more than once; 12 were newly diagnosed cases. Although leprosy is seen mainly in .adults, we did see three cases in children under 15 years of age . The lepromatous type of leprosy accounted for 61% of our patients , the tuberculoid type-17%, the indeterminate form-20%, and dimorphic-2%. The full spectrum of the disease manifestations were observed in our patients. The most important clinical sign for diagnosis is the hypochromic, anesthetic patch found most often in the gluteal area. Thus, the diagnosis can be easily made with only the aid of a needle. Confirmatory diagnostic tests are performed for verification and classification. These are the skin biopsy, bacilloscopy, and lepromin skin test. Other acute manifestations seen were raised, erythematous, infiltrated, anesthetic patches found anywhere on the body, painfully swollen ulnar nerves, lepromatous nodules, and painful swelling of the small joints of the hands and feet. In the later stages of the disease, degenerative changes become evident. There is atrophy of all the muscles of the forearms and legs. This is visualized especially in the thenar and hypothenar areas. Atrophy of the lumbricals and of the interossei make flexion , abduction, adduction, and opponence of the digits very difficult. Flexion contractures and reabsorption of the distal phalanges leave the patient with painful stubs in place of fingers and toes. Infected trophic ulcers help complicate the course of the disease. Facial changes include reabsorption of the SPRING, 1968 nasal bones leaving a flattened bridge , loss of the eyelashes, eye brows, and atrophy of the facial muscles due to inv olvement of the facial nerve . Diffuse interstitial infiltration of the ear lobes often occurs and lepromatous nodules are sometimes seen obliterating the anterior and posterior chambers of the eye . Patients in all stages of the disease are treated with Dapsone (diaminodiphenyl sulfone), 25 mg. daily. This dosage is low as compared to that us ed in other countries. However, it has been found adequate for control of the disease in M exico . In the acute exacerbations, Anthiomaline (pentav_alent salt of antimony) is given intramuscularly for six days to reduce the inflammation and edema. In cases with advanced atrophies, weekly checkup sessions are held in the privately-sponsored dermatological sanatorium. Here, infected trophic lesions are treated, as well as conjunctivitis occurring with the ectropion and the infections occurring w ith unfelt injuries such as burns . When the disease is diagnosed and treated early, it is usually successfully arrested and in the case of tuberculoid leprosy often cured. One new patient came in with diffuse nodules and infiltrated, anesthetic patches. After three weeks of treatment with Dapsone and Anthiomaline he showed marked reduction of these lesions. It w as rewarding to see this improvement after such a short time. Our clinics were always full. We saw 30 to 40 people in a morning. About 25% of our pa(Continued on Page 38 ) 19 Miss B lase M iss Smith �1967 APFME Members Class of 1909 - julius Y. Cohen Class of 1910 - Na dina R. Kavinok y Class of 1911 -August C. Paul Class of 1912 - Abraham H. Aaron Class of 1914 - jennie S. Chandler Class of 1915 - Oscar j. Oberkircher Class of 1916 - Harold j. Reist Class of 1917 -Hiram S. Yellen Class of 1919 -Edgar C. Beck Class of 1921 - Thurber Le Win Class of 1923 -Clarence). Durshordwe , Chester A. Nordstrom, Louis A. Siegel. Class of 1924 - Louis Finger, Daniel C. Fisher, Evelyn H . jacobsen, Orlo C . Paciulli, Russell M. Weidler. Class of 1925 - Grant T . Fisher, William M . Howard, jacob Kulowski, Louis L. Lapi, Harold E . Zittel Class of 1926 - Max Cheplove, Frederick T. Schnatz, Ernest P. Smith, Eugene M. Sulliv an. Class of 1927 - Laurence L. Ca rlino, Bernard B. Friedman , ). Frederick Painton, Richard F . Richie . Class of 1928 - L. Barrett Davis, George F . Etling, Walter F. King, Raymond j. Rickloff , Bruno Schutkeker, Isadore ). Willinsky. Class of 1929 - Charles M. Dake, Norman H eilbrun , Charles R. Leone, Ru ssell S. Leone, L. Maxwell Locki e, Frederick G. Stoesser, George W . Thorn. Class of 1930 - Vincent I. Bonafede , Theodore E. Goemb el, james W. )ordon, Leo M . Michalek , Samuel Sanes , Richard G. Taylor. Class of 1931 - Michael H. Barone , Virgil H. F. Boeck, Gerald T. Connelly, Edward F. Driscoll, Arthur W . Glick, Philip Goldstein , john R. Kuhl, Thomas A . March, Francis V. Oderkirk , joseph C. Tedesco . 20 Class of 1932 - Elmer Friedland , Carlton H. M . Goodman , Harold ). Lev y, Benjamin E. Obletz, Bronis laus S. Olszewski, H erbert L. Traenkle . Class of 1933 - Wilfrid M. Anna , joseph W . Hewett , Erne st G. H omokay , George M . Masott i, Elmer Milch , joseph Sherman , Henry H . Steiman, Aaron Wagner. Class of 1934 - Michael G. Abb ott, Harry Bergman , Emil ). Bove , Irving Cohen , Stanley S. Gr eenfield , Albin V. Kwak , Harry G. La Forge, john D. O'Conner , Myron G. Rosenbaum , Earle G. Ridall, joseph R. Saab . Class of 1935 - Benjamin Coleman , Kenneth H. Eckhert , Albert ). Magnus, Peter P . Vitanza , Philip Willner . Class of 1936 - jo hn P. Crosby , Fred E. Gorman, Frank C. H oak, Thomas F. Houston, William F . Lipp , Victor L. Pellicano, Doris M. Pieri, Steven E. Pieri, Herbert R . Reitz, Bernard S . Stell, Harold F. Wherley. Class of 1937 - Kenneth M . Alford, john S. Ambrusko , Charles F. Banas , Gordon ). Culver, Samuel A. Dispenza , Theodore S . Fleming, Soli Goodman, james D . MacCallum , M. Luther Musselman, Albertus W. Rappole, Norton Shapiro, Clarence A . Vallee , Dav id H. Weintraub . Class of 1938 - Leo J. Doll , Jr. , Benjamin I. Gilson , Samuel L. Lieb erma n, Alfred A. Mitchell, Bernard M . Norcross, Walter L. Sydoriak. Class of 1939- LaMoyne C. Bleich , Thomas S. Cotton, W illiam D. Dugan, Francis W. Feightner, Paul A. Fernbach, Matt A . Gajewski, Harold M. Harris, Ellen E. Rudinger, Joh n ). Squadrito, Charles P . Voltz, Everett H. Wesp . Class of 1940 - Julian J. A scher, Boris A. Golden, Harold K. Palanker , Russ ell E. Reitz, Albert C. Rekat e , Rob ert S . Stockton . Class of 1941 - S. Yale And elman, Robert W . Edmonds , Donald W. Hall , Eugene ). H anavan Jr., john ) . O 'Brien , john T . Pitkin , Eugene H . Radzimski, Philip B. Wels , Flo yd M . Zaepfel. Class of 1942 - Albert j . Addesa , Sidney ). Ax elrod, H o race L. Battaglia, Alban W. Eger, Richard T. Milazzo, john D. P ersse , Jr . , W illiam). Staubitz . Class of 1943 - March graduation John M . Donahue, Victor Guarneri, Joseph E:. H olly , Paul F . H offman , Frederick ). Loomis, Robert G. McCormick, Walter R. PetersP. n, Charles C. Richards , Nathan P. Segel, Gertrude S. Swarthout , Hazel ) . T refts. Class of 1943 - December graduation Marvin L. Bloom , Erwin Chillag, Harold J. Feldman, E . George Heus , Amos ). Minkel Jr ., Kat hryn) . McMorrow , John C. Ninfo, Carlton C. Rausch , joseph ). Ricotta , Edmund M. Tede rous, John R. Williams, Joseph A. Valvo. Class of 1944 - Anthony M . Aquilina , Richard W. Egan, Frank T . F ros t, Irwin A . Ginsberg , Harold P. Graser, Maruice M . Maltinsky, Helmut A . Mueller , Casimer F. Pie traszek, W illiam A . Potts , Charles H. Rosenberg , joseph J. Ross , Sidney M . S chaer , Walter F. Stafford Jr. Class of 1945 -Richard H . Ad ler, William S . Andaloro, Raymond S. Barry Jr ., Norman Chassin , George M. Ellis Jr., A. Arthur Grabau , Richard M . Greenwald, Victor C. Lazarus , Cornelius A. McGrew , David J. Shaheen , Joseph D. Tannenha us , Peter Terzian , Gilbert B. T ybring, Edw ard L. Valentine , Charles E. W iles . Class of 1946 - W illis D . Allen, Edward F . Gudgel, Thomas F . H ouston, Harold J. Levy , Tho ma s W . M or gan , Roland T. Pixley , Albert G. Rowe , Richard J. Valone , Paul M. Walczak , Herbert S . Wolfe , Jr. THE BU FFALO MEDICAL REV IEW �Class of 1947 -David S. Bachman, Ra ymond W. Blohm Jr. , Marvin G. Drellich, Robert J. Ehrenreich, Marion E . Hodes, Robert M. Jaeger, Donald C. Nuwer, James F. Phillips, Anthon y P. Prezyna , Arthur J. Schaefer, Robert L. Segal, Jam es E. Whitford. Class of 1948 - Clifford M. Boone, Daniel J. Fahey, B . Edward Heckmann , Judith Landau Liss , Norman Minde , Norman L. Paul, Vincent M. Recktenwalt, Thomas C. Regan, Josephine W. Richardson, Clare N. Shumway Jr., Edward R . Stone, Wilbur S. Turner, Paul C. Weinberg. Class of 1949 - Frances R. Abel, Carmen S. Armenia, Harold Bernhard, Phillip C. Dennen, Arthur D. Magerman , Jacqueline L. Paroski, Fred Shalwitz, Robert G. Smith, Judith Weinstein , Pierce Weinstein. Class of 1950 - Guy S. Alfano , Sidney Anthone, Lawrence D. Benken, Ro bert E. Bergner, James J. Brandl, Charles Brody, Frank Chamb ers Jr ., Anthony A. Conte, Adelmo P. Dunghe, Jr., Richard ). Leberer, Karl L. Manders, John J. 0 . O 'Conner, Henry L . Pech Jr., Roy W . Robins on, George M. Sanderson Jr. , Myer Shulman , Yale Soloman, Mary Jane Tillou. Class of 1951 - Carl R. Conrad , Mark E. Heerdt, Marvin Kaplan, LudwigR. Koukal, Eugene V . Leslie , John F . Perry, Robert L. Secrist, Edward Shanbrom, Bernard Smolens, Eugene M. Teich, Edwar d M. Zehler. Class of 1952 - Albert A. Gartner Jr ., Joseph E. Genewich Jr., David Hertz, Donald J. Kelley, Milton C. Lap p, Alfred Lazarus, Travers Robbins, S. Aaron Simpson, Burton ·Siulberg, Charlotte C. Weiss , Cloyd F. Wharton. Class of 1953 - Thomas E. Comerford Jr., JosephS. David, Sander H . Fogel, Thomas G. Geoghegan, Jack Gold , JohnW. Handel, Milford C. Maloney, SPRING, 1968 APFME Annual meelinfl Sunday, March 31, 1968 Park Lane Restaurant 10:00 a.m. Brunch Speaker: M. SURGENOR, Provost, Faculty of Health Sciences Topic : 'The Relationship of the University Hospital to the Medical Community:• DR. DOUGLAS Robert E. Maynard. Bertram A. Partin, Donald 0. Rachow , Herbert W . Simpkins , H oward C. Smith , Reinhold A. Ullrich, Coolidge S. Wakai. Class of 1954 - David Abel , Edw ard j . Batt , Eugene L. Beltrami , H erb ert H . Benson , Joseph L. Camp o, FrankS. Cascio , Nicholas C. Carosella, John L. Conboy,, Robe rt D. Foley, Byron A. Genner Ill, Michel A. Glucksman, Lawrence S. Greene , Rob ert W . Haines , Edwar d W. Hohensee, W illiam J. H oward , Milton Kardesch , John G. Karle , Dudle y L. King , Jack Lemann , Jr ., A llen L. Lessw ing, Luc ille M. Lewandowski, Sylvia G. Lizlo vs, Charles H. Marino, Ernest H. Me esg, Robert H. Miller, N. Allen No rma n, Walter A. Olszewski , Charles R . Quinn, Spencer 0. Raab, Ed ward A. Rayhill. Thaddeus F. Reszel Jr., A lfred L. Weiss , Edward F . Wenzlaff, Donald M. Wilson. Class of 1955 - Mi.lton Alter, Vincent S . Celestino , Robert T. Dean Jr., Charles D. Fagerstro m , Herbert A. Leonhardt, George L. Mye, Jr., Stephen J. Paolini, John H. Peterson , Robert S . Pittell, Leonard R. Schaer, Anthony B . Schiav i, Robert A. Smith , james G. Stengel, Martin C. Terplan , Jo seph L. Kunz . Class of 1957 - Marvin N . Eisenb erg , Halo A. Evangelis ta , Joseph F . Kij Jr . Class of 1958 - Edward C. Alessi, M arie L. Kunz, Michael A . Mazza, Harold B . Zimmerman , Richard D . W asson . Class of 1960 - Roger S. Da yer , Gerard ). Diesfe ld , Thomas ). Guttoso , john H. Harrington, Francis }. Klocke , Marshall A . Lichtman , H arry L. M etcal f , Gerald L. Saks , Marvin Shapiro, S ylvia W . Sussman , Charles J. Riggio . Class of 1963 - Da vid N . Malinov Class of 1964 -Noel R . Rose APFME, 1967 - Faculty Thomas Aceto , Jr. Clara M. Ambru s, julian L. Ambrus , Ch arl es C. Berns tein , Theodore T. Bronk , Erika Bruck , Ev an Calkins , Christopher Carruth ers , M ary 0 . Cruise, David C. Dean , Clement A . DeFelic e, Charlotte F erenz, David G. Gre ene , james F . Holland, Mu rray S . Howland , Jr. , Da vid T . Ka rzo n , Victor H. Kaunitz, Marian M . Konczakowski , Louis B. Kramer, Edward C. La mbert , Salv atore R. LaTo na, H einz Lichten stein , Eugen e J. Lippschutz, john J. Maisel, George H. Marcy, Edw ard F . Ma rra , Donald R. McKay, Eugene R . Mindel! , George E. Moore , William E . M osher , Theodore H . Noehren , Rob ert W . O 'Connor , Clyde L. Randall, Donald N. Rennie , Douglas S . Riggs, Mitchell L. Rubin , S . Mouchley Small, Fred M. Snell, Jo seph E. Sakal, Le on Stutzman, Douglas M . Surgenor, S yde A . Taheri, Kornel L . T erplan , H enry E. Vogel , Samue l A . Vo gel, Daniel H. Weiner , Ernest W itebsky , Lydia T. Wright . APFME, 1967 - Friends Joseph A . D ' Errico , C. Lenore Englander , Mrs . Ivan Hekimian, Ha ns B. Henschel, Tingw ei Hsia, Alice jo Lichtman , john P. Luhr, Imre V. Magoss , Kenneth L. Miller , Richard Ney, Roswell Park Medical Club, Jerzy T . Ruszkowsk i, Joseph Tannenb erg, William H. Vickers , Herbert K. Wittig , Duncan Whit ehead , Yasuo Yagi , Ro bert P . Brezing . 21 1967 APFME Members �APFME Fellowship in Pediatrics Bob Milanovich examines a baby under the eye of Dr. Weiner. Is A TYPICAL DAY for a pediatrics APFME supported summer fellowship recipient? For Bob Milanovich, who will graduate in May, his day begins at 9 a.m. at the Millard Fillmore Hospital. At the hospital Bob joins Dr. Daniel H. Weiner, assistant clinical professor of pediatrics and a private pediatrics practitioner. They see a normal newborn baby. "Sounds like he is getting better," comments Bob, following a stethoscope examination. The chart is reviewed and the nurse consulted. The baby appears uncomfortable after feeding. A formula change is suggested. A visit with the mother assures her that the baby is progressing. The premature baby clinic is the next stop . More examinations, a chart review of a baby, and a visit with mother. Dr. Weiner and Bob move on to Sisters Hospital for a look at a newborn baby; then on to Children' s Hospital. Here they check on a 48- W .AT hour-old baby with a heart murmur, and a twoy ear-old boy with two broken legs , and anemia . Both patients are progressing satisfactorily. Immediately after lunch they visit 40 children at the Erie County Well Baby Clinic . By mid-afternoon they return to Dr. Weiner's office to concentrate on summer camp and school physicals. ''I selected a pediatrics fellowship because I wanted a change from my past summers of research at Roswell Park Memorial Institute. I suddenly became interested in pediatrics and wanted to see how a private practice develops ,'' Bob said . Dr. Weiner, who has tutored fellowship recipients for many years, confirmed that Bob had an excellent learning experience. ''This was a stimulating experience for me because Bob has an inquiring mind. As we made the rounds together he asked many searching questions that kept me on my toes .... Dr. W einer (seated ) notes the chart and suggests starting the bab y on "borden stuff " �University Can~pus Gets Alcoholism Research Institute NEw YORK 'S proposed State Research Institute on Alcoholism will be a part of the Health Sciences Center at the new Amherst campus. In making the announcement , Governor Rockefeller said, ''this institute will b eco me a national center for the study of alcoholism and its related problems . There are an estimated 700,000 New Yorkers who suffer from alcoholism and knowledge of the causes and effects of this illness is wholly inadequate." The research institute will be operated by the Mental Hygiene Department in affiliation with the University. It will collect. analyze, diss eminate data for interrelated studies by specialists in medicine, physiology, psychiatry, psychology, pharmacology, psychopharmacology, biochemistry, genetics, social work, sociology, anthropology, political science , law, penology, and business administration. The institute will also be able to draw upon the resources of the library and computer center at the University. The institute also will provide for in-patient and out-patient care of alcoholics, community organization and training of professional workers in the field. President Martin Meyerson said, ''this is a great step forward for the State and the Western New York Community. ''W e are delight ed that Governor Rockefeller h as seen fit to recommend that this regional SPRING, 1968 facility be located on our campus. It is our fervent hop e that the Legislature will concur, and that the program can rapidly develop," Mr. Meyerson said. The university · president classified alcoholism as "a vastly complicated problem of man and society and ranks among the top five public health problems.'' The establishment of the center at the university will bring about th e application of multi-disciplinary interests and competence to this field. Our faculty is convinced t hat solutions of these problems can b est be found through the application of many talents representing different fields of endeavor . '' Participating in the formation of the proposal last April were the university faculty and staff, State University College at Buffalo , Buffalo Area Chamber of Commerce, Buffalo Area Council on Alcoholism and relat ed private governmental health, education and welfare groups. "We are convinced that as th e University grows, both in its own programs and in its r elationships with other university, community, and area agencies, the interests and potentialities of an alcoholism research institute w ill take on even greater magnitude,'' President M eyerson said . The Governor went on to say that the Buffalo area was chos en b ecause of the long and intense interest in the multiple problems of alcoholism. Erie County has been a leader in providing a variety of community services to alleviate t hese problems.• ) 23 �31st Annual State University at B1 Pro' FRIDAY, APRIL 5, 1968 Norton Union Conference Theatre 8:15- 9:00 a.m. 9:00- 9:15 a.m. 9:15-10:30 a.m. 10:30-11:00 a.m. 11:00-12:30 p .m. 24 Panel Discussion: Question and Answer Period Moderator: DR. WILLIAM F . LIPP Panelists: DRS. JANOWITZ, MARSHAK, MENDELOFF AND T URNBULL Registration 12 30- 1 00 p.m. Business Meeting - Election of Officers Welcome: DR. CHARLES F. BANAS, '37 1 00- 2 00 p.m. Luncheon President, VB Medical Alumni Association 2 00- 3 00 p.m. OVULATORY SUPPRESSANTS Announcements: DR. HARRY J. ALVIS Moderator: DR. CLYDE L . RANDALL Associate Dean for Continuing Medical Professor of Obstetrics and Gy necology Education Pharmacology and DR. NORMAN G. COUREY INFLAMMATORY DISEASE OF THE GUT Physiology Assistant Clinical Professor Moderator: DR. WILLIAM F. LIPP, '36 of Obstetrics and Gynecology Associate Clinical Professor of Medicine Clinical DR. JOSEPH J . R ICOTTA, '43 Orientation Effectiveness Attending in Obstetrics Historical Sequence DR. RICHARD H. MARSHAK Clinical Professor of Radiology, and Gynecology, Deaconess Hospital Mount Sinai Hospital School Buffalo of Medicine Vascular Complications DR. WILLIAM T . FOLEY New York City Assistant Professor of Etiology and DR. ALBERT I. MENDELOFF Clinical Medicine, Epidemiology Physician-in-Chief, Cornell __ University Sinai Hospital of Baltimore, New York Hospital Associate Professor of Medicine, Medical Center Johns Hopkins University New York City School of Medicine Clinical and 3 00- 3 30 p.m. Panel Discussion: "RISK versus USE" DR. HENRY D . JANOWITZ Pathological Picture Clinical Professor of Medicine, 3 30- 4 00 p.m. Intermission - Coffee Break 4 00- 5 30 p .m . A LOOK AT PSYCHEDELIC DRUGS Head, Division of Moderator: DR. HARVEY L. P. RESNIK Gastroenterology, Mount Sinai Associate Professor of P sychiatry Hospital School of Medicine Introduction DR. HARVEY L. P. RESNIK New York City Radiologic Diagnosis Pharmacology DR. CEDRIC M . S MITH DR. RICHARD H. MARSHAK Professor of Pharmacology General Surgical DR. RUPERT B. T URNBULL, JR. Cytogenetics DR. MAIMON M. COHEN Attitude Head, Department of Colon and Assistant Research Professor Rectal Surgery, of Pediatrics Cleveland Clinic, DR. DAVID E. S MITH Clinical Use Cleveland, Ohio Assistant Clinical Professor and Abuse Intermission - Coffee Break of Pharmacology, MANAGEMENT University of California The Surgical Treatment School of Medicine; of Ulcerative and DR. RUPERT B. TURNBULL, JR. Medical Director, Granulomatous Colitis Haight-Ashbury M edical Clinic, 6:00 p.m. FIFTIETH CLASS REUNION DINNER San Francisco Reception Faculty Club Red Room Dinner Faculty Club Dining Room (Old Norton Union) THE BUFFALO MEDICAL REVIEW ' �:uffalo Alumni Spring Clinical Days ~ram 8:30- 9:00 a.m. r SATURDAY, APRIL 6, 1968 Norton Union Conference Theatre Registration THE AGGRESSIVE MANAGEMENT OF ACUTE MYOCARDIAL INFARCTION Moderator: DR. LAWRENCE H. GOLDEN, '46 Assistant Clinical Professor of Medicine 8:50- 9:00 a.m. Opening Remarks; Statement of the Problem DR. LAWRENCE H. GoLDEN 9:00- 9:30 a .m. The Organization and Benefits From a Coronary Care Unit DR. WILLIA...'\1: J. GRACE Director of Medicine, St. Vincent's Hospital and Medical Center of New York 9:30-10:00 a.m. The Recognition, Treatment and Prevention of Cardiac Arrhythmias DR. BERNARD LOWN Associate Professor of Cardiology, Harvard University School of Public Health 10:00-10:30 a.m. Diagnosis and Treatment of Cardiogenic Shock and Congestive Heart Failure 10:30-10:45 a .m. Intermission - 10:45-12:00 p .m. Panel Discussion Moderator: DR. LAWRENCE H. GOLDEN Panelists: DRS. GRACE, LOWN AND KILLIP 12: 00-12: 30 p.m. Question and Answer Period 12:30- 2:45 p .m. UB MEDICAL ALUMNI ANNU AL LUNCHEON and STOCKTON KIMBALL MEMORIAL LECTURE " WALTER REED: HIS CONTRIBUTIONS TO THE CONTROL OF TYPHOID AND YELLOW FEVER" by DR. WILLIAM B. BEAN Professor of Medicine, University of Iowa College of Medicine, Iowa City, Iowa; Visiting Professor of Medicine and Visiting Professor of History, University of Virginia Medical School, Charlottesville, Virginia 3:00- 4:20 p.m. INTENSIVE RESPIRATORY CARE Moderator: DR. RICHARD AMENT, '42 Associate Clinical Professor of Anesthesiology Respiratory Care Unit DR. RICHARD AMENT Development and Facilities Endotracheal DR. PETER SAFAR Pro fesso r and Chairman, Intubation and D epartment of Anesthesiology, Tracheotomy University of Pittsburgh S chool of Medicine DR. PETER M. WINTER Ventilators Assistant Research Professor of Anesthesiology DR. IRWIN FRIEDMAN Blood Gas Assistant Clinical Professor Monitoring of M edicine DR. THOMAS KILLIP Associate Professor of Medicine; Chief, Division of Cardiology , Cornell University New York Medical Center Coffee Break 4:20- 5:00 p.m. SPRING, 1968 Norton Union Millard Fillmore Room General D iscu ssion 25 �T HE PROPOSED AMH ERST cAMPus . to b e the largest single construction project in the United States , is a far cry from the University of Buffalo of 1920. In thos e days there was no campus . Each division of the University of Buffalo was located in diff erent sections of the city. The Law School was downtown (West Eagle Street) , the Dental School was located on Goodrich Street , and Millard Fillmore College w as at McKinley Square. During a recent visit to the Campus, Dr . Bernhardt Gottlieb, M '21 , reminisced about his daysduringWorld War I as a medical student. The Erie County Hospital of 1926 is Ha yes Hall today. The Medical School of 1920 (as told to th e editors by Dr. Bernhardt Gottlieb, M'21 ) 26 The Medical School w as located at 24 High Street. But perhaps a more r ealistic appraisal w as that its " campus" w as located directly opposite - in the tavern of the German-American Brewery . With the purchase of a schooner of beer for 10 cents, the Brewery supplied to its customers (students and faculty were probably the most regular and dependable clientele) pickled herring, pea soup, small franks , fair-sized hamburgers, pickles galore, a mountain of rye bread on every table, not to mention the celery, olives, red radish es , and sliced onions. Included in this nominal fee of 10 c ents were the use of spoons, knives, forks, and paper napkins, but always accompanied with the plea '' do not remove the silverware from th e premises .' ' Students made good us e of their ''captive audienc e'' situation with faculty . No matter how faculty longed to escape from the smell of onions and garlic reeking from students always eagerly pursuing them to ask endless questions , the nominal price and huge quantities of good food proved too strong an incentive to for ego. THE BUFFAl O MED ICAL REVIEW �In 1953 the School of Medicine moved to the present Main Street campus. In 1920 Hayes Hall was the Erie County Hospital, and Norton Hall was the Erie County "Poorhouse." The Poorhouse had a most impressive facade - ivy covered and a gate extended along Main Street from the hospital to the Poorhouse and all the way up to Bailey Avenue. A long roadway also reached from the hospital to Main Street. There was a large farm located behind the buildings with lots of trees, cows, and chickens. The former bookstore in 1920, located where Lockwood Library now stands, served as the interns' quarters. World War I ended, but as most graduates of 1918 and 1919 were in military service, Colonel William Howland, director of the Erie County Hospital, applied to the University of Buffalo Medical School for volunteer interns from the junior and senior classes. Dr. Gottlieb, as a junior medical student, was among the 16 to 20 volunteers. He recalled the wonderful opportunity presented by this service to obtain a knowledge of internal medicine from the text and to simultaneously have at his disposal an abundance of clinical material. At the time he was reading the chapter on ''typhoid fever" in Sir William Osler's Textbook of Internq.J Medicine, 20 patients with typhoid fever were under his care. The hospital was crowded with every type of cardiovascular disease. Dr. Gottlieb personally performed more than six autopsies. He had over 40 obstetrical · deliveries , usually under the supervision of Dr. Irving Potter or other members of the Medical School's obstetric faculty. Whenever Dr. Gottlieb was needed at the hospital, Colonel Howland telephoned to the office of the Medical School, and he was excused from classes . In those days, Buffalo had many snow storms, which mad e travel difficult. Int erns were reluctant to go to High Street; but Colon el Howland, always very accommodating , suddenly discovered that he " needed " his entire staff of interns , and they were excused from classes. While working at the Erie County Hospital, Dr. Gottlieb received a stipend of $16.67 per month with room, board, and laundry included. Mary, the Irish cook, was a culinary artist. Savory dishes, well prepared, included chicken , eggs , as well as steaks and lobsters. The interns loved Mary and her strong Irish brogue. T he old CC!lc ba rn in D r. Go ttlieb 's da y . �As Dr. Gottlieb recalled, the most outstanding experiences in those days were the bull sessions held in the intern quarters. " Here , juniors and seniors had an opportunity to exchange and share experiencE)s.'' Among senior classmates w ere Salvatore Parlatto , Dominick Ciolli, Dick Haywood, Bill Rennie, and Steve Graczyk. A senior year clinical group of " melting pot" comp osition moved along from hospital to hospital. The group really " clicked " and civil rights would not h av e b een an issue. There was a PoleStanislaus Gurgas; a Southerner-Julian Francis Johnston; a v ery austere German-James Sherman H ouck ; a Jew-D r . Gottlieb ; and the Lapp twins , Shirley and Martin . (The son of one of the twins was a classmate of Dr. Gottlieb ' s son, Solon, M' 52) . During his senior year, everyon e befriended Dr. Gottlieb , and h e was elected chairman of the graduation program. The only interns at the Lafay ette General Hospital were Dr. Gottlieb and his classmate, Callahan. Ordinarily, it is possible to tell the day of the week by the food that is served, such as fish on Friday or chicken on Sunday. But not so at the Lafayette General. It was bacon and eggs for breakfast, cold pork for lunch, and h am for dinner served "nine" days per week. During the last month of his senior year, Dr. Gottlieb developed mumps. However, he was informed by administration that graduation was contingent upon attendance at the ceremonies. At exam time, he was the last student to enter the room, with a handkerchief cov ering his mouth, 28 D r. Samuel D . Ca pen, V B 's first full-time Chancellor, leads the academic procession to the d edication of Foster Hall. THE BUFFALO MEDICAL REVIEW �for fear of alarming his classmates. Graduation ceremonies revealed that he was the recipient of the Roswell Park prize in surgery . "The medal was personally presented to me by Dr . Julian Park, '' he proudly recalled. A Phi Beta Kappa graduate from the City College of New York, he ended his medical school days with an overall average of 93 .6. After several years of general practice, with an interest in general surgery, Dr. Gottlieb decided to specialize in neurosurgery. In 1935, application was made to the Neurology Institute, but there were no openings. He was given a residency the following year and was encouraged to train in psychiatry in the interim period. A year of training in this field convinced Dr. Gottlieb that psychiatry was to be his forte, and he abandoned surgery. Today, Dr. Gottlieb has a private practice in psychiatry and psychoanalysis in New York City. He is a member of the board of directors and a past president of the American Society of Psychoanalytic Physicians. For a number of years he was associate clinical professor of psychiatry at SUNY at Brooklyn. Listed in Who 's Who in the East (Vol. 8, 62-63), the Dictionary of International Biography (London, Vol. III, 66) and in Bouker's Book of Authors, he has also written four books for popular consumption. They are Understanding Your Adolescent (1957), What a Boy Should Know About Sex (1960), What a Girl Should Know About Sex (1961), and with his wife, Dr. Sophie B. Gottlieb, co-authored, What You Should Know About Marriage (1962). SPRING, 1968 Three generations - Stephen W einstein, grandson, class of 1970; Solon Gottlieb a son, class of 1952 ; D r. Gottlieb, class of 1921. A loyal supporter of the Medical School, he and his wife have established an annual award for the senior student who best exemplifies the fact that living and learning go hand in h§lnd, though a continuation of his personal interests and activities in art, literature, community affairs , etc., while applying himself to his medical studies. The practice of medicine has also been an integral part of family life for two other generations of the Gottlieb family. His son, Solon, a 1952 Medical School graduate, is a specialist in obstetrics and gynec ology. A grandson, Stephen Weinstein, a member of the class of 1970 and an All-American NCAA fencing star of the 1964 Columbia championship team, has been assisting in coaching the UB fencing team. A nephew, Jeffrey Perchick, who is one of triplets , will enter the Medical School in September 1968. • 29 �''The main thing about growing old is to refuse to grow old, to retain a sort of childish outlook in the wonders of nature ,' ' Dr. Eccles said. He doesn't b elieve that scientists make no major contributions aft er 40 . He pointed out that all the work for which he was knighted in 1958 and subsequently received the Nob el Prize was done after he was 48. Dr. Eccles with D ean Su rgenor at the R idge Lea Campus. Neurobiology Unit On Ridge Lea Campus That is how Nobel Prize Winner Sir John Eccles characterized the university that he will become a part of when he joins the School of Medicine faculty July 1. "Here I will belong to a university again, and I will be living in an academic community with people (many younger than I) who think in terms of values similar to my own.'' Sir John - who prefers to b e called "Dr. Eccles " - left his native Australia in 1966 after 14 years as professor of physiology at the Australian National University in Canberra. ' 'The university had a firm retirement rule of 65. After that I would have had only minimum facilities for research,' ' he said. Dr. Eccles, who believes that he has done the ''best work I have ever done since I was 60,'' wasn't ready to be put on the shelf. He is a ''young "A N EXCITING, GROWING UNIVERSITY ." 64.'' 30 ''I have no intention of hanging up my laboratory coat and turning the world of r esearch over to younger men. They say only th e young fellows have original ideas . I can't seem to find any of those young fellows . Most of them are so obsessed with technology and obtaining results that they have no time for ideas. ''We who are engaged in research on the brain are pretty much of an international family. In the 14 years I was in Australia I had 73 different associates, for varying periods of time, from 23 different countries .' ' A philosopher as well as a scientist, Dr . Eccles says that " we must find a simpler way of life , one that has less stress and is less intensely organized. '' A special unit of neurobiology is being created for the Distinguished Professor of Physiology and Biophysics on the Ridge Lea campus. Here Dr. Eccles will continue the research on the brain for which he shared the Nobel Prize for physiology and medicine in 1963. He will be working with cats and squirrel monkeys . ''It is exciting to belong to something that is growing as this University is. The future here is exciting. . . as is the vigor of its President. " THE BUFFALO MEDICAL REVIEW �This 10-building complex is the University's Ridge Lea campus on Ridge Lea Road in Amherst, just off Niagara Falls Boulevard. The Youngmann Expressway is in the lower left and Sweet Home Junior High on Maple Road in the background. At least two departments in the School of Medicine are located at Ridge Lea - Dr. John Eccles' neurobiology unit and biophysics. Other departments on the Ridge Lea Campus are-computing · center, computer sciences, theoretical biology, mathematics, philosophy, statistics, anthropology, art, library, political science, medical technology, food services, and part of the division of interdisciplinary studies and research in engineering. About 2,400 students are attending classes at the Ridge L ea Campus. There is paved parkingfor 850 cars and shuttle buses leave the Main Street campus every half hour for the 20-minute trip. This major interim facility, an indispensable aid in bridging the growth gap between old and new campus, has been leased for fi ve years with options to renew. Four more buildings will be built this summer, and there have been preliminary negotiations with the deve lop er, Mare t Corporation of Pittsburgh, for still more space. SPRING, 1968 31 �Srx Dr. Noeh ren (left ) and Dr. Alan Sal;:;man at the Meilahti Hospital, Helsinki . Dr. Salz man receiucd his M.D. d egree in May (1967) and is interning at Kings County Medi cal Center, Brooklyn. A Sabbatical 1n Finland by Theodore H. Noehren, M.D . MONTHS as a Fulbright Lecturer in Finland is an exciting but profoundly sobering experience. It was our good fortune to be the guest of the pulmonary department of the University of Helsinki and the Finnish Anti-Tub erculosis Association for the spring semester of 1966 . Activities were centered in the magnificent new Meilahti University Hospital of almost 1000 beds , known locally as the ''Hilton of Helsinki.'' The radiology department next door is referred to colloquially as the " Hilton Grill." They form two parts of a 3,190bed medical complex in the h eart of H elsinki. The design and equipment of the institution is of particular interest since Finland is the " land of architects '' and its medical program part of a larger social scheme. The hospital and its facilities are equal to any of comparable size in my experience and the design is strictly ''consumer oriented. '' The architect quite pointedly states in his plans that this 15-story building is for patients. It is located so as to provid e attractive views over th e Gulf of Finland and the outlying islands for the patients ' comfort. The do ctors ' offices, laboratories, and library are in adjoining wings which extend only two stories above and below ground. To appreciate the significance of such a magnificent contribution to the care of the sick individuals it is necessary to recall the recent history of Finland. While these people fought and gained their independence from Russia as recently as 1917, they are one of the oldest strains in Europe . Dr. Noehren, associate professor of m edicine, joined the UB fac ulty in 1952. H e received his M.D. d egree from the Uni versity of Rochester in 1942. Thi s article is reprinted from T he May_o Alumnus . 32 THE BUFFALO MEDICAl REVIEW �In 1939 they single-handedly turned back the Russian army at their own frontier with guns and water hoses w hich fro ze the advancing Red forces. The stubborness and valor of this small country is a matter of record unparalleled in recent history. They came out of the war almost as destitute as their German comrades in arms . Today their recovery is as complete as Germany' s. They repaid their loans from the United States and a staggering indemnity to Russia of over three million dollars . They paid these debts in goods which Finland did not have and from factories which did not even exist. This is even more impressive w hen you consider that Finland lies in about the same geographical position as Alaska, but is only one-third the size of Alaska. Its only significant resources are wood, water power and the talent and industry of its four and one-half million people Only 9 per cent of the land is cultivated , 10 percent is water, and 60 per cent is for est. Approximately half of the population earn their living by farming, while one-fifth follow an industrial occupation. It is certainly no postage-stamp kingdom with picture postcard quaintness. On outward appearance and standard of living, Finland could well be another of the states in our own country. A nation of people who can accomplish this modern miracle is no ordinary group of individuals. Thus their approaches to social, economic, international, and medical problems are of special interest and quite stimulating. However their " Dutch uncle " existence develops attitudes, particularly toward the United States, which are more than a little sobering . SPRING, 1968 To understand their attitude it must be recogniz ed that they are challenged from the east b y Communism and over 20 per cent of the population in Finland votes Communistic in national elections. They are challenged from the west by the highly socialized country of Sweden whose high economic rew ards are a constant magn et for the besttrained Finnish personn el. A measure of their success in medicine is the continued opp ortunities for private practice in Finland and the fa ct that they lose less than a handful of physicians each year b y emigration . T o acco mplish this the profession has taken several attitudes of interest to an American. First , it w as recognized by enough of th e physicians that socialization of their profession w as attractive to the politicians . This they could fight or, by recognizing the hand-writing on the w all , join the trend , hoping that their suggestions and direction of this movement would be acc epted. They chose this latter approach and, according to some sources , hav e been about 60 per cent successful. The satisfaction of th e profession seemed to vary w ith the present prospects , but the population we w ere able to gauge seemed most pleas ed. T he politicians , as in most countries , have been quite successfuL Evidence for this is that in approaching almost any sizeable Finnish city the largest and f;nest building on the horizon is , by definition , the central hospital. It is quite similar to approaching Rochester, Minnesota, from almost any direction w here the Mayo buildings are bold in outline. Finland implem ent ed the first of its national medical law s in 1962 . This guarant eed all Finns the full c ost of their hospitalization exclusive of a " deductible " of $2. 00 a day , w hiCh they pay 33 �themselves . Physicians in the hospital are on government salary and allowed the income of a few private patients. In January 196'1 th e law was broadened to include care of non-hospitalized patients . Such patients will pay 20 p er cent of their medical bills-the go vernment w ill pay the rest. The supply of physicians in Finland is tighter than in the United Stat es-only one for each 1 ,232 persons. Plans are progressing to incr eas e this to one for each 600 by 1980. While the present shortage is real, s everal ingenio us m easur es have been introduced to minimize the problem. I w ill outline them to save space . (1) Finland utilizes its 7,000 Public H ealth Nurs es as a "first line of defense ." Patients frequently call a nurse inst ead of a doctor w hen they get sick. This is particularly true in the rural areas where the medical supply is most critical. The nurses, who have had three y ears of nursing school and two years of postgraduate training , evaluate the patient and refer him t o a physician if necessary. These nurses must r eturn periodically for sev eral weeks of refresher cours es by a medical-nursing facult y . One physician w ho is r esponsible for a population of 5,000 has fiv e such nurs es to h elp in all aspects of his patient care . On a ski trip in that area we found gen eral satisfaction with this arrangement on a rand om s ampling of the people living there . (2) To relieve physicians of the administrative d etails and paperwork that takes up to 30 per cent of their time , Finland has institut ed a " m ediconoum '' program to train a new level of paramedical personnel. The first class of 60 students will sp end three years in a university training b y the combined faculties of medicine , ec onomics, and 34 p olitical s cience. It is anticip ated these p eople w ill reli eve phys icians of the unproductive tim e w ith paperwork and , as one commentator suggest ed, the reports w ill now b e filled out correc tly f or a change . ( 3) Public H ealth Administration in all its branches is handled by vet erinary d octors . The s ection on Public Health is the main d epartment in the Finnish vet erinary college . One cannot help b ut b e impressed by the scrupulous public health pra ctices in Finland . ( 4 ) Em ergency care in a city lik e H els inki is provided b y a sp ecial panel of 15 doctors w ho are on call day and night , in add ition to th e private physicians . F inland has not yet co me to the Rus s ian practice of hav ing d octors and amb ulances on continuous " patrol " like a po lic e car . O ur s ampling of the population ind icat ed this to b e a s ignifican t factor in their satisfac tion with current medical prac tic es . [5) The continued ext ensive training and us e of mid-wives has produced a maternal morta lity o f 0. 52 per 1,000 live bir ths and infan t mortality to 18 p er thous and w hi ch plac es them among the top five countries of the world. ( 6) M edical students are em ploye d as phys icians to s ubstitute in practic e during vacati on periods f or physicians. In spite of all thi s , private practice co nt inu ess o far- on a considerable scale. Inco m e is supplemented by p ractic e b y over 50 per cent of the doctors in Finland. It w as our impression that patients are s till willing to pay fo r the priv ilege of a doctor 's time. The care th ey r eceive in the polyclinics is q uite satisfac tory t o them . . . w ith one exception . " The doctor is to o busy. " T his they can choose to satisfy by a vis it to his private THE BUFFALO M EDICAL REV I EW �office where compensation is commensurate with the usual qualifications. The physicians in their Medicare plan earn an equivalent of $17,000 a year for a 35-hour week and have six weeks' vacation in the summer. Special increas ed tim e off can be exchanged if it is taken during the winter months . Our attempts to evaluate this in their eyes w as extremely difficult and I would not venture any such generalization. They are, however, very much concerned for the cost of all this as reflected in their taxes. Medical care is not the only social program they are carrying but it is included w h en they must pay a tax of 120 per cent on a n ew car, 50 p er cent tax on incomes (including joint incomes of the w ives, most of w hom are als o professional people). A recent n ews release reported a current increase of the sales tax to 11 per cent and a further 15 per c ent on incomes . Ther e are many more details which this space does not permit. Just how much of this can and does apply to our problems in the United States is a matter of consideration and debate. Finland is not the United States and the variations in location, size , population, and economic background are obviously very different. However, this very difference provides a perspective on our country which , over six months ' time, became quite significant. We n aturally are inclined to take the attitude of foreigners with many reserv ations since it is obvious that much of their perspective derives fr om the American movies, press r eleases , television shows, and American tourists . . . all of which we "recognize" as unreliable criteria for judgm ent. It was true that the Finns who had been to A merica had a somewhat different and more sympathetic attitud e toward our country. On the other hand, the casual SPRING, 1968 dismissal of mov ies and television as unreliable " wastelands" of Americana may b e self- d eluding . After all American industry , w hatever else it do es, gauges its audi ences w ith utmost diligenc e. W hat they "sell " may b e closer to the h earts and minds of our people tha n our subjectiv e impresssions or wishful thinking . This is the America they see. This was epitomized one morning w hil e listening to a n ewscast from the Voice of America. Th e announcer in Washington was explaining the celeb rat ion of on e o f our national h olidays and pointing out quit e sincerely, that "we in A merica h on estly b eliev e that every man is created w ith an equal o pp ortunity and are doing our b est to pract ic e th is . " On that very morning the front pag e o f the H elsinki paper carried a full-s ized pic ture of a Negro b oy in the Watts ar ea of Los Angel es b eing clobbered by a p olice man . How can th e Finnish lis teners r ea lly believe tha t announce r P \'C n though mos t of us as fe llow Am ericans acc e pt it quit e n at urally? We ar e extrem ely pro ud of our Democracy . But when a Finn asks w ha t percen tage of our citize ns can or do vot e in an elect ion , and then co m pares it w ith his 90 per cent v oluntary an ticipation, he is not impressed. When a F inn as ks why th e American cigarette ind ustry h as fr ee reign in advertising and sale of their lethal drug, or h ow many presidents we mu st assassinate before controlling firea rms, or w hen w e are going to d o something about th e road carnage from dr unk en drivers which they contro l rigidly, w e winc e . True d em ocracy it seems is a two -way street , de manding individual respons ibility as well as individual rights . When th e Finn questions our activ ities in Viet35 �nam and we explain to him that we are there, honestly, to help protect him from his nearest enemy, Communism, my friends there evidenced considerable skepticism. Could this explain our surprise that so few of our friends, including Finland, have even verbally supported us in that stand? When they ask do we really think these 20-year conflicts in Vietnam and East Germany can be solved by a mere plebiscite, one must admit considerable naivete . We accept the cynicism of politics in America as standard procedure but barely recognize such possibilities in international affairs. The United States is a great country . . . and the Finnish people are the first to acknowledge this . . . great in wealth, affluence , generosity, technical achievements, etc .... but there it seems to stop. Could it be that we are a great co untry, but not as great as we think w e are? Could it be that our affluence and technical achievements have misled us to believe that we are equally accomplished across the board? Could it b e that we are like a great athletic team that has become addicted to reading its own press notices? And could it even be that these same press notices, like the front page of most newspapers , specialize in providing the reader with just the news he is looking for? American news did not look the same in the foreign papers during our six months. In the DeGaulle situation, for example, the American interpretation was quit e different from the Scandinavian "neutral" reports. As the six months progressed this concern for our own, possibly too personal, concept of our country became an obsession. The medicine, social programs, democracy, integrity, law enforcement, cultural activities, and other accomplishments of a country like Finland with such limited reso urces 36 made us look very hard at our own United States . One cannot be subjected to this different and more formal evaluation of his country wit hout feeling something very deep and sobering . One returns with tears on his cheeks at such a " meaningless " experience as the national anthem at a football game . . . and at the same time real concern that these "soaring sixties" in our land of such tremendous potential may be the era of Madison Avenue subliminal ''brainwashing'' . . . the techniques we so closely associate with Communism. We went to Finland for a six-month sabbatical. What we saw was not Finland, but the United States. It was no picnic .. . and we recommend it for every American who can possibly do it.• Spring Clinical Days A FAMous PHYsrcL<\N-EDUCATOR.w ho is also a scholar, editor and researcher, will give the annual Stockton Kimball Memorial Lecture at the 31st Annual Spring Clinical Days Saturday, April 6. He is Dr. William B. Bean , professor of m edicine and head of the department of internal medicine at the University of Iowa (Iowa City, Iowa) College of Medicine . He has held this position since 1948. In 1961 when Dr. Bean was awarded the Groedel Medal by the American College of Cardiology, he was introduced as the " Poet Laureate of Medicine" and cited as the " defend er of the painstaking observation of the unhurried effort , and of the uncompromising standard of excellence ." Dr. Bean describes his professional focus in another way. " My medical interests are eclectic and universal. In addition to cardiology , nutrition, and liver diseas e, my favorit e h obby is deflating stuffed shirts ... . TH E BUFFALO MEDICAL REVI EW Dr. Bean �Annual (jenera/ Alumni A:uocialion anJ Spring ~ance Saturday, May 25, 1968 Holiday Inn - Semi-Formal 6: 00 p.m. Reserve the Date! (Delaware Avenue) Call the Alumni Office for details 831-4121 The General Alum ni Board Executive Comm ittee- WELLS E. KN I B LOE, '50, President; ALEXANDER P. Av ERSANO, ' 36, Pre s ident-Elect; M. RoBERT KoRE N, '44, Vice~Pres ident fo r Adminis tratio n; THEODORE J. BERGER , '62, V ice-President for Associations and Clu b s; CHAR L ES J. WI L SON, JR., '57, Vice-Presiden t for Development; MICHAEL F. GUER CIO, '52, Vice -Presiden t for Activities and Ath letics; J OHN J. ST ARR, JR., '50, Vice- President for Public Rela tions; H AROLD J . lE vY, '46, Treas urer; STU ART l. VAUG HAN, '3 1 Immedia te Past-Preside n t. APFM E Officers -- JOH N J. O'BRIEN, M ' 41 , Cha irm an; M Ax C HEPL OVE, M ' 26, First Vice President; VICTOR l. PEL L ICANO, M '36 , Seco nd V icePres ident, DoN AL D W . H ALL , M ' 41 , Secretar y-Treasu rer. SPR I NG, 1968 37 �Mexico (Con tinued from Page 19) tients had leprosy, 50o/o had dermatological disorders, and another 25% came to us with such diseases as brucellosis, tuberculosis, ochronosis, purpuras, malnutrition , and scleroderma. The most common dermatological disorder seen was solar dermatitis as well as its complications. Irapuato is about 8,000 feet above sea level, and the ultraviolet rays of the sun are not as well filtered out by the atmosphere as at sea level. Other disorders of the skin included fungal infections, contact dermatitides , and the neurological dermatitides. During the latter part of our stay in Irapuato we often had occasion to make house calls in the afternoon. This gave us an opportunity to see people who needed special attention. On two occasions we administered blood to people who could not be moved. Another time we took a day 's journey deep into high mountainous territory to see people who do not have the services of a physician more than once a year. It was an exciting, though tiring trip. To reach our destination, we had to travel almost four hours by jeep and more than two hours by horse . We saw many people along the way. The culmination of our experience was taking a skin biopsy from a patient with leprosy who had not been seen for over a year and a half. Our summer was fascinating. It was physically tiring, medically stimulating, and emotionally both draining and sustaining. We went to Mexico to learn ; we were also given the opportunity to help . Dr. Salazar was an excellent preceptor and teacher as well as a considerate and understanding host. 38 People Dr. Kenneth A. Kelly Jr ., M '50, is the new chairman of the department of anesthesiology at Millard Fillmore Hospital. He is also a clinical instruc tor in the School of Medicine and president-elect of the New York Society of Anesthesiologists. Before his full time appointment as chairman, h e was an attending anesthesiologist at Meyer Memorial Hospital and consulting anesthesiologist to Gowanda State Hospital. He is a fellow of the American College of Anesthesiologists and a diplomat of both the National Board of Medical Examiners and the American Board of Anesthesiology . H e served his internship at Millard Fillmore Hospital and his residence in anesthesiology at the Veterans Hospital.• Dr. Eugene J. Lippschutz received the Award of Merit of the American H eart Association in New York City January 13. It was " in r ecognition of the invaluable service which he has rendered to the American Heart Association in the development of its program.'' Dr. Lippschutz is professor and administrative associate chairman of medicine in the School of Medicine and head of the cardiovascular diseas e department at Buffalo General H ospital. H e is a past president of both the Western New York Heart Association and the New York State H eart Assembly and has been a memb er of the Board of the local association since 1952 . H e is a fo unding fellow of the American Heart Association in the Council on Clinical Cardiology , a director from 1959-65 and is currently a memb er of its Medical Education Committee.• THE BUFFALO MEDICAL REV I EW �Dr. Burwig Honored Dr. W. Herbert Burwig, M '23 , was honored for his 43 years of service to Deaconess Hospital at a dinner in October . He is an honorary consultant at the hospital. Dr. Burw ig admitted his first patient to the hospital in 1924. In 1936 h e b ecame a full attending physician in obstetrics, president of the medical staff in 1941 and chief of the department in 1942 . He was a founding fellow of the American College of Obstretics and Gynecology. Dr. Burwig was presented a large color photograph of himself following a dinner at the Buffalo Athletic Club . The event marked the first of a planned series of Burwig Lectures . The speaker was Dr. Clyde L. Randall, chairman of the department of obstetrics and gynecology in the School of Medicine. In his years at Deaconess, Dr. Burwig said he has noticed an increasing sophistication in medical school graduates. ''They come as interns and display a measure of knowledge and experience unheard of years ago. Now this field has become a full-fledged and highly technical science." In commenting on the progress of the past half-century, Dr . Burwig spoke of the future and predicted even greater advances. ''I only wish I had another 50 years to give to my profession, '' he said. • SPRING, 1968 Dr. Th o mas V . Gullo~. (left) a nd D r. Norm an G. Cow·ey (rig/1 1) present portrait to D r. Bu ncig . Dr. John M . Pifer, M '66, is spending two years in Liberia with a smallpox eradication project for Western Africa. H e w ill be the principal medical adviser for the Liberia program. • More than 500 friends paid tribute to Dr. Russell M . Weidler, M'24, at a testimonial dinner in Frewsburg, N .Y . where Dr. Weidler has b een a general practitioner for 40 years . He was given a silver plaque and there was a special proclamation declaring Sept. 9 " Dr . Weidler Day . .. . 39 �People Dr. Morris E. Newman, M'18, has been practicing for half a century. He is the founder of the Buffalo Eye and Ear Hospital and has b een its director for 30 years. He also founded the Buffalo Speech and Hearing Center , and is still active. His hobby is fishing.• Three alumni have been re-elected to one-year terms on the Erie County Health Board. They are: Dr. Daniel C. Fisher, M'24 , presid ent; Dr. Alvin J. Schweitzer, M '34 , vice pres ident ; and Dr. Eugenia F. Bukowska , M'28, secretary.• Two Western New York Medical Associations Heart Association and Regional Medical Program - have joined forces in an effort to provide further education for registered nurses with special emphasis on coronary care. Dr. Newman Dr. David C. Dean, president-elect of the Heart Association and assistant professor of medicine at the University, gave $4,000 to purchase a monitor teaching machine. It will be used by the Health Organization of Western New York. Dr. John R. F. Ingall, regional medical program director, accepted the check. The new equipment will be used as a teaching tool for nurses specifically involved in coronary care . It will aid in the interpretation of electrocardiogram and monitor operation. • 40 Three alumni are new officers of the medical staff of Our Lady of Victory Hospital , Lackawanna. They are-Drs . James C. Dunn , M '50, president; Thomas H. H eineman , M '43 , vice president ; and William D. Dugan , M '38, secretary. The new treasurer is Dr. Don ald W. Preston .• Dr . Charles E. Whitcher, M '50, an anesthesiologist, w as a member of Dr. Norman E. Shumway 's heart transplant operation " team " at the Palo Alto Stanford University Hospital January 6. The operation on Mike Kasperak was th e fourth in medical history and the second attempt in the United States. Dr. Shumway is professor and h ead of the division of cardiovascular surgery at Stanford University School of Medicine.• Dr. Lawrenc e M. Carden, M '49, is the new president of th e Mercy Hospital medical staff. Dr. Milford C. M aloney, M '53 , is the new treasurer. Drs. Gerald S. Klee and Matthew W. Bruke were elected vice president and secr etary.• Dr. John M. Pifer, M'66, has been assign ed to a smallpox eradication project of the United States Public Health Service in Nigeria. • Five alumni , w ho are me mb ers of th e School of Medicine fa cul ty, are offic ers [ 1967-68) of T he Buffalo Acad emy of M edicin e . T hey are : Drs . Frederick G. S toesser , M '35 , pres id ent; H. Paul Longstreth , M '45, vic e president ; Charles P. Vo ltz, M '39, secretary; Albert C. Reka te , M '40 , treas urer ; Ivan L. Bu nne ll , M '43, program and arrangeme nt s chairma n . Dr. John W . Boylan is past presid ent .• THE BU FFALO MEDICAL REVI EW �Dr. Milton Alter, M'55, has been appointed chief of the n eurology service at the Veterans Administration Hospital in Minneapolis. He has been an associate professor in the department of neurology at the University of Minnesota School of Medicine. Dr. Alter is the author of more than 50 professional articles on diseases of the nervous system. He lives in Golden Valley, Minnesota with his wife and five children .• Dr. Robert C. Myers, M'57, has been promoted from lieutenant commander to commander in the Navy. H e is stationed at the Naval Hospital at Agana, Guam. H e joined the Navy in 1958 after completing his internship at Buffalo Mercy Hospital.• Dr. Carl J. Graf, associate clinical professor of neurosurgery since 1946, left Buffalo in October to become professor of neurosurgery in the University Hospital, University of Iowa, Iowa City, Iowa. He is a graduate (1941) of the UB School of Medicine. Dr. Graf has been attending neurological surgeon at Buffalo General Hospital where he served his internship and residency. After graduation h e had a fellowship in neuropatholo gy and neurophysiology at the University of Illinois. He is a past president of the Neurosurgical Society of A merica and the Aesculapian Society . He has developed several instruments for surgery of the brain and nervous system. In 1962 Dr. Graf served as a neurosurgeon on the mercy ship S.S. Hope .• SPRING, 1968 A second year medical student spent 10 weeks last summer at an interdenominational hospital in Phoebe, Liberia. She is Miss Nancy Lynn Eckhert, daughter of Dr . and Mrs. Kenneth H. Eckhert. Dr. Eckhert is a clinical instructor in legal medicine and a 1935 graduate of the School of Medicine. His son , Kenneth , Jr. , will graduate this spr ing from the medical school. Miss Eckhert worked closely with the only doctor on duty at the hospital. T h ey called me " the white woman doctor, " she said. Th e hospital treated between 100 and 200 patients a day. Liberian nurses are very competent and efficient. ''Liberian hospitals not only take care of the community's medical needs, but use their contact with the people to teach them hygiene, good health habits, cleanliness, and good eating habits, " Miss Eckhert said. ''The Liberians are plagued with diseases malaria, hookworm, intestinal diseases and anemia - wh ich account fo~T a high death rate, especially among children,'' Miss Eckhert said. She visited many native families during her brief stay in Liberia. She fo und the people warm, friendly, and cooperative . She admired the closeness of the family with the father the predominant personality in the home. Children are cherished and loved. Miss Eckhert liv ed in a two-b edroom trailer near the hospital. Phoebe is a small modern community in the h eart of the bush country about 150 miles north of the capital, Monrovia.• 41 People Miss Eckhert �A man, who w as 40-years-old w h en he graduated fr om the School of Medicine in 1913, is still practicing in Michigan. He is 95-year-old Dr . Otto Von Renner. P eople still c ome to the vet eran physician fo r their aches and p ains. Not like they us ed to , because Dr. Von Renner can no longer stand the pace he kept a f ew years ago. M ostly, his patients have b een w ith him a long time. They are his friends and they drive miles t o see him b ecause they s till b elieve in his ability as a physician. The dedicat ed doctor has three lo ves - his patients , his medicine, his three grandchildren , and eight great-grandchildren. D r. V on Renner Dr. Otto Von Renner Still Practicing at 95 ' 'Although I load I used to, th e way I w ant to my patients,' ' no longer handle the patient I ' m still in practice and that's it as long as I can b e of service Dr . Von Renner said. T h e long-time Vassar, Michigan physician was not always a doctor. He was a teacher for 10 years before entering the School of Medicine in 1909. His father was also a teacher f or 55 y ears in Indiana and Michigan . ' 'I don 't know why decided t o practic e m edicine after 10 years in the teaching profession ; it certainly w asn't the money b ecaus e physicians in those days didn't make much m on ey . Nobody had any." Dr . Von Renner came to Vassar, Michigan in 1924 where he practiced for more than 40 years . Sinc e 1966 he has b een living w ith his daughter and h er husband , Mr. and Mrs . A lvin Reif , 1962 Countyline Road , Reese, Michigan . 42 Dr. Renner rem emb ers the early days of harsh snowy w inters and near impassable roads. ' 'I us ed to take warm blankets with me on em ergency calls in the country . Usually th e car would get s tuck and I' d have to spend the night in the car." " I've n ever sent a bill to anyone in all my 54 years of practic e. I guess I alw ays figured that if they never paid me, th ey had a good r eason. I n ever both ered them. I've alw ays thought that if I cured som eon e it pleased m e more than paym ent. I'm always getting sc old ed by my patients for not charging enough.'' Dr . Von Renner s erved in Cuba during the Spanish-American War an d was enroute to Europe during World War I w hen he was strick en w ith the flu.• A physician w ho devoted the 35 years of his m edical career to the people of Attica, N.Y. and surrounding co mmunities was hon ored at a testimonial dinner November 4. He is Dr. Frederick H . Volk , a 1930 graduate of the School of Medicine. H e came to Attica in Septemb er 1932 and retire d April1, 1967. • Four alumni are new officers in the Catholic Phys ician s' Guild. Dr. H ubbard K. Meyers , M '36, is the new pr esident ; Dr. Victor A. Panaro , M'52 , vice president; Dr . Richard J. Leber er , M'50 , secretary; and Dr. Eugene J. Hanavan , M '41 , trea surer. Dr . Floyd M. Zaepfel, M '41 , is the immediate past president. • THE BUFFALO MEDICAl REVI EW �Dr. Ernst H. Beutner, associate professor of bacteriology and immunology, received the Rocha Lima prize from the Academy of Science in Sao Paulo, Brazil. It is in recognition of his studies on the Brazilian form of pemphigus foriaceus, a skin disease that is frequently fatal if not treated . Dr. Beutner became interested in the disease when he was in Sao Paulo in 1966 as a World Health Organization visiting professor. His studies indicate that the disease may be "auto-immune," that is, caused by the development of antibodies against some factor in the patient's skin. In collaboration with Brazilian scientists , he is searching for better methods of treatment. The dis eas e is most common in Brazil. About 500 cases occur in the United States each year as compared with 1,000 in south central Brazil and in the adjacent jungle areas of Bolivia and Paraguay. Collaborating on the study were Drs. William L. Hale and Clark G. Triftshaus er, instructors in bact eriology and immunology in the School of M edicine; and Dr. Robert Jordan, a r esident at Mayo Clinic. • Dr. Daniel J. Fahey, M'48, is the new president of the board of directors of the Buffalo H earing and Speech Center. He is assistant clinical professor of surgery (otolaryngology) in the School of M edicine and att ending physician at Children ' s, Kenmore M ercy, DeGraff, and Millard Fillmore Hospitals.• SPRING, 1968 During the pa s t thr ee years . Dr . Bruc e F . Connell , M '52, has bee n Chief of th e Depar tm ent o f Plastic Surgery of tw o o f the m ajor te aching ho spitals f or th e Univers ity of California , - California College of M edicine a t Irvin e (th e Childrens Hospital of Orange County) and Orange County Medical Cent er. During the past year he has been appoint ed as Associat e Clinical Professo r of Surgery for the School o f M edicine, U ni vers ity of California at Irvin e. In addition , h e is a s en io r memb er of a three m an par tners hip for the practice of plastic and rec onstruc tive surge ry in Santa Ana and Newport Beach, California . • NE UR O S U RGICAL RE SEARCH LA BO RA T ORY A mutual program exis ts betw ee n the Neuros urgical Resea rch Lab orat ory ; Childr en's H ospital, Boston ; as well as th e Ha rv ard M ed ical School. Under the direction of Dr . Louis Bakay, professor and head of the neurosurgery divisi on and in asso ciation with Dr. Jos eph C. Lee, as s istant res earch pr of essor , this program has b een est ablished t o c orrelate the data obtained by vario us m eans on the effect of oxygen deprivation and carb on dioxide accumulation on the CNS. A closer coop erative study w as established with the n euroscienc e labo rat or y at the Univer sity of W isconsin . Explant ed and artificially surviv ing mammalian brains are studied in M adison as w ell as various biochemical functions such as oxygen and glucose utlization and enzym e systems are concerned fo r th eir bioelectric activ ity. The surviving brains are then shipp ed by special air fr eight to the labora tory her e in Buffalo for elec tron micros copic investigation .• 43 D r. Baka11 �People Dr. Farris Dr. Louis G. Farris, M'30, was among four former UB athletes to be inducted into the University of Buffalo Athletic Hall of Fame during Homecoming Weekend. Dr. Farris played four varsity seasons (1922-26) of basketball. As a freshman he led the team in scoring with 98 points, an impressive total in those days. He captained the team his junior and senior years, when he was also president of his class. He was graduated Phi Beta Kappa. In 1925, when Coach Art Powell was ill for three weeks, Dr. Farris ran the team during that time and won all three scheduled games. Also inducted were Dr. Victor (Vito) Grieco, Donald Holland and Robert Beyer. The selections were made by the General Alumni Board, which established the Hall of Fame in 1965. Previously inducted were Dr. James Ailinger, DDS'25, Dr. Philip Wels, M'41; Dr. Lester S. Knapp, M'27; Dr. Edmond J. Gicewicz, M'56; Lou Carriere; Danny Dalfonso; Bobby Harrington; Robert Rich, Jimmy Horne and the late Edward Malanowicz.• Miss Barbara Blase (Class of 1968) is one of 10 medical students in the United States currently participating in an eight-week research training project in medicine and medical care techniques unique to Israel. She is working in the department of m edicine, pediatrics and out-patient services of the Tel Aviv University - Tel Hasomer Government Hospital. She is also spending some time in an Arab village. • 44 An 84-year-old practicing physician said, ''I would do it all over again if I had the chance. ' ' That's how Dr. George G. Davis, M'07 , feels after 60 years of medical practice at Arcade , N .Y. The Chamber of Commerce and Lions Club recently honored the medical man "for his 60 years of s-ervice to the community. " He has treated three generations of some families and battled diseases which younger doctors seldom see. His first years of house calls were in horse-drawn vehicles. He still makes calls in the country, but now a chauffeur drives his car.• The Ureter, edited by Dr. Harry Bergman, M'34, (31 authors), has had excellent reviews in at least three professional journals - JAMA , Canadian Medical Association Journal, and The British Journal of Urology. The 702 page book carries 552 illustrations. The publisher: Hoeber Medical Division, Harper & Row, Inc. , New York, 1967.• Dr. William F. Lipp , M'36 , is the new president of the Medical Board of the Buffalo General Hospital. He succeeds Dr. Edward F. Driscoll, M'31, who was elected to the executive committee. Other new officers are : Dr. Everett H. Wesp, M '39, vice president; Dr. Walter T. Murphy, secretary-treasurer . Elected to the executive committee for a two-year term were Dr. J. Edw in Alford, M ' 34 , and Dr. Richard H. Adler, M '45. Dr. Richard W. Baetz was elected to the committee for a one-year term.• THE BUFFALO MEDICAL REV I EW �People Dr. Michel A. Ibrahim, an assistant professor in the department of preventive medicine, is the new deputy commissioner of the Erie County Health Department. He will be in charge of department activities in the divisions of tuberculosis control, epidemiology and communicable diseases, venereal disease, biostatistics, and chronic diseases. He succeeds Dr. William R. Elsea, assistant clinical professor of preventive medicine, who resigned in August.• Three alumni are chairmen of standing committees of the Erie County Unit of the American Cancer Society. They are: Dr. David H. Nichols, M'47, public education; Dr. Samuel Sanes, M'30, service; Dr. Alfred F. Luhr, M'43, professional education. The president of the Erie County Unit is Dr. Milford Childs, M'40.• Dr. Milford C. Maloney, M'53 , is the 1968 president of the Western New York Society of Internal Medicine. Other officers: Dr. William J. McDermid, vice president; Dr. Norman Chassin, M'45, secretary; and Dr. Ralph J. Argen, assistant clinical professor, treasurer. Drs. Paul C. Ronca, M'56, and Bernard D. Wakefield, M'57, are on the executive committee.• Dr. Anthony S. Merlino, M'47, has been named to the board of directors of Columbus Hospital. He is also president of the medical and dental staff of Columbus Hospital.• SPRING, 1968 Dr. Robert D. Albee , M '44, died January 30. The 52-year-old physician w as chief of the department of medicine and vice president of the medical staff at Deaconess Hospital. H e was instrumental in the planning and development of the cardiac care and intesnive care units at Deaconess Hospital as well as its angiology department. Dr. Albee was also on the courtesy staffs of Kenmore Mercy and St. Francis Hospitals. He was a diplomat of the American Board of Internal Medicine and an absolute member of the American College of Physicians. He was also activ e in several other local, regional, and national professional organizations . • Dr. Edith Rebecca Hatch, M'06, died January 22. The 91-year-old general practitioner w as one of 11 women physicians cited by the American Women's Medical association foroutstandingwork in 1959 . In the same year she was named ' 'Woman Doctor of the Year" by the New York State Women ' s Medical Society . She was cited " as a warm clinician serving the continuing n eeds of her patients for more than half a century. '' Dr. Hatch studied pediatrics in Babies Hospital in New York and after World War I serv ed for many months in Coombe Maternity Hospital, Dublin, Ireland. In Buffalo she was a junior board memb er of the old Hemopathic Hospital. She als o attended clinics in the Erie County Hospital and Buffalo City Hospital. She organized the Babies Milk Clinic and was active with the Public Health service in working to reduce infant mortality . She was a member of several local, state and national professional organizations.• 45 Ju ilrmnriam �3Ju .tlrmnriam Dr. Melchior V. Okie, M ' 31 , died January 7 aft er suffering a h eart attack. H e w as 60 years old. For 12 years , b eginning in 1938, he was the Village of Sloan h ealth officer and physician for Cheektowaga School District 9. H e w as on the surgical staffs of M ercy and Our Lady of Victory Hospitals. He was a lieutenant in the Army M edical Corps during 1944-45. Dr. Okie authored numerous m edical and surgical research paper s. He was associated w ith several professional organizations including the Erie County and New York State M edical Societies and the American M edical Association . H e w as a fellow and diplomat w ith certification in general surgery of the International College of Surgeons. He w as also a member of the American Board of Abdominal Surgeons, Catholic Physicians Guild, Buffalo Academy of Medicine , and Medical Arts Society.• A physician-dentist died December 25. He was Dr. Joseph E. Dempsey, 62, of Olean, N.Y. He received his D.D.S. degree from th e Univ ersity in 1930, his M.D. degree in 1933. He had been a staff member of St . Vincent 's Hospital, N ew York City. During World War II Dr. Demps ey was a major in the Army Medical Corps. H e had practiced in Olean since 1945. He was a past president of the Upstate Society of Plastic and Reconstructive Surgery, and a member of the Cattaraugus County Medical and Dental Societies .• The physician w ho help ed originate the Erie County Health Department's Child Health Conference in Buffalo more than 50 years ago died 46 October 25 . H e was 85-year-old Dr . Victor A . Pchellas , a 1905 graduate of the School of M edicine. H e interned at Buffalo General H ospital and was on its staff until he died . In 1912 Dr . Pchellas and Dr. Nelson G. Russell established s everal fr ee clinics in the area w h ere b abies could b e taken for examinations and to b e sure they were being fed milk. These clinics result ed in th e Child H ealth Conferenc es under th e supervision of the County H ealth Department . Dr. Pchellas retired fr om this department in 1952. H e was active in several local, state , and national professional organizations. • Dr. Charles G. Eustace , M'28, a leader in the field of medical r ehabilitation died Octob er 19 in Naples, Italy. The 63-year-old physician retired to Naples in July after his second heart attack. Dr. Eustac e w as as sistant clinical professor of medicine at the School of Medicine since 1939 and medical director of the Niagara Frontier Vocational Rehabilitation Center Incorporated. He was also on th e staff of Buffalo Gen eral and Veterans Hospitals and the Erie County Ch est Clinic . At his retirement Dr. Eustace w as the president-elect of t he Western New York Chapter, National Rehabilitation Association . T h e internal medicine and cardiology specialist w as also a memb er of the Erie County Medical Society and th e American Medical Association. During World War II h e was a lieutenant colonel in the 23rd General H ospital Unit (Buffalo) in the Army Medical Corps .• TH E BUFFALO MEDICAl REV IEW �Dr. William Z. Roberts, a retired physician who was a general practitioner in Buffalo for more than 70 years died November 5. He was 99 years old. He began his practice in 1892 after graduating from the School of Medicine. In addition to his regular practice, Dr. Roberts served for many years as physician at the Evangelical and Reformed Church Home , Cheektowaga. He was also a member of the Buffalo Selective Service Board in 1918. He was also affiliated with the New York State and Erie County Medical Societies, American Medical Society, and Academy of Medicine . On his 95th birthday he said he always enjoyed his work immensely " because I did the right thing as much as I knew how .' ' Just before his 94th birthday he noted that the thing he liked most about being a doctor ''was pleasing people .'' ''Sometimes they didn't need medicine so much as they needed someone to talk to.'' Dr. Roberts was born on a farm in Shelby, N.Y. He attended the district school there and Medina High School. He taught at the district school before enrolling at the university .• A former professor of hygiene in the School of Medicine died Sept. 7, He was 74-year-old Dr . Harold W . Culbertson , w ho graduated fro m the School of Medicine in 1916. He was on the faculty in the 1920' s and early 1930's. He had been an internist for half a century , until he retired early in 1967. In the early 1920's Dr. Culbertson was in charge · of the diagnostic clinic at the City Hospital [now Meyer Memorial) and later in charge of the Dansville , N.Y. Sanitarium. He started his private practice in 1924. He was also on the staff of Buffalo General Hospital. Dr. Culbertson was honored in 1966 by the New York State Medical Society for completing 50 years of medical practice . He was also a member of several other professional associations. During World War I he was a first lieutenant in the Army Medical Corps.• Dr. Erwin Friede, an assistant clinical professor in the School of Medicine , died November 30. He was 54 years old. He was a specialist in internal medicine, and operated a chest clinic at Meyer Memorial Hospital.• Dr. Daniel }. Riordan, M'31 , a Buffalo general practitioner for 36 years, died October 5. He was 62 years old. The specialist in endocrinology interned at Sisters Hospital. He was on the medical staffs of Our Lady of Victory Hospital, Lackawanna and Sisters Hospital. A former Army medical officer, Dr. Riordan held the rank of colonel.• SPRING, 1968 47 lin ilrmnriam �Letters to the Editor Many t hanks for sending the copies of The Buffalo Medi ca l Review. The story and layout are excellent and we sincerely appreciate your interest. I would be happy to take you up on your offer of extra copies. If you can spare ten , we can put them to goo d use. If you are ever in Washington, please drop b y and see us. Best wishes. '' Mike Kraft Assistant Director of Information Services P roject HOPE 2233 Wisconsin A v e. , N.W. Washington , D.C. 20007 I notice on page 36 of your Fall Medical Review, the tabulation of medical and alumni in all the states. A conspicuous zero for medical alumni in South Dako ta prompts m e to send you the information that Dr. Edward J. Bat, class of 1954, is living in Siffeton, South Dakota. Louis C. Cloutier, M .D. [1954) 3385 Bailey Avenue Buffalo I was most impressed with the issue of Th e B uffalo Medical Review which I received. The strides that the University has made since I was there are unbelievable . However, I received only the third issue of volume one . I would appreciate it very much if you would send me the first two issues and all future ones. In this way I will be able to keep up on the progress of the University. Louis A. Siegel, M.D. (1923) 416 North Bedford Drive Beverly Hills, Califo rnia I like your short statements in The Buffalo Medica l R eview. I wish Dr. Jones had b een so short back in '25 or '26 when I argued to be allowed football playing , wrestling , and other extracurricular activities. I am a general practitioner doing much country work, graduated in '29, and have six boys. They are interested in dentistry, history , engineering, and veterinary medicine. T wo others are in the service. John B . Schamel, M .D . [1929) Waverly, N .Y. 48 I enjoyed seeing p. 28 of the Winter iss ue of Buffalo M edical Review [Vol. I , No. 4) . However the autho r d oes not mention James Platt W hite who attended classes at Fairfield and was a co-fou nder of the Buffalo Medical College. I am enclosing my article on White, a pio neer in American Obstetrics and Gyn ecology. H e in troduced clinical midw ifery in the medical curric ulum to the dis may of the A .M .A. Preservation of the shrine at Fairfield should be the #1 pr oject of the Univ ersity of Buffalo for there it began as a Medical School like Salerno and Mon tpellier. I am grate ful to Mrs. Marguerite M . Dieffenbac her for th e picture of the Fa irfield Academ y. Carl T . )avert, M.D .. (1932) 820 Park A venue New Yo rk , N .Y. T h e University has been in my thoughts fo r sometime since receiving the first iss ue of The Buffalo Me dical Review . It w as of deep interest to both Chapin and m e; early Buffalo history, pho tographs , mention of Dr. Cyrenius Chapin, th e current plans and activities , and naturally , the generous copy and pho tograph of o ur San Francisco alumni m eeting. I was personally p leased with the recognition this gave to Horace Lanza. I wish you continued success with this fine publication . Barbara Wheeler Coit Bay Area Alumni Chairman 65 Rossi Avenue San Francisco , Calif. 94118 I was very much pleased to receive yo ur issues of the Buffa lo M ed ical Review. It keeps me informe d of my fr iends in the Univ ersity back home . Although I am currently in practice in Cincinnati, I ·always think of Buffalo as my h ome base. I am pleased to b e on your mailing list and appreciate y our sending m e this fine publication . Congratulations and warm personal r egards . Ernest H. Me ese , M.D. (1954) 311 Howell A venue Cincinnati, Ohio 45220 TH E BUFFALO MEDICAL REVIEW �:JhirJ _Annual Alumni Summer ::four 6 Counlrie:J - 22 ::ba'i:J - Pan _American }uf'i 24 - _Augu:Jl 14, 1968 Scandinavian Countries [Norway, Sweden, Denmark] plus England, Germany and Holland price under $898.00 per per:Jon ($50.00 deposit- Final Payment, June 12, 1968) For further information please write: SUMMER TOUR Alumni Office 250 Winspear Avenue (716) 831-4121 SUNYAB Buffalo, N.Y. 14214 �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 ... � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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Source material in the public domain Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/f00428292468e54c7f4f24237e150045.pdf ac8698d8f9baa9c0a07e7c3ec8ab2a0d PDF Text Text The WINTER, 1967 Volume 1, Number 4 THE ScHooL OF MEDICINE STATE UNIVERSITY OF NEW YORK AT BUFFALO Buffalo Medical Review �The Cover : Our cover picture was taken in Penn Yan, New York by Donald D. Glena, university photographer. Douglas M . Roberts, class of 1969, is looking at an X-ray with Dr. Glenn C. Hatch, M '28, a surgeon in Penn Yan. Doug was on an APFME sup ported general practice fellowship last summer. The pictorial story of his summer is on pages 18 and 19. THE BuFFALO M EDICAL REVIEW, W in ter, 1967-Volume 1, Number 4, published quarterly Spring, Summer, Fall, Winter-by th e School of Medicine, State University of New York at Buffalo, 3435 M ain Street, Buffalo, New York 14214. Second class postage paid at Buffalo, N ew York. Please notify us of ch an ge of address. Copyright 1967 by the Buffalo Medical Review. �WINTER, 1967 EDITORIAL BOARD I ,, Editor RoBERT S . McGRANAHAN Managing Editor I Vol. 1, No. 4 MARION . MARIONOWSKY Dean, DR, School THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo of Medicine DOUGLAS M, SURGENOR Photography THOMAS J. CROWLEY DONALD D . GLENA Medical Illustrator IN THIS ISSUE MELFORD D. DIEDRICK Graphic Artist RICH AR D MACAKANJA Secretaries FLORENCE MEYER MADELEINE WATERS 2 6 7 14 CONSULTANTS President, Medical Alumni Association DR . CHARLES F. BANAS President, Alumni Participating Fund for Medical Education DR. JoHN J. O'BRIEN 15 16 18 20 22 Associate Dean for Continuing Medical Education 24 OR. HARRY J. ALV IS 26 28 29 30 31 32 33 Director, Continuing Education in the Health Sciences DR. MARVIN l. BLOOM Director of Public Information CHARLES H . DICK Assistant Director of Alumni Affairs DAV ID M. KRAJEWSKI Director of University Publications RoBERT T . MARLETT Director, University Foundation DR . WILLIAM J. O'CoNNOR Associate Director of University Publications THEODORE v. PALERMO Vice President for Un iversity Relations DR. A. WESTLEY ROWLAND 36 37 The S.S. HOPE Seven -Years of HOPE Medical Education Tomorrow Dean Surgenor Named Provost New Appointments Dr. John Eccles APFME Summer Fellowship The UB Foundation The Class of 1971 One Million Dollar Pathology Grant The Will Rogers Institute National Medical Shrine Regional Medical Program Dr. William J. Orr Volunteer Physicians in Vietnam Selecting a New Dean People In Memoriam Scandinavian Tour �"THIS TRIP was an extraordinary and most rewarding experience." That is what Dr. and M rs. Fred Gorman said after their two-month stint as "rotating volunteers" on board the floating hospital sh ip, the S. S . HOPE, anchored at Corinto, Nicaragua. Dr. Gorman, a 1936 medical school graduate, was among 25 doctors and dentists who served during the fif th and last rotation. The rotators supplemented the permanent staff of the nation's mercy ship of approximately 100 doctors, dentists, nurses, physical therapists, dieticians, and technicians. The ship and permanent staff w ere in N icaragua for ten months from January 1966 to November 1966. The rotators serve two months on the sh ip without compen sation. The Gorman s were on the HOPE from September 15th to November 15th, 1966. "In Nicaragua, HOPE team s established clinics on Dr. and Mrs. Fred Gorman and the S. S. HOPE. The S.S. Hope Takes the Gorman's t o N icaragua, Ceylon board the ship and also in three cities-Corinto, Leon, Chinandega- within a SO-mile radius of the ship. Teams of doctors and nurses comm uted daily to the clinics. They often returned after dark when cows and oxen became a very real menace. (One HOPE truck was destroyed when it hit a cow!) The impact of HOPE extended throughout N icaragua as doctors referred patients to the clinics. The immunization program exIn February th e Gormans moved to their new home in Briarcliffe Acres, Myrtle Beach, South Carolina. Dr. Gorman fo rmerly lived in Cornin g, New York, w here he engaged in the general practice of medicine. 2 THE BU FFALO MEDICAL REVIEW �tended to rural areas . In some instances these areas could be reached only by horseback, open railroad cars or boat. One man hitchhiked (by ox cart) over 300 miles from Honduras to ask HOPE doctors if they could correct a condition which kept his neck and face riveted to one side. For three years this man walked sideways. Dr. Gorman assisted in the surgery which enabled him to walk normally. "Many of the patients had not seen a doctor in years. Indeed, they were neglected medically. We found many cases of eye and skin disease, as well as tuberculosis, thyroid, arthritis, and rheumatic fever. We saw many people who had had polio and their limbs were still in contracture. They had never received physiotherapy. HOPE physiotherapists trained eleven Nicaraguans to help this kind of patient." The general practitioner explained that gastrointes~ tinal ailments, nutritional deficiencies, and intestinal parasites were also common among Nicaraguans. Nicaragua has only one medical school (at Leon) and one doctor for every 10,000 persons. Average life expectancy is only 35. Half of the children die before reaching the age of five. "My typical day started about 8 A.M. when I climbed on a bus with other doctors, nurses, and technicians for a trip to nearby hospitals and clinics. Often our trip was an hour or longer over narrow roads cluttered with cattle. Usually, I worked mornings as a member of a surgical team or making hospital rounds WINTER, 1967 with my Nicaraguan counter-part. Afternoons, I saw from 30-40 patients in one of the clinics. All had a variety of health problems." Mrs. Gorman, an attorney, assisted her husband in the clinic three or four days a week. Three days a week she would climb aboard a Nicaraguan army truck to help with the immunization programs in the interior. Once a week she and her husband would visit barrios (slum areas) with a team to give sanitation talks to groups in native homes. "When we weren' t treating patients we were busy with the educational program. We would discuss med ical problems, dental care, public health, and h ygiene with doctors, technicians, medical students, and patients. This was done in the clinics, at hospitals, as well as on the 5 . 5 . HOPE . "It was usually after 6 P.M. when we returned by bus to our ship. Almost every evening the doctors gave talks or illustrated lectures for the benefit of the Nicaraguan doctors and nurses training on board. HOPE's main objective is to train Nicaraguans to continue the work after HOPE leaves the area. HOPE has left a land-based team of 14 people in Nicaragua to help them with the transition. They will stay from one to . three years if necessary. "Efforts were made not only to educate the local physicians and medical students, but also pharmacists, technicians, dieticians, physio-therapists, and many others essential to a good health team." 3 �The HOPE's medical task force often strayed far afield. They helped the Nicaraguans paint the operating and delivery rooms, screen the windows, and.establish sterile procedures. They even distributed shoes for the children to wear in Chinandega. This was part of HOPE's public health program to control hookworm disease. Milk distribution was another aspect of the "person to person" program of HOPE. The ship's milk-making machine, dubbed the " iron-cow" by the HOPE staff, produced 250,000 cartons of milk which was distributed twice a week to children and expectant mothers living in the barrios. The HOPE staff introduced common but new procedures to the Leon hospital, such as regular physical examinations, a medical records system, a bloodbank, and identifying wristbands for new-borns. As a result of the bloodbank, transfusions increased 100 per cent. HOPE was instrumental in getting new medical equipment installed in the hospitals at Leon and Corinto, and trained the technicians in its use. The HOPE's residency program was valuable to the Nicaraguan medical students, who have limited facilities for internship and residency training. HOPE's major efforts were concentrated in the Leon area, the site of the country's only medical school. All of the school's medical students served at least a two-month training rotation on the ship. " We found them bright and eager to learn," Dr. Gorman said. HOPE gave them medical books and established a library at the Leon medical school. Medical texts are very expensive and few of the students can afford them. 4 While in Nicaragua the HOPE staff performed 1,581 operations, admitted 1,703 patients to the ship and handled 18,500 clinical visits. Several other local physicians, dentists and nurses who have completed tours of duty on the S.S. HOPE's six voyages are: Dr. Kenneth H . Seagrave, a radiologist and clinical associate in the Schoo l o f Medicine, (In donesia, 1960; South Vietnam , 1961; Peru, 1962 ; Nicaragua, 1966) ; Dr. ]ames Youk er, M ' 54, radiologist, (Indon esia, 1960 ; Sou th Vietna m , 1961); Dr. Carl]. Graf, M ' 41, a neurosurgeon and associate clinical professor of surgery in the School of M edicine, (Peru, 1962); Dr. Jack L. Linden, phy sical medicine, (Nicaragua, 1966); Dr. Sue A. McCutcheon, M ' 56, in ternal medicine, (G uinea, 1964) ; Dr. Earle G. Ridall, M '34, otolaryngology, (Peru, 1962) ; Dr. Joseph A. Schutz, M '28, ophthalmology, (Ecuador, 1963); D r. Robert E. Pantera, DDS '55, assistant professor of fixed partial prosthodontics in the Schoo l of D entistry, (Peru, 1962); Ruth E. Anderson, R.N ., and Dolores Soule, R.N., (both Ecuador, 1963). In six years HOPE doctors, nurses, and technologists have trained more than 3,300 physicians, surgeons, dentists, nurses, and technologists ; treated over 100,000 persons; conducted some 8,300 major operations ; benefited more than one million people through immunization, examination, public education in nutrition, sanitation, personal hygiene, and other services; and distributed nearly two million cartons of milk . The HOPE has visited six developing nations in three continents. Currently the HOPE is visiting Colombia. THE BUFFAlO MEDICAl REVIEW �Project HOPE (Health Opportunity for People Everywhere) is the principal activity of The People-toPeople Health Foundation, Inc., of Washington, D.C., an independent, non-profit corporation. Its objective is to teach medicat den tat and technological personnel in developing countries the latest techniques of United States medical science. William B. Walsh, M . D ., is founder, president, and medical director. "This person-to-person medical program is one of the best methods of creating goodwill. I think HOPE's efforts to treat the sick and raise the standards of medical care in Nicaragua have been most successful. HOPE helped the people of Nicaragua help themselves/' Dr. Gorman said. " Our reward is the appreciation of the people we treated. For example, one Nicaraguan physician opened his home and pool to the HOPE staff every Sunday. And when we sailed from Coninto 20,000 Nicaraguans lined the dock and beach to wave goodbye." When the HOPE steamed into New York harbor there was an extra passenger on board. A nurse on the ship had adopted a healthy 18-month-old Nicaraguan girl. She came aboard when she was eight months old weighing only ten pounds (she had h ad pulmonary tuberculosis). The Gorman's will join the permanent HOPE staff on the next trip to Ceylon in March. Dr. Gorman will be the ship's surgeon for medical staff and crew. He will also participate in establishing a public health program in Ceylon. The HOPE will anchor at the capital and main seaport of Colombo. Although Mrs. Gorman will be busy with h er new baby, she hopes to do some public relations work for the S. S. HOPE. This Nicaraguan youngster turns the tables on h er HOPE nurse and fri end. WINTER, 1967 5 �S Seven Years Of Hope This editorial on the S.S. flope is reprinted from the July 15, 1967 SaturdaiJ Review. It was written by Mr. Richard L. Tobin, Managing Editor. HE COSTS $5,000,000 a year to operate-less than the price of one jet bomber. More than 8,450 major operations have been performed aboard her and some 100,000 persons treated. When she goes to a port she stays in the harbor for ten months, a symbol of America's concern for suffering. She is manned b y men in white, not khaki, and perhaps her greatest accomplishment is the training of 3,450 local doctors and nurses in the latest techniques-sometimes fifty years in advance of theirs. Her name is the S.S. Hope , and in the seven years she has been to sea she has visited seven nations on three continents and become the most welcome ship in the world. Three years ago on this page we reported to our readers the amazing early successes of the famed white hospital ship which set sail in 1960 for Indonesia and South Vietnam. She was then in South America and, at the end of a year when she sailed out of a Peruvian harbor, 40,000 Peruvians lined the shore and cast flowers upon the water, most of the populace tearful and some of them having walked barefoot for thirty miles to give thanks to their Yankee benefactors. In seven years the S.S. Hope has become a leading international health organization which has captured the imagination of people abroad and at home with its inexhaustible supply of warm, human accomplishment and goodwill. There are many who think that the S.S. Hope should be one of a fleet and, in fact, the ship is so popular within the medical profession that it has a waiting list of doctors (they serve in two-month shifts-for free). It goes without saying that she has a waiting list of sufferers in every continent. When the great white ship arrived off Nicaragua last year, the North Americans were not greeted with enthusiasm. On the contrary, there was considerable distrust, condescension, and skepticism until five Nicaraguan doctors and ailing natives discovered that the visitors 6 had nGt .come to show off but to teach. Hope doctors immediately found local assets not being utilized. A building near the Leon hospital had stood in disuse for years. Working closely with Nicaraguan counterparts, H ope teams turned it into a bright new maternity ward, the country's first. When the good ship left late last year, the President of Nicaragua made a personal visit and his aides told Hope's medical staff that "with your departure the people of Nicaragua are losing their best friend, the best messenger of goodwill any country ever sent us." One story out of Nicaragua told of a woman who had left her home south of Managua before dawn in order to be on time for an afternoon medical appointment for her seven-year-old daughter. She had carried the girl, who was suffering paralytic effects from polio, all the long weary miles. She also carried food for the day's journey. On this, her final visit, she had still another burden : a large, heavy bunch of bananas for those aboard the S.S. Hope . As one happy Nicaraguan doctor put it: "You can still see American flags flying in Corinto, flags put up to welcome the Hope into Nicaragua last January . . . . Little children in the streets like to run up and lightly touch the Americans (their heroes) and the people of Corinto have learned to say 'hi' and 'goodbye' in English." So popular was the S.S. Hope in Nicaragua that an interpreters' committee made up of local volunteers took turns making a four-hour round trip from Managua to the ship each day with translators. The Reverend Randolph Hellwig from Penfield, New York, chaplain aboard the S.S. Hope, believes that, because the ship had b een at Nicaragua for the better part of a year, any feeling that Americans are only selfish and grasping has been totally destroyed. Dr. John T . Logue, from Columbia, Missouri, who recently served aboard the Hope in Corinto, said: "It is more effective to take a shipload of knowledge to foreign coun- tries than it is to bring students to the United States for study." Dr. Walter C. Rogers, chief of staff of the S.S. Hope, told a recent interviewer: "Actually, if the ship were simply a service ship it would not be worth sending to any country, because the countries to which we go have such enormous problems of health that a 130-bed hospital (which is our size) couldn't possibly, in ten months, begin to dent the problems. Our only hope is to train people in all sorts of medical and paramedical fields to go back and train other people in their own country to do better work, to take more interest in their problems, and so on. The doctors we train, the hospital sanitary workers we train, the dieticians, the technicians, the nurses, are all capable of going back into their own community and training other people, and in this way you have the typical stone-in-pond-ripple effect of constantly improving the health situation in the country to which we go." The S.S. H ope is now in the midst of what may well be her most successful mission to date. One month after she tied up at Cartagena, Colombia, 2,619 patients had been treated aboard and in shore clinics, Hope surgeons had conducted 160 operations aboard and sixty-five more ashore, and Colombian children had been given 12,300 immunizations against polio, diphtheria, tetanus, and smallpox. By the end of this year at Cartagena, the S.S. Hope, already a No. 1 tourist attraction, is sure to break humanitarian records set by her on previous visits to six other ports. In an insane world of idiotic spending for fratricidal wars and "defense," the comparatively small expenditures for S.S. Hope have lighted a tiny, inexpensive candle in the darkness. Imagine America's image, to say nothing of the world's health, if a thousand ships of Hope moved upon the waters of the earth for the alleviation of the ills of mankind. The p ossibilities for p eace in a healthy world stagger the imagination. THE BUFFALO MEDICAL REVIEW �A Medical Education Tomorrow by W. Clarl~e W escoe, M.D. REVIEW of some salient features of medical education today is essential to a discussion of medical education as it might be. The medical education we know today is for tomorrow ; what I plan to discuss is medical education of tomorrow. What we have today we claim to be the finest educational program ever developed and unequalled in the world. Our medical centers have become magnets for physicians from every part of the world. In large measure what we h ave created h as become the prototype for all and, if not the prototype, then largely the goal to which others aspire. It is a program recognized by the public not only for its excellence but also for its rigor. I have little doubt that the great esteem in which physicians are held is rela ted in large part to what the public recognizes as the most rigorous of all educational program s. Yet scien tific excellence and quantitative length have apparently not led to an educational program acclaimed with approbation b y all-particularly by the profession itself, occasionally by its student personnel, and even by the general public. A paradox exists. In order to understand the paradox it is necessary to review developments as we have seen them over a period of years. Dr. W. Clarke Wescoe presented this Stockton Kimball Lecture on Clinical Day, March 18, 1967. Dr. Wescoe has been Chancellor of the University of Kansas since 1960 . He went to the U niversity in 1951 as professor of Pharmacology and experimental m edicine. One y ear later, in 1952, he was named D ean of the School of Medicine. He held this position until he was named Chancellor. He was also director of the Medical Center from 1953 to 1960. H e received his M.D. from Corn ell Un iversity in 1944. WINTER, 1967 From apprenticeship on the one h and and proprietary schools on the other, a rapid evolutionary process led to the development of our medical schools almost entirely in the university context. Medicine took great pride in being a profession and a university discipline. That latter phrase h as been u sed rather loosely for there is great reason to believe that m edicine has rarely been embraced entirely within the university . Primarily it would be fair to say it has existed as a satellite of the university. 7 �From part-time faculty members actively engaged in the ordinary practice of mE:dicine there was a subtle but continuous change to the full-time faculty who are actively engaged in the practice of medicine, but almost entirely in a consultative practice. This incidentally is the way the practicing profession wanted it. From affiliated hospitals rather loosely attached to medical schools, we progressed to hospitals owned and controlled by the school itself. This followed university theory of course that all schools owned their laboratories and classrooms. The public was willing to pay for research and research it received-but more than that a research orientation in medical schools. Faculty members became investigators or vice versa. No school is to be criticized for what it did-take the funds available and use them for the purposes intended. When general facilities were required, research facilities were constructed. The reason was simple. Funds were available for the latter but not for the former. As knowledge increased logarithmically, specialties arose which became narrower and narrower in concept. No one would gainsay the value of specialism for a great many of the miracles of modern medicine are derived from it. Specialism did, however, splinter medicine and especially its educational program. The second World War gave great impetus to medical research. The triumphs of the medical corps were widely heralded and opened the eyes of the public to what great things could be accomplished if determined efforts were made and funds provided. Clinical teaching was governed in a slightly different way. Clinical faculty members engaged in consultative practice for the profession wanted it that way-no subsidized competition. A consultative practice required intensive and exhaustive diagnostic procedures and short-term hospitalization. The patient was referred, seen for a short period, and returned to his own physician, rarely if ever to again be seen in the medical center. There is nothing comprehensive by way of care in those circumstances. It is literally impossible to teach general principles of general and continuing medical care in the atmosphere of a totally consultative system. Funding provided a real problem. There was no school with sufficient endowment or sufficient public support to do all that it wanted to do or was expected of it. An obvious need for Federal support for a "national utility" was ignored so far as the basic program was concerned. The profession itself fought against the principle of such support although it went on record in favor of funds for research. Literally an older cry was paraphrased: "Millions for research, not one cent for education." 8 Perhaps one could say the medical schools took the expedient way. Perhaps one could say, in retrospect, they exercised poor judgment. What one cannot say is that they did not use the funds appropriately. Research orientation was created and flourished because of the availability of funds for research. Specialty orientation arose and flowered because consultative, not comprehensive, practice was encouraged. THE BUFFALO MEDICAL REVIEW �ters. There are specialized laboratories into which the patient rarely intrudes, and when he does, only for a brief test. There are hospitals designed for shortterm, episodic, intensive care. There are outpatient departments populated by the indigent, the aged, and the chronically ill. Th e exhibits at Spring Clinical Days There is little cause to wonder that comprehensive, continuing care is not being taught. Every development has militated against it. Yet that is exactly w h at the public appears to be demanding. I say " appears" because I am not arrogant enough to presume that I know what the public wants. I am not aware of any unbiased survey that would tell me or anyone o f the public's desires. I wonder, indeed, if the public really knows. As knowledge increased, new technology developed, the curriculum rigidified. Faculty members primarily concerned with research were less responsive to the needs of their students. Although flexibility in curriculum was encouraged by the accrediting agency, little flexibility developed. At a time when dramatic changes were occurring in baccalaureate level courses, few occurred in the medical fields. Brighter, more advanced students appeared, but the medical courses remained the same, far from stimulating and rarely challenging. Medical teaching has not kept pace with teaching in other disciplines. Medicine now has in its hands two far-reaching reports that suggest dramatic changes for the future. One addresses itself to the concern for family practice. The other addresses itself to a revision in part of graduate medical education. Neither suggests an abandonment of all that has been accomplished. Neither suggests a revolutionary approach to the future. Each however does place emphasis on the public concern for continuing, comprehensive health care. Each describes a concept of the physician many persons want. One calls him a family physician, the other a primary physician. Medicine cannot ignore these reports. Medicine cannot produce a physician indifferent to public needs and public desires. Curricula became less patient-oriented, less individual-inclined as medical centers took shape and grew. There are classrooms into which a patient never en- With the past in review, and these reports in hand, one is prepared to philosophize about medical education tomorrow. WINTER, 1967 9 �A great deal is spoken about the triad of responsibilities of any educational institution-teaching, research, and service. That those three responsibilities are present no one would deny. I cannot see them however as necessarily the equal supports of a three-legged stool on which one could sit comfortably and stably. I cannot conceive of them as co-equal. One of them is primary and that one is the educational or teaching function. The others, far from being co-equal are fortunate by-products. Medical schools were created to fill the social need for physicians to care for people. None, I submit, was created primarily as a research institute and none as a service center. The people of Kansas, for instance, built a general hospital in their university's medical center complex for one reason only, not because they needed another hospital, but because it was essential to the teaching program of the medical school they desired. And they desired a medical school because they wanted a continuing supply of physicians. So it is with all others. Those of us in education need constantly to remind ourselves of that. The public expressed its need and the public must be served. Our future concern for support must rest in the area of general support for the educational enterprise. There is really but one significant source of such support-the Federal government. What I see for medical education tomorrow therefore is increasing support from Federal sources both for the so-called private as well as the generally-called public schools. Medical care and the health of citizens is a national goal-it is self-evident that it should have national support directly and not by subterfuge. 10 There will be dramatic changes as well in the medical curriculum. These changes will relate to greater flexibility in the curriculum and greater individualization of program for the student. Some of these changes are already apparent in some medical schools. Like colleges now, medical schools will move toward admission of students to advanced standing and will provide for them much greater opportunity for independent study. In point of fact, it is only in this w ay that medical schools will be in a position to continue to attract the ablest of students. Those students already are pressing for such an opportunity. As witness to that fact let me quote from a report submitted in my own university by the senior students in Alpha Omega Alpha: The medical school system presently is divided into two broad section s, i.e., basic medical scien ces and clinical studies. Moreover, within these two major divisions a series of rigidly prescribed courses is faced, w ith little variab ility designed to meet specific requirements or desires of individual students. This closed sys tem presen ts the student with immediate, serious problems. Students entering medica l school have in common a liberal arts education while fulfi llin g certain premedical requirements. Many such students have majored in fields other than those applicable to the care of the human body, but do possess initi ative, drive, and quick conceptual gra sp. In many instances the rigid routine of didactic lectures and uninspirin g laboratory work frequently allows even the interested student to accept his lot and shut his mind to all but fulfilling requirements. Questions remain unasked and unanswered; conceptual thinking gives way to the absorption and regurgitation o f seemingly unrelated facts. Furthermore, the students finds that a gap d ifficult to bridge exists between the second and third years, between basic science and clinical application. He must relate hithe rto separate scientific principles to a highly complex in terrelated mass of organ systems while acquiring a new set of concepts and techniques b y which to deal THE BUFFALO MEDICAL REVIEW �with the talking patient. Such application is woefully inadequate initially, and takes several years, at present, for proficiency. In reverse, the separation of clinical material from basic science concepts removes from many students a valuable incentive for study-incentive sorely needed in the first two years in the study of subjects as anatomy and microbiology. The unfortunate consequences, we feel, of a rigid, stratified curriculum juxtaposed with an explosion of knowledge are intellectual stultification, sciolism, and the repression of original thinking. We contend that a program which prescribes 36 months of lock-step education for a student can rarely sufficiently challenge him during the three months of elective work offered to avoid these consequences. We would support the establishment of a curriculum during the first two years which offered a core of uniform course work for three-four days per week supplemented by a program of individual selectivity during the remaining time Although the student would be required to participate, and would be evaluated, in both the core and selected programs, a curriculum of this type would provide all students a valuable measure of individuality and would encourage originality. Similar core curricula and independent study can and will be devised for the clinical aspect of teaching. The "lock-step" will be broken and medical education will become meaningful and scholarly. It will truly be a graduate-level program and not as it is now, a postbaccalaureate learning experience. Undergraduate medical education will be revised in such a way that comprehensive, continuing care will become a central part of the curriculum. Many experiments have been tried with mixed success in this challenging area. That their success has been mixed is related, I believe, to the single fact that they have been peripheral rather than central to the basic curriculum. They have in essence been grafted onto existWINTER, 1967 ing programs or have been designed to fill the hours shaved away from existing programs. The hospital itself, already described as designed for acute episodic care, is hardly designed for the teaching of comprehensive medicine. What is required for that is a vastly increased experience with ambulatory patients. What we will see develop then is imaginatively designed out-patient programs. The hospital will serve as an adjunct device rather than as it now serves-as the central focus of all clinical teaching. The profession itself will support such changes in recognition of the fact that general medicine cannot be taught in a totally consultative atmosphere. Model clinics and model programs will be devised such that the student will learn of the continuing components of medical practice. Thus will be solved the great deficit in medical education of today, the teaching of the concepts of the delivery of medical service. Th e coffee lin e. �The newest legislation relating to regional programs will permit interesting experiments in this area. Care must be taken however not to mistake the substitution of one small community hospital for another, a medical center, as experimentation or new conceptualization. Community-oriented medicine will come to the fore. Hospital-oriented medicine will recede but not disappear f rom the curriculuum. In these several ways finally, we will be able to educate our students such that they will have a basis from which to make a sound choice. By orienting our programs so that the student will experience the challenges of primary and continuing care as well as the ch allenges of specialty medicin e on an equal b asis, we will give him the opportunity to m ake a reason ed selection of his career. From that selection will flow graduate experience of similar natures-comprehensive medicine on the one hand, specialized medicine on the other. In that graduate p rogram , the internship will d isappear as a free standing year b etween medical school and residency. Finally it will be recognized as the anachronism it is, an unnecessary extension of medical education, a less than fruitful experience for the young physician and his patients. Residencies, like undergraduate med ical edu cation, will become more flexible in respect of content and will be individualized according to the needs of the individual student. More than that, competence and judgment will become the criteria for evaluation of the resident rather than time. 12 Much of our k nowledge in medicine w ill become computerized. Some clinics have already come far in this field . The day is not fa r o ff when the console with access to the computer will become a standard accessory in every physician's o ffice. By feeding into that computer the salient facts of the carefully elicited history, the cardinal points of the physical examination, a list of presumptive diagnoses will be presented. For these d iagnoses a list of corroborative laboratory examination s will be suggested, all fro m the enormous memory of the machine. Suggested therapy will be available through the same mechanics. All of this is no t to say tha t intelligen ce will be ruled out as a requisite for the physician. Rather it is to say that h is in telligence will be sharpened as h e feeds his d ata to the mach ine. Most impor tant there will be made available to him-time-that precious element so lacking to h im today. M edical education will teach him how to m ake the most of that in comm unicating with h is patient. Th e versatility and accuracy of the machine will actually restore the h umanistic component to the practice o f medicine. H ere is where the beh aviorial scien tist will become important to medical education. I caution though th at the beh avioral scientist not be looked upon as n ature's answer to m edicine' s problem. I would point out to the contrary that medicine was indeed the first of th e behavioral sciences. It was only recently disguised by the in fluence of tremendous technical advances as well as an explosion of k nowledge in the natural scien ces. THE BUFFALO M EDICAL REVI EW �There will be teachers whose prime function will be to teach communication-the art of the transmittal of information. Medical education will so improve in this regard that no longer will a patient be unaware of his diagnosis or ignorant of the medication he is taking. Further than that, if operated upon, he will know exactly what was removed and why. Not only the use of the computer but the further development of allied health professions as well will add time to the physician' s armamentarium. Medical education will speak to the student of team work and teach him how to exercise his leadership role. The medical student tomorrow will be taught, in a meaningful fashion, what skills can be developed in auxiliary professionals to be delegated to useful purpose and then to understand how one delegates roles. Lastly, as comprehensive model clinics are established and as regional programs become part of the basic pattern of education, the part-time teacher will reappear in ever-increasing numbers. His interest in curricular affairs will serve to keep the educational program in tune with the times. His experience will be invaluable in correlating actual practice and model practice for the student. His contribution will represent the spin-off from the field of actual practice to the educational setting just as new techniques, new tests and new therapy have represented and will continue to represent the spin-off from the research laboratory to practice. highly-skilled allied health personnel to be trained in ever-increasing numbers. All of this I am certain will be accomplished, not without pain and not withou t some trial and erro r. The speed of its accomplishment will d epend upon concerted effort. It will depend in large m easure upon our willingness to sit down, as d evoid of bias, as oblivious to vested interest as is possible, to reason together. Even more than that, the speed of its accomplishment will depend u pon the men of vision available and willing to provide leadership. What we need, to paraphrase John G ardner, is a num ber · of deans and faculty m embers who will take the large view of their leadership assign ment rather th an be satisfied with tending the store. It is they w ho will plan the grand strategy and then move to accom plish it. Just th e other day a colleague of mine, in quite another context, reminded me of an old G erman proverb w hich rough ly translates: The w a y one h olle rs in the forest d e termin es th e w a y the ech o will com e o u t. We need the men wh o know how to " holler into the forest." I trust that among you are some of them- for yours will be the thrill of achievement. • None of this emphasis on continuing comprehensive care will solve the problems of our sparsely populated areas, our small towns that are becoming smaller. To hold this out to them as a promise would be tragic. Medical education's promise to them will represent the WINTER, 1967 13 �DR. DouGLAS M. SuRGENOR, dean of the School of Medicine since 1962, is the new provost of the health sciences faculty. He succeeds Dr. Peter F. Regan, who became executive vice president in February. Dr. Surgenor New Provost for Health Sciences Dr. Surgenor's appointment was effective August 1. He will continue as dean of the School of Medicine until a successor is named. He came to Buffalo in 1960 as head of the department of biochemistry from the Harvard University Medical School w h ere h e had been assistant professor of biological ch emistry. He received h is doctor of philosophy degree from Massachusetts Ins titute of Technology. Progress was the theme of his five- year tenure as dean : -the number of physician graduates jumped from 64 to 95; - the f aculty h as grown from 108 to 248 ; -the operating budget of $1.2 million quadrupled ; -the research budget increased from $2,158,000 to $4,650,000; Dr. Stafford -UB became affiliated with the State U niversity sys tem of high er edu cation; - th e University' s co-operative program with the Medical School of the National University of Asuncion, Paraguay, finan ced by the federal government h as been strength en ed; -the School's Curriculum Committee has recommended a more flexible cu rriculum with more electives; - the Dean 's C ommission on Medical Manpower h as launch ed a drive to interest more prospective s tudents in the health sciences; -the Dean is co-ordinator of a $300,000 grant for a Regional M edical P rogram; -the relationships with the affiliated teaching hos- pitals (Buffalo Generat Children's, Meyer, Millard Fillmore, Veterans) have been streng thened; -both the clinical and basic scien ce departments have been strengthened; -the Dean has worked closely with th e A nnual Participating Fund for Medical Edu cation in their various p rojects to support the School of Medicine ; Dr. Surgenor is ch airman of the N ortheastern Regional Section of the Association of A merican Medical Colleges and a member of the association's Commit tee on International Relations. H e is a m ember of the Board of Direc tor s of the A merican H eart A ssocia tion and past chairman of its National Research Commit tee. He is also chairman of th e Advisory Board o f the Erie County Laboratory and a member of the Wes tern New York Hospital Review and Planning Cou n cil. • New A sso ciate D ean s Two NEW ASSOCIATE DEANS have b een n amed to th e School of Medicine administra tive s ta ff. Dr. Walter F. Stafford Jr., M ' 44, a neurologist, was named associate dean for academ ic affairs and associa te professor of n eurology. Dr. Oliver R . H u nt Jr., assis tan t professor of surgery, is associa te d ean fo r clinical a ffairs. H e is a 1 951 gradu ate of the University of Louisville Medical School. He joined the UB faculty in 1 962. For the last two y ears he has been ch ief o f p ar ty and consul tant in m edical education to the medical faculty a t the University of A suncion, Paraguay . H e h as also b een assis tan t d ean for the UB program in Paraguay. Dr. Stafford has been a m ember o f th e faculty since 1 9 49. As associate p ro fessor of neurology in 1961- 6 2, h e headed the department of n eurology a t Buffalo General Hospital. • D r. Hunt 14 THE BUFFALO M EDICA L REV IEW �A DISTINGUISHED PoLISH scientist is the new chairman of the department of bacteriology and immunology in the Schools of Medicine and Dentistry at the university. He is Dr. Felix Milgram, who succeeds Dr. Ernest Witebsky. There is, however, a unique bond between the two men. Both were influenced to do research in immunology by the late pioneer in the field, Dr. Ludwig Hirszfeld. Both men left their native countries when the political systems became unacceptable. Dr. Witebsky came to the United States from Germany via Switzerland; Dr. Milgram from Poland via Paris and Venezuela. Dr. Witebsky was well established in Buffalo when he received an appeal from Dr. Hirszfeld's widow, Hanna, to help Dr. Milgram come to this country. He did so, commenting at the time that "I am making a payment of my debt to Ludwig Hirszfeld." It was 1958 when Dr. Milgram came to the university as a research associate professor of bacteriology and immunology. On July 1, 1965 he was promoted to full professor. Dr. Milgram received his M.D. in 1947 from the School of Medicine, University of Wroclaw, Poland . He also attended the Schools of Medicine at the Universities of Lwow and Lublin, both in Poland. He taught at the University of Wroclaw from 1945 to 1954. In 1953-54 he was director in charge of the Institute of Immunology and Experimental Therapy, Polish Academy of Science. From 1954 to 1957 he was professor and head of the department of microbiology, Silesian University, School of Medicine, Zabrze, Poland. In 1957 he served as a research associate at the WINTER, 1967 Pasteur Institute in Paris and the following year in Caracas, Venezuela. Dr. Milgram is editor-in-chief of the Internatio nal Archives of A llergy and Applied Im munology, a contributing editor to Vox San guinis, and associate editor of T rans fusion . He has published more than 160 articles on serology of syphillis and rheumatoid arthritis, organ and species specificity, autoimmunity and transplanta tion. He and his wife, Halina, also a physician, have two son s, Henry, 21, who is a fresh man in the School of Medicine, and Martin Louis, 16. • Dr. Milgram Suceeds Dr. Witebsl~y N ew Pediatrics Chairman THE NEW CHAIRMAN of pediatrics at the School of Medicine is Dr. Jean A. Cortner. He succeeds Dr. Mitchell I. R ubin, who retired in August. Dr. Cortner has been chief of the ped ia tries depar tment at Roswell Park Memorial Institute and pro fessor of pediatrics in the School of Medicine since 1963. As chairman he will also be pediatrician-in-chief at Children's Hospital. Born in Nashville, Tenn., he received his b achelor of arts degree in chemistry from Vanderbilt University in 1952 and his m edical degree three years la ter. He interned at Vanderbilt Hospital and then served both a residency and fellowship in pediatrics at Babies Hospital of Columbia University, New York City. He was chief of pediatric service with the 196th Station Hosp ital in Paris in 1959-61, and guest investigator and assistant physician in the depar tment of human genetics at Rockefeller Institute in 1962-63. A diplomate of the American Board of Pediatrics, he is the author or co-author of more than a dozen pap ers published in scientific journals. • 15 D r. M ilgram Dr. Cortner �Dr. John Eccles A N AusTRALIAN NEUROPHYSIOLOGIST, w ho was co- Will Join Faculty recipien t of the 1963 Nobel Prize for Physiology and Medicine, will join th e School of Medicin e f aculty in July. H e is Sir John Eccles, who won the Nobel Prize for h is research on the function of the brain. He w ill b e Distinguished Professor of physiology and biophysics in medicine and dentistry and the Dr. H enr y C. and Bertha H. Buswell Research Fellow. Dr. Eccles is the first Nobel Laureate appointed to the University faculty. Another faculty member, Dr. Carl F. Cori and his wife, Gerty, won the Nobel Prize in physiology and m edicine in 1947. He was assista nt professor of physiology from 1927-31. A unit of n eurobiology will be created for Sir John, who will have a special laboratory on the Ridge Lea campu s, according to Dr. Douglas M. Surgenor, Dean of th e School of Medicine and Provost of the Health Sciences Fac ulty. "We are creating this special unit in th e H ealth Sciences faculty so that Dr. Eccles can continue his distinguished in vestigations that won him the Nobel Prize," D r. Surgenor said. Facu lty an d stud en ts will have an opportunity to work and study with Dr. Eccles. There are several facult y m embers interested in this specialized fieldDr. Louis Bakay, professor and head of neurosurgery ; Dr. Bernard H . Smith, professor of neurology ; Dr. Irwin A. Ginsberg, assistant clinical professor of otolaryn gology ; D r. John M . Lore, Jr., professor and head otolaryngology ; Dr. Werner K. Noell, professor of phy siology; Dr. Harold Brody, professor of anatomy; and Dr. Cedric M. Smith, professor and chairman of pharmacology. Dr. Eccles said, " d uring the last three yea rs I have participated in most exciting experimental investiga- Or. Eccles 16 tions on a h ighly specialized part of the b rai n; na m ely, th e cerebellum. Alread y this work on the cerebellar cortex h as appeared in nine major papers and three more h ave been sub mitted for pu blica tion. There h a ve been important de velopmen ts in complementary resea rch in other la bo ratories . " The cerebellum p resents singula rly favo rable cond itions for a stud y of th e integration of information in the central ner vou s system, which is a fundamental problem in brain fun ction. Systema tic exploration o f the input o f information to the an terior lobe of the cerebellum has shown that this in tegra tion occurs in a " p iece-m eal" manner, th e enormous complexity o f the task b eing u ndertaken by a mu lti tude o f fo ci, each with characteris tic patterns of in tera ction selected from the totality of th e informa tion inp u t. T his d iscovery opens up an immense and important field o f in vestiga tion, which it is h oped will lead to the understandin g f or t he fi rst time of the m ode of operation of an important a rea of the brain." The 64-year-old medical educator is a native of Australia. H e w as graduated in Med icine w ith first class h onors from th e University of Melbou rne in 1925. He then went to O xford as an u n dergraduate R hodes Scholar w h ere he was the pu pil of master physiologist, Sir Cha rles Sherrin g ton a t M agdalen College. (In 1932 Sh errington shared the N obel Prize with Edgar D ouglas Adrian .) Sir John' s career at O xford was d is tingu ished. In 1927, w ith a secon d first class honors degree in natural scien ces, h e won the Christopher Welch Sch olarship . H e was appointed Junior Research Fellow at Exete r College where he began resea rch on refle xes as a member of Sherrington's team. T he follo wing year, 1928, he b ecame Sh errington's research assistant and THE BUFFA LO M ED ICAL REVIEW �during three years published with Sherrington eight papers on reflexes. In 1929 he received his doctorate from Oxford with a thesis on excitation and inhibition. In 1932 he won the Staines Medical Fellowship at Exeter College and in 1934 he was appointed to a Fellowship at Magdalen College and University Demonstrator in Physiology. In 1937 he returned to Australia from Oxford to become Director of the Kanematsu Memorial Institute of Pathology at Sydney. In 1944 he was appointed professor of physiology at the University of Otago Medical School, Dunedin, New Zealand. He has been professor of physiology at the Australian National University since 1951. He was president of the Australian Academy of Science from 1957 to 1961. In 1960 he received an honorary Doctorate of Science from Cambridge University. In 1941 h e was elected a Fellow of the Royal Society, and in 1963 he received the Cothenius Medal which is the hi ghest award of the German Academy of Natural Sciences. He is the recipient of the Royal M edal of the Royal Society and numerous other honors. He is also an Honorary Fellow of both Magdalen and Exeter Colleges, Oxford. Dr. Eccles is a Foreign Associate of the National Academy of Sciences, an Honorary Fellow of the American College of Physicians, Foreign Honorary Member of the American Academy of Arts and Sciences, and an Honorary M ember of the American Philosophical Society, American Neurological Association and the American Physiological Society. He has received six honorary Doctorate degrees from A merican, Canadian, English and Australian universities. WINTER, 1967 After World War II, Dr. Eccles began the line of investigation that led to his knighthood in 1958 and the 1963 Nobel Prize that he shared with Alan Lloyd Hodgkin of Cambridge and Andrew Fielding Huxley of University College, London, England. By microelectric recordings from within nerve cells he discovered the mode of operation of the excitatory and inhibitory synapses that are the means of communication from one nerve cell to another. It is this synaptic linkage of nerve cells that provides the basis of operations of the nervous system with its tens of billions of individual nerve cells. The simpler patterns of this linkage are currently being investigated, particularly in the neuronal circuits of the cerebellum. The scholar-educator has taught, lectured and done research in the United States, England, New Zealand as well as in his native Australia. Much of his recent lecturing h as been concerned with the philosophical implication of the recent developments in neural sciences, in an effort to counteract such fallacies as the deterministic view of man and the reductionist view of life. Sir John has authored five books -"The Ph ysiology of Synapses" (1964) ; " Physiology o f N erve Cells" (1957); "Neurophysiological Basis of Mind" (1953); " Th e Cerebellum as a Neuronal Machine" (1967) ; and " Th e Post-Synaptic In hibitory Pathways o f the Central Nervous System" (1967). In addition, he has contributed more than 300 articles to scientific and professional journals. For the past year, Dr. Eccles has been a member of the American Medical Association Institute for Biomedical Research, founded in 1965. His research has been with the cerebellum. • 17 �, Practical Experience on an APFME Sumn1.er Fellowsbip Examining a new born baby DouGLAS L. RoBERTS, '69, wanted to gain as wide and general a picture in the field of medicine as possible. He wanted a more personal surgical, obstetrical and practical experience which would prove invaluable in preparing him for his junior year. He selected an APFME supported summer fellowship in his home town, Penn Yan, New York, a village located about 100 miles from Buffalo. The 7,000 inhabitants, serviced by a 100-bed hospital, offered him an opportunity to bring together and put into practice a number of disciplines- ophthalmology, surgery, and pathology. Working with a team of three physicians (surgeon Robert 0 . Jensen; anesthesiologists Robert McLaughlin and h is father William G . Roberts, M '37), his mornings would begin in surgery at the hospital, followed by afternoons spent at either the surgeon 's or general practitioner's office. The more personal contact and intensive followup of patients who are treated b y the same doctor offered him an excellent opportunity to apply what he had learned. • S u tu ring a scalp laceration, aid ed by his father H ospital rounds with ophthalmologist D r. Wil fred M cCusker �Vis iting day at the University of Syracuse surgical clinic with D r. Jensen . Lu n ch with Richard Ha rpending, (a general practitioner in Penn Y an ) and his father (righ t). A ss isting in su rge ry. �Private Giving Through Foundation QN JuNE 29,1962 the University of Buffalo Foundation Inc. was chartered by the Board of Regents of the New York State Education department. The Foundation was established to carry on the private giving heritage of UB which by its past performance led to its selection "to become a jewel in the crown of State University of New York." Thus it clinched its destiny, to become one of the truly great universities in our land. We should settle for nothing less. The Foundation was specifically to provide a "Margin of Greatness." Although New York State plans to provide probably in excess of $900 million in the decade 1962-1972, private monies received by the Foundation can be used exclusively for "seed" money, for projects innovating "extras" in an atmosphere of creativity. Voluntary support importance is described at the University of Michigan : " To assume that legislative grants underwrite the full budget of a typical state university is anything but the truth. Tax revenue, in effect, is comparable to the large endowments enjoyed by many private schools. In each case, the legislative appropriations and endowment income, respectively, furnish most of the_piece de resistance- the faculty salaries, building maintenance, utility expenses and other basic costs of operating the institution. In no sense do the tax dollars provide the hors d'oeuvres, the salad and the frosting on the cake which, freely translated, constitute the vital resources for such needs as scholarships, fellowships, special equipment, museum and library collections, research and certain physical facilities." We salute the University of Michigan because of its recent efforts in raising over $50 million of voluntary support to supplement their tax dollar support. 20 Chancellor Furnas himself a University of Michigan graduate (Ph. D.) expressed it at the time of establishment of the Foundation: "The State will supply the meat and potatoes of our future diet but our alumni and friends will supply the vitamins." President Martin Meyerson has expressed it: " Our university probably has the most exciting opportunity in higher education in the United States during the next decade. The University of Buffalo Foundation, Inc., and the UB Alumni Association have vital roles to play in responding to that opportunity." Without question the outstanding universities of America, and therefore the world, are those with a traditional cou pling of massive public and private support. A vigorous program of private support can provide extra monies for the innovative programs which make up the vital margin between standard performance and a standard of excellence. " A public institution is not basically concerned with survival, but if the challenge is to be met and the responsibility is to be discharged, survival and ordina ry programs will not be enough. Our goal is not just an ordinary institution nor a mediocre program, but a superior institution in all respects ." It has been estimated that in the past private support of UB (testamentary gifts) have accounted for 65 percent of our campus buildings. The persons who made ch aritable bequest provisions were not only rewarded through their lifetimes from the knowledge of what their gifts would provide through their wills, but their family names have been perpetuated. Witness: The Hayes Hall and Butler Carillon, Schoellkopf THE BUFFAlO MEDICAl REVIEW �Hall, Clement Hall, The Clark Gymnasium, Goodyear Hall, Acheson Hall and many other perpetual reminders of gifts of substance and / or services to establish, preserve, and extend the facilities of higher education to the youth of our city, state and nation. Until quite recently bequests and testamentary gifts and trusts were the usual form of giving. Recent years however have seen a tremendous advance of estate planning gifts which include advantages to the donor in addition to a sense of well being through altruism . It has become important to be thrifty in philanthropy through governmental encouragement of g iving to higher education. Trusts and "charitable life income contracts" which provide for " giving while keeping the income" also have tax benefi ts for property increased in value, by avoidance of capital gains taxes and charitable deductions up to thirty percent o f income and a five y ear carry over. These techni ca l arrangements shou ld of co urse onl y be mad e with proper legal advice. Recent reports by the Founda tion have pointed to 1966 -67 record year' s income $ 1 ,504,967 .51 which includ ed $ 38,389.04 in bequest::;. Previously, since its charte r was granted in June 1962 the Foundation had received bequests from Marion L. Tallman, Jeannette B. Barnum, John H . Cormack, Mrs . Ernestine W. Seymour a nd Lee Davi s and during the current year, the es tate of Miss A nna Speidel ($11,803.08) totals $48,216.26. These gifts have enabled the University to increase its National M eri t Scholars from four in 1965 to seven in 1966 and hopefully to 14 in 1967. These brillian t students can serve as germinating cultures to infuse our student body's additional academic excellence. One hesitates to talk in terms of expectancies but it has been estimated that alumni and friends have WINTER, 1967 provided in their wills, $2-$ 3 million potential gifts to higher education at SUNYAB through the University of Buffalo Foundation, Inc. For our part we encourage our friends to explore the opportunities for deferred giving, for example: Life insurance, either new policies or established policies no longer needed for the original purpose intended; a contingency clause included in a will can provide for the Foundation if an intended beneficiary is no longer here to receive a legacy ; a temporary term trust can give currently unneeded income to the Foundation with a re turn of the corpus to self or relative. Obviously some special a r rangements of deferred giving apply to wealthy people but many modest bequests can also preserve many names in perpetu ity as they aid the University in its program of future g rea tn ess. Our o wn C harles Gordon Heyd, M ' 09, has said in his " C hallenge of Adaptation" speech : "The concept o f a s tate endowed university did not mean that private donation s were to be abolished. On the contrary it m ean t that private gifts must be continued and increased .. .. The answer was the establishment o f the Uni versity o f Buffalo Found ation, Inc., successor to the heritage of private giving a t U. B... . I took action by giving a gift for their new en dowment fund . M y gift alone will not provide all their needs and I cord ially invite you to join with me in providing for the Foundation unrestricted endowment fund in y our own will. . . . In the making of a great University, we h ave fulfilled ourselves, and we dare : and we can conquer, and we may share in the rich quiet of the afterglow." • 21 �Dean Surgenor officially w elcomes the 1 971 class. Tbe Class Of 1971 It was a typical two-day orientation for the 1971 class of 104 (99 men, 5 women) . The newcomers met faculty and students, registered and were photographed. In his official welcome Dean Douglas M . Surgenor said, "you are entering a study of medicine at a crucial period in the history of medicine in our country, in a way most of u s have not been prepared for. Challenges that face us todaylife expectancy curves h ave plateaued; we rank about eighth in the world w ith regard to infant mortalit y; health care costs in this country are alarming and they will prove to be a big factor in your careers. "All of a sudden we are faced with the realization that we are in a tremendously rapid state of flux . You are involved in it, and we have to w ork very carefully and very fast to respond to this. You are going to see tremendous 22 A chance to make new f riends during the lunch eon. changes in the way medicine is organized. " Let yourself explore in depth things that in terest you. We will have that attitude toward you. We hope you w ill live up to it." There was a lun cheon, a faculty reception and dinner, a tour and a lively panel discussion on medical student life. T h e Class of 1 971 met and talked with upper classmen on a variety of topics ranging from parking problems to study habits. The new class met with p receptors, they heard about th e library, first year classes in an atom y, biophysics, physiology, and psychiatry. There w ere physical examinations and the t radition al m edical case presentation during the second day. At times, the patient reversed his role and diagnosed h is own case (while being questioned ). THE BUFFA LO M EDICA L REVIEW �The mid-morning coffee break. Informal visiting in the student lounge. T he f aculty told th eir story. The medical case presentation by Dr. Theodo re N. No ehren, associate professor of internal medicine. �The larger of the two grants is the five-year research allocation of $740,000 from the National Heart Institute. It is for studies on the mode of origin and development of experimental high b lood pressure in laboratory animals. Another five-year grant of $331,360 will underwrite the training of graduate students in experimental pathology. This grant is from the Division of General Medical Sciences of the Public Health Service. The research grant, one of the largest in the history of the School of Medicine, was effective September 1 . It is a continuation of a previous six-year grant of Two Professors Receive One Million Dollar Grant $756,000. In 1960-62, the National Health Survey estimated that more than 22 million persons in the United States had high blood pressure. More than 60,000 persons died of hypertensive heart disease in 1963, and high blood pressure was a contributing cause of death in many other thousands. Using the electron microscope are Dr. I. Nakayama, post doctoral fellow in experimental pathology; Dr. Skelton; George Newman, graduate student in experimental pathology; and Dr. Peter Nickerson (seated), research assistant professor of pathology. Two FEDERAL GRANTS totaling $1,071,360 have been awarded to two School of Medicine professors for research and training in the field of experimental pathology. The recipients are Dr. Floyd R. Skelton, professor of pathology and Dr. Alexander C. Brownie, associate professor of biochemistry and pathology. 24 Dr. Alexander Brownie, associate professor of biochemistry and research professor of pathology, and Samuel Gallant, graduate student in experimental pathology, w ith the radio chromatogram scanner. �The training program, which started a year ago, now has an enrollment of 16 graduate students. " The time has long passed when medicine could rely solely upon physicians to do research, as well as teaching and clinical practice," Dr. Skelton said. " There just aren' t enough of them. This is especially true for the specialty of pathology. The national shortage of pathologists is acute. It is essential to train people for careers of research in pathology in order to meet the national need." The program in experimental pathology accepts medical and dental graduates already trained in the basic medical sciences, but it also accepts non-medical graduates who have not received such training. These graduates take the same basic science courses for the first two years that medical students take. The n onmedical graduates must have a thorough back&round in the various disciplines with which they willl:!e concerned as experimental pathologists. • Us ing a physiograph to measure blood pressure in a rat are Dr. Floyd Skelton, professor of pathology and two graduate s-tuden ts in experimental pathology, Dr. Agostino Molteni, and Richard Surace. The basic mechanism that causes blood pressure to rise is unknown. Both Drs. Skelton and Brownie hope their future studies will give new clues to the mystery. These studies are being conducted by 16 professional and technical workers in several different scientific disciplines (pathology, physiology, steroid biochemistry, and electron microscopy) . "Studies like the one on experimental hypertension require researchers trained in various disciplines who have some familiarity with all of the basic sciences," Dr. Skelton said. WINTER, 1967 Clifford Group, graduat e student in exp erimental pathology, is f ractionating mixtures of proteins in a ch romatogra phy column with Dr. Glover Barnes, assistant professor of pathology looking on. �Netherlands, and New York City. " Here they are afforded an experience on which they can make a d ecision regarding a career in research," stated Dr. Herbert Jacobson, director of the Summer Institute." And they receive a stipend and credits for their summer experience by their respective schools." In the country club-type atmosphere, informality and rapport are quickly established between mentor and student. An individual consultation with D r. Winzler. Teaching At the Will Rogers Institute Dr. Winzler began his work early M onday morning -a visit to the laboratories, facilities, informal meetings with students and staff members. The afternoon seminar he presented covering the general aspects of glycoproteins was preceded by lunch where students Dr. Win zler talks at an af ternoon sem inar. ITwAs AN INFORMAL WEEK of teaching, learning and exchanging ideas. This is what Dr. Richard J. Winzler said about the summer seminar at the Will Rogers Institute. The professor and chairman of biochemistry was among nine specialists invited to participate in the experimental research program at Saranac Lake, New York. The sixth summer institute (1967) drew scientists from the Albany M edical College, the New York State Medical Center, the University of Pennsylvania, Yale University, N ew York University, and the M ax Plan ck Institute for Biochemistry. The scientists work ed gratis during the 10-week summer session with eight outstanding medical students. The students, who were recommended, came from England, Colombia, the 26 �garding their own research programs, accounted for much of the week's activities. Student research progress reports were scheduled on Friday. "What impressed me most," stated Dr. Winzler, "was the informality of the discussion between students and staff. A good many of the students intend to embark on research careers after this exposure. For myself, it was a really worthwhile week." An info rmal even ing session for students and fa culty. and staff mixed informally. "We are beginning to learn something about the chemistry of glycoproteins ... to appreciate that they occur in a large number of interesting components- cell membranes, enzymes, hormones. But much remains to be done." Questions from the audience of faculty and students spilled over into the evening's informal session held at the home of a permanent faculty member. A seminar on biochemistry of cell membranes based on his personal research was presented by Dr. Winzler on Wednesday afternoon. Informal research sessions, and individual consultations with faculty and students reWINTER, 1967 The Institute was originally established to treat vaudeville performers for tuberculosis. Expanded to include all members of the entertainment industry, over 5,000 have been treated at the 70-bed hospital. Fund sources include the entertainment profession as well as a public appeal. Aside from restoring patients to health at no cost, research and prevention are Institute goals. In 1963, clinical research laboratories w ere established, and an effective anti-TB vaccine was created. Expansion of medical manpower in the specialized field of serious respiratory diseases is a further goal of the Institute. • R esearch was also on the agenda. �National Medical Shrine at Fairfield "The executive committee of the medical alumni association favors the establishment of a National Shrine of Medicine at Fairfield, (Herkimer County) N.Y." That's what Dr. Charles F. Banas, association president said. According to an editorial that appeared in the November 21, 1966 JAMA, Fairfield is the site of the oldest medical school building in the state, and possibly in the coun try. Fairfield Academy was founded in 1802 by Captain Moses Mather. A year later the academy was incorporated by the Regents of the University of the State of New York, and in 1812 the College of Physicians and Surgeons was established. The medical school was continued until1840. It graduated only 555 physicians, but its faculty and graduates played a significant role in the development of Geneva Medical College, the Cleveland Medical College which later became the medical department of Western Reserve University. In 1846 three of Fairfield' s outstanding teachers- Drs. Frank H. Hamilton, Charles Coventry, and Austin Flint, Jr.- organized the Buffalo Medical College. Among Fairfield's distinguished grad uates were Dr. D aniel Brainard, a surgeon and founder of Rush medical College in Chicago, and Dr. Nathan Smith Davis, a pioneer in founding the AMA. The main building of the Fa irfield Medical Institution still stands. A lth ough th reatened by time and indifference the building is probab ly th e oldest extant m edical school structure in th is coun try. (Ph otograp h by R o bie Studio, I nc., H erkim er, N. Y., obtain ed with assistance of AMA and M rs. Marguerite H . Dieff enbacher.) 28 Today Fairfield Medical College consists of one remaining building. Largely through the efforts of Mrs. Marguerite Dieffenbacher of Fairfield the college has not been forgo tten. More help and support is needed if Fairfield Medical College is to become a national shrine, according to Dr. Banas. • THE BUFFALO MEDICAL REVIEW �Regional Medical Program Develops Intensive Coronary Care Program The Regional Medical Program (heart, cancer, stroke) for Western New York is developing an Intensive Coronary Care Program. It is designed to help improve patient care and to alleviate the shortage of nurses skilled in intensive coronary care nursing. This program is unique in the area. It includes a three week session of instruction at the University plus another three weeks of clinical experience on a rotating basis in the five Buffalo participating hospitalsSisters, Buffalo General, Meyer, South Buffalo Mercy, and Veterans. All have coronary care units in operation. Augmenting the program will be lectures b y cardiologists, nurse specialists, laboratory technologists, pharmacologists, and social workers. There will be four session s a year. Each six week session can accommodate 20 registered nurses from within the region. This area includes eight countiesAllegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Wyoming, and the county of Erie in the Commonwealth of Pennsylvania. Dr. John R. f. Ingall directs the Regional Medical Program from his office at 2211 Main Street, Buffalo, New York. The advisory group to the Regional Medical Program is known as the Health Organization of Western New York. It has representatives from all the counties, their medical societies and major institutions. • A coronary patient (ri gh t ) is shown in th e s econd phase of care k nown as limited am bu lation. Th e electrocardiogram s ignal is relayed from a pocket- siz ed transmitter, wh ich allows th e pat ient complete freedo m of movement in and out of bed. His electrocardiograph ic sign al is sent to a central console by telemetry rather than by d irect wire as in Phase I. WINTER, 1967 29 �Dr. William J. Retires From Active Practice Orr A university pediatrics professor is retiring from active practice. He is Dr. William J. Orr, M '20. The 69-year-old pediatrician will retain his title of clinical professor of pediatrics in the School of Medicine until September, 1968. Dr. Orr has cared for three generations of children, taught two generations of medical students. He also found time to serve his community and his university. He h as been chairman of the Erie County Medical Society's Advisory Committee on Polio since the early days of the Salk vaccine. Dr. Orr headed the Medical Division of the university's centennial drive more than 20 years ago. In 1962 the Buffalo Pediatric Society honored him for his " outstanding contribution to pediatrics and for his important role in establishing Buffalo as a pediatric center." In addition to Children's Hospital, where he was an attending pediatrician, he was an assistant at Meyer Memorial Hospital and a consultant at M ercy Hospital. Dr. James Orr, M '53, a pediatrician in Gallipolis, Ohio, is one of his four children. • Dr. Orr is the former president of the society, as well as the 8th district branch of the State Medical Society, the Buffalo Academy of Medicine, the Children's Hospital Medical Board, the General Alumni Board (1953-54) and the Medical Alumni Association of the University. In 1954, The Buffalo Evening News named him one of the year's 10 outstanding citizens for his work as founder and executive committee member of the Annual Participating Fund for Medical Education, and his activities in helping obtain an institution for mentally-retarded children in West Seneca. He was elected to the Council of the university in 1956 and was appointed to that body by Governor Rockefeller when the University became affiliated with the State University. Dr. Orr interned at Buffalo General Hospital and served as a resident physician in pediatrics at Children's Hospital. He sub sequently spent two years at Johns Hopkins Hospital and Medical School in Baltimore before returning to Buffalo. 30 M rs. Mu rphy Mrs . M arjorie Murp h y is the new associate director of the UB Foun dation for the H ealth Sciences C enter. Mrs. Murph y will be in charge of alumni and development p rog rams for the H ealth Sc iences (de ntistry, health related professions, medicine, nursing, pharmacy). Mrs . M urphy com es to Buffalo from West ern R eserve U niversity, C leveland, O h io where she has been associate d irector of d evelopment and administrative assistant to the director of the school of m ed icine since 1961 . • THE BU FFA LO MEDICAL REV IEW �J. RoGERS, III, M '45, was one of three Buffalo area surgeons who voluntarily spent 60 days aiding Vietnamese civilians. They all left families and busy practices to care for the sick and injured without remuneration. W.LLIAM At the request of the government of South Vietnam, the American Medical Association two years ago launched a program, Volunteer Physicians for Vietnam, under contract with the United States Agency for International Development. Dr. Rogers spent April and May (1967) as a physician volunteer at one of the 18 provincial civilian hospitals. He received his transportation and an expense allowance of $ 10 a day. While in Vietnam Dr. Rogers wrote a series of ten articles, " Vietnam Log," for the Courier Express. Dr. Rogers said " the Vietnam doctors were good physicians, but medicine in Vietnam compares to medicine in this country 50 years ago." There are only about 1,000 Vietnamese doctors in all of Vietnam, and 700 of these are in the military service. Another 100 are in administrative or teaching positions, leaving 200 to take care of a civilian population of 16 million. Major causes of illness and death in Vietnam are diseases seldom seen in the United States any moretyphoid, polio, tuberculosis. American physicians working in Vietnam are handicapped by many problems - the lack of pain-killing WINTER, 1967 drugs, the fact that there is no running water or airconditioning in many hospitals except in the operating rooms, and the shortage of equipment. Dr. Rogers h ad to use bricks picked up on the grounds as weights for a patient in traction. Volunt eer Physicians Serve in Vietnam "The Vietnamese are a quiet, reserved people, but they are almost embarrassingly grateful for what we did for them," ~r. Rogers said. " The common belief that life is cheap in the Orient is far from true. The Vietnamese love their families as much as we do. They worry just as much when th ey are sick and grieve just as deeply when they die. "No one could be more devoted. A woman will sit for hours at the bedside of a sick parent, husband or child, fanning the patient endlessly to make him a little more comfortable." Families accompany patients to the hospital and remain with them until they leave, sleeping beside their beds-or in them, if there is no other patient who n eeds the space. Often they cook the patient' s meals on the grounds outside the hospital. Dr. James F. Upson, a general surgeon, who lives in Orchard Park and practices in Buffalo spent the spring of 1966 in Vietnam, while Dr. Donald J. Meehan, a general surgeon in Springville, was there abou t the same time as Dr. Rogers. In 1960 another Buffalo surgeon, Dr. Elliot B. Hague, an eye specialist, went to Vietnam to work with civilian patients under the auspices of Catholic Relief Services. • 31 Dr. Rogers �Selecting a New Dean As a first step in the selection of a new dean for the School of Medicine, President Martin Meyerson appointed a committee to work with him in screening candidates. This committee will include : Dr. Warren Bennis, provos t, faculty of social sciences and administration; Dean James A. English, School of Dentistry; Dean Ruth T. McCrorey, School of Nursing; Dean Daniel H. Murray, School of Pharmacy; Dean J. Warren Perry, School of Health Related Professions ; Drs. Harold L. Segal, professor of biology ; David K. Miller, professor of medicine, chairman of the screening committee; Douglas M. Surgenor, member ex officio; and William F. Lipp, associate clinical professor of medicine, member-at-large. To complete committee membership, President Meyerson requested that six members of the Medical School faculty be designated by the executive committee of the Medical School. Names of candidates were solicited from the medical faculty at large. Approximately 39 responses received from the faculty and five from departments brought the total number of recommendations to 120. Of this total, 21 were recommended by at least four faculty members. The executive committee acted on these recommendations and selected: Drs. Evan Calkins, chairman, department of medicine; David T. Karzon, professor of pediatrics and associate professor of virology ; Edward F. Marra, chairman, department of preventive medicine; Hermann Rahn, chairman, department of physiology; Clyde L. Randall, chairman, department of obstetrics and gynecology; and Worthington G . Schenk, Jr., professor, surgery and medicine. At its first meeting with President Meyerson, the committee was charged with preparing a list, to be submitted to him b y September 1968, of approximately 32 12 local, national, and foreign candidates. The committee, having received letters from members of the faculty suggesting candidates, urges further faculty input via phone or in writing to any committee member or to Dr. Walter F. Stafford, Jr., its executive secretary . A committee fro m the Erie County Medical Society met with President Meyerson and Dr. Miller, the screening committee chairman, to discuss the Society' s role and relationship in selecting the new dean. • People Three alumni are officers of the Un ited Health Foundation of Western New York. They are Drs. T homas S. Bumbalo, M ' 31, president ; Theodore C. Jewett, Jr., M ' 45, vice president for research and professional ed ucation; Steven A . Graczyk, M ' 20, treasurer. Dr. William E. Mosher is vice president for health education and services. • Dr. Peter Vasilion, M '60, has been named associate with Dr. Herbert Lansky, M ' 49, chief of pathology and director of the laboratory at DeGraff Memorial Hospital, North Tonawanda. • Dr. Lucille M. Lewandowski, M ' 54, is the psychiatrist in charge of the new 60-patient alcoholics unit a t the Buffalo State Hospital. • Dr. Arthur A . Grabau, M '45, is director of the tuberculosis control division in the Erie County Health Department. • THE BUFFAlO MEDICAl REV IEW �Mr. Charles L. Miller has been named assistant administrator of Children's Hospital. He succeeds Mr. Frank Muddle who moved up to directorship when Mr. Moir P. Tanner retired. • An Army doctor has been promoted to Lieutenant Colonel at Yokahama, Japan. He is Dr. Joseph J. Darlak, M '56, who served at Fitzsimons General Hospital in Denver before going to Japan. • Dr. William J. Staubitz, M '42, professor of surgery, has been elected to the American Association of Genitourinary Surgeons. He is the second Buffalonian to receive such an honor. The only other member from Buffalo was Dr. Roswell Park, one of the original members. The organization, established 80 years ago, was founded to promote the study of diseases of the genitourinary organs. The association is limited to 75 United States or Canadian surgeons who have distinguished themselves in genitourinary surgery. • Dr. Erwin Neter, professor of clinical microbiology, was elected president of the Buffalo Chamber M usic Society in June. Mrs. Stockton Kimball was re-elected first vice president. • Dr. S. Sumbramanian, a 1955 graduate of the University of Bombay, has been named heart surgeon at Children's Hospital. He will also teach in the School of Medicine. • Dr. and Mrs. Kenneth J. Harmon, M '37, are president-couple of the Buffalo Chapter, Foundation for International Co-operation. Recently they greeted 35 Ecuadorian students who were visiting Western New York. • The wife of a 1950 School of Medicine graduate won $100,000 in the state lottery. She is Mrs. Gloria Tetewsky. Her husband, Dr. Hyman Tetewsky, is a radiologist associated with Wyoming County Hospital in Warsaw. The Tetewsky's were married in 1954. They have three sons: Avram, 12, Lawrence, 8, and Sheldon, 7. • WINTER, 1967 Dr. Charles Gordon Heyd, M '09, was AMA's 90th president. He served in 1936-37. • Dr. George W. Thorn, M ' 29, won the American Therapeutic Society's O scar B. Hunter Memorial award this year. Dr. Thorn has been physician-in-chief at Boston's Peter Bent Brigham Hospital for 25 years. Acclaimed for his investigations in metabolism and endocrinology, he is Hersey Professor of Theory and Practice of Physic at Harvard Medical School. • Dr. Lawrence A. Cappiello, executive officer for the Health Sciences Center, is assistant to the executive vice president. Dr. Peter F. Regan, former vice president for health affairs, became executive vice president of the University in February. • Dr. Ernest Witebsky, who retired this year as chairman of the bacteriology and immunology department, is the recipient of the 1967 Ward Burdick Award. In announcing the award, the American Society of Clinical Pathologists said that it is presented for the most outstanding research contribution to the science of clinical pathology. The award was presented to Dr. Witebsky at the annual meeting in Chicago after he presented a lecture " Clinical Pathology of Autoimmunization." • 33 People �People Dr. Ginsberg's citation expresses the school's appreciation for: A former Buffalonian is the new clinical director of psychiatry at Meyer Memorial Hospital. He is Dr. Harvey L. P. Resnik, who received his bachelor of arts degree in psychology m agna cum laude from the university in 1951. He received his medical degree from the College of Physicians and Surgeons at Columbia University in 1955. "his unselfish devotion and ability to communicate the problems of deafness to all interested persons; Dr. Resnik was also named associate professor of psychiatry at the university, effective September 1. Dr. Irwin A. Ginsberg, M' 44, clinical associate in surgery (otolaryngology), is the first recipient of the Msgr. Francis J. O'Conner Memorial Award from the St. Mary's School for the 'Deaf. " his many lectures on the medical and surgical aspects of deafness, presented to the faculty, parents and student teachers; "his kind understanding and humanitarian consideration of the hearing handicap." • Three alumni are officers of the medical staff of Emergency Hospital. They are Dr. Louis C. Cloutier, M'54, vice president; Dr. Samuel B. Galeota, M'53, secretary; and Dr. Florian J. Brylski, M ' 27, treasurer. Dr. Anthony L. Manzella is the new president. • Dr. L. Maxwell Lockie, M'29, is one of the founders of the American Rheumatism Association. It is now the largest professional rheumatism society in the world. It is the scientific section of the Arthritis Foundation. • Four alumni participated in the reunion of the 23rd Buffalo General Hospital unit that was activated during World War II. Dr. Benjamin E. Obletz, M '32, an orthopedic surgeon and major with the 23rd, was the general chairman of the reunion. Other alumni in attendance were Drs. Werner J. Rose, M ' 26; Glenn H . Leak and Henry Severson, both of the 1940 class. • 34 He has been director of the em ergen cy p sychiatric service of the Philadelphia General Hospital, assistant consulting psychiatrist at that hospital, the Pennsylvania Hospital and University Hospital, and associate staff psychiatris t at Institute of Penn sylvania H ospital. He has also been an instructor in the department of p sychiatry at both the School of Medicine and Graduate School of M edicine of the University of Pennsylvania. Dr. Resn ik has served as a consultant for professional gro ups planning suicide pre vention programs throughout the country, including the Community W elfare Council of Buffalo and Erie County. • Dr. John M . Donohue, M ' 43, has been named to the advisory board (three-year term) of Rosary Hill College. He is chief of medicine and chief of staff at Kenmore Mercy Hospital and clinical instructor o f medicine at the University. • Twenty medical students spent last summer in 10 foreign countries - England, France, Holland, Italy, Israel, Mexico, Nigeria, Paraguay, Peru, and Thailand -on special fellowship program s. Another 109 students had summer fellowships in this country. • THE BU FFALO MEDI CA L REVIEW �Dr. Milford N. Childs, M ' 40, has been re-elected president of the American Cancer Society's Erie County Unit. Re-elected vice president was Dr. Alfred F. Luhr, Jr., M ' 43. Four other alumni-Dr. John D . Bartels, M ' 56; Dr. Glenn H. Leak, M '40 ; Dr. David H. Nichols, M '47; and Dr. Samuel Sanes, M ' 30are members of the board. • Dr. A. Arthur Grabau, M '45, is p roject director for a $200,400 grant from the United States Public Health Service to the Erie County Department of H ealth for the intensification of tuberculosis control service. D r. Grabau is a clinical associate in preventive medicine. • The chairman of the division of orthopedic surgery at the School of Medicine has been elected to membership in the American Orthopedic Association. H e is Dr. Eugene R. Mindell. Only 10 m embers are chosen annually from among the English-speaking orthopedic surgeons of the world. • Dr. David G. Cogan, director of the Howe Laboratory of Ophthalmology at the Harvard Medical School, received the UB 1967 Howe Gold Medal. The medal was presented at a dinner given by the Buffalo Ophthalmologic Club November 9 at the Niagara Falls Country Club. Both the laboratory and the medal are named for Dr. Lucian Howe, former professor of ophthalmology at UB. Dr. Thurber LeWin, M '21, was chairman of the Howe Awards Committee. Other committee members were Dr. Algernon B. Reese of New York City and Dr. A. D. Ruedemann of Detroit. • WINTER, 1967 The School of Medicine h as five affiliated hospitals in Buffalo. The officers of the boards of these h ospitals (excep t Veterans): P eople BU FFALO G ENERA L-Mr. Dudley M . Irwin, president ; Mr. Joseph L. Hudson, first vice president; M rs. George F. Goodyear, second vice president ; Mr. Raymond D . Stevens, Jr., secretary ; Mr. Robert S. Scheu, treasurer ; Mr. Howard T. Saperston, assistant treasurer. CHILDREN' S- Mrs. Henry 0. Smith, Jr., president ; Mrs. Robert B. Adam, firs t vice president; M rs. H arlan J. Swift, second vice president ; Mrs. Charles H . Wood, II, third vice president; Mrs. O liver H . Buck, secretary ; M rs. Howard T. Saperston, assistan t secretary ; Mrs. Robert ]. Lyle, treasurer ; Mrs. ]. Daniel Cole, assistant treasurer. MEYER MEMORIAL- M rs. John R. Campbell, chairman ; Harvey P. Hoffman , M.D., vice chairman ; Mrs. Howard W . Dickey, secretary. MILLA RD FILLMORE-Mr. Charles W . Dorries, presiden t; Mr. William D. Roesser, first vice president; Mr. Alfred H. Kirchofer, second vice president; Mr. Nelson T. Montgomery, secretary ; Mr. George A. Laub, treasurer. • The former director of research for the project in medical educa tion at the School of Medicine is the new deputy assistant secretary fo r health manpower in the department of H ealth, Education and W elfare. He is Dr. Edwin F. Rosinski, who received his bachelor' s degree from University College in Buffalo in 1 950 ; his master's and doctorate degree;; from UB in 1 956 and 1958 respectively. • 35 Dr . Coga n Buff a lo Eve ning N e w s Pho to �Ju ilrmnrium Dr. Clara S. March, M ' 07, died Sept. 2 after a long illness. The retired Buffalo ophthalmologist and eye and ear surgeon was 84 years old. Dr. March was a native of Fargo, N .D., and was active in several professional organizations. She retired 25 years ago. • Dr. Thomas C. Marriott, M '41, died Sept. 6. The SO-year-old physician was team physician for the university athletic department for 18 years, and medical examiner for the Erie County Probation Department for 10 years. Dr. Marriott also served as medical examiner for the Judges and Police Chiefs' Conference of Western New York for many years. During World War II he was plant physician for the Bell Aircraft Corporation. He was president of the Sisters Hospital staff in 1960; served on the staff for 25 years; and was a founder of the Emergency Associates of Sisters Hospital, which staff the hospital's emergency room. He was active in several local, civic, and profession al organizations. • A former assistant professor of pathology (1937-52) in the School of Medicine died Sept. 19. She was Dr. Margaret McCullough . The 80-year-old pathologist and lecturer won many professional and civic awards for her outstanding contributions. After moving to Buffalo in 1928, Dr. McCullough was chief pathologist at Millard Fillmore Hospital from 1929 to 1937, and pathologist at Sisters Hospital from 1940 to 1946. She was in charge of the Clinical Laboratory of the Regional Office of the Veterans Administration from 1949 until her retirement in 1958. Dr. McCullough was active in many local, regional and national professional associations. Since retirement she devoted most of her time to writing on various subjects. • 36 Dr. Clement H . Darby Jr., M '59, died June 10 at Gales Ferry, Connecticut. He was 37 years old. He retired in March, 1967, as Navy lieutenant commander and medical director of the School of Submarine Medicine at the Groton Navy Base. He is survived by his wife and two sisters. • Dr. Arthur D . Hennessy, M ' 20, died of a heart attack July 6 at his summer residence on Cuba Lake, Cuba, N.Y. The retired surgeon was 70 years old. He p racticed general surgery until 1935. Then h e studied proctology at the Mayo Clinic in Minneapolis, Crile Clinic in Cleveland and the Leahy Clinic in Boston . He specialized in p roctology until his retirement in 1959. He was on the staffs of Buffalo General, Sisters, St. Francis, Mercy, and Children's hospitals. Dr. Hennessy was a past president of the Buffalo Medical Journal Club and h eld memberships in several national, regional, and local medical associations. • The Alumni O ffice received word of the death of a 1915 medical school graduate. He was Dr. Windsor R. Smith, who died of cancer in December of 1966. Dr. Smith was living at 3928 Main Highway, Coconut Grove, Miami, Florida at the time of his death. He was past president of the Broome County Alumni Association in upstate New York where he practiced as an ear, nose and throat specialist. • Dr. William D. Wisner, M '21, died August 20 after a long illness. He had been a practicing physician in Lockport, N ew York for more than 40 years. The 69-year-old physician was educated at Cornell University and the UB School of Medicine. He served in the Army Medical Corps during World War I. Dr. Wisner was active in several local, state and regional professional associations. • THE BUFFALO MED ICAL REV IEW �Alumni Summer ~our 5 CounlrieJ - 22 ::ba'JJ Juf'J 24 - Augwl 14, 1968 Scandinavian Countries [Norway, Sweden, Denmark] plus England and Germany price under $8 90.00 per perJon For further information please write: SUMMER TOUR Alumni Office Norton Union SUNYAB Buffalo, N .Y. 14214 The Gene ra l Alumn i Boa rd Executive Comm ittee - W ELLS E. KN IBLOE, '50, President; ALEXAND E R P. Av ERSAN O , '36, Presiden t-Elect; M. RoBERT K o R E N , '44, Vice-President for Adm inis tration ; TH EODORE J. BERG ER, '62 V ice-Pre sident for Associations a nd Clubs; CHARLES J . WILSON, JR ., '57, Vice-President for Developm e nt; MICHAEL F. GuERC IO, '52, Vice-Presiden t for A ctivities and Athletics; JOHN J . STARR, J R., '50, Vice-Preside nt for Public Relation s; HAROLD J . LEVY, '46, Treasurer; STUART L. VAUGHAN, '31 Immediate Past-Pre sident. 1 AP FME Office rs-- JoHN J . O'BR IEN, M'4 1, Chairm an; MAx CHEPLOVE, M'26, First Vice President; VICTOR L. PELL ICANO, M'36, Second VicePresiden t, Do NAL D W. HALL, M'4 1, Secretary-Treas ure r. �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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HOPE Seven -Years of HOPE Medical Education Tomorrow Dean Surgenor Named Provost New Appointments Dr. John Eccles APFME Summer Fellowship The UB Foundation The Class of 1971 One Million Dollar Pathology Grant The Will Rogers Institute National Medical Shrine Regional Medical Program Dr. William J. Orr Volunteer Physicians in Vietnam Selecting a New Dean People In Memoriam Scandinavian Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-22 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v01n04 Extent The size or duration of the resource. 40 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/121cdc4932a598043e4ac32219815f4d.pdf 56e9c02687d6321bcfb96e08da890e99 PDF Text Text THE SCHOOL OF MEDICINE , . STATE. UNIVERSITY ·'op' NE'w YoRK ' ' AT'. BUF,FALO �The Cover: Our cover picture of Dr. Ernest Witebsky was taken by Mr. Thomas J. Crowley, photographer of the UB Institutional Communications Center. The story of Dr. Witebsky and his many contributions to medicine and the university begins on page 26. THE BuFFALO MEDICAL REVIEW, Fall, 1967- Volume 1, Number 3, published quarterlySpring, Summer, Fall, Winter- by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, N ew York 14214. Second class postage paid at Buffalo, N ew York. Please notify us of ch ange of address. Copyright 1967 by the Buffalo Medical Review. �FALL, 1967 Vol. 1, No. 3 EDITORIAL BOARD Editor ROBERT S. McGRANAHAN Managing Editor MARION MARIONOWSKY THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo Dean, School of Medicine DR . DouGLAS M . SuR GENOR Photograph y THOMAS J . CROWLEY DoNALD D . GLENA IN THIS ISSUE Medical Illustrator MELFORD D . DIEDRICK Graphic Artist RICHARD MACAKANJ A Secre taries FLORENCE M EYER 2 9 MADELEINE W ATERS 10 CONSULTANTS 12 11 President, Medical Alumni Association DR . C H AR LES F. BANAS President, Alumni Participating Fund for Me dical Educa tion DR. J OH N J . O ' BRIEN Associate Dean for Continuing Medical Education DR . H AR RY J. ALVIS Director, Continuing Education in the Health Sciences DR . MARV IN l. BLOOM Director, University Re lations R oBE RT T. M ARLE TT Director, University Foundation DR . WIL LIAM J . O ' CONNOR Director o f Publications THE ODORE v. PALERMO Executive Assistant to the President DR. A . WESTLEY RowLAND Director of Alumni Affairs CLAR E N CE J. YouN G, JR. 16 17 18 19 20 22 26 30 31 32 33 35 36 37 The Inauguration of a President Alumni Leadership Day Regional Medical Director Continuing Medical Education The Medical School in the University : An Exercise in Acculturation R esidency Diplomas, Faculty Awards Health Sciences Will Move to Amherst Senior Class Day Mumps Vaccine An Early Impression Hospital Horizons A " Pioneer" in Immunology APFME Summer Fellowships Book Memorial Vietnam Educator People In Memoriam Letters to the Editor Where Alumni Live �MR. MARTIN MEYERSON was installed as the University's second president and tenth chief administrator May 29 by Dr. Samuel B. Gould, State University Chancellor. Mr. Seymour H . Knox, University Council Chairman, presided at the convocation at Kleinhans Music Hall. In his inaugural address, Mr. Meyerson stressed the "deep honor" of being president of"a university once private and independent and now proudly public, continuingly independent and firmly professing its dedication to service as well as truth." "One hundred and twenty-one years ago this month, Millard Fillmore and his associates in this city founded our University. They did so by establishing a professional school, a school of medicine. Few American Universities grew from such origins; usually they evolved from liberal arts colleges or seminars. Later, they developed from the land grant colleges. When our University expanded in the 19th century, it did so by adding the professional callings of Pharmacy, Dentistry and Law," President Meyerson said. President and Mrs. Martin Meyerson and children Adam, 14, and Laura, 12, receive congratulations. The youngest, Matthew, 4, is not shown. The Inauguration of a President 2 " The founders of that school of medicine in 1846, perhaps without intention, launched this University along the patterns of the great medieval universities of Europe-places such as Bologna which began as a school of law, Salerno as a school of medicine, and Paris as a theological school. The University was then to pass through an evolution from education for one profession, for many professions and to education for the arts and sciences." " . .. My colleagues and I," the President emphasized, " hope to accomplish three major tasks" in order THE BU FFAlO MEDICAl REVIEW �to achieve a possible new synthesis of learning and respond to the new cultural spirit among students: 1. "To transform professional education by making it more humane, intellectual, research-minded; 2. "To add to the intrinsically valuable traditional academic disciplines that devotion to social purpose, which is so typically a part o.f the spirit of service to the professions; 3. "To provide a new path to liberal education through the methods, insights and research of transformed professional education." "We intend to increase the strengths in our professional schools, our commitment to liberal education, and our efforts to meet the aspirations of the young," President Meyerson said. " In order to achieve a sense of the integral, and a marriage between the concrete and the theoretical, the rationalistic and the experimental, we here in Buffalo have taken educational steps of a kind which may hold great promise. In our academic reorganization, these past months, we have organized the University into seven faculties to serve both undergraduates and graduates: a Faculty of Arts and Letters, a Faculty of Social Sciences and Administration, a Faculty of Natural Sciences and Mathematics, a Faculty of Engineering and Applied Sciences, a Faculty of Educational Studies, a Faculty of Health Sciences, and a Faculty of Law and Jurisprudence. This arrangement reflected a concern that in every academic enterpri!\e matters of theory should never be too distant from those of practice, and that the practical should never be too distant from its sources in theory." The chief executive went on to say we must combine FALL, 1967 the theoretical and the practical. We are doing everything possible to remove the barriers between the disciplines. We are trying to develop bridges among the various faculties . One of our bridges-the new University College for all undergraduates-will draw upon the seven faculties for instruction which will be specifically non-professional but both liberal and preprofessional as well. President Meyerson pointed out another of our bridges will be a college system in which faculty, graduate and undergraduate resident and non-resident students from all fields, will be provided 'intellectual homes' in campus units of no more than 1,000 members. These colleges will provide many formal and informal opportunities to talk across disciplines. "We hope to create a learning environment for faculty and students alike that is so stimulating that we will achieve tremendous lateral learning from student to student, student to teacher, teacher to teacher, as well as learning in depth from teachers to students. We expect an exchange of ideas from musicians to mathematicians, from physicists to physicians. " Desirably, personal and scholarly ties will lead to collaborative teaching and research in hitherto unexplored combinations and permutations of scholarly and professional interests. That is why we rejoice that our Faculty of Health Sciences will be able to join with our 40,000 other students and teachers on our new campus. Ideally, curricula and related outside activities will be revised so that the contributions of each field will be made intelligible and available to others." " .. . We wish to create the conditions of such an intense learning environment not only for the advance- 3 �ment of the fields, and not only to better educate our students, but also to aid our faculty," Mr. Meyerson said. . We are committed to transforming professional education by making it more intellectual or reflective, by increasing its theoretical understanding, by engaging in more basic research, by sharpening methodology, by questioning accepted practices, and by training men and women who are flexible, civilized, and responsible. Only in this way can we provide for true utility-not only to help the engineer, the communication specialist, the teacher, the business administrator, to be prepared to function as a professionallO, 15, and 20 years from now, but to make him more responsive to the new task s he is bound to be called upon to undertake by enlarging his understanding of the nature and origins and purposes of his calling and of the society which he serves. The Inaugural Address. "In this discussion of the linkage of professional education to liberal education, I am mindful of the concern I first expressed of how the University is to respond to the new student spirit. The spirit, which has captivated many students and young faculty, is a kind of new romanticism. Its roots are mostly not intellectual, for the new spirit is emotional, impetuous, and sometimes angry and rebellious. It occasionally seeks to erase authority and to dismiss the p ast. It rejects dogma and is given to spontaneity. It seeks visual and sense expression as well as extensive intellectual play. Some of the spirit is expressed in art, poetry, theatre, music, dance, and literature. It must not be forgotten that the arts today, like the arts of 4 the past, show us beauty where our eyes and ears are not accustomed to see it. Like Wordsworth, who saw a new beauty in common language and common objects, our visual artists see beauty in common objects of our environment and bring into a new and, to our eyes, strangely ordered relationship these elements of our culture. This spirit, this search for new relationships and new beauty is apparent in both high and low, or popular, culture ; in music, for example, we have the new sounds, silences and rhythms of John Cage and the Beatles. Universities are ceasing to be the stronghold of the verbal and the quantitative alone. " This new spirit has earlier origins. The parallels with late eighteenth and nineteenth century romanticism are many. The personal behavior of a Lord Byron, the strange attraction to drugs of a Coleridge and a DeQuincey, the rhetoric of the nineteenth century struggle in Greece, the cult of youth, the almost Freudian belief of a Goethe and o th ers in the unconscious, the primitive, the supernatural, the exploration of the infinite potentialities of the self-all seem familiar once again. " We cannot dismiss the new romanticism or irrationalism any more than we can the old. For the new romanticism, like the old, is a part of an intense exploration of the meaning of individual freedom, not only from what seem to the young to be various forms of bureaucratic and political tyranny whether in Washington, unions, corporations or universities, but from some forms and habits of stereotyped intellectual and artistic custom. What may puzzle us now, because we cannot see the end of what is beginning, may well be the beginnings of a new and responsible dimension THE BU FFALO M ED ICA L REVIEW �in society as well as on the campus. After alt we owe much to that earlier romanticism which helped establish the political liberties of Europe and the importance of the individual in our culture, and which left us a great legacy of art. In looking at the new spirit, we shall surely want to endorse the sense of innovation, and to reinforce the sense of commitment. Remember that whatever else students today are, they are also the generation of volunteers in the cause of the needy whether in the South or the slums of the Northern cities or the developing countries of the world. Very many of the new generation who will inherit our world deny the importance of wealth, name and fame. Some are disillusioned and concerned only with concrete existence for themselves in the here and now. Others are motivated to service in much the inspired and religious way St. Bernard was. I abhor the excesses of nihilistic behavior we see these days. However, I applaud the movement of spirit which produces the humility of spiritual service of which we are proud. " We are a university of the State of New York with national and even international ties, but we remain dedicated to the welfare of metropolitan Buffalo. One of the best ways to implement that dedication is to further our intellectual, cultural and professional excellence and attractiveness. None of my proposals will come about automatically; the choices and the intellectual and moral tasks lie before us in the University community and in the larger community to which we belong." Chancellor Samuel P. Capen, at his inaugural, " the month before I was born," questioned whether the university would have " the courage to be different." "If we have the courage to make our heritage of FALL, 1967 professional education even more humane and intellectual than it is, we will have improved the professions, opened wholly new paths in the process to a liberal education which can be shared by all, and captured the sense of commitment and professing to which very many students and teachers aspire. If we have that courage to be different, we shall not long be different because the model of the State University of New York at Buffalo will become a model for m any, a model in which the aims we professors profess of teaching, research and service will have new meaning," President Meyerson concluded. President-emeritus Cli fford C. Furnas, Presiden t Meyerson, and S tate U nivers ity Ch ancellor Sa muel B. Gould. �The President's message received a standing ovation from an audience of 2,500 at Kleinhans. The inaugural pageant was a blend of the modern and the medieval. It was a rich mixture of colors, sights, and sounds. Prayers were oHered by clergymen of three faithsThe Very Reverend Harold B. Robinson, S.T.D., Dean, St. Paul's Cathedral; the Most Reverend James A . M cNulty, D.C., Bishop of BuHalo; and Rabbi Martin Goldberg of Temple Beth Zion. Three early American anthems and a work of Claudio Monteverdi were sung by members of the U niversity Choral ensembles, RobertS. Beckwith, conductor. The reception at the Frank Lloyd Wright House, 125 Jew e tt Parkway, the Me y erson's new home. The colorful, academic procession was led by William W. McQuilkin, a graduate of Oxford University, England. Delegate-representatives from 68learned and professional societies, foundations, and educational organizations, 23 units of the State University of New York (18 of the presidents), and 225 other colleges and Universities, joined 215 University faculty in full academic attire. Costumes of blue, crimson, green and black adorned with piping and hoods of various hues and topped with either the traditional tasselled mortar boards or the more flamboyant headdresses of European universities were common. On the Kleinhans stage, a platform party of 42 national, state and local dignitaries, faculty and administration, took their places. Speaking on behalf of the nation's private educational institutions Yale University President Kingman Brewster said, "students must learn education is not a business where the customer is always right. The taxpayer must know that it is not a situation where he 6 who pays the composer can call the tu ne. The faculty must prize its right of academic self-determination b ut not deprive itself of its right to be governed." One of Presiden t Meyerson's closest friends and associates, former University of California President Clark Kerr, spoke on behalf of the nation' s public universities : " This inauguration is quite beyond the ordinary for two reasons. First, it marks another great step forward by the State University of New York. W e have marvelled from afar at the awakening of this slumbering giant. Its rapid rise to a position of strength is one of the miracles in the history of h igher education in the United States. The University of California, which until so recently so completely ignored it, now finds it a stern competitor for its ablest talent ... "The second reason is the character of the man being inaugurated today; and I should like to speak quite personally about him .... During th e times of troub le at Berkeley when Mr. Meyerson served as acting chancellor, we all came to know of his skill and persuasiveness in relationships with people, his ingenuity in developing solutions, his leadership in replacing destructive tendencies with constructive goals, his inherent decency and courtesy. During this time of trouble the campus also came to know Margy Meyerson for her optimism, her warm regard for people, her sensitive response to needs. "So I speak of Martin Meyerson with appreciation, with admiration, with aHection. I expect that he will not only give the finest of leadership to BuHalo but that THE 'BUFFALO MEDICAL REV IEW �he will soon become one of the prominent intellectual leaders of higher education in the United States ... " At the investiture, Chancellor Gould invited President M eyer son "to enter this new kind of academic world that is gradually losing all resemblance to the old world we both once knew. The new world is one of unremitting tension in the midst of eroding authority, in m an y ways a counterp art of the larger world which h as also changed so r adically. It h as new kinds of problems-of growth, of academic and social change, of interrelationships within and outside the academic community-all more unclear than ever even in their definition, to say nothing of their solution. " A s it h appens, h owever, President Meyerson is no stranger to this recent phenom enon .. . He assumes his duties officially now with nothing hidden in terms of what he may expect. I assure you that this calls for no sm all amount of courage." under his skillful and patient direction it will move with increasing rapidity and with a new and m ore positive sense of excitement. " I speak for the State University when I pledge to President Meyerson our total and unequivocal sup port and wish for him the success he so obviously d eserves." Other greeters included Stewart L. Edelstein, president, Student Association; A r thur D . Butler, vice chairm an , Faculty Advisory Council; D r. Stuart L. Vaughan, A choral interlude by members of the Un iversity Choral Ensembles . " But," Ch an cellor Gould continued, "let m e hasten to add th at th e picture is not all somber. There is an even greater multitude of people surrou nding the n ew presiden t who not only will wish him w ell, but will support h im solidly and bravely. This he should be aware of also. I hope and trus t that in such awareness he will find added strength and perhaps even a sen se of happiness about his work. We have only admiration for the way President Meyerson has m et his problems with straightforward, unflin ching and judicious d ecision s in keeping with the highest of academic traditions. This institution is h aving a new b irth, accompanied by a great time of labor, to be sure, but with a marvelous issue. It is movin g toward distinction, and FALL, 1967 7 �Sound-on-film messages came from six other nation al and international men in education and public life . Leadin g off was Governor Nelson A . Rockefeller, who praised the University and promised it a great future. Others on the filmed program : Sir Eric Ashby, vice-chancellor-elect of England's Cam bridge University; Ford Fou ndation President McGeorge Bundy ; Dr. John W . Gardner, secretary of Health, Education and W elfare; H arvard Presiden t Nathan M. Pusey ; and Dr. Frederick Seitz, president, National Academy of Sciences. A new Inaugural seal w as designed for the ceremony b y Ivan Chermayeff of New York City, creator of the interior of the U.S. Pavilion at Expo 67. The same seal was incorporated into the silver medallion presented to President Meyerson by Chancellor Gould . T he new In augura l S eal. The Inaug u ral luncheon in N orton Union. immediate past presiden t, G eneral Alumni A ssociation ; Seymour H. Knox, chairman, The Council ; and Charles W . M illard, Jr., regent, The University of the State of New York. From within the State University of N ew York came best wishes from President James E. Shenton of Erie County Tech nical Institute, on behalf of the two-year colleges ; President O scar E. Lanford of the State University at Fredonia, on behalf of the four-year colleges ; and President John S. Toll of Stony Brook, speaking fo r the university centers. 8 THE BU FFALO M EDI CA L REVIEW �Mr. Loren Hickerson speaks at the banquet. Six were honored during the third annual Alumni Leadership Day, May 27. Mr. William C. Baird, the only non-alumnus h onored, received the Walter P . Cooke Award, a plaque, as an outstanding " friend " and philanthropist to the university. He is vice chairman of the University C ouncil. Scrolls were presented to three past presidents of the General Alumni A ssociation ; Drs. Walter Walls, M'31 ; James Ailinger, DDS' 25 ; and Stuart Vaughan, M '24. Prin cipal speakers were President Martin Meyerson ; Dr. Peter F. Regan, executive vice president ; Dr. Robert L. Ketter, vice president for facilities planning ; Mr. CliHord Dochterman, assistant to the president, University of California, Berkeley ; and Mr. Loren Hickerson, past president of the American Alumni Council, director of community relations, University of Iowa. • Alumni Leadership Day MEN, FIVE OF THEM ALUMNI, Cited as outstanding alumni were Dr. Charles G. Heyd, a retired New York physician and past president of the AMA ; and Mr. Bernard B. Skerker, r ecipient of the Samuel P. Capen Award, a plaque, for " personal and loyal d evotion to the university over the years." Dr. Heyd, who received a painting, is a 1909 graduate, and founder of the N ew York City Area Alumni Association. He received the Legion of Honor from France for distinguished m edical service in World War I. He is also a professor and author of a pamphlet, " The Challenge of Adaptation," which explained the importance of UB' s merger with the State University of New York. FALL, 1967 Mr. Bernard B. Skerker, D r. Edga r C. Beck, D r. W alter 5 . W alls, and Alumni Association President Wells E. Kniblo e. �Regional Medical Program Director Named Dr. lngall Dr. John R. F. lngall is the new director of the Regional Medical Program (heart, cancer, stroke) of the Health Organization of Western New York, Inc. He will also be associate dean and assistant professor of surgery in the School of Medicine. Dr. lngall has been associate and senior cancer research surgeon at Roswell Park Memorial Institute since July 1963. The Regional Medical Program, of which the Health Organization of Western New York, Inc. is the advisory group, was established in 1966 with a $300,000 grant from the United States Department of Health Education and Welfare (National Institutes of Health). The Research Foundation of the State University of New York (Albany) received the grant. Dean Douglas M . Surgenor is coordinator of the program which covers seven western New York counties-Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Wyoming-and the county of Erie in the Commonwealth of Pennsylvania. Purposes of the program are to link together participating physician s and medical facilities of the communities in the region, to co-ordinate projects between major hospital groups, and to improve existing services for the benefit of patients. Although the program concentrates on heart disease, cancer, stroke, and related diseases, these cover a broad spectrum of the major health problem s. 10 Dr. lngall was graduated from Kings College, London University in 1949; Westminister Medical School, London University in 1952, where he also interned. The 38-year-old physician also interned at Hampstead General Hospital, London and served two years (195456) in the Royal Army Medical Corps in Malaya and Hong Kong. He was a major when discharged. D r. lngall completed his residency in surgery at three London hospitals. In 1960 he qualified as a Fellow of Royal College of Surgeons of England. Dr. lngall holds professional memberships in several local, state, national, and international medical associations. He has also written several articles for professional journals. • 2200 Spring Graduates DR. KINGMAN BREWSTER, JR., president of Yale University, told 2200 graduates (95 m edical) " to keep tolerance and patience alive in th e swirling tempest." Citing the conflict in Vietnam, he stressed the n eed to maintain " a common ground against the invasion of suppression from the right and disruption from th e left. The university has fortified you-and for tified itself-against suppression, and the anarchy of disruption," the Yale President said. It w as the largest commencement in the 121 year history of the university. Parents, relatives and friends of the graduates filled Memorial Auditorium' s two decks. Other degrees awarded by President Meyerson included-1,419 bachelor' s, 418 m aster' s, 50 doctorates, 70 law, 60 d entistry, and 88 associate. • THE BU FFA LO M EDICA L REV I EW �24 Progr am.s Proposed in Continuing Medical Education Sept. 16 Sept. 19 Sept. 25-29 Oct. 17-18 Nov. 4 Nov. 9-11 Nov. 9-10 Nov. 17-18 Nov. 3 Dec. 1-2 Jan. 18 (Buffalo Evening News Photo) " Hon ey Girl" and puppy (left) pose with D r. William Rader an d fam ily . M rs. Rader holds D eborah, 2. Th e Rader's other children are Jonathan , 6, artd Nancy, 4 112. A shaggy English sheep dog played a major role in putting her master through medical school. Three litters of puppies, produced over the past five years-23 in all-netted $6,000. Dr. William C. Rader, a spring graduate, and his family are living in California. Dr. Rader is interning at Los Angeles County General Hospital. His brother, Dr. Stephen Rader, M'60, is a resident in psychiatry at Kings County Hospital, Brooklyn. • FALL, 1967 Feb. 8Mar. 21 Feb. 28-29 Mar. 1-2 Mar. 15 Mar. 21-23 Apr. 2 Apr. 3-4 Apr. 5-6 Apr. 19-20 May 2-3 May 9-10 May 15-16 May 23-24 Newer Concepts in the Understanding and Management of Shock Teaching Day in Neurology Internal Medicine Obstetrics & Gynecology for the Family Physician (Co-sponsorship with Deaconess Hospital) Contemporary Therapy in Psychiatry Rehabilitation of the Stroke Patient Clinical Aspects of Emphysema Radio-Isotopes and the Kidney Surgical Relief of Pain Emotions and Illness The Nurse and the Psychiatrist in Community Mental Health Emotional Problems in the Office Practice of Medicine (Six weekly seminars) Sterility, Fertility and Contraception Urology Clinical Aspects of Liver Disease Allergy Neurology Seminar Day Obstetrics & Gynecology Spring Clinical Days Anesthesiology Indications for Surgery Cardiology Fractures and Related Injuries Brain Scanning 11 �The Medical School in the University: An Exercise in Acculturation by EDMUND D. PELLEGRINO, M.D. Dr. Pellegrino. in their aims and functions, neither the medical school nor the university can meet their broadening social and intellectual obligations. But, even though most medical schools operate under university egis, the fullest potentialities of this association are only infrequently realized. In actuality, the relationship is too often strained and resembles an unstable marriage with both parties striving with modest success to keep up appearances. WrTHOUT THE CLOSEST CONGRUENCE It is of course true that the medical school started as a part of the Medieval University. And, in Salerno, it was the medical school which generated the university. Yet, even in these somewhat idealized situations, mutual understanding was not perfect. The medical faculty, since it dealt with "applied" knowledge was regarded as inferior to the faculties of Arts or Theology. In our country, most medical schools developed outSummary of a talk given before the faculty at Niagara Falls November 7, 1966. Dr. Pellegrino is director of the medical center; professor and chairman of the department of medicine, State University of New York at Stony Brook . He received his B.S. degree from St. John's and his M.D. from New York Un iversity. 12 side university influence and only too often had the barest of academic pretensions. Even those with university ties were geographically and intellectually separated from their parent universities. Only in the last 50 years have medical schools really begun to enter into the main streams of university life. The current relationship is characterized by the perturbations which accompany a transitional state. The process of mutual acculturation is under way, but substantial obstacles still prevent medical schools and universities from recognizing the essential complementarity of their missions. Indeed, even now there are some in the university who feel that the critical mass of a medical center may force the university off its true course. They question seriously the validity of university involvement in medical education. In their turn, some medical educators have petulantly c.:illed for the establishment of independent " medical" universities. Such suggestions can be little more than romantic strivings for an idyllic simplicity of academic organization, hardly tenable in today's world. More than that, however, they constitute a retreat from the responsibility to make both the university and the medical school optimum instruments for man's social and intellectual well being. There are man y compelling reasons for the conjunction of university and medical school. Medicine today extends from the molecular basis of life to the community. It cannot thrive without the sustenance of all the university disciplines from the laboratory to the social sciences and humanities. The use of common library facilities, the provision of a continuum of educational experiences, cooperative interdisciplinary graduate programs and research, the maintenance of THE BUFFALO MEDICAL REVIEW �rigorous academic standards for appointment and promotion, the opportunity for cultural contact for faculty members and, above alt the subtle and pervading influence of the university tradition as a way of lifeto preserve, transmit, and generate knowledge-all these are advantages a medical school gains in proportion to its willingness to participate in the life of the university. The university, too, in perhaps less obvious ways, needs the medical school. Its basic scientists are increasingly an essential resource for graduate and undergraduate teaching and research in biology. The university hospital is a laboratory for sociat biologic, and physical scientists whose concerns are now extending to include some of the most immediate problems of the human conditioni the university hospital is a potent instrument in the hands of the university in cultivating its new partnership with society in a period when health is a major public interest. Law, theology, sociology, and economics can find in the medical setting exemplifications of some of man's most pressing personal and social problems, ready for investigation. Medicine itself can be a liberal subject if properly taught. Cogent as these reasons may be, they have nonetheless not sufficed to effect that consonance of goals the university and its medical school must share in today's world. There are many barriers to effective communication, most of them based in divergent expectations and differences in the meaning of the word "integration." Thus, for the university faculty making the medical school a part of the university, evokes a series of expectations: The medical faculty must not regard itself as a special group, but will take full part in the life of the university-its committees, culturat and FALL, 1967 social activities. The same criteria for appointment and promotion shall apply in the university. While a salary gap now exists between medical and non-medical faculties, efforts must be made to reduce this differential, especially in the case of the basic sciences where the added justification of clinical responsibility does not exist. Though not explicitly stated, university faculties expect the university hospital to support itself and not deplete resources vital to the rest of the university. Academic clinicians are seen essentially as practitioners and are expected to be self-supporting at least in part. Many expect the clinical faculty to provide m edical care to the rest of the campus as a faculty f ringe benefit. The low student to faculty ratios in the medical school are difficult to comprehend because of lack of familiarity with clinical teaching methods. The President and administrative officers see the medical center as one among many other units of the university and must judge its need for buildings, budgets, and faculty against the total mission of the university. Clinical investigation is regarded as " applied" and therefore of a lower esteem than research for its own sake presumed to be characteristic of other segments of the university. These and many more expectations, partial truths, and preconceptions add to the academic xenophobia which greets the medical school as it moves toward university involvement. The medical faculty, too, has its own encrustation of cultural barnacles which hamper communication with the rest of the university. It tends to exalt its clinical role and responsibilities and expects the university to bear the burdens of university hospital operation without demur. It demands separate budgeting, purchasing, salary scales and much prompter action on all matters than is customary in the academic bureaucracy. M edi- 13 �tures as a university discipline, it will lose much of its vocational cast. But, until it does it will appear to the university as an alien-a necessary but culturally deprived addition to the university family. These differences in expectations and attitudes are deliberately overdrawn. They are only rarely manifest in pure form, yet there is enough truth in such characterizations to make the integration of medical center and university a complicated and gradual process which demands specific attention on the part of both parties. The benefits to society of a constructive interchange between medicine and its university confreres are too urgently needed to permit any real alienation to develop. Still, it is essential to recognize these divergencies and not to bury them in romantic notions. The Niagara Falls discussion sessions. cal faculties regard the university faculty as somewhat impractical and will at times be frankly anti-intellectual. It will protest that it does not have time for such things as university committee work. Despite these attitudes, the medical faculty will expect the university to be proud of its medical school and accept it into the intellectual community as an equal. It will expect all of the prerogatives of the academic life-time for research, sabbaticals, tenure, fringe benefits, and a voice in making university policy. These divergencies in mutual expectations are intensified by fundamental differences in attitude which operate as further divisive forces. By and large, the medical faculty is more conservative socially and politically than its university counterpart. It is accustomed to a more authoritarian organizational structure and is far more empirically minded. As medicine rna- 14 The dialogue must at all costs be continued. In every attempt at communication between groups with diverse interests, there are several stages. At first, there is a rather aggressive feeling-out of positions as each states its preconceptions and expectations. At this point the atmosphere is emotionally charged. If the conversation is not broken off, there gradually follows the realization that the same words arouse a different configuration of feelings and meanings in each party. The reasons for failure to fulfill expectations may then become understandable. Differences are then accepted as each party begins to listen to the other and revise its own preconceptions. Enlightened self-interest will then indicate the benefits to be gained in mutual endeavors and dispel imagined threats. Each medical school and its university is today in some stage of this communication process. Each must assess the stage at which the process has halted or the discussion broken off. The forces outside the university and the medical school are not to be resisted. THE BUFFALO MEDICAL REVIEW �Each institution hence has the responsibility to advance the communication process in the public interest. Attitudes and behavior change slowly. It is not to be expected that the medical or the university cultures will easily dissolve in a roseate mist of academic gemutlichkeit. It is essential that universities and medical schools maintain those things specific to their own missions while they seek ways to partake of the good things the other can offer. It is equally essential that the differences in perception of their inter-relationship be recognized and used as the base from which to begin cooperative arrangements. Certain specific measures can facilitate an interchange of ideas without capitulation of one part of the university to the other: (1) liberalization of the medical curriculum to allow medical students to take course work in the university d epartments; (2) interdisciplinary research and graduate programs not only in the basic biologic sciences as is now customary, but also in the social sciences and even the humanities ; (3) inviting undergraduate university students to work in research projects in the m edical school; (4) closer collaboration between medical school faculty and university faculties on details of premedical education and admission requirements ; (5) asking university faculty members to participate on medical school admission committees ; (6) making the university hospital more available for research to university colleagues in social and behavioral sciences; (7) involvement of appropriate university faculty in policy making in university hospital; (8) r ecognition by university administrators of the principle of subsidiarity-a unit as large and as specialized as a medical center will justify a large measure of decentralization in managerial functions; (i.e.) a system of strict full-time appointments for clinical faculty members so that their commitment to ins titutional goals can be unequivocal. FAll, 1967 Many more devices can be developed. The specifics are less important than the differences in attitude and behavior and the provision of means for significant contacts between medical school and university. The most fruitful contacts are those which involve a mutually intellectual contact. For many universities the medical school is too often a Minotaur in the Grove of Academe-a noisy intruder, tearing up the grass, interesting to behold, a little fearful on close contact, and capable of cannibalizing the university. The medical school needs the indulgence of its university colleagues while it becomes adjusted to its new and more restrained surroundings. Society can no longer permit any institution the luxury of a retreat into the comfortable world of its own interests. Perhaps even more significant, however, as Cardinal Newman so perceptively stated it, is the fact that outside the university, medicine and the other professions cannot survive or retain that " largeness of mind" requisite for their own growth :I do but say that there will be this d istinc tion as regards a professor of law, or of medicine, or of geology, or of political economy, in a university and out of it, that out of a university he is in danger of being absorbed and narrowed by his pursuit, and of giving lectures which are the lectures of nothing more than a lawyer, ph ysician, geologist, or political economist; whereas in a university he will just know where h e and h is science sta nd, he has come to it, as it were, from a height, he h a s ta ken a survey of all knowledge, he is kept from extra vagance by the very rivalry of other s tudies, h e has gained from them a special illumination a nd largeness of m ind a nd freedom and self-possession and he treats his own in consequence with a philosophy and a resource which belong not to the study itself b u t to his liberal education.1 • 1. Newman, John Henry (Card inal) : The Scope and Nature of University Education (New York: E. P. Dutton, 1958) . 15 �Residency Diplomas, Faculty Awards Dr. Brown. Two faculty awards and 10 residency diplomas were presented at the annual spring faculty meeting by Dean Douglas Surgenor. Dr. John R. Paine, chairman, department of surgery, received the fifth annual Stockton Kimball Award. It was "in recognition of his outstanding contributions to teaching, research, and service." The award was a Steuben Glass star crystal. Dr. Robert L. Brown, M'44, associate dean, received the Dean's Award "for carrying forward the purposes of the school, translating the desires of the faculty and departments into the necessary administrative framework, and working with loyalty and steadfastness of purpose." The award was a water color painting by Mr. Harvey J. Breverman, assistant professor of art. The 10 residency diplomas, first to be awarded by the School of Medicine, were presented to: Drs. Grant H . Hobika and Brian C. Judd, anesthesiology; Drs. James J. Kropelin, A. Thomas Pulvino, Paul T. Schnatz, obstetrics & gynecology; Dr. Abdel Kader Jan, otolaryngology; Dr. Frank S. W arzeski, psychiatry; Drs. Sherwood Cole, David Gorman, Ramesh C. Luthra, urology. The medical staff of Sisters Hospital presented a large oil painting of the original Sisters Hospital to Dean Surgenor. Two retirees, Dr. Ernest Witebsky, distinguished professor and chairman of the department of bacteriology and immunology, and Dr. Mitchell I. Rubin, professor and chairman, department of pediatrics, each were presented with large oil color photographs by the School of Medicine. They will hang in the Academy Room. There were two Stockton Kimball Award winners in 1963: Dr. John D . Stewart, professor and co-chairman, surgery and Dr. Ernest Witebsky, distinguished 16 Dr. John R. Paine, D ean Surgenor, and President M eyerson. professor and chairman, bacteriology and immunology; Dr. David K. Miller, professor of medicine (1964) ; Dr. S. Mouchly Small, professor and chairman, psychiatry (1965); Dr. Mitchell Rubin, professor and chairman, pediatrics (1966) . Previous Dean's Awards went to: Dr. Samuel Sanes, M '30, professor of pathology (1963); Dr. Oliver P. Jones, M ' 56, professor and chairman, anatomy and medicine (1964) ; Dr. Stuart L. Vaughan, M '24, clinical professor of medicine and immediate past president of alumni association (1965) ; Dr. Charles E. May, M '34, associate clinical professor of anatomy (1966). • TH E ·BUFFA lO MEDI CAl REVIEW �THE HEALTH SciENCES CENTER, embracing the Schools of Medicine, Dentistry, Pharmacy, Nursing, and Health Related Professions, will move to the new Amherst Campus. President Martin Meyerson said the original plans to concentrate the Health Sciences on Main Street were altered by the State University Task Force "for education~! reasons." This change has been approved by the State University Trustees. President Meyerson indicated that the present Main Street campus will be used for general purposes for about 10 years. Ultimately it will become a massive Continuing Education Center, incorporating a twoyear Community College and will serve as the base of the University's research program. This Continuing Education Center would greatly expand the University's credit and non-credit programs now being offered by Millard Fillmore College. This includes special workshops and institutes, courses for professional, business, and labor organizations, alumni programs, programs for the culturally disadvantaged, cultural offerings, and perhaps studies in general education for those who were unable to pursue college careers in their youth. Sponsored research programs of the University have a present volume in excess of $8 million annually. It has been estimated that the total volume will exceed $20 million by 1974, with an accompanying increase in research centers and institutes, and in research activities related to economic developments. The Western New York Nuclear Research Center, Inc. will also continue on the present Main Street site. FAll, 1967 According to President Meyerson, the new academic organization of the University, which will take effect this fall, calls for even greater integration of educational programs than that which presently exists. Therefore physical integration of the teaching programs should be sought as much as possible. The medical faculty had voted almost unanimously to be located on the same site with the other faculties. " Development of the Health Sciences Center and the University Hospital with the other University units will afford greater academic integrity and cross-fertilization of disciplines than would be the case if Health Sciences were separated from related scientific and other departments," President Meyerson said. State University Chancellor Samuel B. Gould revealed that remodeling the Main Street Campus for the Health Sciences Center offered " no substantial fi nancial advantages." Furthermore, if the Health Sciences were located on a separate campus, " it would be n ecessary to create a ' sub-university' sweeping across the spectrum of university departments," Dr. Gould said. " Detailed surveys have indicated that the buildings on the Main Street campus are well suited for diversified general educational purposes. " Construction at Amherst would allow the biological, social, and engineering aspects of the Health Sciences to be constructed jointly with related departments of the University," Dr. Gould concluded. • 17 Health Sciences Will Move To Amherst Campus �the Irving Hyman Me morial A ward in N eurology; Dr. Adele M. Gottschalk, the Bu ffalo S u rgical Prize in Surgery and the American M edical A ssociation Ho norable M ention Citation. The Lange A ward was shared b y Drs. Arthur H. Cohen and Steven E. Rinner. Other award winners : Dr. John R. Anderson, the Dr. Bernhardt and Dr. Sophie B. Gottlieb Award; Dr. David J. Fugazzotto, the Arthur G . Bennett M emorial Prize in Ophthalmology; Dr. Ronald M. Levy, the Baccelli R esearch Award; Dr. Sherman G. Souther, the Philip P. Sang Memo rial Award; D r. Albert L. Sullivan, the Maimonides Medical Society Award. The following were graduated with thesis honors: Drs. Burton L. Chertock; Carl W. Ehmann ; Dennis Goldfinger ; Ronald M. Levy ; William C. Rader. Senior Class D ay, 1967. Senior Class Day T HIRTEEN ScHOOL of MEDICINE graduates sh ared 16 awards at the annual senior class day ceremony. Five received thesis honors while eight others are n ew members of Alpha Omega Alpha, national honorary society. Five graduates each received two awards. Dr. David R. Dantzker, the H ans ]. Lowenstein and the Emile Davis Rodenberg Me m orial awards (the latter award was shared with D r. Douglas D. Gerstein) ; Dr. David L. Larson, the R oswell Park Prize in Surgery and the Gilbert M. Beck M emorial Prize in Ps ychiatry; D r. Donald E. Miller, the Morris Stein Neural Anatomy Award and the David K. Miller Prize in M edicine; Dr. David S. Stephens, th e H einrich Leonhardt Prize and 18 The following are members of Alpha Omega Alpha, National Honorary Society: Drs. Sherman G. Souther; Donald E. Miller; Albert L. Sullivan ; Douglas M. Sirkin ; David R. D antzker ; Adele M. Gottschalk ; David L. Larson; D avidS. Stephens. • D r. Carl W . Ehm ann signs th e book fo r D r. Robert L. Brown �" O h, the needle." Kenneth Grimm getting h is first shot from Drs. !sacson and Richard Lennon. " It doesn't h urt." Mumps Vaccine for 1100 Children "G ETTING THE NEEDLE" was fun for most of the 1100 children attending primary grades who were tested in Maryvale, Kenmore and Sweet Home Elementary School Districts. This was an all-out effort to test the efficiency of mumps vaccine in a controlled community trial conducted by the Vaccine Evaluation Unit at the University. Pupils in 10 schools, with signed parental permission, participated in the mumps program. In keeping with the project procedure, half of the participants received the vaccine and the other half a harmless ineffective "placebo." This will permit an unbiased evaluation of the effectiveness of this preventive procedure. The mumps vaccine, developed by the Merck Institute for Therapeutic Research, already has been administered to several thousand children throughout the country without a significant reaction. Dr. Peter Isacson, associate professor and project director said, "Preliminary trials indicate that it is nearly 100 per cent effective in preventing mumps." Dr. Isacson is being assisted by the following physicians : William R. Elsea, Deputy Erie County Health Commissioner; Robert Harris and Richard G . Lennon, both from the Epidemic Intelligence Service, Communicable Disease Center, United Public Health Service; David T. Karzon, professor of pediatrics, T eodoro 0. Rosales, department of pediatrics, Children's Hospital; Warren Winkelstein, Jr., professor of epidemiology. • FALL, 1967 19 �An Early Impression by I SHERMAN G. SOUTHER, M.D. rs A CURIOUS CREATURE, precariously perched in the present, the past imperceptibly slipping away, and the future infinitely near. He acts in the present, is influenced by previous experience and in anticipation of what he perceives is ahead. No individual, I believe, is unique in this respect. One of the basic tenets of education is, after all, that experience increases the ability to direct subsequent experience. MAN I now find myself a senior medical student, and I have been asked to reflect briefly on my experience in medical school. I fear that I somewhat lack perspective, for in some respects my previous experience is too near. Granting that further experience may well modify my impressions, I would like to discuss a point which has had great import to me and which I believe concerns all alumni of the medical school. Dr. Souther. All of us are, or will be, Doctors of Medicine. This title is, however, only an academic degree, and the real issue of how we use our acquired skills is left unspecified. This issue is of great importance to society, to the profession of medicine, and to ourselves as individuals. Where then is this issue resolved? At what point does the individual confront the problem of what he is to do with his skills? There is probably no one single instant that one is faced with the decision. Individuals can be divided into three groups: those who never decide, those who reach the decision after several changes of course, and those who are said to have always known the decision, or in other words reached the decision very early in their experience. There is also no doubt, howDr. Souther is interning at the Johns Hopkins H ospital, Baltimore. H e received his medical degree from SUNYAB on May 28, 1967. 20 ever, that certain experiences have more impact on the decision than others. It is my impression that most students arrive at medical school solely in pursuit of the degree. Few come with a firm decision concerning the use of the skills which are to be acquired in medical school. I will grant that virtually all have some impression concerning what might be done, but it is my belief that few of these impressions are based on inform ed judgment. All of us are laymen on entering medical school. I do not know if even the sons of physicians have significantly greater insight and more informed judgment concerning the future use of soon to be acquired skills. We leave medical school, however, with experience in basic science, in clinical medicine, and occasionally in research. We leave with the decision made concerning our internship. We leave w ith impressions of the way of life of the private clinician, the full-time clinician, and the academician based on closer and usually more sophisticated views of his professional life. The decision of where and what our next step in training will be, and the glimpse into the several forms of professional life have great impact, I believe, on the ultimate disposition of our own professional life. The student can hardly avoid exposure to the attitudes of the academicians and the private clinicians, of the specialists and the generalists, of the in stitutions with more and those with less university affiliation. It is this exposure which determines the place and type of internship which, for the majority or most, has great effect on still further training, all of wh ich leads closer and closer to the ultimate assumption of a defined role in the profession of medicine. I distinctly remember as a freshman medical student, during orientation prior to the beginning of classes, THE BUFFALO MEDICAL REVIEW �the Dean's description of us having come from a broad liberal background to be funneled through a narrow channel prior to going out to the broad profession of medicine. It is through this narrow channel that we have received our presently most sophisticated view of the profession. It is in this narrow channel that we have accumulated many of the experiences that chart our further course in the profession. Therefore it appears that the e.ntire profession is affected by the impressions and decisions of those who file through the narrow passageway of medical school. Although we constantly fall under the experience of those who precede us as we continue our training, it appears that at no other time do we fall under the shadow of the profession so completely as we do in medical school. Thus it would seem that the medical school would be of extreme importance and interest to the profession as the spring from which the profession is fed. The alumni of the medical school, in the diversity of their own interests and the diversity of their own roles within the profession, approximate the profession as a whole. I believe that their medical school should become of personal interest to them and to the society which they also represent. It was John Dewey who in 1916 said, "In direction of the activities of the young, society determines its own future in determining that of the young."1 It is my impression that the experiences in medical school have considerable importance in the ultimate career of any graduate, and therefore are of great importance to the society, to the profession, and to the individual. • 1. Dewey, John, Democracy and Education (New York: The MacMillan Company, p. 49, 1916). FALL, 1967 I_ Dr. Driscoll Dr. Randall Dr. Vaughan D r. Bozer D r. Edward F. Driscoll, president of the m edical board of Bu ffalo G eneral H ospital, presents plaqu es to fiv e past presidents who were honored recently. The doc tors w ith him and the years they served are: Dr. C lyde L. Randall, '50-'52; D r. S tuart L. Vau ghan, '5 8-'60 ; Dr. H errmann E. Bozer, ' 56-'58; D r. Elmer Milch, '62-' 65, and D r. Harry G. LaForge, ' 60J62 . Th e occasion w as the annual house staff graduatio n dinner. • Dr. Michael A . Sullivan, M '53, has been named chief of medicine at Deaconess Hospital. He formerly served as the director of medical education at Kenmore Mercy Hospital. • Dr. Thomas F. Kaiser, M' 43, has been elected to an unprecedented third term as president of the Deacon ess Hospital medical staff. Chosen to serve with Dr. Kaiser for one year terms were: Dr. Willard G. Fischer, M ' 36, vice president; Dr. Frank C. Marchetta, M' 44, secretary; and Dr. John E. Cryst, M ' 44, treasurer. 21 Dr. Milch D r. LaForge �Hospital Horizons by MOIR P. TANNER Nor ONLY HAVE I been fortunate in the very close association that I have had with Board and Staft but you have permitted me to serve most of my working life in an atmosphere of service and it is hard to believe, sometimes, that there is any other job to do, or that there is any other job worth doing. Medical w riters tell us that modern medicine, as we know it today, came to us about thirty years ago, Mr. Ta nner gave this address at a f arew ell banquet, given in his honor, M ay 1, 1967. M r. T anner retired after 30 y ears as di rector of Children's H ospital. A 10- story h ospital addition is being nam ed af ter him. 22 about the same time that I went to the Children' s Hospital, and so it was easy to go along with the current. I am glad not to have missed the close relationship with so many physicians who, in a real sense, brought the Children's Hospital to the status that attracted full-time physicians-Drs. Douglas P. Arnold, William J. Orr, A. Wilmot Jacobsen, Norman C. Bender, W. Ward Plummer, John F. Fairbairn, Frank N. Potts, Thew Wright, and many others. This was before the days of sophisticated equipment and the magic drugs; before the d ays when the public attitude toward hospitals was less gloomy and fearsome, before the time when complicated metabolic disorders were being skillfully managed and internal operations of the heart were a part of our medical program. Think of the tremendous strides that have been made in medical and hospital care over these years. It has b een a wonderful 30 years, and, speaking of people, let us not forget what Thelma Kenyon has meant to this Hospital these many years. Time soon saw our Hospital with full-time personnel and the Rubinizing process became a very pleasant one. W e saw Government becoming a very important partner in our hospital and medical affairs. W e soon learned that neither manpower nor funds w ere to be spared and there certainly is no reason for any of us to believe that advances in research and health care have reached, or are reaching, a plateau. We have seen , among many other advances, the team approach to the care of the patient. It is true that the more su ccessful modern medicine b ecomes, the more problems will be created and the more physicians and health workers will be required. The great problem is going to be the recruiting of ad equately trained people in this health field under the leader ship of physicians. Over one-third of the thirty-seven billion dol- THE BUFFALO MEDICAL REVIEW �Iars now spent for health and medical care is being dispensed by Government. We must realize that this Governmental interest and direct participation in health affairs is in its early growth and the increase in care, teaching, and research has only started. In the next ten years this growth can very easily be greater than that which we have seen in the past thirty years. Progress is being made with sane leadership and the partnership with Government and our voluntary agencies is taking on a more realistic relationship. We, in voluntary hospitals, must see to it that Government does not become the dominant partner. To be sure, Government has a fundamental responsibility for assuring that the people's right to health is fulfilled to the greatest possible extent-so have we. Let us not forget that we were here before Government became our partner, and while the assurance of adequate h ealth care can only be achieved through full and productive partnership with all levels of Government, we must remain the senior partner. Government has shown us the way in the concept of the planning for health facilities and regional programming. We might ask, "where would we be without Government help?" All types of health care-physical, mental, environmental- are now getting off t o an excellent start. This envisions a new kind of partnership among public and private agencies and with reasonable flexibility adapting to local needs and resources. There should, however, be no monolithic system at any Government level but a fusion of public and private endeavor for the ultimate good of all of the people we have pledged to serve, and if the right kind of partnership is created, all partners will be strengthened to do a job supremely well. Just a few weeks ago, The Vice President of the United States, from a Buffalo platform warned us all to keep our voluntary agencies FAll, 1967 strong, and guard against the dominating intrusion of Government, ever mindful, however, that the challenges are far too great for any of us to do it alone. What has happened to our out-patient clinics is nothing compared to what will happen within the next few months. Emergency visits to our hospitals have doubled in the past eight years. Just look at the increase in the number of workers in health-six times that of a few years ago. We must not forget that children's hospitals preceded the specialty of Pediatrics. And while they were not founded for any scientific reason but only to get children out of the large wards of our urban hospitals, it gave the physician a workshop for the care and study of diseases of children. All of these hospitals were founded and have been maintained by volunteers. You know the diseases that have been erased and those that have declined, giving us time and funds and energy to tackle many about which little was known a few years ago. All of our children's hospitals, certainly ours among them, have been right up front in this ever-continuing battle. This is where we will remain. But there is so much more to be done. We cannot forget that our country has fallen from fifth place among the nations of the world in this health picture to eleventh place. To be sure, our country has been improving but other countries, including those with far less resources than we have, are improving even faster. Despite the elimination of polio and other diseases, the number of physically handicapped children seems to be increasing, because more attention is being paid to the crippling effects of birth injuries, accidents, malformations of the heart, and on down the list. Many children who were incorrectly categorized and placed in institutions are now being restored to useful 23 �citizenship, including the so-called retarded child. Yes, then~ is so much more to be done, but as we look at the history of Pediatrics, which has been one of achievement, there can be no doubt that great accomplishments lie ahead. Pediatrics has had more than its share of medical educators as well as pioneers in research and in clinical investigation. It has assumed leadership in the promotion of child welfare programs. It has provided many physicians in important positions of official health agencies and universities' schools of medicine. These physicians and many others in the specialties have brought our childrens' hospitals hto a position of central importance and have many-times-over paid back these hospitals for providing the Pediatrician's workshop. To all of our childrens' hospitals one can most confidently look for a balanced and progressive approach to the highly complex and everch anging problems of child health encompassing research, education, care, and community service. These hospitals, including ours, will continue to work with the physician and with official agencies in this continuing struggle for all children. And now our hospitals, along with others-particularly the teaching hospitals-have a new responsibility and must accept leadership in this important program of community planning. Here can be community service at a high level. Perhaps it seems to many of you that it is impossible to take on more responsibility, but you will and you will do it successfully. We must not let Government do this job while we sit on the sidelines and criticize. Do not think that we cannot build too m any b eds- it h as happened in other areas and it can happen here. Beds, however, are the least of good planning. An expanded University calls for expansion of its teaching hospitals. Our hospital must grow in its phys- 24 ical plant, and the time is now if we are to maintain our position as a University hospital. No longer are we simply a charitable institution caring for the unfortunate sick child and training bright young people to serve their fellow men, but all together we are a complex of institutions with a major responsibility to society calling for the improvement and the maintenance of health. Our relationships with the University have grown in every respect. This strength, to a large extent, is also our problem. We have seen new avenues of service through the University. And ours, and other universities, are constantly inaugurating new programs for improved teaching and improved care, for without the latter, the teaching program could deteriorate. Exciting programs in health are soon to be inaugurated under University leadership. Right h ere may I pause, and with all the enthusiasm of which I am capable, urge that our hospital do everything possible to cooperate with the University in all of its health schools, making every effort to increase its position as an outstanding University Hospital. Hospital costs will continue to increase at an unprecedented rate. Much of this increase is warranted since it represents m erely belated justice to nurses, interns, residents, and other traditionally underpaid hospital workers. Do not scoff at the medical observers who predict that hospital costs may reach the unbelievable figure of $100 a day. Perhaps the recovery room can be better located near the cashier's window. It is anything but pleasant to leave as all these exciting changes are about to take place- as we enter the age of the computer. It is not too fantastic to look ahead to the day when our patients will be largely cared for by the coming computers. Just how much T.L.C. they will dispen se is a question in our industry of personal service. THE BUFFALO M EDI CAl REVIEW �We cannot help but look at the role of the hospital administrator, which is in transition, because the institutions and the society we serve are in transition. His responsibilities in the future are going to be so much greater than those of us who have grown old in this business, but if we cannot answer society's demand for coordinated, comprehensive health care, what social agency will? Hospitals cannot possibly abdicate responsibility for this role to other voluntary institutions, and the providers of medical care must assume a leadership in providing total care to all people and not leave it to the third party reimbursement agencies. And if we believe, as I am sure we should, that time is running out on the hospital's opportunity to live up to these responsibilities, and if we conclude that hOspital administration has a leadership role to play in the formation of the hospital's place in this picture, then we begin to understand the expanding role of the present-day administrator. The all too prevalent "corner grocery store" philosophy in our chain store age must be changed. Administration must take on the broader aspects of leadership in this vastly expanding field of health care. All of our American institutions-industrial and social-have been founded by people with vision, stamina, and a will to work hard. Even our country itself was founded by men who had these qualities. But the history of the Children's Hospital tells us that it was women with a great social understanding who; seventyfive years ago, founded our Hospital and women h ave controlled- with vision and with stamina-th at organization since the day of its founding. Tonight I salute you and the many whom you have followed. You have given me this great opportunity to work with you, to spend almost thirty years in this organization of service. I will ever be grateful to you for your FAll, 1967 many kindnesses to me and to my family and for the great joy that I have had in service-as faltering as it has been-to the Children's Hospital. To be sure, there have been regrets, there will be more. One of the greatest regrets that you are going to have is that you had not found your new Administrator long since, and I wish for him, as I turn over these keys, that they will open for him many doors of opportunity, of service, and happiness in this great work which really is only beginning. The transition of administrative responsibility has been painless, because he has made it so. Retirement is not without its emotional problems and we see opening before us in this electronic age the many great opportunities. It may not be pleasant in some ways to grow old but on the other hand, this is a wonderful industry in which to grow old. Speaking of this, how many of you read the enlightening, stimulating article written by our Toastmaster on this problem of growing old. His reaction to the aging process, he states, is an optimistic one and ends this learned discussion by quoting Phelps: to say that youth is happier than maturity is like saying the view from the bottom of the tower is b etter than from the top. As w e a scend, the horizon is pushed away. Finally, as we reach the summit, it is as if we had the world at our feet. There is only one way to cope with this problem of change and that is to seize the initiative and move forward. Yesterday is gone, tomorrow not yet here. Today is when we appraise the impact of change and lay our plans to become an even more powerful force in the health care of the community that we have pledged to serve, ever mindful that there will always be a Children's Hospital which must become ever stronger in this highest of all service-service to our children. And so- • 25 �A "Pioneer" 1n lmn1.unology "ONE MOUSE IS NO MOUSE"-a frequently quoted expression of Dr. Ernest Witebsky-is his way of reminding his students of the dangers involved in making sweeping generalizations from limited data. Tutor and friend to his students, he will retire as chairman of the department of bacteriology and immunology at the end of the academic year. Retirement for Dr. Witebsky, who has received international acclaim as the leading research worker in immunology for over 40 years, means a new assignment-to serve as the initial head of the newly-created Immunology Unit of the School of Medicine at Buffalo. In the near future, it will hopefully be developed into an Institute of Immunology. Important contributions have been made by Dr. Witebsky to our basic knowledge in the fields of blood groups and transfusion problems. He was the first to prove that the organs and tissues of the body other than erythrocytes also contain the blood group antigens A and B. His investigations on the occurrence of human A-like substance in hogs led other investigators to the isolation of the pure group A polysaccharide from peptones of hog origins. With University of Buffalo co-workers, Dr. Witebsky was the first to isolate successfully the pure group B polysaccharide which culminated in the introduction of the use of solutions of the isolated pure A and B specific substances for the conditioning of universal donor blood for emergency transfusions into patients of unknown blood groups. His pioneer investigations led to the development of a procedure for preparing potent anti-A and anti-B blood grouping reagents, discovery of the immune variety of anti-A and anti-B antibodies, to the devel- 26 Dr. Ern est Wib etsky. opment of a practical test for determining antibody sensitization of erythrocytes in acquired hemolytic anemia of the newborn and of the adult, and many other basically important findings. THE BUFFALO MEDICAL REVIEW �Dr. Witebsky's most recent work has been on autosensitization (sensitization against one's own tissue), particularly in connection with the thyroid gland. Born in Frankfurt, Germany in 1901, he was educated at the Universities of Frankfurt and Heidelberg in the traditional school of immunology. His teacher, Hans Sachs, was the pupil of Paul Ehrlich, the Father of Immunology. After receiving his medical degree from the University of Heidelberg, Dr. Witebsky joined the research division of their Cancer Institute, and in 1929 he became assistant professor of immunology. When the Nazis rose to power, Dr. Witebsky transplanted the German line of immunology (his main interest in immunology of tissues) to the United States. He became a Fellow at the Mt. Sinai Hospital in New York City. Two years later, in 1936, he joined the faculty of the University of Buffalo School of Medicine as an associate professor of bacteriology in the department of pathology. In 1941 the department of bacteriology and immunology was Jermed; Dr. Witebsky was appointed professor and head of the full-time staff consisting of one technician and one laboratory assistant, one preparation room and one animal room. The annual budget, exclusive of salaries, was about $500 for teaching approximately 70 medical and SO dental students. Today, the full-time staff numbers over 100, and the department, from an original space occupancy of 1,085 square feet, now encompasses 20,316. Research grants total over $800,000. But of greater significance than numbers and percentages is the creation by Dr. Witebsky of one of the most prominent world centers of immunological research. " Pioneering," years of FALL, 1967 training, guidance, and leadership under Dr. Witebsky has led to this accomplishment. Starting his "family" with a medical student, he succeeded in attracting numerous young researchers to the nucleus. New areas of immunological endeavor were established with the addition of two microbiologists, a staff member more oriented and trained in chemistry, a virologist, and an immunologist of recognized stature. Expansion both in research and training, became possible with space provided by the erection of Capen and Sherman Halls. Six units, each with its own repertory of methodologies, were formed: Immunohematology, cellular immunology, immunochemistry, immunohistology, virology, and tissue immunology. Dr. Witebsky, starting with a language handicap, molded and shaped a harmonious and yet diverse group which has maintained a unity of purpose and outlook. He has never "competed" with his group, but has remained friend and teacher. Many of the original "family" still remain. Under Dr. Witebsky's leadership, the department has established local, national, and international ties. Joint projects as well as individual unit ones are conducted in the department, most of them under his supervision and with his consultation. There is also extensive collaborative work within the University Health Sciences Center, the five community affiliated hospitals, and with many national and international institutions. The department of bacteriology and immunology is the only institution in the world which encompasses the five most important fields of immunology: bacterial and viral immunology, immunogenetics including 27 �A surprise dinner dance was held in his honor by the sophomore class, which epitomized the friendly relations existing between the teacher and his students. As their class was the last to which Dr. W itebsky would serve as chairman of the department, it was felt that a simultaneous expression of their feelings was in order. A placque inscribed "for his contributions to the field of medicine and for the inspiration he has given us, the medical class of 1969, in his year of retirement, January 21, 1967" was presented to him. Many former students, trained under Dr. Witebsky, now occupy prominent positions in the United States, Latin America, and Europe. His inspired teaching and leadership has induced many to continue along investigative lines initiated in the " Buffalo School." Close ties with their revered medical school professor are maintained through personal visits and correspondence. Dr. Kyoichi Kana and Dr. Wit ebsky. blood groups and transplantation, immunopathology including allergy and autoimmune disease, and immunology of tissues and cells. Dr. Witebsky has always considered teaching "not only an opportunity but a privilege second to none." The department offers bacteriology and immunology courses to medical, dental, nursing, medical technology students, as well as a large number of graduate students, postdoctoral fellows, and faculty members from other departments of the school. 28 As a tribute to Dr. Witebsky and to the department for its major research contributions in the fields of blood groups and immunohematology, the initial organizational Congress of the International Society of Hematology (of which he is a co-founder) conven ed in Buffalo in 1948. Dr. Witebsky has co-chaired four international Symposia on Immunopathology as well as the International Conference on Autoimmunity organized in 1964. Author of about 300 publications in German, French, English, and American m edical journals dealing with problems in immunology and bacteriology (blood groups, Rh factor, organ specificity, cancer), he is consulting editor of Transfusion, scientific consultant of Blut, and an advisory editorial board member of Blood, and Clinical and Experimental Immunology. THE BUFFALO MEDICAL REVIEW �Memberships he holds in national and international societies would fill pages. Diplomate of the Pan American Medical Association, he is also a Fellow of the American Society of Clinical Pathologists, the College of American Pathologists, the American Association for the Advancement of Science, the American Public Health Association, and the American Academy of Micro biology. The University of Freiburg, in 1958, awarded him an honorary doctor's degree. The following year the Karl Landsteiner Memorial Award of the American Association of Blood Banks was presented to him. The University of Buffalo, in 1950, bestowed on Dr. Witebsky the Chancellor's gold medal as an outstanding citizen of the community, and four years later, in recognition of his accomplishments, conferred upon him the rank of Distinguished Professor. He has also served as dean of the Medical School. Since his arrival in Buffalo, he has been bacteriologist and serologist at the Buffalo General Hospital, and director of their blood bank since 1941. He is also a consultant in bacteriology at the Veterans Adminis-' tration Hospital. The Stockton Kimball faculty award, in recognition of outstanding contributions by a m ember of the medical faculty to the traditional triad of teaching, research, and service, was added to his list of accolades in 1963. Also, honorary memberships in the British Society for Immunology, the Deutsche Akademie der Naturforscher Leopoldina, and a NATO visiting professorship at the University of Munich. Dr. Witebsky will continue his efforts in the Immunology Unit being created to foster further collaboration in immunology research locally, nationally, and internationally. Existing teaching programs will be supported, and graduate and postgraduate teach- FALL, 1967 ing will be considerably extended. The proposed Institute will also participate in improving the service functions for hospitals and practitioners in medicine and dentistry by active participation in the introduction of new diagnostic and therapeutic procedures. If Dr. Witebsky were to have his way, the pronoun "I" would be eliminated from his vocabulary as would the spotlight which has been pinpointed on him most of his life. But, as one of his colleagues stated: It is rare to find that a whole area of medicine owes its establishment and clarification of its many facets to a single investigator, Dr. Witebsky belongs to this extraordinary category ... . • Dr. Reiji Kasukawa, Mr. Jerry Bash, Dr. John Klass en, Dr. Witebsky . �A futur e do c tor, Tim ot hy F. Ha rrin gton , ma kes th e " ro unds · · with Dr. George L. Eckh ert at Deaconess Hospita l. 12 APFME Summer Fellowships for the current summer have been supported by the Annual Participating Fund for Medical Education. Seven are in the field of general practice. Timothy F. Harrington, Jr., class of '69, is the recipient of one of these fellowships. Working with D r. George L. Eckhert, M '35, a general practitioner with offices at 1377 Kensington A venue, the hours are long for Tim during the seven-day week, but "family practice is what interests me," and the rewards are large, he responded. The day m ight start with office visits by patients or house calls or surgery or hospital rounds. The warm relationships and genuine con cern by Dr. Eckhert for his patients as w ell as an insight into the m anagement of his m edical obligations is what will be gained by Tim after a summer with Dr. Eckhert. " Not only the science of medicine but more of its art is what I want Jim to learn. It is a little different th an what he is exposed to at the M eyer H ospital and in the ward," expressed this dedicated general practitioner. • TwELVE FELLOWSHIPS Rev iewing X-rays. Patie nt co unsu/tatio n. �Bool< Memorial Donated to UB Corpsman Peter R. Bossman wanted to be a doctor. But he died on a medical evacuation mission in Vietnam on Sept. 25, 1966, his ambition unfulfilled. The memory of that ambition will be perpetuated for countless medical students, because Peter's comrades have donated $160 toward the purchase of books for the University's medical library. The library added $40 of its own and purchased a fi ve-volume set of medical history books entitled "Marcello Malpighi and the Evolution of Embryology." Malpighi was a 17th century scientist who has been called "one of medicine's greatest names." "Peter often expressed a desire to attend the School of M edicine when his tour was up," Lieutenant Erwin Engert, the group flight surgeon, wrote to Dr. Oscar Silverman, director of university libraries. Dean Surgenor and D r. Lewis E. January. Th e American H eart Association awarded a special citation to D ean Douglas M. Surgenor for "distinguished service to research." The award is for Dr. Surgenor's service in the field of cardiovascular research and to medicine. He has completed a five-year term (1962-67) as a member of the AHA' s national research committee. He chaired the committee two years. Dr. Lewis E. January, AHA President, presented the award at the board of directors Jun e 3 m eeting in New York City. • FALL, 1967 Dr. Silverman assured Lieutenant Engert that " These books will be of permanent interest and will remain in the rare book section in the medical library in Capen Hall with a memorial inscription." Peter was the son of Mr. and Mrs. Lex Bossman of 84 Brianwood Drive, West Seneca. • Dr. Fred Snell, professor and chairman of the department of biophysics, is the new dean of the G raduate School. He will work with the provosts and appropriate faculties of the university to assure standards of excellence in graduate instruction and co-ordinate all graduate and professional degree programs. Dr. Snell joined the faculty in 1959. • 31 �Vietnan1 Educator Named Dr. Reimann. Dr. Hobart A. Reimann, M'21, professor of medicine and head, section of preventive medicine and epidemiology, Hahnemann Medical College and Hospital of Philadelphia, has been named field director of the AMA's Vietnam Proj ect. In 1951, Dr. Reimann received the University Alumni Citation for his work in medical education. "The immediate purpose of this project is to develop a strong system of medical education in South Vietnam. The ultimate goal is to increase the supply of physicians and assure that they are b e tter trained to meet the need s of the Vietnamese people," Dr. Wesley W. Hall, chairman of AMA's board of trustees, said. Dr. Reimann arrived in Vietnam in January. He will coordinate and supervise activities of U.S. medical educators working with the department heads in the University of Saigon medical faculty. Dr. Reimann served as consultant and faculty m em b er of foreign m edical schools. From 1927-30 h e w as associate professor of medicine at the Peking-Union Medical College, China. He was visiting professor of medicine at the American University of Beirut, Lebanon, Medical School from 1952 to 1954. He also worked at the University of Indonesia, Java, in 1955 and at the University of Shiraz, P ersia, from 1958 to 1960. H e joined the H ahnemann faculty in 1960 and has been granted a six months' leave of absence to guide the AMA project in Saigon. Dr. Reimann will also evaluate the m edical education proj ect as it progresses and serve as liaison be- 32 tween the dean of the University of Saigon medical faculty and the U.S. Department of State's Agency for International Development. "This is a vitally important project," Dr. Hall said, "for this war-torn nation where medical services are available to only a fraction of the 15 million Vietnamese. "There are only about 1,000 medical doctors in Vietnam, and 700 of these are in the armed forces. The problem is compounded by the fact that two-thirds of the remaining 300 physician s practice in Saigon although 80 per cent of the Vietnam population lives in the rural areas." • Medical seniors d edicated their yearbook, Th e Medentian , to a man who believes that the primary function of a teacher is to teach. They chose a veterinarian, Dr. Joseph Puleo. He is also assistant clinical professor of bacteriology and immunology, and assistant director of Erie County Health Laboratories. • Dr. Edward Shanbrom, M'51, was honored recently as the co-developer of a potent new treatment for h emophilia. He received the honor when the Hyland Laboratories of Los Angeles received the "Scientific and Research Achievement Award" of the National Hemophilia Foundation. This award w as made "for long standing interest in the therapy of hemophilia and for w ork in the d evelopment and commercial m arketing of a potent antihemophilic fac tor con centrate." Two alumni are active in the Buffalo blood program. Dr. Kenneth H . Eckhert, M '35, is chairman of the blood program subcommittee of the Red Cross' Medical Advisory Committee, while Dr. A lfred M . Stein, M '58, is chairm an of the Hemophilia Foundation' s Medical Advisory Committee. • THE BUFFALO MEDI CA L REVIEW �Medical school alumni are doing their part on various Erie County Medical Society committees. The following are committee chairmen: Legislation, Dr. Herbert E. Joyce, M'45; Public Health, Dr. Robert M. Kohn; Economics, Dr. Charles D. Bauer, M'46; Membership, Dr. Edward A. Rayhill, M'54; Workm en's Compensation, Dr. Anthony P . Santomauro, M'56; Medical Education, Dr. Murray S. Howland, Jr. Committee members elected for one-year terms for Ethics are: Drs. frank J. Bolgan, M'51; George L. Eckert, M'42; Edward G. Eschner, M '36 ; Alfred f. Luhr, Jr., M'43; Bertram A. Portin, M'53. Delegates to the state society, 1968-69 are: Drs. John C. Brady; Max Cheplove, M'26; Kenneth H. Eckhert, M '35; Clarence A. Straubinger, M'38. Alternate delegates to the state society, 1968-69 are: Drs. James H . Cosgriff, Jr.; Joseph R. Saab, M'34; Charles P. Voltz, M'39 ; Lewis J. Young. Elected to the nominating committee for three-year terms are: Drs. Ralph J. Argen; Paul C. Ronca, M'56. • Dr. Edward C. Rozek, M'41, is the new president of the Erie County Medical Society. He succeeds Dr. George L. Collins, Jr., M'48. Dr. GuyS. Alfano, M'SO, is the president elect, and Dr. James R. Nunn, M ' SS, vice president. Dr. Julia M. Cullen, M ' 49, will serve as secretary, and Dr. Duane H. Dougherty as treasurer. Nine society members were given SO-year awards: Drs. Urban A. fischer, William H . Jones, Vincent Moscoto, Kenneth A. Smith, Myron A. Thompson, Anna P. Walsh, Hiram Yellen, all of the 1917 class, and Drs. B. M. Hollenstine and Howard O sgood . • Dr. Samuel Feinstein, M'31, received an award for outstanding service in the field of mental retardation from the Erie County Chapter of the State Association FALL, 1967 for Retarded Children. Dr. Feinstein heads the West Seneca State School for Mental Retardation. • People Dr. Samuel Sanes, M'30, professor of pathology, was given a special award by the 1967 graduating class. "Scholar, teacher and friend-a man who represents the best in medical education for the class of 1967" was inscribed on the plaque. Dr. Sanes is also the new president of the American Cancer Society's New York State Division. • Dr. Charles A. Bauda, M' 42, is the new director of the Region II (New York State) National federation of Catholic Guild. He is also chairman of the national guild's religious activities committee. • Dr. Edward R. Cannon, M'40, was among three physicians who received special recognition at the 2nd annual Cazenovia Community Service Awards Banquet. Dr. Cannon is on the Owahgena Medical Center staff, Cazenovia, New York. • Dr. Evan Calkins, chairman of the department of medicine, and executive director of the department of neurology, is the new president of the American Rheumatism Association. He took office June 15 at the annual meeting in New York City. Dr. Calkins joined the faculty July 1, 1961 as professor of medicine and head of medicine at Buffalo General Hospital. He has overall responsibility for the teaching program for medical students, interns and residents in all teaching hospitals. Dr. Calkins received his A.B. d egree in 1942 from Harvard College; his M.D. in 1945 from Harvard Medical School. He did his internship and residency at The Johns Hopkins Hospital. He served eight years on the Harvard Medical School faculty b efore coming to Buffalo. • 33 Dr. Calkins. �People Dr. William J. Staubitz, M'42, is the new president of the Western New York American College of Surgeons for the 1967-68 year. He is professor of surgery (urology) and on the staff of Meyer Memorial Hospital. He is a Fellow of the American College of Surgeons, and the American Academy of Pediatrics. • Dr. Jerome J. Maurizi, M'52, has been named to the board of medical advisers of the American Association of Inhalation Therapists. He is one of four members of the American College of Chest Physicians on the board. Dr. Maurizi is attending physician at Meyer Memorial Hospital where he is in charge of the pulmonary function laboratory. He is also an assistant professor of medicine at UB. • A 1965 School of Medicine graduate is saving lives in Vietnam. He is Lieutenant Patrick J. Houston, son of Dr. and Mrs. Thomas F. Houston, M'36. As leader of a seven-man medical team Lt. Houston helped save the lives of a Vietnamese man and a 12-year-old boy, both injured by a hand grenade. Lt. Houston has been in Vietnam since August 1966. • Dr. Julian J. Ascher, M'40, is the new president of the Rosa Coplon Home and Infirmary medical staff. • The Heart Association of Erie County is the Heart Association of Western New York. The association has combined membership with the Heart Associations of Genesee and Wyoming Counties and incorporation papers under the new name have been filed . Dr. Robert C. Baumler, M'52, is the new president; Dr. Milford C. Maloney, M'53, first vice president; and Dr. Andrew Gage, M'44, secretary. • 34 Four alumni are the newly elected officers of the Buffalo Academy of Medicine. They are: Dr. Frederick G. Stoesser, M'29, president; Dr. H. Paul Longstreth, M'45, vice president; Dr. Albert Rekate, M'40, treasurer; Dr. Charles Voltz, M'39, secretary. Dr. Rekate is also associate dean, School of Health Related Professions; professor of medicine; and director, rehabilitation medicine. • Dr. William J. Rogers, III, M'45, chief of orthopedic surgery at Kenmore Mercy Hospital, spent April and May in Vietnam on voluntary duty in civilian hospitals. • Two alumni-Dr. Ramsdell Gurney, M'29, and Dr. Eugenia F. Bukowski, M'28-were among volunteers and professionals honored by the American Human Association (Children's Aid Society for Prevention of Cruelty to Children) . Dr. Gurney was honored for his 29 years of service in weekly clinics, while Dr. Bukowski received a quarter-century pin for her work on the board. • Dr. Jay I. Evans, M'29, retired June 30. He has been on the faculty in various capacities since 1935. He was a clinical associate in medicine when he retired. Dr. Evans was born in Smyrna, Asia Minor in 1896. He received A.B. degrees from International College, Smyrna in 1921, and Alfred University in 1924; his M.A. from UB in 1928. He interned at the Buffalo General Hospital and the Johns Hopkins Hospital where he was the John D. Archbold Fellow in medicine. • Dr. Kenneth H. Eckhert, M'35, is chairman of the Erie County Welfare Advisory Board. • THE BUFFALO MEDICAL REVIEW �-People llu ilrmnrittm Dr. James G. Fowler, an ophthalmologist who has been on the faculty since 1928, retired June 30. He was an associate clinical professor of ophthalmology. He was born in St. Louis' in 1896 and received his education at the University of Nebraska (B.Sc. 1921; M.D. 1922). He was a general practioner in Iowa before coming to the Buffalo City Hospital in 1926 as resident ophthalmologist. Except for a voluntary internship in Vienna and Klagenfurt, Austria in 1928 and 1929, he has been affiliated with the Buffalo General and Millard Fillmore Hospitals, and the Thomas Indian School, Iroquois, New York. • Dr. Warren Z. Dell, M'09, died April15 in Veterans Hospital after a long illness. He was 77 years old. He had practiced in both Buffalo and Colden, before retiring about 15 years ago. Dr. Dell was a World War I hero in France and Germany where he earned the Silver Star, Purple Heart, and a commendation from General John J. Pershing for manning a front-line aid station under heavy fire. Dr. Clifford C. Furnas, president-emeritus, recently was named a member of the National Academy of Engineering. He was recognized for his work in gasscrubbing research. The nationally-known scientisteducator became Chancellor in 1954. He retired in August of 1966. • Dr. Clarence 0. Rottger, M ' 20, died May 12 of a heart attack. He was 82 years old, and a Buffalo surgeon for more than 40 years. Dr. Rottger was a member of the Buffalo General Hospital's staff and the courtesy staff of Sisters Hospital. He was a member of several medical societies at the county, state, and nationallevel. • Dr. Marvin A. Block, M'25, is author of a book, "Alcoholism-Its Facets and Phases." His book, published simultaneously by the John Day Co. of New York and Longmans Canada, Ltd., was described in a New York Times book review as "certainly the most complete and authoritative book on the subject available." • Dr. Matt A. Gajewski, M'39, has been appointed to a five-year term on the board of education by Buffalo Mayor Frank Sedita. Dr. Gajewski is past president of the Mercy Hospital staff and the Medical Arts Society and secretary of the Broadway-Fillmore Community Corporation. He is also past commander of Adam Plewacki Post 799, American Legion. • FAll, 1967 Dr. Dell, former Erie County Supervisor, championed the "good roads" bill and was instrumental in bringing electric power to the Town of Colden during his two terms as supervisor in the early 1920's. • A charter member of the UB psychiatry department 15 years ago died May 15. He was Dr. William E. Cudmore. He had been senior staff psychiatrist for 25 years at Buffalo State Hospital, and a clinical associate in psychiatry at UB. He was 64 years old. His son, Dr. John W. Cudmore, is a 1962 graduate of the School of Medicine. • Dr. Arthur Allan Mitten, M'll, died January 19 at Rock Hall, Maryland. He was 79 years old. He was a Captain in the United States Army Medical Corps during World War I. He served in France before being captured by the Germans. His hobby was dog show judging. He is survived by his wife who lives at Rock Hall. • 35 �Letters to the Editor It was certainly most thoughtful of you to send me a copy of The Buffalo Medical Review. My compliments to you on the most excellent coverage of the Cummings Foundation Grant. Best Regards. Robert S. Scheu, President Marine Midland Trust Company of Western New York Congratulations on the birth of The Buffalo Medical Review. The first issue of the new periodical was received this afternoon and I was most delighted to leaf its pages. The picture showing the lobby of the 24 High Street Building was excellent and brought back many fond thoughts for myself. Best wishes for every success. Lawrence H. Golden, MD. Ass't. Clin. Prof., Medicine, SUNYAB Buffalo One of the freshest sounds in the English language is Volume 1, Number 1. Congratulations on the new book, The Buffalo Medical Review. I wish you every success with the future issues of this interesting publication. With best wishes. Jacob K. Javits, U. S. Senator New York I am in receipt of the first number of the publication: Buffalo M edical Review. I hereby acknowledge .it, with thanks and appreciation. Reading it was very enjoyable, and .I shall look forward to future issues. Am indeed pleased to be on your mailing list-as anything which concernB the School of Medicine in B,uffalo, is very close to my heart, and of greatest interest. Gratefully and cordially. Mrs. Edward William Koch Lawrenceburg, Indiana Thank you for the Summer issue of The Buffalo Medical Review. To a distant alumnus these are very welcome. Dr. Talbott's article in the first issue was most interesting. Thank you again. A. H . Dobrak, M.D. 6420 N. E. 21st Rd. Fort Lauderdale, Fla. 33308 Congratulations on your first issue of Th e Buffalo Medical Review. My colleagues and I have read it with great interest and believe that you have done a terrific job. Hope you'll send us future issues. William H. Veazie, Administrative Assistant Veterans Administration Hospital Buffalo 36 Many thanks for sending me the first issue of The Buffalo Medical Review. I have read it with considerable interest and look forward to further discussions with you on the role of the Buffalo General Hospital and its relationship with the University. Dudley M. Irwin, Executive Vice President Manufacturers & Traders Trust Company Buffalo Terrific job! Terrific amount of work! Let's go on subsequent issues. What can I do to help? Marvin Bloom, M.D. Director, Health Sciences Continuing Education, SUNYAB Buffalo I am in receipt of the Summer issue of Th e Buffalo Medical R eview. Thank you very much. I would like to report that one of my classmates, Dr. Arthur Allan Mitten, class of 1911, died suddenly in January at Rock Hall, Maryland. Maurice E. Heck, M .D. 21 S. W. 15th Road Miami, Florida 33129 I was pleased to receive The Buffalo M ed ical Review. I had the pleasure of being in Dr. Mann's office after World War I and assisting him at times during those two years. It was also pleasing to read the history of the Potter Dynasty, having been a close friend of Dr. Irving W. Potter and Milton Potter, as well as Milton's three sons. I signed the first teaching contract between the University of Buffalo and the Millard Fillmore Hospital with Dean Kimball. I signed for the staff and Mr. Webster signed for the Board. Congratulations on your fine work. Harvey P. Hoffman Buffalo: Volume one, number one of Th e Buffalo Medical Review is of great interest and I hope that future issues will come up to this auspicious start. Dr. Talbott's excellent article, " Bench Marks," suggests to me that it would be appropriate to reprint Dr. George Thorn's biographical paper on Austin Flint, which was presented at the Medical School in April, 1960. George M. Ellis, M.D. Connersville, Indiana I was delighted with T he Buffalo Medical R eview. What a good job you people have done. Thanks for sending me a copy; it was much appreciated. Warm personal regards. Irvine H . Page, M.D. Retired Director of Research, Cleveland Clinic, Cleveland THE ·BUFFALO MEDICAL REVIEW �Where Alumni Live N.D A-ll M- 3 MINN. A-67 M-13 S. D. A-5 WYO. M-0 A-1 M- 0 .,-o NEB. A-13 Q~ HAWAII A-19 M-4 M-4 C'\._ v COLO. A-73 M-6 ARIZ. N.M. A-84 A-41 M-4 M-4 A- ALUMNI M- MEDICAL ALUMNI The General Alumni Board Executive Committee - WELL S E. KNIBLOE, ' 50, Pre sident; ALEXANDER P. AvERSANO, '36, Pre side n t-Elect; M. RoBERT KoREN, '44, Vice-President for Administratio n; THEODOR E J. BERGER, '62, Vice -Pre side nt for A ssociations and Clubs; CHARLES J. WILSON, J R., '57, Vice-President for De ve lopment; MICHAEL F. GuERCIO, ' 52, Vice-Preside nt for Activitie s and Athle tics; JOHN J. STARR, JR., '50, Vice-Preside nt for Public Relations; HAROLD J. LEVY, '46, Treasure r; STU ART L. VAUGHAN, '31 Imme diate Past-President. APFME Officers·- JoHN J. O ' BRIEN, M'41, Chairman; MAX CHEPLOVE, M'26, First Vice President; VICTOR L. PELLICANO, M ' 36, Second Vice~ Pre sident, DoNALD W. HALL, M'41, Secre tary-Treasure r. KAN . A-23 A-62 M-3 M-10 OKLA . A-2 6 M-8 ARK. A-ll M-3 A-90 M-10 �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Partnm'Prus, lflt. ~I4 Abeott&Smitfl Printil1& � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. 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The Inauguration of a President Alumni Leadership Day Regional Medical Director Continuing Medical Education The Medical School in the University: An Exercise in Acculturation Residency Diplomas, Faculty Awards Health Sciences Will Move to Amherst Senior Class Day Mumps Vaccine An Early Impression Hospital Horizons A "Pioneer" in Immunology APFME Summer Fellowships Book Memorial Vietnam Educator People In Memoriam Letters to the Editor Where Alumni Live Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-16 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. 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For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/1720dfdfba865dea3243ee7cf6c73310.pdf 81e5b7f168a638db6380921c17e173e3 PDF Text Text THE BUFFALO MEDICAL REVIEW Summer 1967 Volume 1, Number 2 The School of Medicine State University of New York at Buffalo �The Cover: Medical Illustrator Melford Diedrick designed the cover. The original quaint seal of the University underscores the early, unfulfilled intention to develop a comprehensive institution. Devoting most of its space to a supposed representation of Hippocrates, the seal also depicts symbols which are generally attached to other branches of learning. THE BUFFALO MEDICAL REVIEW, Summer,1967 Volume 1, Number 2. Published quarterly-Spring, Summer, Fall, Winter-by the School of Medicine , State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Second cla ss postage paid at Buffalo, New York. Please notify us of change of address. Copyright 1967 by the Buffalo Medical Review. (photos on page 26-courtesy Courier-Exp ress) �SUMMER, 1967 Vol. 1, No. 2 EDITORIAL BOARD Editor RoBERT S. McGRANAHAN Managing Editor THE BUFFALO MEDICAL REVIEW MAR ION MARIONOWSKY DR . DouGLAs M. SuRGENOR Published by the School of Medicine, State University of N ew York at Buffalo Dean, School of Medicine Photography T H OMAS J . CROWLE Y DoNALD D . GLENA Medical Illustrator IN THIS ISSUE MELFORD D. DIEDRICK Secretaries FLORENCE MEYER MADELEINE WATERS CONSULTANTS Preside nt, Medical Alumni Association DR . CH A RLES F. BAN A S President, Alumni Participating Fund for Medical Education DR . JOHN J. O'BRIEN Vice President for Health Affairs D R. PETER F. REGAN Associate Dean For Continuing Medical Education DR. HARRY J . ALVIS Director, Continuing Education in the Health Scien.:es DR. MARVIN L. BLOOM Assistant to the Vice President for Health Affairs DR. lAWRENCE A . CAPPIELLO Director, Un iversity Relations ROBERT T . MAR LETT Acting Director, Public Information J o HN F. CoN T E Director, University Foundation DR . WILLIAM J. O'CoNNOR Director of Publications THEODORE v. PALERMO Executive Assistant to the Pre sident DR. A . W E STLEY ROWLAND Director of Alumni Affairs CLARENC E J. YouNG, JR. 2 3 7 10 11 12 12 13 14 15 19 22 26 29 30 32 Medical Alumni Officers A Summer at Oxford The Medical School and the Community "Drugs and the Campus" Dr. Ernest Witebsky Honored Paraguayan Students Dr. David Harker Intern Matching APFME Scholarship Winners Spring Clinical Days Around the World with Dr. Jones Dr. Mitchell Rubin People in the News Medical Alumni Association In Memoriam European Tour �Dr. H. Paul Longstreth, a 1945 gradu ate of the School of Medicine, is the n ew vice president of the Medical Alumni Association. He was assistant dean for two years (1957-'59), and has been on the faculty since 1950. Currently he is assistant clinical professor in medicine. He is also on the staffs of Meyer Memorial, Millard Fillmore, and Kenmore Mercy hospitals. Medical Alumni Officers Dr. Banas The new president of the Medical Alumni Association is a 1937 graduate of the School of Medicine. He is Dr. Charles F. Banas, an allergist at Mercy Hospital where he is also chief of staff. He is also clinical assistant in medicine at the Buffalo General Hospital and clinical instructor in the School of Medicine. He has been on the faculty since 1955. He is past president of the Medical Arts Society, The Buffalo Allergy Society, and Mercy Hospital Staff. He has also been active in several other professional organizations. He has also been chief of the medical staff of Felician Sisters Institutions. Dr. Banas and his wife have three sons. • 2 Dr. Longstreth, an internist and specialist in chest diseases, is active in several local and national professional organizations. He was an officer in the Army Medical Corps. Dr. Longstreth and his wife have two children. • D r. Anthone A 1950 graduate of the School of Medicine is the new secretarytreasurer. He is Dr. Sidney Anthone, assistant clinical professor of surgery at the University. He is also on the staffs of the Buffalo General, Children' s, and Veterans Administration Hospitals. Dr. Anthone is active in several local, regional, state and national medical associations. Dr. Longstreth H e did his undergraduate work at Harvard College where he was graduated Cum Laude in 1946. He served two years in the armed forces during World War II. Dr. Anthone and his wife have four children. • THE BUFFALO MED ICAL REVIEW �IT WAS A RARE OPPORTUNITY to spend three months at the RadcliHe as arranged by Dr. Robin Bannerman, associate professor of medicine, and former member of the teaching staH at Oxford. I arrived in early June, 1966, to spend what proved to be an extremely exciting and beneficial summer in medicine. A Sun1mer in Medicine at Oxford by MARTIN LIBERMAN Senior Medical Student The following article was written by Mr. Martin Liberman about his summer in England at the University of Oxford Medical Teaching Hospital, the Radcliffe Infirmary. Mr. Liberman will receive his M.D. degree this month. He will intern at Sinai Hospital of Baltim ore. SUMMER, 1967 My experiences probably should be traced from my arrival at Osler House, the combined administration building and home of the clinical Medical School. I arrived loaded with heavy textbooks and two massively-filled suitcases. I met my English medical peers wh o relieved me of these burdens. Starting the agenda was my first but by no means last pint of bitter. This w as my introduction to Osler House, a fine stone threestory structure. This multi-purpose building hou ses the administration oHices, the bar and sandwich room, student medical library, music room, and sleeping quarters for students on call. Osler House also has a full-time housekeeper who serves tea and pastry every afternoon. I was impressed with the intimacy between faculty and students. Osler House is a congenial, inform al place for faculty and students to become better acquainted. Following my cordial reception, I was guided 150 yards behind Osler House to the RadcliH Infirmary. An expansive four-story edifice, the main part was built in the early 1700's, It reminded me of the E. J. Meyer Memorial Hospital. The wards were similarly arranged and were eHiciently administered by very capable head nurses, whom we always addressed as "sister." Each ward (approximately) was staHed with one first-year houseman (intern) and a registrar, equivalent to a senior resident. 3 �The following day I completed my program arrangements. Through letters, I had arranged a program, including both research and clinical work. This was to be done in a medical specialty unit, namely gastroenterology. I also wanted to work on the general medical wards. I had been advised to do some reading in gastroenterology. A three-point program was now arranged: • to work with Dr. Ralph Wright in gastroenterological research; • to attend clinics with Dr. S. C. Truelove, head of gastroenterology; • to work on the two teaching medical wards of Professor Paul Beeson. Dr. Beeson is chief of the Nuffield Department of Clinical Medicine (named after the late Lord W. Nuffield, founder of the BMC Corporation and benefactor of the Medical School). This program seemed to be ideal for a summer. It offered the opportunity for studying a specialty branch from both theoretical and clinical aspects. It also offered the opportunity to continue my general medical education. While any one aspect of the program might well be full time, the pace was not as rapid as I had previously experienced. I was able to follow this program without undue strain, although one cannot say there was lack of stimulation to work hard. The ward pace was maintained by lively discussion and gentlemanly competition with the English students. Their clinical studies continue through the summer with a four-week break between mid-July and mid-August. In the Nuffield Department there were only four other students. The entire number of medi4 cal students per class is about 30, with two classes per year commencing at six-month intervals. These four students were assigned to special medical units, and I enjoyed the company of one English student in the gastroenterology specialty clinic. Several other Americans spent time on the wards during the course of the summer. They were from the University of Seattle and the University of Chicago Medical Schools. We all enjoyed a very amiable and enthusiastically competitive relationship. The clinical medical program involved clerking patients once every sixth day (termed " take days"), and following private patients admitted during the remainder of the week. On "take days," the students (two per ward) were always first to see the patients in the admitting room. Here, on the b asis of the student' s history of the patient and sub sequent brief examination by the houseman, it was decided whether to admit the patient. Students did the ECG' s when necessary and arranged to have chest x-rays taken before admission to the wards. These procedures could be completed in about 15 or 20 m inutes. Then the patient was sent to the ward where the student completed his workup. These writeups were valued for their completeness. They were utilized more frequently than here as references by the house officers. CBC's and urinalyses were done by the students as well as the laboratory. The student laboratories, however, were not well maintained, and decent blood stains were rarely available. Therapy and special procedures could usually be handled by students, although generally the housemen carried out these procedures. Students usually waited for designated periods called " locums" when a student substituted for a vacationing house officer. During this time, the student was in THE BUFFALO MEDICAL REV IEW �charge of the ward. He presented all cases, except those of other students, to Professor Beeson. He went on several daily rounds, wrote all orders, and handled all procedures. Special consultations were not usually educational for the student at Oxford. The consultant might arrive unannounced at any time rarely giving the student an opportunity to present the case. The consultant, however, would see the patient and leave his report in the chart. The hematology and gastroenterology units did make official rounds and at this time the house officer or student could present cases and benefit from the discussion. On Tuesday mornings several of the week's most interesting cases were presented to the combined medical faculty . A few cases from the entire hospital were then selected for the weekly Grand Rounds. Formal clinical teaching was also conducted. On " take days" the students would accompany the houseman, registrar, and a consultant on rounds. Emphasis would be on diagnosis, therapy, ECG, and x-ray reading. These rounds afforded a very personalized teaching experience. The houseman rarely contributed to the teaching experience during the course of the week, although they were always available to answer questions. Three times a week small classroom sessions (four to five students) were led by the one consultant working with the housemen on the teaching wards, or by the heads of the various specialty departments. Subjects such as digestive disease, ECG reading, renal disease or therapeutics were covered. The remainder of the student's clinical education is through reading. Most Oxford students have time to easily read Cecil and Loeb, authors of the most popular SUMMER', 1967 text. They attend Medical School for six years, two years preclinicat one year of concentration in a preclinical science, and three years of clinical training. Unless they are exceptional they do not take full advantage of their time during the last three years. Far more emphasis was placed on reading smaller texts rather than reference books suggested to American students. There were many books from which to choose. Blackwell Publications is located in Oxford. Many of these books were superb, well written, and easily read. It is a pity that such books as C linical Haematolo gy by de Gruchy; and Diseases of the Digestive System by Truelove and Reynell are not more available in Buffalo. The remainder of my clinical work was spent with the gastroenterology group. This group covered patients on Professor Beeson's wards. Once a week rounds for the housestaff and students were conducted by Dr. S. C. Truelove. Dr. Truelove's personal friend and co-worker, radiologist Dr. Kenneth Lumsden, read x-rays. At these rounds, a surgeon was also present for consultation. The patient's conditions were reviewed in painstaking detail. These rounds, extremely educationat lasted anywhere from one to three hours. Further work with Dr. Truelove took place in the specialty clinics where approximately 40 patients were seen once each week. Saturday mornings were reserved for a "new" patient clinic conducted by Dr. Truelove and Dr. Wright where referrals from private physicians were seen . Most patients tended to h ave gastrointestinal disease but at times other gastroenterologic conditions were observed. The students (myself and one English student) examined all new patients and presented them to Dr. Truelove or Dr. Wright. The patients were then dis5 �cussed with them. This proved to be a most unique teaching experience. There would always be a midmorning break and Dr. Truelove would talk with the students. A warm, friendly relationship existed between the students and Dr. Truelove. On Friday afternoon patients were seen for reevaluation or sigmoidoscopic testing, usually for ulcerative colitis and Crohn's disease. Sigmoidoscopies and barium swallows were done quite routinely at Oxford. In this clinic regional enteritis was not a rare entity. I saw at least 30 cases diagnosed by sigmoidoscopy and biopsy during the summer. I also had the opportunity to do many sigmoidoscopies and biopsies during these clinics. The rest of my time was spent in the laboratory. I began by reading many reprints on auto-immune aspects of gastroenterology. I decided, from these and from observing the work in the laboratory, to do a small project of short duration but not involving constant supervision. In earlier work, Dr. Wright had detected gastric antibodies in high titre in pernicious anemia, hyperthyroidism, and gastritis. The possibility of using these antibody titres for a screening test was difficult since immunofluorescence is the present method of detection. If, using the relatively simple hemagglutination technique, these antibodies could be detected, the problem might have been solved. I learned to preserve red cells with pyruvic aldehyde and per- 6 form the hemagglutination technique. From gastric material of surgical specimens the mucosa was scraped with a blunt-edged blade. It was then mixed in a sucrose solution to make an antigenetic solution, and the solution mixed with tanned type " 0 " red cells. These cells were then added to previously known positive sera detected by immunofluorescence. It was hoped that these sera containing positive titres of antibodies would hemagglutinate the antigen coated red cells. Unfortunately the technique proved too sensitive and a great deal of false positive results occurred. This was probably due to such subtle factors as dust in the room or the type of glass tubing used. The technique was never adequately perfected. Reading the literature, learning the hemagglutination technique proficiently, and making contact with many prominent workers, however, made an indelible impression . It generated an enthusiasm and interest in this work that will remain. Finally, I might add that I was also encouraged to attend regional medical meetings and conferences in other London hospitals and elsewhere. The flexibility in my program always enabled me to get the most out of my medical experiences at Oxford as well as to travel and to meet people. This past summer was unquestionably the highlight of my medical experience to date, and I am indebted to those who made it possible. • THE BUFFAlO MEDICAl REV IEW �A The Medical School and the Community by GEORGE T. HARRELL, M.D. Summary of a talk given before the faculty at Niagara Falls November 7, 1966. D r. Harrell is dean of the Pennsylvania State Un iversity College of Medicine and director of the Milton S. Hershey M edical Center, Hershey, Pa. H e received his A.B. and M.D. degrees from Duke Univ ersity . SUMMER, 1967 MEDICAL SCHOOL has an economic and cultural impact on the community as well as a professional one. In the past, illness was cared for in the home b y the family. The first physicians were priests who observed natural phenomena. Education was by the apprenticeship method. Now medicine is a university discipline. The thread for training of health scientists is the study of human biology. Because of the inherent variability of all living things, groups must be studied in order to smooth out individual variations. This statistical approach meets scientific criteria for research. The application of data collected on an individual, however, does not m eet scientific criteria. Thus, the practice of medicine on individual patients is an art which rests on a scientific b ase. It is essentially a highly confidential interpersonal relationship. Accordingly, the educational program must study how people live in the community, how they react to stresses of living, as well as of illness. Traditionally, these studies and peoples' sense of values have been the area of the humanities and liberal arts. Increasingly, behavior must be studied as a basic biologic phenomenon which is inherently variable as are all other physiologic parameters. Behavior should be studied at the group and individual level. Ideally, all workers in the life sciences should be trained together so that they will work together better in the community. The impact of disease must be recognized in its biologic aspects, su ch as the transmission of infections, as well as in its genetic, economic, and cultural factors. The educational program should take as its frame of reference the unit of society, the family living in a community. Long range trends which must be considered include the population explosion, particularly in the very 7 �young and elderly age groups, the mobility and changing role of families. Illnesses have changed in character from acute infections-largely food and water borneto chronic illnesses, heart disease, stroke, and cancer. In the past, the physician treated a series of dramatic self-limited illnesses with the chief causes of death being pneumonia, tuberculosis, and gastrointestinal infections. The student saw himself as a healer. Now the chronic illnesses have a life-long natural history. The basic biologic information is not available to cure them. The next largest cause of death-accidents-is largely a reflection of behavioral disturbances. A high percentage of patients present to the physician symptoms for which a suHiciently advanced stage of organic disease is not uncovered. The functional overlay to organic disease, as well as psychosomatic and emotional problems, are the responsibility of all physicians. Aging should be studied as a normal biologic phenomenon as opposed to the accumulation of the eHects of a series of chronic illnesses. As the result of the explosive growth of the research, the factual information on which the science of medicine rests doubles every ten years. Mechanical data storage and retrieval systems must be developed which could be placed in community hospitals. How can they be incorporated in the educational program without having the student take a mechanistic rather than a warm, compassionate, humanistic approach to patient care? Patterns of the delivery of medical care have changed with the introduction of chemotherapy of infections and drugs for the alteration of mood. Hospitalization is shorter as the natural history of disease is interrupted. More ambulant patients are cared for by physicians in an oHice setting. Laboratory tests are doubling in number every seven years and increasing in complexity. 8 The educational program at The Pennsylvania State University College of Medicine is planned for the training of physicians for practice. Th e frame of reference is the family living in the community. The student has committed himself to a never-ending process of self-education in the biological sciences and the humanities. The pre-professional training should emphasize breadth in the liberal arts with depth in a field of concentration of the student' s own ch oice. Teaching no longer can be factual in nature. The student can be taught patterns of thinking and an approach to problem solving. To assist in individual learning, study cubicles will be provided. The placement in the building will balance th e library and laboratory approaches. Training in all years will be fro m the multidisciplin ary approach. Special basic science laboratories have been designed. A wing of the hospital devoted to the laboratories and procedure rooms related to patient care will be used as a multidiscipline clinical laboratory. Research will be u sed as a teaching tool in the educational program. An animal farm is being built to teach the application of basic biologic principles of behavior and genetics to human problems. Growth, development, and variability also will be taught on human patients, beginning in the community schools. The teaching hospital will have facilities for acute illnesses in nursing units composed of seventeen single rooms. An ambulant facility for minimal care will permit members of the family to stay with the patient. After the hospital is completed, a nursing home is projected to study aging and chronic illnesses. Planning includes the future possibility that Hershey will be the center of a Regional Medical Program. The teaching hospital also will serve as a community hospital for patient care. THE BUFFALO MED ICAL REV IEW �In f ormal, round table discussions at N iagara Falls Among the educational innovations are a department of humanities with chairs in the history of science, philosophy and ethics, and comparative religion. Material will be incorporated into the regular courses throughout the four years. A department of behavioral science has been organized as one of the basic medical sciences. Biologic variability from the behavioral point of view will be emphasized. as a university responsibility. Emphasis will be placed on the teaching hospital setting where the physician's maximum learning experience occurred originally and for longer periods of time than usual to be effective. Students will be offered a foreign experience in a mission hospital to learn infectious diseases, principles of preventive medicine, and the impact of medical problems which are largely controlled in this country. A department of family and community medicine has been organized around the practices of three physicians now in the community who will serve as role models. The medical school has accepted responsibility for complete care of a segment of the community through this department. Teaching from the frame of reference of the family will begin in the first year. The physicians are spending three-month periods in postdoctoral training each year to prepare for full-time faculty positions. Continuing education is recognized This advance planning should prevent a town and gown schism. It will permit research in the delivery of patient care in the community. The public will be involved in the College of Medicine not just for fund raising but for patient education, volunteer service, and appreciation of the necessity for animal care. The library is available to the medical profession in the area now and is serving as a resource to colleges in the area. The school will be national in scope and international in flavor. • SUMMER, 1967 9 �THE ScHOOL OF MEDICINE is giving leadership to the "Campus Drug" Committee Named 11-man University-wide committee on "Drugs and the Campus" that has been announced by President Martin Meyerson. The President stressed that "there is no reason to believe that use of illegal drugs on our campus is widespread. My administration and I do not condone their use in any way." The "Drugs and the Campus" committee was named by Dean Douglas M. Surgenor of the School of Medicine. He said the committee can give the community a sense of security by providing professional advice concerning the abuse of drugs, treatment for those who have misused drugs and by advising the University community on their harmful effects. The committee will not be an investigative body. Dr. Cedric M. Smith, chairman of the department of pharmacology, will head the committee. In announcing the creation of the committee, President Meyerson repeated the University's position on drugs: " Our students are citizens; they must obey the laws just as other citizens must. If students break the law- and the possession, use or distribution of illegal drugs is obviously doing that-they must face the consequences of their action, just as others would in similar circumstances." Further, Mr. Meyerson pointed out: " Advocacy of change in the law is always to be distinguished from the question of whether the present law is being observed. Any breaking of the law will obviously be dealt with by law enforcement agencies, but the protection of the right to advocate changes in that law is a time-honored part of democratic life and of the traditions of university freedom. Furthermore, we must 10 not forget that this right is protected by the Constitution and that universities, as well as everybody else, . are bound by the Constitution." In summary of the University's position, President Meyerson said : "Students may talk about changing the law, but at the same time they must obey the law. If they do not obey the law, they will receive no sanctuary at the University, and you can be sure of that! Furthermore, the University has had a policy that any student found trafficking in illegal drugs with other students will, because of the hazard to other members of the University community, have his case taken up with the appropriate authorities." Serving on the committee with D r. Smith will be: Dr. Harry J. Alvis, associate dean of continuing medical education and associate professor of preventive medicine; Dr. Joseph M. Benforado, associate professor of pharmacology and associate dean of academic planning and curriculum; Dr. Harold Brody, professor of anatomy and acting assistant dean of student affairs; Dr. Richard Bugelski, professor and chairman of the psychology department; Dr. Maimon M. Cohen, director of cytogenetics; Dr. Peter K. Gessner, assistant professor of pharmacology; Dr. Paul F. Hoffman, director of student health service; Dr. Edward Marra, professor and chairman of the department of preventive medicine; Dr. Richard Siggelkow, dean of students and professor of education; Dr. S. Mouchley Small, professor and chairman of the department of psychiatry; Dr. Saxon Graham, clinical professor of medical sociology; Dr. Benton King, professor and chairman of the department of anesthesiology; Dr. Herman Schwartz, professor of law; Mr. Israel Kogan, sophomore medical student; and Mr. Robert Fine, sophomore law student. • THE BUFFALO MEDI CAL REVIEW �Sophomore Class, Friends Honor Dr. Ernest Witebsky Dr. Ernest Witebsky was honored by the sophomore class and some 220 special guests at a "surprise" dinner dance. "I consider teaching not only an opportunity but a privilege second to none. This spontaneous recognition of my endeavors means so much to me. This is one of my happiest experiences," Dr. Witebsky said. The sophomore class presented him a plague inscribed: "for his contributions to the field of medicine and the inspiration he has given us, the m edical class of 1969, in his year of retirement, January 21, 1967." Dr. Witebsky is distinguished professor and chairman of the department of bacteriology and immunology. He will officially retire as department chairman at the end of the academic year. He joined the faculty in 1936 and has been department head since 1941. He was acting dean of the School of Medicine in 1958; dean in 1959-60. • SUMMER, 1967 Three sophomore students-Hanley M. Horwitz, Robert ]. Gibson, Moi ra ]. Burke-with Dr. Witebsky. 11 �Paragu ayan Students Visit Campus D r. David Harker Dr. David Harker examines placement of minute ribonuclease crystal in x-ray diffraction unit at Roswell Park Memorial Institute where he is director of the Center for Crystallographic Research. Dr. Harker is also research professor of biophysics in the University's Graduate School. Dr. Harker pointed out that the complex arrangement of an enzyme which plays a role in cell growth has been finally determined. The enzyme, ribonuclease, is an important protein found in living cells. It is the first time that the atomic arrangement (the unique positions of atoms within a molecule) of a biologically important protein of this complexity has been definitely determined in this country. Ribonuclease has more than 1 ,000 atoms to the molecule. Finding the ribonuclease structure took 16 years of intense work and cost about $2 million. During the past two years calculations for the ribonuclease structure project utilized IBM computers at both Roswell Park and the University. • Two medical students, Luis Anotta and Luis Maas, and D r. E. M . Lopez, a recent graduate from the University of Asuncion School of Medicine, spent two months at UB's affiliated hospitals. Mr. Anotta worked at Children' s Hospital, while Dr. Lopez and Mr. Maas work ed at Buffalo General, Millard Fillmore and Children's H ospitals. This is the initial reciprocal student fellowship program with Paraguay. Two UB medical students, Ronald Friedman and John Gold, spent last summer in Paraguay. This is a part of th e educational partnership between the two universities that started in 1956. • Paraguayan D r. E. M. Lopez ; D r. Fran k P. Paloucek, associat e pro fe ssor of obstetrics an d gynecology; Parag uayan students Luis Anotta, Luis Maa s with Dean Surge nor. �More than two-thirds of the 1967 graduating class in the School of Medicine will intern at the hospital of their choice, according to Dr. Donald R. Becker, assistant clinica: professor of surgery, and former assistant dean of student affairs. All of the 95 graduating seniors participated in the National Intern Matching Program. Thirty-five of the seniors will intern in Buffalo hospitals- 16 at Buffalo General; 8 at Meyer Memorial; 7 at Deaconess; 3 at Millard Fillmore and one at Children's. The other 60 will intern at 4 7 different hospitals in 12 states, the District of Columbia and Toronto. More than one-half of the graduating seniors are from the Buffalo area, and only two are from outside of New York State. The complete intern maching list: JOHN R. ANDERSON, Harrisburg Polyclinic Hospital, Pa. SAMUEL C. ARMSTRONG, Buffalo General Hospital THOMAS AUGUSTINE, JR. , Deaconess Hospital, Buffalo BARRY M . BENISCH, Millard Fillmore Hospital, Buffalo ROBERT BENSON, University of California Hospital, L os Angeles NORMAN BERKOWITZ, Buffalo General Hospital STANLEY J. BODNER, Vanderbilt University Hospital, Nashville MARGARET A. BROWN, M edical College of Virginia, Richmond ROBERT J. BROWN, Millard Fillmore Hospital, Buffalo WILLIAM M. BURLEIGH, Tripier General Hospital, Honolulu B URTON L. CHERTOCK , San Diego County University Hospital ARTHUR COHEN, Buffalo General Hospital WILLIAM COHEN, San Francisco Gen eral Hospital MICHAEL J. COSTELLO, E . J. M eyer Me morial Hosp ital, B uffalo RICHARD H . DAFFNER, E. J. M eyer Me morial Hospital, Buffalo DAVID R. DANTZKER, Buffalo Gen eral Hospital CARL W. EHMANN, Deaconess Hospital, Buffalo JONATHAN S. EHRLICH, University of California Affiliated Hospitals, Los Angeles BARRY M. EPSTEIN, E. J . M ey er M emorial Hospital, Buffalo BRUCE B . ETTINGER, Sinai Hospital of Baltimore STANLEY M. FELDMAN, N ew York M edical College, N.Y.C. R U SSELL R. FIORE, The Roosevelt Hospital, N.Y.C. SUMMER, 1967 DAVID J. FUGAZZOTO, Deaconess Hospital, Buffalo DOUGLAS D . GERSTEIN, Buffalo General Hospital JAMES P . GIAMBRONE, Deaconess Hospital, Buffalo JOHN W. GmBS, JR., Huntington M emorial Hospital, Pasadena ARNOLD Z. GOLD, W estern P ennsylvania Hospital, Pittsburgh JEROME A. GoLD, Montefiore Hospital & Medical Center, Bronx PAUL M . GOLDFARB, Cook County Civil Service Commission, Chicago New York Hospital - Cornell U niversity M edical Center, N .Y .C. ADELE M . GOTTSCHALK, University of Chicago Hospitals & Clinics GILBERT B . GREEN, Los Angeles County General H ospital HAROLD W. GROTSKY, Los Angeles County General Hospital FRANK J . HARFORD, St. Vincent's Hospital, N.Y.C. JANE C . HARNETT, Mary Hitchcock Memorial Hospital, Hano ver, N.H. BURTON L. HERZ, State University - Kings County Medical Center, Brooklyn LEON HOFFMAN, Maimonides Hospital of Brook ly n LIBERATO A . IANNONE, Buffalo General Hospital RONALD P. JOSEPHSON, Buffalo General H ospital RICHARD G . JUDELSOHN, The New York Hospital, N.Y.C. JOHN B . KAISER, D eaconess Hospital, Buffalo STUART N. KANDEL, Hospital fo r J oint Diseases, N.Y. C. MURRAY C . KAPLAN, The Rochester General Hospital, N.Y. JOHN P . KELLY, Deaconess Hospital, Buffalo MICHAEL M . KLINE, E . J. M eyer M emorial Hospital, Buffalo STEPHEN H . KOPP, Los Angeles County Gen eral H ospital JACOB S . KRITEMAN, Yale - N ew Haven H osp ital SAUL N . K UNITZ, The Mount Sinai Hospital, N.Y.C. ROGER J . LA GRATTA, St. Vincent's Hospital. N .Y.C. STEPHEN E. LANGER, H errick M em orial H ospital, B erkeley DAVID L. LARSON, North Carolina Me morial Hospital, Chapel H ill HENRY E . LASHER, JR., Santa B arbara General & Cottage Hospitals ALLWYN J. LEVINE, E. J. M eyer M emorial Hospital, Buffalo ELLEN A. G. LEVINE, Children's H ospital, Buffalo RONALD M. LEVY, Cook County Civil S ervice Commission, Chicago MARTIN S . LIBERMAN, Sinai Hospital of Baltimore ANTHONY Lo GALBO, E . J . M eyer Me morial H ospital, Buffalo LAWRENCE L UTNER, Children's H ospital of Michigan, D etroit DOROTHY F . McCARTHY, E . J . Mey er M emorial H ospital, Buffalo (Continued on Page 28) DENNIS GOLDFINGER, 13 National Intern Matching Program �OFFICERS Chairman JoHN J. O''BRIEN, MD'41 DONALD E. MILLER, '67 B uffalo, New York State Uni versit y at Buffa lo RUSSELL R. FIORE, '67 Bronx, New York Fordham Un i versity LAWRENCE J. DOBMEIER, '68 Buffalo, New York State University at Buffalo JEFFREY PINE, ' 70 Belle Harbo r, N ew York Brooklyn College DAVID L. LARSON, '67 Snyder, New York Wheaton College KATHERINE R. DOWLING, Shelter Island, New York Manhattanville College ILLIAM M. BURLEIGH, '67 Skaneateles, New York Colgate University 1966-67 APFME Scholarship Winners first Vice-President MAX (HEPLOVE, MD'26 Annual Participating Fund for Medical Education Second Vice-President VICTOR L. PELLICANO, MD'36 Secretary-Treasurer DoNALD W . HALL, MD'41 14 Students Receive $ 7,643.00 jOHN B. SCHLAERTH, '68 Buffalo, New York LeMoyne College MADELINE WHITE, ' 69 Levittown , N ew Yor k Coll ege of N ew Rochelle SHERMAN G. SOUTHER, '67 Bradford, Vermont Hami lt on Colleg e DOUGLAS M. SIRKIN, '67 Williamsville, New York State University at Buffalo JONATHAN REYNHOVT, '68 Barrington, Rhode Island Wheaton College JAMES K. SMOLEY, '70 Buffalo, New Yo rk Columbia Univ ers ity ALBERT SULLIVAN, ' 67 �APFME, and Dean Douglas M. Surgenor. Dr. Sidney Anthone, program chairman, also introduced M rs. Stockton Kimball, the Honor Guard, the 50th anniversary class, and members of the junior and senior medical classes. The annual " exhibit of distinction" award went to the Parkinsonism Stereotactic Surgery D isplay by Drs. William Kinkel, M '54; Eugene Leslie; Edwin Manning, M '61; Charles Nicol; and John Zoll, M '40. "Teaching is the primary function of a medical school." That's what Dr. W. Clarke Wescoe, chancellor of the University of Kansas told the 420 physicians, faculty, and students at the ninth annual Stockton Kimball M emorial Lecture. His address climaxed the 30th annual Spring Clinical Days at the University. " Research and service are not the main functions of a medical school. They are just fortunate by-products of the teaching function," Dr. Wescoe said. He is chairman of the American Medical Association's Council on M edical Education. " Medical schools were created to fill the social need for physicians to care for people. None was created primarily as a research institute and none as a service center. " Today the rapidly increasing demand fo r better h ealth and medical care necessitates a re-emphasis on the teaching function of the medical school." Also at the luncheon there were short talks b y President Martin Meyerson, Dr. Peter F. Regan, executive vice president; Dr. John J. O ' Brien, president of During the two-day meeting in Norton Hall, panelists discussed obesity, vascular disease of the lower extremity, cerebral vascular disease, immunization and acute liver failure. Papers were also presented on obstructed airway, pulmonary embolism, cardiac arrest, acute glaucoma, acute urinary retention, acute anaphylactic shock, acute renal failure and acute emotional disturbance. The 1917 class and the 1942 class had their 50th and 25th reunions during the two-day affair. • Spring Clinical Days �Mrs. Stockton Kimball visits with Dr. Charles Gordon Heyd, M'09, during the luncheon. Dr. Antone Alumni join students and faculty for the sessions. Dr. Golden Dr. Levy President Meyerson �Drs. George G. Davis, M'07; Ray Kimball, M'06, Carleton E. Wertz, M'OB, Osca r]. Oberkircher, M'15 Dr. O'Brien Dr. Regan Dean Surgenor Chancellor Wescoe The annual Stockton Kimball M emorial Luncheon I Dr. Bernhardt Gottlieb, M '21, v isits with M rs. Sally Lev in �1917, 1942 Classes Hold Reunions The "good old days" was the chief topic at two class reunions -1917 and 1942-during the 30th Annual Spring Clinical Days. Ten members of the 1917 class had their reunion at the Statler Hilton, while 51 (husbands and wives) of the 1942 class met at the Park Lane. The 50-year-class members were also guests of the University at a special banquet Friday evening in the Faculty Club. This was the lOth reunion for the 1917 class. Dr. Myron Thompson was the rallying force for the 1917 class. Pictured around the table (below) with Dr. Thompson (left to right) are: Drs. Leslie Atkins, Allegany ; Kenneth Smith, Lackawanna; Art Glover, Horseheads; Raymond LaPorte, Lockport; William Jones, Kenmore; Hiram Yellen, Buffalo; Nathaniel Barone, Jamestown; Donald Tillow, Elmira; and Urban Fischer, Buffalo. Th e C lass of 1942 with w ives an d g uests T h e lights dim for the illustrated lecture �IJ .l "A1 \ Dr. Jones and f riend WHEN ONE's SCIENTIFIC INTERESTS are in three fields, every now and then two or more international congresses may be scheduled during a given summer, but the timing may make it impossible to attend each. Last summer it was my good fortune to attend the 11th Congress of the International Society of Hematology in Sydney, Australia, from August 21 to August 26, and the Sixth International Congress for Electron Microscopy in Kyoto, Japan, from August 28 to September 4, 1966. The purpose for attending the Hematology Congress was threefold : • to present a paper on "Do Erythroblasts have a Secretory Function in the Fetal Liver?" • to serve as chairman of the section on "Lymphoid Cells and Immunity;" • to officiate as historian for the International Society of Hematology. SUMMER, 1967 The weather in Sydney was bad enough to cause chilblains but the hospitality of our hosts and the quality of the program more than warmed our hearts. The Congress was officially opened by His Excellency the Governor of New South Wales, Sir Roden Cutler, in the Great Hall of The University of Sydney. There were 725 participants registered from 48 countries. Four participants from the United States were also members of the general alumni association of the University of Buffalo, namely D r. Stuart L. Vaughan, M'24; Dr. Edward Shambron, M'Sl ; Dr. Alvin Volkman, M 'Sl, and myself, M' 56. It should be poin ted out that the last three mentioned are former students of Dr. Vaughan. Entertainment provided for Congress members and guests included a soiree in the Cell Block of the D arlin ghurst G aol; a cruise on beautiful Syd ney Harbor; a garden party at Government House, and a banquet in conjunction with that given by the Blood Transfusion Congress. After the meeting in Australia I went to Sin gapore for an overnight stopover and then proceeded to O saka, Japan, via Hong Kong and Taipei. I w as met at the airport by Dr. T. Yamadori, a fo rm er post-doctoral fellow in anatomy, and Dr. Yukio Sono, a fo rmer resident in pathology at the Millard Fillmore Hospital. The Electron Microscope Congress was held in the recently completed Kyoto International Conference Hall just outside the city limits of Kyoto. The arch itecture was based upon an ancient Japanese design and the surrounding grounds consist of garden s, pools, and metallic representation of modern sculpture. Over thirteen hundred participants from 36 countries attended D r. Jon es is cele brating his 30th ann iversary in the UB anatomy department. He has been depa rtmen t head since 1943. H e received his Ph. D. in 1935 from the University of M innesota ; h is M.D. from UB in 1956. 19 Around the World by Dr. 0. P. ]ones �Since I had previously visited Kyoto, the highlights of the trip this time were the invitation s to the private homes of Dr. Yarnadori in Kobe and Dr. Sono in Osaka. Another fascinating experience was the evening meal at the Kaihoji Zen Buddhist Temple. A side from attending the meetings and sightseeing, there were visits to the Prefectural Medical School, the University of Kyoto Medical School, and the Shirnadzu Electron Microscope factory. this congress; over 700 were from Japan. The main auditorium could seat 2000 persons. I gave my talk at 8:30A.M. on Sunday, September 4, to 125 people. After presenting my paper on "Formation of Intrarnitochondrial Larnellated Bodies and Their Extrusion from Early Erythroblasts," I then chaired the session on Blood Cells. All12 speakers presented their papers and there was lively discussion. By the way, the two volumes of printed abstracts for these meetings weigh 11 pounds! 20 On the way horne, via around-the-world to Cheektowaga, I stopped in Hong Kong fo r three days as a house guest of Dr. Kwan, a dentist, and his wife, Dr. Lee, a physician and anatomist. Most of my time was spent in Kowloon, but I did visit Hong Kong University where I gave a seminar in the department of ana tomy based on the material presented at the two Congresses. I was particularly interested in this department because our own Dr. Joseph C. Lee w as senior demonstrator there from 1955-57. A party of twelve from the medical school entertained me on the T ai Pak Floating Restaurant in Aberdeen. Other memorable occasions were the sight of Hong Kong at night from Kowloon Peak, the Red Chinese border, a refreshing swim near Clear Water Bay, and Tsingtao beer m ade behind the bamboo curtain. About three days were spent in N ew Delhi where I presented a lecture in the department of zoology at the university and visited the Patel Institute. Dr. Sikand, who worked with Dr. Rahn and Dr. Farhi, was there. It was gratifying to learn that Dr. M . R . N . Prasad, head of the physiology of reproduction wing at the University of Delhi, was familiar with the work Dr. Frank Kallen in our department had done on bats. THE BUFFALO MEDICAL REVIEW �It is of course rather pointless to go to India without seeing the Taj Mahal, so arrangements were made for me to travel to Agra via limousine on Sunday, September 11. The Taj Mahal was really beautiful and well worth seeing, but I truly did not appreciate it as much as I should have because of a serious car accident on the trip. To make a long story short, the drive shaft broke from the gear box and caused the car to catapult and nearly turn over in a ditch. I had visions of joining the millions who are d ying there without an accident. One of the Indian guides gave me better service when I mentioned that Dr. Jack Lippes was a former student of mine in anatomy. Planned parenthood signs on billboards were very conspicuous and most of them had a small picture of Lippes loop in the lower righthand corner. The next hop was to Egypt where I spent four days. My interest in Egypt stems from the lectures on the history of Anatomy I have been giving to freshman medical students since 1937. Of particular interest were the embalming methods, the early anatomists, and the ruins of the library which was built by Alexander the Great. O f course I was also interested in the topographical anatomy of Egyptian belly dancers. It has been my good fortune to have Dr. Mahmoud Mourad in our department. He had a friend in Cairo who was m y guide. It didn't take me long to look like the Sheik of Araby perched on a camel, but the 100-plus temperature was not to my liking. As a matter of fact, I feel lucky that I survived the tour into the Great Pyramid of Cheops. My visit to Alexandria was by car along the Nile and returning across the desert. While in Alexandria I had a refreshing swim in the Mediterranean at a bathing beach which used to belong to King Farouk. The trip to the upper Nile was by plane to Aswan and then SUMME,R, 1967 to Luxor for an overnight stay. It would take two weeks to see all of the interesting things in this region, but I managed to cram as much as possible into the two days. I suppose if I h ad to single out one memorable occasion, it was when I was looking at the face of the mummy of Merneptah, the Pharaoh during the time of the Exodus. The last stop was in Munich via Rome and Milan. There were several reasons fo r visiting Munich. First, my son-in-law and his family are stationed at the missile base at Bad Aibling, and secondly to visit the electron microscope laboratory in the Pathological Institute, under the direction of Fritz Miller. I had previously corresponded with him six or seven years ago about the headship in the department of pathology here. Dr. Miller h ad been doing some excellent work on the ultrastructure of eosinophils. At the oHicers' club in Bad Aibling I heard nothing but words of praise about Captain J. Richard Fanelli who received his M . D . from the University in 1963. Unfortunately he was away at the time of my visit. Th e best part of the entire trip w as to see my youngest granddaughter, and of course my youngest daughter, and my newest son-in-law, Lt. Henry A . Davidson. The flight from London to Kennedy Airport took 63/4 hours, but the plane to BuHalo waited on the ramp at LaGuardia for three hours because of inclement weather. After arriving in BuHalo I called my wife and told h er to bail me out of the Cloud Room because I was back home and broke, but rich in memories of gastronomic delicacies such as : kangaroo tail soup, Australian sausage stuffed with oysters, Tasmanian scallops barbecued with bananas, baby eels, octopu s, the intestines of the sea cucumber, hundred-year-old eggs, and swallow's n est soup. • 21 D r. lan es in Egypt �Physician, Teacher, Researcher Dr. Mitchell Rubin after joining the School of Medicine as one of its first full-time heads of a clinical department, Dr. Mitchell I. Rubin shows no inclination for diminishing his professional work load. Although he will retire on July 1 as chairman of the department of pediatrics at the School of Medicine, as pediatricianin-chief at the Children's, and as head of pediatrics at the E. J. Meyer Memorial Hospital, he plans to remain as active as ever. As a full-time professor of pediatrics, he will continue his teaching, research, and patient care in the function and the diseases of the kidney. LoAY, TWENTY-ONE YEARS 22 By design, Dr. Rubin has developed different specialty areas in pediatrics. From a staff comprised of one full-time physician and a voluntary pediatrics staff of 18, the department of pediatrics, under Dr. Rubin, l}.as grown to 33 full-time physicians, and a 75-member voluntary staff. From an approximate total of $38,000 in 1948, the research budget has increased to $2,163,967. From an outpatient department consisting of three specialty pediatrics clinics-cardiology, allergy, and dermatology-the 12 specialty clinics today are-allergy, arthritis, cardiac, endocrine, hematology, kidney, medical, neurology, nutrition, phychiatric, skin, and well-baby. Outpatient department records indicate about 70,000 visits per year. " Medicine today is so complex," stated this soft spoken man who was born in South Carolina, " that we must have enough specialties to study d isease in depth .. . to bring a rather broad base to pediatrics for understanding and for teaching." In the early days, through the foresight and encouragement of the Children's Hospital Board of Managers, funds were made available to attract additional staff. Without this support, specialty clinics could not h ave been started. Dr. Rubin's philosophy-an image of independence and responsibility-has extended to his staff. " Unless a man establishes himself in his own discipline, he does not develop himself as a person ." Good relations with the various health agencies and close ties with the community have b een maintained. With the attraction over the years of an excellent staff, centers have been developed which have received considerable support from independent outside sources. REHABILITATION CENTER-New York State D epartment of Hea lth o f Health PREMATURE CENTER-New Yo rk State D epartm ent BIRTH DEFEECTS CENTER-National Foundation THE BUFFALO MED ICAL REVIEW �CHILDREN's GENETIC CENTER-Children's Bureau, Public H ealth Service CENTER-National In stitutes of Health STUDY-National In stitutes of H ealth POISON CONTROL CENTER-D epartm ent of H ealth CHILD GuiDANCE CLINic-Erie County Mental Health Board CYSTIC FIBROSIS CENTER-National Cystic Fibrosis Foundation CLEFT PALATE CENTER-Erie County Health Department SPEECH AND HEARING CENTER-Easte r S eal S ociety TEACHING WELL CHILD CONFERENCE AND WELL-BABY CLINIC-Erie County Health D epartment CLINICAL RESEARCH COLLABORATIVE Two years after his arrival, 1947, the establishment of a Statler premature center expanded premature infant care throughout Western New York. A department of cardiology, established under the direction of Dr. Edward Lambert the same year, in conjunction with the Health Department, undertook a survey of school children diagnosed with cardiac abnormalities. A grant in 1951, supporting virology studies, preceded the department's wide participation in the then new polio vaccination program. A new speech and hearing clinic, established in 1954, was followed by a genetics clinic in the outpatient department. A vastly expanded program for the care of brain injured children in 1956, a neurological center for group therapy with parents, and increased post graduate education courses for practicing physicians were added to the growing list. A major contribution to child care in 1957 was expansion of psychological services. The hospital, as a community center for the care of children, was made possible through Dr. Rubin's close association with Mr. Moir Tanner, director of the Children's hospital for the past 30 years. Mr. Tanner will also retire at the end of this academic year. Basic science faculty participation has been generous in the development of a pediatric research center. "To treat a patient successfully is a great reward," stated Dr. Rubin. " The hospital is a referral center for SUMMER, 1967 the sick child." Clinical medicine has never been routine for Dr. Rubin. "Every day brings a new kind of problem." The reward of a reasonable amount of satisfactory participation in investigative and research is that "we learn to understand something." A nearly $2 million grant awarded to Dr. Rubin in 1962 by the National Institutes of Health called for the establishment and support of a general clinical research center for children. This resulted in the study and treatment of children with specifically complicated medical, surgical, and even psychiatric problems in a much more intensive fashion than had formerly been possible. A w ell-baby clinic demonstration �Dr. Rubin discusses well-child care with students, resident, and public health nurses . turn enters into department activity and is exposed to a center of academic activity. The hospital, during Dr. Rubin's 21 years, has become a center for the treatment of a number of problem conditions and diseases-cystic fibrosis, blood disorders, kidney disease, and phenylketonuria (PKU), an inborn defect that can lead to mental retardation. It was Dr. Robert Guthrie of the hospital staff who developed the blood test for PKU now used internationally to diagnose the disease during the early days of an infant' s life so that treatment can begin as early as possible. "My greatest satisfaction," stated this man who has awakened community interest, "is to sit down with students, talk about the major issues of medicine and society . . . get them to see the child and his entire relationship to family and to society." A weekly well-baby clinic is run by Dr. Rubin. Discussion with students and residents relating the environmental aspects of health follows regarding well child care in a model health clinic. One of the newer programs in the department, human genetics, includes cytogenetics, biochemical genetics, and genetics counseling. A greater awareness of the significance of genetic variability, the identity of several genetic variants, and a community service to other hospitals has resulted. His concern for making available results of research of every child has led to the establishment of a unique program. Over the years pediatricians in private practice have been invited to become members of the department staff. For a month each year, a number of such pediatricians teach in the outpatient department. They bring to students a knowledge of their specialty and expose them to good practice. The physician in 24 Willing to explore new ideas, he has always made a point of consulting his staff on many things. Weekly departmental staff meetings are held at which any topic may be discussed. Opinions are also sought from the voluntary faculty, students, and residents. This quality of democracy is somewhat unusual. Seventeen years ago, in 1950, Dr. Rubin was instrumental in initiating a lectureship to honor Dr. Douglas THE BUFFALO MEDICAL REVIEW �P. Arnold, a distinguished pediatrician of the community. Personal or consulting physician to most of the children of the medical school faculty during his active years in practice, he was teacher to all but the youngest generation of the community's pediatricians. This year, the 18th annual Arnold Lecture, open to faculty, students, and medical community, was presented by Dr. Donald B. Cheek who heads the Johns Hopkins Division of Growth. Suggested during his lecture was the possibility that virus infections in a pregnant mother may affect the growth of her child after birth, even though the child has no obvious congenital defects. Unwilling to compromise his principles or his demand for excellence in all phases of medical practice, one of his concerns is the communication of this to students. "Look into the mirror and see what you look like. What is the image you have of yourself? What do you want to have of yourself? How do other people see you?" Perhaps one of his greatest contributions to the field of medicine has been his exemplary performance as a man who has devoted his life to academic pediatrics, to medicine, and to the development of community interest. The Children's Hospital today serves as a community center for the care of children. From the Children's Hospital Board of Managers, a Boehm ceramic bird-a collector' s item-was presented to him. The medical staff established a visiting lectureship in his honor. A large oil portrait of Dr. Rubin by Virginia Cuthburt, will be hung permanently in Kinch Auditorium. An occasion for celebration was Dr. Rubin's 65th birthday on Aprill. The hospital medical staff, joined by 25 former staff members who returned to honor SUMMEiR, 1967 their former chairman, presented a scientific program. The surprise participation, by those who left the department to assume positions of greater responsibility, was their way of saying "thank you" for his example of excellence and for their preparation for greater responsibility. A leather bound book containing letters from his friends and colleagues was presented to Dr. Rubin. A graduate of the Medical College of South Carolina, he held appointments, before coming to Buffalo, as associate attending physician at the Children's Hospital at Philadelphia, instructor in pediatrics at Johns Hopkins, and associate professor of pediatrics, University of Pennsylvania Medical School. Dr. Rubin holds memberships in many professional organizations. In 1946, he served as president of the Society for Pediatric Research. The Stockton Kimball award was presented to him in 1966, for his contributions to the School of Medicine and to the field of pediatrics. South Carolina added Dr. Rubin to its roster of 100 State sons and daughters who have brought credit to their n ative state. Concentrating research activities on kidney func tion in children, particularly prematures and other newborns, Dr. Rubin has published widely on the nature of kidney disease and its functional alterations in children. A lover of good music and the arts, he believes that a man must participate and do what he can in the broad sphere of the humanities. Unfortunately, his busy professional life has left him inadequate time to pursue these hobbies. And judging from his future schedule, it seems highly unlikely that there will ever be " adequate" time for this man whose goal has always been " excellence in every endeavor." • 25 �People in the News Dr. LaDuca The Niagara Falls Academy of Medicine honored Dr. Joseph V. Farugia, M '21, at its 21st annual clinical day in March. He was presented a citation as one of the founders of the annual clinical day. Dr. Boris A. Golden, M'40, president of the academy, made the award. • SOCIETY HONORS THREE ALUMNI Three 1917 graduates were presented 50-year certificates by the Medical Society of the State of New York for their many years of service to the medical profession. They are: Dr. Joseph P. LaDuca, Dr. Myron A. Thompson, and Dr. Kenneth A. Smith. Dr. Smith Dr. Thompson Dr. LaDuca's career includes 35 years as medical inspector of the Ni~gara Falls Public School System. Since 1963 he has been serving at four Erie County Health Department-maintained well-baby clinics. Dr. LaDuca interned at Children's Hospital, and served as a Buffalo General Hospital house physician before World War I. In the Army Medical Corps he served at Walter Reed Hospital and in France. In 1919 he was a Columbus Hospital house physician before becoming industrial physician and surgeon for National Carbon Co., N iagara Falls. In 1920, he returned to private practice, and eight years later he accepted the educational medical position. Dr. Thompson interned at Buffalo General Hospital until he was inducted into the Army Medical Corps. He served at various army installations until he was discharged in 1918 as a first lieutenant. He has been in 26 general practice since and also on the staff of St. Joseph's Intercommunity Hospital. Dr. Smith has been in private practice since 1919. He interned at the former Moses Taylor Hospital before entering the Army Medical Corps in 1918. He served in France for one year, and then returned to Lackawanna. From 1920 to 1922 he served as surgeon for the police department, and then five years on the city's Board of Health. In 1936, he began a 27-year stint as medical inspector of the Lackawanna Public Schools. Dr. Smith, a member of Our Lady of Victory Hospital's original medical staff, is now an honorary member. He was a member of Mercy Hospital's staff for 16 years starting in 1920. • Seven alumni were awarded plaques for 25 years of service to the Felician Sisters' Institu tions (Immaculate Heart of Mary Children's Home; St. Rita's Home for Children ; and Felician Sisters' Infirmary) . They are: Dr. Florian J. Brylski, M ' 27 ; Dr. Leo E. Kopec, M '32 ; Dr. Michael D. Kraska, M '34; Dr. LeoN. Kuczmarski, M'35; Dr. Victor B. Lampka, M'35 ; Dr. Stanley A. Weglikowski, M'35; and Dr. Henry Morelewicz, M'39. WORK WILL START ON NEW CAMPUS "We actually should have the shovels in the ground very early in 1968." That's what Chancellor Samuel B. Gould said as he reviewed plans for the new campus in Amherst. " By the end of 1969," the chancellor said, "barring strikes or other delays, some buildings, perhaps a heating plant and other service buildings should be complete. Some dormitories should be ready by 1971." • THE BUFFALO MEDICAL REV IEW �People The inauguration of President Martin Meyerson has been changed from May 15 to Monday, May 29, at 10:30 a.m. in Kleinhans Music Hall. • Ninety-five medical students will be among approximately 2,500 seniors receiving degrees at the 121st annual commencement. It will be at 3 p.m. Sunday, May 28, in Memorial Auditorium. • Dr. Edward M. Tracy, M'43, of Hamburg is chairman of the Catholic Diocese of Buffalo Pastoral Medicine Institute. • Dr. Harold P. Graser, M' 44, assistant clinical professor of psychiatry, is the new governing board president of Linwood-Bryant Hospital. • Dr. Donald J. Kelley, M'52, is the new president of the Mercy Hospital staff. • Dr. Richard J. Nagel, M'53, has two presidential assignments. He is president of the Western New York Society of Anesthesiologists and the new president of the medical-dental staff at our Lady of Victory Hospital. He is also chief of anesthesiology at the hospital and clinical instructor of anesthesiology. Three other UB alumni are also officers at Our Lady of Victory Hospital. They are: Dr. James C. Dunn, M'50, vice president; Dr. William D. Dugan, M'43, treasurer, and Dr. Francis A. Fote, M '52, secretary. • Four alumni have been re-elected officers of Millard Fillmore Hospital's medical staff. They are: Dr. J. Curtis Hellriegel, M '53, president; Dr. Pasquale A. Greco, M ' 41, vice president; Dr. Fred J. Stone, M'32, secretary; Dr. Max Cheplove, M '26, treasurer. Dr. Donato SUMMER, 1967 J. Carbone, M'46, and Dr. Clarence E. Sanford, M'50, are executive committee members. • Peter F. Regan, M.D., was named executive vice president by the State University Board of Trustees in February. He had been vice president for Health Affairs since June, 1964. President Martin Meyerson said that Dr. Regan's appointment was called for by the Faculty Senate's adoption of the plan for academic reorganization. "The plan will require strong and understanding administrative co-ordination by an able person, familiar with our campus, the State University and the aims of the new program. We have just such a person in Peter Regan," President Meyerson said. Before coming to Buffalo Dr. Regan was head of the department of psychiatry at the University of Florida Medical School. Dr. Regan is a 1949 graduate of Cornell University Medical College. He did his in ternship and residency at New York Hospital. • Dr. Joseph Godfrey, M '31, one of the nation' s leading orthopedic surgeons, was the first recipient of the Board of Directors Award at the Western New York Football Coaches Association. He is the Buffalo Bills' American Football League team physician; head of orthopedic surgery at Children' s Hospital and clinical professor of surgery (orthopedic) at the School of Medicine. The award will be presented annually for professional service to the youth of Western New York. Dr. Godfrey has contributed greatly to the conditioning of players through clinics and consultations with coaches. • 27 D r. R egan �People Mr. Tanner Mr. Muddle Mr. Moir P. Tanner, director of Children's Hospital since 1937, retired May 1. Under his leadership the hospital has experienced a phenomenal growth. Admissions have nearly tripled (from 4,87 4 to 12,285); births have increased even more dramatically (from 798 to 3,803); full-time employes have quadrupled (from 300 to 1,200); the physical plant has increased in value (from $2,078,521 to $11,984,831). With Mr. Tanner's guidance the hospital has become an important center o.f pediatric teaching and is closely affiliated with the School of Medicine. It has also become a research center for studies related to childhood diseases. During his 30-year reign the average number of days a patient spends in the hospital has decreased from 15 to five because of improved methods of patient care. Also under his leadership the hospital established many new specialty departments and clinics including cerebral palsy, the J. Sutton Regan Cleft Palate Foundation; the rehabilitation center in the Crippled Children's Guild; and the division of human genetics. Mr. Tanner received his degree from Albany College of Pharmacy (Union University) and has done graduate work at Columbia University and UB. He became director at Children's after eight years as assistant administrator at Buffalo General Hospital. • The new director of Children's Hospital is Frank L. Muddle. He succeeds Mr. Moir P. Tanner, who retired after 30 years as director. Mr. Muddle came to Buffalo in 1961 as administrator of the hospital at Roswell Park Memorial Institute. Since March 1, 1966 he has been associate administrator at Children's Hospital. He was assistant administrator of the Cleveland Clinic Hospital before coming to Buffalo. • 26 National Intern Matching Program (Continued from Page 13) JOHN P. MENCHINI, Buffalo General Hospital BRUCE W . MILLER, Hartford Hospital, Connecticut DONALD E. MILLER, Buffalo General Hospital THOMAS P. O'CONNOR, Buffalo General Hospital OLUWOLE 0. ODUJINRIN, Detroit General Hospital FRAN K A. PERLROTH, University of Illinois R esearch Hospital, Chicago MICHAEL M. PHILLIPS, San Francisco Gen eral Hospital MELVIN K. PISETZNER, Palo Alto - Stanford M edical Center GILBERT A. PRESTON, Bronx Mun icipal Hospital Center, N.Y. LAIRD C. QUENZLER, D eaconess Hospital, Buffalo WILLIAM C . RADER, Los A ngeles County General Hospital STEVEN E. RINNER, New York Hospital - Cornell University M edical Center, N .Y .C. NORMAN I. RISTIN, Albert Einstein M edical Center, Philadelphia TREVOR ROBINSON, St. Michael's Hospital, T oronto DOUGLAS R. ROSING, Buffalo General Hospital ALAN R. SALTZMAN, S tate University - K ings County Medical Center, Brook ly n Georgetow n University Hospital, Washington, D .C. BRIAN J. SHEEDY, Buffalo General Hospital THOMAS P. SHEEHAN, Good Samaritan Hospital, Portland, Oregon ROBERT SINGER, Palo Alto - Stanford H osp ital Center DouGLAS M . SIRKIN, Millard Fillmore Hospital, Buffalo ARTHUR C. SOSIS, State University - Kings County M edical Center, Brooklyn SHERMAN G. SOUTHER, The Johns Hopkins Hospital, Baltimore FRANKLIN H. SPIRN, B eth Israel M edical Center Hospital, N.Y.C. GEORGE S. STARR, SUN Y Upstate Medical Center, S y racuse DAVID C. STEPHENS, University of Michigan M edical Center, Ann Arbor JAMES M. STROSBERG, E. J . Meyer M emorial Hospital, Buffalo ALBERT L. SULLIVAN, The Presby terian Hospital, N .Y .C. JOHN J. TREANOR, Buffalo General Hospital CALVIN L . TREGER, Buffalo General Hospital Rocco C. VENUTO, Buffalo General Hospital JACKS. WAXLER, North Shore Hospital, Manhasset, N.Y. BARRY R. WEISS, Meadowbrook Hospital, E ast Meadow, N.Y. LOUIS F. WERTALIK, Buffalo General Hospital LINDA YOUNG, M eadowbrook Hospital, East Meadow, N .Y . RICHARD YouNG, Meadowbrook Hospital, East Meadow, N .Y. HARVEY A. S CHWARTZ, THE BUFFALO M6DICAL REVIEW �THE MEDICAL ALUMNI AssociATION salutes Dean Surgenor for developing suggestions that the School of Medicine foster the publication of a medical journal. The result of these efforts is the Spring 1967 issue of The Buffalo Medical Review. The executive committee of the association were given an early preview of the purposes of and plans for such a publication by Dean Surgenor and were polled on the anticipated value to alumni relations. The reaction of the committee was unanimously favorable. The Alumni Association is allotted space in each issue to report on its activities and projects. For this, we are most grateful to the editorial board. This is another example of the fine spirit of cooperation and of the cordial relationship that exists between the Alumni Association and the School of Medicine. The inaugural issue of The Buffalo Medical R eview is a fine one, a worthy successor to the Buffalo M edical Journal and the Medical Press of Western N ew York historically associated with the early years of our school of medicine. The Alumni Association is especially proud that the lead article, " Bench Marks" by Dr. John H. Talbott, was originally presented at the 1965 Spring Clinical Days as the Stockton Kimball Memorial Lecture. It is a veritable travelog through the halls of the several buildings that served as the locus of the school of medicine; an intriguing h istorical review of the personalities and accomplishments of the founders of this University. The 1967 Spring Clinical Days were a definite success marked by near-capacity attendance at all sesSUMMER, 1967 sions, a tribute to the choice of topics and to the calibre of the faculty. The committee responsible for the 1968 Spring Clinical Days program faces a tremendous challenge in its efforts to surpass this year's program. The business session of the association was marked by the election -of new officers and the adoption of a revised, modernized set of by-laws for conducting the affairs of the association. The proposed by-laws were m ailed to all alumni at least one month prior to the meeting. They were adopted, unchanged, as presented in the proposed by-laws. I am certain that all the alumni and friends join me and my colleagues on the governing board of the Alumni Association in wishing Dean Surgenor and the editorial board continued success in the publication of The Buffalo Medical Rev iew. • Three UB medical alumni were re-elected to the Erie County Board of Health. They are: D r. Daniel C. Fisher, M '24, president; Dr. Alvin ]. Schweitzer, M '34, vice president; and Dr. Eugenia F. Bukowska, M '28, secretary. • Dr. James F. Upson, clinical in structor in Surgery, received an American Medical Association Certificate of Humanitarian Service. The Buffalo General Hospital surgeon was cited for " treating the ill and injured during his voluntary medical mission in Project Vietnam." Dr. Upson served in South Vietnam from March 7 to May 5, 1966. • 29 From the desk of Charles F . Banas, M.D. '46 president, Medical Alumni A ssociation �lin ilrmnriam Dr. Brown Dr. Baxter Brown, clinical professor of surgery (urology) died Jan. 18. He was 66 years old, and had been on the faculty since 1937. A private in World War 1, he was particularly proud of his Army service as a Colonel in the second World War. He organized and commanded the 23rd Army General Hospital and recruited physicians for his staff from the Buffalo area. He was also chief of the surgical service and senior surgical consultant for the Continental Advance Section, European Theater of Operations. From 1960 to 1963 he was chairman of the department of urology, Buffalo General Hospital. In 1946-47 Dr. Brown was professor of military science and tactics at the School of Medicine. He was a member of many local, state, regional, and national professional associations. His son, Dr. Robert Baxter Brown, is a 1961 graduate of the School of Medicine. He is a Captain at Ft. Sill, Oklahoma, where he is a pediatrician. • Dr. Charles J. Grenauer, M'30, retired surgeon and former president of the staff of Sisters Hospital, died Feb. 8. He was 62 years old. He retired last year after 35 years of practice and 27 years as a Buffalo police surgeon. Dr. Grenauer interned at Sisters Hospital in 1930 and was on the hospital's surgical staff from 1931 to 1964. He was captain of the Canisius College basketball team of 1925-26 and won the James Crowdole Medal for athletics at Canisius College in 1925. • 30 Dr. Anthony J. Chimera, M'25, retired senior resident physician at the Erie County Home and Infirmary in Alden, died Feb. 17. He was 70 years old. He retired in 1965 after 36 years as resident physician (the last 13 as senior resident) at the county home. He was on the staff at Deaconess Hospital before joining the county home staff. He was a member of the American Medical Association and the Erie County Medical Society. • Dr. John T. Gabbey, M'31, surgeon and former anesthesiologist, died Feb. 17. The 60-year-old physician had been hospitalized since July. He served an internship and a residency at Deaconess Hospital and remained affiliated with the hospital until his death. He was president of the hospital in 1948-49. Dr. Gabbey was an all-around college athlete, earning letters in football, basketball, baseball, and boxing. He was also an owner and breeder of thoroughbred horses which raced in Canada and the United States. He was active in several local, state, regional, and national medical associations. He was a member of the faculty from 1937 to1947. A son, Dr. John T . Gabbey, Jr., M'66, is an intern at Meyer Memorial Hospital. • THE BUFFA LO MEDICAL REV IEW �llu 11rmnriam Dr. George C. Fisk, M'05, died March 14 at the age of 83. He retired from private practice 20 years ago. Three years ago he retired as a member of the Veterans Administration Ajudication Board of the Buffalo District. He served in this capacity 12 years. He was also on the staff of Homeopathic Hospital, predecessor of Millard Fillmore Hospital. Dr. Fisk served in the Army Medical Corps in World War I, and was active in local, state and national medical associations. • Dr. George J. Heller, M'95, a general practitioner who retired three-and-one-half years ago, died March 11. He was 94 years old, and had practiced medicine for 67 years. Before retiring he had been the oldest staff member of Deaconess. He joined the staff in 1898, three years after the hospital was founded. In 1909 he studied medicine at the University of Heidelberg and two years later enrolled at the University of Vienna. • Dr. Anne Viele, M '22, former attending physician on the Red Cross Bloodmobile, died Jan. 4. The 82year-old doctor retired four years ago from the Bloodmobile staff of the Buffalo Chapter, American Red Cross. After receiving her medical degree, Dr. Viele worked as a school physician in LaSalle, Niagara Falls and Hornell, and as a staff member of the E. J. Meyer Memorial Hospital. Later she was a general practitioner in the Wyoming County community of Dale. During World War II, Dr. Viele was resident physician in charge of women at Buffalo State Hospital. • SUMMER, 1967 Dr. Dexter S. Levy, M '36, died Feb. 25 of a heart attack. He was 56 years old. He had a long career in internal medicine and cardiology and was the author of many papers on heart disease and related subjects. Since 1958, Dr. Levy h ad been an associate clinical professor of medicine at the university. He was president of Millard Fillmore's medical staff from 1964 to 1966 and a member of the hospital' s record room and executive committees. He died in the hospital' s cardiac wing which was established under his leadership. He was also a consultant in cardiology at five other hospitals. Dr. Levy, a native. of Buffalo, was the son of Dr. Jesse G . and Belle H artzberg Levy. His father, a general practitioner, died about 10 years ago. He was active in many local, state, regional, and national professional and civic organizations. • Dr. Ernest L. Brodie, M '27, assistant clinical professor of surgery (urology), died Jan. 22. He had been on the faculty since 1936. He also received his bachelo r' s and master's degrees from the u niversity . Dr. Brodie was former chief urologist at Sisters Hospital and Meyer Memorial Hospital. He was also a consultant at both hospitals and at Roswell Park Memorial Institute. • Dr. Frederick Zingsheim, M ' Ol, Buffalo physician and surgeon for 51 years, died March 3. He was 89 years old. For many years he was on the staff of the Memorial Hospital and its predecessor, the German Hospital, at Jefferson Avenue near Genesee Street. • 31 Dr. L.evy �9 Counlried- 21 Augudl 2Ja'Jd- BQ_AC 6-27, 1967 f<ounJ :Jrip /rom r/ew Yort Cit'! - $863.00 per perjon (First Class Hotel Accommodations with Private Bath) VISIT ENGLAND, HOLLAND, GERMANY, SWITZERLAND, LIECHTENSTEIN, AUSTRIA, ITALY, MONACO, AND FRANCE • 72 seats available on BOAC • Please send $50.00 deposit with each reservation (Reservations will be accepted in order of deposits received) • For further information please write: European Tour Alumni Office Norton Hall SUNYAB Buffalo, N . Y. 14214 32 TH E BUFFAlO MEDICAl REVIEW �:Jhree 'lJp-coming Alumni Gvenf:J Saturday, May 20-Awards-installation Banquet and Spring Dance 6:30 p.m. at the Camelot Inn (Semi-Formal) *Saturday, May 27-3rd Annual Alumni Leadership Day Luncheon Speaker: MR. CLIFFORD DocHTERMAN, Assistant to the President, University of California, Berkeley Dinner Speaker: MR. LoREN HICKERSON, Past President, American Alumni Council; Director of Community Relations, University of Iowa Monday, July 17-Annual Golf Tournament Erie Downs Country Club, Ft. Erie, Ontario (Use of all facilities including swimming) For further information, please contact the Alumni Affairs Office (831-4121); 261 Norton Hall. *This event is on campus during a very special weekend which includes the 121st Annual Commencement, Sunday, May 28, and the Inauguration of President Martin Meyerson, Monday, May 29. The General Alumni Board Executive Committee STUART L. VAUGHAN, '31 , President; WELLS E. KNIBLOE, '50, President-Elect; ALEXANDER P. AvERSANO, ' 36, Vice President for Administration; M . ReBERT KoREN, '44, Vice President for Development; Guv R. YANNELLO, '53, Vice President fo r Associations and Clubs; MICHAEL GUERCIO, '52, Vice President for Activities and Athletics; WILLIAM G. BRAUN, JR., '51, Vice President for Public Relations; RICHARD C. SHEPARD, '48, Immediate Past-President; luKE C. OwENS, '51 , Treasurer. �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Summer 1967 Subject The topic of the resource State University of New York at Buffalo. 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Medical Alumni Officers A Summer at Oxford The Medical School and the Community "Drugs and the Campus" Dr. Ernest Witebsky Honored Paraguayan Students Dr. David Harker Intern Matching APFME Scholarship Winners Spring Clinical Days Around the World with Dr. Jones Dr. Mitchell Rubin People in the News Medical Alumni Association In Memoriam European Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-11 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v01n02 Extent The size or duration of the resource. 36 p. 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For other uses, you need to obtain permission from the rights-holder(s).  https://digital.lib.buffalo.edu/files/original/42d3c97876d5cff58f6a5699e05c5466.pdf e2ea9c1bac9eeaada8f305a1666bfde5 PDF Text Text THE BUFFALO MEDICAL REVIEW Spring 1967 Volume t Number 1 The School of Medicine State University of New York at Buffalo I �The Cover: Medical Illustrator Melford Diedrick designed the cover of this first issue. The original quaint seal of the University ,underscores the early, unfulfilled intention to develop a comprehensive institution. Devoting most of its space to a supposed representation of Hippocrates, the seal also depicts symbols which are generally attached to other branches of learning. THE BUFFALO MEDICAL REVIEW, Spring, 1967-Volume 1, Number 1. Published quarterly-Spring, Summer, Fall, Winter-by the School of Medicine, State University of New York at Buffalo, 3435 Main Street, Buffalo, New York 14214. Application to mail at second class postage rates is pending at Buffalo, New York. Please notify us of change of address. Copyright 1967 by the Buffalo Medical Review. �SPRING, 1967 Vol. 1, No. 1 EDITORIAL BOARD Editor RoBERT S. McGRANAHAN ' Managing Editor MARION MARIONOWSKY DR. DouGLAS M. SuRGENOR D~>an, THE BUFFALO MEDICAL REVIEW Published by the School of Medicine, State University of New York at Buffalo School of Medicine Photography THOMAS J . CROWLEY DONALD D. GLENA Medical Illustrator IN THIS ISSUE MELFORD D. DIEDRICK Secretaries FLORENCE MEYER MADELEINE WATERS CONSULTANTS President, Medical Alumni Association DR. HAROLD J. LEVY President, Alumni Participating Fund for Medical Education DR. JOHN J . O'BRIEN Vice President for Health Affairs DR. PETER F. REGAN Associate Dean For Continuing Medical Education DR. HARRY J . ALVIS Director, Continuing Education in the Health Sciences DR. MARVIN L. BLOOM Assistant to the Vice President for Health Affairs DR. lAWRENCE A . CAPPIELLO Director, University Relations RoBERT T . MARLETT Director, Public Information ROBERT J. McVEIGH Director, Un iversity Foundation DR. WILLIAM J. O'CONNOR Director of Publications THEODORE V. PALERMO Executive Assistant to the President DR. A . WE STLEY RowLAND Director of Alumni Affairs CLARENCE J . YouNG, JR. 2 3 24 29 32 33 34 35 37 38 39 40 48 From the Dean "Bench Marks" by John H. Talbott, M.D. Spring Clinical Days Regional Medical Program General Alutnni Association APFME and the Physician Premedical Advisers Visit Campus APFME Objectives Student Convocation Pharmacology Grant Medical Alumni Association People in the News European Tour �I WANT TO INTRODUCE each of you to the first issue of our quar- Dean Surgenor 2 terly magazine, The Buffalo Medical R eview. W e hope this will be an effective means of communication between the School of Medicine and you, the alumni. We also hope this magazine will find its place among our own faculty, students, staff, friends, and other professional groups. We know you are interested in what is going on in Buffalo. Much of this magazine will be devoted to new developments at your School of Medicine. We are also interested in YOUR achievements and accomplishments, so please share th ese with us and your colleagues. We believe you are interested in people-the faculty and students-who they are, where they come from, what they think, and what they are doing in the classroom, the laboratory, our five affiliated hospitals, and the community we serve. We want to keep you better informed of these many activities. We also will tell you about the physical expansion and growth of the School of Medicine, The Health Sciences Center, and the entire University. There is more than bricks and mortar, however. The curriculum and methods of instruction are being updated and improved constantly. We are alert to opportunities to improve our educational program, research, and patient care. We must keep pace with the rapid advances in medicine by expansion and modernization. We will report these significant changes to you as they take place. It seems particularly appropriate to launch The Review with the publication of John Talbott's 1965 Stockton Kimball Memorial Lecture " Bench Marks." This scholarly history of the Medical School provides an excellent background against which to view the exciting events of today. In closing, perhaps I should tell you what T he Buffalo Medical R eview will not be. It will not be a highly technical or scientific publication. It will not always be impartial, but we hope you read and enjoy it. • DouGLAS M . SuRGENOR, Dean THE BUFFALO MEDICAL REVIEW �THE HISTORY OF THE MEDICAL DEPARTMENT of the Uni- Bench Marl~s by John H. Talbott, M.D. Before Dr. John H. Talbott was editor of the Journal of the American Medical Association, he was professor of Medicine (1946-59) in our Medical School in Buffalo and chief of medicine at Buffalo General Hospital. From 1947-59 he was editor-in-chief of the journal Medicine and associate editor of the Archives of Inter-American Rheumatology from 1956-59. A prodigious worker, writer, editor, clinician, administrator and teacher; Dr. Talbott has written extensively on gout, collagen disease, uric acid metabolism, cold injury, circulation, m edical history, and a wide variety of other medical subjects. He presented this Stockton Kimball Lecture on Clinical Day, March 27, 1965. SPRING, 1967 versity of Buffalo is essentially the history of the University of Buffalo for the first fifty years. In the subsequent fifty years and into the second century of its life, the Medical Department has held its own in the University community and should fear no threatening competition in the foreseeable future. In the span of almost 120 years of the medical school, we can touch the bench marks in varying degrees of intimacy or we can reflect upon the position in progress of the bench marks of our academic ancestors by reviewing the documents prepared by those who helped mold the past or were on hand as observers to assist in the dedication of each notable marker. Bench marks have been placed on high peaks in the history of the School. Others have been placed on sites intermediary in significance, while a few rest in sterile sloughs far below an acceptable standard of academic procedure for a medical school of stature in the western world. At times one has been able to stand near a low bench mark and look back upon one firmly implanted on a noble pinnacle, just as a traveller in the western mountains can sight the location of a geodetic bench mark on peaks or high plateaus, meanwhile standing on the desert sand below sea level. The location of the bench markers of the geodetic survey is determined by a number of factors. Included are boundaries, mountain peaks, mountain passes, etc.; features determined by events beyond the will of man. On the other hand, the bench marks used in my comments are man made, not in the sense of fabrication but cast by events that are shaped by physicians in the destiny of the University of Buffalo School of M edicine. 3 �The first medical school at Washington and Seneca Streets, 1846 The Stockton Kimball Lecture was named in honor of one who placed a high bench mark in the history of our medical school. Stockton Kimball was a friend of yours and mine, whose deanship was almost a tour of duty running concurrently with the richly rewarding years of my service to this school and community. Stockton led the school out of World War II, from High Street to the University campus on Bailey Avenue; he led the school which at that time gave little more than lip service to geographic full-time medicine to a school with firmly entrenched full-time medicine. In this task he prepared the way for merger into State University of New York, an inevitable consequence of medical education on the Niagara Frontier. As our dean he was recognized by the inner circle of the leaders of American medical colleges, and his death from a rupture of an aortic leaflet, a complication of staphylococcal septicemia, from which he was making a hopeful recovery after an unnecessary delay in beginning antibiotic treatment, was a tragic event in the history of our school. But I am here to honor Stockton, not to bemoan a clinical error, and to identify him as one of the several men or events that have made the University of Buffalo School of Medicine a center of medical education and thereby left bench marks on high places during its nearly one century and a quarter of performance. The beginning of the school of medicine in 1846 was scarcely more than 30 years after the first physician entered into his professional duties in Erie County. 1 - 2 1. Mathieu, S. A. : " The Medica l Profession o f Erie County, New York," Historica l Review ( privately printed, Buffalo : 1924). 2. Potter, W. W.: " A Century of Medica l History in the Count y of Erie, 1800- 1900" ; Buff M ed J, 37 : 641-651; 1898, 38:25-26, 260-265, 1899. THE BUFFALO MEDICAL REV IEW �The first physician was Dr. Cyrenius Chapin who, scarcely had he begun the practice of medicine, was taken prisoner on December 30, 1813, during the burning of Buffalo, by the British and the Indians. Not until peace was declared was he allowed to resume practice in Buffalo. It was at this approximate time, 1812 to be precise, that the Fairfield School, the first ancestor of Buffalo Medical College, and incorporated as the College of Physicians and Surgeons of the Western District of New York in Fairfield, was granted a charter. 3 I am reminded that on the campus of Fairfield Academy a building is still standing in 1965, the original structure for the medical school and the oldest extant medical school building in New York State.4 Also Dr. John Corrie of Apalachicola, Florida, the inventor of modern air cooling, spent a year at Fairfield Medical College. In 1826 a charter was granted to Geneva Academy or Medical College, but little came of it until 1834 when the teaching staff, including Frank H. Hamilton, was organized largely from the faculty of Fairfield. The beginning of classes in Buffalo was possible through an arrangement with Geneva. Five members of the faculty of Geneva, James Hadley, M.D., professor of Chemistry and Pharmacy, Charles B. Coventry, M.D., professor of Physiology and Medical Jurisprudence, James Webster, M.D., professor of General and Special Anatomy, Charles A. Lee, M.D., professor of Materia Medica, and Frank H. Hamilton, M.D., The first annual circular, 1846 ANNUAL CIRCULAR OF TRJ: Jlltbic lll mtp ll tim tnt OF THE Nniuttsity of Jlluffalo, OCTOBER , 1846. BUFFALO: JEWETT, THOMAS & CO. PRINTERS, OC8ee of Bu ffalo M.ed.ical Jnu1'n•l 3. Cushing, H.: Little, Brown, 4. O'Donnell, T. River Books, SPRING, 1967 The Medical Career and Other Papers (Boston : & Co., 1940). C. : Tip . of the Hill (Boonville, New York: Black 1953). 1846. 5 �The roster of the first medical faculty, 1846 MEDICAL DEPARTMENT or THE R u i u e t s i t ! of B u f f ll 1o . ..farult!!. FRANK HASTINGS HAMILTON, ........... .... lhan. AUSTIN FLINT, ...... ......... &gi.ttrar and 'J'relUIIffr. "CHARLES BRODHEAD COVENTRY, M.D. •_.,...,......, ....-..u•..,.-•. CHARLES ALFRED LEE, M. D. -. _. Pr"'-r ol Padaarlog ... ...... •~ .,_... .,....... J..\MES WEBSTER, )f. D. • JAMES P. WHITE, M. D. P..,..._ol ~~ ... DiMunol W--. u4 ClUWr-. FRANK HASTINGS HAMILTON, M.D. Pro1eMor ol Prildplet ... P•lic• or SuprJ' AM Cunl 1•1'1"''1· AUSTIN. FLINT, M. D. ,..,_.. ot ,,....._ _. Pnrlireol XMiciM .... Cliut.a . . . . . . GEORGE HADLF:Y, M. D. ....._.ot CMma&l'l •ad .......,. CORYDON L.\ Jo'ORD, M. D. .............,.,......, ............. • IJ Dllltaal arra-ment llet,...n P r o - \\"hi~. Cn•tauy. aa<l Fliat.. tile Oloio ol a..tdrlco aad o;..-oe w - n aa<ll11ilol~a. l"ur ...... . )"eUo will ....... • , Prot. l"uYeDUJ 1 auol tile t:bair of l'byliui••J ud )l<.bc.a JUII..,....._ 'f ,.. . _ . . Flial ud CHeatry. 6 professor of Principle and Practice of Surgery and Clinical Surgery, taught at Geneva in the fall term and repeated the courses at Buffalo during the winter term. Geneva continued to survive until 1872 when it became the medical department of Syracuse University. 5 The lectures were held at Buffalo initially in the building that was formerly the First Baptist Church. The sessions began in the fall. The second building of the school and the first designed exclusively for the school, erected at a cost of less than $25,000, continued in operation from 1849 to 1893. In contrast to the European system of medical instruction, with the school being grafted onto clinical facilities, our school seems to have been planned with little regard for clinical teaching. According to the records, when the faculty assembled in 1846, the Buffalo Hospital of the Sisters of Charity, founded by the Reverend John Timon, was several years away and the Buffalo General Hospital was not opened until 1858 with ex-president Millard Fillmore presiding. During the Civil War, the BGH facilities were taken over for the care of soldiers and sailors, and in 1865 war tents were erected on the grounds to increase the accommodations for the sick and wounded. I have selected several members of the early faculties for comment because of their national or international fame in the formative years of the school. In addition to the five members from Geneva, Austin Flint joined the faculty in 1846, and all must agree was one of the great members of the faculty throughout the school's entire history. Flint, the first of six 5. Park, J .: A History of the Un iversity of Buffalo (Buffalo : 1917, Reprinted from Vol. XXII, Publications of the Buffalo Historical Society). THE BUFFALO M EDICAL REV IEW �generations of physicians, was born in Petersham, Massachusetts, in 1812 and pursued undergraduate work at Amherst and medical school at Harvard. At the age of 21 he practiced medicine in Boston, later at Northampton, came to Buffalo· in 1836, and for most of the time between 1836 and 1858 lived, taught, and wrote in Buffalo. Flint became the first professor of the Theory and Practice of Medicine in 1846, having previously served for one year in Chicago as professor of Medical Theory and Practice in Rush Medical College. Upon leaving Buffalo he spent one year at the University of Louisville as professor of Medical The second home of the medical school, Main and Virginia, 1849-1893 Theory and Practice. Then in 1856 he returned to Buffalo as professor of Pathology and Clinical Medicine, but two years later bec;ame professor of Clinical Medicine in the New Orleans School of Medicine. In 1860, at the age of 48, he accepted the professorship of the Principles and Practice of Medicine at Bellevue Hospital, and at times was professor of Pathology and Practical Medicine at Long Island College Hospital. In 1884 he served as president of the American Medical Association. Flint's studies of auscultation and percussion of the chest,6 and particularly his textbook of medicine which preceded Osler's by 25 years, was an outstanding treatise.7 He gave an exemplary exercise in epidemiology in 1843 as one of the first to trace the source of a typhoid epidemic, a bench mark at North Boston, only a few miles from our onetime home in Clarksburg. For a number of years and antedating my Buffalo tour of duty, I have claimed a first edition of Flint, published in 1866, in my private library and side-by-side with a first edition of Osler's Principles and Practice of Medi- cine of 1891 . Dr. James P. White, another charter member of the faculty, was born in Livingston County, New York,in 1811, began the study of medicine in 1830 as an apprentice in the office of Dr. Josiah Trowbridge, attended lectures at Fairfield, and graduated from Jefferson Medical College in 1834.8 For 35 years (1846- 6. Flint, A. : Manual of Percussion and Ausculation: o f the Physical Diagnosis of Diseases of the Lungs and Heart, and o f Thoracic Aneurism ( Philadelphia: H. C. Lea, 1876). 7. Flint, A. : A Treatise on the Principles and Practice o f Medicine ( Philadelphia : Lea Bros., 1866) . 8. Flint, A. : A M emoir of Professor James Platt Wh i te, M. D. (pri· vately printed, Comme rcial Advertiser Press, Buffalo: 1882). 7 �1881) he was a member of the faculty, served on the University council, and occupied the chair of Obstetrics and Diseases of Women and Children. He held various posts in the county and state medical societies, and in 1883 was vice president of the AMA. During the winter term of school (1849-1850), he encountered rough treatment from his colleagues during a towngown feud which reached the grand jury and an indictment against his enlightened course for students. When his class was shown a woman in labor, selected physicians of Buffalo being highly indignant wrote to Austin Flint, then editor of the Buffalo Medical lournal, as follows: 9 The undersigned, members of the Medical Profession, have noticed with regret, in the February number of your Journal, the Editorial article, and the correspondence to which it refers, entitled 'Demonstrative Midwifery' . The propriety of the exhibition with the living subject, before the graduating class at the College, as we understand it, does not, in our view, admit of a public discussion; and our only object in this communication is to say, that the practice does not 'commend itself to the cordial approbation of the medical profession of Buffalo, but on the contrary merits a severe rebuke ; b ecause we deem it wholly unnecessary for the purpose of teaching, unprofessional in manner, and grossly offensive, alike to morality, and common decency ... . This is so enormous, that it is not to be repeated in this, or any civilized community'. White eventually triumphed and continued to teach demonstrative midwifery and to practice his specialty. The memoir by Austin Flint of White was prepared shortly after his death. Flint describes White as probably the most successful, most outstanding, and most respected physician of Buffalo of his time. His grandfather was a soldier in the Revolutionary War, while 9. Farmer, L.: Doctors' Legacy, A Selection of Physician s' Le tte rs, 172 1-1954 (New York: Harpers & Bros., 1955) . 8 his father fought in the War of 1812. The family moved to East Hamburg in 1816 when it was rugged frontier country. While still in medical school, according to Flint, White cared for the sick in Black Rock during the cholera epidemic of 1832 and established himself as a practitioner in Buffalo in 1835 at the age of 24. He rapidly achieved an extensive practice and was one of the charter group who found time to teach the fall term at the Geneva Medical College while practicing in Buffalo. Frank H . Hamilton served as the first professor of Surgery (1846-1860). His text on the Principles and Practice of Surgery was prepared in 1872 while he was professor of the Practice of Surgery, with Operations, and of Clinical Surgery, in Bellevue Hospital Medical College. I make no attempt to pass judgment upon the strictly surgical sections, but in reviewing the text I noted with interest in a discussion of the treatment of exophthalmic goiter, the following: 10 The treatment consists of the use of tonics, nutrients, and especially in the long, continued use of iodine. Although Coindet of Geneva, prior to 1820, h ad used iodine in the treatment of the enlarged thyroid and probably toxic goiter, it was not until 1863, not long before Hamilton published his text, that Trousseau described the characteristic response of toxic goiter to iodine. Neither this observation of Trousseau's nor H amilton' s statement, which was spoken as a generally accepted procedure, persisted. Iodine received a bad name particularly under the influence of Kocker and it was not until the 1920's that E. Neiser, Plummer, and others rediscovered the value of iodine in the treatment of exophthalmic goiter. 10. Hamilton, F. H.: The Principles and Practice of Surgery ( New York : Will iam Wood & Co., 1872 ). THE BUFFALO M EDICAL REV I EW �At the beginning of the Civil War, Hamilton, while professor of Surgery and surgeon-in-chief to the Long Island College Hospital, was self-styled professor of Military Surgery and of Diseases and Accidents Incident to Bones in Bellevue Medical College. It looks as if he was released from service rather early because even in 1861 he is listed as "Late Surgeon, thirty-third Regiment, Fourth Brigade, Fourth Division, New York State Artillery." His Practical Treatise on Military Surgery begins as follows :11 One of the early records of skin grafting was a report by Hamilton in the December, 1854 issue of the British Medical ]ournalP He described an operation performed at the Sisters of Charity Hospital where he grafted a portion of skin 7" x 4" in dimension from the left leg to the right leg of Horace Driscoll. In a history of Harvard Medical School published in 1905 T. F. Harrington lists John C. Dalton, Jr. as one of the eminent alumni of Harvard. 13 Dalton was born in Chelmsford, Massachusetts, the son of a physician, entered Harvard College at the age of 15, and became a house pupil at the Massachusetts General Hospital in his second year at school when ether was first demonstrated by Morton on a surgical patient of John Collins Warren. Dalton was one of the intimate spectators of the demonstration. He is next to the left in the painting by Hinckley, described by Henry Viets as a sleepy looking boy with rumpled red hair, a member of Harvard Medical School class of 1847. In 1851, his essay on the Corpus Luteum received a prize from the American Medical Association and later an offer from Buffalo as he finished his postgraduate studies in the laboratory of Claude Bernard of Paris. Dalton taught in the College from 1851 to 1855 and prepared one of the first standard texts on physiology. 14 This was a comprehensive treatise and discussed, in addition to the usual subjects associated with physiology, chapters on food and nutrition, physiological chemistry, embryology, and the development of the infant. Before Dalton left for New York to teach on the faculty of The College of Physicians and Surgeons, he acquired considerable notoriety, and as late as 18961897 he was credited in the school catalog for that year as the " first to introduce vivi-sectional demonstrations into the physiology classroom in America." Furthermore, it was recorded at this time that " The physiological laboratory is open for work in experimental phys- 11. Hamilton, F. H.: A Practical Treatise on Military Surgery ( New York : Baill iere, 1861 ). 12. Hamilton, F. H. : " Aikoplasty or Old Ulcers Treated by Anoplasty," N .Y. J. of Med., Vol. 12 : 165, 1854. 13. Harrington, T. F.: The Harvard Medical School ( New York : l ewis, 1905). 14. Dalton, J. C.: A Treatise on Human Physiology ( Philadelphia: Henry C. lea, 1875). War is the normal condition of mankind; peace is the abnormal condition. This statement is not flattering to a people claiming Christianity and boasting of its civilization; it is nevertheless true, and the fact must be accepted. He then goes on to quote Ballingal and a reponse of the nonprofessional soldier: Ballingal says: 'We find the Duke of Wellington, in his general order, cautioning the commanding officers of regiments, and the officers and non-commissioned officers of companies, to take care that no man falls out of the ranks under pretence of assisting the wounded, when he is not ordered to do so by his officer'; and Mr. Alcock states that he has seen 'in less than an hour, a whole battalion tail off after some fifty wounded.' SPRING, 1967 9 �iology, and instruction will be given to small classes on Wednesday and Saturday afternoons during the second half of the session. Attendance is optional." Thus, even in physiology, a truly experimental subject, the emphasis was on lectures rather than laboratory work. Dalton served three years with the Union Army during the war between the states, and occupied in succession the chair of physiology at the Buffalo and the Vermont Medical College, and the chair of physiology and microscopic anatomy at the College of Physicians and Surgeons in New York. As a fitting tribute to his talents he was offered and accepted the presidency of the College in 1883. One of the high bench marks, although not entirely a medical school enterprise, was the establishment of the Buffalo Medical Journal, a truly remarkable publication which survived for more than fifty years. The journal was started by Austin Flint in 1846 as a privately financed venture. In 1861 the Journal was taken over by Dr. Julius F. Minor who served as professor of Ophthalmology and Surgical Anatomy and, from 1870 to 1875, dean of the faculty. Minor was president of the Erie County Medical Society and attending surgeon at the Buffalo General Hospital as well as the Sisters of Charity Hospital. He was one of the first to perform a successful thyroidectomy and an advocate of enucleation of ovarian tumors. But let us return to the founding of the Buffalo Medical Journal. The Introductory to Volume I by Austin Flint begins with the interest shown in the social and industrial economy of the area, particularly in reference to the Erie Canal which probably had much to do with making New York City supreme over Boston and Philadelphia, its strongest competitors on 10 the East Coast early in the 19th century. Flint justifies a new format as follows: 1 5 On the occasion of introducing to the Medical Public the first number of a new Journal, it will be expected of the Editor to give some reasons for its appearance, and to promise some account of the objects to which it will be devoted. It will readily be acknowledged, that for the more voluminous and elaborate Journals, in medical as in other departments of knowledge, we must look to the larger cities, where the elements and facilities for their preparation and diffusion, are to be found in the greatest abundance. But without any derogation from the superior claims of these, there are many reasons why they do not, and cannot, accomplish all the objects to be derived from periodical literature. Of these reasons, we may hereafter take occasion to speak more particularly and to discuss their respective merits. But assuming, for the p resent, their existence and validity, it has seemed to ourselves and others, that Buffalo is, in m any respects, a desirable location for a M edical Journal. T his opinion is b ased on its present and prospective size and resources; its relations with the east and west, through canals and railroads on the one hand, and the chain of the great Lakes, with their numerous tributaries, on the other. It is believed that sufficient material to commence an enterprise of this kind, may be derived from sources which will be constantly increasing and improving; and that a Medical Journal may do much, not only toward m aking available the material which already exists, but to render its future availability and improvement commensurate with its increase. By means of facilities for rapid and extensive communications on every side, our location is peculiarly favorable for the collection and diffusion of facts from a wide circuit, and the interchange of views and opinions among members of the profession, not only in this section of country, but situated at points remotely distant from each other. Thomas Fortescue Rochester, successor to Austin Flint, was born in Rochester, New York, graduated 15. Flint, A. : The Buffalo Me dical Journal ( Buffalo : Jewett, Thomas & Co., 1846 ). THE BUFFALO MEDI CAL REVIEW �from the University of Pennsylvania Medical School in 1848, and established himself in private practice in New York City. He was professor of Principles and Practices of Medicine at Buffalo from 1855-1887. He married Margaret Monroe DeLancy, daughter of the first Protestant episcopal bishop of Western New York, and their son, DeLancy Rochester, carrying on the medical tradition, was also professor of Medicine at the medical school. T. F. Rochester reported a third case of perforation of the intestine at the vermiform appendix to the Buffalo Medical Association.16 He had previously reported two instances; this, the third case, was a coachman whose probable diagnosis of abdominal pain was renal calculus. Postmortem examination however revealed a perforation at the junction of the appendix and the colon. Although Rochester realized the clinical findings of inflammation of the appendix, the full potentialities for surgical treatment remained for Reginald Fitz in 1886. In 1878 the Annual Convention of the American Medical Association was held in Buffalo and T. F. Rochester was chairman of the Committee of Arrangements. Buffalo. George Miller Sternberg, born in O tsego County, was apprenticed to Dr. Hiram Lathrup of Cooperstown in 1858-1859, and graduated M .D. from the College of Physicians and Surgeons in 1860. Sternberg sponsored the founding of the Army Medical School, served as White House physician to President McKinley, assigned Walter Reed to the Pathological Laboratory at Johns Hopkins University in preparation of Reed's experimental studies on yellow fever in Cuba and, in 1900, organized the yellow fever commission. His writings include a monograph on Infection and Imm unity and a Manual of Bacteriology which was the standard text in many medical schools in this country for a generation. Th e apprentice certificate, 1864 Although the Medical School was composed of an illustrious group of teachers, the apprentice system of acquiring medical and surgical experience was practiced widely at that time. The present Health Sciences Library of the University possesses a number of certificates attesting to the satisfactory performance of apprenticeship. I wonder how many are aware that one of the most outstanding surgeon generals of the United States Army spent his first year in medicine, 1859-1860, in 16. MacCallum, J. D. : " Dr. Rochester and the Vermiform Appe ndix, 1855-1867," N e w Eng J Me d 249:285-286 ( Aug 13) 1953. SPRING, 1967 II �The apprentice certificate, 1868 While pursuing some studies on Charles Huntington of Duchess County, who gave the first complete recounting of the symptoms in adult hereditary chorea, Huntington's chorea, I discovered that Dr. Irving P. Lyon of BuHalo was eager to have the claims of his father properly recorded in medical h istory. The senior Dr. Lyon, in 1863, transmitted a report on Chronic Hereditary Chorea to the American M edical 12 Times 17 in which he recognized practically all the features of the disease, described later by Huntington and now identified by the eponym. The great years of the mid-19th century for the medical school were challenged in brilliance a genera17. Lyon, I. W. : " Chronic Hereditary Chore a," Am Med Times (Dec ) 1863. THE BUFFA LO M ED ICAL REV I EW �tion later. After a few unimpressive bench marks in the 1870's, we find a new and enlightened group of faculty members in the names of Charles Cary, Matthew D. Mann, Roswell Park, Charles G. Stockton, and Eli H . Long. But interwoven with the pride of the profession, we begin to discern discords of bitter jealousies between the Niagara University Medical School and its secular hospitals, and the University of Buffalo School of Medicine and its principal clinical affiliate, the Buffalo General Hospital. Another sign of greatness mixed with mediocrity was the crusade by Rollin R. Gregg, M.D., who in the reputable weekly Science sought support for his theory of spontaneous generation and against the bacteriology of Pasteur. According to Gregg, a graduate of Hahnemann Medical School, class of 1883, and practitioner of medicine at 664 Main Street in Buffalo, fibrin coming back to life could explain all of Pasteur' s findings. The editors of Science replied as follows :18 We have received three pamphlets by Dr. Rollin R. Gregg of Buffalo, entitled 'Diphtheria and bacteria', 'Professor Pasteur's experiments, bacteria in various diseases', and 'The revelations of fibrin'. They embody the results of the writer's so-called scientific experiments upon fibrin, of which material he finds all forms of bacteria to be composed. Inasmuch as he gives no reason to suppose that any proper methods of sterilization were employed, and displays his ignorance of the fact tha t distilled Water may be full of microorganisms, it does not seem possible that the papers will command much a ttention. Indeed, no such work is worthy of criticism; for the day has passed when the pa thogenic properties of bacteria as such can be disputed, except as the result of the most careful labor by experts in all the methods of manipulation. 18. Landing, B. H. " Rollin R. Gregg of Buffalo," Bull Hist Med 36 :524-528 (Dec) 1962. SPRING, 1967 Dr. Matthew Derbyshire Mann was a medical scientist of a different caliber. He was born in Ith aca, New York, in 1845, took his undergraduate work at Yale, and received the doctorate degree in 1871 from the College of Physicians and Surgeons, New York. Graduate studies were continued in Europe, almos t a prerequisite at that time for one whose ambition s included a major teaching assignment, and from 1879 to 1881 he lectured on gynecology at Yale M edical School. In 1882 Mann was appointed to the chair of Obstetrics and Gynecology at Buffalo; he served also as consulting gynecologist to the Buffalo General Hospital, and for several years he was dean of the faculty. Dr. Mann performed the operation at the Pan American Hospital on William McKinley, President of the United States, shortly after the President received a mortal wound from an assassin ' s gun. The bullet penetrated both walls of the stomach and lacerated the upper pole of the kidney, but the President lingered for a week after surgery. The autopsy report which was signed by 14 physicians and surgeons exon erated the attending surgeons, and left it clear that the death was an act of God and beyond the powers of th e medical and surgical talents, techniques, and drugs of that time. Settlement of the fees (honoraria) was a public matter for discussion in the press. The System of G ynecology, edited by Mann in two volumes, w as publish ed while he was professor of Obstetrics and Gynecology at the school. In discussing diseases of the vulva, he reported, as a byproduct, a sign in selected females to distinguish the right-handed from the left-handed self-indulgent female. From experimental observations, he reported ipsilateral h yper13 �THE CASE OF PRESIDENT McKINLEY . ORIGINAL ARTICLES THE CASE Of PRESIDENT McKINLEY. TI_H: _following n•port ha;; receiYed the npprovnl of aud Is. Issued by, the undersigned, the medieal staff :ttt•·Iulmg- tlw late Pre>;ident, \Villiam McKinley . P.M. RIXEY. MAT'ri[};W D. 1\fAXX. Ht: JOIAX l\lYX'l'ER. RO><WELL l'ARK. Et·( ;ExE ""ASDIX. Octobrr U, ZIJOJ. CII.\ HLE>' :\!dh ' I~:\ EY . L'IIAHL~:,.: (f. HTo('KTO X. SURGICAL HISTORY. Presid~·nt \\"illiam l\Id~inl ev was !'>hot bv Leon F t ~olgo;"'7:• in the Temple of Mu;;lc, at the P~n-·Amerit'a~ kxposihon, Buffalo, X. Y., at about i m inutes pas t 4 on the afternoon of Friday, September (), 1901. Two ><hot;; were fired. One hullet struek near the upper part of ~he stemum, and the other in the left hypochondrhw regw,n. T lw Preside_nt was immediately con,·eyPd to thf~ Em«:> rgeney Hospital on the Expo:;ition grounds by the motor amhulnnee, where ht• arrived at. 4.1 8. Dr. G. :\f\'K . Hall and Mr. Edward C. Mann, me<licnl ;;tudent of the how;(' staff, WPre in charge of the nmhulanee' ' :\[edk>al StudPnt T. F. Elli.; heing the driver. On arriving at the hospital, President :MeKinley was at onee plae(•d UJ?On the table in the operating room and •.m<lressed. Durmg the removal of his clothing a bullet tell out and was picked up by Mr. Ellis. Dr. Hall placed a temporary antiseptie dressing over th t> wounds, HIHI )'[:. :\lann ordered a nurs(' to administer 0.01 gm. of 1110rphm and 0.002 gm. of strychnin hypodermically. pr. Herman Mynt€r, who had heen t€lephoned from J>.o~we hPad•Juarters to report immediately at the Expo"I,tiOn hospttal, was the first surgt'on to arrivt', at 4.45 "dock. At that time Drs. P. " "· Van Peyma and ·''""''Ph Fowler, of Buffalo, and Dr. Edward Walla(~ 1".'(', of. Ht. Louis, were present. Dr. 1\Iynter brought with. hun D~. Eugene Wa8din, of the United Stnt~ .'Iarin('- H ospttul Hervke. . Dr.. :\lynh'r inspt.>t:tetl th(' l'n:Jsi•lent's wounds, and IIIIIJH~lmtely :;aw their serious nature. H e told the l'rt·,;ident that it would he net•o;sary to OJI(•mw, and at (AMERICAN MEDICINE 603 Dr. l\<Iann was seleeted to do the operation , with Dr. :\lynter as his as:;otiate, by the eommon conr,.-ent of the phy:;ieia ns present and nt t he request of Mr. Milburn, president of tlw Pan-American Exposition, who stated that ht' had been requested by President 1\ieKinley to S<'led his medieal att~mdants. Dr. Mann selected ])rs. Lee and Parmenter as assistants. At 5.20 Dr. Mann directed the administration of ether to President .Mcl{inley, and requested Dr. Wasdin to administer it. E ther was chosen as heing, on the whole, t~ e safer anesthetic. While the anesthetic was heing giv('n the surgeons who were to take part in the operation prepared their hands and arms by t horoughly scrubbing with soap and wate r and imrnt'rsing tht'm in a solution of biehlorid of mercury. T~1e operation hegan at 5.29·. Dr. Mann stood upon the right-hand side of the patient , wit h Dr. Parmt'nter on his right-hand side. Dr. My nter stood upon t he lefthand side of the patient, and oit his right was Dr. Lee. To Dr~. Parrnent€r and Lee were assigned the duties of spongmg and tht' eare of the instrument<>. Dr. P . M. ~ixe~· , U_. S. N., Pres~dent McKinley's family physicmn, havmg heen detatled by the President to aecornpany Mrs, McKinley to the Milburn horne, did not arrive until ·5.30, when he gave very efficient service by guid_ing the rays of. the sun to the seat of the operat ion b~ at~ of a ha nd-mirror, and late~ by arranging an electriC ltght. Dr. R oswell Park arrtved just as the operation on the stomach was (_'Ornpleted, a nd gave his aid as eonsultant. Mr. E. C. Mann had r harge of the needles sutures and ligatures. Mr. Simpson, medic-al student: was at the in~trurnent tray. The nur:;es, under the charge of Mis.'l A. C. Walters superintendent of the hospital, were Miss M. E. Morri~ and Miss A. D. Barnes, with hands sterilized ; Miss Rose Baron, 1\Iis.-; M. A. Shannon and Miss L. C. Dorchester, as.<sbtant.<s, and Miss Katharine Simmons attending the anesthetizer. Besides thoS<' immediately engaged in the operation, there were present Drs. P. \V. Van P eyma, Joseph Fowler, H. \\". Harrington and Charles G. Stockton of Buf' falo, and llr. \V. D. Storer, ofChkago. THE OPERATION. President MeKinley took the ether well, and wa.'i (•ntirely under its intluen{_-e in 9 minutes after the heginning of the anesthetir.ation. 'fhe nbdom<'n was carefully �ra.,e tor 101 couldn't have & coverne<l by aome code of profo•IGnal elblco, the vlolo.tlon of wblcb meo.na ootraclam o.nd Ita o.ttendo.nt penrome. altleL Ordln&l'J' people are wonderln&' no raul ftnl by whd theory of "etbl~o" the doc- doeo he w: torw ..,._ attende<l Preoldent McKir.ley McAutllr will receive 131,000 for the bri~f and unoueeeufUI .Crvtcea rendered on that PUBLIC oecaatoa. U there .ar.<m~tnary eldll It wa.B not d~Kn.ted, eo that tne reaoon for the :toll' bill Ia not . dlocoverable there. The a t tendln&' phyalci:tno did Dot even know bow m~l .tbe wt~und wao; for,_o.fter havln&"·a ..ured t he publie that care ·wao belnc take:> t o with· bold nothln&' In tbe omclal bu lletins, Vlee-Prelldent Rooeevelt a.n!l. c.lher prominent oftlclale, a• wen &I the nrw•· corrupondento, wer e lnfonned that ·. lllr. llleKinlq ourely on ·the mend, and that llJlpresslon wa• civ~n tile country, not because' the rhyalclano believed· In aendln&' out &&'re&ble teporta, but ~auae; u tt latf!r df!vclo'"ed, the,- did not know any better. When the •que.tlon --or oompen•do11 ftrwt came up In pon.-.-, th~re wao eome vape t.lll that . the blllo .w ould be •100,000, and If there had not been an tmm.:.Siate outc17 by the Vl&"llant pre• Df the count17 It 11 probable that the am,ount _wouiCI ...,. app,...tinate<l that eum lnete&4 of ,150,000, lncludln&' the. tun-.1. apen- of ht,OOO. Wltla thetr 1m1a1 patience the American peo-_ pie, under the cfr'eunwtaneea, will proba1tly ..-....fully ...bmlt .t o the payment ot tblo ·4octoro' bill, .but It IIi ·oertaln P..,.... !ell a war Df .,.,.,..., SPRING, 1967 Wo.U..C. wu c. Mlllpo. a member of the . The Toro to an Inter and prtva t ' monopoly I Ontarto eltl At Ortllla &ble to &'e t or eneru fr Ita electric bone-power people pay trophy of the labia from persistent masturb ation . I quote :19 A number of cases bearing on this point have been reported an d while it can by no means be considered as pathognomon ic, still its presence may give rise to a ver y strong suspicion. It is n oted that in the case of right-handed women the right labium is enlarged and in the left-handed the reverse occurs. Several of the outstanding physician s in this period were entrepren eurs beyond the strict confines of the treatment of th e ill and practice of the medical art. The Buffalo Medical Journal, a p rofit-making operation owned and published by the editor on a highly scientific plane, was ch allenged by a new periodical, the Medical Press of Western New York. The solicitation letter for new subscriptions notes that Roswell Park was editor and Thomas F. Rochester, president of the Board of Trustees.20 This journal is published by the Medical Press Association, most of the stockholders being alumni of the Medical Department of the University of Buffalo. The editor and one of h is able collaborators hold chairs in this department at present. 'We would be very grateful to you for your cooperation in the work of spreading its influence, an d therefore solicit your subscription, $2.00 per ann um in advance'. All was not serene and the Catholic U nion, Septemb er 30, 1886, under the heading, "A Pill-Pounder Pilloried," had the following to say :21 19. Mann, M. D. : A System of Gynecolog y ( Philade lph ia : lea Bros., Vol II, 1888 ) . 20. letter sent by the Medical Press Association of Western New York. 21. News Re port : "A Pill Pounder Pillo ried," Catholic Union ( Sept 30) 1886. 15 �The Medical Press of Western New York is the pretentious title of a new monthly magazine published in this city, in the alleged interests of a noble and humane profession. Judging, however, from the tone and tenor of the number before us, a total disregard for truth and a brutal desire to offer wanton insult to the Catholic citizens of Buffalo, would seem to be no secondary factors in its make up. Because forsooth the Catholic Church prefers to have the bodies of its diseased children buried rather than burned, this medical fledgling raises a hysterical howl that makes us shiver and that marks the development of a serious malady in one so young. Call the ambulance (bought by the Charity Organization?) and have the wee thing sent at once for treatment to the General Hospital. This appeared to me to be a declaration of hostilities between the two schools. Niagara Medical Schoot organized in 1883, had a relatively brief life. Through a number of reasons, including an inability to attract students of intellectual stature, and a reputation that suffered when compared with the Buffalo Medical School, it was absorbed by Buffalo in 1898. Many of the senior members of the Niagara faculty were granted professorial rank in the Buffalo faculty, including Dr. Henry C. Buswell who was appointed adjunct professor of Principles and Practice of Medicine. The appointment was representative of several and, instead of equality in the amalgamated school, Buswell was given a subsidiary appointment rather than a Department headship. Stockton Kimball's grandfather was farsighted and survived the amalgamation without loss of seniority. Dr. Charles Cleason Stockton graduated from Buffalo Medical School in 1878. From 1883 to 1887 he was professor of Materia Medica and Therapeutics at Niagara, but a decade before the amalgamation transferred to the University of Buffalo, where for 30 years 16 he served as professor of Medicine. He contributed chapters to several systems of medicine and prepared his own Diseases of the Stomach. At the time of his transfer, Dr. Lathrop, in letters to the editorial department of the Buffalo News, commented on his succeeding T. F. Rochester as follows :22 As to his fitness for the new place said : ' Oh, he will fill it in a h ighly satisfactory manner, much better, in fact, than it was filled by Dr. Rochester. Dr. Stockton is a very capable physician with an excellent expression. T he only regret I have is that he got into damned bad company' . The Niagara faculty countered in an expression of pseudo regret : " Dr. Stockton is an overrated man and the attempt to stand him up in Rochester's shoes is ridiculous ... it is a puzzle to me how he came to get Dr. Rochester's place in the other college." When amalgamation was complete, the following announcement appeared in the paper :23 It is with great pleasure that the announcemen t is made that the Medical D epartment of the University of Buffalo and the Medical D epartment of Niagara University h ave coalesced. The faculties of the two institutions will h enceforth work together under the charter of the University of Buffalo. This will add materially to the teaching strength of the institution, as the Niagara faculty brings not only a number of strong and experienced teachers, but also a quantity of valuable apparatus, books, pathological specimens, and a great amount of material for clinical instruction. On the roster of the Department of Medicine of Buffalo, the names of Professors Stockton, Rochester, Jones, Cary, and Matzinger, formerly of Niagara Uni- 22. News Report : " In . . . Bad Company," News, 1887. 23 . News Report : ( Not ide ntified ). THE BUFFA LO M EDICAL REV IEW �versity, persisted, but Henry Buswell fared less well. Probably it is too soon to integrate fact and fable of the Buswell-Hochstetter saga. Dr. Buswell was a brother-in-law of Mr. Hochstetter, who, a number of years before his death, was persuaded to leave his oil leases, oil stocks, and selected other items of value to the University of Rochester, thereby slighting Buffalo by several million dollars. During the long years of Mr. Hochstetter' s impending senescence, Wm. M cCann, professor of Medicine at Rochester, made regular visits to Buffalo to see his patient who was my back door neighbor on Penhurst Park. Dr. McCann took some delight in chiding me about the impending loss of endowment to Buffalo and, like a devoted niece waiting for a rich uncle to die, seemed overly solicitous of my neighbor's welfare. Then, through superhuman efforts with clever persuasion by Harry La Forge plus several others who take full credit, M r. Hochstetter's will was prepared so as to leave a bequest to the University of Rochester and to the Medical Department of the University of Buffalo; the munificent endowment was reported in the press to exceed 10 million dollar s for each school. In the mid-SO's, we were sitting on a low bench m ark, not realizing that a high bench mark would soon be ours. Article Fifteen of the recorded will of Ralph Hochstetter includes the following: ARTICLE FIFTEENTH : I g ive, devise and bequeath , in equal shares, to THE UNIVERSITY OF ROCHESTER, a corporation duly o rganized a nd existing under the laws of the State of New York, a nd having its p rincipal office in the City of Roch ester, New York, a nd to the UNIVERSITY OF BuFFALO, a corporation duly organized and existing under the laws of the Sta te of New York, and having its principal office in the City of Buffalo, New York, all oil and gas royalties of wh ich I sh all b e seized or possessed a t the time of my decease, to be employed a nd separately adm inis tered as independent SPRING, 1967 funds by each of the said Un iversities, for the su pport of research fellows who sh all be graduates in med icine from recognized m edical schools and w ho sh all have comple ted the necessary preliminary tr ain ing to enable them to enga ge in research in their chosen field, and who sh all be accepted by either of the said Un iversities as research fellows thereof : and I direct tha t there shall be no discrimination against any cand idate on the grounds of race, creed, color or sex. I also direct that the income and principal of each such fund shall at a ll times be u sed only for such purpose or purposes above mentioned a s are comprehended in the general objects at such time authorized, respectively, by the charters of said Un iversities. It seems reasonable to believe that the earlier reference in the secular dispute to burial versus cremation was touched off by the opening of the new Bu ffalo Crematorium near Forest Lawn in which Drs. Carey and Roswell Park had financial interests. This is another example of the breadth of vision of a leading physician and surgeon of Buffalo, influen cing students by playing a skillful game of headmanship in the departments of a proprietary school, financially interested in a provincial medical publication for their professional associates, and promoters of a crematorium for the dead . The crematorium n ear Forest Lawn, which m ay well be the one that still stands across the street, received good publicity at its first run. A reporter from the Courier in 1886, under the h eading " Ashes to Ashes," reported the following :24 D espite a ttemp ts to preserve secrecy, the press wa s alert as always a n d a Courier represen tative was present. T he m aster of ceremonies was Guiseppe Geromini, an Italia n engineer, who supervised the erection of the furnace. A s hi s linguis tic talen ts were limited to French a nd Ital ian, the expla na tion s and o rders were given through the interpreter. 24 . News Repo rt : " Ashes to Ashes," Courier, 1886 . 17 �The first of the privileged spectators to arrive were, you guessed it, Messrs. Brady and Drullard, the undertakers, bringing the corpse. Continuing the description, I quote: Then followed Dr. Charles Carey, the president of the company, Drs. Roswell Park and D . W. Harrington, directors. The fire was then lighted with hard dry kindling, and shortly the whole chamber appeared to be filled with a rosy, luminous, opaque vapor, which completely concealed the form on the slab. There was no fla shing forth of fierce flame s, no writhing of the burning body, no crackling sounds, no explosion. There was nothing revolting, disagreeable or painful. . . . When the Corpse was first exposed to the flame a slight vapor was discernible escaping from the chimney. !lome of the spectators climbed to the roof to ascertain the character of this emanation, and found it to be simply steam. There was no odor whatever, either in the crematory or at the chimney-top. Then Signor Geromini "at once telegraphed to the Baltimore Association, who were awaiting the result of the trial before ordering their apparatus, that the test had proven a success in every particular." Does the name Harrington sound familiar? It should because it was Dr. D . W . Harrington who established an endowment, the Harrington Lectures, in 1896 with $12,000. The growth rate has been interminably slow and, late in 1964, the endowment had increased to slightly over $25,000. A smart investor could have turned such an amount in 1896 into a sizable fortune today. In 1901, Buffalo graduated one of its most notorious alumni, William Brady, medical columnist supreme. In 1914 he began writing a column for the Elmira Star Gazette and today remains one of the highest paid purveyors of health misinformation in America. 18 During the period of accelerated academic progress in the 1880's, thought was given to affiliation with a university, since Buffalo lacked a College of Arts and Sciences, and the replacement of the outmoded building on Main and Virginia Streets. Over the initials R. P., probably Roswell Park, the Courier carried the announcement of the desirability of consolidating the facilities of Cornell University with those of Buffalo Medical School, since the University of Buffalo was hardly a university in name, only a medical school. This apparently was not taken seriously, but the tentacles of Cornell reached out in the 1940's to annex the aeronautical laboratory on the outskirts of Buffalo. The announcement in the Courier fo r February 28, 1886, concluded with an obvious dig at the citizens of Buffalo, beginning as follows :25 Thought should be given to the possibility or desirability of linking our home medical school with the medical department of Cornell University. Whether this has been seriously thought of we do not know; whether even it would be agreeable to the h ome institution we canno t say; nevertheless, from our point of viewthe greatest good to the greatest number- we should con sider it in every way a most desirable consolidation. Cornell is great and lasting, yet h as no m edical department such as it needs to round out its fullness as a university. Ithaca is by all means too small a town to furnish those clinical facilities necessary to proper medical training. The University of Buffalo, on the other hand, is only kept alive by the devotion of men of one profession, who have made it known the world over. W e h ave already in these columns called attention to how much the faculty of the m edical school have done for Buffalo, and how little Buffalo has done for them. 25. News Report : " Cornell and the Medical College," Courier ( Feb 28) 1886. THE BUFFALO M EDICAL REVIEW �The third medical school building at 24 High Street, 1898-1953 But nothing came of this suggestion and a dozen years later, in 1898, the medical school of Cornell began instruction in Manhattan. The faculty failed to affiliate with Cornell but they were successful in building a new plant. Agitation for a new building, before final action was taken, appeared in a press clipping of 1885, probably the Courier, as follows :26 the sanguine-and could be built out of the superfluous incomes of one or two of our rich men. Were the salaries of the members of the faculty proportioned in some degree to the amount of service rendered they could, without pecuniary loss, give their best time to the college . .. . Were 'the medical college' to be removed from the city its absence would be instantly felt in the loss to Buffalo of a circle of scholarly, scientific, and progressive professional men who now fill its chairs . . . . that after fifty years of honorable existence, during which period Buffalo has grown from a poor town to a large and wealthy city, the 'great university' projected by Dr. Austin Flint remains, as he left it, only the medical department of a hypothetical university. With the exception of a little money raised at its inception for the erection of the building, the college has been supported entirely by the personal efforts of its faculty. The tuition of the pupils pays the running expenses. When there is any money left over, it is divided among the faculty-when there is a deficit, that is divided, too. A new building suited to modern needs and containing ample laboratory space is not beyond the dreams of This served until it too became senile long before its life expectancy and was replaced by the present complex on the University campus. The announcement of 1896 contained the following :27 26. News Report: "The Importance and Needs of the Buffalo Medical College An Institution to be Proud of," Courier, 1885. 27. Fifty-First Annual Announcement of the University of Buffalo Medical Department ( Buffalo: City Press, 1896). SPRING, 1967 Then in 1898 the annual catalogue contained the following: The Medical, Pharmacal, and Dental Departments of this University are now occupying their palatial new buildings at 24 High Street, near the corner of Main. 19 �The lobby of the third medical school building at 24 High Street It gives th e faculty of the institution the greatest pleasure to make this announcement, because they feel that they have the most tasteful, com fortable and best arranged medical college edifice in t he United States; perhaps even in the w orld . . . . It is built in accordance w ith the mos t modern ideas of heatin g, plumbing, and ventilation . It is finished entirely with terra cotta, pressed brick, iron and hard wood, than which nothing can be m ore attractive, and has been so tastefully designed and so w ell built that IT IS NOW POINTED T O AS ONE OF THE M OST ATTRACTIVE PiUILDINGS OF ANY KIND O UTSIDE OF NEW YORK CITY. The building is situa ted almost in the geographical center of this large and rapidly g rowing city, near converging lines of street cars, accessible from all directions .. . . It is easy to visualize an endless line of street cars converging on 24 High Street bringing faculty, students, and patients to this medical center. Yes, patients were brought h ere to what was called the Dispen sary, the outpatient department. The current practice of memorizing passages from text books and repeating them verbatim to the professor, seems a low-placed bench mark in the 1890' s. In the catalogue for 1898 it is stated th at 28 "in the Department of Medicine the students will be required during the second year to prepare themselves upon given subjects in Osler' s Practice and recite the same before an instructor." A more auspicious event in 1898 was the announcement of the first appropriation by the State of N ew York legislature from public funds for a cancer institute. The money w as assigned to the medical department of the University of Buffalo through the efforts of Roswell Park and Edward H. Butler of the Evening 28. Fifty-Thi rd Annua l An nouncement o f the Uni versity of Buffalo Med ica l Department ( Buffa lo: G irs & Co., 18 98). THE BUFFALO MEDICAL REVIEW �News. Park was made director of the laboratory; H. R . Gaylord, pathologist; G. H. A. Clowes, Ph.D., biological chemist; and H. G. Matzinger, bacteriologist. During the first three years the work was carried out at 24 High Street, but in 1901, through the generosity of Mrs. W. H. Gratwick and friends, the Gratwick Laboratory was constructed. In 1911 it became a state institution and in 1913 the hospital adjoining was dedicated while the exercises were held in the alumni hall of the medical school, emphasizing the close liaison at that time with the University. The accomplishments and reputation of the Institute as a treatment and research center are so well known that current comments are superfluous. Meanwhile the medical school liaison has varied in cohesion. In 1946 the Institute claimed no close ties with the university and its affiliated teaching hospitals. In the following decade, the ties were strengthened although there were a number of appointments of the Staff of the Institute in the Graduate School of the University. With the State of New York taking over the University in 1962, we find an anomalous situation once more. The Institute, designed for study and treatment of malignant disease, is in the Health Department of the State while the University is under the Commission of Education. Why the two great institutions were not closely integrated at the state level a few years ago is to me an enigma of bureaucracy that defies explanation. The most distinguished dynasty in Western New York medicine began with Benjamin Potter, born in 1787, who married Phoebe Eastman, the daughter of SPRING, 1967 Demolit ion of th e third medical school building at 24 High Street, 1953 a physician. ~n Drs. Eastman and Potter settled in the Holland Purchase where they began the practice of m edicine in 1808. His son, Melton Elton Potter (18161 E75) was associated with the Buffalo Medical College as Curator, although he practiced in Cowlesville in Wyoming County. Next is Melton G. Potter (1843187 8) , a graduate of Buffalo Medical School in 1 867 who taught materia medica, became professor of-Anat~ omy, and served as dean of the Faculty in 187 4 . The most famous was Irving White Potter (1 868-1 956), graduate of the University of Buffalo School of Medi29. Matthieu, S. A. : " Potter, A Gene a logical and Biog raphic Record of One Line of Line al Descenda nts from Nathaniel Potter of Portsmouth, Rhode Isla nd ," pre pare d for A Sto r y o f Med ical Pro g ress, private ly p rinte d , 1926. 21 �The fourth and present medical school complex, 1967 cine in 1891, noted for his promotion of podalic version which subjected him to great praise as well as wide criticism. Many of us remember Dr. Potter, kind, gentle, and idolized by his patients. Then Milton G. Potter, Jr., my contemporary, and his three sons, M. Grosvenor, Jr., Benjamin E., and Paul H . Potter followed their father and grandfather in Obstetrics or Gynecology. Dr. Irving White Potter, in his monograph in 1922, justified his procedure ::w The purpose in writing the following pages is to bespeak a wider employment of the operation of version-using this term as it is now generally understood by the medical profession-that is, the 30. Potte r, I. W.: The Mosby, 1922 ) . 22 Place of Ve rsion in Obste trics ( St. Louis: internal podalic version of obs tetric literature. From an expe rien ce extending over ma n y years of practice, including thousands of personally conducted cases of labor, I have come to believe that it is justifiable to perform a version for the purpose of eliminating the second stage of labor, and relieving the woman of the pains and agonies of childbirth, since such a procedure in m y han d s has been a ttended b y no increase of fe tal mortality and has had a lessened maternal mortality and future morbidity. This conclusion does not seem to me to be an innovation in obstetric practice, but ra ther a logical advance a nd extension o f a perfectly understood maneuver which has been made possible b y the modern conception of asepsis with anesthesia. When my practice and conclusions were first presented to the medical profession at large, I was met by persistent opposition and bitter criticism. Not only was m y m ethod condemned as unscientific and d angerous, b u t my records and statistics were regarded as doubt fu l a nd my personal good fai th ca lled in THE BUFFALO MED ICAL REVI EW �'• question. After a lapse of several years the attitude of the profession has been modified; my records have been accepted and my personal ·honesty acknowledged. Opportunity has been afforded to any one who wished to observe my method in actual practice, and a great many men, many of them distinguished in the profession, have paid me a visit. Some of those who formerly denounced me and my methods are now silent; and a large number have made a study of the procedure, thereafter successfully applying it in their own work. Another distinguished Potter was Dr. William Warren Potter, a grand uncle of M . G. Potter, who graduated from the University of Buffalo in 1859, served during the Civil War, practiced for a time in Batavia, The Potter Dynasty Benjamin Potter ( 1787-1828)-Phoebe Eastman Milton Elon Potter 1816-1875 (Wyoming County) Curator of Butralo Medical College (MD?) Milton Grosvenor Potter 1843-1878 Bulfalo MD, 1867 Teacher of Materia Medica Professor of Anatomy Dean of Faculty, 1874 Irving White Potter 1868-1956 Bulfalo MD, 1891 Milton Grosvenor Potter II 1895Bulfalo MD, 1924 ·························:········· : .············ Miltoi1 Grosvenor Potter, Jr. 1925College of Physicians & Surgeons. 1953 SPRING, 1967 Benjamin E. Potter 1930McGill MD, 1957 Paul H. Potter 1933McGill MD, 1959 and then took up residence in Buffalo. He founded the American Association of Obstetrics and Gynecology, and for 14 years was president of the Board of Medical Examiners of the State of New York, and was editor of the Bu ffalo Medica/Journal as late as 1903. Dr. Charles G. Stockton was a faithful correspondent of William Osler, and Mrs. Stockton Kimball retains several of Osler's letters to Stockton, of which the Potter dynasty is an example. I reviewed the monograph on D iseases o f the Stomach and Th eir R elation to Other Diseases by Stockton Kimball's grandfather, Charles G. Stockton, for items of interest that reflected the thinking or practice of this specialty one-half century ago. The confusion persisted at that time between relating dyspepsia and oxaluria to gouty arthritis. The following remarks were made in the chapter on Diathesis and Dyspepsia that have failed miserably to stand the test of time. 31 Hereditary metabolic peculiarities, the expression of which is recognized in diathesis, produce symptoms depending in degree upon the incompatibility of the routine habits of life of the individual with the special needs of his organism as conditioned by the diathesis. In early life when the nutritive processes are vigorous, the possessor of a gouty diathesis, provided he leads an active, outdoor existence, may be free from symptoms regardless of diet. Many chronic dyspeptics are in fact suffering from latent gout, and are best relieved by treatment which takes this into consideration and which lessens the intake of purins and p romotes their elimination. Closely allied to latent gout, or lithemia, is that diathesis in which oxaluria occurs as a prominent manifestation. This condition of oxaluria, concerning which Goldring-Bird and Prout wrote wisely more than half a century ago, has been much neglected by clinicians in recent years. (Continued on Page 26) 31. Stockton, C. G. : Diseases of the Stomach and Their Relation to Other Diseases (New York : Appleton, 191 4). 23 �- - - - - - -- -- 30th Annual State University ai :Jheme: FRIDAY, MARCH 17, 1967 New Norton Hall 8:15- 9:00a.m. Registration 9:00- 9:15a.m. Welcome: DR. HAROLD J . LEVY, '46 President, VB Medical Alumni Association Announcements: DR. HARRY J. ALVIS Associate Dean for Continuing Medical Education 9:15-10:45 a .m. OBESITY 2 : 00- 3:30p.m . VASCULAR DISEASE OF THE WWER EXTREMITY (Thrombophlebitis, Diabetic Gangrene, Arteriosclerosis, Reynaud's Disease) Mode rator: DR. RICHARD W . EGAN, '44 A ssociate P rofessor of Surgery Medical Treatment DR. WILLIAM T. FOLEY Associate P rofessor of Clinical M edicine, Chie f of Vascular Clinic Cornell University M edical College S urgical Approach DR. SIGMUND A. WESOLOWSKI Clinical Professor of Surgery Downstate M edical College Brookly n, N ew York R eha bilitation DR. WILLIAM H . GEORGI, '43 Assistant Clin ical P rofessor of M edicine ( R ehabilitative Medicine) 3:30- 4:00p.m. Coffee Break 4: 00- 5:30p.m. CEREBRAL VASCULAR DISEASE Moderator : DR. WILLIAM R. KINKEL, '54 Clinical Instructor in N eu rology Medical Approach DR. WILLIAM T . FOLEY Neurological Approach DR. BERNARD H . SMITH Professor of N eurology S u rgical Approach DR. SIGMUND A. W ESOLOWSKI R eh abilitation DR. WILLIAM H . GEORGI, '43 Moderator: DR. J. FREDERICK PAINTON, '27 A ssociate Clinical Professor of M edicine Metabolic Factors DR. MICHAEL F . BALL Instructor, Department of Medicine Georgetown University, School of M edicine M edical Approach DR. GEORGE F . KOEPF, '37 Assistant Clinical Professor of M edicine P ediatric Approach DR. THOMAS ACETO, JR. (Adolescent Obesity) Assistant Professor of P ediatrics 10: 45-11: 15 a.m. Coffee Break 11:15-12 :30 p.m. Psychiatric Approach Surgical Approach 12: 30- 1:00 p.m. 1: 00- 2:00 p~m. DR. JIMMIE C. HOLLAND Assistant Clinical Professor of Psychiatry DR. R UPERT B . TURNBULL, JR. H ead, D epartment of Colon and R ectal Surgery Cleveland Clinic, Cleveland, Ohio Business M eeting(to include vote on revised Constitution) Luncheon (Faculty Club) 6:00p.m. 24 I FIFTIETH CLASS REU NION DINNER THE BUFFA LO M ED ICAL REVIEW �t Buffalo Alumni Spring Clinical Days ; Common m.Jical ProtlemJ" SATURDAY, MARCH 18, 1967 . .. ~rogram Conference Theater 9 : 00-10:30 a .m. 12:30- 2 : 45p.m. IMMUNIZATION Moderator: DR. EDWARD F. MARRA Professor of Preventive Medicine Patterns of Immunization Practice DR. WARREN WINKELSTEIN, JR. Professor of Preventive Medicine Current Immunization Practice DR. DAVID T . KARZON Professor of P ediatrics Public Health Aspects of Immunization, Travel DR. WILLIAM R. ELSEA Clinical Instructor in Preventive M edicine Current Status of Immunizing Agents in the Course of Development DR. E. PETER ISACSON Associate Professor of Preventive Medicine 10:30-11:00 a .m . Coffee Break 11: 00-12: 30 p .m. MANAGEMENT OF ACUTE LIVER FAILURE Mode rator: DR. WILLIAM F. LIPP, '36 A ssociate· Clinical Professor of M edicine SPRING, 1967 M edical Approach DR. FENTON S CHAFFNER P rofessor of Pathology and Associate Pro fessor of M edicine, Mt . Sinai S chool of M edicine Surgical Approach DR. THEODORE DRAPANAS, '52 Professor of Surgery, University of P ittsburgh School of M edicine Laboratory Diagn osis DR. JAMES P . NOLAN Assistant P rofessor of M edicine UB MEDICAL ALU MNI ANNUAL L U NCHEON and STOCKTON KIMBALL MEMORIAL LECTURE Medical E ducation Tomorrow by DR. W . CLARKE WESCOE Chancellor U niversity of Kansas 3:00- 4:30p.m. MANAGEME NT OF ACUTE MEDICAL EMERGENCIES (Eight-10 minute pa pers) Moderator: DR. JOHN J. O'BRIEN Assistant Clinical Professor of Medicine Obstructed Airway DR. ROBERT J. DEAN, '47 Clinical Instructor in Anesthesiology Pulmonary Embolism DR. GEORGE S CHIMERT Associate Professor of Surgery Cardiac Arrest DR. J ULES CONSTANT Assistant P rofessor of Medicine Acute Glaucoma DR. CHARLES H. ADDINGTON Assistant Clinical Professor of Surgery (Ophthalmology) Acute Urinary DR. EUGENE M. SIGMAN, '52 Retention A ssistant Professor of Surgery (Urology ) Acute Anaphylactic DR. FRANCIS E. EHRET, '37 Shock Assistant Clinical Professor of Medicine Acute Renal Failure DR. JOHN W . BOYLAN Associate Professor of Medicine Acute Emotional DR. LAURENCE BEAHAN, '56 D isturbance Assistant Clin ical Professor of Psychiatry 25 �· ----~---- --- - - - -- - - - - Bench Marks -continued Letter from Sir William Osler to Doctor Charles G. Stocl~ton L ~ft.· 13, NORHAM GARDIN8, OXFORD. Atyv. f) vt...... f I ;;dL (,__ J..-.-f_ ~ ~ l l.A.-'- ~ ~ ~- 51~. 'Jr._~~­ /rrrfl M- :r-t.....- J ~)vN.. 6- ~ ~ Lu-J"'-- ~ ~~-~~­ ~.~~~ ~L (/>.__ 26 ~- f~~ u.;;;- Jr.4.. f /~ THE BUFFALO MED ICA L REV IEW - - - - - �Our last two low-altitude bench marks were placed in the 1920's. The first was an offer, frequently rumored but not officially confirmed, of 2 million dollars in 1920 by the Rockefeller Foundation, for a full-time staffed medical school in Western New York if similar matching funds were provided locally. Rumor has it that the school and city rejected the offer which was promptly accepted by the University of Rochester. The second unfortunate event occurred in 1926 when Lucien Howe, son of a first lieutenant in the Second Dragoons, later named the 2nd Cavalry, had participated in the Indian Wars of the Southwest. Howe attended Bowdoin College, spent a year at Harvard, and completed his studies at the proprietary schools of Long Island College Hospital and Bellevue Hospital Medical School. Postgraduate education was carried out under Lister at Edinburgh, and Helmholtz and Zuntz in Berlin, which led to membership in the Royal College of Surgeons. Howe gave some thought to joining the British Medical Service in India, but instead came to Buffalo in 1874 and did not leave until 1926, more than 50 years later. His training was excellent-the best of his day-and he grew to be an outstanding ophthalmologist, publishing a number of papers, and serving on the editorial staff of the American Journal of Ophthalmology. His most pretentious treatise was a two-volume work on muscles of the eye, published in 1908-1909.32 He pioneered in the prophylaxis against ophthalmic neonatorum, and crusaded in support of the education of nurses to u se silver nitrate in the eyes of the newborn. He served on the Section of Ophthalmology of the American Medical Association, and before leaving Buffalo he set up funds for two 32. Howe, L. : The Muscles o f the Eye ( New York and london : G. P. Putnam's Sons, Vol. 1, 1907, Vol. 2, 1908) . SPRING, 1967 medals, one for the Section of Ophthalmology of the American Medical Association and the other to be awarded by the University of Buffalo.~ 3 Now comes the sad part. After practicing for 50 years in Buffalo, Howe, well- to-do from his practice and having an affluent wife, offered Buffalo a substantial sum of money for the construction of a research laboratory in ophthalmology, providing Buffalo would m atch the funds . Buffalo turned the offer down, but when Harvard was given the opportunity the University responded, and in a short time the Howe Laboratory at the Massachusetts Eye and Ear Infirmary, and staffed by the Ophthalmology Department of Harvard Medical School, became one of the best eye laboratories in the world and one of the most heavily endowed. The original bequest of $250,000 by the Howes was supplemented by a similar amount from Harvard and later enriched by the Howes. We now move into the current era noting that Stockton Kimball was a member of the famous Class of 1929, with George Thorn, Max Lockie, Frank M yers, and Victor Cohen, to mention only a few of his associates. Time is forever, yet time does not exist, it is only the events along the way that are alive, and h ave meaning, and generate tender memories or bitter recollections. You are members of the Alumni Association of a Medical School with a distinguished past and an awesome future. I think the passage from Eugene O ' Neill's Strange Interlude is appropriate to conclude these remarks in honor of a loyal friend, Stockton Kimball : The only lively life is in the past and future. The present is an interlude, strange interlude, in which we call on past and future to bear witness we are living. 33. Vail , D.: " Lucien Howe- The Laboratory in Experimental O phthalmology," A mer J Ophth, 55: 261-278, 1963. 27 �SELECTED SUPPLEMENTARY BIBLIOGRAPHY BY FACULTY MEMBERS AND OTHER PERTINENT REFERENCES Howe, l. : Unive rsal Military Education and Serv ice: The Swiss S ystem for the Unite d States (New York a nd London : G. P. Putnam 's Sons, 1916) . Benedict, A. l. : Why We Are Men and Wo me n ( New York: Ross, 1929). Howe , l.: A Bibliography of Hered itary Eye Defects ( Cold Spring Harbor, Lo ng Island , New Yo rk ; Eugen ics Rec. O ffice , Bul l No . 2 1, 1921 ). Bridge, E. M.: Epilepsy and Convulsive Disorders in Children ( New York : McGraw-Hill, 1949). Kle ndshoj, N. C. : Fund amentals of Biochemistry in Clinical Medicine ( Sp ringfield, Ill : ( Cha rles C. Thomas, 1953 ) . Casagrande, P. A., and Frost, H. H. : Fu ndamen tal o f Clinical Orthopedics (New York : Grune & Stratton, 1953 ) . Flint, A. : The Re ciprocal Duties and Obligations of the Medical Pro fe ssion and the Public; a Pub lic Introductory Le ctu re De live red at the Rush Medical Colle g e (Chicago : Z. Ea stmen, 1844 ). Flint, A.: Clinical Reports on Continued Fever ( Buffalo: Geo. H. Derby and Co., 1852). Flint, A. : Clinical Report on Dysentery (Buffalo : Jewe tt, Thomas and Co., 1853) . Flint, A. : Resume d e Reche rches Cliniques s ur Ia Fievre Continue, Ia Dipsente rie, Ia Ple uresie Chron ique, et sur le s V ariations du Ton d ans les Sons Fo urnis par Ia Pe rcussion e t par /'Auscultation ( Pa ris : H. Bossange et Fils, 1854 ) . Flint, A. : Physical Exploration and Diagnosis of Disea se Affecting the Respiratory Organs (Philadelphia: Blanchard and Lea, 1856) . Flint, A. : Compendium of Percussion and Auscultatio n, 2nd e d (Buffalo : Wm. Wood & Co., 1865). Record of a Se rvice Conducted in Me mory of Walter S. Good al, M.D. (Nov 23) 1941 , Board of Manag e rs, f . J. Me yer Me m orial Hospital (privately printed, Kle inhans Music Hall, Buffalo : 1941 ). Hamby, W.: The Hospital Care of Neurosurgica l Patie nts ( Springfield, Ill : Charles C. Thomas, 1940) . Hamby, W. : Intracranial Aneurysms (Springfield , Ill : Charles C. Thomas, 1948 ) . Hamby W. B. : The Case Re ports and Autopsy Records of Amb ro ise Pare (Springfield, Ill: Chares C. Thomas, 1960) . Hamby W. B.: Surge ry and Amb roise Pare ( Norman: Unive rsity of Oklahoma Press, 1965). Hawes, E.: Proud Vision (New York: Crowel l, 1964 ) . Howe, l.; Stoddard, E. V.; a nd Noyes, H. D.: Report of the Committee o f New York Sta te Medical Socie t y on the Ca uses a nd Pre ve ntion of Blindne ss, New York: 1889. 28 Krauss, W. C.: The N eed of a Medical Lib rary in Buffalo, Medical Lib ruy and Historical Journal 3 : 127-140, 1905 . Long, E. H. : University o f Buffalo History 1846- 1904, Departments of Me dicine, Ph armacy, Law, Dentistry, and Ped agogy ( p riva te ly p rinted, Buffalo, 1914 ) . Mann, M.D. : Ma n ual of Pre scription W riting, ( New York : G. P. Putnam's Sons, 1878, 1907, 3rd e d , 188 1, 4th e d , 1886 ) . Neier, E.: Med ical Microbiolo g y for N urses ( Phi lade lp hia : Davis Co., 1949 ) . Pa rk, R. : An Epitom e o f the History of Medicine, Base d Upon a Co urse of Lecture s De livered in th e Un iversit y of Bu ffa lo ( Ph ilade lphia, Ne w York ( etc.): Davis, 1898, 2nd ed, 1899) . Park, R. : The Principle s and Practice of Mod e rn Surgery ( Philade lphia and Ne w Yo rk: Le a Bros., 1907). Stockton, C. G.: Ro swell Park - A Memoir ( re p rinted from publica tions of the Buffa lo Historical Socie ty, Vo l XX II, Buffalo : 191 8 ). Ta lbott, J. H., and Fe rrandis, R. M. : Collage n Disease s ( New Yo rk: G rune & Stra tto n, 1956 ). Talbott, J. H.: Gout ( New Yo rk: Grune & Stratton , 1957). Ta lbott, J . H. , and Lockie , l. M. : Progre ss in Arthritis ( New Yo rk : G rune & Stratton, 1958 ) . Walsh, J . J .: History o f Me d icine in New York - Three Centuries o f Med ical Progress ( Ne w York: Natio nal Americana So cie ty, Inc., Vo ls 1-V, 19 19 ) . Walsh, T. J . : Record of a Se rvice Conducted in Me mory of Ed w ard J. Me yer, M.D. ( p riva tely p ubl ished, 1935 ) . Willia ms, H. : Ma nual of Bacteriolo g y ( Phil ad e lphia : Bla kiston, 1898, 2nd e d , 190 1; 3rd e d , 1903; 4th e d , 1906; 5 th e d , 1908 ) . THE BUFFALO M EDICAL REVIEW �of a $300,000 grant, the Regional Medical Program for the Western New York area was launched. The National Institutes of Health awarded this grant on December 1, 1966 to the Research Foundation of the State University of New York. As coordinator Dr. Douglas M. Surgenor, dean of the School o.f Medicine, holds the responsibility for developing a local program which meets the objectives of Public Law 89-239 (The Heart, Cancer and Stroke Act of W r T H THE AWARD ~,.- ' : Genesee l.--I 1wyoming I I I 1Chau~auqua I Erie, Pa. I 1965). What Are the Objectives of This New Law? As stated in this Legislation: I I I Cattarauc:JUS I Allegany I I I I L-~--------------------------&---------The Regional Medical Program for the Western New York Area SPRING, 1967 ~~~~~-~------------- ---~---- (a) through grants to encourage and assist in the establishm ent of regional cooperative arrangements among medical schools, research institutions, and h ospitals for research and training (including continuing education), and for related demonstrations of patient care in the fie lds of heart disease, cancer, stroke, and related diseases. (b) to afford to the medical profession and medical institutions of the nation through such cooperative arrangements the opportunity of making availa ble to their patients the latest advances in the diagnosis and treatment of these diseases. (c) by these means to improve generally the h ealth manpower and facilities available to the nation a nd to accomplish these ends without interfering with the pattern or the methods of financing of patient care or professional practice over the administration of hospitals and a cooperation with practicing physicians, medical center officials, hospital administrators, and representatives of appropriate voluntary health agencies. This legislation was necessary in view of the n eed to close the gap between the discovery of new knowledge in the laboratory and its applications to the patient at the bedside. The critical problem facing the medical profession today is how to make the great advances in the diagnosis and treatment of heart, cancer, and stroke quickly accessible to th e practicing physician. 29 �What Is a Regional Medical Program? The Regional Medical Program is defined as ... a cooperative arrangement among a group of public or nonprivate institutions or agencies engaged in research, training, diagnosis, and treatment relating to heart disease, cancer, or stroke. Such a program must be situated within an appropriate geographic area composed of a section or sections of one or more states, and consist of one or more medical, hospital, and clinical research centers with an adequate cooperative arrangement among the various compon~nt units. Full utilization of our existing facilities and trained manpower, with economy and efficiency through improved community planning, will serve to augment rather than duplicate these services. Education and training, supported by this law, provides an opportunity not only for improved and expanded programs of continuing medical education for the practicing physician, but for individualized training programs in allied health professions that are essential to the physician. How Did Our Regional Medical Program Develop? Following testimony at the 1964 Congressional Hearings of the proposed bill (initiated from the report of the President's Commission on Heart, Disease, Cancer, and Stroke under the chairmanship of Dr. Michael E. DeBakey), Dean Surgenor returned to Buffalo to call together the forces needed to establish a regional medical program. An Interim Coordinating Committee, composed of key people concerned with health and health care operations, was formed to study the bill and to suggest ways in which Western New York could develop such a program. 30 The group, under the chairmanship of Dean Surgenor: DR. GEORGE MooRE, Director, Roswell Park M emorial Institute DR. EvAN CALKINS, Chairman, Department of Medicine, SUNY AB DR. RoBERT AusMANN, Director, Health Research, Inc. DR. WILLIAM E. MosHER, Erie County Health Commissioner DR. LAVERNE CAMPBELL, Western N ew York R egional Health Officer, New Yo rk State Department of Health DR. HERBERT E . JoYcE, Past President, Medical Society of the County of Erie In January, 1966 this committee called together representatives from the medical, hospital, and other health related professions, and practicing physicians, as well as voluntary health agencies. These interested people were to represent the eight-county region to be covered by this program (Allegany, Cattaraugus, Chautauqua, Erie, Genesee, Niagara, Wyoming, and the county of Erie in the Commonwealth of Pennsylvania). From each county came the health and hospital commissioner, the medical society representatives, chairman of the Board of Supervisors, the hospital administrators, and the American Cancer Society and Heart Association chairman. Social welfare agency, public health, and nursing representatives, as well as education personnel were also present. Each represented a vital area to be covered by the program. This group, originally invited to participate in the formation of the program, evolved into the Regional Advisory Group. This was no simple task. For the first THE BUFFALO MEDI CAL REVIEW �time in the history of Western New York, an assemblage from the above groups met with a common objective. In an atmosphere paralleling that of a town meeting, all forces presented their particular point of view. As the day wore on, there was a most unique spirit of understanding and cooperation. It was unanimously agreed, it is the patient who must benefit from the law. Wholehearted support was expressed for a regional medical program for Western New York. Several meetings were held by the group during the spring of 1966. The outcome of these meetings-the formation of a new nonprofit organization called Health Organization of Western New York, Inc.-to serve as the advisory body which must approve all features of the proposed regional medical program as it develops. Incorporated into the initial grant application was their proposed six-point planning program: • a coronary care unit feasibility study • the feasibility of multiphasic screening in Western New York • health care team planning • a medical communications study • a planning survey for a local consultation program • a health care manpower survey Planning this comprehensive and coordinated regional medical program proved to be a tremendous challenge. Constantly in the forefront was the goalto develop a sound and workable proposal. This necessitated cooperative participation by all concerned. Implementation of the program will require the employment of skilled medical personnel as project directors. To house this center, offices have been established at the School of Medicine Main Street Division, at 2211 SPRING, 1967 Main Street, Buffalo (formerly the Chronic Disease Research Institute). The program will be supervised from this office, but projects will radiate out into the total region. It is anticipated that community hospitals will serve as the focus for diagnosis, treatment, education, and training. Special services and consultations will be available through the Medical Center. The success of such a program hinges on improved communication among all participants to meet the continual needs of the region. How Will the Program Benefit the Practicing Physician? As stated one of the main objectives of this law is to mak e readily available to the practicing physician the latest adv ances in the diagnosis and treatment which will in turn be passed on to his patient. As a regional medical program develops, this is accomplished by providing the physician with both information and services through approved and expanded programs in the field of continuing education and in the form of new communication techniques. Many new services will undoubtedly develop from future technical and scientific progress. The practicing physician will also benefit from the development of expanded programs in the allied health professions. At present the principal activity of the Regional Medical Program is one of planning. Through participation and cooperation in this planning, the practicing physician will have an opportunity to define his needs, and thereby play an active role in the development of a future regional medical program. (Continued on Page 45) 31 �From the desk of and privilege of being a Medical School alumnus and president of the General Alumni Association, I feel doubly happy to participate in the inauguration of this new publication. We wish it great success. HAVING THE DUAL HONOR Stuart L. Vaughan, M.D. '24, president, General Alumni Association The first alumni of our University were Medical alumni, and the backbone of alumni organization for many years has been the associations of the individual schools. The activities of these school associations have been and still are of paramount importance not only to the individual schools but for the University. We all take deep pride in their promotion of financial help, scholastic achievement, community success, and extracurricular events, many of which have earned wide acclaim. These school associations, and a variety of area clubs and special groups, continue to func tion in ways best suited to their types of membership. The policy of the University and its administration is to strengthen University loyalty without weakening loyalties to any department or division. At the same time, the need for an organization that cuts across departmental divisional lines has grown in a fashion that provokes the growth of our whole school. It is obvious that numerous alumni functions involve the general body of alumni and the adminis- 32 tration, broad development, sponsorship of area clubs and special purpose groups, athletics, and social activities for alumni, fac ulty, students, and administration . Financial support, public relations, and wide community utilization of intellectual talents in our faculty makes an organization that encompasses all of the alumni. Thus the General Alumni Association with its General Alumni Board and its Execu tive Committee has developed and grown in importance year by year. Every departmental, divisional area, and special club is organized according to a few basic rules. They are automatically members of the Alumni Association. To help this General Alumni Association and all other alumni organizations, we have several University and Alumni offices and bodies whose major functions pertain to affairs of all the alumni. And so our basic membership of some 33,000 alumni and a few collected groups of veteran faculty, administration, and special friends, together with the various departmental associations and special clubs, constitute a great alumni body and one of tremendous potential for the future . We offer our support to your publication and the University divisions it represents, and in turn we solicit reciprocal support for a strong General Alumni Association. • THE BUFFALO MEDICAL REVI EW �APFME The Physician s Voice 7 THE ANNUAL PARTICIPATING FuND for Medical Education has always served as the "voice" of the APFME physician. It speaks for him to the School of Medicine and to the University. In this period of great change in medicine, with emphasis on the improvement of patient care, area medical staffs have a very real concern about their future, and the University is anxious to explore with each of these hospitals ways in which their goals can be advanced without loss. The APFME was instrumental in getting the cooperatively-developed idea of the Medical School/ Community Hospital Luncheon Series underway. Invitations forwarded by the Medical School to the group's hospital membership list invited participation on a voluntary basis. It was stressed "the purpose of these discussions would be to provide communication between the Medical School and the hospitals on any matters of importance to either one that might involve the other." It further stated "the discussion would not be programed but the channels will be open for any suggestions." If a specific discussion revealed a problem that would necessitate additional consideration, " in such a case, Dean Surgenor would be most anxious to arrange to continue the discussions." The first of such luncheons, held on November 17th in the Dean's office, included representation from th e Kenmore and South Buffalo Mercy Hospitals. Because of their relations and mutual affiliation with Georgetown University, it was felt that a joint luncheon would prove most advantageous. Delegates from these hospitals included presidents of staff, Drs. John M. SPRING, 1967 Donohue, and John J. Banas. Also present were Dr. John M. Ambrusko, a driving force behind the luncheon series, and APFME president, Dr. John J. O 'Brien. Key personnel invited by the Dean whose Medical School areas might be involved in the discussion included Associate Dean Harry J. Alvis, Continuing Medical Education and Dr. John R. Paine, chairman of Surgery. Mutual problems covering shortages and training of manpower in allied health fields were explored. Also stressed were the advantages which accrue from the interaction between the medical student and the instructor at a community hospital, as well as the relationship between the intern/ resident and the attending physician. A wide-ranging discussion further revealed the reciprocal benefits derived from the Medical School/ Community Hospital relationship. The community hospital has something very "real" to offer the Medical School and, in turn, there are many ways in which the Medical School can aid in raising the level of medicine practiced in the community hospital. • Dean Surgenor hosts University Community Hospital medical staff luncheon �College Premedical Advisers Visit Campus ROOM begun several years ago, the Medical School hosted a group of premedical advisers representing twenty-three colleges. The purpose of the two-day meeting sponsored by the Annual Participating Fund for Medical Education and the Commission on Medical Manpower for Western New York was to familiarize the group with the School of Medicine to better equip them to advise students about the advantages of coming to Buffalo. The colleges and universities represented were: Amherst, Bowdoin, Brooklyn, Colby, Columbia, Hartwick, Hobart, Hofstra, Houghton, Kenyon, Manhattan, Queens, Rutgers, Syracuse, Temple, Tufts, Michigan, Notre Dame, Vassar, Wellesley, William Smith, and the SUNY colleges at Cortland and Fredonia. M r. Herbert S. Eisenstein, recently appoin ted as premedical adviser, represented the State University of New York at Buffalo. Each year admission applications are received from 1500 or more students at over 100 colleges and universities. With this diverse college background, and with the wide range of interests which premedical students pursue in college, the task of the Admissions Committee in selecting students is a difficult one. While college grades and Medical College Admission Test (MCAT) scores are important, the Admissions Committee relies heavily on the letter of recommendation from the college premedical adviser. When this adviser is well-informed about Buffalo, and particu larly when he is familiar with the progress of other students from his college at the Medical School, a much more meaningful relationship results. The two-day meeting began with a "give and take" session with the Admissions Committee, chaired by CoNTINUING A PROGRAM A counseling session (Continued on Page 45) 34 THE BUFFALO MEDICAL REVI EW �APFME Objectives THE ANNUAL PARTICIPATING FuND for Medical Education was organized in 1954 by a grou p of loyal alumni. Their expressed aim-to raise money from the medical alumni of the University to build up the basic science departments of the Buffalo Medical School. Their organization of other loyal alumni and practicing physicians resulted in contributions for improved medical education amounting to more than $800,000 since 1954. In 1959 APFME members contributed $97,106. Contributions over the past few years have continued at the level of $27,000 per year. The group's first efforts were concen trated on the recruiting and support of preclinical faculty . Prim arily through their effort, many outstanding instructors were attracted to th e Buffalo preclinical faculty. The Department of Biophysics was created through APFME fund s, and they were instrumental in bringing to Buffalo Dr. Fred M. Snell as its h ead . ( Continued on next page) Drs. Victor L. Pellicano, John ]. O'Brien OFFICERS EX ECUTIVE COMMITTEE : JoHN S. A M BRUSKO, MD'37; EDGAR C. BECK, MD' l9; M AR VIN l. BLoOM, MD'43; MAX CHEPLOVE, MD' 26; JoHN M . DoNAHUE, MD'43; KENNETH H. Chairman JoHN J. O '-BRIEN, MD'4 1 Ec KHERT, MD' 35; EDMOND G1cEw1c z, MD' 56; DoNALD W . HALL, MD'41; HARRY G. first Vice-Pre side nt MAX CH EP LOVE, MD' 26 LAFORGE, MD' 34; THURBER LEWIN, MD'2 1; G EORGE H. M ARCY, MD; LEO M ICH ALEK, Second V ice-President VICTOR l. PELLICANO, MD'36 MD' 30; JOHN J. O ' BRIEN, MD'41 ; VICTOR l. PELLICANO, MD' 36; BERTRAM A. PORT IN, MD' 53; WI LLIAM J. STAUBITZ, MD'4 2; RICHARD G. TAYLOR, MD' 30; PAUL M. WALCZAK, Secretary-Treasurer DoNALD W. HALL, MD'41 ADVISERS TO THE EXECUTIVE COMMITTEE : MD'46; FLOYD M. ZAEPFEL, MD'41. CHARLE S GoRDON HEYD, MD' 09; EX -OFFICIO : W ILLIAM J. O'CoNNOR, Ed.D.'61, Director, UB Founda tion; DouGLAS M. SuRGENOR, Ph.D., Dean of Medical Schoo l; PETER F. REGAN, M D, Vice-Preside nt f or WILLIAM J. ORR, MD'20; GRANT T. FISH ER, MD'25. He alth Affairs; C. J. YouNG, JR ., Ed.M.'60, Director of Alumni Affairs 35 SPR ING, 1967 ~--- - ~ ~~--- ----------~-~~-- ---- �APFME Objectives (continued) Added to their impressive list of accomplishments are continuing contributions to scholarship funds ($7,643 for 1966-67) and support for student summer preceptorships in general practice (14 recipients appended to the 1966 roster). APFME experimentation in the use of television for continuing medical education has resulted in the recognition of Buffalo as one of six national leaders in this field. Seed money donated by this group has attracted academic attention; the State University of New York has now assumed responsibility on a statewide basis for continuing medical education not only for the physician but for all health professions. To help alleviate the late arrival of scholarship monies for Buffalo medical students, a short-term loan fund has been established by APFME. "Basically," stated the current president John J. O 'Brien, "we hope to continue our successful projects, where necessary, initiate programs for the betterment of medicine through University and area physician participation, and continue to act as the liaison force between the two." Director of Medical Education at the Buffalo Mercy Hospital, Dr. O'Brien also heads its Department of Medicine. Among his other duties, he serves as clini- 36 cal associate at the Buffalo General Hospital, and on the Department of Medicine faculty at the Buffalo and Georgetown Medical Schools. A further channel to foster better communications between the medical profession and the University, and to encourage common growth of discourse among the membership at large was the creation of a public relations subcommittee. Chairman Max Cheplove, together with Donald Hall, Bertram Portin, and Marvin Bloom, will plan and execute the annual meeting as well as implement the family practice, preceptorships, open house, and continuing medical education programs. At the Annual Meeting held last fall, a new slate of officers was elected. Also on the agenda was a discussion of plans for study and implementation in strengthening the bridge with the University, and the improvement of medical education by imaginative support of education. " To insure a continued force for APFME," stated Dr. O'Brien, "we must make the student and more recent alumni aware o.f the existence and aims of APFME. In the past, students on APFME support scholarships have been guests at our meetings, and we hope to continue this policy." • THE BUFFA LO MEDICAL REVIEW �Dr. Irvine H. Page Addresses Convocation bigger than science. We shouldn' t look to science to unscramble our values-nor let it undermine our ideas of the purpose of life." That' s what a world-renowned cardiovascular scientist told 400 medical students at the annual convocation. The man speaking was Dr. Irvine H. Page, director of the Cleveland Clinic and past president of the American Heart Association. He is also editor-in-chief of Modern Medicin e. "Of course we should press every sector of science to dispel what uncertainty and mys tery we can," D r. Page said, "but we must remember that dependence on science can rob man of his religious underpinnings ." Nine academic awards were presented at the convocation: • The Annual Participating Fund for Medical Education Award, for outstanding achievement in the first year to Miss Madeline White. She also received the Wayne J. Atwell Anatomical Award for highest achievement in anatomy in the sophomore year. • Mr. Jonathan Reynhout received two awardsthe Wayne J. Atwell Anatomical Award for the highest achievement in anatomy in the first year, and the "LIFE IS A GOOD DEAL Roche Laboratories Award given for outstanding achievement during the first and second years of college. • The Farny R. Wurlitzer Award given for outstanding work in psychiatry during the junior year went to Miss Ellen Levine. • Mr. Sherman Souther won two awards-the Alumni Association Award for outstanding achievement in the third year, and the Children's Hospital Award fo r best demonstrated excellence in the ability to understand disease in childhood. • Mr. Lawrence Dobmeier won the Kornell L. Terplan Award for demonstration of the best knowledge of pathology in the sophomore year. This award was given by Dr. Terplan, professor emeritus of Pathology. • Mr. David L. Larson received the New York State Academy of General Practice Award for diligence in preparing and submitting an essay on the subject: " Role of the Family Physician in the Community." Dr. Page Inducted into Alpha Omega Alpha, National Medical Honorary Fraternity, were : Mr. Souther; Douglas Sirkin ; Donald E. Miller, and Albert Sullivan. • Future doctors are challenged by Dr. Page �A $96,000 Gift for Pharmacology Equipment A GIFT OF $96,000 from the James H. Cummings Foundation will be used by the University of Buffalo Foundation to purchase special equipment for the Department of Pharmacology in the Medical School. Dr. Douglas M. Surgenor, Medical School dean, said today that the gift is "the most significant private grant the Medical School has received since the university became part of the State University system." Dr. Cedric M. Smith is the new head of the Pharmacology department in the Schools of M edicine and D entistry. He came to Buffalo from the University of Illinois, where he was acting head of Pharmacology. H e succeeds Dr. DouglasS. Riggs, who resigned the chairmanship he had headed since 1954, to devote more time to teaching. He is on leave for two y ears. + The Cummings Foundation is a charitable, non-profit membership corporation set up under the will of the late James H. Cummings. Mr. Cummings, a manufacturer of pharmaceuticals, formerly operated laboratories and plants in Buffalo and Toronto, including the American Ferment Company in Buffalo. The latter was sold to Sterling Drug, Inc. Dr. Cedric M. Smith, newly-appointed chairman of the Department of Pharmacology, said that the Cummings grant is " a seed grant of great importance. With this we can do many things. This new program will broaden and strengthen the research and the research training in pharmacology." 38 The new equipment which it will purchase will be used for research and training in neuropharmacology-the study of the action of drugs on the brain, Dr. Smith' s major field of interest. " With this equipment," Dr. Smith said, " we can develop a variety of research programs, draw research funds from other sources, and attract persons from the U nited States and other countries to our training program." Charles H. Diefendorf is president of the Cummings Foundation. Other officers and directors are: Mr. Charles Cummings, vice president; Mr. Arthur E. Surdam, treasurer; Mr. W illiam E. Lytle, secretary; Mrs. James H. Cummings and Mr. Robert S. Scheu. Mr. F. Taylor Root is executive director of the Fou ndation. • Mr. F. Taylo r Root (le f t) congratulates D r. Cedric Smith. Th e painting of ]ames H. Cum m ings is in the background. �W. oF THE MEDICAL ALUMNI AssociATION oF the University feel privileged to participate in the publication of this new quarterly magazine which symbolizes the rapid growth and progress of our Medical School. This publication provides an opportunity for all of us to remain in closer contact with each other and with the university that provided us with our professional training, the preparation for our life's work. The Medical Alumni Association extends its best wishes and hopes for success. The Medical Alumni Association has always been in the vanguard of alumni affairs. This is only proper since the Medical School was the first college of that great institution which we now know as the State University of New York at Buffalo. It has provided the Western New York area with most of its practicing physicians; graduates of our school have gone on to achieve national success and recognition in every field of medicine. The Alumni Association itself was formally organized on February 22, 1915, University Day, when the Associated Alumni of all departments of the university were organized. Our Association serves as spokesman for approximately 3,000 living alumni of the Medical School. The officers and executive committee meet regularly each month to conduct the affairs of the Association. Much of the time is spent in planning for the annual Spring Clinical Days. These provide an opportunity for postgraduate medical education, bringing together outstanding authorities from everywhere in the United States. Moreover, the occasion provides an opportunity for renewing old fri,e ndships. A formal SPRING, 1967 From the desk of reunion meeting is held every five years for each graduating class. The major address of the Spring Clinical Days is the Stockton Kimball Memorial Address delivered by an outstanding figure in the field of medical education in the United States. This symbolizes our sincere interest in the progress of medical education at our Alma Mater. Frequently, we are asked to explain the purposes of our organization and the use of alumni dues. We are proud of our function in providing scholarships to medical students, particularly as it assists certain outstanding students to obtain a medical education which might otherwise be financially impossible. We hope and plan to extend our scholarship grants in the future. Also each year we present an award to the outstanding junior medical student. This award is presented at the annual Medical School Convocation in October. The president of the Medical Alumni Association also extends greetings to the senior class, just prior to graduation, on Class Day in June. This is an official welcome to the new alumni since every graduate automatically becomes a member of our association at that time. These activities of the Association symbolize our concern for and interest in the student body of the Medical School, as well as the Alumni group. Hopefully, this brief resume provides a summary of our activities and purposes. If past achievement is a signal of the future, we look forward happily to future contributions to the University, its Medical School, and the community in which we practice. We, of the Medical Alumni Association, stand ready as always to assist in every worthy endeavor to enhance the position of our School. • 39 Harold J. Levy, M.D. '46, president, �People in the News Athletic Hall of Fame Medallions for Dr. Gicewicz ... Dr. Edmond J. Gicewicz, '56, and Dr. Lester S. Knapp, ' 27, were among five new members inducted into the University of Buffalo Athletic Hall of Fame during Homecoming Weekend. The selections were made by the General Alumni Board, which established the Hall of Fame last year. Dr. Gicewicz is the athletic team physician. He earned three varsity letters in football and two in basketball. In 1950 he was voted the Gold Trophy Award as the grid team's most efficient offensive lineman. The following year he was named the best defensive back. He also set many pass catching records. Some of them still stand today. Dr. Knapp captained the 1925 team. He played halfback and fullback. He also served on the University Athletic Council for nine years. He was both assistant and freshman football coach for five years. • 40 Dr. Edwin Neter, professor of clinical microbiology and director of bacteriology at Children's Hospital, gave two addresses behind the Iron Curtain recently. He addressed the Ninth International Congress for Microbiology in Moscow. He also lectured twice in Hungary, at the Research Institute of Budapest and the University of Pees. Dr. Neter believes that the research scientists and physicians from the Iron Curtain countries are concerned with the same problems as American researchers. He also believes both groups are approaching the problem similarly. Dr. Neter found his colleagues in Russia and Hungary most cooperative. • Dr. Theodore H. Noehren, associate professor of medicine, returned recently from Finland where he spent six months as visiting Fulbright lecturer. Mr. Alan Salzman, a fourth-year student from Forest Hills, New York, worked with Dr. Noehren in the pulmonary function laboratory in Meilahti Hospital, the teaching hospital of the University of Helsinki, during the summer. • Two faculty members are studying abroad under Public Health Service fellowship awards: Dr. Noel R. Rose, '64, microbiology at the University of Lausanne, Switzerland ; and D r. DouglasS. Riggs, AG '65, pharmacology at Oxford University School of Medicine, England. Dr. Rose, an associate professor of bacteriology and immunology, is also director of the Erie County Laboratory. Dr. Riggs, chairman of the pharmacology department since 1954, is on leave. • THE BUFFALO MEDICAL REVIEW �People One of the first Ph.D. graduates in biophysics is studying at the Royal Institution, London. He is Dr. David J. Haas, a 1964 graduate. He has a post-doctoral fellowship from the Public Health Service. • Dr. Nathaniel Kutzman, associate clinical professor of Surgery (Urology), was honored at a special dinner by the Buffalo Urological Society. Dr. Kutzman is one of the senior members of this society. • Dr. J. Warren Perry is the new dean of the recently established School of Health Related Profession s of the Health Sciences Center. He came to the University from Washington, D. C., where he was deputy assistant commissioner, Research and Training, Vocational Rehabilitation Administration, Department of Health, Education, and Welfare. Dr. Richard Ament, '42, is the new president of the New York Society of Anesthesiologists. He is associate clinical professor of Anesthesiology at the University and attending anesthesiologist at Buffalo General Hospital. • Since its beginning in October, 1965, the School of Health Related Professions has been under the leadership of acting dean Albert C. Rekate. Dr. Rekate is associate dean and director of Clinical Services. • A native of Buffalo is the new dean of the School of Nursing at the University. She is D r. Ruth T. McCrorey, NRS ' 42, a graduate of the Buffalo City Hospital School of Nursing. Dr. McCrorey came to Buffalo from the University of Colorado, where she was an associate professor of nursing. She succeeds Miss Anne W. Sangbusch, who resigned in June of 1965, to devote full time to teaching. Miss Ruth E. Simpson has been acting dean in the interim. She will continue as assistant dean. Dean M cCrorey was chairman of the nursing department at Canisius College, worked at Millard Fillmore, Meyer Memorial, and Children's Hospitals. She also served in the U.S. Army Nurse Corps from 1945 to 1956. • SPRING, 1967 A former president of both the Erie County Unit and the New York State Division of the American Cancer Society is the new vice chairman of the national society's Medical and Scientific Committee. He is Dr. Glenn H. Leak, ' 40, associate professor of Surgery and Cancer Coodinator. • . .. and for Dr. Knapp (presented by Dr. Vaughan) . �People Dr. Lippes Dr. Lore A new center for the study of population and reproductive physiology is the goal of Dr. Jack Lippes. Dr. Lippes recently accepted a full-time appointment as associate professor of Obstetrics and Gynecology. Until the University Hospital is built on campus, he will establish headquarters at 210 Franklin Street. Undergraduate and medical degrees were earned at the University of Buffalo. His rotating and surgical internships completed at Meyer Memorial and Buffalo General· Hospitals were followed by a residency in Obstetrics and Gynecology at the University of Nebraska Hospital in Omaha. Dr. Lippes is on the staff of the Buffalo General, Children's, Meyer Memorial, and Kenmore Mercy Hospitals. He is medical director of the Planned Parenthood Center of Buffalo and is a consultant on family planning and contraception to the ministers of health of the governments of South Korea, Taiwan, Pakistan, Turkey, Tunisia, and India. Memberships include all major county, state, national, and international population-control organizations. Among the honors awarded Dr. Lippes are: Diplomate, American Board of Obstetrics & Gynecology, selection by the Buffalo Evening News as one of the "outstanding citizens of the year" in 1965, and recipient in 1965 of a WGR Community Service award in Science and Medicine. Dr. Lippes has contributed over 25 publications to journals in his field. His development of an intrauterine contraceptive device has been adopted in national birth control programs in the above-mentioned countries. After investigation, all of the important national and international organizations involved in birth control have 42 endorsed the loop as being both safe and effective. The Planned Parenthood Federation of America, The International Planned Parenthood Federation and the Population Section of W.H.O . are listed among the endorsers of the loop. • A new university-type residency in O tolaryngology, especially designed to serve community needs in training young surgeons in this field, is being designed by Dr. John M . Lore, Jr. He is the newly appointed professor of Surgery and head of the Division of Otolaryngology. Dr. Lore also plans to establish a Head and Neck Service which will be conducted in cooperation with the general surgeons and other surgical specialties involved in this sphere of surgery. This appointment represents the first full-time Head of Otolaryngology in the history of the Medical School. Dr. Lore came here from Suffern, New York, and New York City where he served on the staff of the Good Samaritan, St. Clare, and Tuxedo Memorial Hospitals, and the New York Medical College. Following undergraduate work at the College of the Holy Cross, he was awarded a medical degree at New York University, and had rotating internship and residency training at St. Vincent' s, St. Clare' s, and the Memorial Cancer Center in New York City. A U.S. Navy Commendation for chest X-ray work, Diplomate of the American Board of Otolaryngology {1954), and the American Board of Surgery {1956), Fellow of the American College of Chest Physicians, and the New York Laryngology Society are among the honors awarded him. He is president of the John THE BUFFALO MEDICAL REVIEW �People L Madden Surgical Society. Memberships held by Dr. Lore include Fellow of the American Academy of Ophthalmology and Otolaryngology, New York Cancer Society, American Medical Association, New York State Medical Society, James Ewing Society, Society of Head and Neck Surgeons, American Society for Head and Neck Surgery. He is the author of a book entitled Atlas of Head and Neck Surgery and has contributed over 60 publications and major presentations to journals and medical conventions. • Dr. Alice B. Murray, '37, is completing a 27-year association with the Buffalo Planned Parenthood Center. She was recently honored by the society for her years of service. She joined the staff in 1939. • Two alumni, Dr. Edmond J. Gicewicz, '56, and Dr. Charles F. Banas, '37, were honored by the Buffalo Medical Arts Society. Dr. Gicewicz was cited for his election to the UB Athletic Hall of Fame, and Dr. Banas for his appointment as Mercy Hospital Chief of Staff. Both doctors are members of the School of Medicine faculty. • Dr. Julian J. Ascher, '40, is president of the Western New York Society of Internal Medicine. Other officers: Dr. Milford C. Maloney, '53, first vice president; Dr. James F. Phillips, '47, second vice president; Dr. Ralph]. Argen, secretary-treasurer. Executive committee members are Dr. Norman Chassin, '45, and Dr. Harry J. Schweigert, '39. All of these physicians are School of Medicine faculty members. • SPRING, 1967 A Medical Partnership Six UNIVERSITY AND ERIE CouNTY officials discuss future medical partnerships. This involves cooperative planning and operation of the teaching hospitals complex on the Health Sciences Center campus. From left to right: Dr. Peter F. Regan, University vice president for Health Affairs; Dr. Douglas M. Surgenor, dean of the School of Medicine; Dr. L. Edgar Hummel, superintendent of Meyer Memorial Hospital; Dr. Samuel P. Gould, chancellor, State University of New York ; Mr. Martin Meyerson, president of the State University at Buffalo; and Mr. Edward A. Rath, Erie County Executive. 43 �UB Foundation Receives Gift The University of Buffalo Foundation received $20,000 of medical equipment and supplies from the Jeffrey-Fell Compan y of Buffalo. It is earmarked for the Foundation's " Project Good Samaritan" at the University of Asuncion Medical School in Paraguay. M r. Thomas H. Chittenden, President of the JeffreyFell Company, announ ced the donation includes an electrocardiograph, an autoclave, and other medical equipment, an tibiotics, pharmaceuticals, surgical instruments, dressings, surgical sundries, ointments, tablets, and injectables. • E i ght spring programs in Dean Surgenor, Dr. Cappil'llo, Mr. Lanza San Francisco Area Alumni Meet One of UB's oldest living alumni, Mr. Horace Lanza, LL ' 0 1, attended the San Francisco Bay area alumni meetin g in the fall along with 27 others. Mrs. Chapin Coit (Barbara Wheeler, A '47) was chairmanorganizer-host for the dinner meeting at The Barbary. The gettogether coincided with the Association of American Medical Colleges Conference. Dr. Douglas Surgenor, dean of the School of Medicine, spoke about the future of the University with emphasis upon the School of Medicine and the Health Sciences Center. Other UB representatives attending the dinner were-Dr. Marvin Bloom, director of Health Sciences Continuing Education, and Dr. Lawrence Cap- · piello, assistant to the Vice President for Health Affairs. • 44 Continuing Medical Education There are eight remaining programs in the Continuin g Medical Education Series (1966- 67) that ends May 27. They are : A nesthesia & Resuscitation Pediatrics The School A thlete & the School Physician Recent Advances in Chest Disease Digitalis : Its Use & Abuse Fractures & Related T rauma An esth esiology for An esth etists Cryobiology & Cryosurgery April l2, 13 20,21 28 May 3, 4 11, 12 1 7, 1 8 20 26,27 There w ere 12 other programs du ring the fall and winter under the direction of D r. Harry J. Alvis, associate dean for Con tinuing M edical Education. • THE BUFFALO M EDICAL REV IEW �Regional Medical Program Premedical Advisers (Continued from Page 31) (Continued from Page 34) What to Expect for the Future? Assistant Dean Philip Wels, '41, and ended with a look at the future of the new University Health Sciences Center sketched by Vice President for Health Affairs Peter F. Regan. In between, the advisers visited laboratories, classrooms, and hospital teaching sessions, saw a demonstration of new closed-circuit TV teaching techniques in dentistry, and discussed dental admissions with Assistant Dean Richard Powell, DDS '49. One of the highlights of the meeting was a scheduled private conference between individual advisers and students from their own college now in our medical school. The adviser from Columbia University, who met with 12 of his former students, commented afterwards: " It was my impression from the answers . . . that the students were quite pleased with the education received at Buffalo." The adviser was also impressed with the optimism expressed by students concerning the future of this school. Now that the Regional Medical Program for the Western New York area is actually underway-the Grant received, the Regional Advisory Group ready to function in its capacity, the initial planning project outlined and approved-the future is wide open for creativity and innovation based upon the needs of the area. Planning grants will enable us, as a region, to understand our resources, identify problems in the supply of manpower, and pinpoint areas in which further activity will be useful. The National Advisory Council has clearly stated that, following the establishment of a program center, a region may apply for operational grants. It is easy to see-there are no shortcuts in implementing a regional medical program to benefit an entire region. Much work, time, and thought must be devoted to each new project. Although the program concentrates on heart disease, cancer, stroke, and related diseases, these cover a broad spectrum of the major health problems. Always to be kept in mind is that this cooperative program leads toward a common goal-providing improved patient care. • SPRING, 1967 The largest delegation of medical students in each class continues to come from UB-14 students in the present freshman class of 100. Other colleges which send us consistently large numbers are Canisius (6), New York University (4), and Harpur (5). The group of colleges invited to send premedical advisers to Buffalo each year is deliberately varied to include both newcomers and old-timers on the Buffalo list. • 45 �President Meyerson's Inauguration, May 15 People The Inauguration of President Martin Meyerson will be Monday, May 15. He will be the University's lOth chief administrative officer. Dr. Clifford Furnas retired August 31, 1966 after 12 years as president. President Meyerson came to Buffalo from the University of California at Berkeley where he was dean of the College of Environmental Design and acting chancellor. • Dr. Donald W. Rennie, professor in the Department of Physiology, and a research career award recipient, is spending the current academic year at the University of Milano, Italy, working on underwater physiological stresses. A research assistant professor in the Department of Biophysics, Dr. Robert Spangler, the second recipient, is spending the academic year at the Weizmann Institute in Israel. • Dr. Jo~eph M. Smolev, '32, a Passaic, New Jersey obstetrician and gynecologist, opened an exhibit of sculpture at the Sculpture House Gallery in New York City. Dr. Smolev has won several first prizes with his oils, watercolors and sculptures in recent years. • Dr. Richard J. Kenline, M ' 47, is the new president of the medical staff and chief of staff at DeGraff Memorial Hospital, Buffalo. Other officers elected were: president-elect Dr. Norman Haber, M '43 ; vice president, Dr. George W. Fugitt, Jr., M '45 ; secretary of the staff, Dr. Leo]. Doll, Jr., M '38; and treasurer, Dr. G. Norris Minor, M '32. New Acting Dean Other reappointments: Dr. Harry J. Bylebyl, M '38, chief of Surgery; Dr. Paul Downey, M ' 36, chief of Radiology; Dr. Herbert Lansky, M '49, chief of Radiology; and Dr. Thaddeus F. Reszel, Jr., M '54, clinical department chief of General Practice. • Effective the first of this year, Dr. Donald R. Becker has resigned as assistant dean, Student Affairs. Dr. Harold Brody, professor in the Department of Anatomy, has accepted the appointment as acting assistant dean, Student Affairs, and will concentrate his efforts working with the Freshman and Sophomore classes. Dr. Theodore H. Noehren, associate professor in the Department of Medicine, has agreed to act as a special counselor to medical students in the Junior and Senior classes. • 46 The Past Presidents Association of the Erie County Medical Society elected Dr. Eugene J. Hanavan, M '41, president, and Dr. Elmer T . McGroder, M '21, as secretary. They will both serve one year terms. Dr. Hanavan is also assistant clinical professor of Orthopedic Surgery at the University. • THE BUFFALO MEDICAL REV IEW �lfu ilrmnrium Major Gary P. Wratten, '58, was killed by Vietcong mortar fire November 4 in a war zone in Tayninh Province, South Vietnam. He was physician-commander of a United States army field hospital. The 33-year-old physician was a head-and-neck surgeon from Silver Spring, Maryland. He had been assigned to South Vietnam in June, 1966 as commander of the 45th Mobile Army Surgical Hospital. Major Wratten received his bachelor's degree from Bethany College, Bethany, West Virginia. He entered the Army in 1958 and interned at Brooke General Hospital, Ft. Sam Houston, Texas. He was resident physician at Walter Reed General Hospital, Washington, from 1959 to 1963. He is survived by his wife, Shirley, and five children, his parents, and two brothers. • SPRING, 1967 Dr. E. Dean Babbage, '30, chief of anesthesiology at Millard Fillmore and Meyer Memorial Hospitals, died December 15, 1966. The 62-year-old doctor had been a clinical professor of anesthesiology at the School of Medicine and a consultant to the Veterans Hospital. Dr. Babbage held several high positions in local, state, and national medical organizations. Recently he was speaker for two years at the House of Delegates of the New York State Medical Society. He was a past president of the Erie County Medical Society and the New York State Society of Anesthesiologists, and second vice president of the American Society of Anesthesiologists in 1963. Dr. Babbage also belonged to the Buffalo Academy of Medicine and the American Medical Association. During World War II he was commissioned a commander in the Navy and served at the Bethesda Naval Hospital and the Great Lakes Naval Training Center. • 47 �...Annual _A-lumni Guropean :Jour 9 Counlriej - 21 ::ba'lj- IJQ_AC l<ound :lrip /rotn new '/jort Cu'J - $863.oo per perjon (First Class Hotel Accommodations with Private Bath) VISIT ENGLAND, HOLLAND, GERMANY, SWITZERLAND, LIECHTENSTEIN, AUSTRIA, ITALY, MONACO, AND FRANCE • 72 seats available on BOAC • Please send $50.00 deposit with each reservation (Reservations will be accepted in order of deposits received) • For further information please write: European Tour Alumni Office Norton Hall SUNYAB Buffalo, N.Y. 14214 48 THE BUFFALO MEDICAL REV IEW �Annual (jenera/ Alumni A,uocialion ~ance Saturday- May 20, 1967 Camelot Inn- 6: 30 p.m. Reserve the Date! Semi-Formal Exit 56- New York State Thruway Call the Alumni Office for details 831-4121 Alumni Board Executive Committee STUART l. VAUGHAN, '31 , President; WELLS E. '50, President-Elect; ALEXANDER P. AvERSANO, '36, Vice President for Administration; M . RoBERT KoREN, '44, Vice President for Development; Guv R. YANNELLO, '53, Vice President for Associations and Clubs; MICHAEL GUERCIO, '52, Vice President for Activities and Athletics; W ILL IAM G . BRAUN, JR., '51 , Vice President -for Public Relations; RICHARD C. SHEPARD, '48, Immediate Past-President; LUKE C. OwENS, '51, Treasurer. The Genera/ KNIBLOE, �THE BUFFALO MEDICAL REVIEW STATE UNIVERSITY OF NEW YORK AT BUFFALO 3435 MAIN STREET, BUFFALO, NEW YORK 14214 Non-Profit Org. U.S . Postage PA ID Buffalo, N . Y. P ermit No. 311 � Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo Physician Magazine Description An account of the resource <em>The Buffalo Physician</em> (formerly the <em>Buffalo Medical Review</em>) was published quarterly by the State University at New York at Buffalo School of Medicine and Biomedical Sciences and the Office of Publications. The magazine informed its alumni, friends and community about the school’s pivotal role in medical education, research and advanced patient care in our region. Identifier An unambiguous reference to the resource within a given context LIB-HSL008 Subject The topic of the resource State University of New York at Buffalo. School of Medicine--Periodicals Medical colleges--New York (State)--Buffalo--Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo medical review Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Document A resource containing textual data. Note that facsimiles or images of texts are still of the genre text. Dublin Core The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/. Title A name given to the resource Buffalo medical review, Spring 1967 Subject The topic of the resource State University of New York at Buffalo. School of Medicine -- Periodicals Medical colleges -- New York (State) -- Buffalo -- Periodicals Publisher An entity responsible for making the resource available State University of New York at Buffalo. School of Medicine Robert L. Brown History of Medicine Collection Date A point or period of time associated with an event in the lifecycle of the resource 1967-Spring Contributor An entity responsible for making contributions to the resource State University of New York at Buffalo. School of Medicine Relation A related resource MicFilm LD701 .B42 M5 no.267 Format The file format, physical medium, or dimensions of the resource application/pdf Language A language of the resource eng Type The nature or genre of the resource Text Still Image Identifier An unambiguous reference to the resource within a given context LIB-HSL008_1967-01-Spring Table Of Contents A list of subunits of the resource. From the Dean "Bench Marks" by John H. Talbott, M.D. Spring Clinical Days Regional Medical Program General Alumni Association APFME and the Physician Premedical Advisers Visit Campus APFME Objectives Student Convocation Pharmacology Grant Medical Alumni Association People in the News European Tour Alternative Title An alternative name for the resource. The distinction between titles and alternative titles is application-specific. Buffalo physician Date Created Date of creation of the resource. 2017-08-10 Is Part Of A related resource in which the described resource is physically or logically included. Buffalo Physician Magazine LIB-HSL008 Is Version Of A related resource of which the described resource is a version, edition, or adaptation. Changes in version imply substantive changes in content rather than differences in format. v01n01 Extent The size or duration of the resource. 52 p. Spatial Coverage Spatial characteristics of the resource. New York (State) -- Buffalo Is Format Of A related resource that is substantially the same as the described resource, but in another format. Journals and magazines (periodicals) Rights Holder A person or organization owning or managing rights over the resource. Available for use. Source material in the public domain. Rights Information about rights held in and over the resource <a href="http://rightsstatements.org/vocab/InC-EDU/1.0/">IN COPYRIGHT - EDUCATIONAL USE PERMITTED</a>. This Item is protected by copyright and/or related rights. You are free to use this Item in any way that is permitted by the copyright and related rights legislation that applies to your use. In addition, no permission is required from the rights-holder(s) for educational uses. For other uses, you need to obtain permission from the rights-holder(s).