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

 - Class of 1974

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

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Text from Pages 1 - 328 of the 1974 volume:

Marry line on . _ J_ . from the first Shu Mull 1974 Ken Baker Elaine Carrol Dan Coller Sharon Coller Ralph Gallo Sandy Harmon Chuck Rost Sue Tatum John Zibreg photography layout, writing lay ou t layout layout, photography, writing layout, writing patrons layout, photography photography The PHILADELPHIA MUSEUM OF ART has given us permission to use the art reproductions from their Ars Mcdica Collection, which appear throughout this book. We thank them for the co-operation and prompt attention they gave us. Also involved in the production of this book were Nancy Doria and Margaret Bibro of the student activities center who helped us with patrons and advertising and Judy Wissa of the Department of Community Medicine, who typed and reviewed the text. From the Medical Communications staff, Lynn Kirk, Bill Verzyl, Henry Bacich, Bill Taylor and Otto Lehman processed pictures; Cheryl Ann Zisk co-ordinated the patrons and ad returns; Stanton W. Saltzman provided advice on business matters; Paula Lickman was responsible for the finished product of the text by her typesetting and Larry Glazcr advised and helped us in laying out the book, including giving us his Monday nights to do it. Finally, the literary text of the 1974 Skull was reviewed and given a professional and authentic touch of class by our faculty advisor, Fred B. Rogers, M.I). TEMPLE UNIVERSITY SCHOOL OF MEDICINETEMPLE UNIVERSITY HOSPITAL It was a difficult and sometimes frustrating task to produce the 50th yearbook of Temple University School of Medicine. The relatively few people who did the bulk of the work ran into an endless problem list which included several staff quitting, serious delays in taking pictures and processing them, mixups in the mailing process for patrons and ads, the typesetting machine breaking down, and all this plus more, too ugly to mention, in the face of a gas shortage and energy crisis that threatened to keep us from meeting to put the book together. The result of all this was that on top of completing our senior year, a few of us wrote the book in January and February and laved it out in shorter time than it would take a streaker to cross Broad Street. It seemed that we would need The Exorcist to get us out of this one! Was it worth it? Would we do it again? The answer is yes on both counts for in spite of the mechanical problems and mental torment wc think the 1974 Skull preserves something. It represents all the work and energy, the memories and feelings, the experiences and place in history of many people involved not in the production of a book but of Temple’s 1974 crop of new physicians. These people . . . teachers, students, patients, families, friends . . . will come and will go for time is not constant. Their memories and the impression they leave will remain and transcend time. Hopefully our effort with all its omissions and imperfections which were uncontrollable, by its many words and pictures, will convey an appreciation of people and of life. Ralph Gallo Editor-in-ChiefTEMPLE UNIVERSITY HEALTH SCIENCES CENTER SCHOOL OF MEDICINE PHILADELPHIA, PENNSYLVANIA 19140 Office Of TMC DEAN The theme of this year's Skull, "The Art of Medicine" , would be deserving of emphasis in any year—past, present or future. Without constant attention to the skillful, humanistic application of our knowledge toward the maintenance and restoration of health of fellow human beings, our profession would never fulfill its highest obligation. This year the theme seems especially appropriate as we hear cries throughout the country for better health services, for a more equitable distribution of physicians, for more primary care physicians, for more effective health delivery systems, and for an approach to patients which is less problem and more people oriented. Medical schools are being called upon to go beyond their usual task of graduating a sufficient number of physicians, to help bring about a better distribution of physicians—intraprofessionally as to kinds of doctors, as well as geographically to medically needy areas. The obligation of schools to assist students in developing the skills and attitudes so essential in applying their medical knowledge directly to people has not changed over the years. How well the obligation is being fulfilled is what is being questioned. The tremendous advances in science and the resulting technology and information explosion has perhaps drawn attention away from traditional skills. Even more the general advances in science and technology have led to such expectations of unlimited growth, production and consumption in western society that values are sometimes lost sight of. Surely the time for reassessment of ourselves and our values is now'. Perhaps medicine as one of the noblest professions should lead the wray. To spend more time with people and less with machines and appliances might make life more enjoyable as well as more worthwhile. However, don't let our praise and emphasis of the art of medicine be interpreted as counter to science. That art and science complement each other is especially evident in medicine—and may that always be so! It is doubly pleasing for me to write a comment for this year's Skull in view of its dedication to Dr. Papacostas, a long-time friend and colleague. He is especially skilled in the art of helping students to learn. To be selected for the dedication of this year's Skull with this particular theme is a fitting tribute to an excellent teacher. Dean Temple University School of Medicine X-9W k ________. n (Soph iSumatt ICtfr So goes the human life—with all its clamorings, all its turbulent activities, doomed to the silent victory of death. And in this losing fight there stands, like a solitary defender against an oncoming host, the heroic figure of the physician. All his training and education are to prepare him for his duties toward humanity. For this do men honor him, that his knowledge and skill, his energies and ambitions, his hopes, fears, triumphs and defeats arc bound up in his daily intelligent struggle with death. He is dedicated to a heroic purpose, to an unfaltering fight. His call to battle is found in the air. Yet his triumphs are but temporary and his greatest victory is but a delayed defeat. For all that, fight on he must until he is beaten back and his last effort fails against the foe. Who is it that is so hastily summoned when the shadows of death darken the light of the living? When pain tortures the body and life hangs in the balance? He is the guardian of the well and the courage of the sick. One needs more than skill to be a good physician. There is a call for devotedness, and for generosity of character. Harry li. Bacon, M.D. Skull 1925Crispin Van dc Passe To Succor the SickIn a time where the world is so complex and confused and when people tend to get lost in the crowd, it is important to re-evaluate our priorities and question our values and existence every so often. We think that it is appropriate that this book be dedicated to Dr. Charles A. Papacostas. His warm feelings toward others, his easy-going personality, his great interest in teaching, his concern for our problems, his willingness to listen, his contribution to many causes above the requirements of his job, his versatility, are all things to be emulated when we have our turn at practicing “The Art,” with our patients. Yes, in this time of questioning, these personal excellences need not be questioned, only strived for. With this in mind we dedicate this book to Dr. Papacostas and those like him.A faithful friend is the medicine of life. . . . The Wisdom of Solomon Old Testamentl)r. Charles A. Papacostas-, Professor of Pharmacology, is married to Catherine P.mto .upoulos and has four children: Arthur, 24. doctoral candidate in statistical psychology at Temple University; Frank, 22, freshman medical student at Temple; Klaine, 19. junior in College of Liberal Arts. Temple; and James, 15. 10th grader at Cheltenham High School. I Its wife. Catherine, is presenth teaching in the Philadelphia school system. Fie received his doctorate in physiology-pharmacology at Boston University, School of Medicine in 1956. He lias taught in the Department of Pharmacology at Temple University Medical School for eighteen years and received promotion to full professor in 1966. He has always been vitally interested in teaching and considers thits his top priority as a medical school staff member. He received the SAM A award for excellence in teaching in 1972. He has served and continues to serve on numerous committees, the most important pf which, he feels, are the departmental committee (of which he is chairman) concerned with the Sophomore Medical Course in Pharmacology, and the Medical School Admissions Committee. He is a past president of the Temple University Chapter of the Society of Sigma Xi and of the Physiological Society of Philadelphia. His research activity over the years has centered in the cardiovascular effects of histamine liberators, adrenal steroids, and autonomic chugs. He has a creditable list of publications and is currently involved with the preparation of a programmed text in pharmacology for medical students. He is presently a member of the following national societies: American Society for Pharmacology' and Experimental Therapeutics, American Heart Association and the American Association for the Advancement of Science. He has also served as chairman of scientific sessions at the annual meetings of the Federated Societies for Experimental Biology and Medicine and of the American Society for Pharmacology and Experimental Therapeutics. Dr. Papacostas is a member of the Greek Orthodox Church of the Annunciation at Elkins Park. As for outside interests, he enjoys swimming and fishing with his family in the waters of Cape Cod during summer vacations, music (Greek, as well as classical and semi-classical) and dancing. When more active a few years ago, he iiked playing tennis and badminton. He was also active as a leader in Cub Scout and Boy Scout activities.Allen Gregg, M.D.Sir Luke Fildes The Doctor, 1891 The popularity of the picture is due to the strong appeal that it makes to the higher and finer qualities of mankind and the response that it evokes in even- bosom. The heart-broken mother and the stern-faced, vigilant father half-hidden in the shadows of the background, the striken child on its lonely pallet, and the kindly, watchful physician bent over the little sufferer—all these have their counterpart in the experience of everyone who has encountered sickness and death. There is a most careful attention to detail, loo often lacking, in our modern impressionistic painting. The homely furnishings of the room, almost lost in the shadow, are nevertheless, clearly depicted, and are without exception in keeping with the spirit of the picture. Even the bird is silent in his cage, as if he, too, were imbued with the sense of waiting and dread. It will often be our lot to enter upon and be the central figure in such a scene as this. May the character which is so plainly written upon the face of “THE DOCTOR” be ours. May we embrace every opportunity to give aid to the suffering and comfort to those in sorrow . And may our human sympathy and medical skill always go hand in hand in the warfare against disease and death. H irr E. Bacon Skull 1925.llrrry Aquino, 4H.1I. Militant Sakkrtt, ffl.S. £i'r, . Sirljarb Anbmt, iflj. iKrmtrlh fHakrr, fH.S.The physician does not learn everything he must know at high colleges alone: from time to time he must consult old women, gypsies, magicians, wayfarers and peasant folk. Parcelsus Christian Scbuessele A Medicine Man Curing a Patient. 1851iJJrtrr larbnur, fH.S. Samrs Urnttan. fH.t). fHtrlrarl larnrtl, 10J. fHirliarl lematritt, fR.9.Italian School t 5th Cert tvtry Zodiac ManDmtylaii Jf. Srrry. ffl.0. iKrtmrth Inrnm. fO. Sirltarii Slum. ffl.S. (Charlrs Sima, fH.l.-cJn Nature’s battle against disease the physician is but the helper, who furnishes Nature with weapons. The business of the physician is therefore to give to Nature what she needs for her battle. Parcclsus mw:1 «« Anonymous Italian Artist The Physician , c. 1500iRirltarii Imtr, iflj. Singh Sralltrr. fflj. (Gary Irazina. ifl.S. GJlrimiaH Slurkijnlhrr. ifl.B.Johannes Wecbtlin St. Cosmos and St. Damien Hit quit) p:o quo m'trrcifl) fir fdnrwn Daneyd eiifollc!ntreipet;2lrQ ©otifcec crfarcn fcm er toittn IP ill anoera c t Oas ym cjeftncj. Therefore, trust the physician, and drink his remedy in silence and tranquility; For his hand, though heavy and hard, is guided by the tender hand of the L'nsecn, And the cup he brings, though it burn your lips, has been fashioned of the day which the Potter has moistened with His own Sacred tears. Kahltl Gibran The ProphetHans Weiditz Physician Ministering to a Patient. 1531 When a patient places himself under the care of a physician he is paying him an extremely great compliment since he is entrusting him with one of his most treasured possessions, his health. Thomas M. Durantm,« ffiom frnia ■ m. Baxrib (Erauifnrb. fO.mark (Crratjrr, i3ami iHrihrrl. 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(er DocJot aPfr y,(V . -ClOoc ' sr r Dtr f«£}v aycy tt vv.aa i «.-• vva(VC§V- .x 519 dv i{ S P vy cnjc cw •• v» GWcty , I 0«V 9lf iVp Vvk lCP j y H)y j'oM eyn Commcw aPP, j 2-' Y" f‘ ,r u rel s j 1 "WcC V joPrC vA jv 1+ 1 SS‘ ft-" j. • 1 S °U C 'U P«ffdr , y| f Hid? • I 4 lie AYc Kwgv) Pci , 0 ,«Wk'w » e ?or p«0t ( M ’Vgi w ) )fl oP w« e, Rt ty Mj W o» 0 «»e Mf , t «T §A Je»v»f ««||iiMk )ff J.p J Mr jk ctVfl ir, §aJV 3. C 5« e«Jf, ¥,v r r §„r P,g„ w'. g, S«- „» ,.9, „ Wn- q.Zl C ls)».,,. P.ff,. ,. .5 ', § ...,' : p»fc», to»|ftrWlU .-. fc«„, P,B SSZr, fatin' ,r r™, ff A«W,r. fViVn .r ©,., ' .. . g«0i ,W LutU.V{.. .6' : 31 NT.YON GOT, DES _T£VFELS ABFR SEW EIN SPOT" TI qpF5SsTVg par,ax'-: Balthazar Je tticben Portrait 0 Paracelsus, 15503Jnljn Sruriqupl, fO. fHtrljap! liPiH. M3.Strlyarh Sitlnui Sr., Ifl.S. fflirltarl Snlrljin. £tt.S. So neither ought you attempt to cure the body without the soul; and this is the reason why the cure of many diseases is unknown to the physicians of Hellas, because they arc ignorant of the whole, which ought to be studied also. For this is the great error of our day in the treatment of the human body, that physicians separate the soul from the body. PlatoThe very success of medicine in a material way may now threaten the soul of medicine. Medicine is something more than the cold mechanical application of science to human disease. Medicine is a healing art. It must deal with individuals, their fears, their hopes and their sorrows. It must reach back further than a disease that the patient may have to those physical and emotional environmental factors which condition the individual for the reception of disease. Dr. Walter Martin Jfrmtk Srrumtmty, lfl.il Snltn Suim, HU!Sam t|i|irlTtinrr, ffl.0. Arlltur trimrr, tfl.S. You will discover that while the patient wants the best and most modem treatment available, he is also badly in need of the old fashioned friend that a doctor has always personified and which you must continue to be. In his mind’s eye, the patient sees you as in the old paintings or in his real memories rumpled and kindly, roused from your bed at 3 in the morning to come to his home and pull him through a crisis. But . . . you will treat him in the clinic or the hospital whenever possible because the care you can give is far better in those facilities. You will try to avoid night calls because you know you can diagnose better with your eyes open. Dr. Gunnar Gundcrsen, 1962fHirliapl lErtrat, fHJ. Frank Famiann. Ht.S. ®p Eshbarh, ffl.S. ®prali W. Fprrg, fS.B.Gentile Bellini Doctor's Visit to a Plague Patient, 1493Italian School The Consultation, 1516 W M ow many ages hence hall this our lofty scene by acted o’er. n states unborn and accents yet unknown! H .TIT(6arg yinkrlatrin, JO. Satriii Jiar rr. JO. ?Jau ?mtg, fH.S. Alan Joratalrr, fH.S. ilarry JPrifMirrg, ifl.S. lalyh (Sallti, fflj. Ipsuh (6arria, Ifl.B. HJasryij (Baatingrr, B3.Edvard Munch The Sick Child. 1894 € he quality of mercy is not strain’d. It droppeth as the gentle rain from heaven Upon the place beneath. If'w. Shakespeare The Merchant of Venice(JlprlfB (Srrttum, ffil. Mirt f . W », il l m (font, m.Hans Burgkmair Gertnan The Doctors, 1519Smtarfc (Srnasman. ffl.B. Sfurrgnt Sjaaar, fH.0. iamrfi ffialry, fO. Bnbrrl ffiallrrmmr, U1.0.Jost I mman Svnss-German Der Doctor, 1568 ©cr ©offer. 3$ 6m tin Sotf or bcr 3frftti(pl 2(n bcm arn f an icfj fcbcnfrcp 33Jae ranttftcit tin SJJcnjC n t(mt tcfabn Sent fan irf? Stiffen mil @oifs©nabcu Surefj tin ®prup ober CXttcpt Sae |cincr ftranefbeif nnbrrff reft. Sa(j btr ®fcnfdj tniber tperb gtfunb 2(rabpbit2(r?ncp rfunb. 0 «j Saram the eye with which the universe Beholds itself and knows itself divine; All harmony of instruments or verse, All prophecy, all medicine is mine, All light of art or nature; - to my song Victory and praise in its own right belong. Hymn of Apollo, ShellyS’attiira ffiarmmt, fH.t). ik'rtmrtlj ffiarria. ffl.D. Sxibrrt ffiarriann. ffl.B. JJrtrr ffiarurajitt. ffl.Q.$aul Brrmamt, ffl.3. Sark ffirurtqurs, ffl.S. tBrurr ifirrsluirk. ffl.S. Srbnrah ffirurrlq,School ofTttain Italian Skeleton Leaning on a Spade. 1543 bhica libfr r. 7n roRis ArM 4 fi' l I O. Many’s lhc time I’ve been mistaken And many times confused Yes, and often felt forsaken And certainly misused But I’m all right, I’m all right I’m just weary to my bones Still, you don’t expect to be Bright and bon vivant So far away from home, so far away from home Paul Simon American TuneHarry Sternberg M a. 1935 The trick was to know that his true nature lived, as perfect as an unwritten number, everywhere at once across space and time. Richard Bach Jonathan Livingston Seagull ri rr t 00 1 ' " nlicr(Carxil Sakubnuiaki, ffl.S. fflirharl iKafrisarit. ffl.S. (faralb Inlptaon, ffl.S. Agnra Hrrsak 2Canr. ffl.S. he moment of health is the moment of unconscious creative synthesis, when, without thinking about it at all, we know that we make sense to ourselves and to others . . . I think that two new and important feelings come into the individual’s experience: 1) the feeling that one is free and that life and its outcome are in one’s own hands; 2) ... a deeper sense of relaxed participation in the present moment . . . Life ceases to be a course between birth and death. and becomes instead a fully realized ex pcricncc of change. . . Dr. Frank Barron Time, Sept. 26, 1955£, die, to sleep -No more, and by a sleep to say we end The heartache and the thousand natural shocks That flesh is heir to. Tis a consummation Devoutly to be wished. To die, to sleep, To sleep - perchance to dream. Wm. Shakespeare Hamlet Act 111, Scene I Hans Holbein, the you tiger German The Dance of Death: Physician Heal Thyself I53Siirrbrrt SCatz, iH.S. Inbtt SCrait. ffl.D. Stuart 2(pitball, fO. iShtmba iKrsalrr. ffl.S.$fptrr King, HO. ffitptn Sumitt 2Cttri, HO. (Slpttrt Sratzpr, fH.S. IHilliam SCtutrr, fHJ.Be a good doctor. To be one requires that your life should be clean, and that your methods should be simple, that your goodness of life, as such, with your wisdom based on scientific understanding and continuing study, should draw the sick to you to be healed in body and mind, that as you heal them you should sustain them with encouragement and guide them as a friend, counsellor, and confidant. Follow this guide and you in truth will be a good doctor.M -Jcaling is a matter of time, but is sometimes also a matter of opportunity. Knowing this, one must attend in medical practice not primarily to plausible theories, but to experience combined with reason. Hippocrates■Unci HCremcr. {U.D. Jfrcticrirk IKurtzmatt. fH.23. (Britffry HCitBctj. ffl.S.French School The Physician Curing Fantasy, 17th Century l e o 4ed in irJrffla'ni Phamafie purge am auffi Par drogues la folic- "Tl T' . ' Breathe deep the gathering gloom. Watch lights fade from every room. Bedsitter people look back and lament. Another day’s useless energy spent. New mother picks up and suckles her son. Senior citizens wish they were young. Cold hearted orb that rules the night. Removes the colours from our sight. Red is grey and yellow white, But we decide which one is right And which is an illusion? The Moody Blues Days of Future PassedfRark Ccakbrttcr. £R.B S truru lEIrkrrman. ffl.B.Alfred Reibel Death, be not proud, though some have called thee Death the Destroyer, IS16-1859 Mighty and dreadful, for thou arc not so: For those whom thou think’st thou dost overthrow Die not, poor Death; not yet canst thou kill me. Much pleasure, then from thee much more must flow; And soonest our best men with thee do go Rest of their bones and soul’s delivery! Thou’rt slave to fate, chance, kings, and desperate men. And dost with poison, war, and sickness dwell; And poppy or charms can make us sleep as well And better than thy stroke. Why swelPst thou then? One short sleep past, we wake eternally, And Death shall be no more : Death thou shall die! John DonnefHirljarl Crirlrt. fO. iRnhrrt IGruitt. iH.0. JSilliam Smnbarii. ffl.3. Snbrrt iCrntn. ffl.S. | •Magttp % Sum II. 41.9. William fflarkmamt. fO. tTljnittaH iHaralanfc. fO. Snlttt I. JMr(Eormirk. iH.33.Rembrandt van Rijn Dutcb Christ Healing the Sick (Tbe Hundred Guilder Print)Irian ftlrSntnsli. fU.D. Srlptyhtr iHriHaslrr, fO. Unsmary fRrJntyrr, fO. rntt Iflrluirk. fH.5.Timothy Cole Amcrican Pasteur in His Laboratory, 1925 Who is more responsible than a gull who finds and follows a meaning, a higher purpose for life? For a thousand years we have scrabbled after fish heads, but now we have a reason to live to learn, to discover, to be free. Jonathan Livingston SeagullHaul £R.B. $am?B fattier, fRB. V fenbrrt fErvjrr. fft.iB. 3. ■fearnib fUnljlrr„ fRJB.Harry Sternberg The Secret of Life, 1936 Science will never be able to reduce the value of a sunset to arithmetic. Nor can it reduce friendship or statesmanship to a formula. Laughter and love, pain and lonliness, the challenge of accomplishment in living, and the depth of insight into beauty and truth: these will always surpass the scientific mastery of nature. Dr. Louis Orr June 6, 1960Urnunt {Harris, MM. DatiiJi iHnll. MM. A Physician can sometimes parry the scythe of death, but has no power over the sand in the hour glass. Hester Lynch Piozzi. 1741-1821When he can render no further aid, the physician alone can still mourn as a man with his incurable patient; this is the physician’s sad lot. Are tar us Jfrritmrk Nabas. ffl.3. ffiubrrt Nit'brrg, fO.Jacques Perrissin Death of Henri II. c. 1560 And I will lay my burden down Rest my head upon that shore And when I wear that starry crown I won’t be wanting anymore Paul Simon Take Me to the Mardi GrasSirliarii (O’ffirrn. itt.0. Sattirl Norman. fO. ftamitrl $alpant, fH.S. $rtrr JJaiizrr. iH.9.The marvelous instruments of science and the great body of medical knowledge produced by scientific research arc at your disposal. You are prepared to render useful service to mankind. You can prevent and alleviate suffering, lengthen the lives of human beings, and teach people a more harmonious philisophy of life. It is a great privilege to lengthen the life of a single individual, yet you are to have this privilege as a daily routine task. This is a stimulating and challenging opportunity. William H. Parkinson Dean, 1929-1959Inlm kappas, 1H.0. Snljn JJarrnti, ftt.S. SaniJi JJrrt Sr., ffl J. JJatrirk Prllrrrfjia, fO.Samaritan Hospital Receiving Patients in February, 1892 The house is a large double one with fourteen rooms, admirably adapted to hospital purposes. It stands on a plot of ground fifty by two hundred and twenty feet, which is tastefully laid out in lawns, flower beds, trees, walks, ect. and presents an appearance, inside and out, of a large private home rather than a hospital -- a feature quickly observed and highly appreciated by the patients. Report of Samaritan Hospital, 1892 Samaritan Hospital, 1925. laurt -fjrrry. fH.-O Jrtcr iB.arsria.tx . fU.13The Physician as God The Physician as an Angel See my eyes I can hardly sec Sec me stand I can hardly walk I believe you can make me whole See my tongue I can hardly talk See my skin I'm a mass of blood See my legs I can hardly stand I believe you can make me well Sec my purse I’m a poor poor man Will you touch will you mend me Christ I remember when this whole thing began No talk of God-we called you a man And believe mc-my admiration for you hasn’t died But every word you say today Gets twisted round some other way And they'll hurt you if they think you’ve lied I only want to say If there is a way Take this cup away from me For I don’t want to taste its poison Feel it burn me, 1 have changed-I'm not as sure As when we started. Then I was inspired Now I’m sad and tired Listen surely I’ve exceeded expectations Tried for three years, seems like thirty Could you ask as much from any other man? I only ask things I’d ask any superstar What is it that you have got that puts you where you are? I am waiting yes I'm a captive fan I am dying to be shown that you arc not just any man Every time I look at you I don’t understand Why you let the things you did get so out of hand You'd have managed better if you’d had it planned Why’d you choose such a backward time and such a strange land? Jesus Christ Superstar The Physician as a Devil Allegory of the Medical Profession After Hendrik Goltzius, 1587 The Physician as a ManS’tryhru Soman. fR.B. Smtalfi Sntaliin, R3. fflirljarl fiomaalj. ffl.S. SanJiji Snsrulirrg, fH.3.Life is short, the Art long, occasion sudden, experience fallible and judgement difficult. Hipporcrates SJpffmi Stfflrti, g irphm tgoBmtrr, ifl.l.(Eljarlra Snat, B.3. TlirtxTr Suiiktn. ffl.S. The nature of man is not what he is born as. but what he is born for. Aristotle0 alrnur. iRiihvrt 0 rljiiiartz. £RM.It is not so difficult a task to plant new truths as to root out old errors, for there is this paradox in men; they run after that which is new, but are prejudiced in favor of that which is old. Schopenhauer Louis Boilly Consultation, 1823Thomas Rowlandson and Augustus Pugin College of Physicians, 1808-1810 r t i ; i • The light of knowledge will not diminish, no matter how many come to light their torches by it. Ambroise PareBnutis rully, fH.9. iamb S’ribrl, fH.II. Allan Srgal. iH.9. iHartiu S anaky, ffl.S.For where there is love of man, there is also love of the art. For some patients, though conscious that their condition is perilous, recover their health simply through their contentment with the goodness of the physician. And it is well to superintend the sick to make them well, to care for the healthy to keep them well, also to care for one’s self, so as to observe what is seemly. Hippocrates PreceptsOJriitrr ljaap, iJl.iJ. ifiurrij £ kifr. itt.-B- Antnli) j immt. iJI.D. (fyrnriir 8 mall. ifl.iJ.■ 1 narph S»paur. fR.BVm George M Woodward The Doctor and His Friends, c. I 798 How many errors have been committed because the physician has not been able to discern. under the mask of an invalid, a man. E. His IThis is the true joy in life, the being used for a purpose recognized by yourscl! as a mighty one; the being thoroughly worn out before you are thrown on the scrap heap; the being a force of nature instead of a feverish selfish little clod of ailments and grievances complaining that the world will not devote itself to making you happy. George Bernard Shaw Man and SupermanZigmmtJi lrzrlrrkt, fUJ. Ifri'iirrirk §mti rrlm, ifl.il. ffiarrii cTatr. fH.B. S uaan eatitm, ffl.S.Iflilliain (Saylor, ffl.9. Daniil (Srxtrr. ffl.D. JJhilip (Tint nut, fH.3. (ShntttaB Higgiano, lfl.3.I S DIFLK EXTKS EDA II L 5 I r. I- VI IIFJ IIO MR RE lit I. Ml u I K lib IHvUE 1 ACI.MIEX I O IIAAIH Si Ml KRT !. Rctnondini. Publisher The Course of Life, Late iSfh CenturyCenturies ago, Seneca said, “The first movement which gives us birth begins to take life from us. Life is the beginning of death and death is the entry into a new life.” The statement seems like a paradox, but it is only a terrifying simple truth. Every detail of the complex activities of life marks only a minor engagement into a huge warcfarc between the strange force that animates us and antagonistic forces and influences which ultimately destroy us. Even the highest spiritual activities, the act of worship, the creation of poetry, literature and other works of art, are performed, like the simplest muscular task, at the expense of tissue, every expenditure of energy' is a destruction of cell life. From birth to death, the body undergoes a constant insensible process of degeneration and regeneration. Life and death walk hand in hand. When the rebuilding keeps pace with the waste, wc live—when it lags, we die. Man, supreme in earthly creation, is born and lives his three-score years, when, as it does with every living creature, death stalks upon him and ends his activities, his ambitions, his joys and sorrows and his body returns to the earth from whence it came. Harry E. Bacon, AJ.D. 1925 SkullAlan Itfriaa. fH.9. A. Snas JflUamt Sr., iH.3. (Eijahiirua ZajJiouiicz, ffl.S. fJhiliji Zriiitirr. flnfytt Zthrrg, fU.II. § lirlbmt Z it man. fHJ. S’trurn (Snliibrrg, fW.0.SInlnt Snrrn fHarrrlln Any man's death diminishes me, because I am involved in Mankinde: And therefore never send to know for whom the bell tolls; It tolls for thee John DonneJacob de Gbeyn Anatomy Lesson of Pieter PaaxoWhen did you first want to become a doctor? It all started with birth. Shortly afterward I was told that a gypsy read it in her tea leaves. And there were all those toy doctor kits with red and white and blue pills; an American dream. I did a fourth grade science project and got a B+. I made a life-size human out of clay. I graduated first in my grade school class. My name began with an A. The closest kid to me was Billy Connors with a capital C. And in high school biology, my DNA lived longer than anyone elscs! I did have doubts. When 1 found out that I would have to put in four years of college, then medical school, I wanted to call it quits. Perhaps I should be a scientist or social worker. But our family doctor talked me out of these fantasies. I decided to give it a try. It would be worth it. I majored in Biology. Grades! That’s what you need to get into medical school; cumulative indices, 3.0s, 600s, averages, grades. That’s what the biology chairman said after he welcomed us. Four years in college went fast. Then it was time for the decathlon of trying to get inside the medical schools’ doors. Picking somewhere between 2 and 20 medical schools; twisting arms to have your transcripts sent on time; roping a recommendation that glowed in the dark; hurdling through the four events in the.....MCATS and hoping you would not get winded by general information; sitting out the pre-interview wait; contorting through the interview hoping that no one would ask trick questions like, “Would you choose Jefferson over Temple just because it has a swimming pool?” and tenth, but not last, sweating it out. All this while your biology chairman told you it was grades and his letter that would get you into medical school early. But what about my C in organic chemistry, and what if I asked someone else to write my letter? A fine young person like you would make a superb research marsupial geneticist, if you don’t get into medical school. At this point I wondered again if it was all worth it. Four more years and that would only be medical school! Is internship really required? But then, as I was doing something or other, I saw the gypsy again. She said it was in the fates. There was no way out. My life was mapped ahead. I would just have to choose the different roads and courses available. For better or worse, richer or poorer, in sickness and in health ... So I accepted the offer. 1 would give it a try. I only hoped it could be better, richer, and in health!TEMPLE UNIVERSITY HEALTH SCIENCES CENTER SCHOOL OF MEDICINE PHILADELPHIA, PENNSYLVANIA 19140 OFFICr. OF THE DEAN Dear Cl cun fX It affords me great pleasure to advise you that the Admissions Committee has approved your application for entrance into the Temple University School of Medicine and has awarded you a place in the FX U. kuul. Class beginning September, fllC. In order to complete the requirements for matriculation into our School of Medicine, please take care of the items checked below as soon as possible. ______1. The enclosed cards are to be filled out completely and returned to us along with your check or money order for $50.00 payable to Temple University. The matriculation fee will be refundable only until January 15, . If you matriculate at Temple after this date and then decide to withdraw, no part of the fee will be refunded. ______2. Have the high school or schools you attended send us a copy of your high school transcript. ______3. Send us a 2" x 2" passport-style photograph. ______4. Send us two complete transcripts from each undergraduate school you have attended. (This includes summer school sessions.) Do not send the two copies from the school you are presently attending until you have completed all the courses you intend to take there. If you are going to receive a degree, be sure to have the degree and date received recorded on the transcripts. If you wish to accept a place in our Class, please return the cards and $50.00 deposit foe to us within 3O if you do not wish to accept a place, please advise us right away so that your place may be awarded to one of the many applicants on our waiting list. We are looking forward with pleasure to seeing you at the beginning of Orientation Week and at the opening session of classes in September, Sincerely yours, I. Prince 'ince B 'Assistant Dean MPB jh EnclosuresThe month was September. The year was 1970 or thereabouts. A new decade of medical students filed into Erny Amphitheatre, a structure that two years hence would be too small to welcome our successors, and in a few more years would be leveled to the ground in the shadows of a new hospital. But there we were. After the anxiety of applying, the relief of getting in and the anticipation of our last summer before we would dive into our life-long preoccupation with health and disease, we were ready. The anxiety was back! We were to be oriented as freshman, the largest class to date in Temple’s history. Wc were 160 smiling faces of different origins, different ages, different viewpoints about life and medicine, different abilities, different motives for becoming doctors, different backgrounds, different futures, different personalities. Wc were different! There were not quite as many of the medical student stereotypes who looked like they came out of a Sears Catalog complete with white coat, stethoscope around shoulders, scrub suit and inflated egos. Somehow Temple’s Admissions Committee manages to pick a heterogeneous group to fill its sought-after spaces. A surprisingly large percentage of our class came not straight from the college biology lab, but from other parts of society. High school teachers, soldiers, people from paramedical fields such as nursing and pharmacy, those with post-graduate degrees, and a host of other life styles were now medical students and would soon be physicians.The years ahead hummed and glowed with promise. Jonathan Livingston Seagull iiupui um man ____ _____ wiuu we thought, for the ideas and feelings about life and people which color our actions, would have their input on health care, and the quality of care our patients would gel. But health and disease and patients would come later. First we had to get our ID pictures taken.John Franklin Huber, M.D., Pb D., Special Assistant to the Dean If there was one name we heard of before we opened the doors, it was that of Dr. John Franklin Huber. Most of us heard about his exploits in the anatomy of the ‘Huber lung . Some met him during the admissions process. We never expected to sec him writing at the blackboard on that first morning. And he was writing his telephone number in case we had problems. Maybe medical school would not be so tough after all. It was. The remainder of orientation was devoted to taking care of business. We were introduced to a phenomenon which would be repeated about 12 limes . . . per minute, or so it seemed, for the next few years. It was not breathing. It was lecturing. Representing the Dean’s Office were Drs. M. Prince Brigham and Hugo Dunlap Smith, both of whom we would see much of in our future at Temple. We did not meet the main man, Acting Dean Barba, during orientation. This held true for the remainder of his tenure as dean. Various course directors and department chairmen spoke to us. An interesting part of the first week’s events was the presentation of Temple’s history by Dr. Fred Rogers; this helped create awareness of our professional heritage. The rest of the week was a blur, with only a foggy remembrance of a few people from the surrounding community speaking to us. Some had rather strange ideas and methods of stating them. It is anybody's guess what they said. Orientation ended, but not before the distinctly unusual Dr. Bcrkowitz of Student Health Service pricked our arms to see if we had tuberculosis. We were oriented. We were Freshmen. We were ready to heal patients. If only we knew that we would be healing broken chemical bonds on lipids and amino acids for the next ten weeks, not broken hearts.Hugo Dunlap Smith. M.D.. Associate Dean (Curriculum) M Prince Bngham. M.D., Associate Dean (Admissions Student Affairs)Richard D. Berkowitz, M.D.Thus, we were ready to accept the challenge of two years of learning basic and not-so-basic sciences. Some subjects were taught rather well, with clarity and purpose. They formed the useful foundation for our later adventures with patients and their clinical problems. Basic science became basic 3rt when in the hands of a Dr. Lautsch or Schneck or Troyer. They taught not only with exacting knowledge of their fields but with understanding and insight about people. Medical school was not always a museum of facts that had to be memorized blindly. It occasionally was a museum of art to be understood and appreciated. Yet medical school teaching was not always a gallery of Van Goghs. Sometimes teaching became lecturing, and the all-important concepts of medicine and its foundation suffered at the expense of pointless lectures and the vast new store of medical knowledge. Many of us became more or less conditioned to attending lectures just because they were there. Attempts were made to deal with some of the basic concepts so important if medicine is to be a humane, comforting experience for the patient. A few Dean’s Hours were devoted to the dying patient. But no more than a handful of students attended. Human Growth and Development tried to handle some of the broader and less molecular aspects of medicine. But, on the whole, the art of medicine—dealing with total care of the patient’s needs—emotionally, socially, economically, as well as physically, usually seemed to suffer at the expense of other priorities.We did see real patients in our first year, however, each Friday afternoon. We usually had no idea what we were doing, understandably enough, but it was a long-awaited thrill to go into a patient’s room and ask what was troubling him or her. Now it seems routine to work up a patient. Four years ago it was the medical student that was worked up. We were even given pregnant mothers as patients. They ranged from 4 months to 9 months along their way. We were only three or four months along our way. Perhaps the biggest moment of our early career was to attend the delivery and find out that a baby was attached to that fetal heart beat we think we heard. But our real home during the first year was an attractive room with plush, red-cushioned seats, a podium, closed circuit T.V., and what seemed to be a permanently installed lecturer down front.Our appetizer was Biochemistry. Dr. Hamilton lowered the checkered flag as he raced up the steps to the back of the room to take notes on the lectures given by other members of his department. The honor of giving the first lecture was given to Dr. David Henley, who doubled as a senior medical student. He was good. He was the free-est radical in the department. And there was the chairman, Dr. Hamilton, who among other accomplishments had taught EVERYONE else on the faculty who went to Temple. He was an easy-going Texan, likable and a good person to break us in. His department had distinct personalities, reflected in how and what they taught. Dr. Gerald Litwack amazed us by writing even- mathematical equation involved in enzyme kinetics on the board in less time than it took for the reactions to occur. Dr. Leonard Norcia (alias Lenny Lipid) glistened in his grey lab coat as he saturated us with polyunsaturates and multilobulatcd chains of cerebrosides which stood beside ganliosides. Dr. Ronald Picringcr then spoke to us on what lipids do for and to us. His lectures were usually to the point, cutting all the excess fat away! And there was the sleeper in the group. Dr. Adclman, who spoke of aging as we aged slowly in our chairs. If a hormone did anything chemically in or out of the body, we knew it from Dr. Knauff (who resembled Sam Levinson). Truth is never pure, and rarely simple. Oscar Wilde Robert H Hamilton, Pb.D . M.DRaymond E. Knauff Ph D Leonard Norda. PhD. Ronald A. Pieringer. Ph.D Gerald l.itwack. Ph.DYellow Bile - Fire - Summer Phlegm -Water -WinterAnd last, but certainly not least, were 3 energetic younger members of the department: Dawn Marks, who brightened our day with DMA; Norm Conger (no longer at Temple) who eloquently spoke of electron transport, and Richard Hanson, who correlated the more gluconeogenic aspects of life rather well. These folk captured the imagination of the class and became favorites in short time. All in all, the experience was not difficult, and the learning was there if we wanted it from a friendly and acccssable department. Dawn Beatty Marks. Pb D Richard W. Hanson. Pb.DLolita D. Moore, Pb.D. Along with Biochemistry, we were given IBMS. It sounds like a new antimetabolite drug, but was actually a course which was then presented for the second and last time. It dealt with basic medical science, such as the direction that the third terminal in phage X 174 coded by UAU turned as it met its messenger RNA. As if this were not enough, we learned about high energy squiggles with Dr. Salganicoff, punnett squares with Dr. Hope Punnctt, and wc saw the hilarious antics of Drs. Shockman, Zubrycki and Lolita Moore as they ran down the aisles singing the praises of E. Coli. We were also entertained by the anecdotes, stories and jokes of Stanley Schor, but we were usually two or three standard deviations away from understanding anything in Biostatistics which he also taught. Leonard J Zubrzyckt. Pb.DLeon Salganicoff, PL. H. Alan D Conger. Ph D. Stanley S. Schor, Pb.D., Professor and Chairman of BiometricsAnd lastly we viewed from our theatre scats. Temple’s version of Carnal Knowledge. Human Growth and Development. Dr. Daly showed us a mo ic which was the first discourse on intercourse in a course in medical school history. Me told us that some of us would be upset by what we saw. At this point half of us, scared to death, thought we were going to sec a sick person or something like that. 11, G and D had its low points, but there were a few innovative and interesting experiences in the course. Among them were the demonstration (using kids no less) on child development by-Victor Vaughan of St. Chris, and the demonstrations in embryology (using balloons and cheesecloth no less) by J. Robert Troycr which were excellent as well as entertaining. And to introduce EVERYTHING and EVERYONE was Virginia Keeney (no longer at Temple). It was our only-course with a mistress of ceremonies.Time marched on. It was Thanksgiving, in more ways than one. The holiday was approaching and we were ready to move from molecules to man. Even before the holiday began, Carson Schneck had our names memorized. To prepare us for what was to come, they gave us handouts and a box of bones. Anatomy was coming!Jan Stephan von Calgar Andreas Vesalius (Portrait of Vesalius) An.Aet. XXVIII. 1542Dr. Mubcr spoke to us about the cadavers we were about to meet. From that moment on wc were in the hands of Schncck, Crouse, Pratt and Rodrigucz-Pcralta, not a law firm but successors to Vcsalius in their own right. Dr. Schneck was a superstar. Flocks of students piled around him and on top of each other to see him paint human anatomy in astonishingly clear tones. Wc spent many cold mornings in the unheated gross anatomy lab (no longer used for such). Little did we know that gross anatomy would remain unequalled as far as quality went in our basic sciences. Carson D. Schneck .VI D., Pb.l). In my views there is nothing in the body useless or inactive; but all parts arc arranged to perform their offices together, and have been endowed by the Creator with specific powers Galen Neal E. Pratt, Ph.D.Lorenzo Rodriguez-Peralta. M.D. Gail S Crouse. Ph D.Histology was not as exciting. In fact, some still talk of Dr. Davidheiser’s lecture on respiratory histology. Was it a seizure or a deep sleep? Drs. Sodicoff, Phillips and company became well known as they led us through more tissues than one uses for a bad cold. And who will forget M. Noble Bates? With an almost superhuman zeal for teaching, he gave us everything. There were digressions, anecdotes, references, name-drops, jokes, cartoons, and three-carousel slide trays to illustrate each. Rumor had it that ours was the 8th year in a row that time ran out on Dr. Bates before he had time to even finish the eye, let alone get to the ear. Seldom did we have a more entertaining and friendly teacher, with such a wide and comprehensive knowledge of his field. A. Kent Christensen, Pb.D., Professor ami Chairman of Anatomy Steven J. Phillips. M.D VI. Noble Bates. Pb.D. fMjrvtn Sodicoff, Pb.D. He had been talking with them all, exhorting them never to stop their striving to understanding more of the perfect invisible principle of all life. Jonathan Livingston SeagullThe third part of the anatomy triumvirate was Ncuroanatomv, a devastating adventure through the pathways of the human brain and spinal cord. You had to have cerebral connections to understand this one! The good Dr. John Way was our guide for most of this trip. We almost got lost along the way, but he assured us we would get there eventually. One had to be there to appreciate the feeling when, after talking about a pathway in the human brain for ten minutes, we found it did not really exist and the thing on the board that we were looking at was a stray line. Although the course had its tense moments, it also had its light ones. We got through without burning out too many of our neurons. John S. Way, Pb.D.Rev. Session EUQOANATO l I 'OO f A1 TVoR. a T-4V LBcT ? » A MoV es (Flicks) 5£ V £ y -f MOT0R The finale to Neuroanatomv was one of the memorable moments in our four years. Dr. Ray Truex made one of his infrequent, but most important appearances with Dr. Trover. The Czar of Neuroanatomy sat in the back of lecture room A while Dr. Troycr reviewed the entire nervous system—going from bottom to top, literally to the cheers of the class. After this Dr. Truex reviewed it from top to bottom. By this time the crowd was applauding and cheering incessantly as he ended one of our toughest trips with “and that’s the way the Good Lord put the damn thing together!”The anatomy department was a friendly and down-to-earth group, the sight of which drinking coffee and socializing in the mezzanine each morning somehow reassured us that all was well. Anatomy was something long to he remembered. J Robert Troyer, Pb.D. Raymond C. Truex, Pb.D.A month went by, or someting that felt like a month, and Jonathan learned at a tremendous rate. He always had learned quickly from ordinary experience, and now ... he took in new ideas like a streamlined feathered computer. Jonathan Livingston Seagull Somewhere in the midst of miniature sarcomeres and gyrating sulci, the holidays found their way into our lives. One did not know whether to look back to the ghosts of anatomy past, or to dare to look ahead. Our class held the first of two annual Christmas shows which featured faithful reproductions of the characters we encountered in the first four months of our continuing drama. A highlight was Dr. Trover’s reading of an ode he wrote for our class. The The life so short, the craft so long to learn. multi-talented acting chairman of anatomy thereupon was received with a rare standing ovation from the class. HippocratesODE TO THE CLASS OF 74 Your class is comprised of many faces Which were collected, with care, from numerous places You were chosen on your intelligence, and an appearance that was neat. And an ability to sit for long periods in your seat. In September you arrived on opening day And congregated in lecture room A To be oriented on the faculty’s mission To turn you from Freshman into a practicing physician. You soon received schedules of courses and the pleasing disclosure That soon you’d be getting a clinical exposure You were eager to start without further delays Let us now look back on those first 100 days. You began with Hamilton on Monday at nine And learned rather quickly that he always started on time Then Litwack found “nothing” amidst all the strife Added lightning and earthquakes and originated life. In those first 10 weeks you learned lots of things Like “What’s Biochcm without benzene rings?” Or docs IB.MS really have to decry That mammalian cells are too tough, so we’ll use E. Coli? Or that population control would be easier to sec If we eliminated sex in HG .-D. Or that you can always statistically analyze more If you cheat when using methods presented by Schor. Or that ICM could be quite a drag If talking to patients just wasn’t your bag. Or that the OB experience with your pregnant mother Made you realize you’re her doctor and you won’t be its brother. Yes, those first 10 weeks wouldn't have been so bad If wfe’d just eliminated all the courses that you had And turned you loose, without remorse To get it all through a correspondence course.But think of the faculty you’d have failed to meet Each one noted for their particular feat Like Hanson and Litwack and M. Noble Bates Unexcelled for speed in their lecturing pace. You’d have missed Vaughan and Shockman in the lecture hall din Demonstrating growth of children, bacteria and hair on the chin. And who will ever forget that particular day When you learned that Paik had his own metabolic pathway? And who would miss those fascinating approaches Of Lynch showing the speed of his cockroaches Or Salganicoffs pronouncement amidst the giggles That high energy phosphate bonds are “squigglcs”. The importance of the material became a matter of conjecture When Hanson forgot that he had to give a lecture. And while waiting for him, the bets were waging That Adclman’d become impotent as a symptom of ageing. You’d have missed Hamilton’s comment, worthy of a laugh. Of how Henley was the free-est radical on the staff. While Norcia and Pieringer had a particular yen To prove that they were Biochcm’s big fat men. And when Weinhousc came in to give you the answer That everything was a cause of cancer Van Rossum showed how to develop the lump By coaxing it in with a sodium pump. Or maybe that lump was really a hickey Caused by a mutant microbe of Zubrzycki Or it could be that lump was one of a kind That arose when Shoap pinched Dr. Moore’s behind! You’d have missed Punnctt’s arrival on the scene To assure you of the importance of the gene On matters most personal and certainly not trite Of why your girl’s not a hermaphrodite. .And before those first 10 weeks got longer and longer It was all cleared up by Dawn Marks and Norm Conger .And finished by .Alan Conger’s tour-dc-force When he irradiated the IBMS course. But HG rD continued its contortions When Day spoke to you on the need for abortions And Daly convinced you that sex was most groovy Even though he’d refused to star in the movie. There are more staff members who spoke to you .And 1 haven’t got lime to give them their due But you’ll all remember their introductions with glee. By Dr. Keeney, the mother of HG rD.In the past four weeks you’ve taken the gaff Of the stuff dished out by the Anatomy staff. And it won’t be long lx fore you see That each has his own idiosyncrasy. Twas Schneck, Crouse, and Pratt and Rodriguez — too That set up the Gross in a way that was new Where partners were appointed, you wanted amends Why couldn’t you dissect with your friends? The answer is quite simple, I’m sure you can see That each of the gross staff did finally agree That their group should have those with long wavy curls So it was the only fair way to distribute the girls. You’ve found the Histo and Neuro staff extremely sedate Asleep in the back row at half past eight. Ix-ad in their snoring on any given day By the Head of Neuro, the good Ur. Way. And who could forget, if you had your druthers. About Sodicoff’s investments of soft and tough mothers While Phillips, I’m sure, has soothed your fears By mentioning only the big things in sarcomeres. Now Davidhciser and Trucx have not made their debut We turn them loose after Christmas to pounce on you. But Trucx you can know by a casual look He’s like the simplified reading in his textbook. Huber, of course, by his own confession Is adequately described in The Magnificent Obsession. While Troycr prancing around in his baggy pantaloons May not teach you embryology, but you’ll sure know balloons. If you think I'm going to concentrate on faculty alone You’ve got another thing coming before you leave for home For educational processes that seem most prudent Wouldn’t get off the ground without noticing the student.Have you ever noticed male students with their hollers and hoots When Perry walks by in one of her jumpsuits? While Schwartz is preoccupied and seems to be loomin’ In the approximate vicinity of the actress Lynne Dumin. Or have you noticed Friedbcrg’s delay of impending doom By at least listening to the introduction before fleeing the room. And is it really true when 1 hear people say That Lawrence’s birthday is on Christmas Day? Have you heard that Conklin and Williams were flyers in the days of yore They’re Snoopy and Red Baron of the class of ’74. While Gallo's career bears the peculiar feature That he graduated to student from high school teacher. Or that Cliff was a dentist whose life became shoddy When one day he discovered the rest of the body While Kreyc had a career and decided to sack it When he hung up his professional tennis racquet. There were other things that came on the scene Like the day that Carrol’s silhouette smoked up the screen And Segal portrayed Troycr on an even par Until you noticed that he smoked an inferior cigar. Do you remember the “meany” Rodriguez pulled on Trccn As he made her dissect so she couldn't keep her gloves clean. I’m sure Zitman didn’t see it, and had to let it pass, ‘Cause he only shows up at the end of the class. Now in the last couple weeks of the Anatomy service Work became heavy and the class got more nervous Except for Harrison who has been immersed before Sitting in a Navy submarine on the ocean floor. And before I quit 1 must cast some glances At the complexion of your class’s notetaking finances. IVc heard some charges that have been unfairly hurled. Just ‘cause Zcidncr’s taking his vacation on a trip around the world. Now there are others that could be mentioned, like Norman’s shoulder bag, Renaldo’s working on ulcers and Zibreg’s on a cartoon jag. Aston Williams likes snakes, Rost writes in the paper .And Muhlenberg’s magnificent eleven performed many a caper.I can’t mention you all in this little old rhyme You’ve all done your thing, but there just ain’t the time Just figure you’re included in every written pun For, after all, you’re organized as a committee of one. You’ve been most attentive in the course work we’ve given These 100 days weren’t easy and it’s a tough way of livin’ You've earned a vacation, we prescribe plenty of rest, Renew family relations, and do your best To remember that the Wise Men and the Maccabeans Are symbolic and relevant to your holiday seasons! J. Robert Trover, Ph.D. Professor of Anatomy December. 1970Physiology roared in as the lion in winter. In front of lecture room A. now a second home to some of us, appeared another of the personalities that we would long remember. Armed with her mild southern accent, a cigarette, her directness, and a national reputation in microcirculation research. Dr. Mary Wicdcman confronted us with a set of rules for the physiology course and an elegant demonstration using live bats and movies of the almost science-fiction-like microcirculation. The rules were not always popular with some of the class, but ‘Mimi’ YViedeman had style and wit hard to match. Mary P Wtedeman, Pb.D . Professor and Acting Chairman of Physiology The first recording of arterial blood pretture. by Stephen Hale . 1733.PHYSIOLOGY EXAMINATION April 28, 1971 Name_______________________________ (PLEASE PRINT) Interpretation is part of your answer. Do not ask questions. Circle the correct answer. Make only one choice. If you consider more than one to be correct choose the better or best one. In the turtle heart experiment, assuming no change in myocardial compliance, heart rate or peripheral resistance, an increase inflow pressure produces, in a normally perfusing heart (no heart failure) after an equilibration period, the following changes: increase decrease unchanged aortic pressure contractility stroke volume end systolic volume end diastolic ventricular pressure end diastolic ventricular volume (epb When a muscle cell contracts it, pgains Na and loses K+, c d b) decreases in anions, c) inactivates the Na+ pump, d) shifts the C 2 dissociation curve to the left. a b It is possible that epinephrine (or nor-epinephrine) intravenously may d cause a late or delayed decrease in left ventricular systolic pressure because, a) the sympathetic nerves are active, b) the vagi are inactive, (cj carotid sinus reflexes produce a strong vagal tone, d) the aortic body is depressed. a b Sodium cyanide intravenously, a) stimulates the carotid sinus, (jJ d b) stimulates the aortic arch, (£5 depresses oxidative metabolism of the carotid body, thereby producing a histotoxic anoxia in these chemoreceptor cells which are thereby stimulated, d) stimulates the respiratory center directly. [s' ________ __________ u- ________ _______ ____ _______ _____ _______ sJust as death and taxes arc certain, so were lectures. And physiology was no exception. But the heart of this course was not in the lecture hall, but in the labs prepared by the department. The cool and thorough introduction to the electrocardiogram by Dr. Ascanio, a particularly friendly and effective teacher; the unforgettable Dr. Frank Barrera, who we would see many times in the next few years, and his methodical and detailed approach to the ins-and-outs of pulmonary ventilation and acid-base physiology; the kindly Dr. Catherine Michie who seemed to be a reassuring influence in lab while we swam through the pathway to learning kidneys, sometimes almost drowning; the exotic Dr. Finck who showed us how to use a microphone which doubled as a mongolian gerbil while we looked in amazement (to this day we still look for those gerbils in patients’ ears). Frank Barrera, M.D.And there was the former chairman. Dr. Oppenheimer, dedicated to teaching and prone to tantrums; Dr. Joan Gault, pleasant and effective in lab, but prone to chuckling at such thoughts as capillary sphincters and baroreceptors (we chuckled back, not knowing what else to do); Dr. Lynch, amiable enough while discussing blood or cerebrospinal fluid; Dr. McCoy, known foi his multiple choice questions where all answers were wrong—not to mention the questions. As there is yin and yang, so there was Way and Wang. Dr. Wang built upon our foundation in neuroanatomv with a series of lectures on neurophysiology. It was like pouring intravenous medicines into an infiltrated IV. No progress! To keep physiology company we were introduced to a relatively new entity, the interdisciplinary course. We just had our appetites wetted in freshman year, for Drs. Lautsch, Marks, Shear and a cast of thousands would return in the Fall of our second year.Michael Wang, Ph DThe first year drew quickly to a close. Sometimes we were immersed in learning our trade, as we would be time and time again. But, amazingly enough, the world around us still functioned as it always docs. It was up to us if we wanted to participate. Many did in their own way. Yes, medical school was not all lectures, labs and exams. There was living to be done; and for anyone to become so consumed by learning his craft as to forget this meant only frustration, stagnation and loss of touch with the people and world he would someday deal with. Something lost, but something gained. We welcomed the sun and the summer. We thought about what the past year meant and what the future would bring.Spinning and weaving us into a seemingly never-ending maze of facts about diseases and about the agents that caused or cured them, the second year of medical school arrived. If the first year meant 100 lectures, the second meant 1000! We sometimes wondered where it would all end, and how we would possibly remember even,'thing if it ever did. Instead of counting the days when we had examinations-orals, writ tens, lab practical, self-evaluations and National Boards, we circled the days on the 1971 and 1972 calendars when we did not get quizzed. With little exageration. it can be said that by May some courses almost went unnoticed in our minds as the parade of courses rushed by us. There was everything from the perils of Pathology and Pulmonary to the rigors of Renal and Reticuloendothelial. In between wc were introduced to cultured microbes and raw potions. All this was an attempt to draw the battle lines between health and disease and to infiltrate the spectrum of diseases so furiously that victory in the clinical years would be certainly ours. Unfortunately, sophomore year sometimes was just too much. Ocasionally we were lost in a forest of minute details, and we often wished that wc could collect our thoughts instead of collecting more pages of notes. Yet in this forest of facts and data and personalities of our second year, many trees stood out in our minds, and these are what we would build on in the future when wc would examine patients. For the present time, however, our Thursday afternoons were set aside for Part Two of Introduction to Clinical Medicine. Those who could tear themselves away from reading Boyd’s book of pathology took that opportunity to gain confidence by asking the question. “What is troubling you?," of our patients-for-a-day. Wc were flooded with page after page in an unbelievable collection of notes. The famous (or infamous) Ace Note Taking service (which improved in quality from the sometimes barely understandable notes taken in the previous year) must have consumed as much of our nation’s paper as the Russians did our wheat. If we pushed back the pages from over our faces, wc saw only a world of increasing complexity out there. We were approaching an election year which would sweep Richard Nixon into office for a second time. Insurance Commissioner Denenbcrg of Pennsylvania often was in conflict with the profession we were about to enter. Shoppers' guides to surgery and other issues of consummcrism were produced. The state legislature talked of forcing medical students to practice in certain areas of Pennsylvania or pay the state financially for not doing it. Philadelphia public schools were on the verge of bankruptcy and threatened to close down. The Middle East simmered. And there was a war in Viet Nam approaching a decade in length. It was a confused and rapidly changing world, and wc almost lost track of it sometimes.It was easy to become overwhelmed by the study of disease, with which pathology concerns itself. This is partly because there is so much that can go wrong with our bodies and so many reasons, most good ones, for getting sick. There were chocolate cysts and chondromyxoid fibromas, as well as chloromas and collagcnoscs. For name droppers, pathology must have been a paradise as Crigler-Najjar, Waterhouse-Friderichsen, Plummer-Vinson, Letterer-Siwe, Lcsch-Nyhan, Kimmclstiel-Wilson and Hamman-Rich each had syndromes that we read, heard or perhaps dreamed about. And for each of these a page could be filled with more syndromes. One can easily sec the plight of a medical student who, without seeing patients with these diseases, would have to determine which to read and learn about. Would one EVER see a patient with Kuru? If the answer is no, then should one know about Kuru anyway in case a Kuru patient showed up? Or perhaps in the time it would take to read about phlegmasia alba dolcns one could brush up on phimosis and phlcbosclcrosis! And just when one convinced one’s self that congestive heart failure and lobar pneumonia might be more worthwhile maladies to study, bubonic plague or xeroderma pigmentosa made a surprise appearance on an exam. Then one wondered! If a medical student could muster some common sense and some teachers who could lend direction and a sense of order to the vast spectrum of disease, the problem of sorting out the vast store of medical knowledge could at least be attacked, although not conquered.Memory is not wisdom: idiots can by rote repeat volumes. Yet what is wisdom without memory? Martin Tupper Those who do not know (he torment of the unknown cannot have the joy of discovery which is certainly the liveliest that the mind can ever feci. Claude BernardWhen I left my home and family, I was no more than a boy in the company of strangers in the quiet of a railway station running scared, Laying low, seeking out the poorer quarters Where the ragged people go, Looking for the places only they would know. Paul Simon The BoxerMaria Valdes-Dapcna, M.D. The forum for learning pathology was in the autopsy rooms where the cadaver was scldomed crowded out by students, and in the lab modules and lecture rooms. Lectures in pathology were a bit unbalanced, to say the least. Tolstoy's War and Peace seemed shorter than the natural history of neoplasia, as presented to us. In the spring of our first year we entered a lottery to determine which pathologist each of us would have as a lab group instructor. As in any lottery, some win and some lose. Nick the Greek would not give odds on one’s chances of getting Dr. Marie Valdcz-Dapcna or Dr. John Father. "Molly' Dapena, a mother of eleven (whom she transported in a volkswagon bus), and professor of pathology and pediatrics at St. Chris, was a delightful and effective teacher. John Farber was a young and dynamic teacher who aptly explained new concepts of disease processes. John L Farber. M.DWc went from the malignant melanomas of Dr. Wally Clark to the osteogenic sarcomas of Dr. Walt Levy to the glomerulonephritis of Dr. Bruce Elfenbein (before he let his hair grow). Dr. Diane Crocker cooked up a batch of endocrinopathics including Hashimoto’s thyroiditis and Riedel’s struma which often gave us heartburn. We even saw the Dean of the medical school who doubled as the Vice-president of the Health Sciences Center stand before us in lecture several times—Dr. Paul Kotin. The easy-going, cigar smoking. Dr. Joe Baum was predictably found talking with students about pathology, education or ideas on improving the program, or the NFL game of the week. An international flavor w is added by Drs. Ming and Irene Koprowska, along with a difficult communications problem. The chairman, Renato Baserga, an eminent researcher, returned to the country from Europe a few weeks after the course began. With him came his independent and unstructured method of teaching which had its merits but also its disadvantages as many of our class wanted a little more structure, so stayed home. Dr. Baserga later was to sarcastically offer a penny as a reward to each student who came to lecture. Before we could collect our horseshoe kidneys, sago spleens, bony calluses, nutmeg livers, bread and butter pericarditics, berry aneurysms, and strawberry gallbladders, September turned to February and pathology was over. Robert Petersen, M.D. Si Chun Ming. M.D. I Bruce Elfenbein, M.DPATHOLOGY SELF EVALUATION QUIZ NO. 3 February 9, 1972 Please be sure to use the answer sheet provided, but do not identify yourself on it. DIRECTIONS: Each of the questions or incomplete statements below is followed by five suggested answers or completions. Select the one that is BEST in each case. 1. This disease is a malignant lymphoma. A. Seborrheic keratosis B. Tinea Capitis C. Mycosis fungoides D. Senile keratosis E. Tinea versicolor 2. This lesion is not considered to be a premalignant lesion. A. Bowens Disease B. Senile keratosis C. Seborrheic keratosis D. Leukoplakia E. Erythroplasia of Queyrat Rcnato L. Rascrga, M.D., Professor and Chairman of Pathology Walter M. Levy, M.D.William Heath English Thames Water (Monster Soup), 1828? Earle H. Spaulding. Ph.DI f Morton Klein. Ph.D.. Professor and Acting Chairman of Microbiology Double stranded, mutant, resistant, replicating, conjugating, atypical, viral, bacterial and parasitic, bugs .. that’s what they were, bugs. We learned how to find them, what to do to them, and how to get rid of them, as well as intimate secrets about their life styles from the colorful Microbiology Department. So colorful were they that we wondered if any of them had normal throat flora. The group was led by Dr. Earle Spaulding, asking us if we would not care for another brownie. In a truly unusual and friendly gesture he invited each of us to have lunch with him in his office throughout the course. He provided home-made brownies and liquid refreshments. While we were not eating, wc were entertained by the Shakcspearean-likc Morton Klein, who eloquently spoke about viruses. He was joined by Dr. Helen Oels, and they brought us up to date in fine style on the world of immunology. After we were finished. EVERYTHING was due to autoimmunity, including having babies. As we heard of every parasite and his brother from the diminutive Mr. Lambcrti. wc heard of NO antibiotics from Dr. Swenson who ironical!} enough was combating his mycoplasmal pneumonia at the time. Erythromycin, where arc you? Dr. Billy Cooper’s contribution was more fungal in nature, while Dr. Toby Eisenstcin’s bag was chronic granulomatous disease of polymorphonuclear neutrophils. Once again wc signed up for advisors and each group met once a week during lunch. Each group had its own distinct personality. No group was quite like that of Dr. Kenneth Cundy. The philosophy was to learn and to have a good time doing it. The Mr. Clean of Microbiology stopped at noting to achieve this. He helped us put together presentations ranging from anthrax to antibiotics, complete with slide shows. Wc even had the rare treat of discussing such unheard of topics as measles!!! The versatile Dr. Cundy started each session by brewing coffee and passing out soda pop. As if this was not enough, he threw a party during one of our last meetings. Wc had such a good lime that we spent the rest of the afternoon there. This hour a week was definitely one of our more pleasurable and beneficial experiences in a sometimes monotonous year. Many of the bugs whose life styles wc learned about during our second year were to be encountered time and time again during our clinical years. But then, we would not meet the rubella, mumps, and adenoviruses; the strep, the staph and the Hemophilus Influenza; the Candida, pseudomonas and tubercle bacillus in the neutral territory of a lecture room. They would be in our patients! Likewise the gcntamycin, tetracyclines, penicillins, cephalosporins and cleocin would not be on note paper, but in syringes and capsules to be prescribed by us. Faith in a fine invention For gentlemen who see; But Microscopes are prudent In an emergency. Much madness is divincst sense To a discerning eye; Much sense the starkest madness Emily Dickenson PoemsAnthony J. Lamberti, MS. Hilly Howard Cooper, Ph.D.Toby K. Eisenstein, Ph D. Kenneth R Curniy, Ph.DBefore one was able to say Erythroplasia of Queyrat, it was holiday time again. But the hectic pace of sophomore year caused us to think less about Christmas season and more about Christmas disease, although we would have gladly wished it otherwise at that point in our trek to becoming medicine men (medicine people?). We did find time to produce the second and last of our holiday shows. This one resurrected memories of personalities and events from the preceding months at Broad and Tioga. This year we did not expect an ode from Rcnato Baserga of Pathology! But the fourth floor modules, which usually housed cases of pathology to aid in our quest for knowledge, that day housed cases of Uncola (with an equal supply of Southern Comfort), lemonade and frozen O.J., all blended together into a soothing beverage to aid in our celebration and, yes, escape. And there was an enormous supply of gourmet cookies to top off this 120 dollar extravaganza which was staged and payed for by the Temple Chapter of S.A.M.A. The class enjoyed it, but few realized that ALL of the supplies had to be removed from module 406 WHILE a class was taking place in that room. That didn't stop us though!Have I a hope or half a chance To even ask if I could dance with you? Would you greet me or politely turn away. Would there suddenly be sunshine On a cold and rainy day? Oh, Babe, what would you say? E. .S'. SmithThe party was over and we rushed out the revolving doors of the Krcsgc Building to get home for the holidays. They went too quickly and, before anyone could realize it, a surfeit of exams was upon us. Come to think of it, there was no time for review! Pathology exams almost equalled the number of successful lectures given in the course. Microbiology bid its farewell with an interesting barrage of questions on viruses and other parasites. All the information we knew, it seemed, was given to us in the questions. The answers were foreign bodies. Dermatology, a course that most of us forgot we had, had its final exam too. The kindly and clever Dr. Frederick Urbach of Skin and Cancer Hospital gave brief instructions. If we wrote our names on the exams . . . we passed. Most students passed. Frederick Urbach, M l)., Professor and Chairman of DermatologyWe had a long, glorious, wonderful and much-needed vacation from reading and writing. But the weekend went too quickly. Bright and early on Monday morning Dr. Roger Sevy gave us an overview on the world of Pharmacology and introduced us to the personalities of his department. Although we were still to experience the roughest months of our medical school career in that March-to-June period, there was an almost nostalgic feeling of ‘winding down,’ or of the ending of an era. The members of the pharmacology department were the last traditional basic science department wc would meet.Our circumstances answer to our expectations and the demand of our natures Henry David ThoreauGerman School Late XV Century An Apothecary's Shop A Doctor Selecting Drugs, 1491 Jonathan Livingston Seagull -----------—Two people we were anxious to meet were the Glausers—Stanley and Elinor, not characters in a weekly television series but two skilled and accomplished pharmacologists. He amazed us, almost lost us, with a presentation of the molecular dynamics of drug action. He amused us, almost shocked us, when, while addressing a group of students, he managed to fall off his chair in the lab module onto the floor. She dazzled us, almost razzled us, with her calculations on the speed of sputum and a list of the 100 most common drugs that encouraged or slowed down coughing and related respiratory peculiarities. Dr. Salgonicoff, who preached to us about those things he called squiggles a year before, now sedated us with barbiturates and excited us with amphetamines. He was his sub-cellular self, however, as he reminded us that mitochondria and lysosomes can get hooked on drugs too. The very British Dr. Van Rossum enveloped everything in a plasma membrane and showed us what oubain and similar old standbyes can do. Roger W. Sevy, Pb.D.. M.D., Professor and Chairman of Pharmacology' Elinor M. (Hauser. M.D. Stanley C. Glauser. M.D., Ph.D.Charles A Papacostas. Ph.D Concetta D. Harakal. Ph. D. Not poppy, nor mandragora, Nor all the drowsy syrups of the world, Shall ever medicine thee to that sweet sleep Which thou ow’dst yesterday Wm. Shakespeare The part we were eagerly awaiting, if sophomores can be said to be eager, was the part when we learned the rhyme and reason for giving the right drug to the right patient with the right disease. Dr. Concetta Harakal, in an excellent bit of leaching, presented the kidneys’ best friend, the diuretics, along with the common remedies for constipation—and also for the diarrhea resulting when we overtreated for constipation. Just as congenial and effective was Dr. Charles Papacostas who spoke of the autonomic nervous system and minute synapses in our nervous system, and how wc could paralyze or unparalyze them as the case may be. The chairman, Roger Sevy, outlined the mammoth repercussions of the plant digitalis, as well as numerous other drugs that effect the scat of all passion, the heart.28.. Antiepileptic, useful for grand mal and psychomotcr, nay exacerbate petit “ mal, decreases intracellular sodium. C) 29 . Major tranquilizer, antipsychotic, phenothiazine derivative, does not cause Jaundice, low incidence of extrapyramidal signs. 3tep Major tranquilizer, antipsychotic, not a phenothiazine, has caused severe depressions. 31A Antiparkinsonian agent, may be used to treat extrapyramidal effects of | antipsychotic drugs, has anticholinergic actions. Questions 32 through Many anesthetics are metabolized. Match the anesthetic with the single most appropriate breakdown product, using each letter (product) only once. Answer on answer sheet provided. (1 pt.ea.) 1)32. 13 33. 34. A35. C-36. Trichlorethyl Methoxyflura Nitrous oxid Halothan Cyclopropan Inorganic fluoride Trifluoroacctic acid CO 2 Dichloracetyline None known ror ouestions 37. am indicate correct answer(s) on the answer sheet provided. (1 2 pt. ea.question) 37. Non-narcotic analgesics act by having an effect: A. On the psychic effects of pain. B. On the site producing discomfort. 38. Non-narcotic analgesics are effective in the treatment of: A. Myofascial pain B. Visceral pain C. Articular (joint) pain Or For questions 39 through 3, indicate which of the toxic effects below can occur with each of the drugs listed. There may be more than one answer per drug. Answer on answer sheet provided. (1 pt. ea.) C 39. Phenylbutazone (Butazolidin) A 40. Aspirin £41. N-acetyl-p-aminophenol C 42. Aminopyrine (Pyramidon) Acetophenetidin (Phenacetin) Toxic Effects A. G.I. disorders, bleeding B. Methemoglobinemia, cyanosis C. Agranulocytosis 44. Epinephrine will usually produce the following changes in pulmonary function studies when administered (subcutaneously) to an acute asthmatic patient. (- equals decrease; + equals increase; 0 equals no change). Answer on sheet provided. (2 pts.) a. Vital capacity sb. Functional residual capacity • c. Residual air O d. Maximal breathing capacityRonald J. Tallanda, Pb.D. Marcus M. Reidenber£ M.D. Janies McElligott, Pb.D.Humans feel pain, so it must be relieved. Dr. McF.lligott spoke of T cells, A fibers. C fibers, substantia gclatinosa, and how they somehow preside over pain. But we would still use aspirin, codeine and demerol to relieve it, even it we could not find and erase its cause. Dr. Carmen Bello periodically put his department’s drugs in a clinical setting lor us, while Dr. Tallarida equated D with R and wound up with a mathematical explanation of how drugs and receptors agonize and or antagonize each other. We had our brief look at two rather important groups of pills, capsules, suspensions, and inhabitants of IV bottles, the tranquilizers and the antibiotics. We would see these miracle drugs in action, for better or worse, more than a few times in our lives. They would be candy to some patients, life-savers to many others and bitter wine to others. Dr. Martin Adler, who would return subsequently to lead the neurosensory sciences course, gave us a small dose of valium and thoruzine. and Dr. Marcus Rcidenberg, who would reappear a year later as an attending physician on the wards at TUI1. was the first person to date to teach us of Tetracyclines and Penicillins. The versatile Dr. R. also ran through hormones with us. as well as with such mildly terrifying agents as vincristine and methotrexate w hich wreak havoc on cancer and normal cells alike. Thus we were paralyzed, tranquilized, excited, soothed, constipated, diuri cd, sedated, anti-convulsed, and anti-tussed with the drugs which we would prescribe and our patients would consume. We were even given anesthesia— locally, generally, and in t rathccally by Dr. Mauisch of Anesthesiology. All this administered by a department which was not only interested in teaching us, but that was sympathetic to our needs. Carmen T. Bello, M.D. Martin W. Adler. Ph D.It all started with Biochemistry and ended with Pharmacology. It was a sometimes too rapid, sometimes too slow journey through what was supposed to prepare us for the clinical years. Acting as a go-between in many ways was a huge new supercourse, actually divided into many component parts which we encountered from the spring of our first year right through to the end of our third year. It was the Interdisciplinary Course, better known as the ID. It was part of ‘the new curriculum,’ planned during the transition years of the 1960’s for the medical student of the 1970’s at Temple. It brought together a conglomeration of basic science teachers and clinicians spanning the whole medical center. Its intent was to reduce traditional basic science teaching in medical school and replace it with a new approach integrating basic science with clinical medicine. So, that healthy mitral heart valve of anatomy, and that diseased, weakened, rheumatic mitral valve of pathology, and that cardiac murmur we would hear in our clinical years were not so far removed from each other. The concept of the ID way of teaching worked well in many instances when taken from the drawing board and put in the Kresge Hall of Science. But in other instances, it was not nearly as successful, sometimes reaching the point of confusion. Among other factors, it depended on the committee that dictated what would be taught, and how well it was taught. It was such a huge part of our first two years, with eleven ID committees being formed and eight human organ systems being taught, that in this book only brief glimpses can be given of our seemingly endless memories of it. But there never seems to be enough time To do the things you want to do Once you find them Jim CroceTo overcome difficulties is to experience the full delight of existence. Schopenhauer Elizabeth V. Lautscb, M D . Ph D. Dr. Elizabeth V. Lautsch was the most dynamic and memorable person to organize or teach an interdisciplinary course to medical students at Temple. Many would say that this statement could be extended to include our entire four years. She made stiffened, lifeless arteries suffering from atherosclerosis come alive. She based what she taught us upon concepts of anatomy and pathology, but she eloquently applied this information to our patients. She did it all with vivid kodachromcs, bits of philosophy, expressions such as ‘rarer than hen’s teeth’ in her Irish accent, and energy, magnetism and charm. Unfortunately, we were the last class that she would teach before leaving Temple for greener pastures. Her successor. Dr. Robert Krause, floored us with the display of instrumentation that he wheeled into the lecture room. He enabled us to see bulging neck veins, feel radial pulses, and hear heart sounds and murmurs—all in the patient’s absence while we sat in our lecture room seats. To add to the show, he flashed electrocardiograms and x-rays on the screen while he personally reproduced third heart sounds, ejection clicks and systolic murmurs with his voice . . . and all at the same time! Unfortunately, Dr. Krause was also to leave Temple in a matter of months. Robert Krause, M.D.Decerebrate rigidity, dysdiadochokincsia, Doll’s eye reflexes, pontine herniation, dvseonjugate eye movements, cerebellar ataxia . . . what if we ever had a patient with all this? We were stunned by the Byzantine pathways and connections of the human nervous system and what would happen if it became injured. The vast Neurosensory and Neurological Sciences Course often was on shaky grounds, to say the least, as it built on our knowledge of neuroanatomy and neurophysiology. Yet it introduced us to Dr. Gunter Haase, an imaginative and excellent teacher. He brought us a sense of history, philosophy, and excerpts from such classics as “Phrenology, A Practical Guide to Your Head.” He also is gone now from Temple. Other clinicians skilled in their fields were Drs. Fred Murtagh of neurosurgery and Joseph Toglia of neurology—the latter entertained us in his inimitable Italian style. It took us three lectures to figure out that Vestibulo-CerebeUar wasn’t a new Italian screen starlet, but a part of our own brains. Gunter R Haase, M.D., Professor and Chairman of Neurology The brain is viewed as an appendage of the genital glands. Dr. Carl JungHappy is he who can search out the causes of things. For thereby he masters all fear, and is throned above fate. Alfred Noyes Alan D. Marks, M.D. E. Victor Adlin, M.D. The team of Drs. Alan Marks, Bertram Channick and Victor Adlin brought us the fascinating endocrine glands and their complex interactions. ‘Buddy’ Marks organized our second year course, which was a monument to the energy and work he put into his job. In amazement we learned that the pituitary gland was not the master gland after all, and that it was the hypothalamus that released the factors which released the adrenocorticotrophic hormones that stimulated our adrenals to turn progesterones into hydrocortisones and aldosterones, which after all that trouble inhibited the hypothalamus from making more releasing factors—but none the less made our patients swell up while often curing them.Rosaline R. Joseph, M.D,It is not book learning young men need, nor instruction about this and that, but a stiffening of the vertebrae which will cause them to be loyal to a trust, to act promptly, concentrate their energies, do a thing—“carry a message to Garcia.” Elbert Hubbard A Message to GarciaOther ID courses occupied somewhat less time, but usually presented as large a volume of material. Pernicious, iron-deficient, thiamine-resistant, sickle cell, and autoimmune hemolytic anemias filled our lives, if not our own blood vessels as Dr. Rosaline Joseph and her retinue crossed Broad Street leading the reticuloendothelial system in review. They carried a small, thin, demure looking pamphlet called the Red Cell Manual which turned out to be the most concentrated compendium we would ever see. But the hematologists, including Drs. Day, Barry, Smalley, Waxman, Mardcr, Naiman, as well as Joseph, presented excellent clinical case presentations to us, and the leukemias, anemias and bleeding disorders therefore became more vivid and understandable. Nephritis, nephrosis, nephrotic syndrome ... the convoluted tubules of the kidneys were the site of our encounter with Drs. Leroy Shear, .Man Gruskin and Murray Katz. We calculated clearances and figured out filtration rates in a sometimes frustrating attempt to understand what our kidneys knew how to do so well. Dr. Vincent Lauby left the operating room long enough to preside over the Pulmonary ID Course. This encompassed silicosis, asbestosis, pneumonitis, bronchitis, minute ventilations, assisted ventilations, intermittent positive pressure breathing, empyemas, and, yes, bronchogenic carcinomas. We proceeded from these to respiratory distress, shock lung, and acute respiratory failure. The final examination we took was a classic ... a real gas! A make-up exam followed after several months of recuperation. The Gastrointestinal ID Course was heralded by GI physiology with its vagaries in the lecture hall and on the examination. Nausea, anorexia, weight loss, epigastric pain, spastic colon, all followed. These symptoms were somewhat relieved in our third year as Dr. Stanley Lorber and company presented some engrossing topics; hence peptic ulcer disease and ulcerative colitis became more understandable. We also got a peak at the awesome pipes and tubes that GI people insert into various orifices, hoping we would never be on the receiving end!H. James Day, M.D William E. Barry. M.D It seemed so far and yet so dose. . . the clinical years . . . patients, histories, physicals, writing orders. We were about to leave our two years of basic science. With our registration cards, our number 2 pencils and our knowledge obtained in these years we approached the Kresge Building to lake part in the grand finale. Dr. M. Noble Bates and members of the anatomy department were the proctors. We were the victims. It was time to take Part I of the National Boards. Almost 20 years of formal education, and that much more in life experiences, and were we ready to go on? We hoped so.The symbolic crossing of Broad Streel to the clinical years was a landmark on the long road of our education. Although we would still read books, be under critical scrutiny and learn—for the rest of our lives, it was now different than before. The same old diseases (and some new ones) were there waiting for us . .. but this time they were in patients. No matter how typical or atypical these patients would be, we would have to treat more than the disease they displayed for us. We would sec more and more people in our two clinical years with congestive heart failure, or bronchitis or gall bladder disease, or the ‘common cold.’ But it mattered little how excited or bored we were because he or she was the one that was sick, and our personal statistics did not matter to the patient. In the remainder of our medical school days and practices we would sec patients with values sometimes similar to ours, and sometimes very different. We would not always understand or accept this, but it would not change the fact that the great majority of humans (which includes patients), have emotions, feelings, and personalities which make them individuals, not statistics. And this is what the clinical years of medical school really are for . . . learning how to competently handle problems of health and disease, and how to understand and help the patients who have the problems. That is the ideal. But medicine is not always ideal. This we learned too from our initial clinical years. Just as patients are different, so are medical students, interns, residents, practicing physicians, health care systems, governments and societies. All these leave their mark on the care patients ultimately get, and the care we ultimately give. We saw many personalities who treated patients in many ways. We have all seen ‘doctors’ who glowed at getting some abnormal lab result back that correlated with some remote article in an abstract medical journal. We have also seen ‘doctors’ delighted at relieving a patient of his or her fears, anxieties, and discomfort as far as was possible. It was up to each of us, individuals with different values, to determine which we would be like.One school is finished, and the time has come for another to begin. Jonathan Livingston SeagullA merry heart doeth good like a medicine. The Bible Proverbs, 22Our last year in medical school was an adventure in getting more experience in areas where we felt weak, and in areas which we enjoyed and wanted to explore further. For some it was not very adventurous and served to fill the time until internship would begin. Again the individuality in our class was apparent as some spent their entire year at Temple and the familiar affiliate hospitals, while others experienced everything from anesthesiology in Denmark to pediatrics in Denver, Colorado, plus much more. And our education was further expanded by participating in more than the traditional, academic type of medicine at the medical school hospital. We went to private practitioners’ offices to learn and work, as well as to community hospitals. We thus had the opportunity to experience a more realistic feeling of the various ways medicine is practiced.The many hours and many locations in our clinical adventures often kept us out of touch with the events and changes happening in our medical school. The events and changes were often significant, and sometimes surprised, even shocked, us. Our junior year began with a so-called grading controversy. The pass-fail system was put through the ringer, and compulsory' grades replaced the pass-fail system in the clinical years. We quickly saw how curious and inaccurate grades and evaluations in clinical clerkships could be. Sometimes the methods of evaluation used bordered on the ridiculous, as attendings who knew little of the students wrote letters that proved it. Most students remained preoccupied with their work, despite the change, but honors, high passes, and recommendations held an increasingly high place in others priorities. We heard of resignations and rumors of resignations among our faculty. Dr. Lautsch left at the end of our second year. In the fall of our third year, Paul Kotin, the able medical school dean and vice-president for health sciences announced his intended resignation—to the shock of many. But after discussions with officials from Temple University, sufficient commitments were made by them to make him reconsider. The uncertainty of that time resolved itself somewhat, and by the fall of our fourth year, Temple University Medical School would sec its eighth dean since 1901, Roger W. Sevy, Chairman of Pharmacology, so Dr. Kotin could devote himself to the job of V.P. full time. So we felt a sense of permanancy in the Dean’s office, which had not been the case since the time of Robert Bucher, Dean before our times at Temple. Yet it seemed that during each clerkship in our clinical years, we heard of additions to the list of our former teachers leaving. The Department of Medicine was particularly plagued as most of the renal and pulmonary staff would leave ... Shear, Mattern, Nidcn, Altman .. . ahiong others. But other departments were hit . . . notably Gunter Haase of Neurology, Jonathan Cole and Dennis Munjack of Psychiatry.Don’t be afraid to enjoy the stress of a full life nor too naive to think you can do so without some intelligent thinking and planning. Man should not try to avoid stress any more than he would shun food, love, or exercise. Dr. Hans Selye Paul Kotin. M.D., Vice President for Health Sciences Roger IV Sevy, Pb.D M D.. DeanNancy Dona, R.S.. Coordinator of Student Activities Lots A. Gaul. A.B.. Administrative Assistant to the Dean Judy WissaFaculty‘Student Union Hu tiding The Hew Allied Health - Pharmacy School The changes were not just in people and policies. Buildings would come down and new ones would rise up to replace them. First a new Allied Health and Pharmacy School, then a new Student-Faculty Union Building (half empty due to lack of funds), a new multi-layered parking lot, then finally a huge barren hole which would become the future Clinical Teaching Building . a new hospital. We realized that change does occur, and with it must come hope.UNIVERSITY -:i a: SCIENCES CENTER Don't it always seem to go That you don’t know what you’ve got till it’s gone? They paved paradise and put up a parking lot. Joni Mitchell Big Yellow TaxiA The New Hospital Then can 1 walk beside you? I have come here lo lose the smog And I feel to be a cog in something turning. Maybe it is just the time of year, Or maybe it’s the time of man. I don’t know who I am, But life is for learning. We are stardust, we are golden And we got to get ourselves back to the garden. Joni Mitchell WoodstockAnd if we looked outside the Health Sciences Center, w'c saw a city that was both old and new. The old majesty of the Art Museum or of the City Hall tower contrasted with the shiny skyscrapers along John F. Kennedy Boulevard. And these contrasted with the more immediate environment around Temple . . . the slums. We had to drive and walk there. We had to park our cars there. We had to worry if our cars would still be there when we returned. For those with different value systems, it was difficult to understand or to like many of the things the neighborhood people did or believed. One thing we did clearly understand . . . wc would not want to be put in their place! But for us it was time to cross Broad Street. We had to sec some patients.What good is sitting alone in your room? Come hear the music play; Life is a Cabaret, old chum, Come to the Cabaret. Fred Ebb CabaretDr Bri um's OFFICE fmtcML aid (lleue iJnuiu) T2.X2yS.UFI JAcfe i yc osi Vc f iy. jA f te iAA i Son £ dtytft Ar . $; JC a m r. -V V j £ '' '•'% . r r j'- —" Sdt S ts, AW, . ,,., ., jUtCAsAefl J • 30 4 1 j9,y j£sJN’ jA+ Acj . r ;—■ - ' AS . £» ?r T e , J O A J , ■'.■j.A.itsj; (c ery$ e) :JC am. Z V ._ «,, J i ! ; f cca.m, S C dm ad ft ', A A j v yV -r i |.k y» L fkalaJu ,W • • .7 'Verhutti} D.i ...hHAf .ynt «. « .v tfii.‘.1. t.u lr J.imi t .sih Vnu it‘(u. .it.tr in . " i Abraham llosst Infirmary of the Charity Hospital. Kins 9k.What have you learned today, Doctor? What do you do at the Albert Einstein, Doctor? You will learn only to be a midwife if you go to the peripheral hospitals. You must stay at the base hospital (Temple), so you will be able to answer those very detailed questions Dr. dcAlvarcz will ask in the honors exam. He will point out what you don’t know! This was part of the pre-lecture barrage of comments from the one and only Rcnga Rajan, better known as ‘Raj’. We could barely unglue our eyes from the coffee cups to look at him as he bounced into the conference room at 7 AM each morning. God! What an hour to lecture. He scrutinized the roomful of students to formulate judgments as to aptitude, intelligence and character. That stare, that look on his face was unforgettable. He was everywhere. As a lecturer he was like a machine. But his lectures were good, to the point, and taught the essentials of OB-GYN. In fact, the whole department was unusual. Especially interesting was the former chairman, Russell Ramon deAlvarez, who had that certain manner about him which we had only seen once or twice before ... at the Crisis Center. Who else could talk for an hour on the difference between hypertension in pregnancy and hypertension of pregnancy? Then there was the genteel Dr. Townsend (when he was sleeping), and Dr. Daly, Temple’s answer to Gloria Steinem and Lydia Pinkham. And who will ever forget the plastic models to practice pelvic exams on? In reality (yes, even Ob-Gyn has moments of reality), many of us did not stay at the base hospital but went to the periphery. Reading Hospital proved to Ik an encouragingly good program complete with teaching, the chance to do things, and a furnished apartment in a rather nice setting. Episcopal Hospital was where one really got a chance to perform in the delivery room (yes, this time we caught the babies), in the O.R., and in the clinics. The remainder went to Einstein Northern Division which contained a different type of patient than was seen at Temple. And a woman spoke, saying; Tell us of Pain. And he said; Your pain is the breaking of the shell that encloses your understanding. Even as the stone of the fruit must break, that its heart may stand in the sun, so must you know pain, Kahlil Gibran The Prophet Renga Rajan, M l)Crispin van Je Passe. I Dutcb The Circumcision Every' mother who has lost an infant has sained a child of immortal youth. Jost A viman Swiss-Cerimn Childbirth, 1580FATHER'S WAITING ROOMPeople smile and tell me I'm the lucky one and we’ve just begun, think I'm gonna have a son. Me will he like she and me, as free as a dove, sun is gonna shine above. Pices, Virgo rising is a very good sign, strong and kind and the little hoy is mine. Ken Loggins ‘Danny s Song' Obstetrics consisted of being ready at all hours, Let's sec, how docs that happen ... descent, flexion, extension ... oops, never mind, too late, it’s here! The thrill of catching a slimy baby in your hands made great strides in allowing you to forget that you had been up all night listening to the mother scream. You were told to go sit with her—what were you supposed to do, help her push down, help her scream, or help her change her mind about having the baby when it was beginning to crown? The saline abortions and the D and E’s were less than pleasant. It was better to objectify, sometimes to close the eyes and not to think too hard or too long about what was happening. When the embryo has matured, the maternal organism can no longer adequately supply nutriment; then movement becomes violent. In its search for more nutrition than is available, the child moves and it seeks freedom... then birth takes place. Zippo crates IWS • _James A Bans, Jr. if D eanycare register for . maternity care. In Gynecology Clinic, you might see and hear about almost anything, especially gonorrhea. PID, standing for pelvic inflammatory disease, was as common in clinic as colds were at St. Chris. There was the moment of thrill when you put in your first IUD— it really fit and it really stayed. Let’s hope it really worked. Ain’t science great! Theft was the young woman who screamed and yelled at you when you told her she was not pregnant; and there was the one who screamed and yelled at you when you told her she was pregnant. The 13-vear old mothers were a sobering sight. The infertility workups were interesting. You finally realized there was some validity in all the endocrine teaching that Dr. Lundy had done. Some students strenuously objected to the symbolism of tearing the paper gown right down the front in order to do a breast examination. Let’s sec-did Dr. Daly say that your right foot or left foot went on the stool to support your arm for the pelvic exam? Was it best to wear two gloves for the pelvic because somehow the speculum was always in the wrong hand? And what is more useful than doing a PAP test as a preventive health measure? The operating room in gynecology was interesting. The laparoscopies were a bit like Jacques Cousteau’s underwater world—everything was so quiet and undisturbed. Little smoke-signals went up if the tubes were cauterized. The D and C’s were exactly as touted even the student wras allowed to dilate and currctagc. The total abdominal hysterectomies and salpingo-oophorectomics were a much more major job and the student was relegated to holding retractors. Russell R dcAlvarez. M.D.DEPT. OF OBSTETRICS AND GYNECOLOGY Michael J Daly. M.D., Professor and Chairman of Obstetrics and Gynecology Obstetrics was where the babies came from. They would grow into the children of pediatrics and the adults of medicine, surgery, and ves. psychiatry. One often wondered as he caught the former fetus shooting out of the birth canal, if that trip was the most painful to be endured. And did the woman on the table want the baby? We learned from stark reality that the answer was not always yes. Would it come into a world with acceptance, guidance, food, clothes, health? We hoped so. Unfortunately, we knew this was too often not the case.Pediatrics was the meeting of the big kids (medical students) with the little ones (patients). Yes. with all our medical terms and tricks we were often outclassed in knowledge of childrens' diseases and drug dosages as well as the ins-and-outs of IVs, by some of the veteran patients at St. Christopher’s Hospital. They were professionals. We were beginners. They had been there before. We were relatively new. And when the terrible two’s took it upon themselves to scream when we wanted to listen to their chests or look into their cars, or when they spit up on us or pulled out the IVs that took us all day to assemble, we were at their mercy. At moments like these, the more perceptive and resourceful med students learned that it was time to put down the stethoscopes and pick up their toys, play their games and meet them on their own terms. For wc could not use adult values and the matter-of-fact method of care wc saw elsewhere, on children, especially sick ones. I he less-flexible medical types among the class often learned their lesson, as they either had their stethoscopes pulled out of their cars or their neurological hammers put to a new use as they were swung or thrown in the young doctors’ direction. Pediatrics meant a variety of things to different students. For some it was just something that had to be put up with until the return to ‘adult’ medicine came. For others it was a beneficial and rather enjoyable experience, but not something to do for the rest of one’s life. For still others there was something about the bonds formed with these sick kids that made one want to help, in spite of the sadness sometimes incurred as a side effect. But there was a general feeling of satisfaction and relief when some of our little friends left Chris’ smiling, breathing a little better, wheezing a little less, maybe a little fatter ... if not altogether ‘cured.’ pphtatrirs a.Kaetbe Kollwitz German Visit to the Children's Hospital, 1926For there is hope of a tree, if it he cut down, that it will sprout again, and that the tender branch thereof will not cease.The smaller the head, the bigger the dream. Austin O'MalleySo long as men can brearhc or eyes can see. So long lives this and this gives life to thee William ShakespearePerhaps the healthiest pediatric patient we saw was the well baby. If the infant was lucky enough to escape the misfortunes of genetics, prenatal complications, congenital anomalies, birth injuries and the hazards of the newborn period, he or she by virtue of this safe journey was a well baby, or, more accurately, had the potential to be a well baby. Here we shared in the first phase of pediatric care .. . preventive medicine, keeping baby healthy. For some of our class, Episcopal Hospital, under the excellent guidance of Drs. Harold Meyer, Benjamin Price and Catherine Rcubcl, provided the training grounds for well baby care as well as common pediatric problems. Others went to Einstein Northern Division and watched Dr. Philip Barba at work . . . when not busy following him to their daily marathon lunch session. Blessings on thee, little man, Barefoot boy, with check of tan! Health that mocks the doctor’s rules Knowledge never learned of schools jt • John Greenleaf Whittier The Barefoot BoyBut then, there are the children and what am I 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 Karamazov The common meeting place for all was St. Christopher’s Hospital for Children — an almost isolated haven for the care of children and for a rather high-level brand of pediatrics in a neighborhood not otherwise distinguished for its institutions, buildings, or wealth of any kind, but rather for its high rate of car thefts. It was a maze of activity there with an abundant supply of medical students, residents, nurses, play therapists, volunteers and more than a few super-doctors either circling the floors making rounds, having a conference, or preoccupied with the kids at any given moment in a day. Where else could one find grand rounds held twice a week? Temple could only afford one per week. In spite of being outnumbered, it seemed as if the children set the pace and the tone. The smaller children lived in a world of small tricycles, cribs with dangling animals, and circus creatures and mothers in residence. The older children and adolescents were more mobile, if they were able, and roamed the floors dragging IV poles along with them. Aside from the traditional obstacles of answering questions posed by attendings and residents, often we had to dodge speeding vehicles and scampering kids, as well as anxious mothers, in our attempts to survive. St. Christopher j Hospital for ChildrenThe children and adolescents that we became most familiar with were those with cystic fibrosis, with carbenicillin and gentamycin dripping into their IV bottles and mucomyst and neosynephrine flowing into their aerosols. We had ample opportunity to become friends with them as their visits lasted for a minimum of two weeks, or until their respiratory tracts were sufficiently cleared. Announcement that there was a child wheezing badly in the emergency room and not responding to epinephrine often heralded the admission of an asthmatic patient. A child with bums and bruises and broken bones shockingly heralded the arrival of a battered child. And there were the small children who ingested everything from aspirin to laundry detergent, to lead, to bleach, to anything within their reach at home. There were the infants with failure-to-thrive, which meant everything from chronic disease to infection to failure to be fed, or even to be loved by their parents. It seemed that there was no limit to the hazards of childhood. Nancy V. Huang, M.D. Each of the many diseases of childhood had its own pediatrician, it seemed. There was the congenial Dr. Nancy Huang, a recognized expert in cystic fibrosis research; Dr. Laurence Naiman, with his compassionate handling of leukemic children and their families; Drs. Mary Cote and Man Gruskin reigned over kidney diseases and transplants; malabsorption and Crohn’s disease were in the realm of Maarten Sibinga; the complex neuromuscular problems seen in the handicapped childrens’ unit belonged to Drs. Henry Baird, John Bartram and others; the energetic Harold Lischner sped through the floors with a knowledge of the rarest of antigens and immunological diagnoses and treatments. And in the quiet mystique of the fifth floor. Dr. Angelo DiGeorgc. whose place in scientific circles is attested to by a syndrome bearing his name, saw many of the rare genetic and metabolic diseases of childhood. Angelo M. DiGeorge, M.D.Maarten L. Sibinga, M.D. Henry W. Baird, III. M.D. Warren D. Grover. M.D. Anthony J. Pileggi. M.D.James B. Arey, M.D.. Ph.D. Myles George Turn. M.D. Marie A. Capitanio, M.D. Foftfty The complexity of pediatrics was somehow analyzed in vividly clear and accurate fashion by the incomparable Dr. John Kirkpatrick (who soon would be leaving for Boston), and Dr. Marie Capitanio in the x-ray department, and by Drs. Marie Valdez-Dapcna and James Arey in the pathology department. With his comprehensive knowledge of pediatrics and children. Dr. David Smith provided the latest information of the floors or in the conference room, for he could quote from anything short of the Antarctic Journal of Neonatal Pediatrics. Quietly overseeing the happenings and events of St. Chris was Dr. Victor C. Vaughan 111, whom we already knew well from his lectures on growth and development and from the book that bears his name. Jobn A. Kirkpatrick. Jr.. M.D.Sidney J. Susstnan, M.D. Charles Omdal. M.D.Nor mart Kendall. M D.Victor Vaughan, 111, M.D.. Professor and Chairman of Pediatrics David S. Smith, M.D.Adam and Eve had many advantages, but the principle one was that they escaped teething. Mark TwainAt St. Christopher’s we saw a wide array of children saddled with bodily insults, from the most common pneumonia or dehydration to the most rare genetic syndromes. We were often startled when we realized what the body and mind of a child could withstand. We were frequently saddened at what they must withstand as victims of their diseases and their environments. In spite of a wealth of academic activity, there was always central concern for the childrens’ care. In spite of the rather ominous prognosis for many of the small patients, there always remained an atmosphere of hope. There had to be hope. They were only children.Rockwell Kent American Nightmare'pagrlftatnj Psychiatry was a venture into the world of the ‘inner mind’ with all its anxieties, depression, loneliness, neuroses, psychoses, and loss of reality. After we convinced ourselves that we were ‘normal,’ at least by our personal standards, we carefully approached the patients with their problems. To our uneasiness they often were no more than exaggerations and distortions of thoughts, emotions, and life experiences common to many people—including ourselves. We sometimes saw a fine line between the ability to cope with reality and the consequences of not being able to cope. We were able to see the world through a one-way mirror, not through rose-colored glasses. We were barely in touch with our own fantasy-life, internal problems and defense mechanisms, but were expected to counsel patients so troubled and yet with seemingly so much more experience with life and its crises than we had. What could we say when we were on the spotlight side of the mirror, or what if there was no mirror? We had to be objective. We had to develop an illusive relationship with the patient so that he would somehow talk more and more deeply about himself and his fears, inhibitions, depressions and delusions. How readily would we reveal such things about ourselves to someone else? At the same time, it was necessary to hold tightly to the chiar, so as not to be shocked by what we heard. The psychiatrist hands out the tissues. He doesn’t cry.Psychiatry was something new to us. We brought from our basic sciences next to no background in its principles and terminology. We learned about aminotransferases in North American mice in utero, but we learned nothing of schizophrenia in humans in North Philadelphia. Now in our clinical years we had to simultaneously learn the basics and deal with patients. Our days in psychiatry were usually relaxed and easy-going, unlike the obsessive-compulsive ones on medicine at Temple. The Psychiatry Department was, and still is, in a state of flux. The flight of psychiatry department chairmen equalled the flight of ideas in our patients. Our experience, and the type of psychiatric problems we saw, was varied and depended on which of the many psychiatric facilities we were assigned to, as well as our personal commitment and desire to learn (as is always the case).We’d like lo know a little bit about you for our files, We’d like to help you learn to help yourself. Ix ok around you, all you see are sympathetic eyes. Stroll around the grounds until you feel at home. Paul Simon Mrs. Robinson Allan H. Cnstol, M.D. Dennis J. Munjack, M.D. The spectrum of psychiatry was envisioned in man settings, ranging from out-patient clinics to the more traditional psychiatric hospitals. We learned the varieties of psychiatric problems from an interesting group of psychiatrists at Temple and elsewhere. The former chairman. Dr. Bruce Sloanc, left for California before we arrived. The new chairman, Dr. Jonathan Cole, had not yet arrived—and has since left. Leading our journey through the mind were Dr. Dennis Munjack, a dynamic and effective psychiatrist who resembled Mark Spitz, and Dr. Allan Cristol, who looked more like a psychiatrist to us with his beard and pondering mien. Dr. Herman Hirsch surfaced with a variety of sexual perversions for us to learn, while Dr. Tony Panzetta spoke of the ever-changing, cvcr-controvcrsial area of community mental health. They were joined by a host of others who covered the major categories of psychiatric illness. The real action was with the patients, however.The student out-patient clinics at Temple were more challenging. We had good coaching front our preceptors; but when left alone with a patient behind that one-way mirror for an hour interview, it seemed a very long time. Some wished that they could pull out their stethoscopes to the rescue during long silences, when brief psychotherapy was with a depressed patient, or during the rambling-through lists of fears and plots of our paranoid patients. Drug abuse, sexual hangups, suicidal tendencies, and the manifestations of disrupted childhoods and anxieties of all sorts rounded out the problems with which our patients were saddled. At Temple, the mark of success seemed to be whether the patient returned for a second visit or not . . . cheers went up when the patient returned to see his student psychiatrist. Some of us had to keep calling patients on the phone, or occasionally visit at their homes in an attempt to get them to come back. The local Community Mental Health Center was a factory-type experience from the psychiatric viewpoint. Between seeing patients and refilling their prescriptions for Stelazine or Mellaril or Valium, student and psychiatrist discussed the problems of maintaining these centers ... of how the Nixon Administration has cut back on money so drastically that patients can barely be maintained and kept out of public institutions . . . this experience was often a vivid example of how health care can suffer. Making the best of it were several vivid psychiatrists who manned these centers, notably Dr. Lydia Schut whose energy and delightful personality sometimes seemed out of place in such a setting. For students confined to the fabulous fifth floor of the Parkinson Pavilion, there was usually some pandemonium to keep them occupied. The pithy Dr. Roy Stern, with cigarette in hand, was in charge of this in-patient facility, which was a reservoir for patients admitted from various sources—including the out-patient clinics and the Crisis Center, when they were no longer able to be maintained in the sane outside world of society. Anthony F. Panzetta, M.D. Herman Hirsh, M.D- John Kennerly Thomas. M.DEastern Pennsylvania Psychiatric Institute (EPPI) has a certain sense of loss of reality in its own right. To fit in, it would be necessary for one to hear voices or assume one were Jesus Christ. It was nothing less than jarring for us to walk onto the floors at EPPI and interview its residents. The delusions of grandeur, the paranoia, the feeling of mania, of florid schizophrenia, when talked about or read about seemed interesting and unreal. When seen in patients, many our own age, it was shocking and real! We saw the loneliness and confusion of the human mind in terms not really seen before. It was depressing to interview the new young population of the institution . . . kids who had been battered about all their lives who took refuge in hearing voices or in tearing apart their minds with acid, amphetamines, heroin, cocaine—or all of the above. It left one with an empty, lonely feeling. She lives in a world of little glass animals She plays old phonograph records . . . Tennessee Williams The Glass MenagerieEPP1 was the home ol the legendary Or. Joseph Wolpc, ‘the father of behavioral psychiatry,’ as well as the fascinating Dr. David Rubenstein. The family counseling sessions with Dr. Rubenstein was an unequalled experience. We would meet with a family lorn apart by lack of real relationships, and with his charisma and talent for bringing out inner feelings would in the space of an hour have the family crying and hugging each other in an almost unreal display. Meanwhile, as we watched these proceedings from the next room on closed circuit TV, more than a few glassy-eyed students used a generous supply of Kleenex tissues. W'h-would believe it?No experience in psychiatry, or anything else lor that matter, quite equalled the few short days spent at Temple’s Crisis Center. A buzzer let one in and out of the inner sanctum of this microcosm. Inside waited an interesting, to say the least, collection of people—ranging from the white-coated ‘men’ to the contingent from the Philadelphia Police Department escorting the ‘guests' in, to the patients themselves—usually not more than a few in number, but quite enough for our satisfaction. They roamed the floors in white pajamas, watched TV. stared, talked to us . . . that is. if they were not confined to quaint padded rooms. The place was a haven for acute psychiatric emergencies. The patients often left the Crisis Center somewhat less agitated, but still as chronically sick as ever. Their return was often imminent ... the next lime they developed delirium tremens, or overdosed on drugs, or became acutely violent, or evolved from latent schizophrenia to the acute variety. It was a strange sight for us to see, but a frightening one as we reflect on what was really happening. The congenial master of ceremonies of all this mayhem was Dr. Ken Draper, a colorful, brilliant character. In his short white coat, he talked about everything from psychiatry to politics to elementary Latin when he wasn’t running about the place or keeping us laughing. NORTH CiNlf M PHILA COMMU’fiTt MHMR CUtSlT- UN :R Richard P. Delaplaine. M.D»}»UT siftficM wm hosi • : The creative person is both more primitive and more cultivated, more destructive and more constructive, a lot madder and a lot saner, than the average person. Dr. Frank Barron Kenneth Draper. M.D.Glimpses of today’s psychiatry also were gained from Einstein Northern Division, Gaudenzia House, and the Penn Foundation thirty miles in rural Bucks County. The Penn Foundation, a model mental health center, provided a unique opportunity to experience adult and child psychiatry effectively practiced in a community. Medical students did everything there including occupational therapy in a day care center and play therapy with the childrens’ unit, as well as evaluating and counseling patients under the capable guidance of Drs. Mike Dunn, Pern,' Grossman, and staff. I Perry Grossman, M.D.Robert Riggs American Psychopathic Ward. 1945 If this were played upon a stage now, I could condemn it as an improbable fiction. Anon.Stepping into the world of psychiatry, we suddenly were immersed in aperceptions, associations, castrations, compulsions, delusions, depersonalizations, disorientations, fixations, hallucinations, illusions, obsessions, perversions, rationalizations, sublimations, and verbigerations . . . flight of ideas. Yet in this bizarre world, we learned a little more about ourselves, as we listened to others talk about themselves. For some, it was a brief respite from the orthodox world of medicine. Others realized that the basic emotional needs seen in psychiatric patients were not limited to this group, but extended to patients whom we would see in surgery, medicine and pediatrics, as well as to ourselves. And we all would have to deal with these needs—even if w’e were not psychiatrists. One cannot be deeply responsive to the world without being saddened very often. Dr. Eric Frommriq I} c3lfcntrunb ?ri$«t b n erwerdjUn 2(u0b: rttrcn fy wiber rff $ftrfdbtM» 0y t otbcnlub jfibefdjnciben gcfcbid t mitbi'f cc fdjccrcn JEttumbcr tiftrumcnt botjd mitbifci?2 5Um ®« Pif nficurmnt ncrmctt bic Cbirurgici 0p mim:l« latum '“• btmidjen fyt aud) jflm 2hiflcnfcbntbr. 0parumil abcrfubtilc iflb rrm»(teri0 |lfllut -1 .He bd. 0cbcl fcinb bey be 21 rabifebe attuft btc rote fell fobie 21tiaett Oberjye rnrmtber$eitbIcnbe.xfll btaticbcnlye btfc b fiiti jDif iff barjd ein 2fujjfd?ccc 5Dif 3nffonnctit bmnd t man $fir fiffelcn b«e beyo baim't jU fdjaben nad) bem bit fetfebte f flejoflen n(J . wd. Ieyfd t { bee tTafcn po lypua gertant 5ftjyeben n jicmncut German School Early XVI Century Surgical Instruments. 1517 I haver known one bound to a bed by wrist and ankle. Scarred by the whips of a wasting ache. Who, at the point of entering of the needle. Looked once around to take The final view, then spoke; The echo of that terribly witty joke Pursued the surgeon to his home in Kew, Deafened a nurse all night, and leaden lay On the heart of a thick skinned anesthetist Long after they’d dispatched his ended clay. The Choice Hilary Corkc A good surgeon should be acquainted with liberal studies, with medicine, and above all with anatomy; he should be courteous . . . bold in security, cautious in time of danger, circumspect in prognosis, pious and merciful, not greedy of gain, but looking for his fee in moderation, according to the extent of his services. Guy de Chauliac, 1363 Cornelius Dusart The Village Surgeon§urgmi The drama of our first operation, which began with a ten-minute scrub, was sometimes as hard on us as it was on the patient. It was then that wc learned just how slowly ten minutes can pass, how fragile the human skin’s epidermis really is, and how tired one’s arms can get while holding them in the air for what seemed to be an eternity. After the aseptic ritual of gowning and gloving, we were politely and sometimes rudely informed that wc had contaminated ourselves. This meant rcscrubbing, regowning and regloving again, while the intemperate surgeon paced up and down waiting to begin. Having gone through this ordeal, wc were permitted to stand at the foot of the operating table and observe the procedure, if possible, or to hold retractors without observing the operative field, which was difficult to do with a surgeon and band of residents and nurses running around you. It was then that we appreciated orthostatic hypotension, muscular fatigue, varicose veins, urinary retention and hypoglycemia. In addition to holding those idiot sticks just right, the junior student was also given an opportunity to cut sutures, praying that it was the suture that was cut and not the small intestine, femoral vein or common bile duct. It was an unusual junior medical student who lived through six weeks of surgery without cutting at least one knot. On the surgical floors, one learned that people do recover most of the time no matter what, or in spite of what was done for or to them. One also learned that fluid and electrolyte therapy did not mean intense calculations and consultation with the kidneys before deciding on which IV bottle to hang and what to put into it once we did. It often meant no more than a bottle of this and a bottle of that. Our surgical experience largely depended on the surgeons with whom we worked. Wc were able to dissect the surgeon into component parts in our surgical safari. One component was the technical skill the surgeon displayed in the operating room. Another component was the surgeon as a teacher and clinician, and a third was the personality of the surgeon in and out of the operating room -which was sometimes quite different in these two settings. Our analysis was quite varied, for unlike years gone by when everyone had surgery at Temple, now we were sent to various hospitals which included also Germantown, Einstein, Episcopal, Nazareth, Abington, and Geisinger Medical Center at Danville, Pa. Most of these programs were rather good, but much depended on whom we worked with within each house of surgery, rather than just where wc were geographically.OPERATING-ROOM ABSOLUTELY NO ADMITTANCE OPERATING ROOM REGULATIONS I STREET CLOTHING AMD SHOE 8 ARE MOT ALLOWED IN THE OPERATING ROOM. OOVCRALLS AMO CONDUCTIVE BOOTS AVAILABLE TOR VISITORS V CONDUCTIVE SHOES OR BOOTS MUST Bt WORM IN THC OPERATING ROOM AT ALL TIMES FOOT OEAR TO BE CLEANSED ON OERMIGIOAL MATS BEFORE ENTERING THE OPERATING ROOM 5 PERSONNEL WITH CUTANEOUS INFECTIONS OF ANT VARIETT ARE NOT ALLOWEO IN THE OPERATING ROOM 4 OPERATING ROOM MASKS ARE TO BE CHANGED BE WEEN EACH CASE 5 IE OPf RATING ROOM CLOTHING IS WORN OUTSIDE. IT MUST BC CHANGED BEFORE RE-ENTERING THE OPERATING ROOM 6 SURGICAL SCRUB IS FOR TEN MINUTES WITH WHITE SOAP AND BRU3H FOLLOWED BY ONE MINUTE ALCOHOL RINSE FIVE MINUTE SCRUB BETWEEN CASES FOLLOWED 8Y ONE MINUTE ALCOHOL RINSE • CONVERSATION IN THE OPERATING ROOM TO BE KEPT AT A MINIMUM. 0 OPFRATINO ROOM TRAFFIC THROUGH CORRIOOR3 ONLY ) OPFRATINO ROOM SUPERVISOR TO BE NOTIDED IN ADVANCE IF CASE IS CONTAMINATEDLife is a daring adventure or nothing. Helen KellerThe doctor and two men in white were waiting for him. They laid him out on the table. They w-cre cutting away his shirt. Manuel felt tired. Mis whole chest felt scalding inside. He started to cough and they held something to his mouth. Everything was very busy. To hell with this operating table. He’d been on plenty of operating tables before. He was not going to die. Manuel sat up on the operating table. The doctor stepped back, angry. Someone grabbed him and held him. They had put something over his face. It was all familiar. He inhaled deeply. He felt very tired. He was very, very, tired. Ernest Hemingway The UndefeatedRegardless of where we traveled to in order to become six-week surgeons, the point of assembly on our first day was the 10th floor conference room of Temple’s Parkinson Pavilion. There Dr. Vincent I iuby in his inimitable way oriented us to “Medicine under the big spotlight." He began by giving us our assignments to the various hospitals, most of which we already knew or had arranged beforehand. Then came a two-page list of surgical do’s and don’ts, beginning with, “Wear a dean white coat at all times," and adding, "Remember you do not direct the management of your patients." This second item seemed reasonable enough, yet a few of us decompensated at the thought of not being able to play Dr. Joe Gannon. For those who stayed at Temple, the days began at 7 A.M. Noon conferences were held instead of lunch, and surgery was with a competent group of surgeons, including the new chairman. Dr. Robert Tyson—who was better at vascular surgery than in befriending students. The retiring chief was the skilled Dr. George Roscmond who, as Pennsylvania Medical Society President, had too little time to teach. Drs. Willis Maier and 11. Taylor Caswell were friendly and easy-going, as well as excellent surgeons. But at Temple the number of surgical patients was not as great as at many of the other institutions where sometimes we had more responsibility. Willis P. Maier. M.D. R Robert Tyson. M.D.. Professor and Chairman of Surgery Vincent W. Lauby, M.DJohn H. Hall. M.D. H Taylor Caswell, M.D. « 1074-41 ronm i (».• 1074 ? 1 w 1000 -11 George P. Rosemond, M.D. Paschal Spagna, M.D.Abington Memorial Hospital and Episcopal Hospital were the most sought after, as far as junior medical students were concerned. The former meant a respected surgery staff headed by Dr. Alfred Frobese, as well as an unusually nice environment. The latter also meant the fine surgical staff of Dr. Leroy Stahlgrcn and company and more responsibility and opportunity to perform than in any other program. Dr. James Harris of Germantown was a drawing card with his refreshing sense of humor and genial manner. Geisingcr Medical Center had the inherent benefits of its reputation as a major referral center and of its serene location, far removed from the pollution of the big city. Nazareth Hospital provided an easy schedule, if there were such a thing, but the short hours in a day’s work were more than equalled bv the long minutes in the OR with a few temperamental surgeons. Einstein was another mixed experience, which could have resulted in anything from a clerkship that was a minor procedure in time and effort to a major time-consuming course in the OR. Leroy H. Stablgren, M.D. James S. C. Harris. M.D.(S. Abington Memorial HospitalNow that we had lived through the operations wc were subjected to, wc were given anesthesiology for a week’s duration by what was generally considered to be effective and pleasant anesthesiology departments at Temple and at a few of the affiliate hospitals. • I !»•» . — . I . «. A. .V . A. l m ». Leroy W. Krumperman. M.D.. Professor anti Chairman of Anesthesiology Mary R. H'. Reardon, M.D. Gertrude Pruckmayr, M.D.Whereas our third year was largely an experience in general surgery, the fourth year provided us with a closer look at the more specialized branches of this Held . .. ones that some of the class would think about as their choices for the future.Howard H Steel. M.D. Then he took hold of his left leg with both hands and pulled on it hard, pulling toward the foot while he lay down beside the tree he had been resting his back against. Then lying flat and pulling hard on the leg, so the broken end of the bone would not come up and cut through the thigh, he turned slowly around on his rump until the back of his head was facing downhill. Then with his broken leg, held by both hands, uphill he put the sole of his right foot against the instep of his left foot and pressed hard while he rolled, sweating, over onto his face and chest. He got onto his elbows, stretched the left leg well behind him with both hands and a far, sweating, push with the right foot and there he was. He felt with his fingers on the left thigh and it was all right. The bone end had not punctured the skin and the broken end was well into the muscle now. The big nerve must have been truly smashed when that damned horse rolled on it, he thought. It truly doesn’t hurt at all. Except now in certain changes of position. That’s when the bone pinches something else. You sec? he said. You see what luck is? Ernest Hemingway For Whom the Bell Tolls For those who like the sensation of fixing things, getting their hands into what they do and into a lot of plaster, orthopedics was the place to he. There is more to it than that, however, for a fundamental knowledge of anatomy and the mechanics of bones and muscles were important if the patient was to regain use of his or her limbs. The fundamentals of orthopedics were more than adequately taught since the teachers were Drs. Lachman, Steel and company, first-rate orthopods and excellent teachers. The added benefit of a wealth of patients and clinics, including Shriner’s Hospital for Children, plus the priceless humor and slapstick antics of Dr. Steel, made orthopedics worthwhile . . . even for general practitioners.Max L. Ranis, M.D.. Professor and Chairman of Otorbinology Three rather small areas of the body—the car, the nose and the throat, were the object of much of the class’ interest; partly because so few of us knew what was really there, or what to do about it, and partly because of the reputation both as clinicians and teachers of the ENT staff—including the Doctors Ronis at Temple, and Myles Turtz at St. Christopher’s Tube Town USA. Bulging and punctured tympanic membranes, myringotomy tubes, miniature middle ear bones? tracheostomies and other objects of this trade were delicate and minute parts to deal with. They contrasted sharply with the tibial and total body casts of orthopedics, but each was in the surgical domain and we knew that precision in both fields was vital to the patient.■O Plastic surgery (also known as ‘plastics’ to those in the business), urology, and animals surgery' completed the diverse experiences of surgery tor the medical student. In the latter case, it was the students who were the surgeons and finally experienced what was involved for themselves. Vet experience and knowledge had to accompany the act of doing and I)r. M. Prince Brigham was on hand to provide a wealth of that, as was Mr. Fredrick Warner, who ran the animal laboratory and did this job very well. Johannes Weebtlin Blood Letting ChartGuy Hugh Chan. M.D.Those who flow as life flows Feel no wear, feel no tear, Need no mending, no repair, Leo-Tzu No matter how variable the surgical experiences was for us, it must have been rather constant for the patients concerned. They experienced the anxiety, fear and uncertainty about what would be found by the surgeons once the cutting was begun. The diseased gall bladders, ruptured appendices, carcinomas, aneurysms, sodium pentothal, spinal blocks, cutting, cautery, removals, resections, by-passes and suturings would happen to them, before wound healing, let alone person healing, would even begin.« TP Sir William OsierJJittrraal fflrftirutf Robert Riggs American Want Rounds. 1945 Colic on His Wedding Night, 1838 Internal medicine meant white coats, black bags and sometimes gray feelings about what was ahead of us. We filled our pockets with assorted goodies such as otoscopes, stethoscopes, flashlights, tongue depressors, notebooks, drug manuals, pens. pins, hammers, nails, calipers, index cards, and in a few more desperate cases... copies of Harrison’s Textbook of Internal Medicine. Medicine was a study in contrasts. We went from the academic, frenzied world of Temple to the more relaxed atmosphere of Abington Memorial, Einstein, Episcopal. Germantown, I-mcaster General and a variety of other community hospitals. The way of life was different. Ther personnel were different. The patients were different. The hospital procedures and rules were different. Vet it all went under the banner of internal medicine. The disease processes were the same for any given congested heart or cirrhotic liver, hut seldom did we deal with isolated hearts or livers. We also had to learn to work with interns, residents, attending physicians, nurses, ward clerks, lab technicians, and even patients. Medicine was not always an easy task.The common experience to aJl was the trek across Broad Street to the medical floors of the Parkinson Pavilion of Temple University Hospital. Depending on the psychological make-up of the medical student, the predominate feeling on that first fateful day ranged from curiosity to uncertainty to anxiety to apprehension to abject fear. We knew that somewhere in the same building there lurked Dr. Sol Sherry, the chief, and we knew what he knew and what we knew and thus hoped our paths would never meet. In fact, we were not too thrilled about running into attending physicians, residents, interns or anyone else who would ask too many questions about diseases, treatments, lab results and the like. Yet these and much more would intervene between patient and student and doctor-patient relationships. I find medicine worse than the malady. FletcherRounds were the order of the day at Temple. Rounds came in all shapes and sizes. Shortly after dawn there were private medical student rounds where we had to examine the patient (after waking him up), search for the previous day’s lab results which were either not done or hidden from sight, hunt down the temperature charts which usually were not filled in, memorize everything, and hope the resident and intern were nice people. Shortly after we were done, the intern and resident arrived . . . and we made rounds with them as the patients gave strange looks at seeing us again as soon as we had left. Then came the parting of the ways as the team of medical student and intern took the patient charts (not the patients) into the back room and in secretarial fashion copied lab results into charts and ordered more tests and treatments. The residents went off to "Morning Report” where they presented their latest bits of medical knowledge to Sol Sherry, reminiscent of the ancient Greeks presenting offerings to Apollo and company on Mount Olympus. Such is the nature of medicine, that things which we have laid up in our minds as settled truths often require to be modified by our future experience, and come at last to be rated many degrees below the value we originally prized them. Peter Latham It is a solemn fact that the discovery of a new disease immediately creates a demand for it. J. A. Spender Charles D Tourtellotte. M.D. Steven Berney, M.D t M.D. Mary E. Moore,Thomas Durant. M.D. Resident, intern and student reunited with each other for round four . . . rounds with our attending physicians. . . that is, when they attended. Unfortunately, we did not often have that intense bedside teaching of the finer points in medicine from many attendings. The refinement and near-perfection of the physician who uses little more than his hands and bedside manner was an uncommon thing indeed, but we saw it in finest form from Dr. Thomas Durant who was in his last year of full-time service at Temple. We did have an abundant supply of internists who were both fine clinicians and teachers . . . Channick, Marks, Reidcnberg, Joseph, Day, Hyman, Charkes, Lorber, among others. Harold Hyman, M.D I desire no other epitaph . . . other than the statement that I taught medical students in the wards, as I regard this as by far the most useful and important work 1 have been called upon to do. Osier Charles R. Shuman. M.D John H. Martin. M.D.Sol Sherry, AID., Professor and Chairman of Medicine One of the most traumatic rounds wc would experience was known as Professor’s Rounds, an interesting phenomenon where each student would prepare a lavish presentation on one of the patients and would recite from memory' the complete history and physical at the patient’s bedside in front of the interns, residents, and other students on the floor, as well as the professor-for-a-day who would turn out to be either Drs. John Martin, Herbert Waxman, Tom Durant ... or Sol Sherry. Presenting to Sol Sherry'! As terrifying as it seemed, we realized that it was not so bad and the chief was usually rather cordial at that. But tell that to our hearts as they produced every arrhythmia in the book, as wc lived through the ordeal. After the presentation at the bedside was over (praying that the patient would keep quiet and not contradict what we said), the entourage proceeded to the back room which was now spotless in anticipation of the professor. Here we discussed our ideas about the case and tried to talk quickly enough so as to prevent interruptions such as questions from our audience. Somehow the residents managed to get in their 30 or 40 comments about the latest information they obtained (the night before) from the Siberian Journal of Salt Metabolism (which just happened to relate directly to the case wc were presenting). This was academic medicine at its ultimate!It felt like being hit with a board. His knees went weak, his feathers sagged, there was a roaring in his ears. Centered for shame? Impossible! They can’t understand! They’re wrong, they’re wrong! Past and to come seem best; things present worst. Anon. Jonathan Livingston Seagull - -Rounding out the ten-rounder were middle-of-theday rounds, x-ray rounds, afternoon rounds, sign-out rounds, and grand rounds. At grand rounds, for once we did not perform but instead watched the celebrities up front do their thing—as we sat in the back with our binoculars and autograph pads.Oliver Elon Oven. M.D Walter J. Levinsky, M.D. The beds at Temple were filled with ill patients, many from the immediate environs of- the hospitals. We saw how little patients often knew of their health and of their diseases. The only letters many were sure of were ‘DPA’ and similar terms of public welfare. Aside from congestive heart failure, pneumonia, hepatitis, anemias, diabetes, and other problems common to internal medicine, there was also a mixture of more exotic diseases, as well as the medical manifestations of drug addiction and chronic alcoholism. There were real admissions, ones where medical condition warranted admission to the hospital, and there were administrative admissions, which were not at all welcomed by residents and staff alike . . . ‘administrative’ meaning that the patient was dropped off because relat ives or friends were unwilling to put up with the patient any longer. To add to our woes, the ward clerks became unionized, which meant that the junior medical students had to do even more of their jobs for them. The final aura of doom came when the chief resident announced to a few juniors that their new resident would be Dr. Paul Shanahan, and that Drs. Van DenBosh, Weiner, Fish, Gilliland and Carman were assigned to other floors, not theirs. Norman Learner, M.D. Howard N. Baler. M DA The only way to keep your health is to eat what you don’t want, drink what you don’t like, and do what you’d rather not. Mark Twain Puddnhead Wilson Man may be captain of his fate, but he is also the victim of hi , blood sugar. Stanley H. Lorber, M.D. The practice of medicine is so divided up amongst the Egyptians that each physician is a healer of one disease and no more, some of the eye, some of the teeth, some of what pertains to the belly. Herodotus Wilfred G. Oakley Vincente P. Dinoso, Jr.. M.D. Temple was a good place to learn medicine for the resources were at our disposal. It was sometimes a rough world but, because of this, most students matured and gained that all-important confidence needed. Finishing our tour of medicine at Temple brought with it a sense of accomplishment for most. Although relatively few would remain there for their residencies and careers, it was a sound and useful training ground for the future. Robert Fisher, M.D.By no means was our medical training restricted to Temple. With the ever-growing list of affiliate hospitals, as much it not more time was spent at these institutions. The more relaxed, sometimes more friendly way of the community hospitals was also a valuable experience. We saw a different type of medicine there. Each locale had its own inherent benefits too. Germantown HospitalAlbert Einstein Medical Center The student at Episcopal Hospital often found himself to be an acting intern, especially if assigned to "the tower”—which looks as bad as its name sounds. The staff at Germantown Hospital was equally pleasant, and we again learned to function in a low pressure environment under the guidance of fine clinicians such as Drs. I’olin, Hclwig, Figeroa and company. Albert Einstein Medical Center gave us a taste of some excellent bedside teaching form the artful Dr. Morton Mandcll and the tough Dr. Sidney Grccnstein. Especially notable there was the Cardiology Program which included Deborah Heart and Lung Hospital in quaint Browns Mills, New Jersey. Deborah was a remarkable place whose patients seemed out of gratitude for being there, to welcome the legions of doctors and students marching into their rooms to listen to their multiple murmurs. We were often left speechless as our patients were taken from us, while we were taking our histories, and led off for electrocardiograms, vectorcardiograms, echocardiograms, phonocardiograms, exercise tolerance tests and cardiac catheterizations, as part of their initial work up. Other more suburban hospitals such as Abington Memorial, or more rural ones such as Lancaster General, gave us yet another valuable view of the different ways medicine is practiced in community hospitals.Internal medicine in our last year of medical school provided a closer look at a more specialized brand of medicine, as well as further opportunity to enhance our performance on the general floors. Target organs in most cases turned out to be the heart, lungs, endocrine glands, and kidneys, plus the more diffuse tissues of rheumatology and hematology1. Many students returned to Temple as the nidus for learning about these, but a large proportion of the class went to places such as Episcopal, Abington and Lancaster for general medical training. Louts A. Soloff, At D. Harold 1. Rutenberg, M.D My pulse, as yours, doth temperately keep time, And makes as Healthful music. William Shakespeare Hamlet Howard Warner, M.D.You’ve got the cool water when the fever runs high You’ve got the look of lovelight in your eyes And I was in crazy motion ’til you calmed me down It took a little time but you calmed me down Paul Simon Something So Right Rennet Lor her, M.D. Leroy Shear. M.D. Robert M. Swenson. M.D. We expected to see plenty of patients with congestive heart failure, myocardial infarctions, diabetes mellitus, hypertension, and the rest of the bread-and-butter of internal medicine, and we did. We also saw enough lung cancer, Hodgkin’s Disease, and lupus with their ominous implications. Sometimes overlooked was the total picture, the total patient. But those who looked learned that internal medicine had to deal with the social, economic, and emotional problems of the patients, as well as their high blood pressures and low blood sugars.DEPARTMENT OF RADIOLOGY SECTION OF DIAGNOSIS MARC S. LAPAYOWKER, M.O. GUSTAVUS C. BIRO, M.O. HENRY J, WOLOSHIN, M.O. RENATE L SOULEN, M.O. A. BONAKOARPOUR, M. 0. HAROLD L. KUNOEL, M. 0. FRANCIS J SHEA. M. a ELLEN S. ESC0VIT2 .M.O. SEUNG HO LEE , M.D. GORDON 8. PERLMUTTER, M.D NORMAN H. BOYER. M.O. Gustav us C. Bird. M D. Marc S. Lapayowker, M.DMay Cliff. M.iGeorge Crutksbank The Headache Many students made another attempt at understanding the human nervous system, this time in a clinical setting. Their efforts were usually rewarded by well-spent time on the Neurology Services, which were usually overfilled with medical students warning a chance to tap a few spines, interpret a few EEC’s, and familiarize themselves with the signs and symptoms the brain transmits to herald neurological diseases. Seizures, strokes, multiple sclerosis, Parkinson’s Disease, apraxias and aphasias were but a part of the spectrum seen. For the doubters in the group who had to sec the problem first hand, Neurosurgery was available. Tumors, hematomas and other space-occupying lesions that should not be there were the targets in this realm. After seeing the brain from within or without, whatever the case may be, we were better able to unravel a bit of its sensory and motor functions, if not its higher functions of thinking, feeling, understanding and memory, these being reserved for another time and another place. Joseph U. Togtia, M.D. It is true that joy can activate the nervous system more efficiently than all the cardiac stimulants that can be had from the druggist. 23nn Den fcaupt tvundcn. f m.c btfcm mflrmnmt foie bubl'e bimfd)atre ib(r aoflv ernbm rpori|lert'rig fd}(.sg2 l(? rfione yl onberficb p!» bft vnbbao anbrr uberfid} rrimaafl baatbun mie bn fern tnfr rumen t o rn rn m 8ffii brrbirtb«n Die enbe rtn lapprnbteaofbe baubt fTrenbie Ibftcn Inn gUrd en p«n boo aijn fie l ntn mug tvafiin man «rit rfiftflbaa fIrobl.libomu bo inb( bin jdw! bo: ell ob |lraobe|l gar fdvirpfrr«tn vtit b i 5 ic pa jaydjnetlJl. Hans von Gersdorff Trephination, 1517 Frederick Murtagb, Jr., M.D.. Professor and Chairman of Neurosurgery Schiller Jack O. Greenberg. M.D.•Q HPrimary (Carr Medical school of the 1970’s could no longer he contained within the walls of basic science buildings and big university hospitals. It had to go to the people, for this is where the greatest need in medicine would be now and in the future. The old country doctor evolved into the general practitioner; and gradually in our rapidly advancing age of science and specialization, the number of these jack-of-all-trade doctors diminished. It became difficult, sometimes impossible, to find a physician who would make house calls or even be available to handle routine problems of health and disease. More and more people found themselves going to hospital emergency rooms when they were sick or hurt. When routine health care was neglected, people sometimes became needlessly sick—occasionally to the point where hospitalization would be necessary. At the same time that primary care doctors were dwindling, specialists and sub-specialists were multiplying in number. As a result of all this, wc now see overcrowded emergency rooms with people that should not be there; general practitioners Hooded with patients in waiting rooms and on telephones; fewer people-seeking the services of doctors until their problems become significantly troublesome to warrant this; less preventive-medicine; rising hospital costs, and a movement toward the specialist treating the ailing part rather than the doctor treating the ailing patient. Honor,' Daumier French The Country Doctor, 1840As students, we think of all patients as having esoteric, difficult-to-diagnose, interesting teaching-case diseases. This is a reflection of our training at the academic referral center. Early in medical training, if asked what a teenager has who presents with fever, malaise, and swollen glands, a student replies ‘Hodgkin’s disease’—after all, he has seen three cases of Hodgkin’s disease, hut nevei seen one of infectious monomucleosis—unless his roommate at college was sick. When we go to the community hospital, however, we find that low back syndrome is infinitely commoner than systemic lupus erythematosus. We find that the community has lots of older people with mild maturity-onset diabetes, well controlled by diet or oral agents; and people are not really dropping like Hies from diabetic ketoacidosis or from hyperosmolar, hyperglycemic, non-ketotic diabetic coma. Patients with diarrhea do not usually have regional enteritis or ulcerative colitis. If we get to observe lots of children, we learn that kiddies with many colds are not synonymous with cystic fibrosis, or not compatible with Bruton’s agammaglobulinemia. Fortunately, too, bruising in kids does not usually mean leukemia. PA 340 INTERCOURSE NEXT RIGHT I ABINGTON I FAMILY PRACTICE BUILDING SZ j Charles HEimtjMr' i R.Bruce LulzMD i= I--------------- llkn.LRobinhddMS. MhalJlnRuffa. AID. ADOLESCENT b VUTH MEDICINE A They liked the practice because it was fast and exciting and it fed a hunger for learning that grew with every lesson. Richard Bach Jonathan Livingston SeagullEpiscopal Hospital But in our last year ot medical school we were able to see primary care and participate in it. For those who wanted to obtain an appreciation of the problems in their everyday lives, long before they become referrals to specialty services in hospitals, growing opportunities were made available. Wc went to family practitioners’ and pediatricians’ offices in the city, in suburbs such as Bryn Mawr, Norristown and Abington, and in rural areas such as Lancaster, Sellersville, and Honesdale, Pa. We saw a different view of medicine.Lancaster General Hospital VISITOR £ PATIENT PARKING 254 Lancaster General HospitalThus the primary care student did everything from delivering babies to treating low back pain, from talking with townspeople in Honesdale with Dr. Vincent Tully to becoming part of the community medicine program at Episcopal Hospital with Dr. James Alden, to dealing with problems of a rural population in the family program at I .an caster General Hospital with Dr. John Esbcnshadc. Private practice, group practice, public health, community medicine, previously words, now become realities . . . realities which would become careers for many of our class.We saw that through continuing care, the Family Physician becomes acquainted with the whole patient, not just the ailing part. He learns about the family constellation its prides, secrets, celebrations, tragedies, failures, gains and losses. He can sec the background and the stresses and strains that influence a patient’s life and health. We saw that primary care involves the patient in his own health care. He must assume a growing role in the concern for his health by caring about himself, watching his diet, taking his medicine, monitoring his activity, and making adjustments in family life when indicated. Some segments of society today want to passively shift the entire burden of medical care onto the physician, ignoring the fact that each patient has a vested interest in his physical condition and mental health. 1'he physician should not dictate health policy to a patient. He should teach. Patients should learn. A positive realtionship should be formed.Analogous to the adult form of general practice, we saw the kids’ version in ambulatory pediatrics. It was hardly the same thing as being on the floors of St. Chris. Many of the rare syndromes met at St. Chris were replaced by common behavior problems, school adjustments, stomach aches without physical cause, earaches, headaches, respiratory infections, skin rashes, as well as some not-so-common problems. We saw a unique form of group practice at Sellersville with the Pediatric Group of Drs. Thomas. Girone. Roth stein, Schlackman and Schiller. These primary physicians saw children in their environments, but were also affiliated with St. Chris as a referral center, where they served on the staff. Another instructive view of primary care for children came from the group in Abington—Drs. McCoombs, Shields and Ickler. Other students found their own programs throughout the area, and thus primary care took a wider place in our medical school clinical years than ever before. Leopohio Mendez Vaccination, 1935 i ht-tt; i The other half of Primary Care, tar different from office practice, is emergency sendee. Being students at Temple made us quite familiar with Emergency Rooms, Accident Dispensaries, Receiving Wards, and all that goes on within them.Yet in thy dark streets shincth The everlasting light; The hopes and fears of all the years Are met in thee tonight. Phillip BrooksWe saw several Emergency Rooms in action as we visited various hospitals during our clinical years. In the senior year, we had our fling working full-time in battlefield surgery at Temple’s accident ward. To a lesser extent, we served at the more relaxed, less unreal emergency room at St. Christopher’s Hospital. There we saw kids with measles, strep throats and the like, as well as accidental falls and poisonings. But at Temple University Hospital we saw EVERYTHING!He got a custom Continental, He got an Eldorado, too: He got a thirty-two gun in his pocket for fun, He got a razor in his shoe. And he’s bad, bad Leroy Brown, The badest man in the whole damned town . . . Jim Croce Almost from our first day at Temple back in 1970, we anticipated that fateful day when we would be assigned to the Accident Dispensary. We heard so much about it, especially the ‘Saturday Night Specials’. .. shootings, beatings, stabbings, drug overdoses. The more regular customers were carried in after Ripple or Thunderbird wine made them wobbly drunk. An entourage of young girls with pelvic pain heralded an epidemic of gonorrhea. People appeared with crushing chest pain or burning epigastric pain, throbbing head pain or pain in the left thumb, or the ultimate complaint: “Doctor, my whole body hurts.” Reading the chief complaints, as typed on their charts by the faithful clerks, was interesting and unreal enough, without even seeing the patients. And everybody wanted to be seen first! Opening the door in answer to a knock usually meant that the medical student would regret it, since a patient would either look like he or she was going to collapse, throw a seizure, or hit you. To add that certain final touch to the madness, there was an ample supply of chronic Crisis Center patients around the A.I).—and it was usually the medical student who wound up trying to convince the psychiatric resident that such a patient, delirious or schizophrenic, belonged at the Crisis Center, not the Emergency Room. The psychiatric resident punted most patients away with a siandbye phrase, “Not in our catchment area.” A resourceful medical resident in the Emergency Room once outsmarted the Crisis Center by making up an address for a patient . . . one block away from T.U.H. A Sixth-Grader’s View of the Emergency Room In the emergency room people sit in pain, waiting to get service. People arc getting killed by waiting. People that have broken bones just wait in pain. It is an injustice to keep them waiting, as in the following example: My friend and I were playing football and I threw a pass to him and there was a fence behind him. He jumped for the ball and landed on his chin and his chin hit the point on the fence. There was blood all over his face. When he got to the emergency room he had to wait. He was screaming and the doctor told him to shut up. But he said “no, it hurts.” He finally got stichcs and that was that. The problem is that the doctors that run the emergency room don’t have enough time to wait on everybody all at once. Maybe the person that they were going to wait on was not in pain or about to die. But suppose that another person was about to die? The doctors that run the emergency room arc not the greatest either. As in the following example: My brother broke his arm and went to the emergency room. Three doctors put on a cast and two days later he went to get an x-ray to see if the cast was on right. He went to a specialist in bone surgery and the doctor found out it was wrong. The doctor had to put on another cast. How I would correct this problem would be to use more doctors-, make the emergency room more important. The only bad thing about this is there are not enough doctors in the world. And if most of the doctors were in the emergency room there wouldn’t be doctors in offices, where they give vaccines, and checkups. They wouldn’t have the doctors for that. So the doctors should encourage more people to be doctors. Greg DcYitaWe got a taste of responsibility during those long hours in the A.D. The more fascinating cases were usually taken care of by the medical residents, who swarmed through the place hunting for hospital admissions. With any patient shorter than three feet tall (excluding midgets), the medical residents yelled for the pediatric residents who usually answered their pages in the same hour. For anything serious south of the ovary, the medical resident sent for the gynecology resident who, if one was lucky, answered the page before the patient went into her menopause. The neurosurgery resident was called whenever the level of consciousness of a patient changed, for when the neurology resident refused to admit a seizure patient on his service. The neurosurgery resident would do a complete evaluation and offer the same recommendation each time: “Let's watch the patient for a few hours.” Sometimes you win, sometimes you lose, and sometimes the blues get a hold on you just when you thought you had made it. All around the block people will talk, but 1 want to give it all that I’ve got 1 just don’t want ... 1 just don’t want to waste it. Carole King Sweet Season;William E. Hooper. M.D For some time previous, his mind had been confused, wavering doubtfully between the past and the present, hovering forward, as it were, at intervals, into the indistinctness of the world to come. There had been feverish turns, which tossed him from side to side and wore away what little strength he had. But in his most convulsive struggles, and in the wildest vageries of his intellect, when no other thought retained its sober influence, he still showed an awful solicitude ... At length the dcath-striken old man lay quietly in the torpor of mental and bodily exhaustion, with an imperceptible pulse, and breath that grew fainter and fainter, except when a long, deep, and irregular inspiration seemed to preclude the flight of his spirit. Nathaniel Hawthorne The Minister’s Black Veil WHAT TO DO IN CASE OF j imssm CALL A DOCTOR OR THE PHILADELPHIA POISON INFORMATION CENTERa Aside from an ample supply of residents, students, nurses, Army corpsmen and patients, there was always a representative from the Philadelphia Police Department to help keep the lid on the place. Once during our reign in the Emergency Room, Mayor Frank Rizzo himself appeared when a policeman was brought in with gunshot wounds. Yes, everything we had heard about Temple’s rolicking E.R., one of the busiest around, was true. It often became chaotic when patients from the neighborhood were difficult to please or manage. Some of them walked out on us. And efficiency was not always the rule, for it sometimes took ages for lab results and x-rays to come back—while the patients laid in examining rooms for needless amounts of time. But the Emergency Room functioned as it could and, considering what it was up against, came through the ordeal well. It provided drama, a sense of doing, another face in the multifaceted world of medicine for us to see.Thus, the clinical years of medical school came and went quickly. We suffered the slings and arrows of outrageous fortune many times . . . being awakened at 4 AM, one half hour after we got to sleep, by Miss Pango Pango of the third floor Parkinson Pavilion announcing that Ms. Suzie Something of room 314 pulled our her IV and Gomer Jones of 333 didn’t have a pulse or blood pressure .... nearly killing ourselves to get to these unfortunates and finding out that Suzie didn’t have an IV to begin with and Gomer went home via the fire escape . . . being awakened at 5 AM as a newly discovered pregnant woman is rolled down the obstetrics floor to the delivery room, getting there just in time to deliver the baby and finding out the resident who was to guide us in our first attempt could not speak English . . . taking the advice of the delivery room nurse and doing it cab driver style . . . nervously doing our first mental status exam in the crisis center just to be told by one of the patients that we were doing it on the psychiatry resident, not a new patient .... checking a baby for diaper rash then listening for stray murmurs, without putting the diaper back and not having an extra white coat to wear until the first one dried .... scrubbing for surgery perfectly, not contaminating anything, walking into the OR. being introduced to the chief surgeon (also sterile) and shaking bands with him .... We made it through all this and more because of the future. We anticipated the day wc would visit hospitals looking for residencies (alias internships), and wc pondered over that fateful day when we would rank the more exclusive hospitals in our opinion, and exclude the more rank hospitals from consideration. Even though Pohuska Polyclinic and Dropsie Institute wrote to us each month, one was hesitent to take up their offer even though night call was every fourth month. The final months to the match were predictably fun-filled as Junior year ended with a comprehensive exam in surgery which counted for 60% of our grade. It was preceeded by a comprehensive exam in medicine which only counted 33 1 3% of our grade but by the time the medicine department finished with their final verdicts no one knew where they stood as earlier decisions were reversed, raised or lowered in an almost ridiculous spectacle of gradesmanship. Our verdict in Obstetrics was more predictable as Dr. Rajan classified everyone as slightly above average intelligence, slightly below or slightly in-between. The September of senior year meant part two of the National Boards which was to be one of the last exams in our many years of school. After that it would be full concentration on looking for and getting the internship or residency of our dreams ... if we struck the right match.Matchmaker, Matchmaker, make me a match. Find me a find, catch me a catch; Matchmaker, Matchmaker, look through your book And make me a perfect match. Fiddler on the Roof TEMPLE Mr TEMPLE UNIVERSITY SCHOOL OF MEDICINE ALUMNI UNIVERSITY SCHOOL OF MEDICINE ALUMNI5 ET M 10 RS -Ln’firos iijO 00 ojfch on “h Y)e stxcb Ififtf +6 cure. o.botxV' lo e iueJopes ”T£ie Oi.noout.oce nents toil! be ha cfe 0 ojtr ft bby c) "Ke Kresy 3 Vit ft j at ||:00 M l ni axjj (Darcb) % , nvsM;KRICHARD I. AND RON Temple University Hospital Philadelphia, Pennsylvania Internal Medicine TERRY ANGSTADT USAF—Grant Medical Center I'ravis AFB—California Internal Medicine JERRY J. AQUINO Overlook Hospital Summit, New Jersey Family Practice KENNETH M. BAKER Temple University Hospital Philadelphia, Pennsylvania Internal Medicine WILLIAM W. BARREN I«incastcr General Hospital Lancaster, Pennsylvania Family Practice MICHAEL BARNETT Western State Hospital Fort Steilacoom, Washington Psychiatry PETER J. BARBOUR Good Samaritan Hospital Portland, Oregon Rotating JAMES J. BERMAN U. California (Irvine) Affil. Irvine, California Internal Medicine MICHAEL BERNSTEIN Eye Foundation Hospital Birmingham, Alabama Ophthalmology DOUGLAS F. BERRY North Carolina Memorial Hospital Chapel Hill. North Carolina Surgery RICHARD H. BLUM George Washington University Hospital Washington, D.C. Internal Medicine KENNETH M. BO ROW Children's Medical Center Peter Bent Brigham Hospital Boston. Massachusetts Pediatrics — Internal Medicine CHARLES M. BOVA Medical College of Pennsylvania Philadelphia, Pennsylvania Rotating RICHARD L. BOVE Bryn Mawr Hospital Bryn Mawr, Pennsylvania Surgery HUGH W. BRALUER Lancaster General Hospital Lancaster, Pennsylvania Family Practice GARY E. BRAZ1NA Temple University Hospital Philadelphia. Pennsylvania Surgery THOMAS 0. BURKHOLDER Cooper Hospital Camden, New Jersey Internal Medicine JEROME W. BUZAS Abington Memorial Hospital Abington, Pennsylvania Family Practice GREGORY K. CALL Philadelphia General Hospital Philadelphia, Pennsylvania Psychiatry ELAINE D. CARROL Hospital of University of Pennsylvania Philadelphia. Pennsylvania Surgery SAMUEL T. CLAYTON Harrisburg Hospital Harrisburg, Pennsylvania Family Practice DANIEL H. COLLER Harrisburg Hospital Harrisburg, Pennsylvania Family Practice ANTHONY J. COMEROTA Temple University Hospital Philadelphia, Pennsylvania Surgery JAMES CONKLIN Wilford Hall Medical Center Lakland AFB, Texas Internal Medicine DAVID R. CRAWFORD Kaiser Foundation Santa Clara, California Internal Medicine MARK A. CREAGER University Hospitals Boston, Massachusetts Internal Medicine CHARLES CUTLER Temple University Hospital Philadelphia, Pennsylvania Internal Medicine LIBERATUS A. DE ROSA Springfield Hospital Springfield, Massachusetts Internal Medicine JOHN M. DE TRIQUET Naval Hospital Philadelphia, Pennsylvania Rotating DAVID C. DEI BERT Yale New Haven Medical Center New Haven, Connecticut Internal Medicine MICHAEL H. DIETZ Barnes Hospital Group St. Ia uis, Missouri Internal Medicine RICHARD J. DITLOW Reading Hospital Reading, Pennsylvania Surgery MICHAELJ. DOl.CHIN Temple University Hospital Philadelphia, Pennsylvania Internal Medicine FRANK J. DREWNIANY A.E.M.C. Philadelphia, Pennsylvania Surgery JOIIN R. DUDA University of Miami Affiliated Hospitals Miami, Florida Surgery DAVID EPPENHIMER Good Samaritan Hospital Phoenix, Arizona Rotating ARTHUR R. ERSNER Thomas Jefferson University Philadlcphia, Pennsylvania Anesthesiology MICHAEL E. ERVIN Temple University Hospital Philadelphia, Pennsylvania Surgery TED B. KSHBACH Abington Memorial Hospital Abington, Pennsylvania Surgery FRANK C. FAMIANO University of Virginia Hospital Charlottesville, Virginia Internal Medicine GERALD W. FERRY Reading Hospital Reading, Pennsylvania Rotating GARY S. FINKELSTEIN Abington Memorial Hospital Abington, Pennsylvania Surgery DAVID H. FISCHER Lankcnau Hospital Philadelphia, Pennsylvania Internal Medicine PAU K. FONG Meadowbrook Hospital East Meadow, New York Internal Medicine ALAN T. FORSTATER Mercy Hospital San Diego, California Internal Medicine BARRY L. FRIEDBERG Chestnut Hill Hospital Philadelphia, Pennsylvania Rotating- Medicine RALPH C. GALLO Children’s Hospital Philadelphia, Pennsylvania Pediatrics JAY J. GARCIA University S. Florida Affil. Hosps. Tampa, Florida Rotating JOSEPH W. GASTINGER Allentown Hospital Allen town, Pcnnsy Iva n i a Rotating CHARLES GERMAN Yale New Haven Medical Center New Haven, Connecticut Surgery ROBERT GINSBERG Temple University Hospital Philadelphia, Pennsylvania Internal Medicine STEVEN M. GOLDBERG U. Calif. (Irvine) Affil. Irvine, California Internal Medicine JOHN E. GOTTLIEB Temple University Hospital Philadelphia, Pennsylvania Surgery EDWARD G. GRANT Washington Hospital Center Washington, D.C. Internal Medicine BERNARD GROSSMAN Albany Medical Center Albany, New York Internal Medicine JUERGEN HAASE St. Mary’s I-xmg Beach Hospital Long Beach, California Internal Medicine JAMES C. HALEY University of Oregon Med. Portland, Oregon Family Practice ROBERT C». HALLENMEIER Abington Memorial Hospital Abington, Pennsylvania Internal Medicine SANDRA R. HARMON Thomas Jefferson University Philadelphia, Pennsylvania Family Practice KENNETH H. HARRIS Bryn Mawr Hospital Bryn Mawr, Pennsylvania Rotating ROBERT W. HARRISON Naval Pendelton California Family Practice PETER K. HARVESON Deaconess Hospital Spokane, Washington Rotating JACK A. HENRIQUEZ Allentown Hospital .Allentown, Pennsylvania RotatingPAUL HERMANN Central Maine Program Augusta, Maine Family Practice BRUCE A. HERSHOCK Latrobc-Jcffcrosn U. Aff. Latrobe, Pennsylvania Family Practice JOHN H. HOEVELER Monmouth Medical Center Long Branch, New Jersey Rotating DEBORAH HEVERLY Triplcr Army Hospital Honolulu, Hawaii Rotating-Surgery BRUCE I. HOFFMAN Medical College of Pennsylvania Philadelphia, Pennsylvania Internal Medicine WILLIAM E. HOOPER Roger Williams General Hospital Providence, Rhode Island Internal Medicine ROBERT HOULIHAN Hospital of University of Pennsylvania Philadelphia, Pennsylvania Otoloryngology STEVEN L. ISRAEL Medical College of Pennsylvania Philadelphia, Pennsylvania Internal Medicine CAROL M. JAKUBOWSKI Boston City Hospital Boston, Massachusetts Pediatrics GERALD S. JOHNSON Good Samaritan Hospital Phoenix, Arizona Surgery MICHAEL E. KAFRISSEN A.E.M.C. Philadelphia, Pennsylvania Ob Gyn AGNES KANE continue work for Ph.D. in Pathology HERBERT I. KATZ Abinton Memorial Hospital Abington, Pennsylvania Surgery STUART A. KENDALL Mary Hitchcock Memorial Hospital Hanover, New Hampshire Internal Medicine RHONDA KESSLER Brooke Army Medical Center San Antonio, Texas Radiology PETER T. KING Pacific Medical Center Presby. San Francisco, California Internal Medicine JOHN 1). KRISTOFIC Thomas Jefferson University Philadelphia, Pennsylvania Internal Medicine FREDERICK W. KURTZMAN University S. F'lorida Affil. Hospitals Tampa, Florida Rotating GEOFREY D. KUSCH Midland Hospital Midland, Michigan Family Practice PAUL S. LA FOLLETTE Chestnut Hill Hospital Philadelphia, Pennsylvania Rotating JOHN R. KEAN University Hospital Columbus Ohio Surgery LYNNE D. KITEI Medical College of Pennsylvania Philadelphia, Pennsylvania Psychiatry WILLIAM A. KNORR University of Iowa Hospitals Iowa City, Iowa Pediatrics GLENN S. KRATZER Allentown Hospital Allentown, Pennsylvania Rotating JOEL M. KREMER Albany Medical Center Albany, New York Internal Medicine KENNETH G. KREYE Tucson Hospital Ed. Program Tucson, Arizona RotatingJONATHAN D. LAWRENCE St. Mary’s Hospital Long Beach. California Rotating MARK R. LEAD BETTER University Hospitals Boston, Massachusetts Surgery RONALD I. LEBMAN A.E.M.C. Philadelphia, Pennsylvania Surgery STEVEN M. LEDERMAN Temple University Hospital Philadelphia, Pennsylvania Internal Medicine MICHAEL J. LEICHT Gcisinger Medical Center Danville, Pennsylvania Internal Medicine ROBERT E. LEVITT Temple University Hospital Philadelphia. Pennsylvania Internal Medicine WILLIAM E. LOMBARD Parkland Memorial Hospital Dallas, Texas Internal Medicine ROBER T D. LONG Allentown Hospital Allentown, Pennsylvania Rotating WAYNE Y. II. LUM Harrisburg Hospital Harrisburg, Pennsylvania Internal Medicine WILLIAM J. MARKMANN Geisinger Medical Center Danville, Pennsylvania Surgery THOMAS A. MARSLAND Temple University Hospital Philadelphia, Pennsylvania Internal Medicine JOHN J. MC CORMICK University of Michigan Affil. Ann Arbor, Michigan Pediatrics BRIAN F. MC INTOSH Williamsport Hospital Williamsport, Pennsylvania Family Practice ROSEMARY E. MC INTYRE Temple University Hospital Philadelphia, Pennsylvania Internal Medicine DELPHINE A. MC MASTER Western Pennsylvania Pittsburgh, Pennsylvania Internal Medicine SCOTT A. MELNICK Chestnut Hill Hospital Philadelphia, Pennsylvania Family Practice PAUL D. METZGER Washington Hospital Washington, Pennsylvania Family Practice ROBERT S. MEYER Shadyside Hospital Pittsburgh, Pennsylvania Family Practice JAMES E. MILDER Charles S. Wilson Memorial Hospital Johnson City. New York Rotating HAROLD J. MOHLER Cleveland Clinic Hospital Cleveland, Ohio Internal Medicine DAVID C. MOLL Allentown Hospital Allentown, Pennsylvania Rotating VERNON R. MORRIS Hospital of University of Pennsylvania Philadelphia, Pennsylvania Surgery FREDERICK J. NAHAS Temple University Hospital Philadelphia, Pennsylvania Surgery ROBERT S. NITZBERG Montcfiore Hospital Pittsburgh, Pennsylvania Internal Medicine DANIEL A. NORMAN Parkland Memorial Hospital Dallas, Texas Internal Medicine RICHARD K. O’HERN Wm. Shands Teaching Hospitals Gainesville, Florida Pediatrics SAMUEL D. PALP ANT Tucson Hospitals Educ. Program Tucson, Arizona Internal Medicine PE TE B. PANZER Harrisburg Polyclinic Harrisburg, Pennsylvania Internal Medicine JOHN E. PAPPAS University of Kentucky Medical Center Louisville, Kentucky Internal Medicine JOHN M. PARENTI Geisinger Medical Center Danville, Pennsylvania Surgery DAVID C. PEET Chestnut Hill Hospital Philadelphia, Pennsylvania Family Practice PATRICK PELLECCHIA Northeastern Hospital Philadelphia, Pennsylvania Rotating JANETG. PERRY St. Joseph’s Hospital Denver, Colorado Internal Medicine RICHARD PETERSON University of Illinois Affil. Hospitals Chicago, Illinois Internal Medicine DEANNA SPORK PORTE Abington Memorial Hospital Abington, Pennsylvania Internal Medicine JAMES J. PRESSLER Montefiore Hospital Center New York, New York Family Practice PETER J. RACCIATO Hospital of University of Pennsylvania Philadelphia, Pennsylvania Surgery DAVID M. RAFALKO Temple University Hospital Philadelphia, Pennsylvania Surgery DONALD P. RF.NALDO Pennsylvania Hospital Philadelphia, Pennsylvania Internal MedicineI’m cornin’ home I’ve done my time, now I’ve got to know whai is and isn’t mine Russel BrownSTEPHEN J. ROMAN Presbyterian University Pittsburgh, Pennsylvania Internal Medicine MICHAEL ROMASH Letterman Army Hospital San Francisco, California Surgery RANDY M. ROSENBERG Cincinnati General Hospital Cincinnati, Ohio Internal Medicine JEFFREY S. ROSE1T Allentown Hospital Allentown, Pennsylvania Rotating STEPHEN D. ROSSNER Grady Memorial Emory, Atlanta Internal Medicine CHARLES R. ROST Naval Oakland Oakland, California Internal Medicine VICTOR M. RUDKIN Montefiore Hospital Pittsburgh, Pennsylvania Internal Medicine FRANCIS A. SALERNO Reading Hospital Reading, Pennsylvania Rotating FRANCIS J. SCHAFER Montefiore Hospital Pittsburgh, Pennsylvania Internal Medicine ROBERT G. SCHIFF Hahnemann Medical College Hospital Philadelphia, Pennsylvania Radiology BARRY SCHNALL A.E.M.C. Philadelphia, Pennsylvania Surgery ROBERT P. SCHWARTZ Temple University Hospital Philadelphia, Pennsylvania Ob Gyn DENNIS M. SCULLY Hamot Hospital Eric, Pennsylvania Rotating ALLAN SEGAL Hospital of University of Pennsylvania Philadelphia. Pennsylvania Surgery LAMAR D. SEIBEL Crozier-Chester Medical Center Chester, Pennsylvania Rotating MARTIN SHANSKY Mount Sinai Hospital Miami, Florida Internal Medicine DAVID L. SHERSON Medical College of Pennsylvania Philadelphia, Pennsylvania Internal Medicine LESTER S. SHOAP George Washington University Hospital Washington, D.C. Internal Medicine ARNOLD J. SIMON Jewish General Hospital Montreal, Canada Family Practice HARRY W. SKYE Medical College of Pennsylvania Philadelphia, Pennsylvania Internal Medicine GEORGE H. SMALL Temple University Hospital Philadelphia, Pennsylvania Ob Gyn ELLEN F. SOEFER Children’s Hospital Pittsburgh, Pennsylvania Pediatrics JOHN R. SONNTAG Latter Day Saints Hospital Salt Lake City, Utah Rotating JOSEPH L. SPAAR Medical College of Pennsylvania Philadelphia, Pennsylvania Internal Medicine JAMES A. STAMAN Pennsylvania Hospital Philadelphia, Pennsylvania Internal Medicine ZIGMUND F. STRZEL.ECKI Geisingcr Medical Center Danville. Pennsylvania Rotating FREDERICK SUNDERLIN Geisinger Medical Center Danville, Pennsylvania Internal Medicine I LARRY T. TATE Temple University Hospital Philadelphia, Pennsylvania Surgery SUSAN M. TATUM Faulkner Hospital Boston, Massachusetts Internal Medicine WILLIAM F. TAYLOR Los Angeles Co., USC Ctr. Los Angeles, California Internal Medicine DAVID E. TEXTER Reading Hospital Reading, Pennsylvania Internal Medicine PHILIP E. THUMA Miami Valley Hospital Dayton, Ohio Rotating THOMAS R. V1GGIANO Presbyterian University Philadelphia, Pennsylvania Internal Medicine ALAN R. WEISS Albany Medical Center Albany, New York Internal Medicine ROSS A. WILSON Temple University Hospital Philadelphia, Pennsylvania Surge ry TFIADDEUS R. ZAJDOWICZ Reading Hospital Reading, Pennsylvania Internal Medicine PHILIP ZEIDNER Montreal General Hospital Montreal, Canada Family Practice JOHN W. ZIBREG Abington Memorial Hospital Abington, Pennsylvania Internal Medicine SHELDON ZITMAN Memorial Hospital Ix ng Beach, California RotatingStarry. Starry night, portraits hung in empty hails, framclcss heads on nameless walls, with eyes that watch the world and can’t forget. Like the strangers that you’ve met. the ragged men in ragged clothes, The silver thorn, the bloody rose, Lie crushed and broken on the virgin snow. And now I think I know what you tried to say to me. How you suffered for your sanity How you tried to set them free. They would not listen, they’re not listening still. Perhaps they never will. Don McLean Vincent The final months of medical school were climactic. Clerkships took second place in most peoples' lives. We waited. We waited in line for gas. We waited at the window to sec the newest crop of streakers. We waited for the latest government leaders to be indicted in Washington. We waited for the nurses to return from their one day walkout at Temple. We waited for the Exorcist to come. We waited for the magic envelopes of the internship-residency match. The day came. The tension and excitement mounted. Dr. Brigham spoke to our class as he did when we were oriented four years before. Dr. Smith waited in the Kresge Lobby with the envelopes. Some became so frantic they began pushing and screaming as they lost any touch of class they had. The envelopes were opened. The choices were made. Most were pleased if not overjoyed by what they saw. Celebrations were in order. So was a time for rest and contemplation. The yearbook team of Carrol, Coller, Gallo and Harmon worked frantically on the book in the one week they had to do it. It was over, finished. We waited for graduation—a conclusion to four years which helped to shape our lives and which brought us a little closer to answering the question-why be a doctor? It also raised many more questions, brought out many feelings, attitudes, revelations about not only health and disease—but about ourselves. The End... our confreres of the future. To these we leave our moments of anxiety, our days of uncertainty, our months of tension. We hope their association with Temple will, in the final analysis, prove as profitable to them as it has been to us. Skull 1938Jresliman Jerome Abrams Raymond Adams David Ambrose Carmen Angles Antoni Apostal Deborah August Louis Baxter Jon Bayer Edward Bellinger Alan Berger Dennis Berman Claire Bcrnardin Randal Betz Jack Biesenkamp Thomas Blake Jerome Boscia Eric Bray George Brett Bernard Brosky .Arthur Brown Earle Brown Edward Brown Bruce Brownstein Charles Buafo Ronald Buckley Albert Bundy Dell Bur key Harriet Busch Joseph Calderazzo Bennie F. Carter Beverly Carter Rene Casas Helene Cassclli Glcnwood Charles Harvey Cheng Kenneth Chicn Chinezc Chizea Ronald Clauhs Daniel Cohen Leonard Collins Christine Cook Stephen Cooper Michael Corbett George Costantino Fred Cox Joyce Cox Jay Crill David Csikos .Anthony D’Almeida Bruce Davidson Robert Davies Dennis Davis Nancy Day Joseph De Franco James DeMarco James Diamond Richard Dictrick Nicholas DiNubile James Dolan John Drcwniany Pamela Dyer Gary Drizin Carl Eiben David Finkel Andrew Fishmann Bruce Fitzgerald Lee Fletcher Jonathan Forman Robert Francis Cass Franklin. Jr. John Fraucns Patricia Gallagher Douglas Geisclman Genaro Gobantcs James Goodwin Marc Granson Harriet Graves Vaughan Graves Stuart Greene Marcia Gutowicz John Harley Eugene Harasym Aaron Ilasiuk Rochelle Hawkins Roland Hcidcnhofcr Gary Hess James Hinton Charles Hodge Richard Hoffcrman George Hoffman Evelyn Howanitz John Hughes Steven Idcll Frederick Jaecklein Charles Joseph Vicki Kalcn Karen Kalinyak David Kane Sally Kashing Ardella Kemmler Rex Kessler Kim Koo Christopher Koprowski David Krause Gary Krebs Andrew Krouskop Matthew Kuber Clifford Ladcr Wai-Ling Lai William Lear Gerald Leibowitz Con well Leinbach Donald Lewis Rayme Lichtcnbcrg Bruce Mabinc Robert Maguire Joseph Mariano Jeorge Martinez Joan Mass George Matuschak Carey Mayer David Maycrnik Thomas McDonald Mary' McLaughlin Corinne McMaster Deborah Mednick Stuart Miller Michael .Vlintzer Robert Mirro Josephine Montgomery Frank Moses Howard Njsh Susan Neubauer Peter Nicholas Elizabeth Okulski Wilson Otero John O’Toole Thomas Oven Brian Owens Glenn Panzer Frank Papacostas John F. Parker Thomas E. Peacock James Peipon Einily Penman Gwendolyn Perkins Susan Probst George Provost James Quattrochi Douglas Rabin Herman Reid Thomas Rhodes Howard Robinson Susan Rocdder Manuel Rosenberg Robin Rosenberg John Rubino Kenneth Rudolph William Schaaf Warren Schwarz Richard Selbst Steven Shelbst Bayinnah Shabazz Scott Sharetts Mary Shields Robert Shupak David Smith Karl Snyder Daniel Solinsky Francis Speidel Kwcon Stambaugh Vera Stewart Clary Toro Thomas Trachte Raymond Tuoti Gregory Vincent William Wanck Jack Wapner Evelyn Wiener Deborah Wilson Roy Wolfram Katherine Zerbe Paul Zubritzkyikipljomores; Stephen Alloy Joseph Ardito Mary Ann Bancrji Lincll Baylis Alan Berger Joanne Bernabei Randall Bcrtolette Francesco Bcuf Mary Bibro John Boyle Edward Brown Rodney Bryant Michael Buenaflor Richard Burns Michael Busch Joseph Candio Louis Capccci Marc Carp Kevin Casey Michael Charley Sherrie Chatzkel John Cicsielka Charles Clayton Stephen Colameco Arthur Colley Charles Cortinovis Joseph Cox Jeffrey Crass John Crawshaw John Crisanti Robert Cross Claxton Crowder Charles Dawkins Robert Debski George Deitrick Michael Dellavccchia Bruce Dershaw Alan Dorfman Alfred Durham Timothy Eckel Hilary Elonai Dwight Evans Larry Feldman Anthony Ferrara Sanford Fineman Michael Freemark David Fuchs Wendell Funk George Gammon Mary Gavula Barbara Giles Clyde Gilmore Jonathan Glauscr Park Gloyd Mitchell Gold Eric Goldberg Michael Gratch William Green Michael Greenberg Lee Greenspon James Griffith Sanford Guttler James Haney Thomas Harrington David Hartman Jeffrey Hassel Gerald Haykcn Nelson Henry Rosemarie Henry Gregory Heyl Richard Hines William Hunt George Hunter Charles Huston Edward Hutchison Gerald Jacobs How'ard Jollcs Ronald Joseph Franciska Katona Craig Keebler Frank King Loris King Mark Kramer Stuart Kravitz William Krug Michael landau Carol Laquer Oscar Laskin Stephen Lavinc Richard Lawinski Francis Lazorik Marc Lebed Gary Lcngcl Richard Levine Stephen Lipton James Littlefield Diong-Ong Low Daniel Lyons Richard Magee Carl Manstein James McClurken John McDay Gary McFadden Joseph McManus Robin Melnick Isaac Miller Kerry Miller Margaret Minchart Samuel Mogul Richard Moldowsky Laura Morgan Ray Morganti James Morris Marion Moses Gerald Myers Carl Nacht Thomas Neilson Barry Nelson Charles Nichtcr Alan Norbut Thomas O’Donnell James O’Malley Dagmar Oette Philip Oppenheimer Peter Penico Luzviminda Peredo Maria Perez Phyllis Perkins Gary Petrauski Gerald Piserchia Jeffrey Pollock Scott Polskv Eugene Porrcca Gerald Prcsbury Joseph Putprush Jeffrey Ritterman David Roby Kurt Ruht Kym Salncss Dennis Scardigli David Scoblionko Josepha Seletz Robert Selig Diane Shafer James Shepard Bernard Shore Robert Sigsbee Richard Silbcrt Cheryl E. Smith Charles Sninsky Robert Snyder Jason Solomon Hester Sondcr Paul Spurgas David Stanbcry Thomas Starkey Richard Stcchcl .•Man Stein Joel Steinberg Jeffrey Stritar Elizabeth Sun Carson Thompson Peter Tom Joan Travis Robert Vandcrslice Susan Vi tali Philip Waldor Ronald Waloff Robert Wasserstrom Barbara Wechsler Thomas Wein Charles White Owen Williamson Alan Wiser Charles Wolf Allan Wolpe Daniel Woody William Young Joseph Zehner David Ziegler3'umots Albert Abrams Alar. Adel man Stephen Ajl David Anstadt Terry Belles Barry Bender Brian Berman Judy Bembaum Joseph Bernheim Sanders Blakcney Barry Block Sandra Bloom Andrcy Blumbcrg Dennis Boyle Walter Brander Frank Braxton Daniel Brooks John Burkins Alan Burshcll Michael Cahalon Terence Carolan Paul Casey Jonathan Gilley Arthur Coville Steven Davidson Evelyn Davis Homer Davis Barry Denenbcrg Bruce Derrick Dennis DeVita James Duke Booth Durham Marcia M. Elson Mario Ercole Peter Fcdullo Nancy Ferchak Alfredo Fernandez Robert Folbcrg Richard Fox John Freehafer Judith Ganser Joseph Gcrgcr Robert Gcrric Sheldon Glcich Seth Glick Richard Golding Steven Goldman James Goodyear Ronald Goppold Michael Cornish Ellen Goudlock William Haaz George Hahn Stephen Hall Thomas Harakal Theodore Hetrick Bernard Hirsh Stephen Hoffcnbcrg Arthur Hoffman Mar ' Holmes John Hope David Horvath Nancy Howanitz Joel Jaffe Jon Jaffc Alan Johnson Eric Johnson Genevieve Jones Dale Joret James Kaltcnbach Marianne Lutz Kelly Charles Kimmelman Edward Kozakowski Richard Krcipe Joseph Kubacki Elliot Lang Stephen Landau Marc Landsbcrg Raphael Lee Louis Leo Alan Lingenfcltcr Robert Locffler Edward Lucerne David Mallams Jerome Marcus David Markellos Alan Maurer Jeffery Mazin Elbert J. McCoy Erin McKinley Louise Mehler Frank Melograna David Meyers Thomas Miller Joseph Mirro Geraldine Miskinis Joan Montello Joseph Morrison John Murphy Thomas Myers Harris Nagler Joel Newman Timothy Pagana Walter Panis Augustus Papandrca Elvin Parson, Jr. Arthur Pelbcrg Carol Ann Persons Mark Peterman Ray Peters Jeanne Pfeilsticker Alfred Pirone Robert Poilctman Douglas Raskin David Rees David Reid Edward Rensimcr William Richardson Leroy Roberts Tcrr ' Robbins Stephen Rockowcr Pamela Young Rogers Walter Rosenfeld Leonard Rubin Robert Rubin Barry Ruht Abram Schreiber Forrest Schuckcr Joseph Scogna Charles Scowcroft Constance Shadwick Mary Shannon John Siberski Reginold Simmons Samuel Simone George Sinclnik Barry Slaven Ralph Smith Peter Smolcns Martin Smukler Kenneth Spitalny Jay Springer Roy Stahlman Karen Starko Paul Stecrman Curtin Steycrs Stuart Stoloff Richard Strohmeyer Kurt Strosahl Paul Stubcr Joseph Subasic Robert Temcs Patrick Ticrno Alan Timmcke Angelo Tomcdi Barry Tonkonow David Tribble Donald Tschan Timothy Wagner George Warren Michael Wasco Norbert Wcidner Susan Wenger James Wcssman Ross Wexler Matthew Wiklcr Aston Williams Myma Williams Henry Wills Donald Wilson Edmund Wroblcwski Warren Zalut Eric Zelnick Jeffrey ZerbyPatnma Dr. : Mrs. Julius W. Ambrose Daniel Sc Esther Andron Dr. : Mrs. Henry Baird Mr. : Mrs. Melvin Baker : Krista Dr. : Mrs Arnold A. Bank Dr. Sc Mrs. William P. Barba II John B. Bar tram, M.D. Dr. Sc Mrs. James A. Batts. Jr. C. T. Bello, M.D. A. Bcrnabci, M.D. Dr. Sc Mrs. Abraham Bernstein Dr. Mrs. Lewis W. Berry Gustavus C. Bird, 3rd, M.D. George I. Blumstein, M.D. Mr. Sc Mrs. Willard Borow Mr. Sc Mrs. Vincent A. Bova Dr. Sc Mrs. John K. Brallier.Jr. Ita S. Brandman. M.D. Dr. Sc Mrs. George W. Brett, II Mrs. Anne M. Broskv Dr. Sc Mrs. Arthur E. Brown Dr. Sc Mrs. Edward H. Brown Mr. 8c Mrs. Thomas A. Burkholder Mr. Sc Mrs. Charles J. Buzas Dr. Mrs. Dee W. Call Mr. Mrs. Michael Carrol Dr. 8c Mrs. Paul R. Casey Mrs. Nellie F. Casselli Mr. Sc Mrs. William M. Charley A. Kent Christensen, M.D. Robert V. Cohen, M.D. Mr. Sc Mrs. Harold L. Collcr Mr. Sc Mrs. Leonard Collins Comprehensive Health Care Associates Episcopal Hospital G. S. Crouse, M.D. Domenico Cucinotta, M.D. Dr. 8c Mrs. Kenneth R. Cundy Dr. Sc Mrs. Alfred O. Davies Mr. : Mrs. Alfred Davis, Sr. Thomas deTriquet Edward, Carla, Patrice, and Gregory DcVita Mr. Sc Mrs. Edward A. DeVita Dr. Sc Mrs. Angelo M. DiGeorge Mr. Sc Mrs. Richard J. Ditlow, Sr. Dr. Sc Mrs. Gerald J. Dolan Mr. Sc Mrs. Frank J. Drewniany Mr. Mrs. Albert S. Ersner Francis E. Ervin Ervin Industrial Equipment Co. Emmanuel Farber, M.D., Ph.D. Dr. Sc Mrs. W. G. Figueroa, M.D. Dr. Sc Mrs. Albert J. Finestone H. Keith Fischer, M.D. Dr. Sc Mrs. Marvin L. Fishmann Mr. Sc Mrs. Mon Doo Fong Dr. Mrs. Simon Forman Mr. Sc Mrs. John J. Fuchs Mr. 8c Mrs. Charles Gallo Mrs. Rosa Garcia Joan H. Gault Mr. Sc Mrs. Simeon Gavula Geisinger Medical Center Paul Gerber, M.D. Dr. 8c Mrs. Abraham Ginsburg Dr. Mrs. I. W. Ginsburg Dorothea Daniels Glass, M.D. Dr. Sc Mrs. Abraham Click Dr. Mrs. Park W. Gloyd Mr. : Mrs. John Goodwin Mr. Mrs. Sidney B. Gornish Albert Sc Helen Greene G. R. Haase, M.D. Mr. Mrs. Jerome F. Haaz Dr. Sc Mrs. John H. Hall Dr. 8c Mrs. Robert H. Hamilton Mr. Sc Mrs. Michael Harakal Eugene D. Harasym Mr. Sc Mrs. Paul L. Harley James S. C. Harris, M.D. G. C. Hcnny, M.D. Mr. 8c Mrs. Joseph F. HeverlyMr. Sc Mrs. Charles Hoffman Mr. Sc Mrs. David A. Horvath, Sr. Mr. Sc Mrs. Peter Howanitz John Franklin Huber, M.D. Dr. II. J. Isard Mr. Sc Mrs. Theodore Jakubowski Waine C. Johnson, M.D. Mr. Sc Mrs. Glenn R. Kean Dr. Norman Kendall Richard A. Kern, M.D. John A. Kirkpatrick, Jr., M.D. Morton Klein, M.D. Mrs. Paul A. Knorr Irena Koprowska, M.D. Mr. : Mrs. Robert Krebs Mr. Sc Mrs. Martin Krcmcr Marc S. Lapayowker, M.D. Vincent VV. I-iuby, M.D. Norman Learner, M.D. Mr. Sc Mrs. Frank M. Lebman Mr. Sc Mrs. Julius Lederman Sc Family Walter J. Levinsky, M.D. Sidney Sc Frieda Levy Dr. Sc Mrs. Gilbert A. Liss Mr. Sc Mrs. Edward L. Lombard Rev. Mrs. Alfred L. Long Stanley H. I rber, M.D. Dr. : Mrs. Edward R. Lucente Dr. Sc Mrs. W. A. Lyons Donald N. Mac Vicar, M.D. Mr. Mrs. Victor Marcus Victor J. Marder, M.D. Mrs. Thomas Marsland John H. Martin, M.D. Mr. John J. McCormick Dr. : Mrs. M. T. McDonough Mr. Mrs. Keith McIntosh Mr. Mrs. Robert S. McIntyre Department of Medicine—Episcopal Hospital Dr. Sc Mrs. Leon M. Meyers Dr. John R. Minehart Mr. Mrs. Kenneth Miskinis Dr. : Mrs. Vernon Morris, Sr. Mr. Sc Mrs. Hugh L. Meyers Mr. : Mrs. Fred J. Nahas J. Lawrence Naiman, M.D. Etta - Richard Nussbaum Dr. : Mrs. Charles A. Papacostas Augustus Papandrca, Sr. Mr. : Mrs. John Parenti Mr. Mrs. Charles S. Paxson. Jr. Dr. : Mrs. A. R. Pealc Patrick E. Pcllccchia, M.D. Mr. Mrs. Anthony Pinto Catherine Pinto Mr. : Mrs. Charles Pinto Mr. : Mrs. Alfred Pirone Robert S. Pressman, M.D. Mr. Sc Mrs. George L. Provost. Jr. The Purdue Frederick Company Mr. Sc Mrs. Peter Racciato Radiology Department, Germantown Hospital Dr. Sc Mrs. Robert B. Raskin Dr. Sc Mrs. Marcus Rcidcnbcrg Mrs. Mary F. Ronaldo L. Rodriguez-Peralta, M.D. Fred B. Rogers, M.D. Mr. Sc Mrs. Joseph M. Roman. Sr. George P. Rosemond, M.D. Dr. : Mrs. Irving Rosenberg Dr. Sc Mrs. Albert M. Roseti Mr. Mrs. Earl A. Rost Mr. Sc Mrs. Earl Rost, Jr. Dr. Sc Mrs. Morton Rubin Mr. Sol Rudkin Mr. : Mrs. Francis A. Salerno Mr. Mrs. George E. Schenck Dr. Sc Mrs. Michael Scott Ronald Scowcroft Mr. : Mrs. Maxwell Segal Dr. Roger W. Sevy Mr. Sc Mrs. Charles H. Shepard Dr. Sc Mrs. Jacob S. Sherson Sidney Shore, M.D. Oscar Sc Cecelia Simon David S. Smith, M.D. Dr. Sc Mrs. Hugo Dunlap Smith William Davy Smith, M.D. Rcnate L. Soulen, M.D. Harry H. Staman Mr. Sc Mrs. Ernst F. Strosahl Mrs. Josephine P. Subasic Dr. Mrs. Robert M. Swenson Mr. Sc Mrs. Gerald L. Tate, Sr. Mr. Sc Mrs. George B. Tatum Joseph J. Tcrnes Sc Family Joseph U. Toglia, M.D. Jose Alfredo Toro Raymond C. Truex, M.D. Mr. 8c Mrs. Armand Tuoti R. Robert Tyson, M.D. Victor C. Vaughan, M.D. Mr. Sc Mrs. David Volpe Walter E. Wanck, O.D. J. Donald Wargo, M.D. Dr. Sc Mrs. Paul M. Warner Wayne Co. Memorial Hospital Mary P. Wiedeman, Ph.D. Dr. 8c Mrs. A. R. Wilson, Sr. I wis R. Wolf, M.D. Ophth. B.S., F.A.C.S. Henry Woloshin, M.D. Dr. Mrs. Joseph Wolpc Mr. Sc Mrs. Florian J. Zajdowicz Burton : Helen Zehner Dr. Mrs. G. Frank Zerbe Dr. 8c Mrs. Ia?onard ZubrzyckiBEST OF LUCK TO CLASS OF 74 DR. MRS. JOHN T. COMERCI BEST OF WISHES TO DR. SHELDON ZITMAN COMPLIMENTS OF: GANTRY AND GEIGER ROADS PHILADELPHIA, PENNSYLVANIA 19115 PRINTERS OF THE 1974 SKULL DOOOOOOOOOOOOOOOOOOOO D ° 0 o WITH BEST WISHES Q 3 TO THE CLASS OF 1974 O FROM THE MEDICAL STAFF 0 ° OF THE LANCASTER GENERAL O O HOSPITAL DOOOOOOOOOOOOOOOOOOOO Dedicated to the discovery development manufacture and distribution of pharmaceutical produ in support of the medical profession 4 ORTHO PHARMACEUTICALS Raritan. New Jersey 08869 Bio-Science Laboratories Philadelphia Branch Specialized Diagnostic Laboratory (1 11 Testing for Physicians and IIIII Hospitals vUUv WITH BEST WISHES 114-116 So. Eighteenth St. Philadelphia, Pa. 19103 TO THE CLASS OF 1974 LOcust 1-6900 THE DEPARTMENT OF MEDICINE BEST WISHES TO THE CLASS OF ’74 MENDEL MENDELSOHN-LUBECK CO. GEORGE H. LUBECK, C.L.U. Congratulations on achieving your M.D. Degree We are indeed happy and proud that you are about to become fellow members of a most exclusive organization. Our medical school has an outstanding teaching staff, curriculum, and student body, and the single most important source of energy for sustaining that fine edge of excellence is that group of M.D.’s who appreciate the distinction of being Temple University School of Medicine alumni. The Medical Alumni Association of Temple University Ufa TEMPLE UNIVERSITY SCHOOL OP MEDICINE fefeull 1974

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, 1971 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1972 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, 1975 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1976 Edition, Page 1


Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1977 Edition, Page 1


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