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

 - Class of 1978

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Temple University School of Medicine - Skull Yearbook (Philadelphia, PA) online yearbook collection, 1978 Edition, Cover

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Text from Pages 1 - 360 of the 1978 volume:

“In the practice of medicine, the demand has gone far beyond the supply... The need for both men and women in the duty of healing disease grows apace” The New Day (3 1904) Russell H. ConwellDedication May 25, 1978 Fellow Students of Medicine: It is the privilege of the Class of '78 to dedicate our Skull to Herbert S. Waxman. adding his name to the impressive list of recipients. Our encounters with Dr. Waxman, educationally and personally, make him a logical choice for this honor. Allow the following to stand in support for our selection. Dr. Waxman's background was unknown to most of us since his modesty at least matches his intellectual abilities. He could not disguise however, his Boston accent! A native Bostonian and a graduate of the Latin School there, he was elected to two honorary societies. Phi lamda Upsilon and Sigma Xi while completing a B.S. in Food Technology at M.l.T. However, a summer research project in amino acid analysis had taught him that he "didn't want to live life in the lab" (or in the kitchen!), so he fulfilled his premed requirements in anticipation of a clinical career. He went on to graduate magna cum laude in 1962 from Harvard Medical School after recognition as a National Scholar for three years, and serving as President of Alpha Omega Alpha following a junior year appointment. Apparently even for Harvard medical students, events in one's life are dated from the 8oards, for Dr. Waxman recalls that he married his wife Paula, a school teacher, "the weekend after Part I!" His accomplishments at 4Harvard led to the natural choice of Massachusetts General Hospital for his Internship and Assistant Residency years in Medicine, after which he was sent for two years by Uncle Sam to the N.I.H., where he was assigned by lottery to a biochemistry laboratory active in globin synthesis. In addition to his contributions as a Research Associate in the laboratory there, Dr. Waxman also held an appointment as Clinical Instructor of Medicine at George Washington University School of Medicine. In 1966 he returned to Massachusetts General to complete his medical residency. The following year he served as Ward Fellow in Hematology and Trainee in Medicine 3t Barnes Hospital in St. Louis and he came from there to Temple. His appointment in 1968 was Assistant Professor of Medicine, and Investigator at the Pels Research Institute. Three years later he was named Associate Professor and Deputy Chairman of the Department of Medicine. His research on blood disorders, productive of nine papers on red cell physiology, saw practical application in clinical programs for sickle cell anemia and related disorders which he helped develop within the Greater Delaware Valley Regional Medical Program. In 1973, his contributions to medical students' education was recognized with the Christian R. and Mary F. Lindback Foundation Award for Distinguished Teaching. He was named Professor of Medicine in 1975, and was made Chief of the Medical Service at T.U.H. the following year. Appreciation for, and recognition of Herb Waxman's achievements extend well beyond Temple. A Diplomate of the A.B.I.M. in Internal Medicine and Hematology who has written several chapters on anemia for medical texts, he is a Fellow of the American College of Physicians. His record bespeaks achievement in many aspects of medicine, an accomplishment few could hope to match in a lifetime, much less at the tender age of forty-one! Despite his dedication to medicine, his first love could always be found outside the hospital, his family - wife Paula, Children Matt. Marcy and Eric. Dr. Waxman's home life drew as much of his attention as a difficult diagnostic case. Books are abundant throughout the house, especially Dr. Waxman's favorites, mysteries, evidenced by the only non—medical photos in his office. Few of us knew what an accomplished physician stood before the Freshman class when Dr. Waxman presented a patient with sickle cell anemia during a biochemistry clinical correlation. His presentation of the patient and her disease was of a calibre few clinicians, we were later to learn, could match. He thoroughly explained the biochemical defect, its physiological implications and the consequences, both medical and social, of the disease on the life and life-style of his patient. His presentation, reflective of his practice of clinical medicine, was concise but thorough, well-organized and demonstrated sensitivity to his patient and her life-style. Our next encounter, of a different kind, was the following autumn during a panel discussion of the grading systems. Dr. Waxman contributed some insights into the value of above average grades if one is pursuing a competitive residency. Although it was an unpopular stance, it was one echoed frequently during the clinical years. Our most intimate relationship with Dr. Waxman developed during the Clinical Medicine course he developed and organized in the spring of 1976. His contributions to our education therein were manifold; as a lecturer in Hematology, as a discussion leader in Clinical Problem 5rWHVTES TO HERBFRT S. WAXMAN.M.D. I TCW C IM 5US r Wa i ®»t o KiB'CaC i 'OCWr «o n Amncunx c tow comneuncns to im cducaikw v rK»«a» rtAMno ot sficuusr . uw o» c asta awi c isx«!» ‘ .51 »W HERBERT S.WAXMAN.m.o. Solving and less formally, as a class therapist who spent much energy trying to dispel the Clinical Medicine—Pharmacology-National Boards Part I terrors that periodically gripped the class! Despite his other responsibilities as Chief of the Medical Service at T.U.H., Dr. Waxman attended most, if not all, of the Systems Disease I lectures, a marathon by his own admission, and lie probably deserved not only attendance, but also arousability awards! Throughout the course he encouraged and actively solicited student feedback to the extent that for one week each student wrote anonymous evaluations of content and style for each lecture attended. Through his initiative, the course was grossly modified for the following class but apparently at the expense of several personal friendships! Despite some problems with the course, there were some lighter moments . . . The day Dr. Waxman performed an H P before the class he carried his instruments not in a spiffy black monogrammed satchel, but North Philadelphia style, in a brown paper grocery bag! During the Cardiology lecture, he related the following anecdote - Apparently one day on rounds, a patient who had recently suffered a myocardial infarction but who was recovering nicely and who was about to be discharged, asked his doctor whether he could have coitus when he got home. The question was a real stumper for the attending, who adjourned his following to the hall for a conference. After some discussion, the attending concluded, "The question really boils down to whether sex can be considered work or pleasure. In my experience, sex is approximately three-fourths work and one—fourth pleasure." The resident thought that sex was as much work as it was enjoyment, but the intern felt that there was considerably more fun than work involved and volunteered 75% and 25% as his respective estimates. With no agreement on the issue, they all turned to the medical student for an answer. "Obviously, sex must be all pleasure." he asserted with a wink, "for if there were any work involved, you guys would be having me do it1" As the Chief of the Medical Service. Dr. Waxman was actively involved in the administration of the clinical rotations in medicine. Med I and Med II. On an academic level, he contributed personally by conducting Professors Rounds, and through his additions to the CPC and Grand Rounds sessions. On the floors we found him to be a clinician who could be stopped in the hall and informally consulted, one who was eager to teach without intimidation. He started the day at 7:00 a.m. by seeing his inpatients and promptly answered formal consults in person. Described by one faculty member as a "modest genius,” he has a remarkable ability to look at all the parts of a problem, clinical or otherwise, simplify it and work out a solution, differential diagnosis, treatment plan, or whatever the situation demands. Dr. Waxman was not one to be entrenched in an ivory tower. He came forth willingly when needed for even the most routine of tasks. He did procedures (I.p.'s, bone marrows, etc.) on patients when others had tried and failed. During the strike, he volunteered in the mail room and in the kitchen ... at last, an opportunity to use that M.l.T. Food Technology degree! During the blizzard of '78, one medical intern from the class of 'll remarked over dinner that while other attendings were ensconced securely at home or in their offices, "Waxman would be here, behind the serving line." Dr. Waxman's announcment during the Systems Disease II course of his impending September departure took us by surprise. That he could leave while carrying so many teaching, clinical and administrative responsibilities was hard to believe. Although he left Temple early in our last year, he did not leave us in "mid—stream," for during the summer he freely advised students seeking residencies in medicine, wrote letters of recommendation promptly when asked and encouraged students to apply to his program CHAIRMAN. DEPARTMENT oF MEDICINEin Springfield, Mass. "Yes," he proclaimed one afternoon last spring, "you can learn clinical medicine in the foothills of the Berkshires!" His departure, surely one of Temple's greatest losses, was understandable, for he deserved the recognition that a Chairmanship would bring him. His Bostonian heritage and his fondness for New England made Bay State Medical Center in Springfield an easy choice among the numerous institutions which offered him Chairmanship positions. Although he has departed for New England, his contributions at Temple remain. The Med I rotation is one of the most well- organized of the junior year, the Clinical Medicine course is now one of the most popular of the sophomore year and the Department of Medicine boasts not only the finest residents, but also one of the most efficient administrative systems in the hospital. Shortly before his departure, when reminded that he would be missed and his absence felt, he remarked that it was a faulty notion that an individual, even himself, was irreplaceable. It was his feeling also that within a short time that if his name were mentioned, the response would be something like, "Herb Waxman? Who is he7" Well, his modesty deceived him on both scores! In a sense, he was "replaced,” but not with one person but rather with five or six trying to carry out. with some difficulty, the duties he assumed alone. Forgotten? Hardly! Students, faculty members and laboratory and administrative staff all volunteer superlatives in describing his personal and professional qualities whenever his name is mentioned. All, too, are excited by this yearbook dedication. Not only are they happy that he was recognized by the students he served, but they hope to see him again at graduation. We hope that he will accept this dedication as a token of our appreciation for his efforts in making our medical education the fine experience that it has been. A.O.J. - 12 Feb 78 7Temple Now Kresge Science Hall, Medical Research Building and the Old Medical School A yearbook is many things to many people, tor it is both a personal and a public book. For any graduating class a yearbook is always very personal. For them it is primarily a collection of memories of their sojourn through the school. But a yearbook is read by many people in addition to the graduating class and it soon becomes a part of the school itself. In this way, a yearbook is very public. Therefore, it should have a theme which is of interest to both its personal and public audiences. The editors of Skull 78 have chosen the theme of Temple Now and Then. Within the pages of this book are its public and personal aspects: the history of Temple University Hospital and the School of Medicine, the spirit of Temple Now, as created by its faculty, staff and students and the personal story of the Class of 1978. 8 Student Union-Continuing Education BuildingExcavation site for the new hospital Parkinson Pavilion Main Hospital Building 9Temple Then Ambulance Corps of Samaritan Hospital We stand for a moment, like those who pause upon a mountain path, and gaze downward to the valley they have left below and upward to the heights above that allure to further effort. We have been brought to our present point by powers we know not of, but whether ogr feet shall ever stand upon those high and lonely levels depends upon ourselves. We are like voyageers when the harbor dangers have been safely passed, the pilot dropped, and the ship heads out to sea. From now on, the voyage is our own: ours the task of making it a joy; our to prepare to weather the unfeeling, destructive storm,-ours to find in the pageantry of Nature and in comradeship with our fellows a sufficient inspiration. from "Words of Aspiration" Arthur Wakefield Staten 10Main Hospital Building These words of Arthur Wakefield Staten create a strong sense of time and movement. Staten has captured both the feeling of the onward movement of time and the essence of one special moment within that time bv creating the image of a voyager who, while in the midst of an arduous journey, pauses for a moment to reflect back upon that which has already been completed and to ponder what lies in the future. Such a moment is indeed special as it evokes both a feeling of pride in what has been accomplished and overcome and also a sense of excitement and perhaps a little trepidation in contemplating what lies ahead. Temple University Hospital and the School of Medicine have been on a journey for over seventy-five years now. From their small beginnings, they have overcome many obstacles and have grown into a large and respected institution. You will find their histories recorded in the following pages, and you will see who and what are a part of Temple's past and its present. The Class of 1978 has also been on a journey. For the class, the journey began in September, 1974. It spanned four busy years and, in a sense, it ends in May, 1978. For each individual, however, the journey began in the more distant past, and the end is nowhere in sight. These four years have been only a beginning, and each of us will now continue on his own journey. As we stand on the brink of our careers, we are precisely at the point of which Staten speaks. Come with us now and share our four years. For this is our moment. 11 Babcock Surgical AmpitheaterPhiladelphia Medical History It was an era of new beginnings, new thoughts and unique ideas. Europeans from all walks of life had come to the New World to start life afresh. In 1681, William Penn acquired the province of Pennsylvania from King Charles II of England as a place where his fellow Quakers could enjoy freedom of worship and a chance to govern themselves and develop their own way of life. Penn sent his cousin, William Markham, to lay out the city named Philadelphia, city of "brotherly love," the name symbolizing his idealistic concepts. Since its beginning, Philadelphia has been a leader in the economic, intellectual and cultural development of this country. Medicine in Philadelphia has proved to be no exception to this rule. Among its many firsts. Philadelphia was the home of the first hospital and the first medical school in the nation. Philadelphia has also produced more than its share of famous physicians. The city can also boast of four medical publishing houses and even a world-famous artist whose interest in medicine and anatomy led him to capture on canvas moments and persons important in the History of Medicine in Philadelphia. Born in 1706, Benjamin Franklin has proven to be the most famous citizen Philadelphia has ever had. Franklin was involved in every aspect of the city's life, including medicine. In 1751. he and Dr. Thomas Bond were responsible for the establishment of Pennsylvania Hospital, the oldest hospital in the nation. The hospital was founded to help the poor and the mentally ill. Initially, mental patients comprised approximately one—third of the total patient population, and conditions at the hospital were considered advanced and humane for the 18th century. Dr. Benjamin Rush, a member of the staff, was considered "well in advance of his time in regarding insanity as a form of disease rather than a divine visitation." The hospital also had the first out-patient service and was considered Hospital of the University of Pennsylvania a pioneer in giving treatment to all races. It has the oldest existing ampitheatre in N. American, and its historical library houses the oldest collection of medical books in the U.S. In 1765, formal medical education began in America, and it did so in Philadelphia. In the 18th century, wealthy young men desiring to study medicine traveled to the medical centers of Europe: London, Leyden, Paris or Edinborough. Most Philadelphians went to Edinborough which was noted especially for its lectures. Founded in 1765 and modeled after the University of Edinborough, the School of Medicine of the University of Pennsylvania was the first medical school in the U.S. The first graduating class of ten men graduated in 1768 with the degree of Bachelor of Medicine. By 1825, it was teaching one-fifth of the nation's medical students. D. Hayes Agnew, subject of Thomas Eakins' {Minting "The Agnew Clinic," joined the faculty in 1870 and became one of the first surgeons to adopt asepsis in the OR. The school notably contributed to the late 19th century reform in medical education when the Hospital of the University of Pennsyl- Pennsylvania Hospital vania was established, making bedside teaching an essential part of education at the school. Opened in 1874. the hospital of the University of Pennsylvania was the first general hospital in the U.S. expressly designed and built by a university to provide bedside teaching facilities for its medical students. With the coming of the American Revolution, medical progress was at a temporary standstill. At the medical school of the University of Pennsylvania there were no graduates from 1774 until 1780. and except for 1777-78, the courses were much shortened. Such important members of the school's faculty as John Morgan, Benjamin Rush and William Shippen. Jr. were members of Washington's army. William Shippen, Jr„ generally credited for having first had the idea of establishing a medical school in Philadelphia, served as chief of the Medical Department of the Continental Army. During the occupation of Philadelphia. the British under General Howe used Pennsylvania Hospital to care for their sick Children's Hospital The College of Physicians of Philadelphia 12Hahnemann Medical College and Hospital and wounded. Philadelphia General Hospital, first founded as an almshouse in 1732 and known as the Bettering House at the time of the Revolution, was temporarily used by American soldiers during 1776 until Congress could make further provisions for them. At different times. Carpenters Hall was used as an infirmary by both the British and Continental armies. Likewise, Washington Square served as a burial ground for both armies. Once the Revolution was over, medical progress continued. Lea and Febiger, established in 1785. is both the oldest publishing house and the oldest medical publisher in the U.S. The first medical book published by the firm was a pamphlet on rabies dedicated to Dr. Benjamin Rush and a treatise on the care of infants. By 1830 the firm was publishing eighteen medical books and by 1845, nearly sixty. Since 1859, it has been the publisher of the American edition of Gray's Anatomy. The College of Physicians of Philadelphia, established in 1787 and modeled after the Royal College of Physicians in London, is the oldest institution of its kind in the U.S. It was founded "to advance the Science of Medicine and thereby to lessen Human Misery, by investigating the diseases and remedies which are peculiar to our Country: Thomas Jefferson University School of Medicine and discussion of papers on medical, surgical and allied subjects. It houses one of the largest medical libraries in the U.S. with more than 275,000 volumes including over 10.000 books printed before 1801. Dr. Benjamin Rush was a prominent Philadelphia physician who served the city in many ways. He was one of five doctors to sign the Declaration of Independence and was also a delegate to the Second Continental Congress. He was a member of the staff of Pennsylvania Hospital and was on the faculty of the School of Medicine of the University of Pennsylvania. One of his great contributions to the city came in 1793 when Philadelphia was hit by a yellow fever epidemic. During this epidemic, when 20.000 fled the city and more than 4.000 died. Dr. Rush stayed and tended the ill and dying with little help. One person who did stay was Matthew Carey, the founder of Lea and Febiger. Carey wrote his own account of the epidemic and later published Rush's report. Rush is also known for his contributions in the field of psychiatry. His Medical Inquiries and Observations Upon the Diseases of the Mind published in 1812. was the first American treatise on psychiatry and Rush is often called "the Father of American Psychiatry." The early 1800's saw the growth of many more important medical institutions within the city. In 1817 Friend's Hospital, the oldest private psychiatric hospital in the U.S., was opened. The Philadelphia College of Pharmacy and Science, the first institution of its type in the Western Hemisphere, was organized in 1821. Wills Eye Hospital, the first hospital in the Western Hemisphere specifically devoted to the eye and the third hospital of any kind to be established in the city, was founded in 1832. In 1824 Philadelphia gamed a second medical school, a distinction then shared by neither Paris nor London. Jefferson Medical College was founded by George McClellan, M.D., a graduate of the University of Pennsylvania Medical School. Dr. McClellan had been giving lectures in Cannonsburg, Pennslyvania. then the home of Jefferson College (now Washington and Jefferson University). In June, 1824 he began teaching in Philadelphia. This addition to Philadelphia medical education was, however, not welcomed by the University of Pennsylvania who sent a deputation to Harrisburg to inform the Legislature that Dr. McClellan's school had no authority to grant M.D. . . ." An independent medical society without formal affiliation with any local or national medical school or society, it is a scientific body dedicated to the reception Temple University School of Medicine The Medical College of Pennsylvania 13degrees since it was only a branch of Jefferson College. Unruffled by Penn's claims, the Legislature granted Jefferson its charter. Harrisburg's only concern was whether Philadelphia could support two medical schools — a feat which even New York had been unable to successfully accomplish. Oespite the opposition to it. Jefferson flourished and by 1845 it had a larger enrollment than the University of Pennsylvania. Between the two schools, they educated one in every four doctors in the U.S. during the 19th century. In February. 1848. Drs. Jacob Jeanes. Walter Williamson and Constantine Hering met to establish a college of homeopathy and as a result of their meeting, the Homeopathic Medical College of Pennsylvania in Philadelphia was opened on October 16, 1848. In 1869 it merged with another small medical college to become the Hahnemann Medical College, named for Samuel Hahnemann, an early exponent of homeopathy. Homeopathy was never the sole method of treatment taught at the college. It was instead, a supplement to the orthodox curriculum. In 1885 the Homeopathic Medical Hospital, chartered in 1874, merged with the Hahnemann Medical College and Hospital. In 1850, The Female Medical College of Pennsylvania was established through the efforts of Mr. William J. Mullen who believed "women needed not grudging admission to co-educational colleges but a medical college of their own." Prior to the establishment of the medical college, women who wished to study medicine were forced to do so in doctors' offices under tutelage, rather than in a medical school. Such precept orships, while preferable to no medical education at all, were hardly the best way. When the first graduation was held on December 30. 1851 at Musical Fund Hall, Jewish Hospital, now known as Albert Einstein Medical Center, Northern Division During the Civil War there was a great shortage of qualified surgeons and Dr. Samuel Gross, a Jefferson graduate of 1828, wrote A Manual of Military Surgery which was widely used by both Union and Confederate military doctors. Dr. Gross, generally acknowledged as the greatest physician Jefferson has produced, occupied chairs in four medical schools and was extremely influential in the development of surgery during the 19th century. He was immortalized in the painting by Thomas Eakins, "The Gross Clinic." the action was so controversial that 500 male medical students and their friends protested the ceremonies and threatened to interrupt them. Fifty police were needed to cordon off the Hall while the eight yaduates received their degrees. By 1867 the college had changed its name to the Woman's Medical College and in that same year, Rebecca Cole became the first black woman to graduate from the college and the second in the U.S. In 1969 the college accepted men for the first time, and in 1970 it changed its name to the Medical College of Pennsylvania. An old delivery chair Philadelphia has long been a leader in the field of pediatrics. Children's Hospital, founded in 1855, is the oldest children's hospital in the U.S. Its establishment was inspired by a visit to the Hospital for Sick Children in London by Dr. Francis West, one of the founders of Children's Hospital. Started as a charity hospital, it was not long before the introduction of specialties began: surgery in 1870. a clinic for eye treatment and diseases of the ear in 1873 and one for the nose and throat in 1892. Important members of its staff have included Arthur Vincent Meigs, founder of the American Pediatric Society, and Dr. Alfred Hand, who in 1893 was the first to describe what is now known as the Hand-Christian-Schuller Syndrome. In 1875 St. Christopher's Hospital for Children began as a one room dispensary, a tiny beginning for an institu- 14Memorabilia from The College of Physicians of Philadelphia lion destined to become a world leader in the field of pediatrics. The last half of the 18th century saw the establishment of three more medical publishing houses within the city. The J.B. Lippincoit Company has been a medical publisher for over a century and since 1897 it has published The Annals of Surgery, the oldest exclusively surgical journal in the world. The F.A. Davis Company established in 1879. is the third oldest publishing house in the city. The W.B. Saunders Company, founded in 1888, is the world's largest publisher in the health science field. In 1890 it began publishing the American Illustrated Dictionary (now Dorland's Illustrated Medical Dictionary), undoubtedly the most widely used medical book evet published. Thomas Eakins, now acknowledged as one of America's greatest artists, was for most of his life outside the then -mainstream of American art. Eakins had a life-long interest in anatomy and the medical profession. At one time he studied at Jefferson and historians are agreed that the thought of pursuing a medical career was in his mind. His "Portrait of Dr. Gross," now known as "The Gross Clinic," is undoubtedly one of the great medical paintings of all time. The finished portrait — of an operation to remove 3 piece of bone diseased by osteomyelitis - caused a sensation. Philadelphia took offense as sensibilities were outraged. It was acquired by Jefferson Medical College in 1878 for $200. Today it is worth millions. "The Agnew Clinic,” the other great surgical painting by Eakins. hangs in the medical school of the University of Pennsylvania. It was commissioned by a class of students of D. Hayes Agnew. The students, in a display of appreciation for their preceptor, presented it to him at the Academy of Music on May 1, 1889. Eakins also did many portraits of Philadelphia physicians. Both the Pennsylvania Academy of the Fine Arts and the Philadelphia Museum of Art have extensive Eakins collections of a non—medical nature. A doctor's office from out of the past Old 'Skull' Editors don’t die, they just get locked away in cabinets 15The turn of the 20th century saw the establishment of two more medical schools. Founded in 1898, the Pennsylvania College of Osteopathic Medicine is the largest of the nine osteopathic medical colleges in the U.S. and is the ninth largest medical school in the country. In 1909 it became the first osteopathic college to present a full, compulsory four—year course of study, and in 1911 a charter was obtained for an osteopathic hospital. Temple University School of Medicine was founded in 1901 as the nation's first evening medical school. Throughout the 20th century, medical progress has continued to be made in the city of Philadelphia. All of the city's medical schools have flourished and grown with the times. They continue to educate increasing numbers of students, provide much needed patient care and make important contributions in medical research. Both Children's Hospital and St. Christopher's Hospital for Children have grown into world renowned leaders in the field of pediatrics. Among the medical institutions founded in this century are the Pennsylvania College of Optometry, opened in 1919 and the Pennsylvania College of Podiatric Medicine, established in 1960. Important Philadelphia contributors to 20th century medicine have included William Williams Keen, the first American neurosurgeon; John H. Gibbon who worked to perfect cardiopulmonary bypass; and Chevalier Jackson who at various times, held chairs in five of the city's medical colleges and who was responsible for having President Cool.dge sign the Federal Caustic Poison Law which put the skull and crossbones on labels of dangerous bottles in American medicine chests. 1 16Old Medical School TUMS History Although both Samaritan Hospital and Temple University School of Medicine were founded through the efforts of Russell Conwell, initially they were separate but affiliated institutions. Over the years the affiliation has strengthened, and the hospital and medical school have expanded into what is known today as Temple University Health Sciences Center. In June, 1891, a small hospital known as the North Philadelphia Hospital was forced to close due to a lack of funds. Dr. Conwell was petitioned by residents of the area to help reorganize the hospital. With help from his parishioners. Conwell purchased for 815,000 a three—story double house which could be converted into a hospital. This original building was located at 3403 North Broad Street. The hospital was opened in January, 1892 and the following description appeared in a February, 1892 edition of the Philadelphia Times. "On the first floor is the men's surgical ward; also the dispensary, parlor, dining room and kitchen, etc., the last named rooms in the rear. The second floor is occupied by the women's surgical and medical, the gynecological, and the men's medical wards and the operating room; the third floor being appropriated to the use of the hospital attaches." The hospital building and grounds were dedicated January 30, 1892 by Dr. Conwell: "We christen today the hospital . - • and give it the name of ' he Samaritan.' Inspired by the tender human kindness awakened by that story so simply told by The Great Teacher, we freely give of our time, our talents, our experience, our money that the wounded and neglected may here find true compassion and practical healing." The hospital could accomodate only 20 beds and a dispensary. Due to these limited facilities, the Board of Trustees ruled that the hospital would be intended for "charity cases that need medical or surgical treatment and still further, for acute cases only." Chronic and contagious cases would bo treated in the dispensary but would not be admitted to the hospital. During its first year, the hospital admitted 202 patients and cared for an additional 1028 persons in the dispensary, all at a cost of $6,000. In 1898 a second brick building adjacent to the hospital was purchased and for a time, it was used as a maternity department being called the Greatheart Hospital. When the maternity department was later moved to the Main Hospital Building. Greatheart was used as a nurses’ home. -v. Temple University Hospital -past, present and future In 1902 the capacity of the hospital was increased to 60 beds. In the following year, W. Wayne Babcock, M.D. became Chairman of the Department of Surgery, a position which he held for forty years During his long tenure. Dr. Babcock earned worldwide honors for his surgical skill, numerous writings and expert teaching. His reputation partly rests on his promotion of spinal anesthesia, development of techniques for treatment of intestinal cancer and hernia repair, use of stainless steel wire for sutures and invention of surgical instruments. Gifts from the community, along with appropriations from the Slate Legislature, provided funds for the erection of a new building in 1907. Located at 3401 North Broad Street, it provided space for 125 beds and the rapidly expanding dispensary services. In 1908 — 2,000 patients were admitted to the new facilities and another 26.000 persons were treated in the dispensary. 17Main Hospital Building On June 18, 1925 the Main Hospital 8uildmg, which still stands today on the Northeast corner of Broad and Ontario Streets, was opened. On March 23, 1901 a meeting of the Board of Trustees of Temple College was held and an evening medical school was established, thus founding the first coeducational medical school in Pennsylvania. The first classes were held September 16, 1901 with an enrollment of 31 students. There was a 20 member medical faculty with W. Wallace Fritz. M.D., D.O.S. as the first dean. Classes were held from 6:45 to 9:45 P.M. daily, with the curriculum extending over a five year period in order to provide the equivalent of four years of day instruction. The first year curriculum included courses in chemistry, physiology, bacteriology, osteology, histology, materia medica and dissection. In the second year, there was practical work in physiology, pharmacology, pathological histology, bacteriology, chemistry and physical diagnosis. Lectures and laboratories were held primarily in College Hall at Broad and Berks Streets, adjacent to the Baptist Temple. The facilities of Samaritan Hospital were used for the required 700 hours of clinical instruction. The first dissection room was located in the loft of the hospital ambulance house. Two men, Frederick C. Lehman and Frank E. Watkins, who had been admitted with advanced standing, were the first to graduate in 1904 Two more students graduated in 1905. In 1906, fourteen more students including two women, Sara Allen and Mary E. Shepard graduated. Although the medical school was continuing to grow in size and to graduate larger numbers of students, its early history was not trouble free. The medical school was founded during a period in which the country was witnessing a rash of new, unapproved medical schools. Some of these schools were offering medical courses by mail, and this trend in medical education was arousing apprehension within the medical profession. In such an atmosphere, the establishment of a night medical school drew criticism from the medical community. The following comment appeared in the November, 1901 issue of the Interstate Medical Journal: "We recognize the high standards of the Philadelphia medical schools and we feel that the establishment of this new school along the lines projected, cannot be an advantage to the city as a medical center, to the graduates of such an institution or to the medical profession." Carl Smith, one of the school's first medical students, responded: "A criticism of our medical department is not yet due. Wait until the first medical class graduate from the institution and go before the State Boards of Medical Examiners. We are willing to have this result be a base upon which to criticize, but we decidedly object to any unfavorable criticism until then." In 1907 Dr. Henry Beates, President of the Medical Examining Board of Pennsylvania, appeared before the faculty and spoke most laudably of the medical course which is given at the Temple College. He endorsed most highly the work which is being done by both faculty and students and stated that every graduate of the medical department of the Temple College who has thus far been examined by the Medical Examining Board of Pennsylvania has passed successfully. Also in 1907. Temple College was granted the title of Temple University and thus the School of Medicine became a department of the University. In the same year, Temple University became affiliated with the Phila- delphia Dental College and the medical school was transferred to the Dental College Building at 18th and Buttonwood Streets. At the opening of the academic year 1907-08. day classes were offered for the first time. Night school courses were offered until 1909 until the AMA and some states passed legislation whereby students graduating from night medical schools would no longer be recognized. The year 1929 was a prominent one in the history of both the hospital and the medical school. William N. Parkinson, a Temple medical graduate of 1911, became Medical Director of the Samaritan Hospital and was also named Dean of the School of Medicine. During his thirty year tenure. Dr. Parkinson developed the concept of the Temple University Medical Center. Also in 1929 the name of the hospital was changed to Temple University Hospital to indicate the close relationship which had been established between the hospital and the university. In the same year, the world-famous Chevalier Jackson Clinic for the treatment of diseases of the air and food 18shortage of qualified personnel. The hospital accelerated its period of internship so that more doctors would be available for service, and the medical school instituted a student ROTC program. After World War II. Dr. Parkinson began implementing his plan for a medical center. In 1947. St Christopher's Hospital for Children became the Department of Pediatrics of Temple University Hospital. With Waldo E. Nelson, M.D. as its Medical Director, the hospital grew from a small neighborhood hospital into a complete child care institute. Also in 1947, the Samuel S. Fels Research Institute became affiliated with Temple providing badly needed facilities and opportunities for research. In 1946 Dr. Theodore L. Chase established the Agnes Barr Chase Surgical Research Foundation in memory of his wife, a Temple medical alumna of 1909. In this same period, classes for the Dental School and the School of Pharmacy moved to a new building at 3223 North Broad Street. This era of expansion continued into the Fifties. In 1956, three new buildings - the Ancillary Services Building, which houses the radiology department, clinical laboratories and surgical operating rooms, the Out-Patient Building and the ten-story Parkinson Pavilion were added adjacent to the Mam Building forming the appearance of the hospital complex as it appears today. In 1957. the Skin and Cancer Hospital became the Dermatology Department of Temple University Hospital and the School of Medicine. This institution had begun in 1928 as an out-patient clinic at 806 Pine Street. In 1965 the present four-story building at 3322 North Broad Street was completed. In 1961 Dr. Parkinson's dream of a medical center was realized as the hospital, the schools and the supporting activities were united into the Temple University Health Sciences Center Today the Health Sciences Center encompasses many diversified Fields of medicine, dentistry and the allied health professions. The School of Nursing was established in 1893 and the Edith Bolling Jones Residence was opened in passages was opened. The development of bronchoesophagology and laryngology is one of the most significant advances of 20th century medicine, and Dr. Jackson devoted his career to the advancement of this field. With the coming of the Thirties, Temple Hospital, like most other institutions, was hard hit as wages plummeted and necessary austerity measures were instituted. In the mid-thirties a pre-paid insurance plan, now known as Blue Ooss. was begun and payments from this program helped Temple and other hospitals across the country remain financially solvent. Despite these problems, medical progress continued. In 1930 the New Medical School Building, located at the northwest corner of Broad and Ontario Streets, was completed. In 1938, Dr. W. Emory Burnett performed the first successful pneumonectomy in Philadelphia; in 1939, Drs. O. Spurgeon English and Edward Weiss developed the first clinic for psychosomatic medicine; and in 1940, Dr. Gerald H.J. Pearson founded a pioneer psychiatry clinic. Dr. John A. Kolmer in medicine. Dr. W. Edward Chamberlain in radiology and Dr. John Royal Moore in orthopedics achieved wide acclaim for original work in their respective fields. Like the Thirties, the Forties were a period of both hardship and growth for the hospital and medical school. With U.S. involvement in World War II many staff members enlisted or were drafted into the Armed Forces, thus forcing the hospital into an emergency situation with an extreme Babcock Surgical Ward William N. Parkinson, M.D.1962. providing housing for student nurses and other students of the Health Sciences Center. The School of Dentistry was founded as the Philadelphia Dental College in 1863 and became part of Temple University in 1907. The School of Pharmacy was founded in 1901, and in 1932 a four-year program leading to a Bachelor of Science in Pharmacy was initiated. The School of Oral Hygiene was opened in 1921 and the School of Medical Technology was begun in 1939. In 1966, the College of Allied Health Professions was established offering baccalaureate courses in medical technology, nursing, occupational therapy, physical therapy and health records administration. As the Health Sciences Center became an actuality, plans for expansion continued. In 1963 the Medical Research Building was completed. This nine-story building, located between the Old Medical School Building and Kresge Science Hall, houses the department of medical physics, physiology, pharmacology, biochemistry, microbiology and anatomy. The Fels Research Institute and the Agnes Barr Chase Surgical Research Foundation are also located in the Medical Research Building. Plans were made for three additional buildings - a Basic Sciences Building for the medical school, a Continuing Education Building and a Clinical Teaching Hospital. In 1968 the Kresge Science Hall was completed, providing classrooms, a library and student activities space. The spacious Student Union-Continuing Education Building, located next to the Skin and Cancer Hospital, was opened within the past few years and provides classrooms utilized by both students and graduate physicians, areas for study and relaxation, a book store and a cafeteria. Work was also begun on the third projected building, the Clinical Sciences Teaching Building. The area behind the Out-Patient Building was razed, but construction was never actually begun due to design and financial difficulties. Finances have been a big problem at Temple University Hospital during the Seventies. In 1975. the Institution's creditors refused to advance further monies and closing seemed imminent. The crisis was resolved however when the State of Pennsylvania agreed to underwrite the hospital's S25.000.000 debt. In doing so, the State assumed ownership of Temple University Hospital which would then be loaned to Temple University for the sum of SI.00 per year. From their small beginnings, the Samaritan Hospital and Temple University School of Medicine have grown into today's Health Sciences Center. Over the years and through many difficulties, the Hospital and School of Medicine have endured and flourished; they have remained true to the ideals of their founder, providing needed medical care to the community and offering medical education to large numbers of men and women. The Temple University Health Sciences Center of today is a lasting tribute to Russell Conwell. for it is indeed "the realization of a vision of one man; an idea materialized; an ambition embodied." Skin and Cancer Hospital Mrdual Kiuau BmUm Construction of the Medical Research Building a» » "The Pit" - excavation site of the still unbuilt new hospital Parkinson Pavilion Directory 20Roger W. Sevy, Ph.D.. M.D., Dean Dr. Sevy in 1960 - Chairman of the Department of Pharmacology Hugo Dunlap Smith. M.D.. F.A.A.P. Associate Oean for Curriculum Now and Then M. Prince Brigham, M.D., D.Sc., F.A.C.S Associate Dean for Admissions and Student Affairs 'WDiltt 21How it was MLH 22It 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 Freshman class beginning September 3. 1974. Four years of THIS?! With those fateful words the journey began. After the letter of acceptance arrived there was a period of waiting, marked by impatience, excitement and fear until September 3 arrived and the journey really got under way. That morning of September 3 like many, many others to follow, was spent in Kresge A as we were greeted by faculty and saw our first real live patient. The next few days of orientation flew by as we met classmates, were photographed and received a bewildering array of keys, lockers, bone boxes and slides. Our first week of medical school ended with a tea given for us by the alumni. 23Anatomy-Histology-NeuroanatomyJ. Robert Troyer. Ph.D. Imagine if you will . . In the last 3 minutes I'd like to go over partitioning of the embryonic body cavity. Turn to page two of the handout. In the rostral portion of the early embryonic cavity lies the prospective pericardial cavity (see page 4 of the handout. Figure A). With flexion of the fetal head, the pericardial cavity assumes a ventral position while still being continuous with the rest of the embryonic body cavity (Figure B). Meanwhile, the septum transversum develops which incompletely separates the thoracic body cavity from the abdominal body cavity in that the prospective pleural and peritoneal cavities communicate dorsal to this structure (Figures C and Dl. The right and left pleuropericardial folds develop from the dorsolateral body wall and caudally connect with the dorsal margin of the septum transversum (Figure E). These folds grow medially between the heart and lungs and attach to the primitive mediastinum (Figure F). The right and left pleuroperitoneal folds grow caudally and medially from the septum transversum, running essentially at right angles to the pleuropericardial folds (Figures G and HI. These meet in the midline around the developing esophagus (foregut) (Figure I) and separate the pleural cavities cephalically from the peritoneal cavity caudally (Figure J). Questions? Yes, this will be on the exam on Monday. Let me make this perfectly clear . . . c fMON mnn 27Neal E. Pratt, Ph.D. John Franklin Huber, M.D.. Ph.D. Daddy Huber M. Noble Bates, Ph.D. That stuff'll make you bald, Bittar. Dr. Way will give a demonstration of the cremasteric reflex in the second floor men's room on Tuesday, October 17 at 7:45 A.M. All interested are invited to attend. John S. Way, Ph.D. Your place or mine? 28Well, funny you should ask that because nerves run in either of two directions - up or down, like the traffic on Broad Street, only it runs North and South. Now Temple is located on North Broad Street. You probably don't remember this, but thirty years ago this building wasn't here. In fact, all the dissections used to be done on the sixth floor of the old medical school building but they've changed that now to all offices. Dr. Schneck has his office there; he's the big expert on nerves. You'll know so many nerves when you're done here you won't know what to do with them. Now look over here at this book, great pictures of nerves in here . Sorry, Frankel 29Laurie G. Paavola, Ph.D. Ode To A Cadaver (Sung to the tune of "I've Grown Accustomed to Her Raymond C. Truex, Ph.D. You know, my son's a doctor! Face") I've grown accustomed to her face. She always makes the day begin. Of her mysteries I've no doubt, I know her in and out. Her lips, Her smile, Her gall, Her bile. Are second nature to me now, Like breathing out and breathing in. I should have seen our parting coming and prepared for it with grace. No longer shall I gaze upon the remnants of her face. I've grown accustomed to her scent. That something in the air. Accustomed, to her face. Mike Sperling 30 31Wit qutb p?o quo m't wciflT; fur fcfowartj £ a«eyd en foil cirt xocifct 2lt B ©onOer crfhren fern fccr Ding IPill an'ozw ct Das ym gditig Biochemistry-Cell Biology "The science majors get more scientific, and the liberal arts majors wonder what happened to theater." John Benson. M.D. These words describe biochemistry better than any other course we encountered in medical school. For many of us biochemistry was a drastic change from the then—familiar world of gross anatomy. Suddenly nothing was tangible or even visible, a change which many of us found disconcerting to say the least. While those fortunate students who had had biochemistry in college sat back and yawned, the rest of us fought down a rising tide of confusion and panic as Dr. Plaut rambled on about the tricarboxylic acid cycle, various and sundry enzyms and the electron transport chain. After a few harrowing weeks, however, we caught on, more or less and thereafter were seen wandering the halls of Kresge mumbling about the malate—aspartate shuttle, the pentose phosphate pathway and how a lactatmg female with classic galactosemia who is lactase plus is able to synthesize lactose. Gerhard W.E. Plaut, Ph.D., Chairperson Johannes Wechtlin St. Cosmos and St. Damien Robert J. Suhadolnik, Ph.D. 32Vern L. Schramm, Ph.D. It's Schramm, not Scram. Edward Kirby. Ph.D. Richard W. Hanson, Ph.D. I metabolize, therefore I think. Ronald A. Piennger, Ph.D. You know what you can do with this? Purine Catabolism This poem is about what happens to Purines which are excessive in you AMP is deaminated to IMP, 'tis true This happens in many organisms. Including me and you. Oxidation to xanthine occurs about next: You could even call this a committed step. Guanine's deaminated to give xanthine, too. Except in spiders and swine Which get guanine gout (if they drink too much wine). Xanthine oxidase delivers the final blow. And it's uric acid, to the kidneys it goes. With a pKa of about 5.4 There's not much room for uric acid to store. It comes out of solution and goes to your toes. Henry VIII had it. historians know. You don't have to memorize this little ditty; I just made it up so you won't think purine metabolism's so . . Dr. V. Schramm " The Broad St. Bard" ' 33Dawn Marks is one member of the faculty we will always remember. After attending one or two of her lectures, we recognized her as an outstanding teacher with an exceptional ability for organizing and explaining material. Whenever a biochemistry exam approached, there would be standing room only as students crammed into a fourth floor module to attend one of Dr. Marks' problem solving sessions. Those of us who needed additional help realized the full extent of her dedication to teaching and to helping us as Dr. Marks gave up her free time for special tutorial sessions. Dr. Marks has not only the qualities of a fine teacher, but is also a very warm and friendly person. Long after we stopped tagging Carbons and mumbling "Too little T.V. P.M.," she had a friendly hello and good wishes for us as we entered our clinical years. "If you don't learn more than the people This diabetes stuff is for the birds! who teach you (know), in a million years all of us will have forgotten everything." Dr. V. Schramm 34Jonathan H. Cilley. Ph.D. Let's see, I'll have a BLT on white toast with iced tea and apple pie. Dr. Cilley Out of the past We've been waiting for you. 35 John K. Hoober, Ph.D.Stanley S. Schor, Ph.D., Biometrics I'm statistically significant. Biostat Colleen M. Smith, Ph.D. The bionic arm 37directions SUMMARIZED A 1. 2, 3 only B 1. 3 only C 2, 4 only D A only all are correct Consider the lab on the cardiac output in the turtle. If a bottle open to the dimosphere had been used instead of the Mariotte bottle, in which one of 7nyflZ°)ld thc resu"5 have differed? (Consider ,he ,unlc A T?ei!‘guer r le bottle lhe skater the stroke volume The hiohZ bQttlC hC gre3tCr thc cnd di stolic volume greT,hc end ™,umc w,lh each succeeding heart beat ° VO,ume woutd decrease A. Mucoepidermoid carcinoma B. Warthin's tumor C. Mixed tumor D. Adenoid cystic carcinoma 57. This neoplasm has a marked propensity for perineural space invasion 58. This neoplasm is composed of lymphoid tissue and ductal tissue 59. This neoplasm is usually composed of squamous and mucinous celts B. C. D. rrect anatomical relationship? c£ rtcx Which of .he following, not a «' ;ltl area between The lenticular nucle hou„dary of the A. B. D. the fuIloNvnnfiis jn an area --- form the anterior boundary of the :rvemruUr°foramen or roof of various portions of The caudate nucleus lies in in thc lateral ventricle ventral boundary of the The basis pontis forms tnc ventricle in thc pontine region c arc capable ,tr .. c mp°nenf capable bccausc of , . v {his component r° a.bsorbinglight cn C cx‘st mcc of ‘som ,tlon . , , ho i°Psin to 7'« nal c. D. to I t retinal trans cis inch point in the metabolism of tryptophan to )‘r occurs at: . n—formyl kynurenine !. nicotinate ribonucleotide I. 5—hydroxytryptophan 2—amino—3—car boxy muconaldehyde i. formiminoglutamate Thc gamma loop pathway assists voluntary movements because: A. Gamma motorncurons cause thc intrafusal fibers to contract which results in an increase in thc tension thc extrafusal fibers produce B. Gamma motorncurons send branches to the extrafusal muscle fibers which causes an increase in thc tension produced by the extrafusal muscle fibers C. Gamma motorncurons cause the intrafusal fibers to contract which results in an increase in la afferent activity D. Gamma motorncurons send collaterals to interncurons which can cause an tncrcasc in alpha motorncuron activity . the hospital to explain the expected occurrences to A, preadmission eoXS should not be carried out BECAUSE the time the child PaV increases the cost of hospitalization, involved lC TRUE reason TRUE, causal relatio A. B. C. 0. ent TRUE reason TRUE, causal relationship exists Jltement TRUE reason TRUE, causal relationship does not exist dement TRUE reason FALSE atement FALSE reason TRUE i»atcment FALSE reason FALSEBIOCHEMISTRY 500 FINAL EXAM •«moV € ' ,0 'a o tcO The regulation o. diverse pathways in a nu. processes necessary for maintain.,.,., period from 4-48 hours after the last no other food is eaten during this time. February 14, 1975 1-5 PAL INSTRUCTIONS: I. Count the panes to make sure you have them all. 1 —27 . SWJSS r S'H select (A) if the item is associated with (A) only (B) if the ite n s associated with (B) only; (C) if the item is associated with both (A) and (B); (D) if the item is associated with neither (A) nor (B). Questions 18-21 A. Linear deposits of IgG on glomerular basement membrane B. Granular deposits of IgG on glomerular basement membrane C. Both D. Neither 18. Immune complex disease on GBM disease Lipoid nephrosis • Fixation of complement Me Worry? DIRECTIONS: Far each af the incomplete statements below one or more of the completions given is correct: Select A if only 1. 2 and 3 arc correct Select li if only 1 and 3 are conrcct Select C if only 2 and 4 arc correct Select IJ if only 4 is correct Select L il all arc correct Mixed unction oxidases are important for I. Operation of the sympathetic nervous system 2. Calcium metabolism 3. Biosynthesis of steroid hormones 1. Histamine formation Rhinoccccbral phy corny co sis is most frequent c Rhi .opus species and occurs most often in-. A. Patients with uncontrolled diabetes B. Patients with an indwelling intravenous catheter C. The Southwestern United States D. Patients who inhale dust contaminated with pige°n droppingsHelga Sauter Secretary to Dr. Brigham When you go into Cleo's office it is like entering a sanctuary in the sometimes madness of Temple Medical School. At once you are aware of the quietness and visual beauty that surround you. Colorful travel posters and quiet words of inspiration cover the walls while graceful plants soften the harsh lines of the filing cabinets. Finally there is Cleo herself with her beauty, her interest and her willingness to help. Aside from these external impressions, it is difficult to put into words what it is that is Cleo. A warm and sensitive woman, Cleo has been special to many of us. Poetry is one of her many interests and Cleo’s own words, more than any we could say, speak of her interest in the world and her concern for those around her: I used to sit and wonder Trying to figure out I'd meditate reflect ponder What are people all about Now I do that no longer Because it came to me That people aren't just people They are complexities Cleora Clark Assistant to the Registrar riendly Faces from the Deans’ OfficeHarriette Ingersol! Secretary to Dr. Smith 41 Nancy Adams, Coordinator of Student Activities Margaret Bibro, Secretary for Student ActivitiesGeorge M. Woodward The Doctor and His Friends Dog Lab - The only thing that worked was the MgC Physiology Alan R. Freeman, Ph.D., Chairperson Like the tie? Joan H. Gault, M.D. Dr. Gault proving that a respiratory physio lecture can be given in one deep breath 42Peter Lynch, Ph.D. Mary P. Wiedeman, Ph.D. Dr. Wiedeman and her first born Now if they could only can her lectures Where's my tie? I'm due in dinic. Before you leave. Dr. Cilley has an announcement. May I have your attention please? Just a brief announcement. It has come to my attention that several of you still haven't returned your bone boxes. A list of the deliquent students will be sent to the National Board of Medical Examiners and also posted at the Reading Terminal. Those who fail to meet the new deadline of yesterday will have their mail boxes detonated at sunrise and may find the heads of their physiology lab dogs in their beds tonight. Thank you. Physiology laboratory out of the past 43And then came the Faculty—Student Union Building Guido Ascanio, M.D. 44 Punishment for not garglingr Yes, this is the Dean Michael Wang, Ph.D. OK, now somebody show me where the United States is. 45Mari just before she passed out 46One thing for sure — you could always find a bridge game at Temple Dr Wiedeman 47WELCOME 48 BACKThose precious summer months flew by, and before we knew it, we were back at Kresge again. We were welcomed back with a tuition increase, long lines at the book store and Brian Ellis' continuing History of Medicine. After the excitement of seeing old friends, we quickly fell into the old routine. One lecture followed another as millions of slides flashed across the screen. We soon realized that the Sophomore Year was not going to be much different from Freshman Year. 49Pathology Alfred Rethel Death the Destroyer Wallace H. Clark, Jr., M.D.. Chairperson No, it's Pithoulogy. 50 Joseph H. Baum, Ph.D.51 Pen-Ming Lee Ming. M.D. Rosemary Albano, M.D.John L. Farber, M.D. I don’t know if you can ah—ah understand this, but I can. {Slide 62 Normal Lung) Now, just a minute Mark ... I got it. I got it! I know i'm right. It's acute glomerulonephritis secondary to streptococcal infection. I. Bruce Elfenbem, M.D. Would you buy a used car from this man? 52 Goldman's crazy, that's normal lung. Eugene M. Hoenig, M.D.John Farber was kind enough to give us a personal copy of his lecture notes to be recorded here for posterity. Unfortunately, he forgot to tell us which disease he is discussing in these notes. Therefore, we have included a list of some of the more popular diseases of the Sophomore Pathology Course. As you read the lecture, simply fill in the blanks with whatever seems most appropriate: (Pompe's Disease, W-W- Whipple's Disease, Pseudoxanthoma Elasticum, Giant Cell Arteritis. Bagassosis, Silo Filler's Disease, Maple Syrup Urine Disease) Today we are ah-ah going to discuss ( . Hopefully, by the end of the lecture, you are going to see the problem in a very clear perspective. Now then, I do not think it is an exaggeration to ah—ah say that ( ) is a most significant problem. ( ) is a disease that ravages the body from the head to the ah-ah toes. This is obviously damned serious. Although this has been one of the ah—ah most extensively studied fields, the problem ah-ah remains quite inaccessible therapeutically. As regards to the pathophysiology of ( ), some people ah-ah like to consider it ah—ah an auto—immune disease. Now I don't know if you're aware of this, but in the medical literature you no longer ah-ah see the word "idiopathic.'' It has been taken away, and the word "autoimmune" has been substituted for it. Considering { ) at the cellular level, one can say that ah-ah people don't really get sick; organs don't get sick; cells get sick. In recognizing the histopathologic picture of ( I, this is the ah-ah key: the architecture is intact, although distorted. If I could have the first slide . . . Now I admit this ah—ah may be confusing. However, note the exquisite nature of ( I being infiltrated with tons of granular pneumo cytes. From this it is obvious that any ( I you get you're stuck with. However, ( ) doesn't seem to progress in the absence of ( ). O.K., lights! By now. I ah-ah hope you have a clear picture in your mind of { ). In summary, the only thing I ah-ah want you to know is a couple of things.... Is this any way to get an education? Go ahead Ron, put it between two pieces of white bread. Dr. Farber "Typically Trivial!" 53Well Art, just tell him it's your turn to use the scope. 54 Si-Chun Ming, M.D. Ming, Ding—a—ling and MingI’ll have 2 lbs. of roast beef. 55Microbiology William Heath Monster Soup • • Thames Water, 1828 Toby K. Eisenstein, Ph.D. You may have had this in bits and snatches . . . What's so funny about that? Gerald G. Shockman, Ph.D., Chairperson 1 5657 . . . and I picked those up in a cathouse in Hong Kong.Alois Nowotny. Ph.D. Morton Klein, Ph.D. So goes another day in N. Philly Harold W. Lischner, M.D. You want to make sure you understand this somewhere along the line. 58Lolita D. Moore. Ph.D. Which worm is it that crawls out of your eye and across the bridge of your nose? H. Francis Havas, Ph.D. Michael L. Higgins, Ph.D. If you think raw hamburger is bad, you should see what's in clams. 5960I still say what happens in an P x F— mating is this . . . 61Rugby 62 Where's the Coors?636 64 SoftbalAnd, of course, there were always those spur of the moment activities designed to wile away a few idle minutes. While many leisure activities were designed to suit individual tastes, there were also those in which we all shared . .. Other Sports 65 Christmas Show 1975 Dr. Bezerk—owitz examines a bat—bite victim. Victim — "I was bitten by a bat!" Dr. B. - "That's not a nice thing to call Dr. Wiedeman." That great sage, seer and soothsayer - Carnac the Magnificent III Carnac — "May a weird holy man fix your sister up with Dr. Way! No, it isn't ‘silly putty'. It's Farber's Lung - another illustrious Temple eponym. Dr. Rajan and his latest male contraceptive device. Don't bother asking how it works.This is Mi mi Schwartzbaum - mismanaged by Surgery and Psychiatry alike. Groucho interviewing Drs. Eisenstein and Higgins on You Bet Your Life. Groucho — "Higgins, Higgins, you're a Microbiologist. And what do you look for?" Dr. Higgins - "Worms and snails!" 67ZZzzzz.... The Coveted "Zzzzzzzzz" Award - sponsored by hours and hours of boring lectures in Kresge. Below are the finalists. Here we find Steve Grahek asleep during Pathology Lab. Fortunately, Steve awoke before Dr. Ming began the autopsy. Rick Weiss and Joe Mignogna's wives were probably jealous from all the time their husbands spent soundly sleeping in the back of Classroom "B." Bob Lounsbury was kind enough to occasionally check their pulses. Larry Ciccarelli was probably the smartest finalist of all. Larry figured if he's going to sleep he might as well get tanned too. Our first finalist, Consuelo Sague, was photographed in Classroom "A” four hours after HG D. Occasionally sleeping overnight in Kresge put her in the finals. Mark Levitt fell asleep during every lecture he attended - all five ot them. Mark's yamicha (head warmer) gave him a distinct advantage towards acquiring a somnolent state. 68Dave Hines would only cut boring lectures. Needless to say, Dave had a broad definition of the word 'boring.' Trying to sneak into the competition is Dr. Howard Warner. We caught him in this embarassing moment sleeping through his own lecture on low-output failure. Tom Bantly. bored by the whole testing process, attempts to catch flies before dosing off during the National Boards. Larry continues to make a strong showing but the winner of the competition is.. . 69RICHARD WEISS Due to Rick's outstanding performance, or lack thereof these past four years, his case history was published in The New England Journal of Medicine 298:1207-1210, 1978. Richard Weissemia - Malignant Narcolepsy effects of medical school on normals Drs. Klein, Cundy, Nowotny, O'Neill, Glauser, Glauser, Rusy, Overton, Miller, Lynch, Punnctt, Sisson, Barba, Schmavonian. Plaut, C. Smith, Crouse, Way, Phillips, Baserga, Elfenbein. S. Ming, Gupta, et al. Abstract - Rick Weiss was within his normal limits until he entered Temple Medical School in September, 1974. Since then, Rick has slept through every one of our lectures. EEG tracings were t3ken of Rick during class. These tracings showed a pattern never before published. It is our claim that Rick was in Stage V. non-REM sleep. This is manifested by a comatose-like state. We have yet to find the common denominator of our lectures to explain this phenomenon. We offer our findings and submit that we have discovered a new disease — Richard Weissemia, or Malignant Narcolepsy. 70John J. O'Neill. Ph.D.. Chairperson Italian School - Early 16th Century The Consultation Pharmacology Charles A. Papacostas, Ph.D. We need a volunteer for the next experiment. Concetta D. Harakal, Ph.D. The new dress code says I need an undershirt? 717273Stanley C. Glauser, M.D., Ph.D. Dr.s Elinor 8 Stanley X Glauser 74 V.S75 Leon Salganicoff, Ph.D., D.Sc.Long about the middle of spring semester that year, the faculty decided that they had better get us ready to meet our first patients. As it turns out. our first patients were destined to be ourselves as we once again returned to the modules and practiced inspection, auscultation, palpation and percussion. H P How soon after the estrogen injections do they start growing? Wet rales 76What do you mean, GC pharyngitis? 77 V MW I ....« I ...,k „„| ......I V 1 • .MV M.I.I '• wr,».i ii v ■“ NATIONAL BOARDS PARTI JUNE 15-16, 1976 PART II SEPTEMBER 27-28, 1977 "Break the seal on your test booklet, remove the answer sheet and close the booklet. Fill in your name and identification number. Be sure you don't muck it up. There are 183 of you and we have only 190 booklets." M. Noble Bates, Ph.D. 78 Oh my aching headright Ken, she's not wearing a bra Oh my aching head 79 TEMPLE UNIVERSITY—SCHOOL OF MEDICINEaflrfiKCO ro o£8878906CM o 93  5 95Transition Sophomore to Junior Year It was in the second semester of sophomore year that we suddenly began to realize that the classroom would soon be behind us and that in the very foreseeable future we would actually be expected to apply some of what we had been learning for the past two years. The prospect was both exciting and terrifying. That semester the faculty made a last ditch effort to finally teach us some clinical medicine. In late January we started out with Systems Disease I. Clinical Problem Solving and Introduction to Clinical Medicine. By June, however, those three separate courses and four solid months worth of lectures had mushroomed into one big final exam whose foreboding presence hung over our heads day and night. Between that and National Boards everyone was in a state of near panic. It was in such an atmosphere that we received the following news from Dr. Waxman! May 26. 1976 To dispel the proliferating rumors, the following are the facts: Two part examination on Friday, June 4 . . . The morning examination will run from 9-12. the afternoon from 1-4 . . .When you turn in your examination, you will be given forms on which your own evaluation of the course is to be recorded. Each student must, however, be checked off as having turned in an evaluation form ... in order for his her grade to be forwarded to the Dean's office. The importance of having virtually 100% response in order to identify reliably areas needing change or improvement unfortunately makes this high-handed approach necessary. Just a personal comment: I know that this semester has been difficult for you. Academic pressures are compounded by concern about National Boards. The clinical faculty takes this course seriously; and there are only 24 hours per day I In a few weeks though, this will all be behind you and you'll be entering your clinical years. I hope youII find you've been well prepared for your clerkships by this course; if so. your efforts, painful as they seem now. may appear in retrospect to have been worthwhile. Faculty come and go, curricular changes describe their periodic cycles, but medical students continue to struggle toward their goals with commendable determination and patience, ultimately becoming competent physicians. None of us on the clinical faculty expect the dass of 1978 to be any less successful. So. work hard but keep your perspective and your sense of humor, and good luck! With such a send-off. we somehow managed to survive the Clinical Medicine exam and retain our sanity, whatever was left of it at that point. 8ut it was not over yet. National Boards Part I were on June 15 and 16. a mere 10 days away. We all went home and lugged out our 75 lbs. of notes from freshman and sophomore years. That was the easy part. Then the trouble began -What course should I start with? How much time should I spend on each course? Let's see, I have 10 days and there are 11 courses ... It was terrible! There was no answer of course. 3nd there was no easy way to do it. But we tried anyway. We were glad when June 15 arrived just so we could finally take the Boards and hopefully be done with them once and for all. As we trickled into Room 322 of the Student Union Building, we were greeted by Dr. Bates and Dr. Sodicoff. We took seats, talked with friends, squirmed, fidgeted and waited. Tension mounted as the test booklets were finally distributed. Then it began as Dr. Bates uttered those infamous words: Break the seal on your test booklet And then finally it was all over. Although we were too exhausted at the time to realize it. the taking of National Boards Part I brought our pre-clinical years to a close. Many times we had been sure we would never make it, but somehow we had endured and survived, and even more than that, somehow we had finally made it . . . ACROSS THE STREET!Harry Sternberg The Secret of Life Ob- And Now — Michael J. Daly, M.D., Chairperson Now I want you to sit back and get comforble. 98 Then - Michael J. Daly, M.D.Francis LaFenus Hutchins, Jr.. M.D. 99 Practicing for the honeymoonGynecologic Dispensary David Goodner. M.D. Alexander T. Massengale, M.D. 100 Bill Ayoub demonstrating the increased risk of permanent brain damage from forceps delivery.Thomas R.C. Sisson, M.D. To be sure, one person in particular had been preparing for our arrival across the street. We had met him briefly in our Human Growth and Development Course as he stood before us and went on at 70 MPH about entities such as FSH, LH and Ei, E2 and E3. Whatever else he may have said, he assured us that, at that time, we needn't be overly concerned about what he said because we would get it all again as Juniors. As we began our six week rotation in Obstetrics and Gyneoology, we were soon to learn that truer words had never been spoken. In addition to a voluminous set of lectures on Obstetrics and Gynecology, Dr. Rajan also had a bit of practical advice for us as we began our Junior Year: Robert P. Schwartz, M.D. Well, boys and girls, it's 3:30 A.M. So why don't I tell you how I cracked this chest in the RICU as a junior med student. How to get through the junior year of medical school. 1. Remember that you're the junior member of the medical staff so you'll occasionally get stuck with scut work. When someone gets angry, they'll vent their frustrations on you because you're the low man on the totem pole. 8e conscious about this, but don't fight it. Try to avoid arguments 2. Never argue with 3 nurse — she's always right (Medical students are easier to replace than nurses). 3. First year residents tend to be insecure in many ways, and they'll try to hide their igno ranee from you. Their knowledge hasn't quite crystallized. Remember they’re only two years ahead of you. 4. Expose yourself to the faculty, but don't overdo it. Discussions about "fine print statements in the New England Journal of Medicine” are out of place. 101102Doctor, when it’s born will it look like this? A Day With Dr, Rajan et al All at the same time? 7 AM Lecture with Dr. Rajan on Endometriosis Here's the problem — You have a mass like this and that's endometriosis You do like this; but what happens is this That's why hysterectomy is needed in some cases. You follow this? Doctor, what are you doing at Einstein? 8—11 AM OR - 12 D Es, 3 tubal ligations and 1 tuboplasty 11 AM Conference with Dr. Daly Is everybody comforble?. . . Well surely someone must know what an orgasm is? How about you. Bill? . . . Anger+guilt depression . . . Every physician worthy of the name can do a good pelvic exam. 1-4 PM Work up the next day's D Es 4 PM Lecture with Dr. Rajan on Abnormal Labor You go like this You reach 6 cm and you go like this and that's secondary arrest. OK, you got that? 5 PM—7 AM Night call in the Delivery Room 7 AM — Time those 5- 8 PM 3 patients in labor - Watch the pit contractions — Is that a late deceleration? 10 PM I delivered a baby! 1 AM C-section with Dr. Rajan Doctor, why don't you know any surgery? 2 AM Discussion with Dr. Rajan on third trimester bleeding. Doctor, you have no concepts. 5 AM Grandmultip arrives and delivers in the examining room 6- 6:45 AM Sleep Lecture with Dr. Rajan on Contraception There are three kinds of pills This is important; you must know this 103Pediatrics David S. Smith. M.D.. Act.ng Cha.rperson Originally designed as "a hospital and dispensary for poor children without regard to creed, color o nationality.” St. Christopher's Hospital for Children opened on November 30. 1875 as a one room dispensary on the second floor of 552 E. Dauphin Street. Always a non-sectarian, non-profit pediatric hospital, the reason behind the hospital's name is unknown. Legend has it however, that St. Christopher's got its name from some early grafitti painted on a wall around the first hospital building: St. Christopher, please protect these children. Soon neighborhood residents were calling the hospital St. Christopher's, the name of the patron saint of children. The hospital's first medical staff consisted of 15 volunteer physicians who took turns as the one doctor on duty to examine patients, mix prescriptions, make bandages, keep records and clean up. During its first year of operation the hospital treated 1.270 children in 2.796 visits. The average cost per patient was $ .25. and drugs and treatments were free. On January 8, 1877 a seven—room, eight-bed hospital building was opened at 132 Diamond Street Twenty-six children were admitted that year with an Kaethe Kollwitz Visit to the Children's Hospital Mary Louise Cote. M.D. and Harold L.schnerhospital in the area to open an infant ward. In 1887 a second hospital building was added, and in 1890 five more wards and six bedrooms were added for a total of 43 beds. In 1891 a second infant ward was opened, and by 1896 the average patient stay was down to 33 days, Begun as a neighborhood hospital. St. Christopher's has continued to meet the medical needs of the community and at the same time, has grown into a large pediatric center. From 1875 until 1947 it was a community hospital with a volunteer medical staff. In 1947 the hospital became affiliated with Temple University School of Medicine and began to provide clinical experience for pediatricians in training. In that same year Waldo E. Nelson, M.D. became Medical Director of the hospital and proved to be instrumental in building St. Christopher's into the internationally known pediatric center that it is today. In addition to his work at St. Christopher's. Dr. Nelson has served as editor of the Nelson Textbook of Pediatrics and as editor of The Journal of Pediatrics. Currently Dr. Nelson is a member of the staff at St. Christopher's Hospital for Children, is Professor of Pediatrics at Temple University School of Medicine and The Medical College of Pennsylvania and is consulting editor of the Nelson Textltook of Pediatrics and The Journal of Pediatrics. David S. Smith. M.D.. Acting Chairman of the Department of Pediatrics, is confident that St. Christopher's future is a rosy one. If anyone should know about St. Chris, it is Dr. Smith. Dr. Smith was in his residency at St. Chris when Dr. Nelson joined the hospital in 1947. Upon completion of his residency. Dr. Smith stayed at St. Chris as director of the outpatient department. In 1950 Dr. Smith went into private practice while continuing with his teaching and in-patient responsibilities at St. Christopher's. In 1966 Dr. Smith became Director of In-Patient Services, and he is now serving as Acting Chairman of the Department of Pediatrics. Anna C. O'Riordan, M.D. St. Christopher’s Out of the Past -Angelo M. DiGcorge, M.D. St. Christopher's has indeed grown rapidly since 1947. Today it is a multi-building complex at Fifth and Lehigh Streets. The Neville 8uilding, designed to care for children with neurosensory deficits, is the latest addition to the hospital and was opened in the fall of 1977. While ever growing, St. Christopher's continues to provide primary pediatric care to a large segment of the North Philadelphia population. Among its many accomplishments, St. Christopher's has the only kidney dialysis transplant program in the Delaware Valley, the largest pulmonary center for cystic fibrosis on the east coast and the first and only tracheotomy unit for infants and children in the nation. 105 Patricia A. Nell, M.D.It takes a special kind of person to care for children with fatal or potentially fatal illnesses. Laurie Naiman and Judy Palmer are two such people. Dr. Naiman, Chief of the Hematology-Oncology Department at St. Christopher's, sees many children with leukemia and other forms of cancer. As a member of the Pulmonary Department at St. Chris, many of Dr. Palmer's patients have cystic fibrosis. The positions held by this husband and wife physician team are demanding, and yet Drs. Naiman and Palmer manage to bring to their work a special interest and dedication that make them long remembered by all who come in contact with them. Our first encounters with Dr. Naiman gave us some indication of the sort of person he is. Early in our freshman year Dr. Naiman brought one of his patients and his family to a session of our Introduction to Clinical Medicine course. That afternoon Laurie Naiman shared with us his experiences and his feelings in dealing with children with leukemia. The family too shared with us their hopes, fears and problems as they lived day to day with a child with leukemia. Later in our pre-clinical years, we saw the film You See I've Had A Life an award winning documentary made by a Temple student about another one of Dr. Naiman's patients with leukemia. Although these two exposures to Dr. Naiman gave us a hint of his interest in and dedication to his work, they do not tell the whole story. Out of Laurie Naiman's concern for his patients and their families has grown the Family Support Program at St. Christopher's Hospital for Children. This unique program was designed to help families deal with living with a potentially fatal illness. Its objectives are to help the family remain intact and functioning at an optimal level throughout the course of a child's illness, after a death has occurred and to help other members of the health care team develop the capacity to provide care based on an understanding of not only the medical needs of the child, but also the total needs of the family. The Family Support Program utilizes the concept of the health care team and employes the services of resident and staff physicians and psychiatric social workers to provide ongoing care and support from the time the diagnosis is made. Several forms of help are available including individual therapy for both the patient and any family members desiring help, group therapy for parents whose children are still alive and also for those parents whose children have died. Dr. Naiman's Family Support Program is indeed special, and it speaks of his deep and ongoing concern for others. Dr. Palmer is a young, energetic physician who brings an interest and intensity to her work that quickly make an impression on those around her. Helping Dr. Nancy Huang run the Pulmonary Department at St. Christopher's is a position requiring many diversified skills and talents, and Judy Palmer is the sort of person who is able to meet the changing demands of each situation. In the course of a day she may spend time helping her teenage patients organize a young people’s group, go to the O.R. to be with one of her patients while he undergoes a bronchoscopy and talk with a young mother whose infant son has just been diagnosed as having cystic fibrosis. To each individual Dr. Palmer devotes her undivided attention, and to each situation she brings her sixth sense of knowing just how to relate to that given person in that particular setting. In addition to all of this, Judy Palmer's position requires a great deal of medical expertise as she is called upon to answer consults, see referrals from other hospitals and provide care for many, many infants, children and young adults with cystic fibrosis and other pulmonary diseases. To say that Dr. Palmer works hard is an understatement, and through the long hours her interest and enthusiasm shine through and do not go unappreciated. As one mother put it. "... and Dr. Palmer, well she's tops!" J. Lawrence Naiman, M.D. 106 Judith Palmer, M.D.You would need the memory banks of R2D2 of Star Wars to remember all the pathology at St. Christopher’s Hospital for Children. During our pediatric clerkship anything ranging from cranial dysostosis to systemic histoplasmosis was capable of entering through the doors of St. Chris. Trying to comprehend this panorama of disease is obviously no simple task, especially for a junior medical student. Worthy of special mention for making this task less bewildering is Dr. Sarah S. Long, Assistant Professor of Pediatrics and Chief of Infectious Disease at St. Christopher’s Hospital for Children. Although most noted for her outstanding bedside teaching, Sarah Long is also known for actively seeking input from junior students. She makes it a point to discuss patient problems not only with residents, but also with medical students. Seniors taking the Pediatric Infectious Disease elective with Dr. Long find it a valuable experience since they learn about many aspects of general pediatrics as well as infectious disease. Whether in the lecture hall, at the bedside or in the laboratory, Sarah Long is an exceptional teacher. In acknowledgment for her outstanding clinical teaching. Dr. Long received from Temple Medical School the Russell P Moses Award in December. 1977. She has also won the Golden Apple Teaching Award in June, 1976 and the Victor C. Vaughn III Teaching Award in June, 1977. When Sarah Long speaks, people listen I Sarah Sundborg Long. M.D. Hope H. Punnett, Ph.D. Hobart Jorge Baluarte. M.D. and Alan B. Gruskin. M.D. After a typical six week rotation at St. Chris your average third year Temple student will know how to treat: Acrokeratosis verruciformis of Hopf Schonlein-Henoch vasculitis McCune-Albright syndrome Morquio's disease Lichen sclerosis et Atrophicus Beckwith—Wiedeman syndrome THE COMMON COLD - Don’t ask! 107A Look at St. Chris from the Bedside Dr. Gruskin: "To determine the patient’s percent of dehydration think of a number between one and fifteen. Any number will do since we guess all the time anyway. Don't forget the kidney is smarter than you." Dr. Harold Lischner: "Regardless of what the patient has, get a total T and B lymphocyte count. Divide this by the number of HLA antigens, and then multiply by the complement level. If the kid hasn't gotten better by this time, call a pediatrician." Ann examining Baby Steve - a 25 year old med student trapped in the oral stage. Marie A. Capitanio, M.D. W.C. Fields was wrong - I'd rather be in Philadelphia! 108 Nancy N. Huang, M.D.Benjamin E. Price, M.D. Rick, it's very easy to examine the pediatric patient. Just speak to him softly, touch him gently and have his mother sit on his chest. AEMC Dr. Price's interest in our class has been evident throughout our four years of medical school. We first met Ben Price during our freshman year when he was coordinator of our Introduction to Clinical Medicine course. In that capacity Dr. Price put together one of the most interesting and beneficial courses we were to encounter in medical school. In addition to organizing the course. Dr Price also took on the responsibility for providing us with our first one—to—one experiences in clinical medicine. How he managed to coordinate our freshman preceptorships. we will never know. Dr. Price not only found a sufficient number of physicians willing to dedicate some of their time to freshman medical students, but he also manged to match each student with a physician in the student's field of interest. Those freshman preceptorships were a huge success: not only were they a welcome break from classes, but more importantly they were a much needed reminder of why we had come to medical school in the first place. After freshman year most of us had little contact with Dr. Price until our Pediatric rotation at the Albert Einstein Medical Center Once again Ben Price's interest in us became clear. As Director of Ambulatory Pediatrics, Dr. Price spends most of his time m the clinic, and each week he is confronted with a new group of junior medical students. Many would find it difficult to cope with the demands of a busy clinic and the continual turnover of medical students, yet Ben Price handles it all superbly and provides his students with a learning experience not easily matched. Each student sees the patient by himself, takes as long as he needs to do so and then reviews his findings with Dr. Price Children and mothers may be climbing the walls in the waiting room, but Ben Price never rushes you, never loses his patience and somehow always gets you done in time for the noon conference. Unfortunately, our time in the Pediatric Clinic was limited to one week, yet almost everyone agreed it was the best week in Pediatrics. Thank you Dr. Price — for your interest in us. your patience with us and some of our more happy memories of medical school! Harold Meyer. M.D.. Chairperson Dr. Meyer, it's tough taking a history from a two year old. 109French School - 17th Century The Physician Curing Fantasy Dr. Benson was the greatest storyteller of them all. He was the only lecturer who could fill Kresge A at 3:00 P.M. and have everyone rolling in the aisles by 3:02 P.M. And he never cracked a smile while he was at it. Amusing as they are, Dr. Benson's stories and his unique style of lecturing are really the expression of his extraordinary ability to understand and relate to those around him. Especially suited to be a psychiatrist. John Benson has the ability to quickly perceive the essence of any given situation and create a story out of it. His anecdotes tell a story within a story, and they serve many purposes. When, for example. Dr. Benson tells us how he cowered in a corner every time his 6 foot 4 inch, 260 lb. college roommate entered the dorm, we laugh first at that situation and the way that John Benson has captured it for us. Then we begin to laugh at similar situations we ourselves have been in. We can laugh and feel good, for Dr. Benson has reminded us that in the often impersonal and competitive world around us we are all human beings going through the same experiences. Dr. Benson also tells many stories about his experiences as a psychiatrist. Again they arc amusing, but they also say a myriad of things. They tell of the variety of psychiatric problems a person may have and how they can be understood, dealt with and treated. And finally, they once again tell of John Benson's interest in the people around him and his ability to understand and help them. Anthony F. Panzetta, M.D., Chairperson DSM According to Benson Acute Organic Brain Syndrome 2+2=5 or anything else Chronic Organic Brain Syndrome 2+2= and the patient asks. "Wh3t's the question?" Allan H. Cristol. M.D. Psychosis 2+2=5 and they like it Neurosis 2+2=4 but they can't stand it Behavior and Personality Disorders 2+2=4 and they throw a brick through the window Psychophysiologic Disorders 2+2=4 and they get an ulcer Neurotics build castles in the air; psychotics live in them and psychiatrists collect the rent. Psychiatry John R. Benson, M.D. 110 John Benson, M.D.Kenneth Draper, M.D. Louis C. Harris, Jr., M.D. Bui o 4 Tac TKb door Kao npcaWOy baan -found! uriWW T to oaa r NJT PEftNtoOA lt TO Utf SOUR 'mZ'Ytoi 4oUVyourM fduU PWao«. aoK 4o ba 'bu td au)» DO NOT FORGET TO LEAVE KEYS »i WARNING' Ironic - you have to be "buzzed out" to get in too! CASE HISTORY-MECHANICAL MODEL Louise Sonnenberg, M.D,, Chris Mittell, Linda Hopkins, Ph.D., Roy Steinhouse, M.D. and Leslie Lenox 111It cannot be disputed that the Department of Psychiatry made a concerted effort to prepare us to be competent physicians equipped with the basic skills for evaluating and treating functional or emotional illness. It would also be difficult to argue that certain segments of our class, due to differing affinities for the specialty of psychiatry, found it necessary to adopt various stratagems to aid them in getting through the six week rotation in clinical psychiatry. The following models are meant to dramatize the plight of several students during their junior rotations in Psychiatry and in no way reflect the class opinion of the Department of Psychiatry. Case History - Social Model Mr P, a 25 year old medical student, was 3 weeks into his psychiatry rotation at EPPI and was feeling extremely lonely, depressed and isolated. Each night he went home to his small apartment and studied. On weekends he occasionally went to a movie and rarely he would treat himself to a "Last Saturday" at Dr. Fryer's house. The student was extremely melancholy over the abject nature of his day to day existence. Auspiciously he made the acquaintance of some other classmates who were not of his same demeanor. His new-found friends demonstrated to him that the key to successful completion of the rotation involved biweekly visits to Joe's Tavern on Rising Sun Avenue, coupled with frequent visits to the EPPI poolroom and basketball court. Case History - Medical Model Ms. W. a 24 year old medical student, was beginning her junior year clerkships with psychiatry at Temple. She had just finished a summer work study grant in Pathology and had finally convinced herself that she didn't have Marchiafava-Bignami disease; however, Pelizaeus—Merzbacher disease had still not been ruled out in the young student's mind. Three weeks into the rotation the student began to complain of decreased appetite and a diurnal mood swing ranging from early morning depression to euphoria immediately upon leaving the hospital environment. There was no suicidal ideation, however, the student did 3dmit to self-administering electro-convulsive therapy by sticking her finger into a light socket on two occasions. Fortunately for the student, some of her friends became suspeious of her behavior when she began asking them for endorphins, reserpine and lithium. She finally sought help from Dr. John "Philadelphia Fryer." and the decision was made that she should complete the rotation at the Albert Einstein Medical Center where she could spend a large part of each day playing ping-pong with the patients. 112 David Soskts, M.D.Lyle Miller, Ph.D. Case History — Psychological Model Mr. D, a 28 year old medical student, had elected to take his psychiatry rotation at Episcopal Hospital. He viewed working in the infamous Tower as a symbol of his virility. Two weeks into the rotation he began to feel very ambivalent about his choice of venue. His fellow students noticed that he neglected the Episcopal cafeteria food and began taking late night trips home to see his mother and partake of her culinary expertise. The student displayed paranoid behavior when his tape deck mysteriously disappeared from his car while it was parked in the hospital lot. Upon finding it missing he was thought to have been heard uttering neologisms and exhibiting trichotillomania. When psychoanalytic help was suggested to the student, he displayed a lack of insight into his illness which was characterized by severe negativism and coprolalia. The student did manage to finish the rotation without further incident. This was attributed to the fact that he had refocused his libidinal drives by becoming acquainted with the Episcopal Nursing staff. It really makes more sense this way. 113 John E. Fryer, M.D.As the field of medicine has grown logarithmically in its complexity over the past few decades, so has the bureaucracy which governs it. Along with the development of the administrative superstructure wc call a city hospital, came the development of the departmental concept of hospital organization and the unionization of employees in hospitals and other health related institutions. A union is a group of employees who have joined together to seek common goals or objectives. For most unions, the significant objectives are wages, hours worked, conditions on the job and job security. When a dispute exists between the administrative powers that be and the members of the union, such that it is not resolvable by collective bargaining, the union may wield the weapon of the "strike” to emphasize its position. Those of us who were on rotations at Temple during January and July of 1977 will never forget the two hospital strikes that occurred during these months. The January strike occurred when talks between the 600 member Professional and Technical Employees Association and TUH reached a stalemate over contract negotiations which had been going on for a year with no results. The PTEA strike was supported by about 1200 workers of Local 1199C of the Hospital and Nursing Home Workers Union. The union was asking for an eight percent pay Increase retroactive to July. After four days of negotiations and moderate amount of harassment to non-union employees entering the hospital, the union settled for a three year pact with a five percent pay increase retroactive to July and a further two percent increase retroactive to January 1 as well as improved benefits. Six months later, the contracts expired for the 8000 members of the National Union of Hospital and Health Care Employees in ten of Philadelphia's hospitals. The union members included secretaries, clerks, laundry and cafeteria workers, maintenance workers and skilled technicians. The following chronological sequence recapitulates some of the major events during the July strike: July 1. 1977 - Negotiations for the ten city hospitals and the union continue in three center city hotels. The union is seeking two-year contracts and an average 13 percent wage hike. Some of the smaller hospitals are optimistic but TUH and Hahnemann begin implementing emergency plans in anticipation of a strike. July 2 - Nine of the hospitals settle, but not Temple. Spokesmen for both sides attribute STRIKE! the failure in negotiations to TUH's failure to offer wage increases equal to those won by the union at the other hospitals. A university spokesman states that with the latest management offer, workers at TUH would be making more than those at other hospitals. Henry Nicholas, the union president, argued that Temple administrators wanted the strike to occur since they could use it as a weapon to "shake down" legislators in Harrisburg for more appropriations. 114July 5 — New contracts are ratified at eight hospitals. Wills Eye Hospital employees strike for the first time in the institution's 145 year history, however an agreement is reached in three hours. TUH negotiations are still in a deadlock. July 6 - TUH gears down to 50 percent occupancy. Nurses and secretaries are being asked to work twelve hour shifts; med students are being asked to empty bed pans; other non-union employees are being asked to render non-medical services. Gossip in the hospital has it that should a strike occur, there will be 10,000 union members from Philadelphia and surrounding cities brought to block the streets around TUH. July 8 — Walter H. Powell, a state appointed fact finder, makes the recommendations for a nine and a half percent pay increase over two years for clerical employees and a 50 cents an hour increase in the same period for hospital service workers. The union rejects this offer and the strike begins. Nine picketers are arrested outside TUH after violating a court order limiting picketing. A transport ambulance with RNs from St. Christopher's Hospital sent to TUH for a comatose seven year old girl who fractured her skull after falling from a horse is blocked from entering by an angry mob of pickets, claiming that the RNs were not being allowed to cross the picket line. July 9 — More picketers are arrested. Although nowhere near the 10,000 predicted, the picketers number around 400 and they are disturbing patients with shouts of "contract, contract" and several people are roughed up trying to gain entrance into the building. July 10 — 61 cars parked in the parking garage on Tioga Street are found with slashed tires. Henry Nicholas, union president, states he was "quite satisfied" that none of the union members was responsible, since five of the cars belonged to the strikers. Many medical students are seen vaulting the fence by the Old Hospital in an attempt to avoid the picket lines. July 11-43 picketers are arrested after they purportedly pelted Sheriff's deputies with beer cans, rocks and other objects. In the most serious incident of the day. Dr. Stanley Lorber, chief of gastroenterology, incurred a severe laceration of the nose when attempting to cross the picket line. Rumor had it that one of Dr. Lorber's attackers was an individual he had given free tickets to a 76er's game in the past. During the same incident. Dr. Martin Black suffered a severe kick in the shin. July 12 — A tentative agreement is reached. If ratified, the contract would increase wages by twelve percent or about S27.00 per week over two years, boost fringe benefits to ten percent from eight and a half, and assure LPNs of three weeks vacation after one year. "A little arm twisting" by Common Pleas Judge Stanley Greenberg was credited with breaking the stalemate. July 13 — The 2500 employees of 1199C approve the two-year agreement by 804—77 and began reporting for work. The final settlement is termed a "compromise" by spokesman for both sides. Although the care of an unknown number of patients and the education of many medical students were innocent victims of the two strikes at TUH in 1977, there is still a lesson to be learned. Needless to say, those union members who resorted to violence and mob scare tactics are to be condemned while those hospital employees who unselfishly sacrificed their wages and donated their services for emergency situations are to be commended. Despite the tension of long hours and unpredictability of what the next day would bring, smiles were perhaps more common than usual in the hospital as secretaries, management, administrators. students, RNs and attending physicians swept floors, served food to patients and employees, collected trash and sorted mail. We as future practitioners are members of one of the more austere groups of white collar workers in America. It will therefore be part of our daily work to deal with people from a variety of working situations and in all hierarchies of the hospital bureaucracy. These paraprofessionals and members of the hospital's ancillary staff are going to be concerned with such things as number of shifts worked, housekeeping, wage rates, overtime practices, seniority, promotions policy, grievance procedures and fringe benefits. The ultimate payback if these issues are kept at an equitable status, is the concept of a happy working environment which engenders better service to the patient population. It has become highly essential that a doctor's total educational experience instill in him those humanistic, moral and scientific values which are the very foundation of excellence in the practice of medicine. To this list we can now add employee politics. In this realm, the education we received at Temple University Medical School was unparalleled. Compiled and written by Ron Wisneski 115H. Taylor Caswell, M.D. OK, now just a little novocainc. It'll feel like getting kicked in the genitals. Cornelius Dusart The Village Surgeon Willis P. Maier, M.D. Robert D. Harwick, M.D. 116Just stand over there until we're done draping - O.K.. you're small, you get up here between me and the ether screen where you’ll be able to retract. And you stand over there next to the resident; you'll be able to retract on the other side - O.K. — Knife — Sponge Hemo MEMO - Don't you touch my Mayo Stand! — Suck — SUCK! — Let's tie off these bleeders now. O.K., you can cut when we finish tying - That's too short! - No, no that's too long - Watch it. don't cut the knot! - O.K., give me an Army—Navy. Here, that’s for you. Now give me a Deaver. Now you hold that just like that. Don't move, it's very important that you hold that just like that - All right, fix the light and let's get this gallbladder out -Trace the circulation. This is very important. Where's the hepatic artery? Right. And now the cystic — where's the cystic artery? — It's really hard to see in here. I told you not to move that retractor. Give it to me — There, now that's the way I want it. Watch it, that's tissue you're pulling on! All right, you got the cystic? Are you sure you can follow it all the way to the gallbladder? Let's see. O.K., take it out — All right, you can let go of the retractors now - Let's have the wire -Don't twist when you cut wire! - All right, you can finish up — See you in 20 minutes for the colon resection. Vincent W. Lauby, M.D. Pre-game motions of a chronic third assistant William P. Lightfoot, M.D. Anthony R. Gennaro, M.D. Frederick A. Reichle, M.D. 117 Julieta D. Grosh, M.D. and John H. Hall, M.D.Ophthalmology Guy Hugh Chan, M.D., Chairperson Urology T. minus five minutes 118 Charles M. Norris, M.D., Chairperson A. Richard Kendall. M.D., Chairperson Kyril B. Conger, M.D. Jackson ClinicThen - John Lachman, M.D. And Now- Edward Resmck, M.D. John Lachman, M.D.. Chairperson There is no problem that cannot See, it's right here on page 4: "When be made worse by surgery, you don't know what to do, pull on it." Orthopedics Howard H. Steel, M.D, opcdic resident attempting to start an IV 119 Joseph S. Torg, M.D. Just remember, only jocks get long ugly scars.120 Neurosurgery NEURO-SURGERY CLINIC Raymond C. Truex, M.D. William A. Buchheit, M.D., Chairperson Michael Scott, M.D. RHINO LARYNGO Emile P. Liebman, M.D., Melvin Massloff, M.D. and Max Ronis, Chairpersons "The Three Musketeers"Send half the specimen to pathology, and put the rest in a doggie hag. Friday Mite Knife and Gun Club Setting: 11:45 P.M. on any Friday night at TUH AD. Where's my stud? She's upon 10 finishing up that last admission. Well get her down here. We have a gunshot wound that's going to the OR and I need an H P. Heddy "The Heart" Bergsman M.C. of the Temple Surgical Gong Show every day from 9-4 OGlCAt DISPENSARY 11:50 Come on over here. We got a guy in OR 2 with a GSW of the abdomen who's going to the OR. I just did the H P. I'll dictate; you write. H Black male shot by police. P — Semi-conscious black male with GSW of LUO. BP 60 40 Lungs - Clear Heart — Regular Abdomen - GSW of LUQ, otherwise unremarkable O.K., let's get him up to the O.R. 11:56 Get my radio and then start scrubbing. 12:03 O.K., come on in here — Knife - Hemo - Sponge - Let's tie off the bleeders — Knife - t$. look at him bleed — Suck - Sponge — Keep sucking - Another sponge -That's a lot of blood he’s lost -Looks like its stopping - O.K., now let's check the bowel and see if the bullet penetrated it - It's clean, just got the mesentery - Now check the liver and spleen - How’s his pressure? 90 60, good - Is that the second unit of blood hanging? Keep it coming - Looks like he's going to be O.K. Waking up just in time to go home. Trying out for the percussion section of the Philadelphia Orchestra. 121Anesthesiology Dr. Fish practicing intubating the esophagus James Robert Harp, M.D., Chairperson Leroy W. Krumperman (1920-1976) The most recent addition to the Kresge Portrait Gallery, Dr. Krumperman will be remembered for his twenty-five years as Chairperson of the Department of Anesthesiology. A Temple graduate (1944), he was recognized nationally as an expert in conduction anesthesia. 122 Mary R.W. Reardon, M.D.Marc S. Lapayowker, M.D. Director of Diagnostic Radiology Mary Stuart Fisher, M.D. SI .500 work—up for a URI Harold L. Kundel. M.D. Robert Robbins, M.D., Chairperson Akbar Bonakdarpour, M.D. William G.M. Ritchie, M.D. Radiology Leon S. Malmud, M.D. Renate L. Soulen, M.D. Francis J. Shea. M.D. 123 Henry J. Woloshin, M.D. Seung Ho Lee, M.D.Internal Medicine Sol Sherry, M.D., Chairperson I'm Dr. Sherry, you may have seen me on page 1 of the New York Times. Louis Boilly Consultation. 1823 lit Row C Sunman {Co-Orel R l). M. Ntetr ICo-Chief Ret I. S Sherry (Chtifmjn). H. tVamn I Demi v F (Co-Chief Reti 2nd Row K SutH hl, 0 McEIrwin. w. lenrmtw. R McIntyre. B Tonkonow. C Cutler. S lederman A G-or o. S lane A Hoffman, A. Sclemlar. R Tfumn. J. f «»m M. Bernard 3rd Row R. rt»vs f B Denenhera K Jon t, R. Goppotd, G Glwiton . R Andran. A Maurer. L Poo»ch. t Sun. S Union. 8 Wit . M rtx mo»on Ath Row M Ram. SctiwMU, G Wear R. Lentt. I Leo. S. Ztnn. A Aorirm F Sdreokel 5 h Row M Swarf;, A Metfrko . M Oofchin. M Gnppi. S. Lanne. C. Whit . J Frmba’f. K MiUe 124 Department of Medicine Housestaff 1976-1977 w« « • •• -fW MUtUW I • « • .M ’,_U-. iv.- • :v „ 7V;- tuvinu. v vSs «• 4— WALItft » t,A,V V-»-" — — MWMM Walter J. Levinsky. M.O Harold Hyman. M.O. Review of Systems Cardiac Palpitations off X 1 yr. Pertinent Negatives Eyes No visual defects Skin No ulcers G.U. No hemnti.•••'■• Albert Finestone. M.O. Isadore Ginsburg. M.D.Matthew Naegle, M.D. Charles R. Shuman. M.D. and John H. Martin. M.D. We'll do sign outs in 15 minutes. Call the lab and get the CBC and cliff on Mr. Watkins - Did you see what this calcium is? Why do you think the calcium is so high? - Did you call Micro yet and get the sensitivities on those sputum cultures? Well, you'd better do that now — Mrs. Jones is vomiting? You'd better go down and see what's the matter. Richard D. Berkowitz. M.D., Director; Ida E. Hampton, R.N., Assistant Director; Mary Eloise Cook, R.N. All this and more for twenty dollars a semester! We'll do sign outs in 15 minutes. Did you read the old charts on Mr. Harvey yet? Did they do a spinal tap when he was here in 74? What's the normal CSF pressure? - Who's got the lab sheets? Oh-oh, look at this. Call hematology and find out what pseudo Pelger Huet cells are -Why was she vomiting? Oh, she didn't like the fish they had for lunch — Where's the admission? Beryl Lawn. M.D. Guenther Boden, M.D. Paul A. Shanahan, M.D. 126Stanley H. Lorber, M.D. We’ll do sign outs in 15 minutes. I want you to go down and take a look at that guy's abdomen and tell me what you find - What do you mean the lab doesn't have a CBC on Mr. Watkins? They have to have a CBC on him -- Has Mrs. Perry been going to PM R? Call down and find out what they're doing with her down there -Who's chest pain? You know how to take an EKG? Stanley Lorber — Then Gasfroenterology We’ll do sign outs in 15 minutes. Oid you read that article in the NEJM on Sjogren’s Syndrome and HLA-Dwg? - Is that blood ready yet? I want you to call Dr. Molthan and find out what the problem is with those people down there By the wav. are you ready for Professors’ Rounds tomorrow? I’ll go over a few things with you after sign outs - So what did you find when you examined his abdomen? Do you see what time it is? Come on. get the charts and let’s go. Infectious Disease Robert S. Fisher. M.D. There are two kinds of lecturers -one with slides and one with a message. Anon. Martin Black. M.D. Next slide, Remus! 127 Robert M. Swenson, M.D. Bennett Lorber, M.D.Hematology-Oncology l£ Yolanda Mapp, M.O. Professor Emeritus of Medicine H. James Day. M.O. HEMATOLOGY it )s itsm VID 4 tkj Chfrtaaa» I ■vWt V— !«• •« I lit MIM Uu«tit » WIUISMI RVRIO MU I'll Irttl KiW Hi ml IM R |«»tm M H I | n i » ilr« n V-iir. »Ml Hn «v r i- ««I (•Hi l»» !••• ! »«| nr William E. Barry, M.O.Steven N. Berney. M.D. If I were dressed like that. I'd be in center city. Rosaline R. Joseph. M.D. That's right Helene, there will be no exam in Oncology. Richard V. Smalley, M.D. Charles D. Tourtellotte. M.D. I'm stiff in the morning - for hours. Mary E. Moore, M.D. Dr. Moldawer. what's this I see about regular arthritis Pulmonary Theodore Rodman. M.D. Allen B. Cohen. M.D., Ph.D. J. William Fewell, M.D. Funniest looking chest x-ray I've ever seen. Renal Howard N. Baier, M.D. Michael Rudnick, M.D. 130Endocrinology E. Victor Adlin. M.D. Bertram J. Channick. M.D. Joseph Guzzo, M.D. This may feel a bit uncomfortable sir. Alan D. Marks. M.D. Christine P. Basil, M.D.Louis A. Soloff, M.D. Cardiology Howard Warner, M.D. James F. Spann, Jr.. M.D. Michael T. McDonough, M.D. Thomas Kreulen, M.D. Alfred A. Bove, M.D., Ph.D. William Hammer, M.D. 133 Milton Alter, M.D., Ph.D. Giriwarlal Gupta, M.D.Albert Einstein Medical Center, Northern Division Affiliate Hospitals Germantown Hospital Episcopal Hospital 134135137Looking Around Broad Tioga 138CHEVALIER JACKSON CLINIC VISITING PHYSICIANS AND STUDENTS 139140The North Philly Journal of Medicine (Established in 1899 as the JOURNAL 01- CONWELL’S HOSPITAL AND GRILL VOLUME G99 MAY 25. 1978 NUMBER 1 Original Articles CPAI A Multisystem, Multidisciplinary Disease 88 The Effect id Chicken Soup on Kuru In Last Afnean Marino Sheep With Without Mat .oh Balls ....................... 94 The Incidence of Laboratory Diagnosed SIADII following the Ingestion of Church’s fried t hicken ..................... .. .102 Seminars of ihc Tioga Nicctown Clinic The Phenomenon of Pseudo pseudo pseudo Hypothyroidism .. ............................ 306 Sounding Board Cost Benefit Analysis of Building A Pit BchinJ Your Hospital.... . . .452 Medical Intelligence Is This Self-Contradicting Terminology? . . . 564 Case Records of the Temple University Hospital Diarrhea and Malaise in a Young Man .... . . .666 Editorials The Need for New Diseases ... . . .700 Correspondence T -Cell Sensitivity and the Macrophage Intimidation factor . .... ............. . .738 Acne Vulgaris of the finger Tips ssociatcd with Muffins Steaks ...................744 Ethyl Alcohol-A Problem in the Ghetto? . . .759 Chiropractors and the Treatment of ALS 780 Nominations for Physician of the Year................788 The Correlation of Handwriting Legibility Anal Sphinctor Tone . . ... 791 Spotting the Turkey Patient - The Use of Serum C.iblct Levels ...... .... .797 The Effectivencss of Treating Delcrium Tremens with Thunderbird ...... ........... - • .822 Book Review .................................. . .829 Books Received ......................................444 Books Not Received ............................... -561 Books Thrown Out........................ . .311 Books Sold ... 976 Books Given Away.....................................999 Fourth-Class Postage never paid at Philadelphia. PA Published once in a life-time at 3400 N. Broad Street 141QUESTION What are the leading causes of blindness in the American population? Answer: 1. Diabetes Mellitus 2. Cataracts 3. Glaucoma The La Roach Company Announces the Initiation of a New Treatment of Glaucoma: MARY JANE Brand of Tetrahydrocannibinol In a study conducted by physicians at the Fire Island Medical Center, Mary Jane proved to be effective in the treatment of Glaucoma and resulted in a 90% decrease in the incidence of blindness secondary to glaucoma as compared with control groups. It was ineffective, however, in those cases secondary to diabetes and cataracts in spite of the subjective improvement felt by those patients. In light of the evidence, don't you think its time you started to turn your patients on to this new frontier in Medicine? For information about availability, consult your local drug salesman. LA ROACH Committed to High Standards of Excellence in DrugsCFAI: A MULTISYSTEM. MULTIDISCIPLINARY SYNDROME Over the past several years, observations of the hospital workers (both physicians and supportive staff) in this area have led us to suspect the existence of a previously undescribed syndrome, Ccphalo—procto auto- intussusception (CPAI). A thorough search of the literature revealed no previously published reports of this syndrome, and we felt that the increasing incidence as well as the serious implications of CPAI warranted a prospective study of its nature, predisposing factors, and prognosis. The purpose of this report is to delineate our findings and to bring the existence of the syndrome to the attention of others, in order to facilitate diagnosis and treatment. Incidence The incidence of the syndrome is equally represented among the following groups of hospital workers: faculty, house-staff, students and the nursing staff. However, there is for an unexplained reason, a statistically significant higher incidence among the members of 1199C. Diagnosis Patients with this syndrome are often referred to the clinic from the student employee health office, the walk—in unit or the first floor men’s room. The most common complaints are a headache localized to the abdominal region, constipation, tenesmus dysphagia, flatulent breath, mottled teeth and dyspnea. It should be noted that complaints arc best heard through a stethoscope placed on the anterior abdominal wall. Physical examination reveals a hard abdominal mass palpated to be the size of the cranial vault, hypcrflcxion of the spine and a functional pscudocnccphaly. Rectal exam demonstrates intact cranial nerves. In the mental status exam, one may ask the “Acres of Assholes" speech which is picked by the patients in the nature of an ‘Idiot Savant.’ Radiographically a plain film of the abdomen can be of diagnostic help, particularly if the nose print sign is present (see figure 1). In general the diagnosis can be made on the basis of the history and physical findings. However, the following laboratory tests can be helpful in establishing the diagnosis in equivocal cases: 1. Standing stool velocity 2. Serum porcelain level 3. Macrocyte intimidation factor 4. Stool specimens for hairy mucous stool and cultures for dandruff and normal throat flora. The following diagnostic c.nagories have been devised on the basis of the above tests: Class A if 1,2,3 arc positive Class B if 1, 3 are positive Class C if 2, 4 arc positive Class D if only 4 is positive Class E if all are positive Etiology At this point in time, we have been unable to define one cause for CPAI. However, in our study we noted certain predisposing factors in each of the subgroups of the population surveyed. These are: Faculty: Perseveration Withdrawn affect Expressive aphasia "Conwcllitis” Housestaff: Hyperregulatcd bowel habits Zebritis Early personality disintegration leading to inappropriate affect. Students: Obsessive—compulsive behav- ior Anal personality Multiple cranial taunia secondary to severe tongue lashings Disuse atrophy « 1 the genitalia 1 199C: Supratentorial atrophy Psychomotor retardation Paroxysmal aggressive and inappropriate behavior Nursing Staff: Garbled speech Nocturnal situational over- reaction Since we have yet to find a common thread to link all of these suspected causes together, we feel that the syndrome may have multiple-etiologies which further contribute to the severity of the affliction. Treatment Several therapeutic measures have been suggested and tried from both the medical and surgical sides of the Hvpocratic fence. These include: 1. Transgluteal electroshock therapy 2. Steroids, in the hope that the Cushingoid buffalo hump would be functionally supportive. However, the resultant moon facies contributed to constipation by further impaction. 3. Laparotomy with placement of Crutchfield longs to relieve pressure symptoms by supporting the cranium off of the aorta. 4. Enccphalocolostomy. The need for constant nursing care has made this approach impractical. 143None of these measures have been entirely successful, and an effective mode of therapy continues to ellude us. In conclusion, wc feel that wc arc witnessing an upsurge in the incidence of Ccphalo—procto Autointussusception, a serious, multifaceted syndrome. It is our hope that this report will help others in the medical profession recognize the syndrome when it is present as well as stimulate further investigative efforts into its cause and treatment.CL1NICOPATHOLOGIC CONFF.RFNCE This series is supported by a continuing grant from Joseph’s Cafe PRESENTATION OF CASE A 25 year old male was admitted to the hospital because of diarrhea. The patient was well until three weeks prior to admission when he experienced three episodes of diarrhea and eructation over 24 hours. He was seen in the emergency room and admitted to the hospital the next day. He admitted to a history of fatigue before going to bed, postprandial anorexia and fullness, post-ccbal defecation, precebal hunger, early morning priapism, hydrouria, decreased mentation during sleep and pain in the mitral valve during systole. Family history, social history, past medical history and review of systems were noncontribu-tory. Physical examination was deferred. Laboratory studies on admission (CBC, SMA 6 and 12, chest x—ray, barium enema, ultrasound, manometric studies of the esophagus, endoscopy, ERCP, oral and I.V. cholecytso-gram, percutaneous liver biopsy, upper G.l. scries and colonoscopy with small bowel biopsy) were within normal limits. On the third hospital day, the patient developed a skin rash which was treated symptomatically with high dose steroids and prophylactically with Flagyl, Amphotericin B and Midol following the recommendation of the dermatology consultant. Anaphylaxis developed, the patient was sent to St. Christopher’s Hospital where he was given Solumcdrol and the anaphylaxis remitted. The antibiotic regimen was changed to INH, Ethambuto! and transfer factor. The sweat test was negative. The patient began to complain of pitting edema, moon facies and abdominal strain. The endocrinologist suspected Cushing’s disease, but skull films, cerebral arteriograms, repeat CAT scans, EEC, brain scan and nysiagmogram all failed to show evidence of a pituitary adenoma. Thyroid scan, T3, T4, PBI, I.ATS assay, adrenal arteriogram, urinary VMA and blood pressure were all negative. The patient became combative and restraints were applied and hyperalimentation was begun. The patient complained of a headache. Neurologic examination revealed intact reflexes, but no purposeful movement in any of the four extremities, which was suspicious of Temporal Ix be Epilepsy. Neurologic diagnosis was deferred pending psychiatric consult. The psychiatric diagnosis was conversion hysteria and the patient was put on Haldol, 300 mg. q.i.d. Hypotension ensued and the cardiologist was asked to sec the patient. Cardiac catheterization revealed minimal right axis deviation, which was suggestive of pulmonary hypertension. However, pulmonarv function studies, chest x—ray and arterial blood gases times ten were normal. It was decided to discontinue mechanical ventilation. The urologist was consulted because of the history of hydrouria and early morning priapism. Cystoscopy and penile punch biopsy were negative, as were IVP, renal arteriogram and kidney biopsy. An operation was performed on the twentieth hospital day. On the twenty—first day the patient discharged himself against medical advice because of faulty vertical hold on the television. The following day the patient was found dead in line at the Provident National Bank. Discussion of the Case DR. BURTIE T. BUNYIP : May we see the films? DR. TAPAYOKA: The films arc not available. They were lost in the department file room. DR. BUNYIP: Regardless, they were not important anyway. The riad of malaise, diarrhea and eructation is suggestive of main clinical entities. However, the additional symptoms of postprandial anorexia, preprandial hunger, priapism. hydrouria and decreased mentation narrow the differential diagnosis down to four possibilities: 1. Subacute sclerosing pancorporeal extrasvs-tolic paroxysmal pseudopositraction with a displaced fremitus; 2. Gmgcnital adysplastic atretic stomato-pathy with situs inversus of the colonic flexures; 3. Atypical mycoviral nongranulomatous eosinophilic bluboaropathy; 4. Percy Dovetail’s Disease. Of these possibilities, I can rule out the first by the lack of fremitus on x -ray. the second In the fact that the body stool displacement was normal, and the third by the fact that there was apparently no exposure to the mycovirus bluboar: the negative cultures and the lack of a naval discharge. This brings me to Percy Dovetail’s Disease, which was first described by Sir Percy Dovetail, one of my colleagues at Sir Guy dc Guy’s, yesterday. It is characterized b the above-mentioned symptoms, plus oro—anal fistula, death at autopsy and fecal impaction of the Circle of Willis with brown eyes and rctinoproc-titis. •Professor of Medicine, Sir Guy dc Guy's Hospital, London 145The etiology and pathogenesis arc essentially unknown and the prognosis is universally poor, resulting in death in both of the reported cases. Current theories as to the nature of the cause include an autoimmune mechanism, prepubertal exposure to chlorophy, GL—70, fluoristan and retsin, aluminum chlorhydratc, nonalkyline pi I. he xachloro phene and milk bones, post-—infection syndromes following infection with the virus Paravaritclla Erie Avenosus. Anyone of these etiologies could be applicable in the case at hand. Ml of these causes have been cited in the recent article by Dovetail, et. al. in the Soho Medical Journal. Therefore, it is my feeling that this unfortunate young man was afflicted by Percy Dovetail’s Disease, which ultimately caused his demise. Pathologic Discussion DR. MEL A. NOMA: Autopsy was performed on this patient, and on examination the pathologist noted that the skin was cold, grey and cyanotic. Cardiac and respiratory sounds and response to painful stimulation were noncxistant. On sectioning, the lungs were shown to have coin lesion deposits, there was overdraft of the aorta and cerebral arterial fecoliths. However, these findings are compatible with life and in fact, not uncommon among medical students. Of interest was the finding of priapism of extreme proportions. The organ contained eleven liters of fluid, measured 67 cm and weighed 11.3 kg. Opening pressure was 500 cm of water. The cause of death in this case is dehydration secondary to third space tluid loss. The pathologic findings were compatible with Home’s Syndrome which was first described by a French physician in the fifteenth century. It is a syndrome occurring exclusively in medical students secondary to autorcgulatorv genu valgus. Death is unusual in this syndrome, especially when it is associated with Hand— Pullcr-Not So Christian Disease, which is associated with soft brain, blindness and acne vulgaris. We feel that death in this instance was due to the lack of association with these other diseases. Anatomical Diagnosis Horne’s Syndrome Clinical Diagnosis 1 lercditary I lydroarachnoidosis Dr. Burtic T. Bunyip’s Diagnosis Percy Dovetail’s Disease 146EDITORIAL The Need for New Diseases Do you remember as a child, going to your family doctor and seeing the disease that he treated? Do you remember listening to your grandparents discussing the diseases that afflicted them and their parents? Now that you arc a physician, how much do you really know about tuberculosis, tertiary syphillis, small pox, scarlet fever and the other diseases that have become obsolete in modern medicine? If you say, “Very Little,” it is because we don’t sec them very often. They have become textbook entities that one reads about but never actually secs in practice. If the progress of modern medicine continues at the current rate of eliminating diseases, there will be nothing left to treat by the year 2000. People will continue to live forever and the effects on population dynamics will be disastrous. On a more personal level, try to imagine what it would be like if your mother-in-law were to live forever. Try to imagine making all of those mortgage payments on your boats, houses and cars when no one is coming into your office because there is nothing around to make anyone sick. That in itself is enough to make you sick, isn’t it? Our concern for the successful future of the medical profession impels us to call for an effort to balance the inflow and the outflow of disease entities by discovering new diseases. Our hearts go out to those millions of mutagenic. Penicillinase producing bacteria for their efforts in helping to stem the tide of the elimination of disease. As for the medical profession itself, we feel that the answer to this problem lies in IATROGENESIS. That’s right. You can help support the reason d’etre of the medical profession by creating new diseases yourself through Iatrogenesis. The major drug firms with the continual introduction of new drugs, each with new side effects arc behind the Iatrogenesis movement one hundred percent. With your support and the help of millions of drug happy citizens, we feel that the need for new diseases can be met. So for 1978, let the watchword be “IATROGENESIS!” 147LETTERS TO THE EDITOR Ethyl Alcohol — A Problem in the Ghetto? T—Cell Sensitivity and the Macrophage Intimidation Factor To the Editor: Skirmish et. al. in their recent letter to the NPJM (295:14 597-601) reported that agouti thymus extracts when humiliated in a physiologic saline solution, undergo discrete emotional changes that stifle further behavioral development. Frundlich and his associates in Stockholm have shown that macrophages after having a few beers at the local tavern on Saturday night tend to be crude, aggressive and belligerent (Svedish Mcdica Meatball 175:6 406 413). Following the Sazucki method (Lancet 895:8 892—999) of immune cell surveilancc, we ground rat bone marrow and thymus tissue together in a protein rich medium for ten minutes following incubation in a 5% ethyl alcohol in water at 37 degrees. The cells were washed, centrifuged and the pellet was resuspended in physiologic saline. By phase contrast microscopy, we observed killer macrophages in black leather jackets hurling insults at a group of T cells in ware rim galsscs and straw skimmers. 1'he head macrophage pushed one T cell down and the rest of the macrophages jumped on the T cells and started beating them with chains. Then the macrophages forced the T cells into an abandoned warehouse. Following this a B cell riot squad arrived on the scene and started yelling into a bull horn for the macrophages to throw down their weapons and turn over the T cell hostages or the B cells would open fire. After a brief exchange of lymphokine fire, two T cells and three macrophages were dead and a polymorphonuclear bystander was hit in the nucleus. We can think of no clinical application for this immunologic phenomenon however, we have sold the script to Warner Brothers (Personal communication with Sam Warner, May 1977) and hope to clear a bundle when the scenario is released as a full length film starring Telly Savalas next spring. Alan Durrand Fred B. Ferret ti Sam Oberjunois Los Famosa Medical Center Los Famosa, California To the Editor: I saw the case report on the high incidence of alcoholic abuse among ghetto dwellers in North Philadelphia (NPJM 295:12 789-795). It is suspected that such abuse contributed to multi—system organ disease and it is known that there is a causal relationship between such and livcr biliary pancrcatic disease. However, there has been little socioeconomic study of alcohol abuse in similar populations. Sociologists and psychologists have described in great detail the detrimental effect of regulai alcohol intoxication can have on family structure. Psychoanalysts have also postulated the etiology of chronic alcoholism (a peculiar fixation of oral dependency) and drawn analagics between such and drug dependency. Yet we need to consider with greater perspective what effect this common malady has on the community physicians in the ivory tower. .Although I have not defined and performed a prospective study to evaluate the more gross impact of alcohol abuse, I would like to make a few personal observations: 1. It is easier to sober a drunk in the accident dispensary than to treat an underlying psychiatric puzzle of great intricacy. Alcohol offers an interface for rationalization. 2. We would tear away the major struts of support for our ivory tower were the community as sober as ourselves. 3. Medically we would find ourselves without that convenient bottom line so frequently employed, i.e., if there is no other determinable etiology the patient must be a drinker. With this, our lack of competence and its consequent frustrations arc resolved. 4. We would have to be more conscientious in our introspective efforts. .As it now stands, we can occasionally place ourselves among our patients by traveling to a local bar. We need neither to communicate nor feel what the ghetto dweller suffers. We need only to enjoy our narrow conception of his environment and then go home happy with our concerned willingness to “be involved.” 5. Lastly, when we go home to our own liquor cabinets, in spite of the obvious difference between Jack Daniel’s Black and Kentucky Blue Grass Bourbons, the thought (at some point) must cross our respective cortices that alcohol is not all that bad after all. 148For these reasons I suspect and hope that a definitive study is never done. Can you imagine a North Philadelphia study on the order of the Framingham study? Until such a time, I am reminded of a tidbit of French philosophy: “Let them eat cake." I.T. Temple, M.D., Ph.D. Gone No. 1199Cand Ozzir’s To the Editor: The congenital deformity recently described by Comer and Cork in which the affected group is the Tioga Nicctown tribe designated as Clone No. 1199C by the Convention of Muffin in 1911, reminds us of a complex syndrome indigenous to our area. We have observed the same set of signs and symptoms in the tribe of Oz .ir's, also known as Bambino’s, found uniquely under the shadow of William Penn. Unlike the former group, ours has benefited from a therapeutic course. The Ozzir’s present similar to Clone No. 1199C: chronic complaints of too much work, not enough remuneration, premature cessation of lunch breaks and insufficient time to steal. In addition, they had symptoms of lethargy and browning of the eyes. The signs were malunion of the frontal sutures, inordinate increase in head diameters and circumference, and hyper-resonance of the cranial vault on percussion. Following the edict of Cushing, that the neurosurgeon takes the lowest form of human life and converts it to the highest form of vegetable life, we performed a therapeutic and diagnostic craniotomy. Using a transorbital approach, we found fccoliths in the Circle of Willis. Intracarotid infusion of ‘liquid plumber’ at four cc. per kilogram of total body porccelain, we achieved patency of the vessels. The patients were then transferred to neurology for follow—up care and daily watering. Jackson Ian C. Zurc, M.D. Pagano’s Mouse of Neurologic Disorders NOMINATIONS FOR PHYSICIAN OF THE YEAR To the Editor: I would like to nominate Dr. Richard Berkowitz of the Student Employee Health Clinic for Physician of the Year. His thoroughness and bed side manner has been an outstanding example for the students who come in contact with him. John Hall. M.D. To the Editor: I place the name of M.J. Daly, M.D. in nomination for the Physician of the Year award. R. Rajan. M.D. To the Editor: I second that nomination. M.J. Daly. M.D. 149SOCIAL SECURITY ...with RE-NOVID The days when Grandma used to sit at home and knit are gone. Now she boogies at the Over—Sixty Disco. She gets around. And She can't be bothered by Atrophic Vaginitis when she grooves behind some funky dude. That's why she depends on RE—NOVID (Conjugated Estrogen Products)Godsall and Fish checking the porno Editor—in—Chief — David Fish Literary and Associate Editor - Judy Hunt An Editor - Steve Cook Business Manager - Alice Johnson Photography Editors - Ward Godsall and Glenn Kaplan Senior Section Editor - George Goldman Art Staff-Beng-Hong Cheah. Robin Demons. Bob Tronzo, Cover design by Steve Cook Literary Staff—Leslie Berman Frankel, Jim Sando Original contributions - Rob Edelman. Gail Edelsohn, Arthur Frankel. Alice Johnson. Joe Mignogna. Mike Sperling. Ron Wisneski Literary Assistants - Patsy Sullivan Photography Staff- Chuck DeMario, Dennis Demby, Rob Edelman, Steve Grahek, Ben Gocial, Ken Holt Philadelphia Kaleidoscope Section by Glenn Kaplan Art Reproductions courtesy of the Philadelphia Museum of Art Photography by A.J. Wyatt. Staff Photographer North Philly Journal of Medicine-Authors wish to plead the 5th. George, speaking for himself Judy, hunting for words Leonardo Da Cook For $3.00 Alice will give you the shirt off her back 151Otto Lehmann Dan Solari Skul Nancy Klimley Support Staff WITH SPECIAL THANKS TO Stanton W. Saltzman - Director of Medical Communications Nancy Klimley — Art Supervisor ... for mechanicals, working miracles, smiles and support Cheryl Zisk - Typesetter ... for setting the type with nimble fingers and a warm heart Brenda Ferrell - Assistant Artist Otto Lehmann - Supervisor of Photography Lynn Kirk - Photography Coordinator Henry Badch and William Taylor — Staff Photographers Dan Solari - President of the William T. Cooke Publishing Company Nancy Adams and Margaret Bibro of the Student Activities Office ... for watching pretzel money, assistance with mailings and general support Cheryl Zisk Stan Saltzman 152 Lynn Kirk Brenda FerrellSTEVEN A. AIELLO, M.D. Mary with Pokey 154 Mary Landis Aiello — An extraordinary woman with whom I am hopelessly in loveIT SEEMED JUST LIKE A NIGHT MARE AORD, IT NEARLY WRECKED (AY SOUL, THE DAY THEY fAARRlEDv AEDICINE TO GOOD OLD ROCK-ROLL i HIP O’CRKTIS 1 ROCK DOCTOR, P»DKS I IN V»S KlSfRX To noruct OH HIS 'KETCORIC RISC TO J TAR DOM. Srt WAS ONLY ONE TEAR CO TH T HE STMTtD OOT tw A GYHCCOLOCY BKMt. Doin' A TOUR of ON£ rt'GMT st moS m skau. 0K«nt«6 N ROOKS OvJ-r ■WCST. RAGWV X R0IUH68ONEX. UK W H PEGGED KS ROCK MEDICINE'S NtWesr SUtUSttft! 'wf JAM AT HOUftr S»lfot HAD ALLTM SECT'S IWTHE OP8RATW ROOM TWSRTER SOLO our Ljw just g wouss = SUCCESS THE NETTED H H A GUtST SPOT WITH JOMHHY CAftSOH HIS APPEAL. TO THE CknW-Stmpc SET was TRULy AETouh hG' how WE’d LOVE rr WHEN TkCY’b SC.RCAK FOJtWM TO OEflWlU-ATE MUST OHE KORfc TlMCV BUT THEN HI3 UJCK ftE6AN TO CHARGE. - M Ukl T , HI5 new comceat show, CAAWfct BYPASS 800CIC, k "X FAILED MISERABLY! l HE became -t XpISPONDEflT. THPJ'S WHHE DCClOCD TO SHUCK THC SWfl TA , BIT (T Was T lllft.Hft BfCoH£ ACX WTKYlWtfTBW C.P lNSTOfe ift NASMIUf-te 155KAREN ANN BRETZ, M.D. I shall pass through this world but once. Any good therefore that I can do or any kindness that I can show to any human being, let me do it now. Let me not defer or neglect it for I shall not pass this way again. EX LIBRIS and then Now . . . . . . but not all of it. My life thus far has been filled with new discoveries, experiences and a vast quantity of education. I realize that this is just the beginning and thorc are many more lessons yet to be learned ... I would like to express my special thanks and appreciation to my two wonderful parents who have stood by and encouraged me throughout all my endeavors. Their support helped to make my goal - reality. and in far away places. 156 Vacation times, though few and far between, were spent with close friends ...MICHAEL F. BOYEK, M.D. "Of all the gin joints in all the towns all over the world, she walks into mine." 'Cause I've had my share of broken dreams. And more than a couple of falls. And in choos'n what I though were moonbeams, I have run into a couple of walls. But in looking back at the places I've been, I would sure be the first one to say, When I look at myself today, I wouldn't have done it any other way. - J. Croce P.S. Thanks MA and DAD; God bless 157REUBEN W. AVILA, M.D. jl DON'T UNDERSTAND Lord, sometimes l don't understand l have so much to cat, Lord; Others arc starving With little or no food at all. I don't understand. You have given me good health. Lord; Others of your children suffer pain." I don’t understand. ' You have given me a loving family; Others have no family at all. i don't understand. You have given me a warm home; Others shiver in the cold. I don't understand. I know you as my Savior, Lord; Many--oh, multitudes-Haven't even heard of you. I don't understand. Lord, you have blessed me abundantly And then I remember you said; 'To whom much is given, Much will be required.' Oh, Lord, help me to use My blessings for you. Help me to do the work You have for me to do. I understand. ■ -Hl'-h Andii on________________ A Physician's Prayer Lord, Thou Great Physician, 1 kneel before Thee. Since every good and perfect gift must come from Thee. I PRAY: ’ Give skill to rny hand, clear vision to my mind, kindness and sympathy to my heart. Give me singleness of purpose. strength to lift at least a part of the burden of my suffering fellow men, and a true realization of the rare privilege that is mine. Take f from my heart all guile and worldliness, that with th simple faith of a child I rely on Thee. Amen. k £eSrvr 158WILLIAM T. AYOUB, M.D. What doth the Lord require of thee, but to do justly, and to love mercy and to walk humbly with thy God? Mican 6:8 My sincere thanks to my parents, family, friends and wife, Norma, for their love and support. For when the One Great Scorer comes To write against your name, He marks - not that you won or lost -But how you played the game. -Crantland Rice 159MARK DOUGLAS BAKER. M.D.RICHARD J. JONES, M.D. When life gives you lemons, make lemonade. No person is the whole of himself. His friends are the rest of him. 161 Life is what happens to you while you are making other plans . . .TODD D. MOLDAWER, M.D.It's no trick to get the right answers when you have all the data. The real creative trick is to get the right answers when you have only half the data in hand, and half of it is wrong. And, you don't know which half. Melvin Calvin, 1961 Nobel Laureate in Chemistry in Britain December, 1973 163DENNIS M. DEMBY, M.D. Such is the whose science pate Class - honours, medals, fellowships await; Or even, perhaps, the declamation prize. If to such glorious height he lifts his eyes. But lo! no common orator can hope The envied silver cup within his scope. Not that our heads much eloquence require, Th' Athenian's glowing style, or Tully's fire. A manner clear or warm is useless, since We do not try by speaking to convince. Be other orators of pleasing proud, - We speak to please ourselves, not move the crowd: Our gravity prefers the muttering tone, A proper mixture of the squeak and groan: No borrow'd grace of action must be seen: The slightest motion would displease the Dean; Whilst every staring graduate would prate Against what he could never imitate. The man who hopes t' obtain the promised cup Must in one posture stand, and ne'er look up; Nor stop, but rattle over every word -No matter what, so it cannot be heard. Thus let him hurry on. nor think to rest: Who speaks the fastest’s sure to speak the best; Who utters most within the shortest space May safely hope to win the wordy race. The sons of science these, who. thus repaid. Linger in case in Granta's sluggish shade; Where on Cam'ssedgy banks supine they lie. Unknown, unhonour'd live, unwept-for die: Dull as the pictures which adorn their walls: In manners rude, in foolish forms precise. All modern arts affecting to despise; Yet prizing Bentley's, Brunck's, or Porson's note. More than the verse on which the critic wrote: Vain as their honours, heavy as their ale. Sad as their wit, and tedious as their tale; To friendship dead, though not untaught to feel When Self and Church demand a bigot zeal. With eager haste they court the lord of power, Whether 'tis Pitt or Petty rules the hour; To him, with suppliant smiles, they bend the head, While distant mitres to their eyes are spread. But should a storm o’erwhelm him with disgrace. They'd fly to seek the next who fill'd his place. Such are the men who learning's treasures guard! Such is their practice, such is their reward! This much, at least, we may presume to say — The premium can't exceed the price they pay. Byron 164BUDDY STEYER. M.D. Success is counted sweetest By those who ne'er succeed. To comprehend a nectar Requires sorest need. Not one of all the purple Host Who took the flag today Can tell the definition So clear of Victory. As he defeated — dying -On whose forbidden ear The distant strains of triumph Burst agonized and clear I Emily Dickinson (1859-1878) 165BERNARD LEO REMAKUS, M.D. This page is dedicated to my family -the five constellations of my universe — without whose love, understanding, confidence, encouragement and inspiration this page, and the accomplishment that it represents, would have been merely a long, unfulfilled, bittersweet dream. 166£(wl does not consist of two people looking at each other... £owl consists of two people looking together in the same direction. JOHN J. RACCIATO, M.D. 67LOUIS VOLPICELLI, M.D. To make a great dream oome true, the first requirement is a great capacity to dream; the second is persistence - a faith in the dream. -Hans Selye, M.D. Thanks Mom and Dad Thanks Carol Ideals are like stars; you will not succeed in touching them with your hands. But like seafaring men on the desert of waters, you choose them as a guide, and following them, you will reach your destiny. -Carl Schurz, Statesman 168BRIAN J. ELLIS. M.D. This page is in dedication to the loving memory of my father. It is ho who is primarily responsible for what I am today. Beauty and the beasts (Kathy is the tall one). k. A Kathy, my lovely wife. How lucky can a man get? The first lady of the family. My mother is on the left. The Dirty Half-Dozen and I CC: HPI: PMH: ROS: FH: SH: Prognosis: Takes life too seriously. Pt. was severely depressed in the summers of 72 and 73. attempting suicide on multiple occasions. He was successful on 3 15 74 and started TUMS the following September He was joined by approximately 180 madmen and women but was a standout in his lack of humor and diligence in his work. On 6 21 75 he married an equally serious nurse of questionable qualities. On 9 14 76 he was severely wounded in battle with the “C" bus; the bus was totalled. On 3 77, SEPTA workers left their buses to protect themselves from his wrath. He fully decompensated on 5 25 78 and was inducted into an elitist corps of masochists. Pt. was born at a very early age he was only a baby at the time and cannot recall details Non existent. Supportive. Grew up on a turkey farm. Terminal. 169CALISTA HUNTER, M.D. 170JUDY HUNT. M.D. Hermann Hesse172GREGORY DAVID HARVEY, M.D. Now, let me see, what would Dr. Reading the fine print on a Spann say about a mumur sunny spring day radiating toward the tail? Just boning up on a little surface anatomy Incognito again What about that topsy-turvy world of medicine - it's really hard to develop a firm foundation Another afternoon of Systems Disease II 173VALERIE O. WALKER, M.D. •'All things in time" And in the beginning, there was: Valerie O. Walker Always searching for reason through solitude (Frankford, Germany) And finally arriving at the conclusion Surviving those formative years with a subtle smile With great appreciation to my family, and with special dedication to Dr. Mary P. Wiedeman; a professor and friend. 174ALTHA JEANNE STEWART, M.D. First diploma! "As two flames that unite and make one to ascend ever higher" August 17. 1975 Many thanks to my family and friends for all their support these many years. Years from now when my children are on cattle cars on their way to concentration camps hidden deep in the Southwest, and when they ask others with glassy eyes and neglected faces, “What did Mommy do for black survival?" - I don't want it said that she read books and hid in a dark, dingy lab. I want it said. "She spoke out children, but no one listened." Sagittarius 175JAN BRYDON, M.D. 176JONATHAN WARD GODSALL, M.D But I went away thinking to myself that I was wiser than this man; the fact is that neither of us knows anything beautiful and good, but he thinks he does know when he doesn't, and I don't know and don't think I do, so I am wiser than he is only by this trifle, that what I do not know what I don't think I do. -Apology of Socrates178BENG-HONG CHEAH, M.D. ... I shall be telling this with a sigh Somewhere ages and ages hence; Two roads diverged in a wood, and I -I took the one less traveled by. And that has made all the difference. Robert Frost ■ 179180 JOHN PERSHING LATCHAW, JR.. M.D.a 181ARDELLA M. KEMMLER, M.D. 182KATHRYN J. ZERBE, M.D. We cannot avoid using power, cannot escape the compulsion to afflict the world; so let us, cautious in diction and might in contradiction, love powerfully. Martin Buber 183FRANK C. COLE. III. M.D. I came that they might have life, and have it abundantly. John JO: 10 Dedication: To Bill Delong, who has taught me the meaning of the word FRIEND. We, the willing led by the unknowing are doing the impossible, for the ungrateful. We have done so much for so long, with so little; We are now qualified to do anything with nothing! Temple Hospital A.D. 8 1 76 3A.M. It's not enough that we do our best, sometimes, we have to do what's required! Winston Churchill Prayer for Healers Lord. Make me an instrument of your health; where there is sickness, let me bring cure; where there is injury, aid; where there is suffering, ease; where there is despair. hope; where there is death, acceptance and peace. Grant that I may not: so much seek to be justified, as to console; to be obeyed. as to understand; to be honored, as to love . . . for it is in giving ourselves that we heal, it is in listening that we comfort, and in dying that we are born to eternal life. Prayer of St. Francis (modified by Charles C. Wise) 184WILLIAM G. DELONG, JR.f M.D. Thanks To: Ginny, my friend and my wife, Bill Sr, and Toni DeLong, Rosemary and Bill Duffy, Theresa and Bruce Ackerman. Ray and Mary Decker and Harry P. Jenkins. iiiuiiiiiiuii ii mu miLumu 185 "An electronic portrait of the death of Spot.” May his sacrifice contribute to the lives of many.LOUIS EDWARD BAXTER, SR., M.D. My mother was the making of me. She was so true, so sure of me, and I felt that I had someone to live for; someone I must not disappoint. Florence Pipe Foundry University of Pennsylvania Women's Auxiliary of South Jersey Medical Association Public Health Scholarship Mr. Charles Ireland Dr. M. Prince Brigham Alpha Phi Alpha The diamond cannot be polished without friction, nor man perfected without trials. Invictus Out of the night that covers me. Black as the Pit from pole to pole. I thank whatever gods may be For my unconquerable soul. In the fell clutch of circumstance I have not winced nor cried aloud. Under the bludgeonings of chance My head is bloody, but unbowed. Beyond this place of wrath and tears Looms but the horror of the shade. And yet the menace of the years Finds, and shall find, me unafraid. Love is a smile that springs from quiet thought. A silent voice the heart can understand. The warmth and texture of another's hand. A treasured secret told, a moment caught. It matters not how strait the gate. How charged with punishments the scroll, I am the master of my fate: I am the captain of my soul. We should not pass from the earth without leaving traces to carry our memory to posterity. 186 -William Ernest HenleyALVIN BELL, M.D. In The Beginning 187ANN LIVINGSTON HOLLAND, M.D. With special thanks . to Tom, who sparked the idea; to my family for their loyal support and encouragement; to Emilie, my soul's delight; to Gerry, without whom the obstacles would have been too great; and to many friends, patients and colleagues whose paths, m crossing mine, have made life finer... II n'est point de paysage pour qui n’en a gravi la pente . . . Saint- Exupery 188Hector HELEN EVRARD GALLAGHER. M.D. Bethlehem. Pa — Dec. 28. 1975 October 1977 Bath. Pa. 1960 189O. ARNDT Robin" ISABELLE 190CRAIG ARONCHICK, M.D. 191 Wife Susan and daughter Jennifer JaneBENJAMIN GOCIAL, M.D. 192DAVID A. HINES, M.D. 193GARY L. SMITH, M.D. One ship goes East, another West By the self-same winds that blow. 'Tis the set of the sails and not the gale That determines the way they go. Like the ships at sea are the ways of fate As we voyage along through life. 'Tis the set of the soul that decides the goal And not the calm or strife. -unknown —Unknov n 194 Karen and I busy keeping a proper perspective on Life and Rugby. My colleagues — KH, Kuricks, Dingy, Dwight. Mike, Chick, AB. Aussie. Bad Dude, Dartmouth, Weigs, Enforcer. Fife, Toots, Scrum Rat, Lucky, Raw, Muttly, Ken, General. Joe, So Slow, Richard. Biochem, Sugar Bear, Limey, Louis, Charlie, Corky, Juice. K.O.K., etc., etc., etc. Temple Med R.F.C. A lasting tradition at TUMS.KENNETH M. HOLT, M.D. 195KEN JANOFF, M.D. "Sugar Bear" No time to see, in broad daylight. Streams full of stars, like stars at night. LEISURE What is this life if, full of care. We have not time to stand and stare. No time to stand beneath the boughs And stare as long as sheep or cows. No time to see, when woods we pass. Where squirrels hide their nuts in grass. No rime to turn at Beauty's glance. And watch her feet, how they can dance. In the mountains No time to wait till her mouth can Enrich that smile her eyes began. A poor life this if, full of care, We have not time to stand and stare. William Henry Davies What would these four years have been without rugby parties and the fine people? Teaching Kap to fish "Hun me! In appreciation of the folks who brought me here and for all their support. 196 In memory of a fine little friendFREDRIC W. CROCK, M.D. Home 197 Mary and Shine Mary Ann Brandy David Mark Kathy DiDiWE,QERS. m.D. kim ,n Character. In Manner ,n All Things -The Supreme Excellence is Simplicity, L ongfef o ivI've been asked to write a few words about Dave Medland . . . mostly because he's a real nice guy and nobody else would do it. Four years ago, a shy, unassuming young student walked into the med school offices for an interview with the most brilliant, amazing, outstanding credentials we had ever seen. When we gathered around to look them over, we were literally astonished. The student's name was Martin Wilkins. Unfortunately. Mr. Wilkins had already decided to go to Vale, so we accepted the next guy to walk in after him . . . a virtual unknown named David Medland. The rest is history. Today Dave is still a virtual unknown - except maybe for the scores of other students, faculty and house staff who have followed his struggles and many shining successes over the past few years. All kidding aside, many people have asked us about Dave - who he is, where he comes from. Dave Medland was born in a log cabin which he helped his father build. His childhood was a simple one because he was a simple child It was at a high school dance that he met the woman who would later keep house and care for him - his mother. She had left the Medland family before he was born. Dave distinguished himself while serving in the Army in Europe, where he blew up a German bridge and captured 14 soldiers, including a general, single-handed. Unfortunately, this was in 1968 It was while serving a prison term that Dave met the man who was responsible for his career and his whole new view of life - his optometrist. We congratulate Dave and wish him success in whatever career he chooses. Hugh P. Jorgan, Chairman Student Disciplinary Committee DAVID MEDLAND, M.D. Note: Because Dave was called out of the country suddenly, he was not available to the photographer However, we are proud to be able to print a likeness of the founding father of the Medland family - J.E.B. "Jeb" Medland, who unfortunately met an untimely death while making a large withdrawal from a local Savings and Loan. 199200 MICHAEL A. NILES, M.D. Sometimes, not often enough, we reflect upon the good things, and those thoughts always center around those we love, and I think about those people who mean so much to me and for so many years have made me so very happy. And I count the times I have forgotten to say, "Thank You," and just how much I Love You. Henry Mancini Mom, Dad Family You were always there when I needed advice support Your love and patience has meant everything to me For without you, this day could not have taken place Thank You! I will be grateful for the rest of my life 201DAVID BUNDENS, M.D. 202203JAMES L. BUMGARDNER, M.D. 204WlWIWUMt SDII- Hematology Mveloprollferotlv Dlsonse Dr. Hnpp 5-27-77 11-12 Kurt E. Bleasor 206 I. A homtologlc disorder ttv onj? or norc of tile cell typ-. cells include erythrobl'ists.Even the "Coach” has the right to strike out. Do not judge according to appearance, but judge with righteous judgment. John 7:24 207GLENN PERRY, M.D. 208ANDREW BASKIN, M.D. 209To Eileen . . . without whom the sun would never shine To my Mother and Father . . . I wish that you could know how much I love you . . . J. Denver 210VICTOR BUCKWALTER, M.D. White water ahead Spring Pools These pools that, though in forests, still reflect The total sky almost without defect. And like the flowers beside them, chill and shiver. Will like the flowers beside them soon be gone, And yet not out by any brook or river, But up by roots to bring dark foliage on. The trees that have it in their pent-up buds To darken nature and be summer woods -Let them think twice before they use their powers To blot out and drink up and sweep away These flowery waters and these watery flowers From snow that melted only yesterday. Rotiert Frost 211 Check my mate . . . ChristinaDAVID J. FISH, M.D. God heals and the doctor takes the fee. Benjamin Franklin "Poor Richard", 1774 Doctors pour drugs of which they know little, to cure diseases of which they know less, into human beings of whom they know nothing. Voltaire 212MARK MORROW HARRIS, M.D. Congratulations on your M.D. Remember, you either fear your fate too much or your deserts are small, If you dare not put it to the touch — to win or lose it all. 213 Good night. An Anonymous ThiefLESLIE BERMAN FRANKEL, M.D. A budding gynecologist With my first patient This page is dedicated to my parents for their love and inspiration. Taking it easy My brother, the lawyer Mom and Dad 'The Doctors" 214ARTHUR M. FRANKEL, M.D. fii! 'h 5 a 215216ANTHONY J. ARDIRE, M.D., M.P.H. I pray: Give skill to my hand, clear vision to my mind, kindness and sympathy to my heart. Give me singleness of purpose, strength to lift at least a part of the burden of my suffering fellowmen and a true realization of the privilege that is mine. Take from my heart all guile and worldliness that with the simplest faith of a child I may rely on thee. Amen Patricia: For your patience, understanding and sanity which you have somehow maintained during our three years together; for your unmeasurable moral support; and most of all for your unlimited love, kindness and quiet unselfishness that has made my life so beautiful and complete. Thank you Mom and Dad: For your encouragement, emotional support and countless sacrifices without which my dreams would have remained just that; and for your boundless love that allows you to stand above all the rest and makes me so proud to be your son. Thank you I DEDICATE MY YEARBOOK TO YOU WITH LOVEI 217 MARILYN OLGA CLARE KING, M.D. My thanks and gratitude to ALMIGHTY GOD . . . To my late Father whom God called home before this dream could be realized . . . To my Dear Mother whose help, encouragement and prayers made all of this possible ... To my Darling Ifeyi who was a comfort and joy to me especially when the stresses of medical school got the better of me . . . To my brother and sisters, my friends and babysitters who came to my aid when needed 218 To all of you, I will always be grateful. Very Sincerely, MarilynROSALIND ANN KIRNON. M.D. It all started on this little island in the Carribean Sea several yea's ago. These two wonderful people, my parents - Abraham and Frances Kirnon — orchestrated the move. Through loving guidance and encouragement from my parents, brothers and sisters - 13 strong - and too numerous to include on this one page; through discipline and a strong will to succeed, I made it to this point — Graduation from U. Mass. 74. But somehow I had the urge to go a step further. I came to Temple and for the next four years, I found myself dangling by a finger from the Krebs Cycle, wondering why Cardiologists had such good ears for S4s when I kept missing them, prescribing Dalmane Per Rectum or Nasum, but, nevertheless, always being able to visualize that optic disc. This brings me to Graduation 78. My future career plans are still undecided, but at this point. I'd like to say "Thanx" to the Temple Staff for equipping me with the basics. Thought you might like to see a sneak preview of my shingle: Doctor here who's willing to treat just about everything of which you complain. Of course. I'll never charge a fee; my assistant just likes to be tipped generously as you walk out the front door. 01Q220 ELLEN LACHMAN DEGROOF. M.D.GLADYS S. FENICHEL. M.D.wr i ALAN L. DAYNO, M.D. , . . because his first training was in how to learn. An the first lesson of all was the basic trust that he could learn. It is shocking to find how many people do not believe they can learn, and how many more believe learning to be difficult. Maud Dib knew that every experience carries its lesson. —from "The Humanity of Maud Dib" by Princess Irulan i shall imagine life is not worth dying, if (and when) roses complain their beauties are in vain but though mankind persuades itself that every weed's a rose, roses (you feel certain) will only smile e.e. cummings 222223TO MY PARENTS, TEACHERS AND FRIENDS FOR THEIR SUPPORT AND INSPIRATION. DAVID I. HOFFMAN. M.D. 224KEN GARAY, M.D. 225226MICHAEL F. SMOLIN, M.D. 227MARC EDWARD KRAMER, M.D. 228MARTIN CANE, M.D. 229ALBERTO E. MONTALVO. M.D. 230 This page is dedicated to my parents: Dr. Eladio Montalvo and Dr. Lydia Gonzalez—MontalvoJOHN M. MORGAN. M.D. You fill up my senses, like a night in the forest Like the mountains in spring time. like a walk in the rain Like a storm on the desert, like a sleepy blue ocean You fill up my senses. Come fill me again. Come let me love you, let me give my life to you Let me drown in your laughter, let me die in your arms Let me lay down beside you, let me always be with you Come let me love you. Come love me again. John Denver "Annie's Song Reach for the heavens Hope for the future All that we can be.. Not what we are. John Denver 231DENNIS M. EVERTON. M.D. God has given us no greater blessing than that of belonging to a loving and loyal family — and it will be so, always and forever. Richard L. E vans To my beautiful wife and children - I cannot say the smallest part which I feel .. 232 Our thanks to our wonderful parents Our thanks to TempleT. TODD JOHNS. M.D. 233JOSE MANUEL REYES, M.D. 234235CASS FRANKLIN, M.D. 236Donald (Optimism) Mark (Vision) Charlita (Beauty) Vincent (Wit) A tale begun in other days. When summer suns were glowing — A simple chime, that served to time The rhythm of our rowing — Whose echoes live in memory yet, Though envious years would say "forget. -Lewis Carroll 237SHYRELLE GARDNER, M.D. Nothing in the universe exists alone. Every drop of water, every human being, all creatures in the web of knowledge are part of an immense, evolving, dynamic whole as old, and as young, as the universe itself. To learn this is to discover the meaning of joy. From the book "This is Living Earth" by D. Cavagnaro 238239My godfather Wm. Beverly Carter, M.D. Temple Med. 1926 BEVERLY MARIE VAUGHN, M.D. 240241EMILY PENMAN, M.D.243Unrelenting Tedium and Near Starvation Is Lot of One Medical School Dropout PHILADELPHIA. Feb. 15-Jeffrey Lspkowitz it a broken min Once a promising medical student at prestigious Temple University here. Mi. Lipkowuz, at 23, t today tecelvjng 567 a week Horn the Pennsylvania Dcpartincnt of Social Services and eating dinners out of a can. Limping through the streets in torn Bermuda shorts and loose sandals made out of tractor ures, the bearded and disheveled ycung man has become a familiar sight in this city's blighted south tide. But his story, though tragic. is not unique. Mr. Lipkowiu is one of the growing number of medical school dropouts who, By JASON ISAACSON bpcciBl Co IBlc New Yuik Timet bereft of the single motivating force that drove them through three years of high school, four years of college and the first grueling months of medical study, have slipped quietly into the shadows of society. More md more aspiring phy-sictans, unable to stand the intense pressures of medical school, are leaving the university and finding sanctuary In the ghetto Mr. Lpkowsu. who makes tut home, ironically, in a descried surgical supplies warehouse. is a pathetic example of a growing trend. An Arid Existence Out of habit formed through years of rigorous study, Mr. Lipkowiu rises daily at 7:30 A.M . gropes with cold-numbed fingers for a tattered blue kimono bathrobe, and makes his way in a sea Flat in a stria of tix ante I ft on society's young dropouts. of small bottles marked "ETHANOL: For Laboratory Ust On ly" to an employees’ washroom two Higlvts below hn makeshift loft apartment. There, he splashes cold water over his pale and withered frame ami brushes hu few remaining teeth with a test tube cleaner salvaged front a school liaih btn. Foresaken by friends and relatives. his waking hours are usually divided between idle vims Continued on Page 32,Column 6 244ADAM WOLKIN, M.D. 246RON WALTERS, M.D. 247248PAUL I. WEISS, M.D. 249■ I 250SETH J. WORLEY. M.D. 251NORM JACOBS, M.D. 252GAIL A. EDELSOHN, M.D. Everybody should have a few people who mean a lot to you. On this page I singled out those I could not do without. 253VICTOR GERALD VOGEL. Ill, M.D. Immense have been the preparations for me. Faithful and friendly the arms that have helped me. Walt Whitman Whenever in the cataclysmic events of our nation and our world, and whenever in the privacy of our own family or individual lives we see suffering, we are also hearing, "Moses! Moses!" (Exodus 3:4) and God grant that we will have the grace to say, "Here am I." "For we pass out of death into life because we love the brethren." (I John 3:14). William Sloano Coffin 254Thanks to my parents, to my sister and brother, to a small town called Falls Creek, Pennsylvania, to a biology professor at Grove City College, to Laura, Cindy, Joanne, Lenore, and Jim, and to my best friend and husband. Vic, •r 1 m d If I take the wings of the morning and remain in the uttermost parts of the sea; even there also shall Thy hand lead me. Psalm 139:8 r d 255THOMAS A. ARMSTRONG, M.D. This is what he did when he was there. A pictorial history in the scholarly existence of Tom Armstrong the fellow on the R as he appeared 4 27 77. This 25 y.o. W.M. entered and began needing, TUMS rather innocently 3 short decades ago in 1974. This is the end result-a crowded room and five feet of notes! This type of thing happened occasionally also. This is how he got there. This is what he'd rather be doing. 256STEVEN L. MESHKOV, M.D. " . . . the mind is restless, turbulent, strong and unyielding ... as difficult to subdue as the wind." 257EDWARD H. BEDROSSI AN, JR., M.D. Live your life so that at any hour, you will be able to shake hands with yourself and try at least one thing worthwhile each day. When your nights come, you will be able to pull up the covers and say to yourself, "I have done my best." Unknown We are two holding tightly To the chiding hand. Trodding gently into life Growing from many into one. Unknown 258LAWRENCE X. WEBB, M.D. I would like to especially thank all the people who helped me along the way, especially Mr. Unni Menon and the Menons of Bombay, the Pais of Menipal, my sister Corinne and other family members, my girlfriend, Sandra McDede for her love and support and my parents, for making it all possible. 259LYNN V. YARBOROUGH, M.D. Waiting, waiting The atmosphere was unpredictable, A herald of strange tidings. A fast pace I set And the wind carried me To the presence of my God. St. Bede's was but a step away. In back of Dietrich Was the path taken. The wind succumbed And the leaves were of Golden red and scarlet yellow: They stood so still. A figure humped over With facial features Shriveled into one So sitting to catch the last Of the morning sun. She faced the Museum of Anatomy, Waiting, waiting. She seemed but a shadow Her eyes were cast down - encore! An hour later My path I retrailed. The air was crisper The leaves but greener As the sun had not yet reached their souls. An there in the space identical To that occupied by the grey-haired Sat a youth. His mind scanned the future As his eyes skimmed the leaves of the book. And he sat Waiting, waiting For the sun to shine on him. Lynn V. Yarborough 260261 MARK DOWNING ALLEN, M.DSTEVEN M. KRIEGER, M.D. We can't return, just look back from where we came, And go round and round and round in the circle game. -Joni Mitchell 262CONSUELO B. SAGUE, M.D. sube a nacer conmige mi hermane by the waters of babylon we wept for i just want to dance with the rosebud sioux this summer marat, we're poor dear bosie, after long and fruitless never saw a man who looked so wistfully at the day all difficult music must be heard more than once who by fire; who by water jesus was a sailor when he walked upon the water and then i saw the aleph he discovers the patient labyrinth traces the image of his own face la vida es una nebulcsa Santiago in September don't forget the ship that sailed into cuba one december no, no nos moveran get real anita a voice will call you to arms young female warrior against the slaves who forgot how to be free anita, 1, freedom, O the flames they followed joan of arc that men should fall back on Steppenwolves and two souls, alas a man who can understand buddha ought not to live in a world ruled by 'common sense' and bourgeois standards suffer me to kiss thy mouth is there life on mars pintame angelitos negros que tambien se van al cielo todos les negritos buenos Cuba quelinda es Cuba con los pobres de la tierra hombre y mujerpor igual gracias a la vida la sangre de tupac la sangre de amaru la sangre que dice liberate her mono 263JAMES MARVIN SANDO, M.D. Special thanks to my brother Ralph for his encouragement and helpful advice when it was most needed. Four years of medical school at Temple University were not without periods of frustration, pressure, and, at times, overwhelming work loads. But it's a little easier now that I am in my last year to realize the many good times spent at Temple with friends, faculty and classmates. Most remembered will be: 1. Letter of acceptance 7. Roommate and co-studier at the Bryn 2. Anatomy lab com()adre$ Sally, Mark. Mawr College Library. John Latchaw Consuelo 8. Senior year interviews for Pediatric 3. Temple-Penn State football games residency program 4. Backbreaking final month of sophomore 9. National Boards Part II year which included first time H P's, Pharmacology final exam, Clinical 10. Fellow workers on the 78 Skull yearbook staff Medicine final exam, National Boards 1 11, Dr. Huber, Dean Hugo Smith. Dean 5. Early morning coffee at Doc's truck with Prince Brigham, Advisor Dr. Sisson 6. good friend and classmate Glenn Daniels Obstetrics and Gynecology with Dr. Rajan 12. May 25, 1978 Graduation Ralph and Joyce Rene Ralph Jr. GO WYO Mary Lu, Jennifer, Holly Rick Jr. 264 4 nieces, 2 nephews - six energetic, boisterous and vociferous reasons why not to go into Pediatrics.GLENN E. DANIELS, M.D. 265CHRISTOPHER EMEKA UDDOH, M.D. 266VEITA J. BLAND, M.D. Many thanks for the love and support given by all members of my family, especially by my mother. Love. Veita 267HERMAN REID, M.D. Encouragement. praise, patience Hondo' 268ROCHELLE L. HAWKINS, M.D. My page is devoted to the many people who have made this arduous ascension" worthwile. — Thank you ever so much! Geneva (Mama) Elaine. Marva. Ernestine, Alva Edonna, Darryl Maureen, Jerri, Cecile, Alvin and Wausie, Carroll and Thelma, Harriet, Shelley Thomas and Catherine. Richard and Arlethia. Noble and Jean, Noble and Ella James and Ethel {Cheesecake Entrepreneurs) Jerry and Jackie (Car radios family) Brenda ("Squeekie"). Pamela ("Pamie"), Jacqueline ("B.J."), Billi H. George (My private security guard) 269rr ALICE OLGA JOHNSON, M.D. 270GARY E. JOHNSON, M.D. 271RUTH C. WONG—LIANG, M.D.MARI MARTINEZ, M.D. . . . Lift mine eyes from the earth and let me not forget the uses of the stars Let me not follow the clamor of the world but walk quietly in my path . , . give me a few friends who will love me for what I am. and keep ever looming before my vagrant steps the kindly light of hope. . . . And though I come not within sight of the castle of my dreams. Teach me still to be thankful for life, times . . . olden memories that are good and sweet . . . And may the evening's twilight find us gentle still . . . 273CINDY DEARNLEY SCHOEFFEL, M.D. For the Lord shall be your confidence . . . Proverbs 3:26 274 For it is God who is at work within you, giving you the will and power to achieve His purpose. And two shall become one . . , Genesis 2:24Mom and Dad To laugh often and much To win the respect of intelligent people and the affection of children To earn the appreciation of honest critics and endure the betrayal of false friends To leave the world a bit better, Whether by a healthy child, a garden patch or a redeemed social condition To know one life breathed easier, because you have lived This is to have succeeded. -Emerson Ginny and Tim Time it was, And what a time it was, It was . . . A time of innocence, A time of confidences. Long ago ... it must be . . . I have a photograph. Preserve your memories; They're all that's left you. TOBY A very special friend 1960-1976 275J. LYNN HOFFMAN, M.D. What is medical school ? Well, basically I think that medical school is a time. 8ut also a time for some enriching (?) diversions . . . and to that I say, "Who said E-5?" A time for. of course, lots of studying . .. and to that I say. "I guess I'm stuck with you forever." It's also a time for the prayerful support of your parents who seem to be an unending source of encouragement. And it's a time that only a truly loving and devoted wife could endure, because although she finances your education, you rarely fulfill her needs or desires. And to them I say a most sincere. "Thanks.'' But most of all it was a time of being overwhelmed by the volumes of material and the height of one's responsibility. Consequently, it was a time of drawing closer to the Lord Jesus Christ who many times reached out to calm the spirit of this unnerved student, allowing me to function and learn responsibility rather than being overcome by my inadequacies. To Him I say. ''Take my life and let it be consecrated. Lord, to Thee." 276WOODROW WILLIAM WENDLING, M.D. A great good is coming . . . though few have at all times the courage and simplicity to believe it. George MacDonald The Lord gives grace and glory; He will withhold no good thing from the person who walks uprightly. Psalm 84:11 Whatever you do, do it all for the glory of God. 277 Corinthians 10:31THOMAS H. WRIGHT, M.D. When I first heard that we had a page in the yearbook to do with whatever we want, I knew I ought to dedicate mine to the Lord. He put the desire in my heart for medicine and He gave me the means to really enjoy each of my years of school in a way that I could not have without Him. Before I came to know God personally in my life, I trusted only in myself and I liked it that way. With sports and academics being my two chief interests (in that order), I enjoyed thinking that any success I attained was due solely to myself, and pride was a strong motivating factor. Once I asked my brother, who was a committed Christian, "What gives you pleasure if we can't take glory and credit for our accomplishments?" He said, "I simply enjoy seeing God work in the lives of others." I didn't understand that statement at the time, not seeing how shallow and selfish my motives were; but I now see what he meant. I have gotten a much deeper, richer, lasting pleasure in seeing God work His life—changing miracles in other's lives (for which I'm not responsible), than in any athletic victory (for which I thought I was responsible). Since most of the five years that I have sought to live my life submitted to God have been at TUMS, most of these experiences have been here. As a result of this, God has given me a much greater enjoyment and appreciation for life and medicine than I would have had if I had not known God. At times, I did allow the academic demands to distract me from the Lord, but that was my weakness, not His, and He was always quick to remind me of my failings, and show me how to get back on the track. He used many of you, my classmates, to accomplish His purposes and for that I am very grateful to each of you. And so, as I especially wish to publicly thank God for His special blessings of the four years. I also desire to thank you, my classmates, for the privilege of getting to know you, for the important parts you have played in my life and for the opportunity to see our great God working in your lives as well. Phillipians 2:3,4: "Do nothing from selfish or empty conceit, but with humility of mind, let each of you regard one another as more important than himself. Do not merely look out for your own personal interests, but also for the interests of others." 278LARRY R. JOHNSON, M.D. 279 LAURA CHRISTINE SIMON, M.D. Mom and Dan Grandparents, etc. The Simon Sibs Each one, as a good manger of God's different gifts, must use for the good of others the special gift he has received from God. Whoever preaches, must preach God's words; whoever serves, must serve with the strength that God gives him, so that in all things praise may be given to God through Jesus Christ, to whom belong the glory and the power for ever and ever! I Peter 4:10, 11 My fiance. Skip RungJAMES LANE WALLINGFORD, M.D. DEDICATION Gregory Alan Wallingford September 25. 1953 - January 29. 1976 The woods are lovely, dark, and deep. But I have promises to keep, And miles to go before I sleep, And miles to go before I sleep. Robert Frost I can do all things through Him who strengthens me. Phillipians 4:13 281 My family - Thank you for your encouragement and support. 282"... Do not allow thirst for profit, ambition for reknown and admiration, to interfere with my profession, for these are the enemies of truth and of love for mankind and they can lead astray in the great task of attending to the welfare of Thy creatures .. . Should conceited fools, however, censure me, then let love for my profession steel me against them, so that I may remain steadfast without regard for age. for reputation or for honor, because surrender would bring to Thy creatures sickness and death . . . Never allow the thought to arise in me that I have attained to sufficient knowledge ... For art is great, but the mind of man is ever expanding." Excerpted from the “Prayer of Maimonides" by Moshe ben-Maimon f 1135- 1204 C.E.) "The day is short, and the work is great, and the workmen are sluggish, and the reward is much, and the Master of the house is urgent." Pirke Auoth (Ethics of the Fathers 2:21) "He whose works exceed his wisdom, his wisdom shall endure; but he whose wisdom exceeds his works, his wisdom will not endure." Ibid (3:12) "Who is mighty? He that subdues his impulses." Ibid (4:1) 283FREDERICK J. GINTHER, M.D. To break your identification with your own thoughts is to achieve inner freedom. God alone is real and the goal of life is to become united with Him through love. -Baba Right mindfulness snatches the pearl of freedom from the dragon - time. -Buddha If man is to advance, a new type of thinking is required. -Einstein The higher one climbs on the spiritual ladder, the more will he grant others their own freedom and give less interference to their state of consciousness. 284NICK D'ORAZIO, M.D. 0. yet we trust that somehow good Will be the final goal of ill. To pangs of nature, sins of will. Defects of doubt, and taints of blood. That nothing walks with aimless feet; That not one life shall be destroyed, Or cast as rubbish to the void, When God hath made the pile complete; That not a worm is cloven in vain; That not a moth with vain desire Is shriveled in a fruitless fire. Or but subserves another’s gam. from In Memoriam A.H.H. by Alfred Lord Tennyson 285CHARLES L. DEMARIO, M.D. This page is dedicated to all those who by their love, sacrifice, support and example have helped me attain this degree. With special thanks to Mom, Dad and brother Leonard. I hope that my service as a physician may in some measure repay these debts. 286ROBERT EDELMAN, M.D. 287JOHN D. HARWICK, M.D. 288 Entering the world of clinical training... tliinjis don't matter at all, once you are Real von can't be ugly, except to people who don t understand. THOMAS S. SIESHOLTZ, M.D. 289MARC LEE SCHWARTZ, M.D. Dear Mother and Dad, I am where I am today because of your support, your efforts and your selflessness. Don't think that this has gone unnoticed or unappreciated - it hasn't. You are the best because you have maintained my "psych." Love, Marc P.S. Robyn: Thanks for putting up with all those "gross" discussions at dinner. ANOTHER FOUR YEARS BITE THE DUST I am a medical student. I participate in an educational system which contains some very bizarre characteristics. It enshrines the lecture as its most effective teaching method. It defines a presentation as incomplete if it contains no slides. It hires professors with no regard to their teaching ability. It uses exams to measure what is not known rather than what is. It values memorization as key. It presents information often without regard to relevance. I am a medical student. I experience situations which don’t correlate with laws of reason and logic. Is it reasonable to awaken a patient at 6 A.M. and ask how he feels? It is reasonable to spend four hours compiling a history and physical for a patient who is in the hospital for an overnight stay? Is it reasonable to spend forty dollars for a Medicine textbook when a new edition comes out six months later? I am a medical student. People expect a lot from me. Like the surgeon who maligned me for stretching my fingers after five non-stop hours of holding a retractor. Like the patient who signed out of the hospital after I failed to restart an IV on the first attempt at 3 A.M. Like the head nurse who yelled at me for not remembering into which color tube an SMA—6 goes. I am a medical student. I come into contact with tragedy too many times. The eight year old child who died of lymphosarcoma. The seventeen year old girl whose mind was warped from dope. The thirty-four year old woman who died because no one cared enough. The sixty year old man whose curative operation for cancer turned into an open and close procedure. I am a medical student. I get feelings of accomplishment and satisfaction which few other experience. How about the feeling during my first delivery! How about the feeling when a patient first called me "Doc!" How about the feeling during my first history and physical! How about the feeling during my first O.R. scrub! I am a medical student. But another beginning is here. For today. I am a doctor... and a medical student no longer. Marc L. Schwartz 290KEVIN P. RANKIN, M.D. 291STEVEN PAUL GRAHEK. M.D. 2BRUCE S. AUERBACH, M.D. 293ROBERT J. PORTE, M.D. 294JOSEPH J. MIGNOGNA, M.D. O.B. (Evan) and Baby No. 1 (Judie) 295 Project completed . . . "Adam J" 10 12 77 Post-op roundsHOWARD UDERMAN, M.D. 296RONALD J. WISNESKI. M.D. This Page is Dedicated to: My loving mother My dear wife Judy, for eighteen months of happiness which have added such a very special dimension to my existence My daughter Jennifer, who has made me the happiest daddy in the whole world My friends Mike and Eileen, for their unwaivering friendship now and when I needed it most Doctors Irwin Klein, Joseph Cooper. Donald Cook and Ilona Ring for encouragement and aid in achieveing my career goal Doctor Bennett Lorber who has been a tremendous example by showing me that it is possible to combine family, work and play, and be good at all three Doctor Robert Swenson for a summer of learning with the anaerobes The William Goldman Foundation for their generous financial aid Doctor Neal Pratt for being my advocate on the admissions committee My classmates for friendship, good tunes and contributing to my educational experience All of the teachers and administration of Temple University Medical School for preserving and adding to the body of knowledge I was taught and passing it on for another generation 297HOPE ANDERSON CRANSTON. M.D. I want to thank my husband, Steve, my family and my "adopted parents," Bill and Jean Grary, for all their love, prayers, encouragement and financial support without which medical school would have been an impossible task. And "thanks be unto God, which always causcth us to triumph in Christ" 11 Cor., 2:14). As He promised in Isa. 40:31, "they that wait upon the Lord shall renew their strength; they shall mount up with wings as eagles; they shall run, and not be weary; and they shall walk, and not faint." 298299I have learned that success is to be measured not so much by the position that one has reached in life as by the obstacles which he has overcome while trying to succeed Booker T. Washington Inspiration and Support . . . My mother, Zora Bezirguenian Karian My father, Moses Sarkis Karian My sister, Mary Karian My grandmother, Araxi Jerahian Mr. Joseph Bakal, Rose and Vivian Dr. George Bezirganian, Pauline, John, Carol and Steve Mr. Dicran Deyrmanjian Dr. George Elangian, Isabelle, George Jr., Marcel, Mary Rose and Sona Dr. Jeffrey L. Gold Mr. Mihran Jerahian Rev. Leon T. Muroski Msgr. Leo Sarian Dr. George S. Smith 300WARREN S. DEWITT. M.D. 301VERA STEWART FRANKLIN. M.D. 302CHARLES DAVID BOUCEK, M.D. 303G. STEPHEN DECHERNEY, M.D. Temple University School of Medicine has produced three generations of physicians in my family. Each chose a different area of medicine, and each before me has distinguished himself. It is to the family medical heritage, the family pursuit of excellence and its continued interest in the welfare of others that I dedicate this page of the 78 Skull. "Truth, caring and courage." Matthew S. Ersner, M.D. '12 William A. DeCherney, M.D. '34 H. George DeCherney, M.D. '44 Alan H. DeCherney, M.D. '67 G. Stephen DeCherney, M.D. 78 304305JOSEPH E. STELLA, M.D. 306KENNETH C. PEACOCK. M.D. I wish to express my sincere thanks to — Dr. LeRoy J. Byerly, for nurturing my aspirations and providing my first lesson in how to learn My mother, for her support and for a place to relax and enjoy my family My father, for his foresight; if only he could see me now And especially to Nancy, for sharing dreams and providing through her caring, relief from perspiration.38309THOMAS W. BANTLEY, M.D. The goal of our instruction is love from a pure heart, a good conscience, and a sincere faith. Timothy 1:5 OH, THAT OSCV OS S WOULD OCCUR I 310The fruit of the vine . . . . . . and our dedication . . . The joy that is ours can also be yours — Casa Coia wines table grapes.312RONALD N. TALAGA, M.D. 313Which one is Melanie? 314LENORE TETER, M.D. 'The Search begins . . . ' 'The Search is narrowed to 3 years? . . ’The Search reaches microscopic proportions at Immaculate College' 'The Search reaches a new beginning . . The Search shortens to one more year "I Know Who I Am, and Who I May Be. If I Choose” Don Quixote, Part Miguel DeCervantes 315NAOMI ASNIEN PARISH, M.D. —And now, a brief word of thanks to the major sponsors of this program: To Dr. Brigham, whose help and reassurance got me through seven long years at home and three long years back in school. To Anna, whose financial aid and whose car helped me to brave the Schuylkill Expressway daily. To Mary, whose insight into children allowed me to start off each morning with my mind free of woivry. Also, for her lemon pie and other kindnesses. To Becky, for her patience in waiting to spend time with Mom till my many tests were over. To Monica, for her understanding and "Deepest Sympathy" especially on those l3st nights before the exam. To Oearesi Roger, for his incredible patience and consideration for me as a person always. For his never faltering support and comfort even in times of dire emergency and utter hopelessness. For the myriad extra chores he has uncomplainingly undertaken on my account for these many years. 316 317TIMOTHY THOMAS MCLAUGHLIN, M.D. 318CATHERINE H. BENE, M.D. -»v l b 319LARRY CICCARELLI, M.D. 320ROSALINDA NEGRON, M.D. 321322GRADUATES OF YESTERYEAR (Match names with photographs) Isadore W. Ginsburg, M.D. 1934 Albert J. Finestone, M.D. 1945 Walter J. levinsky, M.D. 1945 E. Victor Adlin, M.D. 1956 Richard A. Kendall. M.D. 1956 Max L. Ronis. M.D. 1956 Richard V. Smalley, M.D. 1957 Charles D. Tourteliotte, M.D. 1957 William A. Buchheit, M.D. 1960 Frederick A. Reichle, M.D. 1961 Joseph S. Torg. M.D 1961 Allan D. Marks, M.D. 1962 Carson D. Schneck, M.D. 1959 323DAVID E. MINO, M.D. Jody If any of us are to become teachers, I believe a true teacher's gift, is to guide a man's discovery of himself. In truth we can only give what we have discovered for ourselves, freely and without intimidation® -Waller Kinder Thank you Mom and Dad for your continual love, support and gudance.KEEP THE FALL LOW DO Y'OU KNOWAnY 600P RULES FOR LIVING, CHUCK? a U)ill Those Rules give ME A FETTER LIFE, CHUCK ? AND FEED YOUR DOG lOHENEVER HE'5 HUNGRY . PEANUTS Good ©I’ CharlieBrown” pont leave you crayons in the son use dental floss every' day, gve fooA WEEKS NOTICE WHEN O CttiKv A CHANGE OF ADDRESS AND MN‘TSPILL THE SftfE fOLiSH! irrm always knock sefore entering don't let THE ANTS GET IN THE SUGAR NEVER VOLUNTEER TO El PROGRAM CHAIRMAN, always get your first serve in 325THOMAS M. SWANTKOWSKI, M.D. I shall pass through this world but once. Any good therefore that I can do or any kindness that I can show to any human being, let me do it now. Let me not defer or neglect it for I shall not pass this way again. 326DAVID ALLEN LONG, M.D. "To dream the Impossible Dream To fight the unbeatable foe To bear with unbearable sorrow To run where the brave dare not go. To right the unrightable wrong To try when your arms are too wary To reach the unreachable star I This is my quest to follow that star." Man of Lamancha I want to thank my wonderful parents to whom I can never repay the guidance, encouragement, devotion and unending love they have given me during these difficult years. I want to extend my gratitude and appreciation to all of my dose friends at Temple, especially Dave and Chris Mittell, Daniel Cepin, Cali Hunter, Stew Mittnacht and Alice Johnson, whose cheerful and ihoughful reassurances made life go easier. To the Class of 78 - Best Wishes and Good Luck I From curly toddler to bored Boy Scout to super, sailing summers at Lake Chautauqua to medical school; it's been hard work and great times. 327JOSEPH MARIANO, JR., M.D. "Jo-Jo" 328329 With appreciation and love, to my parents, grandparents, great-grandmother and especially my wife, Chris, who have given me everything, but most of all, have believed in me.HELENE JOSEPHINE CASSELLI, M.D. Working as a clinical pharmacist. 8PP Unit Dose Pharmacy My two favorite people, my aunt Vickie and my Mom To my Mom . . . thank you for all your love and encouragement - I love you. Kept me company during the long nights of studying. Tinsel II 330BEN ZIMMER, M.D. PR A YER FOR PHYSICIANS by Maimonides "0 God, Thou hast formed the body of man with infinite goodness: Thou hast united in him innumerable forces incessantly at work like so many instruments, so as to preserve in its entirety this beautiful house containing his immortal soul, and these forces act with all the order, concord, and harmony imaginable. But if weakness or violent passion disturb this harmony, these forces act against one another and the body returns to the dust whence it came. Thou sendest then to man Thy messengers, the diseases which announce the approach of danger, and bid him prepare to overcome them. The Eternal Providence has appointed me to watch o'er the life and health of Thy creatures. May the love of my art actuate me at all times, may neither avarice, nor miserliness, nor the thirst for glory or a great reputation engage my mind; for. enemies of truth and philanthropy, they could easily deceive me and make me forgetful of my lofty aim of doing good to Thy children. Endow me with strength of heart and mind, so that both may be ready to serve the rich and the poor, the good and the wicked, friend and enemy, and that I may never see in the patient anything else but a fellow creature in pain." "If physicians more learned than I wish to counsel me, inspire me with confidence in and obedience toward the recognition of them, for the study of science is great. It is not given to one alone to see all that others see. May I be moderate in everything except in the knowledge of this science; so far as it is concerned, may I be insatiable; grant me the strength and opportunity always to correct what I have acquired, always to extend its domain; for knowledge is boundless and the spirit of man can also extend indefinitely, daily to enrich itself with new acquirements. Today he can discover his errors of yesterday, and tomorrow he many obtain new light on what he thinks himself sure of today.” "0 God. Thou hast appointed me to watch o’er the life and death of Thy creatures; here am I ready for my vocation I” 331TEMPLE UNIVERSITY SCHOOL OF MEDICINE 3400 NORTH BROAD STREET PHILADELPHIA, PENNSYLVANIA 19140 OFFICE OF THE DEAN May, 1978 Dear Graduates, Four years of strenuous but rewarding work leading to the M.D. degree are behind you and you are "matched” with hospitals for the additional years of education ahead of you. I am very proud of your accomplishments in Medical School and share the confidence of your family and friends and the faculty in your future. It is truly a time of happiness on the part of all and I look forward to sharing a few moments of this happiness with you and your family at the Graduation Ceremony. Your class is especially meaningful to me as you will be the last class to graduate while I am Dean. Each year as I sign the diplomas I realize again how important our mission is. You are needed by so many and have so much to give. I am grateful and proud that Temple University School of Medicine has helped you on the never ending journey toward knowledge and excellence. I wish you the best of luck in the journey ahead. Dear Graduates: There are times in all our lives when looked back upon, remain glowing in our memories with the same warmth and bitter-sweet good feeling that they had when they occurred. Even as I write, a flood of memories return. I hope it will be the same for you when you look back over the echoing years, remembering the end of your medical school days, this day of graduation. True, you will be leaving good friends both in class as well as faculty. But your future is already broadening limitlessly before you. Adventures in human relationships and medical accomplishments are ahead. We know you can meet these new, exciting challenges with confidence because of the successful years of work you have done here. As you are pleased with yourselves and blissful in the warmth of your families, so are we pleased with you and, as a family, warmly and with great affection wish you happiness and success for the future. Sincerely yours. Roger W. Sevy, Ph.D., M.D. Dean March 15. 1978 332 M. Prince Brigham, M.D. Associate DeanOFFICE OF THE DEAS TEMPLE UNIVERSITY SCHOOL OF MEDICINE 3400 NORTH BROAD STREET PHILADELPHIA. PENNSYLVANIA 19140 March 1978 TO THE CLASS OF 1978 Congratulations on conning through the rigors of Medical School with flying colors, in good spirit, with enthusiasm and with excitement I The challenge you - like your predecessors - have weathered is more than many would have though thoy could have endured but the confidence you have found in yourselves is a healthy product and the learning you have acquired by yourself, from your classmates and faculty and especially from your patients has been enormous. All of this should have given you much pride as well as pleasure. As I view your class, you have endured a change in curriculum which put a particular stress upon your emotional reserves, which caused you both anxiety and at times anger, but which unintentionally forced you to learn to discover on your own what you needed to solve a problem (including how to pass a course) and then how to analyze the problems. Since it is impossible during four short years for one to garner all the facts that one will subsequently need or to experience all the diseases or problems one will eventually meet, such self-learning may turn out to have provided the most constructive knowledge you have gathered. Certainly your performance on the sub-internships would suggest that you are well prepared. Finally, the enthusiasm with which you returned from the primary care rotations -another part of the curriculum which half of you helped us to establish — it is apparent that you have augmented the sensitivity, concern and altrusism you brought to school four years ago and that you have acquired much of the art of medicine. This bodes well for your futures and I wish you all well in the joys of your medical careers. Sincerely yours. Hugo Dunlap Smith, M.D. Associate Dean Dr. Smith More than anyone else, you have been with us through it all. From September 3, 1974 . through the hassles over the grading system ... the lottery for junior year clerkships ... on to picking senior year electives . . . choosing a residency, to MATCH or nor to MATCH and writing Dean's letters . . . through the fateful day of March 15, 1978 . . . and now, finally, graduation . . . Many thanks for your continued interest, guidance and support. 333Residency Assignme Stephen A. Aiello p. 164 Duaueme University - 8 A Abmgion Memorial HospHal Abington. Pennsylvania Internal Medicine Mark 0. Allen p. 261 Hampdon Institute - 8 A Albert Einstein Medicel Center Philadelphia. Pennsylvania $ur9ffy Tony Ardire p. 217 University of Pittsburgh - 8 S University of Pittsburgh Graduate School of PuWie Health - M.P N St Christopher s Hospital for Children Philadelphia, Pennsylvania RsdutriCt Thomas A. Armstrong p. 256 SuCknell University - B A Fitzsimmons Army Hosp-tal Denver. Colorado Internal Med-cme Isabelle O. Arndt p 190 Smith College - 8 A University of Pennsylvania - Ph D Hospital of the University of Pennsyuama Philadelphia. f nnsylvan.a Psyclvatry Craig Aronchick p. 191 Mjhlenberg College - BS Temple University Hospital Philadelphia. Pennsylvania Internal Medicine Bruce S. Auerbach p 293 Temple University -BA L A County Harbor General Hospital Los Angeles California Flexible Reuben W Avila p. 160 Wheaton College - 8.S. Cay of Memphis Hospital Memphis. Tennessee Internal Medicine William T. Ayoub p 161 Bucknell College A 8 Geis.nger Medical Centei Danville, Pennsylvania Internal Medicine Mirk Douglas Baker p. 162 Franklm and Marshall College - B A Geismgrr Medical Onttr Danville. Pennsylvania Pediatr s Thomas W. 8antly p. 310 BuCkneli University - B S Washington Umvervty Affiliated Medical Center St Louis. Missouri Psychiatry Andrew Baskin p. 209 Temple University - 8. A Lankenau Hospital Philadelphia, Pannsylvania Internal Medicine Lours E. Baxter. S». p. 184 University of Pennsylvania - B.S. University of Pennsylvania - 8.A Cooper Hosj tai Camden. New Jersey Obstetr.cs-Gynecology Ned Bedrosstan p. 258 Lafayette College - A.B Lehigh University -MS St Luke's Hosptai Denver. Colorado Flexible Alvm Bell p. 185 Cheyney State Col ege - B A Phiiadeiph-a Community College -AA.S. Nursing Harlem Hospital New York, New York Internal Medico Louis D Bell p 308 Temole University - 8 A Scranton-Tempe Residency Program Scranton. Pennsylvania Internal Med cne Catherine H. Bene p. 319 Franklin and Marshall College - BA. First Postgraduate Year York Hosptai York. Pennsylvania Flexible Residency Temple University Hosptai Philadelphia. Pennsylvania Ophthalmology Edward Bntar p. 203 Rutgt's University - A.B William Shands Hosptai Gameswlie, Florida Othopedics Veita J. Bland p 267 Senett College - BS University of Maryland Baltimore. Maryland Family Medicine Kurt E Blaster p. 207 LaSalle College - B A Mayo Graduate School of Median Rochester, Minnesota Orthopedics Charlas David Boucek p 303 University of Pittsburgh - B.S. Hospitals Univer Health Center Pittsburgh. Pennsylvania Internal Medicine Michael F. Boyek p. 156 King's College - B.S St Margaret Memorial Hospital Pittsburgh, Pennsylvania Family Practice Erie W. Bray Oglethorpe University - B.S Hahnemann Med College Hospital Philadelphia. Pennsylvania Family Practice Karen A. Brew p. 157 Tamp e University - B.A Allentown Hosptai Allentown, Pennsylvania Internal Medicine Jin K. Brydon p. 159 Skidmore College - B.S Strong Memorial Hosptai Rochester. New York Internal Medicme Victor L. Buck waiter p. 211 Eastern Mennonite College - B .S, Lancaster General Hospital Lancaster, Pennsylvania Family Practice James L. Bumgirdner p. 204 University of Pennsylvania - B.A First Postgraduate Year B»yn M-ewr Hosptai 8 yn Mewr. Pennsylvania Surgery Residency Temple University Hospital Philadelphia. Pennsylvania Orthopedics David 8unden p. 202 Colgate University - B A United States Nava) Hosptai San Diega. California Internal Medicine Martin Cane p, 229 Pennsylvania State University - B S Albert Emstem Med.cal Center Philadelphia. Pennsylvania Obstetrics-Gynecology Helen Josephine Catselli p. 330 Temple University - A.B Temple University School of Pharmacy - B.S. Pharmacy Northeastern Hoipitai Philadelphia. Pennsylvania Family Practice Nick Cavarocchi p. 205 Villanov University - 8 S H Tempe University Hospital Philadelphia. Pennsylvania Surgery David Ccpm p. 206 Hunter College B A Tempt University Hosp-tal Philadelphia, Pennsylvania Internal Median Beng-Hong Cheah p 164 Bryn Maivt College - A.B. Thomas Jeffeeson Univer Hospital Philadelph-a. Pennsylvania Diagnostic Radiology Lawrence L. Ciccarelli p. 320 Ursmus College - B.S. Allentown Hospital Allentown. Pennsylvania Surgery nts Robin M. Clemont p. 314 University of Pennsylvania - B.A. Grant Hospital Columbus. Ohio Family Practice Fredrie L. Cohen p. 305 University of Pennsylvania - B.A Pennsylvania Hospital Philadelphia. Pennsylvania Obstetr«c»-Gyn cologv Lawrence R. Coia p. 311 Rensselaer Polytechnic Institute - 8. Sc Bryn Mawr College - M A Thomas Jefferson University Hospital Philadelphia. Pennsylvania Radiotherapy Frank C. Cole. III p. 186 Dartmouth College - B.A Sacred Heart Hospital Allentown, Pennsylvania Family Practice Stave Cook p 155 Dickinson College - B.S. Socitta Dante Aiigh.cn First Postgraduate Yea Episcopal Hospital Philadelphia. Pennsylvania Surgery Residency Manhattan Eye. Ear and Throat Hospital New York, New York Otolaryngology Hope Anderson Cranston p 298 Greenville College - A.B. Barnes Hospital Group St. Loud. Missouri Internal Medicine Frederick W. Crock p. 197 University of Pittsburgh - 8 S Mercy Hospital Pittsburgh, Pennsylvania Internal Medicine Larry A, Cutler p 226 University of Pennsylvania B A First Postgraduate Year Medical College of Pennsylvania Philadelphia. Pennsylvania Surgery Residency Temple University Hoipitai Philadelphia, Pennsylvania Urology Glenn E. Daniels p. 265 University of Pennsylvanie - BA University of Pennsylvania — M.A Walter Reed Hosp-tal Washington. O.C. Psychiatry Alan L. Dayno p. 222 Trinity College - B.A. Baystate Medical Center Springfield. Massachusetts internal Median 334 ® 0 w 2 3 o» m a S !Sf . I ill iliii tllf 5 o. o S ' 2 !?1 .si’.i I Hfl a o wi 6 ii III !«; ;? a f g P I ‘ " till Hill ? I am i5 o fi!P {3U = i | 5:S5S Oh jjO |“f.| Ifii iliil to co 2 i £ o ! ' IU llfll HIM s C , „ ®j = s = Onion 5 D i I r 2 03 c d • £ 3. I If If SlSjfi leHJ = £ 3 ® ?f iffls If J«s Uiii « 5, N»of ? 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IT - M £ , e = o ® £ 111 |l 3 a Tl 5 ISSF fill 5 « 5 ? » w s e - f ? sf I|?ll 2 “• .1 1 -e flJSf llifar- co co 8fai i'.l 11 jsiJ ins If.i I a i 9 ffli_! 6 g - I - a a fill I |IS|I Mr: Z 2 « 6. 5.1 51 J-3M.J Il|b isili Hi! £ s 1 5 I f % | II o c i£ a O II a I III Ilf ■X.--S.2 21 1 ‘ 2 5 it ill 5 | I O ►- 5 5 • n ft °a £ 2 (O s: i 2 r I ? ? = ill fsfl Isis 5 5 S'" s So) o' a I 1 ? iffi Sfll: if f 1 f 2££ CD |.l CD at. i!| flf l?l c » §3 ! CD - t • , r v " - I 0 mil 111!! 5 S S £ 1 fl if, 2 S m -j r ; J S g ? r 3f5 i« S I « I 4£f 2 4?:,? 5 55 3 § o i?oZt a i « 2 2 i = 2 | ! I I I r 5 if £ I s 9 If ?! 5 ’ ll iii |ii Il3 a 5 | ? .-• = o 2 3 lie l§2 n 2 _ S c 3 ii u £ lifts |f!l ? £ a £ £ ££6 fi a 2 0 2 1 » ? ►- O O £ elf- t » V • 1 $ if a J 4 O » r ill! fi nil Its oxo irll C v Zj • = £25 f £«? a fi a « I £ ef|3 lfl§ 5511 O i i ll «c E r c oiii 3 | a 2 a E € ,:?fS dill! C r ® .1 9 5 i - -a 2 2 r 2 3 5 5 2 ° .3 75 a 00 s 5 a £ ?ftil f | 11 I 5 6 3 c , ® I li Ji 6 a 2 2I€fffliftI 24 ?Sl!l53ll2£ £ 3 2eee339Al umni Patrons John A. Anthony. M.D. '46 Dr. and Mrs. David Baldwin '67 Dr. and Mrs. Denis M. Bane '69 Daniel H. Bee. M.D. '37 E. Howard Bedrossian. M.D. '45 George I. Blumsiein, M.D. '29 Leslie J. Boone, M.D. '33 Lois Eberhardt Brennan, M.D. '55 Daniel A. Brooks, M.D. 75 Dr. and Mrs. Ronald J. Buckley '77 Dr. Chuck and Louise Burroughs '46 John N. Carlson, M.D. '60 Louis B. Chaykin, M.D. '61 William Cheslcr. M.D. '37 John W. Coles. M.D. '55 John T. Comerci. M.D. '55 William D. Crigger. M.D. '50 Walter A. D'Alonzo, M.D. '39 C. Nelson Davis. M.D. '31 Dr and Mrs. H. George DeCherney '44 Robert J. Deitz, M.D. ’65 Dr. and Mrs. Neil H DeLozier '64 Dr. and Mrs. A.M. DiGeorge '46 James B. Donaldson, M.D. '44 John V. Ferrazzano. M.D. "67 H. Keith Fischer. M.D. '43 Dr. and Mrs. Robert L. Fry ’58 Dr. and Mrs. I.W. Ginsburg '40 Sanford L. Greenberg, M.D. '60 Milton M Grover, Jr., M.D. '43 Dr. and Mrs. John H. Hall "41 Dr. and Mrs. F.L. Harris '49 Harold J. Isard, M.D. '34 Henry J. Kehrli, M.D. '36 Dr. and Mrs. Robert M. Kemp '56 Dr. and Mrs. A. Richard Kendall '56 W.R.J. Kilpatrick. M.D. '44 Howard P. Knapper, M.D. '40 Dr. and Mrs. Darrell Lane Edward Joseph Lang, M.D. '28 Marc S. Lapayowker, M.D. "54 David Latoni. M.D. '55 Charles A. Laubach, Jr., M.D. '43 Norman Learner, M.D. '39 John W. Lehman, M.D. '58 Clark H. Lentz, M.D. '45 Eugene B. Levin. M.O. '49 Walter J. Levmsky, M.D. '45 Paul M. Lin, M.D. '54 Richard F. Lyster, M.D. '64 Drs. Helga and Larry Magargal '69 Dr. and Mrs. R. Samuel Magee 76 Walter E. Margie. M.D. '51 Drs. John H. and Martina M. Martin '58 Dr. Robert J. McCardle '61 Fred G. McMurry, M.D. 70 Clifford N. Mickens, M.D. 73 Dr. and Mrs. John R. Minehart '35 Mary E. Moore, M.D. '67 Richard J. Morris, M.D. '55 Lewaaron H. Moyer. M.D. '29 William Mahon Myers. M.D. '44 Dr. and Mrs. Matthew B. Naegle 73 David C. Norris, M.D. '52 Matthew Ochs. M.D. 73 Joseph O'Flaherty 72 Dr. and Mrs. Harvey F. Palitz '68 George D. Patton. M.D. '35 William B. Pierce, M.D. '62 Thomas M. Pierro, M.D. '57 Dr. and Mrs. Marshall J. Pierson '43 Robert S. Pressman, M.D. ’37 O.L. Puttier. M.D. ’36 Nelson J. Quigley. M.D. '60 Mary R.W. Reardon, M.D. '52 Dr. and Mrs. Kenneth M. Reighier ’34 Ira H. Rex, Jr., M.D. '57 Dr. and Mrs. Jose M. Reyes '53 Dr. and Mrs. Robert N. Richards '45 Fred B Rogers, M.D. '48 Dr. Max L. Ronis '56 George P. Rosemond '34 Irving Rosenberg, M.D. '42 Dr. and Mrs. Howard Rosenfeld '60 Dr. and Mrs. F.J. Santore '45 Dr and Mrs. Ralph Scott Sando 73 Albrecht W. Schmitt, M.D. '64 Frederic C. Schnebly, M.D. '48 Dr. and Mrs. Carson D. Schneck '59 Dr. and Mrs. Wm. D. Shellenberger '51 Leon Sheplan, M.D. '34 Harry Shubin. M.D. '37 Dr. and Mrs. Charles R. Shuman '43 Thomas R.C. Sisson, M.D. '44 Jack Spivack, M.D. '63 Dr. and Mrs. Paul H. Steerman 75 Dr. Karl N. Stein '66 Jerry Stiffel, M.D. '56 Francis DeSales Stokes, M.D. '26 Dr 3nd Mrs. Melvin F. Strockbme '55 Howard J. Summons, M.D. '40 Myron J. Talbert, M.D. "46 William Tonkonow, M.D. '35 Raymond T. Torp. M.D. ’57 Dr. and Mrs. Raymond C. Truex, Jr. '67 George W. Truitt. M.D. '35 Morris Turell, M.D. ‘31 Ellsworth P Uhler, M.D. '39 William L. Warren, M.D. '50 Dr. and Mrs. E.M. Weinberger '26 Lewis R. Wolf, M.D. '34 Donald A. Youngdahl. M.D. '53 Jerry Zaslow. M.D. '40 Dr. and Mrs. G. Frank Zerbe '43 Joseph N. Zierler. M.D. '15 P.M. Zubntzky. M.D. 77 Dr. and Mrs. Jon D. Bayer 77 340Mr. and Mrs. Sidney Abrams Albert Einstein Medical Center Pulmonary Disease Section C.L. Anderson Mr. and Mrs. Franklin T. Arndt Mr. and Mrs. Norman Aronchick Mr. and Mrs. Emanuel E. Auerbach Dr. and Mrs. Victor Bantly Mr. and Mrs. William P. Barba II Mr. and Mrs. Louis I. Barst Or. and Mrs. John R. Benson Richard D. Berkowitz. M.D. Mrs. Manuel Berman Mr. and Mrs. Warren Billue Mr. and Mrs. Leonard J. Boyek Miss Edna Brown Mr. and Mrs. Richard B. Buckwalter Mr. and Mrs. James Calhen Ms. T.G. Calhoun Mr. and Mrs. Edward Carswell Nellie and Helene Casselli Mr. and Mrs. Dante L. Ciccarelli Allen Cohen, M.D. Mr. and Mrs. Romeo Coia Shirley Berman Cole Mr. and Mrs. Ralph C. Condici Gail S. Crouse Family of Dr. Larry A. Cutler John and Jane Czelen Mr. and Mrs. William G. DeLong Sr. Mr. and Mrs. Joseph B. Dente Mr. and Mrs. Charles A. DeMario Rev. and Mrs. U.G. Dickey Mr. M.E. Eisenberg Endo Laboratories, Inc. Leander H. Falls Mr. and Mrs. Victor Faralli, Jr. Mrs. Zenobia Walker and Family Patrons Richard L. Femchel Richard and Frances Fish Fisher Family Robert S. Fisher. M.D. Fountain Grove A.M.E. Church Mr and Mrs. Daniel Frankel Rose and Harry Gellman Mr. and Mrs. Samuel Goldman Mr. and Mrs. Michael Harakal Mrs. Ralph F. Harwick Mr and Mrs. Douglas Hendrix Dr and Mrs. John S. Hickey Mr. and Mrs. Clair H. Hoffman Mr and Mrs. Martin L. Hoffman Robert L. James TheJanoff Family Mr. and Mrs. Vincent B. Janson Dr. and Mrs. Waine C. Johnson Mack C Kantarian Dr Richard A. Kern Dr and Mrs. Ervin I Klein Mr. and Mrs Harry E. Knafelc Mr. and Mrs. Arthur E. Krieger Mr. and Mrs. John P. Latchaw Mrs. Paschal A. Lmguiti Mrs. Irwin Lipson Wendell and Ramona Livingston The Rev. and Mrs. David L. Long Bennett Lorber, M.D. Stanley H. Lorber, M.D. Dr. Orlando R. Lugo Allan D. and Dawn B. Marks Mr. and Mrs. Daniel Martich Mr. and Mrs. Gonzalo Martinez-Lazaro Rev. and Mrs. W.M. Maynard Robert C. McGmty Mr. and Mrs. James J. McGuire Mr.and Mrs. Delia Carswell Mrs. Daniel Menza Mr. Ulysses Mims Jr. Mr. and Mrs. Sherman C. Mittell Dr. and Mrs. M. Charles Morgan Helyn H. Niles Lillian C. Ocasio Mrs. Charles W Peacock Margaret Pitts Provident National Bank Mrs. Leo W. Remakus Mr and Mrs. F A. Sando Dr. and Mrs. Felice Joseph Santore Mr. and Mrs. William F. Schulze Edmund C. Smith Hugo Dunlap Smith Dr. and Mrs. Robert Sobel David and Carole Soskis Dr. and Mrs. Carl Stanley Mr. William N. Summerlin Prof, and Mrs. Edward G. Sulula Bob, Jean, Kirk 3nd Neil Swenson Mr. and Mrs. Bernard Talaga Julie Calvert Taylor Mr. and Mrs. R. Dixon Teter Joseph U. Toglia, M.D Mr. and Mrs. Albert A Tron o R. Robert Tyson. M.D. Armenia and Postelle Vaughn Mr. and Mrs. James D. Wallingford Arthur Watson Wilkinson County Elementary School Dr. and Mrs. Samuel M. Wilson Paul A. Wolkm Clarence G. Woodley Dr. Dorothy C. Vang, Jim Raymond Mr. and Mrs. J. Zagars M M Clays, Inc - McIntyre. Ga. 341To David: Thank you for making it happen. To Mary: Thank you for putting up with him through it all. To Both of You: Best wishes for the future. May all your little fishes be happy and healthy ones. The Class of 78. 342343With Best Wishes To The Class of 1978 From The Medical Staff Administration of ST. CHRISTOPHER’S HOSPITAL FOR CHILDREN 345GOOD LUCK to the Class of '78 Best Wishes to a Young, Dynamic Physician Wilkinson County Mortuary John T. Smith, Jr. Rev. D.L. Knight —Directors— Mr. Mrs. Morris Zimmer BEST WISHES Renee from VITARINE - WEST PROFESSIONAL DIVISION Tony Genatempo Mike Rodebaugh "With Warm Regards and Best Wishes” The Department of Orthopaedic Surgery 346Courtesy of Hector R. Wiltz, M.D. and Maria Wiltz, M.D. 347Congratulations 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 348Best Wishes to Our Future Health Care Providers Mr. and Mrs. N. Aronchick In Memory of the First And Congratulations to the Third Generation from TUMS J. A. Blasser, M.D. Class of '17 E.F. Blasser, M.D. Class of '52 K. E. Blasser, M.D. Class of '78 T L C We, too, know the importance of "tender loving care." And that's what you get when you become a customer of Community. TLC PLUS insured savings protection and top interest earnings. Stop in for a "check up." Community Federal Savings and Loan Association 3628 N. Broad Street And 9 other convenient offices in Philadelphia, Bucks, Delaware, and Montgomery Counties. MEMBER FSLIC Best Wishes to the Class of 1978 from Congratulations Mr. and Mrs. Lawrence X. Webb To The Class of 1978 From The Department of Surgery BEST WISHES TO THE CLASS OF 1978 Nazareth Anesthesia Associates, Inc. David W. Schaffer, M.D. Robert L. Leegard, M.D. Frank Garbak, M.D. Janet N. Siler, M.D. 349 Albert Einstein MANY THANKS TO THE Medical Center, N.D. TAPE RECORDER OF THE NOTESERVICE OF 78 FOR GETTING US THROUGH Division of Obstetrics Gynecology Alan Rubin, M.D. THE SKULL STAFF CLASS OF 1978 SINCERELY THANK OUR ALUMNI Acting Chairman FOR YOUR GRACIOUS SUPPORT With Best Wishes CONGRATULATIONS TO THE CLASS OF 1978 DEPARTMENT OF ANESTHESIOLOGY to the Class of 1978 The Department of Medicine Congratulations Vic Sally Vogel SCHAFFNER'S FURNITURE Falls Creek, Pa. 15840 "A Nice Place to Buy Good Furniture" 350 Best Wishes to the Class of 1978 from Mr. and Mrs. Daniel Scott Congratulations COMPLIMENTS AND BEST WISHES DOX MERCY HOSPITAL Pride and Locusts Streets Pittsburgh. Pennsylvania 15219 CONGRATULATIONS from Faculty and Staff of the Department of PsychiatrySS!H« 5«5 TEMPLE UNIVERSITY SCHOOL OF MEDICINE BYI IIIWIII COOKE

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