Temple University School of Medicine - Skull Yearbook (Philadelphia, PA)

 - Class of 1972

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Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1972 Edition, Cover

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Text from Pages 1 - 264 of the 1972 volume:

medical alumni temple univers:;y school of tjfbi Philadelphia 40, pa. SKULL 1972Editor: Joseph 1. O’Flaherty Photographic Editor: Gregory D. Hull Layout Editor: David L. Cohen Literary Staff Text: Joseph T. O’Flaherty Emendations: Gregory D. Hall Recognitions: Raymond J. Maycwski Historian: Ralph A. Rossi Business Staff Nathan 1. Nozneskv Charles E. Pappas Nathaniel Wiesenfield Layout Staff Danielle Boal Thamas Gibson Gregory D. Hall Robert B. Wagner Barbara M. Wagner Photographers David L. Cohen Thomas J. Gibson Donald R. Kamens Charles E. Pappas Leonard Lichtenstein Eugene 1. Mayer David Gctson Faculty Advisors Fred B. Rogers, M.D. Stanton W. Saltzman. M.A. Production Advisors Lawrence H. Glazcr Mary Elizabeth Cashel Paula Lick man Otto C. Lehmann William A. Verzyl Typist: Sharyn M. Howell Business Assistant: Cheryl Ann Zisk MfWCAL ALUMNI OFFICE TEMPLE UNivcrary 'chcol of meokiw PHILADELPHIA 40. PA.“I think you should go to medical school. You want to help people. What better way?” "Don’t mind me. I can wait.” “We can do without.” “.. . Say . I know somebody who knows one of the deans. ...” “The kids? I'll take care of them." "I’ll continue to work. . "I'd like you to go to my Alma Mater." “What else can you do with a science degree, sell shoes?” “Don’t worry! All the interviews go that way." "You won’t fail!” "No, you’re not ordinary. You’re a most distinctive intelligent person who’s had a had day. that’s all.” "You can’t always study. You’ve got to get out and play too." "Yes. yes, we all die. but not today or tomorrow. You have the moment.” “Tell me about the exam.” “Happy birthday!” "No matter how dull, you still must go to class." "Yes, I’ll wash your lab coat." "Don’t get drunk at the Christmas Party!” ♦ "Don’t get discouraged. Remember why you’re doing it.” "I know what Churchill said. He said, ". . .except to convictions of.. . good sense.” "After the Boards, take a nice long vacation.” "How are your lymph nodes? May I feel them." "So. they do grade you but don’t tell you about it. What difference does it make?” "Don't worry, you’ll pass." "Mow did it go. Doctor?” "1 know she died. But you did everything you could. What more is there?” "Play football with him." ". . . life is cruel, but you're working to make it a bit kinder." “Tell me about the code." "Don’t led too sad about his dying. You’ll gel your turn.” "Okay, you can listen to my heart and fed for my liver and spleen, but you may NOT do a rectal exam on me!" . . I like my job.” ♦“How do you get what off your tic?" “If you find something wrong, don’t tell me. “Why don’t you toll him about the kids at Saint Christopher's." “What do you mean I’ve got a heart murmer.” “Choose the hospital you want to go to for your internship. We’ll make arrangements around it." ♦ “If you’re not the brightest, you’re still tile best." - “1 Ie had a what, where?” “Congratulations, Doctor! You’ve earned it." “My, my ... a doctor in the Family.” “Does this mean we get free medical services?” “You’ve made us very proud.” To those who spoke or thought these words, this book is dedicated.Doctor John Franklin Huber (“Daddy Huber"), a best friend of the c lass of 72 will accept The Dedication Award.'m iimI “Where arc you from?” “Temple. Mow about you?” “Mount Saint Mary’s college.” “Hmmm.” “It’s a small college upstate.” “Oh.” “Say, ah, did you have interviews at any other medical schools yet?” “Just Penn and Hahnemann.” "They’re on my list too. Mow are they?” “Okay.” “Yes?” "Well, Penn’s tough; Hahnemann’s more friendly.” “What do you think about Temple?” “I don’t know. We’ll sec.” “Yeah, we’ll see!” “Sitting here and staring at that picture gives me the creeps.” “Agreed!” “That fellow’s really whipping those horses.” “Those horses sure have a load to puli.” “Meaning?” "I wonder if those horses can do it?" "You’ve got to get through the interview before you find out.” “Agreed!” “Come in. Come in here. Sit down, please." "Thank you. sir—er, doctor.” "So you’re from Temple, eh?" "No; he’s waiting outside. I’m from Mount Saint Mar “Oh! Excuse me! I have the wrong folder. Make yourself comfortable. I'll just go get your folder and be back in a minute.” “. . . You're excused .. .” “Now then, let’s go over your folder. . . . Mmm. . . good grades. You’ve got a fine record here, son.” “Thank you, doctor.” “Medical aptitude test scores arc fine also.” “Thank you." “Okay, you have the credentials, so why do you want to be a doctor?” “I want to help others. . ." "Mow did it go?" “Terrible!” ' “Don’t say that. I’m next, you know.” "Well, it wasn’t so bad. He's friendly enough, but he asks crazy questions.” "Like what?” “Like, ‘why do you want to be a doctor’, and the such." “Oh. . .” December 21, 1967 Dear Sir: It affords me great pleasure to advise you that the admissions committee has approved your application for entrance into Temple University School of Medicine and has awarded you a place in the freshman class beginning September. 1968. “Thank you, God!” “Why are you driving back so early?" "1 start school tomorrow." "1 thought you graduated in June?” “I did." “Well, why school tomorrow." “Medical school." "Arc you really going to be a doctor? You? Come on!” “I’m not kidding. I'm going to be a doctor." "How long docs it lake?" “Four years." “You must be nuts! Why do you want to be a doctor?” "For a lot of reasons." “Like what?" "I want to help others. . ." "And help yourself too. Hey, when you’re done, will you take care of me for nothing?" “I sure will." "Good luck — you'll need it." "1 sure will!" "What’s your hurry?" “Are you kidding?" "No." "I’m leaving now. I’m not going to be late on the first day of orientation week. You better get moving too." “But it’s only 6:15 a.m.!” “Oh?" “Who is that guy?” “Ur. Barba. 1 think." “No, no. What is he?” “He is the Acting Dean.” “What does that mean?" “I don’t know. From the way he talks, I don’t think he knows either.” "Dr. Sherry belongs to this house. He is an active fraternity brother." "Who is Dr. Sherry?" "Who is Dr. Sherry!” “I never heard of him.” “You will!” “. . . And you might as well know some facts of life right now at the budding of your medical careers. Fifty percent of what you learn during the next four years will be considered incorrect or obsolete within the next five years. Now that is a frightening statistic, but here is something which should frighten you more: we don't know which of all you will learn in these four years will be in that fifty percent. .. ." “Dr. Huber supports our fraternity house. Remember, you have anatomy first." "That's something to think about."“And, gentlemen, ladies too, let me conclude your week of orientation with some sound advice. Become a doctor. Don’t worry about money. Do things because you want to, because you need to. because you enjoy it. Money will come; don’t worry about it. If you do, medicine will become a task, every [rationt will become a fee, and even thing will appear pointless.” : “Why join any fraternity? l)r. Shorn supports this house; Dr. Huber supports that house. Who supports your house?” “Our house supports yon." “ilium." “You are safer." "11mm." “You don’t understand. This neighborhood is dangerous. The brotherhood offers safety in numbers. Safety here at home and safety out on the streets. We live together here and never go out without other brothers.” “Safety ?” “Sure!" “Certain?” "Sure!” “That’s worth thinking about.” i •"Anatomy is the basis of clinical medicine. f “Boy! One hundred sheets ofanatbinv to know for the first day of class. What's the zy-go-hvpo-phys-i-al joints?” “Don’t ask me. I haven’t read the sheets vet. I'hat’s why I'm sitting way back here in the last row, last seat. Quiet, here’s Doctor Huber now.” “Good morning, doctors. . .” “Doctors? Wow! I hat’s terrific.” "This morning we’ll review the material you read over the weekend. Who will name this bone? . . . The doctor in the last row, last seat, please . . . name this bone." “Eh . . .” “I should have read those sheets. ‘Doctor’ . . . huh?" “Doctor, how do you open the cover?” “Just unlatch this hood, then pull back both lids.” “ Thank you sir . . . er, doctor." ■ - “Okay, let’s open her up!" "Okay, let’s go." “Okay.” “Right!” "Okay, here she goes." "Okay.” “You get over there and pull. I’ll pull from here.” "Okay!” “Let's go.” “Okay.” "Right!" "Just a second . . .” “Yes?” “We’re going too last. Let’s wait until someone else opens theirs first.” “Yes." "Okay." "Right.” “Okay, a couple of groups have opened theirs, l.et’s open up ours.” "Yes.” "Okay.” “Right." “Slowly! Easy does it.” "The odor of formaldehyde is terrible!” “There it is.” "There she is.” “Our first patient." "Who’s going to start the dissection?” “How about you?” "Me? I majored in psychology at Temple. You’re the biology major.” "At Mount Saint Mary’s we got no experience with this.” “Someone has to start it.” "1 don’t think I can.” "Please, not me. 1 feel ill!” "Let's go, table number three. We haven't got all day!” "Yes, doctor." “Somebody start, please." "Here, give me the knife.” “Here.” "God! If I could only sleep! Dissecting that cadaver ... my first patient . . . “That scalpel—my scalpel—slicing through her skin; no blood, just globules of fat oozing from the incision. And then the blade met bone, and that grating was transmitted from the blade through the handle to my spine. Yes, 1 felt it! That grating sensation was in my spine. My back was being cut into! “And that’s the essence of it all. Our world is comfortably designed to avoid the issue of mortality. Every construction of reality given to us from the cradle onward ignores the fact that we are flesh, that this, my arm. is meat. Ignite it and it will surely burn giving off a sickening odor. “How easy it is to see through the morality to the stark necessity which prohibits the butcher to sell lamb chops, pork chops, and human chops. And that necessity is avoidance of the fear and sense of helplessness which 1 now feel. And that necessity is a necessity. “I must do as all have done before me. I must avoid the issue. After all. all this is nothing new. Everyone has known it. It is simply an abiding fact that tomorrow may bring horror. But today is today. 1 have today. And anyway, tomorrow will be all right, most probably. Yes, I will be safe tomorrow, too. Tomorrow will be like today. "Good night, doctor.” . . the superior vermis consists of the lingula; the lobulus centralis; the monticulus, which is divided into the culmcn and declivc; and the folium vermis. On the under surface, the inferior vermis includes the tuber, the pyramis, the uvula, and the nodulus . . “Say. did anyone get that in their notes? . . . Did you get that in your notes? . . . Did you?” “Shush. I’m trying to sleep.” “Now quiet. When I tell you what I have to say. don’t look surprised, and don’t run to the exit." “Okay . ..” “The grades for the first test arc posted.” “Wow!” "Quiet! You want to create a stampede?” “Sorry . . . Now about the grades for the second test or the histology exam, or the . . .” “No, no! Just the one anatomy exam." “Have you found any way of getting the smell of formaldehyde and flesh off your hands?” “No, nor will I ever!” “What in the name of all that’s holy is this?” “That’s my lab coat.” “What do you want me to do with it?” “How did you do?" “Three satisfactories, four unsatisfactories. How about you?” “Five satisfactories and two unsatisfactories. but I failed Daddv’s section.” "You what?”' “Yes, I know. I failed Daddy’s section." “You arc a most distinctive individual.” “I’m a pinhead." “Agreed.” “I was hoping you could wash it. Mom.” “Wash it? I’m going to line the garbage can with it.” “Well, doctors . . . “Doctors’, again. Something must be wrong! "You’ve gotten the results of your first exam. “Frankly, the faculty is most dissatisfied with so many unsatisfactories. ..” "Hmmm ... I never saw a multiple choice question one-and a-half pages long before. Well, I’ll just read it slowly. It should be easy enough. "Let me see. Answers one and three are out—they both have double negatives. Answer number two is a bit too humcrous. It must be number four! I.et me see what number four says again. “That doesn’t look good either—too many statements in the answer. One of the statements must be wrong. “It must be number two. Sure, that’s it. The Rod has a sense of humor. He’s ribbing us again. Number two it is!” “Yes sir! The bronchopulmonary segments are: in the right lung, the apical superior, posterior, anterior, the lateral and medial basal, anterior basal, lateral basal, and posterior basal; in the left lung, the apical posterior, the anterior, the lingula, the superior inferior, the anteromedial basal, the lateral basal and the ... the ... ah ... ah .. . "The what?” “The, ah ...” “tsk, tsk, tsk,. . . too bad." “I don’t want to talk about it. .. .What did you get for number 1 7?” "Which one was that?” “It’s hard! Four years of straight honors and now I’m mediocre.” "Yes, from A’s to U’s is an abrupt transition." “Are we really mediocre, though?” “I’m beginning to feel that we probably are.” “The one which was a page-and-a-half long.” “Oh, . . . that one. Number two, the humorous one.” "Right! That’s what I put. The Rod sure docs have a sense of humor, doesn’t he?” “He sure does.” “Sorry fellows, but you are wrong! Number four’s the correct answer.” "Number four? With all those statements? You must “What did he say?" “He said, ‘In those regards Sweetheart needed no instructions.’” “I thought that’s what he said’." be kidding.” lit “I never kid.” "How do you know?” "I study very, very hard. Excuse me, gentlemen.” "l ie’s bluffing. The answers are posted. Let’s go see.” "The answer to number 17 is ... I hate humorless people." "1 hate bluffers.” “You go get the head sawed in half; I’ll continue dissection what’s left of her neck.” “Do 1 have to?” “Okay, I’ll get the head sawed in half and you continue dissecting what’s left of her neck.” “Do I have to?” » “Where are you going?” “To History of Medicine class.” “You must be a very lonely man. . . and contrastingly, their size is perhaps—I say, ‘perhaps,’ advisedly in the light of some new information recently discovered here at our laboratory-70 microns by 16 microns. Frequently you'll find them next to the good old unit membrane (75 angstroms wide). By ‘next to is meant anywhere from . . . oh, 1 say 10 to 140 millimicrons . . . “I’d like to put about 0.8 decimeters of steel between him and me.” “I’d like to put about 50 grams of that steel through about 5 millimeters of his skull!” “The Ccrcbcllo-dcnlato-rubro-thalamo-cortico-olivo-ccrcbcllar tract,—got it?” “Do you sec what happens when everything atrophies but the speech center?” ♦ “Okay, okay, class, knock it off. So none of you did recognize that slide. Tomorrow’s the final microscopic histology exam and we’re still not half-done reviewing these slides. “Next slide, please. . . .What is it?” "Lacrimal gland!” “Excellent! Anybody not sec that? Okay, what did you think it was?” "Doctor Troyer. sir, I thought it was pancreas.” “Pancreas? Do you see any centri-acinar cells there?” “Yes sir.” “Where?” "In the upper right-hand corner.” “Where?” “Right there!” "1 don’t sec any." "There! Right there!” "1 don’t see any.” “Ha! Naturally you don’t sec any, you think its the lacrimal gland!" "Ah, ... ha. ha, ha . . .Okay class, do you all sec the little green martians in the upper right-hand corner— they have relatively large eyes and long antennae . . .” Fred If. Rogers. M.D., Acting Chairman. Department of Community Medicine “IVe spent 6 hours in this anatomy lab preparing for the final practical exam tomorrow and I’m freezing!” “IVe been here 7 hours." “Aren’t you cold." “Hell! I’m frozen stiff!" “Why don’t you go home?" “1 couldn't stand the tension.” "A toast! A toast!” “I’ll drink to that!” “Quiet, everybody! Quiet!" “I’ll drink to that!” “To anatomy ...” “Even I won’t- drink to that!” “Here, here! Here, here!" “Okay, now lets get back to the Christmas party." “May I have some more punch?" “No." "Please?” ♦nHSfms a.wtovi kxam Gross Anatomy 1970 7. 2H. aJ. fi'A Aa f J 11111.1 M I ft, .AAM _ Pact ”7 In each of I’m 2 following questions blacken tm bra Wet In front oI tho otto right tinam A skin melanoma (mullpnant pigmot»ted tumor) located in the i lfrht Biddle scapular region !«• going to be excised. Which one of tho following lymph node groups should also be removed b« auai i tumor aotuiU.ic ft? ( ) gluteal ( ) inguinal ( ) occipital (pi axilla : f ) yu|h i It ! a 1 jugular A 19 year old college student suffered a dislocation of tho let carpo-m tncarpal joint of her right hand. After the reduction and following physiotherapy, her progress was very unsfttla factory. At • new examination the pretty patient showed: jo -1 i Jong her right wrist, wasting of the thenar BUbi'le , «i i-ktirh . of the pinch and grasp, hypocsthesla on the two luti r •I digit ol bet right hand and negative x-rays. After reading tniw history, which one of tne following would be your dlacnowiav ( ) irjury of the ulnar nerve at the elbow ( ) injur)’ of tuc % Jlan nerve at the cubital fossa t ) injury ol thi iaOi.tl nerve at the wrist flp ii t of t . u ui.tn n : t kriat (carpal tunnel » nJioao . “Now class, we’ve been through much together, through sunny, through stormy weather. Through all you’ve carried quite well the load and so to you belongs this humble ode. Dr. J. Robert Troyer -V ODE TO THE CLASS OF 72 I‘d like to present, without much ado This ode to the class of 72. It makes fun of me. the staff, and you The survivors of His to and the Hong Kong flu. In orientation week. I’m sure you’ll agree. That in all that talking you didn’t foresee That your first week of study would set the mode Of being hopelessly buried and completely snowed. Bates lectured to you in Room 603 Covered adequately in an hour, or three. Each presentation leaving him hoarse, While he tried to cram in the rest of the course. Sodicoff held you in the palm of his hand As he showed you slides of the mammary gland. But you never quite met Marvin eye-to-eye ‘Cause you kept glancing down at his name on his tie. Davidhciser’s weekly evening reviews Made some S’s out of U’s, And he gave you the liver so you’d all sec That some gall’s confined to canaliculi. Phillips gave you all the dope About gigantic structures in the E M scope That reverted to angstroms instead of miles And all of them called by the name “profiles.” Truex lectures, were in the main. Particularly devoted to the brain. He acted the lesions and shimmied and shook - ; Showing all of those things you can’t find in his nook. Crouse lead you on a merry chase IF As he partitioned the heart and developed the face" And right after lunch, when you all did glut, He twisted and turned your developing gut. Rodriguez would never falter and never balk At filling the balckboard with colored chalk And his exam page did elicit some fears Of being awared a “U”, instead of two ears. Schncck handed out millions of mimeo sheets. Then gathered you in groups in 603 seats. He taught you how to apply all this stuff About what muscles you use when you sit on your duff. Pratt gave you all of the pertinent points Of ‘what’s in the orbit and the ‘mechanics of joints.’ And often in the lab. when he was missed. You’d find him teaching the therapist. Daddy Huber’s presentations you could hear and see In his audio-visual L. G. P. His pulmonary segments were a particular rage; Expect to find them on the next picture page. Trover’s lectures were a particular shock He always kept talking, never looked at the clock. His lecture on fertilization made students become quiet ‘Cause by the time he was finished they were too old to try it.And now that you’ve had your little laugh As we've poked fun at all the staff. We’ll take the time before it does pass To take a shot at the freshman class. As we live in a time of impersonalization, Where your name undergoes a severe ablation, You’re known as a number, a terrible abuse, Let’s recapture some names and put them to use. Did you ever think it might be fun to wonder if Sherman is really Harri’-son? Or if Young is in the Hum of life And the Allens aren’t twins, but are man and wife. Did you think of the class as a pastoral scene Where Sachs of Mulchin made the Lawn so Greene? While Mink and Fox and Bird all reeled Among Mellons arfd Crabtree in the Water fie Id. Did you think Eager Grad students were Wies-cn-feld That Silverberg, Cashel and Biickwaltcr means guelt? Or that Ross is a blind Rossi, without an eye, and the same goes for Hall and Hals-cx. Did you think that Baker and Cook might rare To give a meal For-man that they’d prepare? But after a cup of Joe, where they did fool you, They Gacv you a Boa I of Mieaungulu. Did you think of your class in eponym prose While Reeding a Page of Jamison’s Gross Such as Co to ms colon, and Maloney’s knee Or the Trostcl cartilage of Marzoc-clii. There’s Elberson's elbow, that’s really bland. Located proximally to Manus's hand. Or how the Lynch rope can raise Hel-i-nek Making the lesion of Gash on Stanch’s neck. There’s Xoznesky’s nose, that’s sort of Crass I’m sure there are others that we could amass But we’d better Ballay this eponym rhyme Before coming to Pappas and Becker, in time. Now here’s a UYmmer, I’m sure you’ll agree Of Parlor's dog under a tree Wag ner tail, as she’d slowly approach A Co-hen under a Van den Bosch. Did you think of your class as mostly make Of names stressing “man" in much detail? There are Feldman. Zugcrman, all Goodman clan. While Menkowitz and Kamens are Wildcrman. Men be Get-sons, as we all do know. As John-, Hauei-, Gib-, and Anderson show. But before this ode beauties too sexy We’ll mention the names of O'Flaherty and Uretsky. Did you think of your class in need of placation About to embark on Christmas vacation? Max-tee-ski down the slopes of the Poconos Or travel to Holland, before its Close.You may Ford a stream, or Russell some lunch, Or bow and Curd with your honeybunch. Or you may raise your Blue-stein in drink and song And Lich-ten-stein when its all gone. Hower you going to Klemmer for more When Ester(’s)hai and on the floor? Or maybe you’ll vacate in a Milder way Bol,linger and D 'App-o-Ionia all day. With that last line. I’m afraid this verse Is a complex Webb that’s getting worse Well’s about time to finish this vein Before coming to Cuistwite and Frangipane My Pen-nocked many 1 wouldn’t offend But finally I’ve found I’ll have to end Without mentioning the names of forty-four It’s my tribute to them. I’ll say little more. Before you’re Tuckered out and it’s Mones I hear We’ll try to remember a Markow good cheer When a Mong your class in this decorated Hall We make an attempt at total recall Of important events that give us the reason To celebrate this Holiday Season When you and I, and many others Will herald the Messiah or the Maccabean Brothers. “By Dr. J. Robert Troyer, December, 1968” Editors note: Please forgive the lack of editing on the above a very strong sense of authenticity has overcome a sense of aestheticism. Dr. Sodicoff Dr. M. Noble Bates“1 wonder if he mentioned someone’s name who won’t be here next Christmas. I mean, it’s a great party and everyone is laughing now—just look around the class. Who will fail? Which faces shall disappear?” “Yes, I know- what you mean. Back in college we toasted those who failed so that others might pass.” “I’ll drink to that!” Dr. Steven J. Phillips “What did you do over Christmas holidays?" “I went to Miami." “And you?" “I took a short sprint to California." “You?" "I spent a beautiful week on Nantucket Island. “And you?" "Well, I spent an afternoon in South Philly." “Don't worry, you'll pass. You’ll be surprised at how much you can learn in a review session.” Dr. Huber’s review session: 1 lead Neck Chest Abdomen Upper extremity (left and right) Lower extremity (left and right) “Thank you. Dr. Huber.” l)r. Schneck’s review session: “Name the muscles (with their innervations) used for touching your ear with your elbow.” “Thank you, Dr. Schneck!" Dr. Rodrigue ' review session: “. . . and most important of all, the nerve of the Pterygoid canal . . ." “Thank you, Dr. Rodrigue !” Dr. Krause’s review session: “Ah . . .Ah . . ” “Thank you, Dr. Krause!” Dr. Truex’s review session: “The CEREBELLO-DENTAT . . . “Thank you, Dr. Trucx!” Dr. Bales’ review session: "Aren’t they beautiful, all four of them?” “Thank you. thank you very much. Dr. Bates!” Dr. Sodicoff’s review session: “Just be prepared tomorrow to sec a bone marrow . . . Hce . . .hee . . . lice . . .” “Thank you, Dr. Sodicoff!” “Review? I'm scared. I’m scared." “There, there. There, there.”A new building “Just look at the subjects! There's physiology, biochemistry, and psychiatry. It’s as good as being an undergraduate again!” “Yes, and my hands will be clean again, too.” “Physiology is the basis of Clinical Medicine.” “Come here, boy; come on, boy . . . Good dog. Nice fellow. Cute too. Look how he wags his tail.” “Very well, everybody, it’s time to anesthetize your dogs. When you’re finished with the experiment, somebody will be around to your table to instruct the anesthetist on your team on how to destroy the preparation.” “Get this!” “What?” “Do you know that billboard with everybody’s picture on it?” “Yes." “Well, when somebody flunks out of school they blank out his picture by putting a white sheet of paper over it." “Really?” “Go down and look at it.” “World War I fighter pilots had their beer mugs inscribed with their names and placed on top of the headquarter’s mantlepicce. If, one morning, a mug was missing, everyone knew they didn’t have to ask—a pilot was down.” "Are there any mugs missing?” “Four.” “Curse you, Bloody Red Baron, curse you!” IAnderson C r«Mrr» Coot FeUraen AJ F»S rh i Elbe'USO D'AppolonJ tUf.n" Gibson Kairwnv dakns Johnson KJW Huraanr s iUltner le b»—trI LcMenctc-o Crcun krausi KowaUI Klar.mor Keiiler iUmlra MuJcwell Mayewski Mayer MiraoccK. M alone vW Markow Nointikyr QFUherTy Nespoli W'jleh n_ Wwaungjlu Monet Mink Monkoynti RocktSoi Pavlov SUdkm Sbernen S W rfs Wimmir W lenfeii WiVderraan YiaTeHieM VandenBosek“1 want to be the anesthetist. You be the record keeper.” ‘‘Thank you.” ‘‘The note-taking system is simple. Everyone in class pays twenty dollars. One guy takes notes during the lecture, freeing everyone else to sit back and listen carefully to the lecturer. And if, by some chance, you, perforce, miss a class, you have the class notes to read. It’s as though you were there.” ‘‘The system has definite potential.” “Save.” ••92 ”23.” ”24. Spades arc trump.” Dr. Guido 4scantoDr. Morton J. Oppenhviincr “Today’s lecture? Sure, it’s on the cochlear microphonics of the Mongolian Gerbil.” “Great! We’ll be right along. We’ll see you there, doctor . . . Who has the cards?’’ “It’s a good thing these windows don’t open." “Why’s that?” “I heard that two years ago he threw a mut out on to Broad Street because the dumb dog died on him in the middle of an experiment!” “Psychiatry is the basis of clinical medicine.” Dr. Robert H. Hamilton “Gentlemen, all you need do is decapitate your frogs, put them on the turntable, spin the table, and observe the preparation’s behavior with regard to balance. It's really a simple experiment.” “It surely is that.” "I don’t want to talk about it . . . What did you get for number 17?” “Which one was that.” “The one about the cochlear microphonics.” “Oh, that one. The answer is that it exists after death." “How do you know?” “It’s in the class notes.” “What is a cochlear microphonic, anyway?” “I dunno.” “Put out those cigarettes. You all arc not allowed to smoke during physiology lab." “Madame, pardon me, I mean. Dr., how come you’re smoking?" “I’m allowed. I’m a professor.” “Who is taking physiology notes today?” “The Manus.” “Oops! That’s enough cards, let’s get to class." 4 “And so, class, you have, or should have, in your notebooks the structure of all the essential sugars; of all the purines and pyrimidines; of DNA and RNA, of ATP, GTP, GDP, GMP. ADP; of NAD, NADP and FAD, of vitamins A, B B9, Bg, B j 2-C, D, and E; of the twenty-one amino acids of—" “This is a marvelous review for the exam.” “Yes, everything is so much clearer now.” BIOCHEMISTRY MIDTERM EXAMINATION Page I INSTRUCTIONS Below are the structures of all the compounds you have learned to date. The structures drawn are quite correct. The rest of the examination will refer to these structures and. . . “Pssst . . . psst . . .” “Yes?” “I’m sick." "Me, too. Everything I know about biochemistry is on this first page and they’re taking it as their starting point. I mean, what’s next?" “When I was a student at about your level, I read about cancer of the esophagus. After that, whenever I swallowed, I felt the food rolling over the tumor as it passed to my stomach. I was a tragic figure walking in sadness always. Just imagine; me, with cancer! And so young! “Finally, one of my professors could bear me no longer and decided to csophagoscope me. When I felt that huge rod pass down my gullet, I knew I didn’t have cancer.” “He could put a corpse to sleep.” “Yes, but he has a good notetaker." “Oh, yes, 1 almost forgot: ‘Biochemistry is the basis of clinical medicine.’" “Doctor?” “Yes?” “May I talk to you privately?” “Of course you can. Come over here. What’s up?" “Well, sir... it’s the killing of all these animals simply to verify well-known information. It’s ... it’s ...” “Grotesque?” “Well...ves.” “Do you remember your first patient?” “I do." “He's beginning to wake up. Better give him another 10 mg. of pentothal.” “Okay, we’re done. Let’s kill him now.” “Here, you give him the lethal dose. I’ve done it enough.” “Okay, 1 don’t care.” “. . .you learn from these animals essential surgical and technical skills which you’ll be using when you get across the street in your clinical years." “It’s part of being a doctor. You give pain as well as relieve it. you know." Dr. Robert D. Catnpo "As president of the Freshman Class, 1 hereby call this emergency meeting to order. Eighteen of our class have worked on this document. Would one of them read it now?” To the class: These arc the proposals we have hacked out in the last few days. Please think about them as separate entities; each proposal will be voted on separately at the class meeting Paul Eiscnbcrg has called for tomorrow (2 26) at 12:00. We believe we have already weeded out the more unrealistic (unattainable) proposals. But the composition of the final package is at the discretion of the class. Keel free to contact any members of the committee about any of the proposals. Robert Anderson Robert Baker larslic Cashel Clarence Freed Arnold Gash David Gctson Linda Joe Raymond Johnson Bruce Kaiser David Kim Walter Maloney Charles Pappas Jerome Santoro Susan Sesiini Frederick Sherman Barry Urctsky Kenneth Wells Robert Wimmer The Class of 1972 wishes to express to those concerned that it is dissatisfied with certain facets of both the Biochemistry and Physiology courses. In what we believe to be a responsible manner, we have discussed these problems and arc offering several specific suggestions as to how they may be remedied reasonably and with a minimum of effort. We. as a class, realize that suggestions similar to the following have been presented in the past by other classes, with little or nothing having been accomplished. In order to facilitate implementation of our proposals, we have tried to be as practical and realistic as possible, taking into account future plans for change, as well as present faculty and facilities available. We believe that the proposals listed below could be enacted with minimal efforts on the part of the departments involved. To this end, the Class of 1972 makes the following requests with sincerity and an honest desire to learn and be taught. We desire a horizontal rather than a vertical amplification of the subject matter, as adoption of the latter would create gTeat hardship on the majority of the class due to our varied but generally limited backgrounds in both physiology and biochemistry. Werealize, however, that this proposal does place more responsibility on the students with regard to over-all Cre-lecture and pre-laboratory preparation. Yet we elieve, and the faculty and administration must agree, that this early stage in our medical careers is the most opportune to discover and develop our personal discipline and responsibility. As it is clear that our eventual conduct as physicians reflects not only our personal integrity, but also that of the class and the institution, we ask that these proposals be reviewed with the same sense of true pragmatism, sincerity and efficiency that have gone into their drafting. Let it be declared at the start that we do not wish to be antagonistic or claim to be omniscient to any degree. We do, however, expect to be shown the kind of professional understanding and courtesy that we, ourselves, are to he developing in a sophisticated medical community such as ours. Since we believe this form of action to be the most sensible at this time, we hope for prompt and receptive analysis of these proposals. The Class of 1972PROPOSAL I—CORRELATION CLINIC: A correlation clinic should be held at least once a week, preferably twice a week, with each department handling its own presentation. (An alternative to this might be for each department to arrange for various clinical personnel to give the presentations.) Clinical problems could be presented to the students and their biochemical and physiological basis could be discussed in detail. An attempt should be made to have the demonstrations and classwork coincide as much as possible. This should be particularly feasible, for example, when the physiology course begins to concentrate on the discrete organ systems. PROPOSAL 11 —DISCUSSION GROUPS AND SEMINARS: In order that the curriculum reflect the needs and desires of the students with differing backgrounds in physiology and biochemistry, we propose that there should be regularly scheduled voluntary discussion sessions for those who feel that they need clarification of lecture material. Biochemistry sessions could be held at 10:00 AM on Monday and Tuesday and physiology sessions could be at 11:00 AM on Friday. ■m Further, for the benefit of those who are interested in research or want more sophisticated knowledge, we propose that there be seminars once a week, possibly alternating one week biochemistry and the following week physiology. Topics for these seminars would be announced in advance along with a short list of recent articles for scientific journals. It would be expected that students wishing to lake part in the seminars would come prepared to discuss the topic. F.ach seminar would be led by one person who would give a short talk on the topic followed by a group discussion. It is hoped that the first several seminars could be led by members of the faculty and the topics could be the faculty member’s current research. After one or two seminars led by the faculty, perhaps a student with some particular interest could lead the seminar. We hope that these seminars would expose us to research going on at Temple and other institutions. We feel that such seminars would be stimulating and informative.PROPOSAL III—CONTENT GUIDE: Due to the extensiveness of the material covered, it is proposed that, in order to allow for better student preparation of basic lecture material, each lecturer prepare and distribute one day before his lecture set a description or outline of each lecture topic. This is not expected to include discussions of material, references, or anything beyond a brief reading guide for lecture preparation. PROPOSAL IV—HANDOUT OF BASIC MATERIALS: In order to facilitate better use of lecture time, it is proposed that each lecturer hand out, in advance of his lecture set, a core guide of basic factual materials. The following might be included in these materials: structures of compounds, graphs and equations, and basic pathways and systems. Students may then acquaint themselves with these basics prior to lecture time, permitting the lecturer to manipulate the concepts and facts more easily within comprehensive, integrated discussions. These materials could readily be incorporated within the headings of the content guide. PROPOSAL V-LECTURE CONTENT: The tradition and promise of Temple University Medical School is that of a clinically-oriented institution. Our concern in this proposal centers specifically on the relevance of lecture and laboratory materials to thicr direct application to clinical medicine. We are medical students, not graduate students, and our commitment is to medicine rather than to academic biochemistry and physiology. We feel that it would be to our benefit that the emphasis of these courses be shifted to an investigation of the normal functioning of the human organism; that factual material, mechanisms, reactions be related to their importance in the human system. Examinations in particular should be concerned with human physiology and biochemistry.We understand that animal experimentation in physiology is necessary. But we suggest that we not he held responsible for specific information on animal physiology; for example, the operation and clinical use of the KEG and the reading of EEG tracings might have been intimately coordinated with our study of nerve properties and the areas of the brain that generate these impulses. In addition, in fields where direct human experimentation is not available and animal research is substituted, it might be more informative and meaningful for us to learn about the possible relationships of these experiments to the human being, rather than just the experimental information in its “in vitro " isolation. In biochemistry our main goal is to understand the normal homeostatic balance of the human system. It would whet our interest in abstract chemical processes if it were hinted that they had some relevance to a concrete clinical condition. For example: the importance of the quaternary structure of Lull made a forceful impact when it was related to differential production of I.DH in body tissues. PROPOSAL VI—LECTURE PRESENTATION: In the event that: 1) lecture schedules are made available in advance, as previously suggested in Proposal III; and that 2) handout sheets are supplied, ns suggested in Proposal IV; then valuable lecture time could be devoted to: 1) more elaboration of important material such as a clear demarcation of theories when different ones are being presented, i.c., ion migration during action potential; 2) clarification of difficult concepts; 3) incorporation of specific factual information on relevant clinical applications. For example: If we have learned in advance the structure of ATP, during the lecture we could go beyond its structure and some isolated reactions, to discuss the nature and significance of a high energy phosphate bond and its application to systems in the body. k PROPOSAL VII—REQUIRED WRITE-UPS OF LABORATORIES: The questions in the laboratory notes are broad and cover the points of major importance of each experiment. As such they serve to provoke considerable thought about the problem being investigated. Yet there seems to be no purpose served in submitting written reports to be graded. This requires time far in excess of that needed to understand and appreciate the same material. It is the student’s responsibility to get as much out of the laboratory as he can, but he should not be checked on the mechanics of how he docs this. PROPOSAL VIII—TRIAL RUN OF EXPERIMENTS IN BIOCHEMISTRY: In order to expedite the procedure in biochemistry labs, trial runs previous to the scheduled lab day should be done on experiments which will be performed for the first time, i.e., experiments other than those in the laboratory manual. This would save time by ironing out any “kinks" and provide reasonable estimates of duration. PROPOSAL IX—DUPLICATION OF BRIEFING SESSIONS: It is important that experiments to be performed be adequately explained, and that the results be clarified, but reduplication of briefing sessions, i.e., sessions before, during, and after the laboratory which overlap in their coverage of material, only wastes valuable time. In general, the briefing sessions should be as brief as possible, they should cover material which really requires explanation, and if more than one briefing session is required, there should be no duplication of material covered.“I want to emphasize that the unanimity of our class on these proposals is essential! When we go to the faculty with them, we've cot to be able to say our class is 100% behind us." “Okay, let’s start." “Objection!” “Already?” “1 object!" “Okay. Why?" “First, we’re not all medical students here -there arc a handful of graduate students here, you know. And secondly, not even the medical students agree." “No! No!" “Yes!” “I object to his objection!” “I vote we exclude the graduate students." "What?" “I object- In as much as the graduate students are taught with us. thev should vote with us!" “Yea!” “No!" “Okay, hold it. We’ll vote on the issue of the graduate students." “I object. Wc have no right to vote on that. They are a part of the class!" “Yes! And should the graduate students vote on this?” "Hold it! We’II vote on whether or not it’s proper to vote on the issue of the graduate students voting with our class.” “Yes. but should the graduate students vote on this or . . .?” “Let’s play cards." “I’ll bid 22. Boy, the class was in greater disagreement after the meeting than before it." “I’ll pass. Yes, our class is too varied.” "I’ll pass also. That’s true. We’ve got students of every imaginable type—we’ve even got one from Kensington!" "Really, who’s that?” “I’m not sure. Whoever he is. he won’t admit it." “I’ll bid 23. You know, it’s really very simple. One hundred fifty people come to medical school for one hundred fifty reasons. Each is uniquely different. No simple list of proposals could represent them. They stand as they are. basically disagreeing with one another. One can’t help looking at them, shaking his head, and inwardly smiling.” “Why you old son-of-a-gun. How arc you? I-ong time no see! Where have you been?" “Oh. around ... I spend a lot of time studying at home." "What brings you in today?" “Oh. I thought I’d pick up my class notes and see how everything is." “I see. Well, I’ve got to be getting to lab. Look. I’ll sec you again, soon. Okay?" “Sure. . . .1 11 be here for finals." “Good . . . good. See you then." "No! No! The answer's A. It’s right here in Guyton. Look." "No! No! The answer’s B. It’s right here in Selkurt. Ix ok." “No! No! The answer’s C. It’s right here in Ruch : Patton. Look." "No! No! The answer’s D. It’s right here in lecture notes. Look." “Oh . . .” "Oh . .." "Oh ..." “Yes. it’s right here in lecture notes. Look!" “Arc they testing our knowledge or our loyalty?" “The grades in the physiology midterm arc posted.” “Are we really just average students?" “I’m afraid so." “Class, I hope you get a feeling for these marvelous proteins the intricacies of whose structure we are just now beginning to understand. Each molecule of a protein is as complex as an efficient factory. In them, there is much wisdom." “. . . The South Californian Werble Gerbil is a poikilotherm too.” “. . . then I wish proteins would teach us." “Wake up. It’s 4 a.m. Why don’t you go upstairs and sleep?" “Finals are this week." “I know you can’t be specific, Doctor, but would you give the class a general idea of what the final will cover?” “Why, yes. I’ve been asked this question several times this week and I want to make it perfectly clear right here and now what your final will cover. “Your final exam will be a comprehensive examination to determine your general knowledge of the field through testing your specific knowledge. “It will be a stiff exam, but one from which you will learn much. “Any more questions?” “I’m scared.” “What’s there to be afraid of?” “I’m scared.” “Come, come. It’s only a final examination.” “I’m scared.” “Don’t worry. If you fail we can always get along without you.” “I’m scared.” “There, there.” ♦“A toast, a toast to Joseph’s Bar.” ‘Til dring to that.” “A toast, a toast to Dr. Cillcy.” ‘Til drink to that.” “A toast, a toast to all the notetakers.” ‘‘I’ll even drink to that.” “A toast, a toast to all the great teachers of biochemistry.” “1 think I’ve had enough.” “A toast, a toast to all the great teachers of physiology.” "Methinks. he has had enough." “And a final toast to all those poor animals who gave so much to advance our knowledge so little, but in so doing were our best teachers this semester.” “I’ll drink to that!” “How did you do?” “Congratulate me. I’m a sophomore.” “What are you doing this summer?” “Research.” “Right.” July 3, 1969 Dear Sir, The promotion committee has reviewed your records and has approved your promotion. Congratulations . . . August 22, 1969 Dear Sir: . . . it pains me to have to make you aware of the financial crises at Temple. . . . . . and in conclusion, 1 am recommending a general tuition increase of $150.00 per semester. MICROBIOLOGY Temple University Health Sciences Conte SCHOOL OF MEDICINf Philadelphia, Pennsylvania “Aren’t the freshmen small this year?” “Yes, they are.” “And look at all their hair.” “Well, you know the younger generation . ..” “Welcome back, doctors. “1 trust you’ve had a fine vacation and are ready to get back to work .. . “And so we’ll begin with a question. What is pathology?” “Pathology is the basis of clinical medicine." “Each week there will be an autopsy at Temple, Saint Christopher’s, Einstein and Episcopal . . . Of course, attendance is not mandatory . . . .” “Who’s got the cards?” "Good morning students! Is this your first autopsy?” “Yes, doctor.” “Good. We’ll begin by opening the body using the method of Rokitansky which aims at removing the viscera in toto. We use an inverted ’Y’ incisure starting at the lower edge of the sternum like so . . . Can everyone see? Come nearer. You in back, come closer." “Yes. doctor.” "Good, now we’ll crack the chest with the bone crushers . . “How are you?” “Fine.” “How was your research over the summer?” “Fine.” "What did you do?” “I put intravenouses into the dorsal vein of the penis on rats.” “My, how stimulating that must have been!" ‘•As you can see, one can easily delineate the extent of the in farcied myocardium in this well-preserved specimen.” “Where?” “Here.” “I don’t see anything.” “Take my word for it!" “Wow. did you see that guy’s lungs?” “I sure did.” “You have an extra cigarette.” “Sure.” i t v"Dr. Moore, you 're so beautiful. . . ” Dr. Morton Klein “Microbiology is the basis of clinical medicine. “Arc they it? Those little dots are bacteria? 1 thought it was my eyes." “Who here knows how to Gram stain?” “Okay, let’s talk some about cell walls of bacteria. But first, who here has a cigarette? None . . .? Really? Oh. my! “Does anyone have a match?” "Yes. ma’am.” “Thank you, kind sir. All 1 have is this stolen cigar and I’m smoking it.” "Dr. Moore, you’re so beautiful when you smoke cigars. AUTOPSIES TUH: None St. Christopher's: None Einstein: None Episcopal: None “Man, that’s great.” “Let’s play cards.” “Have you seen the billboard with everyone’s pictures?” “No.” “There’s five or six more blanked out spaces.” “Curse you. Bloody Red Baron!" AUTOPSIES TUH: Yes St. Christopher’s: Yes Einstein: Yes Episcopal: Yes “Man, that’s too bad.” “Let’s play cards.” “Lymphosarcoma is. . . ” “What did you think the patient had?” “Cirrhossis.” “And you?” “Poisoning with a hepatotoxin." “You?" "Lymphoma.” “You?" “Leptospirosis.” "Leptospirosis?” “Yes!” “Okay. And you?” “Stomach cancer." “Okay. Next?” “Sepsis.” “Next.” “Hepatoma.” "Okay, next?” "Viral hepatitis." “Next?” “I don't know.” “What?” “1 don’t know." “Don’t he crazy. Nobody knows!” "Put me down for a question mark, okay?” “Okay, eccentric. Next?” “Colonic CA .. ." DEFINITION: Lymphosarcoma is a cancer-like disease of lymphatic tissues characterized by the uncontrolled proliferation of lymph cells in and consequential enlargement of lymph nodes, spleen, and other lymphatic tissue . . . "Dr. Peale. would you settle the issue please?" Dr. Herbert S. Waxman “The students’ opinions were widely scattered. They most frequently mentioned hepatoma and bile duct stone “They’re all wrong, the answer’s leptospirosis. I’ll bet.” “Now, Dr. Peale, would you settle the issue please.” “Yes, Dr. Martyr. At autopsy, the patient was found to have lymphosarcoma . . .” “Lymphosarcoma? What’s that?” “I can only remember reading about it vaguely. I do remember that it’s on page 670 of Robbins’, though.” ♦ “Doctor, pardon me.” “Yes, what is it. son?” “I felt some lymph nodes in my neck and groin.” . . Lymphosarcoma. . . ”. . The lights went otit. . . ” “As soon as the lights went out for him to show his slides, people began to sneak out the back of the classroom—some even sneaked out the front! And each time the lights went on. there were more and more empty scats. At the end. there were perhaps thirty where once one hundred fifty had been. “But can you blame them? Imagine ASPERGILLUS FUMIGATUS, PARACOCCIDIOIDES BRASILINESIS. OR SPOROTRICHUM SCHENK!I rapidly spoken in a thick German accent. Everybody was whispering, ‘What did he say?’ or 'I can't understand a word!’ “For his second lecture, he came walking into class with his secretary. He looked around and saw less than twenty students. He began lecturing anyway, but even then many sneaked out. "For his final lecture, he walked in alone but found only me. I couldn’t sneak out, but I wanted to. In a very low voice he said to me, 'Have you seen my secretary?’” "Please have a brownie.” "No, (hank you, Dr. Spaulding.” "Oh. come on, my wife baked them specially for you people.” “All right.” "All right wise guy, what's Friedreich’s Syndrome?” "I never heard of it.” "You have it underlined in three different colors in your book.” "Really?” INCIDENCE: Lymphosarcoma is uncommon. Its incidence is higher in the white races. Males are affected twice as often as females. Its greatest incidence is among young adults. "Are you taking the first exam?” “Why not? It's for free -it doesn’t count—it’s just for self-evaluation. It can’t hurt you." "Are you going to study for it?” “Of course not. Why should I?” "I don’t want to talk about it .. .What did you get for number 17?” "Which one was that?” “The one which read: antisera from those recovering from Tsutsugamushi cross reacts with which strain of Proteus?” "Ah . . . Let’s forget it.” “One of the truly nice things about self-evaluation is that you can always postpone the decision." Dr. Earle . Spaulding "My, aren’t we lucky?” “Why?” “We’ve got a three-day course in hematology coming up. “Why lucky?” “Because we’ve only got three days of it.” Drs. Kenneth R. Cundy and Robert M SwensonIntroduction to. . . “You see, doctor, my lymph nodes are still there. “Have they grown any larger?” “Maybe.. .” "Congratulate me.” “Congratulations." “Thank you. 1 just received my first unsolicited brochure for an internship.” “Already?" “What do you mean? We’ve only got 2Vi years more to go.” “Introduction to what?” "Clinical medicine.” "What’s that?” "When are they going to talk about pneumonia and stuff?” “Later, I think.” ETIOLOGY: The etiology of lymphosarcoma is unknown. “What did he just lecture on?” “The complement system.” “He sure could have fooled me.” “He did.” “I thought microbiology was about bacteria and stuff.” “Is it true that they have gross pictures in the National Boards;” “Yes, I believe it is." “How about microscopic pathology?” “ That’s there too, I believe.” “Oh, my God!” PATHOLOGY: The lymph nodes arc enlarged, hardened and usually discrete in lymphosarcoma . . . “What is your microbiology paper on?” "The viral etiology of pseudopseudohypoparathyroidism.” "The WHAT?” " The viral etiology of pseudopseudohypoparathyroidism.” "That’s what I’m writing on!” Clinical MedicineDr. Victor J. Murder. “The Red Cell. . . ” Dr. Herbert S. Wax man. “The White Cell. . . ” "Welcome to your hematology’ course. We have three books for you to read—it works out so nicely. One book for each day of the course. Today you should have read The Red Blood Cell; for tomorrow, read The White Blood Cell; for the next day read The Platelets:' ‘‘The red cell is a small blood cell of about 7 microns. You can find the details in your reading material.” ‘‘The white cell is actually many different cells of diameters anywhere from 8 to 24 microns. You can find the details in your reading material.” ‘‘The platelet is not actually a cell at all, but only a part thereof. It is less than 2 microns in diameter. You can find the details in your reading material.” “Is that all?” “No, there’s one more thing.” “Hematology is the basis of clinical medicine.” CLINICAL MANIFESTATIONS: Early in lymphosarcoma presentation is symptomless enlargement of lymph nodes, most commonly in the neck or groin . . . “Merry Christmas . . . Happy New Year.” “You, too. Long time no see?" “Yeah, I thought I’d come in again to pick up the class notes and join the party." "Well, it’s good to sec you again. Let’s go get some punch.” I (CHRISTMAS PATHOLOGICAL CONFERENCE) "Our conference is entitled. ’Hypertricosis, Obesity and Rubor in a 2000 Year Old Male’. ” "Doctor Humility will discuss the patient. ” "Abdominal and skull x-rays show the obesity and hairiness, respectively. ”"To the student who got the correct diagnosis we present the. . . . . Franklin Huber John Award."“Could I have some more punch, please?” “You’ve had enough. Remember last year?” “Please...” Mark 1 if A is correct Mark 2 if A C arc correct Mark 3 if B D are correct Mark 4 if A, B C are correct Mark 5 if E is correct 7.342. The National Boards: A. Stink. B. Correctly predict who will likely be an outstanding physician. C. Measure ability as a doctor. D. Correlate with nothing. E. Are the result of narrow-minded establishment thinking incorrectly designed to measure that which is yet to be learned. 7.343. Lymphosarcoma is: A. Used in the therapy of psychotics. B. A disease. C. Anasarca caused by lymph stasis. D. A temporary loss of consciousness. E. A medication containing phosphorous. “Okay, class, you know why we’ve been so reluctant to take this exam. Before Dr. Payne comes here to give it to us. I’d like to tell you that most of the class is willing to put identifying numbers but no names on their exams. “Anybody disagree? “Okay, we do that and settle this next semester.” “The I.D. course consists of basic material from all the medical specialties integrated into one big whole. This semester you’ll be carrying eleven subjects, give or take a few. We have prepared a list of suggested readings for this semester. This list is contained in the boxes in the front of the room. Come up to the fron of the room and take one box. “Please return these boxes, however; we need them to put your final exams in. “We think you’ll enjoy this semester and discover that... “The I.D. course is the basis of clinical medicine.” “These boxes must weigh 10 pounds.” “Could you make up a list of suggested lists of suggested readings, doctor?” Dear Doctor: “Arc there any more blanks where people used to be?” “No.” “The Red Baron must be regrouping for a big killing in June.” ‘‘Welcome to pharmacology! 1 know, 1 know, some of you are asking yourselves, ‘what is pharmacology?’ Well...” ‘‘Pharmacology is the basis of clinical medicine.” “All right little boys and girls. Here’s a homework problem for you to do ...” “What did he say?” “Homework.” I am turning in this homework problem not because I respect you but because I fear it is the only way to minimize my contact with you .... “And if you can be a surgeon, you’ll be a man my son...” “That's surgery lecture-one hour of platitudes with Dr__” “Did you read the lists of suggested readings yet?” “Not yet, but 1 should get through them in a few days.” ♦ COURSE: Lymphosarcoma’s clinical course is usually a gradual irrcsistable downhill one with ever-enlarging involvement of more and more tissue. “1 don’t mind if they lest us as long as the exam doesn’t count.” “What do you think this week’s CPC is?” “It’s either malaria or cadmium poisoning.” “How true . .. how true.” “It is pronounced LAB”-c-a Ma-JOR”-a and is spelled I.-A-B-I-A M-A-J-O-R A. “Now everybody after me. LAB” c-a' Ma-JOR”-a.’“Okay, class, about a hundred of you did not sign your exams. “Your little game is over. The exams are down in the dean’s office. Get down there and identify your exams, quickly.” “Never give in! Never give in! Never, never, never, never in nothing great or small, large or petty—never give in except to convictions of honor and good sense. Winston S. Churchill at the Harrow School “There are still twenty unclaimed exams since our meeting yesterday. Let’s get those exams identified, people! Those not identifying their exams will be failed!” “Never give in! Never give in! Never, never, never, never—. . ." “There are still eight unclaimed exams.” “In nothing great or small, large or petty-never give in . ..” “There is one unclaimed exam. We know who you are so you better claim your exam.” “Except to convictions of . .. good sense." “Every traitor is some nation’s hero.” DIAGNOSIS: Diagnosis in lymphosarcoma can be established with certainty only by biopsy. “That scalpel—my scalpel slicing through her skin. . .” “These animals are your second . ..” “Doctor . . ." “You give pain as well as relieve it, don’t you know . . . “Doctor, my lymph nodes.” “. . . your third patient.” Dr. Hugo D. Smith, .Associate Dean of Curriculum “Dr. Smith, sir, do vc have to pass the boards in order to get into junior year?” “I’m glad you brought up this point. I am aware of no policy such as that here at Temple.” “Good, doctor. I have here the Temple Medical School catalog. It states that everyone is required to pass the National Boards at the end of their sophomore vear." “Oh . . .?” ■ “Hey, you want to give me a hand?” “Sure, with what?” “Carrying my class notes home.” “Gladly.” “And in conclusion, atherosclerosis is the basis of clinical medicine." SUGGESTED TEXTS EOR SECOND SEMESTER: Course Text Approximate Pages Approximate Pages Required OBGYN Novak 600 600 Endocrinology Williams 800 400 Surgery Schwartz 1500 250 Handouts 100 100 Re nolo gy Pius 250 250 Winters 300 300 Medicine 1800 150 Handouts (Urology) 150 150 Cardiology Hurst : Loguc 1900 — Medicine 1800 300 EKG 150 150 Gastroenterology Paulson 1625 - Medicine 1800 225 Pulmonary Medicine 1800 225 Infectious 1800 100 X-ray 250 150 Handouts 200 200 Ncurosensory None Imaginable — - Medicine 1800 150 Handouts 50 50 Pharmacology' Goodman 1800 750 Clinical Medicine Any 200 200 Statistics Schor 450 250 Misc. Notes, etc. — 2500 2500 “Inflation” 7450 “Back in college (the heyday of our youth) it was often slated that one needs as a minimum about two hours studying time for each hour of class time. Is that correct, Dr. Smith?" "Yes.” “Well, wc average IV hours of class per day, five days per week. We also arc to review for National Boards. Now, two times lxh hours is fifteen; IVi plus 15 is 22Yi hours. So we have 22Yi hours per day of either studying or classes. Sir, is 1 Va hours per day enough time to devote to reviewing for the Boards?” ♦ .-I cross the street “Today is Wednesday. Today is Wednesday. Wednesday-work, Thursday work, Friday work. “ The weekend we’ll review.” “. . . It may seem funny now. but it won’t when you get across the street!” “Psst . . .. psst . . .” “Yes?” "What’s across the street?” "Hell. 1 suppose." “Oh, yes, yes . . . The Framingham Study. . . I remember it well.” "As you’re graduating, do me this favor. Look around at all the faces with you. Your heart will sadden not at the faces you don’t see, but at the ones you do.” “And where did the fellows from the other gang stab you?” “In. . .in the back, sir." "If you didn’t hear him class, he said, ‘in the back’.” “And, Johnny, when did you first notice that you couldn’t move your legs or feel anything below the waist?” CLDr. Leroy Shear “Dr. Shear, sir?” “Yes, son?” "I’ve given quite some thought to it and it seems to me that the intact nephron hypothesis and the sitc-of-injury hypothesis are mutually exclusive." “No, not if you really think about it.” “Thank you, doctor.” PROGNOSIS: In lymphosarcoma, the prognosis is, ultimately, a very poor one. Without therapy, most victims succumb within four years of establishment of the diagnosis. “And at great expense to our department we’ve flown him here all the way from Chicago just to give you this lecture. The lecture is entitled: ‘How to Spin Down Synaptic Vesicles of the Motor End Plates of Type IA Nerves Using an Ultracentrifuge, Model Type.. “Our next patient is a very interesting one. She has Huntington’s Chorea. 1 want everyone to pay particular attention to her dementia, foundering, involuntary movements and the saliva drooling down her face. “Bring her in, gentlemen.” id “In this hour-review of anatomy. I’d like to go over the bronchopulmonary segments and the inguinal canal—two very closely related areas . . . .” • “You remember Meckel’s diverticulum, don’t you?” “No ... I don't think so .. .” “Remember, the rule of two’s?” “Oh. .. .yes. . .It’s coming back to me now. Yes. I remember. Dr. Schneck said we would never forget and he was right! Meckel’s diverticulum is a paired organ, two feet from the duodenum, two inches long, which appears by the age of two.” “Right! Dr. Schneck, you were so right!” Dr. Gunter R. Ilasse “Now, all I have to do is get some blood from you and we’ll be done. Those lymph nodes of yours have given you quite some scare, haven’t they, son?” “Yes.” “The results of this blood test should be done in a few days. Stop back then. Okay?” “Okay. . .” “Now, this won’t hurt a bit.” “Ouch. . Dr. Stanley S. Shor “Why the hurry?” “Got to get to gastroenterology class.” “Why?” “Burt and Harry Picl arc featured.” “Who?” “I)r. Lorber and. . ." “And what's the difference between reliable and valid.” “We can rely on I)r. Schor giving us a test in statistics which will not be valid.” “Your statement is correct at the .05 level.” “ The null hypothesis is a concise statement which can be tested. For instance, let’s take the following null hypothesis: students taking statistics arc not better physicians. If. after measuring in relevant dimensions two groups of physicians, one with and one without having had statistics, we find no significant differences, then we might reasonably conclude our hypothesis correct. “Thus the value of statistics." Dr. Leon Salganicoff “What did Dr. Shuman just say?” “The entcro-pancrcatic axis." “What's that?” “An axis about which much feces revolve.” “How was the blood test, Doctor?” “Normal. Of course, that doesn’t exclude what you’re worried about, and perhaps nothing will. Most students go through what you arc going through now.” “Doctor heal thyself!” “We all must face the fact that that which we fear most may happen to us. You fear. . .eh, lymphosarcoma the most—and you may get it or even have it. The cadaver was your first patient. Who was your second?” "Someone told me the laboratory animals we experimented upon.” “Fine. Then who’s your third patient?” “Doctor, heal thyself!” Dr. Hugo Dunlap Smith. Assistant Dean for Curriculum Dr. M. Since Brigham, Assistant Dean for Student Affairs "Doctor, wc were under the impression that there would he no I.D. exam!” "Well, that’s completely erroneous. There will be a four-hour I.D. exam next week.” "Doctor, wc have National Boards the following week.” "We really cannot let other exams interfere with ours, now, can we?” "Could you at least describe the exam to us?" “Gladly! It will be a straightforward exam with no curved balls thrown. . .” 197. Before the era of antibiotics, the most common cause of pneumonia was the pneumococcus. Now, however, in the era of antibiotics, the most common cause, quite the contrary, is: 1. Streptococcus 2. Staphylococcus 3. Pneumococcus 4. Klebsiella Answer: Pneumococcus "Would you believe it?" “An exam designed to test your ability to synthesize data. . 291. A child at age one month, after thorough study, is given the diagnosis of Tetralogy of Fallot. At age six months he is re-evaluated, and again the conclusion is Tetralogy of Fallot. Both evaluations were done at another hospital. The most likely diagnosis is: 1. Tetralogy of Fallot 2. Pulmonary atresia 3. Atrial septal defect 4. Friedreich’s Syndrome “I’m afraid to answer this one.’’ “. . .rather than testing your ability to memorize;. . .” 415. Which is the correct spelling? 1. LABA MAJORA 2. LA BE A MAJORA 3. LABIA MAJORA 4. LABIA MAJOR1A . . . it will be testing high-level clinical judgments. . .’’ Acute Pyelonephritis: 1. is an acute medical emergency. 2. requires quick medical treatment. 3. requires moderately rapid treatment. 4. requires mildly rapid treatment. “Would you believe the answer is No. 1; it’s in the notes.’ “. . .And should be an excellent learning experience. . . .’’ “A toast, a toast to our two years of basic studies.’’ “I’ll drink to that!’’ “A toast, a toast to the best taught course, anatomy.’ “I’ll drink to that!” “A toast, a toast to the worst taught course, physiology.” “He’s trying to keep me sober!" "A toast, a toast to our hardest course, the I.D.” “I’ll drink to that!” "A toast, a toast to the easiest course, radiology." “I’ll drink to . . . did we have a course in radiology?" "A toast, a toast to ourselves.” “We’ve had enough!” , „ of the Department of Pharmacology Dr. Roger W. Sevy. Cha.rman of the August 22, 1970 Dear Sir: It pains me to have to make you aware of the financial crisis at Temple. . . . Therefore, I am requesting the tuition committee increase tuitions $100 per semester. . . scrub in over there, son. INSTRUCTIONS FOR SCRUBBING IN 1. For lather saturate your sponge with water 2. Squeeze-release; squeeze—release 3. Continue for 20 minutes ♦ “During your six weeks in surgery, you are expected to be neat and cleanly shaven. Your white coats will be white! If you have hair on your face, it must be kept well-groomed and completely covered in the operating room. In any case, it will be at the discretion of the surgcon-in-charge as to whether or not you will be permitted to wear a mustache or beard.” “Keep scrubbing until your skin hurts, son.” “... conduct yourselves as doctors... .” “Use a lot of lather, son. Get under your nails and along the sides of your fingers.” “Your group will be broken up into thirds. One third will stay here at Temple for six weeks; the remaining will go to the affiliates, one third to Germantown Hospital, one third to Einstein Northern Division.. .” “Don’t touch anything! Your hands are supposed to be clean. Remember your hands arc an aseptic field that touches nothing but the inside of your sterilized gloves!” "Hell! I have to go to Einstein.” "You touched the faucet with your hand, didn’t you? "Yes, sir . .. cr. Doctor." “And your hands were clean, weren’t they?” "Yes, Doctor.” "But now they’re just filthy with germs, aren’t they?” “Yes.” “And what are you going to do about it?” “Yes, sir!” “Where do you have to go?” “Germantown?” “Ha!” “And I wane you to go over the entire scrub in again. Those hands will be CLEAN.” Yes, Doctor." “We’ll be in operating room number four. II and when your hands arc clean, come into the O.R. . . "Congratulate me . . . I’m staying here at Temple.’’ "Scrub-a-dub-dub, three men in a tub. .. . "Get under those nails; get those lingers—the sides tot ; get those wrists; clean those forearms; above all, don’t touch anything!” “. . .You gentlemen, no doubt, feel as though going somewhere other than Temple is unfortunate. You’ll soon discover that your surgical experience depends more on whom you are with, than where you are." "So you finally finished washing your hands." "Yes. Doctor.” “Arc they clean?” "Y'es. Doctor.” “Did you touch anything with them?" "No, Doctor." “Stay over there in the corner: one of the nurses will assist you in putting on your gloves and gown.” “No matter where you are. here or at one of our affiliated hospitals, if you get into any trouble or have any complaints, contact me." “Put your arms through the sleeves, Doctor.” "Thank you, nurse." "Oops . . . Your hand touched the wall. Doctor, his hand touched the wall." "Out, out of the OR. Scrub in all over!" "Remember, as far as we’re concerned your surgeon is your boss." "I say, he’s not a bad medical student, rather dull, though. . .” “.. . Conduct yourselves as doctors. . .” “Doctor, this time his hands touched the table." “Out. out!" “Always be courteous to patient and doctor alike. . "My hands are clean, they haven’t touched anything. Doctor." “Fine son, just stay there in the corner. “Nurse, would you give the young doctor a hand suiting in, again?” “Be especially nice to nurses. They run everything. Get them angry at you, and every little thing becomes hard. . ." It .. . -“Pul your hands into the gloves. Doctor.” “Thank you, nurse, you've been so very kind.” “Well, gentlemen, nothing's left to he said except Good Luck and. . “Well, son. you’re scrubbed up and suited in?” “Yes, Doctor.” “Well, then come on over here. We’ve been waiting for you. We’ve held up the operation long enough!” “Thank you. Doctor.” “. . .Don’t forget to conduct yourselves as doctors.” 2 “While we were waiting for you, we prepared the patient; she is now ready for the initial incisure. Can you hear me, son? I say, nuzzle yourself in here close to me. That’s it! "Here’s the opening incisure. We start at the lower end of the sternum.. She's bleeding—bright red blood—my first patient didn’t bleed. . . Down, down and around the belly button. . . She’s not moving though. . . + “And we stop here.” . . .She’s as still as my first patient. 3 “Take the scissors, son. Cut the string when I sav ‘cut’.” “Yes, Doctor.” "Cut.” “Yes, Doctor.” “Not there! Son, what are you trying to do? You’re leaving a rope inside her. Cut closer to the knot. Now, cut this again.” “Yes, Doctor.” “Son, did you see what you just did?” “Yes, Doctor.” “You cut the knot. That means that the tie is no good, doesn’t it?” “Yes, Doctor.” “Which means I have to do it all over again, doesn’t it?” “Yes, Doctor.” “Which means that there is one more second during which the patient is under anesthesia with a gaping hole in her belly exposing her guts to the world!” “Yes, Doctor.” “Here, give me the scissors. I’ll show you how to cut a tic one time. Now pay attention! Hold the scissors like this; with a sharply guided, quick motion bring the scissors up to the string; cut it about here, 5 millimeters from the knot; cut briskly; then rapidly withdraw the scissors. Got it?” “Yes, sir.” “Do it!” “Yes, sir!” “Now, how are you holding those scissors? You’re not trimming a hedge, you know.” “No, sir.” “Hold them like a surgeon, if you can. . .No, no. . . not like that. Hold them like this. The edges should be horizontal, your thumb in one hole, your middle finger in the other. This frees your index finger and your thumb when you’re not using the scissors. Got it?” “Yes, sir.” “Like 1 said, the boy’s not a bad medical student, rather dull though. . .” “Pardon me. We’re the junior medical students from Temple. We’re on surgery attached to your team.” “Hello. I’m the third-year resident, Kim. I’m from Korea. Your first-year resident will be here in a minute. He’s from Thailand. Your intern is from India. He’ll be here this afternoon.” “We’re from America.” “Good! It’s in keeping with the international nature of our team.” ♦ ‘Tie, please. Cut. . . Cut. Come on, quickly.” “Yes, sir.” "The chief won’t he here until Thursday. There isn't much to do now. At one o’clock we’ll go around and see all our patients. At two o’clock we have a conference. This should give you time for a cup of coffee in between. We won’t have any new admissions today. They’ll start coming in tomorrow and you can work them up as they come in. “Right now, why don’t you sit down and read over the charts. Familiarize yourselves with our patients. Okay?" “Yes, sir." “Lackey, please. Tie please. Cut. . .” “If you doctors want to read the charts, you’ll have to find somewhere else. You’re in the way here." "Okay, nurse. Anywhere you can recommend we go to read them?" "Don’t tempt me." ♦ :Clamp please. . .tie. . .cut. ♦ “Hey. . .1 hear tell they have a recreation room with a pool table here. Want to play some pool?” "Absolutely not! Let’s get the charts done.” “Where you from, son?” “Philadelphia.” No, no. 1 mean what college did you go to?” “Oh. Temple.” “So you’re an Owl. hch?" “Yes, sir!” "Cut. . .cut.” Fhree ball in the side pocket.” Dr. James S. C. Harris, Germantown Hospital “Are you gentlemen ready? Okay, let’s go on rounds." “Ready!” “Cut. .. “Okay, here’s the aorta. Step back to let the medical student see it.. .” “This patient had a localized tumor of the lung. Pathology said it was cancer. We removed the lung, lie’s doing fine. “How arc you, sir?” “I’m. . .fine.” “Do you see the aorta?” “Yes, sir.” “Well, we’re going to remove part of it, plus both common iliacs and some of the renal artery, if necessary.” “Yes, sir!” “Okay. Sterilize the Dacron graft now, please. Cut.. .” ♦ After we took out the lung, there was an empty space in his chest cavity, correct.” "Yes, sir.” “Now what do you think is going to happen to that space?’ “Ah, eh, ah, umph. . .’’ “Come on. . .What's going to happen?” “Ah. . . it’s going to get infected, sir?” “Damn! You fellows arc killing me!” “Let's try sottie more Maalox. ” Dr. Harris R. Clearfield, Episcopal Hospital “Listen, son, you’ve got a very important job to do here today.” “Yes, sir?” “I'm going to clamp off the aorta about here. After I clamp it, you’ve got to hold the clamp. It shouldn’t be longer than an hour, but one slip of the clamp and the patient will bleed to death in minutes. We’ll never be able to get the clamp back on in time. Remember, just one slip. Doctor, and. . .’’ “1 think he needs surgery.” “Why don’t you try more Maalox?” Dr. Paschal Spagna, Episcopal HospitalDr. Joel Deuisch, Episcopal Hospital Dr. Pennell, Episcopal Hospital “There. Hold the clamp, son. “This is a patient who was in an automobile accident. He had a flail chest, a pneumothorax, and was in a deep coma when wc first saw him—he was at death’s door.” “How are you, sir?" “I’m line. Doctors. Thanks to you doctors. I’m alive. I never forget you; you gave me my life. Thank you. Thank you. Thank you very much." “Okay. Let’s leave now, gentlemen." “Thank all of you doctors, thank you very much.” “You're welcome, Goodbye.” “Goodbye and thank you.” “That, gentlemen, is Medicine!" L it Dr. Leroy Stahlgren, Episcopal Hospital Dr. Felix Glauser, Episcopal Hospital Dr. Frederick Murtagh, Chairman of the Department of Neurosurgery “Keep the clamp steady. . “Just what did you do for the patient, Doctor?” “Well, we put in a Dacron aorta, bilateral iliac grafts and replaced one renal artery. The surgery was quite successful. At autopsy, on the third day after surgery, all the grafts were functioning well." "Steady with the clamp, son. . ." “Eight ball in the side pocket. . .” Dr. Senna. Episcopal HospitalDr. Fred Reichle Dr. Leonard I. Goldman“She’s bleeding. The peritoneal cavity is filling up with blood. Damn it! Vacuum suction. Move! Shit! Son. I’ll. . “Sir, I don’t think it’s moved from the aorta; I haven’t moved my hand; I feel the clamp still in place. . “Where the hell could she be bleeding from? . . .Suction . . .Suction. . .damn it.. .” And that scalpel.. . My scalpel slicing through her skin. “Damn it. more suction!” “I think I sec the bleeding site.” “Tie it quickly.” “Cut. .." “Tic. . . “Cut. . . “1 think it’s stopped."6 “Pardon me. ma’am. I'm the doctor who’s supposed to examine you before your operation tomorrow.” “Oh, yes. You’re the medical student they said would drop by.” “Yes, ma’am.” "Am I your first patient?” “No, ma’am. You’re my fourth.” “Okay, the bleeding stopped. “You still have the clamp, son?” “Yes, sir.” “Well, don’t move it.” “What seems to lie the problem, ma’am?” “I’m not sure. Something to do with my circulation. I’m not getting enough blood to my feet and maybe one kidney too.” “I see.” “You’re such a cute doctor. You remind me of my son when he was your age.” “Thank you. ma’am. Could you tell me more about the pains you have in your legs?” “Okay, the graft’s in place. “How’s she doing, anesthesia?” “Fair. Her blood pressure’s a bit low, and her pulse’s a bit fast. She’s got 2 ‘U’ of blood.” “Give her two more!” “Roger!” • “. . .Say, Doctor, you’ve got to meet my niece. You’ll like her. After this is all over, would you come over to my house for a nice dinner?” “Only if you’ll answer some of my questions.” “You will? Wonderful. Ask away, Doctor.” • “How’s she doing?” “Her blood pressure’s still pretty low.” “Damn, damn, damn!” “Got the Dacron graft ready?” “Yes, Doctor.” “Good, steady on the clamp, son.” “Doctor,... I trust you. Is the operation dangerous?” “Okay. Now we see if the grafts work. “Your fingers numb, boy?” “Yea, they are.” “You can let go of the clamp in a minute. ♦ “There, there. There, there!" "Okay, slowly ease up on the clamp, about a quarter of the way.” “Her blood pressure’s falling!” "Epinephrine, quickly.” “Doctor. . ., will you be there tomorrow in the operating room when they put the grafts in?” “Yes.” “Good. You’re so nice. I’ll feel much better if you’re there." ♦ "I can’t get a blood pressure.” “More fluids, more cpi, quick!” “Damn it." ", . .But you’ll probably be asleep before I get to sec you. I’ll be there, though, even if you don’t see me." “Good. I feel so much better.” “The blood pressure's slowly coming up: 60 0; 70 0; 80 50; I00 G0. .." “Okay, how long was her blood pressure down?” “Quite a while. . .minutes. . .” “Oh...” “Goodbye, Doctor. .. You’ve been so nice. You’ll be there when I wake up and come and visit me, won’t you?” “II I can, I will. Goodbye." “Goodbye. Such a nice doctor.” “Okay, son, let the clamp go entirely. How’s she doing?” “Blood pressure’s stable.” "Good. Let’s close her up and get the hell out of here!” "How is the lady in 220?" “Fine, Doctor. She’s okay for the operation tomorrow. And she’s such a nice lady." “She sure is. See you tomorrow. 8 a.m.. reads to go.” “Okay.” “Tie. . .cut.. .tie. . .cut." 7 “Good morning. Ready for the operation? “Yes, Doctor. Is the patient asleep? “Yes.” “Oh, I wanted to see her before.. .’ ‘Too late.” “Well, now that she’s closed up, what do you think of this operation, son?” “So, this is your first operation, eh, son?” ♦ “Scrub your hands over there, son. INSTRUCTIONS FOR SCRUBBING IN 1. For lather saturate your sponge with water. 2. Squeeze-release;... r iTEMPLE LUMNi OFFICE f SCHOOL OF MEDICINEDr. R. Bruce Sloane, Chairman of the Department of Psychiatry “. . .You’ll arrange one meeting per week with each of your patients. Each meeting should average over an hour. . . Yes, a question?” “What arc we supposed to do? If these people arc disturbed, what are we supposed to do?” “Talk to them.” “There’s no pool table here.” “Oh. . .” “Cheer-cc-o. . .pip, pip. . . .and good morning, fellows." “Er. . .good morning. Doctor.” "Yes, it is a good morning, isn’t it? Well, let’s gel cracking. First, who here can tell me what psychiatry is?” “I can. Doctor, I can. . .’’ “Very well, tell us all.” “Psychiatry is the basis of clinical medicine.” “Scat yourselves, gentlemen, seat yourselves wherever you may he. In a moment the nurse will bring us a patient He’s a 26-ycar old veteran of Viet-Nam brought to us by an overwrought family who say his behavior has been deranged recently. Ah,.. .here he is now. Thank you, nurse, and lock the door behind you, please? “Hello, John.” “.. .Hi. ..” “How arc you. John?” “. . .No. . .good. ..” "Why, John?” “.. .Something.. .in. . .my. . .head. . .1. . .think. . .I’m . .. .crazy.... Am.. .1....?” "I don’t know John. Are you?” “...Yes...” “Why, John?” . .head. . .snapped. . .” “I see. John, do you remember me?” “.. .Yes. . .you’re. . .you’re. .." "Yes, John, who am I?” . .You’re. . . Jesus Christ.” “John, you didn’t have to take off your clothes. I don’t want them.” “You. . .you. . .you. . .” “One moment, John. Gentlemen, arc there any questions?. . . Come, come. Somebody must have a question for John. . . . Please, ask your question." "Er, John, why did you take off your clothes." “. . .You stupid bastard. . .you stupid bastard. . .” “One of the most disturbing things about disturbed people is that they often make statements of great significance.” I ------. . you like to c to my place tonight?” “Madame, let’s slick to protocol, please.” And when did you first feel as though you were being talked about?” “When you left the room just a second ago. Weren’t you talking about me then?” “Ah. . . yes. . . but you don’t understand. . . . Pardon me, I have to leave again. . . .” “Doctor, you’re cute! Would you like to come over to my place tonight?” “Sir. let’s stick to protocol, please.”  “Arrested in the anal stage, he is unwilling to give up his feces. Thus he stutters. Stuttering is merely oral constipation.” “I believe he fears the social world and translates these fears into the hesitancy of stuttering.” “. . . The patient has obviously been punished for speaking sometime in his past. He learned to speak in a world which alternately rewarded and punished him indiscriminately. His speech developed in such a chaotic world. ‘‘Hence, he stutters.” “His stuttering is only symbolic of some underlying conflict, perhaps his simultaneous need to be mothered like a child and his abhorrence of such a need.” “He stutters as one expression of his frustrated need to sclf-actualizc.” “Lacking unconditional self-regard, he stutters. “Of course he stutters! His father docs!” “He has a functional neurological impairment which will not allow proper linguistic sequences.” “He stutters to attract attention to himself. Really, he is a very lonely person.” "Did you have to hit her back?” “He stutters because he is excited!” “Stutter? I haven’t heard him stutter." . . He started to drink, stay out late, and I believe, date other women. “You see. lie believed he was going to die at thirty-one like his father did. Me was right. Within a month of his thirty-first birthday, he suffered his second heart-attack and died. “That was six years ago. arid I’ve been alone, puzzling over it ever since.” “Hello? This is your doctor at Temple. You didn’t keep your appointment this morning. Why?” “That’s none of your business. Doctor." “That was, truly, a good interview.” "Thank you very much.” “One thing, though. . .” “Yes?” . - did you have to hit her back?” "How long were you in the institution?" “Twenty-eight years.” "1 sec. Why do you think you were released?" “I don’t know. 1 still get the same feelings. 1 guess they got sick of me.” CRISIS CENTER DOWNSTAIRS “Welcome. . . welcome to the Crisis Center. Which reminds me, have you seen the model of the limbic system on my desk? It's quite reminiscent of the recent article about quasars in Scientific American. What do you think quasars are? I was reading about critical flicker fusion in schizophrenics. Are you aware of the onus on one being poor in America today? Calculus is the highest form of knowledge, consider double integrations! Of course. Napoleon hadn’t actually lost the battle of Borodino, but the simple fact that the enemy did not retreat on the day of battle must have been disheveling to him. . ." “Er. . .Ah. . .Er. . .why don’t you just sit down a moment, sir?. “Psst. . .psst. . “Yeah. . .this guy is. ..’’ “No! No! He's not a patient. He’s in charge down here!” “Our understanding of these poor unfortunates is helped enormously by listening to them. Just listen to them discuss their symptoms. Be mature and objective. Frequently their symptoms are obviously related to their self-perceptions, to their fears, and to what they have learned in life.” “I’ve been a prostitute for years, and. . .” “We live in a potentially harmful world. Mistakes arc made and then punished. Punishment begets more mistakes and so on and so forth. And, generally, it falls to those to make mistakes who arc least capable of handling the consequences. Their problems may be, fundamentally, external.” “... in and out of jail for just as long. Why do I continue...?” “Is there right and wrong? Or does society determine it? There are few human acts that have not, at one time or another, been cither condemned or condoned by some culture. Does it truly make sense to say that he is right or she is wrong? Or does it seem sounder to say it is the wrong time or the wTong place?1' “My father raped me three times.. ♦“What do you think of obstetrics?” “Well, the attending physicians labor to make it interesting, and then the house staff comes along and aborts it all." “Obstetrics is the only field of medicine in which the young and generally healthy adult is selected for your care. The very young and the very old—and quite frequently the ill-are excluded. Isn’t that marvelous?” "Doctor, am 1 pregnant?” “Slightly.” “I don’t want this baby!” “Then why did you fool around?” “I’m going into pediatric-obstetrics - it's a booming new field.” “Nature's one great injustice was to give the burden of man’s promiscuity to those least responsible for it.” “Give the minister’s wife in Room B, 2.5 million units of penicillin in each buttock, Nurse, please.” “Why? I’ll tell you why! When I’m done my training, I’ll make a mint!” + “Well, what do you want us to do?” “I'd like an abortion.” “Abortion? You know, we’re not a supermarket! You don’t come in here and order what you’d like!” “Hurry up, before Doctor Effy gets here. If he stops us from doing this Caesarean we’ll have no one to blame but ourselves.” “Give her pen and strep.” “Why. Dr. Kohls?” “It’s good." “Doctor Wingate?” “Yes?” “1 have a 16-vear-old black female here wanting an abortion.” “Why?” “Huh?. . . One second. I’ll find out.” 1 “I’ll let you do three of my tubal ligations if you let me do the next Caesarean.” » IRESIDENT’S SCHEDULE STUDENT’S SCHEDULE 7:00-8:15 8:15-8:35 8:35-12:30 1:30-4:30 5:30-6:30 6:30 onward Rounds Scrub in Operating Admissions Admissions Residents on duty Rounds Avoid OR Avoid Admissions Sneak out if possible SELECT THE BEST ANSW ER: “She’s unmarried and has a baby at home. She just went off Public Assistance and started working four months ago. I guess she wants to keep her self-sufficiency." .. Tell her we’ll need the usual psychiatric consultations. As for my part. I’ll approve her." “Gynecology, on the other hand, frequently deals with the ill or dying patient. Isn’t that terrible?” A 112-year-old female has a small apparently localise cancerous lesion of the vulva. The proper course of action would be: 1. leave her alone 2. local excision 3. local radiation 4. complete hcmivulvcctomy and inguinal resection removing large areas of skin Answer: No. 4 on anybody but relatives. Dr. Michael J. Daly. Chairman of the Department of OB-GYN “Therapy of cancer of the cervix uteri is definitely beneficial. Using radiation as the weapon to fight it, we sometimes can cure surgically incurable lesions. Such was the situation we found ourselves in when a twenty-four year old nurse—impeccably beautiful to the last detail presented herself to us with this cancer. Her loveliness, her youth, and her kindness inspired us all to seek a cure. She would receive radiation! The radiation canister was inserted for the usual 48 hours. We’re not sure when the canister slipped out of the cervix and into the vagina but it must have been fairly early during the 48 hours. The damage was done! The mucosa of the vagina and of the rectum and of the bladder slowly absorbed the lethal radiation. . . What followed was a nightmare of horror. Over the ensuing weeks she developed fistulas between vagina, rectum and bladder. Every conceivable surgery was considered, and some tried, but to no avail. We fought one bout of sepsis after another, one bleeding episode after another. And finally she died. With all her charm, with all her youth, she died in misery. “And, Class, that is partly why I urge all you to have your loved ones screened for cancer by the Pap smear.” Dr. Jerry I.. Shulman“I talked to the Chief and we agreed to give you your abortion—but only if you agree to have your tubes tied." "You mean sterilized?" "You don't want any more babies anyway, do you?" THIRD YEAR RESIDENT: "It’s a large tumor mass in the left adnexa. SECOND YEAR RESIDENT: "Agreed." FI RST YEAR RESIDENT: “It is large, isn't it?" MEDICAL STUDENT: "1 didn’t feel anything.” ATTENDING PHYSICIAN: "Normal examination.” MEDICAL STUDENT: "Yes. 1 didn’t feel anything.” FIRST YEAR RESIDENT: "Although large, it’s definitely well within normal limits.” SECOND YEAR RESIDENT: "Agreed." THIRD YEAR RESIDENT: "Yes, it’s probably well within normal limits.” “This above all things, to thine own sell be true and it must follow as the day the night, that residents in OB-GYN will be found wrong." It does seem true to me Our residents on night duty, Though elsewhere they should be arc out in promiscuity. “Now mother, your little boy will be here in a minute.” “1 told you. I don’t want it. Give him up for adoption, throw it away, do anything with it." “Mother, here he is. . ." "I don’t want to see him. I’ve got five at home just like him and I don’t want anymore." “Hello, sweetheart.. .yes. .. This may sound crazy but I want you to get a test done this week. . . a Pap smear. . and I don’t care. . ."  “I hate children — always will!” “Why?” ‘They’re selfish little beasts who might love you il and only il you treat them as a little king or queen. “And they’re so dirty! Take a culture from any orifice on them and you’ll get bach some perfectly horrible organism. . . “And look at this necktie!” “Hello, Mom?. . .Yes, Mom. .. I love you, too. The reason 1 called you. Mom, was to get some advice. . . No, nothing like that! . . . Honestly, Mom,. . . I need some advice on cleaning neckties. . . Yes, neckties. . . Well, I’m on pediatrics now and they get dirty. . . You don’t need to know that! . . . You really do?. . . Okay, it’s mostly urine, but some feces and vomit, too. . . Stop laughing, Mom, this is serious!" “But then, there are the children and what am 1 going to do about them? That’s a question I can’t answer. If all must suffer. . .what have children to do with it, tell me please? It’s beyond all comprehension why they should suffer.” FYOROR DOSTOEVSKY The Brothers Karamozov Through an oxygen tent darkly. “Good morning, students, you’re just in time for rounds. Let's gd see out prize patient. “Hi, Janet, honey. How are you?" . . tee. Iiee. . . okay. . “Tell everybody, how old you are." . . thwee. . ” “And what’s wrong with you. Janet?" “. . . Sixtyfhebruistcr. . “What’s that again?" “. . . Sixty fivebruister. . “No. honey, that’s not quite right. It’s pronounced. Cystic Fibrosis.” "Goodbye. Janet.” -jit“Nurse. . nurse! Come in here quickly, please! “Nurse. . “Yes, Doctor?” “Never mind. You’re too late. Just get me a towel, please.” DIFFERENTIAL. DIAGNOSIS: 1. anemia, etiology unknown 2. splenomegaly, etiology unknown 3. moderate lymphadenopathy, etiology unknown 4. rule out leukemia “This little piggy went to market. . ." “He, he. . “This little piggy stayed home. . .” “Ha, ha. . ." ' “This little piggy had roast beef. . .” “Ha, ha, ha. . . ." “This little piggv had none.” “Ha, ha, ha. He,' he. . “Tommy, be nice to the young doctor. Don’t spit on him!" “Janet iin. “Son, can you tell me the etiology « ! Reye’s Syndrome?” “Doctor, can you tell me what Reye's Syndrome is? ’ “Nurse, I can't hit a moving target! ’ “Mommy! Mommy! Help me Mommy!” “My son, my son! Freddy, are you alright in there?” "Mommy! . .Mommy!" “Somebody tell mother that Freddy’s alright.” “Is he. Doctor?” “Tommy, stop kicking the doctor!” “Janet’s not Feeling well. She’s not eat ing and her breathing is pour. Fast night her temperature rose to 103°. so the doctor pm her on carhcnicillin." . . .feeling well. ”Dr. David .S'. Smith _ y • ou v CTC rtg t. Vhe bone marrow shows that Vic does haVt leukemia. Cbngratulji 6ns M ‘'Thank you. ’ . ' 'ommV • » le UVm so Yvard. HjiancsUy. Doctor. h U;vs never ;ictec this way cforc. . . “Vccling poor lately? . chcs and pains abound? V’eve.v’s higher nightly? Chris's evud’s around.” “Janet . umev, how do vov» led?" - - Okay. - “That's my little girl, always feeling okay. . »» V“Where have you been?” “I spent three weeks at Einstein’s nursery.” “How was it?” “Terrific! Ask me anything at all about newborn’s feces." "Come again?” "Go ahead, ask me. I spent three weeks learning all about it. Go ahead, ask me about green, yellow, brown, black, white, gray, hard, soft, loose, liquid, bloody, seedy, greasy, stony, acidic or alkaline feces.” “1 do have a question.” “Good!” “How do you get their stains off your tie?” •'Chicken Pox? But I'm 24!” “You’re not the First medical student. . “And would you believe it. Doctor? Tommy went tc the potty right before he came here.” Dr- SMney J. Susstnan“Madam, please be seated. You too. sir. There is no good way i tell you what 1 must. I’m going to mention a word and it will fill you with hopelessness, hut it musn’t for longer than a moment. Hie word is leukemia. . “Throw me the football! Throw me the football. . . “You clod, didn’t you see me?” "Yeth, Doctor, but you were too far away." “Oh. . .I’m sorry. Listen. I've got the play to put us hack in the ball game. I’ll he the quarterback. Bobbie, you run interference. The play will be to Joey. Joey, I want you to wheel that chair of yours as fast as you can down the hall, stop at the utensil room, turn around, and wait. I'll throw the hall to you there and when you catch it, turn around and wheel into room 209. Any questions?” “Yeth.” “What is it this time. Bobby?” “What ith in-ter-fer-enth?” “You run in front of Joey's wheel chair and pretend you're supposed to catch the ball.” “Okay! Let’s get tough, big team!” “Yeth! Rah. rah. rah.. .” “You mustn't lose Faith; the outlook is poor but you still have him. You mustn't lose Faith. . .” “I’m thorry; I didn’t thee the mirth coming. I didn’t mean to hit her.” “That’s alright, Bobby. Anyway, you didn’t hurt her half as much as Joey did with his wheel chair. Are you okay,Joey?” “Sure, Doctor." “Going, out. for a forward pass. ”Where did the wheels run over you ? “li goes without saying that I'll be with him as much as I can. We'll see to it that he doesn’t suffer." “Listen, fellows, it’s third down and we’re not even close to the utility room. Joey, We’re going to try the old quarterback sneak, and you’re the quarterback. I'll center you, you pul the ball under your chair like this, see? Give us time to get past the utility room, then you rush down this passageway to the next corridor and come to the goal from behind. Got it?” “Rah, rah, rah.. . ’ "Doctor. . .how do we treat him?” “Perfectly naturally. He’s a five-year-old boy. Treat him like that. What's his favorite game?” “Football.” “Why don’t you say to him. ‘Bobby, how would you like to play some football?" “They grow old so fast." “When?" “3 a.m.” “How?" “In her sleep. We asked her if she felt ill. . “I know. She said she felt okay, didn’t she?" ♦ “Tommy, sav thank you to the nice doctor.” “No!" “That’s okay, madam. I have reward enough just knowing that this cute little fellow is healthy and you’ll be taking him home.” “Oh, thank you, doctor!" . . read between the lines. . . " “Dr. Smith, may I please have my evaluations?” “You certainly may! 01 course, you’re not allowed to see them, but 1 can tell you their gist. W hich courses have you had?” “Surgery, psychiatry, pediatrics and OB-GY.Y.” T1I get vour folder.” “Thank you.” “Hmmm. . . let me see. Ah, yes! The only one we’ve gotten back so far is surgery. "Well you’ve gotten 'excellent’ in motivation, general knowledge and intelligence... You’ve had ‘good-to-excellent’ in patient relationships, were always VER V congenial and were liked by patients and peers. . . . You had a good appearance. . . Your history and physicals were done well though perhaps were a bit lengthy. . . and you continually strove for improvement in yourself and in the brand of medicine given by your Team.” "That sounds pretty good to me.” "Well, one has to read between the lines. . . And. then, again, we really don’t pay that much attention to their letters, anyway." “Dr. Smith?" "Yes?” “Will this recommendation be held against me?” p“Next?” “422A.” “Another alcoholic cirrhotic. Want to take him?” “Next!” “430B.” “Drug overdose—took 30 seconals. She’s okay now. You want to take her?” “Next?” “431.” “Heart attack 6 days ago. You want to take him?” “Next!” “433B” “Hepatorenal syndrome. It started with liver failure from an alcoholic cirrhosis. Better take him quickly, he won’t be here long.” “Next?” “436B.” “Oh. . .he’s a 22 year-old collcgc student with advanced lymphosarcoma. . .’’ “That scalpel. . .my scalpel slicing through her skin. .. “These animals are your second. . "Doctor. . .” “You give pain as well as relieve it. don't you know.” “Doctor. . .my lymph nodes?” “. .. your third patient. ..” “. . . you want to take him?” ♦ “Next?” “440B.” "She’s a 26-year-old nurse with thrombophlebitis. You want to take her?” “Okay, that’s it. How many patients do you have?” "Eight.” “Doctor... doctor?” “Yes, nurse?” “It’s 433B. We can’t get a pulse or blood pressure on him.” “Make that seven patients, fellow.” 8 A.M. The junior student is an essential part of the medical team “Why don’t you sit down and go over the charts; we’ll go over your patients in a bit?” “Who’s first?” "415A.” “Yes. He’s an alcoholic cirrhotic. You want to take him?” “Next?” “415B.” “He’s been vomiting blood. He probably has alcoholic gastritis. You want to take him?”Dr. Fisher, Episcopal Hospital “Is the intern or resident here? ’ “No, just me.” “It’s about the new admission. Do you want us to put him in room 433B?” V Dr. 'asant X. Udhoji, Episcopal Hospital ■PIV “Hello, Mr. Rose. I’m one of the doctors who will he taking care of you while you’re here. How are you feeling? “A little winded right now.” “How old are you?” "Forty-four.” "Hello, Mr. Rose. I’m the intern who will be taking care of you.” “Good afternoon. Boy, I’m exhausted. The other doctor examined me for two hours. He put one thing or another in or up everything I’ve got.” “I know, I want to go over you, too, but I’ll try to be brief. Why did you come to the hospital?” “I’ve had some trouble swallowing.” “Do you smoke?" "Hello. .. I’m the resident on the team.. “You’re the third doctor this afternoon!” 11 A.M.Dr. Theodore Rodman “Doctor, we’ve been sent here to repay you for the questions you asked us way back in the freshman year midterm. ” Dr. Michael McDonough Dr. Harold Hyman, Germantown Hospital Dr. Jacob Zatuchni. Episcopal HospitalI PM. Dr. Bertram J. Channick (rear) and Dr. Alan D. Marks Dr. liichard V. Smalley and Dr. Rosaline R. Joseph “Let’s get a pulmonary consultation on 419A. He's also a bit anemic so we better get a hematology consult. Did you hear his murmur?” “Yes.” “We better get a cardiology consult, too. What do you think about his leg weakness?” “We better get a neurology consultation.” “Right. I’m sure he doesn’t have an infectious disease, but we better get their consultation also." “Agreed.” “Anything else?” "A dermatology consult?” "Good.” “How about the students? You fellows got any ideas?” “How about an endocrinology consultation?” “Good idea. Anything else?” “How about a renal consult?” "No! Absolutely no renal consults unless we need them!"  • • .. Excellent ” Dr. Louis A. Soloff 2P.M.“May 1 please have the x-rays on Mr. Rose, a new admission in 419A?" "Yeah. It’ll take about half-an-hour, man.” “Let the students see it. Fellows, what do you see on this x-ray?" “ The bony structures are intact and symmetrical. The heart is upper limit of normal in size. There is a large mass in the left upper lobe.” "Excellent!" "I’m sorry to interrupt your supper, Mr. Rose. I’m from the pulmonary section. Your doctors asked me to sec you in consultation.. .’’ "Another doctor?” 4 PM “What do you think he has, students?” "Lung cancer.” “Excellent! Prognosis?” “Less than 5% chance of living 5 years. “Excellent!” “Better get a surgery consultation also.”“Do you want to hear a good heart murmur?” “Certainly.” “It’s in 419A. Don’t miss it!" “Sir, I was asked to listen to your heart lor a moment. Do you mind?” “You’re the sixth doctor today. But what can 1 say? You’re only trying to help me. Go ahead.” “Yes, sir. Thank you, sir." “I’m back nurse. Anything happen while I was at supper?” “Mrs. Rose would like to speak to you. doctor. . .” “No, Mrs. Rose, I couldn’t say, but I’ll call you if anything comes up.” “Doctor, your intern called. He’s got another admission for you down in the A.D.” “Thank you. dear.” 5 P.M. Dr. Charles K. Shuman "Ketoacidosis " “Ketoacidosis. . “In the ketoacidosis of diabetes mellitus, I usually give 15 units of insulin intravenously for each 100 milligrams of blood sugar above 100.” “Nurse, would you give the patient in M ’ 135 units of insulin intravenously.” "In ketoacidosis, I usually give 50 units of insulin for blood sugars below 500 milligrams and 100 units if above 500, and I usually give half subcutaneously and half intravenously.” “Nurse, would you give ‘D’ bed 100 units of insulin instead of 1 35. And give it 50 subcutaneously and 50 intravenously.” Dr. Berko witz ‘ In ketoacidosis, I usually give 10 units of insulin for each 100 milligrams of blood sugar above 150." “Nurse, give 90 units of insulin, instead.” “In ketoacidosis, I usually give 50 units of insulin intravenously and wait to see how the blood sugar reacts.” “Nurse, give 50 units. . .” “Too late, Doctor, he got the 100 units of insulin.” "Good! Thank you. Nurse." 6 P.M. As Above Dr. Finestone i c“Your attention, please. . . Your attention, please. . . Code 77 on 4PP_______Code 77 on 4PP." “Where’s the code?’ “419A.” “Give me the ambubag. I’ll breath hint, you pound the chest -but don’t break his ribs." 8 PM.“Get the EKG.” “Get the crash cart.” “Get the chief." “Anybody feel pulses?” “None here." “None here." “None here.” “Draw up two amps of sodium bicarb.” “Draw up an intracardiac with 0.5 cpi.” “Draw up an IV with Isuprel." “Where’s the EKG?” “Where’s the crash cart?” “Where’s the chief?" “Let’s give him bicarb!” “Let’s give him cpi!” “Let’s give him Isuprel!” “Let’s shock him!” “Let’s get an IV in him!” "Who’s got a subclavian IV?” “Keep pumping!” 12 Midnight “You’re pumping loo fast!" “You’re pumping too slow!” “Stop pumping!” “Any pulses?" “None here.” “None here.” “None here.” “Start pumping.” “Let’s give him calcium." “Let’s give him Glucagon.” “Let’s give him lidocainc.” "Stop pumping.” “Anybody got a pulse?” “Tis here." “Tis here.” “Tis gone.” “Start pumping.” “Stop pumping. I can’t get this IV in.’’ “Keep pumping. There’s no pulse.” “What next?” “Here’s the EKG.” “Here’s the bicarb.” “Here’s the Chief.” 10 P.M. “Hi, everybody.” “Hello, Chief, how arc you?” “Fine, fine. What have we got here?” “Oh, just a guy who came. . . don’t push on the chest so hard, son, . . in with a lung tumor. He just stopped breathing.” “How old is he?” “52,1 think." “He’s 44. . .” “Thank you. Getting tired, son?” “No, sir.” “What docs the EKG show?" “It’s flat.” “His pupils?” “Fixed and dilated.” “Boy, you don’t make them easy. Chuck! Is the pharmacist here?” “Right here.” "Good to sec you, Jerry, how arc you?” “Fine.” “The kids?” “They’re good, too.” “Wonderful. I.et’sgivc him some epi intracardiac.” “Here it is." “Let the intern do it.” “Where?” “Oh, just stick it in somewhere over here. Draw back on the syringe to see if you’re in the heart. . . Got it? “Good! Now give it to him." 2A.M. “How’s the KKG.” “Coarse fibrilations." “Fine. Let’s shock him, men. Turn on the clectroconverter.” “It’s on.” “Okay. Stand back.. . Hch, Chuck tell the medical student to stop pounding on the chest for a minute and get him away from that metal pole." “Stand back everybody. . . Here it goes.” "How’s the EKG?” “Same.” “Shock him again. Stand back—Chuck, the student. . . Stand back.. .” “EKG’s the same.” “Hmmm. Let’s shock him twice this time. First we’ll give him 5cc’s of holy water intravenously—just a joke, student. “Stand back...” “Stand back. . .” "EKG shows no change.” “Do you suppose he’s doing it on purpose? Nurse, is the clectroconverter plugged in?” “Yes, doctor. I’m sure. . .” “Just kidding, nurse. Okay, stand back everyone. . .’’ “EKG’s the same.” “Keep pumping on the chest, son. Arc you tired." “. . .huh, huh, yes, sir. . .” "Fine, well, just keep it up. Give him 2 amps of bicarb-when he goes to the pearly gates, he won’t be in acidosis. “Sid, it never fails. Whenever you show up for a code, the patient dies. You’re the kiss of death.” “Thank you, Chief. I could kiss you for that.” “Stand back, everybody. . . .” “This is what they call refractory fibrillation. Let’s shock him one more time. Electrodes, please. Sid, you want to spit on them for luck? “Stand back, everybody. . . .” “EKG shows a slow idioventricular rhythm. “Hang up the isuprcl. Sid, you spit well.” “Thank you, Chief. Won’t you let me kiss you?’’ “No, thank you! Student, stop pumping a moment. . . Anyone feel pulses?” “None.” “More isuprel.” “Still none!” “EKG has reverted to fibrillation.” “Electrodes, please. Sid, keep your spit. Stand back everybody. . .” “Stand back. ..” “Stand back. . .” ♦ “Stand back. ..” iA- “Gentlemen, thank you for your efforts. The code is now ended.” Have the students look in his eyes for box cars. Do you sec any on your side? “No, how about yours?” “Me either.” Did you students sec the box cars, Ah. . .yes, sir.” Interesting, heh?” “Hello? Mrs. Rose? This is the doctor at Temple. I think you better come here. Your husband has taken a turn for the worse.. .”“Nurse, I’m going to bed now. If there arc any more codes, cal! me. . “Good night, doctor.” + "Sleep. . .‘sleep that knits up the raveled sleeve of care.’ . . .‘would all the oceans wipe out this one damned spot’ . . .sleep, sleep,. . .perchance to dream. . . ah, there’s the. . “Doctor, Doctor...” “. . . my lymph nodes. Doctor. . .” “Doctor. . . wake up. . .” “Yes. Nurse?” “43fiB’s IV is infiltrated.” “1 11 he right there.” ♦ “Why does he need the IV?” "He gets IV medications.” “What’s his diagnosis.” “Lymphosarcoma, Doctor.” “His veins are terrible. I’ve tried four times.” “Should I call the intern?” “No, no. Don’t call the intern. I’ll try again.” “There, there. I know it hurts, hut you need the intravenous for your medicines.” "Medicines? Why don’t you let me die? I’m so sick of it all, Doc.” “There, there.” “Did you get the IV in?' “Finally.” “Congratulations.” “Good night. Nurse.” ju alumni offltt ERSirr SCHOOL Of MEDIC11 iiAnriPtUA 40, PA. "That scalpel. . .my scalpel slicing through her skin. . .” “These animals arc your second. . .” “Doctor. Doctor, my lymph nodes. ..” “You give pain as well as relieve it. don’t you know." . .your third patient." “Mow can I avoid the issue when I must see the horrors that tomorrow does bring so often to so many. We have a lifetime—long or short—of codes and nodes, of pain and sorrow, to see. No, the issue cannot be avoided and the emotions will always be there. That is our sentence for wanting to be something special, for wanting to be a. . .” “Doctor, Doctor. Wake up. Doctor. It’s 4 a.m., time to give the medicines.” 8A.M.1000 mg. Cytoxan “Who gets what?” “436B gets cytoxan and cytosine.” “Again? Who don't you let me die. Doctor? "The little kiddies at St. Christopher’s used to get their medicines at this time, too. They had cystic fibrosis and how some of them suffered! Somehow, they played. Imagine, I would play football with them right in the hospital! How they suffered! And yet, at times, how they smiled.” “It isn’t easy though, Doc.” “Yes, but it has it’s own rewards.” “Good night, Doc.” Lymphosarcoma. . . .“Help! Help. Doctor. My baby ain’t breathing!" "Bring him in here." “Your attention, please. . . Your attention, please. Code 77 in the A.D. . . . Code 77 in the A.D. . . ." The A.D.“. . . A what, where?” “Hello, may 1 help you?” “No, you may not! 1 just want to tell you that I’m Jesus Christ reborn." “He says he’s Jesus Christ. I think he’s lying." “That must be Crazy Sol again! Give him some vitamins and send him home." “I can’t get this endotracheal tube down this little baby.” “What’s the problem. Madam?" “I’ve got this bump on my behind, right here.” “Hmrnm. . .how long have you had it?” "What, my bump or my behind?" “Your bump.” “About IS years.” “Why did it bring you into the A.D. at 4 a.m. after 18 years?” “I was lying in bed and it came to me that I better have it looked at.” “Give her 2 mg. of Valium and send her to surgical clinic.” “Anybody ever put an endotracheal tube down an infant before?” "He’s got a what up his where?” “This endotracheal tube is too large for this infant. Is Dr. Sisson around?” “Hold it! Give it to me again. He’s got a what, where?” “Dr. Sisson, this baby was brought in by his mother who claims she found him not breathing. We can’t get the endotracheal tube down.” “A lightbulb, in the rectum.” “Okay, the tube’s down. Did you see how I did it?” “How are his pupils?” "Is the lightbulb broken?” “No, be feels that it’s intact. “Fixed and dilated.” "God must be smiling down on him.” “He’s a S2 year-old black male well-known to our A.D. who states he has another attack of pancreatitis. . .” “Give him an N-G tube and refer him to pancreatic clinic." “Somebody find out if the baby has been baptized. If not, find out what the mother wants.” “How arc we going to get it out of there?” "Nurse, the patient in ‘D’ is ready to go upstairs. Could you get someone to take him there?" “Yes, Doctor, but it will be a few' hours.” “Hmmm.. .okay. I’ll bring him up. Could you get one person to help push the stretcher?” “Not now, doctor. Sorry.” "Oh, that’s okay. If I find I can’t do it alone, I’ll just ask the patient to get off the stretcher and give me a hand.” "Give him an N-G tube and an appointment to pancreatic clinic. ,V ." "Sorry, Doctor.0=3Dr. William E. Hooper“Now, how were you bit by a Mongolian Gerbil?” “I was working in the lab across the street. We’re using them for experiments.” “It’s simple. Get an electric light socket, insert i: up the rectum, and when you meet the light bulb, screw it on. When it’s screwed on, just pull the whole thing out? Make sure the cord is not plugged in, though.” • “How many bags per day do you take?” “Four.” “That costs twenty dollars? Where do you get that kind of money?” “1 sell newspapers.” "Hey, does anybody know if Mongolian Gerbils carry rabies?” “1 suppose you’re wondering why I’m carrying this light socket, aren’t you. sir?” “If he doesn't believe in medicines, how come he believes in hospitals?” “Easy does it, sir; it’s coming out. One more tug on the cord should do it.” “Mother, to advance medical science, we’ll need an autopsy. . ." “Docs anybody want a light bulb?” “Mother, your little baby’s dead. Outside the A.D. 3 A.M.VAUGHAN A. ALLEN, M.D.ROBERT A. ANDERSON, M.D. rr WILLIAM F. BALLAY, M.D. 5?. K Zj 4 (rU U' v's A' P - Syv. ?1 JOHN D. BECKER, M.D.DANIELLE B. BOAL, M.D.DAVID BROMBERG, M.D.THOMAS J. CASEY, M.D.RICHARD G. DUDLEY, M.D.GAYE DUNNE, M.D.ROY G. FARRELL, M.D. FRANCIS W. FORD, M.D.LEO G. FRANGIPANE, JR., M.D.CHARLES T. GRAD, M.D.KENNETH R. GUISTWITE, M.D. |V CYNTHIA HARRISON, M.D. MCLARENCE A. HOLLAND, JR., M.D.PHILIP J. KLEMMER, M.D.RICHARD A. KRAUSE, M.D. 73JOHN J. KRAVITZ, M.D. nrJAMES E. LOCKEY, M.D.WALTER H. MALONEY, JR., M.D.BRUCE J. MENKOWITZ, M.DSTEVEN N. MINK, M.D.ANTHONY M. NESPOLA, M.D.fdX- JOSEPH T. O'FLAHERTY, M.D.ROBERT W. PAGE, M.D. JOHN P. PAGANA, M.D. 0 I SONIA M. PAGET, M.D. HELENE PAVLOV, M.D.STEPHEN R. PERMUT, M.D. STEPHEN A. PICKERT, M.D.ARTHUR H. POPKAVE, M.D.ROGER A. ROCKOWER, M.D. ROBERT A. ROETHE, M.D.JEROME SANTORO, M.D.FREDRICK T. SHERMAN, M.D. ) 0MANFRED E. TROSTEL, M.D. ROBERT STANEK, M.D.BARRY F. URETSKY, M.D.BARRY S. WILDERMAN, M DROBERT S. WIMMER, M.D. ! t 3- BROOKE M. WOLF, M.D.LAWRENCE Y. YOUNG, M.D.PAUL A. BLUE STEIN, M.D. BENNETT N. CAEV, M.D.ROBERT R. RASKOWSKI, M.D. 1 : INTERNSHIP APPOINTMENTS VAUGHAN A. ALLEN Vanderbilt University Hospital Nashville, Tennessee Surgery VERNE E. ALLEN Vanderbilt University Hospital Nashville. Tennessee Surgery JAMES R. BOLLINGER Episcopal Hospital Philadelphia. Pennsylvania Surgery DAVID BROMBERG University Hospital Madison, Wisconsin Surgery J. MICHAEL EAGER The Reading Hospital Reading. Pennsylvania Rotating WILLIAM J. ELBERSON The Children’s Hospital Akron. Ohio Pediatries ROBERT A. ANDERSON St. Christopher's Hospital for Children Philadelphia. Pennsylvania Pediatrics RONALD F. ASPER Hahnemann Hospital Philadelphia. Pennsylvania Internal Medicine ROBERT BAKER Children's Hospital Buffalo, New York Pediatries SUSAN BAKER Children’s Hospital Buffalo, New York Pediatrics WILLIAM I BALLAY Temple University Hospital Philadelphia, Pennsylvania Obstetrics—Gynecology DAVID A. BAR AM State University of Iowa Hospital Iowa City, Iowa Psychiatry JOHN D. BECKER Abington Memorial Hospital Abington. Pennsylvania Rotating LEE W. BUCKWALTER Thomas Jefferson University Hospital Philadelphia, Pennsylvania Internal Medicine THOMAS J. CASEY St. Christopher's Hospital for Children Philadelphia, Pennsylvania Pediatrics LESLIE E. CASHEL Rhode Island Hospital Providence, Rhode Islam! Internal Medicine RICHARD A. CLOSE •— Temple University Hospital Philadelphia, Pennsylvania Surgery DAVID L. COHEN Lankenau Hospital Philadelphia, Pennsylvania Surgery GEORGE S. COOK Children's Hospital Buffalo, New York Pediatries JOSEPH L. E REM US Charity Hospital New Orleans. Louisiana Surgery JOHN L. ESTERHAI Temple University Hospital Philadelphia. Pennsylvania Surgery ROY G. FARRELL University of Washington Affiliated Hospital Seattle, Washington Orthopedic Surgery ALAN J FELDMAN Abington Memorial Hospital Abington. Pennsylvania Rotating ARTHUR E. FELDMAN Abington Memorial Hospital Abington, Pennsylvania Rotating MARK FELDMAN Temple University Hospital Philadelphia. Pennsylvania Internal Medicine FRANCIS W FORD Abington Memorial Hospital Abington. Pennsylvania Rotating GERALD R. CRABTREE Medical College of South Carolina Hospital Charleston. South Carolina Rotating JAMES W. BERRY University Hospital Little Rock, Arkansas Rotating RICHARD A. CRASS University of California Hospital San Francisco. California Surgery STEVEN FOX Hahnemann Hospital Philadelphia. Pennsylvania Internal Medicine PAUL A. BLUESTEIN Case Western Reserve University Hospital Cleveland, Ohio Obstetrics-Gynecology JOSEPH A. BLUM Springfield Hospital Springfield, Massachusetts Internal Medicine DANIELLE BOAL Presbyterian Medical Center Denver, Colorado Rotating RICHARD BOAL Presbyterian Medical Center Denver. Colorado Rotating JOSEPH J.CURCI Abington Memorial Hospital Abington. Pennsylvania Rotating DOUGLAS D DITMARS Abington Memorial Hospital Abington. Pennsylvania Rotating RICHARD G. DUDLEY Chicago Wesley Memorial Hospital Chicago. Illinois Psychiatry GAY DUNNE Medical College of Pennsylvania Hospital Philadelphia, Pennsylvania Internal Medicine VALDIS A. DZINTARS St Joseph's Hospital Denver, Colorado Rotating LF.O G. FRANGIPANE Hospital of the University of Pennsylvania Philadelphia. Pennsylvania Surgery WILLIAM O FRANK Mercy Hospital Pittsburgh. Pennsylvania Internal Medicine CLARENCE L. FREED Albert Einstein Medical Center (Northern Division) Philadelphia. Pennsylvania Surgery . y tcl ARNOLD K GASH Temple University Hospital Philadelphia, Pennsylvania Internal Medicine STEPHENJ GERGATZ Harbors icw Medical Center Seattle. Washington RotatingDAVID GETSON Boston City Hospital (Harvard Service) Boston. Massachusetts Surgery THOMAS J. GIBSON Medical College of South Carolina Hospital Charleston, South Carolina Surgery PAUL M. GOODMAN Mercy Hospital San Diego, California Rotating CHARLES T. GRAD Gcisingcr Medical Center Danville, Pennsylvania Rotating RONALD B. GREENE Abington Memorial Hospital Abington, Pennsylvania Rotating KENNETH R GUISTWITK Conemaugh Valley Memorial Hospital Johnstown, Pennsylvania Family Practice THOMAS II. GULICK Allentown Hospital Allentown. Pennsylvania Rotating GREGORY D. HALL Abington Memorial Hospital Abington, Pennsylvania Rotating JOHN S. HALSEY Virginia Mason Hospital Seattle, Washington Rotating TERRY L. HANEY Presbyterian Hospital Denver, Colorado Rotating KEITH E. HANSEN Bryn Mawr Hospital Bryn Mawr, Pennsylvania Internal Medicine CYNTHIA HARRISON Lancaster General Hospital I .ancastcr, Pennsylvania Family Practice JOHN C. HEISEY The Reading Hospital Reading, Pennsylvania Internal Medicine GERARD L. HELINEK Vanderbilt University Hospital Nashville, Tennessee Pediatrics EILEEN C HELZNER Chestnut Hill Hospital Philadelphia, Pennsylvania Rotating CLARENCE A. HOLLAND Case Western Reserve University Hospital Cleveland. Ohio Surgery ROBERT I) HOWER Mercy Hospital Pittsburgh. Pennsylvania Rotating PATRICIA HUMPHRIES Pennsylvania Hospital Philadelphia. Pennsylvania Internal Medicine RICHARD E. JOHNS Latter Day Saints Hospital Salt Lake City, Utah Rotating RAYMOND A. JOHNSON Hahnemann Hospital Philadelphia. Pennsylvania Internal Medicine BRUCE A. KAISER Children's Hospital l.os Angeles. California Pediatrics DONALD R. KAMENS Barnes Hospital St. Louis, Missouri Internal Medicine JOSEPH J. KANDRA Allentown Hospital Allentown, Pennsylvania Rotating DANIEL M. KANE Bryn Mawr Hospital Bryn Mawr, Pennsylvania Rotating DAVIDS. KIM Presbyterian-Pacific Medical Center San Francisco, California Rotating PHILIP J. KLEMMER North Carolina Memorial Hospital Chapel Hill, North Carolina Internal Medicine GEORGE M. KOSCO Mercy Hospital Pittsburgh. Pennsylvania Internal Medicine RICHARD A. KRAUSE Grady Memorial Hospital Atlanta, Georgia Internal Medicine ERIC KRAUT Prcsbytcrian-Univcrsity Hospital Pittsburgh, Pennsylvania Internal Medicine JOHN J KRAVITZ Medical College of Pennsylvania Hospital Philadelphia. Pennsylvania Internal Medicine ROBERT KRICUN Abington Memorial Hospital Abington, Pennsylvania Rotating BE RYL B. LAWN Temple Univcristy Hospital Philadelphia, Pennsylvania Internal Medicine ARTHUR N. LEIBOWITZ Children’s Hospital Pittsburgh. Pennsylvania Pediatrics LEONARD S. LICHTENSTEIN Vanderbilt University Hospital Nashville, Tennessee Internal Medicine JAMES E. LOCKEY University of Minnesota Hospital Minneapolis, Minnesota Internal Medicine JOSEPH M. LYNCH University of Kansas Medical Center Kansas City, Kansas Internal Medicine JOHN R. MALONEY Pennsylvania Hospital Philadelphia. Pennsylvania Psychiatry WALTER H. MALONEY Case Western Reserve University Hospital Cleveland, Ohio Internal Medicine STEPHEN C. MANUS Springfield Hospital Springfield. Massachusetts Internal Medicine HARRY G. MARKOW Medical College of Pennsylvania Hospital Philadelphia. Pennsylvania Psychiatry CARLOS R. MARTINEZ Medical College of Virginia Hospital Richmond. Virginia Internal Medicine 0EUGENE M. MAYER Temple University Hospital Philadelphia, Pennsylvania Internal Medicine RAYMOND J. MAYEWSKI Strong Memorial Hospital Rochester. New York Internal Medicine mary j. McDowell Children's Hospital Pittsburgh, Pennsylvania Pediatrics MICHAEL H MELLON The Children's Hospital Cincinnati. Ohio Pediatrics HUGH D.MELNICK Albert Einstein Medical Center (Northern Division) Philadelphia, Pennsylvania Obstetrics-Gynecology BRUCE J. MENKOWITZ Abington Memorial Hospital Abington, Pennsylvania Rotating RALPH S. MILNER Children's Memorial Hospital Chicago. Illinois Pediatrics STEVEN N. MINK Montcfiorc Hospital Pittsburgh. Pennsylvania Internal MedicineRICHARD A. MONKS Hartford Hospital Hartford, Connecticut Internal Medicine ROBERT K. RASZKOWSKI MANFRED E. TROSTEL Scott White Memorial Hospital Geisinger Medical Center Temple. Texas Danville, Pennsylvania Internal Medicine Rotating DAVID G. MONG St. Joseph's Hospital Phoenix, Arizona Rotating WALTER L. MULCHIN U. S, P.H.S. Hospital New Orleans. Louisiana Rotating RONALD W REED The Reading Hospital Reading, Pennsylvania Rotating ROGER A. ROCKOWER Chestnut Hill Hospital Philadelphia. Pennsylvania Rotating THOMAS W TUCKER Allentown Hospital Allentown. Pennsylvania Rotating WILBUR C. TUCKER Temple University Hospital Philadelphia, Pennsylvania Obstetrics-Gynecology BARRY F. URETSKY Boston City Hospital (Boston University Service) Boston. Massachusetts Internal Medicine JOHN T. VAN DEN BOSCH Temple University Hospital Philadelphia. Pennsylvania Internal Medicine G EOFF R E Y M WA UNG U L U Henry Ford Hospital Detroit, Michigan Internal Medicine ANTHONY M. NESPOLA Indiana University Medical Center Indianapolis, Indiana Internal Medicine DANIEL L. NEWHALL Bryn Mawr Hospital Bryn Mawr. Pennsylvania Rotating NATHAN M. NOZNESKY Episcopal Hospital Philadelphia, Pennsylvania Surgery JOSEPH T. OM.AIIERTY New York Hospital (Cornell) New York, New York Internal Medicine STEVEN A. PICKERT Lancaster General Hospital Lancaster. Pennsylvania Family Practice ARTHUR II. POPKAVE Medical College of Pennsylvania Hospital Philadelphia. Pennsylvania Internal Medicine ROBERT A. ROETHE Wilmington Medical Center Wilmington. Delaware Internal Medicine MICHAEL ROLNICK District of Columbia General Hospital Washington. I). C. Internal Medicine ANTHONY J. ROSS Grady Memorial Hospital Atlanta, Georgia Internal Medicine RALPH A. ROSSI Geisinger Medical Center Danville. Pennsylvania Rotating RONALD N RUBIN Temple University Hospital Philadelphia, Pennsylvania Internal Medicine JAY M. SOSENKO University of California Hospital Los Angeles. California Internal Medicine ROBERT STANEK Rhode Island Hospital Providence, Rhode Island Internal Medicine BARBARA WAGNER University of Oregon Hospital Portland, Oregon Rotating ROBERT WAGNER University of Oregon Hospital Portland, Oregon Rotating WILLIAM WATER FI ELD Cincinnati General Hospital Cincinnati, Ohio Rotating DAVID K. WEBB Hunterdon Medical Center Flcmington, New Jersey Family Practice KENNETH II. WELLS Hartford Hospital Hartford. Connecticut Anesthcsiolog) NATHANIEL WIESENFELD University of Illinois Hospital Chicago, Illinois Surgery BARRY S. WILDERMAN Thomas Jefferson University Hospital Philadelphia. Pennsylvania Rotating DONALD J. WILLIAMS York Hospital York. Pennsylvania Rotating ROBERT S. WIMMER Boston City Hospital (Boston University Service) Boston. Massachusetts Pediatries BROOKE SUE WOLF Medical College of Pennsylvania Hospital Philadelphia, Pennsylvania Psychiatry LAWRENCE Y YOUNG Miami Valley Hospital Dayton, Ohio Rotating CHARLESZUGERMAN George Washington University Hospital Washington. D. C. Internal Medicine SONIA K. PADGET Medical College of South Carolina Hospital Charleston, South Carolina Pediatrics JOHN P. PAGANA Geisinger Medical Center Danville, Pennsylvania Rotating ROBERT W. PAGE Case Western Reserve University Hospital Cleveland. Ohio Internal Medicine LAWRENCE M RUSSELL Hunterdon Medical Center Flcmington, New Jersey Family Practice JEROME SANTORO Temple University Hospital Philadelphia, Pennsylvania Internal Medicine CAROL S. SCATARIGE Abington Memorial Hospital Abington. Pennsylvania Rotating CHARLES E. PAPPAS Johns Hopkins Hospital Baltimore, Maryland Surgery HELENE PAVLOV Lenox Hill Hospital New York, New York Surgery JOHN L.PF.NNOCK Harrisburg Hospital Harrisburg, Pennsylvania Surgery STEPHEN R. PERMUT Indiana University Medical Center Indianapolis. Indiana Internal Medicine G ALAN J. SCHWARTZ Temple University Hospital Philadelphia. Pennsylvania Internal Medicine FREDRICK T. SHERMAN Philadelphia General Hospital Philadelphia. Pennsylvania Rotating ROBERT L.SILVERBERG The Reading Hospital Reading. Pennsylvania Rotating KENNETH R. SLADKIN Vanderbilt University Hospital Nashville, Tennessee PediatricsFACULTY, PARENTS AND FRIENDS Col. Lawrence S. Albrecht James C. Alden, M.D. William P. Barba, M.D. Mr. H. A. Barnett Dr. Sc Mrs. Emil Joseph Bartos James A. Batts, Jr., M.D. Catherine E. Bclich Dr. : Mrs. John R. Benson Mr. : Mrs. B. T. Bird Gustavus C. Bird, HI, M.D. lain Black, M.D. Mr. : Mrs. John Boal Mr. Mrs. W. K. Boicc Akbar Bonakdarpour, M.D. Dr. Sc Mrs. John K. Brallicr, Jr. Samuel Bromberg Mr. R. F. Bruckart Charles A. Carabello, M.D. N. David Charkcs, M.D. I)r. A. Kent Christensen May M. Cliff, M.D. Dr. Mrs. Henry P. Close Robert V. Cohen, M.D. Harold L. Collcr Kyril B. Conger, M.D. Mr. : Mrs. Gerald M. Crabtree Kenneth R. Cundy, Ph.D. M. James Day, M.D. Dr. Sc Mrs. Robert I. Dennis Dr. : Mrs. Angelo M. DiGeorge James B. Donaldson, M.D. Kenneth H. Draper, M.D. Thomas M. Durant, M.D. George E. Ehrlich, M.D. Mr. : Mrs. William J. Elberson Mr. Mrs. Albert S. Ersncr Mr. Sc Mrs. John L. Esterhai, Sr. Mr. : Mrs. Roy B. Farrell Dr. Mrs. Joseph J. Fassl Mrs. Anthony J. Fedullo Mr. Mrs. Herman Feldman Mr. Mrs. Jerome Feldman J. William Fewell, M.D. William G. Figueroa, M.D. Albert J. Finestone, M.D. H. Keith Fischer, M.D. S. Fischer, M.D. Mr. Mrs. Mon Doo Fong Mr. : Mrs. William Fox Mr. Mrs. Leo G. Frangipane, Sr. Dr. Sc Mrs. William H. Frank Milton Friedberg Mrs. Samuel D. Gaev Mr. Sc Mrs. Charles Gallo Mr. Sc Mrs. Henry A. Gash Maurice Gctson, M.D. Dorothea Daniels Glass, M.D. Harry Goldberg, M.D. Richard M. Goldstein, M.D. Mr. Sc Mrs. Joseph Goodman Richard R. Gove, M.D. R. K. Grccnbank, M.D. Rev. Sc Mrs. Richard K. Guistwite G. R. Haase. M.D. Jerome F. Haaz Mr. : Mrs. W. Nelson Hall Dr. Sc Mrs. Robert Houston Hamilton Mr. 8c Mrs. Earl Haney Elden J. Hansen Mr. Sc Mrs. Michael Harakal Dr. fcMrs.J.S. C. Harris Mr. Sc Mrs. Paul C. Harrison Mr. Sc Mrs. John C. Heiscy, Sr. Vincent T. Hclchan Mr. Sc Mrs. Gerard L. Helinck, Sr. Dr. Mrs. Clarence A. Holland Dr. Sc Mrs. John B. Houston Dr. : Mrs. Thomas H. Howcr John Franklin Huber, M.D. Harold L. Hyman, M.D. Dr. 8c Mrs. H.J. Isard Chevalier Jackson Clinic, Charles M. Norris, M.D. Wainc C. Johnson, M.D. C. S. Kambe, M.D. Mr. Mrs. J. J. Kandra E.J. Kane Lester Karafin, M.D. May Katz, M.D. Dr. Mrs. A. Richard Kendall Norman Kendall, M.D. Dr. Richard A. Kern Charles Kimelman, M.D. John A. Kirkpatrick Jr., M.D. Morton Klein, M.D. Mr. Sc Mrs. Philip Klemmcr Amile A. Korangy, M.D. Mr. Sc Mrs. George Kosco Bronislaw P. Kowalski Charles H. Kravitz, M.D. John W. Lachman, M.D.Marc S. Lapayowker, M.D. Vincent W. Lauby, M.D. Elizabeth V. Lauisch, M.D. Norman Learner, M.D. Seymour Ledis, M.D. Walter J. Levinsky, M.D. Dr. Sc Mrs. Stephen D. Lockey E. L,oml)ard Stanley H. Lorber, M.D. Edward R. Lucenk, M.D. Dr. • Mrs. Jerry C. Luck Mr. 8c Mrs. Joseph M. Lynch, Sr. Donald N. Mac Vicar. M.D. Dr. Roger J. Maloney Dr. 8c Mrs. Walter H. Maloney Victor J. Mardcr, M.D. Mr. Mrs. Harry G. Markow, Sr. Dr. Mrs. Carlos Martinez Dr. Mrs. Alfred Marzocchi Dr. Sc Mrs. Bernard Matthews Raymond J. Mayewski Mr. 8c Mrs. John J. McCormick, Sr. Dr. : Mrs. M. T. McDonough Mr. 8c Mrs. John C. McDowell Mr. Mrs. Samuel Mellon Dr. 8c Mrs. Elliot Mcnkowitz Dr. S. M. Menkowitz Dr. Leon M. Meyers Tadafumi Mikuriya Mr. Mrs. Kenneth Miskinis Mr. Mrs. Ben Moskovitz Frederick Murtagh, M.D. J. Lawrence Naiman. M.D. Mr. Mrs. Warren L. Newcomer Dr. Mrs. Albert 11. Niden Mr. 8c Mrs. James Nozncsky Dr. licien C, Oels Mr. 8c Mrs. Harry C. Page Bernard S. Panck, M.D. Dr. : Mrs. Charles A. Papacostas Mr. - Mrs. John Parenti Borisse Paulin, M.D. Dr. Mrs. A. R. Peak- Mr. Mrs. Clifford O. Pennock Max C. Pcpernik. M.D. L. Rodriguez-Pcralta, M.D. Max : Ruth Permut The Rev. • Mrs. C. Wayne Peterman Dr. Sc Mrs. Steven J. Phillips Robert S. Pressman, M.D., Stone Hill Farms Dr. : Mrs. Robert B. Raskin Mary R. W. Reardon, M.D. Mr. Mrs. David B. Rees Dr. Sc Mrs. Marcus Reidenberg Mr. Mrs. L. A. Roethe Fred B. Rodgers. M.D. Bernard Ronis, Max Ronis, Emil I.icbman George P. Rosemond, M.D. Mr. Sc Mrs. Anthony Ross Mr. Mrs. Manuel Rubin Dr. Sc Mrs. Morton Rubin Mr. Mrs. Russell E. Sachs Mr. : Mrs. Charles Santoro John C. Scatarige, M.D. Dr. - Mrs. Reuben B. Schwartz, M.D. E. J. Van Scott. M.D. Dr. : Mrs. Michael Scott R. Scowcroft Catherine B. Scully Mr. Leo Sestini Dr. Roger W. Sevy Dean R. Shannon, M.D. Mr. • Mrs. William Sherman Maarten S. Sibinga, M.D. R. B. Sloane. M.D. Dr. Mrs. Richard Smalley Dr. .• Mrs. Hugo Dunlap Smith Renatc L. Soulcn, M.D. Dr. : Mrs. Earle II. Spaulding Mr. Sc Mrs. Eugene S. Springer Dr. Mrs. Leroy Stahlgren Roy Stern. M.D. Jonathan L. Stolz. M.D. Mr. 8c Mrs. E. F.Strosahl Mrs. Joseph F. Subasic Sidney J. Sussman, M.D. Robert M. Swenson, M.D. Charles W. Thompson, Medical Alumni Joseph V. Toglia, M.D. Mr. Mrs. H. W. Trostel Dr. Mrs. R. C. Truex R. Robert Tyson, M.D. Dr. Mrs. Thomas W. Tucker Jack Uretsky Victor C. Vaughan, III, M.D. Eric Vonderheid Mr. : Mrs. W. Carl Wagner Paul M. Wapner. M.D. Mrs. Frank G. Water!ield Dr. : Mrs. Herbert S. WaxmanCONGRATULATIONS to the CLASS of 1972 5616-20 North Broad Street, Philadelphia Completely equipped to service the Uniform and Lab-Coat needs of every Doctor, Nurse and Technician. Alterations and Monograming Available- Free Parking Open Every Evening-Conveniently located at the Broad and Olney Avenue Subway Station. COMPLIMENTS OF MR. MRS. VICTOR MARCUS The HARRISBURG POLYCLINIC HOSPITAL Third and Radnor Street Harrisburg, Pennsylvania 17105 777 Bed General Hospital Classic and Flexible Rotating Internships with up to eight months in major field. Residencies in Medicine, Pediatrics, Radiology and Surgery. Sound Educational Program in the Setting of a Superior Community Hospital. Generous Stipend and Fringes. Attractive, Friendly Community. Come and Visit Us. ZAMSKY STUDIOS 1007 MARKET STREET PHILADELPHIA 7, PA. OFFICIAL PHOTOGRAPHERS Negatives of portraits appearing in this annual are kept on file. Photographs may be ordered.Congratulations to the Class 72 POST GRADUATE MEDICAL EDUCATION DR. MRS. RALPH A. ROSSI, SR. THE WASHINGTON HOSPITAL WASHINGTON, PENNSYLVANIA 15301 BIRDSBORO KNITTING MILLS, INC. Wholesale Distributors of Lady's Sportswear Caters to retail trade 306 Market Street Philadelphia, Pennsylvania A combined program offering a three-vear Family Practice Residency and or a one—year Rotating Internship. A well planned program both clinically and didactically. Program is headed by Board Certified Internist Over 16,000 admissions - 2.000 births per year. All Patients in Teaching Program. Large Outpatient Load. Excellent working and living conditions. Modern facilities with 627 beds including Neuropsychiatric Unit. Cardiac Intensive Care Unit, Intensive Care Unit and an Extended Care Facility. Attractive remuneration, excellent housing. For more information, write the Chairman. Post Graduate Medical Education. Personal visits to the Hospital are encouraged and welcomed. Specialized Diagnostic Laboratory Testing for Physicians and Hospitals CONGRATULATIONS AND BEST WISHES TO THE CLASS OF 1972 FROM THE FACULTY OF THE DEPARTMENT OF MEDICINE Bio-Science Laboratories Philadelphia Branch 4901 STENTON AVENUE PHILADELPHIA, PENNSYLVANIA 19144 PRINTERS OF THE 1972 SKULLIN RECOGNITION - JOHN FRANKLIN HUBER, M.D., Ph.D. For over the past twenty-five years. Dr. John Franklin Huber headed the department of anatomy until his retirement as chairman in 1970. During these long years at Temple he has guided many uniniated freshmen through those first few months of medical school. His association with students has always been close and most sincere, and he has been a good friend and teacher to us all. Dr. Huber was born in 1904, in Ann Arbor, Michigan and received his M.D. and Ph.D. in Anatomy at the University of Michigan by 1933. Shortly thereafter, he and his “sweetheart” moved to Philadelphia where he became associate professor of anatomy under Professor John B. Roxby. In 1944 he was awarded full professorship and appointed head of the Anatomy Department. Perhaps his most well-known work, and that most familiar to any student at Temple, is his classification of the bronchopulmonary segments. In addition to the original published manuscript. Dr. Huber had prepared exhibits, models and a film depicting the bronchopulmonary segments for which he was awarded the American Medical Association Certificate of Merit in 1945 and the Silver Reel Award in 1955. In more recent years, Dr. Huber has become quite interested and involved with the important role of adequate medical education, particularly that concerned with visual and other illustrative methods of instruction. He has written articles dealing with the role of television in teaching anatomy and pathology, along with articles in the Ciba Symposia series. Dr. Huber has served on numerous societies dealing with the role of multi-media in medical education, and other professional societies such as the American Association of Anatomists where he served as 2nd Vice President from 1964-1966. It seems only a short while ago that Dr. Huber greeted us, that first day of orientation week, telling yet another group of budding physicians what to expect in the next few years. From that day until the present we have learned much, including the fact that John Franklin Huber has remained a concerned friend and guide to us all throughout our four year stay at Temple. At this time, we the Class of 1972, would like to join the many others in expressing our gratitude for your help. Dr. Huber, and hope the future years enrich the knowledge and experience we have acquired from you. IN RECOGNITION ROBERT HOUSTON HAMILTON, M.D., Ph D. One of the many aspects of basic medical education deals with the science of the chemical workings of the body—an important foundation on which to build future clinical knowledge. It is in this study of biochemistry that we arc indebted to Dr. Robert H. Hamilton for his instruction and planning. Dr. Robert Houston Hamilton was born in Corsicanna, Texas, in 1906. He received bis B.A. at the University of Texas in 1926, followed in 1927 by an M.A. in Organic Chemistry. In the next few years, after leaving Texas University, he studied at the University of Minnesota where he received a Ph.D. in Biochemistry in 1933, followed in two years by an M.D. degree. In 1936, Dr. Hamilton was invited to accept an assistant professorship in the Department of Biochemistry and to become director of the hospital chemistry laboratory at Temple. He was appointed as head of the Department of Biochemistry in 1944. During his career. Dr. Hamilton has been associated with many professional societies; these include the American Chemical Society, Physiological Society of Philadelphia, and American Association of Clinical Chemists. He has served as a member of the Admissions Committee, Graduate Study Committee, Faculty Representative on the University Trustees. Medical School and Hospital Committees. While at Temple, Dr. Hamilton has been particularly interested in the development of clinical applications of analytical methods and has published numerous reports in this field. As Freshmen students, we became familiar with the tall, thin figure who was adept at constructing Citric Acid, Urea and other biochemical cycles on the blackboard. We slowly and perseveringly acquired the knowledge of body chemistry which has become so important in its clinical applications. We owe a great deal of thanks to Dr. Hamilton for his patience and accurate instruction, and direct attention to him in recognition of his service to Temple University, its students and the profession of Medicine. s 1 f 5 Ira »iW» MORTON J. OPPENHEIMER. M.D. Dr. Morton J. Oppenheimer was born in 1905 in Philadelphia. He received his undergraduate training at Ursinus College and was awarded an A.B. degree in Chemistry in 1927. This was followed by postgraduate training at Temple University School of Medicine where he received his M.D. degree in 1932. After an internship at Reading Hospital, he returned to Temple as an instructor in physiology. While at Temple he participated in graduate research work at the Harvard Medical School with Dr. W. B. Cannon. In 1938 he was awarded a master’s degree in education by Temple University and received a gold medal for the finest thesis. He continued graduate work at the Mayo Clinic in the next few years under the direction of Dr. Frank C. Mann, studying the new concepts of bowel motility and liver function. In 1944 he was awarded full professorship and was appointed head of the Department of Physiology. In 1950 he was awarded the honor of being the medical honor alumnus of the year by his Alma Mater. Dr. Oppenheimer has served as consultant to many institutes such as the U.S. Naval Hospital, U.S. Veterans Administration Hospital of Philadelphia, National Heart Institute, and Physiology Fellowship Panel. National Heart Institute. He has participated in numerous visiting professorships to various universities throughout the world. While at Temple, Dr. Oppenheimer has been engaged in several research projects, primarily focusing on the many psysiological aspects of the heart, and is well known for his contributions in this medical field. As Freshmen students we were introduced to Dr. Oppenheimer as we undertook the study of physiology, and soon learned to respect the difficulty with which various aspects of the subject could be assimilated. Although we were not exposed to a great deal of formal lecturing by Dr. Oppenheimer, not a day went by without someone taking advantage of small informal tutoring sessions being given by him either in the laboratory or in his office. He would always welcome any of our questions and answer our queries with accuracy. We arc all grateful to Dr. Oppenheimer for his guidance in our study of physiology and only wish we had the opportunity, as did former classes, of more formal teaching by him. Now, at his retirement from the chairmanship, we wish to show our appreciation and bring added recognition to a man who has shaped our medical training. I : mm A-sJ-v ■ 1 rf.J Doctor Sol Sherry, Chief of Medicine N. I. R. M. I , and the CLASS of 72 “The obsessive-compulsive know-it-all big mouth ‘A’ student’s choices: 1. Massachusetts General 2. Yale 3. Cornell 4. Penn “Is the Chief in?" “You’re a medical student, aren’t you?’’ “Yes." “If it is about internships, we have a committee. . “No.” “If it’s about letters of recommendation, we have a. . "No." "Well, actually, nobody gets to see the chief, no you, not me, not anybody!” “How do you know there is a Chief?" “What? Everybody knows there is a Chief! Anyway, we hear him roar." “Oh. . . 1 only wanted to talk about some exotic kinases." “Oh. . .that’s different. Why didn’t you say so? That's a horse of a different color!” “We’re off to see the wizzard.. ♦ “Why did you choose Penn first?" “It’s the one nearest the Palestra." The protestor of the human condition as found m the North Philadelphia ghetto lists his choices for internship: 1. Sunset Valley Resort Hospital 2. Miami Beach General Hospital 3. University of Hawaii + “Why pick Yukon General?” “Actually, many people around here don’t know what strong hospital it is.” The Broad Streeter (4 years at Central High. 4 years at Temple undergraduate. -I years at Temple Medical) chooses: “Heads I list Abington first: tails, Einstein’s first. If it lands on its edge. Temple’s first.” I. Temple University Hospital“Why do you want to intern here at Temple, son?” “Well, 1 don’t know.” “It’s true that we have as good an internship as there is; it’s true we have so much to oiler, and it’s true we would be doing you a favor by accepting you. So why come here?’’ “I’m a masochist.” ♦ “Relax, I don’t want this interview to be stressing in any way. What's your hobby?” ”Ah. .. I read about World War II. Doctor Deutsch.” “That’s a stupid hobby.” The quixotic ‘A’ student: The cautious ‘B’ student's lineup: 1. Cornell 2. Yale 3. Penn 4. Episcopal “The matching program aims at equality: all students are equally unhappy; all hospitals arc equally joyous.” The Philosopher lists: 1. Rochester : surgery 2. Yale : psychiatry 3. Cornell : medicine 4. Temple : rotating "I have an idea! I’ll put the names of the hospitals in a hat and draw them out one-bv-one; first name is first choice and so on.” "Good idea, here’s the hat.” The aspiring ‘B’ student chooses: 1. Massachusetts General Hospital 2. Mt. Sinai. N.Y.C. 3. Barnes Hospital Group 4. Temple University Hospital “Let’s draw the first hospital.” "Here it is . .. it’s Temple." “... Oh. . . first hospital is last on the list, okay?” 1. Tallahassee General (Anesthesia) 2. Cornell (Medicine) “The Germans weren’t entirely wrong, you know. The advocate for a ‘better program at Temple Medical School: 1. Nome Community Hospital 2. Yukon Community Hospital 3. Peking Community Sanitorium " The advantage of Cornell is Madison Square Garden.” The high D' student: 1. Jacksonville Leprosarium 2. Doris Home for the Demented 3. Temple University Hospital “The advantages of Denver arc its ski slopes.” The low ‘D’ student: 1. Temple 2. Doris Home for the Demented 3. Jacksonville Leprosarium "The advantage of Harbor General Hospital is California." The unmatched: 70% of those interviewed by Temple: 1. Massachusetts General 1. Rochester 2. Yale 2. Syracuse 3. Cornell 3. Pitt 4. Hopkins 4. Temple »T - .„ n.c iinwERSIW ... be cheerful. Our revels now are ended. These our actors. As I foretold you, were all spirits and Are melted into air, into thin air; And, like the baseless fabric of this vision. The cloud-capped towers, the gorgeous palaces. The solemn temples, the great globe itself. Yea. all which it inherit, shall dissolve. And, like this insubstantial pagent faded, Leave not a rack behind. We are such stuff As dreams are made on, and our little life Is rounded with a sleep. . . The Tempest IV, I William Shakespeare With a deep, deep sleep. Alas and Amen.C c ffeaM fl N TEMPLE UNIVERSITY SCHOOL OF MEDICINE

Suggestions in the Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) collection:

Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1969 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1970 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1971 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1973 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1974 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1975 Edition, Page 1


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