Duke University School of Medicine - Aesculapian Yearbook (Durham, NC)

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EF ahinlugp fi ,. 1 , ' .P v V i X , : 3 Vvly, - f If R. J. Reeves G. J. Baylin ..i...... f F11- -1 1 W . . , 'Q ' cum-x.c,f X ..... d FQ - .2 ft . ...... l' X 1, . at c 7 i -1 .M cu, 1 f 4 z mf, ,.1-ua-. 1 Q 42, i V 4 sf 52912 ,,., I.: The x-ray department was opened in May, 1930, with 2 x-ray diagnostic rooms and one x-ray treatment room. None of the equipment was shock proof and an occasional electric shock was received. A small amount of radium was owned by the hos- pital and in 1941 a loan from the U. S. Public Healt.h Service increased the amount so that today the hos- pital has 650 milligrams of radium. The x-ray department made rapid growth at the beginning of World War II and by the end of the war many people and doctors were x-ray minded and physical examinations were considered incomplete without x-ray studies. Chest x-rays were considered an essential in detecting early disease. Barium study of the gastro-intestinal tract is also one of the oldest of x-ray studies. Gall-bladder studies have now been perfected to almost 100 per cent accuracy. With increasing specialization, the x-ray has steadily played an increasing role in aids to diagnosis. The increasing demand for x-ray has necessitated all physicians knowing more and more about the sub- ject. This increase in service required more equipment. 28 fi 3' my The Urology Service was increased to 3 x-ray units. The outpatient clinic x-ray was set up adjacent to the Medical Clinic and 3 complete x-ray rooms were opened. In 1942, with the aid of the State Board of Health, a Photoroentgen Chest Unit was installed and all outpatients receive a stereo chest film. The Resident Staff increased from one at the be- ginning to eight and, with the opening of the Veterans Hospital, the quota was increased to twelve. The x-ray technicians' school was begun in the early years and has continued to grow. A large num- ber of technicians throughout the South received their training here. Student roster shows people from many states entered for training. World War II brought increasing interest in isotopes and the use of atomic energy. The research isotope laboratory was moved to the Bell Research Building and a clinical, diagnostic and radiotherapeutic labora- tory was organized by the department of Radiology. An extensive research program is also underway, collaborating with various clinical services. A bio- physicist was added to the department in 1953. Ros:-:RT J. REEVE5, M.D. il

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at-. 'Q f. 1 , 5. N V 'e H V When the hospital opened in 1930 we had almost unlimited facilities tbeds, operating rooms, and research spacel, but a very limited senior staff: Drs. Alyea CUrologyD, Shands COrthopaedicsJ, Eagle fOtolaryngology D , Anderson COphthalmologyD, and Hart CGen- eral, Thoracic, Plastic and Neurosurgeryh. The residents for all of Surgery consisted of Drs. Gardner CResidentD, Jones and Baker tAssistant Residentsl, and Ziv tlnternl. Miss Batchelder was operating supervisor, and Miss Muller nurse anesthetist. Dr. Gardner joined the senior staff in 1932, Dr. Jones in 1933,.Dr. Fink in 1934, and Drs. Beard CExperimental Surgeryb and Woodhall CNeurosurgeryD in 1937, the year that Dr. Shands was replaced by Dr. Baker in Ortho- paedics. Dr. Dees CUrology7 came in 1939, Dr. Sharp in Biophysics in 1940, Dr. Arnold COtolaryngologyl in 1941, Dr. Jones was killed in 1941 by a paranoid patient, and Dr. Grim- son CGeneral Surgery! came in July, 1942. The death of Dr. Jones, the mobilization of Base Hospital 65 in July, 1942, the illness of Dr. Beard, the resignation of Dr. Fink, and the entry of Dr. Woodhall into the armed services came near wrecking the surgical service. Only Drs. Alyea, Dees, Eagle, Ander- son, Baker, Grimson and Hart were left on the senior staff. Dr. Odom fNeurosurgeryD and Dr. Lovell CGeneral Surgery? joined the staff in 1943, and Dr. Pickrell fPlasticJ in 1944. All worked hard to carry on the teach- ing load and care of patients, and by the end of the War had built up a large research and rehabilitation fund to be used in rebuilding the department. Dr. Trent CThoracicJ joined the staff in 1945, Dr. Sealy CGeneral, and later Thoracicl in 1946, Drs. Shingleton CGeneral Surgery? and Goldner fOrthopaedicsJ in 1950, Dr. Boone CUrol0gyJ in 1952. Dr. Semans iUro10gyl in 1953, Dr. Georgiade QPlasticD in 1954, and Drs. Anlyan CGeneral Surgeryb, Brown CGeneral Surgery and Blood Bankb and Peete CGeneral Surgery and Assistant to the Deanl in 1955. There have been a number of additional men who have worked for a year or two and have then gone elsewhere, and several who have been on a part-time status. Drs. Collins, Connar, Emlet, and now Postlethwait, in General Surgery, and a number of additional men in the surgical specialties, have held joint appointments at Duke and the affiliated Vet- erans Hospital. Dr. Ruth Martin started the Physicians Anesthesia program in 1945, and Dr. Barreras was our only assistant resident in Anesthesi- ology during the first few years. Dr. C. Ronald Stephen took over the direction of the Anes- thesia Division in 1950 and now has a staff of 5 Physician Anesthetists and 13 assistant resident and resident anesthetists at Duke and the Veterans Hospital, in addition to 7 Nurse Anesthetists and 13 nurses in training for Anesthesia. The resident staff has grown equally as rapidly, until now in Duke Hospital and the Veterans Hospital combined there are in surgery and the surgical specialties 12 resi- dents, 46 assistant residents, and 16 interns. There are over 50 full-time employees in the operating rooms, 28 secretaries, 18 technicians, ll student research assistants, and 31 em- ployees in the Surgical Private Diagnostic Clinic. The unlimited facilities soon became in- adequate. The General Surgery Outpatient Clinic spread into the Orthopaedic and part of the Gynecologic Clinic areas. The Private Diagnostic Clinics were organized in 1931, the private room facilities were soon over- crowded, and in 1939 and 1940 the P. D. C. building was added. The Blood Bank was opened in 1939, the surgical nursery of 18 beds in 1940, the Recovery Room in 1946, the Surgical Instrument Shop in 1949, and the Oxygen Therapy Service under the Anesthesia Division in 1955. The North Carolina Cerebral Palsy Hospital, financed by the state and an outgrowth of the spastic service started by the Orthopaedic Division in 1938, was opened in 1950. The Bell Research Building was built in three stages, starting in 1945 and being completed in 1952. The 500-bed afiliated Veterans Hos- pital was opened in 1952 and is now running almost at capacity. In 1954 the contract was let for the addition to the hospital now under construction. This building, air-conditioned throughout, will house on the lower 3 Hoors all outpatient departments, with the exception of Ophthal- mology, Nose and Throat, Urology, and Oral Surgery, which will expand in the present building, and will provide additional space for the Private Diagnostic Clinics, while ad- ditional oflice space for doctors has been obtained in Baker House. The second and third floors each will have 40 beds for private patients, teaching rooms, and dining facilities, the fourth floor will provide 10 new operating rooms, a doctors' lounge, and a preparation or service area for all operating rooms. The Hfth Hoor will contain 29 beds in an intensive nursing unit and will also have dressing rooms, a nourishment room for the operating rooms, and observation rooms for students and visitors. With these developments there has been a gradual increase in the departmental budget, but more spectacular has been the addition of funds from the earnings of the department and from outside research grants. Without the latter sources of revenue the department as it exists today would not have been possible. DERYL HART, M.D. 51

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n I 191911,-:aural Ulberapp l if ' W' -e . -, 9 A 'Q HQ ' 4 ' 4 f Q -4 . Q K 1 'U' ' x s 1 . K, A-Y XX A 'Is V 'H X c1.ARK.G. COMP'l'ON,P:. CoRYE:L.1.,.1, EA'1l0N.G. c.pimxmArw,i+.K. liUNI'E.R,l.. .4 ' A -3 t. 10 ,ps , '?X' i , i V A N. L, - .7 ' fl ' ' . . , u-, X , , J 33 4 vu w ' , 1. X ,Qt fe L i - x , r A-+ 11 1 KJOSNESM. GEp1WE11,ER,F, LEWIS'J. MELQy,1g,gjgyJ1E1, IX'IrpORE,li,LD, SEVERANCEJX. ls '-- V ' 'ai A J' ' ' . fu- f at 1- 51 ' 9 ! J' ' 'f , . , f . ' ' r 5- X 11. 1 Kr' , 1 yw X -I x ' ' B A ' S I'ARLING.N- STRUNG,Ii, A STVlE'I'ANA,J. SYKESJ. Vf 'WlAV-f'9- -9, 'wk ftqfl : W . W. , Back row: Wood, M., Brewer, M. F., Lane, R., Litaker, R. M., Smith, J. A., Flanagan, E. M., Shealy, M. E. Front row: Kelly B. L., Horton, G. C., Kaiser, H., Tilghman, H., Peake, C. W. Physical Therapy became available to patients soon after the opening of Duke Hospital. In 1943 due to the increased demand for such treatment and personnel, brought about by the large numbers of war maimed and injured, Duke Hospital and Medical School in co-operation with the Woman's College established an accredited nine months' course in Physical Therapy for properly qualified men and women college graduates. Dr. Lenox D. Baker was asked to serve as Medical Director and Miss Helen Kaiser as Director of Physical Therapy. Since that time 120 students have successfully completed the course. Forty-eight of these have remained to practice in North Carolina. After the first year the length of the course was increased to one year and very soon thereafter to fifteen months. A recent grant from the Office of Voca- tional Rehabilitation will make it possible to double the enrollment. Beginning with 1956, 24 students will be accepted. The educational program has been assisted also by grants from the National Foundation for Infantile Paralysis. The division employs 11 physical therapists, one re- search associate from a foreign country and several graduate student assistants who are working toward an advanced degree in the departments of Anatomy or Physiology and are relating their theses to some phase of Physical Therapy. In addition to its educational program for physical therapists, in-service training programs in Physical Therapy and Rehabilitation are given for nurses, medical students, house staff, administrative intems and record librarians. From tune to time in conjunction with the Department of Psychiatry a six months course in Patient Management has been offered to graduate physical therapists. Patients are referred to the division from all the major services and the majority of minor ones. The greatest numbers come from the departments of Medi- cine and Obs tetrics. These are followed in close suc- cession by Orthopedics Pediatrics, Psychiatry and Neuro-surgery. Since 1944 a group program of exercises or activities has been carried on with the psychiatric patients on Meyer Ward. The most recent expansion of services has been to provide physical therapy in the home to patients who after discharge from the hospital are unable to return for follow up care. This has been made possible through the assignment of a physical therapist to the division through the courtesy of the North Carolina League for Crippled Children and Adults. The Physical Therapy division is well supplied with the customary as well as most recent equipment usually associated with Physical Therapy, including a therapeutic pool. It is interesting to note in this connection, how- ever, that exercises are used five times as frequently as any other procedure. HELEN KAISER, R.P.T.